Ua manaʻo paha ʻoe ua paʻakikī iā ʻoe ke hoʻomaka e mimi , a i ʻole he mimi nō kou i loko o kou ʻōpū mimi ma hope o kou pau ʻana o ka mimi ʻana ? Malia paha he lohi a hoʻopau ʻia ke kahe ʻana o kou mimi. Pono anei ʻoe e ala i nā manawa he nui i ka pō e mimi ai ? ʻAʻole kēia he mau hōʻailona e hoʻowahāwahā ʻia. ʻO ka Bladder Outlet Obstruction (BOO) kekahi kumu lapaʻau paha o kēia ʻeha. I kēia lā, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Bladder Outlet Obstruction?
E noʻonoʻo i kou ʻōpū mimi e like me kahi pōpō i piha i ka wai. ʻO ka puka o kēia pōpō kahi e puka ai ka mimi mai ka urethra. ʻO ke ālai ʻana o ka puka o ka ʻōpū mimi, ʻo ia hoʻi, aia kahi ālai ma kekahi wahi ma ke ala e puka ai ka mimi mai ka ʻōpū mimi. Hoʻolohi kēia ālai i ke kahe ʻana o ka mimi, a i ʻole hiki iā ia ke hoʻōki loa iā ia.
ʻOi aku ka maʻamau o kēia ʻano maʻi i nā kāne ma luna o 65 mau makahiki. Akā hiki nō hoʻi ke loaʻa i nā wahine, nā ʻōpio, nā kamaliʻi liʻiliʻi, a hiki i loko o ka ʻōpū. ʻO kēia ʻano, ka mea i loaʻa i loko o ka ʻōpū, ua kapa ʻia hoʻi ʻo Fetal Lower Urinary Tract Obstruction (LUTO). He ʻano paʻakikī a kakaikahi hoʻi ia.
ʻO nā wāhine, ʻoi aku ka poʻe me ka ʻōpū mimi prolapsed (cystocele), ʻoi aku ka nui o ka loaʻa ʻana o kēia ālai.
He aha nā hōʻailona o kēia maʻi?
Hiki i ke kanaka me ka Bladder Outlet Obstruction ke loaʻa i nā ʻano ʻoluʻolu ʻole like ʻole. Ke hui pū ʻia kēia mau hōʻailona, kapa mākou iā lākou ma ke ʻano lapaʻau ʻo Lower Urinary Tract Symptoms (LUTS). E nānā e ʻike inā loaʻa iā ʻoe kēia mau hōʻailona pū kekahi.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| Ka paʻakikī e hoʻomaka ana e mimi | ʻOiai inā ʻoe e hoʻāʻo e mimi , he mau kekona a ʻoi aʻe paha ka lōʻihi o ke kahe ʻana o ka mimi. |
| ʻAʻole e hoʻokahe loa ka ʻōpū mimi | ʻOiai ma hope o kou pau ʻana i ka mimi, manaʻo nō ʻoe he mimi nō i loko. |
| Kahe wai mimi palupalu a hoʻopau pinepine ʻia | ʻAʻole puka ikaika mai ka mimi, puka mālie loa ia. I kekahi manawa kū ke kahe no kekahi manawa, a laila hoʻomaka hou. |
| ʻO ka mimi pinepine ʻana i ka pō | Ke hiamoe maikaʻi ʻoe, pono ʻoe e ala aʻe e mimi i ʻelua a ʻekolu paha manawa i ka pō a ʻoi aku paha. |
| Pono pinepine e mimi | Pono wau e mimi i nā manawa he nui i ka lā, akā he liʻiliʻi wale nō ka mimi e puka mai ana i kēlā me kēia manawa. |
| Pono koke e mimi | I koʻu manaʻo e mimi , ʻaʻole hiki iaʻu ke kāohi a pono iaʻu e holo i ka lumi ʻauʻau. |
| ʻEha ma ka ʻōpū lalo a i ʻole ma nā ʻaoʻao ʻelua o ke kua | ʻO ka piha ʻana o ka ʻōpū mimi ma muli o ka paʻa ʻana o ka mimi hiki ke hoʻoulu i ka ʻeha o ka ʻōpū ma lalo a i ʻole ka ʻeha ma nā ʻaoʻao ʻelua o ke kua ma muli o nā hopena i nā puʻupaʻa. |
| ʻEha i ka wā o ka mimi ʻana | ʻO ke kuni a ʻeha paha i ka wā e mimi ai (ʻoiai inā he maʻi) |
No ke aha lā kēia e hana nei? He aha nā kumu o kēia?
Aia paha he nui nā kumu no kēia ālai ʻana o ka urinary tract.
ʻO ke kumu nui o ka hopena i nā kāne
ʻO ke kumu maʻamau o kēia ʻano i nā kāne, ʻo ia ka hoʻonui ʻia ʻana o ka prostate gland . Kapa mākou i kēia ma ke ʻano lapaʻau he Benign Prostatic Hyperplasia (BPH).He ʻōpū liʻiliʻi ka prostate ma lalo o ka ʻōpū mimi, e hoʻopuni ana i ka urethra. I kou wā ʻelemakule, ma hope o 50 mau makahiki, hoʻomaka mālie kēia ʻōpū e hoʻonui. ʻAʻole kēia he maʻi kanesa. Eia naʻe, i ka wā e hoʻonui ai kēia ʻōpū, hoʻomaka ia e ālai i ka urethra. ʻO ia ka manawa e paʻakikī ai ka mimi.
Nā kumu maʻamau ʻē aʻe
Ma waho aʻe o ka BPH, hiki i kekahi mau kumu ʻē aʻe ke hoʻopilikia i kēia.
- Urethral Stricture: Hiki ke hana ʻia ka ʻiʻo scar i loko o ka urethra ma muli o kahi maʻi, ulia, a i ʻole ke ʻoki ʻana, e hoʻohāiki ana i ke alahele.
- Nā Pōhaku ʻŌmole: Ke hōʻiliʻili nā minelala i loko o ka ʻōpū ʻōpū a hana i nā pōhaku, hiki iā lākou ke hoʻopaʻa ʻia i loko o ka urethra a ālai i ke ala no ka mimi.
- Pelvic Organ Prolapse: I kekahi mau wahine, ʻoi aku hoʻi nā wahine ʻelemakule i loaʻa nā keiki he nui, hiki i ka ʻōpū mimi a i ʻole ka uterus ke hāʻule i lalo i loko o ka vagina. Hiki i kēia ke kumu i ka urethra e kūlou a paʻa.
- Ka Paʻa ʻŌpū Nui: I loko o ke kanaka me ka paʻa ʻōpū nui, hiki i ka ʻōpala e hoʻopiha ana i ka rectum ke kaomi ma ka ʻōpū mimi a me ka urethra.
- Nā kūlana maʻi kanesa: Hiki ke hana ʻia kēia mau ālai ʻana e nā kūlana maʻi kanesa e like me ke kanesa prostate, ke kanesa ʻōpū, a me ke kanesa cervical.
- Nā pilikia o ka ʻōnaehana nerve: Hiki ke hana ʻia kēia ʻano ke hana pono ʻole nā ʻiʻo o ka ʻōpū mimi ma muli o kahi pilikia me ka lolo, ke kaula spinal, a i ʻole nā aʻalolo e pili ana i ka ʻōpū mimi.
ʻO ka mea nui loa, inā loaʻa iā ʻoe kēia mau hōʻailona, mai manaʻo wale, "He mea maʻamau kēia i kou wā ʻelemakule," a e ʻike pono i ke kauka. No ka mea, inā ʻike pololei ʻia ke kumu hiki ke hāʻawi ʻia ka lāʻau kūpono.
Pehea e ʻike pono ai ke kauka i kēia maʻi?
Ke ʻike ʻoe i ke kauka me kēia mau hōʻailona, e hoʻolohe pono mua ʻo ia i kāu mau hōʻailona. A laila, e nānā lākou iā ʻoe. I loko o kēia manawa, hiki iā lākou ke paipai i kekahi mau hoʻokolohua e hoʻoholo ai i ke kumu pololei.
| Hoʻāʻo | He aha kāu e ʻike ai ma kēia? |
|---|---|
| Ka nānā ʻana i ka mimi | E nānā ʻia kāu mimi no ka maʻi, ke koko, a i ʻole nā mea ʻē aʻe. |
| Hoʻāʻo koko | E ʻike inā ua hoʻopilikia ʻia nā puʻupaʻa e ka paʻa ʻana o ka mimi (e nānā ana i nā mea e like me nā pae creatinine). |
| ʻO ke kiʻi ʻana o ka ultrasound | Nānā kēia i nā puʻupaʻa, ka ʻōpū mimi, a me ka prostate (i nā kāne). Hiki iā ia ke nānā no nā mea e ālai ʻia ai, nā pōhaku ʻōpū mimi, a me ke koena mimi ma hope o ka puka ʻana o ka mimi. |
| ʻO ke ʻano o ka cystoscopy | Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi i loko o kou urethra, a nānā ke kauka i nā mea e hana nei i loko o kou ʻōpū mimi a me ka urethra ma kahi pale. Hiki i kēia ke ʻike maopopo inā he mea paʻa, ʻūlū, a i ʻole nā pōhaku ma kekahi wahi. |
| Hoʻāʻo Urodynamic | He hoʻāʻo kūikawā kēia e ana i ke kaomi a me ka hana a nā ʻiʻo o ka ʻōpū mimi i kona hoʻopiha ʻana a me ka hakahaka ʻana. |
He aha nā lāʻau lapaʻau no kēia?
ʻO ka mea maikaʻi loa, aia nā ʻano lapaʻau like ʻole no ka Bladder Outlet Obstruction, ma muli o ke kumu. Na kāu kauka e koho i ka lāʻau lapaʻau kūpono loa iā ʻoe.
- Nā ʻano lāʻau lapaʻau:
- No nā mea ālai i hoʻokumu ʻia e ka prostate i hoʻonui ʻia (BPH), hāʻawi ʻia nā lāʻau lapaʻau e like me nā alpha-blockers e hoʻomaha ai i nā ʻiʻo a puni ka gland.
- I kekahi manawa hāʻawi ʻia nā lāʻau lapaʻau e like me Finasteride, kahi e hoʻemi ai i ka nui o ka prostate.
- Nā lāʻau lapaʻau ʻē aʻe:
- Hiki i nā wahine ke hoʻomaha mai nā pilikia i hoʻokumu ʻia e ka prolapse o ke kino pelvic me kahi mea i kapa ʻia he pessary, i waiho ʻia i loko o ka vagina.
- Kōkua pū kekahi ka hoʻoikaika kino e hoʻoikaika i nā ʻiʻo o ka papahele pelvic i kekahi poʻe.
- ʻO ke ʻoki kino a me nā ʻano hana ʻē aʻe:
- Ka hoʻokomo ʻana i ka catheter: Inā ua paʻa loa ka urethra, hoʻokomo ʻia kahi paipu manawa pōkole (Foley catheter) i loko o ka ʻōpū mimi e hoʻokahe i ka mimi. Hoʻomaʻamaʻa kekahi poʻe i ka hoʻokomo ʻana iā lākou iho ma ka home.
- ʻO ke ʻoki kino e wehe i ka mea paʻa: No nā kūlana e like me BPH, hoʻokomo ʻia nā mea hana ma o ka urethra e wehe i nā ʻāpana i paʻa o ka prostate (ʻoki kino e like me TURP).
- Laser Lithotripsy: Inā he mau pōhaku i loko o ka ʻōpū mimi, e kuʻi ʻia a wehe ʻia me ka hoʻohana ʻana i nā kukuna laser.
- Urethroplasty: Inā ua emi ka urethra (stricture), hana ʻia ke ʻoki kino e hoʻihoʻi i ka ʻāpana i emi.
ʻO ka hapa nui o ka manawa, hana ʻia kēia mau ʻoki ʻana me ka hoʻohana ʻana i nā ʻano hana minimally invasive . ʻO ia hoʻi, hana ʻia lākou me ka ʻole o nā ʻoki nui a ma o nā lua liʻiliʻi, no laila ʻoi aku ka pōkole o ka noho ʻana ma ka haukapila a ʻoi aku ka wikiwiki o ka hoʻōla ʻana.
Āhea ʻoe e ʻimi koke ai i ke aʻo lapaʻau?
He mea nui loa kēia. I kekahi mau hihia, hiki ke lilo kēia i mea pilikia.
Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui ma kou ʻōpū lalo , a inā ʻaʻole hiki iā ʻoe ke mimi ma hope o ka hoʻāʻo ʻana no nā hola , he pilikia ia. Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona o ka maʻi mimi, e like me ke kuni, ke anu, a me ka haʻalulu , e hele koke i ka keʻena pilikia o ka haukapila kokoke loa (ETU) .
Inā ʻaʻole mālama ʻia, hiki i kēia maʻi ke alakaʻi i nā pilikia koʻikoʻi e like me nā maʻi ʻaʻai mimi, ka hōʻino ʻana o nā puʻupaʻa, ka hāʻule ʻana o nā puʻupaʻa, a me nā pōhaku mimi. No laila, mai hoʻowahāwahā i nā hōʻailona.
Leka Lawe-Home
- Mai hoʻowahāwahā i nā pilikia o ka mimi ʻana (ka wai palupalu, ka paʻakikī i ka hoʻomaka ʻana, ka mimi pinepine ʻana) me ka manaʻo he "mea maʻamau wale nō ia i kou wā ʻelemakule."
- ʻOiai ke kumu nui o kēia, ʻo ia ka hoʻonui ʻia ʻana o ke kelepa prostate o nā kāne me ka ʻelemakule, hiki ke loaʻa kēia ʻano i nā wahine a me nā kāne ʻōpio no nā kumu ʻē aʻe.
- Inā ʻaʻole e mālama koke ʻia, hiki i kēia maʻi ke hōʻeha mau loa i nā puʻupaʻa, no laila he mea nui ka ʻike mua ʻana a me ka mālama ʻana.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hilahila a makaʻu paha e ʻike i ke kauka. I ka hapanui o nā hihia, hiki ke hoʻomalu maikaʻi ʻia kēia kūlana me nā lāʻau lapaʻau a i ʻole nā ʻano maʻalahi.
- Inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui a i ʻole ka paʻa piha ʻana o ka mimi, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
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