He uaua anō hoki ki a koe te whakawātea katoa i tō pūkahukahu? Me kōrero tātou mō te Pupuri Mimi!

Kei te whakaaro koe i ētahi wā kāore e taea e koe te mimi katoa? He iti noa iho rānei tō mimi, kātahi ka whakaaro koe me mimi anō? Koinei te mea e kīia nei e tātou ko te pupuri mimi, ko te "Pupuri Mimi" rānei i roto i te rongoā. Ko te mea ka tupu i roto i tēnei, kāore tō pūkahukahu e tino mimiti. He rite tō tātou pūkahukahu ki te tāke wai. Ko te mimi e tātarihia ana e ngā whatukuhu mai i te wai me ngā wai e inumia ana e tātou, ka kohia ki roto i tēnei pūkahukahu. Kātahi ka puta mā te urethra.

He aha te pupuri mimi? He momo anō kei reira?

Ki te kī māmā noa, ko te pupuri mimi ko te kore e tino mimiti tō pūkahukahu ina mimi koe. E rua ngā huarahi matua ka puta ai tēnei. 1. Te pupuri mimi tere: He āhuatanga ohorere tēnei. Tērā pea kāore e taea e koe te mimi i te katoa. He āhuatanga tēnei e hiahia ana kia rongoatia wawetia e te hauora. 2. Te pupuri mimi mau tonu: He āhuatanga tēnei e āta whanake haere ana i roto i te wā. Ka āta puta hoki ngā tohu. Ka puta pea tēnei i ngā mea pēnei i te aukati i te ara mimi, ētahi rongoā, me ngā raruraru o te pūnaha io.

Whakaarohia tēnei, he rite ki te wā ka mau tetahi mea ki roto i te paipa wai, ka mutu te rere o te wai.

He āhuatanga ohorere te pupuri mimi whakapeka. Mēnā ka puta tēnei, me toro atu koe ki te tākuta tonu. Ko te pupuri mimi whakapeka te mea tino noa i waenga 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 tata ki te 10% o ngā tāne neke atu i te 70 tau te pakeke, me te tata ki te 30% o ngā tāne neke atu i te 80 tau te pakeke ka pāngia pea e tēnei āhuatanga. Ahakoa ka pāngia hoki ngā wāhine e te kore e taea te pupuri i te mimi, he iti ake te kitea i ngā tāne.

He aha ngā tohu o te pupuri mimi?

Ka rerekē pea ēnei tohu i runga i te mea he tohumate koi, he tohumate mau tonu rānei tōu.

Ngā Tohu o te Pupuri Mimi Whakapeka

I tēnei āhuatanga, ka puta ohorere mai ngā tohu.

• Te kore e taea te mimi, te mimi iti noa rānei ahakoa kua kī te pūhā .
• I ngā wā tino kino, ka pāngia pea koe e te mamae o te puku me te mamae o raro o te puku . Mēnā ka pā tēnei ki a koe, me toro atu koe ki te tākuta tonu atu.

Ngā Tohu o te Pupuri Mimi Mau tonu

Ka rerekē ngā tohu i ia tangata, i ia tangata. Ko ētahi o ngā tohu noa ko:

• Te uaua ki te tīmata mimi.
• He ngoikore, he puhoi, he kore rānei e taea te whakahaere i te rere o te mimi.
• Te āhua me te mea me mimi anō koe i muri tonu i tō mimi.
• Te āhua nei me mimi tonu koe.
• He iti nei te mimi e turuturu ana, kāore i te mōhiotia.
• Te ara ake i ngā wā maha i te pō ki te mimi (Nocturia).

He aha ngā take o te pupuri mimi?

He maha ngā take e mau ai te mimi. Ko ngā mea matua ko:

• He momo ārai kei te ara o te mimi e puta ana i te tinana.
• Ko ētahi rongoā ka tangohia e koe mō ētahi atu āhuatanga.
• Ngā raruraru e pā ana ki ngā io e whakararuraru ana i te whakawhitiwhiti karere i waenga i te roro me te pūnaha mimi .
• Ngā mate urutā, ngā pupuhi rānei e aukati ana i te rere o te mimi.
• Pokanga (ina koa i muri i ētahi pokanga).

1. Ārai

Ki te ārai tetahi mea i te rere noa o te mimi mai i te pūkahukahu ki te urethra, ka puta he aukati mimi. Ko tēnei aukati te tino take o te pupuri mimi. Ko ētahi o ngā take pea o ēnei aukati ko:

• Te Repeure Nui : I roto i ngā tāne, ka nui haere te repeure, ka pēhi i te urethra, ka ārai i te rere o te urethra. Ka kiia hoki tēnei ko te Benign Prostatic Hyperplasia ( BPH ).
• Te Ārai i te Putanga o te Mimi: He ārai i te wāhi e puta ai te mimi i te mimi (te kaki o te mimi).
• Te Ārai i te Mimi: Te aukati i te mimi nā ngā kōhatu mimi, ngā toto totoka, ngā pukupuku, ētahi atu take rānei.
• Cystocele : He mate e heke iho ai te pūkahukahu i roto i ngā wāhine ki roto i te tenetene.
• Rectocele: He āhuatanga e pana ai tetahi wāhanga o te rectum i roto i ngā wāhine ki roto i te pakitara o te tenetene.
• Te Whakawhāititanga o te Urethral: Te whaiti o te urethra nā te kiko koha.

2. Ngā rongoā

Ka taea hoki e ētahi rongoā te whakapūmau i te mimi. Hei tauira:

• Ngā Antihistamine (hei tauira, Benadryl®)
• Ngā rongoā ārai-whakaheke toto (hei tauira, Detrol®)
• Ngā rongoā whakamamae mamae opiate (hei tauira, Vicodin®)
• Ngā rongoā ārai pouri tricyclic (pērā i a Elavil®)

Ka taea e ēnei te whakarerekē i te mahi a ngā uaua o te pūkahukahu. Ko ētahi atu momo rongoā ko:

• Ko ētahi rongoā toto toto tiketike.
• Ētahi rongoā mō te mate hinengaro (Ngā rongoā ārai hinengaro).
• Ngā rongoā whakangāwari uaua.

3. Ngā raruraru io

Kāore pea koe e mōhio, engari kei roto hoki tō tātou roro i te mimi. Ka tukuna e te roro he tohu ki ngā uaua o te pūkahukahu kia whakakīkī, ko te wā tēnei e puta mai ai te mimi. I taua wā anō, ka kī atu te roro ki ngā uaua huri noa i te urethra (ngā uaua sphincter) kia wātea. Koinei te wā e puta ngāwari mai ai te mimi. Nō reira, ki te mea he raruraru kei roto i tēnei whakawhitiwhiti kōrero i waenga i te roro me ngā io, ka puta pea ngā raruraru mimi. Ngā take pea o ngā raruraru e pā ana ki te io:

• Te whiu .
• Mate huka `(Diabetes Mellitus)`.
• Te Mate Pukupuku Maha (MS).
• Te kino ki te tuaiwi, ki te rohe hope rānei i puta mai i tētahi aituā, i tētahi whara rānei.
• Te pēhanga o te taurakira nā te pukupuku, te kōpae hernia rānei.
• Te whānautanga noa `(Te whānautanga tara)`.
• Ko ētahi pokanga i mahia ki te rohe pelvic.

Mena kua whakauruhia he catheter (ngā ngongo mimi) ki roto i a koe i mua, he nui ake tō tūponotanga ki te pāngia e ngā raruraru io.

4. Te mate urutā, te pupuhi rānei

Ka taea hoki e ngā mate me te pupuhi te aukati i te rere o te mimi mā te urethra. Hei tauira:

• Te mate pūkahukahu: He mate pukupuku, he pupuhi rānei o te repe pūkahukahu, ka pupuhi, ka pēhi i te urethra, ka aukati i te rere o te mimi.
• Mate Pukupuku o te Ara Mimi (UTI): Ka pupuhi pea te urethra, ka ngoikore rānei te pūkahukahu i te mate o te pūnaha mimi. Ka taea e ēnei e rua te pupuri i te mimi.
• Ngā Mate Tuku Iho (STI): Ka taea hoki e ēnei mate te pupuhi me te aukati i te mimi.

5. Pokanga

Ka taea hoki te pupuri mimi i muri i ētahi pokanga. Hei tauira, te whakakapinga hope, te pokanga tuaiwi rānei. Waihoki, ka taea te pupuri mimi mō te wā poto nā te mea he mate whakamoe whānui i te wā o te pokanga.

He aha ngā āhuatanga mōrearea mō te pupuri mimi?

Ahakoa ka taea te pupuri mimi i roto i te tangata katoa, he mea tino noa i roto i ngā tāne . He tino teitei tēnei mōrearea i roto i ngā tāne he nui te repe prostate (Benign Prostatic Hyperplasia, BPH rānei), nā te mea ka pēhia e tō rātou repe prostate te urethra ka aukati i te rere o te mimi.

He aha ngā raruraru ka puta mai i te pupuri i te mimi?

Mena kāore tēnei āhuatanga e kitea, e rongoatia rānei, ka puta pea ēnei raruraru:

• Ngā mate urutā mimi (UTI): Ina kohia te mimi ki roto i te pūkahukahu, ka hangaia he taiao pai mō te tipu o ngā huakita. Ka arahi pea tēnei ki ngā mate urutā mimi, ka horapa ki ngā whatukuhu.
• Te kino o te pūkahukahu: Ina nui rawa te mimi e kohia ana i roto i te pūkahukahu, ka totoro, ka pakaru hoki ngā uaua o te pūkahukahu.
• Te kino o te whatukuhu:Ki te horapa te mate mimi ki ngā whatukuhu, ka pupuhi, ka mumura hoki ngā whatukuhu. Ka taea e tēnei pēhanga te kino i ngā whatukuhu, ā, ka pā mai te mate whatukuhu.
• Te turuturu o te mimi ā-kore noa iho: Ki te kore tō pūkahukahu e tino kau, ka turuturu pea ētahi mimi me te kore e mōhio.
• Ngā Kōhatu o te Pūngāwerewere: Ka taea te hanga kōhatu o te pūngāwerewere ina kohia te mimi ki roto i te pūngāwerewere.

Me pēhea te tātaritanga o te pupuri mimi?

He āhuatanga ohorere hauora te pupuri mimi whakapeka. Mēnā ka pāngia koe e te uaua ohorere ki te mimi, inā koa ka mamae tō puku, tō tuara raro rānei, me rapu tohutohu hauora tonu koe . Mēnā he pupuri mimi roa tōu, me toro atu koe ki tētahi tākuta mimi. Māna ēnei mahi:

• Ka pātai atu rātou mō ō tohumate me te roa o te wā kua pāngia koe e aua tohumate.
• Ka kohia tō hītori hauora katoa.
• Ka whakamātau i te tinana.
• Ka whakamātauria he tauira mimi hei tirotiro mēnā he mate pāwera.
• Ka whakahaerehia he whakamātautau matihiko mō te repeure hei tirotiro i te repe tākihi.

Hei tāpiri, ka whakahaerehia pea e te tākuta ētahi atu whakamātautau hei kimi i te take o te pupuri mimi:

• Whakamātautau Mimi Toenga i Muri i te Mimi (PVR): Ka ine tēnei i te nui o te mimi e toe ana i roto i tō pūkahukahu i muri i tō mimi.
• Cystoscopy: Ko te tirotiro i te roto o te pūkahukahu me te urethra mā te whakamahi i te cystoscope, he ngongo rite te rahi ki te pene, me te rama me te kāmera, te karāhe arotahi rānei.
• Whakamātautau Urodynamic: Ka ine tēnei whakamātautau i te mahi a ngā io me ngā uaua, te pēhanga i roto me te taha o te pūkahukahu, me te tere rere o te mimi.
• Whakamātautau PSA: Ka tirohia e tēnei whakamātautau toto te matepukupuku repeure mā te ine i te taumata o te Prostate-Specific Antigen (PSA).

He aha te rongoā mō te pupuri mimi?

Ko te maimoatanga mō te pupuri mimi ka whakawhirinaki ki te mea he mate kore mimi whakapeka, he mate kore mimi mau tonu rānei tōu, me te take hoki.

Te maimoatanga mō te pupuri mimi ohorere

Nā te mea he āhuatanga ohorere hauora tēnei, ka whakauruhia e te tākuta he catheter (he ngongo) ki roto i tō pūkahukahu hei tango i te wai. Mā tēnei ka tere te whakaora. Whai muri i tēnā, ka kitea te pūtake, ā, ka tīmata te maimoatanga tika.

Te maimoatanga mō te pupuri mimi mau tonu

Kei te pūtake te maimoatanga. Tērā pea ka uru mai he huinga o tētahi, neke atu rānei o ēnei e whai ake nei:

• Ngā rongoā.
• Pokanga.
• Ngā kōwhiringa kore-pokanga (ngā huringa whanonga).

Mena kei te mau tonu tō mimi, inā koa nā ngā raruraru e pā ana ki te io, ka taea pea e koe te whakamahi i tētahi catheter mō tētahi wā poto i te kāinga. Mena koinā, mā tō tākuta koe e ako ki te tākai i te catheter mā te whakamahi i a koe anō.

Rongoā

Tērā pea ka tohua e tō tākuta he rongoā hei rongoā i te tino take o te pupuri mimi. Hei tauira:

• Mō te repeure kua rahi: Ko ngā rongoā pēnei i ngā alpha-blockers me ngā 5-alpha reductase inhibitors ka whakaiti i te repeure, ka whakangāwari rānei i ngā uaua e karapoti ana.
• Mō ngā mate pāwera: Ka hoatu ngā paturopi hei rongoā i ngā mate e pupuri ai te mimi.

Pokanga

I runga i te pūtake, tera pea e hiahiatia he pokanga hei rongoā i te pupuri mimi. Tērā pea ka tūtohu tō tākuta kia pokangahia mō ngā āhuatanga e whai ake nei:

• Te repeure kua nui: He maha ngā momo pokanga hei rongoā i tēnei. Hei tauira, te tango transurethral o te repeure (TURP), te tango prostatic urethral lift, te tango holmium laser o te repeure (HoLEP) rānei. Ka taea e ēnei tikanga katoa (me ētahi atu) te tango i te aukati e puta ai te aukati.
• Te whakawhāititanga o te urethra: Ka whakamahia pea e te tākuta he catheter, he poihau rānei hei whakatuwhera i te kiko whara e whaiti ana. Ko tētahi atu kōwhiringa ko te mahi pokanga e kiia nei ko te urethroplasty, arā, ko te whakatuwhera me te whakatika i te urethra.
• Cystocele, Rectocele rānei: Mena he pūkahukahu, he pūkahukahu rānei te take o ō tohumate, ka tūtohu pea tō tākuta i tētahi pessary (he taputapu hei pupuri i te pūkahukahu) i tētahi pokanga rānei hei nuku i ngā whekau ki tōna tūranga. Kei te wātea he pokanga mō ngā momo pūkahukahu katoa o te whekau pelvic.
• Ngā kōhatu o te ara mimi: Ka whakamahia pea e tō tākuta tētahi tikanga e kiia nei ko te cystolitholapaxy hei wawahi me te tango i ngā kōhatu i roto i te pūkahukahu, i te urethra rānei.

Ka whakamātau tuatahi te tākuta i ngā tikanga me ngā maimoatanga iti ake te whakaekenga. Heoi, ki te kore ēnei e āwhina, ka whakaarohia pea ngā tikanga whakaekenga ake, pēnei i:

• Te tango katoa i te repe prostate (Prostatectomy).
• Te Whakaoho i te Taura Tuaiwi.
• Te pokanga o te pūkahukahu.
• Te Hanga Anō me te Hurihuri o te Mimi.

Ngā Maimoatanga Kore-Pokanga

I ētahi wā, ka taea e ngā tikanga kore-pokanga te whakaora i ngā tohumate. Hei tauira:

• Ngā mahi Kegel, te whakaora uaua papa pelvic rānei:Mā ngā mahi Kegel me te whakaora tinana ka whakapakari i ngā uaua o te papa pelvic.
• Pessary Tara: He taputapu rite ki te mowhiti e whakamahia ana hei tautoko i te pūkahukahu mēnā ka heke.
• Te whakahaere mimi: Ka taea e koe te whakahaere i te pupuri mimi mā te whakahaere i te wā e hiahia ana koe ki te mimi me te whakamahere i te wā e inu ai koe i ngā wai.

Ka taea te ārai i te pupuri mimi?

Ahakoa kāore e taea te ārai katoa i tēnei, kei reira ētahi mea ka taea e koe te mahi hei whakaiti i te mōrearea:

• Haere ki te wharepaku ina hiahia koe ki te mimi. Kaua e pupuri i tō mimi ki roto.
• Kia tūpato ki ō tikanga mimi. Mēnā ka kite koe i ētahi huringa, kōrero atu ki tō tākuta.
• Kai i tētahi kai taurite, kia mau ki te taumaha hauora, ā, inu nui i te wai.

Ka taea e koe te mimi ahakoa kei te pupurihia tō mimi?

Ae, ka taea e ētahi tāngata te mimi pakupaku. Ko te tikanga o te pupuri mimi kāore e taea e koe te mimi i te katoa, kāore rānei tō pūkahukahu e tino mimiti ina mimi koe. I ētahi wā, kī tonu te pūkahukahu i te mimi, ā, ka puea ake, nō reira ka turuturu pea ētahi mimi.

He aha taku e tumanako ai mēnā kei te pupurihia taku mimi?

Mena kua tāpaetia he mate pūmau mimi tōu, he mea nui kia whai i te mahere maimoatanga a tō tākuta. Me whai i ngā whakamātautau whai muri kia kite ai mēnā kei te pai haere ō tohumate. Mō te tini o te tangata, mā te maimoatanga tika ka āwhina i te whakamamae i ngā tohumate.

Āhea ahau me toro atu ki te tākuta?

Tirohia te tākuta mēnā kei a koe tētahi o ēnei mea:

• Ki te mea kei te hiahia koe ki te mimi i ngā wā katoa, inā koa i muri tonu i tō mimi.
• Mena he uaua ki a koe te tīmata mimi, ki te ngoikore rānei tō rerenga mimi, ki te mutu rānei.
• Mena kei te mamae koe i te puku o raro, i te rohe ira tangata, i te tuara o raro rānei.

He aha ngā pātai me pātai atu e au ki taku tākuta?

Mena kei te mau tonu tō mimi, he mea noa te pātai. Ka taea e koe te pātai atu ki tō tākuta i ngā mea penei:

• He aha tō whakaaro te take o aku tohu?
• E taunaki ana koe kia whakamātauria anō?
• He aha te momo maimoatanga e taunaki ana koe?
• Me pēhea te whakahaere pai i aku tohumate?
• Ka ora katoatia rānei taku mimi e mau tonu ana?

Ka āhua māharahara pea te kōrero ki te whānau, ki ngā hoa, me ngā tākuta mō ō raruraru whakahaere mimi. Engari ehara i te mea ko koe anake. He mate noa te pupuri mimi, ā, ka taea te rongoā. Ki te kite koe i tētahi panoni i roto i ō tikanga mimi, ki te kore rānei e taea e koe te mimi, tirohia he tākuta. He maha ngā maimoatanga hei āwhina i te whakahaere i ō tohumate.

Karere Whakamutunga mō te Tango ki te Kāinga

He āhuatanga whakarihariha te pupuri mimi i ētahi wā, ā, ka kino pea i roto i tētahi āhuatanga ohorere. Ko te mea nui ko te mōhio ki ngā tohu me te rapu tohutohu hauora wawe tonu.

• Ngā tohu ohorere: Ki te pāngia koe e ngā tohu ohorere pēnei i te kore e taea te mimi, te mamae rānei o te puku o raro , haere tonu ki te hōhipera .
• Mena kei te mau tonu ngā tohu pēnei i te uaua ki te tīmata mimi, te ngoikore o te rerenga mimi, te hiahia tonu rānei ki te mimi, kaua e whakamā, me toro atu ki te tākuta mō tētahi tirotiro hauora.
• He maha ngā take: ngā raruraru repeure, ngā rongoā, ngā raruraru io, ngā mate pāwera, me ētahi atu. Mā te kimi i te tino take ka taea ai te hoatu i te maimoatanga tika.
• He maimoatanga kei reira: I runga i te pūtake, ka taea te rongoā i tēnei mate mā te rongoā, te pokanga, te whakarerekē rānei i te āhua noho.
• Kaua e warewarehia: Ki te kore e rongoatia, ka puta pea ngā raruraru pēnei i te kino o te whatukuhu me te mate.

Nō reira, ki te pāngia koe e tēnei momo mamae, kaua e wehi ki te kōrero ki te tākuta. Ka taea e koe te whiwhi whakaoranga mā te maimoatanga tere.