Ina rongo koe ka tangohia te pūkahukahu katoa mā te pokanga, ka mataku te katoa, tika? "Me pēhea taku mimi?", "Ka taea e au te ora me te kore pūkahukahu?" He maha ngā pātai ka puta ake pea ki tō hinengaro. Kaua e manukanuka. Ehara tēnei i te mea whakamataku pērā i tō whakaaro. Nā te mea kua matatau te pūtaiao hauora, he otinga mō ēnei mea katoa. Me kōrero ngāwari tātou mō ngā mea katoa, taahiraa i te taahiraa.
He aha te tango i te cyst?
He ngāwari noa iho, he pokanga te tango i te pūkahukahu hei tango i tō pūkahukahu. He okana ngāwari tō pūkahukahu, he rite ki te pēke, ka taea te pupuri i te rua kapu (tata ki te 500 miririta) o te mimi. He maha ngā wā ka mahia tēnei pokanga hei rongoā mō te mate pukupuku pūkahukahu. Heoi, he otinga anō hoki mō ētahi atu mate pūkahukahu.
Ko te pātai nui rawa atu pea e pātaihia ana e koe ināianei, "Ka taea e koe te ora me te kore he pūkahukahu?"
Ko te whakautu, āe, ka taea e koe! I muri i te tango a tō taote pokanga i tō pūkahukahu, ka hangaia e ia he ara hou mō te mimi kia puta atu i tō tinana. Ka kiia tēnei ko te 'Urinary Diversion'. He maha ngā wā ka hangaia tēnei ara hou mai i tētahi wāhanga iti o tō ake whekau iti, whekau nui rānei. Ka roa pea te wā kia taunga koe ki tēnei momo noho hou i muri i te pokanga. Engari i muri i tētahi wā, ka taunga tō tinana ki tēnei, ā, ka taea e te nuinga o te tangata te hoki ki te oranga noa.
Ko wai e hiahia ana ki tēnei pokanga?
He maha ngā take matua mō te tango i te kōpū. Tērā pea ka taea te mahi i tēnei pokanga mō ngā mate pukupuku me ētahi atu mate kāore i te mate pukupuku.
| Ngā take pea mō te pokanga cystectomy | |
|---|---|
| Ngā Āhuatanga Matepukupuku | |
| Te mate pukupuku kua horapa ki te paparanga uaua o te pūkahukahu | Mena kua horapa hohonu te mate pukupuku ki roto i te pakitara o te tōngāmimi. |
| Ngā mate pukupuku kua kore e angitu i ētahi atu maimoatanga | Mena kāore e angitu te maimoatanga mō te mate pukupuku o te pūkahukahu o waho. |
| Matepukupuku e hokihoki mai ana | Mena he nui te mōrearea o te hokinga mai o te mate pukupuku. |
| Te kino mai i te rongoā irahiko | Ngā raruraru pēnei i te toto i roto i te mimi nā te maimoatanga irahiko. |
| Ngā Āhuatanga Pai/Kore-Pūkahu | |
| Ngā mate pūkahukahu mamae | Hei tauira, ko ngā āhuatanga pēnei i te Interstitial Cystitis . |
| Ngā raruraru o te pūnaha io | Te ngaronga o te mana whakahaere mimi nā te kino o te pūnaha io ( Neurogenic Bladder ). |
| mumura mau tonu | Te toto me te mumura pinepine ( Hemorrhagic Cystitis ). |
| Ētahi atu take | Ngā mate urutā maha, te endometriosis , te fistula mimi, ngā raruraru whānau rānei. |
He aha ngā momo pokanga tango i te cyst?
I runga i tō āhua, ka tangohia pea tētahi wāhanga, te katoa rānei o tō pūkahukahu. E toru ngā momo pokanga matua.
Te tango i tētahi wāhanga o te pūkahukahu (cystectomy wāhanga)
Ko te tango anake i te wāhanga mate o te pūkahukahu ka taea. Ka taea te whakamahi i te toenga hei kohi mimi. Heoi, i muri i te pokanga, ka iti ake te pūkahukahu i tō mua. Ehara tēnei i te pokanga tino noa.
Te tango i te pūkahukahu anake (cystectomy māmā)
Ko te pūkahukahu anake te mea ka tangohia e tēnei pokanga, kāore i te tangohia ngā whekau kē atu e karapoti ana. He maha ngā wā ka mahia tēnei pokanga mō ngā mate kāore i te matepukupuku.
Te tango i te pūkahukahu me ngā whekau huri noa (te tango i te pūkahukahu me ngā whekau e karapoti ana)
Koinei te momo pokanga tino noa, inā koa mō te mate pukupuku. Ko te tango i te pūkahukahu me ētahi atu okana me ngā kiko e karapoti ana i a ia ka taea te whakararu i ngā io pūkahukahu e tata ana ki te pūkahukahu, ka pā ki te mahi moepuku.
- Mena ka mahia tēnei pokanga ki tētahi tāne , ka tangohia pea e te tākuta ngā wāhanga pēnei i te pūkahukahu, te wāhanga o te urethra, te repe prostate, ngā vesicle purapura, me ngā vas deferens.
- Mena ka pokangahia te wahine , me tango pea tōna pūkahukahu, te urethra, tetahi wāhanga o tōna tara, te kōpū, te cervix, me ngā ovaries. Heoi, ka ngana ngā tākuta ki te whakaora i te tara, te kōpū, me ngā ovaries i ngā wā katoa e taea ai. He mea nui kia kōrero koe ki tō tākuta mō te mea pai mō tō āhuatanga.
Te āhua o te pokanga me ngā tikanga hou mō te mimi
He pokanga nui te tango i te pūkahukahu, ā, e 3-6 hāora te roa. Ka taea te mahi hei pokanga tuwhera, hei pokanga iti rawa te whakaekenga, hei pokanga karetao rānei.
I muri i te pokanga, ka hangaia he ara hou (te whakahuri i te mimi) kia puta ai te mimi i te tinana. He maha ngā tikanga matua mō tēnei:
- Te Ara Ileal: Koinei te tikanga e whakamahia whānuitia ana. I roto i tēnei tikanga, ka tangohia tētahi wāhanga o te whekau iti, ka hangaia hei ngongo, ā, ka honoa ngā ureter mai i ngā whatukuhu ki reira. Kātahi ka tāpirihia te pito kē atu o te ngongo ki tētahi kōhao iti (stoma) i hangaia i roto i te kiri o te puku. Ka puta te mimi i te kōhao ka kohia ki roto i tētahi putea motuhake (pēke urostomy) e piri ana ki reira.
- Te Hurihanga Kiri o te Whenua: I konei, ka hangaia he putea i roto i te tinana mai i tētahi wāhanga o te whekau e kohi ana i te mimi. Ka honoa hoki tēnei putea ki tētahi kōhao (stoma) i runga i te kiri. Heoi, kāore te mimi e puta ko ia anake. Ia 4-6 hāora, me whakauru e koe he catheter ka whakawātea i te putea.
- Te hanga i tētahi pūkahukahu hou (te hanga i tētahi pūkahukahu hou): Mena kei te pai te āhua o tō urethra, ka taea te hanga i tētahi pūkahukahu hou mai i tētahi wāhanga o te whekau ka whakatōkia ki te wāhi kotahi i noho ai te pūkahukahu tawhito. Kātahi ka honoa ki te urethra. Kātahi ka taea e koe te mimi noa. Heoi, i ētahi wā me whakamahi pea koe i tētahi catheter hei mimiti katoa i tō mimi.
Te whakaoranga me te tiaki i muri i te pokanga
Me noho koe ki te hōhipera mō te 5-7 rā i muri i te pokanga. Tērā pea ka roa ētahi wiki, ētahi marama rānei kia tino ora ai koe. He iti noa ngā mea me mōhio koe i tēnei wā.
- Inumia he nui te wai: Kia mau te makuku o tō tinana. He mea pai hoki te inu i tētahi inu pēnei i te ORS me te wai.
- Hīkoi māmā: He pai te hīkoi pakupaku i ia rā i muri i te pokanga mō te rere o te toto, ā, ka tere ake tō ora.
- Kia kaha tonu ō whekau: I muri i te pokanga, tērā pea ka iti ake te kaha o ō whekau (ileus). Ko te mea pai hei mahi māu ko te inu wai me te hikoi haere.
- Whakamahia he urunga i te wā e maremare ana: Ki te mamae tō patunga pokanga i te wā e maremare ana, e tihe ana rānei, ata whakatakotoria he urunga ki runga i tō puku. Mā tēnei ka āwhina i te whakaiti i te mamae.
- Moe pai: He mea nui te okiokinga kia tere ai te ora.
- Rapua he tautoko hinengaro: He puna nui te kaha mā te kōrero ki tētahi kua oti tēnei momo pokanga. Pātai atu ki tō tākuta mō ngā tohutohu mō tēnei.
Ngā tūponotanga o te pokanga me te wā e tika ai kia kite i te tākuta
Pērā i ngā pokanga nui katoa, he mōrearea anō hoki te tango i te kōpū. Kei roto i ēnei ko te toto, te mate pāwera, me te kino ki ngā whekau e karapoti ana. Tērā anō hoki ngā raruraru pea, pērā i ngā mate mimi (UTI), te mate puku, te mate korere rānei, ngā raruraru ki te mimiti i ngā matūkai pērā i te huaora B12, me ngā huringa o te mahi ā-ira tangata.
| Āhea te rapu tohutohu hauora | |
|---|---|
| Mena kei a koe ēnei tohu, kōrero ki tō tākuta. | |
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| Ki te puta ēnei tohu, haere tonu ki te hōhipera (ETU). | |
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Karere Tangohia ki te Kāinga
- He pokanga nui te tango i te pūkahukahu. Ko te nuinga o te wā ka mahia mō te mate pukupuku pūkahukahu.
- Ka taea te ora me te kore he pūhā. Ka hangaia e te taote pokanga he ara hou mō te mimi kia puta.
- Ahakoa he roa te wā e ora ai i muri i te pokanga, ka taea e te nuinga o te tangata te hoki ki te oranga noa.
- Pērā i ngā pokanga katoa, he tūponotanga kei reira, ā, tera pea he maimoatanga rerekē.
- Kōrerohia mā te mahorahora ki tō tākuta mō ō pātai, ō āwangawanga rānei. Mā reira anake ka taea ai e koe te whakatau pai rawa atu.
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