Kua kī atu tō tākuta me whakauru he ngongo ki roto i tō whatukuhu? Kua mahia rānei tēnei e tētahi mema o te whānau, e tētahi hoa rānei? Tērā pea he ahua whakamataku te ingoa, engari he mea tino nui tēnei hei tiaki i ō whatukuhu. Kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa i roto i ngā kupu māmā: he aha te ngongo nephrostomy, he aha i whakaurua ai, me pēhea te tiaki.
He aha te tikanga o tēnei ngongo Nefrostomy?
He ngongo angiangi, ngāwari hoki te ngongo nephrostomy hei tango i te mimi (mi) mai i tō whatukuhu. Ka whakaurua e te tākuta tēnei ngongo mā tō tuara, mā te kiri, ki roto i tō whatukuhu. Kātahi ka honoa te pito kē atu o te ngongo ki tētahi putea kohi mimi (pēke nephrostomy). Nō reira, ka ringihia tika te mimi mai i tō whatukuhu ki roto i tēnei putea.
I te nuinga o te wā, ka heke te mimi e whakaputaina ana e ngā whatukuhu ki roto i ngā ureter, ka kohia ki roto i te pūkahukahu, kātahi ka puta i te tinana mā te urethra. Engari i ētahi wā ka āraihia tēnei haerenga e tetahi mea. Ko te wā tēnei e whakaurua ai tēnei ngongo hei waihanga i tētahi ara kē atu mō te mimi kia puta.
I te nuinga o te wā, he otinga rangitahi tēnei. Heoi, me pupuri pea e ētahi tāngata te ngongo ki tōna tūranga mō ngā marama, mō ngā tau rānei. Kei te āhua hauora tēnei i whakaurua ai te ngongo.
He aha ai tātou me whakatakoto he paipa pēnei?
He maha ngā take e kore ai e rere te mimi i waho o te whatukuhu. Mēnā ka mau te mimi ki roto, ka hoki whakamuri pea, ka pupuhi te whatukuhu, ka tīmata te pakaru. Ko te ingoa o tēnei mate ko te Hydronephrosis . Ka whakatakotoria he ngongo Nephrostomy hei ārai i tēnei.
Tirohia te ripanga i raro nei mō ngā take matua mō tēnei.
| Take | Whakamārama Māmā |
|---|---|
| Ngā kōhatu whatukuhu | Ka taea e ngā kōhatu te piri ki roto i te ara mimi, ka aukati i te ara. |
| Ngā mate urutā | Ka pupuhi pea ngā whatukuhu, ka aukati hoki i te ara mimi i ngā mate kino. |
| Ngā Pūmua, te Matepukupuku rānei | Ka taea e ngā pukupuku matepukupuku i roto, i te taha rānei o ngā whatukuhu, te pūhā, te repeure, te repeure rānei te ārai i te urethra. |
| kiko whara | Ka taea e ngā koha mai i ngā pokanga tawhito, i ngā mate pāwera rānei te whakawhāiti i te urethra. |
| Te pupuhi i muri i te pokanga | Nā te pupuhi rangitahi i muri i te pokanga whatukuhu. |
| Ngā āhuatanga e puta mai ana i te whānautanga | Tērā pea ka whānau mai ētahi tāngata me ētahi hapa i roto i ā rātou pūnaha mimi. |
Me pēhea tāu whakarite i mua i tēnei pokanga?
Mā tō tākuta koe e tohutohu me pēhea te whakarite mō tēnei.
- Tērā pea ka tonoa koe kia nohopuku (kia kaua e kai, e inu rānei) mō ētahi haora i mua i te pokanga.
- Me kōrero rawa atu koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, me ngā mate pāwera katoa kei a koe, inā koa ngā rongoā whakaiti toto.
He aha ngā mea ka tupu i te wā o te pokanga?
He tikanga tēnei e roa ana mō te haora pea, ā, ka mahia e te tohunga hihi-X.
1. Tuatahi, ka hoatu he kākahu hōhipera ki a koe, ā, ka meinga koe kia takoto ki runga i tō puku (me tō tuara e anga ake ana) i runga i te tēpu.
2. Tērā pea ka hoatu he rongoā whakamoe ki roto i tō uaua hei āwhina i a koe kia marino, kia kore ai e mamae. Hei tāpiri, ka hoatu he rongoā whakangote ki te wāhi e whakaurua ai te ngongo. Ka mahia tēnei mā te hoatu i te rongoā whakamoe whānui ki ngā tamariki nohinohi me ētahi pakeke, ka meinga kia moe rawa rātou.
3. Ka whakamahia e te tākuta he mīhini ultrasound, he mīhini X-ray rānei hei kimi i te wāhi tika o tō whatukuhu.
4. Kātahi ka werohia he ngira iti mā te kiri ki roto i te whatukuhu, ā, ka tukuna he waea mā roto i te ngira. Kātahi ka whakatakotoria te ngongo nephrostomy ki runga i te waea, ka uru ki roto i te whatukuhu. I ētahi wā ka hoatu he wai motuhake ('tae rerekē') ā, ka mahia he whakamātautau hihi-X ('Fluoroscopy`) hei tirotiro mēnā kei te wāhi tika te ngongo.
5. Hei whakamutunga, ka tāpirihia te pito e kitea ana o te ngongo ki te putea mimi, ā, ka herea ki te tuitui iti, ki te takai rānei hei ārai i te paheke o te ngongo i waho o te kiri.
He aha ngā mea me tūpato ahau i muri i te pokanga?
Ka tirotirohia koe mō ētahi haora i muri i te pokanga, ā, ka whakaaetia kia hoki ki te kāinga mēnā ka pai ngā mea katoa. Heoi anō, me noho pea ētahi tāngata ki te hōhipera mō te rā kotahi. Kia tūpato ki ēnei mea i muri i tō hokinga ki te kāinga.
- Mamae: He mea noa te mamae me te kore whakamarie i te wāhi o te ngongo mō ētahi rā. Tangohia ngā rongoā whakamamae mamae e ai ki tā tō tākuta i tohutohu ai. He māmā ake ki ētahi tāngata te whakatakoto i ō rātou ringa ki runga i te ngongo ina piki arawhata, ina piko rānei.
- Ngā Mahi: Kaua e oma, e pekepeke, e whakakorikori tinana rānei mō ētahi rā. Mā te mahi i ēnei mea ka taea te kukume i te ngongo, te wetewete rānei i te putea.
- Te Ma: He mea tino nui kia noho ma, kia maroke hoki te wāhi i whakaurua ai te ngongo i ngā wā katoa hei ārai i te mate. Nō reira, kaua e kaukau, kaua hoki e kaukau. He pai te kaukau i muri i ngā haora 48, engari me whakawhiti tonu te takai i muri iho.
- Tae mimi: He mea noa kia paku māwhero te tae o te mimi i roto i te pēke mimi (pērā i te wai karaka) i ngā rā tuatahi e rua. Heoi, ki te whero pouri te mimi (pērā i te wai pīti) , he mea hei āwangawanga.
Me pēhea te tiaki i tēnei paipa i te kāinga?
He mea nui te tiaki tika i te ngongo hei ārai i te mate. Mā te hōhipera koe e tohutohu mō tēnei. Ko te mea nui ko te horoi pai i ō ringaringa ki te hopi me te wai, te whakamahi rānei i te wai horoi ringa i mua me muri i te pā atu ki te ngongo, te putea, te takai rānei.
Te tirotiro i te ngongo me te kiri e karapoti ana
Tirohia ēnei mea i ia rā:
- Kua piko te ngongo, kua piri rānei ki tētahi wāhi? Ki te pērā, e kore te mimi e uru ki roto i te putea.
- He whero, he pupuhi, he tohu rānei o te mate te wāhi e tūtaki ai te ngongo ki te kiri?
- He toto kei roto i te mimi i roto i te putea mimi?
- He mākū, he paru, he koretake rānei te takai ? Me ma, me maroke tonu.
Te whakakore i te putea mimi
- Kia tika ai te mimiti o te mimi, me whakatakoto tonu te putea mimi ki raro i ngā whatukuhu .
- Ringihia te wai i roto i te putea ina tata ki te haurua te kī . Kaua e tatari kia kī rawa.
- Ki te kite koe i tētahi kōhao, i tētahi turuturu rānei i roto i te putea, tāpirihia he putea hou ki roto.
Te whakarerekē i te kakahu
Me whakawhiti e koe te takai i te iti rawa kia rua ngā wā i te wiki , i ngā wā rānei ka mākū, ka paru rānei. Me rapu āwhina pea koe i tētahi mema o te whānau mō tēnei. Mā te hōhipera koe e ako ki te mahi i tēnei, ā, māna anō hoki koe e whakarato ki ngā taputapu e tika ana.
Āhea ahau me waea atu ki te tākuta?
Mena he raruraru, hei tauira, ki te mea kāore te mimi e uru ana ki roto i te putea, me whakamōhio tonu atu ki tō tākuta. Hei tāpiri, ki te mea kei a koe ētahi o ngā tohu e whai ake nei, me rapu tohutohu hauora.
| Āhuatanga hei aro atu | Whakaahuatanga |
|---|---|
| Me toro atu ki te tākuta tonu. | |
| Toto whero pouri | Ki te kite koe i te toto whero pouri (pērā i te wai pīti) i roto i te pēke mimi (he mea noa te māwhero mārama i ngā rā tōmua). |
| Puku, wai kōwhai rānei | Ki te kite koe i te wai rite ki te pūhā mai i te wāhi i whakaurua ai te ngongo, i roto rānei i te pēke mimi. |
| Te turuturu o te mimi | Mena ka turuturu te mimi mai i te kiri huri noa i te wāhi i whakaurua ai te ngongo. |
| Kirika | Mena kei runga ake te pāmahana o te tinana i te 101 Fahrenheit (38.3 Celsius) mō ngā haora neke atu i te 24. |
| Mamae nui | Mena ka pāngia koe e te mamae nui i te wāhi i werohia ai te ngongo, ā, kāore e memeha ahakoa te tango rongoā. |
| Mena he marere te paipa | Ki te motuhia te ngongo, ahakoa te katoa, te wāhanga rānei, me haere tonu ki te Tari Ohotata (ETU) o te hōhipera. |
He uaua pea te noho me te ngongo nephrostomy i ētahi wā. Engari kia mahara, he mea tēnei hei tiaki i ō whatukuhu me te whakaora i tō ora. He wā poto noa iho. Kōrerohia marietia ki tō whānau me te tākuta mō ō āwangawanga me ō kare ā-roto.
Karere Tangohia ki te Kāinga
- He tikanga haumaru te ngongo nephrostomy hei tiaki i ō whatukuhu mēnā ka āraihia te rere o te mimi.
- Hei ārai i te mate, he mea nui kia noho ma, kia maroke hoki te wāhi i werohia ai.
- Kia maumahara tonu me whakanoho te pēke mimi ki raro iho i ō whatukuhu.
- Ki te kite koe i ngā tohu whakatūpato pēnei i te mamae nui, te kirika, te toto whero pouri rānei i roto i tō mimi, waea atu ki tō tākuta i taua wā tonu.
- He mea noa te pāngia e te mamae o te ngākau i a koe e noho tahi ana me tēnei mate. Engari kia maumahara, he mea nui tēnei mō tō hauora, ā, he wā poto noa iho.
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