He maha ngā wā e mimi ana tātou katoa i te rā. Engari kua whakaaro kē koe ki te tikanga whakamiharo kei muri i tēnei tukanga katoa? I mōhio koe he kiriuhi tiaki motuhake tō tēnei pūnaha e pana ana i ngā para i roto i tō tātou tinana hei wai, hei tiaki i a ia mai i roto? Koinei te kaitiaki puku ka kōrerohia e tātou i tēnei rā. Ko tōna ingoa ko te urothelium.
He aha te tikanga o tēnei urothelium?
Whakaarohia tō pūnaha mimi he paipa wai. Ko te mimi, e hangaia ana e ngā whatukuhu, ka haere mā roto i ngā ureter, ka kohia ki roto i te pūkahukahu, kātahi ka puta mā roto i te urethra. Nā, ehara tēnei mimi i te wai noa iho. Kei roto ngā matū kāore e hiahiatia ana e te tinana, ā, i ētahi wā ka kino ki ētahi atu wāhanga o te tinana. He wai waikawa paku hoki te mimi.
Nō reira, ko te ara e haere ai te mimi, arā, mai i roto i ngā whekau pērā i te pūkahukahu me te urethra, me whai uhi pakari hei ārai i ēnei mea kino kei mimiti ki roto i te tinana, arā, ki roto i ō tātou toto me ngā uaua. Ko taua uhi tiaki motuhake ko te mea e kiia nei e tātou ko te urothelium.
He rite tēnei ki te peita ātete-wai i runga i ngā pakitara o tō mātou whare. Mā taua peita ka ārai te wai i te tomo ki roto i te whare. Waihoki, ka ārai te urothelium i te turuturu o ngā mea o te mimi ki roto i te tinana. He maha ngā paparanga pūtau e piri pūmau ana tetahi ki tetahi. Ko tētahi atu pūkenga whakamiharo o ēnei pūtau ko te kaha ki te totoro pai ina kī te pūkahukahu, ā, ka hoki anō ki te āhua noa ina takoto kau.
He aha ngā mahi matua a te urothelium?
Ehara i te mea ngāwari te ratonga e tukuna ana e tēnei kiriuhi iti. Me titiro tātou ki ētahi o ana mahi matua.
| Mahi | He whakamārama māmā |
|---|---|
| Ārai haumarutanga | Ka ārai i ngā matū waikawa me ngā matū kino pea i roto i te mimi kei uru ki ngā kiko hohonu ake, pērā i ngā uaua me ngā uaua. |
| Te tiaki i ngā mate urutā | Ka aukati i ngā iroriki, pērā i te huakita, kei uru ki te ara mimi, he mea tino nui tēnei hei ārai i ngā mate urutā o te ara mimi (UTI). |
| Tuku tohu | Ina kī te pūkahukahu, ka kitea te pēhanga o taua whakakī, ā, ka āwhina ki te tuku tohu ki te roro mā te pūnaha io e mea ana "Me mimi ahau ināianei." |
| Ngāwari (totoka) | Ka tukuna te pūkahukahu kia whānui pērā i te poihau ina kī ana i te mimi, ā, ka whakawhāiti anō ina takoto kau. Ahakoa ka totoro tēnei, kāore te ārai tiaki e pakaru. |
| Ture | Ka taea hoki e tēnei kiriuhi te whakahaere i te taumata o te wai, te tote, me ētahi atu matū i roto i te mimi tae noa ki tētahi taumata. |
Kei hea te urothelium?
Kei te wāhanga o raro o tō tātou pūnaha mimi te nuinga o tēnei hipoki tiaki. Arā:
- Peke whatukuhu: Koinei te wāhanga rite ki te kapu o te whatukuhu te wāhi tuatahi ka kohia ai te mimi e puta ana i roto.
- Ngā ureter: Ko ngā ngongo e rua e kawe ana i te mimi mai i ngā whatukuhu ki te pūkahukahu.
- Pūngāwerewere: Ko te putea e kohi ana, e penapena ana hoki i te mimi.
- Urethra: Ko te ngongo e kawe ana i te mimi mai i te pūkahukahu ki waho o te tinana.
Ngā paparanga e toru o te urothelium
Ehara tēnei i te paparanga kotahi anake. Pērā i te pā, e toru ngā paparanga matua.
| Paparanga | Te motuhaketanga me te mahi |
|---|---|
| 1. Paparanga o runga (Ngā pūtau maru) | Koinei te paparanga o runga e anga tika ana ki te mimi. He nui ngā pūtau o tēnei paparanga, he rite ki te maru e taupoki ana i ētahi pūtau i raro iho, nō reira te ingoa 'ngā pūtau maru'. Ina kī te pūkahukahu, ka papatahi ēnei pūtau, ka totoro. Ki te uru mai he iroriki, ka mate ēnei pūtau, ka pakaru, ka puta tahi me te mimi. Arā, ka 'pau' te pūtau me te iroriki. |
| 2. Papa waenga | Koinei te paparanga o waenganui. Mēnā ka pakaru ngā pūtau o te paparanga o runga, ka puta mai he pūtau hou i tēnei paparanga hei whakakī i te āputa. He rite ki te 'tārua'. I te whakakīnga o te pūkahukahu, ka heke te matotoru o tēnei paparanga. |
| 3. Paparanga turanga | Koinei te paparanga hohonu rawa atu, e tata ana ki ngā uaua me ngā oko toto. Kei roto ngā pūtau iti rawa o tēnei kiriuhi. Koinei ngā pūtau take e āwhina ana ki te whakaora i te urothelium katoa. |
He whakarāpopototanga noa iho, ka mahi tahi ēnei paparanga e toru hei rōpū hei pupuri i te hauora o tā tātou pūnaha mimi. Mēnā ka pakaru tētahi paparanga, ka āwhina ngā paparanga kē atu ki te whakaora.
Ngā mate e pā ana ki te urothelium
Ina pakaru tēnei kiriuhi tiaki, ina rerekē rānei tana mahi, ka pā mai ngā momo mate.
- Matepukupuku: Ko te nuinga o ngā matepukupuku tōngāmimi ka tīmata i roto i ngā pūtau o te urothelium. Ka kiia tēnei ko te urothelial carcinoma . He tino nui te mōrearea o te hunga kaipaipa ki te pāngia e tēnei momo matepukupuku.
- Interstitial Cystitis: He mate mamae mau tonu tēnei e pā ana ki te pūkahukahu. E whakapono ana ētahi tākuta ko te pakaru o te urothelium ka puta ai ngā matū kino i roto i te mimi ki roto i te pakitara o te pūkahukahu, ka puta ai tēnei mamae.
- Te Pūngāwerewere Tino Kaha, te Kore-Mīmi rānei: Ina pakaru te urothelium i ngā raruraru pēnei i ngā kōhatu tākihi, ka taea e ia te tuku tohu hē ki te roro. Hei tauira, ka tukuna pea e te pūngāwerewere he tohu me mimi wawe, ahakoa kāore anō kia tino kī.
He aha ngā tohu noa o tēnei mate?
Mena he raruraru tōu ki tō urothelium, ka pāngia pea koe e ngā tohu penei:
- Te toto i roto i te mimi (Hematochezia): KoineiKaua rawa e warewarehia. Ki te kite koe i te toto i roto i tō mimi e huri ana ki te whero, ki te māwhero, ki te parauri rānei, me toro atu ki te tākuta tonu.
- Te panoni o te tae o te mimi (te pōuriuri).
- Te mamae o raro o te puku.
- Te wera, te mamae rānei i te wā e mimi ana.
- Te hiahia kia mimi pinepine.
Ngā whakamātautau i mahia e te tākuta
Mena kei a koe ēnei tohu, ka hiahia pea tō tākuta ki te whakahaere i ētahi whakamātautau hei kimi i te pūtake.
- Te tātari mimi: Ka tangohia he tauira mimi, ka tirohia mēnā he toto, he pūkahukahu, he huakita, he rerekētanga rānei.
- Ngā whakamātautau mahi a ngā whatukuhu: Ka mahia ngā whakamātautau toto, mimi rānei hei tirotiro mēnā kei te mahi tika ngā whatukuhu.
- Ngā whakamātautau toto: Ka taea e ēnei te whakarato i ngā mōhiohio e pā ana ki ngā mate pāwera, ki ētahi atu raruraru rānei o te tinana.
- Ngā whakamātautau whakaahua: Ka taea te whakahaere i te ultrasound, te MRI , te CT scan rānei hei tirotiro mō ngā kōhatu, ngā pukupuku, ētahi atu āhuatanga rerekē rānei i roto i ngā whekau pēnei i ngā whatukuhu me te pūkahukahu.
- Te tango tauira kiko (Biopsy): Mēnā e whakapaetia ana he mate pukupuku, ka tukuna he kāmera ki roto i te pūkahukahu (Cystoscopy) ā, ka tangohia he wahi kiko iti mai i te wāhi whakapae ka tirotirohia.
He mea noa te kitea o ngā pūtau urothelial i roto i te mimi?
Ae, i ētahi wā he mea noa. Kei te mate haere tonu ngā pūtau o te tinana, ā, kei te hangaia ngā pūtau hou. Nō reira, he mea noa kia maringi ētahi o ngā pūtau o te mata o tēnei urothelium, kia puta atu hoki me te mimi. Heoi anō, ka taea e te tini o ēnei pūtau te kohikohi i roto i te mimi nā te mate mimi, te whara i puta mai i te kohatu tākihi, te mate pukupuku rānei. Mena kua whakahuatia tēnei i roto i tō pūrongo whakamātautau mimi, kia mōhio koe ki te kōrero ki tō tākuta mō tēnei mea, kia kitea ai te take.
He aha te dysplasia?
I ētahi wā, ka puta pea he pūrongo mai i te koiora koiora kei te pāngia ngā pūtau urothelial e te dysplasia . Ko te tikanga he āhua rerekē te āhua o ngā pūtau ina tirohia i raro i te karuārai. Ehara i te mea he mate pukupuku rātou. Heoi, i ētahi wā ka tūpono ēnei pūtau rerekē ki te whanake hei mate pukupuku ā muri ake nei. Nō reira, ki te kitea tēnei mate e te tākuta, ka tirotirohia koe i ia wā, ā, ka tohua he maimoatanga mēnā e tika ana.
Kāore tetahi o tātou e whakamahi ana i te kupu "urothelium" i roto i ō tātou oranga o ia rā. Engari kua mōhio kē koe kāore e taea e tātou te ora me te kore tēnei kaitiaki puku. Nō reira, ki te kite koe i tētahi āhuatanga rerekē i roto i tō pūnaha mimi, inā koa te toto i roto i tō mimi, kaua e warewaretia, me toro atu tonu ki te tākuta mō tētahi tohutohu.
Karere Tangohia ki te Kāinga
- He kiriuhi tino nui te urothelium e whakarārangi ana i te taha o roto o tō pūnaha mimi, e tiaki ana hoki i te tinana mai i ngā iroriki me ngā matū kino.
- E toru ngā paparanga o tēnei kiriuhi, ā, he mahi motuhake tā ia paparanga.
- Kaua rawa e warewarehia te toto i roto i te mimi (hematuria). Rapua he tohutohu hauora tonu mēnā ka kitea e koe.
- He tino take mōrearea te kai paipa mō te mate pukupuku urothelial.
- Mena he mamae, he wera, he tohu rerekē rānei e pā ana ki tō pūnaha mimi, kōrero noa ki tō tākuta.
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