Ua hana ʻia anei ʻoe i kahi ʻoki kino a i ʻole ka mālama ʻana i ka maʻi kanesa no kou ʻōpū prostate? Ua holo pono nā mea a pau, a ma hope o kekahi manawa ua hoʻi mai ʻoe i ka home, ua hoʻomaka anei ʻoe e ʻike i kekahi mau loli i kou mimi ʻana ? Malia paha ua lohi iki ke kahe ʻana o ka mimi , a i ʻole manaʻo ʻoe e pono ʻoe e hoʻoluhi iki e mimi ? Inā ua hana ʻia kēia iā ʻoe, ma muli paha o kahi maʻi i kapa ʻia ʻo Bladder Neck Contracture, a mākou e kamaʻilio nei i kēia lā. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka Bladder Neck Contracture?
ʻAe, no ka hoʻomaopopo ʻana i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o ka ʻōnaehana mimi i loko o ko kākou kino. E noʻonoʻo i kou ʻōpū mimi e like me kahi pōpō i piha i ka wai. ʻO kēia ka ʻeke e hōʻiliʻili a mālama i kāu mimi . Ma lalo o kēia ʻōpū mimi, e like me ka waha o ka pōpō, aia kahi e pili ai i kahi paipu liʻiliʻi. Kāhea mākou i kēia ʻo ka ʻāʻī o ka ʻōpū mimi. Ke mimi ʻoe, puka mai ka mimi ma o kēia ʻāʻī a komo i loko o ka urethra.
I kēia manawa, ma hope o nā mea e like me ke ʻoki prostate a i ʻole ka radiation therapy, hiki ke hana ʻia nā ʻiʻo ʻeha ma ka ʻāʻī o ka ʻōpū mimi. E like me ka hana ʻana o kahi ʻeha i ka wā e loaʻa ai kahi ʻeha ma ko mākou ʻili. ʻO kēia ʻiʻo ʻeha ke kumu e wili mālie ai a ʻūlū paha ka ʻāʻī o ka ʻōpū mimi. ʻO ia ka mea a mākou e kapa nei he Bladder Neck Contracture .
I ka ʻōlelo maʻalahi, he ʻano kēia kahi e ālai ai nā ʻiʻo ʻeha i ke ala no ka mimi e puka i waho o ka ʻōpū mimi ma hope o ke ʻoki ʻana i ka prostate. Hiki i kēia ke paʻakikī i ka mimi ʻana , a inā ʻaʻole mālama ʻia, hiki ke hoʻopilikia i ka ʻōpū mimi a me nā puʻupaʻa.
He aha ke ʻano o nā lāʻau lapaʻau e hiki ai ke hoʻoulu i kēia ʻano?
He hopena ʻaoʻao pinepine kēia o nā lāʻau lapaʻau prostate. Kiʻekiʻe loa kēia pilikia ma hope o nā lāʻau lapaʻau aʻe:
- Prostatectomy: Wehe ʻana i ka prostate ma ke ʻoki kino.
- ʻO ka Prostatectomy Radical: Ka wehe piha ʻana o ka ʻōpū prostate ma muli o ke kanesa.
- ʻO ka ʻoki ʻana o ka prostate ma o ka transurethral (TURP): He hana ʻoki kino kahi e hoʻokomo ʻia ai kahi mea hana ma o ka urethra e wehe i nā ʻāpana o ka prostate gland.
- Lapaʻau radiation: Ke hāʻawi nei i ka lāʻau lapaʻau radiation.
ʻAʻole kēia he maʻi maʻamau loa. Ua manaʻo ʻia ma kahi o hoʻokahi o nā kāne he ʻumi e hana ʻia ana i ke ʻoki prostate e loaʻa i kēia maʻi. Akā, he mea nui iā ʻoe e makaʻala i kēia.
He aha nā hōʻailona o kēia maʻi?
Hoʻomaka pinepine kēia mau hōʻailona e ʻike ʻia i loko o ʻekolu a ʻeono mahina o ke ʻoki ʻana i ka prostate. ʻAʻole paha lākou e ʻike ʻia i ka wā mua, akā hiki iā lākou ke hoʻonui mālie i ka hala ʻana o ka manawa. E nānā inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Ka hoʻōki ʻana o ka mimi | Pono e hoʻoluhi a hoʻoikaika e hoʻomaka ai e mimi. |
| ʻEha ka mimi ʻana (Dysuria) | ʻEha a wela paha i ka wā e mimi ai. |
| Kahe wai mimi nāwaliwali | Ka emi ʻana o ka wikiwiki a me ka nui o ka mimi . Ke kahe palupalu. |
| Ke hoʻōki a hoʻomaka hou i ke kahe mimi | ʻAʻole e mimi mau, e kū ana no kekahi manawa, a laila hoʻomaka hou. |
| Ka hoʻokahe piha ʻole ʻana o ka ʻōpū mimi (paʻa ʻana o ka mimi) | Manaʻo e like me he mimi lā i koe i loko o ka ʻōpū mimi ma hope o kou pau ʻana o ka mimi ʻana . |
| Nā maʻi ʻōpū mimi pinepine (UTIs) | ʻAʻole e hoʻokahe loa ka ʻōpū mimi, kahi e hoʻonui ai i ka pilikia o ka ulu ʻana o ka bacteria a me ka maʻi. |
| Nā pōhaku ʻōpū | Hoʻākoakoa nā paʻakai mineral i loko o ka mimi e waiho ana i loko o ka ʻōpū mimi a hana i nā pōhaku. |
| Ka hoʻomanawanui ʻole o ke kahe nui | Ke kahe nui ʻana o ka mimi ma muli o ka piha ʻana o ka ʻōpū mimi. |
No ke aha lā kēia e hana nei? He aha ke kumu?
ʻOiai ʻaʻole hiki i nā kauka ke hāʻawi i kahi kumu paʻa 100% no kēia, aia ʻelua mau kumu nui i manaʻo ʻia ʻo ia ke kumu.
1. Ka pilikia ma hope o ke ʻoki ʻana: Ma hope o ka wehe ʻana i ke kelepa prostate, e hoʻopili hou ke kauka i kou ʻāʻī mimi i kou urethra (ua kapa ʻia kēia he anastomosis). I kekahi manawa, hiki ke hana ʻia kahi ʻūpā koko liʻiliʻi (hematoma) ma waena o nā humuhumu ma kahi o kēia pilina. Ke hana ʻia kēia, hiki i nā humuhumu ke huki, e waiho ana i nā hakahaka liʻiliʻi ma ka pilina. I ka ho'ōla ʻana o ke kino, ua piha kēia mau hakahaka me ka ʻiʻo ʻeha a mākou i ʻōlelo ai ma mua. ʻO kēia ʻiʻo ʻeha ka mea e ālai ai i ke ala.
2. ʻAʻole lawa ka lako koko: I kekahi manawa, inā paʻa loa nā humuhumu i hoʻohana ʻia i ka wā o ke ʻoki ʻana, hiki ke emi iho ka lako koko i ka wahi. Ke emi iho ka lako koko, ʻaʻole e ho'ōla pono ka ʻiʻo, a ma kahi o ia mea, ʻoi aku ka nui o ka loaʻa ʻana o ka ʻeha.
Hiki ke hoʻonui iki ʻia ka pilikia o ka loaʻa ʻana o ka ʻūmiʻi ʻāʻī o ka ʻōpū ma hope o ke ʻoki ʻana i ka prostate, ʻoiai no ka poʻe me nā kūlana olakino ʻē aʻe e hoʻopilikia ai i ke kahe koko i loko o ke kino, e like me ka maʻi diabetes a i ʻole ka maʻi puʻuwai.
Pehea e ʻike pololei ai ke kauka i kēia?
Inā loaʻa iā ʻoe nā hōʻailona i ʻōlelo ʻia ma luna, ʻo ka mea mua āu e hana ai, ʻo ia ke ʻike hou i kāu kauka. A i ʻole, ʻoi aku ka maikaʻi o ka ʻike ʻana i kahi urologist. E nānā ʻo ia iā ʻoe a hana i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
| Hoʻāʻo | He aha ka mea e hana ʻia me kēia? |
|---|---|
| ʻO ke ʻano o ka cystoscopy | Hoʻokomo ʻia kahi ʻōmole lahilahi loa me kahi kāmela i hoʻopili ʻia ma o ka urethra e nānā pololei i ka mea i paʻa i ka ʻāʻī o ka ʻōpū mimi. I loko o kēia kaʻina hana, hāʻawi ʻia kahi lāʻau hoʻomānoʻo e pale aku i ka ʻeha. |
| ʻO ke kauka ʻana o Cystourethrogram | Hoʻokomo ʻia kahi wai kūikawā (ʻano hoʻonaninani) i loko o ka ʻōpū mimi a lawe ʻia nā kiʻi X-ray. ʻAe kēia i ke ʻano o ka ʻōpū mimi a me nā wahi e pili ana a me nā pilikia āpau e ʻike maopopo ʻia. |
| ʻO ka cystourethrogram hoʻopau ʻana (VCUG) | ʻO ia ka hoʻāʻo like me luna, akā i kēia manawa lawe ʻoe i kahi X-ray i kou mimi ʻana . Hiki iā ʻoe ke ʻike pono i ka mea e hana nei me ke kahe o kāu mimi. |
| Hoʻāʻo Uroflow | Hoʻohana ʻia kahi mea hana kūikawā e ana i ka wikiwiki a me ka nui o ka mimi e puka mai ana. Hiki i kēia ke haʻi pololei iā ʻoe inā nāwaliwali kou kahe ʻana. |
| Hoʻāʻo mimi koena ma hope o ka puka ʻana o ka mimi (hoʻāʻo PVR) | Ma hope o kou pau ʻana i ka mimi ʻana , hana ʻia kahi scan ultrasound e ʻike i ka nui o ka mimi i koe i loko o ka ʻōpū. |
He aha nā lāʻau lapaʻau no kēia?
He maʻi hiki ke mālama ʻia kēia. Ma muli o ke koʻikoʻi o kou maʻi, e koho kāu kauka i ka lāʻau kūpono loa nāu.
- Hoʻonui: ʻAʻole kēia he ʻoki kino. He mea ia e hiki ke hana ʻia ma ke keʻena o ke kauka. Hoʻokomo ʻia nā ʻōmole lahilahi a hoʻonui mālie ʻia ma o ka urethra, e hoʻonui mālie ana i ka wahi i ālai ʻia.
- Kaʻina hana transurethral: He hana ʻoki liʻiliʻi kēia i hana ʻia ma lalo o ka anesthesia. E like me ka cystoscopy, hoʻokomo ʻia kahi mea hana me ke kāmela a hoʻohana ʻia kahi au uila e ʻoki a wehe i ka ʻiʻo ʻeha e hana ana i ka paʻa.
- Ke kūkulu hou ʻana a me ka hoʻohuli ʻana i ka mimi (ʻoki kino nui): Hana kākaʻikahi ʻia kēia, a i nā hihia koʻikoʻi loa wale nō. Ma kēia kaʻina hana, wehe ʻia kekahi hapa a i ʻole ka ʻōpū holoʻokoʻa a hana ʻia kekahi ala ʻē aʻe no ka mimi e puka ai i waho o ke kino (e like me kahi puka liʻiliʻi ma ka ʻōpū).
ʻAʻole anei e hoʻomaikaʻi wale ana kēia kūlana?
ʻAʻole. ʻAʻole e ho'ōla ʻia ka ʻūmiʻi ʻāʻī bladder iā ia iho .Akā inā he ʻoluʻolu loa kou kūlana, ʻo ia hoʻi hiki iā ʻoe ke hoʻokahe loa i kou ʻōpū mimi a ʻaʻohe pōʻino i kou mau puʻupaʻa, hiki i kāu kauka ke paipai i kahi ala "e kali a ʻike". ʻO ia hoʻi, e kali ana no kekahi manawa me ka ʻole o ka lāʻau lapaʻau e ʻike inā e hoʻomaikaʻi ana kāu mau hōʻailona.
Āhea wau e ʻike ai i ke kauka? I ka manawa hea wau e hele ai i ka ʻOihana Pōpilikia (ETU)?
He ʻāpana koʻikoʻi loa kēia. Pono ʻoe e ʻike pono i ke ʻano o kēia.
I ka manawa hea e ʻike ai i kāu kauka:
- Ma hope o ka mālama ʻana i ka prostate, inā loaʻa iā ʻoe kekahi o nā hōʻailona a mākou i kūkākūkā ai ma mua.
- Inā ua mālama mua ʻia ʻoe no ka Bladder Neck Contracture, akā hoʻi hou a ʻoi aʻe paha ka ʻino o nā hōʻailona .
Mai poina, mai hoʻowahāwahā i kekahi hōʻailona liʻiliʻi loa. ʻO ka wikiwiki o kou ʻike ʻana i ke kauka, ʻo ka maʻalahi hoʻi ka mālama ʻana.
I ka manawa hea e hele koke ai i ka Emergency Treatment Unit (ETU):
Inā loaʻa iā ʻoe kekahi o kēia mau mea, e hele koke i ka Halemai Pilikia (ETU) kokoke loa me ka noʻonoʻo ʻole i kekahi mea ʻē aʻe.
- Inā ʻaʻole hiki iā ʻoe ke mimi iki.
- Inā loaʻa iā ʻoe ka ʻeha nui ma kou ʻōpū a i ʻole ka ʻāpana groin .
- Inā ʻoe e hou nui ana .
He mau pilikia kēia, no laila mai hoʻokaʻulua iki.
Hiki ke hoʻi hou mai kēia ma hope o ka mālama ʻana?
No ka hapa nui o nā kānaka, hoʻopau loa ke kūlana ma hope o ka mālama ʻana. Eia nō naʻe, i kekahi manawa hiki ke hana hou ʻia nā ʻiʻo ʻeha a hiki ke hana hou ʻia ke ālai ʻana. He kiʻekiʻe loa ka pilikia o ka hoʻi hou ʻana i nā kūlana aʻe:
- Inā ua loaʻa iā ʻoe ka radiation therapy.
- Inā ua loaʻa iā ʻoe nā hana ʻoki ʻē aʻe e pili ana i kou urethra.
- Inā he pilikia i ka wā o ka mālama mua ʻana.
Inā hana hou ia, pono paha ʻoe e hana hou i ka lāʻau lapaʻau. ʻO ia ke kumu he mea nui e makaʻala mau i nā hōʻailona.
Leka Lawe-Home
- He pilikia ka ʻūmiʻi ʻana o ka ʻāʻī o ka ʻōpū mimi ma hope o ke ʻoki ʻana a i ʻole ka mālama ʻana i ka prostate.
- Ka wai mimi nāwaliwali, ka pinepine o ka mimi , ka paʻa ʻana o ka mimiE makaʻala i nā hōʻailona e like me ka ʻeha i kou hana ʻana i kēia. ʻIke pinepine ʻia kēia mau mea i kekahi mau mahina ma hope o ka mālama ʻana.
- He maʻi hiki ke mālama ʻia kēia. No laila, inā loaʻa iā ʻoe nā hōʻailona, mai hopohopo a hoʻowahāwahā paha iā lākou, akā e ʻike koke i kāu kauka.
- Inā ʻaʻole hiki iā ʻoe ke mimi iki, he pilikia ia. E hele koke i ka lumi pilikia o ka haukapila kokoke loa (ETU).
- ʻAʻohe mea hiki iā ʻoe ke hana e pale aku i kēia maʻi. Eia nō naʻe, ʻo ka ʻike mua ʻana i nā hōʻailona a me ka ʻimi ʻana i ka lāʻau lapaʻau e hiki ke kōkua i ka pale ʻana i nā pilikia nui mai ka ulu ʻana.
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