Kei te pāngia hoki koe e te mamae puku e kore e taea te whakamanawanui? Tērā pea he mate puku whatukuhu!

Kua pāngia koe e te mamae ohorere, e kore e taea te whakamanawanui i te taha o tō puku, i raro iho i ō rara? Ka horapa pea tēnei mamae ki tō tuara, ki tō hope, ki tō puku o raro rānei. Ka haere tahi mai hoki me te whakapairuaki me te ruaki. He maha ngā tāngata e pāngia ana e tēnei mate. E kiia ana e mātou ko te renal colic i roto i te rongoā. Kaua e mataku ki te ingoa, he mamae nui tēnei i puta mai i ngā kōhatu tākihi. I tēnei rā, ka kōrerohia e mātou tēnei mea me te taipitopito, me te tino māmā.

He aha te mate pūkahukahu?

He whakarāpopototanga noa iho, ko te renal colic he mamae nui e puta ana ina mau te kōhatu ki roto i tō pūnaha mimi, pērā i ō whatukuhu, i ō ureter (ngā ngongo e kawe ana i te mimi mai i ō whatukuhu ki tō pūhā), i te pūhā rānei. Heoi anō, i ētahi wā ka puta anō hoki tēnei momo mamae i ētahi atu take, pērā i te mate mimi, te kōpeketanga, te whāwhā rānei.

E mōhio ana koe ki te āhua o te hanganga o ēnei kōhatu? Ka kohia ētahi kohuke, ētahi atu matū rānei i roto i te kai e kainga ana e tātou ki roto i ō tātou tinana, ka piri tahi hei hanga i ēnei kōhatu, arā, he tioata. Ka taea e ēnei kōhatu te hanga i ngā wāhi katoa o tō pūnaha mimi. Mena ka hangaia i roto i ngā whatukuhu, ka kiia he kōhatu whatukuhu , mena ka hangaia i roto i te pūkahukahu, ka kiia he kōhatu pūkahukahu, ā, ki te hangaia i roto i te ara mimi, ka kiia he kōhatu ureteral . Ka rerekē te mamae i runga i te rahi o te kōhatu me tōna wāhi. He tino iti ētahi kōhatu, he rite te rahi ki te kirikiri onepū. Engari ko ētahi kōhatu ka rite te rahi ki te pōro korowha! Whakaarohia te mamae mena ka mau tetahi mea pēnei ki roto.

He pēhea te noa o te mate puku whatukuhu?

Ehara tēnei i te mea onge pērā i tō whakaaro. E whakaatu ana ngā tatauranga kei waenganui i te 5% me te 15% o te taupori o te ao ka pāngia e te mate puku whatukuhu i tētahi wā o ō rātou oranga. Ko te tikanga o tēnei he tokomaha ngā tāngata o tō tātou whenua e pāngia ana e tēnei mamae.

Ka taea te puta te mate pukupuku whatukuhu me te kore he kōhatu?

Āe, tera pea. I ētahi wā, ka puta tēnei momo mamae i ngā kōpeketanga ohorere, kaha (ngā kōpeketanga) o ngā uaua i roto i te urethra, i te pūhā rānei. Ina kōpeke ēnei uaua, ka rite ki te mamae wera, ki te kopikopiko rānei. Ka puta pea tēnei āhuatanga me ngā kōhatu mimi, me te kore rānei.

He aha ngā tohu o te mate puku whatukuhu?

He maha ngā wā, ko te tohu matua ko te mamae e kore e taea te whakamanawanui i te taha o te puku, i waenganui i ngā rara o raro me te wheua hope (mamae taha) . Ka puta mai tēnei mamae i roto i ngā ngaru, arā, kāore e haere tonu, ka haere mai, ka haere. Ka horapa pea tēnei mamae ki te tuara, ki te hope, ki te puku o raro rānei. He maha hoki ngā tāngata e pāngia ana e te whakapairuaki me te ruaki i te taha o tēnei mamae.

Haunga ēnei tohu matua, ka kitea anō hoki ētahi atu tohu me te renal colic:

• Te mamae (pērā i te mākati, te wera) i te wā e mimi ana.
• He toto kei roto i te mimi (tērā pea ka whero, ka māwhero rānei te āhua o te mimi).
• He pōuri te āhua o te mimi.
• Ngā panonitanga o te mimi: Hei tauira, he kakara kino te mimi, he nui ake, he iti iho rānei te mimi i te tikanga, he hiahia ohorere rānei ki te mimi.
• Te putanga mai o ngā tioata i roto i te mimi.
• Te kirika.
• Ngā makariri.

He mea nui: Mena kei a koe tētahi, neke atu rānei o ēnei tohu, me toro atu koe ki te tākuta.

He aha ngā take o te mate puku whatukuhu?

Ko ngā kōhatu mimi te tino take. Ina mau ēnei kōhatu ki roto i te ara mimi, ka ārai i te rere o te mimi. Ka piki ake te pēhanga, ka puta te mumura ki taua wāhi. Koinei te tino take o te mamae.

He maha ngā take e puta ai ngā kōhatu i roto i te pūnaha mimi:

• Te matewai: Koinei te tino take. Ina iti ake te wai e inuhia ana e koe, ka kukū ake tō mimi, ka piki ake te tūponotanga o te hanganga kōhatu.
• Te nui haere o te konupūmā i roto i te mimi: Ka nui ake te konupūmā ka puta i ētahi tāngata i roto i te mimi, i runga i te momo tinana.
• Te nui rawa o te pūmua i roto i te kai: He tūponotanga kei puta he kōhatu, inā koa ka nui rawa te pūmua kararehe e kainga ana.
• Ētahi rongoā: Ka taea e ētahi rongoā te hanga kohatu hei pānga taha ina whakamahia mō te wā roa.
• Ētahi āhuatanga o te pūnaha nakunaku: Hei tauira, ko te hunga whai mate pēnei i te Ulcerative Colitis, te mate a Crohn rānei, ka nui ake te tūponotanga ka pāngia rātou e ngā kōhatu.
• Hyperparathyroidism: He āhuatanga tēnei e kaha rawa ai te mahi a ngā repe parathyroid.

Haunga ēnei take, ka taea e ētahi atu take te whakararu i te whatukuhu. Mēnā ka whakatauhia kāore tō mamae i puta mai i ngā kōhatu, ka tukuna pea koe e tō tākuta ki tētahi tākuta mimi mō ētahi atu whakamātautau.

Me pēhea te tautuhi i te mate puku whatukuhu?

Ina kite koe i tētahi tākuta, ka tirotirohia koe e ia, ka pātai atu mō ō tohu me ō hītori hauora, pēnei i te mea kua pāngia tētahi o tō whānau e ngā āhuatanga rite i mua. Ko ngā whakamātautau e whai ake nei ka mahia hei whakaū i te mate pukupuku whatukuhu:

• He matawai CT (matawai Tomography Rorohiko) o te pūnaha mimi. Tērā pea ka mahia tēnei mā te whakamahi i tētahi wai motuhake (whakawhitinga ira) e hoatu ana.
• Te tirotiro i te whatukuhu mā te oro-matakite .
• Whakamātautau X-ray o te puku .
• He matawai whatukuhu . Mā tēnei ka taea te tirotiro i te mahi a ngā whatukuhu.

Ka taea e ēnei whakamātautau te whakaatu i te maha o ngā taipitopito, pēnei i te mea kei reira ngā kōhatu, kei hea rātou, me te rahi.

He aha te rongoā mamae pai rawa atu mō ngā kōhatu whatukuhu?

Mena he ngawari te mamae, ka taea e koe te whakaora i a koe mā te whakamahi i ngā rongoā whakamamae mamae noa pēnei i te acetaminophen, ibuprofen, naproxen sodium rānei. Heoi, ki te tino mamae, ka tohua pea e tō tākuta he rongoā mamae kaha ake. I ētahi wā, mena ko te mamae nā te pupuhi o te ureter, ka tohua pea e tō tākuta he rongoā whakangāwari uaua.

Me pēhea te rongoā i te mate puku whatukuhu?

Ko te maimoatanga mō tēnei ka whakawhirinaki ki te momo kōhatu kei a koe. He maha ngā momo kōhatu mimi:

• Ngā kōhatu konupūmā: He mea hanga ēnei i te konupūmā oxalate, i te konupūmā phosphate rānei. Koinei te momo tino noa.
• Ngā kōhatu waikawa uric: Ka puta mai i te nui haere o te kukū o te waikawa uric.
• Ngā kōhatu struvite: He mea hanga ēnei i tētahi kohuke e kiia nei ko te struvite. Ka taea te puta mai me ngā mate mimi.
• Ngā kōhatu cystine: Ka hangaia ēnei i tētahi matū e kiia nei ko te cystine. Ka puta tēnei i tētahi āhuatanga onge e kiia nei ko te cystinuria.

Waihoki, ko te rahi o te kōhatu ka pā ki te whakatau maimoatanga.

Te maimoatanga o ngā kōhatu iti

Mena he kōhatu iti tōu, tera pea ka puta mā roto i tō mimi. Mā tēnei ka āwhina i a koe ki te inu i te nui o te wai. Ka tohua e tō tākuta he rongoā mamae. I ētahi wā, ka kīia koe kia mimi mā te tātari. Mena ka puta mai ētahi wahi o te kōhatu, ka taea te tuku atu ki te taiwhanga kia kitea ai te momo kōhatu.

Te maimoatanga o ngā kōhatu nui

Mena he nui ake ngā kōhatu, he iti ake te tūponotanga ka puta mā te mimi. I roto i ēnei āhuatanga, ka tūtohu pea te tākuta i tētahi tikanga motuhake hei tango i ēnei kōhatu. Ko ētahi tauira ko:

• Te whakatōtōtanga ngaru ru: Ko te tikanga o tēnei ko te tuku i ngā ngaru ru kaha-nui mai i waho o te tinana ki te kōhatu, ka pakaru kia ririki. Kātahi ka ngāwari te tuku i ngā kōhatu ririki ki roto i te mimi.
• Ureteroscopy: I tēnei tikanga, ka whakauruhia e te taote pokanga he ngongo angiangi, he rama, he kāmera hoki (ureteroscope) mā roto i tō urethra. Ka taea tēnei te whakamahi hei kimi i te kōhatu me te tango atu, hei wawahi rānei kia iti hei tango atu.
• Nephrolithotomy percutaneous: Ka mahia tēnei hei tango i ngā kōhatu whatukuhu nunui. I roto i tēnei, ka tapahia he iti ki te tuara, ā, ka whakaurua he taputapu mā roto hei tae atu ki te whatukuhu, hei tango i te kōhatu. He tikanga tēnei e whakamahia ana mō ngā kōhatu nunui.
• Te whakatakotoranga o te stent ureteral: I ētahi wā, ka whakatakotoria e te tākuta he stent (he ngongo iti) ki roto i te urethra. Ka āwhina tēnei ki te whakaiti i te aukati i roto i te ara mimi, ā, ka āwhina i te kōhatu kia māmā ake te haere.

I ētahi wā, e hiahiatia ana kia neke atu i te kotahi te pokanga hei tango katoa i te kōhatu.

Ka taea te ārai i te mate puku whatukuhu?

Āe, he nui te wā ka taea. Hei whakaiti i te mōrearea o te mate pukupuku whatukuhu, me whakaiti te mōrearea o te whakawhanake i ngā kōhatu whatukuhu. Anei ētahi tohutohu māmā hei āwhina:

• Inumia he nui te wai. Ngana ki te inu i te iti rawa 2-3 rita wai i te rā. He mea nui rawa atu tēnei i roto i te rangi wera pēnei i a tātou. Whakaitihia te kai i ngā inu waikore pango.
• Whakaitihia te tote i roto i tō kai. Kaua e kai i te neke atu i te 2 karamu (2000 mirikaramu) o te tote ia rā. He iti iho tēnā i te tīpune kotahi.
• Whakawhāitihia te pūmua kararehe. Whakawhāitihia te pūmua kararehe, pērā i te mīti kau, te heihei, te poaka, me te ika, ki te iti noa i te nikau i te rā.
• Whakaitihia ngā kai he nui te oxalate. He nui te oxalate i roto i ngā kai pēnei i te pīnihi me te nati. He pai ake te whakaiti i te kai i ēnei.
• Kaua e tangohia te konupūmā i roto i tō kai. He tokomaha e whakaaro ana me whakaiti te nui o ngā kai he nui te konupūmā nā te mea ka puta he kōhatu konupūmā. Engari he hē tēnā. He mea nui kia whiwhi koe i te konupūmā e hiahiatia ana e tō tinana mai i ngā kai (hei tauira, te tīhi, te miraka, te miraka kawa, ngā pīni, ngā huawhenua matomato).

Mena kua pāngia koe e ngā kōhatu whatukuhu i mua, ka tohua pea e tō tākuta he rongoā pēnei i te potassium citrate, i ngā diuretics thiazide rānei. Ka taea e ēnei rongoā te whakaiti i te tūponotanga o te hanganga anō o ngā kōhatu.

He aha ngā mea hei tumanakohia mēnā he mate puku tākihi tōu?

Ki te whakaaro koe he mate puku whatukuhu tōu, me toro atu ki te tākuta tonu . Māna e whakahaere ngā whakamātautau hei whakatau i te tino take o tō mamae. Kātahi ka tūtohu ia i te maimoatanga tika hei tango i te kōhatu me te whakaiti i ō tohu.

Kia pēhea te roa o te mamae o te whatukuhu?

Ina pā mai tēnei mamae i roto i ngā ngaru, ka roa pea mai i te 20 ki te 60 meneti. I ngā wā tino kino, ka roa ake te mamae. Ki te pāngia koe e te mamae e kore e taea te pehi, haere ki te rūma whawhati tata ki a koe.

He rite te mamae o ngā kōhatu tākihi ki te mamae o te uaua?

Ae i ētahi wā. I muri i te putanga mai o te kōhatu i tō whatukuhu, ka pāngia pea koe e te mamae o te uaua i te mea ka ngana tō pūnaha mimi ki te pana i a ia ki waho. Waihoki, e ai ki te kōrero i mua ake nei, ka pāngia pea koe e te mamae koi, e horapa ana mai i raro i ō rara ki runga ake i tō hope.

Me pēhea te whakamutu i te pupuhi o te ureter?

Tērā pea ka tohua e tō tākuta he rongoā pēnei i te tolterodine hei whakahaere i te whakahekenga o ngā uaua. E kitea ana hoki e ētahi tāngata mā te mahi i ngā mahi Kegel me ētahi atu mahi whakakori tinana o te papa hope ka āwhina i te whakaiti i ēnei whakahekenga uaua.

Āhea ahau me toro atu ki te tākuta?

Mena ka tīmata te mamae i te taha o tō puku, ka horapa ki tō hope, ki tō tuara, ki tō puku o raro rānei, me toro atu koe ki te tākuta tonu. Ka taea e ia te whakatau mena nā te whatukuhu te mamae, nā tētahi atu take rānei. I te nuinga o te wā, ka taea e tō tākuta te tohu rongoā hei whakaora tere i te mamae i puta mai i ngā kōhatu whatukuhu.

He āhuatanga ohorere te mate puku whatukuhu?

Ahakoa he tino kino te mamae o te whatukuhu, ehara i te mea he āhuatanga ohorere e morearea ana ki te ora. Heoi, ki te pāngia koe e te mate urutā me te whatukuhu, he āhuatanga ohorere tēnā. Ki te kitea he tohu o te mate urutā, pērā i te kirika, te makariri, me te makariri, waea atu ki te 911, haere rānei ki te rūma ohorere o te hōhipera tata tonu. He mea tino nui tēnei.

Ko te whatukuhu puku he momo mamae motuhake e puta mai ana i ngā kōhatu whatukuhu, i ētahi atu mate rānei o te pūnaha mimi. Ka rerekē pea tēnei mamae mai i te ngawari ki te kino. I ētahi wā ka tino kino te mamae, ā, kāore e taea te mahi i ngā mahi o ia rā.

Ngā mea tino nui hei maumahara (Karere hei kawe ki te kāinga)

Āe, me whakarāpopoto e au ētahi o ngā kōrero tino nui kua kōrerohia e tātou i tēnei rā hei āwhina i a koe ki te maumahara ki aua kōrero:

• Ki te pāngia koe e te mamae puku ohorere, e kore e taea te whakamanawanui (ina koa ka tīmata i te taha kotahi ka horapa ki te tuara, ki te hope rānei) me te whakapairuaki me te ruaki, he mate puku whatukuhu pea tēnei. Kaua e mataku, engari me rapu tohutohu hauora.
• Ko ngā kōhatu mimi te tino take, engari i ētahi wā ka taea anō hoki ētahi atu take.
• Ko te inu i te nui o te wai te huarahi pai hei ārai i te hanganga o ngā kōhatu. Inuhia kia 2-3 rita te iti rawa i te rā.
• Whakaititia ngā kai he nui te tote, te pūmua kararehe, me ngā oxalates.
• Ki te pāngia koe e te mamae , tirohia he tākuta, ā, me whiwhi koe i te rongoā tika. Ka taea te tango i ngā kōhatu iti mā te rongoā me te wai. He maimoatanga motuhake anō hoki mō ngā kōhatu nunui.
• Mena ka haere tahi mai ngā tohu pēnei i te kirika, te makariri, me te wiri me te mamae, he āhuatanga ohorere tēnei. Haere tonu ki te hōhipera.
• Mena kua pāngia koe e ngā kōhatu i mua, me whai i ngā tohutohu a tō tākuta kia kore ai e puta anō.

Ko te tautuhi wawe me te maimoatanga tika ngā huarahi pai hei whakaora. Mena he pātai anō āu mō tēnei, kaua e mangere ki te pātai ki tō tākuta. Kia ora tonu!

` Te Korokoro o te Tākihi, Ngā Kōhatu Tākihi, Ngā Kōhatu Mimi, Mamae Puku, Pūnaha Mimi, Mamae, Maimoatanga