He uaua ki a koe te mimi i ētahi wā, he rite rānei ki te mea kāore anō kia mimiti katoa tō pūkahukahu? Tērā pea ka puta ēnei momo raruraru mā ētahi āhuatanga hauora me ngā pokanga. I roto i ēnei āhuatanga, he huarahi haumaru, he huarahi whai hua hoki te "whakaurunga-ā-roto" hei tango i te mimi e toe ana i roto i tō pūkahukahu. Tērā pea ka mataku koe i te tuatahi ki te whakarongo ki tēnei kupu. Heoi, me te whakangungu tika me te ārahi a tō tākuta, he tikanga tino haumaru, he māmā hoki tēnei ka taea e koe te mahi māu ake.
He aha te Tātaritanga-ā-Whaiaro?
He whakarāpopototanga noa iho tēnei, he tikanga māu ake e mahi hei whakawātea i tō pūkahukahu. E mōhiotia ana hoki ko te Clean Intermittent Catheterization ( CIC ) ko te Intermittent self-catheterization (ISC) rānei.
Anei te mahi: ka āta whakauru koe i tētahi ngongo angiangi, ngāwari e kiia nei ko te catheter mā roto i tō urethra ki roto i tō pūhā. Ka rere te mimi e rongoa ana i roto i tō pūhā mā roto i tēnei ngongo, ka ringihia tika ki roto i te wharepaku, ki tētahi ipu kohi rānei. Kia tino kau tō pūhā, ka āta nekehia te ngongo ki waho. Me mahi tēnei tukanga i ngā wā maha 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, e whakaatu hoki me pēhea te mahi tika i tēnei. He maha ngā momo me ngā rahi o ngā katita, ā, mā tō kaiwhakarato hauora e whiriwhiri te mea e pai ana mōu. Kia māmā ake ai te mahi, me hiahia hoki koe ki ngā taputapu pēnei i ngā hinu whakahinuhinu wairewa me ngā tauera paturopi. Hei ārai i ngā mate, he mea tino nui kia horoia ō ringaringa me te horoi pai i mua i ia whakamahinga.
He aha i Hiahiatia ai tēnei?
Ka taea e ētahi āhuatanga hauora te aukati i te mimiti katoa o tō pūkahukahu. Mā te waiho i te mimi e noho pūmau ana i roto i tō pūkahukahu ka arahi pea ki ngā raruraru nui, pērā i ngā mate urutā mimi (UTI), te kino o te pūkahukahu, tae atu ki te kino o te whatukuhu e kore e taea te whakatika i roto i te wā.
Kei te ripanga i raro nei ētahi o ngā āhuatanga noa e hiahia ana kia whakauruhia e koe te catheter ki a koe anō.
| Āhuatanga Hauora, Take rānei | Whakamārama Māmā |
|---|---|
| Te repeure kua whakanuia (BPH) te prostatitis rānei | Ka whakawhāitihia e tēnei āhuatanga noa i roto i ngā tāne te urethra, ka aukati i te rere noa o te mimi. |
| Ngā mate pūnaha io | Ka pāngia ngā io e whakahaere ana i tō pūkahukahu e ngā mate pēnei i te Multiple Sclerosis (MS), te mate a Parkinson, te spina bifida, te cerebral palsy rānei e ngā mate pēnei i te cerebral palsy. |
| Ngā whara o te taurakira | Ka taea e te whara te whakararuraru i te whakahaere o tō mimi. |
| Ngā pokanga pūkahukahu, ngā pokanga hope rānei | I muri i ētahi pokanga, tera pea ka uaua ki a koe te mimi mō te wā poto, mō te wā roa rānei. |
| Te pupuri mimi, te kore rānei e taea te pupuri mimi | Ka taea e te whakaurunga-ā-ringa kati te whakamahi hei otinga whai hua mō te whakahaere i ēnei āhuatanga. |
Ko te mea tino nui o tēnei ko te whakawātea i tō pūkahukahu i ngā wā katoa, ā, kia tino horoia. Mā te mahi pera ka tiakina ō whatukuhu, ka ārai hoki i a koe mai i ngā mate mamae, e hokihoki mai ana.
Me pēhea te whakarite me te whakahaere tika i te whakaurunga catheter-whaiaro?
Tērā pea he ahua rerekē, he ahua whakamataku rānei i te tīmatanga, engari ina mōhio koe ki te tikanga, he tino māmā noa iho te tukanga, ā, ka taea hoki te whakahaere. Me āta whai i ēnei kaupae.
Hipanga 1: Whakatairangahia te Akuaku!
- Te Horoi Ringa : Me tīmata mā te horoi pai i ō ringaringa ki te hopi me te wai ma.
- Te Horoi: Muri iho, horoia marietia te rohe huri noa i ō ira tāne me te wahine mā te whakamahi i te hopi ngawari me te wai, i tētahi tauera horoi/tauera horoi paturopi rānei e ai ki tā tō tākuta i tohutohu ai hei whakakore i ngā iroriki kino. Mā tēnei ka tino whakaiti i tō tupono ki te pangia e te mate.
Hipanga 2: Te Whakarite i te Catheter
- Tangohia te katitere i tōna takai parakore. Me noho ma tonu; kia horoia ō ringaringa, kaua e pā ki tētahi atu mea i mua i te pā atu ki te katitere.
- Tāpirihia he nui o te hinu whakahinuhinu wairewa-wai (pērā i te KY Jelly®) ki te pito me ngā inihi tuatahi e rua o te katitere. Kia mahara ko ētahi katitere kua whakahinuhinuhia i mua kia pai ai tō whakamahinga.
Hipanga 3: Te Whakauru i te Catheter
1. Kimihia he tūranga whakamarie. Ka taea e koe te noho ki runga i te wharepaku, te tū, te piko rānei ki runga ake i te wharepaku. Mō ngā wāhine , he tino āwhina te whakamahi i tētahi whakaata iti i ngā wāhanga tuatahi ki te kimi mārama i te pūaha o tō urethra.
2. Whakauruhia mārire engari kia pūmau te pito o te catheter kua pania ki te hinu ki roto i tō urethra. Kia tika te urunga o te pito kē ki roto i te peihana wharepaku, ki roto rānei i te ipu kohi mimi.
3. Āta nekehia te katitere ki roto kia tae rā anō ki tō pūkahukahu, ā, ka tīmata te rere o te mimi.
4. Kia tīmata te mimiti o te mimi, pēhia mārire te katitere kia kotahi, kia rua rānei inihi te hohonu kia tika ai te tūnga.
5. Puritia te katitere kia noho tonu ki tōna tūranga tae noa ki te wā e takoto kau ana tō pūkahukahu. Hei āwhina i te tango i te mimi e toe ana, ka taea e koe te pēhi mārire i tō puku o raro, te piko mārire rānei ki mua.
6. Kia mutu katoa te rere o te mimi, tangohia mārire te katitere.
7. Hei whakamutunga, horoia rawatia ō ringaringa ki te hopi me te wai.
Kia maumahara ko ēnei katitere he kotahi noa te whakamahinga . Maka atu te katitere kua whakamahia ki roto i te para i muri tonu i te whakamahinga.
Āhea me Whakapā atu ki tō Tākuta
Ahakoa he tikanga tino haumaru, he tikanga noa hoki te whakaurunga o te kati kōhatu ki a koe anō, ka puta pea ngā raruraru i ētahi wā. Mēnā ka pāngia koe e tētahi o ngā tohu whakatūpato e whai ake nei, whakapā atu ki tō tākuta, ki tā mātou tīma tiaki rānei i Nirogi Lanka tonu atu.
| He uaua ki te whakauru i te catheter | Mena ka pāngia koe e te ātete rerekē, ki te kore rānei e taea te whakauru i te catheter. |
| Toto i roto i tō mimi (hematuria) | Mena he māwhero, he whero, he parauri pouri rānei te āhua o tō mimi. |
| 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 i roto i te taiao, me te kore he catheter. |
| Ngā Tohu o te Mate Pukupuku Mimi (UTI) | Te kirika, te makariri, te mamae o raro o te puku, te tīmatanga ohorere rānei o te kore e taea te pupuri i te mimi. |
| Te riri, te pakaru rānei o te kiri | Mena ka kite koe i te ponana, i te mariao, i te pupuhi, i te whero rānei huri noa i te wāhi i werohia ai. |
I te tīmatanga, tera pea ka ahua taumaha, ka whakararuraru rānei te mahi i tēnei tikanga. Kia mahara he taahiraa nui tēnei hei tiaki i tō pūkahukahu me tō hauora whānui. I runga i tō āhua hauora, tera pea ka hiahiatia tēnei e koe mō te wā poto noa iho, engari ko ētahi atu ka hiahia pea kia roa te wā. Ahakoa te aha tō haerenga, kaua e mangere ki te kōrero tuwhera ki tō kaiwhakarato hauora i Nirogi Lanka mō ō wehi, ō pātai rānei.
Ngā Kaupapa Matua (Karere hei Whakahoki ki te Kāinga)
- He tikanga hauora haumaru, he tino whai hua hoki te whakaurunga-ake-tātari hei whakawātea katoa i tō mimi, he mea nui hoki hei tiaki i te mahi a tō whatukuhu.
- Ko te akuaku te mea nui hei ārai i ngā mate urutā. Horoia pai ō ringaringa ki te hopi me te wai i mua atu, i muri hoki i te mahi.
- Ahakoa he uaua pea i te tīmatanga, mā te whakaharatau, ka tere tonu te noho hei wāhanga māmā, kore ahotea o tō mahi o ia rā. Kia manawanui ki a koe anō.
- Ki te pāngia koe e te mamae, te toto, te tohu rānei o te mate urutā, kaua e whakaroa—whakapā atu ki tō tākuta i Nirogi Lanka tonu atu, rapua rānei he awhina hauora tere.
- He mea hanga tēnei tikanga hei tiaki i a koe, ehara i te mea hei aukati i a koe. Inaa, mā te whakahaere i te hauora o tō pūkahukahu, ka māmā ake ki a koe te noho i tētahi oranga wātea, hihiko, me te kore manukanuka.
