Ina titiro koe ki te tara o tō pēpi, kua kite koe he mākū, he iti rānei te wāhi mākū? I ētahi wā ka paku haunga. He mea noa ki te whaea o tētahi pēpi hou te mataku ina kite ia i tētahi mea pēnei. Ko tētahi take mō tēnei he raruraru pea ki tētahi mea e kiia nei ko te 'urachus'. Kaua e mataku ki te ingoa, ehara tēnei i te mea nui pērā i tō whakaaro. Me kōrero tātou mō tēnei mea i tēnei rā, i runga i te māmā me te mārama.
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He whakarāpopototanga, he aha tēnei Urachus?
Whakaarohia, i te wā e noho ana tō pēpi i roto i tō kōpū, he wāhanga iti, he rite ki te ngongo, e rere ana mai i tana pūkahukahu mimi ki tōna puku. Koinei te mea e kiia nei e mātou ko te Urachus. Ko tana mahi matua he kawe i te mimi o te pēpi i roto i tōna tinana i ngā wiki tuatahi o te hapūtanga. He rite tana mahi ki te paipa wai rangitahi.
I te tipu haere o te pēpi i roto i te kōpū, ka whanake tika tana pūnaha mimi. Kātahi ka ngaro te hiahia mō tēnei urachus. Nō reira , i te nuinga o te wā, i mua i te whānautanga o te pēpi, i roto i ngā marama tuatahi e toru o te hapūtanga, ka kati aunoa tēnei ngongo ka huri hei taura muka. I roto i te rongoā, ka kiia tēnei ko te hononga umbilical waenga.
Nō reira kia maumahara, he mea noa te urachus e noho ana i te wā e hapu ana te pēpi, ā, ka kati anō i a ia anō i muri mai.
Nō reira, kotahi te Urachus, ā, e rua te pito?
Ae, he tino rerekē ēnei mea e rua. He tokomaha te hunga e whakapoauau ana i tēnei.
- Urachus: Kei roto i te tinana o te pēpi tēnei. He ngongo e hono ana i te pūkahukahu o te pēpi me te kōpū.
- Te pito: Kei waho o te tinana o te pēpi tēnei. Mā tēnei ka whiwhi te pēpi i te hāora me ngā matūkai mai i te whaea.
I ngā wāhanga tōmua, ka puta te mimi e puta mai ana i te urachus mā te pito o te kōpū, ka tukuna ki te tinana o te whaea. Nō reira, ahakoa e mahi tahi ana ēnei e rua, he wāhanga motuhake rāua.
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Check Availability →Ka aha mēnā kāore tēnei ngongo e kati tika?
Koinei te wāhi e tika ana kia āwangawanga tātou. I ētahi wā, he tino onge, kāore tēnei ngongo Urachus e kati katoa i mua i te whānautanga o te pēpi. Ka kiia tēnei āhuatanga he Urachal Remnant, he Urachal Abnormality rānei. E whā ngā momo matua o tēnei.
| Ingoa Āhuatanga | He aha te mea ka tupu ki tēnei? (Heoi anō) |
|---|---|
| Patent Urachus | Koinei te wā e tuwhera katoa ana te awaawa. Ko te tikanga he ara kei waenganui i te pūkahukahu ki te pūkahukahu. Ka taea e tēnei te turuturu i te mimi mai i te pūkahukahu o te pēpi . Ka kitea nuitia tēnei ina tangi, ina maremare rānei te pēpi. |
| Te Pūmua Urachal (pukupuku) | Ko te mea e tupu ana i konei, ka āraia te pūkahukahu me te pito o te ngongo, ka kohia te wai ki waenganui , ka hanga he whēwhē. Kāore he tohu i te nuinga o te wā. Heoi, ki te pangia tēnei, ka pāngia pea koe e te mamae o te puku, te kirika, me te whero i te taha o te pito. |
| Sinus Urachal | I tēnei wā, ka kati te taha pūkahukahu o te ngongo, ka waiho ko te taha hope anake e tuwhera ana. He rite ki tētahi ngongo iti kua kati tetahi taha. Ka taea hoki e tēnei te puta mai he wai mākū, he rite ki te pūkahukahu, mai i te hope. Ka taea hoki e ia te pā mai he mate. |
| Diverticulum | Ko te mea e tupu ana i konei ko te taha hope o te ngongo kua kati, ā, ko te taha pūkahukahu kua tuwhera. Ka puta he wāhanga iti, he rite ki te pēke, i waho o te pūkahukahu. I te nuinga o te wā, kāore he tohu. Heoi, ka taea e te mimi te kohikohi i roto i tēnei pēke, ā, ka puta he mate urutā pinepine ki te ara mimi (UTI) . |
Me pēhea te mōhio o ngā tākuta mēnā he pēpi tēnei momo raruraru?
Ina ripoatahia e koe he ponana nāpi mākū, ka tirohia tuatahitia e te tākuta te pēpi. Kātahi ka mahia pea e rātou ētahi whakamātautau hei whakaū i te mate.
- Matawai Ultrasound: Koinei te whakamātautau tino noa. Mā tēnei ka taea e koe te tirotiro i ngā whekau o roto i te tinana o te pēpi me te kore mamae. Ka taea te tirotiro ngāwari mēnā kua aukatia te ngongo urachus, mēnā rānei he pukupuku.
- Matawai MRI: I ētahi wā, ka taea te whakahaere i tēnei whakamātautau mēnā e hiahiatia ana he pikitia mārama ake.
- Whakamātautau wai:Ka tangohia he tauira wai mai i te pūkahukahu, ka whakamātautauhia mō te aroaro o ngā matū kei roto i te mimi e kiia nei ko te urea me te creatinine . Mena kei reira, ka taea te whakaū kei te ahu mai te mimi i te pūkahukahu.
- VCUG (Voiding Cystourethrogram): He whakamātautau motuhake tēnei. I roto i tēnei, ka tukuna he wai motuhake (tae) mā te urethra ki roto i te pūkahukahu, ā, ka tirohia te rere o te wai mā te hihi-X. Mā tēnei ka taea te whakatau tika mēnā kei te turuturu te wai mā te urachus.
Kei te kōrerohia anō hoki tētahi mate kino e kiia nei ko te mate pukupuku urachal. He aha te mate nei?
He mea pai kia mōhio koe ki tēnei, engari kaua e mataku nui. He momo matepukupuku tōngāmimi tino onge te matepukupuku urachal. Ka taea te whanake mai i ngā wahi o te kiko urachus e toe ana i muri i te whānautanga, engari kāore e kati.
Ko tēnei mate te mea tino kitea i roto i ngā pakeke neke atu i te 50 tau te pakeke. He tino iti te mōrearea i roto i ngā tamariki nohinohi. Ko ngā tohu ko:
- Te toto i roto i te mimi (hematuria)
- He mea rite ki te hūpē i roto i te mimi (mucinuria)
- Mamae puku
- He puku i roto i te puku
Ahakoa kei a koe ēnei tohu, ehara i te mea he mate pukupuku tōu. Engari ki te kite koe i tētahi mea pēnei, he mea nui kia rapu tohutohu hauora i te wā e taea ai.
He aha ngā maimoatanga mō tēnei?
Ko te maimoatanga mō tēnei ka whakawhirinaki ki ngā tohu me te āhua o te mate.
- Te Whakamate Matū: Hei rongoā i tētahi patunga iti, i tētahi mate rānei i te pito o te puku o tō pēpi, ka pania pea e tō tākuta tētahi matū e kīia nei ko te hiriwa nitrate ki te wāhi. Mā tēnei ka maroke te wāhi, ka āwhina hoki ki te whakaora.
- Paturopi: Ki te pangia he kitakita i roto i te urachal cyst, i te sinus rānei, ka hoatu he paturopi hei rongoā.
- Pokanga: Mō ngā āhuatanga pēnei i te Patent Urachus me ngā kiore Urachal i muri i te ora o te mate, ko te otinga tuturu anake ko te pokanga hei tango katoa i te ngongo Urachus e toe ana. Mā tēnei ka āwhina i te whakakore katoa i te mōrearea o ngā mate urutā a muri ake nei me te mōrearea tino onge o te mate pukupuku.
He tino angitu tēnei pokanga i te nuinga o te wā. Ka taea e te nuinga o te tangata te noho noa i te oranga noa, kāore he raruraru i muri i te pokanga.
Karere Tangohia ki te Kāinga
- Ki te mea he mākū tonu te pito o tō pēpi, he haunga kino, he whero rānei, kaua e warewarehia. Tirohia te tākuta, inā koa he tākuta tamariki, i te wā e taea ai.
- He wāhanga noa te urachus o te tinana o te pēpi i te wā e hapu ana. I ētahi wā ka puta he raruraru ina kore e kati tika.
- He maha o ēnei āhuatanga ka taea te whakaora rawa mā te rongoā, nō reira kaua e mataku noa.
- Ko te mea pai ko te kōrero ki tō tākuta kia tika ai te tātaritanga me te maimoatanga.
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