He uaua ki te mimi nā te nui haere o te repeure? Me ako tātou mō te pokanga TURP (Transurethral Resection of the Prostate - TURP)

Kei te hiahia hoki koe ki te mimi i ngā wā katoa? Kei te pēhia tō ara mimi, ā, kāore e pai te takoto? He maha rānei ō ara ake i te pō ki te mimi? He tohu pea ēnei o te repe repeure kua nui, he mea noa i roto i ngā tāne i a rātou e pakeke haere ana. I roto i ngā kupu hauora, ko te BPH te ingoa o tēnei, arā, ko te whakanui kore-matepukupuku o te repe repeure. He maimoatanga tino whai hua te pokanga TURP mō te mamae i puta mai i tēnei āhuatanga. Ahakoa he ahua uaua te ingoa, ehara i te mea whakamataku pērā i tō whakaaro. I tēnei rā, ka kōrerohia e tātou tēnei i roto i ngā taipitopito, i roto i te reo Sinhala māmā ka taea e koe te mārama.

He aha tonu te pokanga TURP?

Ki te kī māmā noa, ko te TURP (Transurethral Resection of the Prostate) he tango pokanga i tētahi wāhanga kua nui haere o tō repe prostate.

Whakaarohia, he repe te repe tākihi, he rite ki te rahi o te nati, ā, ko ngā tāne anake kei a rātou. Kei raro i tō pūhā, kei te taha o tō urethra. He rite ki te tōnati he ngongo kei roto. I a koe e pakeke haere ana, ka tīmata te nui haere o tēnei repe. I a ia e nui haere ana, ka tīmata te aukati i te urethra. Koinā te wā ka puta ai ngā raruraru ki te mimi.

Ko te painga nui o te pokanga TURP ko te kore e hiahiatia he tapahi i roto i tō tinana . Ka whakaurua e te tākuta he taputapu angiangi rawa, kei roto i te kāmera, ki roto i tō urethra, ā, ka whakamahia he iahiko hiko, he laser rānei hei tapahi i ngā kiko taikaha kua piri ki roto i tō repeure.

He aha ahau i hiahia ai ki tēnei pokanga TURP?

Ko te nuinga o tēnei pokanga he mea mahi mō te mate e kiia nei ko te BPH (Benign Prostatic Hyperplasia) . Ko te tikanga o tēnei ko te 'whakanuitanga kore-matepukupuku o te repe prostate'. Ehara tēnei i te matepukupuku, nō reira kaua e mataku. He mate noa tēnei e pāngia ana e te tini o ngā tāne i a rātou e pakeke haere ana. Anei ngā tohu ka puta mai i tēnei.

He aha ngā mea ka tupu i mua atu, ā, i te wā o te pokanga?

Te whakarite i mua i te pokanga

Ka mahia te TURP i raro i te rongoā whakamoe kia kore ai koe e mamae. Ka taea tēnei te rongoā whakamoe whānui, arā, ka moe rawa koe, te rongoā whakamoe tuaiwi rānei, arā, ka whakangoikore noa i te wāhanga o raro o tō tinana. Mā tō tākuta me tō kaiwhakamoe koe e whakamārama ko tēhea te tikanga pai mōu.

Ka tohutohuhia koe kia mutu te kai me te inu i ētahi hāora i mua i te pokanga hei whakarite mō te mate whakamoe. He mea nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa, ngā huaora, me ngā rongoā whakangawari toto e tangohia ana e koe. Māna anō koe e tohutohu mēnā me mutu te tango i tētahi o ēnei i mua i te pokanga.

I te wā o te pokanga

I te nuinga o te wā, e iti iho i te 90 meneti te roa o tēnei pokanga. Kāore koe e mamae nā te mea kei raro koe i te rongoā whakamoe.

1. Ka whakaurua e te tākuta tētahi taputapu tino angiangi me tētahi kāmera e piri ana, ko te 'Rectoscope' te ingoa, ki te taha o te urethra.

2. Ka tirohia te repe prostate ki taua kāmera, ā, ka tapahia te kiko taikaha ka tangohia mā te laser, mā te iahiko rānei.

3. Kātahi ka panaia ngā wahi kiko kua tapahia ki roto i te pūkahukahu mā te whakamahi i tētahi wai motuhake.

4. Hei whakamutunga, ka unuhia aua wahi kiko katoa i roto i te pūkahukahu.

5. Ka tangohia te rectoscope, ā, ka oti te pokanga.

He aha ngā mea ka tupu i muri i te pokanga, ā, he aha ngā painga?

I muri i te pokanga, ka haria koe ki te wāhi whakaora. Ka noho ētahi ki te hōhipera mō te rā kotahi, e rua rānei, ko ētahi ka hoki ki te kāinga i taua rā anō. I a koe i te hōhipera, ka whakanohoia he ngongo e kiia nei ko te catheter ki roto i tō urethra hei āwhina i a koe ki te mimi. I te nuinga o te wā ka tangohia tēnei catheter i mua i tō hokinga ki te kāinga.

He otinga tino whai hua tēnei mō te hunga he nui ngā raruraru mimi e kore e taea te whakahaere mā te rongoā.

Ngā mōrearea me te wā whakaora o tēnei pokanga

Pērā i ngā pokanga katoa, he iti noa ngā mōrearea o te TURP, engari kāore ēnei e pā ki te katoa.

• Te ngoikore o te ure: Tērā pea ka puta he raruraru ki te ure.
• Te putanga whakamuri: Koinei te wā kāore te parāoa e puta mai i te wā moe tāne, engari ka uru ki te pūkahukahu. Kāore tēnei e kino ki te tinana, engari ka uaua pea te whānautanga o ngā tamariki.
• Te kore e taea te pupuri i te mimi: I ētahi wā, ka turuturu pea te mimi iti ina maremare koe, ina kata rānei. He wā poto noa iho tēnei.
• Ngā mate urutā o te ara mimi (UTI).
• Te toto i roto i te mimi (Hematuria).

Kōrerohia ēnei mōrearea ki tō tākuta i mua i te pokanga, ā, pātai atu mēnā he pātai āu.

E whā ki te ono wiki te roa o te wā hei whakaora katoa. I tēnei wā , kaua e hiki taumaha, kaua e whakakorikori tinana, kaua hoki e moe tāne, wahine rānei kia whakaaetia rā anō koe e tō tākuta. Mena he mahi āu kāore e uaua ana ki te tinana, tera pea ka taea e koe te hoki ki te mahi i roto i ngā wiki e rua ki te toru. Heoi anō, me kōrero anō hoki koe ki tō tākuta mō tēnei mea.

Āhea te wā tika kia kite tonu i te tākuta

• Te kirika.
• Ngā raruraru mimi hou pērā i te kore e taea te pupuri i te mimi me te mimi pinepine.
• He mimi whero pouri, he toto toto rānei kei roto.
• Kāore e taea te mimi i te katoa.

Hei whakamutunga, he rongoā tino whai hua, he rongoā haumaru hoki te TURP mō te BPH. Engari ehara i te mea koinei anake te otinga. Inaianei kei reira ngā rongoā hou, kāore he pokanga, me ngā rongoā iti rawa te whakaekenga mō tēnei mate. Tērā pea ka tohua tuatahitia e tō tākuta he rongoā. Ki te kore ēnei e mahi, ka tukuna pea koe ki tētahi pokanga pērā i te TURP. Me whakatau e koe te rongoā pai rawa atu māu, i runga i tō hītori hauora me ō hiahia, me te mahi tahi me tō tākuta.