Me mimi tonu koe? He ngoikore tō pūkahukahu, ka mutu, ka mutu? Me ara ake rānei koe i ngā wā maha i te pō ki te mimi? He tohu pea ēnei o te repe repeure kua nui haere, e pāngia ana e te tini o ngā tāne i a rātou e pakeke haere ana. I tēnei rā ka kōrero tātou mō tētahi o ngā pokanga tino nui, tino angitu hoki mō tēnei. Ko te pokanga TURP tēnā.
He aha te pokanga TURP?
Ki te whakarapopototanga, ko te TURP he tango pokanga i tētahi wāhanga nui o tō repe prostate. Ko te ingoa katoa mō tēnei ko te Transurethral Resection of the Prostate (TURP) .
Whakaarohia, kei te taha o te ngongo e kawe ana i te mimi (urethra) te repe prostate. I a koe e pakeke haere ana, ka nui haere te rahi o tēnei repe. Ina nui haere, ka tīmata te aukati i te urethra. Koinā te wā ka uaua ai te mimi.
I te wā o te pokanga TURP, ka whakaurua e te tākuta tētahi taputapu tino angiangi ki roto i tō urethra, ā, ka whakamahia he iahiko hiko, he laser rānei hei tapahi me te tango i te repe prostate kua nui haere. Nā te mea kāore he tapahi i waho, kāore he koha.
He aha koe i hiahia ai ki te pokanga TURP?
Ko te pokanga TURP te nuinga o te wā e mahia ana hei rongoā i tētahi āhuatanga e kiia nei ko te Benign Prostatic Hyperplasia (BPH) . Ko te tikanga o tēnei ko te "whakanui i te repe prostate nā te mea ehara i te matepukupuku." He āhuatanga tino noa tēnei i roto i ngā tāne i a rātou e pakeke haere ana, nō reira kāore he mea hei manukanuka.
Engari ka pā kino pea ngā tohu o te BPH. E ai ki tā mātou i kōrero ai i mua ake nei, ka pēhia te urethra e te repe prostate kua nui haere. Ka puta pea ngā tohu pēnei i:
| Ngā tohu noa o te BPH | He whakamārama māmā |
|---|---|
| Te hiahia nui ki te mimi | Te kare ā-roto i tētahi matea nui e mea ana me haere koe inaianei tonu, ā, kāore e taea e koe te pehi. |
| Te hiahia tonu ki te mimi | Me mimi pinepine, pērā i ia rua hāora. |
| Te rere ngoikore o te mimi | Te ngoikore, te turuturu, te kore rānei e rere te mimi. |
| Te pupuri mimi | Te āhua kei te toe tonu te mimi i roto i te pūkahukahu ahakoa kua mimi. |
| Te mimi pinepine i te pō (Nocturia) | Me ara ake koe i ngā wā maha i te pō ki te mimi, ahakoa kei te moe pai koe. |
| Te pakaru o te whatukuhu | Ka kitea tēnei ina tino kino te āhua. Ka pāngia pea ngā whatukuhu nā te mea kāore te mimi e tukuna tika ana. |
I te nuinga o te wā, ka ngana tuatahi tō tākuta ki te whakahaere i te mate mā te whakamahi i ngā rongoā. Heoi, ki te kore e whai hua ngā rongoā, ki te pāngia rānei koe e ētahi atu raruraru pēnei i ngā kōhatu mimi, ngā raruraru tākihi rānei, ko te pokanga TURP pea te otinga pai rawa atu.
He aha ngā mea ka tupu i mua i te pokanga?
Ahakoa kāore he tapahi i roto i te tikanga TURP, ka mahia i raro i te rongoā whakamoe whānui, i te rongoā whakamoe tuaiwi rānei. Nō reira, kāore koe e mamae. Ma tō tākuta koe e kōrero ko tēhea tikanga rongoā whakamoe te mea pai mōu.
Hei whakarite mō te rongoā whakamoe, ka tohutohuhia koe kia mutu te kai me te inu mō ētahi haora i mua i te pokanga. Me whakamōhio hoki ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe (ina koa ko ngā rongoā whakaiti toto) . Pātai atu mēnā me mutu te tango i tētahi o ēnei rongoā i mua i te pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
I te nuinga o te wā ka mahia tēnei pokanga i roto i te rūma pokanga o te hōhipera. E kore e neke atu i te 90 meneti te roa. Anei tētahi whakamārama taahiraa-i-te-taahiraa mō ngā mahi e mahia ana i te wā o te pokanga:
1. Te whakauru i te taputapu: Ka whakaurua e te tākuta he taputapu angiangi rite ki te ngongo (Rectoscope) me te kāmera e piri ana ki roto i tō urethra.
2. Tirohia me te tango i ngā wāhanga:Ka tirohia pai te repe prostate e te kāmera, ā, ka tapahia ngā wāhanga e whakanuia ana, e aukati ana i te urethra, ka tangohia mā te whakamahi i te iahiko hiko, i te laser rānei.
3. Te horoi i ngā wāhanga kua tangohia: Kātahi ka panaia ngā wahi kiko kua tapahia ki roto i tō pūkahukahu mā te whakamahi i tētahi wai motuhake.
4. Te tango i ngā maramara: Hei whakamutunga, ka kumea ngā wahi kiko katoa o te pūkahukahu i waho i te ara urethra.
5. Te tango i te taputapu: Kia oti te mahi, ka tangohia te taputapu i whakaurua tuatahitia.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka nekehia koe ki tētahi wāhi whakaora. Ka noho ētahi ki te hōhipera mō te rā kotahi, e rua rānei. Tērā pea ka tukuna ētahi ki te kāinga i taua rā anō.
I a koe i te hōhipera, ka whakanohoia tētahi atu ngongo (catheter) ki roto i tō urethra. Hei whakarite kia rere te mimi i waho, kia kore e āraihia i muri i te pokanga. I te nuinga o te wā ka tangohia tēnei ngongo i mua i tō hokinga ki te kāinga.
He aha ngā painga me ngā mōrearea o te pokanga TURP?
Pērā i ngā pokanga katoa, he pai ngā painga o tēnei pokanga, me ētahi mōrearea anō hoki, ā, he mea nui kia mōhio ki ēnei.
| Ngā Painga | Ngā Tūponotanga / Ngā Pānga Taha (Ngā Tūponotanga / Ngā Whakararuraru) |
|---|---|
| Ngā hua tere: I roto i ngā rā torutoru i muri i te pokanga, ka tīmata koe ki te rongo i te rerekētanga nui me te whakamarie i roto i ō uauatanga mimi. | Te ngoikore o te ure: Tērā pea ka raru ētahi tāngata ki te ure. |
| Rongoā mō ngā tohumate kino: He rongoā tino whai hua tēnei mō ngā tohumate kino o te BPH e kore e taea te whakahaere mā te rongoā. | Te putanga whakamuri: Kāore te parāoa e puta mai i te wā e orgasm ana, engari ka hoki anō ki te pūkahukahu. |
| He otinga mō ētahi atu raruraru: E taunakihia ana hoki tēnei pokanga mō ngā āhuatanga pēnei i ngā kōhatu mimi me ngā raruraru tākihi i puta mai i te BPH. | Te turuturu o te mimi: Te turuturu koretake o te mimi. |
| Ngā mate urutā o te ara mimi (UTI): He mōrearea kei te pāngia e ngā mate urutā o te ara mimi. | |
| Hematuria: Te kitea o te toto i roto i te mimi. |
Kia pēhea te roa o te wā e ora ai?
E whā ki te ono wiki pea te roa hei whakaora katoa. Me tino tupato koe i tēnei wā.
- Kati te hiki i ngā taumaha me te mahi i ngā mahi whakakori tinana uaua.
- Kaua e moe tāne, wāhine rānei.
- Kaua e taraiwa mēnā kei te tango koe i ngā rongoā whakamamae mamae.
Mena kāore tō mahi e tino uaua ki te tinana, tera pea ka taea e koe te hoki ki te mahi i roto i ngā wiki e rua, e toru rānei. Heoi, he mea nui kia kōrero koe ki tō tākuta mō ēnei mea katoa, me te whai i ana tohutohu.
Ngā āhuatanga e hiahia ana koe ki te toro atu ki te tākuta tonu
Ina tae koe ki te kāinga i muri i te pokanga, me tūpato koe ki ētahi tohu. Ki te kite koe i tētahi o ēnei, waea atu ki tō tākuta, haere rānei ki te hōhipera tonu atu .
- Te kirika.
- Ngā tohu hou pēnei i te ngoikore o te rere o te mimi me te mimi pinepine.
- Toto whero pouri, toto toto rānei i roto i te mimi.
- Kāore e taea te mimi i te katoa.
He rongoā tino haumaru, tino whai hua hoki te TURP mō te BPH. Engari ehara i te mea koinei anake te otinga. Inaianei kei reira ngā maimoatanga hou kāore he pokanga, he iti noa te whakaekenga, ā, he tere ake te whakaora. Ka taea e koe te kōrero ki tō tākuta ko tēhea te rongoā e pai ana mōu, i runga i tō āhua hauora me ō hiahia.
Karere Tangohia ki te Kāinga
- He pokanga noa, he pokanga angitu hoki te TURP mō ngā raruraru mimi e puta mai ana i te nui haere o te repe prostate (BPH) i roto i ngā tāne i a rātou e pakeke haere ana.
- Kāore he tapahi i waho. Ka mahia te pokanga mā te whakauru i tētahi taputapu ātaahua ki te urethra.
- I roto i ngā rā torutoru i muri i te pokanga, ka tīmata koe ki te rongo i te tino whakamarie i te wā e mimi ana.
- E 4-6 wiki te roa hei whakaora tino pai, ā, i taua wā, me karo koe i te hiki taumaha me te mahi uaua.
- Pērā i ngā mahi pokanga katoa, he tūponotanga kei reira, nō reira me kōrero koe ki tō tākuta i mua i te pokanga.
- Ki te pāngia koe e ngā tohu pēnei i te kirika, te toto nui, te kore rānei e taea te mimi i muri i te pokanga, rapua tonutia he tohutohu hauora.
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