He uaua hoki tō mimi? He ngoikore rawa, he puhoi hoki te rere o te mimi? He maturuturu rānei? I ētahi wā ka rongo koe kei te toe tonu te mimi i muri i tō mimi? Mena kei a koe ētahi o ēnei tohu, tera pea he aukati, he whaiti rānei o tō urethra. E mōhiotia ana tēnei e te hauora ko te `(Urethral Stricture)`. Nō reira, i tēnei rā ka kōrero tātou mō te otinga tino angitu me te pumau mō tēnei raruraru. Ko te pokanga e kiia nei ko te `Urethroplasty`.
He aha te Urethroplasty?
Hei mārama ki tēnei, me titiro tuatahi tātou ki te mahi a tā tātou pūnaha mimi. Ka hangaia te mimi i roto i tō tātou tinana i roto i ngā whatukuhu. Kātahi ka kohia taua mimi ki roto i te pūkahukahu mimi. Ina kī te pūkahukahu, ka hiahia tātou ki te mimi. Kātahi ka puta he ngongo e kawe ana i te mimi mai i te pūkahukahu ki waho o te tinana. Ko te urethra te ingoa o taua ngongo. I roto i te tāne, ka puta hoki te parāoa i te tinana mā roto i tēnei urethra.
Whakaarohia te mea ka tupu mēnā ka āraia, ka whaiti rānei tēnei urethra mō tētahi take? Pērā i te wā e mau ai te paru ki roto i te paipa wai, ka uaua te rere o te wai, ā, kāore e taea te rere ngāwari o te mimi ki waho. Ko te pokanga e mahia ana hei whakaora me te whakatika i taua urethra kua āraia, kua whaiti rānei, e kiia ana ko te Urethroplasty .
I tēnei tikanga, ka tapahia e te taote pokanga te kiko whara e aukati ana i te urethra, ka hono anō i ngā wāhanga hauora e rua o te ngongo. I ētahi wā, ki te roa rawa te aukati, ka whakamahia he wahi kiko i tangohia mai i tētahi atu wāhanga o te tinana hei hanga anō i te wāhanga. He rite ki te tango i tētahi wahi o te paipa wai tawhito, ka whakakapia ki tētahi wahi hou.
He aha i tika ai tēnei pokanga?
He maha ngā take matua mō te urethroplasty. Me titiro tātou ki ērā.
- Te whakawhāiti i te urethra: Koinei te tino take. Ka taea e te whara i roto i te urethra te whakawhāiti i te urethra nā te mate, te aituā, te pokanga o mua, te take rānei. He nui ake te kitea o tēnei mate i roto i ngā tāne i ngā wāhine.
- Ngā āhuatanga whānau: Ka whānau mai ētahi tamariki me ētahi raruraru ki te urethra. Ko ngā epispadia me ngā hypospadia ētahi o aua āhuatanga. Ahakoa ka taea te whakatika i ēnei mā te pokanga i te tamarikitanga, ka taea e rātou te whakawhanake i ngā aukati i ngā wāhi i mahia ai te pokanga i muri mai.
- Ētahi atu Pokanga Whakahou: I ētahi wā, ka hiahiatia pea tēnei pokanga mō te tangata kua oti kē te pokanga whakahou i te wāhi ira tangata.
He pokanga nui te Urethroplasty?
Ko te mea nui, kei te nui o tō urethra e hiahia ana kia whakatikahia tēnei. Mena he iti te aukati, ka poto ake te wā e hiahiatia ana mō te pokanga hei tapahi me te hono i ngā pito e rua o te urethra. Engari ki te roa te aukati, ka taea te whakamahi i tētahi wahi kiko (tāpiri) mai i tētahi atu wāhanga o te tinana hei whakatika i te urethra. Kātahi ka uaua ake te pokanga, ā, ka roa ake te wā.
Kei hea koe e whiwhi ai i tēnei tauera?
He maha ngā wāhi e kohia ai e ngā taote pokanga he kiko mō tēnei kaupapa.
- Mai i roto i tō waha: Ae, i tika tāu i rongo ai. Ko te nuinga o te wā ka tangohia tēnei kiko mai i te arai maeneene o tō paparinga (te kiriuhi waha) i te taha roto rānei o ō ngutu. He tikanga tino angitu tēnei.
- Mai i tō rohe ira tangata: Mena he tāne koe, ka tangohia pea tētahi wāhanga o te kiri o tō ure. Mēnā he pokanga hanga anō, ka tangohia pea tētahi wāhanga o te kiri o tō tenetene, o tō labia rānei.
- Rectal: I a koe e noho ana i raro i te mate whakamoe mō te pokanga, ka tangohia pea tetahi wahi kiko mai i te pakitara o roto o te rectum mā roto i te rectum.
Kaua e wehi i tēnei. Ka mahia katoatia ēnei mea i raro i te rongoā whakamoe kia kore ai koe e mamae.
He aha ngā mea ka tupu i mua i te pokanga?
I muri i tāu whakatau ki te mahi pokanga Urethroplasty, ka whakahaerehia e tō tākuta ētahi whakamātautau hei whakatau i te wāhi e aukati ana i roto i tō urethra me te roa o taua mea.
| Whakamātautau | Hei whakarāpopototanga, |
|---|---|
| Urethrogram Whakamuri | He whakamātautau hihi-X tēnei. Ka tukuna he wai motuhake mā roto i tō urethra, ā, ka tangohia he whakaahua hihi-X. Mā tēnei ka taea e koe te kite mārama i te aukati. |
| Te tirotiro i te pūtau | Ka tukuna he ngongo angiangi me te kāmera iti ki roto i te urethra, ā, ka tirohia tika te āhua o roto o te ngongo. |
He tere, he kore mamae hoki ēnei whakamātautau e rua. Kātahi ka whakaritea e te tākuta te pokanga. I mua i te pokanga, ka hoatu e ia he tohutohu mō ngā rongoā hei tango, ngā kai hei kai, me te roa o te nohopuku.
I ētahi wā, ka hiahiatia he catheter suprapubic i mua i te pokanga.Tērā pea ka tūtohu tō tākuta i tētahi. Ko te whakauru tika i tētahi ngongo ki roto i tō pūkahukahu mai i tō puku o raro, ka tangohia te wai. Mā tēnei ka "okioki" te urethra. Kātahi ka kitea mārama te kiko whara, ā, ka māmā ake te tango katoa i te wā pokanga.
He aha ngā mea ka tupu i te wā o te pokanga?
I te rā o tō pokanga, ka haria koe ki te rūma pokanga. I reira, ka hoatu e te tohunga whakamoe te rongoā whakamoe whānui ki a koe. Ko te tikanga ka moe hohonu koe tae noa ki te mutunga o te pokanga. Kāore koe e rongo i tetahi mea.
Kātahi ka tapahia e te taote pokanga te kiri hei uru atu ki te urethra. Ko te tikanga ka tapahia tēnei tapahi ki te taha raro o te ure, ki roto i te scrotum, ki te rohe rānei i waenganui i te scrotum me te nono (te perineum).
Muri iho, ka tautuhia te wāhi kua āraia, kua whara rānei, ā, i runga i tōna roa me tōna wāhi, ka tapahia te wāhi ka tangohia, ka hangaia anō rānei. Mena he roa te aukati, ka whakamahia he pokanga hei hanga anō i te wāhi, e ai ki te kōrero i mua ake nei, mai i te waha, i te ira tangata, i te pūkahukahu rānei.
Kia oti te whakatikatika, ka whakatakotoria he catheter hei tango i te mimi kia ora rā anō te urethra. Kātahi ka katihia te tapahi, ka tuia. Ko ēnei tuinga he mea hanga ki tētahi momo miro ka rewa ki roto i te tinana. Nō reira , kāore koe e hiahia ki te hoki mai ki te tango i ngā tuitui.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka haria koe ki te rūma whakaora kia ara ake rā anō koe i te rongoā whakamoe. Ko te urethroplasty he noho hōhipera mō te rā kotahi, e rua rānei, ā, ka taea e koe te hoki ki te kāinga. I ētahi wā ka taea e koe te hoki ki te kāinga i taua rā anō. Heoi, kāore e taea e koe te taraiwa i a koe anō, ā, me taraiwa koe e tetahi ki te kāinga.
Ina hoki koe ki te kāinga, me mauria e koe ēnei mea:
- Te kātene mimi
- Ngā rongoā whakamamae
- Ngā paturopi hei ārai i ngā mate urutā
- Tērā pea ka tohua he rongoā hei ārai i te pupuhi o te mimi.
- Ki te tangohia he kiko mai i te waha, ka whakamahia he wai horoi waha motuhake hei pupuri i te ma o te patunga.
Me toro atu anō koe ki tō tākuta i roto i ngā wiki e rua, e toru rānei i muri i tō pokanga. I taua wā, tera pea ka whiwhi koe i tētahi atu hihi-X hei tirotiro i te whakatikatika. Ko te tango i te catheter, te whakakī i tō pūkahukahu ki tētahi wai motuhake, me te tango pikitia hihi-X i a koe e mimi ana. Mā ēnei pikitia ka āwhina i te whakatau i te ahunga whakamua o tō whakaora.
E mōhiotia ana te pokanga urethroplasty puta noa i te ao ko te maimoatanga pai rawa atu me te tino angitu mō te urethral stricture.
He aha ngā painga, ngā mōrearea, me ngā raruraru o tēnei pokanga?
Pērā i ngā pokanga katoa, he painga, he mōrearea anō hoki tō tēnei pokanga.
Ngā Painga
Ko te painga nui o tēnei pokanga ko tōna reiti angitu tino teitei . Kua whakaatuhia e ngā rangahau he nui ake i te 80% te reiti angitu o tēnei pokanga. I ētahi wā, i runga i te āhua o te aukati, ka neke atu i te 90% te reiti angitu. Ko te tikanga tēnei, ki te 10 ngā tāngata e pokangahia ana, ka ora katoa te 8, te 9 rānei.
Ngā Tūponotanga me ngā Whakararuraru
He maha ngā raruraru noa o te rongoā whakamoe me te mōrearea o te mate pāwera e pā ana ki tētahi pokanga. Hei tāpiri, he maha ngā mōrearea e pā ana ki tēnei pokanga. Kia tirohia whānuitia atu ēnei.
| Mōrearea/Uauatanga | Whakaahuatanga |
|---|---|
| Ngā raruraru e pā ana ki te catheter | Tērā pea ka turuturu te mimi, ka āraia rānei te katitere i te taha o te katitere. Mēnā ka puta tēnei, me rapu tonu i te tohutohu hauora. |
| Ngā mate urutā | Tērā pea ka puta he mate i te wāhi i tapahia ai, i roto rānei i te ara mimi. Ka taea te rongoā i tēnei mā te whakamahi i ngā paturopi. |
| Te korenga o te pokanga | He tino onge te aukati anō o te urethra i muri i te pokanga, ā, e hiahiatia ana he pokanga atu, he maimoatanga rānei. |
| Whara o te io | Tērā pea ka pā kino te tūranga e tū ana koe i te wā o te pokanga ki ngā io o ō waewae, ringa, me ō maihao mō te wā poto (he tino onge). |
| Mamae | Tērā pea ka puta te mamae roa nā te kino o ngā io i te wāhi i mahia ai te pokanga (te kiriuhi, te perineum rānei). |
| Te turuturu o te mimi, te purapura rānei | Tērā pea ka kohia te mimi, te purapura rānei ki te wāhi i mahia ai te pokanga, ka turuturu mai i te ure. |
| Te ngoikore o te ure | Ka taea tēnei te tupu, engari he wā poto noa iho, ā, ka ea i roto i ngā marama 18, iti iho rānei. |
Kia pēhea te roa ka ora ake ahau? Āhea ahau ka hoki ki te mahi?
He raruraru tēnei e pā ana ki te tini tāngata. He iti noa ngā mea me mōhio koe e pā ana ki te wā whakaora.
- I te wā e mau ana te katitere: I tēnei wā (mō te 2-3 wiki pea), me karo koe i te taraiwa, i te noho rānei mō te wā roa . Me karo hoki i te noho pōturi, i te mahi rānei me ō waewae e horapa whānui ana (pērā i te piki arawhata) . Heoi, he pai te hikoi noa me te mahi i ngā mahi māmā o te whare.
- Ngā mate waha: Ki te mea he kiko kua motu i roto i tō waha, kaua e manukanuka. Ka tere te ora o ngā mate waha. I roto i te toru wiki pea, ka tupu he kiko hou ka kapi i te wāhi.
- Te hoki ki te mahi: Ka taea e koe te hoki ki te mahi i muri i te tangohanga o te catheter. Ko te tikanga me tango e koe he 2-3 wiki hei okioki. Mena he mahi uaua ki te tinana, tera pea ka roa ake te wā.
- Te mahi ā-ira tangata: He mea tino nui tēnei. Me mutu rawa te moe tāne, te mahi rānei i te ure mō ngā wiki e ono i muri i te pokanga. He mea nui tēnei kia ora pai ai te patunga.
Āhea koe me toro atu ki te tākuta?
Mena he uaua ki a koe te mimi, he maha ngā mate urutā o te ara mimi (UTI), kua kōrerotia rānei e te tākuta he aukati kei roto i tō urethra, me toro atu koe ki te tākuta me te kōrero mō tēnei mea.
Mena kua pokangahia tō urethroplasty, ā, ka pāngia koe e tētahi o ngā tohu whakatūpato e whai ake nei, me whakapā atu tonu koe ki tō tākuta.
- Ki te pāngia koe e te kirika .
- Mena kei te āhua tuwhera te tapahi pokanga.
- Mena he toto matotoru kei runga i ō kākahu o roto.
- Mena he wai rite ki te pulu e puta mai ana i te motu.
- Kāore i te tumanakohiaMena he mamae nui .
- Mena kua āraia tō catheter , ā, kāore te mimi e puta mai ana.
Ki te mea he ruarua āu mō tētahi mea pēnei, kaua e warewarehia. Waea atu ki tō tākuta, ki tō hōhipera rānei, kia whiwhi tohutohu tonu atu ai.
Karere Tangohia ki te Kāinga
- He tino angitu te urethroplasty hei rongoā i te urethra stricture.
- Ko te angitu o tēnei pokanga e eke ana ki te 80%-90%.
- Me whakauru he catheter mō te 2-3 wiki i muri i te pokanga.
- Kia tino whai i ngā tohutohu a te tākuta, ina koa te karo i ngā mahi ā-ira tangata me te whakawhāiti i ngā mahi i te wā e ora ana.
- Ki te puta mai ngā tohu whakatūpato pēnei i te kirika, te mamae nui, te pupuhi rānei mai i te tapahi, me whakamōhio tonu atu ki tō tākuta.
- Mena he pātai, he āwangawanga rānei āu mō tō hauora, kōrero mārire ki tō tākuta.
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