ʻO ke kiaʻi mālie o kāu ʻōnaehana mimi: E aʻo kākou e pili ana i ka urothelium!

ʻAʻole paha kākou a pau i lohe nui i ka huaʻōlelo 'Urothelium' i kā kākou kamaʻilio ʻana i kēlā me kēia lā, ʻeā? Akā, ua ʻike anei ʻoe he ʻāpana kupaianaha kēia o ko kākou kino, ʻoiai ka ʻōnaehana mimi , nona kahi kuleana koʻikoʻi. I mea e pololei ai, hana kēia urothelium e like me kahi kiaʻi mālie e noho ana i loko o ko kākou kino a pale iā kākou mai nā maʻi like ʻole a me nā germs. No laila, i kēia lā, ma kēia ʻatikala, e kamaʻilio mākou e pili ana i ke ʻano o kēia urothelium, pehea e kōkua ai i ke olakino o ko kākou kino, a me nā maʻi e hiki ai ke hoʻopilikia.

He aha maoli ka urothelium?

I ka ʻōlelo maʻalahi, ʻo ka urothelium kahi ʻiʻo pale e uhi ana i loko o ko mākou ala mimi. E like me ka palaki ma ka paia, uhi ia i loko o kā mākou ʻōnaehana mimi. Hana ʻia ia me kekahi mau papa o nā cell. ʻO ka hana nui o kēia mau papa cell ka pale ʻana i ka mimi (i kapa ʻia hoʻi he mimi ) a mākou e hoʻokuʻu aku ai mai ko mākou kino a me nā pathogens like ʻole mai ke komo ʻana i ko mākou koko a i ʻole nā ​​​​ʻiʻo ʻē aʻe o ke kino.

Ke noʻonoʻo nei paha ʻoe i ka nui o nā papa ʻē aʻe o ke kino. ʻAe, he ʻoiaʻiʻo kēlā. Akā, he `(epithelium)` kūikawā loa kēia urothelium, ʻo ia hoʻi he uhi cellular. No ka laʻana, ʻaʻole like ia me nā uhi i loko o ko kākou mau māmā a i ʻole nā ​​ʻōpū. Pono lākou e ʻae i nā mea e like me nā meaʻai a me ka oxygen e hele. Akā, ʻaʻole pono ka urothelium e hana i kēlā. Akā, he hiki kūikawā kona! ʻO ia hoʻi, hiki iā ia ke kīkoʻo mau a me ka ʻaelike. E noʻonoʻo, e nui aʻe ana kou ʻōpū mimi ke piha i ka mimi, a e liʻiliʻi hou ke hakahaka? I kēlā manawa, e kīkoʻo a ʻaelike pū kēia urothelium ma ke ʻano like, e mālama ana i kona pale pale ma ke ʻano like. ʻAʻole anei he mea kupaianaha?

He aha nā lawelawe a ka urothelium e hāʻawi ai i ko mākou kino?

ʻAʻole he hana liʻiliʻi nā lawelawe a kēia papa liʻiliʻi o nā cell e hāʻawi ai i ko kākou kino. E nānā kākou i kekahi o nā mea nui:

• Ke pale ʻana i ko kākou mau kino kūloko mai ka mimi: E noʻonoʻo wale, he ʻakika iki ko kākou mimi ma ke ʻano maoli. Inā pili pololei kēia mimi me nā wahi koʻikoʻi i loko o kākou, e like me nā kīʻaha koko a me nā ʻiʻo, hiki iā ia ke hōʻino. ʻO kekahi o nā hana nui o ka urothelium, ʻo ia ka pale ʻana iā kākou mai kēlā pōʻino.
• Ka pale ʻana mai nā maʻi: Hana ka urothelium e like me ka paia e pale ai i nā germs, e like me ka bacteria, mai ke komo ʻana i ke kino ma o ke ala mimi, i kapa pinepine ʻia ʻo 'Urinary Tract Infections (UTIs)'.
• Kōkua me ka leka: Ke piha kou ʻōpū mimi, pehea kou manaʻo, "Pono wau e mimi i kēia manawa?" Pēlā e haʻi mai ai ko mākou mau aʻalolo i ka mea e hana nei i loko o ka ʻōpū mimi.Kōkua pū kēia urothelium i ka hoʻouna ʻana i nā leka i ka ʻōnaehana nerve.
• Ke kāohi nei i ka haku mele ʻana o ka mimi: Kōkua pū ia i ka hoʻoponopono ʻana i nā pae o ka wai, nā paʻakai, a me nā mea ʻē aʻe i loko o ka mimi.
• Ka hiki ke kīkoʻo a me ka ʻūmiʻi: E like me ka mea i ʻōlelo ʻia ma mua, i mea e hiki ai i ka ʻōpū mimi ke hoʻopaʻa i nā ʻano mimi like ʻole, pono ia e kīkoʻo a ʻūmiʻi. Hāʻawi ka urothelium i ke kākoʻo nui loa no kēia.

I ka ʻōlelo maʻalahi, ua like ka urothelium me kahi koa leo ʻole e hana ana i kahi lawelawe nui, he mea nui ia no ke ola olakino o kā mākou ʻōnaehana mimi.

Aia ma hea ka urothelium i loko o ko kākou kino?

Aia ka urothelium ma ko mākou ala mimi haʻahaʻa. ʻO ia hoʻi:

• ʻO ke pelvis Renal: Hōʻiliʻili mua ʻia ka mimi mai nā puʻupaʻa ma ʻaneʻi.
• Nā Ureters : ʻO nā ʻōmole ʻelua e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi.
• ʻŌmole: Ua ʻike mākou a pau he ʻeke ia e hōʻiliʻili a mālama i ka mimi.
• Urethra : ʻO ka ʻōmole e lawe ai i ka mimi mai ka ʻōpū mimi a i waho o ke kino.

Ua uhi ʻia ka ʻili o loko o kēia mau wahi a pau e kēia papa i kapa ʻia ʻo urothelium.

He aha nā papa o ka urothelium?

ʻAʻole hoʻokahi papa o nā keena ka urothelium. Hiki ke hoʻokaʻawale ʻia i ʻekolu mau papa nui, kēlā me kēia me kahi hana kikoʻī.

1. Nā pūnaewele papa luna / umbrella

ʻO kēia ka papa o nā pūnaewele ma luna o ka urothelium, ka ʻaoʻao e hui ai me ka mimi. Ua kapa ʻia hoʻi kēia mau mea he "mau pūnaewele umbrella" . ʻO kēia no ka mea ua like ke ʻano o kēia mau pūnaewele me kahi umbrella, a uhi kēlā me kēia pūnaewele umbrella i kekahi mau pūnaewele ma ka papa waena ma lalo ona.

ʻO ka mea kūikawā e pili ana i kēia mau pūnaewele umbrella, hiki iā lākou ke hoʻololi i ko lākou ʻano. Ke piha ka ʻōpū mimi, e pālahalaha kēia mau pūnaewele, a i ka wā e hakahaka ai ka ʻōpū mimi, hoʻi lākou i ko lākou ʻano mua. Ua paʻa loa kēia mau pūnaewele kekahi i kekahi. ʻO ia ke kumu ʻaʻole e kahe ka mimi a me nā germs i loko o ke kino.

Inā hoʻopilikia hewa kahi germ i kēia papa ʻili, make kēia mau cell umbrella a hōʻiliʻili i loko o ke ala mimi. A laila, hoʻokuʻu ʻia nā cell a me nā germs mai ke kino me ka mimi. Eia kekahi, aia nā protein i kapa ʻia ʻo 'receptors' ma kēia papa ʻili. E like me ka antenna. Hiki i kēia mau mea ke hoʻomaopopo i kā mākou mau cell immune e pili ana i nā germs e komo ana i ke kino.

2. Papa waena

ʻO kēia ka ʻāpana waena o ka urothelium. Hiki iā ia ke loaʻa kekahi mau papa o nā cell. Ke piha ka ʻōpū mimi, emi ka helu o kēia mau papa. ʻOi aku ka nui o kēia mau cell waena ma mua o nā cell basal ma lalo, akā ʻoi aku ka liʻiliʻi ma mua o nā cell umbrella ma luna. He kuleana nui kēia mau cell i ka hoʻoponopono ʻana i ka urothelium inā ua hōʻino ʻia . Hiki iā lākou ke pani i nā cell umbrella inā pono.

3. Papa kumu

ʻO kēia ka papa e waiho ana ma lalo o ka urothelium. ʻO ia hoʻi, ka papa kokoke loa i ko kākou ʻiʻo hoʻopili , nā ʻiʻo, a me nā kīʻaha koko. ʻO kēia mau pūnaewele ke ʻano liʻiliʻi loa o ke kelepona i loko o ka urothelium. ʻO kā lākou hana nui ke kōkua i nā pūnaewele ʻē aʻe i loko o ka urothelium e hana hou a hoʻoponopono iā lākou iho. E like me nā aʻa o kahi mea kanu, ʻo ia kahi e ulu ai nā pūnaewele hou.

He aha nā maʻi e hoʻopilikia ai i ka urothelium?

E like me nā ʻāpana āpau o ko mākou kino, hiki i ka urothelium ke hoʻopilikia ʻia e nā ʻano maʻi like ʻole. ʻO nā mea nui:

• Kanesa: ʻO ka carcinoma urothelial ke ʻano maʻamau o ke kanesa e kū mai ana i loko o ka ʻōpū mimi. Hiki iā ia ke hoʻomaka ʻaʻole wale ma ka ʻōpū mimi, akā, ma ka ʻili o nā puʻupaʻa, ka urethra, a i ʻole nā ​​ureters.
• ʻO ka cystitis interstitial: He ʻano kēia i hōʻike ʻia e ka ʻeha mau, ke kaomi, a i ʻole ka ʻoluʻolu ʻole i loko o ka ʻōpū mimi. Manaʻo nā kauka e hiki i ka hōʻino ʻana i ka urothelium ke alakaʻi i kēia ʻano.
• ʻO ka ʻōpū mimi nui a i ʻole ka incontinence urinary: I kekahi manawa, ʻo nā pilikia ʻē aʻe i loko o ka ʻōnaehana urinary, e like me nā pōhaku puʻupaʻa, hiki ke hoʻololi i ka urothelium. Hiki i kēia ke hoʻouna i ke kino i nā hōʻailona hewa e hoʻokahe i ka ʻōpū mimi. Hiki i kēia ke alakaʻi i ka mimi pinepine (overactive bladder) a i ʻole ka leakage involuntary o ka mimi (leaking mime).

He aha nā hōʻailona maʻamau o nā maʻi e pili ana i ka urothelium?

Inā he pilikia e pili ana i kāu urothelium, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Ke koko i loko o ka mimi (hematuria): Hiki ke ʻike ʻia ka mimi i ka ʻulaʻula, poni, a ʻeleʻele paha.
• Mimi ʻeleʻele: He mimi ʻaʻole moakāka a he waihoʻoluʻu ʻeleʻele.
• ʻEha ʻōpū: Ke manaʻo nei i ka ʻeha ma ka ʻōpū lalo.
• ʻEha a pinepine paha ka mimi ʻana: ʻEha, ʻeha i ka wā e mimi ai , a i ʻole ka pono e mimi pinepine ma mua o ka maʻamau.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi e ʻimi i ke kōkua lapaʻau.

He aha nā hoʻokolohua e hiki i kāu kauka ke hana?

Inā loaʻa iā ʻoe nā hōʻailona e pili ana i ka urothelium, hiki i kāu kauka ke hana i hoʻokahi a ʻoi aku paha o nā hoʻokolohua aʻe:

• Urinalysis: Nānā kēia i kāu mimi no nā hunaola koko, bacteria, a i ʻole nā ​​mea ʻē aʻe.
• Nā hoʻāʻo hana puʻupaʻa: Hiki i nā hoʻāʻo koko a mimi paha ke hāʻawi iā ʻoe i kahi manaʻo no ka maikaʻi o ka hana ʻana o kou mau puʻupaʻa.
• Nā hoʻāʻo koko: Hiki i nā hoʻāʻo koko ke hāʻawi i ka ʻike e pili ana i nā mea e hana nei i loko o ke kino.
• ʻUlu urethral: I kekahi manawa lawe ʻia kahi hāpana o ka wai mai ka urethra a hoʻāʻo ʻia.
• Nā hoʻāʻo kiʻi: No ka ʻike pololei ʻana i kekahi mau kūlana olakino, hiki ke hana ʻia nā hoʻokolohua e like me ka ultrasound scan, MRI (magnetic resonance imaging) scan, a i ʻole CT (computed tomography) scan.

Eia kekahi, inā kānalua ʻia ka maʻi kanesa a i ʻole ka maʻi, hiki ke lawe ʻia kahi hāpana ʻiʻo (biopsy) a hoʻāʻo ʻia.

He mea maʻamau anei ke hele ʻana o nā pūnaewele urothelial me ka mimi?

I kekahi manawa, e ʻōlelo paha kāu hōʻike hoʻāʻo mimi "aia nā pūnaewele urothelial." Mai hopohopo inā ʻike ʻoe i kēia. He mea maʻamau no kekahi mau pūnaewele urothelial e hoʻopuka ʻia me kāu mimi. No ka mea, e like me kā mākou i kūkākūkā ai ma mua, make kēia mau pūnaewele a hoʻokahe maoli ʻia.

Eia nō naʻe, aia kekahi mau kūlana kahi e hiki ai ke hoʻokuʻu nui ʻia kēia mau cell. Eia kekahi laʻana:

• Inā he trauma (ʻoki kino ma ka ʻōnaehana urinary, ke kahe ʻana o ka pōhaku puʻupaʻa).
• Inā he maʻi.
• Inā he maʻi kanesa a i ʻole kahi ulu ʻole o ka maʻi kanesa (benign).

Inā ʻōlelo ka hōʻike he "benign" a i ʻole "benign-appearing" urothelial cells, ʻaʻole pinepine ia e manaʻo he maʻi kanesa. Eia nō naʻe, inā he mau nīnau kāu e pili ana i kāu hōʻike hoʻāʻo a i ʻole ka hōʻike pathology, e kamaʻilio me kāu kauka.

He aha ka dysplasia o ka urothelium o ka ʻōpū?

ʻO ka Dysplasia kahi ʻano ʻē i ke ʻano o nā pūnaewele i loko o ka urothelium ma lalo o kahi microscope. ʻAʻole kēia manaʻo e lilo nā pūnaewele i maʻi kanesa. Eia nō naʻe, hiki i ke kanaka me kēia ʻano ke loaʻa i kahi piʻi iki o ka pilikia o ka loaʻa ʻana o ka maʻi kanesa i ka wā e hiki mai ana. No laila, inā ʻike nā kauka i kēia ʻano, e nānā nui aku lākou iā ia.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

ʻAʻole paha i lohe ka nui o ka poʻe i ka huaʻōlelo "urothelium" ma mua. Akā i kēia manawa ua ʻike ʻoe i ke koʻikoʻi a me ka pono ʻole o ia ʻāpana o ko mākou kino. Mālama kēia mau pūnaewele kūikawā iā mākou mai nā germs a me nā mea ʻino i loko o ka mimi.

No laila, inā loaʻa iā ʻoe kekahi mau hōʻailona e pili ana i kāu ʻōnaehana mimi (e.g., ke koko i loko o kou mimi, ka ʻeha i ka wā e mimi ai, ka mimi pinepine ʻana), a inā he mau hopohopo kāu e pili ana i ke olakino o kāu ʻōnaehana mimi, mai kānalua e kamaʻilio me kāu kauka e pili ana i ia mea. He mea nui ka ʻōnaehana mimi olakino no ke ola olakino!

ʻUrothelium , ʻŌnaehana mimi, ʻōpū mimi, Maʻi ʻōpū mimi, UTI, Puʻupaʻa, Ka uhi ʻana o ke kelepona, Nā hōʻailona mimi