Whakaarohia kua whati tō wheua hope i tētahi aituā, he hinganga pea i te pahikara. Kua rongoatia rānei koe mō te mate pukupuku repeure. I ēnei wā, ka pakaru, ka whaiti rānei te urethra i roto i ngā tāne. Ina uaua te mimi, kāore e taea te whakamārama i te mamae me te kore whakamarie ka puta ina aukatia. I tēnei rā kei te kōrero tātou mō tētahi pokanga tino nui, motuhake hoki e hiahiatia ana i ēnei wā.
He aha te Whakahoutanga o te Urethral o Muri?
Āe, me tīmata mā te whakamārama māmā noa iho. Ko te mimi, e kohia ana i roto i tō pūkahukahu, ka puta mai i tō ure mā roto i tētahi ngongo e kiia nei ko te urethra. He rite ki tētahi paipa e puta mai ana i tētahi tāke wai.
He wāhanga anō hoki tō tēnei urethra. Ko te wāhanga poto, tata ki te kotahi ki te rua inihi te roa, e hono ana ki te pūkahukahu, ā, e haere ana mā roto i te repe prostate, e kiia ana ko te 'Posterior Urethra'. Koinei te tīmatanga o te urethra.
Ko te Whakahoutanga o te Urethral o Muri he tikanga pokanga e whakaora ana i te āhua o te urethra o muri i muri i te pakaru, te whaiti, te whakawhāiti rānei (urethral stricture). Ko te tikanga o tēnei ka whakatikahia te wāhanga kua pakaru, ā, ka whakahokia te rere o te mimi me te kore he aukati.
He aha i tika ai tēnei pokanga?
E rua ngā take matua mō tēnei pokanga.
1. Ngā whara aituā: Ina koa ko ngā aituā nui e whati ai te wheua hope. I tō tātou whenua, he mea noa ēnei whara nā ngā aituā motopaika, ngā hinganga mai i ngā teitei, me ngā whara kuru. I roto i ēnei aituā, ka whati pea tēnei wāhanga o te urethra, ka maru, ka whara hoki. I roto i te wā, ka taea e ēnei whara te whakawhāiti i te urethra, ā, kāore e taea te mimi.
2. Maimoatanga mō te Matepukupuku Repeure: Whai muri i te pokanga hei tango i te repeure (te tango i te repeure) me te rongoā irahiko rānei, ka whaiti pea te urethra nā te mea he koha e pā ana.
Ina whaiti te urethra i tēnei ara, ka pōturi te rere o te mimi, ka turuturu te mimi i roto i ngā pata iti, ka āraia rawatia rānei. He tino mamae, he tino morearea hoki tēnei mate.
Me pēhea te whakatau a te tākuta mēnā me mahi tēnei pokanga?
Mena kei a koe ēnei tohu, ko te mea tuatahi ka mahia e tō tākuta he whakahaere i ētahi whakamātautau hei whakaū i te āhua tuturu. Hei mahi i tēnei, ka whakahaerehia pea e rātou tētahi, ētahi rānei o ngā whakamātautau e whai ake nei:
- Urethrogram Whakamuri: Ka whakamahia he wai motuhake (tae rerekē) me ngā hihi-X hei whakatau i te wāhi me te roa o te aukati i roto i te urethra.Hei tiaki tika i te reira.
- Ko te whakamātautau mimi e rere ana i roto i te pūkahukahu: Ka whakamahia hoki he tae rerekē hei tirotiro i te rere o te mimi i waho o te pūkahukahu. Ka āwhina tēnei ki te whakatau i te whānuitanga o te aukati.
- Cystoscopy: I roto i tēnei mahi, ka tukuna he ngongo angiangi (tirohanga) kei roto he kāmera mā te urethra hei tirotiro tika i te roto o te urethra me te pūkahukahu.
- Matawai MRI (Whakaahua Āhua Aukume): I ētahi wā motuhake, ka taea te whakahaere i tētahi matawai MRI mēnā e hiahiatia ana he mōhiohio hōhonu ake.
Ko te mea nui, mēnā i puta mai tēnei āhuatanga i tētahi aituā, ka tatari ngā tākuta kia ora rā anō ngā whara kino kē atu o tō tinana. I taua wā, ka taea te whakauru i tētahi ngongo mai i te puku ki roto i te pūkahukahu hei tango i te mimi. Ka kiia tēnei he Suprapubic Catheter .
Me pēhea te whakarite i mua i te pokanga?
I mua i te pokanga, me whakarite hoki koe. He mea tino nui te whai i ēnei mahi kia angitu ai te pokanga.
| He aha ngā mea hei whakarite māu | Me aha? |
|---|---|
| Ngā rongoā whakaheke toto | Mena kei te tango koe i ēnei momo rongoā, me kōrero koe ki tō tīma hauora, ā, me kati te tango i aua rongoā mō tētahi wā poto i mua i te pokanga, e ai ki tā rātou tohutohu. |
| Kai me inu i mua i te pokanga | Kaua e kai, kaua e inu i tetahi mea i muri i waenganui pō i te rā o te pokanga. |
| Ngā rongoā o te ata | Ko te rongoā anake i whakaaetia e te tākuta ka whakaaetia e koe i te ata me te inu wai. |
| Ngā rongoā paturopi | Hei ārai i te mate, ka tohua pea e te tākuta ngā paturopi hei tīmata i te rā i mua i te pokanga. |
Me pēhea te mahi o te pokanga?
Ka mahia tēnei pokanga i raro i te mate whakamoe whānui, arā, kāore koe e rongo i tetahi mea, ka moe koe.
Ko te tikanga tino noa e whakamahia ana e ngā taote pokanga ko te Anastomotic Urethroplasty . He tikanga tino māmā tēnei.
Ka tapahia te wāhanga whara, kua whara, kua whaiti rānei o te urethra, ā, ka tuia anō ngā pito hauora e rua. He rite ki te tango i tētahi wahi paipa pakaru, ka hono anō i ngā wahi pai e rua e toe ana.
Engari, whakaarohia i muri i te tango i te kiko whara, he nui rawa te āputa i waenganui i ngā pito hauora e rua e toe ana, ā, he uaua ki te tuitui i a rāua. Me aha koe mēnā ka tupu tēnā?
I ēnei āhuatanga, ka tangohia e te taote pokanga tētahi wahi iti o tētahi atu wāhanga o tō tinana ka whakamahia hei whakakī i te āputa. I te nuinga o te wā, koinei te kiko i roto i tō paparinga (te kiriuhi o te ngutu) . Kāore e tino mamae te tango i tētahi wahi iti i roto i tō waha. He rite ki te mamae iti ina motu tō paparinga. Waihoki, ka tere te ora o ngā patunga i roto i tō waha, i roto i te wiki.
He aha ngā mea ka tupu i muri i te pokanga, ā, he aha ngā mōrearea?
I muri i te pokanga, ka tirotirohia koe i te hōhipera mō te 24 hāora pea. Ka whakaurua he catheter iti, ngohengohe mā roto i tō ure ki roto i tō pūkahukahu kia ora rā anō ngā tuitui, ā, e 3-4 wiki pea te roa. He ahua whakamā tēnei, engari he mea nui kia ora pai ai te whakatikatika. I muri i te 3-4 wiki, ka tangohia he hihi-X hei tirotiro mēnā kua ora te whakatikatika, ā, ka tangohia te catheter.
Pērā i ngā pokanga katoa, he iti noa ngā mōrearea o tēnei pokanga.
- Te toto
- Ngā mate urutā
- Te whakawhāititanga auau
He mōrearea te kore e taea te mimi, ā, he tino onge mēnā ka mahia he pokanga. Heoi, tera pea ka paku piki ake te mōrearea mēnā ka mahia he pokanga i muri i te maimoatanga matepukupuku.
Ko tētahi atu take nui ko te ngoikore o te ure (ED) . Tērā pea kua pāngia ētahi tāne e tēnei mate i mua i tēnei pokanga, whai muri i te whati o te hope, i te maimoatanga matepukupuku rānei. Kāore e taea e tēnei pokanga te whakaora i te ED. Tērā pea me whai maimoatanga anō i muri mai. Kōrerohia tēnei ki tō tākuta me te tuwhera.
Angitu me te whakaoranga o te pokanga
Koinei te rongo pai rawa atu. He tino angitu te pokanga nei.He pokanga tino pai ngā hua, inā koa ka mahia e te taote pokanga mohio.
- Ko te ōrau angitu o te pokanga mō ngā whara i puta mai i tētahi aituā kei waenga i te 92% - 97% .
- Ko te angitu o te pokanga i muri i te maimoatanga matepukupuku kei waenga i te 70% - 85% .
Hoki ki te oranga noa...
- Te Taraiwa: Ka taea e koe te tīmata te taraiwa mēnā kāore koe e whakamahi ana i ngā rongoā whakamamae, ā, i muri i te tangohanga o te ngongo catheter.
- Te hoki ki te mahi: Ko te nuinga o te tangata ka hoki ki te mahi i muri i te tangohanga o te catheter, engari ko ngā mahi māmā anake e taunakitia ana mō ngā wiki 6-8 .
- Korikori Tinana: He pai te hikoi i muri i te pokanga, engari karohia ngā mahi uaua pēnei i te hiki taumaha, te tākaro korowha rānei mō ngā wiki 6-8 .
- Te moe tāne: Ka taea e koe te tīmata anō i te moe tāne i muri i ngā wiki e 8 i muri i te pokanga.
Karere Tangohia ki te Kāinga
- Ko te Whakahoutanga Urethral o Muri he pokanga motuhake mā ngā tāne kua whaiti te urethra nā te whara o te hope, nā te maimoatanga matepukupuku prostate rānei.
- Ko te whāinga o tēnei pokanga he whakatika i te wāhanga pakaru o te urethra me te whakaora i te rere o te mimi.
- He pokanga tēnei e tino angitu ana, nō reira kāore he take e mataku ai.
- He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i mua atu, i muri hoki i te pokanga, inā koa e pā ana ki te katitere me ngā here o ngā mahi.
- Kaua e mangere ki te kōrero māhorahora, pono hoki ki tō tākuta mō ngā raruraru e pāngia ana koe, pērā i te kore e taea te pupuri i te mimi, te kore rānei e pai te moepuku. He wāhanga nui o te tukanga whakaora te whiwhi i ngā mōhiotanga tika me te tautoko.
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