He aha kāu e pūʻiwa ai ke ʻike ʻoe i kou hele ʻana i ka lua a ʻike koke ʻoe ua ʻulaʻula kou mimi? Malia paha he poni ka wai i loko o ke pola lua. He mea maʻamau loa ka makaʻu ke ʻike ʻoe i kahi mea e like me kēia. Nui ka poʻe e hopohopo nei i kēia manawa. Akā ma mua o ko mākou hopohopo ʻana, e hoʻomaopopo pono kākou i kēia. I kēia lā ke kamaʻilio nei mākou e pili ana i ke koko e puka mai ana me kēia mimi, ʻo ia ke ʻano a mākou e kapa nei ʻo 'Hematuria' i ka lāʻau lapaʻau.
I ka ʻōlelo maʻalahi, he aha ka Hematuria?
ʻO ka Hematuria (he-ma-tu-ria) ka loaʻa ʻana o nā hunaola koko ʻulaʻula i loko o kou mimi (pee). He ʻano maʻamau kēia. Akā, ʻaʻole ʻulaʻula a poni paha kou mimi i nā manawa a pau. I kekahi manawa, aia kahi koko liʻiliʻi i loko o ka mimi i liʻiliʻi loa e ʻike ʻia me ka maka ʻōlohelohe. Hiki ke ʻike ʻia kēia ke hana ke kauka i kahi hoʻāʻo mimi.
Eia nō naʻe, inā ʻike ʻoe ua loli ke kala o kou mimi, he hōʻailona paha ia o kekahi mea ʻē aʻe. No laila, inā ʻike ʻoe i kekahi mea e like me ia, pono ʻoe e ʻike i ke kauka.
He aha nā ʻano koko nui i loko o ka mimi?
E hoʻokaʻawale mākou i kēia kūlana i ʻekolu mau ʻano nui. Ke maopopo iā ʻoe kēlā, e loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i kēia.
| ʻAno | Ua wehewehe maʻalahi ʻia |
|---|---|
| Hematuria nui | ʻO ke ʻano kēia, aia ke koko i loko o ka mimi hiki iā ʻoe ke ʻike me kou mau maka . Hiki i ka mimi ke poni māmā a ʻulaʻula ʻeleʻele paha. Hiki nō hoʻi ke ʻulaʻula ka wai i loko o ke pola lua. |
| ʻO ka hematuria microscopic | I kēia hihia, aia kekahi koko i loko o ka mimi, akā he liʻiliʻi loa ka nui a ʻaʻole hiki ke ʻike ʻia e ka maka ʻōlohelohe . Hiki ke ʻike ʻia kēia ma ka nānā ʻana i ka mimi ma lalo o kahi microscope. |
| ʻO ka hematuria dipstick | ʻIke ʻia kēia ma o kahi hoʻāʻo e pili ana i ka hoʻoluʻu ʻana i kahi ʻāpana liʻiliʻi (dipstick) i uhi ʻia me nā kemika i loko o ka mimi. Eia naʻe, ʻaʻole pololei 100% kēia mau hoʻāʻo. I kekahi manawa, hiki iā lākou ke hāʻawi i nā hopena maikaʻi ʻole, ʻoiai inā ʻaʻohe koko. No laila , inā hōʻike kēia hoʻāʻo i ke koko, pono e hōʻoia ʻia ma lalo o kahi microscope. |
He aha nā hōʻailona ʻē aʻe e hele pū me ke koko i loko o ka mimi?
I ka hapanui o nā hihia, ʻaʻohe paha he mau hōʻailona ʻē aʻe ma mua o ke koko i loko o ka mimi. Kāhea mākou i kēia 'asymptomatic'. Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona ʻē aʻe.
Nā hōʻailona e pili ana i ka ʻōnaehana urinary:
- Pono e mimi hou aku ma mua o ka maʻamau (mimi pinepine).
- ʻEha a wela paha i ka wā e mimi ai (dysuria).
- Ka makemake koke a ikaika e mimi (urinary urgency).
Nā hōʻailona maʻamau ʻē aʻe:
- Ka luaʻi a me ka luaʻi.
- Kuni a me ke anu.
- ʻEha o ka ʻōpū haʻahaʻa.
- ʻEha hope haʻahaʻa.
- ʻEha ma ka ʻaoʻao, ma luna pono o ka pūhaka.
ʻAʻole ke koko i loko o ka mimi he hōʻailona mau ia o kahi maʻi koʻikoʻi. Eia nō naʻe, hiki iā ia ke lilo i hōʻailona nui e hōʻike ana he hewa kekahi mea i loko o kou kino. No laila , mai hoʻowahāwahā iā ia. E ʻike koke i ke kauka ke ʻike ʻoe.
He aha nā kumu nui o ke koko i loko o ka mimi?
Nui nā mea e hiki ai ke hana i kēia. ʻAʻole koʻikoʻi kekahi, akā he mau kūlana kekahi e pono ai ka hopohopo.
Nā kumu maʻamau
- Maʻi pōhaku mimi: Hiki i kēia ke lilo i mau pōhaku puʻupaʻa, nā pōhaku mimi, a i ʻole nā pōhaku e hana ʻia i loko o ke ala mimi. Hiki i kēia mau pōhaku ke hōʻeha i ka ʻōnaehana mimi a hoʻoulu i ke kahe ʻana o ke koko.
- ʻO ka maʻi ʻōpū mimi (UTI): He maʻi o ke ʻōpū mimi i hoʻokumu ʻia e ka bacteria. He mea maʻamau loa kēia i waena o nā wahine.
- Maʻi Puʻupaʻa (Pyelonephritis): Hiki ke hana ʻia kēia ʻano ke ulu a laha kahi UTI i nā puʻupaʻa.
- Cystitis: Ka mumū o ka ʻōpū ma muli o kahi maʻi a i ʻole kekahi kumu ʻē aʻe.
Aia kekahi pilikia o ka maʻi kanesa?
ʻAe, hiki i ke koko i loko o ka mimi ke lilo i hōʻailona mua o kekahi ʻano maʻi kanesa. No laila ʻoi aku ka maikaʻi o ka hoʻowahāwahā ʻole ʻana i kēia hōʻailona.
- Ka maʻi ʻōpū
- Ka maʻi ʻaʻai puʻupaʻa
- Ka maʻi ʻaʻai prostate
- Ka maʻi ʻaʻai ureteral a me ka urethral
Nā kumu ʻē aʻe
- ʻO ka Benign Prostatic Hyperplasia (BPH): I ka wā e ʻelemakule ai nā kāne , e hoʻonui ʻia ko lākou kelepa prostate. Hiki i kēia ke kumu o ke ālai ʻana o ka mimi a me ke kahe ʻana o ke koko.
- Nā ʻeha i ka ʻōnaehana mimi: ʻO ka hāʻule ʻana, kahi ulia kaʻa, a i ʻole kahi hahau ikaika i ka wā e pāʻani ana i nā haʻuki hiki ke hōʻeha i nā puʻupaʻa a i ʻole ka ʻōpū mimi.
- Ka maʻi ʻōpū i nā wahine: I ka wā o ka maʻi ʻōpū, hiki ke ʻike ʻia kahi koko liʻiliʻi i hui pū ʻia me ka mimi.
- Endometriosis: ʻO ka ulu ʻana o nā ʻiʻo o ka ʻōpū ma waho o ka ʻōpū.
- Maʻi Puʻupaʻa Mau Loa (CKD): Ka hōʻino ʻana o ka hana a nā puʻupaʻa i ka wā lōʻihi.
- Maʻi ʻeha koko: He maʻi hoʻoilina e hoʻopilikia ai i nā hunaola koko ʻulaʻula.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke ʻike ʻoe i ke kauka, e nīnau ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a me nā kūlana olakino ʻē aʻe āu e loaʻa ai. A laila, e hana lākou i kahi hoʻokolokolo kino. Ma hope o kēlā, e paipai paha lākou i kekahi mau hoʻokolohua e kōkua i ka hoʻoholo ʻana i ke kumu pololei.
| Hoʻāʻo | He aha ka hana a kēia? |
|---|---|
| Ka nānā ʻana i ka mimi | E nānā ʻia kahi hāpana o kāu mimi no ke ʻano a me ke alo o nā mea e hiki ai ke hoʻoulu i nā hōʻailona (koko, kō, protein). |
| Moʻomeheu mimi | Ke ʻimi nei lākou i nā bacteria e hoʻoulu ai i nā maʻi i loko o ka mimi. |
| ʻO ke ʻano o ka mimi | Ua nānā ʻia ka mimi ma lalo o kahi microscope e ʻike ai inā he mau pūnaewele ʻē aʻe, e like me nā pūnaewele kanesa. |
| ʻO ke ʻano o ka cystoscopy | Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi ma o ka urethra e nānā i loko o ka ʻōpū mimi a me ka urethra. |
| Nā hoʻokolohua kiʻi | Hana ʻia nā scan e like me ka ultrasound, CT scan, a i ʻole MRI e kiʻi i nā kiʻi o nā puʻupaʻa a me ka ʻōnaehana urinary. |
Pehea e mālama ʻia ai?
ʻO ke ʻano o ka mālama ʻana no kēia mea e pili wale ana i ke kumu o ke koko i loko o ka mimi . E hoʻoholo ke kauka i ke kumu ma hope o ka hana ʻana i nā hoʻokolohua a e hāʻawi iā ʻoe i ka lāʻau kūpono loa.
- Inā he maʻi ia e like me ka UTI, e hāʻawi ʻia nā lāʻau antibiotic.
- Inā he pōhaku mimi, e hoʻohana ʻia ka lāʻau lapaʻau e hoʻoheheʻe i ka pōhaku a i ʻole e hoʻohana ʻia nā ʻano hana ʻē aʻe e wehe ai i ka pōhaku.
- Inā ua hoʻonui ʻia ka ʻōpū prostate, pono paha ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana.
- Inā ʻike ʻia ka maʻi ʻaʻai, e hui pū kahi hui o nā kauka loea (urologists, oncologists) e hoʻomohala i ka hoʻolālā lapaʻau kūpono loa.
He aha kā mākou e hana ai e pale aku i kēia?
ʻOiai ʻaʻole hiki ke pale ʻia nā kumu āpau, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia.
- E inu i ka wai he nui i ka lā a pau. E kōkua kēia i ka mālama ʻana i ke olakino o kāu ʻōnaehana mimi.
- E mimi ma mua a ma hope o ka moekolohe.
- Ke hoʻomaʻemaʻe nā wāhine iā lākou iho ma hope o ka hoʻohana ʻana i ka lua, pono lākou e holoi mau mai mua a i hope. Pale kēia i nā germs mai ke komo ʻana i loko o ke ala mimi.
- E mālama i kahi kaumaha olakino e kūpono i kou kino.
- E hoʻēmi i nā meaʻai kiʻekiʻe i ke kō, ka paʻakai, a me ka protein holoholona.
- Inā ʻoe e puhipaka ana, e hoʻōki koke.
- E hoʻēmi i ka pili ʻana i nā kemika weliweli i ka hiki.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻike ʻoe e huli ana kou mimi i ka ʻulaʻula, ʻulaʻula, a ʻeleʻele paha , e hele aku i ke kauka me ka kānalua ʻole.
Eia kekahi, e ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ʻoiai inā ʻaʻole e loli ke kala o kou mimi:
- Ka loli ʻana o ke ʻano o ka mimi ʻana (mimi pinepine, ʻeha).
- Nā hōʻailona o ka maʻi e like me ke kuni a me ke anu.
- ʻEha ma ka ʻōpū, ke kua, a i ʻole nā ʻaoʻao o nā pūhaka.
Inā koʻikoʻi loa nā hōʻailona, no ka laʻana, inā he ʻeha nui a me ke kahe ʻana o ke koko, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Hiki i ka ʻai ʻana a me ka inu ʻana ke hana i ke koko i loko o ka mimi?
ʻAʻole, ʻaʻole ka meaʻai a mea inu paha ke kumu e puka mai ai ke koko i loko o ka mimi. Eia nō naʻe, hiki i kekahi mau meaʻai ke hoʻololi i ke kala o ka mimi a hoʻohālike iā ia me he koko lā i loko. A laila makaʻu mākou me ke kumu ʻole.
- Pīti
- ʻŌhelohelo
- Rhubarb
- Nā pīni Fava
Inā paha e loli ke kala o kou mimi ma hope o ka ʻai ʻana i kahi meaʻai e like me kēia, he paʻakikī ke ʻike ponoʻī inā he koko a ʻaʻole paha. No laila, ʻo ka mea maikaʻi loa e hana ai inā he kānalua kou, ʻo ia ke kamaʻilio me kāu kauka. E hōʻoluʻolu kēlā i kou mau makaʻu a kōkua iā ʻoe e ʻike inā he pilikia ma mua.
Leka Lawe-Home
- Inā ʻike ʻoe i kou mimi e huli ana i ka ʻulaʻula, poni, a ʻeleʻele paha, mai hoʻowahāwahā. E ʻike koke i ke kauka.
- ʻAʻole kēia he hōʻailona mau o kahi maʻi koʻikoʻi e like me ke kanesa. Hiki iā ia ke lilo i kumu maʻalahi e like me ka UTI a i ʻole nā pōhaku mimi.
- Mai kuhi wale i ke kumu. He mea nui e ʻike i ke kumu ma ka hana ʻana i nā hoʻāʻo kūpono.
- Aia ka lāʻau lapaʻau ma ke kumu, no laila ʻo ka wikiwiki o ka ʻike ʻia ʻana o ke kumu, ʻo ka maʻalahi hoʻi ka lāʻau ʻana.
- Hiki ke pale ʻia nā maʻi he nui o ke ala mimi ma ka inu ʻana i ka wai he nui i kēlā me kēia lā a me ka mālama ʻana i kahi nohona olakino.
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