Aia anei ka mimi i koe i loko o ka ʻōpū mimi ma hope o kou pau ʻana i ka mimi? (Hoʻāʻo Mimi Koena ma hope o ka Void) E ʻike kākou i ke ʻano o ia mea!

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole ʻoe i hoʻokahe loa i kou ʻōpū mimi ma hope o ka mimi ʻana ? A i ʻole ke manaʻo nei ʻoe e pono ʻoe e mimi i nā manawa he nui i ka lā, ʻoi aku paha ma mua o kou manaʻo? Inā loaʻa iā ʻoe kēia mau ʻeha liʻiliʻi, mai manaʻo he mea ia e hopohopo ai. I kekahi manawa, ʻoiai ke manaʻo ʻoe ua pau kāu mimi ʻana , aia paha kekahi mimi i koe i loko o kou ʻōpū mimi. Kāhea mākou nā kauka i kēia ʻo 'Post-Void Residual' (PVR) . I ka ʻōlelo maʻalahi, ʻo ia hoʻi "mimi i koe ma hope o ka mimi ʻana ."

No ke aha i hana ʻia ai kēia hoʻāʻo 'post-void residual' (PVR)?

ʻAe, ke noʻonoʻo nei paha ʻoe, "No ke aha mākou e hana ai i kēia hoʻāʻo PVR?" ʻO ke kumu nui o ka hana ʻana i kēia, ʻo ia ka ʻike pono i ka wā e hoʻokahe loa ai kou ʻōpū mimi, a inā paha he mimi i koe. Ua kapa ʻia kēia paʻa ʻana o ka mimi ʻo 'paʻa ʻana o ka mimi' . ʻOiai he mea maʻamau ka loaʻa ʻana o kahi liʻiliʻi o ka mimi i koe, inā he nui ka mimi i koe, he hōʻailona paha ia o kekahi pilikia olakino.

Hiki i kāu kauka ke ʻōlelo aku i kahi hoʻāʻo PVR inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:

• Ka mimi pinepine ʻana: Inā pono ʻoe e mimi i nā manawa he nui i ka lā, malia paha hoʻokahi manawa i ka hola.
• Paʻakikī ke kāohi ʻana i ka mimi (incontinence): Ke nalowale ka mimi me ka makemake ʻole i kou kū ʻana.
• Nā Maʻi ʻŌmole Mimi Pinepine (UTI): Inā loaʻa iā ʻoe nā UTI i kēlā me kēia mau mahina a ʻoi aku paha pinepine.
• He manaʻo kaumaha i loko o ka ʻōpū a me kahi manaʻo ʻaʻole i hoʻokahe ʻia ka ʻōpū mimi ma hope o ka mimi ʻana .
• Inā ua ʻike ʻia ʻoe me nā pōhaku mimi.

E noʻonoʻo, e kou hoaaloha, e kapa kākou iā ia ʻo Supun. Ua mimi pinepine ʻo Supun i kēia mau lā. Pono ʻo ia e ala i ʻelua a ʻekolu paha manawa i ka pō. Ua ʻōlelo ʻo ia ma hope o kona mimi ʻana , ʻike ʻo ia i ka piha i loko o kona ʻōpū. Ke hele ʻo ia e ʻike i ke kauka, haʻi ke kauka iā ia e hana i kēia hoʻāʻo PVR. ʻO ia ka manawa e lilo ai kēia hoʻāʻo i mea nui.

Pehea e hana ʻia ai kēia hoʻāʻo PVR?

ʻAe, i kēia manawa e nānā kākou pehea e ana ai i ka nui o ka mimi i koe i loko o ka ʻōpū mimi, a i ʻole PVR. ʻElua mau ʻano nui i hoʻohana ʻia no kēia.

1. Ka hoʻokomo ʻana i ka ʻōpū mimi

ʻO kēia kekahi ala. Ua kapa ʻia ia e nā kauka ʻo 'bladder catheterization' . Eia ka mea e hana ʻia:

Hele mua ʻoe i ka lua a hoʻokahe i kou ʻōpū mimi i ka hiki. A laila, e hoʻokomo kekahi kauka a kahu maʻi paha i kahi ʻōmole lahilahi a palupalu - kapa mākou i kēia he 'catheter'.– Hoʻokomo ʻia me ke akahele loa i loko o kou ʻōpū mimi ma kou urethra. Ke hoʻokomo ʻia, e wehe ʻia nā mimi a pau i koe i loko o ka ʻōpū mimi a ana ʻia ka nui. He mea ʻē paha kēia, akā hana ʻia kēia me ke akahele loa.

2. Hoʻokolokolo Ultrasound

ʻO kekahi ʻano hana nui ʻē aʻe he hoʻāʻo ultrasound . Ua lohe paha ʻoe i kēia. Hoʻohana kēia i nā nalu kani e nānā i loko o ka ʻōpū mimi. Aia kekahi mau ʻano hana ʻelua no kēia:

• ʻO ke scan Bladder: Ma kēia, hana ʻia ke scan ma kou ʻōpū, kahi o kou ʻōpū. Hoʻokomo ke kauka i kahi mea liʻiliʻi (kapa mākou iā ia he 'probe' ) ma kou ʻōpū a hoʻohana i nā nalu kani e kiʻi i ke kiʻi o kou ʻōpū a ʻike i ka nui o ka mimi i koe.
• ʻO Transvaginal Ultrasound: He ʻano scan kēia i hana ʻia ma nā wahine. Maanei, hoʻokomo ʻia kahi 'probe' ma o ka vagina e kiʻi i nā kiʻi o ka ʻōpū mimi. Hiki i kēia ʻano hana ke hana i nā kiʻi ʻoi aku ka maopopo.

E koho ke kauka i ke kūpono loa o kēia mau ʻano ʻelua ma muli o kou kūlana.

Pehea e hoʻomākaukau ai au no kēia hoʻokolohua?

I ka hapa nui o ka manawa, ʻaʻohe hoʻomākaukau kūikawā e pono ai no kēia hoʻāʻo PVR. Hiki iā ʻoe ke ʻai a inu e like me ka mea maʻamau. Eia nō naʻe, i kekahi manawa e ʻōlelo paha kāu kauka iā ʻoe e inu i kahi wai hou aʻe i kekahi mau hola ma mua o ka hoʻāʻo a e hoʻopiha iki i kou ʻōpū mimi. No laila, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka a i ʻole ke kahu maʻi ma mua o ka hoʻāʻo inā he mau kuhikuhi kūikawā āu e pono ai e hahai.

He aha ka mea e hana maoli ana i ka wā o ke 'Bladder Catheterization'?

E ʻōlelo kākou ua koho ʻoe e ana i kāu PVR ma o ka catheterization bladder. A laila hana ʻia kekahi mea e like me kēia:

1. Ke hoʻokahe nei i ka ʻōpū mimi: ʻO ka mea mua, e hoʻouna ʻia ʻoe i ka lua a e noi ʻia e hoʻokahe i kou ʻōpū mimi me ka piha loa.

2. Hoʻomākaukau: A laila, e noi ʻia ʻoe e moe i lalo ma ka papa hoʻokolokolo, e kūlou i kou mau kuli, a e hohola i kou mau wāwae i nā ʻaoʻao. E ʻae kēia i kahi ʻike maikaʻi o kou urethra.

3. Hoʻomaʻemaʻe a me ka Hoʻomāʻū ʻana: A laila, e hoʻomaʻemaʻe pono ke kauka a kahu maʻi paha i kou urethra a me ka ʻāpana a puni. A laila, e hoʻopili lākou i kahi liʻiliʻi o ka anesthetic kūloko e hoʻomāʻū i ka ʻāpana. E kōkua kēia iā ʻoe e hōʻemi i ka ʻeha.

4. Ke hoʻokomo ʻana i ka catheter: I kēia manawa, ua hoʻokomo pono ʻia ka ʻōmole lahilahi i kapa ʻia ʻo 'catheter' ma o kou urethra i loko o kou ʻōpū mimi.

5. Ka wehe ʻana a me ke ana ʻana o ka mimi: Hoʻohemo ʻia nā mimi i koe i loko o ka ʻōpū mimi ma o ke catheter a ua ana pololei ʻia ka nui.

6. Ka wehe ʻana i ke catheter: Ma hope o ka hōʻiliʻili ʻana i ka mimi, e wehe pono ʻia ka ʻōmole.

He mau minuke wale nō e pau ai kēia mau mea a pau.

He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo ultrasound PVR?

I kēia manawa, e nānā kākou i ka mea e hana ʻia ke ana ʻia ka PVR me kahi ultrasound. He ʻokoʻa iki kēia mai ka catheterization.

1. Ke hoʻokahe nei i ka ʻōpū mimi: I kēia hihia, e hoʻouna mua ʻia ʻoe i ka lua a e noi ʻia e hoʻokahe i kou ʻōpū mimi i ka hiki.

2. Hoʻomākaukau: A laila, e hoʻomoe ʻia ʻoe ma luna o kahi moena hoʻokolokolo.

3. Hoʻopili ʻia ka gel: No ka nānā ʻana i ka ʻōpū mimi, hoʻopili ʻia kahi gel kūikawā i kou ʻōpū, kahi o kou ʻōpū mimi. Kōkua kēia gel i ka hana ʻana i kahi pilina maikaʻi ma waena o ka probe a me kou ʻili. No ka ultrasound transvaginal, hoʻopili ʻia ka gel i ka probe.

4. Ke nānā ʻana: A laila, kau ke kauka i ka probe ultrasound ma kou ʻōpū (no ka scan bladder) a i loko paha o kou vagina (no ka ultrasound transvaginal) e kiʻi i nā kiʻi maikaʻi loa o kou bladder. Hiki iā ʻoe ke nānā i kēia mau kiʻi ma kahi monitor kokoke.

5. Hoʻopau: Ma hope o ka lawe ʻana i nā kiʻi e pono ai o ka ʻōpū mimi, wehe ʻia ka probe. A laila hiki iā ʻoe ke holoi i kekahi gel keu.

E pau ana nō hoʻi kēia i loko o kekahi mau minuke.

He aha ka mea e hana ʻia ma hope o ka hoʻāʻo PVR?

ʻAʻole maʻamau kēia hoʻāʻo PVR he kaʻina hana paʻakikī loa. Kāhea mākou i kēia he 'kaʻina hana ma waho' . ʻO ke ʻano kēia, i ka pau ʻana o ka hoʻāʻo, hiki iā ʻoe ke hoʻi i ka home a i ʻole e hoʻi i kāu hana maʻamau. Hiki iā ʻoe ke hoʻomaka hou i kāu mau hana o kēlā me kēia lā e like me ka maʻamau.

Eia nō naʻe, inā ua loaʻa iā ʻoe kahi catheterization bladder , i ka pau ʻana o ka lāʻau hoʻomānoʻo, hiki iā ʻoe ke manaʻo i kahi ʻoluʻolu iki a i ʻole ke kuni ʻana i loko o kou urethra no kekahi mau lā. ʻO ka mea maikaʻi loa e hana ai no kēia, ʻo ia ka inu ʻana i ka wai hou aʻe a mimi i nā manawa he nui i ka lā. E kōkua kēia i ka hōʻemi nui ʻana i ka ʻoluʻolu ʻole.

Aia kekahi mau pilikia me kēia hoʻāʻo PVR?

ʻAʻohe pilikia nui i loko o kahi hoʻāʻo ultrasound. He palekana loa ia.

Eia nō naʻe, ʻoiai he mea kakaikahi loa ka catheterization bladder , hiki ke lawe mai i kekahi mau pilikia liʻiliʻi. Eia kēia mau mea:

• He wahi liʻiliʻi ka hiki ke loaʻa i kahi maʻi ʻaʻai mimi (UTI). ʻO kēia no ka mea ua hoʻokomo ʻia kahi mea ʻē i loko o ka urethra. Eia naʻe, he mea kakaikahi loa kēia. I kekahi manawa e hāʻawi paha kāu kauka iā ʻoe i kahi lāʻau lapaʻau i kapa ʻia ʻo ' antibiotics ' e hōʻemi i kēia pilikia.
• Loaʻa paha kekahi koko i loko o kou mimi (hematuria). Hoʻopau pinepine ʻia kēia i loko o hoʻokahi a ʻelua paha lā.
• ʻAʻole pinepine loa, hiki ke lilo i mea e like me kahi ʻeha liʻiliʻi i ka urethra a i ʻole ka ʻōpū mimi.

Akā, ke haʻi hou nei au, he liʻiliʻi loa kēia mau pilikia. Hana nā kauka i kēia hoʻāʻo me ka ʻike nui a me ke akahele. No laila, mai makaʻu pono ʻole. Inā he kānalua kāu, e kamaʻilio me kāu kauka.

He aha ka waiwai maʻamau o ka 'post-void residual' (PVR)?

ʻAe, e nānā kākou i nā hopena o kēia hoʻāʻo PVR. ʻO ka nui o ka mimi i koe i loko o kou ʻōpū mimi e ana pinepine ʻia ma nā milliliters (mL).

• No ke kanaka makua olakino, manaʻo pinepine ʻia he mea maʻamau ka emi ʻana o ka mimi ma mua o 50 milliliters (50 mL) e noho i loko o ka ʻōpū mimi ma hope o ka mimi ʻana .
• Inā ma waena o 50 a me 100 milliliters (50 mL - 100 mL), hiki i kekahi manawa ke maʻamau, a i ʻole he mea paha e pono ai ke noiʻi hou aku.
• Inā ʻoi aku ma mua o 100 milliliters (100 mL) i koe, hiki ke manaʻo ʻia he 'paʻa mimi'.

Akā e hoʻomanaʻo i kēia: Na kāu kauka e hoʻoholo pololei i ka PVR 'maʻamau' a me ka 'maʻamau ʻole' nou. Aia ia i nā kumu he nui, me kou makahiki, kou olakino, a me nā lāʻau lapaʻau āu e lawe ai. No laila, ke loaʻa kāu mau hopena, he mea nui e kamaʻilio me kāu kauka e pili ana iā lākou a hoʻomaopopo i ko lākou manaʻo.

ʻEhia ka lōʻihi e ʻike ai i nā hopena o ka hoʻāʻo PVR?

He mea kēia āu e ʻike ai. I ka hapanui o nā hihia, loaʻa koke nā hopena o kahi hoʻāʻo PVR, kokoke koke ma hope o ka pau ʻana o ka hoʻāʻo. Hiki i kahi ultrasound ke haʻi koke iā ʻoe. Hiki i kahi catheterization ke haʻi iā ʻoe i ka nui o ke kahe koko i ana ʻia. Eia nō naʻe, ʻoi aku ka maikaʻi o ka nīnau ʻana i kāu kauka a kahu maʻi paha i ka wā e hiki ai iā ʻoe ke kūkākūkā i nā hopena.

No ke aha i paʻa ai ka nui o ka mimi i loko o kēia ʻōpū mimi (High PVR Volume)?

Aia kekahi mau kumu e hiki ai i ka nui o ka mimi ke waiho i loko o ka ʻōpū mimi, a i ʻole ka PVR kiʻekiʻe. Eia kekahi o nā kumu nui o kēia kūlana 'paʻa ʻana o ka mimi':

• ʻO kahi ālai ʻana ma kekahi wahi o kāu ʻōnaehana mimi: No ka laʻana, kekahi mea e like me ka puʻupuʻu mimi, kahi pōhaku mimi, a i ʻole kahi ālai ʻana i ka urethra.
• ʻO ka prostate nui (BPH): He mea maʻamau kēia i nā kāne i ko lākou wā ʻelemakule. Ke nui ka prostate gland, hiki iā ia ke ʻūlū i ka urethra, e paʻakikī ai ke kahe ʻana o ka mimi.
• Ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau ʻeha, antihistamines, a me kekahi mau lāʻau lapaʻau no ka maʻi noʻonoʻo ke hoʻopilikia i ka hana o ka ʻōpū mimi.
• ʻUrethra haiki a i ʻole ke koʻikoʻi o ka urethral: Inā ua haiki ka urethra, ma muli paha o kahi maʻi a i ʻole ka ʻeha.
• Nā pilikia o ka ʻōnaehana nerve:ʻO nā maʻi neurological e like me ka maʻi diabetes mellitus, nā ʻeha o ke kaula spinal, ka maʻi Parkinson, a me ka sclerosis lehulehu hiki ke hōʻino i nā aʻalolo e hoʻomalu ana i ka ʻike a me ka hana o ka ʻōpū mimi. Ua kapa ʻia kēia ʻano he ʻōpū mimi neurogenic .
• Ka nāwaliwali o nā ʻiʻo o ka ʻōpū mimi.
• Paʻa ʻōpū: Hiki i ka paʻa ʻōpū nui ke kau i ke kaomi ma ka ʻōpū mimi a pale i ka mimi mai ke kahe pono ʻana.

Pehea e mālama ai i ka paʻa ʻana o ka ʻōpū?

Inā ʻike ʻia he kiʻekiʻe kāu PVR, ʻo ia hoʻi, ua nui ka mimi i koe i loko o ka ʻōpū mimi, e nānā hou kāu kauka i ke kumu , ʻoiai e hoʻoholo ʻia ka lāʻau lapaʻau ma muli o kēlā kumu.

• Inā he hopena ʻaoʻao o ka lāʻau lapaʻau ke kumu, hiki ke hoʻololi i ka lāʻau lapaʻau a hoʻemi ʻia paha ka nui.
• Inā ua hoʻonui ʻia ka ʻōpū prostate, hiki ke mālama ʻia me ka lāʻau lapaʻau a i ʻole ke ʻoki kino liʻiliʻi.
• Inā he ālai ʻia i loko o ke ala mimi, hiki ke hana ʻia ke ʻoki kino a i ʻole kekahi hana ʻē aʻe e wehe ai.
• Inā he pilikia aʻalolo, hiki ke hoʻohana ʻia nā lāʻau lapaʻau a i ʻole nā ​​​​ʻano hana ʻē aʻe e kōkua iā ʻoe e hoʻokahe i kou ʻōpū mimi i kou wā e mālama nei . Manaʻo ʻia paha kekahi poʻe e hoʻomaʻamaʻa i ka hoʻokahe ʻana i ka manawa kūpono a hoʻohana paha i kahi catheter.

ʻO ka mea nui loa, e kamaʻilio kāu kauka me ʻoe e pili ana i kēia me nā kikoʻī, e wehewehe i kāu mau koho, a inā paha he mau hoʻokolohua hou aʻe e pono ai. No laila, mai makaʻu e nīnau i kāu mau nīnau.

Āhea wau e ʻike ai i ke kauka?

He mea nui loa hoʻi kēia.

Inā ʻike koke ʻoe ʻaʻole hiki iā ʻoe ke mimi iki, ʻo ia hoʻi ua ālai loa ʻia kāu mimi, he pilikia ia. Pono ʻoe e hele koke i ka ʻoihana pilikia o ka haukapila (ETU) . Mai hoʻokaʻulua.

Eia kekahi, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​e ʻike pono i kāu kauka ʻohana a i ʻole he urologist:

• Inā he ʻeha a he pehu paha kou ma ka ʻōpū lalo.
• Inā loaʻa iā ʻoe ka ʻeha a i ʻole ke kuni i ka wā e mimi ai .
• Inā he kuni kou.
• Inā ʻeleʻele ke kala o ka mimi a i ʻole he ʻala maikaʻi ʻole.
• Inā he koko i loko o ka mimi.
• Pono wau e mimi pinepine, akā he liʻiliʻi wale nō i ka manawa.
• Inā ua piha mau kou ʻōpū mimi ma hope o kou pau ʻana o ka mimi ʻana .

Mai hoʻowahāwahā i kēia mau hōʻailona. ʻO ka ʻimi ʻana i ke aʻo lapaʻau i ka wā mua e hiki ke pale i ka piʻi ʻana o ka maʻi.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

No laila, ʻo ka mea hope loa, inā manaʻo ʻoe he mau hōʻailona kou o ka paʻa ʻana o ka mimi, ʻo ia hoʻi, ka mimi i waiho ʻia i loko o ka ʻōpū mimi, e noi paha kāu kauka iā ʻoe e hana i kēia hoʻāʻo 'post-void residual' (PVR). ʻOiai he mea maʻamau ka loaʻa ʻana o kahi liʻiliʻi o ka mimi i waiho ʻia i loko o kou ʻōpū mimi i kekahi manawa, ʻo ka nui loa e hiki ke hōʻino i kou ʻōpū mimi, hoʻopilikia i kou mau puʻupaʻa, a alakaʻi i nā maʻi pinepine. ʻAʻole wale ia, akā hiki nō hoʻi ke lilo i hōʻailona o kahi maʻi kumu e pono ai ke mālama ʻia.

Inā kiʻekiʻe kāu PVR, e hoʻoholo kāu kauka i ke kumu a e ʻōlelo aku i ka lāʻau lapaʻau maikaʻi loa nāu. Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia hoʻāʻo a i ʻole kāu mau hopena, mai kānalua e nīnau i kāu kauka. Loaʻa iā ʻoe nā kuleana āpau e hoʻomaopopo ʻia e pili ana i kou olakino. E noho olakino!

Hoʻāʻo mimi koena ma hope o ka puka ʻana o ka mimi, hoʻāʻo PVR, paʻa ʻana o ka mimi, ʻōpū mimi, catheterization, ultrasound, hoʻāʻo mimi, nā hōʻailona mimi, paʻa ʻana o ka mimi