Tērā pea ka paku mataku koe ina kī mai tō tākuta me tākai koe i tētahi stent ureteral. Ina whakaaro te nuinga o tātou ki tētahi stent, ko tā tātou e whakaaro ana ko tētahi stent e whakanohoia ana ki roto i te ngākau. Engari he mea tino rerekē tēnei. He taputapu iti tēnei e āwhina ana i te pūnaha whatukuhu kia mahi tika. Nō reira, kāore he take e mataku ai. I tēnei rā, ka kōrerohia tēnei mea i roto i tētahi huarahi tino māmā ka taea e koe te mārama.
He aha te tikanga o te stent ureteral?
Whakaarohia ngā whatukuhu e rua o tō tātou tinana he rite ki ngā tātari wai e rua. E rua ngā ngongo iti o ēnei tātari e kawe ana i te mimi (mi) ka horoia e ēnei tātari e rua ki te pūkahukahu. Ko ēnei ngongo e rua e kiia nei e tātou ko ngā 'ureters', arā, ko te ara mimi.
He ngongo angiangi, ngāwari hoki te stent ureteral , he mea hanga ki te silicone, ki te polyurethane rānei. Ka whakanohoia ki roto i te ureter, te ngongo e kawe ana i te mimi, hei āwhina i te pupuri i tōna tuwhera me te kore e ārai. He rite ki te whakauru i tētahi ngongo iti mā roto i tētahi paipa wai kua āraia hei āwhina i te whakawātea i te ara.
E 10-15 inihi te roa o tēnei stent. Kua hangaia kia noho tetahi pito ki roto i te whatukuhu, me tetahi pito ki roto i te pūkahukahu. Ka kiia hoki tēnei he 'Double-J stent'.
He aha i hiahia ai tātou ki te whakauru i tēnei stent?
Ko te take matua he aukati te ureter mō tētahi take (he aukati ureter). Ina tupu tēnei, kāore te mimi e rere mai i te whatukuhu ki te pūkahukahu. Ka pā kino pea tēnei ki te whatukuhu, ā, ka pāngia hoki e ngā mate. Ka mahi te stent mā te karo i te aukati me te hanga ara mō te mimi kia rere.
Tirohia te ripanga i raro nei mō ngā take matua mō te whakatakotoranga o tēnei stent.
| Take | Whakaahuatanga |
|---|---|
| Ngā Kōhatu Tākihi | Koinei te tino take. Mēnā ka mau te kōhatu whatukuhu ki roto i te ureter, ā, ka aukati i te rere o te mimi, ka whakanohoia he stent hei karo i te kōhatu, hei waihanga ara mō te rere o te mimi. Ka whakamahia i muri i te rongoā o te kōhatu, hei ārai hoki i te pupuhi o te ngongo. |
| I muri i te pokanga | I muri i te pokanga i te pūnaha mimi, ka pupuhi pea te wāhi, ka aukati i te urethra. Ka whakanohoia he stent rangitahi hei ārai i tēnei. |
| Ngā pukupuku | Mena ka pana ki waho he pukupuku matepukupuku, he pukupuku kore-matepukupuku rānei, ka aukati i te urethra, me whakamahi he stent hei pupuri i tōna tuwhera. |
| Ētahi atu take | Ka whakamahia hoki ēnei mō ngā toto totoka, ngā koha i puta mai i ngā āhuatanga pēnei i te endometriosis, te whaiti whānau rānei o te urethra. |
He pokanga nui te whakatakotoranga stent? Me pēhea taku whakarite mōna?
Kāo, ehara tēnei i te pokanga nui i te nuinga o te wā . He pokanga iti noa te whakaekenga. Arā, ka mahia mā roto i tētahi kōhao tūturu, me te kore e tapahia he tapahi nui. I te nuinga o te wā, ka taea e koe te hoki ki te kāinga i taua rā anō. Heoi, nā te mea kei raro koe i te mate whakamoe, me hiahia koe ki tētahi hei kawe i a koe ki te kāinga.
I mua i te pokanga, ka kōrero te tākuta ki a koe i ngā mea e whai ake nei:
- Kōrerotia mai tō hītori hauora katoa me ō mate pāwera.
- Kōrerotia ki tō tākuta ngā rongoā katoa e tangohia ana e koe (tae atu ki ngā huaora) . Ka taea e ētahi rongoā te whakanui ake i te toto.
- E kīia ana me whakahaere he whakamātautau toto (eGFR) hei tirotiro i te mahi a te whatukuhu.
- Ka tonoa koe kia kaua e kai, e inu rānei i tetahi mea mō te 8 hāora i mua i te pokanga. Mena he rongoā nui kei a koe, ka whakaaetia kia inumia e koe me te inu wai.
Me pēhea te mahi a te tukanga whakauru stent?
Ko te tikanga, ka mahia tēnei e te tākuta mimi. Ka hoatu he rongoā whakamoe whānui ki a koe, kia kore ai koe e rongo i tetahi mea, ā, ka moe tonu koe.
I muri i tō moe, ka whai te tākuta i ēnei mahi:
1. Tuatahi, ka whakamahia he matawai (fluoroscopy, ultrasound whatukuhu rānei) hei kimi i te wāhi tuturu o te aukati.
2. Kātahi ka tukuna he taputapu angiangi, roa me te kāmera e piri ana (he `cystoscope`) mā roto i tō urethra ki roto i tō pūhā.
3. Mā roto i tēnei 'cystoscope', ka tukuna he taputapu angiangi ake, he rite ki te waea ('direct wire') ki roto i te urethra kua purua.
4. Ka whakaurua te stent ki te wāhi tika i te taha o taua waea ārahi.
5. Kia mau te stent, ka tangohia marietia te waea ārahi me te cystoscope. Ka noho tonu te stent ki roto i te tinana.
E iti iho i te 30 meneti te roa o te mahi katoa, engari me noho koe ki te hōhipera mō ētahi haora hei whakarite mō te pokanga me te aroturuki i tō āhua i muri mai.
He aha ngā mea ka tupu i muri i te whakatakotoranga o te stent? He aha ngā mea hei tumanakohia?
I muri i te pokanga, ka ahua puhoi koe ina ara ake koe. Ka hoatu he rongoā ki a koe hei whakahaere i te mamae. Ka kī atu te tākuta kia nui te wai e inumia e koe. Mā tēnei ka āwhina i te horoi i ō whatukuhu me tō pūkahukahu.
He mea noa ēnei i ngā rā tuatahi:
- He toto iti kei roto i te mimi (hematuria): Ka heke haere tēnei.
- He iti te mamae, te wera rānei i te wā e mimi ana: Ka memeha haere anō hoki i roto i ētahi rā.
- Te hiahia ki te mimi pinepine: Ka tupu pea tēnei nā te mea ka whakaoho te stent i te pūkahukahu.
- Te mamae iti i te wāhi kei reira ngā whatukuhu (i ia taha o te tuara o raro) i te wā e mimi ana: Ka pā anō hoki tēnei ki ētahi tāngata.
Ka roa pea ēnei mamae e pā mai ana i te wā e mau ana te stent. Heoi, ki te pāngia koe e te mamae e kore e taea te whakamanawanui, e te toto nui rānei , whakamōhio atu ki tō tākuta tonu.
Kia pēhea te roa e hiahiatia ana kia mau te stent?
Kei tō āhua te āhua. I te nuinga o te wā, he wā poto noa iho ēnei. Ka taea te waiho mō ētahi rā ki ētahi wiki. Ka tangohia e tō tākuta ina pai ake tō āhua.
Heoi, me roa te wā e mau ai te stent i ētahi tāngata (hei tauira, ko te hunga kua āraia ō rātou uaua e te pukupuku). Mō ēnei tāngata, ka tangohia te stent tawhito, ā, ka whakaurua he mea hou i ia 3-6 marama hei ārai i te mate.
Me pēhea te tango i te stent? He mamae?
He tino ngawari te tango i te stent.
- Stent me te miro: Ko ētahi stents poto he miro e kitea ana ka kumea e te tākuta hei tango i te stent.
- Ngā stent kore-miro: Ka tangohia ēnei mā te whakamahi i tētahi cystoscope i te wā e whakaurua ana. Ka pania he kirimi whakangote ki te wāhi, kia kore ai koe e tino mamae. Tērā pea ka paku pāngia koe e te kore whakamarie.
Tērā pea ka pāngia koe e te wera iti, te mamae rānei mō te rā, e rua rānei i muri i te tangohanga. He mea noa tēnei.
He aha ngā painga me ngā raruraru pea?
Pērā i ngā tikanga hauora katoa, he painga anō kei reira, me ētahi ngoikoretanga/raruraru iti anō hoki.
| ✅ Ngā Painga | ⚠️ Ngā raruraru pea |
|---|---|
| Ka pai ake te rere o te mimi. | Te riri o te pūkahukahu. |
| Ārai i te kino o te whatukuhu. | Te hiahia tonu ki te mimi. |
| Āwhina ki te horoi i te mimi pangia. | Te wera, te mamae rānei i te wā e mimi ana (dysuria). |
| Ka āhei te ngongo kia ora i muri i te pokanga. | Ngā mate urutā o te ara mimi (UTI). |
| Ka āwhina ki te tango i ngā kohatu whatukuhu. | He iti te toto i roto i te mimi. |
Me pēhea te whakaiti i te mamae e pā mai ana i te stent?
Ko ēnei mamae ka taea te whakahaere mā te whakamahi i ngā rongoā whakamamae mamae. Heoi, kaua e tango i tētahi rongoā whakamamae mamae (pērā i ngā `NSAID`) me te kore e pātai atu ki tō tākuta. I ētahi wā ka tohua pea e tō tākuta he rongoā motuhake pērā i te `tamsulosin` hei whakaiti i tēnei mamae.
Ki te pā mai ēnei tohu ki a koe, me toro atu ki te tākuta tonu!
Mena ka pāngia koe e tētahi o ngā āhuatanga e whai ake nei i a koe e tāuta ana te stent, waea atu ki tō tākuta tonu atu , haere rānei ki te Tari Ohotata (ETU) o te hōhipera.
- Te kirika nui, te makariri rānei (tērā pea he tohu o te mate pāwera).
- Te mamae nui, kāore e taea te whakamanawanui i te whatukuhu, te puku o raro, te mimi rānei.
- Toto whero pouri, toto toto rānei i roto i te mimi.
- Te kore e taea te mimi , te iti rānei o te putanga mimi.
- He mimi parauri pouri, he haunga kino .
- Whakapairuaki me te ruaki .
Karere Tangohia ki te Kāinga
- He taputapu haumaru, rangitahi te stent ureteral e whakamahia ana hei whakaora i te aukati i roto i tō ara mimi. He rerekē rawa tēnei i te stent e whakanohoia ana ki roto i tō ngākau.
- He mea noa te pāngia e te toto iti, te wera, me te kore whakamarie i te mimi i muri i te whakatakotoranga o te stent. Ka memeha haere ēnei i roto i ētahi rā.
- Kia tino whai i ngā tohutohu a tō tākuta, inā koa te tohutohu kia inu nui i te wai.
- Ki te pāngia koe e ngā tohu kino pēnei i te mamae nui, te kirika, te toto nui rānei, kaua e mangere ki te rapu tohutohu hauora tonu atu.
- Kaua e wehi! He maimoatanga tino noa tēnei, ā, he angitu hoki. Kōrerohia mā te mahorahora ki tō tākuta mō ō āwangawanga me ō mataku.
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