Ua pono anei ʻoe a i ʻole kekahi o kou ʻohana, malia paha kou makuakāne, e hana i ke ʻoki kino ma ka ʻōnaehana mimi? ʻOi loa aku ka ʻoki kino ma ke kelepa prostate. Ma hope o ia ʻano ʻoki kino, ua hopohopo iki paha ʻoe i ka ʻōlelo ʻana a ke kauka, "Pono ʻoe e holoi i kou ʻōpū mimi no kekahi mau lā i kēia manawa." He aha ke ʻano o ka "holoi ʻana i kou ʻōpū mimi"? He ʻeha anei? No ke aha i hana ʻia ai? E pane mākou i kēlā mau nīnau a pau ma kēia ʻatikala i kēia lā. ʻAʻohe pono e makaʻu, he hana maʻamau kēia i hana ʻia i ka hapa nui o ka manawa.
He aha ka Hoʻoinu ʻana i ka ʻōpū mimi hoʻomau (CBI)?
I ka ʻōlelo maʻalahi, pili kēia i ka hoʻohana ʻana i kahi wai sterile kūikawā e hoʻomaʻemaʻe mau i kou ʻōpū mimi. I ka manawa like, ua hoʻoneʻe ʻia ka mimi a me nā mea ʻē aʻe e hōʻiliʻili ana i loko o kou ʻōpū mimi i kēia kaʻina hana. Hana pinepine ʻia kēia ma kahi haukapila i loko o kekahi mau lā.
ʻO ka hana nui o ka ʻōnaehana mimi, ʻo ia ke kānana i nā huahana ʻōpala mai ko kākou koko a hoʻokuʻu iā lākou ma ke ʻano he mimi. He ʻano pōpō ka ʻōpū mimi i loko o kēia ʻōnaehana. ʻO ia kahi e hōʻiliʻili ai ka mimi no ka manawa pōkole.
No ke aha ʻoe e pono ai e hana i kahi mea e like me kēia?
ʻO ke kumu nui a me ke kumu maʻamau no kēia, ʻo ia ke pale a wehe i nā ʻūpā koko mai ka hoʻokumu ʻana i loko o ka ʻōpū mimi ma hope o ke ʻoki ʻana ma ka ʻōnaehana mimi.
E noʻonoʻo ua hana ʻia ʻoe i kahi ʻoki e wehe i ka prostate (Transurethral Resection of the Prostate a i ʻole TURP). Ma hope o ia ʻano ʻoki, aia kahi manawa kūpono e hana ʻia ai nā ʻōpū koko, nā ʻāpana ʻiʻo, a me nā mea ʻē aʻe i loko o ka ʻōpū mimi. Ma hope o ke ʻoki ʻana, hoʻokahe pinepine ʻia ka mimi ma o kahi ʻōmole, i kapa ʻia he catheter. Hiki i nā ʻōpū koko i ʻōlelo ʻia ma luna nei ke paʻa i loko o kēia urethra.
Inā paʻa ka urethra, hiki i ka mimi ke hōʻiliʻili i loko o ka ʻōpū mimi ma kahi o ka haʻalele ʻana. Hiki i kēia ke hana i ka ʻeha nui, nā maʻi, a me ka hōʻino ʻana o nā puʻupaʻa.
ʻO ke kaʻina hana CBI ka holoi ʻana i kēlā mau ʻōpū koko a me nā ʻāpana, e mālama ana i ka ʻōpū mimi.
Ma waho aʻe o kēlā, hoʻohana ʻia ʻo CBI no kekahi mau kumu ʻē aʻe:
- E hoʻokomo pololei i nā lāʻau lapaʻau i ka ʻōpū mimi.
- E hoʻoheheʻe i kekahi ʻano pōhaku mimi.
- E hōʻoluʻolu a ho'ōla i ka paia o ka ʻōpū mimi i ʻeha a palupalu hoʻi ma muli o ka maʻi a i ʻole ka mumū.
Pehea e hana ai kēia kaʻina hana?
ʻOiai paha he mea paʻakikī iki kēia kaʻina hana, hana ʻia ia me ke ʻano ʻōnaehana.
ʻO ka mea mua, e hoʻokomo i ka catheter i loko.
Ma mua o ka hoʻomaka ʻana i ka CBI, pono ʻoe e hoʻokomo i kahi catheter kūikawā. ʻAʻole like kēia me kahi catheter urethral maʻamau. Loaʻa iā ia ʻekolu mau puka (he catheter ʻekolu ala) . Inā ua hoʻokomo mua ʻia kahi catheter ma muli o ke ʻoki ʻana, pono paha ʻoe e hoʻololi a hoʻokomo i kēia catheter kūikawā. Hana maʻalahi loa nā puka ʻekolu:
1. Ke hoʻokomo ʻana i ka wai saline: Hoʻokomo ʻia ka wai saline i loko o ka ʻōpū mimi ma o hoʻokahi puka.
2. Ka mimi a me ka wai i waho: Ma o kekahi puka ʻē aʻe, ua pili ka wai i loko o ka ʻōpū mimi (kahi hui ʻana o ka mimi a me ka saline) i kahi ʻeke e hōʻiliʻili i ka wai i waho.
3. Ke paʻa ʻana i ka catheter: ʻO ke kolu o ka puka kahi e hoʻopiha ʻia ai kahi pōpō liʻiliʻi i loko o ka catheter me ka wai, e mālama ana iā ia i loko o ka ʻōpū mimi me ka neʻe ʻole.
Pehea e hana ai ke kaʻina hana
Hana pinepine ʻia kēia kaʻina hana e ke kahu maʻi a i ʻole ke kauka urology. Kau ʻia ʻelua mau ʻeke o ka wai saline ma kahi kū ma ka ʻaoʻao o kou wahi moe. Ke pau kekahi ʻeke, hiki iā ʻoe ke hoʻohana i kekahi.
Ma o kēia ʻōmole , kahe ka wai saline i kēlā me kēia kulu i loko o kou ʻōpū mimi. I ka manawa like, puka mai ka mimi a me kēia hui wai mai loko mai o ka ʻōmole ʻē aʻe a hōʻiliʻili i loko o kahi ʻeke ma ka ʻaoʻao.
| He aha nā mea a nā limahana kahu maʻi e nānā nei i kēia manawa? | |
|---|---|
| He aha ka mea i ʻike ʻia | Wehewehena |
| Waihoʻoluʻu mimi | ʻO ka mimi, ka mea i ʻulaʻula ʻeleʻele i ka wā mua (e like me ke koko), e lilo mālie i poni māmā, a i ka hopena e lilo i moakāka e like me ka wai. ʻO ke kala ke kumu e hoʻoholo ai inā holomua ka lāʻau. |
| Ka nui o ke kahe ʻana o ka wai | Inā he nui aku nā ʻūpā koko, hoʻonui ʻia ka nui o ka saline. Ke moakāka ka mimi, hoʻemi ʻia ka nui. Hoʻomalu ʻia kēia e nā limahana kahu maʻi. |
| Ka nui o ka mimi e puka mai ana | Ana mākou inā like ka nui o ka wai e puka mai ana me ka nui e komo ana. He mea nui loa kēia e ʻike inā he ālai ʻia i loko o ka paipu. |
| Nā ʻūpā koko a me nā ʻāpana | E nānā mau i ke kahe e puka mai ana no nā ʻūpā koko a i ʻole nā ʻōpala ʻē aʻe. |
Pehea kou manaʻo i kēia manawa?
He mea maʻamau ke manaʻo iki ʻoluʻolu ʻole me ke catheter i hoʻokomo ʻia. Manaʻo paha kekahi poʻe ua piha ko lākou ʻōpū mimi a manaʻo paha lākou e mimi pinepine. He mea maʻamau kēia, no laila mai hopohopo.
ʻO ka mea nui loa, mai ho'āʻo e huki i ka catheter i waho. Inā ʻike ʻoe i ka ʻeha hiki ʻole ke hoʻomanawanui, a inā ʻike ʻoe i ke kahe ʻana o ke wai mai kahi o ka catheter, e haʻi koke aku i kāu kahu hānai a kauka paha.
Aia kekahi mau pilikia a i ʻole nā pilikia me kēia?
He hana palekana loa kēia i ka hapa nui o nā hihia, ʻoiai ua sterile nā lako a pau i hoʻohana ʻia. Eia nō naʻe, aia kekahi mau pilikia kakaikahi e hiki ke hana.
- Paʻa ʻana o ka catheter: Hiki ke paʻa kahi ʻūpā koko i loko o ka ʻōmole. A laila e hoʻomaʻemaʻe ke kauka a kahu maʻi paha iā ia a hoʻokomo paha i kahi mea hou.
- Ka Maʻi ʻAla Mimi (UTI): ʻOiai he kaʻina hana sterile kēia, he kakaikahi loa ka hiki ʻana o ka bacteria ke komo i loko a hoʻoulu i kahi maʻi.
- Paraphimosis: Hiki i ka ʻili mua o ke kāne i ʻoki poepoe ʻole ʻia ke paʻa ma hope o kāna penis. He mea kākaʻikahi loa kēia.
- ʻO ka perforation bladder: He pilikia koʻikoʻi loa kēia a kakaikahi loa.
Āhea wau e ʻimi ai i ke aʻo lapaʻau?
Ma hope o ka pau ʻana o ka CBI, wehe ʻia ke catheter, a hoʻi ʻoe i ka home, aia kekahi mau mea e pono ai ʻoe e mālama.
E hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi maopopo e pili ana i nā mea e makaʻala ai ma hope o kāu ʻoki kino a me ka wā e ʻike hou ai i ke kauka. He mea nui loa ia e hahai pololei iā lākou.
Ma hope o kou hoʻi ʻana i ka home, inā ʻike ʻoe i kekahi o kēia mau hōʻailona i ka wā e mimi ana, e hoʻomaopopo koke i kāu kauka:
- Inā he koko i loko o ka mimi.
- Inā loaʻa iā ʻoe ka wela a i ʻole ka ʻeha nui i ka wā e mimi ai.
- Inā manaʻo ʻoe ʻaʻole hiki iā ʻoe ke mimi a inā paha he kakaikahi wale nō kāu mimi ʻana.
- Inā loaʻa iā ʻoe ka ʻeha nui ma kou ʻōpū lalo.
- Inā he kuni kou.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka, a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Leka Lawe-Home
- ʻO ka Continuous Bladder Irrigation (CBI) kahi ala palekana no ka holoi ʻana i ka ʻōpū mimi e pale ai i ke kūkulu ʻana o nā ʻūpā koko ma hope o ke ʻoki ʻana i ke ala mimi.
- Hana ʻia kēia no kekahi mau lā, ma ka haukapila. Hoʻohana ʻia kahi catheter ʻekolu ala kūikawā no kēia.
- Hana ʻia kēia a hiki i ka wā e ʻulaʻula mua ai ka mimi, akā e lilo mālie i poni a i ka hopena e moakāka. He hōʻailona kēia o ka holomua o ka lāʻau lapaʻau.
- He mea maʻamau ke manaʻo iki i ka ʻoluʻolu ʻole a me ka piha ʻana i kēia manawa. Akā inā loaʻa iā ʻoe ka ʻeha hiki ʻole ke hoʻomanawanui, e haʻi koke aku i kāu kahu hānai a kauka paha.
- Inā he koko i loko o kou mimi, ka wela, ka ʻeha, a i ʻole ke kuni ma hope o ka hoʻi ʻana i ka home, e ʻike pono i ke kauka.
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