He uaua rānei te mimi i ētahi wā, me te mea kāore anō kia tino horoia tō pūkahukahu? Tērā pea ka pā mai ēnei momo raruraru ki ētahi āhuatanga hauora me ngā pokanga. Nō reira, i roto i ēnei āhuatanga, ko tētahi tikanga hei horoi rawa i te mimi i roto i te pūkahukahu ko te 'catheterization'. Tērā pea ka ahua whakamataku te rongo i tēnei ingoa. Engari he mea tēnei ka taea te mahi haumaru me te ngāwari me te tohutohu a ngā tākuta me te mahi tika.
He aha te 'Whakaurunga-ā-Whaiaro'?
He māmā noa iho, he tukanga tēnei e whakawātea ana koe i tō pūkahukahu. Ko ētahi atu ingoa mō tēnei ko te 'Clean Intermittent Catheterization' ( CIC ) me te 'Intermittent self-catheterization ' (ISC).
Koinei te mea ka tupu: Ka whakaurua marietia he ngongo angiangi, ngāwari, e kiia nei ko te catheter , mā roto i tō urethra ki roto i tō pūhā. Ka rere katoa te mimi i roto i tō pūhā mā roto i te ngongo ki roto i te wharepaku, i tētahi ipu kohi rānei. Kia tino kau tō pūhā, ka tangohia e koe te ngongo i ia wā, i ia wā. Ka mahia tēnei i ētahi wā i te rā, i ia whā ki te ono hāora te nuinga.
Kaua e manukanuka, mā tō tākuta, mā tō nēhi rānei koe e ārahi ki te mahi tika i tēnei. He rerekē ngā momo me ngā rahi o ngā katitere, ā, mā tō tākuta e whiriwhiri te mea e tika ana māu. Me whai mea anō hoki koe pērā i ngā hinu whakahinuhinu me ngā tauera paturopi hei whakangāwari ake i te mahi. Hei ārai i te mate, he mea nui kia noho ma tonu ō ringaringa.
He aha koe i hiahia ai ki te mahi i tētahi mea pēnei?
Ka taea e ētahi āhuatanga hauora te aukati i te mimiti katoa o te pūkahukahu. Mēnā ka waiho te mimi ki roto i te pūkahukahu, ka ara ake pea he maha ngā raruraru. Hei tauira, ko ngā mate pūkahukahu (UTI), te kino o te pūkahukahu, ā, i te mutunga ko te kino o te whatukuhu.
Kei te ripanga i raro nei ētahi āhuatanga e hiahiatia ai tēnei tikanga.
| Āhua, take rānei | He whakamārama māmā |
|---|---|
| Te nui haere o te repeure, te mumura rānei (prostatitis) | I roto i tēnei āhuatanga, he mea noa i roto i ngā tāne, ka aukatia te urethra, ka aukati i te rere o te mimi. |
| Ngā mate o te pūnaha io | Ka pāngia ngā io e whakahaere ana i te mahi a te pūkahukahu e ngā mate pēnei i te sclerosis maha (MS), te mate a Parkinson, te spina bifida, me te cerebral palsy. |
| Ngā whara o te taurakira | Ina pakaru te taurakira i tētahi aituā, ka ngaro pea te mana whakahaere mimi. |
| Ngā raruraru mai i te pokanga mimi, i ētahi atu pokanga rānei | I muri i te pokanga, tera pea he uaua ki te mimi, mō te wā poto, mō te wā roa rānei. |
| Te pupuri mimi, te kore rānei e taea te pupuri mimi | He otinga tēnei mō ēnei āhuatanga e puta ake ana nā ngā take maha. |
Ko te mea tino nui ko te pūkahukahu .Te nekeneke i te puku i ngā wā katoa. Mā tēnei ka tiakina ō whatukuhu, ka āwhina hoki i a koe ki te karo i ngā mate pāwera.
Me pēhea te whakarite mō tēnei, me te mahi tika hoki?
Tērā pea ka ahua rerekē te mahi i tēnei kia taunga rā anō koe ki te mahi, engari he tino māmā noa iho mēnā ka whai tika koe i ngā kaupae.
Hipanga 1: Ko te ma te mea nui!
- Te horoi ringa : Tuatahi, horoia ō ringaringa ki te hopi.
- Te Horoi: Muri iho, horoia rawatia te wāhi huri noa i ō ira tāne me te wahine ki te hopi me te wai, ki tētahi tauera rānei kua rumakina ki tētahi wai patu paturopi i hoatu e tō tākuta. Mā tēnei ka tino whakaiti i te tūponotanga o te mate.
Hipanga 2: Te whakarite i te catheter
- Tangohia te catheter i roto i tōna kete. Me pupuri kia tino ma, nō reira i muri i te horoinga o ō ringaringa, kaua e pā ki tētahi mea engari ko te catheter anake.
- Tāpirihia he hinu whakahinuhinu wai, pērā i te `KY Jelly®`, ki te pito o te catheter ka whakaurua ki roto i te urethra, ā, e rua inihi te roa. Ko ētahi catheter kua pania ki mua i tēnei hinu whakahinuhinu.
Hipanga 3: Te whakauru i te catheter
1. Tū ki tētahi tūranga pai. Ka taea e koe te noho ki runga i te wharepaku, te tū, te piko paku rānei ki runga i te wharepaku. Tērā pea ka kitea e ngā wāhine he pai te whakamahi i tētahi whakaata iti hei kimi i te pūaha o te urethra i te wā tōmua.
2. Whakauruhia te pito kua pania ki te hinu o te catheter ki roto i te urethra, kia mārire engari kia mau. Puritia te pito ki te wharepaku, ki tētahi ipu rānei hei kohi mimi.
3. Kia tae koe ki te pūhā, pēhia mārire te katitere ki roto kia tīmata rā anō te puta o te mimi i roto i te ngongo.
4. Kia tīmata te puta mai o te mimi, tāpirihia kia kotahi, kia rua rānei inihi te hohonu.
5. Puritia te katitere kia noho tonu te mimi. Ka taea e koe te pēhi i tō puku o raro, te piko paku rānei ki mua hei āwhina i te whakaputa i te mimi e toe ana.
6. Kia mutu te rere o te mimi, tōia mārire te katitere ki raro, ki waho.
7. Hei whakamutunga, horoia anō ō ringaringa ki te hopi kia tino pai.
Kotahi noa te whakamahinga o ēnei katitere, nō reira maka atu ki te para ina mutu te whakamahi.
Ina hiahia koe ki te kōrero ki te tākuta
Ahakoa he haumaru tēnei tikanga i te nuinga o te wā, ka puta pea ngā raruraru i ētahi wā. Mena kei a koe tētahi o ngā tohu i raro nei, waea atu ki tō tākuta tonu.
| Mena he uaua te whakauru i te catheter | Mena he uaua ake i te tikanga, he kore rānei e taea te whakauru. |
| Mena he toto kei roto i tō mimi (hematuria) | Mena he māwhero, he whero, he parauri pouri rānei te āhua o te mimi. |
| Mena ka pāngia koe e te mamae i te wā e mimi ana (dysuria) | Mena ka pāngia koe e te wera, te mamae rānei i a koe e mimi ana me te kore he catheter. |
| Ngā tohu o te mate mimi (UTI) | Te kirika, te makariri, te mamae o te puku o raro, me te kore e taea te pupuri i te mimi. |
| Ngā raruraru kiri | Mena he riri kiri, he mamae, he whero rānei te wāhi e werohia ana te catheter. |
Tērā pea ka ahua taumaha tēnei i te tīmatanga. Engari kia mahara, he mea tino nui tēnei hei mahi māu mō tō hauora. Tērā pea ka poto noa te wā e hiahiatia ana e ētahi tāngata ki te mahi i tēnei. Tērā pea ka hiahiatia e ētahi atu mō te toenga o ō rātou oranga. Kei tō āhua te āhua. Nō reira, ki te mea he pātai, he āwangawanga rānei āu, kōrero noa ki tō tākuta.
Karere Tangohia ki te Kāinga
- He huarahi haumaru, he huarahi whai hua hoki te tākai kati hei whakawātea i tō pūkahukahu. Mā tēnei ka āwhina i te tiaki i ō whatukuhu.
- Hei ārai i ngā mate urutā, ko te horoi te mea tuatahi . Horoia pai ō ringaringa i mua atu, ā, i muri hoki i te whakaurunga o te catheter.
- Tērā pea he ahua uaua tēnei i te tīmatanga, engari ina taunga koe ki tēnei, ka tino māmā noa iho. Kia manawanui, kia whakaharatau hoki.
- Mena he mamae, he toto, he tohu rānei o te mate pāwera, kaua e whakaroa, waea atu ki tō tākuta.
- E kore tēnei tikanga e whakaiti i te kounga o tō oranga. Ina hoki, ka māmā ake tō oranga nā te mea kāore koe e manukanuka ki ngā raruraru mimi.
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