He aha te TUMT? Te Whāinga, te Hātepe me ngā Hua

Ko te TUMT te kupu mō te Transurethral Microwave Thermotherapy, he rongoā iti nei te pokanga e whakamahi ana i te wera whakahaere hei whakaiti i te kiko prostate kua whānui. E whai wāhi ana tēnei tikanga i waho i te tūroro i te whakawātea i ngā tohu mimi e whakararuraru ana me te kore e hiahia pokanga nui, e waiho ana hei kōwhiringa e ātaahua ana mō te tini o ngā tāne e raru ana i te hyperplasia prostatic benign (BPH).

He aha te TUMT?

Ko te TUMT he rongoā i runga i te wera e whai ana i te kiko prostate nui e pā ana ki ngā raruraru mimi. E whakamahi ana te tikanga i tētahi katita motuhake e mau ana i te antenna ngaruiti hei tuku i te wera tika, whakahaerehia ki te kiko prostate kua whānui.

Whakaarohia he pūnaha whakawera whāinga e mahi ana mai i roto ki waho. E whakamahana ana te pūngao ngaruiti i te kiko prostate ki ngā pāmahana i waenga i te 113-140°F, e pā ana ki te whakaiti haere i te kiko nui i te roanga o te wā. Mā tēnei whakaiti e whakatuwhera ana i te ara mimi, e āhei ai te mimi ki te rere noa.

E whakaarohia ana te rongoā he iti nei te pokanga nā te mea kāore e hiahia ana i ngā tapahi pokanga. Engari, ka whakauruhia te katita mā te whakatuwheratanga mimi tūturu, e waiho ana te whakaora kia ngawari ake i te pokanga prostate tuku iho.

He aha te take e mahia ana te TUMT?

Ko te TUMT te mea nui e mahia ana hei rongoā i ngā tohu mimi āhua ki te kaha e pā ana ki te prostate kua whānui, he āhuatanga e kīia ana ko te hyperplasia prostatic benign (BPH). I te wā e pakeke ana ngā tāne, ka whānui noa iho tō rātou prostate, i ētahi wā ka pēhi ana ki te urethra me te uaua ki te mimi.

Ka tūtohu pea tō tākuta i te TUMT mēnā kei te pā koe i ngā tohu whakararuraru kāore i pai te whakautu ki ngā rongoā. Ka pā kaha ēnei tohu ki tō kounga o te ora me ngā tauira moe.

Ngā tohu noa e arahi ana ki te TUMT ko:

• Te mimi auau, ina koa i te pō
• He ngoikore, he rānei te rerenga mimi
• Te uaua ki te tīmata i te mimi
• Te āhua nei kāore anō kia pū te pūpū
• Te hiahia ki te mimi e kore e taea te whakahaere
• Te tō i te wā e mimi ana

He maha ngā wā ka whakaarohia te tikanga nei ina kāore anō ngā rongoā i whai hua, engari e hiahia ana koe ki te karo i ngā tikanga pokanga e tino pāngia ana. He pai rawa atu mō ngā tāne e hiahia ana ki te pupuri i ō rātou mahi tāngata, i te mea he iti noa iho ngā pānga taha o te TUMT ki te tāngata i ētahi atu rongoā.

He aha te tikanga mō te TUMT?

Ka mahia te TUMT hei tikanga tūroro waho, ko te tikanga ka taea e koe te hoki ki te kāinga i te rā kotahi. E 45 meneti ki te hāora te roa o te rongoā, ā, ka oho tonu koe engari ka pai i te wā o te tukanga.

I mua i te tīmatanga o te tikanga, ka hoatu e tō tākuta he rongoā ā-rohe hei whakapōuri i te wāhi, ā, ka hoatu pea he rongoā whakamārie kia āwhina i a koe ki te okioki. Ka tiaki tētahi pūnaha whakamātao i te uhi o te urethra i te wā e whāia ana e te pūngao ngaruiti te kiko prostate hōhonu.

Koinei te mea ka pā i te wā o te tikanga:

1. Ka whakaurua tētahi kātere angiangi, ngawari me te antenna ngaruiti mā tō urethra
2. Ka whakatakotoria te kātere ki roto i te kiko prostate kua whānui
3. Ka tukuna te pūngao ngaruiti whakahaere ki te whakamahana i te kiko e whāia ana
4. Ka tiaki tētahi pūnaha whakamātao i te kiko hauora e tata ana
5. Ka haere tonu te tukanga whakamahana mō te 30-45 meneti
6. Ka tangohia te kātere ina oti te rongoā

I te wā o te rongoā, ka pōrangi pea koe, ka paku rānei te kore mārie, engari ka āwhina te pūnaha whakamātao ki te whakaiti i ngā āhua kino. He pai te aro o te nuinga o ngā tūroro ki te tikanga, ā, ka taea e rātou te pānui, te whakarongo rānei ki te waiata i te wā o te rongoā.

Me pēhea te whakarite mō tō TUMT?

Ko te whakarite mō te TUMT e whai ana i ētahi mahi ngāwari hei āwhina i te whakahaere kia pai, kia haumaru hoki te mahi. Ka hoatu e tō tākuta ngā tohutohu motuhake i hangaia mō tō āhuatanga, engari he māmā, he whakahaere hoki te nuinga o ngā whakaritenga.

I ngā rā i mua i tō mahi, me whakamutu koe i te tango i ētahi rongoā ka piki ake te tūponotanga o te toto. Ka hoatu e tō tākuta he rārangi katoa ki a koe, engari ko ngā rongoā noa hei karo ko ngā mea whakaheke toto me ētahi rongoā mamae.

Anei ngā mahi whakarite noa:

• Whakamutua te tango i ngā rongoā whakaheke toto i runga i ngā tohutohu a tō tākuta
• Whakaritea kia whai tangata hei taraiwa i a koe ki te kāinga i muri i te mahi
• Tangohia ngā paturopi kua tohua mēnā ka tūtohu tō tākuta
• Kaua e kai, e inu rānei mō ētahi hāora i mua i te maimoatanga mēnā kei te whakamahere te whakamātau
• Mau i ngā kākahu hāneanea, whānui
• Kawea mai he rārangi o ō rongoā katoa o nāianei

Ka tūtohu pea tō tākuta kia tīmata i ngā paturopi i te rā, i ngā rā rānei e rua i mua i te mahi hei ārai i te mate. He mahi whakatūpato tēnei hei āwhina i tō whakaora kia pai.

Me pēhea te pānui i ō hua TUMT?

Kāore i te wātea tonu ngā hua TUMT pēnei i te whakamātautau toto – engari, ka piki haere tō pai i roto i ngā wiki, i ngā marama rānei. Ka roa te kiko prostate wera ki te whakaheke, ka mimiti noa e tō tinana, nā reira he mea nui te manawanui i te wā o te whakaora.

Ka tīmata te nuinga o ngā tāne ki te kite i ngā whakapainga i roto i ō rātou tohumate mimi i roto i te 2-4 wiki i muri i te maimoatanga. Heoi, kāore pea ngā painga katoa o te TUMT e kitea mō te 2-3 marama i te mea kei te whakaheke haere tonu te prostate.

Ngā tohu e mahi ana te TUMT ko:

• He kaha ake, he rite tonu te rerenga mimi
• Te whakaiti i te auau o te mimi, ina koa i te pō
• He māmā ake te tīmatanga o te mimi
• He tino whakawātea i te pūpū
• Te whakaheke i te hiahia ki te mimi
• He iti ake te tō i te wā o te mimi

Ka aroturukihia e tō tākuta tō haere mā ngā whakaritenga whai muri, ā, ka whakamahi pea i ngā puka pātai hei whai i te whakapai ake o ngā tohu. Ko ētahi tāne ka kite i te 50-70% te whakapai ake i ō rātou tohu mimi, ahakoa he rerekē ngā hua takitahi i runga i ngā āhuatanga pēnei i te rahi o te pūkahukahu me te hauora whānui.

He pēhea te whai hua o te TUMT?

Ka whai wāhi te TUMT ki te whakaiti i ngā tohu mō te nuinga o ngā tāne he pūkahukahu whānui, ahakoa e kiia ana he iti ake te whai hua i ngā kōwhiringa pokanga pēnei i te TURP. E whakaatu ana ngā rangahau e pā ana ki te 60-80% o ngā tāne ka kite i te whakapai ake nui i ō rātou tohu mimi i muri i te TUMT.

He pai rawa te mahi a te rongoā mō ngā tāne he whānui te pūkahukahu me ētahi momo motuhake o te hanganga pūkahukahu. Ka arotake tō tākuta mēnā he kaitono pai koe i runga i te rahi o tō pūkahukahu, te āhua, me te kaha o ō tohu.

E whakaatu ana ngā reiti angitu wā-roa e mau ana te nuinga o ngā tāne i tō rātou whakapai ake mō ētahi tau i muri i te rongoā. Heoi, i te mea ka taea e te pūkahukahu te tipu tonu i te wā e pakeke ana, ka hiahia pea ētahi tāne ki te rongoā atu. He mea noa tēnei, ā, kāore i te kī kua rahua te TUMT.

He aha ngā āhuatanga tūpono mō ngā raruraru TUMT?

Ahakoa te nuinga o te wā he haumaru te TUMT, ka taea e ētahi āhuatanga te whakanui i tō tūponotanga ki ngā raruraru, te pā rānei ki te pai o te mahi a te rongoā. Mā te māramatanga ki ēnei āhuatanga tūpono ka āwhina i a koe me tō tākuta ki te whakatau i te whakatau pai mō tō āhuatanga.

He wāhi nui tō hauora whānui ki te pai o tō whakamanawanui i te tikanga me te whakaora i muri mai. Ko ngā tāne he ētahi āhuatanga hauora ka hiahia pea ki ngā whakatūpato motuhake, ā, kāore pea he kaitono pai mō te TUMT.

Ngā āhuatanga ka whakanui pea i ngā raruraru ko:

• Ngā repe pūkahukahu nui rawa (nui atu i te 100 karamu)
• Ngā mate huakita mimi kaha
• Ngā āhuatanga ngākau kaha
• Ngā mate toto
• Ētahi rongoā e pā ana ki te whakaora
• Te pokanga pūkahukahu o mua
• Ngā raruraru pūpū kaha

Ehara te pakeketanga anake i te mea e whakanui ana i te tūponotanga, engari tera pea he maha ngā āhuatanga hauora o ngā tāne pakeke e tika ana kia whakaarohia. Ka arotake tō tākuta i tō hītori hauora kia whakatau ai mēnā he tika te TUMT mōu.

He aha ngā raruraru ka puta mai i te TUMT?

E kiia ana he tikanga tūpono iti te TUMT, engari pērā i ngā rongoā rongoā katoa, ka pā tōna pānga me ngā raruraru. Ko te nuinga o ngā raruraru he wā poto noa iho, ka ngaro noa iho i roto i ngā wiki torutoru, engari he mea nui kia mōhio koe ki ngā mea e tūmanakohia ana.

Ko ngā pānga taha e tino kitea ana e pā ana ki te tukanga whakaora, ā, ka pai ake i te wā e urutau ana tō pūkahukahu ki te rongoā. Ko ēnei pānga he mea ngawari te whakahaere, ā, kāore e hiahiatia he rongoā atu.

Ngā pānga taha wā poto noa:

• Te wera i te wā e mimi ana mō te 1-2 wiki
• Te piki ake o te auau mimi i te tīmatanga
• Te toto i roto i te mimi mō ētahi rā
• Te mamae ngawari o te pūpū
• Te pōraruraru o ngā tohumate mimi mō te wā poto

Ko ngā raruraru e kore e kitea ana engari he nui ake te kino ka puta, ahakoa he mea onge. Tera pea ka hiahiatia he āwhina rongoā atu, he rongoā rānei kia pai ai te whakaora.

Ngā raruraru onge:

• Te pupuri mimi nui e hiahia ana ki te whakauru katita
• Te mate i te ara mimi
• Te nui o te toto
• Te whāiti o te ure (whāiti)
• Te hiahia ki ētahi atu tikanga

Ko ngā pānga taha o te moe tāngata he iti noa iho te kitea i te TUMT ki ētahi atu rongoā pūkahukahu, engari tera pea ka pā te huringa wā poto ki te tukunga wai, ki te mahi tū.

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

He mea nui te tiaki whai-muri i muri i te TUMT kia aroturukihia tō whakaora, kia mōhio ai kei te pai te mahi o te rongoā. Ka whakarite tō tākuta i ngā whakaritenga motuhake, engari me mōhio hoki koe ki te wā e rapu ai i te āwhina rongoā tonu.

Ko te nuinga o nga tākuta e tūtohu ana kia haere anō ki te tākuta i muri i te 2 wiki, 6 wiki, me te 3 marama i muri i tō mahi. Mā ēnei tūpono ka taea e tō tākuta te aroturuki i tō haere whakamua me te whakatika i ngā āwangawanga ka puta i te wā o te whakaora.

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

• Te kore e mimi mō te neke atu i te 8 hāora
• Te kirika i runga ake i te 101°F (38.3°C)
• Te nui o te toto, te nui rānei o ngā toto toto
• Te mamae nui kāore i te whakahaerehia e te rongoā i whakaritea
• Ngā tohu o te mate, pēnei i te wiri, te wera rānei e kaha ake ana

Me whakapā atu anō koe mēnā kāore ō tohu e pai ake ana i muri i te 6-8 wiki, mēnā rānei e hiahia ana kia kino ake, kaua e pai ake. Ahakoa he mea noa te kino i te tīmatanga, me arotake pea ngā raruraru tonu.

Ngā pātai e pātai pinepine ana mō te TUMT

Q1: He pai ake te TUMT i te rongoā mō te BPH?

He pai ake pea te TUMT i te rongoā mō ngā tohu BPH mō te āhua ki te nui, engari kei runga i tō āhuatanga takitahi. He pai te mahi a ngā rongoā mō te nuinga o ngā tāne, ā, ka whakamātauhia i te tuatahi nā te mea kāore i te pokanga. Heoi, mēnā kāore ngā rongoā e whai hua ana, e pā rānei ngā pānga taha, ka taea e te TUMT te whai hua nui ake, me te roa. Kei runga i te kaha o ō tohu, te pai o tō urupare ki ngā rongoā, me ō hiahia whaiaro mō ngā huarahi maimoatanga.

Q2: E pā ana te TUMT ki te mahi tūātinana?

Ko te tikanga he iti ake ngā pānga taha tūātinana o te TUMT i ngā maimoatanga pokanga pēnei i te TURP. Ko te nuinga o ngā tāne e mau ana i tō rātou mahi whakatū, ā, kāore e pā ana ki te whakatū whakamuri (te orgasm maroke). Heoi, ka kite pea ētahi tāne i ngā huringa rangitahi i te whakatū, i ngā huringa iti rānei i te ngākau tūātinana i ngā wiki tuatahi i muri i te maimoatanga. Ko te tikanga ka whakatikahia ēnei pānga i te haere whakamua o te whakaora. Mēnā e āwangawanga ana koe mō ngā pānga taha tūātinana, kōrerohia tēnei ki tō tākuta i mua i te mahi.

Q3: Kia pehea te roa o ngā hua o te TUMT?

Ka roa pea nga hua o te TUMT mo etahi tau mo te nuinga o nga tane, e whakaatu ana nga rangahau i te pai tonu mo te 3-5 tau i te nuinga o nga keehi. Heoi, i te mea ka tipu tonu te repeure i te pakeketanga, tera pea etahi tane ka hiahia ki etahi atu rongoa. Ko te roa o nga hua ka whakawhirinaki ki nga mea penei i to tau, to hauora katoa, me te nui o te tipu haere o to repeure i roto i te waa. Ma te whai i nga wa katoa ki to taakuta e awhina ana ki te aroturuki i to ahu whakamua mo te wa roa.

Q4: Ka taea te whakahoki ano i te TUMT mena ka hoki mai nga tohu?

Ae, ka taea te whakahoki ano i te TUMT mena ka hoki mai nga tohu, ahakoa ehara tenei i te mea e tika ana i roto i nga tau tuatahi. Mena ka kaha haere o tohu i roto i te waa, ka taea e to taakuta te arotake mena he pai ano te rongoa TUMT, mena he pai ake te huarahi rereke. Tera pea etahi tane ka whai hua mai i nga whiringa pokanga mena ka tipu tonu to ratou repeure. Ka whakaarohia e to taakuta to ahuatanga takitahi me te hitori o te rongoa i te wa e taunaki ana i te taahiraa pai e whai ake nei.

Q5: He mamae te TUMT i te wa o te tikanga?

Ko te nuinga o nga tane e kite ana he pai te TUMT me te iti o te raruraru i te wa o te tikanga. Ka whiwhi koe i te rongoa rongoa o te rohe hei whakapouri i te waahi, a he maha nga taakuta e whakarato ana i te rongoa ngawari hei awhina i a koe ki te whakangawari. Ko te punaha whakamatao i hangaia ki roto i te katheta e awhina ana ki te whakaiti i nga raruraru e pa ana ki te wera. Ko etahi tane e whakaatu ana i te mahana, i te pehanga ngawari ranei, engari he mea noa te mamae nui. I muri i te tikanga, ka raru pea koe i te wera i te wa e mimi ana mo te wiki, e rua ranei, engari ka taea tenei te whakahaere me nga rongoa kua tohua, ka pai ake i te wa poto.