Kua pāngia koe e te mamae ohorere, e kore e taea te whakamanawanui, e tīmata ana i te taha o tō tuara, ka heke ki raro ki tō puku? I ētahi wā ka haere tahi tēnei mamae me te whakapairuaki me te toto i roto i tō mimi. E mōhio ana te hunga kua pāngia e tēnei mamae ki te uaua o tēnei mamae. I te nuinga o te wā, ko tēnei mamae nui ka puta mai i ngā kōhatu tākihi, i ngā kōhatu rānei i roto i te ara mimi. I mua, i hiahiatia ngā pokanga nui hei tango i ēnei kōhatu. Engari i nāianei, kua ahu whakamua te pūtaiao hauora. I tēnei rā, ka kōrero tātou mō te Ureteroscopy, he tikanga tino whai hua, he ngāwari hoki e whakamahia ana hei tango i aua kōhatu.
He aha tonu te Ureteroscopy?
He whakarāpopototanga noa iho, ko te Ureteroscopy he tikanga e whakamahi ana i tētahi ngongo angiangi, roa, ngāwari hoki me tētahi kāmera (ureteroscope) hei heke iho i tō urethra, hei tango, hei tirotiro rānei i ngā kōhatu i roto i ō ureter me ō whatukuhu. Kāore e motu i tō tinana, nō reira ka tere te ora.
Whakaarohia, e rua ngā ngongo angiangi rawa e kawe ana i te mimi mai i ō whatukuhu ki tō pūhā. Ka kiia ēnei e mātou ko ngā ureter. I ētahi wā, ina heke ngā kōhatu whatukuhu ki raro i ēnei ngongo, ka puta te mamae nui. He huarahi tino whai hua te ureteroscopy ki te tango i ēnei kōhatu piri. He tikanga tēnei mō te wā o waho, ka taea te mahi i taua rā anō, me te kore e noho ki te hōhipera.
Ko te tikanga o tēnei ko te whakauru i tētahi kāmera angiangi mā roto i tētahi pūaha tūturu i roto i tō tinana (te urethra). Nō reira, kāore he tapahi e mahia ana i waho.
Me pēhea te whakahaere i tēnei maimoatanga?
Ka kore rawa koe e mōhio (ka whakamoea) i tēnei tikanga. Nō reira, kāore koe e mamae. Ka whakaurua e te tākuta he ngongo angiangi e kiia nei ko te ureteroscope mā roto i tō urethra, mā roto i tō pūhā, ā, ki runga ake i te ureter kei reira te kōhatu. Ka mahia tēnei mā te tiro i ngā whakaahua mai i te kāmera i runga i te ngongo i runga i te mata tirotiro.
Kia mōhiotia te wāhi tuturu o te kōhatu, ko te tikanga tango i te kōhatu ka whakawhirinaki ki tōna rahi. E rua ngā tikanga matua.
| Rahi o te kōhatu | Tikanga maimoatanga |
|---|---|
| Ngā Kōhatu Iti | Mena he iti te kōhatu, ka tukuna e te tākuta tētahi atu waea angiangi mā roto i te ureteroscope. He kete iti kei te pito o te waea. Kātahi ka tangohia mārire te kōhatu i roto i te kete. |
| Ngā Kōhatu Nui | Mena he nui te kōhatu, he uaua ki te tango mai i te ureter. I ēnei wā, ka tukuna he muka angiangi mā roto i te ureteroscope, ā, ka tukuna he hihi laser ki te kōhatu. Mā te mana o tēnei hihi laser ka pakaru te kōhatu nui kia ririki (he rite ki ngā kirikiri onepū). Kātahi ka horoia ngāwaritia ngā wahi pakaru ki waho me te mimi. |
Mā tō tākuta e whakatau te tikanga pai rawa atu māu i runga i te wāhi, te rahi, me te āhua o tō kōhatu.
Ko wai e hiahia ana ki te maimoatanga ureteroscopy?
I te nuinga o te wā, ka tūtohu pea te tākuta i tēnei maimoatanga i roto i ngā take e whai ake nei:
- Te toto i roto i te mimi: Ko te toto i roto i te mimi he tohu pea nō te whara, te mate urutā, tētahi atu raruraru rānei i roto i te pūnaha mimi. Mā tēnei tikanga ka āwhina i te tautuhi i te pūtake.
- Te aukati i te ureter, i te whatukuhu rānei: Ka taea e ngā kōhatu, ētahi atu pukupuku rānei te aukati i te rere o te mimi. Ka pupuhi pea te whatukuhu, ka mamae nui, ka kino hoki te whatukuhu. Ka whakamahia te ureteroscopy hei kimi i te pūtake o tēnei aukati me te tango atu.
Ko wai te mea tino tika mō tēnei?
Koinei te rongoā tino whai hua mō ngā kōhatu i te ara mimi o raro, inā koa e tata ana ki te pūhā. He kōwhiringa pai hoki mō te hunga kāore e tika ana mō ētahi atu maimoatanga. Hei tauira:
- Mō ngā whaea hapu
- Mō te hunga taumaha rawa (momona)
- Mō te hunga he mate toto totoka
I te mea he nui ake te mōrearea o te pokanga tuwhera mō ēnei tāngata, he haumaru ake te whakamahi i tēnei tikanga kāore he tapahi.
Me pēhea taku whakarite i mua i te pokanga?
Kāore e nui te whakarite e hiahiatia ana mō tēnei, engari he mea tino nui kia whai i ngā tohutohu a tō tākuta.
- Nohopuku: Nā te mea ka noho koe i raro i te rongoā whakamoe, ka kīia atu ki a koe kia kaua e kai, e inu rānei i tetahi mea mō ngā haora 6-8 i mua i te pokanga.
- Tauira mimi: Tērā pea ka tonoa koe kia homai he tauira mimi hei tirotiro mō te mate mimi i mua i te pokanga. Nō reira, kia rite ki te tatari mō te haora, neke atu rānei, i mua i tō haerenga ki te hōhipera.
- Kōrero mai mō te rongoā e tangohia ana e koe: Kei te tango koe i ngā rongoā whakaiti toto?Mena kei te tango koe i ētahi rongoā motuhake, pērā i ngā rongoā whakaiti toto, me whakamōhio atu ki tō tākuta i mua. Tērā pea ka tonoa koe kia mutu te tango i ēnei rongoā i ētahi rā i mua i te pokanga.
He aha ngā mea hei tumanakohia i muri i te pokanga?
I muri i te pokanga, ka tirotirohia koe mō ētahi haora, ā, ki te kore he raruraru nui, ka whakaaetia koe kia hoki ki te kāinga i taua rā anō.
- Te hoki ki te kāinga: Nā te mea kāore koe i te mōhio, kāore e taea e koe te taraiwa waka, te eke pahi rānei ko koe anake. Nō reira , kia mauria mai he tangata hei kawe i a koe ki te kāinga.
- Te Ārai i te Mate: Ka hoatu he rongoā paturopi ki a koe hei tango mō ngā rā e rua, e toru rānei hei ārai i te mate. Mēnā ka puta he tohu pēnei i te kirika, te makariri, te mamae nui rānei, he tohu pea ēnei o te mate. Mēnā ka puta tēnei , waea atu ki tō tākuta tonu.
- Mamae: He mea noa te mamae mō ētahi rā i muri i te pokanga. Tērā pea ka rongo koe i te ngau kino i tō puku o raro me tō hope. Ka hoatu e tō tākuta he rongoā whakamamae hei āwhina i a koe ki te whakahaere i tēnei mamae.
Ka āwhina ēnei mea ki te whakaiti i te mamae me te kore whakamarie i te kāinga:
- Inumia he nui te wai: I ngā haora tuatahi e rua i muri i te pokanga, inuhia kia rua ngā karāhe wai i ia haora. Mā te inu i te nui o te wai ka tere ake te tango i ngā kōhatu me te toto.
- Kaukau wai wera: Ki te whakaaetia e tō tākuta, ka taea e te kaukau wai wera te āwhina i te whakaiti i te mamae me te kōpiko o te hononga.
- Ngā kōpeke mahana: Mā te paninga o tētahi kakahu ma kua ruia ki te wai mahana ki te urethra ka āwhina i te whakaiti i te mumura. Mā te paninga o tētahi pēke wai wera ki te wāhi kei reira ngā whatukuhu ka āwhina hoki i te whakamamae i te mamae.
- Tae mimi: He mea noa kia māwhero, kia whero rānei tō mimi i ngā rā tōmua. Ko te tikanga me inu koe i te wai anō.
He aha mēnā ka whakatakotoria he stent?
I ētahi wā, i muri i te tangohanga o te kōhatu, ka pupuhi pea te urethra. Mēnā ka puta tēnei, ka āraia anō te ara mimi. Hei ārai i tēnei, hei āwhina hoki i te tere o te whakaora o te urethra, ka whakanohoia pea e te tākuta he ngongo angiangi, ngāwari hoki e kiia nei ko te stent ki roto i te urethra.
Ehara te stent i te mea hei wehi māu. He mea rangitahi noa iho. I muri i te wiki, i ngā wiki e rua rānei, ka tangohia anō i roto i tētahi tikanga iti. I a ia e tū ana, tera pea ka pāngia koe e te mamae me te hiahia kia mimi pinepine.
He aha ngā mōrearea o tēnei maimoatanga?
Pērā i ngā tikanga hauora katoa, he iti noa te mōrearea o te Ureteroscopy, engari he tino iti te tūponotanga ka puta ēnei.
- Mate pāwera
- Te toto
- Te whara ki te ureter
He tino onge (tata ki te 1 i roto i te 1,000 pokanga), ka tino pakaru te urethra. Mēnā ka puta tēnei, me pokanga anō pea koe hei whakatika. Engari kia mahara he tino onge ēnei take. Ka mahi tō tākuta i ngā mahi katoa e tika ana hei whakaiti i ēnei mōrearea.
Karere Tangohia ki te Kāinga
- He tikanga maimoatanga hou tino haumaru, whai hua hoki te ureteroscopy, kāore e hiahiatia he tapahi i te tinana, ā, e whakamahia ana hei tango i ngā kōhatu mai i ngā whatukuhu me ngā ureters.
- Ka oti tēnei mā te kore mōhio o te tangata, nō reira e kore koe e mamae i te wā e rongoatia ana.
- Ko te mamae me te kore whakamarie e puta mai i muri i te pokanga ka memeha haere i roto i ētahi rā. Whakamahia te rongoā kia rite ki te mea i whakaritea.
- He mea tino nui te inu i te nui o te wai i muri i te pokanga kia tere ai te ora.
- Ki te pāngia koe e te kirika nui, te mamae kāore e taea te whakahaere, ētahi atu tohu rerekē rānei, me whakamōhio tonu atu ki tō tākuta.
- Kaua e pāngia e te wehi e ngā kōhatu whatukuhu, engari me kōrero ki tō tākuta mō ngā maimoatanga hou pēnei, kia whiwhi ai koe i te otinga tika.
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