Ke lohe ʻoe i ka huaʻōlelo 'ʻoki ʻōpū', makaʻu iki paha ʻoe. He mea maʻamau kēlā. Akā, ke ʻike pono ʻoe i ke ʻano o ia mea, ke kumu e hana ʻia ai, a pehea e hana ʻia ai, e emi nui ana kou mau makaʻu a me kou hopohopo. No laila, i kēia lā e kamaʻilio mākou e pili ana i kēia me ka maopopo a me ka maʻalahi, me he mea lā e kamaʻilio ana mākou me kahi hoaaloha.
ʻO ka mea mua, e nānā kākou, he aha ke ʻoki ʻana o ka ʻōpū mimi?
I ka ʻōlelo maʻalahi, he ʻano ʻeke like ka ʻōpū mimi i loko o ko mākou kino e hōʻiliʻili a mālama i ka mimi ( mimi ) i kānana ʻia e nā puʻupaʻa. Kāhea mākou i kēia ʻoki ʻana he ʻoki ʻōpū mimi.
ʻO ke ʻano o ke ʻoki kino āu e pono ai e hilinaʻi ʻia i ke kūlana e hoʻopilikia ana i kou ʻōpū mimi, no laila e ʻokoʻa paha ke ʻano o ke ʻoki kino mai kēlā kanaka a kēia kanaka.
I ka manawa hea e pono ai ke ʻoki ʻana i ka mimi?
Hiki i nā kauka ke ʻōlelo aku i kēia mau ʻoki kino no kekahi mau kumu nui.
- ʻO ke kanesa ʻōpū: ʻO kēia ke kumu nui a me ke kumu maʻamau no ke ʻoki ʻana i ka ʻōpū.
- ʻO ka ʻōpū mimi hāʻule / Bladder prolapse / Cystocele: He kūlana i maʻa mau i nā wāhine.
- Ka hoʻōki ʻana o ka mimi: Ke kahe ʻana o ka mimi me ka makemake ʻole i ka wā e ʻū ana a ʻakaʻaka paha.
He aha nā ʻano hana ʻoki mimi maʻamau?
Nui nā ʻano ʻoki ʻana i ka ʻōpū mimi. E nānā kākou i kekahi o nā mea maʻamau. He paʻakikī iki nā inoa o kēia mau mea, akā maʻalahi ke hoʻomaopopo ke ʻike ʻoe i kā lākou mea e pili ana.
| ʻAno o ke ʻoki kino | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia me kēia? |
|---|---|
| ʻOki ʻia ke kino | Ka wehe ʻana i kahi ʻāpana o ka ʻōpū mimi (hapa) a i ʻole ka ʻōpū mimi holoʻokoʻa (radical) i nā hihia o ka maʻi ʻaʻai. |
| TURBT (ʻoki ʻana i ka ʻōpū mimi) | Hoʻokomo ʻia kahi mea lahilahi me kahi kāmela (cystoscope) ma o ka urethra e wehe i nā puʻupuʻu kanesa i loko o ka ʻōpū mimi. ʻAʻohe ʻoki waho. |
| Ke kūkulu hou ʻana o ka mimi a me ka hoʻohuli ʻana | Ke wehe ʻia ka ʻōpū mimi, hana ʻia kahi ala hou e hoʻokuʻu ai i ka mimi mai ke kino. |
| Hoʻokuʻu Retropubic | Ke hoʻonohonoho hou ʻana a me ka hoʻopaʻa ʻana i ka ʻōpū mimi a me ka urethra i ko lākou wahi kūpono. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
E hālāwai kāu kauka me ʻoe ma mua o ke ʻoki kino. I loko o kēia manawa, e hana ʻia nā mea aʻe:
- E kamaʻilio e pili ana i kou mōʻaukala olakino piha.
- E hana ʻia kahi hoʻokolohua kino e ʻike ai inā ua lawa kou olakino e kū ai i ke ʻoki kino.
- Hoʻopaʻa ʻia nā mea e like me ka mahana, ka pulse, a me ke koko.
- Hana ʻia kahi hoʻāʻo koko a me ka mimi (urinalysis) e nānā ai i nā maʻi.
He mea nui loa kēia: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei (i kauoha ʻia e kāu kauka, nā mea kūʻai ma luna o ke kauka, nā mea kanu, a me nā mea hoʻohui huaora). Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, ʻoiai ka aspirin, NSAID, a me nā anticoagulants, hiki ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko. Eia nō naʻe, mai hoʻōki i ka lawe ʻana i kekahi lāʻau lapaʻau a hiki i ka wā e haʻi aku ai kāu kauka iā ʻoe.
Eia kekahi, e haʻi mai iā mākou e pili ana i nā maʻi ʻaleka āu e loaʻa nei. Eia kekahi laʻana,
- Nā maʻi ʻaleka i nā lāʻau lapaʻau
- Nā maʻi ʻaleka i nā mea hoʻomaʻemaʻe ʻili (e like me ka iodine)
- ʻAlerika latex
- Nā maʻi ʻaleka meaʻai
Inā ʻoe e puhipaka, hiki i kāu kauka ke aʻo aku iā ʻoe e haʻalele, no ka mea, hiki i ka puhipaka ke hoʻopaneʻe i ka ho'ōla ʻana ma hope o ke ʻoki ʻana.
E hāʻawi ʻia aku nō hoʻi ʻoe i nā ʻōlelo kūikawā e pili ana i ka mea e ʻai ai a inu ai ma mua o ke ʻoki kino. Hiki ke noi ʻia ʻoe e ʻai wale i nā wai (nā sopa ʻaʻole ʻakika, nā wai huaʻai, ka jelly) no 8-12 mau hola ma mua o ke ʻoki kino.
He aha ka mea e hana ʻia i ka lā o ke ʻoki kino?
Hiki ke hana ʻia ke ʻoki ʻana o ka ʻōpū mimi ma ʻekolu mau ala nui.
1. ʻO ke ʻoki kino liʻiliʻi / Robotic
ʻO kēia ke ʻano hana i hoʻohana nui ʻia i kēia lā. Hana ke kauka lapaʻau i kekahi mau ʻoki liʻiliʻi loa i loko o kou ʻōpū a hoʻokomo i kahi mea e like me ka lima robotic ma o lākou e hana i ke ʻoki ʻana. He pōkole ka manawa hoʻōla o kēia ʻano hana, emi ka ʻeha, a emi nā pilikia.
2. ʻOki Hana Hāmama
Ma kēia, hana ke kauka lapaʻau i hoʻokahi ʻoki lōʻihi ma ka ʻōpū e hiki ai i ka ʻōpū mimi. ʻAʻole hoʻohana pinepine ʻia kēia ʻano hana i kēia manawa.
3. ʻO ke ʻoki kino Endoscopic
Ma kēia, ʻaʻohe ʻoki waho i hana ʻia. Hana ʻia ke ʻoki ʻana ma ke kau ʻana i kahi mea me kahi kāmela ma ke urethra. ʻO ke ʻoki ʻana i kapa ʻia ʻo `(TURBT)` a mākou i kamaʻilio ai ma luna nei he laʻana maikaʻi ia o kēia.
E hoʻomaopopo anei au i ka wā o ke ʻoki kino?
ʻAʻole. Ma mua o ke ʻoki ʻana, e hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā. ʻO ia hoʻi, e hiamoe loa ʻoe i ka wā o ke ʻoki ʻana. ʻAʻole ʻoe e ʻeha.
He aha kāu e manaʻo ai ma hope o ke ʻoki kino?
A pau ke ʻoki ʻana, e humuhumu nā kauka i kou mau ʻoki a kāʻei iā lākou. Ke pau ka anesthesia, e hoʻi mālie ʻoe i ka ʻike. E hiamoe iki ʻoe i ka wā mua. Ke ala loa ʻoe, e hāʻawi ʻia ʻoe i ka lāʻau lapaʻau e kāohi i ka ʻeha.
Hiki ke hana pinepine ʻia nā mea ma hope o ke ʻoki ʻana:
- Pono e mimi pinepine.
- Pono koke e mimi.
- He ʻuʻuku ke koko i hui pū ʻia i loko o ka mimi (Hematuria).
E haʻi aku kāu kauka iā ʻoe e pili ana i kēia mau mea ma mua.
E aʻo kākou e pili ana i ka manawa hoʻōla.
ʻOkoʻa ka manawa e hoʻōla piha ai ma muli o ke ʻoki ʻana āu i hana ai. ʻO ka maʻamau he mau pule. Hiki ke hala i hoʻokahi a ʻelua paha mahina e hoʻihoʻi i ka ikaika piha.
- Nā Hana: Mai hoʻoikaika kino a hāpai paha i kekahi mea kaumaha ma mua o 4 kilokani (e like me ke kaumaha o ke kalani wai) no kekahi mau pule ma hope o ke ʻoki kino.
- ʻAi: E inu i ka wai he nui, a i ʻole e hoʻonui ʻia kou pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai mimi (UTI). He manaʻo maikaʻi nō hoʻi e ʻai i nā meaʻai momona (nā huaʻai hou, nā mea kanu, nā nati, nā ʻiʻo momona) e kōkua i ke kaʻina hana ho'ōla.
I ka manawa e ʻike koke ai i ke kauka
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o kāu ʻoki ʻana, e hoʻomaopopo koke aku i kāu kauka a i ʻole e hele i ka haukapila.
| Nā Hōʻailona Hoʻolaha | |
|---|---|
| 🔴 | ʻEha nui, ʻoiai i ka wā e mimi ai (Dysuria). |
| 🔴 | ʻAʻole hiki ke mimi. |
| 🔴 | Ke kahe koko nui ʻana i loko o ka mimi. |
| 🔴 | Nā hōʻailona o ka maʻi (ke kuni, ke anu, ka ʻulaʻula/poni ke kala a puni ka ʻoki, ka kahe ʻana o ka pus). |
| 🔴 | Ke kahe nui ʻana o ke koko mai nā ʻoki. |
He aha inā e wehe loa ʻia ka ʻōpū mimi?
He pilikia nui kēia no nā kānaka he nui. ʻAe, hiki ke ola me ka ʻole o ka ʻōpū mimi. Inā wehe loa ke kauka i kou ʻōpū mimi, e hana lākou i kahi ala hou no kou kino e mālama a hoʻokuʻu i ka mimi. ʻEkolu mau ala nui e hana ai i kēia.
- ʻO ke kahawai Ileal: Pili kēia i ka lawe ʻana i kahi ʻāpana o ka ʻōpū liʻiliʻi a hoʻohui iā ia i ke ala mimi mai nā puʻupaʻa ma kekahi ʻaoʻao a me kahi puka liʻiliʻi (stoma) ma ka ʻōpū ma kekahi ʻaoʻao. A laila hōʻiliʻili ʻia ka mimi i loko o kahi ʻeke (ʻeke ostomy) i hoʻopili ʻia ma waho o ka puka.
- ʻO ka ʻōpū hanu: Eia hou, hoʻohana ʻia kahi ʻāpana o ka ʻōpū liʻiliʻi e hana i kahi ʻeke e like me ka ʻōpū hanu hou a hoʻopili iā ia i kahi like me ka ʻōpū hanu kahiko. Me kēia kaʻina hana, hiki iā ʻoe ke mimi maʻamau ma o ka urethra.
- Hoʻohuli ʻili ʻāina: Pili pū kēia i ka hana ʻana i kahi ʻeke i loko o ka ʻōpū e hōʻiliʻili i ka mimi. Eia nō naʻe, ua hoʻokahe ʻia i nā manawa he nui i ka lā me ka hoʻohana ʻana i kahi ʻōmole lahilahi (catheter) āu e hoʻokomo ai iā ʻoe iho ma kahi puka (stoma) i loko o ka ʻōpū.
ʻOiai paha he mea paʻakikī iki kēia mau ʻano hana, e koho kāu kauka i ke ʻano hana kūpono loa iā ʻoe a wehewehe pono iā ia. ʻOiai he manawa iki ka lōʻihi e maʻa ai i kēia mau ʻano hana, hoʻomau ka hapa nui o ka poʻe i ka hana ʻana i nā mea a lākou i hana ai ma mua o ke ʻoki kino (hoʻoikaika kino, huakaʻi) e like me ka mea maʻamau.
Leka Lawe-Home
- ʻAʻohe mea e makaʻu ai ke ʻoki ʻana i ka ʻōpū mimi. He hana ʻoki maʻamau ia e mālama ai i nā ʻano maʻi like ʻole.
- He mea nui loa e haʻi pololei i kāu kauka i nā kikoʻī āpau e pili ana i kou kūlana olakino a me nā lāʻau lapaʻau āu e lawe nei ma mua o ke ʻoki ʻana.
- E hahai pono i nā ʻōlelo a kāu kauka i kou wā e hoʻōla ai ma hope o ke ʻoki ʻana. E pale i ka hāpai ʻana i nā mea kaumaha a inu i nā wai he nui.
- E makaʻala i nā hōʻailona e like me ke kuni, ka ʻeha nui, a me ka hiki ʻole ke mimi. Inā loaʻa kekahi o kēia mau mea, e ʻike koke i ke kauka.
- ʻOiai inā ua wehe loa ʻia kou ʻōpū mimi, hiki nō iā ʻoe ke ola i kahi ola maʻamau. Nui nā ʻano hana no ka hana ʻana pēlā, a pono kekahi manawa e hoʻomaʻamaʻa ai.
- E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka nalowale o ke kāohi ʻana o ka ʻōpū mimi / Incontinence?
ʻAʻole kēia he mea e hana ʻia ke lohi ʻoe e hele i ka lua! ʻO ka 'Incontinence' kahi kūlana ʻoluʻolu ʻole/hilahila loa kahi e nalowale koke ai kou mana, ke ʻakaʻaka ʻoe, ʻū, a noʻonoʻo paha e hele i ka lua, a puka koke mai ka mimi (a i kekahi manawa feces) ma kou mau lole (Involuntary Leakage)! Ma muli o kēia, makaʻu ka poʻe he nui e haʻalele i ka hale a noho 100% kaʻawale mai ke kaiāulu.
💬 He aha nā kumu nui o ka nalowale ʻana o ke kaohi ʻana i ka ʻōpū mimi?
ʻO nā kumu nui o kēia: 1) Stress Incontinence - Ma hope o ka hānau ʻana (ma muli o ka nāwaliwali o nā ʻiʻo), nalowale ka mimi o nā wahine i ka wā e ʻū ai. 2) Overactive Bladder (Urge) - ʻUmi ka ʻōpū e like me ka pupule ma mua o ka piha ʻana (ma muli o ka maʻi diabetes/nā maʻi aʻalolo). 3) Menopause i nā wahine. 4) Enlarged Prostate/BPH i nā kāne. 5) Koʻikoʻi o ka Urinary Tract Infection (UTI).
💬 Hiki ke ho'ōla ʻia ka hoʻōki ʻana o ka mimi? Āhea wau e hele koke ai i ka lumi pilikia?
ʻAʻole kēia he maʻi e hilahila ai a noho ma ka home, hiki ke ho'ōla ʻia 100% me ka lāʻau lapaʻau (nā hoʻomaʻamaʻa Kegel/lāʻau lapaʻau/ʻoki kino)! Akā ʻo ka pōʻino nui loa! Inā ʻo ke kanaka olakino, me ka ʻeha hope, 'ʻaʻole hiki ke kāohi i ka mimi ʻana a i ʻole ka defecation koke', a nalowale nā lālā, he haki maoli nō ia o ke kaula spinal (Cauda Equina Syndrome / make)! Pono ʻoe e lawe koke ʻia i ka haukapila a hoʻopakele i nā wāwae ʻelua mai ka nalowale ʻana o kā lākou hana (paralysis)!
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