Akohia mō te Pokanga Urostomy: Kaua e mataku, ka māmā noa iho ngā mea katoa.

Kua kōrerotia e tō tākuta ki a koe mō te urostomy? He tangata rānei e mōhio ana koe kei te tata te pokanga? He mea noa te mataku me te manukanuka ina rongo koe i tēnei ingoa. "He aha te momo mea nei?", "Ka pēhea tōku ao i muri i tēnei?" He maha ngā pātai e ara ake ana i roto i tō hinengaro. Engari ina mōhio tātou ki tēnei, ka ngaro atu taua mataku. I tēnei rā, ka kōrerohia e tātou ngā mea katoa me te tino māmā, i roto i te huarahi e mārama ai koe.

He aha tonu te Urostomy?

He ngāwari noa iho, he pokanga te urostomy e hanga ana i tētahi ara hou mō te mimi (mi) kia puta ai i tō tinana. I roto i tēnei tikanga, ka hangaia e te taote pokanga he kōhao iti, he kōhao rānei, i roto i tō puku e kitea ana e te kiri. I roto i te reo hauora, ka kiia tēnei he stoma .

Whakaarohia tō tātou pūnaha mimi he pūnaha paipa wai. Ka heke te mimi i hangaia e ngā whatukuhu ki raro i ngā ngongo e rua (ngā ureter) ki te pūhā, kātahi ka panaia mai i te tinana mā tētahi atu ngongo (urethra). I ētahi wā, ka pakaru te tāke matua o tēnei pūnaha (te pūhā) me ngā ngongo e hono ana ki a ia nā te mate, nā te aituā rānei. Kātahi, me hanga he ara kē atu hei tuku i te mimi kia puta i te tinana. Koia te take e mahia ai tēnei pokanga.

Ka rere tonu te mimi i roto i te tinana mā roto i tēnei stoma. Ka whakamahia he putea motuhake (putea urostomy) hei kohi i te mimi e puta mai ana, ā, ka piri ki te stoma. He pokanga tūturu tēnei i te nuinga o te wā. Ko te tikanga kāore e taea te whakakore. Engari kaua e manukanuka, mā tō rōpū hauora koe e āwhina ki te urutau ki tō oranga o ia rā me tēnei huringa hou.

He aha i tika ai kia mahia tēnei momo pokanga?

He maha ngā take e hiahia ai te tangata ki te urostomy. Ko ngā take matua ko:

• Te tango i te pūkahukahu nā te matepukupuku pūkahukahu: Koinei te take tino noa. Ina tangohia katoatia te pūkahukahu (cystectomy) nā te matepukupuku, ka whakamahia tēnei tikanga nā te mea kāore he wāhi hei kohi i te mimi.
• Te kino o te pūkahukahu: Ina tino pakaru te pūkahukahu nā te aituā, te mate, te maimoatanga irahiko rānei.
• Te kore e taea te pupuri i te mimi: I ngā wā tino kino, kāore he huarahi hei whakahaere i te mimi.
• Te kino o te taurakira: Ina ngaro te mahi a te pūkahukahu nā ngā whara o te taurakira.
• Ngā mate whānau: Ngā hapa whānau pēnei i te spina bifida.
• Te kino o te urethra: Ina pakaru te ngongo e kawe ana i te mimi ki waho o te tinana.
• Ētahi atu āhuatanga rerekē o te pūnaha mimi: Ētahi atu raruraru e kore ai e tukuna tika te mimi.

He momo pokanga urostomy kei reira?

Ae, he maha ngā tikanga matua mō te mahi i tēnei pokanga. Kei runga i tō āhua hauora me te whakatau a te taote pokanga.

He arai ileal - Koinei te tikanga tino noa.

I tēnei tikanga, ka tangohia e te taote pokanga tētahi wāhanga iti o te wāhanga whakamutunga o tō whekau iti (ileum) . Kātahi ka hangaia he awa iti rite ki te ngongo mai i taua wāhanga. Ka honoa ngā ngongo e rua e kawe ana i te mimi mai i ngā whatukuhu (ureters) ki tēnei awa hou kua hangaia. Ka honoa tetahi atu pito o te awa ki tētahi stoma (stoma) kua hangaia i roto i te puku. Kātahi ka rere te mimi mai i ngā whatukuhu i roto i te stoma mā tēnei awa hou. Kei te taha matau o te puku te stoma.

Te arai koroni

He tino rite tēnei ki te tikanga o mua, engari ko te wāhanga o te whekau nui (te koroni sigmoid) te mea ka whakamahia, hei utu mō te tango i tētahi wāhanga o te whekau iti hei hanga i te awa hou.

Te ureterostomy

I tēnei tikanga, kāore he wāhanga o ngā whekau e tangohia. Ka honoa e te tākuta tētahi, e rua rānei ngā ngongo e kawe ana i te mimi mai i ngā whatukuhu ki te stoma i hangaia i roto i te puku .

Me pēhea te whakarite i mua i te pokanga?

I mua i te pokanga, ka kōrero āta tō taote pokanga me te tīma hauora ki a koe. Mā rātou e whakamārama ngā mea e whai ake nei ki a koe:

• He aha koe i hiahia ai ki tēnei pokanga?
• He aha ngā mea ka tupu i te wā o te pokanga?
• He aha ngā mea hei tumanakohia i muri i te pokanga?
• He aha ngā mōrearea e pā ana ki tēnei?

Ka tohutohuhia koe kia nohopuku, arā, kia kaua e kai, e inu rānei, mō tētahi wā i mua i te pokanga. Mā rātou anō koe e kī atu mēnā me mutu te tango i ngā rongoā e tangohia ana e koe, me haere tonu rānei te tango. He mea tino nui kia kōrero koe ki tō tākuta mō ngā rongoā katoa e tangohia ana e koe, tae atu ki ngā huaora me ngā rongoā otaota.

Hei tāpiritanga, i mua i te pokanga, ka kōrero te tākuta me ngā nēhi ki a koe kia whiriwhiria te wāhi pai rawa atu i runga i tō puku hei hanga i te stoma. Me waiho tēnei hei wāhi e kitea ngāwaritia ana, e taea ai te toro atu, ā, kia papatahi hoki te mata. Mā tēnei ka māmā ake te whakawhiti i te putea i muri mai.

He aha ngā mea ka tupu i te wā o te pokanga, ā, i muri hoki i te pokanga?

Ka mahia te pokanga i raro i te mate whakamoe whānui. Ko te tikanga, kāore koe e rongo i tetahi mea, ka moe katoa koe. E ono hāora pea te roa o te pokanga. Ka hangaia e te taote pokanga he stoma ki tētahi wāhi kua tohua i mua, ā, ka honoa he ngongo ki reira hei kawe i te mimi. I ētahi wā, i roto i ngā take pēnei i te mate pukupuku, me tango pea ētahi atu okana pēnei i te pūkahukahu, ngā kōpū lymph, ngā wāhanga rānei o te pūnaha whakaputa uri (te repeure i roto i ngā tāne, te kōpū i roto i ngā wāhine).

I muri i te pokanga, ka haria koe ki te wāhanga whakaora, ā, ka whakawhitia ki te wāhanga ina tau tō āhua.

• Ka taea te whakatakoto i tētahi, i ētahi atu rānei ngongo (waikeri) hei tango i te wai e kohia ana i roto i te tinana.
• Ka hoatu he rongoā hei whakahaere i te mamae.
• Hei ārai i te toto totoka me te niumōnia, me noho wawe tonu koe ki te moenga, me neke ō waewae, me te hikoi me te āwhina a tetahi.
• Ka taea e koe te tīmata ki te kai me te inu i te āhua noa i roto i ngā rā torutoru.

Kia pēhea te roa o te wā e ora ai? Āhea ahau me toro atu ki te tākuta?

Ka wehe atu ētahi i te hōhipera i roto i ngā rā e toru i muri i te pokanga, ko ētahi ia me noho mō te wiki, neke atu rānei. I a koe i te hōhipera, ka akona koe e te hunga nēhi ki te pupuri i tō stoma kia ma, me pēhea te whakamahi i te pēke, me pēhea hoki te whakawhiti. He mea hou tēnei, nō reira, tera pea he ahua rerekē i te tīmatanga, engari ka taunga koe ki tēnei i muri i tētahi wā.

I muri i tō hokinga ki te kāinga, e rua pea ngā marama ka roa pea kia tino ora ai koe i mua i tō hokinga ki te mahi, ki te kura rānei. I tēnei wā, ka whai wāhi koe ki te whakamahi i tō putea urostomy.

Mena he raruraru āu, waea atu ki tō tākuta tonu, ina koa mēnā kei a koe ētahi o ēnei tohu:

• Kirika
• Te toto rerekē
• Mamae nui
• He uaua ki te whakamahi i te putea urostomy
• Te huringa o te tae, te kakara rānei o te mimi

He pātai torutoru kei roto i te hinengaro o te katoa

Ina kōrerohia tēnei momo pokanga, he maha ngā tāngata he pātai ōrite. Me kimi hoki ngā whakautu ki ēnā.

He aha te āhua o te stoma? He aha te āhua o te stoma?

Ina kite tuatahi koe i tō stoma, tera pea he pupuhi paku, he whero, he maru. Kaua e manukanuka, ka rerekē tēnei i roto i te wā. Ka mimiti haere te stoma, ka huri hei tae māwhero mārama, whero rānei. He porowhita, he porowhita rānei te āhua. Tērā pea he paku teitei ake te stoma o ētahi tāngata i runga ake i te kiri, ko ētahi ia he papatahi ki te kiri.

Ko te mea nui , kāore he pito io o te stoma. Ko te tikanga tēnei kāore e taea e koe te rongo. Ahakoa ka mamae pea te kiri e karapoti ana kia ora rā anō te patunga pokanga, kāore koe e rongo i tetahi mea ina pā atu koe ki te stoma.

Kia pēhea te auau o te whakawhiti i te putea urostomy?

E rua ngā mea i konei: te whakawātea i te putea me te whakawhiti i te putea.

• Te Whakawātea: Me whakawātea te putea i ngā wā katoa i haere koe ki te wharepaku i mua i te pokanga. I ia haora torutoru pea. Kaua e tatari kia kī rawa te putea. He pai ake te whakawātea ina kī te hautoru, te haurua rānei. Mā tēnei ka āwhina i te ārai i te turuturu o te putea, me te mate kiri.
• Te Huri: Ka rerekē te wā huri i runga i te momo pūnaha putea e whakamahia ana e koe. Me huri ētahi i ia rā. Ko ētahi atu momo ka taea te whakamahi mō ngā rā e toru, mō te wiki rānei.

Me pēhea koe e urutau ai ki tēnei huringa hou?

Tērā pea ka roa te wā e taunga ai koe ki te noho me tēnei huringa o tō tinana. He mea noa tēnei. I te tīmatanga, ka pōuri pea koe, ka riri, ka mataku rānei. Tērā pea ka āwangawanga koe mō ngā whakaaro o ētahi atu mō tēnei.

Kōrero ki tō tākuta, ki tō whānau, me ō hoa tata mō ēnei kare ā-roto. He rōpū tautoko anō hoki mō te hunga kua pāngia e tēnei momo pokanga. Ka tino mārama rātou ki tō wheako. He nui ngā mea ka taea e koe te ako mai i ō rātou wheako, ā, ka kaha ake koe.