Me kōrero tāua mō te pokanga Perineal Urethrostomy?

He uaua ki a koe, ki tētahi rānei e mōhio ana koe te mimi, te mamae, te puhoi rānei o te mimi? I ētahi wā ko te take o tēnei he whaiti, he aukati rānei i te ngongo e kawe ana i te mimi i waho o te ure (e kiia ana tēnei ko te urethra) mō tētahi take. I roto i ēnei āhuatanga, ki te kore e angitu ētahi atu maimoatanga, he pokanga motuhake e taunakihia ana e ngā tākuta. Ko taua pokanga, arā, ko te 'Perineal Urethrostomy', koinei tā tātou e kōrero ai i roto i tēnei tuhinga i tēnei rā.

He aha te Perineal Urethrostomy?

Ahakoa te ahua uaua o tēnei ingoa, kia māmā noa iho.

He pokanga te Perineal Urethrostomy mā ngā tāne anake. Ko te tikanga he hanga i tētahi pūaha hou, pumau hoki hei putanga mō te mimi. Ka hangaia tēnei pūaha ki te wāhi kiri i waenganui i tō kiri papatahi me tō nono. I roto i ngā kupu hauora, ka kiia tēnei wāhi ko te 'perineum'.

Whakaarohia, ko te tikanga ka puta mai tō tātou mimi i te pūkahukahu mā roto i tētahi ngongo e haere ana i roto i te ure. Ka kiia tēnei ngongo ko te urethra. Engari nā te mate urutā, nā te aituā, nā te pokanga o mua rānei, ka taea e tēnei urethra te whara me te whaiti. Ka kiia tēnei āhuatanga ko te Urethral Stricture . Kātahi ka āraia rawatia te rerenga o te mimi, ka tino uaua rānei te puta.

I ngā wā pēnei, nā te mea he uaua ki te mimi mā te ure, ka hangaia he kōhao hou ki te perineum hei tuku i te mimi kia puta.

Ko wai e hiahia ana ki tēnei pokanga?

Ehara tēnei i te pokanga mō te katoa. He mea tino taunakihia tēnei hei kōwhiringa mā ngā tūroro kua rahua i ētahi atu maimoatanga mō te urethra stricture, pērā i te pokanga hei whakaora i te urethra. He māmā noa iho, ka whakaarohia tēnei pokanga mēnā kua pakaru te urethra ki te wāhi e kore ai e taea te mimi mā te pito o te ure.

He kōwhiringa pai anō hoki tēnei mō ētahi tāne kaumātua, kāore nei e hiahia ki te mahi pokanga hanga hou nui.

Me titiro tātou ki te ripanga i raro nei kia kite ai ko ēhea ngā take matua e whakaarohia ai tēnei pokanga.

Ko wai pea kāore e tika mō tēnei pokanga?

I ētahi wā, he uaua pea tēnei pokanga. Mena kei a koe tētahi o ngā āhuatanga e whai ake nei, kāore pea tēnei pokanga e pai mōu. Me kōrero koe ki tō tākuta i mua i te whakatau whakamutunga.

• Mena he tino momona rawa koe:Ka uaua pea te tae atu ki te wāhi pokanga i te nui rawa o te momona, ā, ka whakaroa pea i te whakaora o te patunga i muri i te pokanga.
• Mena kua pokangahia koe i mua i te rohe o te perineum: Mena kua pokangahia koe i mua i taua rohe, tera pea ka uaua te pokanga anō nā te kiko koha.
• Mena kua whiwhi koe i te rongoā irahiko mō te matepukupuku repeure: Tērā pea kua pakaru te kiko o taua wāhi i te rongoā irahiko, ā, ka whakararuraru pea tēnei i te tukanga whakaora i muri i te pokanga.

Ko ētahi pātai noa pea kei a koe

He mea noa te puta ake o ngā pātai maha i a koe e kōrero ana mō tēnei momo pokanga. Me whakautu ētahi o aua pātai.

Ka puta mai te purapura i te ure?

Kāo. I muri i tēnei pokanga, pērā i te mimi, ka puta te purapura tāne (ejaculation) mā te kōhao hou i hangaia . Kāore e puta mā te ure.

Ka pā mai rānei te kore e taea te pupuri i te mimi i tēnei pokanga?

He wehi nui tēnei mō te tini o te tangata. Engari ko te whakautu he "kāo." Kei runga ake i tēnei kōhao hou ngā uaua e āwhina ana i a koe ki te whakahaere i tō mimi. Nō reira, ka taea e koe te whakahaere i te wā e hiahia ana koe ki te mimi. Kāore tēnei pokanga e pā ki taua kaha.

Me pēhea te whakarite i mua i te pokanga?

I mua i te pokanga, ka tohua e te tākuta ētahi whakamātautau māu.

• Ka whakamātauria he tauira mimi hei tirotiro mēnā he mate pāwera kei roto.
• Ka hoatu ngā paturopi i mua i te pokanga hei ārai i ngā mate urutā o te ara mimi.
• He maha ngā wā ka mahia he whakamātautau hihi-X hei aromatawai tika i te āhua o te ara mimi.

• Mena he mea tāpiri kei roto i tō tinana (hei tauira, he stent, he takirere ngākau, he hononga horihori, he taputapu whakatere ngākau).
• Mena kua pāngia koe e tētahi mate kitakita motuhake pēnei i te MRSA.
• Mena he nui tō mōrearea ki te mate pukupuku pūnaha io (variant-CJD) (he mate pūnaha io tino onge).
• Mena kei te tango koe i ngā rongoā whakaiti toto (hei tauira, warfarin, aspirin, clopidogrel, rivaroxaban, dabigatran). Me mutu pea ēnei i mua i te pokanga.

Me pēhea te mahi i te pokanga?

Ka mahia tēnei pokanga i roto i te hōhipera, i raro i te rongoā whakamoe whānui. Ko te tikanga kāore koe e mamae, ka moe koe.

Ahakoa he maha ngā tikanga mō te mahi i tēnei pokanga, ko te mea e whakamahia whānuitia ana ko te 'tikanga Blandy'. Anei ngā mea ka tupu:

1. Ka tapahia te kiri o te perineum, i raro i te kirikura, he rite te āhua ki te 'U' e hurihia ana ki raro.

2. Kātahi ka huraina te urethra mā roto i te kiko kei raro.

3. Ka whakatuwheratia te urethra mā te tapahi i te 3-4 henimita te roa.

4. Kātahi ka honoa ngā taha o te tapahi kiri ki ngā taha o te urethra kua whakatuwheratia, ā, ka tuia ngātahitia ki ngā miro angiangi.

5. Koinei te huarahi e hangaia ai he pūaha hou, pumau hei putanga mō te mimi.

I te mutunga o te pokanga, ka whakaurua he ngongo e kiia nei ko te 'Foley catheter' mā roto i tēnei pūaha hou kia rere ai te mimi i waho o te pūkahukahu.

Kia pēhea te roa o te pokanga?

E rua, e rua rānei ngā haora te roa o te wā.

Ka whakamoeatia ahau?

Āe, ka whakamoea katoatia koe. Kāore koe e rongo i tetahi mea i te wā o te pokanga.

He aha ngā mea hei tumanakohia i muri i te pokanga?

I mua i tō hokinga ki te kāinga mai i te hōhipera, ka whakamāramahia e te tīma hauora ngā mea e whai ake nei ki a koe:

• Me pēhea te tiaki i te patunga, me pēhea hoki te tiaki i a koe anō ina tae koe ki te kāinga.
• Te rā me hoki mai koe kia tangohia te catheter.
• Me whai rongoā paturopi me ngā rongoā whakamamae koe.
• Ko ngā wā whakarite whai muri ko ngā rā e hiahia ana koe ki te toro atu anō ki te tākuta.

He raruraru pea kei te puta mai i te pokanga?

He tino onge ngā raruraru i muri i tēnei pokanga. Heoi, pērā i ngā pokanga katoa, he iti noa ngā mōrearea. Mena ka puta he raruraru, ko ngā tohu ka uru atu ki te hekenga o te tere o te mimi, te toenga o te mimi ki roto i te pūkahukahu i muri i te mimi, te mate rānei o te ara mimi.

Mō te mamae me te wā whakaora

He mamae tēnei?

He mea noa te pāngia e te mamae i muri i te pokanga, engari ka taea te whakahaere. Ka tohua e tō tākuta he rongoā whakamamae mamae māu.

He aha te mea ka tupu i te wā e ora ana?

• Me waiho te katitere tuatahi ki roto mō te rua ki te toru wiki, i ētahi wā ka roa atu.
• I tēnei wā, ka hoatu ki a koe ngā rongoā paturopi me ngā rongoā whakamamae.
• I muri i te tangohanga o te catheter, ka kawea koe e te tākuta ki te whare hauora i ia wā, i ia wā, kia tirohia koe.
• I muri i te 8-12 marama, ka taea te whakahaere i tētahi whakamātautau mā te whakamahi i tētahi kāmera e kīia nei ko te Cystourethroscopy, hei tirotiro mēnā kei te pai te mahi a te urethra hou i hangaia, me te kite mēnā kua hoki mai anō te aukati.

He aha ngā hua, ā, me pēhea taku tiaki i ahau anō?

He tino teitei te angitu o tēnei pokanga (e kiia ana he "tino pai"). He pai te kounga o te oranga o te nuinga o ngā tūroro i muri i tēnei pokanga.

Ko te huringa nui rawa atu ka taea e koe te mahi ko te āhua o tō mimi.

Āhea ahau me kite wawe i te tākuta?

Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu , rapua rānei he maimoatanga.

• Te toto nui mai i te motu.
• Pupuhi rerekē.
• Te kirika, ngā tohu rānei o te mate (te rerenga wai, te whero nui).
• Te mumura o te ara mimi, ētahi atu tohu rānei o te mate mimi.
• Ki te mea kei te whakaaro koe kāore anō tō pūkahukahu kia mimiti i muri i te mimi.
• Mena he tino puhoi te rere o te mimi.
• Ki te mea kei te raru anō koe ki te mimi.

Mena he pātai anō āu mō tēnei mea, kaua e mangere ki te kōrero ki tō tākuta kia whakatauhia ai.