He aha te TUIP? Te Whāinga, te Hātepe & ngā Hua

Ko te TUIP te tohu mō te Tapahi i te Prostate Transurethral, he hātepe pokanga iti e āwhina ana i ngā tāne e pā ana ki ngā tohumate prostate whānui. Kāore i rite ki ngā pokanga prostate nui ake, ka uru te TUIP ki te hanga i ngā tapahi iti, tika i roto i te prostate hei whakaiti i te pēhanga i runga i te urethra. He tino whai hua tēnei hātepe mō ngā tāne he iti ake te prostate e pā ana ki ngā tohumate mimi e raru ana engari e hiahia ana ki te karo i ngā rongoā nui ake.

He aha te TUIP?

Ko te TUIP he tikanga pokanga e hanga ana tō tākuta mimi i tētahi, e rua rānei ngā tapahi iti i roto i tō repe prostate hei whakapai ake i te rere o te mimi. Whakaarohia me te hanga i tētahi whakatuwheratanga iti i roto i te kara e piri ana kia māmā ake te manawa. E whāinga ana te hātepe ki te wāhi e takai ana tō prostate i te urethra, te ngongo e kawe ana i te mimi mai i tō pūpū.

I te wā o te TUIP, ka whakamahi tō tākuta i tētahi taputapu angiangi, marama e kiia ana ko te cystoscope e kuhu ana mā tō urethra. Kāore he tapahi o waho e hiahiatia ana, ko te tikanga kāore koe e kite i ngā tapahi e kitea ana i tō tinana. Ko te hātepe katoa e 20 ki te 30 meneti te roa, ka mahia i raro i te rongoā.

I hangaia tēnei tikanga mō ngā tāne he 30 karamu, iti iho rānei te rahi o te prostate. E whakaarohia ana he wāhi waenga i waenga i te whakahaere rongoā me ngā hātepe nui ake pērā i te TURP (Transurethral Resection of the Prostate).

He aha te take i mahia ai te TUIP?

E tūtohutia ana te TUIP i te wā e pā ana tō prostate whānui ki ngā tohumate mimi e raru ana kāore i pai ake i te rongoā. Ka tūtohu pea tō tākuta i tēnei hātepe mēnā e pā ana koe ki te uaua ki te tīmata i te mimi, te rerenga mimi ngoikore, te haerenga auau ki te wharepaku i te pō e pā ana ki tō kounga o te oranga.

Ko te whāinga matua he whakaiti i te pēhanga e tō prostate ki tō urethra me te kore e tango i te kiko prostate. Mā tēnei huarahi e tiaki te nuinga o tō tinana tūturu i te whakataurite ki ētahi atu pokanga prostate. He pai pea koe mēnā he iti ake tō prostate engari kei te pā tonu koe i ngā tohumate nui.

Ka whakaaro anō tō tākuta mimi ki te TUIP mēnā kāore e taea e koe te whakamahi rongoā prostate nā te pānga taha, mēnā rānei kāore i nui te whakamaimoa i muri i ngā marama maha o te rongoā. He tino whai hua te tikanga mō ngā tāne taitamariki e hiahia ana ki te pupuri i tō rātou mahi tāngata me te kaha ki te tuku wai.

He aha te tikanga mō te TUIP?

Ka tīmata tō tikanga TUIP ki te whakahaere i te rongoā whakamoe, te tuarā, te whānui rānei, i runga i tō āhua hauora me te hiahia. Kia pai ai koe, ka whakatakoto tō tākuta i a koe ki tō tuara me ō waewae e tautokona ana i roto i ngā here, pērā i ētahi atu tikanga urological.

Ka whakaurua e te tākuta he cystoscope mā tō urethra, ka ārahi ki tō wāhi prostate. He rama me te kāmera tēnei taputapu e āhei ai tō tākuta ki te kite i roto i tō ara mimi. Kāore he tapahi waho e mahia ana ki tō tinana i tēnei tukanga.

Mā te whakamahi i tētahi taputapu tapahi hiko e piri ana ki te cystoscope, ka mahia e tō tākuta tētahi, e rua rānei ngā tapahi tika ki tō prostate. Ko ēnei tapahi ka mahia i te 5 karaka me te 7 karaka mēnā ka whakaaro koe i tō prostate hei mata karaka. Ka toro atu ngā tapahi mai i tō kaki pūpū ki te wāhi i mua tonu i tō sphincter mimi waho.

I muri i te mahinga i ngā tapahi, ka whakamahi pea tō tākuta i te ia hiko ki te hiri i ngā oko toto e toto ana. Ka whakaurua tētahi catheter mā tō urethra ki tō pūpū hei āwhina i te whakaheke i te mimi i te wā e ora ana tō prostate. Ko te tikanga katoa e 20 ki te 30 meneti te roa ki te whakaoti.

Me pēhea te whakarite mō tō TUIP?

Ka tīmata tō whakarite i te wiki kotahi pea i mua i te pokanga, ka mutu te tango i ētahi rongoā ka piki ake te tūponotanga o te toto. Kei roto i ēnei ko ngā rongoā whakaheke toto pēnei i te warfarin, te aspirin, me ētahi taapiri otaota. Ka hoatu e tō tākuta he rārangi motuhake o ngā rongoā hei karo, me te wā hei whakamutu i te tango i aua rongoā.

Ka whiwhi koe i ngā tohutohu mō te kai me te inu i mua i te pokanga, ko te tikanga me nohopuku koe mō te 8 ki te 12 hāora i mua. Mā tēnei whakatūpato e ārai ngā raruraru i te wā o te anahēhia. Ka hoatu e tō rōpū hauora ngā wā motuhake mō te wā hei whakamutu i te kai i ngā kai mārō, me te wā hei whakamutu i te inu i ngā wai mārama.

Whakaritea kia whai tangata hei taraiwa i a koe ki te kāinga i muri i te tukanga, nā te mea kei te ora tonu koe i te anahēhia. Me whakarite hoki tō kāinga mō te whakaora mā te whai i ngā tūru pai, ngā kai ngāwari ki te whakarite, me ngā rongoā kua tohua e wātea ana.

Ka tūtohu pea tō tākuta kia whakamutu i ētahi taapiri pēnei i te huaora E, te ginkgo biloba, te pire karika rānei ka pā ki te whakakotahitanga o te toto. Ki te tango koe i ngā rongoā mō ētahi atu āhuatanga, pātai atu ki tō tākuta ko ēhea me tango tonu e koe i te ata o te pokanga.

Me pēhea te pānui i ō hua TUIP?

Ko ō hua TUIP te mea nui e inea ana mā te whakapai ake i ō tohumate mimi, kaua ki ngā tau taiwhanga. Ko te angitu te tikanga ka arotakehia mā ngā pātai tohumate pēnei i te International Prostate Symptom Score (IPSS) ka oti i a koe i mua, i muri hoki i te pokanga.

Ka arotakehia e tō tākuta te whakapai ake i ētahi wāhi nui: te ngāwari o te tīmata i te mimi, te kaha o tō awa mimi, te katoa o te whakawātea i tō pūpū, me te auau o te hiahia ki te mimi i te awatea me te pō. Ko te nuinga o ngā tāne ka kite i ngā whakapainga i roto i te 2 ki te 6 wiki i muri i te pokanga.

Kei roto i ngā ine whāinga ngā whakamātautau reiti rere mimi, e mimi ana koe ki roto i tētahi pūrere motuhake e ine ana i te tere o te rere o te mimi i waho o tō pūpū. Ko te reiti rere noa ko te 15 miririta ia hēkona, neke atu rānei. Ka whakamahi pea tō tākuta i te ultrasound hei tirotiro i te nui o te mimi e toe ana i roto i tō pūpū i muri i te mimi.

E whakaatu ana ngā reiti angitu wā-roa mō te TUIP e pā ana ki te 80% o ngā tāne e pā ana ki te whakapai ake i ngā tohumate e mau ana mō ngā tau maha. Heoi, ka hiahia pea ētahi tāne ki te rongoā atu mēnā kei te tipu tonu tō rātou pūkahukahu i te wā.

Me pēhea te whakahaere i tō whakaora i muri i te TUIP?

Ka tīmata tō whakaora tonu i te hōhipera e noho ai koe mō te 1 ki te 2 rā me te kātere mimi e tū ana. Ka āwhina te kātere ki te whakaheke i tō pūpū i te wā e ora ana tō pūkahukahu, me te whakaiti i te tūponotanga o te pupuri mimi. Ka kite pea koe i te toto i roto i tō mimi i te tīmatanga, he mea noa tēnei.

Kia tae koe ki te kāinga, me inu koe i te wai nui hei āwhina i te horoi i tō pūnaha mimi me te ārai i te mate. Whāia kia 8 ki te 10 karāhi wai ia rā mēnā kāore anō tō tākuta i tohutohu kē. Āreare i te waipiro me te kawhe i te tīmatanga, nā te mea ka pōuri ēnei i ō kiko e ora ana.

Me whakawhāiti te mahi tinana mō ngā wiki tuatahi i muri i te pokanga. Āreare i te hiki taumaha (nui atu i te 10 pauna), te whakakori tinana kaha, me te tō i te wā o ngā nekehanga whekau. Ka taea e ēnei mahi te whakanui i te pēhanga i roto i tō puku me te āhei ki te pā i te toto.

Ka taea e koe te tūmanako ki te hoki ki ngā mahi noa i te wā i roto i te 2 ki te 4 wiki. Ka taea e te nuinga o ngā tāne te hoki ki te mahi tēpu i roto i ngā rā torutoru, i te wā e hiahia ana ngā tāngata me ngā mahi tinana ki te 2 ki te 3 wiki okioki. Ka whakarato tō tākuta i ngā aratohu motuhake i runga i tō ahunga whakamua whakaora.

He aha ngā āhuatanga tūpono mō ngā raruraru TUIP?

Ka taea e ētahi āhuatanga hauora te whakanui i tō tūponotanga ki ngā raruraru i te wā, i muri rānei i te TUIP. Ko ngā tāne e kore e whakahaerehia te mate huka ka nui ake te tūponotanga ki te mate me te pōturi o te whakaora. Mēnā he mate huka tōu, ka hiahia tō tākuta kia pai te whakahaere i ō taumata huka toto i mua i te pokanga.

Ko ngā āhuatanga o te ngākau me ngā mate whakaheke toto e hiahia ana kia aro nui i te wā o te whakamahere TUIP. Mēnā kei te tango koe i ngā whakaheke toto mō ngā raruraru o te ngākau, he hītori rānei tōu mō ngā mate toto, me āta whakahaere e tō rōpū pokanga ēnei āhuatanga. Ka mahi tahi tō kaimātai ngākau me tō tākuta mimi kia mōhio ai koe kei te haumaru.

Kāore te pakeke anake e arai i te TUIP, engari ko ngā tāne pakeke ake pea he maha ngā āhuatanga hauora e hiahia ana kia whakaarohia. Ko ngā tāne neke atu i te 75 tau pea te roa o te wā whakaora, me te paku ake o te tūponotanga ki ngā raruraru pēnei i te pupuri mimi, te mate rānei.

He mea nui te rahi o te pūkahukahu mō te angitu o te TUIP. Ko ngā tāne he tino nui te pūkahukahu (neke atu i te 30 karamu) kāore i te pai te tūpono, nā te mea kāore pea te tikanga e whai hua. Ka ine tō tākuta i te rahi o tō pūkahukahu mā te whakamahi i te ultrasound, i te MRI rānei i mua i te tūtohu i te TUIP.

He aha ngā raruraru ka puta mai i te TUIP?

Ko ngā raruraru noa i muri i te TUIP he ngawari, he wā poto noa iho. Ka pāngia pea e koe te wera i te wā e mimi ana mō ētahi rā, e ngaro ana i te wā e ora ana ō kiko. E kite ana ētahi tāne i te iti o te toto i roto i tō rātou mimi mō te rua wiki i muri i te pokanga.

Ka puta te mate i te ara mimi i roto i te 5% ki te 10% o ngā tāne i muri i te TUIP. Ko ngā tohu ko te wera i te wā e mimi ana, te mimi auau, te mimi pōkaikaha, te kirika rānei. Ko ēnei mate ka pai te urupare ki te rongoā paturopi, ā, kāore i te nuinga o te wā e raru ana i te wā roa.

He iti ake te huringa o te mahi tūāki i te TUIP i ētahi atu tikanga mō te pūkahukahu. Ko te nuinga o ngā tāne e mau ana i te kaha ki te whai i te tūāki me te orgasm. Heoi, ka pā pea te tāne i te ejaculation retrograde, ka rere te wai purapura ki muri ki te pūpū, kaua ki waho i te ure i te wā o te orgasm.

Ko ngā raruraru onge engari he nui te kino ko te nui o te toto e hiahia ana ki te whakawhitinga toto, ka puta i roto i te iti iho i te 1% o ngā tūponotanga. Ka pā pea te tāne i te korenga o te mimi i muri i te tango i te catheter, e hiahia ana kia whakauruhia anō te catheter mō ētahi rā anō. I te wā onge, kāore pea ngā tapahi e ora tika ana, e hiahia ana ki te rongoā atu.

Āhea ahau e kite ai i te tākuta i muri i te TUIP?

Whakapā atu ki tō tākuta tonu mēnā ka pā koe i te nui o te toto me ngā kōpuku nui, te mamae nui kāore i te whakawāteahia e ngā rongoā kua tohua, ngā tohu rānei o te mate pēnei i te kirika i runga ake i te 101°F (38.3°C). Ka tohu pea ēnei tohu i ngā raruraru e hiahia ana kia aro mai te rongoā.

Me waea atu anō koe ki tō tākuta mēnā kāore koe e ahei te mimi i muri i te tangohia o tō catheter, mēnā rānei he pōuri tonu koe me te ruaki e ārai ana i a koe kia noho wai. Ka hiahia pea ēnei āhuatanga ki te whakanoho i te catheter rangitahi, ētahi atu rānei.

Whakaritea he hui whai muri mēnā ka kite koe kāore anō kia pai ake ō tohu mimi i muri i te 6 ki te 8 wiki o te whakaora. Ahakoa ka kite ētahi tāne i te whakapai tonu, ka hiahia ētahi atu i te wā roa ki te wheako i ngā painga katoa o te tikanga.

Mātakitaki mō ngā tohu o te mate i te ara mimi, tae atu ki te wera i te wā o te mimi, te mimi pōuri, te haunga rānei, te piki rānei o te auau mimi. Ko te rongoā wawe o ngā mate ka āwhina i te ārai i ngā raruraru nui ake, me te whakatairanga i te whakaora pai ake.

Ngā pātai e pātai pinepine ana mō te TUIP

Q1: He pai ake te TUIP i te rongoā mō te pūkahukahu whānui?

He rerekē ngā whāinga o te TUIP me ngā rongoā i te rongoā i ngā tohu o te pūkahukahu nui. He pai te mahi o ngā rongoā pēnei i te alpha-blockers me te 5-alpha reductase inhibitors mō te nuinga o ngā tāne, ā, koinei te mea tuatahi ka whakamātauhia. Heoi, ka pai ake te TUIP i te wā e kore ai ngā rongoā e whai hua, e pā ana ki ngā pānga taha e kore e whakaaetia, i te wā rānei e pai ana koe ki tētahi rongoā tino whai hua.

Ko te painga o te TUIP he whai hua roa ake me te kore e hiahia ki te rongoā i ia rā. Ko te nuinga o ngā tāne e kite ana i te whakapai ake nui e mau ana mō te maha o ngā tau. Heoi, he iti ake te wawaotanga o ngā rongoā, ā, kāore he tūponotanga o te pokanga, e tika ana mō ngā tāne he ngawari ngā tohu, mō te hunga rānei kāore i te pai ki te pokanga.

Q2: E pā ana te TUIP ki te mahi tāngata?

Ko te tikanga o te TUIP he iti noa te pānga ki te mahi tāngata ki ētahi atu tikanga o te pūkahukahu. Ko te nuinga o ngā tāne e mau ana i tō rātou kaha ki te whai i ngā tūnga me te wheako i ngā orgasms i muri i te TUIP. Kua hangaia te tikanga kia tiakina ngā io me ngā hanganga nui mō te mahi tāngata.

Ka pā pea ētahi tāne ki te ejaculation retrograde, i te wā e rere whakamuri ana te wai tāngata ki roto i te pūpū i te wā o te orgasm, kaua ki waho i te tara. Kāore tēnei e pā ki te ahua o te orgasm, ki tō kaha rānei ki te whai i ngā tūnga, engari ka pā pea ki te whānautanga mai i te mea he iti ake te wai tāngata e puta ana.

Q3: Kia pēhea te roa o te whai hua o te TUIP?

Ka whai hua te TUIP mō te nuinga o ngā tāne, me ngā rangahau e whakaatu ana i ngā hua pai e mau ana mō te 5 ki te 10 tau, neke atu rānei. Tata ki te 80% o ngā tāne e kite ana i te whakapai ake nui e mau ana i te wā. Heoi, i te mea ka taea e te pūkahukahu te tipu tonu i te wā o te oranga o te tāne, ka hoki mai pea ētahi tohu.

Ko te roa o te whai hua e whakawhirinaki ana ki tō tau, te hauora whānui, me te nui o te tipu o tō pūkahukahu i te wā. Ka whai hua pea ngā tāne rangatahi mō te roa ake, ā, ka hiahia pea ngā tāne kaumātua ki ētahi atu rongoā i mua i te wā i te mea kei te tipu tonu te pūkahukahu.

Q4: Ka taea te tōtō i te TUIP mēnā ka hoki mai ngā tohumate?

Āe, ka taea te tōtō i te TUIP mēnā ka hoki mai ō tohumate, ā, he pai tonu koe mō te tikanga. Heoi, he iti noa iho ngā tikanga TUIP tōtō i ētahi atu rongoā mō te pūkahukahu. Mēnā ka hoki mai ngā tohumate, ka tūtohu pea tō tākuta i ētahi atu rongoā pēnei i te TURP, i ngā tikanga hou rānei.

Ko te whakatau ki te tōtō i te TUIP e whakawhirinaki ana ki te rahi o tō pūkahukahu, te hauora whānui, me te nui o te hokinga mai o ngā tohumate. Ka arotake tō tākuta mimi i ēnei āhuatanga, ā, ka kōrero mō ngā kōwhiringa pai mō tō āhuatanga motuhake.

Q5: Ka utua te TUIP e te inihua?

Ko te nuinga o ngā mahere inihua hauora, tae atu ki te Medicare, e utu ana i te TUIP mēnā he mea tika i te rongoā mō te rongoā i ngā tohumate o te pūkahukahu whānui. Heoi, he rerekē ngā whakaritenga utu i waenga i ngā kamupene inihua me ngā mahere. Ko te tari o tō tākuta te tikanga e whakahaere ana i te whakaaetanga i mua i te inihua kia mōhio ai ka utua te tikanga.

Me tirotiro koe ki tō kaiwhakarato inihua mō ngā kōrero utu motuhake, tae atu ki ngā tangohanga, ngā utu tahi, ngā utu rānei i waho i te pūtea. Ko ētahi mahere inihua ka tono pea kia whakamātau koe i te rongoā i te tuatahi i mua i te whakaae ki ngā tikanga pokanga pēnei i te TUIP.