He uaua anō hoki tō mimi? Me ako tātou mō te pupuri mimi

Kei te whakaaro koe i ētahi wā me mutu te mimi i waenganui o tō mimi , kāore rānei tō pūkahukahu i tino mimiti? He uaua rānei ki a koe te tīmata mimi ? He raruraru hauora noa tēnei e whakama ana te nuinga o te tangata ki te kōrero mōna, engari he raruraru hauora tino nui. I tēnei rā ka kōrero tātou mō tēnei āhuatanga e kiia nei ko te pupuri mimi, e mōhiotia ana rānei i roto i te rongoā ko te "Pupuri Mimi". Kaua e manukanuka, he mea tēnei ka taea te whakahaere mēnā ka māramahia, ka rongoatia hoki.

He aha te tikanga o te pupuri mimi?

Whakaarohia tō pūhā hei tāke wai. Ka tātarihia e ō tātou whatukuhu ngā para o roto i ō tātou tinana, ka whakaputa mimi (mimi/mimi) e kohia ana i roto i tēnei pūhā. Ina hiahia tātou ki te mimi, ka puta te mimi i roto i tēnei tāke mā roto i tētahi ngongo e kiia nei ko te urethra.

Ko te pupuri mimi ko te wā kāore tō pūkahukahu e mimiti katoa ina mimi koe. I ētahi wā, tera pea he iti noa iho te toenga, ā, i ngā wā kino rawa atu, tērā pea kāore e taea e koe te mimi.

E rua ngā momo matua o tēnei.

E rua ngā huarahi matua e puta ai tēnei mate pupuri mimi. He rerekē ngā tohu me te kaha o ia tohu.

1. Te Pupuri Mimi Koretake: He āhuatanga ohorere tēnei , he āhua ohorere. Ka hiahia koe ki te mimi, engari kāore e taea e koe te mimi ahakoa he iti noa iho. Tērā pea ka haere tahi tēnei me te mamae nui i te puku o raro. He āhuatanga ohorere hauora tēnei. Ki te puta tēnei, me haere tonu koe ki te rūma ohorere (ETU) o te hōhipera.

2. Te Pupuri Mimi Mau tonu: He āhuatanga tēnei e tupu haere ana i roto i te wā. Ka taea e koe te mimi, engari kāore tō pūkahukahu e tino mimiti. I te nuinga o te wā, kāore ngā tohu i te tino kino, nō reira, kāore pea ētahi tāngata e aro nui ki tēnei āhuatanga. Heoi anō, he mea nui tonu kia whiwhi maimoatanga mō tēnei āhuatanga.

He aha ngā tohu o tēnei mate?

Kia tirohia ngā tohu ka kitea i roto i ēnei momo e rua. He mea tino nui kia mōhio koe ki te wehewehe mārama i waenga i ēnei.

He aha te take e mau ai te mimi pēnei? He aha ngā tino take?

He maha ngā take e mau ai te mimi. Me matapakihia ngā take matua.

1. Te aukati i te ara mimi (Arai)

He kupu ngāwari, he ārai kei te ara o te rere o te mimi. Pērā i te wā e pēhia ana e koe he paipa wai, ka heke te rere o te wai. Ko te take matua o tēnei ko te whakanui ake i te repe prostate i roto i ngā tāne (Repe Prostate Nui, Benign Prostatic Hyperplasia rānei - BPH) . Nā te mea kei te taha o te urethra tēnei repe, ina whakanuia, ka whakawhāitihia te urethra, ka ārai i te ara o te mimi.

Hei tāpiritanga:

• Ngā kōhatu o te ara mimi, ngā toto totoka, te mate pukupuku rānei.
• Te whaiti o te urethra nā te kiko kua koha (Urethral Stricture) .
• Te pūngao o te pūkahukahu (cystocele) i roto i ngā wāhine.
• Te pūngao o te pūrua (te putanga mai o te pūrua ki roto i te pakitara o te tara) i roto i ngā wāhine.

2. Ētahi rongoā

Ka taea hoki e ētahi rongoā e tangohia ana e koe mō ētahi atu mate te whakararu i te mimi. Hei tauira, ko ētahi rongoā mate pāwera (Antihistamine), ko ētahi rongoā mamae (Opiates), me ētahi rongoā pōuri (Tricyclic Antidepressants) ka pā ki te mahi a ō uaua tōngāmimi.

3. Ngā raruraru io

Ka homai e te roro te tohu kia mimi tātou. Ka kī atu te roro ki ngā uaua o te pūhā kia whakakīkī, kia wātea hoki ngā uaua huri noa i te urethra. Mēnā he kino ki ngā hononga io i waenga i te roro me te pūnaha mimi, ka taea te whakararuraru i te tukanga mimi.

Ngā mea ka taea te whakaputa i tēnei:

• Whiu
• Mate Huka (Diabetes Mellitus)
• Ngā mate e pā ana ki te pūnaha io (hei tauira, te Multiple Sclerosis)
• Ngā whara ki te tuaiwi, ki te rohe pelvis rānei
• Whānautanga
• Ngā pokanga pelvis

4. Ngā Mate Pāwera, te Pupuhi rānei

Ka taea hoki e te pupuhi i puta mai i te mate mimi (UTI) , te mate prostate (prostatitis) , te mate pāwera rānei (STI) te aukati i te rere o te mimi.

5. Pokanga

Ka taea te pupuri mimi mō te wā poto, inā koa i muri i ngā pokanga nui pēnei i te whakakapinga hope, i muri rānei i te hoatutanga o te rongoā whakamoe.

He aha ngā mea ka tupu mēnā kāore koe e tiaki i te pupuri mimi?

Ehara i te mea pai kia wareware noa i tēnei mea, nā te mea ki te kore e rongoatia te pupuri mimi mau tonu, ka ara ake pea ētahi atu raruraru.

• Ngā mate urutā mimi (UTI): Ina roa rawa te noho o te mimi ki roto i te pūkahukahu, ka nui ake te tūponotanga ka tipu ngā huakita. Ka taea e ēnei mate te haere ki ngā whatukuhu.
• Te kino o te pūkahukahu: Nā te mea e kī tonu ana, ka totoro, ka ngoikore, ka pakaru hoki ngā uaua o te pūkahukahu.
• Te kino o te whatukuhu: Ka taea e ngā mate urutā, te pēhanga nui rānei i roto i te pūkahukahu te kino i ngā whatukuhu, ā, ka pā mai te mate whatukuhu.
• Ngā Kōhatu o te Pūngāwerewere: Ina kohia te mimi ki te wāhi kotahi, ka kohia ngā kohuke o roto ka hanga he kōhatu.

Me pēhea e kitea ai tēnei e koe, e Tākuta?

Ki te pā mai ēnei tohu ki a koe, ko te mea tuatahi me mahi ko te toro atu ki tētahi tākuta. He pai ake te toro atu ki tētahi tākuta tohunga ki ngā mate o te pūnaha mimi (te tākuta mimi).

Nā te tākuta:

• Ka pātaihia koe mō ō tohumate me te roa o te wā e pāngia ana koe.
• Pātai atu mō tō hītori hauora katoa.
• Ka whakamātau i te tinana.
• Ka whakamātauria he tauira mimi hei tirotiro mēnā he mate pāwera.
• Mena he tāne koe, me tirotirohia te repe prostate i roto i te pūkahukahu.(Whakamātautau Remu Mamati) .

Hei tāpiri, ka taea te whakahaere i ētahi atu whakamātautau hei whakatau i te take tuturu.

• Whakamātautau toenga mimi i muri i te mimi (PVR): Ka ine tēnei i te nui o te mimi e toe ana i roto i te pūkahukahu i muri i tō mimi.
• Cystoscopy: Ka tukuna he ngongo me te kāmera iti ki raro i te urethra hei tirotiro i te roto o te pūkahukahu me te urethra.
• Whakamātautau Urodynamic: He raupapa whakamātautau e ine ana i te mahi me te pēhanga o te pūkahukahu me ngā uaua e karapoti ana.
• Whakamātautau PSA: He whakamātautau toto hei tirotiro i te mōrearea o te mate pukupuku prostate.

He aha ngā maimoatanga mō tēnei?

Ko ngā tikanga maimoatanga e whakawhirinaki ana ki te mamae koi, ki te mamae mau tonu rānei, me te take.

Te maimoatanga mō te pupuri mimi tere

I te mea he āhuatanga ohorere tēnei, ko te mea tuatahi me mahi ko te whakauru i tētahi katitere me te tango i te mimi mai i te pūkahukahu. Mā tēnei ka tere te whakaora. Ko reira anake ka taea te tautuhi i te pūtake me te rongoā.

Te maimoatanga mō te pupuri mimi mau tonu

He maha ngā kōwhiringa maimoatanga mō tēnei.

• Rongoā: Mena kua rahi te repeure, ka hoatu pea he rongoā hei whakaiti, hei whakangāwari rānei i ngā uaua e karapoti ana. Ka hoatu pea he paturopi mō ngā mate pāwera.
• Pokanga: I runga i te pūtake, tera pea e hiahiatia he pokanga. Kei roto i tēnei ko te tango i te repe prostate (TURP), te whakatika i te aukati i roto i te urethra (Urethroplasty), te whakatika rānei i te cystocele/rectocele mā te pokanga.
• Ngā maimoatanga kore-pokanga:
• Ngā mahi Kegel: Ngā mahi hei whakapakari i ngā uaua o te hope.
• Pessary Tarau: He taputapu e whakanohoia ana ki roto i te tarau hei tautoko i te pūkahukahu e heke ana.
• Te whakahaere i te pūkahukahu: Ngā huringa whanonga pēnei i te whakahaere i te wā e inu wai ai.

Ko ētahi tāngata whai mate pūnaha io ka akona e tā rātou tākuta me pēhea te whakawātea i ō rātou mimi i te kāinga mā te whakamahi i tētahi catheter (te whakaurunga-ake-anake).