Te Urethroplasty i ngā Hōhipera Apollo, Lucknow

He aha ngā tūroro e whiriwhiri ai i ngā Hōhipera Apollo i Lucknow mō te Urethroplasty

• Ratonga urology me te urology hanga hou motuhake i roto i tētahi hōhipera tiaki whā-motuhake maha-motuhake, nō reira ka taea te whakahaere i ngā uauatanga uaua e pā ana ki te pūkahukahu, te repeure, te papa hope rānei e te tīma kotahi, kaua e tukuna ki tētahi atu wāhi.
• Te taonga tuku iho o te rōpū Apollo Hospitals mai i te tau 1983, i te wā i whakatuwheratia ai te hōhipera umanga tuatahi o Īnia i Chennai. I tēnei rā, e whakahaeretia ana e te rōpū neke atu i te 70 ngā hōhipera me ngā moenga neke atu i te 10,000 me te whatunga o ngā tākuta neke atu i te 12,000, ā, ko Apollo Hospitals Lucknow, he whare tiaki tuatoru kua whakamanahia e te NABH i Kanpur Road, e kawe mai ana i taua pūnaha e whakahaerehia ana e te kawa ki Uttar Pradesh.
• Te rōpū mimi e arahina ana e te kaitohutohu ko te nuinga o ngā mema he whakangungu karahipi i muri i te MCh, i muri rānei i te DNB, ā, i waenganui i a rātou, he maha ngā tekau tau o te wheako pokanga i roto i te pokanga endoscopic me te pokanga urethral tuwhera. Kei te whārangi urology o te hōhipera i Lucknow te rahi tika me ngā kōtaha takitahi, ā, kua whakaūhia ina rēhita koe.
• Te āheinga tātaritanga katoa i raro i te tuanui kotahi ? he urethrogram whakamuri, he cystourethrogram micturating, he urethrocystoscopy ngāwari me te pakari, he uroflowmetry, he urodynamics, he urethrography ultrasound me te CT/MRI mō te whara o te urethra o te whati pelvis ? kia maherehia ai te stricture i mua, kaua i te wā o te pokanga.
• Whānuitanga hangarau, mai i te urethrotomy whatu ā-roto me te whakawhānui ki te urethroplasty anastomotic, te urethroplasty whakakapinga buccal mucosal graft (BMG), te whakatikatika kiri o te ure, te whakatikatika perineal me te transpubic mō ngā hapa whakararuraru urethral whati pelvis, me te hanga anō wāhanga (rua-wāhanga) mō ngā urethra hoariri, lichen sclerosus rānei.
• Ngā mahi tautoko i ngā tohungatanga i te kāmpus · pokanga kirihou me te pokanga hanga anō mō ​​te kotinga o te whakapiringa me te uhi o te taupoki, te whakaurunga niho me te kanohi ki runga mō te tiaki i te wāhi whakapiringa o te kanohi, te nephrology me te dialysis mēnā kua pāngia ngā whatukuhu e te aukati, te tiaki nui, te pēke toto me te whakaahua 24-ora.
• Ara tamariki mō ngā uauatanga e pā ana ki te hypospadias me ngā whara i muri i te whara i roto i ngā tamariki, me te mate whakamoe tamariki me te wāhanga tamariki motuhake, me te ara pakeke-pakeke me te arotau i te ngākau, te manawa me te mate huka i mua i te whakamoe.
• Te whakamahere hoki-ki-te-mahi i whakaritea mō te oranga o Īnia ? te noho ki roto i te wharepaku noho, te noho whiti waewae, te moe papa, te haere ki ngā waka wira-rua, te mahi ā-ringa me te whare takaro tinana, ngā hākinakina pā rānei ? kaua ki ngā tohutohu whānui.
• Te tēpu inihua me te TPA e whakahaere ana i te whakamanatanga mua kore moni mō te nuinga o ngā kaiinihua nui, ngā kaupapa momo CGHS/ECHS/Ayushman mēnā e tika ana, me ngā rōpū umanga; ka whakaūtia te whai mana me te kapinga i te tēpu.
• Whai muri i te hanganga mā te uroflowmetry me te tatau i ngā tohu i ngā wā kua tautuhia, nā te mea ka inehia te hokinga mai o te stricture i roto i ngā tau, ehara i te wiki.

Overview

He tikanga pokanga motuhake te Urethroplasty i hangaia hei whakatika, hei hanga anō rānei i te urethra, te ngongo e kawe ana i te mimi mai i te pūkahukahu ki waho o te tinana. I Apollo Hospitals Lucknow, ko tā mātou whāinga he tuku i te tiaki pokanga tupato, e ahu mai ana i ngā taunakitanga, e tautokona ana e ngā hangarau tātaritanga me te pokanga hou, me te whāinga kia puta te hua pai rawa atu mō ia tūroro. Ka whakawhanakehia e tā mātou tīma o ngā tākuta mimi ngā mahere maimoatanga takitahi i runga i te roa, te wāhi me te take o te stricture, ngā maimoatanga o mua a te tūroro, me tō rātou hauora whānui. Me te whakapau kaha ki te tohutohu mārama me te whakawhirinaki o te tūroro, ko Apollo Hospitals Lucknow te whiringa whai whakaaro mō te urethroplasty me ētahi atu tikanga hanga anō mimi.

He nui ake te kitea o te mate urethral stricture i roto i ngā tāne, he roa ake te urethra, ā, i Inia, he nui te wāhanga o ngā take i muri mai i ngā aituā rori me te whati o te hope, ngā whara o te straddle, te whara e pā ana ki te catheter, te taputapu, te mate, te lichen sclerosus rānei (balanitis xerotica obliterans). He onge te urethral stricture o ngā wāhine engari ka kitea, ā, ka taea te whakatika. Ko te angitu e whakawhirinaki ana ki te mahere tika o te stricture me te whiriwhiri i te pokanga tika i te wā tuatahi - ka uaua ake te hanga anō i te urethrotomies ā-roto nā te whakawhānui anō me te urethrotomies ā-roto.

He aha te mea e tika ana te Urethroplasty

Ko te urethroplasty te nuinga o nga wa e tika ana mo nga turoro e mate ana i te urethral strictures, he kuiti o te urethra ka puta he raru nui mo te mimi. Ka taea e enei uaua te puta mai i nga ahuatanga rereke, tae atu ki te whara, nga mate, me nga pokanga o mua. Ko te hiranga hauora o te urethroplasty kei roto i tona kaha ki te whakaora i nga mahi mimi noa, te whakaiti i nga tohu penei i te mamae me te uaua ki te mimi, me te aukati i etahi atu raruraru. Ma te whakatika i nga take o raro, ka taea e te urethroplasty te whakapai ake i te kounga o te oranga o te manawanui, ka taea e ia te hoki ki a raatau mahi o ia ra me te kore e raru.

Ko ngā tohu noa e kōrerohia ana i te wā e kōrerohia ana ko te ngoikore o te rere o te mimi, te totoro, te roa o te wā mimi, te kore e oti te mimi, te mate mimi e hokihoki ana, ngā kohatu tōngāmimi, te maturuturunga iho o te mimi i muri i te mimi, te mamae o te putanga mai o te mimi, me te kore e taea te mimi e hiahiatia ana he catheter ohorere, he mimi suprapubic rānei. Ko ngā uauatanga kua hokihoki mai i muri i te kotahi, neke atu rānei o ngā maimoatanga endoscopic, he pai ake te whakaora mā te hanga anō i te mimi i te whakawhānui atu.

Aratohu Hauora o Nāianei

Ko te whakahaere i ngā Hōhipera Apollo Lucknow e hangai ana ki ngā aratohu mimi o Īnia me te ao o nāianei, e whakamāramahia ana mō ia tūroro:

• Hapori Urological o Inia (USI) Ko te whakahaere mimi ā-motu o Īnia, i whakatūria i te tau 1961, ko tana huihuinga ā-tau (USICON) me te Te Puka o te Urology Inia whakaputa i ngā aratohu mahi Inia me ngā tauākī whakaae mō te urethra stricture me te whati pelvis urethra burn. He mea nui ngā raraunga Inia ki konei nā te mea he rerekē te tauira whara me te horapa o ngā urethra roa o mua i ngā raupapa o te Hauāuru.
• Aratohu a te American Urological Association (AUA) mō te Mate Urethral Stricture, i tukuna tuatahitia i te tau 2016 me i whakatikatikaina i te tau 2023Ngā tūranga matua e tika ana mō ngā tūroro: ka tukuna pea he whakawhanuitanga kotahi, he urethrotomy ā-roto rānei mō te stricture bulbar poto (i raro iho i te 2 cm), engari i muri i te korenga o te maimoatanga endoscopic, e taunakitia ana te urethroplasty, kaua te maimoatanga endoscopic anō.; kāore e whakaaetia te whakamahi i ngā stent urethra me te whakawhānui-ake-ake mō te wā roa hei rautaki matua; ā, ko te whati hope o te pelvis he pai ake te whakahaere i te whara urethra mā te urethroplasty anastomotic kua whakaroahia, kaua ki te ngana anō ki te whakatikatika.
• Ngā Aratohu a te Rōpū Urology o Ūropi (EAU) mō ngā Whakaiti Urethral, whakahoutia ia tau me te putanga 2024 o nāianei i te wā e tuhi ana, e aro nui ana ki te mahere i mua i te pokanga me te urethrogram retrograde me te cystoscopy, te kaupapa matua o te whakapiri kiriuhi waha hei rauemi whakakapinga pai rawa atu, me ngā tikanga bulbar kore-whakawhitiwhiti ina taea hei tiaki i te rere o te toto me te mahi ā-ira tangata.
• Ngā mea i tino rerekē i ēnei wā tata nei: te neke atu i te urethrotomy ā-roto e whakahokia ana, me te neke atu i te urethral stenting, te whakamahinga nui ake o ngā tikanga BMG kore-whakawhiti me te dorsal/ventral onlay, te whānui o te whakaae ki whakatikatika kotahi-wāhanga ahakoa ngā uauatanga roa, me te neke ki ngā inenga hua kua ripoatatia e te tūroro me te uroflowmetry, kaua ki te urethrography auau anake, hei aroturukitanga.

E whakamārama ana ngā aratohu i ngā mea e tika ana kia whakamahia whānuitia; kāore e whakakapi i tētahi whakaaro pokanga takitahi. Mā tō taote pokanga e whakamārama te wāhi e tika ana mō tō keehi me te wāhi e kore e tino mārama ai ngā taunakitanga.

Nga Morearea o te Roa

Mā te whakaroa i te urethroplasty ka puta he maha ngā raruraru ka kino haere i roto i te wā. Tērā pea ka pāngia ngā tūroro e te pikinga o te pupuri mimi, ngā mate urutā mimi e hokihoki ana, tae atu ki te kino o te whatukuhu nā te mea he roa te aukati. Ki te roa te wā e kore ai e rongoatia te stricture, ka uaua ake pea te whakatikatika pokanga. He mea nui te wawaotanga wā tika hei ārai i ēnei raruraru, hei whakarite hoki i te tukanga whakaora maeneene ake. I Apollo Hospitals Lucknow, e whakanui ana mātou i te hiranga o te tautuhi me te maimoatanga wawe, me te akiaki i ngā tūroro ki te rapu tohutohu ina pāngia rātou e ngā tohu.

Ko ētahi atu hua o te aukati roa ko te matotoru o te pakitara o te tōngāmimi me te diverticula, ngā kōhatu tōngāmimi, te fistula urethral, ​​te peri-urethral abscess rānei, te epididymo-orchitis, ā, i ngā wā roa ka pā te hydronephrosis me te pikinga o te creatinine. Mā te whakanui-ake anō i a ia anō, mā te urethrotomies raupapa rānei ka roa ake te wāhanga fibrotic, ka huri i tētahi whakatikatika i taea te noho hei anastomosis noa iho hei mea e hiahia ana ki tētahi tāpui.

Nga painga o te Urethroplasty

He maha ngā painga o te urethroplasty mō ngā tūroro. Tuatahi, ka taea e te tikanga te whakahoki mai i te mahi mimi noa, kia pai ake ai te mimi, kia whai hua ai hoki. He maha ngā pūrongo a ngā tūroro mō te whakahekenga nui o ngā tohu mimi, pērā i te mamae, te hiahia nui, me te auau. Hei tāpiri, ka taea e te urethroplasty angitu te whakapai ake i te kounga whānui o te oranga, kia taea ai e ngā tāngata te whai wāhi ki ngā mahi pāpori me ngā mahi tinana me te kore e wehi i ngā raruraru mimi. I Apollo Hospitals Lucknow, ka mahi ā mātou tikanga matatau me ngā taote pokanga mātau ki ngā hua pai, pumau, me te tohutohu pono mō ngā mea ka taea, kāore hoki e taea e ia tikanga te whakatutuki.

E ai ki ngā raupapa kua whakaputaina, he nui ngā reiti ārai mō ngā whakatikatika bulbar anastomotic kua whiriwhiria pai, me ngā hua pai mō te whakakapinga o te paparinga buccal, engari ko ngā uauatanga roa ake, te mahi anō, te lichen sclerosus rānei he nui ake te tūponotanga o te hokinga mai. Kāore e taea te kī taurangi he pokanga anō, ā, ka taea tonu te hokinga mai i ngā tau i muri mai - koia te take he mea nui te whai i te wā roa.

Te Wā o te Pokanga me te Wāhanga o mua i te Tukanga

He mahi whakamahere te urethroplasty, ehara i te mahi ohorere. Mena ka puta mai koe i roto i te puku pupuri, ko te mahi tuatahi ko te tango i te wai - he tikanga he catheter suprapubic - ā, muri iho ka rongoatia mō te wā roa i mua i te hanganga anō.

1. Aromatawai (wiki 0): hītori, whakamātautau, ahurea mimi, uroflowmetry, ultrasound toenga i muri i te mimi, urethrogram retrograde me te cystourethrogram micturating, me te cystoscopy hei mahere i te roa me te wāhi.
2. Whakapumautanga: rongoāhia te mate hohe, whakahaeretia te huka toto, kati te kai paipa (ko te mea pai kia whā wiki i mua i te pokanga, nā te mea ka whakararu te kai paipa i te tangohanga o te whakakapinga), arotakehia ngā rongoā ārai toto me ngā rongoā ārai toto me te tākuta kua tohua.
3. Wā poto kore-kātene: Mena kei te whakauruhia he catheter urethra, he pai ake ki ngā taote pokanga te whakamahi i te catheter suprapubic me te wā kāore he catheter urethra, nō reira ka whakaaturia e te stricture tōna roa tuturu.
4. I muri i te whara: Mō te whara o te urethra i roto i te hope, ka whakaroahia te whakatikatika i te nuinga o te wā i te toru marama, neke atu rānei, i muri i te whara, ina memeha te toto i roto i te hope, ā, ka taea te whakanoho i te tūroro mō te pokanga.
5. I muri i te korenga o te urethrotomy, te whakawhānui rānei: Mā te tatari mō te toru marama pea ka pakari te koha, ā, ka mārama te whānuitanga o te mate.
6. Te whakarite i te hononga o te waha: He arotake niho me te rongoā i ngā mate kapia, i ngā pirau niho rānei, me te whakamutu i te tupeka, te gutkha, te paan me te nati areca, e kino ai te kiriuhi waha ka whakamahia hei tāpiringa.

Ngā Kōwhiringa Tikanga: He Whakataurite

Ngā Tukanga e Mahihia ana i te Wā Kotahi i Ētahi Wā

• Te tirotiro i te cystoscopy me te mimi hei whakaū i te hanganga tinana me te ārai i te mate kaki tōngāmimi.
• Te tango i te kohatu o te pūkahukahu (cystolitholapaxy) ina puta ngā kōhatu i te aukati.
• Te whakanoho, te tango rānei i te catheter suprapubic hei wāhanga o te rongoā whakamārie kotahi.
• Te whakatikatika i te diverticulum urethral, ​​te fistula rānei, te tango rānei i te kōhao whewhe peri-urethral.
• Te kotinga, te preputioplasty rānei, inā koa ko ngā wāhi e noho tahi ana te lichen sclerosus me te phimosis.
• Te whakatō mīti mō tētahi pūaha o waho whaiti.
• Tapahi kaki pūkahukahu i roto i ētahi kēhi whai muri i te whara ka uru atu hoki te kaki o te pūkahukahu.
• Te kotinga o te hononga o te waha mai i tētahi, i ngā paparinga e rua rānei, i te ngutu o raro rānei, e te tīma mimi, e te tīma pokanga kirihou rānei.

Ka kōrerohia, ka whakaaetia hoki tētahi atu tukanga i mua i te wā e taea ai te whakarite.

Te Whakarite me te Whakaora

He maha ngā mahi nui hei whakarite mō te urethroplasty kia angitu ai te putanga. E tohutohuhia ana ngā tūroro kia:

• Kōrero ki tō taote pokanga: Kōrerohia ngā rongoā e tangohia ana e koe i tēnei wā, i te mea me whakarerekē pea ētahi, me whakamutu rānei i mua i te pokanga.
• A pee i nga tohutohu o mua: Kia ū ki ngā here kai, ki ngā aratohu rānei kua whakaratohia e tō rōpū hauora.
• Whakaritea mo te Tiaki Whaimuri: Whakamaherehia he āwhina mōu i a koe e ora ana, inā koa i ngā rā tuatahi i muri i te pokanga.

Ko te whakaoranga mai i te urethroplasty ko te noho hōhipera mō te kotahi ki te rua rā mō ngā whakatikatika māmā ake, he roa ake mō te hanga anō uaua, ā, whai muri ko te wā okioki ki te kāinga. Me:

• Noho Hydrated: Inumia he nui o ngā wai hei āwhina i te horoi i te pūnaha mimi.
• Whakahaerehia te mamae: Whakamahia ngā rongoā mamae kua tohua kia rite ki ngā tohutohu hei whakamarie i a koe i te wā e ora ana.
• Whai ake: Haere ki ngā wā tirotiro katoa kua whakaritea hei aroturuki i te oranga me te aro turuki i ngā āwangawanga katoa.

I Apollo Hospitals Lucknow, ka tautokohia koe e tā mātou tīma puta noa i tō whakaoranga, tae atu ki ngā tohutohu tiaki catheter māu me tō whānau i mua i te putanga mai i te hōhipera.

Whakaora Wāhanga-i-te-Wāhanga

Ngā Paearu mō te Hoki ki te Mahi Noa

He aratohu ngā rārangi wā; he mea nui ake ngā paearu i raro nei i te maramataka. Ko ngā tohutohu a tō taote pokanga te mea nui rawa atu i tētahi ture whānui.

• Te taraiwa i tētahi waka: ina mutu ana te tango i ngā rongoā whakamamae kaha, ka taea e koe te noho humarie me te whakamutu wawe i tētahi mea.
• Te waka wira-rua me te pahikara: Ka pēhia tika te perineum e te pēhanga nohoanga. Ko te nuinga o ngā taote pokanga e kī ana kia kaua e eke kuta, motopaika me ngā pahikara mō te ono wiki pea i muri i te whakatikatika i te perineum, i ētahi wā ka roa ake, ā, ka hoki tuatahi mai hei pāhihi motuka.
• Ngā wharepaku noho pōturi me ngā wharepaku ā-Inia: Mā te noho hōhonu ka totoro te patunga perineal. Whakamahia he wharepaku o te Hauāuru, he tūru wharepaku rānei mō te iti rawa e whā ki te ono wiki. Mena he wharepaku hōhonu anake tō tō whare, he otinga iti te utu, he otinga whai hua hoki te whakanoho i tētahi nohoanga wharepaku hiki ake ki runga.
• E noho ana i runga i ngā waewae, e moe ana i runga i te papa: me whakaroa te noho papa me te tū waewae whakawhiti mō ngā wiki e whā ki te ono. He māmā ake te moe i runga i te moenga mārō, i runga rānei i te moenga kua whakaarahia i runga i te moenga pēpi i te ara ake i te papa me te catheter.
• Ngā mahi tari me ngā mahi tēpu: he maha ngā wā e rua ki te toru wiki, me te whakaae kia tū, kia hikoi i ia wā; whakamahia he urunga ngohengohe.
• Te mahi ā-ringa, te mahi ahuwhenua, te hanga, te taraiwa waka arumoni: ko te tikanga e ono ki te tekau mā rua wiki, he mea whakarite i runga i te wā, ā, i muri i te arotakenga anake.
• Te whare takaro me te whakangungu taumaha: Āta karohia te whakauaua i te puku me te hiki taumaha mō ngā wiki e ono; tīmata anō me ngā mahi māmā kāore e mahi i ngā mahi o raro o te tinana.
• Ngā hākinakina whakapā me te noho hoiho (kabaddi, nonoke, whutupaoro, eke hōiho, eke pahikara): he takitahi te wā whakawātea, ā, i te nuinga o te wā kāore i mua i te toru marama.
• Te mahi moepuku me te whakaputa uri: i te nuinga o te wā ka whakaroahia kia whā ki te ono wiki pea, ā, i muri i te tangohanga o te catheter, i runga i ngā tohutohu a tō taote pokanga.
• Ngā mahi whakapono me ngā mahi pāpori pērā i te noho roa i ngā hui, te haere ki te temepara e hiahia ana kia noho pōturi, te haere pahi roa rānei? whakamaherehia mō te ono wiki pea.

Te aukati i te hokinga mai

• Me haere tonu koe ki ngā whakamātautau aroturuki katoa, tae atu ki te uroflowmetry, ahakoa kei te tino pai koe - he maha ngā wā ka whakawhāiti puku te hokinga mai o te mate i mua i te puta mai o ngā tohu.
• Me tere tonu te ripoata mēnā he heke te kaha o te rerenga, he tauhiuhi, he tātari, he roa rānei te wā e mimi ana; he māmā ake te whakahaere i te hokinga mai i te wā tōmua i te mea tōmuri.
• Whakaorahia ngā mate mimi mā te whakamahi i ngā paturopi e ārahi ana i te ahurea, kaua ki ngā pire toenga.
• Āta karohia te whakaurunga catheter me ngā taputapu kore e hiahiatia; ki te hiahiatia he catheter, me kī atu ki te tākuta e rongoā ana kua oti tō urethroplasty, ka tono kia whakamahia te catheter iti rawa e tika ana, te ara suprapubic rānei.
• Kati te tupeka i ngā āhua katoa - ka whakararu te momi hikareti i te whakaora o te kiripaka me te kiripaka, ā, ka kino te ngaungau i te wāhi e tukuna ana e te waha.
• Whakahaeretia te mate huka, nā te mea ka pāngia te whakaora o te patunga e te kore whakahaere i te huka toto, ā, ka piki ake te mōrearea o te mate.
• Mena ko te lichen sclerosus te take, me haere tonu te arotake kiri me tetahi maimoatanga ā-kiri kua tohua; he mate mau tonu tēnei, ā, ka taea te hoki anō ki te kiri o te ira tangata.
• Whakamahia ngā taputapu tiaki i runga i ngā waka wira-rua, me te whai i te haumaru rori - ko ngā whara o te pokohiwi me te whati o te hope tetahi o ngā tino take o te whakawhāiti i Inia.
• Kia ngawari ngā whekau; ka whakararu te pēhanga roa i te perineum e ora ana.

Ngā Whakaaroaro mō ngā Tamariki me ngā Tūroro Kaumātua

Nga tamariki me nga taiohi

Ko ngā whāwhā tamariki ka whai i te pokanga hypospadias, ngā whara straddle, te whati pelvic, te catheterization rānei i te wā pēpi. Ka whakamahia ngā mātāpono ōrite mō ngā whakatikatika, me te tango i te graft buccal i roto i ngā rahinga iti me te aro nui ki te tipu ā muri ake nei. Me aromatawai ngā tamariki i te anatenga tamariki, te rongoā i runga i te taumaha, me te noho tahi me te mātua. He mea nui te whakamahere mahi: he hararei kura mō ngā wiki e rua ki te toru, te karo i te eke pahikara me te mahi papa tākaro, me te whakarite puku mō te tiaki catheter i te awatea. Ka arotakehia ngā tauira whakangungu wharepaku me te mimi moenga i mua me muri i te pokanga.

Nga pakeke

He maha ake ngā tāne neke atu i te 65 tau te pakeke ka pāngia e ngā stricture i muri i te pokanga prostate, te radiotherapy, te catheterization roa rānei, ā, he maha tonu ngā wā ka pāngia e te mate huka, te toto toto tiketike, te mate ngakau, te rongoā antiplatelet rānei. He mea nui te aromatawai i mua i te whakamoe, te whakawātea i te ngakau i ngā wā e tika ana, me te mahere mō te whakamutu me te tīmata anō i ngā rongoā whakangawari toto. Mō ngā tūroro ngoikore, mō te hunga rānei he stricture roa rawa, he maha ngā wā he pai ake te urethrostomy perineal , he kōwhiringa pono ake i te hanga anō mō ​​te wā roa, ā, ehara i te mea iti iho te momo tiaki. Kei roto i te mahere tukunga te ārai i te pōrangi, ngā whakatūpato mō te hinga, te nekeneke wawe me te mema o te whānau kua whakangungua ki te tiaki catheter.

Ki te kore koe e whiriwhiri kia pokanga

He kōwhiringa tika te whakakore, te whakaroa rānei i te urethroplasty, ā, me whai whakaaro pai. Ko ngā kōwhiringa whai hua ko:

• Te tatari tatari Mēnā he ngawari te kōpiko, ka ringihia rawatia te wai o te pūkahukahu, ā, kāore he mate – mā te uroflowmetry i ia wā, te ultrasound mimi toenga, ngā whakamātautau mahi tākihi me te arotake i ngā tohu.
• Te whakawhānui anō i te urethrotomy rānei, ka roa pea tō mimi e mimi ana, engari ka iti haere te hokinga mai, ka noho koha tonu, ā, ka whakamahia tonutia ngā rongoā whakamoe.
• Te whakaurunga catheter aunoa ma te wā poto, e hiahia ana ki te pūkenga ā-ringa, te akuaku me te whakapau kaha, ā, he mōrearea hoki mō te pangia me te ara teka.
• Te kātene suprapubic mō te wā roa, he kōwhiringa e whakaaetia ana mō te hunga kāore i te pai te hauora, e hiahia ana kia whakarerekētia ia marama ki te ono wiki, me te mōrearea o te mate, te kōhatu, te pupuhi o te tōngāmimi, ā, mō ngā tau maha, ka rerekē ngā tōngāmimi.

Ko ngā mōrearea o te kore mahi i tetahi mea ko te pupuri haere tonu, te mate urutā, ngā kōhatu, te fistula, te whēwhe, ā, ki te nui, ki te roa hoki te aukati, ka pāngia te whatukuhu. Ehara i te mea ka taea te karo i ēnei hua, engari koinei te take e tūtohutia ai kia arotakehia, kaua kia karohia.

Ngā Take e Pā Ana ki te Utu o te Urethroplasty

Kāore he tatauranga e whakahuatia ana i konei. Ka whakaratohia e te tēpu utu me te whakaurunga o te hōhipera he whakatau tata tuhituhi i muri i te kōrerorero, ā, ko te pire whakamutunga e whakawhirinaki ana ki te huarahi tuturu o te maimoatanga.

Inihuarangatia me te Maimoatanga Kore Moni i Inia

• Ko te Urethroplasty he pokanga noho tūroro i te nuinga o te wā ā, e whakaarohia ana i raro i ngā paerewa mō ngā painga hōhipera ina hiahiatia e te rata, i runga anō i ngā kupu o tō kaupapa here.
• Me whai whakaaetanga i mua i ngā whakaurunga kua whakaritea. Tukuna ngā tuhinga ki te tēpu inihua, e toru ki te whitu ngā rā mahi i mua i te whakaurunga. Ka taea te whakaae ā-whaiaro, ā-wāhanga rānei, nō reira pānuihia te reta whakamanatanga.
• Te hipoki aituā me te hipoki kua whakaritea: Mena i whai te whāititanga i tētahi aituā rori, i tētahi hinganga rānei, puritia te tuhinga FIR a te aituā, te tuhinga pirihimana rānei, ngā tuhinga taketake mō te whara, te whakarāpopototanga o te tukunga whara me te whakaahua. He maha ngā wā tatari tuatahi ka karohia e ngā kereme e pā ana ki te aituā, engari ko te whāititanga ehara i te mea tūpono ka taea te tāpiri i te wā tatari tuatahi 30-rā paerewa, i ētahi kaupapa here rānei, he wā tatari roa ake mō ngā āhuatanga mimi kua tohua, mō ngā mate kua pā mai rānei.
• Ngā wāhanga mate o mua Ahakoa i tāpaetia tō mate, i rongoatia rānei mō te whakawhāiti i mua i te hoko i te kaupapa here. Whakakitea; ko te kore whakaatu te take e whakakahoretia ai ngā kereme.
• Te reti rūma me te tangohanga ōrite: Mā te whiriwhiri i tētahi rūma i runga ake i tō wāhanga e tika ana ka taea te whakaiti i te utu mō te pire katoa, ehara i te utu rūma anake.
• Utu-tāpiri, herenga-iti me ngā taonga kore-hauora pērā i ngā karapu, ētahi taonga e pau ana, te kai me ngā utu whakahaere ka utua e koe.
• Te tukanga TPA: Ko te nuinga o ngā kaiinihua ka mahi mā te Kaiwhakahaere Tuatoru. Kawea te kape kaupapa here, te kāri hiko, te tuakiri whakaahua a te kāwanatanga (Aadhaar, PAN rānei), ngā whakahaunga me ngā pūrongo o mua. Tērā pea ka roa ētahi haora mō te whakaaetanga tukunga whakamutunga i te wā e whakaaetia ana e te TPA te whakapainga.
• Ngā kaupapa a te kāwanatanga me ngā kaupapa a te kaituku mahi He mana motuhake tō ngā ratonga hauora pēnei i te CGHS, te ECHS, ngā kaupapa ā-rohe me Ayushman Bharat PM-JAY, ā rātou ake mana whakahaere, whakaritenga tuku me ngā utu mōkihi; me whakaū te tika mō tēnei hōhipera ki te tēpu inihua, kaua e whakaarohia.
• Ara whakahoki moni: Mena kāore e wātea ana te kore moni, puritia ngā pire taketake, te wehenga kua tohua, te whakarāpopototanga o te tukunga, ngā pūrongo tirotiro me ngā whakapiripiri kua tāpirihia, kua pau rānei.

Mō ngā āhuatanga e pā ana ki te whakaae kaupapa here, te whakaritenga, ngā moni rānei, tēnā whakapā atu ki te tari inihua me te tari TPA o Apollo Hospitals Lucknow.

Te Whakamahere i tō Whakauru me ngā Mea hei Kawea Mai

I mua i tō haerenga ki te hōhipera

• Whakaūtia te wā i whakaritea ai me te wātea o te taote pokanga OPD, nā te mea he rerekē ngā rā o te whare hauora.
• Whakaotia te tirotiro i mua i te whakamoenga, ngā whakamātautau toto me te ahurea mimi e ai ki ngā tohutohu; ka taea e te mate kāore i te rongoā te whakaroa i te pokanga.
• Me whai i ngā tohutohu mō te nohopuku – kāore he kai totoka mō ngā haora e ono ki te waru, ā, me mutu te kai wai mārama e ai ki ngā tohutohu.
• Whakaritea he kaitiaki. Mō ngā whānau honohono, tohua tētahi kaiāwhina matua mō ngā kōrero hauora, tētahi mō ngā mahi whakahaere; ka whakawhāitihia e ngā hōhipera te maha o ngā manuhiri i te taha o te moenga.

He aha ki te kohi

• Ngā pūrongo o mua katoa: ngā kiriata urethrogram, ngā tuhipoka cystoscopy, ngā whakarāpopototanga o te pokanga me te putanga mai i te hōhipera i mua, ngā tūtohi uroflow.
• Ko ngā rongoā o nāianei kei roto i ngā rīpene taketake, me tētahi rārangi tuhituhi me ngā horopeta.
• He whakaahua tuakiri kāwanatanga, he kape kāri inihua me te kaupapa here, me ngā pepa aituā mēnā e tika ana.
• He kākahu o raro korekore - he lungi, he dhoti, he pajama, he tarau oma korekore rānei - he nui ake te whai hua i ngā tarau tiini me te catheter me te takai perineal.
• Me tāpiri he kākahu o roto, he putea waewae tāpiri mēnā e taunakitia ana, he paraikete horoi, he paraikete mimiti rānei hei ārai i te turuturu o te kakahu.
• He paraihe niho ngohengohe me te horoi waha kore-waipiro mēnā kei te whakamaheretia he pokanga waha, me te kakau witi hoki mō ngā wai matao.
• He hu paheke, he taputapu horoi tinana, he urunga mō te hokinga ki te kāinga, he rihi waea me te pēke hiko.
• He moni iti me tētahi kāri utu mō ngā taonga kāore i te hipokina.

I mua i te tukunga, kia mōhio koe

• Me pēhea te whakamau i te katitere ki te huha, te whakawātea me te whakawhiti i ngā pēke, me te whakahaere i te rerenga wai i te pō.
• Me aha mēnā ka aukati, ka turuturu, ka taka rānei te katitere? He take tēnei hei whakapā atu ki te hōhipera, kaua e whakauru anō i tetahi mea ki te kāinga.
• Tō maramataka rongoā, te tiaki patunga me ngā tohutohu kaukau.
• Te rā me te wāhi tika mō te tango i te catheter me te tirotiro tuatahi.

Ngā Tohu Whakatūpato e Hiahia Ana kia Arotakehia Tere

Whakapā atu ki te hōhipera, haere rānei ki te tari whawhati tata mēnā ka pāngia koe e:

• Te kore e taea te mimi i muri i te tango i te catheter, i te mea rānei kua mutu te mimi mō ētahi haora.
• Te takanga o te catheter, te unuhia rānei i waho i te tūponotanga.
• He kirika neke atu i te 38°C me te makariri, he mimi kapua kakara kino rānei.
• Te toto nui i roto i te urethra, ngā toto toto rānei e aukati ana i te rerenga wai.
• Te pupuhi haere o te perineum, o te scrotum rānei, te whero, te mamae nui, te rere rānei mai i te patunga.
• Te turuturu o te mimi mā roto i te kiri o te perineum, o te scrotum rānei, e tohu ana i te fistula.
• Mamae te kuao kau, pupuhi te waewae kotahi, mamae te uma, te kore rānei e taea te manawa.
• Te ruaki tonu, te kore rānei e taea te kai me te inu i muri i te tango i te pokanga i te waha.