Kua pāngia koe e te mamae o tō tuara? I te nuinga o te wā, ka whakaarohia e tātou he mamae tuara noa iho nā te hiki i tētahi mea taumaha, te noho rānei i tētahi tūranga whakauaua. Heoi, ehara i te mea he māmā noa iho ngā mamae tuara katoa. I ētahi wā, he tohu pea tēnei o tētahi raruraru ki ō whatukuhu. Nō reira, i tēnei rā, me kōrero tātou mō te mamae whatukuhu me pēhea te wehewehe i tēnei mamae mai i te mamae tuara noa.
He aha rawa te rerekētanga i waenganui i te mamae o te whatukuhu me te mamae o te tuara?
He mea tino noa te whakapoauau i ngā mea e rua. Engari he mārama ngā rerekētanga i waenganui i ēnei mamae e rua. Ki te mārama tika tātou ki tēnei, ka taea e tātou te tautuhi wawe mēnā he raruraru.
Whakaarohia tō tinana. Kei ia taha o tō tuaiwi ō whatukuhu, kei raro noa iho i tō rara, kei waho. Ko te tikanga kei runga tonu i tō tuara. Engari ko te mamae o te tuara ka puta mai i waenganui o tō tuara, i te nuinga o te wā, i te tuara o raro rānei.
Kia mārama ake tā tātou titiro ki tēnei rerekētanga.
| Āhuatanga o te mamae | Mamae o te whatukuhu | Mamae o te tuara |
|---|---|---|
| Nō hea te mamae | Kia noho ki runga i te tuara o runga, i raro i ngā rara, ki te taha matau, ki te taha maui rānei o te tuaiwi. | I te nuinga o te wā kei waenganui, kei raro rānei o te tuara. |
| Te āhua o te āhua | He rite ki te mamae hōhonu e puta mai ana i roto i te tinana. I ētahi wā he koi, ka haere mai, ka haere atu me te mea he ngaru. | He rite ki te mamae uaua. Tērā pea ka piki ake te mamae ina neke, ina piko rānei. |
| Te horapa o te mamae | Ka horapa pea ki te puku, ki te rohe o te hope, ki ngā taha e rua rānei o te hope. | I ētahi wā ka horapa mai i te papa ki ngā waewae. |
| Ētahi atu āhuatanga | Ka haere tahi pea me te kirika, te makariri, te whakapairuaki/ruaki, te mamae i te wā e mimi ana, me ngā panonitanga o te tae o te mimi. | Kāore he tohumate rite ki te rewharewha (ki te kore he mate kē atu). |
He aha ngā tino take o te mamae o te whatukuhu?
Āe, me titiro tātou ki ngā take o te mamae o te whatukuhu. Ehara i te mea kotahi noa iho. Ka taea te puta mai i tētahi raruraru i roto i tō pūnaha mimi.
- Ngā Kōhatu Tākihi: Koinei te tino take. Ka kohia ngā tote kohuke i roto i te tinana, ā, ka taea te hanga kōhatu he iti pēnei i te kirikiri, he nui pēnei rānei i te pērara. Ka taea e ēnei kōhatu te piri ki roto i te ara mimi ina ngana ana ki te puta me te mimi, ka mamae nui.
- Mate Pūkahukahu (Pyelonephritis): Ka puta tēnei āhuatanga ina uru ngā huakita ki roto i ngā pūkahukahu, ā, ka puta he mate. Haunga te mamae, ko ngā tohu ka uru pea ki te kirika, te makariri, te whakapairuaki, me te ruaki .
- Te Rewharewha Vesicoureteral (VUR): Koinei te wā e hoki ake ai te mimi mai i te pūkahukahu, mā roto i ngā ureter, ki ngā whatukuhu. He mea tino kitea tēnei āhuatanga i roto i ngā tamariki nohinohi me ngā pēpi.
- Mate Tākihi Polycystic: He mate ira tēnei. I roto i tēnei mate, ka puta he pūwero wai (ngā pūwero) ki roto i ngā tākihi. I te tipu haere o ēnei pūwero, ka pupuhi, ka mamae hoki ngā tākihi, ā, ka heke pea te mahi a ngā tākihi.
- Te Pupuri Mimi: Koinei te wā kāore e taea e te pūkahukahu te whakawātea katoa. Ka kī te mimi, ka pēhi i ngā whatukuhu, ka mamae.
- Te aukati i te ara mimi: Ka pā mai hoki te mamae i te whaiti o ngā ureter (te ureter stricture) i te aukati rānei i te hononga ureteropelvic (te wāhi e hono ai te whatukuhu ki te ureter).
- Te Whara, te Whara rānei ki ngā Whatukuhu: Ka taea e ngā aituā me ngā hinganga i te wā e takaro ana i ngā hākinakina te kino ki ngā whatukuhu me te mamae.
- Matepukupuku whatukuhu: He mea tino noa tēnei i waenga i te hunga 60 me te 70 tau te pakeke. Ko ētahi o ngā tohu ko te toto i roto i te mimi, te mamae i roto i te urethra, te puku rānei i te taha.
Mena he mamae tō te whatukuhu, he aha ngā momo whakamātautau ka mahia e te tākuta?
Mena kei te mamae tō whatukuhu, tera pea ka whakahaerehia e tō tākuta ētahi whakamātautau hei whakatau i te tino take.
Kia maumahara, ka mahia ēnei whakamātautau hei kimi i te tino take, hei hoatu hoki i te maimoatanga tino tika ki a koe. Nō reira kaua e mataku.
| Whakamātautau | He aha tāu e kite nei i roto i tēnei? |
|---|---|
| Te tātaritanga mimi | Ka tirohia te mimi mō te toto, ngā pūtau mate (ngā pūtau toto mā), me te pūmua. Ka taea e ēnei te whakaatu i ngā mate e pā ana ki te whatukuhu. |
| Ngā Whakamātautau Whakaahua | Mā te whakamātautau pēnei i te ultrasound, te CT scan rānei ka kitea mārama te āhua o ngā whatukuhu me te pūnaha mimi, me te kite mēnā he kōhatu, he aukati rānei. |
Āhea koe me toro atu ki te tākuta tonu?
He tohu pea te mamae o te whatukuhu mō tētahi mate kino. Nō reira, ki te pā mai ētahi o ngā tohu i raro nei me tō mamae, me toro atu ki te tākuta tonu.
Ki te kore e taea te manawanui i te mamae, ki te kore e taea te whakamutu i te ruaki, ki te nui tō kirika, ki te kore rānei koe e mimi ana, he pai ake te haere ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
Kia tūpato ki ēnei tohu:
- Te kirika me te makariri.
- Whakapairuaki, ruaki rānei, ā, kāore e taea te pupuri i te kai me te inu.
- Te panonitanga rerekē o te tae o te mimi (pango, parauri rānei).
- Te wera, te mamae rānei i te wā e mimi ana.
- Te toto i roto i te mimi.
- Te hiahia kia mimi pinepine.
- Te tuku i ngā kongakonga rite ki te kōhatu me te mimi.
- Te ngenge nui me te kore ora o te tinana.
He whakaora wā poto i te mamae
Ka taea e koe te whakamātau i ēnei mea hei whakaiti i te mamae kia tae rā anō koe ki te tākuta.
1.Inumia he nui te wai: Mā tēnei ka āwhina i te tango i ngā huakita i roto i te ara mimi. Engari me karo i ngā inu huka, ngā inu kawheine (kawhe, tī), me te waipiro.
2. Tāpirihia he kōpeke mahana: Mā te tāpiri i tētahi papa whakamahana, i tētahi pounamu wai wera rānei ki te wāhi mamae (tuara, puku, taha rānei) ka taea te whakaora.
3. Rongoā mamae: Ka taea e koe te tango i tētahi rongoā mamae pērā i te paracetamol. Heoi, ki te mea kua kī atu tō tākuta he mate ate, he mate whatukuhu rānei tōu, kaua e tango i tētahi rongoā mamae me te kore he tohutohu hauora.
Karere Tangohia ki te Kāinga
- He rerekē te mamae o te whatukuhu i te mamae tuara noa. He mamae hohonu e pā ana ki te tuara o runga, i ia taha.
- He maha ngā take o te mamae o te whatukuhu, tae atu ki ngā kōhatu me ngā mate pāwera. Nō reira, he mea nui kia mōhio ki te tino take.
- Ki te pā mai ngā tohu pēnei i te mamae o te tuara, te kirika, te ruaki, ngā panonitanga o tō mimi, te toto rānei i roto i tō mimi, kaua e warewaretia. Tirohia te tākuta tonu.
- Kaua e tātaritanga i a koe anō , kaua hoki e rongoā. Me rapu tohutohu tonu i tētahi tākuta whai tohu. He mea nui rawa atu tō hauora!
👩🏽⚕️ Ngā pātai tāpiri (FAQs)
💬 He aha te mamae o te whatukuhu / te mamae o te whatukuhu? He aha te rerekētanga mai i te mamae o te tuara?
Ehara te mamae o te whatukuhu i te mamae tuara noa iho! Kei muri o te uma ngā whatukuhu, kei reira te pito o te rara (i waenganui o te tuara) (te taha o te hope / te koki o te costovertebral). Ka pāngia te 'mamae tuara' ki te tuara o raro (i te rohe o te hope) ā, ka rerekē ina hikoi/piko. Engari ko te 'mamae whatukuhu' he mamae hohonu/pōturi e pā ana ki te taha kotahi anake (i waenganui o te tuara) ā, i ētahi wā ka horapa ki te hope, ka kore e taea te manawanui (te mamae o te puku) ā, ka mate!
💬 He aha ngā tino take o tēnei mamae whatukuhu e kore e taea te manawanui?
E rua ngā take matua mō tēnei: 1) 'Ngā Kōhatu Tākihi' - Ina puta he kōhatu tākihi, ka pakaru i roto i te ureter, ka heke iho, ka puta he mamae nui/pērā i te whanoke (Renal Colic) ka hiahia koe ki te piko me te hamama. 2) 'Matenga Tākihi Nui' (Pyelonephritis / Mate Tākihi) - Ina haere tika ngā huakita i roto i te mimi ki te tākihi, ka tīmata te pirau/te pangia, ka puta tēnei mamae me te kirika nui, te makariri, me te ruaki (ki te kore e rongoatia tonutia, ka mate pea).
💬 He aha ngā rongoā kāinga mō te mamae o te whatukuhu pēnei? Āhea ahau me haere ki te hōhipera?
Ki te pāngia koe e te mamae, me inu nui te wai (ki te mea he kōhatu, ka memeha). Heoi, ki te 1) kei te pāngia koe e te kirika/te makariri me te mamae, 2) ka ruaki koe, 3) he mimi pouri 'toto' tōu (Hematuria) he mura rānei tō mimi pērā i te ahi (Dysuria / UTI), 4) kāore e taea e koe te kōrero/te hiki i tō mahunga nā te mamae, me haere tonu koe ki te rūma whawhati tata/CT scan o te hōhipera me te kore e tatari mō tētahi hēkona!
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