Matarua biopsy

Ko te koiora kiri he mahi e tangohia ai nga waahanga iti o te kiko i te putea. Ka whakamatautauhia te kiko i raro i te karu.

Ka taea te mahi koiora kiri i te waahanga o te cystoscopy. Ko te Cystoscopy he tikanga e mahia ana kia kite i te roto o te tataka ma te whakamahi i te ngongo angiangi ka kiia he cystoscope. Ka tangohia tetahi waahanga iti, te waahanga rereke ranei. Ka tukuna te kiko ki te taiwhanga hei whakamatautau mena:

• Ko nga ngoikoretanga o te tatara e kitea ana i tenei wa o te whakamatau
• Ka kitea he puku

Me haina e koe tetahi pepa whakaae i mua i to koiora koiora. I te nuinga o nga wa, ka tono koe kia mimi i mua tonu i te tikanga. Ka tonoa pea koe ki te tango i te paturopi i mua i te tikanga.

Mo nga kohungahunga me nga tamariki, ko te whakaritenga ka taea e koe mo tenei whakamatautau ka whakawhirinaki ki te pakeke o to tamaiti, nga wheako o mua, me te taumata o te whakawhirinaki. Mo nga korero whanui mo te whakarite i to tamaiti, tirohia nga kaupapa e whai ake nei:

• Te whakamatautau i nga kohungahunga te whakaritenga tikanga ranei (whanau ki te 1 tau)
• Te whakamatautau i nga kohungahunga te whakarite tikanga ranei (1 ki te 3 tau)
• Te whakamatau me te whakarite tikanga whakahaere (3 ki te 6 tau)
• Te whakamatautau i nga tau kura, te whakarite tikanga ranei (6 ki te 12 tau)
• Te whakamatautau taiohi, te whakarite tikanga ranei (12 ki te 18 tau)

He raru pea to mate ka puta te cystoscope i roto i to urethra ki roto i to putea. Ka raru koe ka rite ki te kaha o te akiaki i te mimi ka kapi te wai i to putea.

Akene he porearea koe i te wa o te koiora. Akene ka puta he mura o te mura ka hiritia ana nga toto kia mutu ai te heke o te toto (cauterized).

Whai muri i te tangohanga o te cystoscope, ka mamae pea to urethra. Ka rongo pea koe i te kare e mura ana i te mimi mo te ra, mo te rua ranei. Akene he toto kei roto i te mimi. I te nuinga o nga wa, ka haere takitahi tenei.

Ki etahi keehi, me tango te koiora mai i te rohe nui. I roto i taua keehi, akene me hiahia koe ki te mate rongoa rongoa whaanui, ki te waatea ranei i mua o te mahinga.

I te nuinga o nga wa ka mahia tenei whakamatautau hei tirotiro i nga mate pukupuku o te pungarehu uruta ranei.

He maeneene te pakitara tatari. He rite tonu te rahi o te tatara, ahua, me te tuunga. Kaore he aukati, he tipu, he kohatu ranei.

Ko te waatea o nga pukupuku pukupuku e tohu ana i te mate pukupuku mate pukupuku. Ko te momo mate pukupuku ka whakatauhia mai i te tauira koiora.

Ko etahi atu o nga rereketanga ka uru ki:

• Diverticula paru
• Kaitohutohu
• Ngawehi
• Mate
• Ngeru

He raru pea mo te mate mimi.

He iti ake te tuponotanga mo te whakaheke toto. Akene he pakaru o te pakitara tatari me te cystoscope i te waa koiora ranei.

He raru ano kei tupono ka kitea e te koiora he mate tuuturu.

Akene he iti to toto i roto i to mimi i muri tonu i tenei tikanga. Mena ka haere tonu te toto i muri o to mimi, whakapiri atu ki to kaiwhakarato hauora.

Whakapa atu hoki ki to kaiwhakarato mena:

• He mamae to koe, he wiri, he kirikaa ranei
• He iti ake te kaha o te urine i to mua (oliguria)
• Kaore e taea e koe te mimi ahakoa he tino kaha ki te peera

Biopsy - tōngāmimi

• Te whakateretere i te tatara - wahine
• Te whakateretere i te tatara - tane
• Whaea mimi wahine
• He ara mimi tane
• Matarua biopsy

Bent AE, Cundiff GW. Cystourethroscopy. I roto i: Baggish MS, Karram MM, eds. Atlas o te Pelvic Anatomy me te Taputapu Hinengaro. 4th ed. Philadelphia, PA: Elsevier; 2016: chap 122.

Fatongia BD, Conlin MJ. Nga kaupapa o te urunga uropi. I roto i: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Philadelphia, PA: Elsevier; 2021: chap 13.

Paetukutuku National Institute of Diabetes and Digestive and Kidney Diseases. Cystoscopy me te ureteroscopy. www.niddk.nih.gov/health-information/diagnostic-tests/cystoscopy-ureteroscopy. Whakahoutia Pipiri 2015. Kua Uru Atu Mei 14, 2020.

Smith TG, Coburn M. Pokanga Urologic. I roto i: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Pukapuka Tuhinga Sabiston o te Taatai. Ed 20 Philadelphia, PA: Elsevier; 2017: chap 72.