Cystoscopy

Ko te Cystoscopy he tikanga pokanga. Ka mahia tenei kia kite i roto o te pungarehu me te urethra ma te whakamahi i te ngongo angiangi me te ngongo.

Ka mahia te Cystoscopy me te cystoscope. He ngongo motuhake tenei me tetahi kaamera iti kei te pito (endoscope). E rua nga momo cystoscope:

• Paerewa, cystoscope maro
• Cystoscope hangore

Ka taea te whakauru i te ngongo ki nga huarahi rereke. Heoi, he rite tonu te whakamatautau. Ko te momo cystoscope ka whakamahia e to kaiwhakaora hauora ki te kaupapa o te whakamātautau.

Ko te tikanga mo te 5 ki te 20 meneti te roa. Ka horoia te urethra. Ka tukuna he rongoa whakamoe ki te kiri e tu ana i roto o te uruta. Ka mahia tenei kaore he ngira. Ko te waahanga ka whakauruhia ma te urethra ki roto i te putea.

Te wai, te tote ranei (te tote) ka rere ki roto i te ngongo ki te whakakii i te putea. Ka rite ana tenei, ka tono pea koe ki te whakaahua i te kare-a-roto. Ma tau whakautu e whakaatu etahi korero mo to mate.

I te wai e whakakii ana i te tatara, ka horaina te pakitara tatari. Ma tenei ka kite to kaiwhakarato i te pakitara katoa o te tatari kai. Ka kite koe i te tikanga o te mimi ka kiki ana te putea. Heoi, me noho ki tonu i te tatara kia oti ra ano te whakamatautau.

Mena he ahua rereke tetahi kiko, ka taea te tango i tetahi tauira iti (koiora) ma te ngongo. Ka tukuna tenei tauira ki tetahi taiwhanga hei whakamatautau.

Patai ki to kaiwhakarato mena ka mutu te inu i nga rongoa ka mate i te toto.

Ko te tikanga ka mahia i te hohipera, i te pokanga pokanga ranei. I roto i tena, me tono koe e tetahi ki te whakahoki ia koe ki te kaainga i muri iho.

Ka raru pea koe i te wa e tukuna ana te ngongo ki roto i te urethra ki roto i te putea. Ka raru koe, he hiahia nui ki te mimi i te wa e kapi ana to kiri.

Akene he peke koe ka kitea he koiora. Whai muri i te tangohanga o te ngongo, ka mamae pea te uruta. Akene he toto koe i roto i te mimi me te mamae o te ngakau i te mimi mo te ra, e rua ranei.

Kua oti te whakamatautau ki:

• Tirohia te mate pukupuku o te tatai uruta ranei
• Whakamatauhia te take o te toto i te mimi
• Whakamatauhia te take o te raru o te mimi
• Whakamatauhia te take o nga mate toka ngau
• Awhina ki te whakatau i te take o te mamae i te wa e mimi ana

Kia maeneene te ahua o te pakitara tatari. Ko te tatara kia rite ki te rahi, te ahua, me te tuunga. Kaua e whai aukati, tipu, kohatu ranei.

Ko nga hua rereke ka tohu:

• Mate matepukupuku
• Kohatu mo te tatari (calcululi)
• Te whakaheke i te pakitara
• Urethritis tawhito cystitis ranei
• Te wiriwiri o te urethra (e kiia ana he taikaha)
• Taketake (i te wa e whanau ana) he koretake
• Kaitohutohu
• Diverticula o te tatai uruta ranei
• Nga taonga o tawahi kei roto i te pungarehu uruta ranei

Ko etahi atu tohu pea ka taea:

• Momo riri
• Polyps
• Nga raru kaareti, penei i te whakaheke toto, te whakanui, te aukati ranei
• Te whara kino o te pungawerewere me te mimi
• Werohanga
• Nga pehanga Urethral

He iti ake te tuponotanga mo te whakaheke toto ka tangohia te koiora.

Ko etahi atu morearea kei:

• Mate pangia
• Tuhinga o mua

Inu 4 ki te 6 karahe wai i ia ra i muri o te mahinga.

Ka kite pea koe i tetahi toto iti i roto i to mimi i muri i tenei tikanga. Mena ka haere tonu te toto i muri i to mimi e toru nga wa, whakapiri atu ki to kaiwhakarato.

Whakapa atu ki to kaiwhakarato ki te whakawhanake koe i tetahi o enei tohu o te mate:

• Chills
• Fever
• Te mamae
• Kua whakaitihia te putanga mimi

Cystourethroscopy; Endoscopy o te tataka

• Cystoscopy
• Matarua biopsy

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.