Ke manaʻo nei ʻoe i kekahi manawa e like me ka hoʻokahe ʻana o ka mimi liʻiliʻi ke ʻakaʻaka nui ʻoe, ke kuni, ke hāpai i kahi mea kaumaha, a i ʻole ka hoʻoikaika kino? He pilikia maʻamau ka incontinence mimi no nā kāne he nui, ʻoiai ma hope o ka prostatectomy radical no ka maʻi ʻaʻai prostate. ʻOiai he kumuhana hilahila iki ke kamaʻilio e pili ana i ke kaiāulu, he kūlana hiki ke mālama ʻia. ʻO ka hopena holomua loa a me ke ʻano hou no kēia ʻo ia ke ʻoki ʻana o Male Sling. No laila, e kamaʻilio maopopo kākou e pili ana i kēia lā.
I ka ʻōlelo maʻalahi, he aha ke ʻano o ke ʻoki ʻana o Male Sling?
ʻO ke ʻoki ʻana o Male Sling kahi ʻoki kino minimally invasive i hana ʻia no ka mālama ʻana i ka incontinence urinary i nā kāne. E noʻonoʻo ʻoe ua kau ʻia kahi kākoʻo liʻiliʻi a puni ka urethra, ka ʻōmole e puka mai ai ka mimi, e hāʻawi i ke kākoʻo. ʻO ia ka hana a kēia.
Ma kēia kaʻina hana, hoʻopili kāu kauka i kahi lipine ʻoki palupalu e like me ka mesh synthetic a puni kou urethra, ʻo ia kekahi ʻāpana o kou urethra. Aia ka ʻōpuʻu urethral ma ke kumu o kāu penis. Hāpai iki ka lipine i ka urethra a me ka ʻāʻī bladder, e hāʻawi ana iā lākou i ke kākoʻo. Hāʻawi kēia kākoʻo i nā ʻiʻo sphincter e hoʻomalu i ka mimi i ka ikaika hou aku. Kōkua kēia i ka pale ʻana i ka leakage o ka mimi ke ʻū ʻoe a i ʻole ke kihe.
Ua ʻike ʻia kēia ʻoki kino ma nā inoa inoa e like me AdVance® sling a i ʻole Coloplast Virtue® male sling.
ʻO wai ka mea e mālama ʻia me kēia ʻoki kino?
Hoʻohana pinepine ʻia kēia ʻoki no nā kāne i pilikia i ka kaohi ʻana i ko lākou mimi ma hope o ka prostatectomy radical.
ʻO ka mea nui loa, ʻoi aku ka maikaʻi o kēia no ka poʻe me ka incontinence palupalu a kaulike . ʻO ia hoʻi, ʻo ka poʻe hiki ke hoʻohana i hoʻokahi, ʻelua, a ʻekolu paha pads i ka lā hiki ke loaʻa nā hopena maikaʻi loa me kēia.
He aha nā hoʻokolohua e hana ʻia ma mua o ke ʻoki kino?
Ma mua o kou hana ʻana i kēia ʻoki kino, e kauoha kāu kauka i kekahi mau hoʻokolohua e loiloi pololei i kou kūlana. E kōkua kēia mau hoʻokolohua e hoʻoholo inā he moho maikaʻi ʻoe no ke ʻoki kino a inā e loaʻa iā ʻoe nā hopena maikaʻi ma hope o ke ʻoki kino.
| Inoa Hoʻāʻo | He aha kāu e ʻike ai i loko o ia mea? |
|---|---|
| Hoʻāʻo Urodynamic | Nānā lākou i ka maikaʻi o ka hana ʻana o nā ʻiʻo a me nā aʻalolo i loko o kou ʻōpū mimi a me ka urethra. Ana lākou i nā mea e like me ke kaomi i loko o kou ʻōpū mimi a me ka wikiwiki o ke kahe ʻana o ka mimi i waho. |
| Hoʻāʻo pad 24-hola | Kōkua kēia iā ʻoe e ana pololei i ka nui o nā pads āu e pono ai a me ka nui o ka mimi āu e hoʻokahe ai i loko o 24 mau hola. |
| ʻO ke ʻano o ka cystoscopy | Hoʻokomo ʻia kahi ʻōmole liʻiliʻi a lahilahi me kahi kāmela i hoʻopili ʻia i lalo o kou urethra, e ʻae ana i ke kauka e ʻike i loko o kou ʻōpū mimi. |
| Hoʻāʻo ECG (Electrocardiogram) | Hana ʻia kēia hoʻāʻo e hōʻoia i hiki i kou puʻuwai ke kū i kēia ʻoki kino. |
| Nā hoʻāʻo koko | E nānā ʻia ʻoe e ʻike inā he pilikia kou no ke kāpili ʻana o ke koko (e laʻa me ka hemophilia). Inā loaʻa iā ʻoe, ʻoi aku paha kou pilikia o ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana. |
| Ka nānā ʻana i ka mimi | Kōkua kēia i ka hoʻoholo ʻana inā he mau pilikia olakino ʻē aʻe e hiki ke hoʻopilikia i ke ʻoki ʻana, e like me nā maʻi ʻaʻai urinary (UTIs), maʻi puʻupaʻa, a i ʻole ka maʻi diabetes. |
Pehea e hoʻomākaukau ai au no ke ʻoki kino?
He mea nui loa nō hoʻi ka hoʻomākaukau ʻana no ke ʻoki kino.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai: nā lāʻau lapaʻau i kauoha ʻia, nā lāʻau lapaʻau ma luna o ke kūʻai aku, nā lāʻau Ayurvedic, nā huaora ... E haʻi i kāu kauka e pili ana i kēia mau mea āpau.
- E ho'ōki i ka lawe ʻana i nā lāʻau hoʻokahe koko:E noi ʻia ʻoe e hoʻōki i ka lawe ʻana i nā lāʻau hoʻokahe koko (anticoagulants), aspirin, a me nā lāʻau hoʻomaha ʻeha (NSAID) i hoʻokahi a ʻelua paha pule ma mua o ke ʻoki ʻana. Hiki i kēia mau mea ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana. He mea maikaʻi ke lawe i ka acetaminophen (acetaminophen) no ka ʻeha poʻo.
- Nā lāʻau lapaʻau hiki iā ʻoe ke hoʻomau i ka lawe ʻana: Inā ʻaʻole ʻōlelo aʻo kāu kauka, hiki iā ʻoe ke hoʻomau i ka lawe ʻana i nā lāʻau lapaʻau aʻe.
- Nā lāʻau lapaʻau
- Lāʻau lapaʻau no ke koko kiʻekiʻe
- Nā lāʻau lapaʻau hormonal
- Lāʻau lapaʻau no ka maʻi puʻuwai
- ʻAi a me ka mea inu: E noi ʻia ʻoe e ʻai wale i nā meaʻai wai (e like me ka sopa, ka wai huaʻai, ka jelly) mai ka pō ma mua o ke ʻoki ʻana. Pono ʻoe e hoʻōki loa i ka ʻai ʻana a me ka inu ʻana i kekahi mau hola ma mua o ke ʻoki ʻana. E kōkua kēia i ka mālama ʻana i kou ʻōpū i ka maʻemaʻe i ka wā o ke ʻoki ʻana, kahi e hōʻemi ai i ka pilikia o ka maʻi.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
Hana ʻia kēia ʻoki kino e kahi hui o nā loea, me ke kauka ʻokiʻoki o ka ʻōpū mimi a me ke ala mimi (Urologist), kahi anesthesiologist, a me nā kahu maʻi.
ʻO ka mea mua, e hoʻomaʻemaʻe loa ʻia ʻoe. ʻO ke ʻano kēia, ʻaʻole ʻoe e manaʻo i kekahi mea, e hiamoe loa ʻoe.
A laila ke kauka lapaʻau:
1. Hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻāpana ma waena o kou scrotum a me ka anus (perineum).
2. Hōʻike mālie ʻia ka urethra.
3. A laila, ua kau pono ʻia ke kaula ʻoki (sling) a mākou i kamaʻilio ai ma mua a puni ka ʻōpuʻu urethral.
Hoʻololi hou kēia lipine i ke urethra i kahi kūlana hou a kūpono hoʻi. Hoʻonui kēia i ke kaomi ma ia wahi a hāʻawi i ke kākoʻo maikaʻi no ka ʻāʻī o ka mimi ʻōpū. ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o ke ʻoki ʻana.
He aha kāu e manaʻo ai ma hope o ke ʻoki kino?
Ma hope o ke ʻoki kino, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla a hiki i kou hoʻi hou ʻana i ka ʻike a paʻa kou kūlana.
- ʻO ka hapa nui o ka manawa, he hana ma waho kēia e hiki ke hana ʻia i ka lā hoʻokahi . Eia nō naʻe, i kekahi mau hihia, pono paha ʻoe e noho i ka haukapila i ka pō hoʻokahi.
- Ma hope o ke ʻoki ʻana, he mea paʻakikī paha ke mimi i ka wā mua ma muli o ka pehu ʻana. Pono paha ʻoe e kau i kahi catheter urinary no kekahi mau lā. Ke emi ka pehu ʻana, hiki iā ʻoe ke mimi ma ke ʻano maʻamau.
- Ma hope o ka ho'ōla ʻana, pono ʻoe e mimi maʻamau me ka ʻole o nā pilikia.
He aha nā pōmaikaʻi a me nā helu holomua o kēia ʻoki kino?
ʻO ka pōmaikaʻi nui o kēia ʻoki kino, ʻo ia ka hāʻawi ʻana i kahi hopena kūleʻa i ka pilikia o ka incontinence urinary. Eia kekahi:
- He ʻoki liʻiliʻi loa ia, no laila e ho'ōla koke ana.
- ʻAʻole ia e waiho i kekahi mau ʻeha nui.
- He pōkole ka manawa ho'ōla.
- Aia kēia ʻaʻahu i loko loa o ke kino, no laila ʻaʻole ʻike ʻia mai waho mai.
Holomua a me ke ola lōʻihi
Ua holomua loa kēia ʻoki kino. Ua hōʻike ʻia nā noiʻi hou ua aneane 80% o nā kāne i hana ʻia i kēia ʻoki kino ua hoʻopau loa a hoʻomaikaʻi nui paha i ko lākou incontinence urinary. ʻO ka maʻamau, he 10 a 15 mau makahiki ka lōʻihi o ke kaula.
He aha nā hopena ʻaoʻao a i ʻole nā pilikia e hiki mai ana?
E like me nā ʻoki kino āpau, aia kekahi mau pilikia, akā he kakaikahi loa nā pilikia.
| Hopena ʻaoʻao / pilikia | Wehewehena |
|---|---|
| ʻAʻole hiki ke mimi (paʻa ʻana o ka mimi) | He pilikia maʻamau e hiki ke hana ma hope o ke ʻoki ʻana. Pono paha e waiho ʻia ka catheter urethral ma kahi no kekahi mau pule hou aʻe. He mea kākaʻikahi loa, pono paha kekahi ʻoki ʻē aʻe e hoʻoponopono i kēia. |
| Ke kahe ʻana o ke koko | Hiki ke kahe iki ke koko mai ka wahi i ʻoki ʻia. |
| Maʻi | Aia kahi pilikia o ka maʻi o ka ʻoki ʻia a i ʻole ke ala mimi. |
| Hoʻomau ka hoʻomanawanui ʻole | Aia kahi manawa liʻiliʻi e hoʻi hou mai ai ka pilikia o ka hoʻōki ʻana o ka mimi i ka hala ʻana o ka manawa. |
| Nā hōʻailona o ka ʻōpū mimi overactive | Hiki i nā hōʻailona ke komo pū me ka mimi pinepine ('urinary frequency'), ka makemake koke e mimi ('urinary urgency'), a i ʻole ke ala ʻana i ka pō e mimi ('nocturia'). |
Hoʻōla hou a hoʻomaka hou i nā hana o kēlā me kēia lā
ʻOkoʻa ka manawa hoʻōla mai kēlā kanaka a kēia kanaka.
- Hoʻōla hou: Hoʻomaka ka hapa nui o ka poʻe e ʻoluʻolu i loko o hoʻokahi pule, akā hiki ke hala i kekahi mau pule e hoʻōla piha ai.
- Ke hoʻi nei i ka hana: Inā he hana pākaukau kāu, hiki iā ʻoe ke hoʻi i ka hana i loko o kekahi mau lā. Eia nō naʻe, inā he hana kāu e pili ana i ka hāpai ʻana i nā mea kaumaha a i ʻole ka hoʻoikaika kino, pono paha ʻoe e hoʻomaha iki.
- Ka moe kolohe ʻana: He mea nui e nīnau i kāu kauka i ka wā e palekana ai ka moe kolohe hou ma hope o ke ʻoki kino.
Āhea ʻoe e ʻike ai i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona ma hope o ka hoʻi ʻana i ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Inā ʻaʻole hiki iā ʻoe ke mimi iki .
- Inā he koko i loko o kou mimi (hematuria).
- Inā he mau hōʻailona o ka maʻi (e like me ke kuni, ke anu, nā testicles pehu).
- Inā ʻaʻole ʻoe e loaʻa i nā hopena āu i manaʻo ai a inā paha e hoʻi hou mai ka pilikia o ka incontinence urinary ma hope o kekahi manawa, e kamaʻilio pū me kāu kauka e pili ana i kēlā.
Leka Lawe-Home
- He lāʻau lapaʻau kūpono a palekana hoʻi ke ʻoki ʻana iā Male Sling no ka incontinence mimi ʻoluʻolu a kaulike paha, ʻoiai ma hope o ke ʻoki ʻana i ka prostate.
- He ʻoki kino kēia ʻaʻole pono i kahi ʻoki nui a hoʻōla koke ʻia.
- He kiʻekiʻe loa ka holomua o ke ʻoki kino (kokoke i 80%).
- Ma mua o ke ʻoki ʻana, e kamaʻilio ākea me kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei a me nā hopohopo āu e loaʻa ai.
- Inā loaʻa iā ʻoe nā hōʻailona koʻikoʻi ma hope o ke ʻoki ʻana, e like me ka hiki ʻole ke mimi, ke kuni nui, a i ʻole nā hōʻailona o ka maʻi, e ʻimi koke i ke kōkua lapaʻau.
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