Pokanga ara mimi? Me ako tātou mō te Whakahoutanga o te Urethral o Muri i roto i ngā kupu māmā noa iho.

He uaua hoki tō mimi? He ngoikore, he kikī te āhua o te urethra? I ētahi wā, he rite tonu ki te mea kāore anō kia whakawātea katoatia tō pūkahukahu ahakoa kua mimi? Tērā pea nā te aukati i roto i tō urethra tēnei. He pono rawa tēnei mēnā kua pāngia koe e tētahi aituā tata nei, inā koa tētahi e pā ana ki te rohe hope, mēnā rānei kua rongoatia koe mō te mate pukupuku repeure. Nō reira, i tēnei rā kei te kōrero tātou mō tētahi pokanga motuhake he otinga pai mō tēnei. Ko te pokanga Whakahou Urethral o Muri.

He aha te Whakahoutanga o te Urethral o Muri?

Hei mārama ki tēnei, me ako tātou i ētahi wāhanga o te tinana. E mōhio ana koe ko te urethra te ngongo e kawe ana i te mimi me te purapura mai i te pūkahukahu ki waho o te tinana. He maha ngā wāhanga o tēnei urethra.

Ko te Urethra o Muri e pā ana ki te tuara o te urethra, arā, te wāhanga kei roto i te tinana. Hei whakamārama tika, e pā ana ki te wāhanga iti o te urethra, tata ki te kotahi, e rua inihi te roa, e rere ana mai i te raro o te pūkahukahu, mā roto i te repe prostate, me roto i ngā uaua o te papa pelvis.

Nō reira, ko te Whakahoutanga o te Urethral o Muri he pokanga hei whakaora i te wāhanga o muri o te urethra kua pakaru, kua āraia, kua whaiti rānei mō tētahi take.

I roto i ēhea āhuatanga e hiahiatia ai tēnei pokanga?

Ko te take matua mō tēnei pokanga he whaiti, he ārai rānei i te urethra (Urethral Stricture) . Pērā i te paru e kohikohi ana i roto i te paipa wai, ā, e whakaiti ana i te rere o te wai, ina puta he kiko whara i roto i te urethra, ā, ka whaiti, ka uaua te mimi. I ētahi wā, ka tino whaiti te urethra, ka mutu katoa rānei.

He maha ngā take matua e aukati ai te urethra i tēnei ara.

He aha ngā whakamātautau e mahia ana i mua i te pokanga?

I mua i te whakatau a te tākuta ki te mahi i tēnei pokanga, ka whakahaerehia e rātou ētahi whakamātautau hei whakatau i te aukati o tō urethra me te whānuitanga o te kino.

• Urethrogram Whakamuri: Ka werohia he wai motuhake ki roto i te urethra, kātahi ka tangohia he whakaahua hihi-X.
• Te Whakamātautau Mimi: Ka whakauruhia he ngongo ki roto i te pūkahukahu, ka whakakiia ki te wai, ā, ka tangohia he hihi-X i a koe e mimi ana.
• Cystoscopy: Ka tukuna he ngongo tino angiangi me te kāmera e piri ana ki raro i te urethra hei tirotiro i roto.
• Matawai MRI: I ētahi wā ka mahia he matawai MRI hei mārama ake i tēnei wāhi.

Me pēhea te whakarite mō te pokanga?

He mea nui kia whai koe i ngā tohutohu a te tākuta mō tō haumaru i mua i te pokanga.

Tērā pea ka hoatu he rongoā paturopi ki a koe i te rā i mua i te pokanga hei ārai i te mate.

Me pēhea te mahi i te pokanga?

Tuatahi, ka tukuna koe e te tohunga whakamoe ki raro i te rongoā whakamoe whānui . Ko te tikanga ka moe hōhonu koe. Kāore koe e rongo i te mamae, i tetahi mea rānei kia oti rā anō te pokanga.

Kātahi ka tīmata te tākuta mimi i te pokanga. Ko te Anastomotic Urethroplasty te tikanga e whakamahia whānuitia ana mō ngā aukati i muri i tētahi aituā.

Whakaarohia, koinei te mea ka tupu:

1. Tuatahi, ka tapahia he wahi iti ki te rohe i waenganui i tō kiriuhi me tō nono (perineum).

2. Kātahi ka tapahia katoatia te kiko whara e piri ana ki te urethra, kātahi ka tangohia.

3. Hei whakamutunga, ka honoa anō ngā pito e rua o te urethra hauora e toe ana, ā, ka tuia ātaahua.

Whakaarohia, i ētahi wā, ina tangohia te wāhanga kua whara, ka whānui ake te āputa i waenganui i ngā wāhanga hauora e rua e toe ana. I roto i ēnei āhuatanga, ka mahi ngā tākuta i tētahi mea tino rerekē. Ka 'nama' rātou i tētahi wahi kiko iti mai i roto i tō paparinga, i tō ngutu rānei (te kiriuhi waha) , ka whakakī i taua āputa, ka hanga anō i te urethra.

I te nuinga o te wā ka roa tēnei pokanga i waenga i te toru ki te ono hāora .

He aha ngā mea ka tupu i muri i te pokanga?

Kia oti te pokanga, ka tuia te tapahi, ka horoia, ka takai. Hei tāpiri, ka whakaurua he catheter Foley mā roto i tō ure ki roto i tō pūkahukahu hei āwhina i te mimiti i te mimi. Hei āwhina i te rere o te mimi kia pai ra ano te ora o te urethra. Kaua e manukanuka, he rangitahi noa iho tēnei.

Tērā pea ka whakatakotoria he paipa pokanga iti ki te taha o te patunga hei āwhina i te whakaora. I te nuinga o te wā ka tangohia tēnei i mua i tō wehenga atu i te hōhipera.

I te memeha haere o ngā pānga o te rongoā whakamoe, ka hoki mārire mai tō māramatanga. Ka ahua puhoi koe i te tīmatanga. Kia hoki mai anō tō māramatanga, ka hoatu he rongoā whakamamae hei whakahaere i te mamae.

Kia whakatau ngā tākuta kei te pai tō āhua, ka taea e koe te hoki ki te kāinga. Heoi anō, me noho pea koe ki te hōhipera mō te rā kotahi, neke atu rānei.

Ka tukuna atu he wā tirotiro ā-muri ki a koe me te tākuta i roto i ngā marama torutoru e whai ake nei. I taua wā, ka taea te whakahoki anō i ngā whakamātautau pēnei i te hihi-X me te cystoscopy hei tirotiro mēnā kei te ora pai te patunga.

Ngā painga, te angitu me ngā mōrearea

Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, engari he iti anō hoki ngā mōrearea.

Te wā whakaora me ngā mea hei mōhio

He mea tino nui hoki tō whakapau kaha ki te whakaora i muri i te pokanga.

Mamae

He tokomaha te hunga ka pāngia e te mamae, engari ka taea te whakahaere pai mā te whakamahi i ngā rongoā whakamamae mamae kua tohua e te tākuta.

Ngā Mahi

• Āta karohia te taraiwa me te noho mō te wā roa kia tangohia rā anō te catheter (3-4 wiki).
• Kāore he raruraru o te hikoi me te piki arawhata.
• Kaua e hiki i ngā taumaha neke atu i te 9 kg (20 lbs).
• Āta karohia te oma, te tūpeke, te toronga waewae, me ngā hākinakina e huri ana i te hope (pērā i te korowha) mō te marama kotahi, e rua rānei.

Ngā mahi moepuku

Kaua rawa e moe tāne, e puremu rānei mō te iti rawa i te 8 wiki .

Hoki ki te mahi/kura

Ki te mahi koe i roto i te tari, ka taea e koe te tīmata i roto i te wiki, i ngā wiki e rua rānei. Engari ki te mea he mahi uaua ki te tinana, me tatari koe mō te 6-8 wiki pea.

Ngā whai wāhitanga katoa ki te tūtaki ki tētahi tākuta

Mena ka pāngia koe e tētahi o ngā tohu e whai ake nei i muri i te hokinga ki te kāinga i muri i te pokanga, waea atu ki tō tākuta tonu atu.

He uaua rawa te aro atu ki tētahi mea pēnei i te aituā, i te mate pukupuku rānei. He mea noa te manukanuka ina puta mai tētahi atu raruraru pēnei i te urethral stricture. Engari ko te rongo pai ko te Posterior Urethral Reconstruction he maimoatanga tino angitu. Mā tēnei pokanga, ka taea e koe te mimi me te kore he uauatanga anō.