I te nuinga o te wā, ka rongo tātou i te hiahia ki te mimi, ā, ka whakahaere tātou i taua hiahia, ka tatari kia haere rā anō tātou ki te wharepaku. Ka puta katoa ēnei mea mā te mahi tahi whakamiharo i waenganui i tō tātou roro, te taurakira, ngā io, me te pūhā, e mahi ana pērā i te pūnaha rorohiko. Engari whakaarohia te mea ka tupu mēnā ka ngaro te mana whakahaere o te pūhā nā te raruraru o te pūnaha io e kawe ana i ēnei karere. Koinei te mea e kiia nei e tātou i roto i te rongoā he 'Neurogenic Bladder'.
He aha te Pūngāwerewere Neurogenic?
Ka tukuna ngā karere e te pūnaha io, pērā i ngā tohu hiko, puta noa i ō tātou tinana. E toru ngā wāhanga matua o tēnei pūnaha io:
- Roro
- Taura tuaiwi
- Ngā io
Ka tukuna e ēnei io he tohu ki tō roro kua kī tō pūhā. Kātahi ka tukuna he karere e te tohu mai i tō roro ki tō pūhā e mea ana, "Koinei te wā tika hei mimi." Ina tae mai tēnei tohu, ka kōpiri ngā uaua pūhā, ā, ka tukuna te mimi.
I roto i tētahi āhuatanga e kiia nei ko te Neurogenic Bladder, ka pakaru tēnei pūnaha tohu nā te mate o te roro, te taurakira, ngā io rānei. Ka taea e tēnei te arahi ki te ngaronga katoa o te mana whakahaere o te pūkahukahu. Arā, ka nui rawa te mahi a te pūkahukahu, ka ngoikore rānei tana mahi.
E rua ngā momo matua o te Pūngāwerewere Neurogenic:
E rua ngā momo matua o te Pūngāwerewere Neurogenic, i runga i te āhua o te kino o te io e puta ai. Mā te mārama ki tēnei ka āwhina i a koe ki te mārama ake ki ō tohumate.
| Te āhua o te pūkahukahu | Hei whakamārama noa iho... |
|---|---|
| Pūngāwerewere Tino Kaha (Pāhekeheke/Hāmamae te Whakaaro) Pūkahukahu kaha rawa | Ko te mea ka tupu i roto i tēnei, ka tino tairongo te pūkahukahu. Ahakoa kua paku kī, ka kōpiri ngā uaua o te pūkahukahu, ka ngana ki te tuku mimi. He rite ki te tangata e mataku ana, e tere ana te tauhohe ki ngā mea iti rawa. |
| Pūngāwerewere Kāore i te Mahi (Maeneene/Hypotonic) Pūkahukahu ngoikore | I tēnei āhuatanga, ka "mangere" ngā uaua o te pūhā. Ahakoa kua tino kī te pūhā, kāore e taea te whakawhāiti kaha ki te whakawātea. Nō reira, ka noho tonu te mimi ki roto. |
He aha ngā tohu o tēnei mate?
Ko te tohu tino kitea o te pūkahukahu neurogenic ko te kore e taea te whakahaere i te mimi. Heoi, ka rerekē pea ngā tohu i runga i te momo kei a koe.
| Mā te momo tohu | |
|---|---|
| Ngā Tohu o te Pūngāwerewere Kaha Rawa | |
| Te uaua ki te mimi, te puhoi o te mimi, te maturuturu rānei (Te whakaroa o te mimi). | |
| Ko te kore e taea te pupuri i te mimi ko te ngaromanga o te mimi. | |
| Me mimi neke atu i te 8 ngā wā i te rā (Te mimi pinepine). | |
| Te hiahia ohorere ki te mimi (Urinary urgency). | |
| Ngā Tohu o te Pūngāwerewere Kāore i te Mahi | |
| Ahakoa te mimi, kāore te pūkahukahu i tino takoto kau (te pupuri mimi). | |
| Ko te kore e taea te pupuri i te mimi i roto i te toto ko te turuturu o te mimi nā te mea kua ki rawa te pūkahukahu. | |
| Kāore koe i te whakaaro kua kī tō pūkahukahu. | |
He aha tēnei e tupu nei? He aha ngā take?
He maha ngā āhuatanga ka puta ai te Pūngāwerewere Neurogenic. Ko ētahi he whānautanga 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 pea:
- Spina bifida: He raruraru tēnei o te taurakira e puta mai ana i te whānautanga.
- Te pararutiki roro: He āhuatanga e pā ana ki te whanaketanga o te roro.
- Te mate whakahekenga o te tuaiwi: Te ngoikore o te tipu o te taha raro o te tuaiwi.
Ngā take pea ka puta ai te mate i muri mai:
- Ngā pukupuku o te pūnaha io matua: Ngā mate pukupuku, ngā pukupuku rānei e puta ana i roto i te roro, i te taurakira rānei.
- Te mate maha-sclerosis (MS): He mate e pakaru ai ngā pukupuku io.
- Te mate a Parkinson: He mate e pā ana ki ngā pūtau io o te roro.
- Te whiu: Te aukati i te rere o te toto ki te roro.
- Ngā whara o te tuaiwi: Nā te hinganga, ngā aituā motuka, me ētahi atu.
- Mate huka: Ka taea e te mate huka kore e whakahaeretia te kino o ngā io mō te wā roa.
Ngā pānga taha pea (ngā raruraru)
Ki te kore e rongoatia tika te pūkahukahu neurogenic, he nui ake te tūponotanga ka pā mai ētahi atu raruraru hauora.
- Te kino o te whatukuhu: Ka piki ake te pēhanga i roto i te pūkahukahu nā te pupuri i te mimi, ā, ka pā pea taua pēhanga ki ngā whatukuhu.
- Ngā mate urutā auau o te ara mimi (UTI): Mā te kore e whakawātea katoa i te pūkahukahu ka hangaia he taiao pai mō te tipu o ngā huakita.
- Ngā kōhatu mimi: Ka taea te hanga kōhatu i roto i te pūkahukahu, i ngā whatukuhu rānei.
- Te reflux vesicoureteral: He āhuatanga morearea tēnei e rere whakamuri ai te mimi mai i te pūkahukahu ki ngā whatukuhu.
Haunga ēnei raruraru tinana, tera pea he pānga nui ki te hinengaro . Ko te wehi kei turuturu te mimi ka meinga koe kia mataku ki te whakahoahoa, ki te haereere rānei. Ka arahi pea tēnei ki ngā kare ā-roto o te manukanuka, te pouri, me te mokemoke . Mena kei te pāngia koe e ēnei kare ā-roto, kaua e whakamā ki te kōrero ki tō tākuta mō tēnei mea.
Me pēhea te tautuhi a te tākuta i tēnei mate?
Ina haere koe ki te tākuta, ka whakarongo pai ia ki ō tohumate. Kātahi ka tirotirohia koe e rātou. Mena ka whakapaetia he mate pūkahukahu neurogenic, ka tūtohu rātou i ētahi whakamātautau motuhake e pā ana ki te pūnaha io me te pūkahukahu.
- Cystoscopy: He tirotiro i te roto o te urethra me te pūhā mā te whakamahi i tētahi kāmera angiangi, rite ki te ngongo.
- Ngā whakamātautau whakaahua:Ngā whakamātautau pēnei i te CT scan, te MRI scan, me te ultrasound.
- Whakamātautau Urodynamic: He whakamātautau motuhake tēnei. Ka ine 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 te pūkahukahu.
I muri i ēnei whakamātautau, ka tukuna pea koe ki tētahi tākuta tohunga mō te pūkahukahu me te pūnaha mimi, he tohunga mimi rānei .
He aha ngā maimoatanga mō tēnei?
Ko te mea nui, kāore he rongoā mō te Neurogenic Bladder. Heoi, mā te maimoatanga tika, ka taea e te tini o te tangata te whakahaere pai i ō rātou tohu me te noho i te oranga noa.
Ka whakatauhia te mahere maimoatanga i runga i te pūtake o tō mate me te āhua o ō tohumate.
1. Ngā huringa āhua noho
Tuatahi, ka ngana te tākuta ki te whakahaere i tēnei mā ngā mea māmā noa iho.
- Āta karohia ngā kai me ngā inu e whakapataritari ana i te pūkahukahu (kawhe, waipiro, inu warowaihā).
- Te Whakahaere i te Matepukupuku: Ka taea hoki e te matepukupuku te pēhi i te pūkahukahu.
- Te whakangungu i te pūkahukahu: Me tuhi e koe he rātaka mō ngā wā e mimi ana koe, te nui o te mimi, me ngā mimi kore e hiahiatia. Mā tēnei koe e āwhina ki te ako ki te mimi i te wā tika.
- Ngā mahi Kegel: Mā ēnei mahi ka whakapakari i ngā uaua o te papa pelvic, ā, ka pai ake te whakahaere i te mimi.
2. Ngā rongoā
He maha ngā rongoā hei whakangāwari i ngā uaua o te pūkahukahu, hei whakaoho rānei i te whakahekenga o te kōpū. Hei tauira, ka tohua pea e tō tākuta he rongoā pēnei i a Oxybutynin, Tolterodine, me Mirabegron.
3. Te whakaurunga o te katitere
He mea tino nui tēnei tikanga mēnā kāore te pūkahukahu e mimiti tika ana.
- Te whakaurunga o te catheter ki a koe anō: Ka akona koe ki te whakawātea katoa i tō pūkahukahu mā te whakamahi i tētahi ngongo iti, ma (catheter) i ētahi wā i te rā. Tērā pea he uaua tēnei i te tīmatanga, engari ka māmā ake ina taunga koe ki tēnei.
- Te whakaurunga catheter tonu: I ētahi wā, ka hiahiatia he catheter tonu.
4. Ētahi atu maimoatanga me ngā pokanga
Mena kāore ētahi atu maimoatanga e angitu, ka whakaarohia pea e tō tākuta ngā mea e whai ake nei:
- Werohanga Botox: Ka werohangahia te Botox ki roto i ngā uaua o te pūkahukahu hei aukati i te mimiti nui.
- Pokanga:Tērā pea e hiahiatia ana te pokanga hei whakanui ake i te kaha o te pūkahukahu (augmentation cystoplasty) te pokanga rānei hei whakarerekē i te ara rere o te mimi (urinary diversion) i ētahi wā tino onge.
Ka kōrero tahi tō tākuta ki a koe, ka whakatau ko tēhea maimoatanga te mea pai mōu.
Karere Tangohia ki te Kāinga
- Ko te Pūngāwerewere Neurogenic he ngaronga o te mana whakahaere o te pūngāwerewere nā te mate o te pūnaha io. Ehara i te mate, engari he hua o tētahi atu mate.
- Ki te pā mai ētahi panoni ki te whakahaere mimi, te mimi pinepine, te uaua rānei ki te pupuri i tō mimi, kaua e whakamā, me toro atu ki te tākuta i te wā e taea ai.
- Ahakoa kāore e taea te whakaora katoa i tēnei mate, ka taea te whakahaere pai i ngā tohumate, ā, ka taea te noho i tētahi oranga noa, oraora hoki.
- He maha ngā kōwhiringa maimoatanga. Mā tō tākuta koe e āwhina ki te whiriwhiri i te maimoatanga e tika ana māu.
- Kia tūpato ki te ahotea hinengaro ka pā mai. Ki te tika, kōrero ki tō tākuta mō tēnei mea, me te rapu tohutohu.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment