I ētahi wā, ka pāngia pea tō tamaiti e ngā mate mimi (UTI). Tērā pea ka amuamu ia mō te mamae o te puku. I te nuinga o te wā, ka whakaarohia ēnei he mea noa, engari i ētahi wā, tera pea he raruraru iti kei te whānau mai anō. Koinei te āhua o te mate e kiia nei ko te 'Ureterocele'. Ahakoa he ahua whakamataku te ingoa, ki te mārama pai tātou, he mea ka taea te whakahaere. Nō reira, i tēnei rā, me kōrero tātou mō tēnei mea i roto i tētahi huarahi māmā ka taea e koe te mārama.
He aha te Ureterocele?
Āe, kia mārama tātou ki tēnei. E rua ā tātou whatukuhu i roto i te tinana. Ko tā ēnei whatukuhu he tātari i ō tātou toto, ka tango i ngā para kore e hiahiatia hei mimi. Ko te mimi e whakaputaina ana i tēnei ara ka kohia ki roto i te pūkahukahu mā roto i ngā ngongo e rua. Ka kiia ēnei ngongo e rua he ureter . Kotahi te ureter e puta mai ana i ia whatukuhu.
Whakaarohia inaianei ko te pito o tēnei urethra, te wāhi e hono ana ki te pūkahukahu, kei te pupuhi pērā i te poihau iti. Koinei te mea e kīia nei e tātou he ureterocele.
Ka ārai tēnei wāhanga, he rite ki te poihau, i te rere noa o te mimi ki roto i te pūkahukahu. He rite ki te aukati. Ka ahatia? Nā te mea kāore e taea e te mimi te rere tika ki raro, ka tīmata te rere whakamuri ki ngā whatukuhu. E kiia ana tēnei e te rongoā he (vesicoureteral reflux) . Koinei te raruraru matua o te ureterocele. Nā te mea kāore te mimi e rere whakamuri ana i te pai mō ngā whatukuhu.
He momo ureterocele anō kei reira?
Āe, ka taea te wehewehe i tēnei āhuatanga ki ētahi momo matua.
- I runga anō i te mea kei tētahi taha, kei ngā taha e rua rānei: Tērā pea ka pāngia ētahi tamariki e tēnei āhuatanga i roto i te urethra kotahi anake (i te taha kotahi). Koinei te mea tino noa. Heoi, he tino onge, ka puta tēnei whānui i roto i ngā urethra e rua (i te taha rua).
- Mā te wāhi o te pupuhi: Waihoki, ka whakarōpūhia ēnei pupuhi mā te wāhi kei roto i te pūkahukahu. Ko ētahi ka piri ki te pūkahukahu (intravesical). Heoi, ko te momo tino noa, inā koa i roto i ngā tamariki nohinohi (extravesical), ka taea te toro atu ki raro i te pūkahukahu, ki te ngongo e kawe ana i te mimi ki waho (urethra).
He mea nui ēnei whakarōpūtanga mā ngā tākuta hei whiriwhiri i te tikanga maimoatanga e tino pai ana mō te tamaiti.
He aha ngā tohu o te ureterocele?
Ko te mea rerekē, i te nuinga o te wā, kāore pea he tohu o te Ureterocele. Heoi, e ai ki taku kōrero i mua ake nei, he nui te tūponotanga ka pāngia koe e te Mate Pukupuku Mimi (UTI) nā te kore e rere tika te mimi, ā, ka mau tonu. Koinā te wā ka tīmata te puta mai o ngā tohu.
Tirohia mēnā kei tāu tamaiti tētahi o ēnei tohu. He tohu pea ēnei o te mate mimi.
| Tohu | Hei whakarāpopototanga... |
|---|---|
| Te mamae i te wā e mimi ana | Ka tangi te tamaiti i te wā e mimi ana, ka amuamu rānei mō te mamae. Tērā pea ka kī ia he rite ki te werawera. |
| mimi haunga | He kaha ake te kakara o te mimi i tō te tikanga, he kino ake hoki. |
| Mamae puku, puku rānei | Tērā pea ka rite ki te mamae o te puku o raro, ki tētahi puku iti rānei ka taea te pā ki te ringa. |
| Te toto i roto i te mimi | Ka huri te mimi ki te māwhero, ki te whero rānei. |
| Te hiahia tonu ki te mimi | Te kī "Me mimi ahau" i ngā wā maha atu i te tikanga. |
| Te kore e taea te whakahaere i te mimi | Ahakoa he tamaiti kua mōhio ki te whakamahi i te wharepaku, ka mimi tonu pea ia ki ōna kākahu me te kore e mōhio. |
| Kāore te pūkahukahu e tino mimiti | Te āhua kei te mau tonu te mimi i roto i te pūkahukahu ahakoa kua mimi. |
Ki te whakaatu tāu tamaiti i tētahi o ēnei tohu, me toro atu ki tō tākuta tonu.
He aha tēnei e tupu nei? He aha te take o tēnei?
He take tino nui tēnei mā ngā mātua. Ko te UreteroceleHe mate whānau. Ko te tikanga o tēnei, i te wā e tipu ana te pēpi i roto i te kōpū, kāore te urethra i kōrerotia ake nei e whanake tika ana i te wāhi e hono ana ki te pūkahukahu.
Ehara tēnei i te mea nā tetahi hapa a te whaea i te wā e hapu ana, nā tetahi mea rānei i kainga, i inu rānei e ia, nā tetahi mea rānei i kōrerotia, i mahia rānei e ia. E whakapono ana ngā kairangahau he mea tūpono noa iho tēnei. Nō reira kaua e manukanuka ki tēnei mea.
I ētahi wā ka puta ngā tohu o tēnei mate i te pakeketanga. Ahakoa i taua wā, he rite tonu te take. He mea i roto i te tinana mai i te whānautanga.
He mate kino tēnei? He aha ngā raruraru?
He mate kino te ureterocele e hiahia ana kia rongoatia. Engari ko te mea pai rawa atu ko te taea te whakaora. Ka puta ngā raruraru mēnā kāore e rongoatia. Ko te mōrearea matua ko te kino o ngā whatukuhu.
I te rerenga whakamuri o te mimi ki roto i ngā whatukuhu, ka pupuhi ngā whatukuhu, ka pangia, ā, i roto i te wā, ka whakararuraru tūturu i te mahi a te whatukuhu.
Ko te mea nui ko te kino o te whatukuhu e kore e taea te whakaora. Ko te tikanga o tēnei, ina kua heke te mahi a te whatukuhu ki tētahi taumata, he uaua ki te whakaora katoa. Koia te mea tino nui ki te tātaritanga me te rongoā i tēnei mate i mua i te pakaru o te whatukuhu.
Ko ētahi atu raruraru pea ko:
- Ngā kōhatu whatukuhu.
- Te pakaru o te pūkahukahu.
- Ngā mate urutā mimi e hokihoki ana (UTI).
Me pēhea te kitenga a te tākuta i tēnei?
He maha ngā wā ka kitea tēnei mate i mua i te whānautanga o te pēpi. Ae, i te wā o ngā tirotiro ultrasound i mua i te whānautanga. I te nuinga o te wā ka mahia i te 20 wiki pea, ka whakapae pea ngā tākuta kei te pupuhi te whatukuhu, te ureter rānei. Kātahi, i muri i te whānautanga o te pēpi, ka mahia ētahi atu whakamātautau hei whakaū.
Engari i ētahi wā ka kitea i muri i te whānautanga, tata ki te rua tau te pakeke. Ka kitea pea i roto i ngā pakeke i te wā e whakamātautauhia ana mō ngā kohatu tākihi, ngā mate mimi rānei.
Anei ētahi whakamātautau e whakamahia ana e ngā tākuta hei tautuhi i tēnei mate.
| Whakamātautau | He aha te mahi a tēnei? |
|---|---|
| Te Whakamātautau i te Whatukuhu | Ka tirohia te āhua, te rahi, me te pupuhi o ngā whatukuhu me te pūhā. |
| Whakamātautau VCUG (Voiding Cystourethrogram) | He whakamātautau hihi-X motuhake tēnei. Ka whakaurua he ngongo iti ki roto i te pūkahukahu, ā, ka whakakīia he wai motuhake. Ka tangohia he hihi-X i a te tamaiti e mimi ana. Ka taea te whakamahi i tēnei hei tirotiro mēnā ka hoki whakamuri te mimi ki roto i ngā whatukuhu. |
| Matawai Whatukuhu | Mā tēnei ka āwhina i te aroturuki, hei ōrau, i te pai o te mahi a ngā whatukuhu, me te kite rānei kua pakaru. |
| Matawai CT, MRI rānei | Ka taea te whakamahi i ēnei matawai hei tiki whakaahua mārama ake, taipitopito ake hoki o te pūnaha mimi. |
| Whakamātautau mimi | He mea tino tika tēnei hei whakaū mēnā he mate mimi tōu (UTI). |
Me pēhea te rongoā i te ureterocele?
Ka whakatauhia te tikanga maimoatanga mā te whai whakaaro ki ētahi āhuatanga, pērā i te tau o te tamaiti, te rahi o te ureterocele, mēnā kei te pakaru te whatukuhu, me te mea kei te rere mai te mimi.
Ko ngā maimoatanga matua ko te pokanga me te tatari mataara.
Ngā Maimoatanga Pokanga
Ko te whāinga matua o te pokanga he tango i te pupuhi rite ki te poihau, kia rere noa ai te mimi. He maha ngā tikanga pokanga hei whakamahi mō tēnei.
| Tikanga pokanga | He whakamārama māmā |
|---|---|
| Te Wero i te Urethral | Koinei te tikanga māmā rawa. I konei, ka whakauruhia e te taote pokanga he ngongo angiangi me te kāmera (cystoscope) mā roto i te urethra hei tirotiro i roto i te pūkahukahu. Kātahi ka hangaia he kōhao iti ki roto i te ureterocele rite ki te poihau. He rite ki te pupuhi i te poihau. Kātahi ka rere ngāwari te mimi kua āraia. I te nuinga o te wā ka mahia tēnei i raro i te mate whakamoe, ā, he tikanga ā-waho. |
| Te Whakatō Anō i te Ureter | He pokanga uaua ake tēnei. Ka tapahia he wahi iti ki te puku o raro hei whakatuwhera i te pūkahukahu. Kātahi ka tapahia te wāhanga o te ureter me te ureterocele, ka tangohia, ā, ka honoa anō te ureter hauora ki te pūkahukahu, kia kore ai e rere whakamuri te mimi (he tikanga takirere taupoki). E 90%-95% te angitu o tēnei pokanga. |
| Te tango i te nephropathy o te pou o runga | Kei ētahi tamariki tētahi mate e kiia nei ko te 'takahi rua'. Ko te tikanga tēnei ka wehea tētahi takahi kia rua ngā wāhanga. Mena ka tino kino te ureterocele ki te wāhanga o runga o te takahi, ā, ka mutu tana mahi, me pokanga hei tango i te wāhanga kua pakaru. |
Te Tatari Mataara
He maha ngā wā ka whakamahia tēnei tikanga i roto i ngā pakeke. Mena kāore he tohu e puta mai ana i te ureterocele, kāore hoki e kino te whatukuhu, ka whakatau pea tō tākuta ki te tirotiro i te āhua mō tētahi wā, me te kore e pokanga.
He aha te tirohanga a te tamaiti?
He tino pai te tirohanga. Nā te mea he wā poto noa te pupuri mimi. Whai muri i te whakatikatika mā te pokanga, ka taea e te tamaiti te noho i tētahi oranga noa. Ko te mea anake hei maumahara, mēnā kua pāngia ngā whatukuhu e te ureterocele, ka pumau tonu taua kino. Kāore e taea te whakakore. Ko tā tātou anake he aukati i ngā kino atu. Koia te take he mea nui te tātaritanga wawe me te maimoatanga o tēnei mate mō te oranga.
Karere Tangohia ki te Kāinga
- He mate whānau mai te ureterocele. Ehara i te mea nā ngā mātua.
- Ko te mōrearea matua o tēnei ko te pikinga anō o te mimi ka kino ai ngā whatukuhu.
- I te nuinga o te wā, ka taea te kite i tēnei āhuatanga mā te matawai i mua i te whānautanga o te pēpi.
- Ka taea e te pokanga te whakaora katoa i tēnei mate. He tino angitu ngā hua.
- Mena he maha ngā mate mimi e pāngia ana e tāu tamaiti, e amuamu ana rānei mō te mamae i a ia e mimi ana, kaua e warewarehia. Tirohia te tākuta tonu. Mā te maimoatanga tere ka āwhina i te tiaki i ngā whatukuhu.
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