Ki ētahi tāne, he tino mamae, he tino koretake hoki te mimi . Ka rere te mimi me te mea he piri, he maturuturu iho... i ētahi wā ka āraia rawatia. Ko te take matua o tēnei he aukati i te urethra, arā, he whaiti. I roto i ngā kupu hauora, ka kiia tēnei ko te ' Urethral Stricture '. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake e taunakihia ana e ngā tākuta ina kore ētahi atu tikanga maimoatanga e angitu.
He aha te Urethrostomy Perineal?
He whakarāpopototanga noa iho, he mahi pokanga te Perineal Urethrostomy mō ngā tāne. Ko te tikanga he hanga i tētahi pūaha hou, he ara rānei, hei ara mō te mimi. Ka hangaia tēnei pūaha hou ki te wāhi kiri i waenganui i tō kiri papatahi me tō nono. Ka kiia taua wāhi ko te 'perineum'.
Whakaarohia, i te nuinga o te wā, ko te mimi e kohia ana i roto i tō tātou pūkahukahu ka haere i raro i tētahi ngongo e kiia nei ko te urethra ka puta i te pito o te ure. Heoi, nā ētahi mate, whara , pokanga rānei o mua, ka taea e tēnei urethra te whara, te whaiti, te ārai rānei. Koinei te wā ka ārai katoa, ka ārai rānei i te rere o te mimi. Ka hangaia e tēnei pokanga he ara hou, he ara tuturu mō te mimi ki waho mō te hunga kua āraia rawatia te urethra, kāore e taea e rātou te mimi mā roto i te ure.
He aha koe i hiahia ai ki tēnei momo pokanga?
Ka whakaarohia tēnei pokanga ina kore e angitu ētahi atu maimoatanga mō te urethra stricture. Arā, ina kore e taea te neke i te urethra kia puta ai te mimi mā te pito o te ure. Whai muri i tēnei pokanga, ka puta te mimi mā tētahi kōhao hou i te perineum, nō reira me noho koe i a koe e mimi ana.
He kōwhiringa pai anō hoki tēnei mō te hunga kaumātua kāore e hiahia ki te pokanga hanga hou nui. Ka whakaarohia tēnei pokanga i roto i ngā āhuatanga e whai ake nei.
| Ngā āhuatanga e hiahia ana kia pokangahia | He whakamārama māmā |
|---|---|
| Ngā uauatanga o te urethra uaua/hoki tonu | Ngā kēhi ka noho āraia tonu te urethra, ā, kāore e pai ki ētahi atu maimoatanga. |
| Te mate pukupuku pūtau-pūtau o te ure | Nā ētahi mate pukupuku e puta ana i roto i te ure. |
| Te tango pokanga o te ure (Penectomy) | Ina tangohia katoatia te ure nā te mate pukupuku, nā ētahi atu take rānei. |
| Te tango i te urethr | Ina tangohia te katoa, te wāhanga rānei o te urethra mā te pokanga. |
| Ngā hypospadia | He mate whānau tēnei kei raro i te ure te pūwaha o te ure, kaua ki te pito. |
| Te korenga o te urethroplasty | I te korenga i angitu ngā pokanga o mua ki te whakatika i te urethra. |
| Te gangrene o Fournier | I muri i te mate kino o te ure me te kiriuhi ure. |
Ko wai kāore e tika ana mō tēnei pokanga?
Engari kāore e taea e te katoa te mahi i tēnei pokanga. I ētahi wā, ka uaua pea. Mena kei a koe tētahi o ēnei āhuatanga, me kōrero koe ki tō tākuta mō tēnei mea:
- Mena he tino momona rawa koe.
- Mena kua pokangahia koe i te rohe perineum i mua.
- Te maimoatanga irahiko mō te mate pukupuku prostateMena kua tangohia e koe.
Ko ētahi pātai noa pea kei a koe
Ka puta mai te purapura i te ure i muri i te pokanga?
He raruraru tēnei e pā ana ki te tini tāngata. Kāo, i muri i tēnei pokanga, kāore te purapura e puta mai i te ure, engari mai i te kōhao hou i hangaia.
Ka ngaro rānei te mana whakahaere mimi i tēnei pokanga?
Ko tētahi atu wehi nui ko te kore e taea e koe te mimi. E kore tēnā e tupu. Kei a koe ngā uaua e whakahaere ana i tō mimi i runga ake i tēnei pūaha. Nō reira ka taea e koe te whakahaere i tō mimi.
E kore tēnei pokanga e pāngia e te kore e taea te pupuri i te mimi. Kaua e manukanuka ki tēnā. Mā tō tākuta tēnei e whakamārama atu ki a koe me ētahi atu taipitopito.
Me pēhea te whakarite mō te pokanga?
I mua i te pokanga, ka tono tō tākuta kia homai he tauira mimi ki a koe. Ka tīmata ia ki te tango i ngā paturopi hei ārai i te mate. Me tango pea koe i tētahi hihi-X hei tirotiro i te āhua o tō urethra.
Ko te mea nui ko te whakamōhio atu ki tō tākuta mō ō mate kē atu me ngā rongoā e tangohia ana e koe.
| Kia tino kōrero koe ki tō tākuta mō ēnei mea. | |
|---|---|
| Ngā mea kua whakatōkia ki roto i te tinana | Ngā mea pēnei i ngā stent, ngā whakakapinga hononga, ngā pacemaker, ngā takirere ngākau. |
| Ngā mate urutā | Mena kua pāngia koe e te mate urutā pēnei i te MRSA. |
| Ngā rongoā whakaheke toto | Mena kei te tango koe i ngā rongoā pēnei i te warfarin, te aspirin, te clopidogrel, te rivaroxaban, te dabigatran rānei. |
Me pēhea te mahi i te pokanga me te aha ka tupu i muri mai
Ka mahia tēnei i te hōhipera, i raro i te rongoā whakamoe whānui . Ko te tikanga kei te moe katoa koe i te wā e pokangahia ana. Nō reira, kāore koe e rongo i tetahi mea. Ko te tikanga ka roa te pokanga i te kotahi ki te rua hāora.
I muri i te pokanga, ka whakanohoia he ngongo ki roto i tō pūkahukahu hei āwhina i a koe ki te mimi. Ka kiia e mātou he Foley catheter . Ka noho tonu tēnei catheter ki tōna tūranga mō te rua ki te toru wiki pea. I tēnei wā, ka hoatu he rongoā whakamamae mamae me ngā paturopi hei ārai i te mate.
I mua i tō wehenga atu i te hōhipera, ka whakamārama atu te tākuta me ngā nēhi ki a koe me pēhea te tiaki i a koe anō i te kāinga, me pēhea te tiaki i tō catheter, me pēhea te tango i ō rongoā, me te wā me hoki koe ki te whare hauora.
I muri i te 8-12 marama pea, ka whakahaerehia he whakamātautau e kiia nei ko te cystourethroscopy, e whakamahi ana i te kāmera, hei tirotiro mēnā kei te ora te urethra, mēnā rānei kua aukatia anō.
He aha ngā raruraru ka pā mai?
He tino teitei te angitu o tēnei pokanga (he "tino pai" te pūrongo). Ā, he tino onge ngā raruraru. Heoi, he mea nui kia mōhio ki ēnei raruraru mēnā ka puta he raruraru.
Mena he raruraru, ko ngā tohu pea ko: te iti o te mimi, te toenga o te mimi i roto i te pūkahukahu i muri i te mimi, te mate mimi rānei. Ko ētahi atu raruraru pea ko:
- Te toto mai i te tapahi
- Pupuhi
- Kirika
- Mate pāwera o te ara mimi
- Te hokinga mai o te uauatanga
- Ngā raruraru ngākau
Ki te pāngia koe e tētahi o ēnei tohu, hei tauira, te toto nui i te motu, te kirika nui rānei, me whakamōhio tonu atu ki tō tākuta , me haere rānei ki te Tari Ohotata (ETU) o te hōhipera tata.
Karere Tangohia ki te Kāinga
- He tino angitu te Perineal Urethrostomy mō ngā urethra strictures kino i ngā wā kāore i rahua ētahi atu maimoatanga.
- I muri i tēnei pokanga, me noho koe ki te mimi. Ka puta mai hoki te purapura i te kōhao hou.
- E kore tēnei pokanga e whakararu i a koe ki te whakahaere i tō mimi (incontinence).
- He tino iti te mōrearea o ngā raruraru, engari ki te pāngia koe e ētahi tohu rerekē (toto nui, kirika), whakamōhio atu ki tō tākuta tonu.
- He mea nui te whai i ngā tohutohu a te tākuta (te tango rongoā, te haere ki ngā wāhi rongoā) i muri i te pokanga kia tere ai te ora.
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