I ētahi wā, e whakaaro ana koe kāore e taea te whakawātea katoa i tō pūkahukahu ina haere koe ki te wharepaku? Kāore rānei, e whakaaro ana koe he iti noa te mimi e puta mai ana, ā, ka hiahia koe ki te hoki anō? I roto i ngā kupu hauora, ka kiia tēnei ko te Pupuri Mimi . Ko tōna tikanga, kāore tō pūkahukahu e whakawātea tika ana. Whakaarohia tō pūkahukahu he rite ki te tāke wai: ka kohia te wai i tātarihia e ō whatukuhu ki reira i mua i te putanga atu mā te urethra.
He aha te Pupuri Mimi, ā, he rerekē ngā momo?
Ki te kī māmā noa, ka puta te pupuri mimi ina kore e tino mimiti tō pūkahukahu. E rua ngā momo matua o tēnei:
1. Te Pupuri Mimi Tere: He āhuatanga ohorere tēnei, kāore i te tūmanakohia, ā, ka kitea pea e koe kāore e taea te mimi. He āhuatanga ohorere hauora tēnei e hiahia ana kia arohia tonutia.
2. Te Pupuri Mimi Mau Tonu: He āhuatanga tēnei e āta whanake haere ana mō te wā roa, me te āta puta haere o ngā tohu.
Ko ngā take pea ko ngā aukati i te ara mimi, ētahi rongoā, ngā raruraru rānei e pā ana ki te io.
Whakaarohia he rite ki te piko o te ngongo māra—ki te aukati tetahi mea i te ara, e kore e taea e te wai te rere tika ki waho.
E ai ki te kōrero, he āhuatanga ohorere hauora te pupuri mimi tere; ki te pāngia koe e tēnei, rapua tonutia he awhina hauora. Ko te pupuri mimi roa ka kitea nuitia i roto i ngā tāne i waenga i te 60 me te 80 tau te pakeke.
He pēhea te noa o tēnei āhuatanga?
E whakaatu ana ngā rangahau ka pā te pupuri mimi ki te 10% o ngā tāne neke atu i te 70 tau te pakeke, tae atu ki te 30% o ngā tāne neke atu i te 80 tau te pakeke. Ahakoa ka pāngia hoki ngā wāhine e te pupuri mimi tere, he iti ake te kitea i roto i ngā wāhine ki te whakataurite ki ngā tāne.
He aha ngā tohu o te pupuri mimi?
Ka whakawhirinaki ngā tohu ki te āhua o te mate, o te āhua o te tinana rānei.
Ngā Tohu o te Pupuri Mimi Whakapeka
Ka puta ohorere mai ēnei tohu:
- Te kore e taea te mimi, te iti noa rānei o te mimi e puta ahakoa kua kī te pūkahukahu .
- I ngā wā tino kino, ka pāngia pea koe e te mamae nui o te puku, te mamae rānei o raro o te puku . Mēnā ka puta tēnei, rapua tonutia he awhina hauora mā te waea atu ki te 911, mā te toro atu rānei ki te hōhipera tata.
Ngā Tohu o te Pupuri Mimi Mau tonu
He rerekē ngā tohu i ia tangata, i ia tangata. Ko ngā tohu noa ko:
- Te uaua ki te tīmata i te rere o te mimi.
- He ngoikore, he puhoi rānei te rere o te mimi, he uaua rānei ki te whakahaere i te rere.
- He whakaaro me hoki anō koe i muri tonu i te otinga.
- Te hiahia tonu ki te mimi.
- Te turuturu o te mimi ā-koretake.
- Te hiahia kia ara ake i ngā wā maha i te pō ki te mimi (Nocturia).
He aha ngā take e mau ai te mimi?
He maha ngā āhuatanga ka arahi pea ki te pupuri i te mimi, ko te nuinga:
- Ngā aukati i roto i te ara mimi.
- Ngā rongoā e tangohia ana mō ētahi atu āhuatanga hauora.
- Ngā raruraru e pā ana ki ngā io e whakararuraru ana i ngā tohu i waenga i te roro me te pūnaha mimi .
- Ngā mate urutā, ngā mumura rānei e aukati ana i te rere o te toto.
- Te pokanga (ina koa te whakaoranga i muri i te pokanga).
1. Ngā aukati
Ka taea e ngā mea katoa e ārai ana i te ara mai i te pūkahukahu mā roto i te urethra te whakapūmau i te toto. Koinei ngā take e tino kitea ana:
- Te Repeure Nui (BPH): I te tipu haere o te repeure, ka pēhi pea i te urethra, ka ārai i te rere o te urethra. E mōhiotia ana tēnei ko te Benign Prostatic Hyperplasia (BPH).
- Te Ārai i te Putanga o te Pūkahukahu:He aukati kei te kaki o te pūkahukahu, te wāhi e puta ai te mimi.
- Te Ārai i te Mire: Ngā ārai i puta mai i ngā kōhatu tākihi, ngā toto totoka, ngā pukupuku rānei.
- Cystocele : He mate e heke ai te pūkahukahu ki roto i te tenetene.
- Rectocele: He āhuatanga e pēhi ai tetahi wāhanga o te rectum ki te pakitara o te tara.
- Te Whakawhāititanga o te Urethral: Te whaiti o te urethra nā te kiko koha.
2. Ngā rongoā
Ka taea e ētahi rongoā te whakararuraru i te mahi a te uaua o te pūkahukahu, tae atu ki:
- Ngā rongoā ārai mate pāwera (hei tauira, Benadryl®)
- Ngā rongoā ārai-whakaheke toto (hei tauira, Detrol®)
- Ngā rongoā mamae opioid (hei tauira, Vicodin®)
- Ngā rongoā ārai pouri Tricyclic (hei tauira, Elavil®)
Ko ētahi atu rongoā ka whai wāhi pea ko ngā rongoā toto toto tiketike, ētahi rongoā hinengaro (antipsychotics), me ngā rongoā whakangāwari uaua.
3. Ngā raruraru io
He mahi tahi te mimi me te roro, e tohu ana i ngā uaua o te pūkahukahu kia kōpeke, kia wātea hoki ngā uaua o te uaua puku. Mēnā ka whakararuhia tēnei whakawhitiwhiti kōrero, ka puta te pupuri i te mimi. Ko ngā take ko:
- Te whiu .
- Mate huka.
- Te Mate Pukupuku Maha (MS).
- Te whara o te tuaiwi, te whara rānei o te hope.
- Te pēhanga io nā te pukupuku, nā te kōpae hernia rānei.
- Te whānautanga tara.
- Te pokanga hope.
Mena i hiahiatia he catheter i mua, ka nui ake pea tō mōrearea ki ngā raruraru mimi e pā ana ki ngā io.
4. Te mate urutā, te pupuhi rānei
Ka pupuhi pea te ara mimi i ngā mate, ka ārai i te rere o te toto:
- Prostatitis: Ka taea e te mumura o te repe prostate te pēhi i te urethra.
- Mate Pukupuku o te Ara Mimi (UTI): Ka taea e ngā mate te pupuhi i te urethra, te ngoikore rānei i ngā uaua o te pūkahukahu.
- Ngā Mate Tuku Iho (STI): Ka taea e ēnei te whakapūpū i te mumura ka arahi atu ki te pupuri i te ihu.
5. Pokanga
He mea noa te pupuri mimi i muri i te pokanga, inā koa i muri i te whakakapinga hope, i te pokanga tuaiwi rānei. Hei tāpiri, ko te rongoā whakamoe whānui e whakamahia ana i te wā pokanga ka pā ki te mahi o te tōngāmimi mō te wā poto.
He aha ngā āhuatanga mōrearea mō te pupuri mimi?
Ahakoa ka pāngia te tangata e te pupuri mimi, he nui ake te kitea i roto i ngā tāne . Ina koa, ko te hunga he nui te repeure, e mōhiotia ana ko te Benign Prostatic Hyperplasia (BPH) , he nui ake te mōrearea. Nā te mea ka taea e te repeure nui te pēhi i te urethra, ka hanga he aukati tinana e aukati ana i te mimi kia rere tika ki waho.
He aha ngā raruraru pea o te pupuri mimi?
Ki te kore tēnei mate e kitea, e kore rānei e rongoatia, ka ara ake pea he raruraru hauora nui, tae atu ki:
- Ngā Mate Pukupuku o te Ara Mimi (UTI): Ko te mimi e toe ana i roto i te pūkahukahu ka waiho hei wāhi whakatipu mō ngā huakita, ka arahi pea ki ngā mate ka horapa ki runga ki ō whatukuhu.
- Te Pakaru o te Pūngāwerewere: Ki te roa rawa te pupuhi o te pūngāwerewere, ka totoro te uaua o te pūngāwerewere, ā, ka pakaru tonu.
- Te Pakaru o te Whatukuhu: Ki te horapa te UTI ki ngā whatukuhu, ka pupuhi, ka mumura hoki. Ka taea e tēnei pēhanga te hua ake he mate whatukuhu mau tonu i roto i te wā.
- Te kore e taea te pupuri i te mimi: Ina kore e tino mimiti te mimi, tera pea ka pāngia koe e te turuturu koretake (te kore e taea te pupuri i te mimi) me te kore e mōhio.
- Ngā Kōhatu o te Pūkahukahu: Ko te mimi pūmau i roto i te pūkahukahu he taiao tino pai mō te hanganga o ngā kōhatu o te pūkahukahu.
Me pēhea te tātaritanga o te pupuri mimi?
He āhuatanga ohorere hauora te pupuri mimi whakapeka. Mēnā ka kitea ohoreretia e koe kāore e taea e koe te mimi, ina koa mēnā ka haere tahi mai me te mamae nui i roto i tō puku, i te rohe o raro rānei o te hope, rapua tonutia he awhina hauora ohorere .
Ki te whakapae koe he pūmau tonu tō mimi, me toro atu koe ki tētahi tohunga mimi. Ko tā tō tākuta e mea ai i te nuinga o te wā:
- Kōrerohia ō tohumate me te roa o te wā e pāngia ana koe e aua tohumate.
- Arotakehia tō hītori hauora katoa.
- Whakahaerehia he whakamātautau tinana.
- Tonoa he tauira mimi hei tirotiro i ngā tohu o te mate.
- Whakahaerehia he whakamātautau matihiko mō te repeure (DRE) hei aromatawai i te rahi me te hauora o tō repeure.
Hei tautuhi i te take matua, ka tūtohu pea tō tākuta i ētahi atu whakamātautau tātaritanga:
- Whakamātautau Mimi Toenga Muri i te Mimi (PVR): Mā tēnei ka ine i te nui o te mimi e toe ana i roto i tō pūkahukahu i muri tonu i tō ngana ki te mimi.
- Cystoscopy: Ka whakauruhia he ngongo angiangi, ngāwari me te kāmera (cystoscope) ki roto i te urethra kia taea ai e tō tākuta te tiro i roto i tō pūkahukahu me te urethra.
- Whakamātautau Urodynamic: Ka inehia e tēnei pūhiko whakamātautau te mahi a te io me te uaua, te pēhanga o te pūkahukahu, me te tere o te rere o tō mimi.
- Whakamātautau PSA: Ka inehia e tēnei whakamātautau toto ngā taumata o te Prostate-Specific Antigen (PSA), e āwhina ana ki te tirotiro mō te matepukupuku prostate, ētahi atu mate prostate rānei.
Me pēhea te rongoā i te pupuri mimi?
Ko te maimoatanga i Nirogi Lanka e whakawhirinaki ana ki te mea he mate koi, he mate mau tonu rānei, me te take o te mate.
Te rongoā i te pupuri mimi nui
Nā te mea he āhuatanga ohorere hauora tēnei, tera pea ka whakauruhia e tō tākuta he catheter hei tango i te wai i roto i tō pūkahukahu i taua wā tonu, ā, ka tere tonu te whakaora. Kia whakawāteahia tō pūkahukahu, ka tirotirohia e tō tākuta te take, ā, ka whakawhanakehia he mahere maimoatanga mō te wā roa.
Te rongoā i te pupuri mimi mau tonu
Ka whakaritea te maimoatanga kia rite ki te take motuhake, ā, ka uru pea ki tētahi, ki ētahi atu rānei o ngā huarahi e whai ake nei:
- Ngā rongoā.
- Ngā tikanga pokanga.
- Te āhua noho me ngā wawaotanga whanonga kāore e hiahiatia he pokanga.
Mena he raruraru io te take o te mate, me whakamahi pea koe i tētahi catheter i te kāinga. Ma tō tākuta e whakarato he whakangungu mō te mahi haumaru i te catheter-whaiaro ā-wā.
Ngā rongoā
Ka tohua pea e tō tākuta he rongoā hei rongoā i te pūtake o te mate, pērā i:
- Mō te BPH: Ka taea e ngā aukati-alpha, ngā aukati-5-alpha reductase rānei te āwhina ki te whakaiti i te repeure, ki te whakangāwari rānei i ngā uaua e karapoti ana i a ia kia pai ake ai te rere o te toto.
- Mō ngā mate urutā: Ka tohua ngā paturopi e tika ana hei whakakore i ngā mate urutā kitakita.
Ngā Kōwhiringa Pokanga
Tērā pea ka hiahiatia he pokanga i runga i te mate kua pā mai:
- Mō te Repeure Kua Nui: He maha ngā tikanga e wātea ana, pērā i te Transurethral Resection of the Prostate (TURP), te Prostatic Urethral Lift, te Holmium Laser Enucleation (HoLEP rānei), he mea hanga katoa hei tango, hei karo rānei i te aukati.
- Mō ngā Tūkinotanga Urethral: Ka whakamahia pea e te tākuta he catheter, he poihau rānei hei whakawhanui i te wāhi whaiti. I ētahi wā, me mahi he pokanga hanga anō e kiia nei ko te urethroplasty.
- Mō te hekenga o te whekau pelvis: Mena ko te pūkahukahu kua heke (cystocele) te rectum rānei (rectocele) te take, ka tūtohu pea te tākuta kia whakamahia he pessary, kia pokanga rānei hei whakaora i te hanganga o te pelvic.
- Mō ngā kōhatu tōngāmimi: Tērā pea ka whakamahia e tō tākuta he tikanga e kīia nei ko te cystolitholapaxy hei wawahi me te tango i ngā kōhatu mai i tō tōngāmimi.
Ka tīmata tonu tō tākuta me ngā tikanga tino iti te whakaekenga. Heoi, ki te kore e ranea ēnei, ka whakaarohia pea ētahi atu wawaotanga matatau ake, tae atu ki:
- Te tango pokanga i te repeure (te tango pokanga i te repeure).
- Te whakaohooho i te taurakira.
- Te pokanga o te pūkahukahu.
- Te hanga anō, te huri rānei i te mimi.
Ngā Maimoatanga Kore-Pokanga
I roto i te nuinga o ngā wā, ka taea te whakahaere i ngā tohu me te kore he pokanga:
- Ngā Mahi Kegel, te Whakaora Papa Pelvic rānei: Ka āwhina ēnei tikanga ki te whakapakari i ngā uaua e tautoko ana i tō pūkahukahu.
- Pessary Tara: He taputapu tautoko e whakamahia ana e ngā wāhine hei pupuri i te pūkahukahu e takoto ana ki te tūranga tika.
- Te Whakangungu Anō i te Pūkahukahu: Te waihanga i tētahi kaupapa mō te mimi me te whakahaere i te inu wai hei whakapai ake i te whakahaere i te pūkahukahu.
Ka taea te ārai i te pupuri mimi?
Ahakoa kāore e taea te ārai i ngā take katoa, ka taea e koe te whakaiti i ō tūponotanga:
- Whakarongo ki tō tinana, ā, whakamahia te wharepaku ina puta te hiahia. Kaua e pupuri i tō mimi mō te wā roa.
- Aroturukihia ō tikanga i roto i te wharepaku, ā, me toro atu ki tō tākuta tonu mēnā ka kite koe i ngā huringa pumau.
- Kia mau ki te kai hauora, kia kaha te tinana, ā, kia inu wai nui hei tautoko i te hauora o te mimi whānui.
Ka taea tonu te mimi ahakoa kei te pupurihia te mimi?
Ae, ka taea tonu e ētahi tāngata e pupuri ana i te mimi te mimi i roto i te iti o te mimi. Ko te tikanga o te pupuri mimi ko te kore e taea te whakawātea katoa i tō pūkahukahu, kāore rānei e taea te mimi i te katoa. I ētahi wā, ki te kī rawa te pūkahukahu, ka puea ake, ka puta he turuturu iti, kāore i te āta whakaarohia.
He aha taku e tumanako ai mēnā kei te pupurihia taku mimi?
Mena kua tāpaetia koe he mate pūmau mimi tōu, he mea nui kia tino whai i te mahere maimoatanga kua whakaritea e tō tākuta. Haere ki ngā wā tirotiro katoa hei aroturuki i tō ahunga whakamua me te whakarite kei te pai haere ō tohumate. Mō te tini o te tangata, ka nui te whakaora i ngā tohumate mā te maimoatanga tika.
Āhea ahau me toro atu ki te tākuta?
Me toro atu koe ki tētahi tohunga hauora mēnā ka pāngia koe e ēnei āhuatanga e whai ake nei:
- Te hiahia tonu ki te mimi, ina koa i muri tonu i te mutunga o te mimi.
- He uaua ki te tīmata i tō mimi, ki te ngoikore rānei tō rere, ki te mutu rānei, ka tīmata i ētahi wā.
- Te mamae i te puku o raro, te rohe hope, te tuara o raro rānei.
He aha ngā pātai me pātai atu e au ki taku tākuta?
Mena kei te mau tonu te mimi i roto i a koe, he mea maori te pātai. Me pātai atu pea koe ki tō tākuta i ēnei e whai ake nei:
- He aha tō whakaaro te pūtake o aku tohumate?
- He whakamātautau tātaritanga anō tāu e taunaki ana?
- He aha te huarahi maimoatanga e taunaki ana koe?
- Me pēhea te whakahaere pai i ēnei tohu i roto i tōku oranga o ia rā?
- He mate pupuri mimi taku e taea te rongoā katoa, te whakaora rānei?
Kāore pea e pai te kōrero mō ngā take whakahaere mimi ki te whānau, ki ngā hoa, ki ngā tākuta rānei. Heoi, kia mōhio koe ehara i te mea ko koe anake. He mate noa te pupuri mimi, ā, he tino taea te rongoā. Ki te kite koe i ētahi huringa i roto i ō tikanga mimi, ki te kore rānei koe e kaha ki te mimi, rapua he awhina hauora tonu. He maha ngā whiringa maimoatanga whai hua e wātea ana hei āwhina i a koe ki te whakahaere i ō tohumate.
Karere Tangohia ki te Kāinga
He wā ka pāngia te mimi e te pupuri mimi, ā, ki te tere te tīmatanga, ka taea te huri hei āhuatanga ohorere hauora nui. Ko te mahi nui ko te mōhio ki ō tohu me te rapu tohutohu hauora i te wā tonu.
- Ngā Tohumate o te Ohorere: Ki te kore e taea e koe te mimi, te mamae kino rānei o raro o te puku, haere tonu ki te wāhi ohorere tata.
- Ngā Tohu Pūmau: Mena ka raru koe ki te tīmata mimi, he ngoikore te rere o te mimi, he auau rānei te hiahia, kaua e mangere ki te whakarite i tētahi hui ki tō tākuta kia tika ai te aromatawai.
- Ngā Take Maha:Ka taea e ngā āhuatanga pēnei i ngā raruraru repeure, ngā pānga taha o ngā rongoā, te kino o ngā io, ngā mate pāwera rānei te whakararu i te pupuri i te repeure. Ko te tautuhi i te tino take te mea nui ki te maimoatanga whai hua.
- Kei te Wātea te Maimoatanga: I runga i te take, ka uru pea ki te maimoatanga te rongoā, ngā pokanga, ngā whakarerekētanga rānei o te momo noho.
- Kaua e Whakahāweatia: Ki te kore e rongoatia, ka puta pea ngā raruraru pēnei i te kino o te whatukuhu, te mate urutā rānei.
Kia maumahara, ki te pāngia koe e tēnei mamae, kaua e wehi ki te kōrero ki tō tākuta. Mā te tiaki wawe mai i Nirogi Lanka, ka taea e koe te whiwhi i te whakamarie me te whakapai ake i te kounga o tō oranga.
