Ua ʻike anei ʻoe i kēia mau mea e pili ana i kāu ʻōnaehana mimi? E kamaʻilio kākou!

Aloha! I kēia lā, e kamaʻilio ana mākou e pili ana i kahi ʻōnaehana koʻikoʻi loa i loko o ko mākou kino. ʻO ia ka ʻōnaehana mimi, a i ʻole e like me kā mākou e ʻōlelo nei ma ka ʻōlelo Pelekania, ʻo ka "Urinary System". Hana ia e like me ke kānana wai i loko o ko mākou hale. ʻO kāna hana nui, ʻo ia ke kānana i nā mea ʻawahia pono ʻole a me nā huahana ʻōpala mai ke kino a hoʻokuʻu iā lākou ma ke ʻano he mimi. No laila, inā he pilikia i kēia kaʻina hana, ʻaʻole paha hiki iā mākou ke mimi maʻamau. No laila, he mea nui loa ka makaʻala i kēia.

He aha ka ʻōnaehana mimi? Pehea kāna hana?

I ka ʻōlelo maʻalahi, ua like kāu ʻōnaehana mimi me ka ʻōnaehana kānana o kou kino . Kānana ia i nā ʻōpala a me nā mea ʻawahia mai kou kino a hoʻokuke aku iā lākou ma ke ʻano he mimi. No ka hana pono ʻana o kēia hana, pono kēia mau huahana ʻōpala e hele ma waena o kekahi mau ʻōkana.

ʻO nā ʻāpana nui o kēia ʻōnaehana:

• ʻElua mau puʻupaʻa: ʻO kēia nā ʻōkana nui e kānana i ke koko.
• Nā Ureters: ʻElua mau ʻōmole e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi.
• ʻŌmole mimi: He ʻōkana e like me ke ʻeke e hōʻiliʻili a mālama i ka mimi no kekahi manawa.
• Urethra: ʻO ka ʻōmole e lawe ai i ka mimi mai ka ʻōpū mimi a i waho o ke kino.

I kēia manawa, e nānā kākou i kāna mau hana nui.

• Hoʻomaʻemaʻe koko: Kānana ʻia ke koko e kahe ana ma o ko kākou kino a hoʻopau ʻia nā mea i makemake ʻole ʻia.
• Ka hoʻokaʻawale ʻana i nā mea pono ʻole: Mālama ke kino i nā meaʻai e pono ai a hoʻokaʻawale i nā mea ʻawahia a me nā ʻōpala.
• Mimi: Hōʻiliʻili ʻia ka mimi i hana ʻia a hoʻokuke ʻia aku mai ke kino ke hiki mai ka manawa.

E noʻonoʻo i kou mau puʻupaʻa e like me ʻelua mau kānana akamai loa. Hele kou koko ma o nā kīʻaha koko liʻiliʻi i loko o kēia mau puʻupaʻa. Ma laila, kānana nā puʻupaʻa i ke koko, e wehe ana i nā mea ʻawahia, nā paʻakai makemake ʻole ʻia, a me ka wai keu . Hoʻohui lākou i nā huaora, nā minelala, nā meaʻai, a me nā protein e pono ai ke kino i loko o ke kahe koko. Hele nā ​​​​huapalapala i hoʻokaʻawale ʻia a me ka mimi i lalo i nā ureters i ka ʻōpū mimi. Ke pono ʻoe e mimi, puka ka mimi i loko o ka ʻōpū mimi ma o ka urethra. ʻAʻole anei he hana kupaianaha?

He aha nā ʻāpana koʻikoʻi o kā mākou ʻōnaehana urinary?

E kamaʻilio hou aku kākou e pili ana i nā ʻōkana nui e hana ana i ka ʻōnaehana mimi. Hana pū kēia mau ʻōkana a pau e kānana, hōʻiliʻili, a hoʻopau i nā ʻōpala wai i loko o ko kākou kino. Aia kēia mau ʻōkana a pau i loko o ko kākou lua ʻōpū a me ka ʻāpana pelvic.

E nānā mua kākou i nā puʻupaʻa.

ʻO kēia nā mea hana nui o kā mākou ʻōnaehana mimi.Hana mau kēia mau ʻōkana ʻelua. Kānana lākou i ke koko a hana i ka mimi. Loaʻa iā mākou ʻelua mau puʻupaʻa, aia ma nā ʻaoʻao ʻelua o ka ʻōpū, ma lalo pono o ka iwi ʻaoʻao. ʻO ka nui o kēlā me kēia puʻupaʻa e like me kou lima. Hana kupaianaha lākou. Kānana lākou ma waena o 110 a me 140 lita o ke koko i kēlā me kēia lā ! ʻO ia hoʻi, hana lākou ma kahi o 1 a 2 lita o ka mimi i kēlā me kēia lā.

He aha nā ureters?

ʻO kēia nā ʻōmole lahilahi ʻelua e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi. Aia lākou i loko o ka lua pelvic. ʻO kēlā me kēia ureter ma kahi o 9 ʻīniha ka lōʻihi. He palupalu loa, ʻeā?

He aha ka ʻōpū mimi?

He ʻeke ʻiʻo hakahaka kēia e hōʻiliʻili a mālama i ka mimi a hiki i kou mākaukau e mimi. Ua like ia me kahi pōpō liʻiliʻi. Hoʻonui ia, a i ʻole e nui aʻe, ke piha i ka mimi. Hiki i ka ʻōpū mimi ke paʻa ma kahi o 500 milliliters (ma kahi o 2 kīʻaha) o ka mimi i ka manawa hoʻokahi. ʻO ka mimi ʻana ka manawa e hoʻokahe ai ʻoe i kēia ʻōpū mimi.

ʻO ka urethra a me kāna hana

ʻO kēia ka ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi a i waho o ke kino. Aia ʻelua mau ʻiʻo sphincter e pani ana i kēia puka e pale aku i ka mimi mai ka liki ʻana i waho ke ʻole ʻoe e hele i ka lua. Hāmama a pani kēia mau ʻiʻo apo e kāohi i ke kahe ʻana o ka mimi. I kekahi manawa ke nāwaliwali kēia mau ʻiʻo, lilo ia i mea paʻakikī ke kāohi i ka mimi.

He aha nā maʻi e hiki ke loaʻa e pili ana i ka ʻōnaehana urinary?

Hiki i nā kūlana he nui ke hoʻopilikia i kā mākou mau ureters, nā puʻupaʻa, ka ʻōpū mimi, a me ka urethra. Hiki i nā maʻi, nā maʻi, a i ʻole nā ​​​​pilikia ke loaʻa i ka wā hānau a i ʻole e ulu aʻe i ko mākou wā ʻelemakule. Hiki i ke kanesa ke hoʻopilikia i nā ʻāpana o ka ʻōnaehana urinary.

Eia kekahi o nā maʻi maʻamau o ka ʻōnaehana mimi:

• Nā maʻi:

Hiki i nā maʻi ʻaʻai mimi (UTI) a me nā maʻi i laha ma ke ʻano moekolohe (STI) ke hana i nā pilikia o ka puʻupaʻa, ke ala mimi, a i ʻole ka ʻōpū mimi ke komo ka bacteria ma ke ala mimi. Hoʻomaʻamaʻa pinepine nā kauka i nā lāʻau antibiotic no kēia.

• Nā Pōhaku Puʻupaʻa:

He mau pōhaku liʻiliʻi nā pōhaku puʻupaʻa e hana ʻia ke hui pū nā mea ʻōpala. Hiki i kēia mau pōhaku ke hōʻeha nui a ālai i ke kahe ʻana o ka mimi inā paʻa lākou i loko o nā puʻupaʻa a i ʻole nā ​​ʻōmole ureter. E noʻonoʻo i ka ʻeha inā paʻa kahi pōhaku liʻiliʻi!

• Nā pilikia mimi:
• ʻO ka hoʻōki ʻana o ka mimi: Ka nalowale ʻana o ka mimi ke makemake ʻole ʻoe. Hiki ke hoʻonui ʻia kēia e ke kunu ʻana, ka ʻakaʻaka, ke kihe ʻana, a i ʻole ka lele ʻana.
• ʻŌpū mimi hana nui:Pono pinepine a koke hoʻi e mimi.
• Paʻa ʻana o ka mimi: ʻO ke ʻano kahi i hoʻokahe ʻole ʻia ai ka ʻōpū mimi ma hope o kēlā me kēia mimi ʻana.

I loko o kēia mau kūlana, ʻike ʻia paha nā hōʻailona e like me ka mimi pinepine ʻana, ka nāwaliwali o ke kahe ʻana o ka mimi, a me ka liki ʻana o ka mimi. Hiki ke mālama ʻia kēia mau mea me nā lāʻau lapaʻau a me nā hoʻololi ʻana i ke ʻano o ka nohona.

• Nā mea e ālai ai i ke ala mimi:

Hiki i nā puʻupuʻu a i ʻole nā ​​​​pūpū ma nā wahi āpau o ka ʻōnaehana mimi ke ālai i ke kahe o ka mimi. I nā kāne, hiki i ka prostate nui ke ālai i ka urethra, e paʻakikī ai ka mimi. Hiki i ka hāpai ʻana a me nā maʻi ʻōpū e like me ka maʻi Crohn ke ālai i ka urethra. Hiki ke ho'ōla pinepine ʻia kēia mau ālai me ke ʻoki ʻana.

• Maʻi puʻupaʻa:

He kūlana koʻikoʻi kēia. ʻO nā kumu nui o ka maʻi puʻupaʻa mau loa (CKD) ʻo ke koko kiʻekiʻe (Hypertension) a me ka maʻi diabetes (Diabetes Mellitus). No laila, he mea nui loa ia e kāohi i ke koko a me nā pae kō. Hiki i ka maʻi puʻupaʻa ke alakaʻi i ka hāʻule ʻana o ka puʻupaʻa. I kēlā hihia, pono ʻoe e hana i ka dialysis a i ʻole kahi hoʻoili puʻupaʻa . He mea naʻauao ke kamaʻilio me kāu kauka e pili ana inā paha ʻoe i ka pilikia o ka loaʻa ʻana o ka maʻi puʻupaʻa a hana i nā hana e hōʻemi ai i kēlā pilikia.

• ʻO ka maʻi Cystitis Interstitial/ʻeha ʻōpū ʻeha:

I kēia kūlana, lilo ka ʻōpū mimi i pehu, a pehu paha. Hiki i ka lāʻau lapaʻau a me ka hoʻōla kino ke kōkua i ka hōʻemi ʻana i nā hōʻailona.

• Nā pilikia kūkulu:

I kekahi manawa hānau ʻia nā pēpē me nā pilikia me ke ʻano o ka hoʻokumu ʻia ʻana o kā lākou ʻōnaehana mimi. No ka laʻana, ʻo ka ureter ectopic kahi kūlana kahi i pili ʻole ai ka urethra o ka pēpē i ka ʻōpū mimi akā ua pili i kahi ʻāpana ʻē aʻe o ke kino. Inā ʻaʻole ulu pono nā ʻāpana ʻē aʻe o ka ʻōnaehana mimi, hiki i kēia ke hana i nā pilikia me ka mimi ʻana. ʻO ka prolapse bladder ka wā e hāʻule ai ka ʻōpū mimi i loko o ka vagina a i ʻole e kau ana i waho o ka puka vaginal. I kekahi manawa pono kēia i ke ʻoki ʻana.

He aha nā hōʻailona maʻamau o kēia maʻi?

Hiki ke ʻokoʻa nā hōʻailona ma muli o ke kūlana āu e loaʻa nei. Eia nō naʻe, loaʻa i ka hapa nui o nā kūlana kekahi mau hōʻailona maʻamau. ʻO kēia mau mea:

• Nā loli i ka mimi ʻana: Nui nā mea e like me ka pono e mimi pinepine, ka emi ʻana o ka mimi, a me ka ʻeha i ka wā e mimi ai.
• Nā loli i ka mimi: Mimi e ʻike ʻia he ʻeleʻele a ʻōpua paha, a i ʻole ke koko i loko o ka mimi (hematuria).
• ʻEha ma ka ʻōpū:Ma muli o ka nui o nā ʻōkana o ka ʻōnaehana mimi i loko o ka ʻōpū, hiki iā ʻoe ke manaʻo i ka ʻeha, ka paʻa, a me ke kaomi ma kēia wahi.
• Kuni, ʻeha kino, a me ka malaise: Hiki i kēia ke lilo i mau hōʻailona o kahi maʻi. Hiki nō hoʻi ke loaʻa ka luaʻi a me ka luaʻi.

Mea nui: Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​e ʻike pono i ke kauka no ka ʻōlelo aʻo.

He aha nā hoʻokolohua e hana ʻia e ʻike ai i kahi maʻi urinary tract?

Na kāu kauka e hoʻoholo i nā hoʻokolohua e hana ai ma muli o kāu mau hōʻailona a me nā kumu ʻē aʻe. Eia kekahi o nā hoʻokolohua e hiki ke hana ʻia:

• Urinalysis: Pili kēia i ka nānā ʻana i ke kala, ke ʻano, ka haku mele kemika, a me ka nānā ʻana i ka microscope o kāu mimi.
• Hoʻāʻo hana puʻupaʻa: Nānā kēia i ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa. Hiki i kēia ke komo pū me kahi hoʻāʻo koko a me kahi hoʻāʻo mimi.
• Nā hoʻāʻo koko: Hiki i kēia ke hāʻawi i nā kauka i kahi manaʻo o nā mea e hana nei i loko o kou kino. Hiki iā lākou ke nānā i nā kemika, nā protein, a me nā mea ʻē aʻe i loko o kou koko.
• ʻUlu ʻūlū: Lawe ʻia kahi hāpana o ka wai mai ka urethra a hoʻāʻo ʻia.
• Moʻomeheu mimi: He hoʻāʻo e hoʻoulu i ka bacteria mai kahi hāpana mimi. Hiki i kāu kauka ke hana i kēia ma hope o kou ʻike ʻia ʻana he UTI. Hiki iā ia ke kōkua i ka hoʻoholo ʻana i ke ʻano kikoʻī o ka bacteria i hoʻokumu i ka UTI.
• Nā hoʻāʻo kiʻi: Hiki i kāu kauka ke kauoha i kēia mau hoʻāʻo e kōkua i ka ʻike ʻana i kekahi mau kūlana. ʻO nā laʻana e komo pū me nā scan ultrasound, X-ray, MRI (Magnetic Resonance Imaging) scan, a me CT (Computed Tomography) scan .

No laila pehea mākou e mālama ai i kēia ʻōnaehana mimi i ke olakino?

Hiki iā ʻoe ke hoʻāʻo e mālama i kou ʻōnaehana mimi ma ke olakino ma o ka hoʻomaʻemaʻe maikaʻi a me ke ʻano ola kino olakino. Eia kekahi mau mea e hiki ke kōkua:

• Inu nui i ka wai: ʻO ka noho hydrated e kōkua i ka hoʻomaʻemaʻe ʻana i ke ala mimi. Kōkua pū kēia i ka pale ʻana i nā pōhaku puʻupaʻa a me nā UTI.
• E ʻai i ka meaʻai kaulike: ʻO nā meaʻai haʻahaʻa i ka paʻakai a kiʻekiʻe i ka calcium e hiki ke kōkua i ka pale ʻana i ka hoʻokumu ʻia ʻana o nā pōhaku puʻupaʻa.
• E hoʻokahe loa i kou ʻōpū mimi: Ke hele ʻoe i ka lua, e hoʻokuʻu i ka mimi a pau e puka i waho. Mai hoʻopaʻa iā ia no ka manawa lōʻihi.
• E hoʻomaʻemaʻe pono: Inā he wahine ʻoe, e holoi mau mai mua a i hope ma hope o ka hoʻohana ʻana i ka lua. Hoʻemi kēia i ka pilikia o ka bacteria e komo ana i loko o ka vagina a hoʻoulu i kahi UTI.
• E mimi ma hope o ka moekolohe:Inā he wahine ʻoe, ʻo ka mimi koke ʻana ma hope o ka moekolohe hiki ke kōkua i ka hoʻopau ʻana i ka bacteria a hōʻemi i ka pilikia o ka hoʻomohala ʻana i kahi maʻi ʻaʻai urinary tract (UTI).
• E hoʻomaʻamaʻa i ka moekolohe palekana: E hoʻohana i ka condom e pale iā ʻoe iho mai nā maʻi i laha ma ke moekolohe.
• E hana i nā hoʻoikaika kino papahele pelvic / nā hoʻoikaika kino Kegel: ʻO ka hana ʻana i kēia mau mea hiki ke hoʻoikaika i nā ʻiʻo papahele pelvic a hōʻemi i ka pilikia o ka hoʻōki ʻana i ka mimi.
• E mālama i ka ʻāpana o ke kino: E hoʻomaʻemaʻe i ka ʻāpana o ke kino me ke kopa akahai a me ka wai. E ho'āʻo e ʻauʻau a holoi paha i kou kino i kēlā me kēia lā. E ʻaʻahu i nā lole komo ʻoluʻolu a palupalu.

I ka manawa hea ʻoe e manaʻo ai e pono ʻoe e ʻike i ke kauka?

Inā pilikia a ʻeha paha ʻoe i ka wā e mimi ai, he hōʻailona paha ia o kahi maʻi a i ʻole kekahi maʻi ʻē aʻe. No laila e ʻike i ke kauka. Pono ʻoe e ʻike i ke kauka inā loaʻa iā ʻoe kekahi o kēia mau mea:

• Ke koko i loko o ka mimi (hematuria)
• Ke kuni, ʻeha, a ʻoluʻolu ʻole paha i ka wā e mimi ai
• ʻEha ma ka ʻāpana pelvic, ka ʻōpū haʻahaʻa, ka ʻāpana genital, a i ʻole ka ʻaoʻao (ke kua a me nā ʻaoʻao o ka ʻōpū)
• Ka paʻakikī i ka paʻa ʻana o ka mimi a i ʻole nā ​​pilikia e kahe ana ka mimi
• He manaʻo e like me kekahi mea e puka mai ana mai loko mai o ka vagina

ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)

He ʻāpana koʻikoʻi kou ʻōnaehana mimi o kou ola. Kānana ia i kou koko a hoʻoneʻe i nā ʻōpala a me ka wai keu ma ke ʻano he mimi. ʻO kou mau puʻupaʻa, nā ureters, ka ʻōpū mimi, a me ka urethra nā ʻāpana nui o kēia ʻōnaehana. ʻO nā kūlana e like me nā maʻi ʻaʻai mimi (UTIs), nā maʻi i hoʻouna ʻia ma ke ʻano moekolohe (STIs), nā maʻi puʻupaʻa, a me nā mea e ālai ai i ke ala mimi hiki ke hoʻopilikia i ke olakino o kāu ʻōnaehana mimi. Inā loaʻa iā ʻoe kekahi ʻano e like me kēia, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a hana i nā hana e noho olakino ai. ʻO ka mālama ʻana i kou kino ke ala maikaʻi loa e ola ai i ke ola olakino.

ʻŌnaehana mimi , nā puʻupaʻa, ka ʻōpū mimi, nā maʻi ʻōpū mimi, nā pōhaku puʻupaʻa, ka paʻakikī o ka mimi ʻana, ke ola olakino