Kei te pāngia koe e te turuturu mimi rerekē ina mimi koe? He maha rānei ngā mate mimi e pāngia ana e koe? He whakama, he whakamā hoki te kōrero mō tēnei. Engari he mate hauora tēnei me kōrero, me rongoā. I tēnei rā ka kōrero tātou mō tētahi mate e kiia nei ko te Urethrocutaneous Fistula, ka puta ai ēnei tohu.
He aha te Urethrocutaneous Fistula?
Āe, me whakarāpopoto noa iho. Ko te ngongo e kawe ana i te mimi i waho o tō tinana e kiia ana ko te urethra. Ko te fistula urethrocutaneous he hononga rerekē, he kōhao rānei e puta ana i waenganui i te urethra me ō ira tangata. He rite ki tētahi kōhao iti i roto i tētahi paipa wai e turuturu ana te wai ki tētahi atu taha.
Ka taea e tēnei kōhao te hono atu ki te urethra mai i ngā wāhi katoa o te kiri o tō ira tangata. Ko te tikanga o tēnei, ina mimi koe, ka turuturu mai ētahi mimi i tēnei kōhao hou. Ehara i te mea ka turuturu noa te mimi, engari ka piki ake hoki te mōrearea o ngā mate urutā mimi (UTI).
Kāore tēnei āhuatanga e kitea i te whānautanga. He maha ngā wā ka puta i muri i te pokanga, i te mate urutā, i te aituā rānei.
He kino tēnei āhuatanga?
Āe, ehara tēnei i te āhuatanga hei mea ngāwari. Kāore te Urethrocutaneous Fistula e ora ko ia anake . Ko te tikanga, kāore e taea te whakaora mā te tango rongoā anake. Hei whakaora, me mahi pokanga. Nō reira, ki te puta ngā tohu, he mea nui kia tere tonu te toro atu ki te tākuta.
He aha ngā tohu? Me pēhea e mōhio ai koe ki tēnei?
E rua ngā tohu matua, ā, e kitea nuitia ana hoki o tēnei mate. Tērā pea kei a koe ngā tohu e rua, kotahi anake rānei.
| Tohu matua | He aha te tikanga o tēnei? |
|---|---|
| Te turuturu o te mimi mai i tētahi pūaha rerekē | KoeIna turuturu te mimi i te pūaha iti o te kiri, i te wā e mimi ana , i ētahi atu wā rānei, ehara i te mea mā te ara noa, ka kiia tēnei he kore e taea te pupuri i te mimi . |
| Ngā mate urutā mimi auau (UTI) | Ka taea e ngā iroriki pērā i te huakita te tomo ngāwari ki roto i te ara mimi mā tēnei kōhao hou, ka puta ai ngā mate pēnei i te mumura me te mākati o te ara mimi. |
He aha tēnei e tupu nei? He aha ngā take mō tēnei?
Ko te take matua mō tēnei he pokanga o mua. Tērā pea ka puta tēnei hei raruraru i muri i te pokanga mō tētahi āhuatanga e kiia nei ko te "hypospadias" e kitea ana i te whānautanga, inā koa i roto i ngā tama tāne. Haunga tēnā, tera atu anō ētahi atu take.
- Ētahi atu pokanga: Kāore e tino kitea i muri i ētahi atu pokanga e pā ana ki te urethra, hei tauira, te urethroplasty, te kotinga rānei.
- Matepukupuku: I ētahi wā ka puta he pūkahukahu i roto i te kiko nā te matepukupuku, ā, ka puta he whewhe. I muri i te ora o te whewhe, ka mimiti pea te wai, ka waiho he kōhao iti, rite ki te kauhanga e hono ana ki te kiri.
- Whara: Ka puta pea tēnei āhuatanga i tētahi aituā e pā ana ki tētahi mea pūngoi ki te wāhi taihemahema (hei tauira, te pāngia kaha e te pōro kirikiti) i tētahi 'whara straddle' rānei nā te hinganga ki tētahi wāhi pērā i ngā kakau o te pahikara.
- Ētahi atu take onge: He tino onge, ka kitea pea tēnei mate mai i te whānautanga mai. Tērā anō te tūponotanga ka pāngia e ēnei mate nā te kore e whakahaeretia paitia te mate huka.
He pēhea rawa te kitenga a te tākuta i tēnei?
Ina haere koe ki te tākuta, tera pea ka whakapae ia i tēnei i runga i ō tohumate. He iti noa ngā whakamātautau ka taea te mahi hei whakaū i tō whakapae. Kaua e wehi i ēnei whakamātautau, he mea mahi ēnei hei kimi i te wāhi tika o te raruraru me tōna āhua.
| Whakamātautau | I te kīanga māmā noa iho, he aha te mea ka tupu ki tēnei? |
|---|---|
| Te Tātaritanga o te Puku Mū (VCUG) | Ka werohia he tae motuhake ki roto i tō pūhā, ā, ina mimi koe, ka tangohia he hihi-X o te ara mimi. Mā tēnei ka mārama te kite mēnā he turuturu kei roto. |
| Ngā Urethrogram Whakamuri | He rite tonu tēnei ki te mea o mua. Ka tukuna te tae ki raro i te urethra kia kitea ai te wāhi e tū ai tēnei hononga rerekē. |
| Matawai CT | Ka taea e tēnei te tango whakaahua 3D tino mārama o roto o tō tinana. Ka taea hoki e ia te tirotiro mō ētahi atu raruraru, pērā i ngā whewhe, huri noa i te fistula. |
| Te tirotiro i te pūtau | Ka tukuna he ngongo tino angiangi (cystoscope) (he cystoscope) kei roto i te urethra, ā, ka tirohia mai i roto. |
Me pēhea te rongoā?
E ai ki tā mātou i kōrero ai i mua ake nei, ko te pokanga anake te rongoā whai hua mō tēnei. Heoi, ka rerekē pea te momo pokanga i waenga i te tangata me te tangata. Kei te rahi o te fistula, tōna wāhi, me te mea he nui atu i te kotahi.
- Ngā fistula iti (iti iho i te 2 mirimita): Ka taea te rongoā i ēnei mā te pokanga māmā noa iho. Ka tuituia te pūaha e te tākuta kia kati.
- Te fistula nui: Me mahi he pokanga uaua ake. Mena kāore te kiri e karapoti ana i te pūaha i te hauora, me tango pea e te taote pokanga he kiri mai i tētahi atu wāhanga o te tinana ka honoa ki te wāhi, ka hanga he paparanga "ārai wai" pai, kaha.
I muri i te pokanga, me whakauru he catheter mimi hei tango i te mimi mai i tō pūkahukahu i a koe e ora ana. Tērā pea me noho koe ki te hōhipera mō te pō.
Ka tere taku ora i muri i te pokanga?
Ae, he tino teitei te angitu o ēnei pokanga. E ai ki tētahi rangahau, tata ki te 89% te angitu. He rerekē te tinana o ia tangata, nō reira, he rerekē pea te roa o te whakaoranga. I te nuinga o te wā,
- Ka memeha haere te pupuhi me te marutanga e puta ana i muri i te pokanga i roto i ētahi wiki.
- E ono wiki pea te roa hei whakaora katoa.
Mena ka mau tonu ngā tohu i muri i te pokanga tuatahi, ka whakatau pea te tākuta ki te mahi i tētahi pokanga uaua ake. Heoi, he mea nui kia tatari kia ono marama te iti rawa kia ora rawa te wāhi mai i te pokanga tuatahi i mua i te mahi i tētahi atu pokanga.
| Ngā mea hei tūpato i muri i te pokanga | |
|---|---|
| Whānuitanga aroturuki | I muri i te pokanga, kia mahara koe ki te haere ki te whare hauora i ngā rā kua whakaritea e te tākuta. Me mōhio te tākuta ki te āhua o tō oranga. |
| Ki te puta mai ēnei tohu, me haere tonu ki te Tari Whawhati Tata (ETU). | |
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Karere Tangohia ki te Kāinga
- He hononga rerekē te fistula urethrocutaneous i waenganui i tō urethra me tō tenetene. Ka taea e tēnei te puta he turuturu mimi me ngā mate urutā maha.
- E kore tēnei e ora noa iho . Me tino hiahiatia he pokanga.
- Kaua e wehi, he tino angitu ngā pokanga mō tēnei.
- Ki te pā mai ēnei tohu ki a koe, kaua e whakama, kaua hoki e whakamā, engari me kōrero ki tētahi tākuta e tohunga ana ki ngā mate o te pūkahukahu me te ara mimi (te tākuta mimi) . Mā te whiwhi maimoatanga wawe ka tere ake tō ora.
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