Pakū Uretra

Ko te aukati o te urethra (u-REE-thrul) e pā ana ki te whākākānga e whakaiti ana i te tūpē e kawe ana i te mimi ki waho o te tinana, e kiia nei ko te urethra. Ko te hua o te aukati, he iti te mimi e puta mai ana i te pūngāwerewere. Ka taea e tēnei te whakaeke i ngā raruraru i roto i te ara mimi, pēnei i te mate pāwera.

Ko ngā tohu o te whakaheke o te urethra ka uru ki:

• Kōpū ngoikore o te mimi.
• Te kore e whakapau katoa te pūkahukahu.
• Te pūpū mimi.
• Te uaua, te mamae rānei ki te mimi.
• Te mimi pinepine atu, te hiahia rānei ki te mimi pinepine atu.
• Te mate huaketo o te ara mimi.

Kaore he uauatanga

Ka taea te whakaatu i te kiri pūngāwerewere, e taea ai te whakaiti i te urethra, na:

• Te tukanga hauora e whakauru ana i te taputapu, penei i te endoscopy, ki roto i te urethra.
• He pūtau i whakanohoia ki roto i te urethra hei whakaheke i te putea, e kiia nei ko te catheter.
• Te whara, te whara ranei ki te urethra, ki te pelvic ranei.
• Te pupuhi o te prostate, te pokanga ranei i mahia hei tango, hei whakaiti ranei i te pupuhi o te prostate.
• Te mate pukupuku o te urethra, o te prostate ranei.
• Nga mate e horapa ana i te taangata.
• Te rongoa radiation.
• Te mate kiri e puta mai ana he kiri pakaru, tae kore, angiangi, e pa ana ki te rohe ira tangata, e kiia nei ko te lichen sclerosus.

He maha atu te taangata o te urethral stricture ki nga tane i nga wahine. I te nuinga o te wa kaore e mohiotia te take.

Kaore he uauatanga

Kaore he uauatanga

Kaore he uauatanga

Hei whakatau i te mate, ka ui te mema o tō rōpū hauora ki ō tohu me tō hītori hauora, ka whakahaere hoki i te whakamātautau. Ko ngā whakamātautau ka āhei te awhina i te kimi i te wāhi o te ngohe, tōna roa me te take pea o te ngohe, e āhei ana:

• Ngā whakamātautau mimi. Ka rapuhia ai te mate, te toto, te mate pukupuku rānei i roto i te mimi.
• Whakamātautau rere mimi. Ka ine ai te rere o te mimi me tōna kaha.
• Ultrasound o te urethra. Ka whakaatu ai te roa o te ngohe.
• Ultrasound o te upoko. Ka tiro ai mēnā kei te toe te mimi i roto i te pūngāwerewere i muri i te whakaheke.
• Tātai MRI o te upoko. Ka tiro ai i te whenua upoko kia kite mēnā kei te whai wāhi ki te āhuatanga.
• Urethrogram whakamuri. Ka whakamahi tēnei whakamātautau i ngā whakaahua X-ray hei rapu i te raruraru, i te whara rānei o te urethra. Ka whakaatu hoki te roa o te ngohe me tōna wāhi.
• Cystoscopy. Ka whakamahi tēnei i te taputapu angiangi, pēnei i te pūpoi, e kiia nei he cystoscope. Ka titiro te taputapu ki roto i te urethra me te pūngāwerewere.

Ka raru pea te maimoatanga ki te momo ārai, tōna rāhi me te kino o ngā tohu. Ka uru ngā maimoatanga ki:

• **Whakawhāiti. ** Ko te whakauru i te pūtu iti e kiia nei he catheter ki te pūngāwerewere hei whakaheke i te mimi te mahi tuatahi hei whakaora i te aukatinga mimi. Ka whakaora ngā rongoā i te mate, ki te mea he mate. Ka taea pea te whakawhāiti whaiaro hei whiringa mō te hunga kua tātarihia he ārai poto.
• **Te whānui ake, e kiia nei he whakahāwhā. ** Ka tīmata tenei ki te uaua iti e whakauruhia ana ki te urethra me te pūngāwerewere. Ka pā atu ngā whakahāwhā nui ake ki runga i te uaua hei whakanui i te rahi o te tuwhera o te urethra iti iho. Ka taea pea tenei mahi tākuta hei whiringa hei whakaora i ngā ārai urethra e puta mai ana.
• **Urethroplasty. ** Kei roto i tēnei te tango i te wāhanga kua whakaitihia o te urethra, te whakahāwhā rānei. Ka uru pea te mahi ki te hanga hou i ngā kiko a tawhio noa i te urethra.

Ka taea te whakamahi i ngā kiko mai i ētahi atu wāhanga o te tinana, penei i te kiri, te waha rānei, hei whakakapi i te mahi. He iti te tūponotanga o te ārai urethra ka hoki mai i muri i te urethroplasty.

• **Endoscopic urethrotomy. ** Ka whakamahi tēnei mahi i te taputapu angiangi, pēnei i te pūtu, he karāhe i roto, e kiia nei he cystoscope. Ka haere te cystoscope ki roto i te urethra. Katahi ka whakauruhia he taputapu ki roto i te cystoscope hei tango i te ārai, te whakaora rānei ki te laser.

He tere ake te ora o tēnei mahi tākuta atu i ētahi atu mahi. Kāo reira he tohu nui, ā, he iti te tūponotanga o te mate. Heoi, ka taea te hoki mai te ārai urethra i muri i tēnei mahi.

• **Te stent i whakauruhia, te catheter roa rānei. ** Ko tēnei maimoatanga pea mō te hunga he ārai kino kāore e hiahia ana ki te pokanga. Ka whakauruhia he pūtu, e kiia nei he stent, ki roto i te urethra hei pupuri i te tuwhera, te whakauru rānei i te catheter pumau hei whakaheke i te pūngāwerewere.

He tūponotanga enei mahi ki te mamae o te pūngāwerewere, te kore āta rānei me ngā mate huaketo o te ara mimi. Me tirotirohia hoki enei tata tonu. Kao te whakamahi i ngā stent urethra.

Kaore he uauatanga