He maha ngā mate urutā o te ara mimi (UTI) e pāngia ana e tāu tamaiti? Tērā pea kua kōrero te tākuta ki a koe nā te mea ka rere whakamuri te mimi mai i te pūkahukahu, ki ngā whatukuhu. I roto i te rongoā, ko te ingoa o tēnei mate ko te Vesicoureteral Reflux (VUR) . Kaua e wehi ki te rongo i tēnei ingoa, ā, ka whakaaro he mate kino. He mate tēnei e kitea ana i roto i ngā tamariki. Inaianei he maimoatanga tino māmā, haumaru, whai hua hoki mō tēnei. I tēnei rā, e kōrero ana tātou mō tētahi maimoatanga e kiia nei ko te Deflux .
Know your body mass index (BMI) and weight classification
He aha te Deflux?
He whakarāpopototanga noa iho, he wai rite ki te tiēre te Deflux. Ka hoatu hei werohanga. Mā te mahi a tēnei mā te aukati i te rere o te mimi ki runga i ngā ureter, arā, ngā ngongo e kawe ana i te mimi mai i ngā whatukuhu ki te pūkahukahu.
Whakaarohia he rite ki tētahi takirere i roto i ngā paipa e puta mai ana i tā tātou tāke wai i te kāinga, he mea hanga kia rere te wai i te taha kotahi anake. Waihoki, ina werohia tēnei kirikiri Deflux ki te wāhi e hono ana te urethra ki te pūkahukahu, ka puta he pupuhi iti ki reira, ā, ka mahi pērā i tētahi takirere tūturu. Mā tēnei ka taea e te mimi te rere i te taha tika, arā, i waho o te pūkahukahu, ā, ka ārai katoa i te hoki whakamuri.
Ka mahia tēnei maimoatanga e te tākuta mimi, he tākuta e tohunga ana ki ngā mate mimi. Ko te cystoscopy he tikanga iti rawa te whakaekenga e whakaurua ai he ngongo kei roto i te kāmera (cystoscope) ki roto i te pūkahukahu.
He aha ngā āhuatanga e hiahiatia ana te maimoatanga Deflux?
Ko tēnei maimoatanga te mea e whakamahia whānuitia ana hei rongoā i te VUR, he mate e kitea ana i roto i ngā tamariki. Heoi, i ētahi wā ka whakamahia anō hoki i roto i ngā pakeke. Ka taea e te VUR te meinga te mimi kia rere whakamuri ki roto i ngā whatukuhu. Ko te mōrearea, ka taea e tēnei te arahi ki ngā mate mimi maha, te whara o te whatukuhu, me ētahi atu raruraru i roto i te wā.
Mō te nuinga o ngā tamariki, ka memeha noa iho te VUR i a rātou e pakeke haere ana. Heoi, he otinga pai a Deflux hei ārai i te kino o te whatukuhu i a koe e tatari ana kia memeha.
Whakaarohia kei te pāngia tāu tamaiti e te mate mimi me te kirika i ia marama torutoru. Ka kai ia i te rongoā i ia wā, engari ka hoki mai anō. I te wā e whakahaerehia ana e te tākuta ngā whakamātautau ka kitea e ia he VUR tōna. Koinei te wā ka tino whai hua ai te maimoatanga Deflux.
| Te pānga o te āhua VUR | Ko te otinga i whakaratohia e Deflux |
|---|---|
| Ngā mate urutā auau o te ara mimi (UTI). | Ka aukati i te rere whakamuri o te mimi, ka ārai i te tae atu o ngā huakita ki ngā whatukuhu, ā, ka whakaiti i te tūponotanga o te mate. |
| Te pakaru o te whatukuhu i roto i te wā. | Ka tiaki i ngā whatukuhu, ka ārai i ngā kino me ngā raruraru mō te wā roa. |
| Kei te tamaiti te pūmanawa ki te ora ā-taiao i a ia e tipu ake ana. | He tiaki tēnei mō ngā whatukuhu kia ora noa te tinana o te tamaiti. |
He aha te mea hanga o tēnei Deflux?
Kāore he mea e manukanuka ai mō tēnei hua. He mea hanga katoa mai i ngā kai taiao, pirau-ā-tinana.
- Dextranomer: He polysaccharide tēnei, he warowaihā i hangaia mai i ngā ngota huka. E whakamahia ana hoki i roto i te hanga rongoā me ngā hua horoi patunga.
- He waikura waikawa hyaluronic: He polysaccharide anō hoki tēnei. He mea e puta noa ana i roto i ō tātou tinana. Kua rongo pea koe he whānuitia hoki te whakamahinga i roto i ngā hua ataahua nā te mea ka āwhina i te whakamakuku i te kiri.
Ka whakakapia tēnei tiēre e ō tātou ake kiko i roto i te wā, ā, ka mimiti haumaruhia e te tinana. Heoi, kāore e pā ki te angitu o te maimoatanga.
Me pēhea te whakarite mō te maimoatanga, ā, me pēhea hoki te whakahaere?
Mā tō tākuta koe e hoatu he tohutohu mārama mō tēnei. I te nuinga o te wā, ka tonoa koe kia nohopuku mō ētahi haora i mua i te maimoatanga. He mea nui anō hoki kia whakamōhio atu koe ki tō tākuta mō ētahi atu rongoā e tangohia ana e koe. Kaua rawa e mutu te tango i āu rongoā, i ngā rongoā rānei a tō tamaiti me te kore he tohutohu a tō tākuta.
He tino māmā te tukanga maimoatanga:
1. Tuatahi, ka hoatu he rongoā whakamoe whānui ki te tamaiti. Kia kore ai rātou e mamae, e kore hoki e māharahara.
2. Ka pania he kirimi whakangote ki te urethra.
3. Kātahi ka tukuna he ngongo angiangi me te kāmera e piri ana (cystoscope) mā roto i te urethra ki roto i te pūkahukahu.
4. Kia pai ake ai te kite i roto i te pūkahukahu, kua whakakiia ki te tote.
5. Kātahi ka tukuna he ngira mā roto i taua ngongo, ā, ka werohia te Deflux gel ki te wāhi e hono ana te urethra ki te pūkahukahu.
6. Kia oti te mahi, ka tangohia te ngira me te ngongo, ā, ka tangohia te wai i roto i te pūkahukahu.
E iti iho i te 30 meneti te roa o te tukanga katoa. Ehara tēnei i te tukanga o waho. Arā, ka taea e koe te hoki ki te kāinga i muri tonu i te otinga o te maimoatanga.
He aha ngā mea ka tupu i muri i te maimoatanga? Ā, me tūpato ki ngā mea e tika ana kia tirohia
I muri i te maimoatanga, tera pea ka pōuriuri tō tamaiti. He pai ake te okioki ki te kāinga mō te toenga o te rā. Tērā pea ka whakahaerehia e te tākuta tētahi atu whakamātautau (voiding cystourethrogram - VCUG) hei tirotiro mēnā kei te angitu te maimoatanga.
He mea noa te kite i ngā mea e whai ake nei mō te rā kotahi, e rua rānei i muri i te maimoatanga:
- Te kore e hiahia ki te mimi, ki te inu wai rānei.
- Te kōrero mō te wera, te mamae rānei i te wā e mimi ana.
- Te kore e taea te pupuri i te mimi, te mīti rānei i te moenga.
- He tae māwhero i roto i te mimi.
Ka ngaro katoa ēnei i roto i te rā kotahi, e rua rānei. Kia tino inu nui tāu tamaiti i ngā wai. Kia tūpato hoki kei neke atu i te 8 hāora te kore mimi.
| Āhea me waea atu ki tō tākuta tonu | |
|---|---|
| Te kore e taea te mimi | Mena kāore te tamaiti i mimi mō ngā hāora 8-10. |
| Mamae nui | Ka roa te mimi mamae, te mamae nui rānei i te puku, i te tuara, i ngā taha rānei, mō ngā rā e rua i muri i te maimoatanga. |
| Kirika | Mena he teitei ake te pāmahana o te tinana i te 38.6 Celsius (101.5 Fahrenheit). |
| Ētahi atu āhuatanga | Te ruaki pinepine, te pupuhi o te mimi tōngāmimi neke atu i te 24 hāora te roa, te mamae rānei o te tuara/hope. |
Ko te angitu o te maimoatanga deflux kei waenga i te 70% me te 93%. He tino pai ngā hua i ngā wāhanga tōmua o te mate (VUR iti iho).
Karere Tangohia ki te Kāinga
- He mate noa te VUR (te mate mimi whakamuri) i roto i ngā tamariki. Ka taea e ia te whakararu i ngā mate mimi me te kino i ngā whatukuhu.
- He maimoatanga werohanga tino haumaru, tino māmā, tino whai hua hoki te Deflux mō tēnei.
- E kore e neke atu i te 30 meneti te roa o tēnei, ā, ka mahia i raro i te rongoā whakamoe, ā, ka taea e koe te hoki ki te kāinga i taua rā anō me te kore e noho ki te hōhipera. He poto rawa te wā whakaora.
- He painga, he huakore hoki tō ia maimoatanga. Nō reira, whakatauhia ko tēhea maimoatanga te mea pai mō tāu tamaiti, kōrero ki tō tākuta, ā, tikina ngā taipitopito katoa.
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