Kua hiahiatia he Ureteral Stent ki a koe? Me kōrero māmā noa iho tātou mō tēnei! (Ureteral Stent)

Tērā pea kua kōrerotia e tō tākuta he kōhatu tākihi tōu. Kāore rānei koe i te pai ki te āhua nā te mea he aukati kei roto i tō ara mimi. I tēnei wā, he mea noa te mataku me te manukanuka ina kī mai tō tākuta me whakauru he stent. Kaua e manukanuka, i tēnei rā ka kōrero tātou mō te stent ureteral, āna mahi, me te āhua o te āhua ina kua whakauruhia.

He aha te Stent Ureteral?

He ngāwari noa iho tēnei ngongo, he tino angiangi, he ngāwari hoki, he mea hanga ki te silicone, ki te kirihou rānei. E rua ngā ngongo angiangi o tō tātou tinana e kawe ana i te mimi mai i ngā whatukuhu ki te pūhā, e kiia nei e tātou ko ngā ureter. Ka whakamahia tēnei stent hei pupuri i te mimi kia tuwhera tonu ina he aukati, he ārai rānei kei roto i tētahi o aua ureter.

Pērā i te wā e purua ana te paipa wai i te paru, ka mutu te rere o te wai. Ina purua te urethra, kāore e taea e te mimi te rere mai i te whatukuhu ki te pūhā. Ko tā tēnei stent he whakauru i tēnei ngongo angiangi ki roto i te ara kua purua, ka hanga he ara mō te mimi kia rere mā roto, me te kore he ārai.

E 10 ki te 15 inihi te roa o tēnei stent. Ka whakaurua e te tākuta kia noho te koiri i te pito o runga ki roto i te whatukuhu, ā, kia noho te koiri i te pito o raro ki roto i te pūkahukahu. Mā ēnei koiri e rua ka pupuri te stent i tōna tūranga me te kore e neke haere. Ka karangatia hoki tēnei e ētahi he 'Double-J stent'.

He aha i hiahia ai koe ki te whakauru i tēnei stent?

Ko te take matua kia kore ai e araia te rere o te mimi, kia haria hoki te mimi ki te pūkahukahu me te kore e kino ki ngā whatukuhu. He maha ngā take mō tēnei.

He aha ngā whakaritenga me mahi i mua i te whakatakotoranga o te stent?

I te mea he pokanga tēnei, ka hoatu e tō tākuta ētahi tohutohu ki a koe i mua i te pokanga. He mea tino nui kia tino whai i ēnei tohutohu.

• Tō hītori hauora katoa: Kōrerotia ki tō tākuta ngā mea katoa e pā ana ki a koe, tae atu ki ētahi atu mate kua pā ki a koe, me ngā pokanga o mua kua pā ki a koe.
• Ngā rongoā e tangohia ana e koe: He mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā rongoā otaota. Ka taea e ētahi rongoā (pēnei i ngā rongoā whakangawari toto) te whakanui ake i te mōrearea o te toto i te wā e pokanga ana.
• Mate pāwera: Mena he mate pāwera koe ki tētahi rongoā, ki tētahi kai rānei, me whakahua mai.
• Ngā whakamātautau toto: Tērā pea ka tonoa koe kia whakahaere i ētahi whakamātautau toto, pērā i te eGFR, kia kite ai mēnā kei te mahi tika ō whatukuhu.
• Nohopuku: Ka tonoa koe kia mutu te kai, te inu rānei mō te 8 hāora i mua i te pokanga. Heoi, ki te mea he rongoā nui tāu, pātai atu ki tō tākuta mēnā ka taea te tango me te inu wai.

He mahi nui tēnei?

Kāo, he pokanga māmā noa iho tēnei i te nuinga o te wā, kāore he motu nui, he motu rānei. E kiia ana e ngā tākuta he 'iti rawa te whakaekenga'. Ko te tikanga he iti noa te kino o te tinana. He maha ngā wā ka taea e koe te hoki ki te kāinga i taua ahiahi tonu. Engari nā te mea kei raro koe i te mate whakamoe, he mea nui kia haere mai tetahi ki te kawe i a koe ki te kāinga.

He aha te mea ka tupu ina whakanohoia he stent?

Mā te tākuta mimi tēnei mahi pokanga e mahi. Ka mahia te tikanga katoa i raro i te rongoā whakamoe whānui, nō reira kāore koe e rongo i tetahi mea, ā, ka moe pai koe.

1. Matawai: Tuatahi, ka whakamahia e te tākuta tētahi momo matawai hihi-X (fluoroscopy) he matawai ultrasound rānei hei kimi i te wāhi e aukati ana i te urethra.

2. Te whakaurunga o te cystoscope: Muri iho, ka whakauruhia he ngongo angiangi, roa me te kāmera e piri ana (he `cystoscope`) mā roto i tō urethra ki roto i tō pūkahukahu.

3. Te whakaurunga o te stent: Muri iho, ka tukuna he waea angiangi rawa (`wire aratohu`) mā te `cystoscope` ki roto i te urethra kua purua. Kātahi ka arahina te stent i taua waea ki te wāhi tika.

4. Whakaoti: Kia tika te whakanoho o te stent, ka tangohia te waea me te cystoscope. Ko te stent anake e toe ana i roto.

E iti iho i te 30 meneti te roa o te mahi katoa, engari me noho koe ki te hōhipera mō ētahi haora, tae atu ki te wā ki te whakarite mō te pokanga, ki te whakaora i muri i te pokanga, me te whakarite kei te pai koe.

He aha ngā mea ka taea e koe te tumanako i muri i te whakatakotoranga o te stent?

Ina ara ake koe i te rongoā whakamoe, ka ahua puhoi, ka hiamoe hoki koe. Ka hoatu he rongoā ki a koe hei whakahaere i te mamae.

• Te toto i roto i te mimi (hematuria): He mea noa te kitea he toto iti i roto i te mimi, ā, he māwhero te tae i ngā rā tuatahi. Kaua e manukanuka. Ka memeha haere i roto i ētahi rā. Heoi, tera pea ka kitea tonu he toto iti kia tangohia rā anō te stent.
• Te mamae me te kore whakamarie: Tērā pea ka pāngia koe e te wera iti, te mamae rānei (dysuria) i a koe e mimi ana. Tērā pea ka hiahia koe ki te mimi pinepine.
• Inumia he nui te wai: Ka kī atu tō tākuta kia nui te wai e inuhia e koe mō ētahi rā. Mā tēnei ka āwhina i te mahi a ō whatukuhu me tō pūhā.

Kia pēhea te roa e waiho ai te stent ki tōna tūranga? Me pēhea te tango atu?

I te nuinga o te wā, he wā poto noa te stent. Ka tangohia e tō tākuta i muri i te whakakorenga o te raruraru i roto i tō urethra (hei tauira, ka tangohia te kōhatu, ka memeha te pupuhi). I te nuinga o te wā ka waihotia mō ētahi rā ki ētahi wiki.

Engari mō ētahi tāngata, hei tauira, mēnā kua āraia te urethra e te pukupuku, me waiho pea kia mau tonu mō ngā marama, mō ngā tau rānei. Mō ērā tāngata, ka tangohia te stent tawhito, ā, ka whakaurua he mea hou i ia 3-6 marama hei ārai i ngā mate urutā (UTI).

He mamae te tango i te stent?

E rua ngā huarahi hei tango i te stent.

1. Te tānga miro: Ko ētahi tānga poto he miro iti kei te pito. Ka puta mai i te urethra. Ka āta kumea e te tākuta te miro ka tangohia te tākuta. He tukanga tere tēnei.

2. Ngā stent kore miro: Ko ngā stent kua roa nei te whakatō, kāore he miro. Ka tangohia ēnei mā te mahi iti i te tari o te tākuta. Tuatahi, ka pania he wai whakangote ki te wāhi, ka whakauruhia he cystoscope, ā, ka tangohia te stent mā te whakamahi i tētahi forcep iti. Kāore e nui te mamae o te whakangote. Heoi, tera pea ka pāngia te kore whakamarie me te mamae mō ētahi rā i muri i te ngaronga o te whakangote.

He aha ngā mea ka taea te mahi mō ngā raruraru me te mamae e pā mai ana i te wā e whakamahia ana he stent?

Engari, tata ki te 80% o te hunga he stent ā rātou ka pāngia e ētahi mamae iti. Kāore ēnei i te tino kino.

• Te riri o te pūkahukahu
• Te hiahia tonu ki te mimi
• Te mamae, te wera rānei i te wā e mimi ana
• He toto iti i roto i te mimi
• Te pikinga ake o te mōrearea o ngā mate mimi (UTI)

He aha te tino mamae ina kua tāuta he stent?

Kāore tēnei e rite mō te katoa. Tērā pea ka paku noa te mamae o ētahi tāngata, ko ētahi ia ka nui ake te mamae. Ko te take matua, ina mimi koe, ka kōpiri te pūkahukahu. Kātahi ka mirimiri te koiri i roto i te stent ki te pakitara o te pūkahukahu. Koia te take ka mamae ai ētahi tāngata.

He aha ngā mea ka taea te mahi hei whakaiti i te mamae?

• Ngā rongoā whakamamae: Ka taea e koe te whakamahi i te paracetamol, i ngā rongoā anti-inflammatory kore-steroidal rānei (NSAID) (hei tauira, ibuprofen). Engari kaua rawa e tango i tētahi rongoā whakamamae me te kore kōrero ki tō tākuta .
• Ngā rongoā motuhake: I ētahi wā ka tohua e tō tākuta he rongoā pēnei i te tamsulosin. Ahakoa he rongoā ēnei e hoatu ana ki ngā tāne mō ngā raruraru repeure, ka taea e rātou te āwhina nui ki te mamae me te kore whakamarie i puta mai i te stent.

Āhea koe me waea atu ki te tākuta?

Ahakoa he mea noa te mamae iti ina whakauruhia he stent, ki te pāngia koe e tētahi o ngā tohu e whai ake nei, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera.