Manaʻo paha ʻoe e pono ʻoe e mimi pinepine? A i ʻole ke ʻeha a wela paha ʻoe i kou mimi ʻana? I kekahi manawa ua ʻike paha ʻoe ua loli ke kala o kou mimi a ua ʻike paha ʻoe i kahi koko liʻiliʻi. ʻO kekahi kumu o ia ʻano ʻoluʻolu ʻole paha ka hoʻokumu ʻia ʻana o nā pōhaku mimi. ʻAʻole ʻike ka poʻe he nui i kēia. No laila, mai hopohopo, i kēia lā e kamaʻilio maʻalahi mākou e pili ana i kēia a ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
He aha nā pōhaku mimi?
I ka ʻōlelo maʻalahi, he mau puʻupuʻu paʻakikī nā pōhaku mimi, e like me ka pōhaku e hana ʻia ana i loko o kou mimi (ka ʻeke e paʻa ai ka mimi). Hana ʻia lākou i ka wā e paʻakikī ai nā minelala i loko o ka mimi ma hope o kou pau ʻana o ka mimi ʻana, a koe kekahi mimi i loko o ka mimi.
E noʻonoʻo e pili ana i ia mea, hiki i nā pōhaku liʻiliʻi ke puka i waho me ka mimi me ka ʻike ʻole ʻoe. Akā inā hana ʻia nā pōhaku nui, hiki iā ʻoe ke ʻike i ka ʻeha nui, ka hiki ʻole ke mimi, a me ke koko i loko o ka mimi.
ʻO ka mea nui loa, inā loaʻa iā ʻoe ka ʻeha nui hiki ʻole iā ʻoe ke hoʻomanawanui, a i ʻole ka ʻoluʻolu ʻole e like me ka paʻakikī o ka mimi ʻana, pono ʻoe e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
ʻO kekahi inoa lapaʻau no kēia maʻi ʻo 'bladder calculi'.
Pehea ʻoe e ʻike ai inā he mau pōhaku ʻōpū kou? - Nā hōʻailona
Inā kū mai nā pōhaku nui, hiki iā lākou ke hōʻeha i loko o ka ʻōpū mimi a hoʻoulu i nā pilikia like ʻole. E makaʻala i nā hōʻailona ma lalo nei.
| ʻAno | Wehewehena |
|---|---|
| Hoʻololi i ke kala o ka mimi | Hiki ke ʻike ʻia ka mimi he ao a ʻeleʻele paha ke kala. I kekahi manawa, ʻike paha ʻoe i ke koko i loko o ka mimi (hematuria) . |
| Pono pinepine e mimi | ʻOiai ua mimi wale nō wau, manaʻo mau wau he pono iaʻu e mimi hou. |
| ʻEha | He mea maʻamau ka ʻeha a i ʻole ke kuni ʻana i ka wā e mimi ai (dysuria) . Hiki iā ʻoe ke ʻike i ka ʻeha i kekahi manawa ma ka ʻōpū haʻahaʻa, ka penis, a i ʻole nā testicles. |
| Paʻakikī ke mimi | ʻOiai pono ʻoe e mimi, hiki ke paʻakikī ke hoʻomaka. I kekahi manawa, pau koke ke kahe ʻana o ka mimi a laila hoʻomaka hou (urinary intermittency) . |
| Nā maʻi ʻōpū mimi (UTI) | Hiki i nā pōhaku ʻōpū ke hoʻoulu i nā maʻi ʻaʻai mimi pinepine (UTIs) . Hiki i kēia ke kumu i ka mimi pinepine, ka ʻeha, ka mimi ʻeleʻele, a me kahi ʻala pilau. |
No ke aha i hana ʻia ai nā pōhaku mimi? - Nā kumu nui
ʻO ke kumu nui o ka hoʻokumu ʻia ʻana o nā pōhaku ʻōpū mimi, ʻo ia ka noho ʻana o ka mimi i loko o ka ʻōpū mimi no ka manawa lōʻihi me ka ʻole o ka hoʻokuʻu loa ʻia ʻana. Aia kekahi mau kumu e kōkua i kēia.
- ʻO ka prostate nui: ʻO kēia ke kumu maʻamau o nā pōhaku mimi i nā kāne . Hoʻonui ka hapa nui o nā prostate o nā kāne ma hope o 50 mau makahiki. Ua kapa ʻia kēia he benign prostatic hyperplasia (BPH). Hiki i kēia ke ālai i ka urethra a pale i ka ʻōpū mimi mai ka hoʻokahe piha ʻana. A laila hiki i ke koena o ka mimi ke hana i nā pōhaku.
- ʻŌpū mimi neurogenic: ʻO nā maʻi ʻōpū mimi neurogenic e like me ka ʻeha o ke kaula kuamoʻo, ka hahau ʻana, a me ka maʻi diabetes hiki ke hana i ka hana pono ʻole o ka ʻōpū mimi. ʻOiai i kēlā manawa, hiki ke noho ka mimi i loko o ka ʻōpū mimi.
- Ka maloʻo ʻana: Inā ʻaʻole ʻoe e inu i ka wai lawa, piʻi aʻe ka nui o nā minelala i loko o kou mimi, e maʻalahi ai ke kūkulu ʻia ʻana o nā pōhaku.
- Nā pōhaku puʻupaʻa: I kekahi manawa hiki i ka pōhaku puʻupaʻa ke hele i lalo i loko o ka ʻōpū mimi. Puka pinepine ia me ka mimi. Eia naʻe, i kekahi manawa, hiki i ka pōhaku ke paʻa i loko o ka ʻōpū mimi a ulu nui.
- Nā kūlana kūikawā no nā wahine: Ma hope o ka hānau ʻana, hiki i kekahi mau wahine ke loaʻa i kahi ʻōpū mimi prolapsed (Cystocele). ʻOiai i kēlā manawa, hiki ke ālai ʻia ke ala mimi a hiki ke hana ʻia nā pōhaku.
- ʻO ke ʻoki kino a me nā mea hana: Hiki ke hana ʻia nā pōhaku ma luna o ka ʻōpū mimi ma muli o nā ʻoki kino i hana ʻia ma ka ʻōpū mimi (e like me ka augmentation cystoplasty) a i ʻole inā waiho ʻia nā mea e like me nā catheters no ka lōʻihi loa.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke hele ʻoe e ʻike i ke kauka, e hoʻolohe pono ʻo ia i kāu mau hōʻailona, e nānā iā ʻoe, a laila e kauoha i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
- Urinalysis: Nānā kēia i ka mimi no nā pōhaku liʻiliʻi, ke koko, a me nā maʻi.
- Nā hoʻāʻo kiʻi: E noi ʻia paha ʻoe e hana i kahi scan e nānā i loko o kou ʻōpū mimi. He scan (CT) paha kēia, he X-ray, a he ultrasound paha. Hiki i kēia mau mea ke hōʻike i ka nui, ke ʻano, a me kahi kikoʻī o nā pōhaku.
- Cystoscopy: Ma kēia, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia, i kapa ʻia ʻo cystoscope, ma o ka urethra e nānā pololei i loko o ka ʻōpū mimi. Hiki ke hoʻohana ʻia kēia e hoʻoholo me ka 100% maopopo inā he mau pōhaku.
He aha nā lāʻau lapaʻau no kēia mau pōhaku?
ʻAʻohe mea e hopohopo ai, aia nā lāʻau lapaʻau kūpono no kēia. ʻO ka maʻamau, mālama ʻia kēia e ke kauka loea i ka ʻōnaehana mimi (urologist). Hoʻoholo ʻia ke ʻano lapaʻau e ka nui o ka pōhaku.
| ʻAno lapaʻau | He aha e hana ai |
|---|---|
| ʻO Cystolitholapaxy | ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. ʻAʻole ia he ʻoki kino. Hoʻokomo ʻia kahi mea hana liʻiliʻi me kahi kāmela ma o ka urethra a kuʻi ʻia ka pōhaku me ka hoʻohana ʻana i kahi kukuna laser a i ʻole nā hawewe kani alapine kiʻekiʻe (ultrasound). A laila holoi ʻia nā ʻāpana i kuʻi ʻia me kahi hopena. |
| ʻoki kino | Inā nui loa ka pōhaku a ʻaʻole hiki ke wehe ʻia ma kēia ʻano, pono paha ke ʻoki ʻana e wehe i ka pōhaku ma o kahi ʻoki liʻiliʻi ma ka ʻōpū. Inā ma muli o ka prostate i hoʻonui ʻia ka pōhaku, hiki ke mālama ʻia i ka wā o ke ʻoki ʻana like. |
He aha kāu e hana ai me nā pōhaku liʻiliʻi?
Inā liʻiliʻi loa nā pōhaku, hiki i kāu kauka ke haʻi aku iā ʻoe e inu i ka wai he nui a hāʻawi iā ʻoe i kahi lāʻau lapaʻau (e laʻa, alpha-blocker) e kōkua ana i nā pōhaku e hele ma kāu mimi.
He aha nā mea e hiki ke hana ʻia e pale ai i ke kūkulu ʻia ʻana o nā pōhaku a hōʻemi i ka ʻeha?
Aia kekahi mau mea hiki iā ʻoe ke hana e pale ai i nā pōhaku ʻōpū mai ka hoʻi hou ʻana mai a hoʻemi i ko lākou ʻeha.
Nā ʻano maikaʻi
- E inu i ka wai he nui: ʻO kēia ka mea nui loa. E inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā. Inā he melemele māmā a wai paha kou mimi, ke inu nei ʻoe i ka wai lawa. Inā he melemele ʻeleʻele, pono ʻoe e inu hou aku i ka wai.
- Hoʻopau ʻeha: Hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i ka lawe ʻana i kahi mea hoʻopau ʻeha (NSAID) no ka ʻeha. ʻAʻole hana kēia mau lāʻau lapaʻau no nā mea āpau, no laila mai lawe iā lākou me ka ʻole o ka ʻōlelo aʻoaʻo lapaʻau.
- E mālama i ke kumu kumu: Inā he pilikia prostate kou, he mea nui e mālama pono ʻia, inā ʻaʻole e hoʻi hou mai nā pōhaku.
Nā mea e pale aku ai i ka ʻai ʻana a me ka inu ʻana
Hiki i nā meaʻai kiʻekiʻe i ka paʻakai a me ke kō ke hoʻonui i ka pilikia o ka hoʻokumu ʻia ʻana o nā pōhaku. No laila he manaʻo maikaʻi e hōʻemi i kēia mau mea:
- Nā meaʻai i loko o ka pahu, nā sopa
- Mea ʻai wikiwiki
- ʻIʻo awakea
- Nā mea inu kō, soda
Leka Lawe-Home
- Hoʻokumu ʻia nā pōhaku ʻōpū mimi ma muli o ka mea ʻaʻole i hoʻokuʻu piha ʻia ka mimi a noho mau i loko o ka ʻōpū mimi.
- ʻO nā hōʻailona maʻamau e komo pū me ka mimi pinepine, ka ʻeha i ka wā e mimi ai, a me ke koko i loko o ka mimi.
- ʻO ka inu ʻana i ka wai he nui e hiki ke hōʻemi nui i ka pilikia o ke kūkulu ʻia ʻana o nā pōhaku.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka. Inā loaʻa iā ʻoe ka ʻeha nui, e hele koke i ka ETU o ka haukapila.
- Mai hopohopo, me ka mālama pono ʻana, hiki ke ho'ōla loa ʻia kēia maʻi. A ma ka mālama ʻana i ke kumu kumu, hiki iā ʻoe ke pale aku i ka hana hou ʻana o nā pōhaku.
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