He aha te aukati o te ureter? Ngā tohu, ngā take, me te rongoā

Ka puta te aukati o te ureter ina mutu te rere o te mimi i roto i tetahi, i ngā rua rānei o ō ureters. Ko ēnei ngā pūtu poto e kawe ana i te mimi i ō whatukuhu ki tō pūngāwerewere.

Whakaarohia ō ureters hei ngā paipa wāhi e hono ana i ō whatukuhu ki tō pūngāwerewere. Ina mutu te rere, ka hoki te mimi ki tō whatukuhu, ka pāngia ai koe e te mamae, ā, ka pakaru pea tō whatukuhu ki te kore e rongoā. Ko te mea pai, ka taea te rongoā i te nuinga o ngā take ina kitea e ngā tākuta te take o te aukati.

He aha ngā tohu o te aukati o te ureter?

Ko te tohu tino noa ko te mamae nui, ohorere i tō tua, i tō taha rānei e puta mai ana i ngā ngaru. Ka tīmata pea tēnei mamae i tō rohe flank, ā, ka neke pea ki tō pūhaka i te wā e ahu whakamua ana.

Ko ēnei ngā tohu ka pāngia koe, mai i te tino noa ki te iti ake te noa:

• Te mamae koi, te mamae kopikopiko i tō tua, i tō taha, i tō puku raro rānei
• Te toto i roto i tō mimi, ka hanga i te mīti, te whero, te parauri rānei
• Te ruaki me te ruaki
• Te mimi pinepine, te hiahia rānei ki te mimi wawe
• Te ngāwhā wera ina mimi koe
• Te kirika me te wiri ki te whanake te mate pāwera
• Te iti o te putanga mimi
• Te pupuhi i ō waewae, i te taha o ō kanohi rānei

Ka iti ake te noa, ka pāngia etahi tangata e te toto teitei, te kore rānei e taea te mimi ki te aukati ngā rua o ngā ureters. Ko te kaha o ō tohu e whakawhirinaki ana ki te tere o te whanaketanga o te aukati, me te wāhanga rānei, te katoa rānei.

He aha ngā momo aukati o te ureter?

Ka wehea ngā aukati o te ureter i runga i te wāhi e puta ai, me te take. Ko te mārama ki ēnei momo ka āwhina i ngā tākuta ki te whiriwhiri i te huarahi rongoā pai mō tō āhuatanga motuhake.

I runga i te wāhi, ka puta ngā aukati i ngā pito e toru matua:

• Te aukati o te ureter o runga e tata ana ki te hono atu ki tō whatukuhu
• Te aukati o te ureter o waenganui i te ara o te pūtu i roto i tō pūhaka
• Te aukati o te ureter o raro e tata ana ki te tomo atu ki tō pūngāwerewere

Ka wehewehea hoki e ngā tākuta ngā aukati hei mea whaiaro (i puta mai i tetahi mea kei roto i te ureter) kāore rānei (i puta mai i te pehanga mai i ngā hanganga o waho). Ko ngā take whaiaro ko ngā kōhatu whatukuhu, ngā mate pukupuku rānei kei roto i te ureter anō, ko ngā take kāore ko ngā whatunga tata, ngā kōpū rānei e pēhi ana ki te ureter.

He aha ngā take o te aukati o te ureter?

Ko ngā kōhatu whatukuhu te take tino noa o te aukati o te ureter, e 80% pea o ngā take. Ka hanga ēnei kōhatu pakeke i roto i ō whatukuhu, ā, ka mau pea ina ngana ki te pā atu i te ureter pūtu.

Ko ēnei ngā take matua, mā te tīmata ki te tino noa:

• Ngā kōhatu whatukuhu o ngā rāhi me ngā hanganga rerekē
• Ngā mate pukupuku i te ureter, pūngāwerewere, ngā whatunga tata rānei
• Te kiri pūngāwerewere mai i ngā pokanga o mua, i ngā mate pāwera rānei
• Ngā toto kōhatu e hanga ana i muri i te whara, i te pokanga rānei
• Ngā ngutu lymph nui e pēhi ana ki te ureter
• Te hapu, i te mea ka taea e te kopu e tipu ana te pehi i ngā ureters
• Ngā raru whānau e puta mai ana i te whānautanga

Ko ngā take onge ko te mumura nui mai i ngā āhuatanga penei i te fibrosis retroperitoneal, kei reira te kiri pūngāwerewere e whanake ana i te taha o ō ureters. I etahi wā, ka taea hoki e etahi rongoā, i ngā mahi hauora rānei te arahi ki te aukati wā poto, ahakoa he iti ake te noa.

Nō hea te haere ki te tākuta mō te aukati o te ureter?

Me rapu wawe koe i te tiaki hauora mena ka pāngia koe e te mamae nui o te tua, o te taha rānei e puta mai ana i ngā ngaru, inā koa kei te haere tahi me te ruaki, te ruaki rānei, te toto rānei i roto i tō mimi. Ka tohu pea ēnei tohu i te aukati nui e hiahia ana ki te rongoā wawe.

Waea atu ki tō tākuta inaianei anō mena kei a koe te kirika me te wiri me ngā tohu mimi, i te mea ka tohu pea tēnei i te mate pāwera kino. Rapua hoki te tiaki wawe mena ka kore koe e taea te mimi, te kite rānei i te hekenga nui o tō putanga mimi i roto i ngā haora maha.

Ahakoa ngā tohu ngawari penei i te mamae o te tua raro, ngā huringa i ngā tauira mimi, mimi māori rānei, he tika te haere ki te tākuta i roto i te rā kotahi, i ngā rā rua rānei. Ka taea e te rongoā wawe te aukati i ngā raruraru, te tiaki hoki i te mahi o tō whatukuhu.

He aha ngā take morearea mō te aukati o te ureter?

Ka piki ake te tūponotanga o te whanaketanga o te aukati o te ureter i ētahi take. Ka taea e te mārama ki ēnei te āwhina i a koe ki te tango i ngā mahi aukati i te wā e taea ai.

Ko ngā take morearea tino nui ko ēnei:

• Te hītori o ngā kōhatu whatukuhu, e piki ake ai tō tūponotanga ki ngā kōhatu o muri
• Te ngauwai, i te mea ka whakatairangahia e te mimi kaha te hanga kōhatu
• Te hītori whānau o ngā kōhatu whatukuhu, ngā raruraru mimi rānei
• Ētahi tikanga kai, penei i te nui o te tote, te iti rānei o te kākā
• Ngā āhuatanga hauora penei i te mate huka, te toto teitei, te gout rānei
• Te rongoā mate pukupuku o mua, inā koa te radiation ki te rohe pūhaka
• Te hapu, inā koa i te rua me te toru o ngā marama
• Ngā raru hanganga o te ara mimi

Ka taea hoki e ētahi rongoā, tae atu ki ētahi diuretics me ngā tāpiri kākā, te piki ake i tō morearea. Ko ngā tāne te nuinga o te tūponotanga ki ngā kōhatu whatukuhu, ko ngā wāhine te tūponotanga nui ake i te wā hapu nā ngā huringa hanganga.

He aha ngā raruraru pea o te aukati o te ureter?

Ki te kore e rongoā, ka taea e te aukati o te ureter te arahi ki ngā raruraru nui e pā ana ki te mahi o tō whatukuhu me tō hauora whānui. Ko te kaha e whakawhirinaki ana ki te roa o te aukati, me te wāhanga rānei, te katoa rānei.

Ko ngā raruraru noa ko ēnei:

• Te mate whatukuhu (pyelonephritis), ka mate pea
• Te pakaru o te whatukuhu mai i te pehanga roa me te hoki mai o te mimi
• Ngā kōhatu whatukuhu e tipu ana i te wā e mau ana
• Te mate whatukuhu roa ki te mau tonu te aukati
• Te toto teitei mai i te mahi whatukuhu
• Te sepsis, te mate pāwera kino e horapa ana puta noa i tō tinana

I ngā take onge, ka taea e te aukati rua katoa (ngā rua o ngā ureters kua aukati) te arahi ki te pakaru whatukuhu ohorere, e hiahia ana ki te dialysis ohorere. Ko te mea pai, ka taea te aukati i te nuinga o ngā raruraru mā te whakatau whakamārama me te rongoā tika.

Me pēhea te aukati i te aukati o te ureter?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te aukati o te ureter, ka taea e koe te whakaiti nui i tō morearea mā te aro ki te aukati i ngā kōhatu whatukuhu. Ko te nuinga o ngā aukati i puta mai i ngā kōhatu, no reira ko te aukati i a rātou tō parekura pai.

Ko ēnei ngā rautaki aukati whai hua:

• Inu wai maha i te rā katoa kia ngāwari te mimi
• Whakaitihia te kai tote kia whakaitihia te kākā i roto i tō mimi
• Kai kākā tika mai i ngā puna kai, kāore i ngā tāpiri
• Whakaitihia ngā kai nui-oxalate penei i te pīnati, ngā nati, te tiakarete rānei mena kei te pāngia koe e ngā kōhatu kākā oxalate
• Whakaritehia te taumaha hauora mā te kai rite me te whakakori tinana
• Whai i ngā whakaaro a tō tākuta mō te whakahaere i ngā āhuatanga o raro penei i te mate huka, te gout rānei

Mena kua pāngia koe e ngā kōhatu whatukuhu i mua, ka tūtohu pea tō tākuta i ngā huringa kai motuhake, i ngā rongoā rānei i runga i te momo kōhatu i hanga e koe. Ka taea e ngā hui whakarite tonu te āwhina ki te hopu i ngā raruraru pea i te tīmatanga.

Me pēhea te whakatau i te aukati o te ureter?

Ka tīmata tō tākuta mā te uiui mō ō tohu me tō hītori hauora, ka whakahaere i te tirotiro tinana. Ka pēhi pea rātou ki tō puku me tō tua ki te tirotiro i te ngawari, te pupuhi rānei.

He maha ngā whakamātautau e āwhina ana ki te whakau i te whakatau, te kimi hoki i te aukati:

• Ngā whakamātautau mimi ki te tirotiro i te toto, te mate pāwera, ngā kōhatu rānei
• Ngā whakamātautau toto ki te aromatawai i te mahi whatukuhu me te rapu i ngā tohu o te mate pāwera
• Te CT scan kāore he whakawhāiti, ko te paerewa koura mō te kite i ngā kōhatu
• Te ultrasound ki te kite mena kei te pupuhi tō whatukuhu mai i te mimi kua hoki mai
• Te intravenous pyelogram (IVP) ki te kite i te rere mimi
• Te MRI i ngā take motuhake, i te kore whakatau ngā whakamātautau ke rānei

Ko te CT scan te whakamātautau tino whai hua, i te mea ka taea te whakaatu i te wāhi tika me te rāhi o ngā kōhatu, me te nui o te pānga ki tō whatukuhu. Ka tono pea tō tākuta i ngā whakamātautau atu mena ka whakaaro rātou ki ngā take kāore i ngā kōhatu whatukuhu.

He aha te rongoā mō te aukati o te ureter?

Ko te rongoā e whakawhirinaki ana ki te take, te kaha, te wāhi rānei o tō aukati. Ko ngā whāinga matua ko te whakaora i te aukati, te tiaki i te mahi whatukuhu, te aukati hoki i ngā raruraru.

Mō ngā kōhatu whatukuhu, ko ngā whiringa rongoā ko ēnei:

• Te tatari atawhai mō ngā kōhatu iti ka pā atu pea
• Te rongoā mamae me te nui o te inu wai hei āwhina i ngā kōhatu ki te pā atu
• Ngā rongoā penei i ngā alpha-blockers hei whakamahana i ngā uaua ureter
• Te lithotripsy ngaru whakaharahara hei wawahi i ngā kōhatu mā te whakamahi i ngā ngaru oro
• Te ureteroscopy hei tango, hei wawahi rānei i ngā kōhatu mā te whakamahi i te tūru pūtu
• Te nephrolithotomy percutaneous mō ngā kōhatu whatukuhu nui rawa

Mena he aukati nui, he mate pāwera rānei, ka whakatū pea tō tākuta i te stent (pūtu iti) ki tō ureter hei whakaora i te rere mimi tonu. Ka whakaora tēnei mahi wā poto i te pehanga ki tō whatukuhu i te wā e whakarite ana i te rongoā tino.

Mō ngā take kāore i ngā kōhatu penei i ngā mate pukupuku, te kiri pūngāwerewere rānei, ka uru pea te rongoā ki te pokanga, te rongoā radiation, ngā mahi motuhake rānei i runga i te āhuatanga o raro.

Me pēhea te whakahaere i ngā tohu i te kāinga i te wā o te aukati o te ureter?

I te wā e tatari ana koe ki te kite i tō tākuta, i waenga rānei i ngā rongoā, he huarahi haumaru kei a koe ki te whakahaere i tō mamae. Engari, mahara ko te tiaki kāinga kāore e whakakapi i te rongoā hauora ngaio.

Ko ēnei ngā mea ka taea e koe kia pai ake te ahua:

• Tāpirihia te wera ki tō tua, ki tō taha rānei mā te whakamahi i te papa wera i te taumata iti
• Tangohia ngā kai whakaora mamae penei i te ibuprofen, te acetaminophen rānei kia rite ki ngā tohutohu
• Inu wai maha hei āwhina i te horoi i tō pūnaha
• Whakamātau i te nekehanga ngawari penei i te hikoi, ka āwhina pea i ngā kōhatu ki te neke
• Okioki i ngā tūnga e pai ana
• Kaua e kai i ngā kai nui-oxalates mena kei te pāngia koe e ngā kōhatu kākā oxalate

Kaua rawa e wareware ki ngā tohu e kino ake ana, te whakaroa rānei i te rapu i te tiaki hauora. Mena ka nui rawa tō mamae, ka whanake koe i te kirika, te kore rānei e taea te mimi, ko ēnei ngā tohu e hiahia ana koe ki te tiaki hauora wawe.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite pai mō tō hui ka āwhina i tō tākuta ki te whakatau tika, ki te whakawhanake i te mahere rongoā pai mōu. Ka taea hoki e te whakarite pai te āwhina i a koe kia tū rangatira ake, kia iti ake te manukanuka.

I mua i tō haerenga, kohikohia ēnei korero nui:

• Tuhia ō tohu katoa, tae atu ki te wā i tīmata ai, te kaha rānei
• Rārangihia ngā rongoā, ngā tāpiri, ngā huaora katoa e tangohia ana e koe
• Tātaihia tō hītori whānau o ngā kōhatu whatukuhu, ngā raruraru mimi rānei
• Kawe mai ngā hua whakamātautau o mua, ngā rangahau whakaahua rānei mena kei a koe
• Whakaritea ngā pātai mō tō āhuatanga me ngā whiringa rongoā
• Whakaarohia te kawe mai i te hoa pono, i te whānau rānei hei tautoko

Kaua e whakaroa ki te tono atu ki tō tākuta kia whakamārama i tetahi mea kaore koe e mārama. He mea nui kia pai koe ki tō mahere rongoā, kia mōhio hoki ki te mea e tumanakohia ana i te wā whakaora.

He aha te mea nui mō te aukati o te ureter?

He āhuatanga rongoā te aukati o te ureter e hiahia ana ki te tiaki hauora wawe hei aukati i ngā raruraru. Ko te nuinga o ngā take i puta mai i ngā kōhatu whatukuhu, ka taea te whakahaere pai me ngā rongoā hou.

Ko te mea nui rawa kia mahara ko te kaua e wareware ki ngā tohu penei i te mamae nui o te tua, te toto i te mimi, ngā huringa rānei i ngā tauira mimi. Ka taea e te whakatau whakamārama me te rongoā te tiaki i te mahi o tō whatukuhu, te aukati hoki i ngā raruraru nui.

Mā te tiaki hauora tika me ngā mahi aukati, ka ora katoa te nuinga o ngā tangata e pāngia ana e te aukati o te ureter, ka taea te tango i ngā mahi hei whakaiti i tō tūponotanga ki ngā wāhanga o muri. Noho whai wai, whai i ngā tohutohu a tō tākuta, kaua hoki e whakaroa ki te rapu awhina ina hiahia koe.

Ngā pātai e ui pinepinetia ana mō te aukati o te ureter

P.1 E hia te roa o te pā atu o te kōhatu whatukuhu i roto i te ureter?

Ko te nuinga o ngā kōhatu whatukuhu iti (iti iho i te 4mm) ka pā atu i roto i te 1-3 wiki. Ka roa pea ngā kōhatu nui ake, te hiahia rānei ki te whakauru hauora. Ka taea e tō tākuta te whakatau i te wa i runga i te rāhi o te kōhatu me te wāhi i runga i ngā rangahau whakaahua.

P.2 Ka taea e te aukati o te ureter te pakaru whatukuhu pumau?

Ae, ka taea e te aukati roa te pakaru whatukuhu pumau, engari ka roa pea tēnei ki te maha o ngā wiki, ngā marama rānei. Mā te rongoā wawe, ka ora te nuinga o ngā tangata i te mahi whatukuhu katoa. Ko te mea nui ko te rapu i te tiaki hauora wawe ina puta mai ngā tohu.

P.3 He mea tika te pokanga mō te aukati o te ureter?

Kāo, kāore i te mea tika te pokanga. Ka pā atu pea ngā kōhatu whatukuhu iti mā te rongoā māori. Engari, ka hiahia pea ngā kōhatu nui ake, ngā aukati katoa, ngā take rānei e pā ana ki te mate pāwera ki te whakauru pokanga penei i te ureteroscopy, te whakatū rānei i te stent.

P.4 Ka taea e te hapu te aukati i te ureter?

Ae, ka taea e te hapu te aukati i te ureter, inā koa i te rua me te toru o ngā marama. Ka taea e te kopu e tipu ana te pehi i ngā ureters, inā koa i te taha matau. Ka mutu pea tēnei i muri i te whānautanga, engari i etahi wā ka hiahia ki te tirotiro, ki te rongoā rānei i te wā hapu.

P.5 He aha ngā kai me karo e ahau mena kei te pāngia ahau e ngā kōhatu whatukuhu?

Ko ngā kai me karo e whakawhirinaki ana ki tō momo kōhatu. Mō ngā kōhatu kākā oxalate (te tino noa), whakaitihia ngā kai nui-oxalate penei i te pīnati, ngā nati, te tiakarete, te tii rānei. Mō ngā kōhatu waikawa uric, whakaitihia ngā kai nui-purine penei i ngā kikokiko whatukuhu me ngā shellfish. Ka taea e tō tākuta te hoatu i ngā tohutohu kai motuhake i runga i tō tātaritanga kōhatu.