Ka pāngia koe e te mamae nui i tō taha, i tō puku, i tō tuara raro rānei, me te whakapairuaki anō hoki? Tērā pea kei te mamae koe i te wā e mimi ana , kei te kite rānei koe i te toto i roto i tō mimi? He tohu pea ēnei o te pupuhi o te whatukuhu, he mate e mōhiotia ana i roto i te rongoā ko te Hydronephrosis. Me whakamārama ngāwari tātou i te tikanga o tēnei.
He aha te Hydronephrosis?
Ki te whakarapopoto, ka puta te Hydronephrosis ina aukatia te mimi e te aukati i te rere o te mimi mai i ō whatukuhu ki tō pūhā, ka pupuhi tetahi, e rua rānei ngā whatukuhu. Whakaarohia he rite ki te piko o te ngongo māra—ka hoki whakamuri te wai, ka pupuhi te oko toto. I ētahi wā ka kiia tēnei e ngā tākuta ko te 'whakawhanuitanga o te ara mimi o runga'.
Kia arotakehia pototia te mahi a tō pūnaha mimi hei whatunga tātari me te tango para māori o tō tinana:
- Ngā whatukuhu e rua: Ka tātarihia e ēnei whekau nui ngā paitini me ngā hua para i roto i ō toto.
- Ngā Ureter e Rua: Koinei ngā ngongo e kawe ana i te mimi mai i ngā whatukuhu ki te pūkahukahu.
- Pūngāwerewere: He pēke penapena mimi hei pupuri kia tae rā anō ki te wā e hiahia ana koe ki te mimi.
- Urethra: Ko te ngongo e kawe ana i te mimi i waho o tō tinana.
Ka puta te hydronephrosis ina he ārai kei tētahi wāhi o tēnei ara, inā koa i waenganui i te whatukuhu me te ureter.
Ka puta tēnei āhuatanga i ngā momo huarahi. Tērā pea ka ohorere (whakamataku) ka āta haere rānei i roto i te wā (mau tonu) . Tērā pea ka āraihia te whatukuhu katoa, te ārai rānei i te wāhanga. Mēnā ka pā ki te whatukuhu kotahi anake, ka kiia ko te 'unilateral hydronephrosis'; ki te pā ki ngā whatukuhu e rua, ka kiia ko te 'bilateral hydronephrosis'. Ka rerekē hoki te kaha o te pupuhi mai i te ngawari ki te nui.
He pēhea te noa o tēnei āhuatanga?
Ka pāngia te tangata o ngā tau katoa e te hydronephrosis. E kiia ana tata ki te 1 i roto i te 100 ngā pakeke ka pāngia e tēnei mate i tētahi wā o ō rātou oranga.
I roto i ngā pēpi, ka puta pea i roto i te kōpū, he āhuatanga e kiia nei ko te 'antenatal hydronephrosis'. Ka kitea i roto i te 1% o ngā hāputanga. He waimarie, i roto i te nuinga o ngā wā, ka ea ake i mua i te whānautanga o te pēpi.
He aha ngā tohu o te Hydronephrosis?
Ko ngā tohu o te Hydronephrosis e whakawhirinaki ana ki te take matua. He maha ngā wā, kāore he tohu . E ai ki te kōrero, ko ngā pēpi e pangia ana e te antenatal hydronephrosis kāore e whakaatu i ngā tohu i muri i te whānautanga.
Heoi, ki te puta mai ngā tohu, ka uru atu pea ēnei ki:
- Mamae ohorere, mamae nui: I tō taha, i tō puku, i tō tuara raro rānei.
- Whakapairuaki , ruaki rānei .
- Te mimi mamae.
- Te toto i roto i te mimi.
- Ngā mate urutā mimi e hokihoki ana ( UTI ).
- He whakaaro pumau kei te kore tō pūkahukahu e takoto kau i muri i te mimi.
- Ngā panonitanga o te auau me te nui o te mimi.
Nā te mea kua mau te mimi, ka taea e ngā huakita te whakanui ake, ka piki ake te mōrearea o te UTI. Mēnā ka puta he mate, ka kite pea koe i:
- Te kirika, te makariri, me te ngenge.
- Te ngau kino, te mamae rānei i te wā e mimi ana.
- He mimi pōuri, he mimi kua rerekē te tae.
He aha te take o te Hydronephrosis?
Ko te tino take o te Hydronephrosis he aukati, he 'ārai' rānei i ngā wāhi katoa o te ara mimi. He maha ngā take pea:
Ngā take noa i roto i ngā pakeke:
- Ngā kōhatu whatukuhu:He putunga mārō i hangaia mai i te konupūmā me te oxalate ka noho ki roto i ngā whatukuhu, i ngā ureter rānei.
- Te aukati i te mimi: Ngā aukati i roto i ngā mimi tonu.
- Ngā pukupuku: Ngā tipu i roto i te pūkahukahu, te repe prostate , te kōpū , ngā whekau tata rānei e pēhi ana i te ara mimi.
- Benign prostatic hyperplasia (BPH): He repeure kua rahi i roto i ngā tāne ka taea te pēhi i te urethra, ka uaua ai te whakakore i te mimi.
- Ngā uauatanga o te urethra: Te whaiti o te ara mimi nā te whara, te mate, te pokanga rānei o mua.
- Ngā raruraru io, uaua rānei: Ngā raruraru e pā ana ki te mahi noa o ngā whatukuhu, o ngā ureter rānei.
- Te pupuri mimi: Te kore e taea te whakakore katoa i te pūkahukahu.
- Te reflux vesicoureteral: Te mimi e rere whakamuri ana mai i te pūkahukahu ki ngā whatukuhu.
- Ureterocele: He āhuatanga e pupuhi ai te wāhanga o raro o te ureter ki roto i te pūkahukahu.
Ngā take motuhake ki ngā wāhine:
- Te Hapūtanga: I te tipu o te pēpi i roto i te kōpū, ka whānui te kōpū, ka pēhi i ngā ureter me te aukati i te rere o te mimi.
- Te hekenga o te kōpū: Ina neke te kōpū mai i tōna tūranga noa.
- Cystocele (tōngāmimi kua hinga): Ina ngoikore te pakitara i waenganui i te tōngāmimi me te tara, ka pupuhi te tōngāmimi ki roto i te tara.
Ngā take i roto i te kukune (I mua i te whānautanga):
- Te nui haere o te mimi o te pēpi.
- Ngā aukati whānau i roto i te ara mimi.
- Te rerenga whakamuri o te mimi mai i te pūkahukahu ki ngā whatukuhu.
He aha ngā raruraru pea ka pā mai?
Ki te kore e rongoatia, ka taea e te Hydronephrosis kino te arahi ki te kino o te whatukuhu, ā, i te mutunga, ki te ngoikore o te whatukuhu. I roto i ēnei āhuatanga, me mahi pea ngā wawaotanga pēnei i te dialysis, te whakawhitinga whatukuhu rānei.
Heoi, kaua e mataku! He tokomaha ngā tāngata e ora katoa ana i te Hydronephrosis, kāore he kino tuturu o ō rātou whatukuhu. Ko te mahi nui ko te noho marino me te rapu awhina hauora i te wā tika mai i ngā tohunga i Nirogi Lanka.
Me pēhea te tautuhi i te Hydronephrosis?
He mea nui kia kite i te tākuta me te whiwhi i te tātaritanga wawe tonu, i te mea ka taea e te hydronephrosis te arahi ki te kino o te whatukuhu mo te wa roa mena ka kore e rongoatia.
Ka tautuhia e tō tākuta te mate mā roto i ngā mahi e whai ake nei:
- Whakamātautau Tinana: Ka pātai tō tākuta mō ō tohumate, ka tirotirohia hoki ō puku me ō hope mō te mamae, te pupuhi rānei. Ka arotakehia e rātou tō hītori hauora, ā, ka pātai mēnā he hītori whānau kei roto i a koe ngā āhuatanga rite. Mō ngā tāne, ka taea te whakahaere i tētahi whakamātautau repeure hei tirotiro mēnā kua nui te repeure. Mō ngā wāhine, ka taea te whakahaere i tētahi whakamātautau hope hei whakakore i ngā raruraru ki te kōpū, ki ngā ovaries rānei.
- Tātaritanga mimi: Ka tātarihia he tauira mimi hei tirotiro mō te toto, ngā kōhatu, ngā huakita, te mate rānei. I ētahi wā, me whakamahi pea tō tākuta i tētahi catheter hei tiki i tētahi tauira parakore.
- Ngā Whakamātautau Toto: Tērā pea ka mahia he Tatau Toto Katoa (CBC) hei kite i ngā mate. Hei tāpiri, he maha ngā whakamātautau pēnei i te creatinine, eGFR, me te BUN ka mahia hei aromatawai i te mahi a tō whatukuhu.
- Ngā Tukanga Whakaahua: Ko te matawai ultrasound te taputapu matua mō te tātaritanga. I runga anō i ō hiahia, ka hiahiatia pea he matawai CT, he MRI rānei hei tirotiro taipitopito ake.
I mōhio koe ka kitea te hydronephrosis i roto i te pēpi kāore anō kia whānau mā te ultrasound i te wā tuatahi o te haputanga? Ka kitea tēnei i te wā o te matawai tinana o te 20 wiki. Mēnā ka kitea, ka tirotirohia te pēpi e tō tākuta mā te whakamahi i ngā ultrasound whai muri; heoi, he maha ngā wā ka memeha haere tēnei mate i mua atu, i muri tata rānei i te whānautanga.
He aha ngā kōwhiringa maimoatanga mō te Hydronephrosis?
Ko te whāinga matua o te maimoatanga he whakahoki i te rere o te mimi kia noa, me te whakamama i te pēhanga me te pupuhi i roto i ō whatukuhu. Ko te maimoatanga e whakawhirinaki ana ki te take matua.
Mēnā he ngāwari ngā mate, kāore pea e hiahiatia he maimoatanga, ā, ka tūtohu pea tō tākuta i tētahi huarahi 'tāria, tirohia'. Ko te pokanga tētahi atu kōwhiringa ka whakaarohia e tō tākuta. He mea nui kia kōrero tuwhera ki tō kaiwhakarato hauora mō ngā huarahi maimoatanga katoa e wātea ana.
Mena ka pāngia koe e te hydronephrosis ohorere nā te aukati, ka whakauru pea tō tākuta i tētahi ngongo nephrostomy mā roto i tō kiri hei tango i te mimi nui mai i te whatukuhu. Tērā atu rānei, ka whakanohoia pea e rātou he ngongo kirihou ngohengohe e kiia nei ko te ureteral stent ki roto i tō ureter kia noho tuwhera tonu ai, kia tika ai te rere o te mimi.
Mena ko ngā kōhatu i roto i ō whatukuhu, i ō ureter rānei te take, ka taea te whakaaro ki ēnei kōwhiringa:
- Te Whakamahinga Ngaru Ru: He maimoatanga noa tēnei mō ngā kōhatu whatukuhu. Ka whakamahia ngā ngaru ru kaha-nui hei wawahi i ngā kōhatu kia iti ake, kia taea te whakahaere, kia taea ai te tuku mā te taiao.
- Ureteroscopy: Ka tukuna he tirohanga angiangi mā roto i tō urethra hei kimi me te tango, hei wawahi rānei i ngā kōhatu. He tikanga tēnei mō ngā kōhatu kei roto i te pūkahukahu, i te wāhanga raro rānei o ngā ureters.
- Pokanga: Mena he nui rawa ngā kōhatu tākihi, he uaua rānei ki te tango, me pokanga pea. Me pokanga anō hoki hei whakatika i ētahi atu ārai pēnei i ngā pukupuku, i ngā kiko koha rānei.
Mena he mate mimi (UTI) te take o tō mate, he whaiti rānei nā te mate, ka tohua e tō tākuta he paturopi hei whakakore i te raruraru matua.
Ka taea te ārai i te Hydronephrosis?
I te mea ko te hydronephrosis te take o ngā mate taketake, ko te ārai ko te rongoā , te whakahaere rānei i aua take matua i te wā wawe. Ko te tautuhi i ō āhuatanga mōrearea he taahiraa nui hei tiaki.
Ko ngā āhuatanga e whakanui ake ana i tō tupono ki te whakawhanake i te hydronephrosis ko:
- Ngā kōhatu whatukuhu.
- He hītori o ngā mate pukupuku o te ara mimi.
- Ngā pokanga o mua i te ara mimi.
- Ngā mate urutā mimi e hokihoki ana (UTI).
- Ngā toto totoka.
- Te repe prostate kua whakanuia.
- Te hapūtanga (nā te pēhanga ki runga i ngā ureter).
He āwangawanga nui te Hydronephrosis?
Ae, ka kino pea mēnā kāore e rongoatia. Heoi, ko te nuinga o ngā take he ngawari, he āhua noa rānei, ā, kāore e arahi ki ngā raruraru hauora kino mō te wā roa. Kaua e mataku; ko te wawaotanga wawe te mea nui.
Me manukanuka rānei ahau mō te tātaritanga kua pāngia ahau e te Hydronephrosis?
Kaua e tino manukanuka mō te tautuhi i te hydronephrosis. I te nuinga o te wā, mā te maimoatanga tika, ka taea e koe te noho noa i te ao me te kore he raruraru roa. Kōrerohia ō pātai mō tō whakaoranga, ngā whakarerekētanga o te momo noho, me te wā whakaora e tumanakohia ana ki tō tākuta i Nirogi Lanka.
Āhea ahau me toro atu ki te tākuta?
Me toro atu koe ki te tākuta tonu mēnā ka pāngia koe e ēnei tohu e whai ake nei:
- Te mamae ohorere, te mamae nui ki tō taha, ki tō tuara rānei.
- Te ruaki tonu.
- Ngā huringa o te mimi: He nui ake, he iti iho rānei te mimi i te tikanga, he mamae te mimi, he toto rānei kei roto i te mimi.
- He kirika e neke atu ana i te 100.5°F (38°C).
Ngā Whakaaro Whakamutunga
Hei whakarāpopototanga, ko te hydronephrosis he mate e pupuhi ai ngā whatukuhu nā te nui o te mimi e puta mai ana. Ka pā ki te tangata katoa. Waimarie, ki te tātaritatia, ka rongoatia hoki i te wā tika, ka taea e koe te ārai i ngā raruraru roa. Ki te kite koe i ngā tohu rerekē pēnei i te mamae o te taha, o te puku rānei, te whakapairuaki, te ruaki, ngā huringa rānei o ō tikanga mimi, whakapā atu ki tētahi tohunga. Kia kitea te take, ka ārahi tō tākuta i a koe i roto i ngā kōwhiringa maimoatanga pai rawa atu. Kāore he take e wehi ai; ko te tiaki hauora i te wā tika tō parepare pai rawa atu.
