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Urology
E whakapau kaha ana te tari Urology ki te whakarato i ngā ratonga hauora me ngā ratonga pokanga hou mō ngā āhuatanga katoa o te urology mō ngā pakeke me ngā tamariki. E whakarato ana mātou i te whakahaere e aro ana ki te tūroro mate pukupuku me ngā mate mimi pai mā te whakauru me te whakamahi i ō mātou pūkenga whakakotahi. Ka whakahaerehia e te pokapū ngā tikanga pokanga matatau e whakauru ana i ngā tikanga pokanga me te hanga hou. Ka tautokona tā mātou tīma o ngā taote pokanga tino wheako e ngā taputapu hauora matatau, te whakatere rorohiko, me ngā taputapu whakaahua. Ka whakaratohia e ngā Pokapū Mimi me te andrology i ngā Hōhipera Apollo ngā ratonga tātaritanga me te pokanga mō ngā mate genitourinary katoa, ā, ka mahi i ngā raruraru pokanga e pā ana ki te whatukuhu, te ureter, te pūkahukahu mimi, te prostate, te urethra, te ure me ngā testes, te momonatanga me te ngoikore o te ure. Ko ngā mate noa pēnei i te whakanui i te prostate, ngā kohatu mimi, te mate stricture, ngā mate pukupuku e pā ana ki ngā okana kua whakahuatia ake nei ka mahihia e te tari urology me te andrology. Ko ngā wāhanga tohungatanga ko te Renal Transplantation, Uro-oncology (mate pukupuku urological), Reconstructive Urology, Endo-urology mō ngā mate kohatu (tae atu ki te Flexible Ureteroscopy, Percutaneous Nephrolithotomy me te Laparoscopic Nephrectomy), Neuro-Urology me te whare urodynamic, Andrology mō te maimoatanga o te kore tamariki tāne me te ngoikore o te ure (tae atu ki te pokanga prosthetic), Female Urology me te Paediatric Urology. Haunga ngā mahi haumanu, he kaupapa whakaako mātauranga tonu tā te whare wānanga. Kei te whakahaere mātou i ngā akoranga whai mana DNB. He maha ngā whakaputanga i roto i ngā hautaka ā-motu me ā-ao mai i ngā mahi haumanu o te whare wānanga. Ko te nuinga o ngā kaitohutohu e karangatia ana ki te tuku kōrero hei kaiako i roto i ngā huihuinga me ngā wānanga ā-motu me ā-ao. Ka whakarite hoki mātou i ngā awheawhe me ngā huihuinga i roto i te hōhipera i ia wā, i ia wā.
Auroro
Ko te tikanga o te kupu Andrology ko te ako i te tāne tangata (Andro = tāne; logy = ako mō). Heoi, i roto i te horopaki haumanu, ko ngā Andrologists he tākuta e tiaki ana i te hauora ā-ira tangata. E rua ngā wāhanga matua o te Andrology – te Korekore me te Korekore (e mōhiotia ana ināianei ko te ngoikore o te ure). He maha ngā tāngata e mataku ana ki ngā wāhi mahi 'ira tangata' motuhake. Nā konei, i ngā Hōhipera Indraprastha Apollo, Delhi ka whakaratohia e mātou he ratonga whakakotahi o te urology me te andrology. Ko te mea nui pea o te rongoā hauora (arā, te whakamahi i ngā rongoā hei rongoā i te ngoikore o te ira tangata) ko te tango i te raruraru mai i te rūma moe ki roto i te rūma noho. Inaianei kua mōhio te tangata he mate te ngoikore o te ira tangata pērā i ngā mate katoa o te tinana, ā, kei te wātea te rongoā i roto i te nuinga o ngā take. I ngā Hōhipera Indraprastha Apollo, ka whakamahia he huarahi pūtaiao hei whakatau i te āhua me te whānuitanga o te raruraru. Mō te rongoā, he whānuitanga katoa mai i te tohutohu ki te rongoā hauora ki te maimoatanga pokanga (tae atu ki te prosthesis ure) kei raro i te tuanui kotahi. Nō reira, ka taea te tuku rongoā kua whakaritea ki ngā tūroro e pāngia ana e te ngoikore o te ira tangata. Ka rongoatia ngā mate moepuku tāne me ngā mate moepuku wahine i runga i te huarahi takitahi. Ko ngā Hōhipera Indraprastha Apollo anō hoki te tari matua o Andrology India tae noa ki ēnei wā tata nei. Kei te whai wāhi atu hoki ki ngā rangahau matua i roto i tēnei tohungatanga hou. He ingoa rongonui o te ao ngā kaimahi o te whare wānanga.
Te tikanga TURP i Delhi
Ko te tikanga TURP i Delhi ka mahia mā te taputapu e kiia nei ko te resectoscope. Ka tukuna tēnei mā roto i tō urethra tae noa ki te taenga ki tō prostate, ā, ko te tikanga kāore he motu i roto i tō kiri. I roto i te tikanga TURP, ka whakamahanahia te porowhita waea hei tango i te wāhanga o tō prostate. Kātahi ka whakauruhia he rango angiangi e kiia nei ko te catheter ki roto i tō urethra hei horoi i ngā wāhanga o te prostate kua tangohia.
Te pokanga TURP i Delhi
Ko te tangohanga transurethral o te prostate (TURP) he pokanga e tango ana i tētahi wāhanga o te prostate. Ko te prostate kei waenganui i te ure me te pūkahukahu, ā, e kapi ana i te urethra. Mēnā ka toro te prostate, ka pāngia te pūkahukahu me te urethra. Ka pāngia pea te mimi e ngā pānga taha. Mō te pokanga TURP pai rawa atu i Delhi, whakapā atu ki ngā Hōhipera Apollo Delhi.
- Te tiaki matawhānui mō ngā mate kōhatu mimi
- Tuhinga o mua
- Pokanga whatukuhu ā-kiri (PCM)
- Te pokanga kohatu i roto i te whatukuhu ma te awhi ngawari me te lithotripsy laser
- Endourology
- Te pokanga Invasive Iti (Keyhole or laparoscopic pokanga)
- Laparoscopic Donor nephrectomy
- Reera mō te pokanga prostate
- Urodynamics
- Tuhingakore
- Te korenga
- Nga mate pukupuku Urological
- Urology Wahine
- Te mimi tamariki
- urology whakahou
Te tiaki matawhānui mō ngā mate kōhatu mimi
He mate tino noa te mate kōhatu puta noa i te ao. Ka taea te whakahaere i ngā kōhatu mā te lithotripsy, me ētahi atu tikanga endourological hei tango i ngā kōhatu me te kore pokanga tuwhera.
Tuhinga o mua
He tikanga rongoā mō ngā kōhatu whatukuhu me te ureter, kāore he pokanga, mā te whakamahi i te tauira Dornier lithotriptor-Delta hou. Ko tētahi o ngā mīhini pai rawa atu e wātea ana mō tēnei kaupapa. Kei runga i tēnei mīhini ngā mana whakahaere hihi-X me te Ultrasound. Ko te tūnga, te arotahi me te tukunga o ngā ngaru ru katoa e whakahaerehia ana e te pūnaha rorohiko matatau me ngā aukati haumaru hei ārai i te kino o te hapa tangata. Kāore e hiahiatia he noho hōhipera mō ngā tūroro, ā, ka taea e rātou te hoki ki te kāinga i taua rā anō.
Pokanga whatukuhu ā-kiri (PCM)
I konei ka hangaia he kōhao 1 cm te whānui ki roto i te whatukuhu hei tango i ngā kōhatu i muri i te pakaru kia iti ake. He iti noa te mamae me te kore whakamarie, ā, ka taea e ngā tūroro te hoki ki te kāinga i roto i ngā haora 48. Ahakoa ngā kōhatu nunui me ngā kōhatu hata, ka taea te whakahaere haumaru mā tēnei tikanga. Tērā pea ka hiahia ētahi o ngā tūroro ki te āwhina o te lithotripsy hei tango katoa i ngā kōhatu.
Te pokanga kohatu i roto i te whatukuhu ma te awhi ngawari me te lithotripsy laser
I konei ka tukuna ngā karu mimi ngāwari mā roto i te urethra (te wāhi e mimi ai te tangata) ā, ka tangohia ngā kōhatu i muri i te pakaru o te rēseri ki ngā wahi iti. I konei anō ka taea te tuku i ngā tūroro ki te hōhipera i roto i ngā haora 24 ki te 48.
Endourology
Kei te wātea ngā āhuatanga katoa o te Endourology (te pokanga mā te karu tirotiro, kāore e hiahiatia he tikanga tuwhera) tae atu ki te maimoatanga o te prostate (TURP), ngā mate pukupuku pūkahukahu (TURBT), ngā urethral strictures, ngā kōhatu whatukuhu me te ureteric (PCNL me te URS). Kei te wātea hoki te Intracorporeal Lithotripsy (te pakaru o ngā kōhatu mā te whakamahi i ngā endoscopes) mā te whakamahi i te pneumatic lithotripsy.
Te pokanga Invasive Iti (Keyhole or laparoscopic pokanga)
Ko te nuinga o ngā pokanga mimi ka taea te mahi mā te pokanga kī-pō. Ko te nuinga o ngā pokanga whatukuhu, ahakoa mō ngā mate pai, mō te mate pukupuku rānei, ka taea te mahi haumaru mā te laparoscopy. Waihoki, he maha atu anō ngā pokanga mate pukupuku mimi pērā i te mate pukupuku repeure, te mate pukupuku ureter rānei, ka taea hoki te mahi me te kore e tapahia te puku. Kei te hōhipera Apollo ngā momo pokanga laparoscopy katoa mō ngā mate mimi. Ko te painga nui ko te iti o te mamae, he iti noa te koha, he kore rānei he koha, ka tukuna wawetia te hōhipera, ā, ka hoki wawe ki te mahi.
Laparoscopic Donor nephrectomy
Ka taea e te kaituku te tuku i tētahi o ngā whatukuhu ki tā rātou e aroha nei, me te kore e nui te mamae me te kore e māharahara. Ahakoa te tapahi i te whatukuhu, kāore e kitea, ā, ka taea e te kaituku te hoki ki te kāinga i roto i ngā rā e rua, e toru rānei.
Reera mō te pokanga prostate
Ka pāngia ngā tāne i muri i te 50 tau te pakeke e ngā raruraru mimi pērā i te haere pinepine ki te wharepaku, te kore e taea te whakahaere i te mimi, te uaua rānei ki te mimi. Nā te nui haere o te repeure, ka taea te tango haumaru mā te tikanga endoscopic. Kei te hōhipera Apollo inaianei te wāhi hei tango i ēnei repe mā te pokanga laser.
Urodynamics
Ko ngā mīhini urodynamic rorohiko matatau rawa atu i Apollo, ka taea te tātari i ngā momo mate kore e taea te pupuri i te mimi me te uaua ki te mimi kia taea ai te rongoā tika. Kei roto hoki i ēnei mīhini ngā whare 'EMG' e tika ana mō te tātari i ngā raruraru mimi me te puku i muri i ngā whara o te tuaiwi, te whiu, te mate parkinson me ētahi atu mate neurological. He pai te hoahoa o tēnei taiwhanga mō ngā momo rangahau katoa tae atu ki te uroflownmetry, te whakakī me te mimi cystometry, ngā rangahau kōtaha pēhanga urethral (UPP) me te VCUG (hei tāpiri atu ki te EMG me te cavernosometry).
Tuhingakore
Ka taea te tirotiro me te rongoā i tētahi raruraru neke atu i te 10% o te taupori pakeke. Kei a Indraprastha Apollo ngā whare motuhake mō te rongoā, te cavernosometry me te cavernosography, me ngā rangahau Doppler hei aromatawai i te rere o te toto. Ka whakatōkia hoki ngā tākai ure mō te nui o te ngoikore o te ure.
Te korenga
He whānuitanga katoa ngā ratonga a Apollo mō te tirotiro i te kore tamariki tāne. Ka whakaratohia hoki te tirotiro i te kore tamariki wahine e ngā tākuta wahine whai whakangungu motuhake ki te kore tamariki. Ka whakahaerehia te maimoatanga me te wāhanga āwhina haputanga me te taiwhanga 'IVF'.
Nga mate pukupuku Urological
Ko ngā taote pokanga me ngā tākuta mate pukupuku kua tino whakangungua i Indraprastha Apollo, me ā rātou taputapu tirotiro katoa tae atu ki ngā karapa MRI me te CT me te ultrasound tae atu ki te TRUS, e tuku ana i tētahi ratonga uro-oncology whānui. Tata ki te 50% o ngā mate pukupuku ka taea te whakahaere haumaru mā te pokanga laparoscopic (Pokanga Keyhole).
Urology Wahine
Ka taea te tirotiro me te rongoā i te kore e taea te mimi (te turuturu o te mimi) me ētahi atu raruraru mimi pērā i te hiahia nui ki te haere ki te wharepaku) me te kore e taea te mimi i te ahotea (te turuturu o te mimi me te mare me te kata, te totoro rānei) mā roto i ngā tikanga iti rawa te whakaekenga.
Te mimi tamariki
He maha ngā raruraru mimi e pāngia ana e ngā tamariki, me tirotirohia ēnei. Ko te nuinga o te raruraru ka taea te whakahaere mā te whakamahi i ngā tikanga endoscopic me te laparoscopy.
urology whakahou
He maha ngā pokanga hanga-muri pērā i te pyeloplasty, te pokanga urethral stricture, te pokanga hypospedias me ētahi atu mate whānautanga ka hanga-anōtia i ia wā. Ko ētahi o ēnei pokanga hanga-anō ka mahia mā te pokanga kī-pōro.
Kei te tohungatanga Urology me Andrology ngā taputapu katoa e tika ana, tae atu ki te mīhini urodynamics, te lithotripsy, te mīhini Laser, ngā taputapu laparoscopic ngāwari me ētahi atu. He tohunga hangarau motuhake kei te hōhipera hei āwhina i ngā mahi tari me ngā mahi pokanga.
1
He aha te hyperplasia prostatic benign?
Ko te Benign prostatic hyperplasia (BPH) he āhuatanga e pā ana ki te repe prostate i roto i ngā tāne. Ko te prostate he repe kei waenganui i te pūkahukahu (te wāhi e rongoa ai te mimi) me te urethra (te ngongo mimi e haere ana). I te pakeketanga o ngā tāne, ka āta tipu haere te repe prostate (ka nui haere rānei). I te nui haere o te prostate, ka pēhi pea i te urethra, ka puhoi ake, ka iti ake te kaha o te rere o te mimi. Ko te tikanga o te "Benign" ehara i te mea nā te mate pukupuku, nā te mate pāwera rānei te tipu. Ko te tikanga o te "Hyperplasia" ko te tipu haere.
2
He aha ngā tohu o te BPH?
Ko te nuinga o ngā tohu o te BPH ka tīmata mārire. Ko tētahi tohu ko te hiahia kia ara ake i te pō ki te mimi. Ko tētahi atu tohu ko te hiahia kia whakawāteahia te pūkahukahu i te awatea. Ko ētahi atu tohu ko te uaua ki te tīmata i te rere o te mimi me te maturuturu i muri i te mutunga o te mimi. Ka heke pea te rahi me te kaha o te rere o te mimi. Ka puta pea ēnei tohu i ētahi atu mea i tua atu i te BPH. He tohu pea ēnei mō ngā mate kino ake, pērā i te mate pūkahukahu, te mate pukupuku pūkahukahu rānei. Kōrero atu ki tō tākuta mēnā kei a koe ētahi o ēnei tohu, kia taea ai e ia te whakatau ko ēhea ngā whakamātautau hei whakamahi hei kimi i te take pea.
3
Me pēhea te rongoā a taku tākuta i taku BPH?
Kāore e hiahiatia he maimoatanga hauora mō ngā repeure kua nui haere. Kei roto i ngā kōwhiringa ko ngā rongoā me ngā momo pokanga.
4
He aha ngā tūponotanga ka pāngia ahau e te mate pukupuku repeure?
Ko te mate pukupuku repeure te mate pukupuku tino noa i waenga i ngā tāne, ā, ko te tuarua o ngā tino take o ngā mate pukupuku ā-tau, whai muri i te mate pukupuku pūkahukahu. Kotahi i roto i te 10 ngā tāne ka kitea he mate pukupuku repeure. Neke atu i te 70 ōrau o ngā mate pukupuku repeure katoa ka kitea i roto i ngā tāne neke atu i te 65 tau te pakeke. Ko ngā tāne mangu kei roto i te rōpū tino mōrearea, ā, e tohu ana i te 270 ngā mate mō ia 100,000 tāne. Hei tāpiri, ko te mate pukupuku repeure te hononga whānau tino kaha o ngā mate pukupuku nui katoa.
5
He aha ngā tohu o te matepukupuku prostate?
He maha ngā wā, kāore he tohu motuhake e puta mai i ngā wāhanga tōmua o te matepukupuku repeure. Engari, i ētahi wā, ka puta pea ngā tohu o te whakanui repeure i ngā tāne e pangia ana e te matepukupuku repeure, i ngā tohu rānei nā te mate whānui tae atu ki te toto i roto i te mimi, te mamae o te wheua me ētahi atu:
6
He aha ngā tūponotanga o te oranga?
Tērā pea ka tino taea te rongoā i te mate pukupuku repeure ina kitea i ngā wāhanga tōmua. Kotahi i roto i te whitu o ngā tāne kua kitea he mate pukupuku repeure ka mate i te mate. I ngā wāhanga tino matatau o te mate, e kī ana ngā raraunga hou mai i ngā whakamātautau haumanu nui e rua ka roa ake te oranga o ngā tāne kua kore e angitu te rongoā homoni mā te chemotherapy. Ka taea e tō tākuta te tuku tohutohu motuhake ki a koe i runga i ngā meka me ngā āhuatanga o tō keehi.
7
Ko tēhea momo tākuta me toro atu ahau mō te tirotiro i te matepukupuku prostate?
He tikanga māmā noa te tirotiro i te matepukupuku repeure. Ko ētahi atu tikanga ka tīmata mā te toro atu ki te tākuta mimi. Ka taea e te tākuta mimi te āwhina i a koe ki te ako atu mō te tukanga tirotiro.
8
He aha ngā momo whakamātautau ka mahia e te tākuta?
Ko te tātaritanga tuatahi ka mahia e te nuinga o ngā tākuta ko:
- Whakamātautau PSA. Ko te pūmua motuhake o te prostate (PSA) he whākōkī i hangaia i roto i te prostate e kitea ana i roto i te wai purapura me te toto. Hei ine i te taumata PSA, ka tangohia he ipu toto iti ka tukuna ki te taiwhanga hei aromatawai. Ko te taumata PSA teitei i roto i te toto ehara i te tohu mate pukupuku prostate, i te mea ka taea hoki te piki ake o te PSA e te mate pukupuku, e ētahi atu mate prostate rānei. He maha ngā tāne he PSA teitei kāore he mate pukupuku prostate.
- Me mahi tahi te whakamātautau matihiko mō te repeure (DRE) me te whakamātautau PSA. Mā te tākuta te DRE e whakahaere, ā, ka whakaurua e ia he maihao karapu ki roto i te repeure hei whāwhā i te rohe taha o te repeure, te wāhi e puta ai te nuinga o ngā matepukupuku repeure. Ka tirohia e te tākuta te pakeke o te repeure, ngā āhua rerekē, ngā pupuhi rānei e toro atu ana i te repeure – he tohu pea tēnei katoa he raruraru. He tino whai hua te DRE nā te mea ka ngaro pea i te whakamātautau PSA te 25 ōrau o ngā matepukupuku, ā, ka kitea pea ētahi o ēnei e te DRE.
9
He pēhea te tikanga o te rongoā i te mate pukupuku prostate?
He maha ngā huarahi hei rongoā i te mate pukupuku prostate, tae atu ki:
- Te pokanga hei tango i te repeure katoa, te rongoā irahiko hei whakamate i te kiko matepukupuku i roto, i te taha hoki o te repeure
- Te rongoā whakakore homoni hei aukati i te hanga o ngā homoni e āwhina ana i te tipu o ngā pūtau matepukupuku repeure
- Te rongoā matū hei aukati i te wehenga me te whakanui o ngā pūtau matepukupuku
- Te tirotiro kaha me te/ranei te tatari mataara i te wā e noho tonu ana ngā tūroro i raro i te tirotiro tino tika. Ka taea e ō tākuta te whakamahi i tētahi, i ētahi rānei o ēnei huarahi maimoatanga i ngā wā me ngā wāhanga rerekē o te mate. He maha ngā āhuatanga ka arotakehia e tō tākuta hei whakatau i te huarahi maimoatanga pai rawa atu.
10
A, mehemea ka haere tonu taku mate pukupuku repeure, ka hoki mai rānei i muri i taku whiwhinga i te rongoā tuatahi?
Mā te ine i ngā taumata o tētahi matū e kiia nei ko te prostate-specific antigen i roto i te toto, ka taea e tō tākuta te ine i te haere whakamua o te mate. Mena kei te whiwhi maimoatanga koe mō te mate pukupuku prostate, ā, kei te piki haere tonu ō tau PSA, he tohu pea tēnei kāore tō maimoatanga e mahi ana, ā, me whakaaro pea koe ki tētahi maimoatanga kaha ake. Ko te nuinga o ngā tāne kua hoki mai te mate pukupuku i muri i te maimoatanga ā-rohe, kua kitea rānei he mate kua pāngia e te mate, ka rongoatia ki te rongoā homoni. Heoi, i tētahi wā, ka mutu pea te mahi a te rongoā homoni, ā, ka tīmata anō te piki haere o ngā taumata PSA. I tēnei wā, he mea nui rawa te rapu tohutohu a tētahi tohunga mate pukupuku hauora ka taea te mahi tahi me te toenga o tō rōpū hauora ki te whakatau i te maimoatanga pai rawa atu māu i tēnei wāhanga o te mate.
11
He aha ngā maimoatanga hou e wātea ana mō te mate pukupuku prostate kua horapa haere?
Nō nā tata nei, he maha atu ngā kōwhiringa homoni me ngā kōwhiringa rongoā hou e wātea ana.
12
Me pēhea te rongoā mō te ngoikore o te ure?
Ko te āhua o te rongoā mō te ngoikore o te ure ka whakawhirinaki ki ngā āhuatanga e pā ana ki tēnei. Whai muri i te tirotiro a tō tākuta i a koe mō ngā raruraru hauora me ngā rongoā ka pā pea ki te ngoikore o te ure, ka tono pea ia kia whakamātauria e koe he rongoā hei āwhina i te ngoikore o te ure. Ko ētahi o ēnei rongoā ka werohia ki roto i tō ure. Ko ētahi atu rongoā ka tangohia mā te waha. Kāore e taea e te katoa te whakamahi i ēnei rongoā. Ma tō tākuta koe e āwhina ki te whakatau mēnā ka taea e koe te whakamātau.
13
He aha atu ngā kōwhiringa kei a au?
Mena kāore ngā rongoā e tika ana māu, ka taea hoki e koe te whakamahi i ngā taputapu papu korehau, te mahi pokanga rānei. Tērā pea ka tukuna koe e tō tākuta ki tētahi tākuta mimi hei kōrero mō ēnei kōwhiringa.
14
Me pēhea taku mōhio ko tēhea te maimoatanga mō te ngoikore o te ngākau e tino pai ana mōku?
Me kōrero tahi me tō tākuta te whakatau mō te kōwhiringa maimoatanga. Ka whakawhirinaki tō whiringa maimoatanga ki ngā hiahia whaiaro me ngā āhuatanga ōhanga. Me whai whakaaro pai kōrua ko tō hoa ki tā kōrua whiringa.
15
He mea tika kia whakaurua taku hoa moepuku ki ngā kōrero mō tōku ngoikore?
Māna e āwhina te tākuta kia mārama ki te raruraru, ā, me whakaae hoki ki te maimoatanga e whiriwhiria ana.
16
Ka taea e tētahi o ēnei maimoatanga te whakakore i te ngoikore o te ngākau?
Ko te nuinga o te ngoikore o te tāne he mea e kore e taea te whakaora. Ahakoa kāore tetahi o ngā maimoatanga e toru e whakaora i te ngoikore o te tāne, he otinga tonu tā rātou mō te raruraru.
17
Te tumanako mā te rangahau
Nā ngā whanaketanga o ngā pūwero, ngā rongoā werohanga, ngā whakatō, me ngā taputapu korehau kua whānui ake ngā kōwhiringa mō ngā tāne e rapu maimoatanga ana mō te ED. Kua āwhina hoki ēnei whanaketanga ki te whakanui ake i te maha o ngā tāne e rapu maimoatanga ana. Kei te whakamatautauria te rongoā ira mō te ED i roto i ētahi pokapū, ā, tera pea ka tukuna he huarahi rongoā roa mō te ED.
18
He tohu hei maumahara
- Ko te ngoikore o te ure (ED) ko te korenga e taea te whakatū, te pupuri rānei i te ure kia pakari mō te moe tāne.
- E pāngia ana e te ED te 15 ki te 30 miriona tāne o Amerika.
- He take tinana te take o te ED.
- Ka taea te rongoā i te ED i ngā reanga katoa.
- Kei roto i ngā maimoatanga ko te hinengaro whakaora, te rongoā, ngā taputapu korehau, me te pokanga.
Tirohia katoa
1
He aha nga tohu o te aroaro o nga kowhatu whatukuhu?
Ko te āhua o ngā tohu ka whakawhirinaki ki te wāhi, te rahi, me te āhua o te kōhatu. He maha ngā wā kāore he tohu. Ka kiia ēnei he kōhatu puku. Ko ngā tohu noa e whai ake nei:
- Te mamae ohorere, te mamae nui - ka timata mai i nga taha ka neke ki nga papa. I te nuinga o te wa, ka whakaahuahia ko te ureteric colic me te mamae o te hope ki te papa
- Ruiruehu me te ruaki
- Toto i roto i te Mimi
- Te pikinga o te auau mimi
- Te werawera i te mimi
- Te Mate i roto i te Mimi
2
Ko wai e kaha ake ana ki te kowhatu whatukuhu?
- He rite tonu ngā āhuatanga o te hunga e hanga ana i ngā kōhatu
- Ko te hunga e noho ana i ngā taiao wera, pērā i te rohe pārūrū
- He hītori whānau pai mō te mate kōhatu i roto i te whanaunga toto tuatahi
- Ka whakaiti i te nui o te wai e kainga ana, ka whakaiti i te putanga mimi, ā, ka puta he mimi kua tino mātotoru
He maha nga mea e whai waahi ana ki te hanga o te kowhatu whatukuhu i roto i te tangata karekau. Ko enei mea ko te kai, te inu wai, te whakaputa urinare, te rangi, te mahi, me te whakapapa, te tuwhena me te whanau.
3
Me aha au mena kua pahemo e au tetahi kohatu i roto i te mimi?
Mena ka kitea e koe he kowhatu, kawea mai ki to taakuta mo te tātari. Ko te momo kohatu kei a koe, ka whakatau i te kaupapa kai me te kaupapa aukati e taunaki ana to taakuta. Ka hiahia pea koe ki etahi atu whakamatautau me te X-ray a muri ake nei kia kore ai e puta he kohatu hou.
4
He haumaru te ESWL?
He tino haumaru te tikanga ESWL mō te nuinga o ngā take
5
Ka mamae i muri i te tukanga?
Ka puta pea te mamae mamae i te waahi maimoatanga i muri i te mahi mo etahi haora. I tua atu, ka puta te mamae o te colic na te paahitanga o nga matūriki kohatu. Ko te tikanga ka whakautu tenei ki te rongoa.
6
Ka taea te rongoā mō te tūroro e mate huka ana, e mate toto toto tiketike ana, e mate manawa ana, e ngoikore ana rānei te whatukuhu?
Ae Ko te ESWL he huarahi haumaru mo te maimoatanga mo te mate kowhatu. Engari me pupuri e koe enei mate i te wa e rongoa ana me te lithotripsy.
7
Me pēhea te ārai i ngā kōhatu mimi?
Ko te mahi tuatahi mo te aukati ko te inu i te wai - ko te wai te mea pai. Mena kei te kaha koe ki te hanga kohatu, me ngana koe ki te inu i te nui o te wai puta noa i te ra hei whakaputa i te rua rita o te mimi i ia 24 haora. Ko nga tangata e hanga ana i nga kohatu konupūmā i mua te korero ki te karo i nga hua miraka me etahi atu kai he nui te konupūmā. Heoi ano, kua kitea e nga rangahau tata nei ko nga kai nui o te konupūmā, tae atu ki nga kai miraka, ka awhina i te aukati i nga kohatu konupūmā. Ko te tango i te konupūmā i roto i te ahua pire, ka nui ake pea te tupono ki te whakawhanake kohatu. Ko nga wahine e kai ana i nga pire huaora D me te konupūmā i roto i te wa i muri i te menopause ki te aukati i te osteoporosis, ina koa me nga hitori o te whanau o nga kohatu, me tupato.
8
Kāore anō kia puta taku kōhatu, me pokanga ahau?
I te nuinga o te waa, ka hiahia koe ki te wawaotanga pokanga mena he nui o kohatu hei aukati i te rere o te mimi, mena ka kino pea ki o whatukuhu, mena ka puta he tohu kaore e taea e te rongoa te awhina.
Tirohia katoa
1
He aha te urinary incontinence?
Ko te kore e taea te pupuri i te mimi, ko te kore e taea te pupuri i te mimi, ā, ka ngaro te mimi i waho o te tinana. Ka rerekē pea te ngaronga o te mimi mai i te turuturu iti o te mimi ki te makuku nui. Ka pā kino tēnei āhuatanga ki te kounga o te oranga mā te whakararuraru i te mahi, te haereere, te whakangahau pāpori me ngā mahi moepuku.
2
He aha te auau o te kore e taea te pupuri i te mimi?
Neke atu i te 10% o te hunga neke atu i te 65 tau te pakeke e pāngia ana e te mate mimi korekore. E ai ki ngā whakatau tata a te World Health Organisation, e 200 miriona ngā tūroro puta noa i te ao e pāngia ana e ngā tohu o te mate mimi korekore tāne, wahine rānei. Heoi, nā te mea e pā ana tēnei mate ki te whakama, te whakama me te wahangu, kāore i te mōhiotia te tatauranga tika.
3
He wāhanga tonu o te koroheketanga te kore e taea te pupuri i te mimi?
I te kaumātuatanga, ka nui ake te puta o te hiahia ki te mimi, ā, ka uaua ake te whakahaere: heoi, ka pā te kore mimi ki ngā tāne me ngā wāhine o ngā reanga katoa, ā, ehara i te mea he urupare noa ki te kaumātuatanga.
4
He rite tonu te auau o te kore e taea te pupuri i te mimi i waenga i ngā tāne me ngā wāhine?
Kāo, e rua ngā wā ka nui ake te pāngia o ngā wāhine e te kore mimi i ngā tāne. Ko te hāputanga me te whānautanga o te tamaiti, te paheketanga me te hanganga o te ara mimi wahine te take o tēnei rerekētanga. Heoi, ka taea e ngā wāhine me ngā tāne te kore mimi i te whiu, te sclerosis maha me ētahi atu raruraru tinana e pā ana ki te koroheketanga.
5
He aha ngā āhuatanga mōrearea mō te kore e taea te pupuri i te mimi?
He rerekē ngā āhuatanga mōrearea mō te kore e taea te pupuri i te mimi, engari ko ētahi:
- Te wa hapu
- whanau
- mōmona
- Te taneopao
- Te paoa paoa
- Te whakanui me te/ranei te pokanga o te repeure
- Te waihanga
- Te rongoā irahiko ki te hope
- Diabetes
- mate o Parkinson
- Whara a muri
- Te aituā toto roro
- Tuhinga o mua.
6
He rerekē ngā momo mate mimi kore e taea te pupuri?
E toru ngā momo matua o te kore e taea te pupuri i te mimi:
- Te hiahia mō te kore e taea te pupuri i te mana o te manawanui
- Te koretake
- Pūkahukahu nui
7
He aha te kore e taea te pupuri i te hiahia?
Ko te kore e taea te pupuri i te mimi, te kore e taea te pupuri i te mimi, he raruraru noa iho tēnei e piki haere ana te auau me te kaha i te pakeketanga. I tēnei āhua, ka ngaro te mimi o te tūroro, kāore he take e kitea ana, ā, ka puta whakarere mai te hiahia, te hiahia rānei ki te mimi. I roto i te kore e taea te pupuri i te mimi, ka mimiti te mimi i te wā e moe ana, i muri i te inu wai iti, i te wā e pā ana ki te wai, i te wā rānei e rongo ana i te rere o te wai (pēnei i te wā e kaukau ana tetahi atu, e horoi rīhi ana rānei).
8
He aha ngā take o te kore e taea te pupuri i te manawanui?
Ko te tino take o te kore e taea te pupuri i te mimi ko te whakahekenga tōngāmimi kāore i te tika, kāore i te āta whakaarohia. Tērā pea ka puta ēnei whakahekenga kāore i te āta whakaarohia nā te mumura, te riri rānei i roto i te tōngāmimi, ina rānei ka whakararuraru ētahi mate io i te whakahaere i ngā whakahekenga tōngāmimi.
- Nga mate pukupuku Urinary
- Cancer
- mate o Parkinson
- Te mate a Alzheimer
- Ko ētahi raau taero pēnei i te hypnotics me te narcotics
- Ngā whara (pērā i ngā mea e pā ana i te wā o te pokanga)
- Hiperplasia prostatic pai (BPH).
Ka puta anō hoki te kore e taea te pupuri i te mimi ina ngoikore te nekenekehanga (hei tauira, i roto i ngā tūroro e pāngia ana e te mate rumatiki), ka uaua ai mō ngā tūroro te haere ki te wharepaku i te wā tika. I ētahi wā ka kiia tēnei āhuatanga ko te kore e taea te pupuri i te mimi "mahi" nui.
9
He aha te kore e taea te pupuri i te manawanui i te ahotea?
Ko te kore e taea te pupuri i te mimi i roto i te taumahatanga te momo kore e taea te pupuri i te mimi i roto i ngā kaumātua. Ka puta mai i te kore mahi o te urethral sphincter e turuturu ai te mimi mai i te pūkahukahu ina piki ake te pēhanga o roto i te puku, pērā i te wā e kata ana, e maremare ana, e tihe ana rānei.
10
He aha te take o te kore e taea te pupuri i te manawanui i te ahotea?
Ko ngā huringa tinana e puta mai ana i te hāputanga, te whānautanga me te wā pāheketanga he take noa o te kore e taea te mimi i roto i te ahotea. Koinei te momo kore e taea te mimi i roto i ngā wāhine, ā, ka taea te rongoā. Ko ētahi uaua, e mōhiotia ana ko ngā "uaua papa pelvic" e tautoko ana i te pūkahukahu. Mena ka ngoikore ēnei uaua, ka taea e te pūkahukahu te neke ki raro, ka pana paku atu i raro i te pelvis ki te tara. Mā tēnei ka ārai i ngā uaua e akiaki ana i te urethra kia kati kia kore e pēhi kia piri tonu. Nō reira, ka taea e te mimi te turuturu ki roto i te urethra i ngā wā ahotea tinana. Ka puta anō hoki te kore e taea te mimi i roto i te ahotea mena ka ngoikore ngā uaua e pēhi ana. Ka kino ake te kore e taea te mimi i roto i te ahotea i te wiki i mua i te paheketanga. I taua wā, ko te iti o ngā taumata estrogen ka arahi pea ki te iti o te pēhanga uaua huri noa i te urethra, ka piki ake te tūponotanga o te turuturu. Ka piki ake te maha o te kore e taea te mimi i muri i te wā pāheketanga. Ka taea hoki te kore e taea te mimi i roto i te ahotea nā ngā rongoā, ngā whara pokanga, ngā kino rānei i te irahiko.
11
He aha te korenga o te waipuke?
Ko te pūkahukahu nui e kitea ana i roto i ngā tāne kaumātua. Ko te kore e taea te mimi i te pūkahukahu nui e puta mai ana i te pūkahukahu nui he mea noa ake i roto i ngā tāne nā te mea he nui te repe repeure e ārai ana i te mimi. I roto i tēnei āhuatanga, ka kohia te mimi ki roto i te pūkahukahu kia tae rā anō ki te taumata teitei o te pūkahukahu. Kātahi ka turuturu mā roto i te urethra mā te "puku", ka puta i te nuinga o te wā hei maturuturu. Heoi, ko te pikinga o te pēhanga o roto i te puku, e puta ana i te wā e maremare ana me te tihe, ka puta pea te ngaronga o te mimi, nō reira ka pohehe te kore e taea te mimi i te pūkahukahu nui ki te kore e taea te mimi i te ahotea.
12
He aha te take o te kore e puhake?
Ka puta te kore e taea te pupuri i te mimi i runga i te tōngāmimi nā:
- Ngā uaua tōngāmimi i puta mai i te kino o ngā io i te mate huka, i ētahi atu mate rānei (hei tauira, ngā pukupuku, te irahiko, te pokanga)
- Te aukati i te rere o te mimi, pērā i ngā mea i puta mai i te whakanui o te prostate me ngā kohatu mimi
- I raro i ngā whakawhāititanga kaha o te pūkahukahu i puta mai i ētahi rongoā. Ka hua ake i ēnei rongoā te pupuri mimi me te pupuhi o te pūkahukahu.
13
He momo kē atu anō o te kore e taea te pupuri i te mimi?
Ina puta ngātahi te kore e taea te pupuri i te mimi i te ahotea me te hiahia, ka kiia i ētahi wā ko te "kore e taea te pupuri i te mimi i roto i te mimi i ngā wā katoa". He mea noa tēnei i roto i ngā wāhine. Ka puta pea te kore e taea te pupuri i te mimi i te wā poto, i te wā poto rānei, nā ngā rongoā, ngā mate mimi, te ngoikore o te hinengaro, te herenga o te nekenekehanga me te mate puku kino, ka pana pea ki te ara mimi, ka aukati hoki i te rere o te mimi.
14
He rongoā kei te wātea mō te kore e taea te pupuri i te mimi?
Ka taea te rongoā pai i te nuinga o ngā momo mate mimi kore e taea te whakahaere, ā, ka pai ake ngā tohu mā te whakatau i te momo mate mimi kore e taea te whakahaere. Mō ētahi tūroro, ka pai ake te mate mimi kore e taea te whakahaere mā te whakaiti i te taumaha. He iti ake ngā raruraru o te hunga kaipaipa e maremare mau tonu ana ina mutu tā rātou kaipaipa (me te mutu te maremare). Ka taea hoki e ētahi rongoā noa te whakanui ake i te āhuatanga.
Tirohia katoa
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