Ua ʻike anei ʻoe e pili ana i kēia pilina kupaianaha ma waena o nā puʻupaʻa a me ka ʻōpū mimi o kā mākou pēpē? (Urachus)

Aloha! I kēia lā, e kamaʻilio mākou e pili ana i kahi mea kupanaha e pāʻani ana i kahi kuleana koʻikoʻi loa i ko mākou kino, ʻoiai i ka wā e noho ana mākou i loko o ka ʻōpū o ko mākou makuahine ma ke ʻano he fetus, akā i kekahi manawa hiki ke hana i nā pilikia liʻiliʻi a hiki i ka wā makua. Kāhea mākou i kēia ʻo `(Urachus)`. Malia paha ʻaʻole ʻoe i lohe i kēia huaʻōlelo ma mua. Akā, mai hopohopo, e kamaʻilio mākou e pili ana i nā mea āpau e pili ana i kēia me ka maʻalahi loa.

No laila he aha kēia `(Urachus)`? I ka ʻōlelo maʻalahi loa...

E noʻonoʻo, i ka wā e noho ana kahi pēpē i loko o ka ʻōpū, ʻo ia hoʻi, ma ke ʻano he fetus, aia kahi ala liʻiliʻi, e like me ka ʻōmole, ma waena o ka ʻōpū mimi o ka pēpē, a i ʻole ka ʻeke e hoʻopiha ʻia me ka mimi , a me ka piko/pūpū o ka pēpē. ʻO ia ka mea a mākou e kapa nei ʻo `(Urachus)`. He ʻano fibrous kēia.

ʻO kāna hana nui ke kōkua i ka hoʻokuke ʻana i ka mimi (pee) i hana ʻia e ka fetus i ka wā o ka trimester mua o ka hāpai ʻana. ʻAʻole anei he mea kupaianaha kēlā?

ʻO ka mea maʻamau e hana ʻia, ʻoiai ke ulu ʻana o ka pēpē i loko o ka ʻōpū, pinepine i ka hopena o nā mahina mua ʻekolu, pani ʻia kēia kahawai "Urachus" ma kāna iho. Ma hope o kēlā, lilo ia e like me ke kāʻei fibrous.

ʻO `(Uracus)` a me `Pekaniyya` ka mea like?

ʻAʻole, ʻelua kēlā. ʻO ke `(urachus)` ke ala e kōkua ai i ka mimi e puka i waho i ka wā embryonic. ʻO ke kaula umbilical kahi i hoʻopili ʻia ai ke pēpē i ka ʻōpū o ka makuahine. ʻOki ke kauka i kēia kaula umbilical ma hope o ka hānau ʻana o ke pēpē. Loaʻa i ke pēpē ka oxygen a me ka meaʻai mai ke kaula umbilical, a hoʻokuʻu ʻia ka mimi mai ka `(urachus)` ma o ka placenta o ka makuahine.

He aha ka hana a `(Urachus)`?

E like me kā mākou i ʻōlelo ai ma mua, i nā pae mua o ka embryo, ʻo ia hoʻi, i ka trimester mua, kōkua ka `(urachus)` i ka mimi o ke keiki e hele ma ke kaula umbilical i ka placenta o ka makuahine no ka hoʻokuʻu ʻana. I ka ulu ʻana o ke keiki, iho ka ʻōpū mimi i loko o ka pelvis. A laila, kīkoʻo kēia `(urachus)` a lilo i kahi kaula liʻiliʻi, fibrous (median umbilical ligament). ʻO kēia ka mea maʻamau e hana ʻia.

Loaʻa iā nā pākeke kekahi ʻo `(Urachus)`?

I ka hapa nui o nā pākeke, ua lilo mua ka urachus i kāʻei i kapa ʻia ʻo ka median umbilical ligament. Eia nō naʻe, he mea kupanaha, ua hōʻike kekahi mau noiʻi a hiki i ka 33% o nā pākeke ke loaʻa mau nei kekahi ʻiʻo urachus . Eia nō naʻe, ʻaʻole ʻike ka nui o ka poʻe i kēia, no ka mea, ʻaʻole ia e hoʻoulu i nā pilikia a i ʻole nā ​​maʻi.

Loaʻa i nā kaikamahine kēia pū kekahi? ʻAe, ʻo kēlā me kēia fetus, me ka nānā ʻole i ke kāne, loaʻa iā ia ka "urachus". ʻO ka hapa nui o ka manawa, lilo ia i mea i kapa ʻia ʻo ligament i ka hopena o ka trimester mua.

Aia ma hea ka `(Urachus)`?

Hoʻolōʻihi ʻia ka `urachus` mai luna o ka ʻōpū mimi fetal, mai ka ʻaoʻao mua (dome) a i ka piko. Ua like ia me kahi paipu mānoanoa, a i ʻole ke kaula. I kekahi manawa hiki ke lahilahi ma nā wēlau ʻelua, a i ʻole hiki ke ākea ma kekahi wēlau e like me ka funnel. Hiki ke loaʻa mai 1 a 15 kenimika (0.4 a 6 ʻīniha) ka lōʻihi. ʻO ia hoʻi, hiki ke pōkole iki ma mua o ka papa aspirin , a i ʻole ka lōʻihi e like me ka peni.

He aha nā hoʻāʻo e hoʻohana ʻia e nānā inā he pilikia me ka `(urachus)`?

Inā manaʻo ke kauka he pilikia paha kāu pēpē me ka urachus, e kauoha mua lākou i kahi scan ultrasound. He hoʻāʻo maʻalahi a ʻeha ʻole kēia. Hiki iā ia ke nānā i nā ʻiʻo a me nā ʻōpū i loko o kāu pēpē. I kekahi manawa e kauoha paha lākou i kahi scan MRI. He hoʻāʻo kiʻi ʻeha ʻole kēia.

I kēia manawa, inā kānalua ke kauka ua hāmama loa ka "urachus" o ka pēpē (patent urachus) a ke puka mai nei ke wai a puni ka piko mai ka ʻōpū mimi, e hoʻāʻo lākou i ka wai e ʻike inā he urea a creatinine paha . He mau huahana ʻōpala kēia i hoʻokuʻu pinepine ʻia i loko o ka mimi .

Aia kekahi hoʻāʻo ʻē aʻe e hiki ke ʻike maopopo i ke kino ma hope o ka ʻōpū mimi o ka pēpē, i kapa ʻia ʻo `(Voiding Cystourethrogram - VCUG)`. Ma kēia, hoʻokomo ke kauka i kahi kala i loko o ka ʻōpū mimi ma o ka ʻōnaehana mimi . He mea pono loa kēia hoʻāʻo `(VCUG)` inā he pilikia me ke ʻano o ka ʻōpū mimi o ka pēpē.

He aha kēia koena ʻo '(Urachus)'?

I ka ʻōlelo maʻalahi, ʻo ke koena `(Urachus)` (Urachal remnant)` he kūlana kahi i pani pono ʻole ai ke kahawai `(Urachus)`. Ua kapa ʻia hoʻi kēia ʻo `(Urachal abnormality)`. Aia nā ʻano like ʻole o kēia:

• ʻO ka urachus patent: ʻO kēia ka manawa ʻaʻole i pani pono ʻia ka urachus a ua hāmama loa. Hiki i kēia ke hoʻoheheʻe i ka wai e like me ka mimi mai ka piko o ka pēpē . A i ʻole, aia paha kahi wahi pulu a puni ka piko, e lilo paha i ʻulaʻula, ʻeleʻele, a poni paha, a hiki ke hana ʻia kahi granuloma liʻiliʻi e like me ka ʻeha. E noʻonoʻo, ke kahe nei ka mimi o ka piko o kahi pēpē hānau hou, a i ʻole ua pulu mau ka wahi ... kekahi mea like.
• ʻO ka cyst Urachal: ʻO kēia ka manawa ʻaʻole e pani pono ka urachus, e hana ana i kahi cyst piha i ka wai ma waena o ka ʻōpū mimi o ka pēpē a me ka urethra. ʻO ka hapa nui o ka manawa, ʻaʻohe hōʻailona i ka wā mua. Eia nō naʻe, inā he maʻi bacteria, hiki ke loaʻa nā hōʻailona e like me ka ʻeha o ka ʻōpū a me ke koko a i ʻole ka wai e like me ka pus e puka mai ana mai ka urachus .
• ʻO ka sinus urachal:I kēia hihia, ʻaʻole pani pono ka "Urachus" ma ke kaula umbilical o ka pēpē, akā ma ka ʻōpū mimi. ʻAʻole kēia e hōʻike pinepine i kekahi mau hōʻailona. Eia nō naʻe, inā loaʻa kahi maʻi bacteria, hiki ke loaʻa ka ʻeha o ka ʻōpū a me ke kahe ʻana o ke koko a i ʻole ka pus mai ke kaula umbilical .
• Diverticulum: Maanei, ʻaʻole pani pono ka Urachus (kahi ʻano like me ka ʻeke) ma ka ʻōpū mimi o ka pēpē. ʻAʻole pinepine kēia e hōʻike i nā hōʻailona. Eia nō naʻe, i kekahi manawa, hiki i ka mimi ke paʻa i loko o kēia ʻano like me ka ʻeke a hoʻoulu i nā maʻi Urinary Tract Infections (UTIs) . Hiki ke loaʻa nā hōʻailona e like me ke kuni a me ka ʻeha i ka wā e mimi ai (Dysuria).

ʻO ka mea nui loa, inā e liki ana kekahi wai ʻē mai ka piko o kāu pēpē, a inā ʻulaʻula ka ʻāpana, pehu, a ʻeha paha, pono ʻoe e ʻike koke i ke kauka.

He aha ke kanesa Urachal?

He ʻano kakaikahi loa ka maʻi ʻaʻai mimi ʻōpū ka maʻi ʻaʻai Urachal. He mea maʻamau ia i nā poʻe ma luna o 50 mau makahiki i loaʻa kekahi mau ʻiʻo urachus i koe. Hiki i nā hōʻailona o ka maʻi ʻaʻai urachal ke komo pū me:

• Ke koko i loko o ka mimi (Hematuria)
• ʻO Mucinuria (mea like me ka mucus i loko o ka mimi )
• ʻO ka maʻi bacteria i loko o ka mimi (Bacteriuria)
• ʻEha ʻōpū
• ʻŌpū nui

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​ʻaʻole ia he manaʻo he maʻi ʻaʻai urachus kou, akā ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a nānā ʻia.

He aha nā lāʻau lapaʻau no nā pilikia o Urachus?

Mai hopohopo, aia nā lāʻau lapaʻau maikaʻi no nā pilikia he nui e pili ana i ka '(Urachus)'.

• Inā pulu mau ka piko o kāu pēpē, e paipai paha kāu kauka i kahi kaʻina hana cauterization kemika . Pili kēia i ka hoʻopili ʻana i kahi liʻiliʻi o kahi kemika, e like me ke kālā nitrate, i ka wahi. Hoʻōla pinepine ka wahi i loko o kekahi mau lā. Pono paha ʻoe e lawe i nā antibiotics .
• He kūpono loa hoʻi nā lāʻau antibiotic no nā cysts urachal. I kekahi mau hihia, pono paha ke kauka e hoʻohana i kahi nila e wehe i ke kahe mai ka cyst. Ma hope o ka ho'ōla ʻana o ka cyst, hiki ke hana ʻia ke ʻoki ʻana e wehe i ka urachus a me nā ʻāpana o ka ʻōpū mimi e pili ana iā ia, e like me ka piko o ka ʻōpū mimi.Hiki ke hana. ʻO ka waiho ʻana i ka ʻiʻo urachus ma kahi e hoʻonui ai i ka pilikia o ka loaʻa ʻana o ka maʻi kanesa, e like me ke kanesa urachal, nā maʻi, a i ʻole nā ​​​​pōhaku mimi i ka wā e hiki mai ana. Eia nō naʻe, ʻaʻole pilikia hou ka hapa nui o ka poʻe ma hope o ka wehe ʻana o ke kauka i ka ʻiʻo urachus.

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

Ke lana nei koʻu manaʻo ua ʻoi aku kou maopopo i kēia manawa no `(Urachus)`.

• He kahawai ʻo `(Urachus)` e kōkua ai i ka hoʻokuʻu ʻana i ka mimi i ka wā embryonic, akā ma hope e pani ʻia.
• I kekahi manawa hiki ke waiho ʻia kēia ma ke ʻano he "koena urachal" me ka ʻole o ka pani pono ʻana, hiki ke alakaʻi i nā mea e like me ke kahe ʻana o ke wai mai ka ʻōpū mimi a me ka maʻi.
• Inā ʻike ʻoe i kekahi mea ʻē e pili ana i ka pihi ʻōpū o kāu pēpē, e ʻimi koke i ke kōkua lapaʻau .
• Hiki ke mālama pono ʻia nā pilikia he nui e pili ana iā Urachus.
• He maʻi laha ʻole ka maʻi ʻaʻai Urachal, akā he mea maikaʻi ke ʻike i ia mea.

He mau hana kupaianaha maoli ko kākou mau kino, ʻeā? He mea kupaianaha ka hiki i kēlā mau mea liʻiliʻi ke hoʻokani i kahi kuleana nui. No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe!

ʻUrethra , fetus, ʻūpā, mimi ʻōpū, nā koena urethra, olakino pēpē, nā maʻi ʻaʻai mimi