He aha te Tukanga Mitrofanoff? Me kōrero māmā noa iho.

I ētahi wā ka pā mai ngā raruraru hauora kāore e taea te whakaaro. Ko tētahi o aua raruraru ko te kore e taea te mimi i te nuinga o te wā. I tēnei rā ka kōrero tātou mō tētahi pokanga motuhake hei otinga ina kore e taea te whakahaere tika i te pūkahukahu nā ētahi āhuatanga hauora. Kaua e wehi ki te whakarongo ki tēnei. He mea tino nui kia mōhio koe ki tēnei.

He aha te pokanga Mitrofanoff?

He ngāwari noa iho, he tikanga pokanga tēnei. Ko te hanga i tētahi awa iti rite ki te ngongo mai i tō pūkahukahu ki te mata o tō puku. Whakaarohia he rite ki te hanga i tētahi tomokanga hou ki tō pūkahukahu. Ka whakamahia e ngā taote pokanga tētahi wāhanga o tō tinana ake e kiia nei ko te apenipiti hei hanga i tēnei awa.

Kātahi ka whakauruhia he ngongo motuhake, e kiia nei ko te catheter, ki roto i tēnei kōhao iti i roto i te puku (e kiia nei ko te stoma ) hei whakawātea i te pūkahukahu. He māmā ake tēnei, ā, he iti ake te mamae mō te tini o te tangata i te whakauru i te catheter mā roto i te urethra.

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

He rite te pūnaha mimi i roto i tō tātou tinana ki tētahi pūnaha tātari.

• Tuatahi, ka tātarihia te toto e ō tātou whatukuhu , ka wehea ngā para, ā, ka whakaputa mimi.
• Kātahi ka haere te mimi i raro i ngā ngongo iti e rua e kīia nei ko ngā ureter , ka kohia ki roto i te pūkahukahu .
• He okana te pūkahukahu i hangaia ki ngā uaua e totoro ana pērā i te poihau. Kia kī ana, ka hiahia tātou ki te mimi.
• Ina mimi tātou, ka rere te mimi mai i te pūkahukahu ki waho o te tinana mā roto i tētahi ngongo e kīia nei ko te urethra .

Nā ētahi āhuatanga hauora, kāore tēnei tukanga e tika ana. Koinei te wā e hiahiatia ai tētahi tikanga pēnei i a Mitrofanoff.

Nā, he aha te āpitihanga?

He ngongo iti te apeni, he rite ki te maihao, e piri ana ki te wāhanga tuatahi o te whekau nui. Kei te taha matau o raro o te puku.

Kāore anō kia kitea e ngā tākuta he aha atu āna mahi. E ai ki ētahi he tiaki i ngā huakita pai i roto i ō tātou whekau. Engari ko te mea nui ko te noho ora me te kore raruraru, me te kore he apendiks. Kua rongo pea koe mēnā he apendiks tōu, me tango. Koia te āhua.

I roto i te tikanga Mitrofanoff, ka tangohia e ngā tākuta te āpitihanga ka whakamahia hei hanga i tētahi ara hou mō te mimi kia puta. Mena kua tangohia kētia te āpitihanga o tētahi tangata, ka taea e te taote pokanga te whakamahi i tētahi wāhanga o te whekau iti hei hanga i tēnei ara.

Ko wai e hiahia ana ki tēnei pokanga?

Tērā pea e tika ana tēnei pokanga mō ngā tamariki me ngā pakeke. Me wehewehe tātou i ngā mate matua e hua ai tēnei.

Te āhua o te pokanga me te wā whakaora

I mua i te pokanga

I mua i te pokanga, me whakawātea katoa ō puku hei whakaiti i te tūponotanga o te mate. Me whai tonu koe i ngā tohutohu a tō tākuta. Ko te tikanga me nohopuku koe, me horoi hoki i te puku.

I te wā o te pokanga

Ka mahia tēnei pokanga i raro i te rongoā whakamoe whānui. Ko te tikanga, kāore koe e rongo i tetahi mea, ka moe koe. Ka whai te taote pokanga i ēnei mahi:

1. Ka tapahia te kiri o te puku (tapahi) ka wehea te apeni i te whekau nui.

2. Ka honoa tetahi pito o te ngongo ileostomy ki te pūkahukahu, ā, ko tetahi pito ki tētahi pūaha iti (stoma) i hangaia ki te puku.

3. He rite te hononga ki te pūkahukahu ki tētahi takirere e kati aunoa ana ina kī te pūkahukahu. Mā tēnei ka kore e turuturu te mimi.

4. Whai muri i te pokanga, ka whakauruhia he ngongo rangitahi (ngongo suprapubic) hei tuku i te mimi kia puta ra ano te mimi kia ora ra ano.

5. Hei whakamutunga, ka katihia te wāhi pokanga ki ngā tuitui ka taea te rewa.

I muri i te pokanga

Me noho koe ki te hōhipera mō ētahi rā, pea mō te wiki. I a koe e ora ana, ka taea e koe te tumanako ki ēnei mea e whai ake nei:

• Ko te tote anake (ngā wai IV) ka hoatu mō ētahi rā.
• Mō ngā wiki tuatahi e 4-6, ka whakanohoia he catheter ki roto i te ara hou i hangaia (te kauhanga Mitrofanoff) hei ārai i tōna kati.
• I muri i te ono wiki pea, ka akona koe e tō tākuta ki te whakawātea i tō pūkahukahu mā te whakamahi i tētahi catheter.

He aha ngā painga me ngā mōrearea o tēnei?

Heoi, pērā i ngā pokanga katoa, kei reira ētahi mōrearea.

• Me mahi anō te pokanga: I roto i te wā, ka whaiti pea te ara kua hangaia (stenosis) ka ngoikore rānei, ā, me mahi anō tētahi atu pokanga hei whakatika.
• Te whakaputanga o te hūpē: Ahakoa ka whakamahia anōtia te apeni, ka puta tonu te hūpē. Nō reira, me horoi tonu tēnei ara mā te whakamakuku auau ki te wai pērā i te tote.
• Ētahi atu mōrearea: Tērā pea ka puta ngā kōhatu o te pūkahukahu, ngā mate mimi (UTI), me te toto.

Kaua e wehi i ēnei mōrearea. Mā tō tākuta koe e whakamōhio atu mō ēnei mea katoa, ā, māna anō hoki e hoatu ngā tohutohu e tika ana.

Āhea koe me kōrero ki te tākuta?

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te pokanga, me whakamōhio tonu atu ki tō tākuta , me haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata .

• Ki te kore e taea e koe te whakawātea katoa i tō pūkahukahu.
• Mena he nui rawa te toto, he pupuhi, he maru rānei.
• Mena ka mau tonu te whakapairuaki me te ruaki.
• Mena he mamae nui, he mamae e kore e taea te manawanui.
• Ngā tohu o te mate, pērā i te rerenga mai o te stoma me te kirika.