Kei te pāngia hoki koe e te turuturu mimi mai i tētahi atu wāhi? Me ako tātou mō tēnei fistula urethrocutaneous!

Kua rongo koe i te mea kei te turuturu tō mimi mai i tētahi wāhi ehara i te mea noa? He maha rānei ō mate mimi (UTI) e pāngia ana e koe? Ahakoa he mea ēnei kāore tātou e aro nui ana ki ētahi wā, ko te mate taketake ko te Urethrocutaneous Fistula. Kaua e manukanuka, ka kōrerohia e mātou tēnei i roto i tētahi huarahi māmā e mārama ai koe.

He aha tēnei fistula urethrocutaneous?

He kupu māmā noa iho tēnei, engari ehara i te mea uaua ki te mārama. Me mārama tātou ki ēnei kupu i te tuatahi.

• Urethra: Ko te urethra te ngongo e kawe ana i te mimi (e kiia ana ko te mimi ) i waho o tō tinana. He rite ki te paipa wai.
• Kiri: E pā ana tēnei ki tētahi mea e pā ana ki te kiri .
• Fistula: Ko te fistula he hononga rerekē, he awaawa, he kauhanga rānei i waenganui i ngā wāhanga e rua o roto o te tinana, i waenganui rānei i tētahi wāhanga o roto me te mata o te kiri.

Kātahi, ko te fistula urethrocutaneous he ara hou, kāore i te tūturu, e puta mai ana i tō urethra ki te kiri e karapoti ana i ō ira tangata, i te kiri rānei i waenganui i tō nono me ō ira tangata (e kiia nei e tātou i roto i te rongoā ko te perineum). Whakaarohia he rite ki tētahi kōhao i roto i tētahi paipa wai e turuturu ana te wai mai i tētahi atu wāhi.

I te nuinga o te wā, me haere noa te mimi mā te urethra ka puta atu i te tinana. Engari nā tēnei fistula, ka tīmata te mimi ki te haere mā taua ara hou ka puta atu mā taua kōhao hou i te mata o te kiri. Ka kiia hoki tēnei he fistula urinary , he fistula urethral rānei.

E kiia ana he āhua kino tēnei mate nā te mea kāore e ora i a ia anō. Me whakatika mā te pokanga . Ki te kore, ka nui ake te maha o ngā mate mimi (UTI) me ētahi atu raruraru.

He aha ngā tohu o tēnei? Me pēhea koe e mōhio ai?

Anei ētahi tohu matua hei tohu kei a koe tēnei mate:

• Te turuturu o te mimi mai i te kōhao hou (fistula): Koinei te tohu matua, ā, ko te mea tino kitea. Ehara i te mea ko te mimi anake, engari i ētahi wā tae noa ki te tū. Ka kiia hoki tēnei ko te kore e taea te whakahaere i te mimi.
• Ngā mate urutā auau o te ara mimi (UTI): Mā tēnei ara koretake ka taea e ngā iroriki te uru ngāwari ki te ara mimi, ka puta ai he mate. Ka taea hoki e tēnei te kino i ngā whekau me ngā kiko e karapoti ana.

Mena kei a koe ēnei tohu, he mea pai kia toro atu ki te tākuta, kia tirotirohia hoki.

He aha tēnei e tupu nei? He aha ngā take?

He maha ngā take matua e puta ai te fistula urethrocutaneous.

• Hei raruraru o ngā pokanga o mua: Koinei te tino take. Ka puta pea tēnei momo fistula, inā koa i muri i te pokanga mō te mate e kiia nei ko te hypospadias .
• He aha te hypospadias? He māmā noa iho, he mate tēnei e pā ana ki ngā tama tāne i te whānautanga mai. Ko tōna tikanga kei raro i te ure te pūaha mō te mimi, kaua ki te pito o te ure. Nō reira, i muri i te pokanga hei whakatika i tēnei, ka puta he fistula i ētahi wā hei pānga taha.
• Mate urutā: I ētahi wā, nā te mate urutā, ka kohia te pūhā ki roto i te kiko o taua wāhi ka hanga he whewhe . I muri i te rongoā me te whakaora i tēnei pūhā, ka toe pea he ara iti, rite ki te rerenga wai i roto i taua kiko. Koinei te mea ka huri hei fistula.
• Whara: Ka puta pea tēnei āhuatanga nā te whiunga kaha ki te wāhi e pāngia ana. Hei tauira, ko te pōro i whiua kinotia i te wā e tākaro ana i te kirikiti, he pōro i roto i te kēmu pērā i te hoki, te hinganga rānei ki runga i te pae whakawhiti o te pahikara (e kiia ana ko te whara straddle ) ka puta ai tēnei āhuatanga.
• Ngā take onge: He tino onge, ka whānau mai ētahi tamariki me tēnei mate. Waihoki, ko te hunga he mate huka kāore i te tino whakahaeretia (arā, mēnā kei runga ake i te 8% te taumata HbA1c mō te tau neke atu rānei, ahakoa te maimoatanga auau) ka tūpono ki te whakawhanake i tēnei fistula.

He aha ngā āhuatanga mōrearea mō tēnei?

He tino onge te mate urethrocutaneous fistula. Heoi, ko te mea nui rawa atu mō te whanaketanga o tēnei mate ko te pokanga o mua ki tō urethra.

Hei tauira:

• Te pokanga hei whakatika i ngā hypospadias i whakahuatia i mua.
• Te hanga anō i te urethra (te urethraplasty).
• Ngā pokanga pērā i te kotinga .

I ētahi wā ka puta ake tēnei fistula hei raruraru i muri i ēnei momo pokanga.

Me pēhea te tautuhi a ngā tākuta i tēnei mate? (Tautuhinga)

Mena he turuturu mimi kāore i te mārama te take, he mate pāwera rānei kei roto i te ara mimi kāore i te mārama te take, ka whakapae pea te tākuta he fistula urethrocutaneous kei roto. He maha ngā whakamātautau ka tonoa pea e tō tākuta hei whakaū i te mate:

• Te Whakamātautau Mimi (VCUG): I tēnei whakamātautau, ka werohia e te tākuta he tae motuhake ki roto i tō pūkahukahu. Kātahi ka tonoa koe kia mimi i runga i te tēpu whakamātautau. Kātahi ka taea e te tākuta te kite i te wāhi e rere ai te tae me tō mimi, me te kite hoki mēnā ka turuturu ki hea.
• Ngā urethrogram retrograde, ngā fistulogram rānei: He rite ēnei ki ngā VCUG. Ka werohia he tae ki roto i te pūkahukahu kia mārama ai te wāhi kei reira te urethra, te wāhi kei reira te fistula, me tōna hononga.
• Matawai CT (Tomography Rorohiko - matawai CT): Ka whakamahia e te matawai CT ngā hihi-X me te hangarau rorohiko hei tango pikitia taipitopito o roto o te tinana. Ka taea e tēnei te āwhina i ngā tākuta ki te kite mēnā he raruraru kē atu nō te fistula, pērā i te whēwhe.
• Cystoscopy: Ko te whakaurunga o tētahi taputapu roa, angiangi, mārama hoki e kīia nei ko te cystoscope ki roto i tō urethra. Mā tēnei ka taea e te tākuta te kite i roto i tō urethra me te kite tika i te wāhi kei reira te fistula me tōna āhua.

He aha ngā rongoā mō tēnei? Ka taea te whakaora?

Āe, ka taea te rongoā i tēnei mate. I te nuinga o te wā, me pokanga. Engari i mua i te tīmatanga o te rongoā, ka whakaarohia e te tākuta ētahi āhuatanga. Anei ētahi o aua āhuatanga:

• Te rahi o te fistula.
• Kei hea (Tauwāhi).
• He nui atu i te kotahi te fistula (tērā pea he maha ngā fistula) .

Ka whakatauhia te tikanga maimoatanga i runga i ēnei āhuatanga.

• He ngāwari noa iho te kati i ngā fistula iti ake (< 2mm) . Ka hoatu e te tākuta he rongoā whakangāwari hei whakangāwari i a koe, hei mea hoki kia hiamoe koe, ā, ka tuituia te fistula e te taote pokanga kia kati.
• Ko ngā fistula nunui ake me whai pokanga uaua ake. I ētahi wā, ki te kore e ora te kiri e karapoti ana i te fistula, me whakamahi pea te taote pokanga i tētahi huarahi maha-paparanga. Ko te tikanga o tēnei ka tangohia he kiri hauora mai i tētahi atu wāhanga o tō tinana (e kiia nei ko ngā skin flaps ) hei whakakapi i te kiko kua pakaru, ā, ka whakamahia he paparanga ārai wai hei hiri i te kōhao.

He maha ngā tāngata ka hiahia ki te whakamahi i tētahi kati mimi hei tango i te mimi mai i roto i tō rātou pūkahukahu mō ētahi rā i muri i te pokanga. Mā tēnei ka āwhina i te wāhi kua whakatikatikaina kia ora. Me noho pea koe ki te hōhipera mō te rā kotahi, neke atu rānei i muri i te pokanga.

Ka ora noa iho tēnei fistula?

Kāo, e kore te fistula urethra e ora ko ia anake.He pono ka hiahiatia he pokanga mō te tini o te tangata hei kati i tēnei. Ka taea anake te rongoā i tēnei e te tākuta mimi , he tākuta e tohunga ana ki ngā mate e pā ana ki te pūnaha mimi me te pūnaha whakaputa uri.

Kia pēhea te roa o te wā e ora ai i muri i te pokanga?

He uaua ki te kī pono i tēnei. He rerekē te tinana o ia tangata, o ia tangata, nō reira ka rerekē te roa o te whakaora i ia tangata, i ia tangata. Engari 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 ai ki ngā tākuta me ora katoa koe i roto i te ono wiki pea . He mea tino nui kia whai tonu koe i ngā tohutohu a tō tākuta i taua wā.

Ka taea te ārai i tēnei āhuatanga kei puta?

Ina hoki, kāore e taea e tātou te ārai i ngā take katoa e whai wāhi ana ki te whanaketanga o te fistula urethrocutaneous. Hei tauira, he uaua ki a tātou te whakahaere i tētahi e puta mai ana hei raruraru o te pokanga.

Heoi, ka taea e koe te mahi i ēnei mea hei ārai i te whara o taua wāhi:

• I a koe e takaro ana i ngā hākinakina, e mahi ana rānei i ētahi atu mahi uaua, mauria he kapu hākinakina , e mōhiotia ana ko te jockstrap. Kia tika te rahi mōu.
• Me mau tonu tō whitiki nohoanga i a koe e taraiwa ana, e noho pāhihi ana rānei i roto i te motuka.
• Kia tūpato i a koe e eke pahikara ana. Ki te taea, tāpirihia he mea pēnei i te whatanga pannier ki te pae whakawhiti o tō pahikara. Ka āwhina tēnei ki te whakaiti i te tūponotanga o te whara mēnā ka pā mai he aituā.

He aha ngā mea ka puta mēnā he fistula urethrocutaneous tōku? Me āwangawanga ahau?

He mea noa te mataku ina kitea he fistula urethrocutaneous tōu. Engari ko te mea pai rawa atu, kei reira ngā maimoatanga mōna, ā, mā te maimoatanga, he tino pai te tere whakaora whānui.

I kitea i roto i tētahi rangahau he 89% te angitu o te pokanga whakatika fistula. Ko te tikanga, i roto i te tekau o ngā tāngata kua pokaina, e iwa pea ka ora katoa. I ētahi wā, ki te mau tonu ngā tohu i muri i te pokanga tuatahi, ka taea te mahi i tētahi huarahi paparanga uaua ake. He tino angitu hoki tēnei. Heoi, ki te pokanga tuarua koe, me tatari koe kia ono marama pea i muri i te pokanga tuatahi kia ora katoa ai te wāhi.

Āhea ahau me kite i te tākuta?

I muri i te pokanga hei whakatika i te fistula urethrocutaneous, he mea tino nui kia mau tonu ngā wā hui ki tō tākuta kia mōhio ai kei te ora pai koe. Kia mau tonu ō wā hui ki ngā tohutohu a tō tākuta. Mā tēnei, ka taea e ia te aroturuki i tō āhua. Mena kei te mau tonu ō tohu, ka tūtohu pea ia i tētahi atu pokanga.

Āhea koe me haere ki te Wāhanga Maimoatanga Ohotata (ETU) ?

I muri i te pokanga, ki te puta mai ētahi o ngā tohu e whai ake nei, me haere tonu koe ki te Rūma Ohotata (ER) tata:

• Mena he nui rawa te toto e puta mai ana i te wāhi i pokanga ai.
• Mena he kirika tōu i te 100 Fahrenheit (38 Celsius) neke atu rānei .
• Mena ka kore e taea te manawanui te mamae .
• Mena he uaua ki a koe te mimi, ki te mea rānei kua āraihia tō mimi.
• Mena he toto kei roto i te mimi (Hematuria).

Waihoki, ki te puta noa mai tō catheter , ki te turuturu rānei te mimi i te taha o te catheter, he mea pai kia kite tonu koe i te tākuta.

He aha ngā pātai nui hei pātai atu ki tō tākuta?

Ina haere koe ki te kite i tō tākuta, kei a koe te tika ki te pātai i ēnei pātai. Mā ēnei koe e āwhina kia mārama ake ai ki tō āhua:

• Me pēhea koe e mōhio ai he Urethrocutaneous Fistula tōku?
• He aha pea te take o tēnei fistula?
• He iti, he nui rānei tōku fistula?
• Me pēhea taku tiaki i a au anō i a au e pāngia ana e tēnei fistula? He aha te mea me mahi e au, ā, he aha hoki ngā mea kāore e tika kia mahia e au?
• He aha ngā raruraru ka pā mai i tēnei pokanga whakatika fistula?
• He pai te moe tāne mēnā he fistula urethrocutaneous tōku? Ka puta he raruraru i tēnā?

Kaua e wehi ki te pātai i ēnei pātai. Mā tō tākuta koe e whakamārama i ngā mea katoa.

Hei whakamutunga, he karere hei kawe ki te kāinga:

Āe, kua mārama kē tātou ki tā tātou i kōrero ai, arā, te Urethrocutaneous Fistula. Ko te mea nui, ki te pā mai ētahi tohu pēnei i a koe, pērā i te turuturu o te mimi mai i tētahi atu wāhi ina mimi koe, ki te pāngia rānei koe e te mate urinary tract (UTI) maha, kaua e warewaretia. I ētahi wā he mea iti noa iho, engari he mea whakaaro nui kia rapu tohutohu hauora, nā te mea ka pā mai pea tēnei.

Kia maumahara, he rongoā kei reira mō tēnei, ā, ka whai hua pea te rongoā. Nō reira kaua e wehi, kaua hoki e whakama ki te toro atu ki te tākuta me te kōrero mō ō āwangawanga. Kia tere tō ora! Kāore koe i te mokemoke, ā, kei konei ngā tākuta hei āwhina.

` Pūwero kiriuhi, pūwero mimi, turuturu mimi, UTI, hypospadias, urethra, pokanga, pūwero mimi, turuturu mimi, mate mimi