Kei te uaua hoki te mimi i a koe e pakeke haere ana? Me mimi koe i ngā wā maha i te rā? Me ara ake koe i te pō ka haere ki te wharepaku kia rua, kia toru rānei ngā wā? Kei te āhua kua puhoi te rere o tō mimi, ā, kei te āhua kāore anō kia tino horoia tō pūkahukahu? He raruraru noa ēnei e pā ana ki te tini o ngā tāne i a rātou e pakeke haere ana. Ko te take matua mō tēnei ko te nui haere o te repeure. Kaua e manukanuka, kei reira ngā maimoatanga tino whai hua, tino māmā hoki mō tēnei. I tēnei rā, ka kōrero tātou mō tētahi o ngā maimoatanga hou, iti rawa te whakaekenga.
Tuatahi, kia kite tātou, he aha tēnei repe prostate?
He repe iti te repe tātea, he rite te rahi ki te nati, e kitea ana i roto i ngā tāne anake. Kei raro i tō pūkahukahu mimi, huri noa i te urethra. Ka puta tō mimi me tō purapura i roto i te tinana mā roto i tēnei ngongo. Ko te mahi matua a te repe tātea he tāpiri wai ki te purapura.
I te pakeketanga o ngā tāne, i muri i te 50 tau te pakeke, ka tīmata te whakanui o te repe prostate i roto i te nuinga o ngā tāne. Ehara tēnei i te mate pukupuku. I roto i ngā kupu hauora, ka kiia tēnei āhuatanga ko te Benign Prostatic Hyperplasia (BPH) . Ko te raruraru, ina nui haere tēnei repe huri noa i te urethra, ka pēhia te urethra. He rite ki te pēhi a te tangata i tētahi paipa wai. Koira te wā ka uaua te mimi.
Nā, he aha te ingoa o tēnei maimoatanga ko te Prostatic Urethral Lift (PUL)?
He whakarāpopototanga noa iho, ko te Prostatic Urethral Lift (PUL) he maimoatanga hou, he iti noa te whakaekenga mō te BPH, ngā raruraru mimi rānei i puta mai i te repe prostate kua nui haere. Tērā pea kua rongo koe i tōna ingoa ko UroLift® .
I te nuinga o te wā, ka tohua tuatahitia e tō tākuta he rongoā māu. Heoi, ki te kore aua rongoā e āwhina, ki te kino rawa rānei ngā pānga taha o ngā rongoā, ka taea e koe te whakaaro ki te maimoatanga PUL hei taahiraa e whai ake nei. Ko te tango i te repe prostate kua nui haere, e pēhi ana i te urethra, mā te whakauru i ngā taputapu iti (ngā mea tāpiri) ki roto i te urethra, pērā i te pupuri i te matapihi. Kātahi ka tuwhera anō te urethra, ā, ka ngāwari ake te rere o te mimi.
He aha ngā whakamātautau ka mahia i mua i tēnei maimoatanga?
Ka whakahaerehia e tō tākuta (he tākuta mimi te nuinga o te wā) ētahi whakamātautau i mua i te whakatau mēnā he tika tēnei maimoatanga māu. Mā tēnei ka āwhina i te whakatau i te rahi o tō repeure me te kaha o tō mate BPH.
| Whakamātautau | He whakamārama ngāwari noa iho |
|---|---|
| Whakamātautau rere mimi | Ka ine i te tere me te kaha o te rere o tō mimi. Ka ine anō hoki i te nui o te mimi e tukuna ana e koe. |
| Whakamātautau rōrahi toenga i muri i te mimi | I muri i tō mimi, ka tirohia e rātou te nui o te mimi e toe ana i roto i tō pūkahukahu. He tikanga tēnei mā te tirotiro iti. |
| Matawai ultrasound transrectal | Mā te whakauru i tētahi taputapu iti ki roto i te pūkahukahu ka taea te aromatawai tika i te rahi me te āhua o te repe. |
| Te tirotiro i te pūtau | Ka whakauruhia he ngongo tino angiangi, ngāwari me te kāmera e piri ana mā roto i te urethra hei tirotiro i te roto o te urethra me te pūhā. |
| Te tātaritanga mimi | Ka tirohia te mimi mō te mate mimi (UTI). Mena he mate pēnei, me tango e koe he rongoā mōna i mua i te maimoatanga. |
Me pēhea te mahi a te maimoatanga?
He mahi tēnei e iti iho i te haora te roa, ā, ka taea te mahi i roto i te whare hauora, i te pokapū pokanga haereere rānei, kaua i roto i te rūma pokanga nui.
1. Te Whakarite: Ka meinga koe kia takoto ki runga i tētahi tēpu motuhake, me ō waewae e ara ake ana, e tautokona ana hoki ki ngā tautoko motuhake. Mā tēnei ka māmā ake te mahi a te tākuta i te maimoatanga.
2. Te ngoikore: Kua ngoikore te urethra me te rohe e karapoti ana, kia kore ai koe e mamae (whakamamae ā-rohe). Tērā pea ka tukua koe kia moe mārire.
3. Maimoatanga:
- Tuatahi, ka whakauruhia he taputapu angiangi me te kāmera (cystoscope) mā te urethra ki roto i te repe prostate.
- Kātahi ka whakauruhia ētahi whakatō rino kore waikura iti (2-6 te nuinga) ki ia taha o te repe prostate hei tango me te pupuri i te kiko e pēhi ana i te urethra mā te whakamahi i tētahi taputapu motuhake e kiia nei ko te UroLift.
- Ka huakina e ēnei whakaurunga te urethra i purua. Koia kē!
Kātahi ka tangohia ngā taputapu katoa. Ka tirotirohia koe mō tētahi wā, ka tirohia mēnā ka taea e koe te mimi, kātahi ka whakaaetia koe kia hoki ki te kāinga i taua rā anō.
He aha ngā painga o tēnei maimoatanga?
He maha ngā take motuhake e rongonui ai tēnei tikanga maimoatanga i roto i te tini o te tangata.
Ko te mea nui, kāore he kino ki te mahi ā-ira tangata i muri i tēnei maimoatanga. Kāore e puta he raruraru pēnei i te ngoikore o te ure, te ejaculation whakamuri rānei, ka puta pea i muri i ētahi atu pokanga.
| Painga | He whakamārama ngāwari noa iho |
|---|---|
| Whakaora tere | Ka tere rawa te memeha o ngā tohu o te BPH. |
| Ngā tapahi me ngā tapahi iti rawa | Ehara tēnei i te pokanga nui, nō reira he poto te wā whakaora, ā, he iti noa te mamae. |
| Kāore he take e noho ai ki te hōhipera. | Ka oti te maimoatanga i roto i te iti iho i te haora, ā, ka taea e te nuinga o te tangata te hoki ki te kāinga i taua rā anō. |
| Te tiaki i te mahi moepuku | Kāore e pā ki te whakaohooho, ki te whakaputa uri rānei. He take nui tēnei mō te tini o te tangata. |
He aha ngā mea me aro atu ahau i muri i te maimoatanga?
Ka rerekē te roa o te whakaoranga i ia tangata, i ia tangata. He maha ngā tāngata ka kite i te whakamarie i roto i te wiki kotahi, engari ka roa pea ki te whā wiki ka tino ora ai.
- Mamae: I ngā rā tōmua, tera pea ka pāngia koe e te wera, e te mamae rānei i a koe e mimi ana. Ka taea e koe te tango i ngā rongoā whakamamae mamae (pērā i ngā NSAID) kua tohua e tō tākuta mō tēnei.
- Wai: Inuhia he nui te wai. Mā tēnei ka āwhina i te tango i ngā toto katoa i roto i tō mimi, ka noho ma tō ara mimi, ā, ka ārai i ngā mate.
- Kai: He mea pai kia karohia ngā kai raukikī, te kawhe, te tī, ngā inu citrus, me te waipiro mō ētahi rā, nā te mea ka taea e ēnei te whakapataritari i te pūkahukahu.
- Te mahi ā-ira tangata: Pātai atu ki tō tākuta mō tēnei. He mea nui kia karohia te moepuku me te mahi whakaipoipo mō te wiki pea.
Kia pēhea te wā e hiahia ana koe ki te toro atu ki te tākuta kia tere tonu?
Ki te pāngia koe e tētahi o ngā tohu e whai ake nei, me whakamōhio tonu atu ki tō tākuta , me haere rānei ki te Tari Whawhati Tata (ETU) o te hōhipera tata.
- Ki te kore rawa e taea e koe te mimi.
- Mena he toto nui kei roto i te mimi.
- Ki te kore te toto i roto i te mimi e mutu i muri i ngā wiki e rua o te maimoatanga.
- Mena kei a koe ngā tohu o te mate urutā, pērā i te kirika, te makariri, me te pupuhi o ngā hope.
Karere Tangohia ki te Kāinga
- He tino noa te benign prostatic hyperplasia (BPH), ehara i te mate pukupuku, e puta ana i te kaumātuatanga o ngā tāne, nō reira kaua e manukanuka nui mō tēnei.
- He maimoatanga hou tino whai hua, haumaru hoki te Prostatic Urethral Lift (PUL) me te UroLift mō te BPH, he iti noa iho te whakaekenga.
- Ko tētahi o ngā painga nui o tēnei maimoatanga ko te kore e pā kino ki te mahi ā-ira tangata.
- He poto noa te wā whakaora. Ka taea e te nuinga o te tangata te hoki ki te kāinga i taua rā anō.
- Ki te mea he uaua hoki tō mimi, kaua e whakama, engari me toro atu ki tētahi tākuta whai tohu, me te kōrero mō te maimoatanga e pai ana ki a koe.
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