Ke hoʻomanaʻo nei ʻoe i ka paʻakikī o ka mimi ʻana ma hope o ke ʻoki ʻana i ka prostate a i ʻole ma hope o kahi mālama ʻana i ka maʻi kanesa ? Manaʻo paha ʻoe ua emi kou kahawai mimi, a i ʻole he manaʻo lōʻihi kou ʻaʻole i piha ka ʻōpū mimi ma hope o kou pau ʻana. Inā ʻike ʻoe i kēia mau hōʻailona, ua loaʻa paha iā ʻoe kahi maʻi i ʻike ʻia ʻo Bladder Neck Contracture . ʻOiai he mea maʻamau ʻole kēia, mai hopohopo. E kūkākūkā kākou i kēia me ka maʻalahi a me ka maopopo ma ka ʻōlelo Pelekania .
He aha ka ʻaelike ʻāʻī bladder?
I nā huaʻōlelo maʻalahi, he ʻōkana liʻiliʻi a hakahaka kou ʻōpū mimi i hoʻolālā ʻia e mālama i ka mimi. E noʻonoʻo iā ia e like me ka pōpō: hoʻonui ia i kona piha ʻana a ʻuʻuku ke hoʻokahe ʻoe. Ma ke kumu o ka ʻōpū mimi, kahi e pili ai i ka ʻōmole e lawe ana i ka mimi i waho o ke kino (ka urethra), aia kahi i kapa ʻia ʻo ka ʻāʻī o ka ʻōpū mimi . Hana ia e like me ke alahaka no ka mimi e puka ai.
I kekahi manawa, ma hope o nā mālama ʻana i ka prostate—ʻoi aku hoʻi nā ʻoki ʻana—hiki ke hana ʻia nā ʻiʻo ʻeha ma kēia wahi. ʻO kēia ʻiʻo ʻeha ke kumu o ka ʻāʻī o ka ʻōpū mimi e wili a "ʻaelike" paha. E noʻonoʻo iā ia e like me kahi mea keʻakeʻa i loko o ka hose māla e kāohi ana i ke kahe ʻana o ka wai. Ke wili ka ʻāʻī o ka ʻōpū mimi, lilo ka mimi i mea paʻakikī, a inā waiho ʻole ʻia, hiki iā ia ke hoʻopilikia i ke olakino o kāu ʻōpū mimi a me nā puʻupaʻa.
E like me ka paʻakikī o nā kaʻa ke holo i ka pani ʻia ʻana o ke alanui, he paʻakikī hoʻi i ka ʻāʻī o ka ʻōpū mimi ke kahe maʻamau.
He aha nā lāʻau lapaʻau prostate e hiki ke alakaʻi i kēia maʻi?
ʻAʻole nā lāʻau lapaʻau prostate āpau ke kumu o kēia, akā ʻo nā kaʻina hana aʻe e hiki ke loaʻa i kahi pilikia no ka Bladder Neck Contracture:
- Prostatectomy : Ke ʻoki ʻana i ka prostate i kahi ʻāpana a i ʻole ka holoʻokoʻa.
- ʻO ka prostatectomy radical : He kaʻina hana e wehe ai i ka prostate gland holoʻokoʻa, i hana pinepine ʻia no ka maʻi ʻaʻai.
- ʻO ka ʻoki ʻana o ka prostate ma o ka urethra (TURP) : He kaʻina hana kahi e hoʻokomo ʻia ai nā mea hana ma o ka urethra e wehe i nā ʻiʻo prostate e ālai ana.
- Lapaʻau radiation : Nā kukuna ikehu kiʻekiʻe i hoʻohana ʻia e luku i nā hunaola kanesa .
E hoʻomanaʻo, ʻaʻole nā mea a pau e hana ʻia ana i kēia mau lāʻau e loaʻa i kēia maʻi.
Hiki ke mālama ʻia ka ʻūmiʻi ʻāʻī o ka bladder?
ʻAe, hiki ke mālama ʻia. Inā ʻike ʻoe i kēia mau hōʻailona ma hope o ke kaʻina hana prostate, e kamaʻilio koke me kāu kauka. E hoʻoholo lākou i ka hoʻolālā lapaʻau kūpono loa nāu. ʻAʻohe kumu e makaʻu ai.
Pehea ka maʻamau o kēia ʻano?
ʻOiaʻiʻo, he maʻi laha ʻole kēia. Wahi a nā loea, hoʻokahi wale nō o nā maʻi he ʻumi e loaʻa i ka Bladder Neck Contracture ma hope o ke ʻoki ʻana i ka prostate. No laila, ʻaʻohe pono e hopohopo pono ʻole.
He aha nā hōʻailona o ka Bladder Neck Contracture?
ʻAʻole ʻike koke ʻia kēia mau hōʻailona; ulu mālie pinepine lākou a hiki ke maalea i ka wā mua.
- Pono e hoʻoikaika (kāohi) e hoʻomaka i ka mimi. E ʻike paha ʻoe e pono ʻoe e hoʻoikaika hou aʻe ma kahi o ke kahe ʻana o ka mimi me ka manuahi.
- ʻEha ka mimi ʻana (dysuria). Hiki ke like kēia me ka ʻeha ʻana a i ʻole ke kuni ʻana.
- He kahawai mimi nāwaliwali. ʻAʻole kahe ikaika ka mimi e like me ka wā ma mua.
- He kahawai e hoʻomaka a e kū. He kahe wā ʻole ke kahe ʻana ma mua o kahi kahawai paʻa.
- ʻO ke ʻano o ka hoʻokahe piha ʻole ʻana (paʻa ʻana o ka mimi). Manaʻo e like me he mea lā aia nō ka mimi i koe i loko o ka ʻōpū mimi.
- Nā Maʻi ʻŌpala Mimi Pinepine (UTI). Ma muli o ka noho ʻana o ka mimi i loko o ka ʻōpū mimi, hiki i ka bacteria ke ulu maʻalahi.
- Ka ulu ʻana o nā pōhaku mimi .
- Ka waikahe ʻana a i ʻole ka nalowale ʻana o ke kaohi ʻana o ka ʻōpū mimi (overflow incontinence).
I ka hapanui o nā hihia, hoʻomaka kēia mau hōʻailona e ʻike ʻia i loko o ʻekolu a ʻeono mahina ma hope o ke ʻoki ʻana i ka prostate. ʻAʻole paha ʻoe e ʻike i ke kahawai nāwaliwali i ka wā mua, akā hiki ke ʻoi aku ka ʻino i ka hala ʻana o ka manawa, i kekahi manawa e alakaʻi ai i ka hiki ʻole ke mimi. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ʻo ka ʻimi mua ʻana i ka ʻōlelo aʻoaʻo lapaʻau ke ala hana maikaʻi loa.
No ke aha e hāiki ai ka ʻāʻī o ka ʻōpū mimi? He aha nā kumu?
ʻOiai ʻaʻole maopopo piha i nā kānaka noiʻi ke kumu o ka hana ʻana o ka Bladder Neck Contracture, aia kekahi mau kumu nui i ʻike ʻia.
ʻO kekahi he pilikia ma hope o ka prostatectomy . I ka wā o ke ʻoki ʻana, hoʻopili hou kahi urologist i ka ʻāʻī o ka ʻōpū mimi i ka urethra, kahi hana i kapa ʻia ʻo anastomosis . I kou ho'ōla ʻana, hiki ke hana ʻia kahi ʻōpū koko liʻiliʻi (hematoma) kokoke a ma lalo paha o nā sutures. Hiki i kēia ke kumu i nā sutures e huki a haki paha, e hana ana i nā hakahaka i ka hoʻopili hou ʻana. A laila hoʻopiha ʻia kēia mau hakahaka e ka ʻiʻo ʻeha, kahi e hoʻohaiki ai i ka puka ma waena o ka ʻōpū mimi a me ka urethra.
ʻO kekahi kumu paha, ʻaʻole lawa ke koko i ka wahi anastomosis . Inā paʻa loa nā sutures, hiki iā lākou ke kaupalena i nā kīʻaha koko kokoke, e pale ana i ka ho'ōla ʻana a me ka hoʻoulu ʻana i ka hoʻokumu ʻia ʻana o nā ʻiʻo scar.
ʻO wai ka mea i pilikia no ka ʻaelike ʻāʻī bladder?
Hiki i kekahi mea i hana ʻia i ke ʻoki prostate ke loaʻa i kēia maʻi.
Eia nō naʻe, inā loaʻa iā ʻoe nā maʻi i hala mua e hoʻopilikia ai i ke kahe koko - e like me ka maʻi diabetes a i ʻole ka maʻi puʻuwai - ʻoi aku paha ka kiʻekiʻe o kou pilikia no ka hoʻomohala ʻana i ka Bladder Neck Contracture.
Pehea e ʻike ʻia ai?
Inā hōʻike ʻoe i nā hōʻailona, ʻo ka urologist ke loea e hiki ke hōʻoia i ka hōʻailona. E hana lākou i kahi hoʻokolokolo kino a kauoha paha i nā hoʻokolohua kikoʻī.
He aha nā hoʻokolohua e hana ʻia?
Hiki i kāu kauka ke kauoha i nā hoʻokolohua diagnostics penei:
- Cystoscopy : I loko o kēia kaʻina hana, hoʻokomo kāu kauka i kahi ʻōmole lahilahi a hoʻomālamalama ʻia (kahi cystoscope) ma o kou urethra a i loko o kou ʻōpū mimi. Mai hopohopo, e hāʻawi ʻia ʻoe i kahi anesthetic kūloko e hōʻoia ʻaʻole ʻoe e ʻeha. Hiki i ke kauka ke hoʻopiha i kou ʻōpū mimi me ka wai sterile a i ʻole ka saline e kiʻi i kahi ʻike maopopo o ka uhi ʻōpū mimi.
- Cystourethrogram : Ma kēia hoʻāʻo, alakaʻi ʻia kahi paipu plastik liʻiliʻi a palupalu (urinary catheter) ma o kou urethra i loko o kou ʻōpū mimi. Hoʻokomo ʻia kahi dye ʻokoʻa kūikawā ma o ka paipu, a lawe ʻia nā kukuna X. Hōʻike ka dye i kou ʻōpū mimi, e ʻae ana i ke kauka e ʻike maopopo i ke ʻano o loko.
- Voiding cystourethrogram (VCUG) : Ua like kēia me ka cystourethrogram maʻamau, akā hoʻokahi ʻokoʻa nui: lawe ʻia kahi X-ray i kou wā e mimi ana.
- Hoʻāʻo Uroflow : Ke ana kēia hoʻāʻo i ka maikaʻi o ka hoʻokahe ʻana o kou ʻōpū mimi. Hoʻopaʻa ia i ka wikiwiki a me ka nui o ke kahe ʻana o kou mimi e ʻike i nā mea āpau e ālai ʻia ai.
- Hoʻāʻo mimi koena ma hope o ka puka ʻana o ka mimi (PVR) : Me ka hoʻohana ʻana i kahi scan ultrasound , e ana pololei kāu kauka i ka nui o ka mimi i koe i loko o kou ʻōpū mimi ma hope o kou pau ʻana o ka mimi ʻana.
Kōkua kēia mau mea hana diagnostic i kāu kauka e hoʻoholo pololei i ka nui a me ke kumu o ka hāiki ʻana o kou ʻāʻī ʻōpū.
Pehea e mālama ʻia ai ka ʻūmiʻi ʻāʻī o ka bladder?
Aia kekahi mau koho lapaʻau i loaʻa. Na kāu mea mālama ola kino ma Nirogi Lanka e hoʻoholo i ke ala kūpono loa i kūpono i kou kūlana kikoʻī.
- Hoʻonui : ʻAʻole kēia he ʻoki kino maʻamau a hiki ke hana ʻia ma ke keʻena o ke kauka. Hoʻokomo mālie ke kauka i nā ʻōmole o ka nui e hoʻonui ana i loko o kou urethra e hohola i ka wahi i haiki. Ke hoʻonui ʻia, hiki ke ʻae i ka hoʻokomo manawa pōkole ʻana o kahi catheter urinary e kōkua i ka hoʻokahe ʻana.
- Ke kaʻina hana transurethral : He kaʻina hana ʻoki kēia i hana ʻia ma lalo o ka anesthesia. Me ka hoʻohana ʻana i kahi mea hana kūikawā (resectoscope), hoʻohana ke kauka i kahi au uila e wehe i ka ʻiʻo ʻeha e hoʻopilikia ai i ka ʻāʻī o ka ʻōpū mimi.
- Ke kūkulu hou ʻana a me ka hoʻohuli ʻana i ka mimi : Mālama ʻia kēia no nā hihia koʻikoʻi kahi i paʻa nui ai ka ʻāʻī o ka ʻōpū mimi. I kekahi mau hihia, pono e wehe ʻia kekahi hapa a i ʻole ka ʻōpū mimi holoʻokoʻa, a pono e hana ʻia kahi ala hou no ka mimi e haʻalele ai i ke kino, maʻamau e pili ana i kahi puka liʻiliʻi i loko o ka ʻōpū (stoma) kahi e kahe ai ka mimi i loko o kahi ʻeke waho.
E kūkākūkā kāu kauka i kēia mau kaʻina hana me ʻoe ma ke kikoʻī e pili ana i kāu mau pono lapaʻau.
Ke hoʻoholo pono nei anei ka ʻūmiʻi ʻāʻī bladder?
ʻAʻole, ʻaʻole kēia maʻi e ho'ōla ponoʻī. Eia nō naʻe, inā he akahai kou ʻūlū ʻana a ʻaʻole ia e hoʻopilikia i nā pilikia o ka puʻupaʻa a i ʻole ka pilikia nui i ka hoʻokahe ʻana i kou ʻōpū mimi, e kuhikuhi paha kāu kauka i kahi ala "kali a ʻike", kahi āu e nānā wale ai i kāu mau hōʻailona no kekahi mau loli.
He aha ka manawa ho'ōla ma hope o ke ʻoki ʻana o ka ʻāʻī mimi?
Hoʻōla ka hapa nui o nā maʻi i loko o ʻelua a ʻekolu mau pule ma hope o ke ʻoki ʻana. Eia nō naʻe, ʻokoʻa nā manawa ho'ōla ma kēlā me kēia kanaka; e hāʻawi kāu kauka i kahi kuhi pilikino no kou ho'ōla ʻana.
Hiki ke pale ʻia ka ʻūmiʻi ʻana o ka ʻāʻī bladder?
ʻAʻohe ala kikoʻī e pale aku ai i kēia maʻi, no ka mea, he pilikia kakaikahi ia e hiki ke hana i kekahi manawa ma hope o nā kaʻina hana prostate ma muli o ke kūkulu ʻia ʻana o nā ʻiʻo ʻeha.
He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka Bladder Neck Contracture?
ʻO ka maʻamau, loaʻa nā hopena maikaʻi i ka lāʻau lapaʻau. Eia nō naʻe, aia kahi pilikia e hiki ke hoʻoponopono hou ʻia nā ʻiʻo ʻeha, e hoʻihoʻi hou ai i ka ʻūlū . ʻOi aku ke kiʻekiʻe o kēia pilikia inā:
- Ua hana ʻia ʻoe i ka radiation therapy .
- Ua loaʻa iā ʻoe nā ʻokiʻoki a i ʻole nā kaʻina hana ma mua ma kou urethra.
- Ua loaʻa nā pilikia i kāu wā i mālama mua ai no ka ʻeha.
Inā hoʻi hou ke kūlana, pono paha ka lāʻau hou aku.
Āhea wau e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi mau hōʻailona o ka ʻūmiʻi ʻāʻī o ka ʻōpū ma hope o ke kaʻina hana prostate, e ʻoluʻolu e nīnau koke i kāu kauka . Inā ʻoe e mālama ʻia nei, e hōʻike koke i kekahi mau hōʻailona hou a i ʻole e ʻoi aku ka ʻino.
Āhea wau e hele ai i ka ʻOihana Pōpilikia?
E ʻimi koke i ka mālama ulia pōpilikia inā loaʻa iā ʻoe kekahi o kēia mau mea:
- Ka hiki ʻole loa ke mimi.
- ʻEha nui ma kou ʻōpū a i ʻole ka ʻāpana groin.
- Ka hou nui ʻana a i ʻole ka manaʻo nāwaliwali.
He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?
I mea e hoʻohana pono ai i kāu kūkākūkā ʻana, e noʻonoʻo e nīnau i kēia mau mea:
- Pehea i loaʻa ai iaʻu kēia ʻūmiʻi ʻāʻī mimi?
- ʻO wai ke koho lapaʻau āu e paipai mai nei noʻu?
- He aha ka manawa hoʻōla i manaʻo ʻia no kēia kaʻina hana?
- Aia kekahi pilikia kiʻekiʻe o ka hoʻi hou ʻana mai o ke ʻano ma hope o ka mālama ʻana?
E hoʻomanaʻo, ʻoiai he pilikia maʻamau ka ʻūmiʻi ʻāʻī o ka ʻōpū mimi e paʻakikī ai ka mimi ʻana, hiki ke mālama ʻia. No ka hapa nui o nā maʻi, hoʻoponopono maikaʻi ke ʻoki ʻana i nā hōʻailona, ʻoiai ke koi ʻia nei ka mālama ʻana inā hoʻi hou ke ʻano.
Leka Lawe-Home
Inā pilikia ʻoe i ka mimi ʻana, kahi kahawai nāwaliwali, a i ʻole ka hiki ʻole ke hoʻokahe piha i kāu ʻōpū mimi ma hope o ka mālama ʻana i ka prostate, ke hana nei paha ʻoe me kahi Bladder Neck Contracture . ʻOiai he mea kakaikahi, he kūlana hiki ke mālama ʻia . Mai hopohopo; e hoʻonohonoho koke i kahi manawa me kahi urologist. E hoʻoholo lākou i ka hoʻolālā mālama kūpono loa e kōkua iā ʻoe e hoʻihoʻi i kou ʻano ola. Mai ʻeha me ka leo ʻole—e kamaʻilio ākea me kāu kauka. Ke makemake nei iā ʻoe i kahi ho'ōla olakino me Nirogi Lanka!
