Kei te pupuhi ō whatukuhu? Tērā pea he hydronephrosis tēnei? Me kōrero tāua!

Ka whakapairuaki koe i ētahi wā, ka mamae nui tō taha, tō puku, tō tuara rānei? Ka mamae rānei koe i te wā e mimi ana koe, ka puta rānei he toto i roto i tō mimi? He tohu pea ēnei o tētahi mate e kiia nei ko te hydronephrosis, arā, ko te pupuhi o ngā whatukuhu . Me kōrero ngāwari tātou mō tēnei?

He aha te Hydronephrosis?

Ki te whakarapopoto, ko te hydronephrosis he āhua e aukati ana 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 paipa wai kua aukatia, ka kī tonu i te wai, ka pupuhi. I ētahi wā ka kiia tēnei e ngā tākuta he 'whanuitanga o te ara mimi o runga'.

Kia whai wā tātou ki te whakamahara i a tātou anō ki te mahi a tō tātou pūnaha mimi . He rite ki te pūnaha horoi e tango ana i ngā paru i roto i tō tātou tinana.

• E rua ngā whatukuhu , ā, koinei ngā mea e tātari ana, e wehe ana hoki i ngā paitini me ngā hua para i roto i te toto.
• Kātahi anō ka rua ngā ureter , arā, e rua ngā ngongo e kawe ana i te mimi mai i ngā whatukuhu ki te pūhā.
• He pūkahukahu tō tēnei , he rite ki te putea e kohi ai, e penapena ai hoki i te mimi.
• Hei whakamutunga, ko te urethra , te ngongo e kawe ana i te mimi e kohia ana i roto i te pūkahukahu ki waho o te tinana.

Ka puta te hydronephrosis ina he ārai kei roto i tēnei pūnaha, i waenganui i te whatukuhu me te ureter.

He rerekē ngā āhua o te hydronephrosis. Ka puta ohorere mai, ka āta whanake haere rānei i roto i te wā . Ka taea te aukati katoa, te ārai wāhanga rānei. Mena ka pā ki te whatukuhu kotahi anake, ka kiia ko te 'unilateral hydronephrosis', ā, ki te pā ki ngā whatukuhu e rua, ka kiia ko te 'bilateral hydronephrosis'. Ka rerekē hoki te nui o te pupuhi mai i te pupuhi iti ki te pupuhi nui.

E hia te auau o tēnei āhuatanga?

Ka pāngia te tangata katoa o ngā tau katoa e te hydronephrosis. E kiia ana ka pāngia te tangata e te mate i roto i te kotahi rau o ngā pakeke i tētahi wā o ō rātou oranga.

Ka pā tēnei ki ngā pēpi nohinohi, inā koa kei roto tonu rātou i te kōpū o te whaea. Ka kiia ko te 'antenatal hydronephrosis'. Ka pā tēnei ki te 1% o ngā hāputanga. Engari i te nuinga o te wā, ka pai ake i mua i te whānautanga o te pēpi.

He aha ngā tohu o te hydronephrosis?

Ko ngā tohu o te hydronephrosis ka whakawhirinaki ki te take. I te nuinga o te wā , kāore he tohu . E ai ki taku kōrero i mua ake nei, ko te antenatal hydronephrosis, e puta ana i roto i te pēpi i roto i te kōpū, kāore e whakaatu i ngā tohu tae noa ki te whānautanga o te pēpi.

Engari ki te puta mai ngā tohu, ka uru atu pea ēnei ki:

• He mamae ohorere, kino hoki: i tō taha, puku, tuara rānei.
• Whakapairuaki , ruaki rānei .
• Te mamae i te wā e mimi ana.
• Te toto i roto i te mimi.
• Te whakawhanaketanga o te mate mimi ( UTI ).
• He āhua kāore anō kia mimiti katoa te pūkahukahu ahakoa i muri i te mimi.
• Te mimi nui ake, te mimi iti iho rānei i te tikanga.

Nā, ina pāngia koe e te hydronephrosis, nā te mea kua mau te mimi i roto i te tinana, he nui ake te tūponotanga ka tipu te huakita i roto i te ara mimi, ā, ka puta he mate urutā (UTI). Mēnā ka tupu tēnei, ka pāngia pea koe e ngā tohu pēnei i:

• Te kirika, te makariri, me te ngenge.
• Te wera me te mamae i te wa e mimi ana.
• He mimi kāore i te mārama, ā, he mangu te tae.

He aha ngā take o te hydronephrosis?

Ko te tino take o te hydronephrosis he aukati, he ārai rānei, i te rere o te mimi i tētahi wāhi o roto i tō tātou pūnaha mimi. He maha ngā take pea mō tēnei.

Ngā take e pā ana ki ngā pakeke:

• Ngā kōhatu whatukuhu: He kōhatu mārō ēnei i hangaia mai i te konupūmā me te oxalate. Ka taea e rātou te noho ki roto i ngā whatukuhu, i te ara mimi rānei.
• Te aukati i te ureter: He aukati i roto i ō ureter.
• Ngā pukupuku: Ka taea e ngā pukupuku i roto i te pūkahukahu, te repe prostate , te kōpū , me ētahi atu okana e tata ana ki te pūnaha mimi te aukati i te rere o te mimi.
• Te hyperplasia prostatic benign (BPH): I roto i ngā tāne, ka taea e te repe prostate kua nui te pēhanga ki runga i te urethra, ā, ka uaua ai te mimi.
• Te whaiti o te urethra: Ka whaiti pea te urethra nā te whara, te mate urutā, te whānautanga hapa, te pokanga rānei.
• Ngā raruraru io, uaua rānei: Ka pā pea ēnei ki te mahi a ō whatukuhu, o ō ureter rānei.
• Te pupuri mimi: Te kore e taea te whakakore katoa i te mimi mai i te pūkahukahu.
• Te reflux vesicoureteral: Te rerenga whakamuri o te mimi mai i te pūkahukahu ki roto i ngā whatukuhu.
• Ureterocele: He putanga tēnei o te wāhanga o raro o te ureter ki roto i te pūkahukahu.

Ngā take motuhake mō ngā wāhine:

Mō te hunga he kōpū tō rātou, arā, he wāhine, ka taea hoki te puta o te hydronephrosis e ngā āhuatanga motuhake pēnei i:

• Te Hapūtanga: I te tipu o te pēpi, ka tipu hoki te kōpū, ka pēhi pea i ngā ureter me te aukati i te rere o te mimi.
• Te hekenga o te kōpū: Te hinganga o te kōpū mai i tōna tūranga noa.
• Cystocele – te tōngāmimi kua hinga: Ka ngoikore te pakitara i waenganui i te tōngāmimi me te tenetene, ka taka te tōngāmimi ki roto i te tenetene.

Ngā take e pā ana ki te pēpi i roto i te kōpū (antenanatal):

Ko ngā āhuatanga e whai ake nei ka taea te whakararu i te hydronephrosis antenatal i roto i te pēpi:

• Te nui haere o te mimi e whakaputaina ana e te pēpi i roto i te kopu.
• He aukati i te rere o te mimi i tētahi wāhi o te pūnaha mimi.
• Ka hoki te mimi mai i te pūkahukahu ki ngā whatukuhu.

He aha ngā raruraru ka pā mai i te hydronephrosis?

Ki te kaha rawa te hydronephrosis, ka kino pea ngā whatukuhu, ā, ka arahi atu ki te ngoikore o te whatukuhu. Mēnā koinei te āhua, me mahi pea koe i te dialysis, i te whakawhitinga whatukuhu rānei.

Kaua e mataku! Ka ora te nuinga o te tangata i te hydronephrosis, ā, kāore he kino tuturu ki ngā whatukuhu. Nō reira, he mea nui kia kaua e mataku, me rapu maimoatanga tere tonu.

Me pēhea te tautuhi i te Hydronephrosis?

He mea tino nui kia kite i te tākuta me te tere te kimi i te tātaritanga mate, i te mea ka taea e te hydronephrosis te whakararu i ngā whatukuhu mō te wā roa.

Koinei te huarahi e tautuhia ai te mate e tō tākuta:

• Whakamātautau tinana: Ka pātai tō tākuta mō ō tohu, ka tirotiro hoki i ō whatukuhu me te rohe pūkahukahu mō te mamae me te pupuhi. Ka pātai anō hoki rātou mō tō hītori hauora o mua, me te mea kua pāngia tētahi o tō whānau e ēnei āhuatanga. Mena he tāne koe, ka taea te tirotiro i te repeure kua nui haere. Mena he wahine koe, ka taea te tirotiro i te pelvis hei tirotiro i ngā raruraru o tō kōpū, o ōwai rānei.
• Ngā whakamātautau mimi:Ka tangohia he tauira o tō mimi, ā, ka tirohia mēnā he toto, he kōhatu, he huakita, he mate rānei. Tērā pea me whakamahi koe i tētahi katitere hei kohi mimi.
• 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 tikanga whakaahua: Ko te whakamātautau matua he matawai ultrasound. I ētahi wā ka hiahiatia he matawai CT, he matawai MRI rānei.

I mōhio koe ka taea te tātaritanga o te mate hydronephrosis o te pēpi kāore anō kia whānau i te toru marama tuatahi o te hapūtanga mā te matawai ultrasound? I te nuinga o te wā ka kitea tēnei i te wā o te matawai ultrasound 20-wiki. Mēnā ka kitea, ka maha atu ngā matawai ultrasound a te whaea hei aroturuki i te pēpi. Engari i te nuinga o te wā, ka pai ake i a ia anō.

He aha ngā maimoatanga mō te hydronephrosis?

Ko te whāinga matua o te maimoatanga he whakahoki mai i te rere o te mimi mai i ngā whatukuhu, me te whakaiti i te pupuhi me te pēhanga. Ko te maimoatanga e whakawhirinaki ana ki te take matua. Nā te mea koinei te raruraru matua.

I ētahi wā, ka ora ake ngā mate iti kāore i te tino kino, me te kore he maimoatanga. I ētahi wā anō, ka whai pea tō tākuta i te huarahi 'tāria, tirohia'. Ko te pokanga tētahi atu kōwhiringa ka whakaarohia e tō tākuta. Me kōrero koe ki tō tākuta mō ō whiringa maimoatanga katoa.

Mena ka puta ohorere te hydronephrosis, ā, nā te aukati i puta mai, ka whakauru pea tō tākuta i tētahi ngongo nephrostomy mā roto i tō kiri ki roto i tō whatukuhu hei tango i te mimi nui. Mēnā rānei, ka whakauru pea rātou i tētahi ngongo kirihou ngohengohe e kiia nei ko te ureteral stent hei pupuri i ō ureters kia tuwhera kia rere noa ai te mimi.

Mena ko ngā kōhatu i roto i ngā whatukuhu, i te ara mimi rānei te take, kei reira ngā huarahi maimoatanga pēnei i:

• Te whakatōtōtanga ngaru ru: Koinei te maimoatanga tino noa mō ngā kōhatu tākihi. Ka whakamahia ngā ngaru ru kaha-nui hei wawahi, hei wawahi rānei i ngā kōhatu kia iti ake, kia māmā ake ai te puta atu i te tinana.
• Ureteroscopy: Ka tukuna e tō tākuta he ngongo angiangi mā roto i tō urethra hei wawahi me te tango i ngā kōhatu. Ka whakamahia tēnei tikanga mō ngā kōhatu i roto i te pūkahukahu, i te wāhanga o raro rānei o ngā ureter. Ka taea hoki te whakamahi tahi me ētahi atu tikanga hei wawahi i ngā kōhatu.
• Pokanga:Mena he nui rawa ngā kōhatu tākihi, he uaua rānei ki te tango, me mahi pea te tākuta i tētahi pokanga hei tango i aua kōhatu. Tērā pea me mahi pokanga anō hoki mēnā he pukupuku, he kiko koha, he momo ārai rānei.

Mena he mate mimi tōu (UTI) he whaiti rānei tō urethra nā te mate, ka tohua e tō tākuta he paturopi hei rongoā i te mate.

Ka taea te ārai i te Hydronephrosis?

I te mea he mate taketake te hydronephrosis, ka taea te ārai mā te karo, te rongoā rānei i te take taketake. Mā te tautuhi i ngā āhuatanga e tūpono ai koe ki te whakawhanake i te mate ka āwhina anō hoki ki te ārai.

Ko ngā āhuatanga e whakanui ake ana i te mōrearea o te whakawhanake i te hydronephrosis ko:

• Ngā kōhatu whatukuhu.
• He hītori o te mate pukupuku o te pūnaha mimi.
• Ngā pokanga o mua e pā ana ki te pūnaha mimi.
• Ngā mate urutā o te pūnaha mimi i mua, pērā i ngā mate urutā o te ara mimi (UTI).
• Ngā toto totoka.
• Te whakanui ake i te repe prostate.
• Te hapūtanga (nā te pana o tō kōpū ki roto i tō hope).

He raruraru nui te hydronephrosis?

Ae, he raruraru nui tēnei mēnā kāore e rongoatia wawetia. Heoi, he ngawari, he āhua noa iho rānei te nuinga o ngā take. Kāore e puta he raruraru hauora nui. Nō reira kaua e manukanuka.

Me āwangawanga koe mō te hydronephrosis?

Kaua e manukanuka rawa mō te tātaritanga kei a koe te hydronephrosis. I te nuinga o te wā, mā te maimoatanga, ka taea e koe te noho noa i te ao me te kore he raruraru roa. Kōrero ki tō tākuta mō ō pātai katoa mō te hydronephrosis me tō whakaoranga. Mā tō tākuta koe e kī atu mēnā me huri te āhua noho me te roa o te wā e ora katoa ai koe.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe ēnei tohu, me toro atu ki te tākuta:

• He mamae ohorere, kino hoki i tō taha, i tō tuara rānei.
• Te ruaki.
• Ngā panonitanga o tō mimi: te nui ake, te iti iho rānei o te mimi i te tikanga, te mamae i te wā e mimi ana, te toto i roto i te mimi.
• Mena he nui ake te kirika i te 38 Celsius (100.5 Fahrenheit).

Hei whakamutunga, ngā mea hei maumahara

Āe, ko te hydronephrosis i kōrerohia e tātou i tēnei rā he mate e pupuhi ai ngā whatukuhu nā te kohi o te mimi. Ka taea e te tangata katoa te pāngia e tēnei mate. Waimarie, ki te kitea wawetia te mate, ā, ka rongoatia, ka taea te ārai i ngā raruraru o tēnei mate.Mena kei a koe ētahi tohu rerekē, pērā i te mamae i tō taha, i tō puku rānei, te whakapairuaki, te ruaki, te rerekētanga rānei o te nui, te auau rānei o te mimi, me toro atu ki te tākuta. Kia kitea te pūtake o te hydronephrosis, ka whakamāramahia e tō tākuta ngā huarahi maimoatanga maha e wātea ana ki a koe. Kaua e mataku, ko te maimoatanga wawe te mea nui.