Ke pilikia nei hoʻi ʻoe i ka mimi ʻana ma hope o ke ʻoki ʻana i ka prostate? Hiki paha ma muli o ka ʻūmiʻi ʻana o ka ʻāʻī o ka mimi?

Ke hoʻomanaʻo nei ʻoe i ka paʻakikī o ka mimi ʻana ma hope o ke ʻoki ʻana i ka prostate a i ʻole ka mālama ʻana i ka maʻi kanesa ? Ua manaʻo paha ʻoe ua emi kou urethra , a ua manaʻo paha ʻoe he koena mimi i loko o kou ʻōpū mimi ma hope o kou pau ʻana o ka mimi ʻana ? Inā ua loaʻa iā ʻoe kekahi o kēia mau mea, ua loaʻa paha iā ʻoe kahi maʻi i kapa ʻia ʻo ka ʻāʻī bladder contracture, a nā kauka e kapa nei he ʻāʻī bladder contracture . He mea hou paha kēia iā ʻoe, akā mai hopohopo. E kamaʻilio maʻalahi kākou e pili ana iā ia, ma ka ʻōlelo Sinhala hiki iā ʻoe ke hoʻomaopopo.

He aha ka ʻūmiʻi ʻāʻī o ka ʻōpū mimi?

I ka ʻōlelo maʻalahi, ʻo kou ʻōpū mimi he ʻano ʻeke liʻiliʻi e like me ke kino i loko o kou ʻōpū haʻahaʻa e hōʻiliʻili ana i ka mimi (mimi). Ua like ia me kahi pōpō, e hoʻonui ana i ka wā e piha ai i ka mimi , a e ʻūlū hou ana i ka wā e mimi ai ʻoe. Ma lalo o kēia ʻōpū mimi, kahi e pili ai i ka urethra , ʻo ia ka mea a mākou e kapa nei ʻo ka ʻāʻī o ka ʻōpū mimi. Ua like kēia me kahi puka, kahi e hoʻomaka ai ka mimi e kahe i waho.

I kēia manawa, i kekahi manawa ma hope o nā mālama ʻana i ka prostate, ʻoi aku hoʻi ma hope o ke ʻoki ʻana, hiki ke hana ʻia nā ʻiʻo ʻeha ma ka puka o ka urethral. ʻO kēlā ʻiʻo ʻeha ke kumu o ka urethra e lilo ai i mea haiki, a i ʻole e ʻaelike. Ua like ia me kahi mea e paʻa ana i loko o kahi paipu wai a hoʻemi i ke kahe o ka wai. Ke haiki ka puka o ka urethral, ​​hiki iā ia ke paʻakikī i ka mimi ʻana , a hiki nō hoʻi ke alakaʻi i nā kūlana ʻē aʻe e hoʻopilikia ai i ka ʻōpū mimi a me nā puʻupaʻa.

E noʻonoʻo wale, e like me ka wā e ālai ʻia ai ke alanui, he paʻakikī i nā kaʻa ke hele ma laila, akā i ka wā e ālai ʻia ai ka ʻōpū mimi, he paʻakikī i ka mimi ke puka i waho.

He aha nā ʻano lapaʻau prostate e hiki ai ke hoʻoulu i kēia maʻi?

ʻAʻole kēia e hana me nā lāʻau lapaʻau prostate āpau. Eia nō naʻe, aia paha ka pilikia o ka ʻūlū ʻana o ka ʻāʻī mimi ma hope o kēia mau lāʻau lapaʻau:

• Prostatectomy : Pili kēia i ka wehe ʻana i ka ʻāpana a pau o ka prostate.
• ʻO ka prostatectomy radical : He ʻoki kino kēia e wehe loa ai i ka ʻōpū prostate, ʻoiai i nā hihia o ka maʻi kanesa.
• ʻO ka ʻoki ʻana o ka prostate ma o ka transurethral resection (TURP ) : Ma kēia kaʻina hana, hoʻokomo ʻia kahi mea hana ma o ka urethra e ʻoki a wehe i nā ʻāpana i hoʻonui ʻia o ka prostate gland.
• Lapaʻau radiation : Lapaʻau radiation ikehu kiʻekiʻe e hoʻopau ai i nā hunaola kanesa .

ʻAʻole nā ​​​​kānaka a pau e ʻike i kēia maʻi ma hope o kēia mau lāʻau lapaʻau, no laila e hoʻomanaʻo i kēlā.

Hiki ke ho'ōla ʻia kēia ʻūmiʻi ʻāʻī o ka ʻōpū mimi?

ʻAe, hiki ke ho'ōla ʻia. Inā loaʻa iā ʻoe kēia mau hōʻailona ma hope o ka mālama ʻana i ka prostate, e ʻike koke i ke kauka. Na ia e hoʻoholo i ka lāʻau kūpono iā ʻoe. ʻAʻohe kumu e makaʻu ai.

Pehea ka maʻamau o kēia ʻano?

He ʻano maʻi laha ʻole kēia. Wahi a nā loea, hoʻokahi wale nō o ka ʻumi o ka poʻe ma hope o ke ʻoki ʻana i ka prostate e loaʻa i kēia ʻano maʻi (Bladder Neck Contracture). No laila, mai hopohopo nui ʻoe.

He aha nā hōʻailona o ka ʻūmiʻi ʻana o ka ʻāʻī o ka ʻōpū?

ʻAʻole hiki koke mai kēia mau hōʻailona, ​​​​​​e ulu mālie lākou. ʻAʻole paha ʻoe e ʻike iā lākou i ka wā mua.

• Pono e paʻi ikaika i ka wā e hoʻomaka ai ʻoe e mimi . ʻAʻole ia e puka wale mai i waho , pono ʻoe e hoʻoluhi iki.
• ʻEha i ka wā e mimi ai (dysuria). Hiki ke manaʻo ʻia e like me ka ʻeha wela a i ʻole ka ʻeha ʻū.
• Kahe wai mimi palupalu . ʻAʻole ʻoe e mimi pinepine e like me ka wā ma mua.
• He kahe mimi e hoʻomaka a e pau. ʻAʻole kahe mau ka mimi , akā, he mau pahū pinepine.
• ʻO ka manaʻo ʻaʻole i hoʻokahe loa ʻia ka ʻōpū mimi ma hope o ka mimi ʻana (paʻa ʻana o ka mimi). Manaʻo ia he mimi nō i koe.
• Nā maʻi pinepine o ke ala mimi ( UTI ). Noho ka mimi i loko o ka ʻōpū mimi, e maʻalahi ai ka ulu ʻana o nā germs .
• Ke kūkulu ʻia ʻana o nā pōhaku mimi.
• ʻO ke kahe ʻana o ka mimi me ka makemake ʻole, a i ʻole ka hiki ʻole ke kāohi i ka mimi ʻana (overflow incontinence).

Hoʻomaka pinepine kēia mau hōʻailona e ʻike ʻia i loko o ʻekolu a ʻeono mahina ma hope o ke ʻoki ʻana i ka prostate. I ka wā mua, ʻaʻole paha ʻoe e ʻike nui i kahi maʻi ʻaʻai mimi . Akā, hiki ke hoʻonui mālie kēia, a hiki paha iā ʻoe ke mimi iki. No laila, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau i ka wā hikiwawe loa.

No ke aha i paʻa ai kēia ʻāʻī mimi? He aha nā kumu?

ʻAʻole hiki i nā kauka a me nā mea noiʻi ke ʻōlelo pololei i ke kumu o kēia (Bladder Neck Contracture). Eia nō naʻe, manaʻo lākou aia kekahi mau kumu nui.

ʻO kekahi he pilikia e kū mai ana ma hope o ke ʻoki ʻana e wehe i ke kelepa prostate . Hoʻopili ʻia kou ʻāʻī mimi i ke kelepa prostate. I ka wā o ke ʻoki ʻana, hoʻopili hou ke kauka urologist i kou ʻāʻī mimi i ka urethra. Ua kapa ʻia kēia he anastomosis . I kēia manawa, i kou ho'ōla ʻana, hiki ke hana ʻia kahi ʻōpū koko (hematoma) ma lalo a ma waena paha o nā sutures. Hiki i kēia ʻōpū koko ke kumu i nā sutures e huki a haki paha. A laila, hana ʻia nā hakahaka ma kahi i hana ʻia ai ka pilina. Hoʻopiha ʻia kēia mau hakahaka me nā ʻiʻo ʻeha. ʻO kēlā ʻiʻo ʻeha ka mea e ālai ai i ke ala ma waena o ka mimi a me ka urethra.

ʻO kekahi kumu paha , ʻaʻole lawa ke koko i ka anastomosis . Inā paʻa loa nā humuhumu, hiki ke ʻūlū ʻia nā kīʻaha koko kokoke a hiki ke emi ke kahe o ke koko. Hiki i kēia ke alakaʻi i ka ʻeha.

ʻO wai ka mea i hoʻopilikia ʻia e ka ʻūmiʻi ʻāʻī o ka ʻōpū mimi?

Hiki ke loaʻa kēia ʻano i kekahi mea i hana ʻia i ke ʻoki prostate.

Eia nō naʻe, inā loaʻa iā ʻoe nā kūlana olakino ʻē aʻe e hoʻopilikia ai i ke kahe o ke koko i ka wā e hana ʻia ai ʻoe i ke ʻoki prostate - no ka laʻana , ka maʻi diabetes a i ʻole ka maʻi puʻuwai - hiki paha iā ʻoe ke piʻi iki ka pilikia o ka loaʻa ʻana o kēia pilikia ʻāʻī mimi.

Pehea e ʻike ʻia ai kēia maʻi?

Inā loaʻa iā ʻoe nā hōʻailona o ke ālai ʻana o ka ʻāʻī mimi, ʻo ke kauka urology wale nō ka mea hiki ke hōʻoia i kēia. E nānā ʻo ia iā ʻoe a kauoha i kekahi mau hoʻokolohua.

He aha nā hoʻokolohua e hana ʻia nei no kēia?

Hiki i ke kauka ke hana i nā hoʻokolohua e like me kēia:

• Cystoscopy : Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi ʻōmole liʻiliʻi (cystoscope) me kahi kāmela a me ke kukui i hoʻopili ʻia ma o kou urethra i loko o kou ʻōpū mimi. Mai hopohopo, e hāʻawi ʻia ʻoe i ka anesthesia kūloko i ʻole ʻoe e ʻeha. Hiki ke hoʻopiha ʻia ka ʻōpū mimi me ka wai sterile a i ʻole ka hopena saline e ʻike maopopo ai i loko o ka ʻōpū mimi.
• Cystourethrogram : Ma kēia hoʻāʻo, hoʻokomo ke kauka i kahi paipu plastik liʻiliʻi a palupalu (urinary catheter) ma o kou urethra i loko o kou ʻōpū mimi. Hoʻokomo ʻia kahi dye kūikawā (contrast dye) ma o ka paipu i loko o kou ʻōpū mimi. A laila lawe ʻia nā kiʻi X-ray o kou ʻōpū mimi. Hoʻoulu ka dye i ka ʻōpū mimi e pehu a hōʻike maopopo i loko.
• ʻO ka Voiding cystourethrogram (VCUG ) : Ua like kēia me ka cystourethrogram ma luna. Eia naʻe, mimi ʻoe.Lawe ʻia kahi X-ray i ka wā e kahe ai ke koko.
• Hoʻāʻo Uroflow : Hoʻāʻo kēia i ka maikaʻi o ka hoʻokahe ʻana o kou ʻōpū mimi i kou wā e mimi ai . Ana ia i nā mea e like me ka wikiwiki a me ka nui o ka mimi āu e hoʻokuʻu ai.
• Hoʻāʻo mimi koena ma hope o ka puka ʻana o ka ʻōpū (hoʻāʻo PVR ) : Hoʻohana kēia i kahi scan ultrasound e ana i ka nui o ka mimi i koe i loko o ka ʻōpū mimi ma hope o kou pau ʻana o ka mimi ʻana .

ʻAe kēia mau hoʻokolohua i ke kauka e hoʻomaopopo pono i ke ʻano o ka paʻa ʻana o kou ʻōpū mimi a me ke kumu.

Pehea e mālama ʻia ai ka ʻūmiʻi ʻāʻī o ka ʻōpū mimi?

Aia kekahi mau koho lapaʻau no kēia. E koho kāu kauka i ka lāʻau lapaʻau maikaʻi loa ma muli o kou kūlana.

• Hoʻonui : ʻAʻole kēia he ʻoki kino. He mea ia e hiki ke hana ʻia ma ke keʻena o ke kauka. E hoʻokomo mālie ʻo ia i nā ʻōmole nui i loko o kou urethra. E hoʻonui mālie kēia i ka wahi i ālai ʻia. A laila, e hoʻokomo ʻia kahi ʻōmole liʻiliʻi (urinary catheter) e hoʻokahe i ka mimi mai kou ʻōpū mimi.
• Ke kaʻina hana transurethral : He hana ʻoki kēia i hana ʻia ma lalo o ka anesthesia. Hoʻohana ke kauka i kahi resectoscope, kahi mea like me ka cystoscope, a hoʻohana i kahi au uila e wehe i nā ʻiʻo ʻeha i paʻa i ka urethra.
• Ke kūkulu hou ʻana i ka mimi a me ka hoʻohuli ʻana : Hana ʻia kēia i nā hihia o ka paʻa nui o ka ʻāʻī o ka mimi. I kekahi manawa pono e wehe ʻia ka ʻōpū āpau a i ʻole kekahi hapa. A laila hana ʻia kahi ala hou no ka mimi e puka ai i waho o ke kino. ʻO ka maʻamau, hana ʻia kahi puka liʻiliʻi (stoma) i loko o ka ʻōpū kahi e hōʻiliʻili ʻia ai ka mimi i loko o kahi ʻeke.

E haʻi aku kāu kauka iā ʻoe i nā mea hou aʻe e pili ana i kēia mau lāʻau lapaʻau.

Ke ho'ōla ponoʻī ʻia nei ka ʻūmiʻi ʻāʻī o ka ʻōpū?

ʻAʻole, ʻaʻole e nalowale kēia maʻi iā ia iho. Eia nō naʻe, inā ʻaʻole koʻikoʻi loa kou ʻūlū ʻana, ʻo ia hoʻi, he akahai ia , hiki i kāu kauka ke lawe i kahi ala "kali a ʻike". ʻO ke ʻano kēia e nānā ʻoe a me ke kauka e ʻike inā he loli i kāu mau hōʻailona.

ʻAʻole manaʻo ʻia kou ālai ʻana he mea liʻiliʻi wale nō inā ʻaʻole ia e hōʻino i kou mau puʻupaʻa a hiki iā ʻoe ke hoʻokuʻu loa i kāu ʻōpū mimi me ka ʻole o nā pilikia.

Pehea ka lōʻihi e hoʻōla ai ma hope o ke ʻoki ʻāʻī mimi?

Hoʻōla ka hapa nui o ka poʻe i loko o ʻelua a ʻekolu mau pule ma hope o ke ʻoki ʻana e mālama ai i kahi ālai ʻāʻī mimi.E hala ana ma kahi o 10 mau minuke e ho'ōla ai. Eia naʻe, ʻaʻole e ho'ōla nā kānaka a pau i ka manawa like. E hāʻawi kāu kauka iā ʻoe i kahi manaʻo kikoʻī e pili ana i kēia.

Hiki ke pale ʻia ka ʻūmiʻi ʻana o ka ʻāʻī o ka ʻōpū mimi?

ʻAʻohe mea hiki iā ʻoe ke hana e pale aku i kēia, no ka mea, he ʻano kakaikahi loa ia o ka ʻiʻo ʻeha e hiki ke kū ma hope o ka mālama ʻana i ka prostate.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka ʻāʻī o ka bladder?

Ma keʻano laulā, ua holomua ka mālama ʻana no kēia ʻano. Eia nō naʻe, i kekahi manawa hiki ke hoʻi hou mai nā ʻiʻo palapū a hiki ke hana ʻia ka ʻūlū ʻana . ʻOi aku ka nui o ka hiki ke hoʻi hou mai nā ʻiʻo palapū i nā kūlana aʻe:

• Inā ua loaʻa iā ʻoe ka radiation therapy .
• Inā ua loaʻa iā ʻoe nā ʻokiʻoki a i ʻole nā ​​​​kaʻina hana ʻē aʻe ma kou urethra.
• Inā loaʻa kekahi mau pilikia i ka wā o ka mālama mua ʻana i ka ʻāʻī mimi.

Inā hoʻi hou ka poloka, pono paha ʻoe i ka mālama hou aku.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka paʻa ʻana o ka ʻōpū mimi ma hope o ka mālama ʻana i ka prostate, e ʻike pono i ke kauka . Eia kekahi, inā e mālama ʻia ana ʻoe no kēia, e haʻi i kāu kauka inā loaʻa iā ʻoe nā hōʻailona hou a inā e ʻoi aʻe ka ʻino o kāu mau hōʻailona.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa kekahi o kēia mau mea, e hele koke i kahi lumi pilikia :

• Inā ʻaʻole hiki iā ʻoe ke mimi iki.
• Inā loaʻa iā ʻoe ka ʻeha nui ma ka ʻōpū a i ʻole ka ʻāpana groin.
• Inā ʻoe e hou nui.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea kōkua paha ke nīnau i kēia mau nīnau ke ʻike ʻoe i kāu kauka:

• Pehea i loaʻa ai iaʻu kēia ʻūmiʻi ʻāʻī mimi?
• He aha ke koho lapaʻau āu e ʻōlelo mai nei noʻu?
• ʻEhia ka lōʻihi e hoʻōla ai ma hope o kēlā lāʻau lapaʻau?
• Hiki paha i koʻu ʻōpū paʻa ke hoʻi mai ma hope o ka mālama ʻia ʻana?

E hoʻomanaʻo, he mea laha ʻole ka ʻāʻī o ka ʻōpū mimi e paʻakikī ai ka mimi . No nā kānaka he nui, nalowale nā ​​hōʻailona ma hope o ka mālama ʻana. Eia nō naʻe, hiki nō paha ke hoʻi hou mai ke ʻano a pono e mālama hou ʻia.

Leka Lawe-Home

Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī o ka mimi ʻana , ka urethra nāwaliwali, a i ʻole ka hoʻokahe piha ʻole ʻana o ka mimi ma hope o ka mālama ʻana i ka prostate, ma muli paha ia o kahi kūlana i kapa ʻia ʻo Bladder Neck Contracture . ʻOiai he kūlana kakaikahi kēia, hiki ke mālama ʻia .Mai hopohopo, e ʻike koke i kahi urologist a loaʻa ka ʻōlelo aʻoaʻo. E kōkua ʻo ia iā ʻoe e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa nāu a hāʻawi iā ʻoe i ka hōʻoluʻolu. Mai hūnā i kekahi mea, e kamaʻilio ākea me kāu kauka. Aloha nui iā ʻoe!