I ētahi wā, i muri i te pokanga, i tētahi atu mate hauora rānei, ka uaua pea te mimi i te āhua noa. I tēnei wā, ina kī mai te tākuta me whakauru he "foley catheter", ka mataku pea koe, ka manukanuka, ka whakama pea. "Me pēhea te whakauru i tēnei?", "Ka tino mamae?", "Me pēhea taku mahi i aku mahi o ia rā me tēnei?" He maha ngā pātai ka puta ake ki tō hinengaro. He mea noa tēnei. Nō reira, i tēnei rā ka kōrerohia e tātou tēnei catheter, e kiia nei i roto i te rongoā ko '(Foley Catheter)', he mārama, he māmā hoki.
He aha te tikanga o te Foley Catheter?
He ngongo rapa, kirihou rānei te Foley catheter, he angiangi, he ngāwari hoki, e whakamahia ana hei tango i te mimi (e kiia ana ko te mimi) mai i tō pūkahukahu ki roto i tētahi putea kohikohi ina kore e taea e koe te mimi ko koe anake. E kiia ana hoki ko te indwelling urinary catheter.
Whakaarohia tēnei hei paipa iti me ngā ara e rua.
1. Ara kotahi: Koinei te wāhi e haere ai te mimi mai i te pūkahukahu ki raro i te ngongo ki roto i te putea kohi i waho o te tinana.
2. Te taha kē (te taha kē): Ka honoa tēnei ki te pito o te ngongo, he poihau iti kei roto i tō pūhā. Ka pupuhi te tākuta, te nēhi rānei i te poihau mā te tuku wai parakore mā roto i tēnei ngongo. Ina pupuhihia, ka noho tonu te ngongo ki tōna tūranga i roto i tō pūhā, me te kore e neke haere.
Ko te pēke mimi e hono ana ki tēnei ngongo ka taea te mau ki tō waewae i a koe e ara ana. I te pō, ka taea e koe te whakamahi i tētahi pēke nui ake. Ka taea te whakairi ki tētahi matau e tata ana ki tō moenga, te whakatakoto papatahi rānei ki runga i te papa.
He tino haumaru tēnei taputapu e kiia nei ko te 'Foley Catheter'. He rerekē ngā rahi e wātea ana hei whakamahi mā te tangata ahakoa te pakeke, ahakoa te rahi o te tinana. Nō reira kaua e wehi.
He aha tātou me whakamahi ai i tēnei ngongo mimi?
Ko te nuinga o te wā ka whakamahia tēnei taputapu e ngā tākuta hei whakawātea i tō pūkahukahu ina kore e taea e koe te mimi ko koe anake. He maha ngā take mō tēnei. Me titiro tātou ki ērā.
| Take | He whakamārama māmā |
|---|---|
| Te kore e taea te pupuri i te mimi | Ina mimi korekore koe. |
| Te pupuri mimi | Ina kī tonu te pūhā engari kāore e taea te whakakore katoa i te mimi. |
| Te whakanui i te repeure | Ko tēnei āhuatanga, he mea noa i roto i ngā tāne, ka ārai i te rere o te mimi. |
| Pokanga | Hei pupuri i te pūkahukahu kia kau i te wā e pokanga ana i te repeure, i te tākuta wahine rānei, i ētahi atu pokanga nui rānei. |
| Whakamamae (Epidural) | Ka taea e te rongoā whakamoe epidural, inā koa i te wā e whānau ana, te whakararu i te mana whakahaere o te mimi mō te wā poto. |
| Ētahi atu whakamahinga | Ka whakamahia tēnei ngongo i roto i te hōhipera hei ine tika i te nui o te mimi e puta ana, hei whakahaere i te toto i roto i tētahi aituā, hei tuku rongoā tika rānei ki roto i te pūkahukahu. |
Me pēhea te whakauru i tēnei ngongo ki roto i tō tinana? He mamae?
He raruraru tūturu tēnei mō te tini o te tangata. Mā te tākuta, mā te nēhi rānei tēnei tikanga e whakahaere.
1. Tuatahi, horoia rawatia tō wāhi taihemahema ki te rongoā paturopi hei ārai i te mate.
2. Muri iho, hei whakaiti i te mamae me te kore whakamarie, pania he kirimi whakangote me te hinu whakahinuhinu ki te ngongo me te wāhi.
3. Kia mārō te wāhi, ka ata tukuna te ngongo mā te urethra ki roto i te pūkahukahu.
4. Kia uru te ngongo ki te pūkahukahu, ka tīmata te rere o te mimi mā roto, ka kohia ki roto i te putea.
5. Kātahi ka pupuhihia te poihau i kōrerotia e tātou i mua ake nei ki te wai ma, kātahi ka tāuta ki roto i te ngongo.
6. Hei whakamutunga, ka herea te ngongo me te putea ki tō waewae. Ka herea te ngongo kia kore ai e tōia, e mamae ai hoki.
Tērā pea ka pāngia ētahi e te mamae, te wera rānei i te wā e werohia ana tēnei, engari nā te mea kei te whakamahia te kirimi whakangote, kāore e tino mamae.
Mena me whakamahi roa koe i tēnei ngongo, mā tō tākuta, mā te nēhi rānei koe e ako ki te whakauru i a koe anō (te whakaurunga catheter ki a koe anō).
Me pēhea taku tiaki i tēnei i te kāinga?
Koinei te wāhanga tino nui. Ko te horoi te mea tuatahi. Nā te mea ki te paru, ka ngāwari te pāngia e te Mate Urutā Mimi (UTI).
Te pupuri i ngā ringaringa me ngā paipa kia ma
Horoia pai ō ringaringa ki te hopi me te wai i mua atu, ā, i muri hoki i te pā atu ki te katitere, ki te putea rānei. He mea nui tēnei. Horoia hoki te katitere kia rua ngā wā i te rā ki te wai hopi me te kakahu haukū. Kātahi ka murua mārire kia maroke.
Me pēhea te whakawātea i te putea mimi?
Me whakawātea tō pēke mimi i ia rua, toru rānei hāora. Ki te whakamahi koe i tētahi pēke nui i te pō, me whakawātea i ia waru hāora.
- Tuatahi, horoia ō ringaringa kia tino mārie.
- Whakatuwheratia te taupoki, te here rānei o te putea.
- Ringihia te mimi i roto i te putea ki roto i te wharepaku. (Tērā pea i hoatu e tō tākuta he kapu hei ine i te nui o te mimi. Ki te pērā, ringihia ki roto, tuhia te nui, kātahi ka ringihia ki roto i te wharepaku.)
- Horoia rawatia te putanga wai o te putea ki te hopi me te wai. Horoia te wāhi hei tango i ngā huakita.
- Horoia pai taua wāhi, ka whakamaroke.
- Katia te taupoki, te here rānei anō.
- Hei whakamutunga, horoia ō ringaringa kia tino pai anō.
Ngā pātai noa mō te noho me te tokotoko
Kia pēhea te roa me whakamahi ahau i tēnei ngongo?
Kei tō āhua te tikanga. Tērā pea he wā poto noa iho e hiahiatia ana, pērā i a koe e ora ana i te pokanga. Heoi, ki te mea he āhuatanga tōu e kore ai koe e mimi maori, me whakamahi pea koe mō ngā wiki, mō ngā marama rānei. I ētahi wā, me whakamahi tonu pea koe. Engari kaua e whakararuraru i ō mahi o ia rā, i tō mahi, i tō haereere, i tō kaukau, i tō kaukau, i tō moe tāne rānei. Mā tō tākuta koe e tohutohu mō tēnei.
Kia pēhea te roa ka taea e koe te pupuri tonu i tēnei ngongo?
I te nuinga o te wā, kāore e puritia te ngongo kotahi mō te neke atu i te toru marama. Me whakauru he ngongo hou i te iti rawa i ia toru marama .
Ka taea e koe te moe me tēnei e mau ana?
Āe, kāore he raruraru. Mena kei raro iho te pēke mimi i tō pūkahukahu.Ka taea e koe te moe i roto i ngā āhua katoa. Engari i mua i tō moe, tirohia mēnā kāore te ngongo i piko. Ki te piko te ngongo, e kore te mimi e uru ki roto i te putea.
He aha ngā mōrearea me ngā painga o tēnei?
Ko te painga matua ko te ārai i ngā raruraru nui ka puta mai i te kore e taea te whakakore tika i te pūkahukahu, pērā i te mumura o te pūkahukahu, ngā mate mimi, me te kino tuturu o te tākihi.
Ko te mōrearea matua ko te tūponotanga o te pāngia e te mate mimi (UTI). Ka piki ake tēnei mōrearea ina roa te whakamahinga o te ngongo. Koia te mea nui kia tino tupato ki te horoi.
Ētahi atu mōrearea:
- Te pupuhi o te pūkahukahu
- Te kino ki te ara mimi
- Te turuturu o te mimi huri noa i te ngongo
- Te toto
Āhea ahau me waea atu ki te tākuta?
Mena he pātai, he āwangawanga rānei āu mō tō ngongo, kaua e mangere ki te waea atu ki tō tākuta. Rapua he awhina hauora tonu, inā koa mēnā kei a koe ētahi o ngā tohu i raro nei. Me haere pea koe ki te Tari Ohotata (ETU) o te hōhipera tata ki a koe.
| Kia aro nui ki ēnei āhuatanga! | |
|---|---|
| Kirika (neke atu i te 38 Celsius / 100.5 Fahrenheit) | He tohu pea tēnei nō te mate urutā. |
| mimi pouri, he kakara kaha rānei | Tērā pea ka puta mai tēnei i tētahi mate pāwera. |
| Te turuturu o te mimi huri noa i te ngongo | Tērā pea kua purua te paipa, tērā pea he raruraru anō kei reira. |
| Te mamae o te puku, te pupuhi rānei | Tērā pea nā te korenga o te mimi e tukuna tika ana. |
| Toto, toto rānei i roto i te mimi(hematuria) | Me toro atu koe ki te tākuta i taua wā tonu. |
| Kua heke, kua mutu rānei te rere o te mimi ki roto i te putea | Tērā pea kua purua, kua piko rānei te ngongo. |
| Ka wetekina noatia te ngongo | Kaua e ngana ki te whakahoki anō, engari me toro atu ki te tākuta tonu. |
He mea noa te noho pōuri me te tauhou ina whakauruhia he catheter mimi. Ahakoa te whakaaro me hikoi koe me tō mimi i roto i te putea, he mea whakamataku pea. Engari kia mārama koe he mea nui tēnei mō tō hauora. Ka taunga koe ki tēnei i roto i te wā. Kaua e waiho tēnei hei take hei whakamutu i tō oranga.
Karere Tangohia ki te Kāinga
- He taputapu hauora haumaru te Foley Catheter e whakamahia ana ina kore e taea e koe te mimi ko koe anake.
- He mea tino nui te horoi i te tinana hei ārai i ngā mate mimi. Kia tino horoia ō ringaringa ki te hopi me te wai i mua atu, ā, i muri hoki i te whakamahinga o te ngongo.
- Ka taea e koe te moe me te whakamahi i te ngongo, me te mahi i ngā mahi o ia rā. Engari me pupuri tonu te pēke ki raro i tō pūkahukahu.
- Ki te pāngia koe e ngā tohu pēnei i te kirika, te mimi pōuri, te mamae o te puku, te toto rānei , waea atu ki tō tākuta i mua i te wā.
- Kaua e whakamā ki te kōrero i ō pātai, i ō wehi, i ō āwangawanga rānei mō tēnei mea ki tō tākuta, ki te hunga nēhi rānei.
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