He raruraru hauora noa e pā ana ki te nuinga o ngā tāne i a rātou e pakeke haere ana ko te nui haere o te repeure. I roto i te rongoā, ka kiia tēnei ko te `(Benign Prostatic Hyperplasia - BPH)`. Ka raru pea te mimi, ka āraia te mimi, ka mimi pinepine, ā, i ētahi wā ka mutu te mimi. He maha ngā maimoatanga mō tēnei mate. I tēnei rā, ka kōrero tātou mō tētahi o aua maimoatanga, ko te TUIP, he pokanga ngāwari noa iho, he iti hoki te mōrearea.
He aha te TUIP?
Ko te tikanga o TUIP ko te Transurethral Incision of the Prostate. Whakaarohia kei te pupuhi tō repe prostate, ā, kei te aukati i te rere o tō mimi. Kāore te pokanga TUIP e uru ki te tapahi me te tango i te kiko prostate. Engari, ka whakauruhia e te tohunga he taputapu angiangi rawa e kiia nei ko te resectoscope mā roto i tō urethra. Ka whakamahia e tēnei taputapu he hihi laser, he iahiko hiko rānei hei hanga i tētahi, i ētahi tapahi iti rānei i te kaki o te pūkahukahu , te wāhi e hono ai te urethra ki te prostate.
Mā ēnei tapahi ka huakina te urethra kua purua, ā, ka nui ake te wāhi mō te mimi kia rere noa. Ka āwhina tēnei ki te whakamamae i te nuinga o ngā tohu o te BPH.
Ko wai te hunga e tino tika ana mō te pokanga TUIP?
Kāore tēnei tikanga maimoatanga e pai mō te katoa. Ka tirohia tō āhua e tō tākuta, ā, ka whakatau mēnā he pai mōu. Ko te tikanga, ka tūtohuhia te pokanga TUIP i ngā wā e whai ake nei:
- Mena he paku nui tō repeure (tērā pea me whai atu maimoatanga mena he tino nui).
- Mena kei te āwangawanga koe mō ngā pānga taha ka pā ki te momonatanga i te wā o ētahi atu pokanga.
- Mena kei a koe ētahi atu āhuatanga hauora (hei tauira, te mate ngakau) e whakararu ana i te pokanga nui.
- Mena ka whakatau kōrua ko tō tākuta ko te maimoatanga iti rawa te whakaekenga , arā, ko tētahi e iti ake ai te kino ki te tinana, te kōwhiringa pai rawa atu.
He aha te rerekētanga i waenga i te TUIP me te TURP?
He tokomaha te hunga e whakapoauau ana i ēnei pokanga e rua. Ahakoa he maimoatanga mō te BPH e rua, he rerekē ngā tikanga e rua. Kia mārama tātou ki tēnei rerekētanga mai i te ripanga i raro nei.
| Huanga | TUIP (Tapahanga Transurethral o te Repeure) | TURP (Te Tangohanga Transurethral o te Repeure) |
|---|---|---|
| Te mahi i mahia | Kia 1-2 ngā tapahi iti hei whakawhanui i te urethra, me te kore e tangohia te kiko o te prostate. | Te tango i te kiko repeure taikaha e aukati ana i te urethra. |
| He pai mō | Mō ngā repeure kua rahi āhua. | Mō ngā repeure kua rahi haere, tae atu ki te rahi rawa. |
| Te āhua o te pokanga | Kāore i te tino uru mai. He iti ake te noho hōhipera. | He nui ake te whakaekenga. Tērā pea ka roa te noho ki te hōhipera mō ētahi rā. |
Me pēhea te whakarite i mua i te pokanga?
Ka hoatu e tō tākuta he huinga tohutohu ki a koe i mua i te pokanga. He mea tino nui kia whai tika koe i aua tohutohu hei whakaiti i ngā raruraru.
- Ka tonoa koe kia nohopuku mō te 8 hāora i mua i te pokanga.
- Tērā pea ka tohutohuhia koe kia mutu te tango i ētahi rongoā (ina koa ko ngā rongoā whakaiti toto) i ētahi rā i mua i te pokanga, kia inu rānei i aua rongoā me te inu wai. Kaua e mutu te tango i tētahi rongoā me te kore he tohutohu a tō tākuta.
- Whakaritea kia haria koe e tetahi ki te kāinga i muri i te pokanga.
He aha ngā painga me ngā ngoikoretanga/ngā mōrearea?
Pērā i ngā maimoatanga hauora katoa, he pai, he ngoikoretanga hoki ō te TUIP. He mea nui kia mōhio ki ngā mea e rua i mua i te whakatau.
| Ngā Painga | Ngā Huakore / Ngā Tūponotanga |
|---|---|
|
|
Ko te mea nui ko te kōrero whānui i ēnei mea katoa ki tō tākuta kia taea ai e koe te whakatau i te whakatau pai mō tō āhuatanga.
Kia pēhea te roa ka ora ake? Me aha ahau i te kāinga?
E toru ki te rima wiki pea te roa hei whakaora katoa i te pokanga TUIP. Tērā pea ka roa ētahi wiki, ētahi marama rānei, ka kitea he whakapainga nui o ngā tohu. He mea noa kia puta ēnei i roto i ētahi rā i muri i te pokanga:
- He iti te toto i roto i te mimi.
- Te hiahia ohorere ki te mimi, te hiahia tonu rānei ki te mimi.
- Te wera, te mamae rānei i te wā e mimi ana.
I te wā whakaora, he mea nui kia whai i ēnei tohutohu:
- Tangohia ngā rongoā i tohua e tō tākuta (ina koa ko ngā paturopi hei ārai i ngā mate) e ai ki te whakahau.
- Mena he Foley catheter tāu, whai i ngā tohutohu a tō tākuta mō te tiaki i a ia.
- Inuhia he nui te wai i te roanga o te rā.
- Āta karohia te hiki taumaha me te whakakori tinana kaha.
- Kaua e eke pahikara.
- Āta karohia ngā kaukau wera me ngā sauna.
Āhea koe me kōrero ki te tākuta?
Mena ka puta tetahi o ngā tohu e whai ake nei, me whakamōhio tonu atu ki tō tākuta:Me haere rānei ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
- Te kirika.
- He mimi pouri, he haunga kino rānei.
- Mamae kore e taea te whakamanawanui, te mamae ohorere.
- Te toto nui rawa atu me te mimi.
Karere Tangohia ki te Kāinga
- He kōwhiringa maimoatanga iti noa te whakaekenga a te TUIP mō ngā tāne he nui haere te repeure.
- Ki te whakatauritea ki te pokanga TURP, he iti ake te mōrearea o ngā pānga taha e pā ana ki te momonatanga, engari kāore te mōrearea i tino whakakorea.
- He mea tino nui kia ata whai i ngā tohutohu a tō tākuta i a koe e ora ana i muri i te pokanga.
- I mua i te whakatau i tētahi mea, kōrero mārama, tuwhera hoki ki tō tākuta mō ngā painga me ngā huakore me ō whiringa. Ko reira anake ka taea e koe te whiriwhiri i te maimoatanga e pai ana mōu.
💬 Comments (0)
Kaore ano kia tukuna he korero. Tāpirihia to korero ki konei mo te wa tuatahi.
Tāpirihia to korero