Kua whakaarohia e koe te āhua o te whakakorenga a tō tinana i ngā para o te kai me te inu e kainga ana e koe? He rite ki te tango i te para i te kāinga, he pūnaha motuhake tō tō tinana mō tēnei kaupapa. Ka kiia e mātou ko te pūnaha mimi . Whakaarohia ko te 'pūnaha tātari' whaiaro o tō tinana. Mena he iti noa te raruraru o tēnei pūnaha, tera pea ka raru koe ki te mimi , ki ētahi atu raruraru hauora rānei. Me kōrero tātou mō te mahi a tēnei pūnaha nui, he māmā noa iho, he mārama hoki.
He aha te mahi matua a te pūnaha mimi?
I te whakarapopototanga, ka horoia ō toto e tō pūnaha mimi, ka wehea ngā mea kāore e hiahiatia ana e tō tinana, ka horoia atu. He rite tonu tana mahi ki te tātari i ngā rau tī. Ka tangohia e tēnei pūnaha te wai nui, te tote , ngā paitini me ētahi atu para i tō tinana.
Ko ōna kawenga matua ko:
- Te tātari i ō toto.
- Te wehewehe i ngā para kino mai i ngā matūkai nui e hiahiatia ana e te tinana hei oranga tonutanga.
- Te penapena mō te wā poto i te mimi i hangaia, me te tuku atu i te tinana ina tae ki te wā.
He aha ngā okana matua o tēnei pūnaha?
He maha ngā whekau nui e mahi tahi ana i tēnei tukanga, kei roto katoa i tō puku me tō hope. Me titiro tātou ki ā rātou mahi me ā rātou mahi.
| Ōkana | Mahi Matua |
|---|---|
| Ngā whatukuhu | Koinei ngā tātari matua o tō tinana. Ka tātarihia ō toto, ka whakaputa mimi. Kei ia taha o tō tuaiwi i raro i te rara, ko ia whatukuhu he rite te rahi ki tō ringa kua pūmau. |
| Ngā ureter | He ngongo angiangi ēnei e kawe ana i te mimi e hangaia ana i roto i ngā whatukuhu ki raro ki te pūkahukahu. |
| tōngāmimi | Whakaarohia tēnei hei poihau e pupuri ana i te mimi mō tētahi wā. Ka whānui haere i a ia e kī ana. I te toharite, ka taea e ia te pupuri i te 2 kapu (tata ki te 500ml) o te mimi i te wā kotahi. |
| Uretra | Koinei te ngongo e kawe ana i te mimi mai i te pūkahukahu ki waho o te tinana. E rua ngā uaua o te pūkahukahu e pupuri ana kia kati kia tae rā anō ki te wā e hiahia ana koe ki te mimi, ā, i taua wā ka whakangāwari rātou ki te tuku i te mimi. |
Me pēhea te mahi a te tukanga purenga toto?
He tukanga whakamiharo tēnei. Whakaarohia pēnei…
1. Tuatahi, ka rere te toto ki roto i ō whatukuhumā roto i ngā uaua iti maha.
2. Muri iho, ka tātarihia pai te toto i roto i ngā whatukuhu. I konei, ka wehea ngā matū nui pēnei i ngā huaora, ngā kohuke me ngā pūmua mai i ngā para me ngā matū paitini.
3. Kātahi ka whakahokia ngā matūkai nui ki roto i tō toto kia rere puta noa i tō tinana.
4. Ka whakakotahitia ngā para me te wai tāpiri hei hanga mimi .
5. Ka heke tēnei mimi i roto i ngā ureter, ka kohia ki roto i te pūkahukahu.
6. Kia kī te pūkahukahu, ka tukuna he tohu ki tō roro e kī ana kua tae ki te wā ki te haere ki te wharepaku.
7. Ina mimi koe, ka puta te mimi i roto i tō tinana mā te urethra .
He mea whakamiharo rawa te tātari a ō whatukuhu i waenga i te 110 me te 140 rita toto i ia rā! Mai i taua nui o te wai e tukatukahia ana, tata ki te 1 ki te 2 rita noa iho o te mimi e whakaputaina ana e tō tinana i ia rā.
He aha ngā mate me ngā raruraru e pā ana ki te pūnaha mimi?
Engari, he maha ngā wero ka pā ki tēnei pūnaha. Ko ētahi he whānau mai, ko ētahi ka puta i a tātou e pakeke haere ana. Me titiro tātou ki ngā raruraru e tino kitea ana.
Ngā mate urutā
Koinei te āwangawanga e tino kitea ana. Ka kiia ēnei ko ngā Mate Urutā Mimi (UTI) . Ka puta mai ēnei ina uru mai ngā huakita, ngā iroriki rānei ki te ara mimi. Ko te tikanga he ngāwari ake te pāngia o ngā wāhine e ēnei mate. Hei tāpiri, ka pāngia hoki te ara mimi e ngā Mate Urutā Ira Tangata (STI) . I ēnei wā, tera pea ka tohua e tō tākuta he rongoā paturopi .
Ngā Kōhatu Tākihi
He āhuatanga rongonui tēnei e puta ai te mamae nui. Ka taea e ngā para te whakakotahi me ngā kohuke pēnei i te konupūmā hei hanga i ngā putunga mārō ki roto i ngā whatukuhu. Mena ka aukatihia e ēnei kōhatu ngā ureter, ka pāngia pea koe e te mamae tuara kino, e kore e taea te manawanui . Tena koa rapu awhina tonu i te whare hauora ohorere mena ka pāngia koe e te mamae ohorere, tino mamae.
Ngā raruraru mimi
- Te kore e taea te pupuri i te mimi: Ko te turuturu o te mimi i roto i tēnei āhuatanga ka kino ake ina maremare koe, ina kata koe, ina tihe rānei.
- Pūngāwerewere Tino Kaha: He hiahia ohorere, auau hoki ki te mimi, ā, he uaua ki te whakahaere.
- Te Pupuri Mimi: Ko te kore e taea te whakawātea katoa i tō pūkahukahu, ahakoa kua ngana koe ki te mimi.
Ka taea te whakahaere i ēnei take mā te rongoā me ngā whakarerekētanga o te momo noho i raro i te aratohu a ngā tohunga.
Ngā Ārai o te Ara Mimi
Ka taea e ngā aukati i puta mai i ngā pukupuku, i ētahi atu āhuatanga rānei te aukati i te rere o te mimi. Hei tauira, i roto i ngā tāne, ka taea e te repeure nui te aukati i te urethra, ka uaua ai te mimi. I ētahi wā, me mahi pokanga pea hei tango i ēnei aukati.
Mate whatukuhu
He mate kino tēnei e hiahia ana kia arohia e koe. Ko te mate huka me te toto toto tiketike ngā tino take o te mate whatukuhu mau tonu (CKD). Koia te mea nui kia mau tonu te huka toto me te toto toto. Ki te haere tonu te mate whatukuhu, ka arahi pea ki te ngoikore o te whatukuhu , ā, i te mutunga ka hiahiatia he maimoatanga pēnei i te dialysis, te whakawhitinga whatukuhu rānei.
He aha ngā tohumate e kitea whānuitia ana?
He rerekē ngā tohu i runga i te pūtake o te raruraru, engari me tūpato koe ki ēnei tohu noa kia kite ai mēnā kei te pāngia koe e tētahi o aua tohu.
| Kāwai | Ngā mea hei tirotiro māu |
|---|---|
| Ngā Huringa Mimi | Te mimi pinepine, te iti haere o te mimi, te mamae, te wera rānei i te wā e mimi ana, te ngoikore rānei o te mimi. |
| Ngā Huringa Mimi | Te rerekētanga o te tae (parauri, kōwhai pouri), te mimi kapua, te toto rānei i roto i te mimi (hematuria). |
| Mamae puku, mamae tuara rānei | Te mamae o raro o te puku, te mamae o te taha (o te tuara), te pēhanga rānei i roto i te puku. |
| Ngā Tohu Whānui | Te kirika, te mamae o te tinana, te ngenge, te whakapairuaki, te ruaki rānei. (He tohu pea ēnei o te mate pāwera). |
Me pēhea te tautuhi i ēnei raruraru?
Mena kei a koe ēnei tohu, ka tūtohu pea tō tākuta i ngā whakamātautau e whai ake nei hei whakatutuki i te tautuhi tika:
- Te tātari mimi: Ko te whakamātautau tuatahi. Ka tātarihia te tauira mimi mō tōna āhua, tōna hanganga matū, ā, ka tirohia i raro i te karu hiko hei tirotiro mō ngā mate urutā, ētahi atu raruraru rānei.
- Ahurea mimi: Mena kei te whakapaehia he mate mimi, ka āwhina tēnei whakamātautau ki te tautuhi i te huakita tuturu e puta ai.
- Ngā Whakamātautau Toto: Ka aromatawaihia e ēnei te mahi a tō whatukuhu, ā, ka tirohia hoki mēnā he mate pāwera ā-tinana.
- Ngā Whakamātautau Whakaahua: Hei kimi i ngā kōhatu tākihi, i ngā kiore rānei, ka tonoa pea e tō tākuta he matawai Ultrasound , he X-ray , he matawai CT , he MRI rānei.
Ngā Tohutohu mō te Pūnaha Mimi Hauora
He pai ake te ārai i te rongoā. Anei ngā mahi māmā hei pupuri i te hauora o tēnei pūnaha ora:
- Kia Mau te Wai: Mā te inu i te nui o te wai i te roanga o te rā ka āwhina i te tango i ngā paitini me te ārai i ngā kōhatu whatukuhu me ngā mate pipiri o te pūnaha urinary tract.
- Kai i te Kai Taurite: Whakaitihia te tote e kainga ana, ā, me kai i ngā kai whai kiko te konupūmā hei āwhina i te whakaiti i te mōrearea o ngā kōhatu tākihi.
- Whakakorea rawatia tō pūkahukahu: Kaua e hohoro te whakamahi i te wharepaku; kia tino takoto kau tō pūkahukahu.
- Kaua e pupuri: Kaua e pehi i te hiahia ki te mimi; haere ki te wharepaku ina hiahia koe.
- Kia Tika te Akuaku (Ina koa mō ngā wāhine): Horoia mai i mua ki muri hei ārai i te uru o ngā huakita o te rohe pona ki roto i te ara mimi.
- Mimi i muri i te moe tāne: He mea tino nui tēnei mō ngā wāhine hei āwhina i te tango i ngā huakita kua uru ki roto i te urethra.
- Ngā Whakakorikori Papa Pelvic (Kegels):Ka whakapakari ēnei mahi whakakori tinana i ngā uaua e whakahaere ana i te mimi, ā, ka āwhina hoki ki te ārai i te kore e taea te pupuri i te mimi.
Āhea koe me toro atu ki te tākuta?
Kaua rawa e warewarehia te mamae, te kore whakamarie, ngā huringa rānei o ō tikanga mimi. Tērā pea he tohu tōmua ēnei o te mate pāwera, o ētahi atu mate rānei. Mēnā ka pāngia koe e tētahi o ēnei e whai ake nei, me toro atu ki tō tākuta tonu.
- Te toto i roto i te mimi.
- Te wera, te mamae, te koretake rānei i te wā e mimi ana.
- Te mamae i te puku o raro, i ngā taha o te tuara, i te wāhi ira tangata rānei.
- He uaua ki te whakahaere i tō pūkahukahu, he turuturu rānei kāore i te tūpato.
- Mō ngā wāhine, he ahua e puta mai ana i te tara (e tohu ana i te hekenga o te pūkahukahu).
Kaua e mataku; mā te tohutohu hauora wawe mai i tō kaiwhakarato hauora i Nirogi Lanka ka taea te whakatau wawe i ēnei raruraru.
Karere Tangohia ki te Kāinga
- Ko tō pūnaha mimi te 'pūnaha tātari' nui o tō tinana, e horoi ana i te toto me te tango i ngā paru.
- Kei roto i tēnei ko ngā whatukuhu, ngā ureter, te pūkahukahu, me te urethra.
- He mea noa ngā mate pipiri o te pūnaha urinary tract (UTI) me ngā kōhatu tākihi; ka pā kino te mate huka me te toto toto tiketike ki te hauora o ngā tākihi.
- Ki te kite koe i te mamae, i te toto, i te mamae rānei o te tuara, kaua e whakaroa—rapuhia he awhina hauora i te wā tonu.
- Ko te noho makuku, te kai i ngā kai hauora, me te pupuri i te akuaku pai, koinei ngā taputapu pai rawa atu hei pupuri i te hauora o te tinana.
Pūnaha urinary, whatukuhu, UTI, kowhatu whatukuhu, hauora tōngāmimi, Nirogi Lanka
