Kei te pāngia tonutia tāu tamaiti e ngā mate mimi (UTI)? Kāore rānei ia e mimi ana i runga i ōna kākahu, kāore ia e mōhio? I ētahi wā ka whakaaro tātou he mea noa ēnei, engari tera pea he raruraru hanganga iti kei muri i tēnei mea mai i te whānautanga mai. Koinei tā tātou e kōrero ai i tēnei rā. Ka kiia tēnei he ureter ectopic. Kaua e manukanuka, ka whakamāramahia e mātou ngā mea katoa mō tēnei mea i roto i ngā kupu māmā noa iho.
He aha tonu te Ureter Ectopic?
He māmā noa iho, he mate whānau tēnei. E rua ā tātou whatukuhu i roto i te tinana. Ka tātarihia e ēnei whatukuhu ngā para o roto i te tinana, ā, ka puta he mimi (mimi). Ko te mimi e puta mai ana i tēnei ara ka haria ki te pūkahukahu mimi mā roto i ngā ngongo angiangi e rua. Ka kiia ēnei ngongo e rua he ureter . I te nuinga o te wā, kotahi te ureter mō ia whatukuhu, ā, e hono tika ana ēnei ki te pūkahukahu.
Heoi, mō te 'ectopic ureter', ka hono tetahi (e rua rānei) o ēnei ngongo ureter ki te pūkahukahu i te wāhi hē, kaua ki te hono atu ki reira.
Whakaarohia he rite ki tētahi rori e hē ana te hurihanga. He maha ngā wāhi ka taea e koe te hanga hononga hē pēnei:
- Te urethra (te ngongo e kawe ana i te mimi mai i te pūkahukahu)
- Kaki pūkahukahu
- Te tūnga
- I roto i ngā wāhine, ko te kōpū, te cervix, te tenetene rānei
- I roto i ngā tāne, ko ngā awa parāoa
He maha ngā wā ka kitea tēnei āhuatanga me tētahi āhuatanga e kiia nei ko te 'takahi rua' . Ko te tikanga o tēnei he hononga o ngā ureter e rua ki te takahi kotahi. Kātahi ka honoa tētahi o ngā ngongo e rua ki te wāhi hē.
He aha ngā tohu o tēnei mate?
Ko tētahi take e uaua ai te tautuhi i tēnei mate, he rite tonu ōna tohu ki ērā o ētahi atu mate noa, pērā i ngā mate mimi (UTI). Heoi, ki te mau tonu ēnei tohu, me āwangawanga koe.
| Tohu | He whakamārama māmā |
|---|---|
| Ngā mate urutā mimi e hokihoki ana (UTIs) | Mena he maha ngā mate mimi e pāngia ana e tāu tamaiti, me te wera me te mamae i te wā e mimi ana (dysuria) . |
| Te kore e taea te pupuri i te mimi | Ina koa mō ngā kōtiro, mēnā ka mau tonu te mākū o ō rātou kākahu ahakoa kua mōhio rātou ki te whakahaere mimi. Ka turuturu noa iho ngā pata mimi puta noa i te rā. |
| Te pupuhi o te whatukuhu (Hydronephrosis) | Nā te mea kāore e taea e te mimi te rere tika ki waho, ka kohia ki roto i te whatukuhu, ā, ka pupuhi. Ka kitea tēnei mā te matawai. |
| Te Reflux Vesicoureteral | Ka hoki te mimi mai i te pūkahukahu ki runga i te ureter ki ngā whatukuhu, ka pā mai hoki ngā mate urutā. |
He mate mamae tēnei?
Kāore te āhua e kīia nei ko te 'ectopic ureter' i te mamae. Heoi anō, ka mamae pea ngā pānga taha e pā mai ana. Hei tauira:
- Te mumura me te mamae i puta mai i ngā mate mimi (UTI).
- Te mate me te mumura o ngā poro i roto i ngā tāne (Epididymitis).
- Mate pūkahukahu (Prostatitis).
He aha tēnei e tupu nei? Ko wai te hunga tino mōrearea?
Kāore ngā tākuta i te tino mōhio ki te tino take o tēnei. Nā te iti noa o te huringa o te whanaketanga o te pūnaha mimi i te tipu o te pēpi i roto i te kōpū i puta ai. Ehara i te mea nā te hē o te whaea i te wā e hapu ana.
Heoi anō, kei reira ētahi rōpū e tino mōrearea ana ki te whakawhanake i tēnei mate:
- Ngā Kōtiro: Ahakoa kāore i te mārama te take, e 10 ngā wā ka nui ake te tūponotanga o ngā kōtiro ki te pāngia e tēnei mate i ngā tama.
- Hītori whānau: Mena kei tētahi o ngā mātua tēnei mate, he iti noa te tūponotanga ka pāngia anō hoki te tamaiti.
Me pēhea te kitenga a te tākuta i tēnei?
He uaua pea te tautuhi i tēnei mate nā te mea he rite ngā tohu ki ētahi atu mate. I ētahi wā ka kitea noa iho i te wā o te matawai ultrasound i mua i te whānautanga i te wā e noho tonu ana te pēpi i roto i te kōpū.
Ki te kore, ina haria e koe tāu tamaiti ki te tākuta, ka pātai tuatahi ia ki a koe mō ngā tohu, ka tirotirohia te tamaiti, ā, ki te mea he ruarua mō te āhua, ka whakahau ia i ētahi whakamātautau motuhake hei whakaū.
| Ingoa o te whakamātautau | Hei whakarāpopototanga... |
|---|---|
| Ngā Whakamātautau Whakaahua | Ka taea e te matawai CT, te matawai MRI, te matawai ultrasound rānei te tango whakaahua taipitopito o te pūnaha mimi, me te tautuhi i te wāhi tuturu o te raruraru. |
| Te tirotiro i te pūtau | Ka tukuna he ngongo tino angiangi me te kāmera e piri ana mā roto i te urethra hei tirotiro i roto i te pūkahukahu. |
| Matawai Rere o te Whatukuhu | Ka werohia he tae irahiko ki roto i te tinana hei tirotiro i te mahi a ngā whatukuhu me te rere o te mimi. |
| VCUG (Voiding Cystourethrogram) | He whakamātautau e whakaurua ai he tae motuhake ki roto i te pūkahukahu, ā, ka tangohia he hihi-X i te wā e mimi ana te tamaiti hei tirotiro mēnā ka rere whakamuri te mimi. |
He aha tāu e mahi nei hei maimoatanga?
Ko te pokanga anake te huarahi hei whakatika i tēnei āhuatanga. Kāore e taea te whakaora mā te rongoā.
Ko te whāinga matua o te pokanga he hono anō i te ureter kua hē te tūnga ki tōna tūranga tika, me te ārai i te kino o te whatukuhu. He maha ngā momo pokanga e whakamahia ana e ngā tākuta mō tēnei. Ko te pokanga tino tika ka whiriwhiria i runga i te āhua o te tamaiti.
- Ureteroureterostomy: Ko te hono i te ureter i hono hē ki tētahi atu ureter tika, ka hanga he hononga āhua-Y.
- Te Whakatōnga Anō ki te Mimi: I tēnei tikanga, ka tangohia te ngongo ureter kua hē te whakanoho, ka tāpirihia anō ki te wāhi tika o te pūkahukahu.
- Te tango i te whatukuhu: I ētahi wā, ka pā kino tēnei raruraru ki te whatukuhu, ā, ka tino whakaiti i tana mahi . Mena kei te ora pai te whatukuhu kē atu, ko te tango i tētahi wāhanga o te whatukuhu kua pakaru (te tango i te whatukuhu wāhanga) te tango rānei i te whatukuhu katoa (te tango i te whatukuhu whānui).
He tino angitu ngā hua o tēnei pokanga, nō reira kāore he take e mataku ai koe.
Ka aha mēnā kāore koe e rongoā? Ka aha i muri i te rongoā?
Ki te kore tēnei āhuatanga e rongoatia, he nui te tūponotanga o te whakawhanake i ngā mate mimi pumau, ā, i roto i te wā, ka pakaru tuturu ngā whatukuhu .
Heoi, mā te tātaritanga wā tika me te pokanga tika, ka taea e te tamaiti te noho noa i te oranga. He tokomaha te hunga kāore e rongo i tētahi rerekētanga. Ahakoa me tango te whatukuhu, ka kaha te whatukuhu e toe ana, ā, ka haere tonu te mahi me te kore he raruraru i roto i te tinana. Heoi, e ai ki te tākuta, he mea nui kia haere tonu te tirotiro a te tohunga whatukuhu (nephrologist).
Kāore tēnei āhuatanga e pā ki te mahi ā-ira tangata, ki te āheinga rānei ki te whānau tamariki ā muri ake nei (momona).
Ngā pātai me ngā wehi e puta ake ana ki te hinengaro hei mātua
He uaua ki te whakamārama i te āhua o te mōhio he mate whānau tō tāu tamaiti. He mea noa te whakaaro he mano ngā pātai e rere ana i roto i tō hinengaro, pērā i te, 'He aha ahau i pēnei ai?', 'I hē taku mahi?'
Engari, kia maumahara ki tēnei: ehara tēnei i tōu he.
Ahakoa ngā tākuta, kāore rātou i te tino mōhio he aha te take o tēnei mate. He mea tūpono noa iho ēnei ka puta. Ehara i te mea i tika kia mahia e koe, ehara rānei i te mea i hē ai koe. Nō reira kaua e whakapae i a koe anō.
Ko te mea nui, kia kitea te mate, ka tino pai te āhua. He tino whai hua ngā maimoatanga. E kore tēnei e aukati i tāu tamaiti kia ora i te oranga hauora, harikoa hoki. Kōrero ki tō tākuta mō ō pātai, ō āwangawanga rānei. Māna e whakamārama ngā mea katoa ki a koe.
Karere Tangohia ki te Kāinga
- Ko te ureter ectopic he mate whānau mai e honoa ai te urethra ki te wāhi hē.
- Ko ngā mate urutā pinepine o te ara mimi me te mimi koretake (ina koa i roto i ngā kōtiro) pea ngā tohu matua.
- Ehara tēnei āhuatanga i te he o ngā mātua.
- Ka taea te tautuhi tika i tēnei mā roto i ngā matawai motuhake me ētahi atu whakamātautau.
- Ka taea te whakaora katoa i tēnei mate mā te pokanga, ā, he tino teitei te angitu o te maimoatanga.
- Mena kei tō tamaiti ēnei tohu, whakapā atu ki tō tākuta i te wā e taea ai, kia whiwhi tohutohu ai.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment