He uaua ki a koe te whakahaere i tō pūkahukahu? Tērā pea he raruraru pūnaha io! (Pūkahukahu Neurogenic) - Nirogi Lanka

Kei te whakaaro koe i ētahi wā kua ngaro tō mana whakahaere i tō pūkahukahu ? Tērā pea ka pā mai he hiahia ohorere, kāore e taea te whakahaere ki te mimi, kei te whakaaro rānei koe kāore tō pūkahukahu e mimiti tika ana. Ehara tēnei i te mea he mea tupu noa iho; tera pea i ahu mai i tētahi raruraru kei roto i tō Pūnaha Io . I roto i ngā kupu hauora, ka kiia tēnei āhuatanga ko te Pūkahukahu Neurogenic. Me wehewehe tēnei ki ngā kupu māmā, ngāwari ki te mārama ki Nirogi Lanka.

He aha te Pūngāwerewere Neurogenic?

Whakaarohia tō tinana he ara iahiko hiko matatini. Ko tō roro te kaiwhakahaere matua, e tuku tohu ana ki ngā wāhanga katoa o tō tinana mā roto i ngā io. Ina kī tō pūkahukahu, ka tukuna he karere ki tō roro: "Kua kī te pūkahukahu; kua tae ki te wā hei whakawātea." I te wā tika, ka tukuna e tō roro he tohu whakahoki ki ngā uaua pūkahukahu kia kōpiri, me te kī atu anō ki te putanga mimi kia tuwhera. Ko tēnei tukanga katoa e whakawhirinaki ana ki tētahi pūnaha io hauora, e mahi ana.

Ka puta te Pūngāwerewere Neurogenic ina pāngia tō roro, tō taurakira, ngā io rānei e te whara, ka whakararuraru i tēnei tukanga tohu. He "hononga kino" tēnei. Nā te mea kua āraia, kua hē, kua ngaro rānei ngā tohu, kāore tō pūngāwerewere e whiwhi i ngā tohutohu tika, ā, ka ngaro te mana whakahaere tūao.

Ngā momo matua e rua o te Pūngāwerewere Neurogenic

I runga i te pānga o te kino o te io ki te tohu, ka whakarōpūtia te Pūngāwerewere Neurogenic ki ngā momo matua e rua:

1. Pūngāwerewere Tino Kaha (Pūngāwerewere Mārō): I tēnei āhuatanga, ka pēhi tō pūngāwerewere, ā, ka auau tonu te mimi. Ahakoa he iti noa te mimi, ka whiwhi tonu tō roro i ngā tohu kia whakawāteahia. Ka hua ake tēnei i te hiahia ki te mimi pinepine, ohorere, ā, he uaua ki te wareware.

2. Pūngāwerewere Kāore i te Mahi (Pūngāwerewere Ngāwari): I konei, ko te ritenga kē te mea ka tupu. Kāore ngā uaua pūngāwerewere e whiwhi i ngā tohu e tika ana hei whakawhāiti. Nō reira, ahakoa kua kī tō pūngāwerewere, tera pea ka uaua ki te whakawātea katoa, ka noho tonu te mimi ki roto.

He aha ngā tohu?

Ka whakawhirinaki ngā tohumate ka pā ki a koe ki te momo Neurogenic Bladder motuhake kei a koe. Kei raro nei he whakarāpopototanga o ngā mea hei tirotiro māu.

He aha te take o tēnei?

He maha ngā pūtake o te pūngāwerewere Neurogenic—ko ētahi i whānau mai i te whānautanga, ko ētahi ka puta ake i muri mai i te ao nā te whara, te mate rānei.

Ngā Take Whakatupu

• Spina bifida: He hapa whānau kāore e whanake tika te taurakira.
• Te pararutiki roro: He rōpū mate e pā ana ki te nekehanga me te whakapakari i te uaua.
• Te mate whakahekenga o te tuaiwi: Te whanaketanga rerekē o te tuaiwi o raro.

Ngā Take i Whiwhihia

• Ngā whara o te tuaiwi: Ngā kino i puta mai i ngā aituā, i te whara rānei.
• Ngā mate o te pūnaha io :
• Te mate maha-sclerosis (MS)
• Te mate a Parkinson
• Whiu
• Ngā pukupuku o te pūnaha io matua: Ngā tipu i roto i te roro, i te tuaiwi rānei.
• Mate huka: Ka pāngia pea ngā io e te huka toto kore e whakahaeretia mō te wā roa (neuropathy).

Ngā raruraru pea

Ki te kore e rongoatia, ka pā mai pea ngā raruraru hauora nui ki te Neurogenic Bladder. Tena koa whakapā atu ki tō tākuta mēnā ka kite koe i ēnei tohu. Ki te kore rawa koe e taea te mimi me te mamae nui o te puku o raro, tena koa rapua he awhina hauora ohorere ki tō hōhipera tata, waea atu rānei ki te 911 tonu.

• Ngā Mate Pukupuku Auau o te Ara Mimi (UTI): Ko te mimi e toe ana i roto i te pūkahukahu ka hanga he wāhi whakatipu mō ngā huakita, ā, ka nui ake te mōrearea o te pāngia e ngā mate urutā.
• Te kino o te whatukuhu: Ko te pikinga o te pēhanga i roto i te pūkahukahu, te mimi rānei e hoki whakamuri ana ki roto i ngā whatukuhu ( vesicoureteral reflux ) ka arahi pea ki te kino o te whatukuhu mō te wā roa.
• Ngā Kōhatu o te Pūngāwerewere: Tērā pea ka puta he kōhatu i roto i tō pūngāwerewere, i tō ara mimi rānei nā te mimi e noho pūmau ana.
• Pānga Hinengaro: Mā te uaua ki te whakahaere i tō pūkahukahu ka puta he mataku, he whakama rānei, ka uaua ai ngā taunekeneke pāpori. Tērā pea ka puta he manukanuka me te pouri . Kaua rawa e mangere ki te kōrero tuwhera ki tō tākuta mō ēnei kare ā-roto; he rite tonu te hiranga o tō oranga hinengaro me tō hauora tinana.

Me pēhea te tautuhi i tōna mate?

Ina kōrero koe mō ēnei tohu ki tō tākuta, ka arotakehia e rātou tō hītori hauora, ā, ka whakahaerehia he whakamātautau tinana. Mena kei te whakapaehia he mate pūkahukahu neurogenic, ka tūtohu pea rātou i ngā whakamātautau tātaritanga motuhake hei tautuhi i te take matua:

• Ngā whakamātautau whakaahua: Ka taea e tō tākuta te tono i tētahi matawai Ultrasound, CT scan, MRI rānei hei tiro i ō whatukuhu me tō pūkahukahu.
• Cystoscopy: Ka arahina he ngongo angiangi, ngāwari me te kāmera ki roto i tō urethra kia taea ai e te tākuta te tirotiro i te roto o tō pūkahukahu.
• Whakamātautau Urodynamic: Ka inehia e tēnei whakamātautau motuhake te nui o te mimi ka taea e tō pūkahukahu te pupuri, te pēhanga o roto o te pūkahukahu, ngā tere rere, me te whai huatanga o te whakawātea i tō pūkahukahu.

Whai muri i ēnei whakamātautau, ka tukuna pea koe ki tētahi Tākuta Urology mō te tiaki motuhake.

He aha ngā maimoatanga? Ka taea te whakaora?

Ka whakawhirinaki tō mahere maimoatanga whaiaro ki ō tohumate motuhake, te kaha o te mate, me te pūtake o te mate.

1. Ngā Huringa Āhua Noho me te Whakangungu Pūngāwerewere

Tērā pea ka tūtohu tō tākuta kia tīmata koe me ēnei e whai ake nei:

• Pukamata o te Pūnaha Mimi: Te pupuri i tētahi rārangi o te wā e mimi ai koe, te nui o te mimi, ngā mea e pā mai ai (pēnei i ētahi wai), me ngā wā e turuturu ana. Mā tēnei ka āwhina i a koe ki te tautuhi i ngā tauira hei āwhina i a koe ki te whakatū i tētahi mahinga mimi kua whakaritea.
• Ngā Whakarerekētanga Kai: Ka taea e ngā inu pēnei i te kawhe, te tī, te waipiro, me ngā inu warowaihā te whakararuraru i te pūkahukahu. Mā te whakaiti i ēnei ka āwhina pea.
• Ngā mahi Kegel: He mahi whakapakari tinana hei whakapakari i ngā uaua o te papa pelvic.

2. Ngā rongoā

Ka taea e ētahi rongoā te āwhina i te whakangāwari i te pūkahukahu, te whakaiti rānei i ngā uaua e kōpiripiri ana. Hei tauira, ko te 'oxybutynin', te 'tolterodine', me te 'mirabegron'. Me tango tonu ēnei i raro i te tirotiro a te tākuta.

3. Te whakaurunga o te katitere

Mena he uaua ki a koe te whakawātea katoa i tō pūkahukahu, he mea nui tēnei tikanga mō te hauora:

• Te whakaurunga-ā-koe-tātari: Ka akona koe e te tākuta, e te nēhi rānei ki te whakamahi i tētahi ngongo iti, parakore (tātari) i ētahi wā i te rā hei tango haumaru i te wai o tō mimi.
• Te whakaurunga katitere tonu: Te whakamahinga o tētahi katitere noho ki roto hei tango i te wai tonu.

4. Ētahi atu Kōwhiringa Maimoatanga

• Ngā werohanga Botox®: Ka taea te werohanga i ēnei ki roto i te uaua tōngāmimi hei whakaiti i te nui rawa o te mahi.
• Pokanga: Mena kāore e angitu ētahi atu maimoatanga, ka whakaarohia pea ngā kōwhiringa pokanga, pērā i te 'augmentation cystoplasty' (hei whakanui i te pūkahukahu) te 'urinary diversion' rānei (hei waihanga i tētahi ara hou mō te mimi).

Ka matapakihia e tō tākuta ēnei kōwhiringa ki a koe kia whakatauhia ai te huarahi maimoatanga tino tika mō ō hiahia motuhake.

Pūngāwerewere Neurogenic, whakahaere pūngāwerewere, pūnaha io, hauora pūngāwerewere, kore e taea te pupuri i te mimi, te pupuri i te mimi