He uaua anō hoki ki a koe te whakahaere i tō mimi? Tērā pea kei roto i te pūnaha io te take! (Neurogenic Bladder)

Kei te whakaaro koe i ētahi wā kāore e taea e koe te whakahaere i tō pūkahukahu ? Kei te hiahia mimi koe i tētahi wā ohorere, kāore rānei e taea e koe te mimi tika? Ehara tēnei i te mea noa iho, engari tera pea nā tētahi raruraru i roto i tō pūnaha io . Koinei te mea e kiia nei e te hauora ko te Pūkahukahu Neurogenic. Me kōrero noa tātou mō tēnei, i roto i tētahi huarahi e mārama ai koe.

He aha te Pūngāwerewere Neurogenic?

Whakaarohia tō tinana he ara iahiko hiko matatini. Ko te roro te pokapū whakahaere matua. Ka haere ngā karere mai i te roro ki ngā wāhanga katoa o te tinana mā roto i ngā io. Ina kī tō pūhā, ka tukuna he tohu ki te roro e mea ana, "Āe, kua kī te pūhā, me whakawātea e koe." Kātahi, ina tae ki te wā tika, ka tukuna e te roro he tohu ki ngā uaua o tō pūhā kia kōpiri, ā, ka tukuna hoki he tohu hei whakatuwhera i te ara mō te mimi kia puta. Ka puta katoa ēnei mea mā roto i te pūnaha io. I roto i te āhuatanga e kiia nei ko te Pūhā Neurogenic, ka pakaru tēnei pūnaha tohu nā te kino o te roro, te taurakira, ngā io rānei. He rite ki te waea hē. Nō reira, kāore te pūhā e whiwhi i ngā karere tika, ka whiwhi rānei i ngā karere hē. Nō reira, ka ngaro pea tō mana whakahaere i tō pūhā.

E rua ngā momo matua o te Pūngāwerewere Neurogenic:

I runga i te āhua o te pakaru o te pūnaha io, ka taea te wehewehe i te Pūngāwerewere Neurogenic kia rua ngā momo matua. 1. Pūngāwerewere Tino Kaha (Pūngāwerewere Spastic): I tēnei āhuatanga, ka auau te mimi, ā, kāore e taea te whakahaere. Hei whakamārama, ka tukuna tonutia e te roro ngā tohu kia whakawāteahia te pūngāwerewere ahakoa he iti noa te kī. Mā tēnei ka puta te āhua o te pūngāwerewere me te mea me mimi pinepine, me te hiahia kia mimi ohorere. 2. Pūngāwerewere Kāore i te Kaha (Pūngāwerewere Ngāwari): Ko te ritenga kē. Kāore ngā uaua pūngāwerewere e whiwhi i ngā tohu tika hei whakawātea. Nō reira, ahakoa kua kī te pūngāwerewere, he uaua ki te whakawātea katoa. Tērā pea ka noho tonu te mimi ki roto i te pūngāwerewere.

He aha ngā tohu o tēnei mate?

Ka rerekē pea ngā tohu i runga i te momo Pūngāwerewere Neurogenic kei a koe. Me titiro tātou ki ēnei tohu.

He aha tēnei e tupu nei? He aha ngā take?

He maha ngā take pea o te Pūngāwerewere Neurogenic. Ko ētahi he mate whānau mai, ko ētahi ia ka puta mai i ngā mate, i ngā aituā rānei e pā mai ana i muri mai i te ao.

Ngā take whānautanga

• Spina bifida: He mate tēnei ka puta ina kore e whanake tika te taurakira i te whānautanga.
• Te pararutiki roro: He āhuatanga e pā ana ki te whanaketanga o te roro.
• Te mate whakahekenga o te hiku:Te korenga o te tuaiwi o raro e whanake tika.

Ngā take o muri mai

• Ngā whara o te tuaiwi: Te pakaru o te tuaiwi i puta mai i tētahi aituā, i tētahi hinganga rānei.
• Ngā mate e pā ana ki te pūnaha io :
• Te mate maha-sclerosis ( MS )
• Te mate a Parkinson
• Whiu
• Ngā pukupuku o te pūnaha io matua: Ngā pukupuku e whanake ana i roto i te roro, i te taurakira rānei.
• Mate huka: Ka pā kino pea ngā io ki te mate huka mō te wā roa.

Ētahi atu raruraru (ngā uauatanga) ka puta ake pea nā tēnei

Ki te kore e rongoatia tika te pūkahukahu neurogenic, ka pā mai pea ētahi atu raruraru hauora.

• Ngā mate urutā auau o te ara mimi (UTI): Mā te mimi e toe ana i roto i te pūkahukahu ka nui ake te tūponotanga o te tipu o ngā huakita me te whakaputa mate.
• Te kino o te whatukuhu: Ka pā te kino o te whatukuhu nā te pikinga o te pēhanga i roto i te pūkahukahu, nā te rere whakamuri rānei o te mimi ki roto i ngā whatukuhu ( vesicoureteral reflux ).
• Ngā kōhatu mimi: Ka taea te hanga kōhatu i roto i te pūkahukahu, i te pūnaha mimi rānei.
• Pānga hinengaro: Ko te kore e taea te whakahaere i tō mimi ka meinga koe kia whakama, kia mataku hoki ki te haere ki waho i te aroaro o te marea. Ka arahi pea tēnei ki ngā kare ā-roto o te manukanuka me te pouri . Kaua e mangere ki te kōrero ki tō tākuta mō ēnei kare ā-roto.

Me pēhea te kitenga a te tākuta i tēnei?

Ina kōrero koe ki tō tākuta mō ēnei tohu, ka pātai atu ia ki a koe mō tō hītori hauora. Kātahi ka whakahaerehia e rātou he whakamātautau tinana. Mena kei te whakapaehia he mate pūkahukahu neurogenic, ka tūtohu pea rātou i ētahi whakamātautau hei whakatau i te tino take.

• Ngā whakamātautau whakaahua: Tērā pea ka tonoa koe kia mahi i tētahi matawai ultrasound, i tētahi matawai CT , i tētahi matawai MRI rānei hei tirotiro i ō whatukuhu me tō pūkahukahu.
• Cystoscopy: Ka tukuna he ngongo angiangi, he mea kei roto he kāmera mā roto i te urethra hei tirotiro i te roto o te pūkahukahu.
• Whakamātautau Urodynamic: He whakamātautau motuhake tēnei e ine ana i te nui o te mimi ka taea e tō pūkahukahu te pupuri, te pēhanga i roto i te pūkahukahu, te tere o te rere o te mimi, me te pai o te whakawātea o tō pūkahukahu.

I muri i ēnei whakamātautau, ka tukuna pea koe ki tētahi tohunga urologist.

Me pēhea te rongoā? Ka taea te whakaora i tēnei?

Ka whakatauhia te mahere maimoatanga i runga i ō tohu, te kaha o te mate, me te take.

1. Ngā huringa āhua noho me te whakangungu pūkahukahu

Ka kī atu te tākuta kia whakamātau koe i ngā mea pēnei i te tuatahi.

• Puritia he rātaka mō te mimi: Puritia he tuhinga mō te maha o ngā wā e mimi ana koe i te rā, te nui o te mimi, te mea e inu ana koe, te wā e hiahia ana koe ki te mimi, me ngā wā katoa ka mimi tūpono koe. Mā tēnei ka āwhina i a koe ki te tautuhi i tētahi tauira me te taunga ki te mimi i te wā tika.
• Kai: Ka taea e ngā mea pēnei i te kawhe, te tī, te waipiro, me ngā inu warowaihā te whakaoho tere i te pūkahukahu. He mea tika kia whakawhāitihia aua mea.
• Ngā mahi Kegel: Ngā mahi hei whakapakari i ngā uaua o te papa pelvic.

2. Ngā rongoā

He rongoā kei reira hei whakaiti i te kaha o te uaua o te pūkahukahu, hei whakangāwari rānei i te pūkahukahu. Hei tauira, ko ngā rongoā pēnei i te `oxybutynin`, `tolterodine`, `mirabegron`. Me whakamahi noa ēnei i raro i te tohutohu a te taote.

3. Te whakaurunga o te katitere

He mea tino nui tēnei tikanga mō te hunga kāore e taea te whakawātea katoa i ō rātou pūkahukahu.

• Te whakapūtanga-ā-roto: Te whakawātea i tō pūkahukahu mā te whakauru i tētahi ngongo iti, ma (kātene) ki roto i tō pūkahukahu ira i ētahi wā i te rā. Mā tō tākuta, mā tō nēhi rānei koe e whakaatu ki te mahi i tēnei.
• Te whakaurunga catheter tonu: Te whakamahinga o tētahi catheter ka taea te mau tonu.

4. Ētahi atu maimoatanga

• Ngā werohanga Botox®: Ka taea te werohanga Botox ki roto i ngā uaua tōngāmimi hei whakaiti i te kaha o ā rātou mahi.
• Pokanga: Mena kāore he maimoatanga kē atu e angitu ana, ka whakaarohia pea te pokanga. Hei tauira, he augmentation cystoplasty, he mimi huri rānei.

Ka kōrero tahi tō tākuta ki a koe mō te maimoatanga e pai ana mō tō āhua. Pūngāwerewere Neurogenic, whakahaere mimi, pūnaha io, pūngāwerewere, whakahaere pūngāwerewere sinhala, kore e taea te pupuri mimi sinhala, pupuri mimi sinhala