Ua pono anei ʻoe a i ʻole kekahi āu i ʻike ai e hana i ke ʻoki kino ma kou ala mimi, e like me ke ʻoki ʻana i ka prostate? Ma hope o ia ʻano ʻoki kino, ua lohe paha ʻoe i nā kauka e ʻōlelo ana ua hoʻoinu mau ʻia ka ʻōpū mimi. Hiki ke hopohopo iki ke lohe i kēlā. He mea maʻamau ke noʻonoʻo, "He aha kēia hoʻoinu? No ke aha e hana ʻia ai?" No laila i kēia lā, e aʻo kākou e pili ana i ia mea me ka maʻalahi loa, me he mea lā e kamaʻilio ana kākou me kahi hoaaloha.
I ka ʻōlelo maʻalahi, he aha ka Continuous Bladder Irrigation (CBI)?
He mea maʻalahi loa ia. E noʻonoʻo i kou ʻōpū mimi e like me kahi ʻano liʻiliʻi, e like me ka pōpō. Ma loko o kēia ʻōpū mimi e hoʻokaʻawale ai mākou i nā huahana ʻōpala mai ka wai a mākou e inu ai a me ka meaʻai a mākou e ʻai ai a mālama iā lākou ma ke ʻano he mimi. ʻO ka Continuous Bladder Irrigation (CBI) kahi hana e hoʻokomo mau ai i kahi wai sterile i loko o ka ʻōpū mimi, ʻoi aku hoʻi ma hope o ke ʻoki ʻana, e hoʻomaʻemaʻe iā ia, a laila holoi i ka wai me ka mimi.
Ua like kēia me ka holoi ʻana i kahi ʻōmole piha i ka wai lepo, e ninini mau ana i ka wai maʻemaʻe i kekahi ʻaoʻao a e hoʻopuka ana i ka wai lepo i waho o kekahi ʻaoʻao. Hana ʻia kēia kaʻina hana ma kahi haukapila no kekahi mau lā.
No ke aha e pono ai ʻoe e holoi i kou ʻōpū mimi ma kēia ʻano?
ʻO ke kumu nui o kēia, ʻo ia ke ʻoki ʻana ma ke ala mimi. ʻOi loa ma hope o ke ʻoki ʻana i ka ʻōpū mimi a i ʻole ke ʻoki ʻana i ka prostate (no ka laʻana, ka transurethral resection o ka prostate - TURP ), hiki i nā ʻūpā koko a me nā ʻāpana liʻiliʻi o nā ʻiʻo i wehe ʻia i ka wā o ke ʻoki ʻana ke hōʻiliʻili i loko o ka ʻōpū mimi.
E noʻonoʻo i ka mea e hiki mai ana inā paʻa ka ʻauwai o kāu poho holoi i ka lepo? ʻAʻole e kahe pono ka wai, ʻeā? Pēlā nō ia. Hiki i kēia mau ʻūpā koko a me nā ʻāpana ʻiʻo ke ālai i ka urethra, e pale ana i ka puka ʻana o ka mimi. Ma hope o ke ʻoki ʻana, hoʻokahe pinepine ʻia ka mimi ma o kahi catheter. No laila, aia kahi manawa e paʻa ai kēia mau ʻūpā koko i loko o ka catheter.
Inā paʻa ke ala mimi, hiki iā ia ke hōʻeha nui, alakaʻi i nā maʻi, a hōʻino pū i nā puʻupaʻa.
ʻO ia ke kumu, me ka hoʻohana ʻana i ke ʻano CBI, e hoʻomaʻemaʻe mau ʻia ka ʻaoʻao o loko o ka ʻōpū mimi e hoʻomaʻemaʻe i kēia mau ʻūpē koko a me nā mea makemake ʻole ʻia. ʻAe kēia i ke kahe maʻamau o ka mimi e mālama ʻia.
Ma waho aʻe o kēia kumu nui, hoʻohana nā kauka i kēia ʻano hana no kekahi mau kumu ʻē aʻe.
| Nā hoʻohana ʻē aʻe | Wehewehena |
|---|---|
| E hoʻolako i nā lāʻau lapaʻau | I kekahi manawa, i ka wā e pono ai ke hāʻawi pololei i ka lāʻau lapaʻau i ka ʻōpū mimi, hiki ke hāʻawi ʻia ka lāʻau lapaʻau i ka ʻōpū mimi me kēia hopena hoʻoinu wai. |
| No ka hoʻoheheʻe ʻana i nā pōhaku mimi | Mālama kēia ʻano hana i kekahi ʻano pōhaku ʻōpū liʻiliʻi ma ka hoʻokomo ʻana i nā wai kūikawā i loko o ka ʻōpū. |
| No ka hōʻoluʻolu ʻana i ka mumū | Hoʻohana ʻia kēia ʻano hana e hōʻoluʻolu i ke kūlana inā pehu ka paia o ka ʻōpū mimi ma muli o kahi maʻi a i ʻole kekahi kumu ʻē aʻe. |
Pehea e hana ai kēia lāʻau lapaʻau? E nānā kākou i kēlā me kēia ʻanuʻu.
ʻO ka ʻike e pili ana i kēia kaʻina hana e kōkua i ka hoʻēmi ʻana i kou makaʻu.
He aha ka mea e hana ʻia ma mua o ka lāʻau lapaʻau?
No ka hana ʻana i kēia lāʻau CBI, pono mua ʻoe e hoʻokomo i kahi paipu catheter kūikawā (ʻekolu ala catheter). Ma hope o ke ʻoki ʻana, e hoʻokomo mua ʻia kēia paipu.
ʻAʻole like kēia me ka urethra maʻamau. Ma waho o kēia, aia ʻekolu mau puka e lawelawe ana i nā hana like ʻole.
| Awa | ʻO ka hana āna e hana ai |
|---|---|
| No ka wai holoi lole | Hoʻokomo ʻia kahi hopena sterile i loko o ka ʻōpū mimi ma o kēia ala. |
| No ka mimi ʻana | Haʻalele ka hui ʻana o ka mimi a me ka wai hoʻokahe i ke kino a komo i loko o ka ʻeke mimi ma o kēia ala. |
| No ka pōpō | Hoʻohana ʻia kēia ʻano hana e hoʻopaʻa i ka catheter ma kahi i loko o ka ʻōpū mimi, a e hoʻopiha i kahi ʻāpana liʻiliʻi e like me ka pōpō pehu ma ka hopena. |
He aha ka mea e hana ʻia i ka wā o ka mālama ʻana?
ʻO ka maʻamau, hana ʻia kēia lāʻau e ke kauka lapaʻau a urologist paha.
E ʻike ʻoe i ʻelua mau ʻeke i piha i ka saline sterile e kau ana ma kahi kū liʻiliʻi ma ka ʻaoʻao o kou wahi moe. Hoʻopili ʻia kekahi ʻaoʻao o ke catheter i kekahi o kēia mau ʻeke saline. Hoʻopili ʻia kekahi ʻaoʻao i kahi ʻeke e hōʻiliʻili i ka mimi e puka mai ana.
Ma loko o kēia kaʻina hana, e nānā pono ana nā limahana lapaʻau i kēia mau mea:
- Waihoʻoluʻu mimi: I ka wā mua, ʻulaʻula loa paha ka mimi a loaʻa paha nā ʻūpā koko. I ka hala ʻana o ka manawa, pono e lilo i poni a i ka hopena he moakāka.
- Ka wikiwiki o ka wai hoʻoinu: Ma muli o ka nui o ke koko e kahe ana, hoʻonui ʻia a hoʻemi ʻia paha ka wikiwiki o ka wai hoʻoinu e hele ana i loko o ka ʻōpū mimi.
- Ka hoʻopuka ʻana o ka mimi: Ke ana kēia i ka nui o ka mimi a me ka wai e puka mai ana.
- Ka hoʻokahe ʻana i ka ʻeke mimi: Hoʻokahe ʻia ka ʻeke mimi i kēlā me kēia manawa e piha ai.
- Ke hoʻololi nei i nā ʻeke paʻakai: Ke pau kekahi ʻeke paʻakai, ua pili kekahi.
Hiki paha iā ʻoe ke manaʻo i kahi ʻoluʻolu ʻole mai ke catheter i kēia manawa. Manaʻo paha ʻoe ua piha kou ʻōpū mimi, a i ʻole manaʻo paha ʻoe e pono ʻoe e mimi pinepine. Mai ho'āʻo e huki i waho i ka paipu catheter i kēia manawa. Inā ʻike ʻoe i kekahi ʻeha a ʻike paha i kekahi wai e kahe ana mai ka paipu, e haʻi koke aku i ke kahu maʻi.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ke moakāka a ʻulaʻula iki paha kou mimi no hoʻokahi a ʻelua paha lā, e hoʻoholo kāu kauka e hoʻōki i ka lāʻau CBI. A laila e wehe ʻo ia i ka ʻeke saline a me ka ʻeke mimi, a e wehe pono i ka paipu catheter.
ʻO ka mea nui loa, pono ʻoe i ka manawa e hoʻōla ai mai ka lāʻau CBI, ʻaʻole mai ke ʻoki kino āu i hana mua ai. No laila, pono ʻoe e hahai pono i nā ʻōlelo a kāu kauka.
Aia kekahi mau pilikia i kēia? (Nā pilikia a me nā pilikia)
He hana palekana loa ka CBI ma ke ʻano laulā . Eia nō naʻe, e like me nā hana lapaʻau āpau, aia kekahi mau pilikia kakaikahi e hiki ke hana.
- Ka ālai ʻana o ka catheter: Hiki ke ālai ʻia ka catheter e kahi mea e like me ke koko ʻūlū. Inā hana ʻia kēia, e hoʻomaʻemaʻe ke kahu maʻi a kauka paha a hoʻokomo paha i kahi catheter hou.
- ʻO ka maʻi ʻaʻai mimi (UTI): ʻAʻole pili i kou maʻemaʻe, i kekahi manawa aia kahi manawa liʻiliʻi e hiki ai i nā germs ke komo a hoʻoulu i kahi maʻi.
- Paraphimosis: He ʻano i huki ʻia ai ka ʻili mua o ke kāne i ʻoki poepoe ʻole ʻia i hope a ʻaʻole hiki ke huki hou ʻia i mua. He ʻano laha ʻole kēia.
- Ka puka ʻana o ka ʻōpū mimi: He hanana kakaikahi loa kēia. Hiki ke hōʻino ʻia ka paia o ka ʻōpū mimi i ka wā e hoʻokomo ʻia ai ka catheter a i ʻole i ka wā o ka mālama ʻana.
E hoʻomanaʻo he haʻahaʻa loa ka manawa e hiki ai kēia mau mea. Ke makaʻala mau nei nā limahana lapaʻau i kēia.
I ka manawa hea e pono ai iaʻu ke ʻike i ke kauka?
Ma hope o kou hoʻi ʻana mai ka haukapila mai, he mea nui loa ia e makaʻala i kekahi mau hōʻailona. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e kelepona koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
| Nā hōʻailona e makaʻala ai |
|---|
| Koko i loko o ka mimi. |
| Ke kuni a ʻeha nui paha i ka wā e mimi ai. |
| ʻO ka hoʻōki ʻana o ka mimi, ʻoiai inā pono ʻoe e mimi. |
| ʻEha nui ma ka ʻōpū lalo. |
Leka Lawe-Home
- ʻAʻohe mea e makaʻu ai i ka hoʻoinu ʻana i ka ʻōpū mimi hoʻomau (CBI). He lāʻau lapaʻau kūpono a palekana hoʻi ia e pale aku ai i nā ʻōpū koko weliweli ma hope o ke ʻoki ʻana.
- ʻOiai paha e manaʻo ʻoe i kahi ʻoluʻolu ʻole i ka wā o kēia lapaʻau ʻana, he manawa pōkole wale nō ia. He mea nui loa kēia no kou ho'ōla wikiwiki ʻana.
- He mea maʻamau i ka hoʻomaka ʻana o ke kala o ka mimi me ka ʻulaʻula a laila e lilo mālie i moakāka i kēia kaʻina hana.
- Ma hope o kou hoʻi ʻana mai ka haukapila mai, e makaʻala i nā ʻano ʻē i ka wā e mimi ai. Inā he mau pilikia kāu, e haʻi koke aku i kāu kauka.
- Inā he mau nīnau kāu e pili ana i kēia, mai makaʻu e nīnau i kāu kauka a kahu maʻi paha.
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