He kaupapa tino uaua tēnei ki te kōrero, ā, he kaupapa kāore pea i te nuinga o te tangata e rongo ana. Heoi, i ētahi wā, hei rongoā mō tētahi mate kino pēnei i te mate pukupuku o te ure, me tango te ure mā te pokanga. I tēnei rā ka kōrero tātou mō tēnei pokanga, e mōhiotia ana i roto i te pūtaiao hauora ko te penektomi. Ko te mōhio ki tētahi mea pēnei he mea nui pea ki a koe, ki tētahi rānei e mōhio ana koe i tētahi rā. Nō reira, me kōrero tātou mō tēnei mea me te tuwhera, me te ngāwari.
Ki te kī ngāwari, he aha te Peneectomy?
Ko te penetectomy te tango pokanga i tō ure. E rua ngā momo matua.
1. Te tango wāhanga: I konei, ka tangohia e te taote pokanga te wāhanga mate anake o te ure, me te ngana tonu ki te tiaki i te nui o ngā kiko hauora e taea ana.
2. Te tango katoa i te ure: I tēnei, ka tangohia te ure katoa, arā, te wāhanga o te ure e piri ana ki te tinana.
Ka mahia tēnei pokanga hei rongoā mō tētahi āhuatanga e pā ana ki te ure.
He aha koe i tika ai kia mahi i tēnei momo pokanga?
Ko te take matua me te take tino noa mō tēnei pokanga ko te mate pukupuku o te ure . He maimoatanga mate pukupuku tino whai hua tēnei. Ko te tikanga ka tūtohu ngā tākuta i tēnei pokanga i roto i ngā take e whai ake nei:
- Mena he nui te mate pukupuku.
- Mena kua horapa te mate pukupuku ki ngā kiko e karapoti ana .
- Mena he tūponotanga ka hoki mai anō te mate pukupuku i muri i te maimoatanga.
Heoi, kāore pea tēnei pokanga e hiahiatia ana mō te mate pukupuku o te ure anake, engari mō ētahi atu take anō hoki, he tino onge. Hei tauira, i roto i ngā take o te mate kino e kiia nei ko te gangrene a Fournier (ka mate te kiko) i roto rānei i ngā take o te whara kino ki te ure, tera pea e hiahiatia tēnei pokanga.
He pēhea te noa o tēnei pokanga?
Ina hoki, ehara te penetomia i te pokanga tino noa. Nā te mea he momo mate pukupuku tino onge te mate pukupuku o te ure. Ahakoa i ngā whenua pēnei i Amerika Te Raki me Ūropi, iti iho i te kotahi i roto i te 100,000 tāne ka pāngia e tēnei mate pukupuku i ia tau. Waihoki, ka whakamātau ngā tākuta i ētahi atu maimoatanga mate pukupuku i mua i te whakamahi i tēnei pokanga. Ko ētahi tauira ko:
- Whakaora whakaweto: Te whakangaro i ngā pūtau matepukupuku mā te whakamahi i te wera nui, i te makariri rānei.
- Te rongoā matepukupuku: Te hoatu i ngā rongoā ārai matepukupuku.
- Whakaora irahiko: Te whakangaro i ngā pūtau matepukupuku mā te rongoā irahiko.
- Whakaora ā-papa: Te paninga tika i ngā kirīmi ārai matepukupuku ki te kiri.
Me pēhea taku whakarite i mua i te pokanga?
I mua i tēnei momo pokanga, ka whai wāhi koe ki te kōrero ki tētahi tīma tākuta. Ka tūtohu rātou i ētahi whakamātautau hei whakatau i te momo matepukupuku me tōna taumata.
| Momo whakamātautau | Hei whakarāpopototanga... |
|---|---|
| Te koiora | Ka tangohia he wahi iti o te kiko mai i te puku, ka tirohia i raro i te karuārai hei whakatau mēnā he matepukupuku, ā, he aha te momo matepukupuku. |
| Ngā whakamātautau toto | Akohia tō hauora whānui me ētahi o ngā tohu e pā ana ki te mate pukupuku. |
| Ngā Whakamātautau Whakaahua | Ka whakamahia ngā whakamātautau pēnei i te CT scan, te PET scan, te MRI scan, te ultrasound, me ngā hihi-X hei tirotiro i te horapa o te mate pukupuku. |
Kia puta mai ngā hua o ēnei whakamātautau, ka matapakihia e te tākuta ki a koe mēnā ko te tango wāhanga, ko te tango katoa rānei o te ure te mea pai mōu.
Hei tāpiritanga, ka tirohia tō hauora whānui. Ko te tikanga o tēnei me ine koe i ngā mea pēnei i te pāmahana o tō tinana, te manawa, me te toto toto . Ko te tikanga tēnei kia mōhio ai koe kei te ora koe kia taea ai te tu atu ki te pokanga.
He mea tino nui: Kia tino kōrero ki tō tākuta mō ngā rongoā, ngā huaora, ngā tāpiringa otaota rānei e tangohia ana e koe. Ka taea e ētahi rongoā te whakanui ake i te mōrearea o te toto. Nō reira, me mutu pea te tango i ētahi rongoā i ētahi rā i mua i te pokanga. Engari kaua rawa e mutu te tango i aua rongoā me te kore e pātai tuatahi ki tō tākuta.
Me kōrero mai hoki koe ki a mātou mō ō mate pāwera . Hei tauira:
- Ngā Rīhi
- Latex
- Ngā rongoā
- Ngā mea pēnei i te iodine e horoi ana i te kiri
Ka tohutohuhia koe kia mutu te kai, te inu rānei i muri i te waenganui pō i te pō i mua i tō pokanga. Hei ārai i te tūponotanga o te kai, te inu rānei ki roto i tō ara manawa (te mimiti) i a koe e noho ana i raro i te mate whakamoe. Mena me tango e koe tētahi rongoā nui, me tango noa me te inu wai.
Me pēhea te mahi i te pokanga?
I te wā e pokangahia ana, ko te tikanga ka uru atu ki tō tīma hauora he tohunga mimi , he tohunga whakamoe, me tētahi tīma nēhi .
Tuatahi, ka meinga koe e te tohunga whakamoe kia moe rawa. Ko te tikanga tēnei kāore koe e rongo i te mamae, kāore koe e mōhio, me te mea kei roto koe i te moe hohonu.
Kātahi ka whakaurua e ngā nēhi he ngongo iti (he catheter mimi) ki roto i tō urethra, ka arahina ki runga ki tō pūhā. Ka mimiti te mimi, ā, ka āwhina i te taote pokanga ki te kimi i te wāhi tika o tō urethra i te wā o te pokanga.
- Te tango wāhanga: Ka tangohia e te taote pokanga te wāhanga o te kiko e pāngia ana e te mate pukupuku. Ka ngana ia ki te waiho i te nuinga o te wāhanga hauora o te ure. Ko te whāinga matua i konei kia taea ai e koe te mimi i a koe e tū ana , me te pupuri i te nui o te mahi moepuku e taea ana . I ētahi wā, ki te mea me tango te pito o te ure (te mata o te ure), ka tangohia te kiri mai i tētahi atu wāhanga o tō tinana, ko te huha te tikanga, hei hanga i tētahi pito hou. Ka kiia tēnei he tākai kiri .
- Te tango katoa i te ure: I tēnei tikanga, ka tangohia e te taote pokanga tō ure katoa, tae atu ki te turanga e piri ana ki te hope.
Mena nā te mate pukupuku i mahia ai te pokanga, ka tangohia atu hoki ētahi o ngā kōpuku lymph i te rohe o te hope, ka tukuna kia whakamātautauhia mēnā kua horapa te mate pukupuku.
I te nuinga o te wā, kāore e neke atu i te rua hāora te roa o tēnei pokanga.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka hipokina e ngā nēhi te wāhi ki ngā takai, ki te kāpia kiri rānei. Kia mutu te hoatu e te tohunga whakamoe te whakamoe ki a koe, ka hoki mārire tō māramatanga i roto i ētahi meneti. I te tīmatanga, ka pōuri koe.
Kātahi ka haria koe ki te rūma whakaora. Ka tirotirohia tō āhua kia tino ara ake koe. Kia hoki mai anō tō māramatanga, ka hoatu he rongoā whakamamae ki a koe. Tērā pea ka whakapairuaki ētahi tāngata nā te rongoā whakamoe, ā, mēnā e tika ana, ka hoatu hoki he rongoā ki a koe mō tēnā.
Anei ētahi mea ka taea e koe te tumanako i te hōhipera i muri i te pokanga:
- Me noho koe ki te hōhipera mō te kotahi ki te toru rā.
- Ka waiho te catheter ki tōna tūranga mō te rua wiki pea.
- I ētahi wā ka whakatakotoria he ngongo iti (he paipa pokanga) ki te wāhi i pokanga ai hei tango i te toto e kohia ana ki reira.
- Ka taea e koe te kai me te inu pērā i mua.
- Ka roa te pupuhi o te wāhi pokanga.
Me pēhea te mimi i muri i te tangohia katoatia o te ure?
I roto i te tango katoa i te urethra, ka tāpirihia anō e te taote pokanga tō urethra ki tētahi atu wāhi. Arā, ka hangaia he kōhao hou ki te rohe i waenganui i tō nono me tō scrotum (te perineum). Ka kiia tēnei he perineal urethrostomy . Ko te tikanga me noho koe ki raro ki te mimi.
Ka taea te hanga ure hou?
Ahakoa kāore e taea tēnei i ngā wā katoa, i ētahi wā ka taea e te taote pokanga te tango i te kiri me te kiko mai i tētahi atu wāhanga o tō tinana (pērā i tō ringa, i tō huha rānei) hei hanga i tētahi ure hou. Ka kiia tēnei pokanga he phalloplasty . He tikanga tino uaua tēnei.
He aha ngā painga me ngā mōrearea o tēnei pokanga?
Pērā i ngā pokanga katoa, he painga, he mōrearea hoki tō tēnei pokanga.
Ko te painga matua ko tēnei te maimoatanga tino angitu mō te mate pukupuku o te ure. Ko te nuinga o te wā ka teitei ake te ōrau ora i muri i tēnei pokanga.
Ngā Tūponotanga me ngā Whakararuraru
Haunga ngā mōrearea noa o ia pokanga, kei reira anō ngā mōrearea e pā ana ki tēnei pokanga.
| Te Mōrearea/Te Uauatanga | Whakaahuatanga |
|---|---|
| Te toto | Ka puta pea i te wā o te pokanga, i muri rānei i te pokanga. |
| Ngā toto totoka | He mōrearea kei puta, inā koa ki ngā waewae. |
| Mate pāwera | Tērā pea ka puta ngā mate urutā ki te patunga pokanga, ki te ara mimi rānei. |
| Te Whakaiti i te Urethral | Te whaiti o te urethra. |
| Lymphedema (te pupuhi o ngā kōpū lymph) | Te pupuhi o ngā waewae, o ngā poro rānei mēnā ka tangohia ngā poro. |
| Te hokinga mai o te mate pukupuku | He iti noa te tūponotanga o te hokinga mai o te mate pukupuku. |
Pānga ki te hauora hinengaro
Koinei tētahi o ngā wero nui o tēnei pokanga. Ahakoa he mamae tinana, ka pā nui hoki ki tō hauora hinengaro. He mea nui te ure hauora mō tō hauora ā-ira tangata me te hauora kare ā-roto. Ka pā nui te rahi, te āhua, me ngā panonitanga mimi o tō ure ki tō whakapono ki a koe anō me tō whakaaro nui ki a koe anō. Nō reira,
- Manukanuka
- Te pouri
- ahotea
- Te pouri ki te ao
Tērā pea ka puta ake ngā āhuatanga pēnei. He mea nui kia mārama he mea noa iho ēnei kare ā-roto .
Ngā mea hei mōhio māu mō te oranga ā-ira i muri i te pokanga
He raruraru tēnei mō te tini o te tangata.
I muri i te tango katoa i te ure, kāore e taea te mahi i te moe tāne me te wahine nā te mea kāore he ure i roto.
I muri i te tango hapa o te ure, ka taea te whakatū i te ure i te toenga. Nō reira, ka taea te moe tahi me te whiwhi i te orgasm. Heoi, nā te mea ka tangohia ngā wāhanga tino tairongo o te ure (pērā i te pito me te kiri matamata), tera pea he uaua ki te whakatū, ki te pupuri rānei i te ure.
Engari kia maumahara, kāore te moepuku e herea noa ki te moepuku. He maha atu anō ngā huarahi hei whakaatu i tō moepuku. He tino āwhina te kōrero ki tētahi kaiwhakaora moepuku ki te wikitoria i ēnei uauatanga. Waihoki, ka taea e koe te kōrero mā te mahorahora mō tēnei mea ki tō hoa, me te pupuri i te whanaungatanga moepuku mā roto i ētahi atu tikanga, pērā i te kihi me te awhi.
Kia pēhea te roa o te wā e ora ai? (Te Wā Whakaora)
He rerekē te tere whakaora o te katoa, engari anei ētahi mea whānui hei tumanako māu.
| Meka | Te wā e tumanakohia ana/tohutohu |
|---|---|
| Te whakaurunga ki te hōhipera | 1 ki te 3 ngā rā |
| Ngā hararei mai i te mahi, i te kura rānei | Tata ki te marama |
| Te hiki taumaha | Kaua e hiki i tētahi mea taumaha ake i te 4.5 kirokaramu (tata ki te karani wai) mō ētahi wiki. |
| Te ārai i ngā toto totoka | Tērā pea ka tohua koe kia mau i ngā tōkena pēhi motuhake, kia tango rongoā rānei. |
| Pupuhi | Ka roa pea te pupuhi mō ētahi wiki. |
Ki te pā mai ēnei tohu ki a koe, waea atu ki tō tākuta tonu atu.
Kia aro ki tō tinana i a koe e ora ana. Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta, haere rānei ki te hōhipera tonu.
- Ngā tohu o te mate urutā: kirika, makariri, ngenge nui, ānini rānei.
- Te toto nui rawa.
- He mamae kāore e taea te whakahaere ahakoa he rongoā whakamamae mamae.
- Ngā Tohu o te Sepsis: (He mate kino tēnei ka mōrearea pea te ora).
- Mena kei te āwangawanga koe mō tētahi tohu hou, tohu kino rānei .
He mea noa te wheako i ngā momo kare ā-roto i mua i te pokanga. Tērā pea ka riri koe, ka mokemoke, ka pouri, ka pōuri rānei. He mea noa ēnei kare ā-roto katoa. Ko te mea nui ko te mārama kāore koe i te mokemoke i tēnei haerenga. Kōrero ki tō whānau me ō hoa. Kia tuwhera hoki ō āwangawanga ki tō tākuta me te hunga nēhi. Rapua he āwhina a tētahi kaiārahi mēnā e tika ana.
Karere Tangohia ki te Kāinga
- Ko te penetectomy he tikanga pokanga nui e mahia ana hei rongoā mō te mate pukupuku o te ure.
- I konei, ka taea te tango i tētahi wāhanga o te ure (wāhanga) me te tango katoa rānei (katoa).
- Ka tino rerekē te mimi me te mahi ā-ira tangata i muri i te pokanga, engari he huarahi hei whakahaere i ēnei.
- He nui te pānga o tēnei pokanga ki te hinengaro me te kare ā-roto, nō reira he mea tino nui kia rapu tautoko mai i te whānau, i ngā hoa, ā, ki te tika, i ngā kaiwhakatakoto whakaaro ngaio.
- Me kōrero māhorahora, me te pono ki tō tākuta me te hunga e arohaina ana e koe. Kāore koe i te mokemoke.
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