He pūhā tōu? (Pūhā) Kia mōhio tātou ki tēnei!

Kei te ahua koe kāore e taea te mimi i ētahi wā? Kei te ahua rānei koe kua kī tonu tō pūkahukahu, kua taumaha hoki? Ki te mau tonu tēnei āhuatanga, tera pea he āhuatanga kei a koe e kiia nei ko te 'Pūkahukahu Kua Pōturi'. Kaua e manukanuka, ka kōrerohia e mātou tēnei āhuatanga ki ngā taipitopito.

He aha te pūkahukahu pupuhi?

Ki te kī ngāwari, ko te 'pūkahukahu pupuhi' ko te wā ka nui ake, ka pupuhi ake tō pūkahukahu, te pēke e pupuri ana i tō mimi, i te mea noa. Whakaarohia he rite ki te poihau. Ina kī ana i te wai, ka pupuhi te poihau, tika? Koia te āhua.

Ko te take matua mō tēnei, kāore te mimi e rere tika, ā, ka kohia ki roto i te pūkahukahu . E kiia ana tēnei e te rongoā ko te 'Pupuri Mimi'. Heoi, ehara i te mea ko te katoa e pāngia ana e te 'Pupuri Mimi' he pūkahukahu pupuhi.

Titiro mai, ko ō tātou whatukuhu ngā mea e tātari ana i ngā wai me ngā para o te tinana, ā, ka hanga mimi. Ko te mimi e whakaputaina ana i tēnei ara ka rongoatia ki roto i te pūkahukahu tae noa ki te wā e hiahia ana tātou ki te mimi. Ina kī te pūkahukahu, ka tukuna he tohu ki tō tātou roro e mea ana, "Āe, me mimi ahau ināianei."

Ko te pupuri mimi ko te wā e kī ana tō pūkahukahu, engari kāore e taea te whakawātea katoa. Ka aha i muri mai? Ka totoro haere te pūkahukahu, ka nui haere, ka pupuhi rānei, kia nui ake ai te mimi. Koinei te mea e kīia nei e tātou he 'pūkahukahu pupuhi'.

He āhuatanga ohorere hauora tēnei?

Ehara i te mea he āhuatanga ohorere hauora te pūkahukahu pupuhi anake. Heoi, ki te kore e taea e koe te mimi i te katoa, he iti noa rānei te mimi e puta ana, ā, e haere tahi ana me te mamae nui, tera pea he āhuatanga ohorere. Ka kiia tēnei ko te pupuri mimi ohorere. Ki te kore e taea e koe te mimi me te mamae nui, he pai ake te rapu tohutohu hauora tonu.

He aha ngā tohu o te mumura o te pūkahukahu?

I roto i tēnei āhuatanga, ka kitea pea e koe ngā tohu penei:

• Te turuturu o te mimi (e kiia ana hoki tēnei ko te 'whakakore i te kaha o te mimi').
• He hiahia ohorere, he hiahia nui ki te mimi.
• Te mamae, te pēhanga, te kikī rānei i roto, i te taha rānei o te puku o raro.
• Ko ētahi atu tohu o te pupuri mimi ko te iti rawa o te mimi e tukuna ana, te ngoikore o te rerenga mimi, te hiahia rānei kia mimi anō i muri i te mutunga o te mimi .

Heoi, kāore pea ētahi tāngata e kite i ēnei tohu nui.

He aha te take o tēnei?

Ko te tino take o te pupuhi o te pūkahukahu he kore e rere tika te mimi, ā, ka kohia. He maha ngā take mō tēnei. Kia tirohia tātou he aha ēnei:

• Te Whakararuraru:
• Ngā kōhatu pūkahukahu
• He pukupuku (`Pukupuku`)
• Te whakanui ake i te repeure i roto i ngā tāne
• Ka taea e ngā mea pēnei i te mate pāwera te aukati i te ara mimi.
• Ki te pupuhi te pūkahukahu o te pēpi i roto i te kōpū (`Fetal megacystis`), ko te tino take he mate e kiia nei ko te ``Ngā aukati o te ara mimi o raro (LUTOs)``. Arā, he aukati kei te wāhanga o raro o te ara mimi.

• Mumura (pupuhi):
• Mena he mumura kei roto i te pūkahukahu, i te urethra rānei (te ngongo e kawe ana i te mimi mai i te pūkahukahu), ka ārai pea i a koe ki te whakawātea tika i tō mimi.
• Ka taea te whakaputa i ēnei momo mate mumura e te whara, e ngā mate pukupuku rānei o te ara mimi.

• Ngā āhuatanga roro:
• Ko ētahi mate, pērā i te sclerosis maha (MS), te mate a Parkinson, te mate a Alzheimer, me te whiu, me ētahi rongoā (ina koa ko ngā opioid), ka kore e taea e te roro te tuku tohu tika ina kī ana te pūkahukahu. Ka uaua pea te whakawātea i tō pūkahukahu i te wā tika.

• Pokanga:
• Ko te rongoā whakamoe, e whakamahia ana hei whakangāwari i te mamae i te wā pokanga, ka whakararuraru i te kaha ki te whakawātea i te pūkahukahu i ētahi wā.
• Ka taea hoki e te koha, te pupuhi rānei i puta mai i te pokanga hope te aukati i te mimi, te urethra rānei.

He aha ngā raruraru pea o te mumura o te pūkahukahu?

I ētahi wā, ahakoa i muri i te maimoatanga, ka raru pea te mimi i te pupuhi o te pūkahukahu ('Te ngoikore o te pūkahukahu'). Hei tauira:

• He iti noa te turuturu o te mimi.
• Te hiahia ki te mimi ahakoa kāore e hiahiatia ana.
• Te kore e taea te whakakore katoa i te pūkahukahu.

Me pēhea koe e mōhio ai ki tēnei?

Ina haere koe ki te tākuta, ka pātai atu ia ki a koe mō ō tohumate, ka tirotirohia hoki koe. Tērā pea ka pēhia e ia tō puku o raro, ka pātai atu mēnā kei te mamae koe. Mēnā kei te whakapae ia kei te pupuhi tō pūkahukahu, tērā pea ka tonoa e ia he mea pēnei i te matawai ultrasound.

Mena he whaea hāpu koe, ka taea e te ultrasound i mua i te whānautanga te kite i te pupuhi o te pūkahukahu o tō pēpi.

He aha ngā whakamātautau e mahia ana mō tēnei?

Ka taea e ngā tākuta te tātaritanga i tēnei mate mā te tirotiro i tō pūkahukahu mā te whakamahi i te ultrasound. Ina koa, ka taea e rātou te whakamahi i te 'whakamātautau mimi toenga i muri i te mimi' hei tirotiro i te pai o tō whakawātea i tō pūkahukahu. Ko te tikanga o tēnei ko te tirotiro i tō pūkahukahu mā te mīhini 'ultrasound' i muri i tō mimi (i muri i tō mimi i te nui o te mimi e taea ana). Ka taea hoki e ia te āwhina ki te kimi i te pūtake o ngā raruraru.

Tērā pea ka whakahaerehia e te tākuta ētahi atu whakamātautau hei whakatau i te take o te pupuri mimi.

Me pēhea te rongoā mō tēnei?

Ko te nuinga o te wā ka rongoāhia tēnei e ngā tākuta mā te tango i te mimi tāpiri kua kohia ki roto i te pūkahukahu. Mēnā kāore e taea e koe te mimi, ko te mea tuatahi ka mahia e tō tākuta ko te tango i te mimi i mua i te rapu i te take, i te whakatakoto rānei i tētahi atu tātaritanga.

Kātahi ka tautuhia te pūtake o te mate (he maha ngā wā ko te pupuri mimi) ka rongoāhia. Tērā pea ka uru atu ki tēnei te rongoā, te pokanga, ētahi atu tikanga rānei.

Ka taea e te fetal megacystis (te pupuhi o te pūkahukahu i roto i te pēpi i roto i te kōpū) te ora ake i ētahi wā i a ia e tipu ana.

Ngā tikanga motuhake mō te rongoā i te pupuhi o te pūkahukahu

Ko te tikanga tino noa ko te "transurethral bladder catheterization." Ko te whakauru i tētahi ngongo angiangi (catheter) mā roto i tō urethra (te pūaha e mimi ai koe) ki roto i tō pūhā, kātahi ka ringihia te mimi. Tērā pea ka whakamahia e te tākuta tēnei ngongo hei whakawātea i tō pūhā kotahi, ka waiho rānei e ia kia noho ki tōna wāhi mō ētahi rā, wiki rānei.

Kei te āhuatanga te rongoā mō te fetal megacystis. Ko ngā kōwhiringa maimoatanga ko:

• Vesicocentesis: He tikanga e whakamahia ai e te tākuta he ngira hei tango i te wai mai i te pūkahukahu o te pēpi.
• Te pokanga vesicoamniotic: Ka whakauruhia e te tākuta he ngongo ki roto i te pūkahukahu o te tamaiti, ka ringihia te wai mā roto.

Ngā pānga taha o te maimoatanga

I muri i te tango i te catheter, tera pea ka pāngia koe e ngā āhuatanga penei:

• He iti noa te toto i roto i te mimi (hematuria).
• Te hiahia kia mimi pinepine.
• Te toto toto iti (te toto toto iti).

Kaua e manukanuka, he wā poto noa iho ēnei pānga taha, ā, ka pai ake i roto i ētahi rā.

Kia pēhea te tere o taku pai ake i muri i te maimoatanga?

Ka tīmata koe ki te rongo i te marino ina whakawāteatia tō pūkahukahu e te tākuta. Ko te roa o te wā e hiahiatia ana he maimoatanga tāpiri ka whakawhirinaki ki te take o te pupuri i tō mimi.

He aha taku e tumanako atu ai mēnā he mumura tōku pūkahukahu?

Ka mamae pea te pūkahukahu pupuhi, ā, ko te tikanga pea kāore koe e mimi nui ana. Ka taea te rongoā i tēnei mā te whakauru i tētahi catheter hei tango i te wai mai i te pūkahukahu. Me haere tonu pea te rongoā mō te take matua.

Mena kei te hapu koe, ā, kei te pupuhi te pūkahukahu o tō pēpi kāore anō kia whānau, kōrero ki tō kaiwhakarato tiaki hapūtanga mō ētahi atu kōrero.

Ka taea te ārai i te mumura o te pūkahukahu?

Mena kei a koe ngā mate mau tonu ka taea te pupuri i te mimi, mā te whakahaere pai i aua mate ka āwhina i te aukati i te pupuhi o te pūkahukahu. Heoi, i ētahi wā, pērā i te pupuhi o te pūkahukahu i muri i te pokanga, i te megacystis fetal rānei, kāore e taea te aukati.

Āhea ahau me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

Ki te kore e taea e koe te mimi, ā, ka tino mamae koe, haere ki te rūma whawhati tata, rapua rānei he tohutohu hauora tonu. He whawhati hauora te pupuri mimi tere. Kaua e warewarehia.

He aha ngā pātai me pātai atu e au ki taku tākuta?

He pai pea te pātai atu ki tō tākuta i ēnei pātai:

• He aha i pā ai tēnei ki ahau?
• Me aha ahau kia kore ai e puta anō tēnei āhuatanga?
• He aha ngā kōwhiringa maimoatanga kei a au?
• Me haere tonu taku maimoatanga?

Hei whakamutunga, ngā mea hei maumahara

Ko te mumura o te pūkahukahu ka taea te rongoā mā te whakawātea i te pūkahukahu. Heoi, he mea nui kia rongoāhia te pūtake o te pupuri mimi. Mena he uaua ki te mimi, he mamae rānei kei roto, kei te taha rānei o tō puku o raro, inā koa kua oti kē te pokanga, me kōrero ki tō tākuta. Ehara te mumura o te pūkahukahu i te āhuatanga ohorere, engari ko te kore e taea te mimi he āhuatanga ohorere pea. Nō reira , ki te mea he āwangawanga āu, kaua e whakaroa ki te rapu tohutohu hauora. He mea tino nui tō hauora ki a koe.

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