He koko kou i loko o kou mimi? (Hematuria) - Mai hopohopo, e kamaʻilio kākou e pili ana i kēia!

I kekahi manawa ke hele ʻoe i ka lua, e ʻike paha ʻoe ua loli ke kala o kou mimi. Malia paha he kala poni maʻamau ia, a he ʻulaʻula māmā paha, a he ʻulaʻula ʻeleʻele paha. ʻO ka mea e ʻike ana i ke koko i loko o ko lākou mimi e like me kēia, ua makaʻu iki ʻo ia, a he mea maʻamau kēlā. Akā, ʻaʻole ia he hōʻailona mau o kahi maʻi koʻikoʻi. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia koko i loko o ka mimi, ʻo ia ka mea a mākou e kapa nei ʻo 'Hematuria' i ka lāʻau lapaʻau.

I ka ʻōlelo maʻalahi, he aha ka Hematuria?

ʻO Hematuria ka huaʻōlelo lapaʻau no ke alo o nā hunaola koko, a i ʻole ke koko, i loko o kou mimi (pee). E noʻonoʻo iā ia e like me kahi hōʻailona liʻiliʻi mai loko mai o kou kino e haʻi ana iā ʻoe, "Ke hana nei kekahi mea i loko, e hoʻolohe."

ʻO ka hapa nui o ka manawa, ʻaʻole mākou e ʻike i ke koko i loko o kā mākou mimi. He liʻiliʻi wale nō ia. ʻIke wale ʻia kēia mau mea ke hana ke kauka i kahi hoʻāʻo mimi. Akā inā ʻike ʻoe he poni a ʻulaʻula paha kou mimi, he hōʻailona paha ia o kekahi mea ʻē aʻe. No laila, inā ʻike ʻoe i kekahi mea e like me ia , mai hoʻowahāwahā iā ia . ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka.

He aha nā ʻano nui o ka hematuria?

Ua hoʻokaʻawale nā ​​kauka i ka mimi i kekahi mau māhele nui e pili ana i ka nui o ke koko i loaʻa. E nānā kākou i ko lākou ʻano.

Aia kekahi mau hōʻailona ʻē aʻe ma waho aʻe o ke koko i loko o ka mimi?

I ka hapanui o nā hihia, ʻaʻohe paha he mau hōʻailona ʻē aʻe ma mua o ka loli ʻana o ke kala o ka mimi. Kāhea nā kauka i kēia he 'asymptomatic'. ʻO ia hoʻi, ʻaʻohe hōʻailona.

Eia nō naʻe, hiki i kekahi poʻe ke ʻike i nā hōʻailona ʻē aʻe me kēia.

• Ka mimi pinepine ʻana .
• ʻEha a wela paha i ka wā e mimi ai (Dysuria).
• Ka wikiwiki o ka mimi .

Ma waho aʻe o kēia mau hōʻailona, ​​​​hiki ke loaʻa nā hōʻailona pili ʻē aʻe ma muli o ke kumu.

ʻO ka mea nui, ʻaʻole ia he hōʻailona maʻi mau ke koko i loko o kou mimi. Akā, he hōʻailona koʻikoʻi paha ia e pono ai ke nānā ʻia kekahi mea i loko o kou kino. No laila, mai hoʻowahāwahā iā ia.

No ke aha he koko i loko o ka mimi? He aha nā kumu nui?

Nui nā kumu o ke koko nui. ʻAʻole koʻikoʻi loa kekahi, akā hiki i kekahi ke koʻikoʻi loa.

Nā kumu maʻamau:

• ʻO ka maʻi ʻaʻai mimi (UTI): He kumu maʻamau loa kēia, ʻoi aku hoʻi i waena o nā wahine. Hiki ke hana ia ke loaʻa kahi maʻi bacteria ma nā wahi āpau o ka ʻōnaehana mimi.
• Ka Maʻi Pōhaku Mimi: E like me kā kākou e ʻike nei, hiki i nā pōhaku puʻupaʻa a me nā pōhaku mimi ke hoʻopilikia i ke ala mimi a me ke kahe ʻana o ke koko.
• Maʻi ʻōpū (Pyelonephritis): Inā ʻaʻole mālama pono ʻia kahi UTI, hiki iā ia ke laha i nā puʻupaʻa a hoʻoulu i kahi maʻi. ʻO ia kekahi kumu o kēia.
• Cystitis: Ka mumū o ka ʻōpū ma muli o ka maʻi a i ʻole nā ​​​​kumu ʻē aʻe.

Nā kumu ʻē aʻe:

• ʻO ka Benign Prostatic Hypertrophy (BPH): He kūlana maʻamau i nā kāne ʻelemakule. Ke hoʻonui ʻia ka gland prostate , hiki iā ia ke hoʻoulu i ke kaomi ma ka urethra a hoʻoulu i ke kahe koko.
• Nā ʻeha i ka ʻōnaehana urinary: Hiki ke hana kēia ma muli o kahi ulia, hāʻule, a i ʻole kahi ʻeha i ka wā e pāʻani ana i nā haʻuki.
• Ka Māʻi ʻAna: E ʻike paha nā wāhine i ke koko i hui pū ʻia me ka mimi i ka wā o ka māʻi ʻana. ʻAʻole kēia he maʻi.
• Endometriosis: ʻO ka ulu ʻana o nā ʻiʻo e like me ka mea i loaʻa i loko o ka ʻōpū ma waho o ka ʻōpū.
• Maʻi Puʻupaʻa Mau Loa (CKD): Ua emi ka hana o ka puʻupaʻa i ka hala ʻana o ka manawa.
• ʻO ka maʻi Sickle Cell: He maʻi hoʻoilina e hoʻopilikia ai i nā hunaola koko ʻulaʻula.
• Kekahi mau maʻi ʻaʻai: Hiki i ke koko i loko o ka mimi ke lilo i hōʻailona mua o nā maʻi koʻikoʻi e like me ke kanesa ʻōpū, ke kanesa puʻupaʻa, a me ke kanesa prostate. ʻO kēia ke kumu ʻino loa e makaʻu ai a hoʻowahāwahā ai.

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

Hiki i kekahi kanaka, i kēlā me kēia makahiki, ke loaʻa ke koko i loko o ko lākou mimi. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kekahi poʻe.

• No ka poʻe e loaʻa pinepine ana i nā maʻi ʻōpū mimi (UTIs).
• No nā kānaka ma luna o 50 mau makahiki, ʻoiai hoʻi nā kāne.
• Inā he maʻi ko kekahi o ka ʻohana e like me ka maʻi puʻupaʻa a i ʻole nā ​​​​pōhaku puʻupaʻa.
• No ka poʻe e lawe ana i nā lāʻau hoʻokahe koko (anticoagulants), kekahi mau lāʻau ʻeha (NSAIDs), a me kekahi mau antibiotics.
• No ka poʻe puhi paka.
• No ka poʻe i inu ʻole i ka wai i ke ao (dehydration).
• No ka poʻe i pili i nā kemika, nā pena, ka laholio, a pēlā aku ma ka hana.
• No ka poʻe e pāʻani ana i nā haʻuki pili e like me ka pôpeku, hockey, a me ka mokomoko.
• No ka poʻe e holo ana i nā wahi lōʻihi a i ʻole e hoʻoikaika kino nui ana (Exercise-induced hematuria).

Pehea ʻoe e ʻike ai i kēia, e Kauka?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona, ​​​​nā lāʻau lapaʻau āu e lawe nei, a me nā kūlana olakino i loko o kou ʻohana. A laila e hana ʻo ia i kahi hoʻokolokolo kino. Eia kekahi, hiki iā ia ke kauoha i kekahi mau hoʻokolohua e hoʻoholo ai i ke kumu pololei.

• Urinalysis: ʻO kēia ka hoʻāʻo maʻalahi loa. Lawe ʻia kahi hāpana o kāu mimi a nānā ʻia no ke koko, nā hōʻailona o ka maʻi, a me nā mea ʻē aʻe.
• Moʻomeheu Mimi: Inā kānalua ʻia kahi maʻi mimi, hana ʻia kēia hoʻāʻo e ʻike ai i ke ʻano o ka bacteria e hoʻokumu nei.
• Urine Cytology: Nānā ʻia kahi hāpana mimi ma lalo o kahi microscope e nānā i nā pūnaewele ʻē, ʻoiai nā pūnaewele kanesa.
• Cystoscopy: Pili kēia i ka hoʻokomo ʻana i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi ma o kou urethra e nānā i loko o kou ʻōpū mimi a me ka urethra. Mai hopohopo, hana pinepine ʻia kēia ma lalo o ka anesthesia.
• Nā Hoʻāʻo Kiʻi: Nā Scan. Lawe kahi scan ultrasound, CT scan, a i ʻole MRI scan i kahi kiʻi piha o kou mau puʻupaʻa, ka ʻōpū mimi, a me ka ʻōnaehana mimi e nānā i nā pōhaku, nā puʻupuʻu, a i ʻole nā ​​​​pilikia ʻē aʻe.

He aha nā lāʻau lapaʻau no kēia?

I ka ʻōlelo maʻalahi:

• Inā he maʻi ʻaʻai mimi (UTI) ke kumu, e kuhikuhi kāu kauka i kahi lāʻau antibiotic kūpono nāu.
• Inā he pōhaku puʻupaʻa ke kumu, ma muli o ka nui o nā pōhaku, pono paha e hoʻoheheʻe ʻia me ka lāʻau lapaʻau a i ʻole e wehe ʻia ma ke ʻoki ʻana.
• Inā he prostate i hoʻonui ʻia (BPH) ke kumu, aia nā lāʻau lapaʻau no ia mea. Inā ʻaʻole hiki i nā lāʻau lapaʻau ke kāohi iā ia, he koho paha ke ʻoki ʻana.
• Inā he maʻi koʻikoʻi e like me ke kanesa ke kumu, e hui pū kahi hui o nā kauka loea (urologists, oncologists) e hoʻoholo i ke ʻano lapaʻau kūpono loa (ʻoki kino, radiation therapy, a pēlā aku).

I kekahi manawa, inā ma muli o ke kumu e like me ka hoʻoikaika kino nui ke kahe ʻana o ke koko, ʻaʻole pono ia i kekahi lāʻau kūikawā. E nalo wale ia i hoʻokahi a ʻelua paha lā.

He aha kā mākou e hana ai e pale aku i ka hematuria?

ʻOiai ʻaʻole hiki iā mākou ke pale aku i nā kumu āpau, hiki iā mākou ke pale iā mākou iho mai kekahi mau kumu maʻamau.

• E inu i ka wai he nui i ka lā a pau: ʻO kēia ka mea nui loa. ʻO ka inu ʻana ma ka liʻiliʻi he 2-3 lita o ka wai i kēlā me kēia lā hiki ke hele i kahi lōʻihi i ka pale ʻana i nā maʻi ʻōpū mimi a me nā pōhaku puʻupaʻa.
• E mālama i ka hoʻomaʻemaʻe:ʻOiai no nā wāhine, e holoi mau mai mua a i hope i ka wā e hoʻomaʻemaʻe ai ma hope o ka hoʻohana ʻana i ka lua.
• Nohona olakino: E ʻai i ka ʻai kaulike. E hōʻemi i nā meaʻai kiʻekiʻe i ka paʻakai, ke kō, a me ka protein holoholona. E kāohi i kou kaumaha.
• E pale loa i ka puhipaka: ʻO ka puhipaka kahi kumu nui o ka maʻi ʻōpū a me ka maʻi puʻupaʻa.
• E mimi ma mua a ma hope o ka moekolohe: Kōkua kēia i ka hoʻopau ʻana i nā bacteria i komo paha i loko o ke ala mimi.

Āhea wau e ʻike ai i ke kauka?

He mea maʻalahi loa ia. Inā ʻike ʻoe he poni, ʻulaʻula, a ʻeleʻele paha kou mimi, e hoʻonohonoho i kahi manawa e ʻike koke ai i kāu kauka.

Eia kekahi, ʻoiai inā ʻaʻohe loli o ke kala o kou mimi, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e ʻimi i ke kōkua lapaʻau.

• Ka loli ʻana o ke ʻano mimi (mimi pinepine, paʻakikī ke mimi)
• ʻEha a wela paha i ka wā e mimi ai
• ʻEha ma ka ʻōpū lalo, ke kua, a i ʻole ke pelvis
• Kuni me ke kumu ʻole

ʻO ka mea hope loa, i kekahi manawa hiki ke ʻulaʻula ke kala o ka mimi ma muli o nā meaʻai e like me ka beetroot a me ka rhubarb. ʻAʻole ia he koko. Akā inā ʻaʻole ʻoe maopopo e pili ana i ia mea, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka a loaʻa i kahi hoʻāʻo mimi maʻalahi. E hoʻopau pū kēlā i kou mau makaʻu.