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 .
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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