Loaʻa pinepine anei i kāu keiki liʻiliʻi nā maʻi ʻōpū mimi (UTI)? A i ʻole mimi ʻo ia ma luna o kona mau lole me ka ʻike ʻole? I kekahi manawa manaʻo mākou he mau mea maʻamau kēia, akā aia paha he pilikia liʻiliʻi ma hope o kēia e kū nei mai ka hānau ʻana mai. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Ua kapa ʻia kēia he ectopic ureter. Mai hopohopo, e wehewehe mākou i nā mea āpau e pili ana i kēia ma nā ʻōlelo maʻalahi.
He aha ke ʻano o ka Ectopic Ureter?
I ka ʻōlelo maʻalahi, he maʻi hānau kēia. Loaʻa iā mākou ʻelua mau puʻupaʻa i loko o ko mākou kino. Kānana kēia mau puʻupaʻa i nā huahana ʻōpala i loko o ko mākou kino a hana i ka mimi (pee). ʻO ka mimi i hana ʻia ma kēia ʻano e lawe ʻia i ka ʻōpū mimi ma o ʻelua mau ʻōmole lahilahi. Ua kapa ʻia kēia mau ʻōmole ʻelua he ureters . ʻO ka maʻamau, aia hoʻokahi ureter no kēlā me kēia puʻupaʻa, ʻo ia mau mea ʻelua e pili pono ana i ka ʻōpū mimi.
Eia nō naʻe, i ke ʻano o ka 'ectopic ureter', hoʻohui kekahi (a i ʻole nā mea ʻelua) o kēia mau paipu ureter i ka ʻōpū mimi ma kahi kūpono ʻole ma kahi o ka hoʻopili ʻana iā ia.
E noʻonoʻo e like me ke alanui e huli hewa ana. Aia kekahi mau wahi e hiki ai iā ʻoe ke hana i kahi pilina hewa e like me kēia:
- Urethra (ka ʻōmole e lawe ai i ka mimi mai ka ʻōpū mimi)
- ʻĀʻī ʻōpū
- ʻUmiʻumi
- I nā wahine, ʻo ka uterus, cervix, a i ʻole ka vagina
- I loko o nā kāne, nā ʻāpana sperm
ʻIke pinepine ʻia kēia ʻano me kahi ʻano i kapa ʻia he 'duplex kidney' . ʻO ke ʻano kēia ua pili ʻelua mau ureter i ka puʻupaʻa hoʻokahi. A laila, pili pinepine kekahi o nā ʻōmole ʻelua ma kahi kūpono ʻole.
He aha nā hōʻailona o kēia maʻi?
ʻO kekahi kumu e paʻakikī ai ke ʻike i kēia maʻi, ʻo ia ka like o kona mau hōʻailona me nā maʻi maʻamau ʻē aʻe, e like me nā maʻi ʻōpū mimi (UTI). Eia nō naʻe, inā hoʻomau nā hōʻailona ma lalo nei, pono ʻoe e hopohopo.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Nā maʻi ʻōpū urinary e hoʻi hou ana (UTIs) | Inā loaʻa pinepine i kāu keiki nā maʻi ʻōpū mimi me ka wela a me ka ʻeha i ka wā e mimi ai (dysuria) . |
| Ka hoʻokaʻawale ʻana o ka mimi | ʻOi loa aku no nā kaikamahine, inā hoʻomau lākou i ka hoʻomaʻū i ko lākou mau lole ʻoiai ma hope o ko lākou akamai ʻana i ka kaohi ʻana i ka mimi. Hoʻokahe iki nā kulu liʻiliʻi o ka mimi i ka lā a pau. |
| Pehu ʻana o nā puʻupaʻa (Hydronephrosis) | No ka mea, ʻaʻole hiki i ka mimi ke kahe pono i waho, hōʻiliʻili ia i loko o ka puʻupaʻa a hoʻoulu iā ia e pehu. ʻIke ʻia kēia ma o kahi scan. |
| ʻO ka Reflux Vesicoureteral | Hoʻi hou ka mimi mai ka ʻōpū mimi i ka ureter i nā puʻupaʻa, kahi hiki ke hoʻoulu i nā maʻi. |
He ʻeha anei kēia?
ʻAʻole ʻeha ke kūlana i kapa ʻia ʻo 'ectopic ureter'. Eia naʻe, hiki i nā hopena ʻaoʻao ke hōʻeha. Eia kekahi laʻana:
- ʻO ka mumū a me ka ʻeha i hoʻokumu ʻia e nā maʻi ʻaʻai mimi (UTIs).
- Ka maʻi a me ka mumū o nā testicles i nā kāne (Epididymitis).
- Ka maʻi prostate (Prostatitis).
No ke aha e hana nei kēia? ʻO wai ka mea i pilikia nui?
ʻAʻole maopopo maoli i nā kauka ke kumu kikoʻī o kēia. Hoʻokumu ʻia ia e kahi loli liʻiliʻi loa i ka ulu ʻana o ka ʻōnaehana mimi i ka wā e ulu ana kahi pēpē i loko o ka ʻōpū. ʻAʻole kēia ma muli o kekahi hewa ma ka ʻaoʻao o ka makuahine i ka wā hāpai.
Eia nō naʻe, aia kekahi mau hui i pilikia nui i ka hoʻomohala ʻana i kēia maʻi:
- Nā kaikamāhine: ʻOiai ʻaʻole maopopo ke kumu, ʻoi aku ka nui o nā kaikamahine i kēia maʻi ma mua o nā keikikāne ma kahi o 10 mau manawa.
- Moʻolelo ʻohana: Inā loaʻa kēia maʻi i kekahi o nā mākua, aia kahi pilikia liʻiliʻi e loaʻa pū kekahi i ke keiki.
Pehea e ʻike ai ke kauka i kēia?
Hiki ke paʻakikī ke ʻike ʻia no ka mea ua like nā hōʻailona me nā maʻi ʻē aʻe. I kekahi manawa ʻike ʻia ia ma ka hanana i ka wā o ka ultrasound prenatal ʻoiai ke pēpē i loko o ka ʻōpū.
A i ʻole, ke lawe ʻoe i kāu keiki i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i nā hōʻailona, e nānā i ke keiki, a laila, inā he kānalua e pili ana i ke kūlana, e kauoha ʻo ia i kekahi mau hoʻokolohua kūikawā e hōʻoia iā ia.
| Inoa o ka hoʻāʻo | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā Hoʻāʻo Kiʻi | Hiki i kahi CT scan, MRI scan, a i ʻole ultrasound scan ke kiʻi i nā kiʻi kikoʻī o ka ʻōnaehana urinary a kuhikuhi i kahi kikoʻī o ka pilikia. |
| ʻO ke ʻano o ka cystoscopy | Hoʻokomo ʻia kahi ʻōmole lahilahi loa me kahi kāmela i hoʻopili ʻia ma o ka urethra e nānā i loko o ka ʻōpū mimi. |
| Nānā i ke kahe ʻana o ka Renal | Hoʻokomo ʻia kahi waihoʻoluʻu radioactive i loko o ke kino e nānā i ke ʻano o ka hana ʻana o nā puʻupaʻa a me ke kahe ʻana o ka mimi. |
| VCUG (Voiding Cystourethrogram) | He hoʻāʻo kahi e hoʻokomo ʻia ai kahi waihoʻoluʻu kūikawā i loko o ka ʻōpū mimi a lawe ʻia kahi X-ray i ka wā e mimi ana ke keiki e ʻike inā kahe hope ka mimi. |
He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?
ʻO ke ala wale nō e hoʻoponopono ai i kēia kūlana ma o ke ʻoki kino. ʻAʻole hiki ke ho'ōla ʻia me ka lāʻau lapaʻau.
ʻO ka pahuhopu nui o ke ʻoki ʻana, ʻo ia ke hoʻopili hou i ka ureter i kuhi hewa ʻia i kona wahi kūpono a pale i ka hōʻino ʻana i ka puʻupaʻa. Hoʻohana nā kauka i kekahi mau ʻano ʻoki no kēia. Koho ʻia ke ʻoki kūpono loa ma muli o ke kūlana o ke keiki.
- Ureteroureterostomy: Pili kēia i ka hoʻopili ʻana i ka ureter i hoʻopili hewa ʻia i ka ureter pololei ʻē aʻe, e hana ana i kahi pilina ʻano Y.
- Ka Hoʻokomo Hou ʻana o ka Ureter: Ma kēia kaʻina hana, ua wehe ʻia ka ʻōmole ureter i kuhihewa ʻia a hoʻopili hou ʻia i kahi kūpono i loko o ka ʻōpū mimi.
- Nephrectomy: I kekahi manawa, hiki i kēia pilikia ke hōʻeha nui i ka puʻupaʻa a hōʻemi nui i kāna hana. Inā olakino maikaʻi ka puʻupaʻa ʻē aʻe, ma ke ʻano he koho hope loa paha e pono ai ke wehe i kahi ʻāpana o ka puʻupaʻa i hōʻino ʻia (partial nephrectomy) a i ʻole ka puʻupaʻa holoʻokoʻa (radical nephrectomy).
Hāʻawi kēia ʻoki kino i nā hopena holomua loa, no laila ʻaʻohe pono e makaʻu pono ʻole iā ia.
He aha ka mea e hana ʻia inā ʻaʻole ʻoe e mālama iā ia? He aha ka mea e hana ʻia ma hope o ka mālama ʻana?
Inā waiho ʻole ʻia kēia kūlana me ka mālama ʻole ʻia, aia kahi pilikia kiʻekiʻe o ka hoʻomohala ʻana i nā maʻi ʻōnaehana mimi mau loa a, i ka hala ʻana o ka manawa, e hōʻino mau loa i nā puʻupaʻa .
Eia nō naʻe, me ka ʻike ʻana i ka manawa kūpono a me ke ʻoki kūpono, hiki i ke keiki ke ola i kahi ola maʻamau. ʻAʻole ʻike ka nui o ka poʻe i kekahi ʻokoʻa. ʻOiai inā pono e wehe ʻia kahi puʻupaʻa, lilo ka puʻupaʻa i koe i ikaika a hoʻomau i ka hana me ka ʻole o nā pilikia i loko o ke kino. Eia naʻe, e like me ka ʻōlelo a ke kauka, he mea nui e hoʻomau i ka nānā ʻia e kahi loea puʻupaʻa (nephrologist).
ʻAʻole pili kēia kūlana i ka hana moekolohe a i ʻole ka hiki ke loaʻa nā keiki i ka wā e hiki mai ana (fertility).
Nā nīnau a me nā hopohopo e hiki mai ana i ka noʻonoʻo ma ke ʻano he makua
He mea paʻakikī ke wehewehe i ke ʻano o ka ʻike ʻana he pilikia hānau ko kāu keiki. He mea maʻamau ka loaʻa ʻana o nā nīnau he tausani e holo ana i loko o kou manaʻo, e like me, 'No ke aha i hana ʻia ai kēia iaʻu?', 'Ua hana hewa anei au?'
Akā, e hoʻomanaʻo i kēia: ʻaʻole kēia kou hewa iki.
ʻAʻole ʻike pono nā kauka i ke kumu o kēia maʻi. He mau mea maʻamau kēia e hana ʻia i kekahi manawa. ʻAʻole ia he mea āu i hana ai, a i ʻole he mea āu i hana hewa ai. No laila, mai hoʻāhewa iā ʻoe iho.
ʻO ka mea nui loa, ke ʻike ʻia kēia, maikaʻi loa ka nānā ʻana. He kūpono loa nā lāʻau lapaʻau. ʻAʻole kēia e pale i kāu keiki mai ke ola ʻana i kahi ola olakino a hauʻoli. E kamaʻilio me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. E wehewehe ʻo ia i nā mea āpau iā ʻoe.
Leka Lawe-Home
- ʻO ka ureter ectopic kahi maʻi hānau kahi e pili ai ka urethra i kahi kūpono ʻole.
- ʻO nā maʻi pinepine o ke ala mimi a me ka mimi ʻole (ʻoi aku hoʻi i nā kaikamahine) paha nā hōʻailona nui.
- ʻAʻole hewa kēia kūlana i nā mākua.
- Hiki ke ʻike pololei ʻia kēia ma o nā scan kūikawā a me nā hoʻokolohua ʻē aʻe.
- Hiki ke ho'ōla loa ʻia kēia me ke ʻoki kino, a kiʻekiʻe loa ka holomua o ka lāʻau lapaʻau.
- Inā loaʻa i kāu keiki kēia mau hōʻailona, e kāhea koke aku i kāu kauka no ka ʻōlelo aʻo.
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