Tērā pea i mataku koe i te kupu 'Urostomy'. Tērā pea i te wā e kōrero ana te tākuta mō tēnei momo pokanga, ka puta ake he pātai i muri i tētahi. Inaa, ehara tēnei i te mea hei wehi. He tikanga tēnei e hanga ana i tētahi huarahi kē atu mō te tangata he ārai kei roto i te pūnaha mimi noa o te tinana ki te mimi. He kupu ngāwari noa iho, he huarahi tēnei hei āwhina i tō tātou tinana. Nō reira, i tēnei rā ka kōrerohia e tātou tēnei mea kia tino māmā, kia mārama ai koe.
He aha te Urostomy i roto i ngā kupu māmā?
He pokanga te urostomy e hanga ana i tētahi kōhao iti i roto i tō puku, i te puku rānei, hei putanga mō te mimi. E kiia ana tēnei kōhao e te rata he 'stoma' . Ko te tikanga o tēnei, ko te mimi e hangaia ana i roto i tō tinana, kaua e puta noa i te āhua noa, ka puta mā roto i tēnei kōhao hou. E kiia ana tēnei ko te 'miritanga mimi' .
Hei kohi i te mimi e puta mai ana pēnei, ka whakamahia e mātou he putea motuhake (pēke urostomy) e piri ana ki te stoma. Kātahi ka taea e mātou te tango ngāwari i te mimi e kohia ana i roto i taua putea.
I te nuinga o te wā, he pumau te urostomy, ā, kāore e taea te whakakore. Kaua e manukanuka. Ka mahi tō tākuta me te tīma hauora i ngā mea katoa hei āwhina i a koe ki te urutau ki tēnei momo noho hou.
I roto i ēhea āhuatanga e hiahiatia ai tēnei pokanga?
He maha ngā take e tika ai te mahi urostomy. Me titiro tātou ki ēnei i roto i te ripanga i raro nei.
| Te take mō te pokanga | He whakamārama māmā |
|---|---|
| Matepukupuku tōngāmimi | Koinei te take tino noa. Ka mahia tēnei pokanga ina hiahiatia te tango i te pūkahukahu ( cystectomy ) nā te mate pukupuku. |
| Te pakaru o te pūkahukahu | Mena kua pakaru te pūkahukahu i tētahi aituā, i tētahi mate, i tētahi maimoatanga irahiko rānei. |
| Te kore e taea te pupuri i te mimi | I ngā take kino rawa atu, kāore e taea te pupuri i te mimi, ā, ka turuturu ki waho me te kore e taea te whakahaere. |
| Te pakaru o te taurakira | Nā ngā whara o te taurakira, nā ngā āhuatanga whānau rānei pērā i te spina bifida . |
| Te pakaru o te urethra | Ina pakaru te ngongo e kawe ana i te mimi mai i te pūkahukahu ki waho. |
Ahakoa te take, ka hangaia e te pokanga urostomy tētahi ara hou, haumaru hoki mō te mimi ki te puta i te tinana.
He momo pokanga urostomy kei reira?
Āe, he maha ngā tikanga hei mahi i tēnei pokanga. Ka tapaina ēnei i runga i te huarahi e hangaia ai te ara hou mō te mimi.
He Ara Ileal - Ko te tikanga e whakamahia whānuitia ana
Koinei te tikanga tino noa. I konei, ka tangohia e te taote pokanga tētahi wāhanga iti o tō whekau iti ka hangaia he ngongo mai i taua mea. Ka honoa tētahi pito o tēnei ngongo ki tētahi stoma kua hangaia i roto i tō puku. Ka honoa tētahi atu pito ki ngā ngongo e rua e kawe ana i te mimi mai i ō whatukuhu (ngā ureter). Ka rere te mimi i hangaia i roto i ō whatukuhu mā roto i tēnei ngongo hou ka puta atu i te stoma.
Te awaawa koroni
He tino rite tēnei ki te tikanga i whakahuatia i runga ake nei, engari ko tētahi wāhanga o te whekau nui (koroni) ka whakamahia hei hanga i te ngongo hei utu mō te whekau iti.
Te ureterostomy
I tēnei tikanga, kāore he ngongo i hangaia mai i tētahi wahi o te whekau pērā. Engari, ka honoa tika ngā ureter mai i ngā whatukuhu ki tētahi 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 tō tīma 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 tohutohu anō hoki rātou i a koe mō te wā e mutu ai te kai me te inu i mua i te pokanga, me te mea rānei me mutu te tango i ngā rongoā e tangohia ana e koe. Kia mahara ki te kōrero ki tō tākuta mō ngā rongoā katoa, ngā huaora, me ngā tāpiringa e tangohia ana e koe.
I mua i te pokanga, mā tō tīma hauora koe e āwhina ki te whiriwhiri i te wāhi pai rawa atu o tō puku hei hanga i te stoma. Me waiho hei wāhi papatahi e taea ai e koe te kite, te toro atu, me te toro atu.
He aha ngā mea ka tupu i te wā o te pokanga?
Ka tukuna koe ki raro i te rongoā whakamoe whānui mō te pokanga. Nō reira , kāore koe e mamae . Ka hangaia e te taote pokanga he stoma ki tētahi wāhi kua tohua i mua i roto i tō puku, ā, ka honoa ngā ureter ki reira.
I ētahi wā, inā koa i roto i ngā mate pukupuku, me tango te katoa, te wāhanga rānei o te pūkahukahu i te wā kotahi. Mēnā e tika ana, me tango hoki ngā whekau pēnei i te apendiks, ngā kōpū lymph, te repe prostate rānei i roto i ngā tāne, te kōpū rānei i roto i ngā wāhine. Ka roa pea tēnei pokanga ki te 6 hāora .
He pēhea te roa o te wā whakaora i muri i te pokanga?
I muri i te pokanga, ka haria tuatahitia koe ki te wāhanga whakaora, kātahi ka whakawhitia ki te wāhanga whakaora.
- Ka whakatūria tētahi, neke atu rānei, ngā paipa wai hei tango i te wai e kohia ana i roto i te tinana.
- Ka whakaratohia te rongoā mamae e tika ana.
- Ka akiakihia koe kia noho wawe tonu ki runga i te moenga, kia nekehia ō waewae, kia hikoi hoki me te āwhina a ngā kaimahi hauora. Ka āwhina tēnei ki te ārai i ngā mate pēnei i te toto totoka me te niumōnia .
- Ka taea e koe te tīmata ki te kai me te inu i te āhua noa i roto i ngā rā torutoru.
I te nuinga o te wā, me noho koe ki te hōhipera mō te 3 ki te 7 rā. I roto i tēnei wā, ka akona koe ki te tiaki i tō stoma me te whakamahi i tō pēke mimi. I muri i tō hokinga ki te kāinga, e rua pea marama ka hoki koe ki ngā mahi o ia rā (mahi, kura).
Ahea te wā me waea atu ahau ki te tākuta?
Mena he pātai, he āwangawanga rānei āu mō tō urostomy, kōrero ki tō tākuta. Me rapu tohutohu hauora, inā 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 o te mimi, te kakara kaha rānei
Ngā pātai noa mō te noho me te urostomy
He maha pea āu pātai mō te oranga i muri i tēnei pokanga. Me whakautu tātou.
He aha te āhua o te stoma? He aha te āhua o te stoma?
Ina tirohia tō stoma mō te wā tuatahi, tera pea he pupuhi paku, he whero pouri, ā, he āhua maru. He mea noa tēnei. I roto i te wā, ka memeha te pupuhi, ka huri hei māwhero mārama, ka whakaiti te rahi. Tērā pea he porowhita, he porowhita rānei te āhua.
Ko te mea nui, kāore he pito io o te stoma. Nō reira, kāore te stoma e rongo i tetahi mea, e mamae rānei . Ahakoa ka mamae pea te rohe e karapoti ana kia ora rā anō te patunga pokanga, kāore te stoma tonu e mamae.
Kia pēhea te auau o te whakawhiti i te putea urostomy?
He rerekē ngā mea e rua, arā, te whakawātea i te putea me te whakawhiti rawa.
- Te whakawātea i te putea: Pērā i tāu mimi i mua i te pokanga, me whakawātea e koe te putea i ia haora torutoru. Kaua e tatari kia kī rawa te putea. He pai ake te whakawātea ina kī te kotahi hautoru (1/3) me te haurua (1/2) rānei. Mā tēnei ka āwhina i te ārai i te turuturu o te putea me te mate kiri. Ina moe koe i te pō, ka taea e koe te hono i tēnei putea ki tētahi puna wai nui ake (ipu waikeri). Mā tēnei ka taea e koe te moe me te kore e ara ake i te pō.
- Te whakawhiti i te putea: Kei te momo pūnaha pēke e whakamahia ana e koe tēnei. Me whakawhiti ētahi i ia rā, ko ētahi ka taea te whakamahi mō ngā rā e toru, mō te wiki rānei.
Karere Tangohia ki te Kāinga
- He pokanga te urostomy hei āwhina i a koe, hei whakamāmā ake hoki i tō oranga, ehara i te mea hei wehi.
- He huringa tuturu tēnei i te nuinga o te wā, engari ka whiwhi koe i ngā mātauranga me ngā tautoko katoa e hiahiatia ana e koe kia taunga ai koe ki tēnei mai i tō tīma hauora.
- He mea tino nui kia noho ma, kia maroke hoki te kiri huri noa i te stoma. Ka āwhina tēnei ki te ārai i ngā mate kiri.
- Ahakoa he aha ō āwangawanga tinana, ā-hinengaro rānei mō tēnei mea, kōrerotia marietia ki tō tākuta. Mēnā e tika ana, uru atu ki ngā rōpū tautoko me ētahi atu kua pāngia e ngā wheako ōrite.
- Ka taea tonu e koe te ora i te oranga ora tonu i muri i te pokanga urostomy.
💬 Comments (0)
No comments yet. Be the first to share your thoughts here.
Add Your Comment