Ngā Tāne: He maimoatanga hou, kāore he pokanga mō te repeure kua whakanuia (Tukanga Rezūm)

He uaua hoki ki a koe te mimi i a koe e pakeke haere ana? Ka whaiti haere tō urethra, ā, ka mimi tonu koe i ētahi wā? Me ara ake rānei koe i ngā wā maha i te pō ki te mimi? 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 repe prostate kua nui haere, e kiia nei e tātou i roto i te rongoā ko te `(Benign Prostatic Hyperplasia - BPH)`. Nō reira, ahakoa ka tangohia e koe he rongoā mō tēnei, i ētahi wā kāore e tino whakaora. He tokomaha te hunga e mataku ana ki te haere ki te pokanga hei taahiraa e whai ake nei. Koia te take he mea tino nui te tikanga maimoatanga hou, kāore he pokanga e kōrerohia nei e tātou i tēnei rā mō ēnei tāngata. Me kōrero tātou mō tēnei maimoatanga `Rezūm` i roto i ngā kupu māmā noa iho.

He aha te tikanga o tēnei maimoatanga Rezūm?

He maimoatanga iti rawa te `Rezūm` mō te benign prostatic hyperplasia (BPH) kāore he pokanga. Ko te tikanga he whakamahi i tētahi taputapu motuhake hei tuku i te mamaoa wai parakore ki ngā wāhi kua nui haere o tō repeure. Ka whakangaromia e te pūngao o te mamaoa ngā pūtau kua nui haere, ka whakaiti i a rātou i roto i te wā.

Whakaarohia he rite ki te kohuatia he mea ki te kohu wai. Engari ka mahia tēnei i roto i te tikanga tino whakahaere, i roto i tētahi wāhi motuhake anake. Ka whakauruhia tēnei taputapu mā roto i tō urethra, nō reira kāore he take ki te tapahi, ki te tuitui rānei i tētahi wāhi o tō tinana. I mua i te maimoatanga, ka whakangāwarihia te wāhi kia kore ai koe e mamae, kia kore ai koe e tino māharahara. Ka kiia hoki tēnei ko te Whakaora Kohu Wai.

Mā wai tēnei maimoatanga e tika ana? Ā, mā wai hoki e kore e tika?

Ko te nuinga o tēnei maimoatanga he mea mahi mā ngā tāne e pāngia ana e te benign prostatic hyperplasia (BPH). I mōhio koe ko te prostate he repe e tata ana ki te pūkahukahu i roto i ngā tāne? I a tātou e pakeke haere ana, ka āta whakanuia. I a ia e rahi haere ana, ka tīmata te whakawhāiti i te urethra e rere ana i roto. Ko te wā tēnei ka puta ai ngā tohu kua whakahuatia ake nei, arā, te uaua ki te mimi, te mimi pinepine, me te ahua o te mimi i muri i te mutunga o te mimi.

Heoi, kāore e taea e te katoa te whai i tēnei maimoatanga. Tērā ētahi wā kāore e tūtohutia ana e ngā tākuta.

• Mena he raruraru kei a koe e pā ana ki te mahi a te whatukuhu .
• Mena he whakaurunga urethra tāu.
• Mena he tino nui tō repeure (neke atu i te 80 karamu te taumaha).

Ka tirotirohia koe e tō tākuta, ā, ka whakatauhia mēnā kei a koe tēnei mate.

Me pēhea te whakahaere i te maimoatanga me te roa o te wā e pau ana

Ehara tēnei maimoatanga `Rezūm` i te mea e hiahia ana kia roa te noho i roto i te whare pokanga nui. I te nuinga o te wā ka taea te mahi i te tari o te tākuta (he tikanga tari).

I mua atu, ā, i te wā e rongoatia ana

Tuatahi, ka tono te tākuta kia mimi koe, kātahi ka hoki mai. Kātahi ka hoatu he rongoā whakamoe ā-rohe hei whakangāwari i te urethra me te rohe huri noa i te repe prostate kia kore ai koe e mamae, e kore hoki e māharahara i te wā e rongoatia ana.

Kātahi ka whakaurua e te tākuta mimi tētahi taputapu roa, angiangi, ringaringa e kiia nei ko te speculum ki roto i tō urethra. Ka puta mai he ngira iti i te pito o te ngongo ka pupuhi i te mamaoa ki te repe prostate kua nui haere mō ētahi hēkona. Kāore tēnei e mahia i te wāhi kotahi anake, engari i ētahi wāhi e hiahiatia ana. Ka whakangaromia e te wera o tēnei mamaoa ngā pūtau tāpiri, ka meinga kia mimiti haere i roto i te wā.

I muri i te maimoatanga

Kia mutu te maimoatanga, me whakauru he catheter mimi mō ngā rā tuatahi. Nā te mea ka pupuhi pea te rohe i te tīmatanga i te maimoatanga. Ka whakaurua te catheter nā te mea ka uaua te mimi i te pupuhi. Kia memeha te pupuhi i roto i ētahi rā, ka tangohia e te tākuta te catheter.

E 30 meneti te roa o te maimoatanga katoa. E 10 hēkona noa iho te roa hei tuku i te mamaoa ki te wāhi kotahi. Ka taea tēnei te mahi tae atu ki te 15 ngā wā i roto i te wā maimoatanga kotahi.

Ngā painga me te angitu o te maimoatanga Rezūm

E kiia ana tēnei he rongoā tino haumaru, tino whai hua hoki mō te BPH. He roa hoki ngā hua. Kia kite tātou he aha atu ngā painga o tēnei rongoā.

• Kāore e hiahiatia he rongoā mō te BPH: He tokomaha ka taea te mutu te tango i ngā rongoā o ia rā i muri i tēnei maimoatanga.
• Ngā hua tere: Ka kitea te whakapainga mārama o ngā tohu i roto i ētahi wiki.
• Te tiaki i te mahi ā-ira tangata: Ka pāngia pea te mahi ā-ira tangata e ngā pokanga nui. Heoi, he iti noa iho te mōrearea o tēnei maimoatanga.
• He maimoatanga ā-waho: Kāore he take e noho ai koe ki te hōhipera. Ka taea e koe te hoki ki te kāinga i taua rā anō i te wā o te maimoatanga.
• Kāore he take mō te rongoā whakamoe whānui: Kāore koe e hiahia kia tino kore mohio. He nui noa te whakangāwari i te wāhi.
• Te whakaoranga tere: Ka taea e koe te hoki ki ngā mahi o ia rā i roto i ētahi rā.
• Te hokinga mai: He onge noa iho, ki te hoki mai anō ngā tohu i muri i tētahi wā, ka taea te mahi anō i tēnei maimoatanga.

He pēhea te angitu o tēnei?

He tino teitei te angitu o te maimoatanga Rezūm. Kua whakaatuhia e ngā rangahau he iti iho i te 5% o te tangata e hiahia ana ki te pokanga anō i roto i ngā tau e 5 o te maimoatanga. Waihoki, tata ki te 10% anake o te tangata e hiahia ana ki te tango anō i te rongoā prostate i taua wā. Ahakoa he maimoatanga hou tēnei (i whakaaetia i te tau 2015), e whakaatu ana ngā raraunga o nāianei he tino pai ngā hua mō te iti rawa o te 5 tau.

He pānga taha, he mōrearea rānei kei reira?

Pērā i ngā maimoatanga hauora katoa, he iti noa ngā mōrearea me ngā pānga taha, engari he rangitahi te nuinga o ēnei.

Kaua e mataku i ēnei tohu. Kāore te nuinga o ēnei e pā ki te katoa. Waihoki, ka whakamōhio atu tō tākuta ki a koe i mua i te wā.

Te wā whakaora me ngā mea e tika ana kia mahia e koe

He mea tino nui tēnei. Kāore ō tohumate e pai ake tonu i muri i te maimoatanga. Inaa, tera pea ka ahua kua piki ake ō tohumate i ngā wiki tuatahi. Nā te pupuhi te take. Kaua e manukanuka. He mea noa tēnā.

Ka kite te nuinga o te tangata i te whakapainga nui o ō rātou tohu i roto i ngā wiki torutoru . Heoi, ka roa pea te toru marama ka kitea ngā hua tino pai. He roa te wā e ora ai te tinana mai i roto.

Mahia ēnei mea hei whakangawari i tō whakaoranga

• Okiokinga: I muri i te maimoatanga, noho ki te kāinga, ka okioki pai mō te iti rawa i te kotahi, i ngā rā e rua rānei. Ahakoa ka taea e koe te mahi i ngā mea pēnei i te hikoi me te taraiwa, karohia ngā mahi uaua pēnei i te oma, te hiki taumaha, me te eke pahikara mō ētahi wiki.
• Āta karohia te moepuku: Mā te kore e moepuku, e mahi rānei i te ure mō ētahi rā ka tere ake te ora o te kiri.
• Inumia he nui te wai: Mā te inu i te nui o te wai i te roanga o te rā ka āwhina i te tango wawe i te toto i roto i tō mimi (mēnā he toto kei roto).
• Āta karohia ngā inu e whakapataritari ana i te pūkahukahu: Me karo i te tī kawheina, te kawhe, ngā inu pūngao, ngā inu warowaihā (pēnei i te houra tunutunu), me ngā inu hua citrus pēnei i te karaka me te karepe mō tētahi wā.

Āhea koe me toro atu anō ki tō tākuta?

Me toro atu anō koe ki tō tākuta i ngā wiki e rua, e toru rānei i muri i tō maimoatanga. Māna e tirotiro tō ahunga whakamua.

Heoi, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta, haere rānei ki te hōhipera tonu atu.

• Ki te kore rawa e taea e koe te mimi .
• Mena he mamae nui .
• Mena he kirika tōu neke atu i te 38 Celsius (101 Fahrenheit) .
• Ki te mātao koe, me te wiriwiri hoki (Mātao).
• Mena ka puta te mate korere (te mamae o te puku) .

Te whakataurite ki ētahi atu maimoatanga

Ehara i te mea ko te `Rezūm` anake te rongoā mō te BPH. Tērā atu anō ētahi atu rongoā rite. Me whakarite te `Rezūm` ki ētahi o ēnei tikanga matua e rua.

Ki te kī māmā noa, ka tere ake, ka kaha ake hoki ngā hua o ngā tikanga `Aquablation` me `TURP`, engari he nui ake hoki ngā mōrearea nā te mea me mahi i roto i te rūma pokanga. He huarahi pai te `Rezūm` i waenganui, he iti ake te mōrearea, ā, kāore e hiahiatia kia noho ki te hōhipera.