Me haere hoki koe ki te wharepaku i ngā wā maha i te rā? He iti noa iho tō mimi? He taumaha, he mamae rānei tō puku o raro? Tērā pea kei te whakaaro koe he mate mimi (UTI) tēnei, engari ahakoa te tango rongoā, kāore e āwhina? Kāti, ko tēnei mate e kōrerohia nei e tātou i tēnei rā, ko te Interstitial Cystitis, ka pā pea ki a koe. He ahua uaua tēnei, ā, he kaupapa kāore i te tino mōhiotia e te tini tāngata. Nō reira, me kōrero noa tātou mō tēnei mea, i roto i te huarahi e mārama ai koe.
He aha rawa te Interstitial Cystitis (IC/BPS)?
Ki te kī ngāwari, he mamae mau tonu tēnei, he koretake rānei i roto i tō pūkahukahu . Ināianei ka karangatia tēnei e ngā tākuta ko te Bladder Pain Syndrome (BPS). Me wehewehe paku tātou i te tikanga o tēnei ingoa.
- Ko te tikanga o te kupu " interstitial " ko "te āputa i waenganui i ngā kiko".
- Ko te tikanga o te Cystitis ko te "mumura o te pūkahukahu," arā, he āhuatanga e pupuhi ai.
Arā, he mumura me te mamae roa e puta ana i waenganui i ngā kiko o te pūkahukahu. Me mimi te tangata whai mate nei i ngā wā maha atu i te tikanga. Ā, ina hiahia rātou ki te mimi, he tino uaua ki te pupuri, ā, me haere wawe ki te wharepaku. Ka kiia tēnei ko te auau (mimi pinepine) me te hiahia nui (hiahia nui) .
Ko te mea nui, ehara tēnei i te mate mimi noa (UTI). Ko te mate mimi ka puta mai i ngā iroriki pērā i te huakita. Heoi, ehara te IC/BPS i te iroriki. Nō reira, kāore e taea te whakaora i te mate, mā te tango i ngā paturopi.
E rua ngā momo matua o tēnei mate.
Āe, kāore e rite te pānga ki te katoa. Ka taea te wehewehe kia rua ngā momo matua. Ka tautuhia ēnei momo e rua mā te whakamātautau (Cystoscopy) i reira ka whakauruhia e te tākuta he kāmera ki roto i tō pūkahukahu hei tirotiro.
| Momo IC/BPS | Hei whakarāpopototanga... |
|---|---|
| IC/BPS puku | Ka puta he mate puku mamae (ngā mate puku) ki te pakitara o te tōngāmimi. Ka kiia ēnei ko ngā mate puku a Hunner . He ahua onge tēnei momo, e pā ana ki te 5% me te 10% o te hunga whai IC/BPS. |
| IC/BPS kore-pupuhi | Koinei te momo tino noa. Tata ki te 90% o te hunga whai IC/BPS he momo tēnei. I roto i tēnei momo, ka kitea he toto iti rawa (ngā toto toto) i roto i te pakitara o te pūhā. E kiia ana tēnei e te rongoā he glomerulations . |
He aha te IC/BPS o te Wāhanga 4?
Kua rongo pea koe i ngā wāhanga o te mate. Ko te wāhanga 4 te wāhanga tino kino, arā, kua neke atu i te rua tau te roa o ngā tohumate. I tēnei wā, kua tino matotoru, kua pakari hoki te kiko o te pūkahukahu. Nā reira, kāore e taea e te pūkahukahu te pupuri i te nui o te mimi pērā i mua. Ko tēnei āhuatanga te mea tino kitea i roto i te hunga whai mate pukupuku a Hunner.
He aha ngā tohu o te IC/BPS?
Ka rerekē pea ngā tohu i ia tangata, i ia tangata. Mō ētahi, he ngawari pea, mō ētahi atu, he tino mamae pea. Mō ētahi, he pumau tonu ngā tohu, mō ētahi atu ia, ka haere mai, ka haere atu.
Ko ngā āhuatanga matua ko ēnei:
- Mamae, pēhanga, kore whakamarie rānei i te puku o raro (kei hea te pūkahukahu). Tērā pea ka piki ake te mamae i te mea ka kī te pūkahukahu.
- Te hiahia kia mimi pinepine. Tērā pea 15, 20, tae atu rānei ki te 40-50 ngā wā i te rā.
- Ina hiahia koe ki te mimi, ka pā mai he hiahia nui e kore e taea te pupuri.
- He iti noa te mimi e tukuna ana i te wā kotahi.
- Mō ngā wāhine, ka kino ake pea ngā tohu i te wā e pāngia ana e te paheketanga.
E whakaahua ana ētahi i tēnei mamae he rite ki te wera, ki te wero rānei i te puku o raro. He mea noa hoki te memeha haere o te mamae mō tētahi wā i muri i te mimi, kātahi ka piki haere i te tīmatanga anō o te whakakī o te pūkahukahu.
He aha i puta ai tēnei mea?
He raruraru tēnei e pā ana ki te tini tāngata. Ki te pono, ahakoa ngā tākuta, kāore tonu e taea te kī me te tino mārama he aha te take o te IC/BPS. Engari tera ētahi mea e whakapaetia ana kei roto i tēnei:
- Te ngoikore o te arai o te pūkahukahu: He paparanga tiaki kei roto i tō tātou pūkahukahu. Koinei te mea e tiaki ana i te pakitara o te pūkahukahu mai i ngā matū kino i roto i te mimi. Ina pakaru tēnei paparanga, ka turuturu aua matū kino ki roto i te pakitara o te pūkahukahu, ka mamae, ka mumura hoki.
- Ngā raruraru o te pūnaha ārai mate (Ngā mate pūnaha ārai mate):Tērā pea ka whakaekea hētia e te pūnaha parepare o te tinana ōna ake pūtau tōngāmimi.
- Mate pāwera: E whakapaetia ana hoki ko te mahi a ētahi pūtau (pūtau mast) i roto i te tinana e puta ai ngā mate pāwera he hononga ki tēnei.
- Ngā mate kāore anō kia tautuhia: I ētahi wā, ka pā kino te mate o mua kāore i rongoatia tika ki ngā io o te pūkahukahu, ka mamae ai mō te wā roa.
- Ngā āhuatanga rerekē o te mimi: Hei tauira, he nui tonu te pūmua i roto i te mimi (proteinuria).
Ko wai kei te nui ake te mōrearea ki te whakawhanake i tēnei?
- He nui ake te mōrearea o ngā wāhine i ngā tāne.
- He mea tino noa tēnei i roto i te hunga neke atu i te 30 tau te pakeke.
- Ko te hunga whai mate mamae mau tonu, pērā i te fibromyalgia me te mate puku irritable (IBS), ka nui ake te tūponotanga ka pāngia rātou e te IC/BPS.
E te tākuta, me pēhea e tautuhia ai tēnei?
Kāore he whakamātautau kotahi hei whakaū i te IC/BPS. Ka whakakorea e tō tākuta ētahi atu āhuatanga e puta ai ō tohumate. Tērā pea me whai whakamātautau maha. Kaua e manukanuka, kia kite tātou he aha ēnei.
| Whakamātautau | He aha tāu e mahi ai ki tēnei? |
|---|---|
| Hītori hauora me te rātaka tohumate | Ka pātai atu te tākuta ki a koe mō ō tohumate. Ka tono atu hoki ia kia tuhia e koe ngā mea pēnei i te nui o te inu e inuhia ana e koe, te auau me te nui o te mimi e mimihia ana e koe mō ētahi rā. Mā tēnei koe e āwhina ki te mārama ki tō āhua. |
| Te tātaritanga mimi | Ka tangohia he tauira mimi, ā, ka tirohia mēnā he huakita, he pūkahukahu, he toto (hematuria). Mēnā he mate huakita kei roto, ka rongoātia. Mēnā ka mau tonu ngā tohu i muri i te rongoā, tera pea ka whakapaetia he IC/BPS. |
| Te tirotiro i te pūtau | Ko te tikanga o tēnei ko te whakauru i tētahi taputapu angiangi rite ki te ngongo (me te kāmera) mā roto i te urethra hei tirotiro i te roto o te pūkahukahu. Ka āwhina tēnei ki te whakakore i ētahi atu mate kino, pērā i te mate pukupuku. |
| Cystoscopy me te Hydrodistension | Ka mahia tēnei i raro i te mate whakamoe. E ai ki te kōrero i mua ake nei, i a koe e titiro ana ki roto i te pūkahukahu, ka whakakīia te pūkahukahu ki te wai pērā i te wai, ā, ka totoro paku. Mā tēnei ka taea e koe te kite mārama i ngā mea pērā i ngā mate pukupuku a Hunner, i ngā kapiti iti rānei i te pakitara o te pūkahukahu. Ka pāngia ētahi tāngata e te whakaora wā poto o ngā tohu i muri i tēnei tikanga. |
| Te koiora | I te wā o te cystoscopy, ka tangohia he wahi kiko iti rawa mai i te pakitara o te pūkahukahu ka tukuna ki te taiwhanga hei whakamātautau. Ka āwhina hoki tēnei ki te whakakore i ētahi atu mate, pērā i te mate pukupuku. |
He aha ngā maimoatanga mō tēnei?
Koinei te wāhanga tino nui. Tuatahi, kāore anō kia kitea he rongoā mō te IC/BPS. Kaua e manukanuka. He maha ngā maimoatanga whai hua hei āwhina i a koe ki te whakahaere i ō tohumate me te noho i te oranga noa.
Ka tīmata tō tākuta ki te kotahi maimoatanga, ka tirohia mēnā e pai ana mōu, kātahi ka whakatau mēnā me huri ki ētahi atu maimoatanga, me whakakotahi rānei i ētahi maimoatanga. He tukanga whakamātautau tēnei. Tērā pea ka roa te wā ki te kimi i te maimoatanga tika mōu.
1. Ngā panonitanga o te kai
He tokomaha te hunga e kite ana ka kino ake ngā tohumate i ētahi kai me ētahi inu. Ka kiia ēnei he 'mea whakaoho'. Ka taea e koe te pupuri i tētahi rātaka me te tuhi i ngā mea e kainga ana e koe, e inu ana hoki, me te wā e kino haere ai ō tohumate. I roto i te wā, ka mōhio koe ko ēhea ngā kai e hua ake ai ō tohumate.
Ngā kai e kino ake ai ngā tohu mō te tini o te tangata:
- Waipiro
- Kawheine (tī, kawhe, tiakarete)
- Ngā inu warowaihā
- Tōmato
- Ngā hua citrus (karaka, rēmana)
- Ngā kai tukatuka
- Kai werawera
2. Te Whakakorikori Tinana me te Whakaora Tinana
- Whakakorikori Tinana: Mā ngā whakakorikori tinana ngāwari pērā i te hikoi me te eke pahikara ka āwhina i te whakaiti i te mamae.
- Te Whakaora Tinana o te Papa Pelvic: He mea tino nui tēnei. Ko ngā uaua o te puku o raro (ngā uaua o te papa pelvis) ngā mea e pupuri ana i ngā whekau pēnei i te pūkahukahu. Ka taea hoki e te kikī o ēnei uaua te whakanui ake i te mamae. Ka taea e te kaiwhakaora tinana tohunga te ako i a koe ki ngā mahi tika hei whakangā me te whakapakari i ēnei uaua (ngā mahi Kegel).
3. Te Whakaiti i te Taumahatanga
Ko te ahotea tētahi o ngā āhuatanga nui e whakanui ana i ngā tohu o te IC/BPS. Mā te ako i ngā huarahi hei whakahaere i te ahotea ka tino whakamarie. Ka taea e ngā mahi pēnei i te manawa hōhonu, te whakaaroaro, me te yoga te āwhina. Ka taea hoki e koe te rapu āwhina i tētahi kaitohutohu hauora hinengaro mēnā e tika ana.
4. Te Whakangungu Anō i te Pūngāwerewere
Nā te mamae, ka taunga koe ki te haere ki te wharepaku ina kī tonu tō pūkahukahu. Mā tēnei ka taea e tō pūkahukahu te taunga mārire ki te pupuri i te iti o te mimi. Ko te whakangungu anō i te pūkahukahu ko te whakanui ā-tauira i te wā i waenga i ngā haerenga ki te wharepaku. Ka tīmata koe me te 5-10 meneti, kātahi ka whakanui mārire i te wā ki te 2-3 hāora.
5. Ngā Rongoā ā-Waha
- Ngā rongoā ārai pouri: Ko ētahi rongoā ārai pouri, pērā i te amitriptyline, ina hoatu i roto i ngā horopeta tino iti, ka āwhina i te whakaiti i te mamae o te pūkahukahu me te hiahia ki te mimi pinepine.
- Ngā Antihistamine: Ka taea e ngā rongoā pēnei i te Hydroxyzine te whakahaere i ngā mate pāwera me te whakaiti i te mamae.
- Pentosan Polysulfate Sodium (Elmiron®): Koinei anake te rongoā ā-waha kua whakaaetia mō te IC/BPS. E whakaponohia ana ka āwhina i te hanga anō i te arai tiaki kua pakaru o te pūkahukahu.
6. Ngā Whakatōnga Pūngāwerewere
I roto i tēnei, ka whakaurua e te tākuta he ngongo tino angiangi (catheter) ki roto i tō urethra, ka werohia he ranunga rongoā ki roto i tō pūkahukahu. Ko te rongoā e whakamahia whānuitia ana ko te dimethyl sulfoxide (DMSO). Ka waihotia tēnei rongoā ki roto i tō pūkahukahu mō tētahi wā, kātahi ka tangohia mā te mimi.
7. Ētahi atu maimoatanga
Mena kāore ngā maimoatanga o runga ake nei e angitu, ka whakaarohia pea e tō tākuta ngā mea e whai ake nei:
- Te Whakaoho i ngā Io (Neuromodulation): He tikanga hei whakahaere i te mamae o te pūkahukahu me te hiahia nui mā te tuku tohu hiko iti ki ētahi io o te tinana.
- Werohanga Botox®: Ka werohia te Botox ki roto i ngā uaua o te pūhā, ka whakaiti i te mahi a ngā uaua, ka whakahaere hoki i te mamae.
- Pokanga: Hei huarahi whakamutunga tēnei, mā te hunga anake he tino kino ngā tohu kāore i aro ki ētahi atu maimoatanga. Ko te tikanga o tēnei ko te tango i tētahi wāhanga, i te katoa rānei o te pūkahukahu (cystectomy).
Me pēhea te noho tahi me te IC/BPS?
Nā te mea he mate roa tēnei, he mea nui kia ako koe ki te noho tahi me tēnei mate. Mā ēnei tohutohu koe e āwhina ki te whakatau i ngā putanga mai o te mate.
- Inumia he nui te wai: Ina waimeha te mimi, ka iti haere te mamae o te pūkahukahu.
- Ngā kōpeke wera, ngā kōpeke makariri rānei: Mā te whakatakoto i tētahi pounamu wai wera, i tētahi kete huka rānei ki tō puku o raro ka āwhina i te whakamamae i te mamae.
- Mauria ngā kākahu whakamarie: Āta karohia ngā tarau piri me ngā kākahu o roto e whakawhāiti ana i tō puku.
- Ngā Tikanga Whakangā: Ka taea e ngā tūnga yoga pēnei i te tūnga 'pēpi harikoa' te āwhina i te whakangā i ngā uaua o te papa hope.
- Mena he mamae te moe tāne: Kōrero ki tō tākuta mō ngā mea pēnei i te tango i ngā rongoā whakamamae i mua i te moe me te whakamahi i ngā hinu whakahinuhinu.
Āhea ahau me toro atu ki te tākuta?
Mena kei a koe ētahi o ngā tohu kua whakahuatia i roto i tēnei tuhinga, me toro atu koe ki te tākuta. Me tino mōhio koe mēnā he mate mimi, he mate pāwera rānei, he mate pāwera rānei, he mate pāwera rānei, he mate pāwera rānei. Waihoki,
Ki te kore e taea te whakamanawanui i tō mamae, ā, kāore he whakaoranga ahakoa te maimoatanga, haere tonu ki te Tari Ohotata (ETU) o te hōhipera tata.
Kāore he mea hei whakama. Tērā pea ka pā kino ki te kounga o tō oranga, nō reira he mea nui kia whiwhi koe i te maimoatanga tika.
Karere Tangohia ki te Kāinga
- Ko te Interstitial Cystitis (IC/BPS) he mate pūmau, mamae hoki o te pūkahukahu, ehara i te mate mimi noa (UTI).
- Ko ngā tohu matua ko te mimi pinepine, te mamae o raro o te puku, me te hiahia ohorere ki te mimi.
- Ahakoa kāore anō kia kitea te tino pūtake o tēnei, he maha ngā maimoatanga whai hua hei whakahaere i ngā tohumate.
- Ko ngā whakarerekētanga kai, te whakaora tinana, me te whakahaere ahotea he wāhanga nui o te maimoatanga.
- E kore tēnei āhuatanga e whakapoto i tō roanga ora, ā, e kore hoki e huri hei matepukupuku.
- Kāore koe i te mokemoke. Kei reira ngā tākuta me ngā maimoatanga hei āwhina i a koe. Nō reira kaua e whakama, kaua hoki e mataku ki te rapu tohutohu hauora.
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