Mena kei te pāngia koe e tētahi āhuatanga e kore ai e taea e tō pūkahukahu te mahi tika nā te mate pukupuku, te whara, te mate whānau rānei, tera pea ka raru koe i te mimi noa. I roto i ēnei āhuatanga, me whai huarahi kē atu tō tinana ki te tango i te mimi; ki te kore, ka tūpono koe ki te kino o te whatukuhu . Ko tētahi otinga ka tūtohu pea tō tākuta ko tētahi tikanga e mōhiotia ana ko te Ureterostomy . Ahakoa he uaua te ahua o te ingoa, me wehewehe noa iho.
He aha tonu te Ureterostomy?
He tikanga pokanga tēnei. Ko te tikanga he momotu i ngā ureter (ngā ngongo e kawe ana i te mimi mai i ō whatukuhu ki te pūhā) ka tukuna atu ki tētahi kōhao iti i hangaia ki te mata o tō puku. I roto i ngā kupu hauora, ka kiia tēnei kōhao he stoma .
Whakaarohia he rite ki te pūnaha paipa wai: ki te āraihia tētahi wāhanga, ka hangaia he ara hou hei whakaputa i te wai. Whai muri i tēnei pokanga, ka karohia e tō mimi te pūkahukahu ka rere tika mai i ngā whatukuhu mā roto i te stoma ki waho o tō tinana. Hei kohi i tēnei mimi, ka whakamahia e koe he putea motuhake e piri ana ki te stoma, ka taea e koe te whakawātea i a ia e kī ana.
I te nuinga o te wā, ka mahia tēnei hei otinga tuturu. I runga i ō hiahia, ka hono pea tō taote pokanga i tētahi, i ngā ureter e rua rānei ki te stoma.
He aha i tika ai tēnei pokanga?
Tērā pea ka tūtohu tō tākuta i tēnei tikanga mō ētahi take, inā koa ka kore e taea e te pūkahukahu te mahi tika.
- Te tango i te pūkahukahu (Cystectomy): Tērā pea me tango katoa tō pūkahukahu nā te mate pukupuku pūkahukahu.
- Te pakaru o te pūkahukahu: Mena kua tino pakaru te pūkahukahu i te whara, i ētahi atu mate hauora rānei, tērā pea kāore e mahi pērā i te mea i whakaritea.
- Ngā Āhuatanga Pērā i te Whānautanga: Ka taea e ngā āhuatanga e puta mai ana i te whānautanga mai, pērā i te Spina Bifida, te whakararu i te mahi a te pūkahukahu.
- Te Whara o te Taura Tuaiwi: Ka taea e te kino o te taura tuaiwi te whakararuraru i ngā io e whakahaere ana i te pūkahukahu, ka raru ai te mimi.
He mea morearea te pupuri i te mimi i roto i te tinana nā ēnei take. Ka taea e ia te arahi ki ngā mate urutā o te ara mimi (UTI) me te arahi pea ki te ngoikore o te whatukuhu i roto i te wā. Mā tēnei pokanga ka āwhina i te whakaiti i aua mōrearea.
He aha ngā whakamātautau e mahia ana i mua i te pokanga?
I mua i te haere tonu, ka whakahaerehia e tō tīma hauora ētahi whakamātautau hei aromatawai i tō hauora whānui.
| Ingoa Whakamātautau | Ngā mea e tirohia ana e ia |
|---|---|
| Ngā whakamātautau mahi whatukuhu | Hei aromatawai i te whai huatanga o te mahi a ō whatukuhu. |
| Ngā whakamātautau toto | Hei aromatawai i tō hauora whānui, hei tirotiro hoki mō ngā tohu o te mate. |
| Ngā whakamātautau whakaahua (X-ray, Ultrasound) | Hei tiro i te hanganga me te tūranga o ō whatukuhu, o ō ureter, me tō pūkahukahu. |
| Pyelogram whakamuri | Ka whakamahia he tae me ngā hihi-X hei tautuhi i ngā ārai i roto i te ara mimi. |
| Matawai CT | Hei whakarato i ngā whakaahua taipitopito o tō tinana. |
| MRI | Hei tiki whakaahua tino taipitopito o ngā whatukuhu me ngā ureter. |
Hei tāpiri atu, i mua i te pokanga, ka mahi tahi te tākuta, te nēhi rānei o te stoma ki a koe ki te whiriwhiri i te wāhi pai rawa atu mō tō stoma. Me noho hei wāhi e kitea ngāwaritia ana e koe, ā, me kore e whakararuraru i ō kākahu, pērā i te wāhi e takoto ana tō whitiki .
Te ora i muri i te pokanga me te tiaki i te stoma
I muri i te pokanga, me urutau koe ki tētahi mahinga hou, engari ehara i te mea uaua pērā i te āhua.
Te mahi a te stoma me te putea
Ehara te stoma i te uaua, nō reira kāore e taea e ia te whakahaere i te rere o te mimi. Ka maturuturu tonu te mimi.
- Pūnaha Pēke: E rua ngā wāhanga o tēnei: te ārai kiri, e piri ana ki tō kiri, me te pēke e kohi ana i te mimi. I ētahi wā ka puta mai ēnei hei wāhanga kotahi.
- Ārai Kiri: He tapawhā rite tēnei ki te whakapiripiri, he kōhao tōna hei whakauru i te stoma. Mā tōna piripiri motuhake ka mau tonu te piri ki te kiri, ā, ka ārai i ngā turuturu.
- Pēke Mimi: Ka piri tēnei ki te ārai hei kohi i te mimi.
Me whakawātea te pēke ina kī te hautoru ki te haurua . Ka taea tēnei mā te whakatuwhera i te takirere kei raro ki te wharepaku, me te kore e tangohia. I te pō, ka taea te tāpiri i tētahi pēke waikeri pō ki te takirere hei whakangāwari i te mahi. Nā te mea e tata ana ēnei pēke ki te tinana, kāore e kitea i raro i ngā kākahu noa.
Te tiaki i tō stoma me te kiri e karapoti ana
He mea nui kia noho ma, kia maroke hoki te stoma me te kiri e karapoti ana.
- Horoia te stoma me te kiri e karapoti ana i ia rā mā te whakamahi i te hopi ngawari me te wai.
- Horoia pai kia tangohia katoatia ngā toenga hopi.
- Whakamaroke rawatia te wāhi; me karo i te makuku.
I te nuinga o te wā, me whakarerekē e koe te pūnaha pēke i ia 5-7 rā . Ma tō rōpū hauora koe e hoatu he tohutohu taipitopito mō te whakahaere i tēnei.
Āhea me whakapā atu ki tō tākuta
Kia tūpato ki tō stoma me te kiri e karapoti ana. Mēnā ka kite koe i tētahi panoni, whakapā atu ki tō tākuta tonu.
| Ngā Tohu Whakatūpato | Whakaahuatanga |
|---|---|
| Ngā raruraru kiri | |
| Whero, ponana rānei | Te whero, te mākūkū, te ponana rānei huri noa i te stoma. |
| Pakaru kiri | He kiri maroke, he kiri ngatata, he kiri hakihaki rānei. |
| Ngā Tohu o te Mate | |
| Ngā huringa o te mimi | He mimi mangu te tae, he toto te tae, he kakara kaha, he kino rānei. |
| Ētahi atu tohu | Mamae tuara, kirika, whakapairuaki, ruaki, ngaro rānei te hiahia kai. |
Karere Tangohia ki te Kāinga
- He pokanga te ureterostomy hei tahuri i te mimi mai i te tinana ina kore e taea e te pūkahukahu te mahi tika.
- Ka tukuna te mimi mai i ngā whatukuhu ki tētahi stoma o waho, ā, ka kohia ki roto i tētahi pēke motuhake.
- He mea nui te pupuri i te ma o te stoma me te kiri e karapoti ana hei ārai i ngā mate urutā me te riri o te kiri.
- Whakapā atu ki tō tākuta tonu atu mēnā ka pāngia koe e te kirika, ngā huringa o te mimi, te mumura rānei o te kiri.
- Ahakoa he whakarerekētanga nui tēnei pokanga, ka āwhina ki te tiaki i ō whatukuhu mai i ngā kino kino, ā, ka tautoko hoki i te oranga hauora ake.
Ureterostomy, stoma, pēke mimi, pokanga tōngāmimi, mate tākihi, UTI, pokanga huri mimi, ostomy
