Loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi (UTI)? Ke manaʻo nei ʻoe i ka ʻeha, ke kaumaha, a i ʻole ka makemake mau e mimi? Malia paha he koko iki kou i loko o kou mimi? ʻO kekahi kumu o kēia, ʻo ia paha nā pōhaku i loko o kou ʻōpū mimi. Kāhea mākou i kēia mau pōhaku ʻōpū mimi. ʻOiai inā makaʻu ʻoe i kou lohe ʻana i kēia inoa, mai hopohopo. I kēia manawa, aia nā lāʻau lapaʻau holomua loa, maʻalahi e hoʻohana, a maʻalahi hoʻi no kēia. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā.
He aha ka Cystolitholapaxy?
I ka ʻōlelo maʻalahi, he hana ʻoki kēia e wāwahi i nā pōhaku i loko o kou ʻōpū mimi i nā ʻāpana liʻiliʻi a wehe iā lākou me ka ʻole o ka hana ʻana i kahi ʻoki nui . He mau ʻano paʻakikī kēia mau pōhaku, e like me ka pōhaku i hana ʻia e ka hōʻiliʻili ʻana o nā minelala i loko o kou mimi.
Hana ʻia kēia kaʻina hana penei: Hoʻokomo ke kauka lapaʻau i kahi mea lahilahi e like me ka paipu i kapa ʻia he cystoscope i loko o kou ʻōpū mimi ma o kou urethra. Loaʻa iā ia kahi kāmela ma ka hopena, no laila hiki i ke kauka ke ʻike pololei i kahi o nā pōhaku i loko o kou ʻōpū mimi. A laila, me ka hoʻohana ʻana i kahi mea laser a ultrasound paha, wāwahi ke kauka i nā pōhaku i mau ʻāpana liʻiliʻi. ʻO ka hope loa, holoi ʻia nā pōhaku i kuʻi ʻia me kahi hopena.
ʻO kekahi o nā pono nui o kēia, ʻo ia ke kaʻina hana outpatient hiki ke hana ʻia i ka lā hoʻokahi . Hana ʻia ia ma lalo o ka anesthesia laulā i ʻole ʻoe e ʻeha, a i ʻole ma lalo o ka anesthesia kūloko e hoʻomāno wale i ka wahi.
ʻElua mau ʻano nui o kēia ʻoki kino.
ʻElua mau ʻano nui o ka hana ʻana i ka cystolitholapaxy. Na kāu kauka e hoʻoholo i ke ʻano kūpono loa ma muli o kou kūlana.
| ʻAno hana ʻoki kino | ʻO wai ka mea e hana nei i kēia a pehea? |
|---|---|
| ʻO ka Cystolitholapaxy Transurethral | ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Hoʻokomo ke kauka i kahi ʻōmole kāmela lahilahi (cystoscope) ma o kou urethra, e nānā i nā pōhaku, a hoʻohana i ka laser e wāwahi iā lākou a wehe iā lākou. ʻAʻohe ʻoki waho i hana ʻia ma nā wahi āpau o ke kino. |
| ʻO ka Cystolitholapaxy Suprapubic Percutaneous | Hoʻohana pinepine ʻia kēia kaʻina hana i nā keiki ʻōpio (no ka mea, he lahilahi loa ko lākou mau ala mimi) a me nā pākeke me nā pōhaku nui loa . Ma kēia kaʻina hana, hana ʻia kahi ʻoki liʻiliʻi loa i ka ʻili a me ka mimi ʻōpū ma ka ʻōpū lalo, kahi e hoʻokomo ʻia ai nā mea hana e wehe i nā pōhaku. |
Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?
E hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi a pau āu e pono ai ma mua o ke ʻoki kino. Hiki i kēia mau mea ke komo pū me:
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe ai i kēlā me kēia lā (me nā lāʻau lapaʻau no ka maʻi diabetes a me ke koko koko). Hiki ke noi ʻia ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau, e like me nā mea hoʻokahe koko, i kekahi mau lā ma mua o ke ʻoki ʻana. Mai hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a kāu kauka.
- I ka manawa hea e hoʻōki ai i ka ʻai ʻana a me ka inu ʻana: ʻO ka maʻamau, ua ʻōlelo ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea ma hope o ke aumoe o ka pō ma mua o ke ʻoki ʻana.
- Kekahi e kōkua iā ʻoe e hoʻi i ka home: E hoʻonohonoho i kekahi e hoʻokele iā ʻoe i ka home ma hope o ke ʻoki ʻana. Ma muli o nā hopena o ka anesthesia, ʻaʻole hiki iā ʻoe ke hoʻokele i kahi kaʻa ma kāu iho no nā hola 24 mua.
- Ka hoʻomaopopo maopopo ʻana i ke ʻoki kino: E hōʻoia e nīnau e pili ana i ka mea e hana ʻia i ka lā o ke ʻoki kino a me nā mea e manaʻo ai ma hope.
He ʻeha anei ke ʻoki kino?
ʻAʻole. ʻAʻole ʻoe e ʻeha i ka wā o ke ʻoki ʻana no ka mea e hāʻawi ʻia ʻoe i ka anesthesia. ʻO ka hapa nui o ka manawa, e hāʻawi ʻia ʻoe i ka anesthesia laulā, ka mea e hoʻohiamoe loa iā ʻoe. I kekahi mau hihia, e ala ʻoe, akā e mae kou ʻōpū haʻahaʻa (anesthesia kūloko), no laila ʻaʻole ʻoe e ʻeha.
He aha ka mea e manaʻo ai ma hope o ke ʻoki kino?
He mea maʻamau kēia mau mea i nā lā ʻelua a ʻekolu paha ma hope o ke ʻoki kino. Mai hopohopo no lākou.
- He koko liʻiliʻi a i ʻole he mau ʻōpū koko liʻiliʻi i loko o ka mimi.
- Ke manaʻo nei i kahi kuni iki a ʻeha paha i ka wā e mimi ai.
- Ka hele ʻana o nā pōhaku liʻiliʻi loa me ka mimi.
ʻO ka mea nui loa, ʻo ia ke nīnau pono i kāu kauka e pili ana i ka mea maʻamau ma hope o ke ʻoki ʻana a me ka wā e pono ai ʻoe e kamaʻilio me ia.
Hiki i kekahi poʻe ke kau ʻia kahi catheter i loko o ko lākou ʻōpū mimi ma hope o ke ʻoki ʻana. ʻAe kēia i ka mimi e kahe ma o kahi ʻōmole i loko o kahi ʻeke ma waho o ke kino a hiki i ka wā e ho'ōla ai ka ʻōpū mimi. Hiki ke waiho ʻia kēia ma kahi no kekahi mau lā, a laila e wehe ke kauka.
Nā mea e hahai ai ma ka home:
- E inu i ka wai he nui ma hope o ke ʻoki kino.ʻO ka inu ʻana ma ka liʻiliʻi he 2-3 lita i ka lā e kōkua i ka hoʻomaʻemaʻe koke ʻana i ka ʻōnaehana mimi.
- Inā loaʻa iā ʻoe ka ʻeha iki, e lawe i kahi lāʻau hoʻopau ʻeha e like me Paracetamol e like me ke kauoha a kāu kauka.
- Inā kuhikuhi kāu kauka i nā lāʻau antibiotic e pale aku i ka maʻi, e lawe iā lākou no ka lōʻihi o ka manawa i kuhikuhi ʻia.
- E hoʻomaha maikaʻi no ka lā mua a ʻelua paha.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
ʻO ka pōmaikaʻi nui o kēia, he hana ʻoki kino minimally invasive ia a wikiwiki ka ho'ōla ʻana . Inā waiho ʻole ʻia nā pōhaku mimi ʻōpū me ka mālama ʻole ʻia, hiki iā lākou ke alakaʻi i nā maʻi pinepine o ke ala mimi a, i ka hala ʻana o ka manawa, ka hōʻino mau loa ʻana i ka mimi ʻōpū a i ʻole nā puʻupaʻa.
ʻOiai aia kekahi mau pilikia me kekahi ʻoki kino, he hana palekana loa kēia ma ke ʻano laulā. ʻO ka pilikia maʻamau ka maʻi urinary tract (UTI). Hiki ke mālama maʻalahi ʻia kēia me nā antibiotics. ʻO nā pilikia ʻē aʻe e hiki ke hana pinepine ʻole ʻia:
- Ke kahe koko nui
- Ka hoʻokumu ʻia ʻana o nā ʻiʻo ʻeha ma ke ala urinary
- Hoʻi hou ʻana o ka pōhaku (inā ʻaʻole mālama ʻia ke kumu kumu o ke kūkulu ʻia ʻana o ka pōhaku)
- Nā hopena i nā lāʻau lapaʻau e hoʻololi ana i ka hoʻomanaʻo
Hoʻōla hou a ʻike hou i ke kauka
Hoʻōla piha ka hapa nui o ka poʻe i loko o hoʻokahi a ʻelua paha pule . Hiki iā ʻoe ke ʻai a inu maʻamau ke hoʻi ʻoe i ka home.
- Hoʻoikaika Kino: E pale i ka hāpai kaumaha a i ʻole ka hoʻoikaika kino ikaika no ʻelua pule. Eia nō naʻe, he mea maikaʻi ke hele iki a piʻi i nā alapiʻi. E hoʻōki inā ʻike ʻoe i ka ʻeha.
- Hoʻi i ka hana: Ma muli o ke ʻano o kāu hana, hiki paha iā ʻoe ke hoʻi i ka hana i loko o ʻelua a ʻekolu mau lā.
- Nānā kino: E noi aku ke kauka iā ʻoe e hoʻi mai i loko o hoʻokahi a ʻelua paha pule no kahi "hoʻonohonoho ma hope o ke ʻoki ʻana". Inā ua hoʻokomo ʻia kahi catheter urinary, e hāʻawi ʻia kahi lā ʻokoʻa no kona wehe ʻana.
- Nānā hou: I kekahi manawa, e noi ʻia paha ʻoe e hana i kahi X-ray a i ʻole CT scan e ʻike inā ua hala loa nā pōhaku a i ʻole e hoʻi mai ana lākou.
Āhea ʻoe e kāhea koke aku ai i ke kauka?
Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei i hoʻokahi pule ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole e hele i ka haukapila kahi i loaʻa ai iā ʻoe ka lāʻau lapaʻau.
- ʻEha nui i ka wā e mimi ai .
- ʻAʻole hiki ke mimi (paʻa ʻana o ka mimi).
- Koko ʻulaʻula ʻeleʻele a i ʻole nā ʻōpū koko nui i loko o ka mimi (he mea maʻamau ka ʻulaʻula iki i nā lā mua).
- ʻEha nui ma ka ʻōpū lalo a i ʻole ke kua.
- Kuni (ma luna o 38.5 Celsius / 101 Fahrenheit).
- ʻEha umauma a paʻakikī paha ka hanu ʻanaInā loaʻa kahi pilikia, e hele koke i ka Halemai Pilikia (ETU) kokoke loa.
Leka Lawe-Home
- He hana ʻoki kino hou ʻo Cystolitholapaxy, he hana ʻoki kino minimally invasive ia i hoʻohana ʻia e wehe i nā pōhaku ʻōpū.
- Maanei, hoʻohana ʻia kahi ʻōmole kāmela lahilahi e wāwahi a holoi i nā pōhaku, no laila ʻaʻohe koi ʻia o nā ʻoki nui.
- He mea maʻamau ke loaʻa kahi ʻala koko iki a i ʻole ke kuni ʻana i loko o kou mimi no kekahi mau lā ma hope o ke ʻoki ʻana.
- ʻO ka maʻamau, he 1-2 pule e hoʻōla piha ai. He mea nui e inu i ka wai nui a hoʻomaha i kēia manawa.
- Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha nui, ke kuni, a i ʻole ka paʻa ʻana o ka mimi, e ʻike koke i kāu kauka.
- He mea nui ka hahai mau ʻana i nā ʻōlelo a kāu kauka no ka hoʻōla koke ʻana.
👩🏽⚕️ Nā nīnau hou aku (FAQs)
💬 He aha ka ʻeha hui / Arthralgia?
ʻAʻole ia he ʻeha iki wale nō ma hope o ka hāpai ʻana i kahi mea kaumaha! ʻO ka 'ʻEha Hui' he ʻeha palupalu/ʻeha ʻoi i hoʻokahi a ʻoi aku paha mau hono, e like me kou mau kuli, nā pūhaka, nā poʻohiwi, a i ʻole nā hono manamana lima, e paʻakikī ai ke piʻi i nā alapiʻi/paʻa i ke kīʻaha, a i kekahi manawa e lilo ai nā hono i ʻulaʻula a pehu. ʻAʻole kēia he ʻāpana maʻamau o ka ʻelemakule, akā hiki nō hoʻi ke lilo i hōʻailona o kahi maʻi autoimmune make!
💬 He aha nā kumu nui o ka ʻeha o nā hono e hiki ʻole ai ke ala aʻe mai kahi moe?
ʻEhā mau kumu nui no kēia! 1) 'Osteoarthritis' - I ko kākou ʻelemakule ʻana a i loko o ka poʻe momona, e mae ana ke cartilage a e hamo nā iwi (nā kuli/ʻūhā), e hōʻeha ana. 2) 'Rheumatoid Arthritis/RA' - Hele pupule ko kākou ʻōnaehana pale a hoʻouka a luku i ko kākou mau hono ponoʻī (ʻoi aku hoʻi nā manamana lima liʻiliʻi o ka lima) (i kēia hihia, ʻaʻole hiki iā kākou ke neʻe i ke kakahiaka, loaʻa iā kākou nā pōhaku). 3) Dengue/viral fever. 4) Gout (Gout - Hoʻonui ʻia ka uric acid i loko o ke koko).
💬 Ke ʻeha kou mau hono, pono ʻoe e hele koke i ka haukapila, me ka ʻole o ka lawe wale ʻana i ka balm/Penadol. He aha nā 'hihia make/pilikia (Septic Arthritis)'?
No ke komo ʻana a me ka haehae maʻamau, hiki iā ʻoe ke kau i kahi uluna/hau a lawe i kahi lāʻau ʻeha. Akā ʻo ka pōʻino nui loa a koʻikoʻi loa! Inā pehu koke kou 'hui hoʻokahi (e.g. kuli) (i loko o kekahi mau hola) e like me ka pōpō, lilo i ʻulaʻula ʻeleʻele, lilo i wela e like me ke ahi a ʻaʻole hiki ke hoʻomanawanui (ʻeha koke/mahana) me ke kuni nui a me ka haʻalulu', he bacteria maoli nō ia (Septic Arthritis) i komo i loko o ka hui! Inā he lā lohi paha, e pala kēlā hui a lilo i maʻi lolo mau loa, pono ʻoe e lawe koke ʻia i ka haukapila!
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo