He ʻōpū mimi palahalaha kou? (ʻŌpū mimi palahalaha) E ʻike kākou e pili ana i kēia!

Ke manaʻo nei ʻoe i kekahi manawa ʻaʻole hiki iā ʻoe ke mimi? A i ʻole ke manaʻo nei ʻoe ua piha a kaumaha kou ʻōpū mimi? Inā hoʻomau kēia ʻano, loaʻa paha iā ʻoe kahi ʻano i kapa ʻia ʻo 'Distended Bladder'. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī.

He aha ka ʻōpū mimi pehu?

I ka ʻōlelo maʻalahi, ʻo ka 'ʻōpū mimi distended' ʻo ia ka wā e nui ai kou ʻōpū mimi, ka ʻeke e paʻa ai kāu mimi, a ʻoi aku ka pehu ma mua o ka maʻamau. E noʻonoʻo iā ia e like me ka pōpō. Ke piha i ka wai, pehu ka pōpō, ʻeā? Pēlā ia.

ʻO ke kumu nui o kēia, ʻaʻole kahe pono ka mimi a hōʻiliʻili i loko o ka ʻōpū mimi . Kapa mākou i kēia ma ke ʻano lapaʻau he 'Urinary Retention'. Eia naʻe, ʻaʻole i pehu ka ʻōpū mimi o nā kānaka a pau me ka 'Urinary Retention'.

E nānā, ʻo ko kākou mau puʻupaʻa ka mea e kānana i nā wai pono ʻole o ke kino a me nā huahana ʻōpala a hana i ka mimi. ʻO ka mimi i hana ʻia ma kēia ʻano e mālama ʻia i loko o ka ʻōpū mimi a hiki i ka wā e pono ai kākou e mimi. Ke piha ka ʻōpū mimi, hoʻouna ia i kahi hōʻailona i ko kākou lolo e ʻōlelo ana, "ʻAe, pono wau e mimi i kēia manawa."

ʻO ka paʻa ʻana o ka mimi ke piha kou ʻōpū mimi, akā ʻaʻole hiki iā ʻoe ke hoʻokahe loa. He aha ka mea e hana ʻia a laila? Ke kīkoʻo mālie nei ka ʻōpū mimi a lilo i mea nui, a pehu paha, e paʻa ai i ka mimi hou aku. ʻO ia ka mea a mākou e kapa nei he 'ʻōpū mimi distended.'

He pilikia olakino anei kēia?

ʻAʻole maʻamau ka ʻōpū mimi palahalaha wale nō he pilikia olakino. Eia nō naʻe, inā ʻaʻole hiki iā ʻoe ke mimi iki, a i ʻole he liʻiliʻi wale nō ka mimi e kahe ana, a hele pū ʻia me ka ʻeha nui, he pilikia paha ia. Ua kapa ʻia kēia he paʻa ʻana o ka mimi koke. Inā ʻaʻole hiki iā ʻoe ke mimi me ia ʻeha nui, ʻoi aku ka maikaʻi o ka ʻimi koke ʻana i ke kōkua lapaʻau.

He aha nā hōʻailona o ka mumū o ka ʻōpū mimi?

I kēia hihia, hiki iā ʻoe ke ʻike i nā hōʻailona penei:

• Ke kahe ʻana o ka mimi (kapa mākou i kēia ʻo 'urinary incontinence').
• He pono koke a wikiwiki hoʻi e mimi.
• Ke ʻeha nei, ke kaomi, a i ʻole ka paʻa i loko a puni paha o ka ʻōpū lalo.
• ʻO nā hōʻailona ʻē aʻe o ka paʻa ʻana o ka mimi e komo pū ana me ka mimi liʻiliʻi loa, kahi kahawai mimi nāwaliwali, a i ʻole ka manaʻo e mimi hou ma hope o kou pau ʻana o ka mimi .

Eia nō naʻe, ʻaʻole paha e ʻike kekahi poʻe i kēia mau hōʻailona nui.

He aha ke kumu o kēia?

ʻO ke kumu nui o ka pehu ʻana o ka ʻōpū mimi, ʻo ia ka holo pono ʻole ʻana o ka mimi a hōʻiliʻili ʻia. Nui nā kumu no kēia. E nānā kākou i ke ʻano o lākou:

• Ke komo ʻana:
• Nā pōhaku ʻōpū
• He puʻupuʻu (`Pumor`)
• Ka hoʻonui ʻia o ka prostate i nā kāne
• Hiki i nā mea e like me ka paʻa ʻana ke ālai i ke ala mimi.
• Inā pehu ka ʻōpū mimi o kahi pēpē i loko o ka ʻōpū (`Fetal megacystis`), ʻo ke kumu nui he kūlana i kapa ʻia ʻo ``Lower urinary tract obstructions (LUTOs)``. ʻO ia hoʻi, aia kahi ālai ma ka ʻaoʻao haʻahaʻa o ke ala mimi.

• Ka mumū (pehu):
• Inā he mumū i loko o ka ʻōpū mimi a i ʻole ka urethra (ka ʻōmole e lawe ai i ka mimi mai ka ʻōpū mimi), hiki iā ia ke pale iā ʻoe mai ka hoʻokahe pono ʻana i kāu mimi.
• Hiki ke hana ʻia kēia ʻano o nā kūlana mumū e ka hōʻeha a i ʻole nā ​​​​maʻi urinary tract.

• Nā kūlana neurological:
• ʻO kekahi mau maʻi, e like me ka sclerosis maha (MS), ka maʻi Parkinson, ka maʻi Alzheimer, a me ka hahau ʻana, a me kekahi mau lāʻau lapaʻau (ʻoi aku hoʻi nā opioids), hiki ke hana i ka lolo e hoʻouna ʻole i nā hōʻailona i ka wā e piha ai ka ʻōpū mimi. Hiki i kēia ke paʻakikī i ka hoʻokahe ʻana i kāu ʻōpū mimi i ka manawa kūpono.

• ʻO ke ʻoki kino:
• ʻO ka anesthesia, kahi i hoʻohana ʻia e hōʻemi i ka ʻeha i ka wā o ke ʻoki ʻana, hiki i kekahi manawa ke hoʻopilikia i ka hiki ke hoʻokuʻu i ka ʻōpū.
• ʻO ka ʻōpala a i ʻole ka pehu ʻana i hana ʻia e ke ʻoki pelvic hiki ke hana i ka paʻa ʻana o ka ʻōpū mimi a i ʻole ka urethra.

He aha nā pilikia e hiki mai ana o ka mumū o ka ʻōpū mimi?

I kekahi manawa, ʻoiai ma hope o ka mālama ʻana, hiki i ka pehu ʻana o ka ʻōpū mimi ke hoʻopilikia i ka mimi ʻana ('Bladder dysfunction`). Eia kekahi laʻana:

• Ka liʻiliʻi o ka liki ʻana o ka mimi.
• Ke manaʻo nei i ka pono e mimi ʻoiai ʻaʻole pono.
• ʻAʻole hiki ke hoʻokuʻu loa i ka ʻōpū mimi.

Pehea ʻoe e ʻike ai i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a nānā iā ʻoe. Hiki iā ia ke kaomi i kou ʻōpū haʻahaʻa a nīnau inā he ʻeha kou. Inā manaʻo ʻo ia ua pehu kou ʻōpū mimi, hiki iā ia ke kauoha i kahi mea e like me ka ultrasound scan.

Inā he makuahine hāpai ʻoe, hiki i kahi ultrasound prenatal ke ʻike i kekahi manawa ua pehu ka ʻōpū o kāu pēpē.

He aha nā hoʻokolohua i hana ʻia no kēia?

Hiki i nā kauka ke ʻike i kēia kūlana ma ka nānā ʻana i kou ʻōpū mimi me ka hoʻohana ʻana i kahi ultrasound. ʻOi aku hoʻi, hiki iā lākou ke hoʻohana i kahi 'post-void residual urine test' e ʻike i ke ʻano o kou hoʻokahe ʻana i kou ʻōpū mimi. Pili kēia i ka nānā ʻana i kou ʻōpū mimi me kahi mīkini 'ultrasound' ma hope o kou pau ʻana i ka mimi (ma hope o kou hoʻokuʻu ʻana i ka nui o ka mimi e like me ka hiki). Hiki iā ia ke kōkua i ka loaʻa ʻana o ke kumu o nā pilikia.

Hiki i ke kauka ke hana i nā hoʻokolohua hou aʻe e hoʻoholo ai i ke kumu o ka paʻa ʻana o ka mimi.

Pehea e mālama ʻia ai kēia?

Hoʻōla nui nā kauka i kēia ma ka wehe ʻana i ka mimi keu i hōʻiliʻili ʻia i loko o ka ʻōpū mimi. Inā ʻaʻole hiki iā ʻoe ke mimi iki, ʻo ka mea mua a kāu kauka e hana ai, ʻo ia ka wehe ʻana i ka mimi ma mua o ka hoʻāʻo ʻana e ʻimi i ke kumu a i ʻole ka hana ʻana i kekahi hōʻailona ʻē aʻe.

A laila, ua ʻike ʻia ke kumu nui o ke kūlana (pinepine ka paʻa ʻana o ka mimi) a ua mālama ʻia. Hiki i kēia ke pili i ka lāʻau lapaʻau, ke ʻoki kino, a i ʻole nā ​​​​ʻano hana ʻē aʻe.

Hiki i ka fetal megacystis (ka pehu ʻana o ka ʻōpū mimi i loko o kahi pēpē i loko o ka ʻōpū) ke hoʻōla iā ia iho i ka wā e ulu ana ke pēpē.

Nā ʻano kikoʻī no ka mālama ʻana i ka pehu ʻana o ka ʻōpū

ʻO ke ʻano hana maʻamau i kapa ʻia ʻo "Transurethral bladder catheterization." ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi (catheter) ma o kou urethra (ka puka kahi āu e mimi ai) i loko o kou ʻōpū mimi a laila e hoʻokahe i ka mimi. Hiki i ke kauka ke hoʻohana i kēia ʻōmole e hoʻokahe i kou ʻōpū mimi i hoʻokahi manawa, a i ʻole e waiho paha ʻo ia iā ia ma kahi no kekahi mau lā a i ʻole mau pule.

ʻO ke kūlana paha e mālama ai i ka megacystis fetal. ʻO nā koho lapaʻau e komo pū ana:

• Vesicocentesis: He kaʻina hana e hoʻohana ai ke kauka i kahi nila e wehe ai i ka wai mai ka ʻōpū o ke keiki.
• ʻO ka shunt Vesicoamniotic: Hoʻokomo ke kauka i kahi paipu i loko o ka ʻōpū o ka pēpē a hoʻokahe i ke wai ma o ia mea.

Nā hopena ʻaoʻao o ka lāʻau lapaʻau

Ma hope o ka wehe ʻana i ka catheter, hiki iā ʻoe ke ʻike i nā mea e like me:

• He koko liʻiliʻi i loko o ka mimi ('Hematuria').
• Pono e mimi pinepine.
• Ke koko haʻahaʻa (hypotension).

Akā, mai hopohopo, ʻo ka hapa nui o ka manawa he manawa pōkole kēia mau hopena ʻaoʻao a e hoʻomaikaʻi ʻia i loko o kekahi mau lā.

Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?

E hoʻomaka ʻoe e ʻike i kahi hōʻoluʻolu i ka wā e hoʻokahe ai ke kauka i kou ʻōpū mimi. ʻO ka lōʻihi o ka manawa e pono ai ʻoe i ka lāʻau lapaʻau hou e pili ana i ke kumu o kou paʻa ʻana o ka mimi.

He aha kaʻu e manaʻo ai inā loaʻa iaʻu ka mumū o ka ʻōpū?

Hiki ke ʻeha ka ʻōpū pehu, a hiki ke hōʻike ʻia ʻaʻole lawa kou mimi ʻana. Hiki ke mālama ʻia kēia ma ke kau ʻana i kahi catheter e hoʻokahe i ka ʻōpū. Pono paha ʻoe e hoʻomau i ka mālama ʻana no ke kumu kumu.

Inā hāpai ʻoe a ua pehu ka ʻōpū o kāu pēpē i hānau ʻole ʻia, e kamaʻilio me kāu mea mālama maʻi prenatal no ka ʻike hou aku.

Hiki ke pale ʻia ka mumū o ka ʻōpū mimi?

Inā loaʻa iā ʻoe nā maʻi mau loa e hiki ai ke hoʻopaʻa i ka mimi, ʻo ka mālama pono ʻana iā lākou e hiki ke kōkua i ka pale ʻana i ka pehu ʻana o ka ʻōpū mimi. Eia nō naʻe, i kekahi mau hihia, e like me ka pehu ʻana o ka ʻōpū mimi ma hope o ke ʻoki ʻana a i ʻole ka megacystis fetal, ʻaʻole hiki ke pale aku.

Āhea wau e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā ʻaʻole hiki iā ʻoe ke mimi a loaʻa iā ʻoe ka ʻeha nui, e hele koke i ka lumi pilikia kokoke loa a i ʻole e ʻimi koke i ke kōkua lapaʻau. He pilikia olakino ka paʻa ʻana o ka mimi koke. Mai hoʻowahāwahā iā ia.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea kōkua paha ka nīnau ʻana i kāu kauka i nā nīnau e like me kēia:

• No ke aha i hiki mai ai kēia iaʻu?
• He aha kaʻu e hana ai e pale aku ai i ka hana hou ʻana o kekahi mea e like me kēia?
• He aha nā koho lapaʻau e loaʻa iaʻu?
• Pono anei au e hoʻomau i ka lāʻau lapaʻau?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Hiki ke mālama ʻia ka mumū o ka ʻōpū mimi ma ka hoʻokahe ʻana i ka ʻōpū mimi. Eia nō naʻe, he mea nui e mālama i ke kumu kumu o ka paʻa ʻana o ka mimi. Inā pilikia ʻoe i ka mimi ʻana, a inā he ʻeha kou i loko a puni paha o kou ʻōpū lalo, ʻoiai inā ua hana ʻia ʻoe i ke ʻoki kino, e haʻi i kāu kauka. ʻAʻole he pilikia ka mumū o ka ʻōpū mimi, akā ʻo ka hiki ʻole ke mimi i kekahi mea hiki ke lilo i pilikia. No laila , inā he mau hopohopo kāu, mai hoʻokaʻulua i ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau. He mea nui loa kou olakino iā ʻoe.

ʻO ka pehu ʻōpū, ka paʻa ʻana o ka mimi, ka paʻakikī o ka mimi, ka ʻōpū, nā puʻupaʻa, nā hōʻailona mimi, ka mālama ʻana i ka mimi