He aha te hanga hou o te pūpū? Te Whāinga, te Hātepe me te Oranga

Ko te hanga hou o te pūpū he hātepe pokanga e hanga ana i te pūpū hou mai i tētahi wāhanga o tō whekau i te wā e tika ana kia tangohia tō pūpū taketake. Mā tēnei pokanga whakamīharo e whai wāhi ai koe ki te mimi noa anō, he maha ngā wā ka taea e koe te pupuri i te mana me te rangatiratanga i muri i te tangohanga o te pūpū nā te mate pukupuku, ētahi atu āhuatanga nui rānei.

Whakaarohia he huarahi mā tō tākuta e whakahoki ana i tētahi mea tata ki tōna i mua. Ahakoa he pokanga nui tēnei, he mano ngā tāngata kua angitu te whai i tēnei hātepe, ā, kua hoki ki ngā oranga whai hua, kaha.

He aha te hanga hou o te pūpū?

Ko te hanga hou o te pūpū e whai ana i te whakamahi i tētahi wāhanga o tō whekau iti ki te hanga i tētahi pūpū hou e hono tika ana ki tō urethra. Ka āta hanga anō e tō tākuta tēnei kiko whekau ki tētahi pōkahu ka taea te rongo i te mimi me te tuku i a koe ki te mimi mā tō wāhi tūturu.

Ka karangahia tēnei hātepe he neobladder orthotopic, ko te tikanga noa ko te pūpū hou kei te wāhi kotahi me tō taketake. Ko te whāinga kia whakahokia mai te mahi mimi noa i te mea ka taea i muri i te tangohanga o tō pūpū.

E kore e mahi tika tō pūpū hou pērā i tō taketake, engari he maha ngā tāngata e kite ana ka taea e rātou te mimi noa i te awatea me te whai mana pai i te roanga o te wā. Ka urutau te kiko whekau ki tōna mahi hou, ahakoa ka roa pea te maha o ngā marama kia tau katoa ki tētahi tikanga pai.

He aha te take i mahia ai te hanga hou o te pūpū?

Ko te nuinga o te wā ka mahia tēnei pokanga i muri i te cystectomy radical, ko te tangohanga katoa o tō pūpū nā te mate pukupuku pūpū. I te wā kua horapa te mate pukupuku ki roto i te pakitara uaua o tō pūpū, ko te tangohanga o te okana katoa te nuinga o te wā ka whai wāhi pai ki te rongoa.

Ka tūtohu pea tō tākuta i tēnei tikanga mō ētahi atu āhuatanga nui e hiahia ana kia tangohia te pūpū. Ko ēnei pea ko te kino nui o te iraruke ki te pūpū, ētahi hē whānau, he wharanga nui rānei kua kino te pūpū e kore e taea te whakatika.

Ko te whakatau ki te haere tonu ki te hanga anō i te neobladder e whakawhirinaki ana ki ētahi āhuatanga mō tō hauora me tō tinana. Ka āta arotake tō tākuta pokanga mō te pai o tō tūnga i runga i te mahi o ō pūkahukahu, te āhua o tō urethra, me tō tūnga hauora whānui.

He aha te tikanga mō te hanga anō i te neobladder?

Ko te tikanga pokanga e 4 ki te 6 hāora te roa, ā, ka mahia i raro i te rongoā whānui. Ka tapahi tō tākuta pokanga i tō puku kia uru atu ki tō pūpū me ngā okana e tata ana, kātahi ka āta tango i tō pūpū i te wā e tiaki ana i ngā hanganga nui e tata ana.

Anei ngā mea ka pā i ngā mahi nui o te tikanga:

1. Ka tangohia e tō tākuta pokanga te tata ki te 24 inihi o tō whekau iti, te nuinga mai i te wāhanga ileum
2. Ka honoa anō te toenga o te whekau kia haere tonu te mahi o tō pūnaha keri kai
3. Ka āta hanga anō te wāhanga whekau i tangohia hei pōkahu porohita
4. Ka honoa tēnei pūpū hou ki ō ureters (ngā ngongo mai i ō pūkahukahu)
5. Ka piri te pōkahu ki tō urethra, e āhei ana koe ki te mimi i te tikanga māori

Ka whakatakoto pea tō tākuta pokanga i ngā ngongo rangitahi e kīia ana ko ngā stents i roto i ō ureters hei āwhina i te whakaora, me te catheter hei whakaheke i te mimi i te wā e ora ana tō pūpū hou. Ko ēnei te nuinga ka tangohia i muri i ētahi wiki i te wā e pai ana ngā mea katoa.

Me pēhea te whakarite mō tō hanga anō i te neobladder?

Ko te whakarite mō tēnei pokanga e whai ana i ētahi mahi nui kia pai ai te hua. Ka ārahi tō rōpū hauora i a koe i ia whakaritenga, engari ko te whakamahere i mua ka āwhina i te whakaiti i te ahotea me te tautoko i tō whakaora.

Ka tono pea tō tākuta ki a koe kia whakaoti i ēnei mahi whakarite:

• Kati te kai paipa i te iti rawa 2 wiki i mua i te pokanga kia pai ake te whakaora
• Whakaotia te whakarite whekau ki ngā otinga horoi motuhake 1-2 rā i mua
• Whakaritea tētahi tangata hei taraiwa i a koe ki te kāinga, ā, noho tahi me koe mō ngā rā tuatahi
• Tangohia te peita whao me ngā whakapaipai i mua i te taenga atu ki te hōhipera
• Tangohia ngā paturopi kua tohua hei ārai i te mate
• Whaia ngā tohutohu nohopuku, te tikanga kāore he kai, he inu rānei i muri i te pō waenga i mua i te pokanga

Ka arotake hoki tō rōpū hauora i ō rongoā, ā, ka tono pea ki a koe kia whakamutu i ētahi rongoā whakaheke toto, i ngā tāpiringa rānei. Kaua e whakaroa ki te pātai pātai mō ngā mea kāore koe e mārama ana - he mahi nui tēnei, ā, ko te mōhio ka āwhina i te tini o te tangata kia māia ake.

Me pēhea te pānui i ō whakamātautau mahi pūpū hou?

I muri i tō pokanga, ka aroturuki tō rōpū hauora i te pai o te mahi a tō pūpū hou mā ngā whakamātautau me ngā tirohanga rerekē. Mā te mārama ki ēnei ine ka āwhina i a koe ki te whai i tō ahunga whakamua, ā, ki te mōhio ki ngā mea e tūmanakohia ana i te wā o te whakaora.

Ka arotake te tikanga a ō tākuta i ētahi tohu matua:

• Rōrahi whakaputa mimi - me piki haere ki te 1-2 rita ia rā
• Te toenga mimi i muri i te mimi - ko te mea pai kia iti iho i te 100ml e toe ana
• Ngā taumata waihanga - me noho pūmau, e tohu ana i te pai o te mahi tākihi
• Te taurite hiko - ina koa ngā taumata pūhaumāota, ka pā mai
• Ngā reiti whakahaere - te kaha ki te pupuri mimi i te awatea me te pō

Ko te whakaora noa te tikanga e whakaatu ana i te pai haere i ēnei wāhi i roto i te 3-6 marama. Ka piki haere te kaha o tō pūpū hou, ā, ka pai ake tō mana whakahaere i te urutau o ngā kiko, ā, ka ako koe i ngā tikanga hou mō te whakawātea katoa.

Me pēhea te whakanui i te mahi o tō pūpū hou?

Me te noho angitu me te neobladder, me ako etahi tikanga me nga tikanga hou. Ko te rongo pai ko te nuinga o nga tangata e urutau ana, ka taea te hoki ki o raatau mahi noa me etahi whakarereketanga.

Ma enei rautaki e awhina i a koe ki te whakatutuki i te mahi pai rawa atu:

• Whakamahia te wa ki te whakakore i nga wa katoa 2-3 haora i te awatea
• Ako i nga tikanga whakakore tika, tae atu ki te whakangawari me te tango i to wa
• Mahia nga mahi papa pelvic hei whakakaha i nga uaua tautoko
• Kia pai te wai me te 6-8 karaihe wai ia ra
• Aukati i nga riri o te pūpū pūpū pēnei i te kawhe, te waipiro, me nga kai raukikini i te tuatahi
• Whakamahia te mahi Valsalva (te pana ngawari) hei awhina i te whakakore katoa

He maha nga tangata e kite ana ko te ara ake kotahi, e rua ranei i te po ki te mimi ka aukati i nga aitua me te pupuri i to ratau pūpū pūpū hou. He ngawari ake tenei me te mahi, a ko te nuinga o nga tangata ka whakawhanake i te tikanga e pai ana mo o raatau oranga.

He aha nga mea morearea mo nga raruraru neobladder?

Ahakoa te angitu o te hanga neobladder, ko etahi mea ka nui ake te tupono o nga raruraru, ka pa ranei ki te pai o te mahi a to pūpū pūpū hou. Ma te mohio ki enei ka awhina i a koe me to taakuta ki te whakatau i nga whakatau pai mo to tiaki.

He maha nga mea ka pa ki to hua pokanga:

• Ko te pakeke (neke atu i te 70) ka pa ki te whakaora me nga reiti mau tonu
• Ko te rongoa iraruke o mua ki te pelvis ka pa ki te whakaora kiko
• Ko nga raruraru o te mahi whatukuhu ka pa ki to tika mo tenei tikanga
• Ka taea e te mate whekau mumura te uaua ki te whakamahi i te kiko whekau
• Ko te kai paipa ka nui ake te mate me nga raruraru whakaora
• Ka taea e te mate huka te whakaroa i te whakaora me te whakanui i te tupono o te mate

Ka āta aromatawaihia e tō rōpū tākuta ngā āhuatanga nei i mua i te tūtohu i te whakahou i te neobladder. I ētahi wā ka pai ake pea ētahi atu tikanga i runga i tō āhuatanga takitahi, ā, he pai rawa atu tērā.

He pai ake te whakahou i te neobladder i ētahi atu kōwhiringa?

He painga nui te whakahou i te neobladder e taea ai e koe te mimi noa mā tō waha tūturu, he mea nui ki te hinengaro me te mahi mō te nuinga o te tāngata. Heoi, ehara i te mea koinei te kōwhiringa pai mō te katoa.

Ki te whakataurite ki ētahi atu kōwhiringa whakakapinga pūpū, ka nui ake te kounga o te oranga o te neobladder mō te hunga e tika ana. Kāore koe e hiahia ki te whakahaere i tētahi pōkahu o waho, ki te mahi rānei i te whakauru katetā mā tētahi wāhi i tō puku.

Heoi, ko ētahi atu tikanga pēnei i te ara ika, i te huri kiri rānei, he pai ake pea te kōwhiri mēnā he ō āhuatanga hauora, he āhua tinana rānei e nui ake ai te tūponotanga o te whakahou i te neobladder. Mā tō tākuta e āwhina i a koe ki te mārama ko tēhea kōwhiringa e pai ana te taurite o te haumaru me te mahi mō tō āhuatanga motuhake.

He aha ngā raruraru ka puta mai i te whakahou i te neobladder?

Pērā i ngā pokanga nui katoa, he tūponotanga kei te whakahou i te neobladder me mārama koe i mua i te whakatau. Ko te nuinga o ngā raruraru ka taea te whakahaere, ā, he iti noa ngā raruraru nui ki ngā rōpū tākuta whai wheako.

Ngā raruraru noa ka puta:

• Te kore e taea te mimi, ina koa i te pō, e pā ana ki te 10-30% o ngā tāngata
• Te kore e tino putu te mimi e hiahia ana ki te whakauru katetā i ētahi wā
• Ngā mate i roto i te ara mimi, he nui ake pea i te tīmatanga
• Ngā huringa pūkoro i te pānga o te mimi ki te kiko whekau
• Ngā whāiti, te whāiti rānei i ngā wāhi hononga
• Ngā raruraru tākihi mēnā ka hoki te mimi ki roto i ngā ureters

Ko ngā raruraru ka puta, engari he iti noa iho, he nui ake te kino, pērā i te pūtau toto, ngā mate kino, rānei ngā raruraru ki te whakaora i te patunga. Ka mātakitaki tata tō rōpū tākuta i a koe, ā, ka whakatika wawe i ngā take katoa mēnā ka puta.

Ko ngā raruraru onge pea ka uru mai te nui o te toto, te aukati i te whekau, rānei ngā raruraru nui o te pākia. Ahakoa he mea e pā ana ki tō whakaaro, ka puta i roto i te iti iho i te 5% o ngā keehi, ā, he mea e taea ana te whakahaere mā te manaakitanga hauora tika.

Āhea au e kite ai i te tākuta mō ngā āwangawanga neobladder?

I muri i tō whakatikatika neobladder, he mea nui kia noho tata tonu koe ki tō rōpū hauora, ā, kia mōhio ki te wā ki te rapu awhina atu anō. Ko te nuinga o ngā take ka taea te whakatau wawe ina whakatikahia i te wā.

Whakapā atu ki tō tākuta i te wā tonu mēnā ka pā ki a koe:

• Te kirika i runga ake i te 101°F (38.3°C) rānei ngā wiri
• Te mamae nui o te puku, te pūhi rānei
• Te kore rawa e mimi, te wera nui rānei
• Te toto i roto i te mimi he nui ake i te māwhero marama
• Te whakapairuaki me te ruaki e aukati ana i te kai, i te inu rānei
• Ngā tohu o te maroke pērā i te whanoke, te mangai maroke rānei

Me whakapā atu anō koe mēnā ka kite koe i ngā huringa ohorere i tō tauira mimi, te turuturu tonu e kino haere ana, rānei ngā tohu e āwangawanga ana koe. E tatari ana tō rōpū hauora ki ēnei waea, ā, he pai ake te whakatika i ngā raru iti i mua i te nui haere.

Ngā pātai e pātai pinepine ana mō te whakatikatika neobladder

Q1: He pai te whakatikatika neobladder mō ngā tūroro mate pukupuku pūpū?

Āe, he pai te whakatikatika neobladder mō ngā tūroro mate pukupuku pūpū e hiahia ana kia tangohia ō rātou pūpū. Ka taea e koe te pupuri i tētahi oranga noa i muri i te rongoā mate pukupuku, i te wā e whakarato tonu ana i te tango i te mate pukupuku e tutuki ana i te cystectomy.

E kore te tikanga e pokanoa ki te rongoa mate pukupuku, ā, tērā pea ka pai ake te kounga o tō oranga i te wā e ora ana koe. Ko te nuinga o ngā tūroro mate pukupuku e tika ana mō tēnei pokanga e kī ana he nui te pai ki tā rātou whiriwhiri.

Q2: Ka pā mai ngā raruraru tākihi i te hanganga neobladder?

Ko te hanganga neobladder tonu kāore i te nuinga o te wā e pā mai ai ngā raruraru tākihi, engari me mātakitaki tonu te mahi o te tākihi. Me tika te mahi o te hononga i waenga i tō pūpū hou me ō tākihi kia kore ai e hoki mai te mimi.

Ka tirohia e tō rōpū hauora te mahi o tō tākihi i ngā wā katoa mā ngā whakamātautau toto me te whakaahua. Ko te nuinga o te tangata e mau tonu ana te mahi noa o te tākihi i muri i tēnei pokanga ina tika te tiaki whai muri.

Q3: Ka taea e au te noho i te ora noa me te neobladder?

Āe, ko te nuinga o te tangata me ngā neobladders ka hoki ki te ora tino noa, kaha. Ka taea e koe te mahi, te whakakori tinana, te haereere, me te whai wāhi ki te nuinga o ngā mahi i pai ai koe i mua i te pokanga, ahakoa me whakarereke pea koe i ētahi mea.

Ko te rerekētanga nui ko te hiahia kia mimi koe i runga i te hōtaka, kaua e tatari kia pōhēhē, ā, tērā pea me ara koe i te pō kotahi, e rua rānei. He maha ngā tāngata e kite ana he pai ēnei huringa iti ki te kaha ki te mimi noa.

Q4: Kia pēhea te roa o te ora mai i te pokanga neobladder?

Ko te ora mai i te tīmatanga e 6-8 wiki te roa, engari ko te ako ki te whakamahi i tō neobladder i te whai hua e 3-6 marama te roa. I tēnei wā, ka toro haere tō pūpū hou, ā, ka whakawhanake koe i te mana me ngā tikanga whakawātea pai ake.

Ko te nuinga o te tangata ka hoki ki te mahi me ngā mahi māmā i roto i te 6-8 wiki, i te mea ko te ora katoa tae atu ki te mahi pūpū pai rawa atu ka roa pea te tau. E ora ana te katoa i tō rātou ake tere, nā reira kaua e ngākau pouri ki te rerekē tō wā.

Q5: Me whakauru au i te katita ki tōku neobladder?

Ko te nuinga o te tangata e whai ana i te neobladder karekau e hiahia ki te whakauru i te katita i nga wa katoa, koinei tetahi o nga painga nui o tenei tikanga. Heoi, tera pea etahi tangata e hiahia ana ki te whakauru katita i etahi wa ki te raru ratou ki te whakawātea katoa.

Ka whakaako tō rōpū hauora i a koe me pēhea te whakauru katita ki te hiahiatia, engari he tokomaha ngā tāngata kāore rawa e hiahiatia. Ko te whāinga kia mimi noa koe me te kore he ngongo, he taputapu o waho rānei.