Te pupuhi o te whatukuhu (Hydronephrosis): Me ako tātou mō ngā take, ngā tohu, me te maimoatanga i roto i tētahi huarahi māmā!

Kua pāngia koe e te whakapairuaki me te mamae nui i tō tuara, i tō puku rānei? Kua pāngia rānei koe e te mamae rerekē i a koe e mimi ana? He raruraru pea ēnei i ētahi wā ki ō whatukuhu. I tēnei rā ka kōrero tātou mō tētahi āhuatanga e pā ana ki ngā whatukuhu kāore i te mōhiotia e te tini o te tangata. Ko te Hydronephrosis tēnei.

He aha tonu te hydronephrosis?

Hei whakarāpopototanga, koinei te wā e aukati ana tetahi mea i te rere o te mimi mai i ō whatukuhu ki tō pūhā. Whakaarohia he rite ki te paipa wai e mau ana i waenganui. Ka ahatia? Kāore e taea e te mimi te puta ki waho, ka kohia ki roto i te whatukuhu, ka pupuhi te whatukuhu. Ko te ingoa o tēnei pupuhi o te whatukuhu ko te Hydronephrosis.

Ka puta ohorere pea tēnei, ka puta mārire rānei i roto i te wā. I ētahi wā ka tino āraia te urethra, i ētahi wā ka iti ake te ārai.

• Mena kotahi anake te whatukuhu e pāngia ana: ka kiia tēnei ko te 'unilateral hydronephrosis'.
• Mena ka pāngia ngā whatukuhu e rua: Ka kiia tēnei ko te 'bilateral hydronephrosis'.

Ka rerekē pea tēnei mai i te pupuhi ngawari ki te pupuhi kino. Mā te maimoatanga wawe ka whakaiti i te mōrearea o te kino mō te wā roa, nō reira he mea nui kia mōhio koe ki tēnei.

Hei mārama ki tēnei, me titiro tātou ki te mahi a tō tātou pūnaha mimi.

Ko te mahi matua a te pūnaha mimi o te tinana ko te tango i ngā para me te wai nui. E toru ngā wāhanga matua o tēnei pūnaha:

• Ngā whatukuhu: Koinei ngā tātari matua e rua o tō tātou tinana. Ka tātarihia e ngā whatukuhu ngā paitini me ngā hua para i roto i te toto, ā, ka whakaputa mimi.
• Ngā ureter e rua: Ko ēnei ngā ngongo e rua e kawe ana i te mimi, e hangaia ana i roto i ngā whatukuhu, ki te pūhā.
• Pūngāwerewere: Koinei te pēke e kohi ana i te mimi.
• Urethra: Ko te mimi e kohia ana i roto i te pūkahukahu ka puta i te tinana mā roto i tēnei ngongo.

Ka puta pinepine te hydronephrosis ina he ārai kei waenganui i te whatukuhu me te ureter.

Me pēhea koe e mōhio ai mēnā kei a koe te hydronephrosis? He aha ngā tohu?

He maha ngā wā, ka whakawhirinaki ngā tohu ki te take. Tērā pea kāore he tohu o ētahi tāngata. Ina koa mō ngā pēpi e pāngia ana e te hydronephrosis i roto i te kōpū, kāore pea ngā tohu e puta tae noa ki muri i te whānautanga.

Heoi, ki te puta mai ngā tohu, ka pēnei pea te āhua.

He aha te take e puta ai te Hydronephrosis? He aha ngā tino take?

Ko te tino take o tēnei he aukati, he ārai rānei i tētahi wāhi o te pūnaha mimi. He maha ngā āhuatanga ka puta ai tēnei aukati.

Ngā take noa e pā ana ki ngā pakeke

• Ngā kōhatu whatukuhu: Ko te tino take ko ngā kōhatu e mau ana ki roto i ngā whatukuhu, i te ara mimi rānei.
• Ngā Puku: Ka taea e te puku matepukupuku, te puku pai rānei i roto i te pūkahukahu, te repe prostate, te kōpū, tetahi atu okana rānei e tata ana ki te pūnaha mimi te aukati i te rere o te mimi.
• Te Hyperplasia Prostatic Benign (BPH): I te pakeketanga o ngā tāne, ka nui haere te repe prostate, ka pēhi i te urethra, ka aukati hoki i te mimi.
• Te whaiti o te urethra: Ka whaiti pea te urethra nā te mea he koha i muri i tētahi aituā, mate pāwera, whānautanga hapa, pokanga rānei.
• Ngā raruraru io, ngā raruraru uaua rānei: Ngā mate io e pā ana ki te mahi a ngā whatukuhu, te ara mimi rānei.
• Te rerenga whakamuri o te mimi mai i te pūkahukahu mā roto i ngā ureter ki ngā whatukuhu.
• Ureterocele: He āhuatanga e puta ai te pito o raro o te urethra ki roto i te pūkahukahu.

Ngā take motuhake ki ngā wāhine

• Te Hapūtanga: I te mea ka nui haere te kōpū i te wā e hapū ana, ka pēhia pea ngā ureter me te aukati i te rere o te mimi.
• Te hekenga o te kōpū: Ka heke te kōpū mai i tōna tūranga noa.
• Cystocele: He āhua e ngoikore ai te pakitara i waenganui i te pūkahukahu me te tara, ka puta te pūkahukahu ki roto i te tara.

Me pēhea te mōhio o te tākuta mēnā kei te noho tēnei āhuatanga?

I te mea ka taea e te hydronephrosis te whakararu i te whatukuhu mō te wā roa, he mea tino nui kia kite wawe koe i te tākuta kia kitea ai te mate.

Ka whakamahia e tō tākuta ēnei whakamātautau hei tātaritanga i tēnei mate:

• Whakamātautau tinana: Ka pātai atu tō tākuta ki a koe mō ō tohumate, ā, ka tirohia hoki ō whatukuhu me te rohe pūkahukahu mō te pupuhi, te mamae rānei. Ka pātai atu hoki rātou mō tō hītori hauora me tō whānau. Mena he tāne koe, ka tirotirohia pea e rātou te repe pūkahukahu hei tirotiro mēnā he nui te repe pūkahukahu, ā, ki te mea he wahine koe, ka tirotirohia pea e rātou te tara hei tirotiro mēnā he raruraru ki tō kōpū, ki ō ovaries rānei.
• Ngā whakamātautau mimi: Ka tangohia he tauira mimi hei tirotiro mō te toto, ngā kongakonga kōhatu, ngā huakita, te mate rānei.
• Ngā whakamātautau toto: Tērā pea ka mahia he tatau toto katoa (CBC) hei tirotiro mō te mate. Tērā pea ka mahia hoki ngā whakamātautau pēnei i te creatinine, eGFR, me te BUN hei tirotiro i te mahi a te whatukuhu.
• Ngā whakamātautau whakaahua: I te nuinga o te wā ka mahia he matawai ultrasound . I ētahi wā ka hiahiatia he matawai CT , he matawai MRI rānei hei tiki atu i ētahi atu kōrero.

Āe, me kōrero tātou mō te maimoatanga.

Ko te whāinga matua o te maimoatanga he whakamama i te aukati i te rere o te mimi me te whakaiti i te pupuhi me te pēhanga ki te whatukuhu. Ko te tikanga maimoatanga e whakawhirinaki ana ki te pūtake o te mate.

Tērā pea ka ea noa iho ētahi mate ngāwari, kāore he maimoatanga. I roto i ēnei mate, ka tūtohu pea tō tākuta i tētahi huarahi "tāria, tirohia".

• Te rerenga mimi: Mēnā ka puta he aukati ohorere, he ārai nui, ka taea te whakauru i tētahi ngongo (ngoipo nephrostomy) mā te kiri ki roto i te whatukuhu hei tango i te mimi kua kohia. Ko tētahi atu huarahi ko te whakatakoto i tētahi ngongo kirihou angiangi e kiia nei ko te "ureteral stent" ki roto i te urethra hei waihanga i tētahi ara mō te rere o te mimi.

Mena nā ngā kōhatu whatukuhu...

• Te whakapūtanga ngaru ru: Ka tukuna ngā ngaru ru kaha-nui mai i waho o te tinana hei wawahi i ngā kōhatu tākihi, hei pana atu hoki mā te mimi.
• Ureteroscopy: Ka tukuna he taputapu me te kāmera angiangi mā te urethra hei wawahi, hei tango katoa rānei i ngā kōhatu.
• Pokanga: Mena he nui rawa ō kōhatu, he uaua ki te tango, me pokanga pea hei tango i aua kōhatu. Me pokanga anō hoki pea hei tango i ngā ārai i puta mai i ngā puku, i ngā koha rānei.

He kino rawa atu tēnei? Me pēhea taku ārai?

Ae, ka kino te Hydronephrosis ki te kore e rongoatia wawe. I ngā take tino kino, ka kino pea ngā whatukuhu, ā, ka arahi atu ki te ngoikore o te whatukuhu. I taua wā, me mahi pea he dialysis, he whakawhitinga whatukuhu rānei.

Kaua e manukanuka! Ka ora katoa te nuinga o te tangata i muri i te maimoatanga tere. Kāore he kino tuturu ki ngā whatukuhu.

Nā tētahi atu mate hauora kei raro i tēnei, nō reira, hei ārai i te Hydronephrosis, he mea nui kia rongoā wawe tonu te mate. Mena he tangata koe e pāngia ana e ngā kōhatu tākihi, he mea nui kia huri i te āhua noho e tika ana.

Me tino kite koe i te tākuta!

Ki te mea kei a koe ēnei tohu e whai ake nei, kaua e warewarehia . Tirohia tō tākuta i te wā e taea ai.