Whakaarohia me tango tō pūkahukahu mō tētahi take, kāore rānei e mahi tika ana. Nā, me pēhea te putanga mai o te mimi e puta mai ana i roto i te tinana? Tērā pea kua pāngia koe e tēnei raruraru anō hoki. Koinei te wā ka tahuri ngā tākuta ki te mea e kiia nei ko te 'pokanga whakarerekētanga mimi', ko te Urinary Diversion rānei. Ahakoa he ahua uaua tēnei kaupapa, i tēnei rā ka kōrerohia e tātou he mea ngāwari noa iho, i roto i tētahi huarahi e mārama ai koe.
Tuatahi, me titiro tātou ki te mahi a tā tātou pūnaha mimi.
Hei mārama ki tēnei, me mārama tātou ki te tukanga noa o te hanganga me te tukunga mimi i roto i te tinana. He tino māmā noa iho.
- Ngā whatukuhu: He rite ēnei ki ngā tātari wai e rua. Ka tātarihia ō tātou toto, ka tangohia ngā para kore e hiahiatia me te wai nui, ā, ka hangaia he "mimi".
- Ngā ureter: Ka haria te mimi e puta ana i roto i ngā whatukuhu ki te pūkahukahu mā roto i ngā ngongo e rua. Ka kiia ēnei ngongo e rua he ureter.
- Pūngāwerewere: He rite tēnei ki tētahi poihau iti. He putea e kohi ana, e penapena ana hoki i te mimi.
- Urethra: Ina kī te pūhā, ka puta te mimi mā roto i tēnei ngongo.
Ko tēnei tukanga katoa e whakahaerehia ana e te hononga io i waenga i te roro me te pūhā. Ina kī te pūhā, ka tukuna he tohu ki te roro. Kātahi ka kī te roro ki te pūhā kia kōpiri, kia wātea hoki ngā uaua o te ara mimi.
He aha i hiahiatia ai tēnei momo pokanga e te tangata?
E tika ana tēnei pokanga ina kore e mahi tika te pūkahukahu, me tango rānei. He maha ngā take mō tēnei.
- Matepukupuku tōngāmimi .
- Te kino o te pūkahukahu i puta mai i te rongoā irahiko mō te mate pukupuku.
- Ngā mate pukupuku pūkahukahu mau tonu e puta pinepine ana, ā, kāore e ora.
- Te whara nui ki te pūnaha mimi.
- Ngā hapa whānau pērā i te spina bifida.
- Ngā mate o te pūnaha io pērā i te Multiple Sclerosis (MS) .
- Te mamae nui o te pūkahukahu , te mamae rānei e kore e taea te whakamanawanui i roto i te pūkahukahu.
Ko te mea nui rawa atu ko te hiahia kia puta te mimi i te tinana. Ki te kore, ka hoki anō te mimi ki te tinana, ka pēhi i ngā whatukuhu, ka arahi pea ki ngā āhuatanga kino pēnei i te ngoikore o te whatukuhu. Ko te whāinga matua o tēnei pokanga he ārai i taua kino.
He aha ēnei momo pokanga?
Hei whakarāpopototanga, ka whakamahia e ngā taote pokanga tētahi wāhanga iti o tō ake whekau hei waihanga i tētahi ara hou mō te putanga o te mimi. E rua ngā huarahi matua e mahia ai tēnei. Me titiro tātou ki ngā tikanga e rua i roto i tētahi huarahi e māmā ai te mārama.
| Momo pokanga | He māmā noa iho te mea ka tupu. |
|---|---|
| Te Hurihanga Kore-Pūmau | Ka hangaia e te taote pokanga he kōhao (stoma) ki roto i te kiri o te puku. Ka honoa te urethra ki tētahi wahi o te whekau, ā, ka mau ki tēnei kōhao. Ka rere tonu te mimi i roto i tēnei kōhao ki roto i tētahi pēke o waho (pēke ostomy) e piri ana ki reira. Me whakawātea tonu tēnei pēke. Ka kiia hoki tēnei he urostomy . |
| Te Hurihanga o te Whenua | I konei, ka whakamahia tētahi wāhanga o te whekau hei hanga i tētahi pēke i roto i te tinana hei kohi mimi. E rua ngā huarahi e taea ai tēnei. Ka hangaia he pūkahukahu hou (neobladder) e hono ana ki te urethra, ka hangaia rānei he pēke ka taea te whakawātea mā roto i tētahi kōhao iti (stoma) i roto i te puku mā te whakamahi i tētahi catheter. |
Tikanga mō te kore e taea te pupuri i te mimi: Ileal Conduit
Koinei te tikanga e whakamahia whānuitia ana. Kāore e taea te whakahaere i te rere o te mimi i konei. Ka kohia aunoatia ki roto i te putea.
- Ngā Painga:
- He māmā ake te pokanga i ētahi atu tikanga.
- Kāore he take e tākai ai koe i a koe anō ki te katitere.
- Ngā ngoikoretanga:
- Tērā pea ka pāngia ētahi e te kore whakamarie hinengaro ina mau ana i tētahi pēke kohi mimi.
- Tērā pea ka turuturu te putea, ka puta rānei he haunga kino.
Ngā huarahi hei whakahaere i te mimi
1. Pēke Indiana
I tēnei tikanga, ka whakanohoia he pēke i hangaia ki te whekau ki roto i te tinana. Ka honoa te ara mimi ki tēnei. Ka kawea he wāhanga iti o te whekau, e hono ana ki tēnei pēke, ki tētahi kōhao iti (stoma) i hangaia i roto i te puku. Kāore te mimi e puta mai i tēnei anake. Tata ki ia whā hāora, me whakauru ā-ringa he ngongo iti (catheter) mā roto i tēnei kōhao hei whakawātea i te mimi i roto i te pēke.
- Ngā Painga:
- Nā te mea kei roto i te tinana te mimi, kāore e hiahiatia he pēke o waho.
- He iti ake te mōrearea o te turuturu, te haunga rānei nā te mea kāore he putea.
- Ka taea te kati i te stoma mā te whakamahi i te pāreti.
- Ngā ngoikoretanga:
- He roa te wā e pau ana ki te pokanga.
- Me whakauru e koe he ngongo, ka whakawātea i tō mimi i ngā wā auau, tata ki ia whā hāora.
- I ētahi wā ka āraia te pūaha, ka puta he kiko koha, ka puta he kōhatu i roto i te pēke, ka puta rānei he mate.
- He mea tino nui: Ki te kore e taea te whakauru i te ngongo, ā, kāore e taea te whakawātea i te putea, tera pea ka pakū. He āhuatanga ohorere hauora tēnei. Mēnā he pēnei, me haere tonu koe ki te Tari Ohorere o te hōhipera (ETU).
2. Te hanga i tētahi pūkahukahu hou (Neobladder)
Koinei te mea e tata ana ki te ara mimi noa. I konei, ka honoa he pūkahukahu hou i hangaia mai i te whekau ki tō urethra taketake. Nō reira, kāore he whakatuwheratanga o waho (stoma). Ina hiahia koe ki te mimi, me whakakorikori ō uaua puku kia taea ai e koe te mahi pera.
- Ngā Painga:
- He tino rite te tukanga mimi ki te tikanga noa.
- Kāore he pūaha o waho (stoma) hei tiaki.
- Ngā ngoikoretanga:
- He roa te wā e pau ana ki te pokanga.
- Tērā pea ka pāngia koe e te kore e taea te pupuri i te mimi mō te ono marama i muri i te pokanga. Tērā pea ka pāngia ētahi tāngata e tēnei āhuatanga i te pō.
- Kāore e taea e ētahi tāngata te whakawātea katoa i tā rātou mimi hou. Tērā pea me whakauru he ngongo mā roto i te urethra, mō te wā poto, mō te wā roa rānei, hei whakawātea i tā rātou mimi.
He pēhea te roa o te wā whakaora i muri i te pokanga?
E rua, e rua rānei ngā marama ka roa hei whakaora katoa i a koe, hei whakahoki mai i tō kaha i muri i tētahi pokanga pēnei. He wā anō hoki hei taunga ki te pūnaha hou. Me manawanui koe ki tēnā.
- Mahi: Ka taea e koe te hoki ki te mahi i roto i te marama, i ngā marama e rua rānei.
- Ngā Mahi: Kia ora ake koe, ka taea e koe te hoki ki te whakakorikori tinana me ngā hākinakina. Heoi, me kōrero ki tō tākuta i mua i te whai wāhi atu ki ngā hākinakina pā, ki te kaukau rānei.
- Kai: E kī ana te tākuta kia kai i ngā kai ngawari, ngāwari ki te nakunaku i te marama tuatahi i muri i te pokanga.
- Haere: Kāore he here mō te haere. Heoi anō, me mau mai ētahi atu taputapu (pēke ostomy, catheter) mēnā e tika ana.
Ka pā pea tēnei pokanga ki a koe i te taha tinana me te taha hinengaro . He mea noa te manukanuka me te āwangawanga mō tō oranga moepuku me tō whanaungatanga ki tō hoa i tēnei āhuatanga hou. He mea tino nui kia kōrero mārama koe mō tēnei mea ki tō tākuta.
Kia pēhea te wā me toro atu ahau ki te tākuta?
Ki te pāngia koe e ngā tohu o te mate mimi, me toro atu ki tō tākuta tonu.
- Kirika
- Te wiri i te makariri
- Whakapairuaki, ruaki rānei
- Mamae tuara, mamae puku rānei
- Ka huri te tae o te mimi (ka pōuriuri), ka kaha rānei te kakara
Hei tāpiritanga, ki te whero te kiri huri noa i tō stoma, ka pupuhi, ka turuturu te wai, te mimi rānei, ki te uaua rānei te whakauru i te catheter, me whakamōhio tonu atu ki tō tākuta.
Karere Tangohia ki te Kāinga
- Ka mahia te pokanga whakahuri mimi hei aukati i te kino o ō whatukuhu ina kore e mahi tika tō mimi.
- E rua ngā momo pokanga matua: ko te tikanga kohi mimi i roto i te pēke o waho (incontinence) me te tikanga kohi mimi i roto i te pēke i hangaia ki roto i te tinana (continent).
- Mā tō tākuta e whakatau te tikanga e pai ana māu i runga i tō āhua hauora. Kōrerohia marietia ki a ia.
- Ka roa te wā e taunga ai koe ki te pūnaha hou i muri i te pokanga. Kia manawanui. Ki te kore koe e pai ki te taha hinengaro, rapua he tohutohu hauora me te tautoko.
- Mena kei te pāngia koe e te kirika, te makariri, ngā panonitanga o tō mimi, ngā raruraru rānei ki tō stoma, me kōrero tonu atu ki tō tākuta .
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