Kia ako tātou i ētahi atu kōrero mō ngā raruraru repeure (prostatitis) e pāngia ana e ngā tāne.

Kei te hiahia hoki koe ki te mimi i ngā wā katoa? Engari ina mimi koe, kāore e pai? Kei te pāngia rānei koe e te wera me te mamae i te wā e mimi ana, me te mamae hoki i te puku o raro? He raruraru ēnei e pāngia ana e te tini o tātou tāne, engari he ahua mangere ki te kōrero mōna. Ko te take o te nuinga o ēnei tohu he mumura o te repe prostate. E kiia ana tēnei e tātou i roto i te rongoā ko te Prostatitis. Nō reira kaua e manukanuka, ka kōrerohia e tātou ngā mea katoa mō tēnei i tēnei rā, he māmā noa iho, he mārama hoki.

He kupu ngāwari, he aha te prostatitis?

Āe, tuatahi, me titiro tātou ki te repe prostate. He repe rite te rahi ki te nati wōnati, he mea motuhake ki ngā tāne. Kei raro noa iho i tō pūhā. Ko te urethra, te ngongo e kawe ana i te mimi me te purapura i roto i tō tinana, e rere ana mā roto i te repe prostate.

Ko te mate Prostatitis te wā e pupuhi ana, e mumura ana rānei tō repe prostate me ngā kiko e karapoti ana mō tētahi take. Whakaarohia he rite ki te pupuhi o te tonsil i roto i tō korokoro. Ka taea e tēnei pupuhi te pēhi i te urethra e haere ana i roto i te prostate. Koinei te take e puta ai ngā āhuatanga pēnei i te uaua ki te mimi me te mamae.

He rerekē ngā momo prostatitis?

Āe, ehara tēnei i te momo mate kotahi anake. E whā ngā momo matua. Ko ētahi ka puta mai i ngā mate kitakita, ko ētahi kāore he take motuhake. He mea tino nui te mōhio ki ēnei momo e whā māu me tō tākuta hei rongoā i a koe.

He pēhea te noa o tēnei āhuatanga?

He mea noa ake tēnei i tō whakaaro. E ai ki ngā tatauranga, tata ki te kotahi i roto i te rua o ngā tāne (50%) ka pāngia e ngā tohu o te prostatitis i tētahi wā o ō rātou oranga . Koinei te raruraru mimi tino noa i waenga i ngā tāne kei raro iho i te 50 tau te pakeke. Ko te tuatoru hoki o ngā mate tino noa i waenga i ngā tāne neke atu i te 50 tau te pakeke. Nō reira, ehara tēnei i te raruraru māu anake.

He aha ngā tohu matua o tēnei?

Ka rerekē pea ngā tohu i runga i te momo prostatitis kei a koe, engari he tohu noa iho ētahi. Mena kei a koe tētahi, neke atu rānei o ēnei, me toro atu ki te tākuta.

• Te mamae i te puku o raro, i ngā ira tangata, i te rohe rānei i waenganui i te kiriuhi me te nono. Ka horapa pea tēnei mamae ki te tuara o raro i ētahi wā.
• Te hiahia kia mimi pinepine.
• Te mamae, te wera rānei i te wā e mimi ana (Dysuria).
• Te rere o te mimi i ngā wā katoa, te mutu me te tīmata anō.
• Te toto i roto i te mimi (Hematuria).
• Te toto i roto i te purapura tāne (Hematospermia).
• Te mamae i te wā o te taatai.
• Te mamae i te wā ejaculation.
• Te ngoikore o te ure.

He aha te take e puta ai te mate pūkahukahu? He aha ngā take?

Ka rerekē anō hoki te take i runga i te momo i kōrerohia e tātou i mua ake nei. I ētahi wā ka mārama te take, engari mō ngā momo pēnei i te CPPS, he uaua ki te kimi i tētahi take tuturu.

Ngā mea ka pā mai ai ngā mate kore-huakita (CPPS)

Ehara tēnei i te mea i puta mai i ngā huakita, engari e whakaarohia ana ko ēnei ngā mea hei take whai wāhi:

• Ngā mate pūnaha ārai mate - Ko te tikanga tēnei ka whakaekea e te pūnaha ārai mate o te tinana ōna ake pūtau.
• Te kino ki ngā uaua o te papa pelvic.
• Ngā raruraru, ngā pupuhi rānei o ngā io i te rohe hope.
• Te ahotea nui.

Ngā take o ngā momo i puta mai i ngā mate kitakita

Nā te huakita e uru ana ki te repe prostate ēnei. Ka taea e ēnei huakita te uru mā te urethra.

• Ngā mate pūkahukahu, ngā kōhatu mimi rānei.
• Ngā mate urutā e pā ana ki te taatai ​​(STI).
• Te whakamahinga o te catheter.
• Te tango i tētahi wahi kiko mai i te repe prostate hei tirotiro (koiora prostate).
• Ngā mate urutā auau o te ara mimi (UTI).
• Ngā whara ki te rohe pelvic.

Ko wai te mea tino mōrearea ki te whakawhanake i tēnei?

Ka taea e ētahi āhuatanga te whakanui ake i tō mōrearea.

• Mena he maha ngā mate pāwera o te ara mimi kei a koe.
• Mena kua pāngia koe e te prostatitis i mua.
• Mena he hapa whānau kei roto i te pūnaha mimi.
• Mena kua neke atu i te 50 tau tō pakeke, ā, he nui te repe prostate (benign prostatic hyperplasia).
• Mena kua pā mai he aituā, he kino rānei ki ngā io o te hope.

Tērā pea ka pā mai ētahi atu raruraru? He tūponotanga kei te pā mai te mate pukupuku?

He pātai tēnei e wehingia ana e te tini tāngata. Tuatahi, ehara te mate pūkahukahu i te mate pukupuku. Ā, kāore e whakanui ake i te tūponotanga o te mate pukupuku pūkahukahu. Nō reira kaua e wehi.

Heoi, ina pupuhi te repe prostate nā te prostatitis, ka piki ake te taumata o te pūmua e kiia nei ko te PSA (Prostate-specific antigen) i roto i te toto. Nā te mea ka piki ake hoki ngā taumata PSA i roto i te mate pukupuku prostate, i ētahi wā ka pōhēhē ēnei āhuatanga e rua. Heoi, ka whakahaerehia e te tākuta ētahi atu whakamātautau hei rapu i te take i piki ake ai te taumata PSA.

Ko ngā raruraru, inā koa mēnā he kino te Acute Bacterial Prostatitis, ka arahi pea ki te sepsis , he mate morearea e horapa ai te mate puta noa i te tinana. Koia te mea nui kia haere tonu ki te Tari Ohotata o te hōhipera (ETU) mēnā he nui ō raruraru mimi me te kirika.

Me pēhea te kitenga a te tākuta i tēnei?

Ina haere koe ki te kite i tō tākuta, ka whakarongo pai ia ki ō tohumate. Kātahi ka tirotirohia e ia tō tinana. Tērā pea ka mahia ētahi whakamātautau hei whakaū i te mate.

• Whakamātautau Rere Matihiko (DRE): I tēnei whakamātautau, ka whakaurua e te tākuta he maihao kua mau ki te karapu ki roto i tō rere, ka pā ki te repe tākihi. Ka āwhina tēnei ki te whakatau mēnā he pupuhi, he ngawari rānei. Ahakoa he āhua uaua tēnei whakamātautau, he mea tino nui mō te tautuhi i te mate.
• Te tātari mimi: He tirotiro mō ngā huakita, ngā mate rānei i roto i te mimi.
• Whakamātautau toto: Mā tēnei ka āwhina i te ine i te taumata PSA i kōrerotia e tātou i mua ake nei.
• Cystoscopy: I roto i tēnei mahi, ka whakauruhia he ngongo angiangi me te kāmera e piri ana mā roto i te urethra hei tirotiro i te roto o te pūkahukahu me te urethra.
• Ultrasound Transrectal: Ka whakamahia ngā ngaru oro hei tango whakaahua o te repe prostate me te tirotiro mō ngā āhuatanga rerekē, pērā i ngā pukupuku.

Āe, he aha ngā rongoā mō tēnei inaianei?

Ko te maimoatanga e whakawhirinaki ana ki te momo prostatitis kei a koe. Kāore he maimoatanga kotahi e pai ana mō te katoa.

Te rongoā mō ngā mate kitakita

Mena he mate kitakita tōu (he mate pāwera, he mate mau tonu rānei), ka tohua e tō tākuta he rongoā paturopi .

• Ko te mate pūkahukahu huakita whakapeka e hiahiatia ana mō te 2 ki te 4 wiki o ngā paturopi. I ētahi wā tino kino, me noho pea koe ki te hōhipera, ā, me hoatu he rongoā mā te uaua (IV).
• He uaua ake te rongoā i te mate pūkahukahu huakita mau tonu . Me tango pea koe i ngā paturopi mō te wā roa, mai i te 4 ki te 12 wiki.

Te Maimoatanga mō te Mate Mamae Pelvic Mau tonu (CPPS)

Nā te mea ehara tēnei i te mate kitakita, he rerekē te maimoatanga. Ko te mea nui ko te whakahaere i ō tohumate. Tērā pea ka tūtohu tō tākuta i tētahi, i ētahi rānei o ēnei e whai ake nei:

• Ngā rongoā hei āwhina i a koe ki te mimi kia māmā ake (hei tauira, Tamsulosin).
• Ngā rongoā whakamamae mamae.
• Te tuku tohutohu, te rongoā rānei hei whakaiti i te ahotea.
• Te whakaora tinana o te papa o te hope (ngā mahi whakakori tinana hei whakapakari me te whakangāwari i ngā uaua o te hope).
• Ngā mea pēnei i te noho i roto i te wai mahana (ngā kaukau sitz).

He aha ngā mea ka taea e tātou te mahi i te kāinga?

He mea nui kia kite i te tākuta mō te maimoatanga. Hei tāpiri, ka taea e koe te whakamātau i ēnei mea ki te kāinga hei whakahaere i ngā tohumate. Engari kia maumahara he tāpiritanga ēnei ki ngā tohutohu hauora .

• Inumia he nui te wai. Mā tēnei ka āwhina i a koe ki te mimi pinepine, ka tango atu hoki i ngā huakita i roto i tō tinana.
• Tangohia he rongoā mamae (e ai ki te tohutohu a te tākuta) pērā i te paracetamol, i te ibuprofen rānei hei rongoā mō te mumura me te mamae.
• Āta karohia ngā kai raukikī, ngā kai waikawa, te kawhe, me te waipiro . Ka taea e ēnei te whakanui ake i te mumura o te ara mimi.
• Mā te pani i tētahi pounamu wai wera ki tō puku o raro, ki tō tuara rānei, ka āwhina i te whakamamae i te mamae.
• Ina pāngia koe e te mamae, noho ki runga i tētahi urunga he kōhao kei waenganui (urunga tōnati).
• Āta karohia ngā mahi e whakanui ana i te mamae, pērā i te eke pahikara, mō tētahi wā.

Āhea koe me toro atu ki te tākuta?

Mena kei a koe tētahi o ngā tohu e whai ake nei, me toro atu ki te tākuta i runga i te wā tonu.

• Mena he toto kei roto i te mimi, i te purapura rānei.
• Mena he uaua ki a koe te mimi, ki te kore rānei e taea e koe te mimi.
• Mena ka pāngia koe e te mamae nui i te wā e mimi ana.
• Mena he mamae nui tōu i roto i tō puku o raro me te kirika.
• Mena he mamae i te wā o te moepuku, i te wā rānei e puta ai te ihu.