Kua ngaro te mana whakahaere o te pūkahukahu nā te raruraru o te pūnaha io? Me kōrero tātou mō (Te Pūkahukahu Neurogenic)

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.

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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.

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.