Malia paha ma hope o ke ʻoki ʻana no kekahi kumu e like me ke kanesa prostate, ke hoʻokahe nei ʻoe i kekahi mimi me ka manaʻo ʻole? Inā hana kēia i ka wā e ʻakaʻaka ai ʻoe, ʻū, a hāpai paha i kahi mea kaumaha, maopopo iaʻu ke ʻano hoʻonāukiuki. Kāhea mākou i kēia ʻano he incontinence urinary. Akā, mai hopohopo, hana ia i nā poʻe he nui. ʻO ka mea maikaʻi loa, aia nā lāʻau lapaʻau kūpono loa no kēia. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi ʻoki maʻalahi a maikaʻi loa. ʻO ia ka ʻoki 'Male Sling'.
I ka ʻōlelo maʻalahi, he aha ke ʻano o ke ʻoki ʻana o Male Sling?
He hana ʻoki liʻiliʻi maʻalahi loa kēia. I ka pololei, hāʻawi ia i kahi kākoʻo iki i kou urethra. E noʻonoʻo e lawe ke kauka i kahi lipine ʻoki palupalu e like me ka mesh synthetic a kāʻei pono iā ia a puni kahi ʻāpana o kou urethra.
Hāpai iki kēia kāʻei i ka ʻāʻī o ka urethra a me ka ʻāʻī o ka ʻōpū mimi, e hāʻawi ana i ke kākoʻo. Kōkua kēia i ka hoʻomalu ʻana i ke kahe o ka mimi i ka wā e piʻi ai ke kaomi ma luna o ka ʻōpū mimi (e like me ka wā e ʻū ai a ʻakaʻaka paha). Kōkua kēia i kou mau ʻiʻo sphincter e hoʻomalu i ka mimi ʻana.
Ma hope o kēia ʻoki kino, e hiki iā ʻoe ke mimi ma ke ʻano maʻamau, akā e pau nui ka liki ʻana o ka mimi me ka makemake ʻole.
No wai kēia ʻoki kino i ʻōlelo ʻia?
Hoʻomaopopo pinepine nā kauka i kēia lāʻau lapaʻau no nā kāne i loaʻa nā pilikia kaohi mimi ma hope o kahi prostatectomy radical.
He hopena kūpono loa kēia, ʻoiai inā he ʻano palupalu a kaulike kou incontinence. ʻO ia hoʻi, hoʻohana ʻoe i hoʻokahi a ʻekolu mau pads i ka lā, no laila hiki iā ʻoe ke kamaʻilio me kāu kauka e pili ana i kēia ʻoki kino.
He aha nā hoʻokolohua e hana ʻia ma mua o ke ʻoki kino?
Ma mua o kou hana ʻana i kēia ʻoki kino, e hana kāu kauka i kekahi mau hoʻokolohua e loiloi pololei i kou olakino. E kōkua kēia i ka hoʻoholo ʻana i ke kūpono o ke ʻoki kino iā ʻoe a pehea ka holomua.
| Inoa o ka hoʻāʻo | He aha kāu e manaʻo ai mai ia mea? |
|---|---|
| Hoʻāʻo Urodynamic | Ana lākou i nā mea e like me ke ʻano o ka hana ʻana o nā ʻiʻo a me nā aʻalolo i loko o kou ʻōpū mimi a me ka urethra, ke kaomi o ka ʻōpū mimi, a me ka wikiwiki o ke kahe ʻana o ka mimi i waho. |
| Hoʻāʻo pad 24-hola | Ana ia i ka nui o ka mimi āu e hoʻolei ai i ka lā a me ka nui o nā pads āu e pono ai. |
| ʻO ke ʻano o ka cystoscopy | Me ka hoʻohana ʻana i kahi ʻōmole lahilahi (endoscope) me kahi kāmela i hoʻopili ʻia, nānā lākou i loko o kou urethra a me ka ʻōpū mimi. |
| Hoʻāʻo ECG | E hōʻoiaʻiʻo lākou e hana maikaʻi ana kou puʻuwai a hiki ke kū i ke ʻoki ʻana. |
| Nā hoʻāʻo koko | Nānā mākou i nā kūlana e like me nā pilikia o ke kāpili ʻana o ke koko (e.g. hemophilia), no ka mea, hiki i kēia mau mea ke hoʻonui i ke kahe ʻana o ke koko i ka wā o ke ʻoki ʻana. |
| Ka nānā ʻana i ka mimi | E nānā i nā maʻi olakino ʻē aʻe e hiki ke hoʻopilikia i ke ʻoki ʻana, e like me nā maʻi ʻaʻai urinary tract (UTIs), ka maʻi diabetes, a me nā maʻi puʻupaʻa. |
Pehea e hoʻomākaukau ai no ke ʻoki kino?
E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. ʻO ka maʻamau,
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei: Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe nei, me nā huaora a me nā mea hoʻohui lāʻau. Pono paha e hoʻōki ʻia kekahi mau lāʻau lapaʻau, e like me nā mea hoʻokahe koko, ma kahi o ʻelua pule ma mua o ke ʻoki ʻana.
- ʻAi a me ka Mea Inu: E ʻōlelo ʻia ʻoe e inu wale i nā wai mai ka pō ma mua o ke ʻoki ʻana. E ʻōlelo ʻia hoʻi ʻoe ʻaʻole e ʻai a inu paha i kekahi mea mai ke kakahiaka o ke ʻoki ʻana. He mea nui loa e hahai pololei i kēia mau kuhikuhi.
Pehea e hana ʻia ai ke ʻoki kino?
He hana ʻoki kino kēia e lawe pinepine ʻia ma kahi o hoʻokahi hola. E hāʻawi ʻia ʻoe i ka anesthesia laulā e kahi anesthesiologist, no laila ʻaʻole ʻoe e ʻeha. E hiamoe ana ʻoe.
Ma hope o kou hiamoe ʻana, e hana ana ka urologist i kēia mau mea:
1. Hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻāpana ma waena o kou scrotum a me ka anus (perineum).
2. E hele ma waena a hōʻike mālie i ka urethra.
3. A laila, ua kau ʻia ke kaula kūikawā i ʻōlelo ʻia ma mua a puni ka urethra, ma ke ʻano pololei e hāʻawi ai i ke kākoʻo i ka ʻiʻo hoʻomalu mimi.
Hoʻopaʻa mālie kēia kāʻei i ka urethra i kona kūlana hou. Kōkua kēia i ke kaohi ʻana i ke kahe o ka mimi. A laila humuhumu ʻia ka ʻoki a uhi ʻia me kahi kāʻei maʻemaʻe.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
E lohi iki ʻoe ma hope o kou hoʻi hou ʻana i ka ʻike. E lawe ʻia ʻoe i kahi lumi hoʻōla, kahi e nānā ʻia ai ʻoe a hāʻawi ʻia i nā lāʻau lapaʻau e kāohi i ka ʻeha.
ʻO ka hapa nui o ka manawa, he hana ma waho kēia. ʻO ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia nō naʻe, i kekahi manawa pono paha ʻoe e noho i ka haukapila i ka pō. Hoʻoholo ʻia kēia e kāu kauka.
Ma hope o ke ʻoki ʻana, he mea paʻakikī paha ke mimi i ka wā mua ma muli o ka pehu ʻana. No laila, e hoʻokomo ʻia kahi catheter urinary no kekahi mau lā. Ke emi iho ka pehu ʻana, hiki iā ʻoe ke mimi ma ke ʻano maʻamau.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, he mau pōmaikaʻi kēia a he mau pōpilikia liʻiliʻi hoʻi.
Nā pono nui:
- He hopena kūleʻa loa i ka pilikia o ka hoʻōki ʻana o ka mimi. (Ua kokoke ka nui o ka holomua i ka 80%)
- Ma muli o ka hoʻohana ʻana o ke ʻoki ʻana i kahi ʻoki liʻiliʻi loa , ua pōkole ka manawa hoʻōla.
- He ʻuʻuku loa ka ʻōpala.
- Aia kēia ʻaʻahu i loko loa o ke kino. ʻAʻole ʻike ʻia mai waho mai.
- He lōʻihi kēia no ka manawa, e like me 10-15 mau makahiki.
Nā hopena ʻaoʻao hiki ke loaʻa (he mea kākaʻikahi loa kēia mau mea):
- Paʻa ʻana o ka mimi: ʻO kēia ka pilikia manawa pōkole maʻamau. Pono paha ʻoe e hoʻohana i kahi catheter no kekahi mau pule.
- Ke kahe ʻana o ke koko a i ʻole ka maʻi.
- I ka hala ʻana o ka manawa, hiki i ke kaula ke komo i loko o ka urethra (erosion).
- Ka hoʻi hou ʻana o ka nalowale o ke kaohi ʻana i ka mimi.
- ʻO ka maʻi ʻaʻai mimi (UTI).
- Nā hōʻailona e like me ka mimi pinepine ʻana (pinepine o ka mimi) a i ʻole ke ala ʻana i ka pō e mimi (nocturia).
ʻO ka mea nui, he liʻiliʻi loa kēia mau pilikia. E kūkākūkā kāu kauka i kēia mau mea a pau me ʻoe a kōkua iā ʻoe e hoʻoholo i ka mea maikaʻi loa iā ʻoe.
Ka manawa ho'ōla a me ka wā e ʻike ai i ke kauka
E hoʻomaka ana ʻoe e ʻoluʻolu i loko o hoʻokahi pule. Hiki ke hala kekahi mau pule e hoʻōla piha ai.
- Ke hoʻi nei i ka hana: Inā he hana keʻena kāu, hiki iā ʻoe ke hoʻi i ka hana i loko o kekahi mau lā. Eia nō naʻe, inā he hana koi kino kāu e like me ka hāpai ʻana i nā mea kaumaha, pono ʻoe e hoʻomaha no kekahi mau pule.
- Moe kolohe: E nīnau i kāu kauka e pili ana i kēia a hahai i kāna ʻōlelo aʻo.
I ka manawa e pono ai ʻoe e ʻike koke i ke kauka:
- Inā ʻaʻole hiki iā ʻoe ke mimi iki .
- Inā he koko i loko o ka mimi (hematuria) .
- Inā he mau hōʻailona kou o ka maʻi e like me ke kuni, ka ʻūlū, a i ʻole ka pehu ʻana o nā testicles.
I kēlā me kēia hihia, e ʻike koke i kāu kauka a i ʻole e hele i ka ʻOihana Pilikia (ETU) o ka haukapila.
Leka Lawe-Home
- He lāʻau lapaʻau maikaʻi loa ke ʻoki ʻana iā Male Sling no ka incontinence urinary i nā kāne, ʻoi aku hoʻi ma hope o ke ʻoki ʻana i ka prostate.
- He hana ʻoki maʻalahi kēia a haʻahaʻa ka pilikia e hana ʻia ma kahi ʻoki liʻiliʻi loa.
- He kiʻekiʻe loa ka holomua ma hope o ke ʻoki ʻana. A he lōʻihi ka lōʻihi.
- Inā loaʻa iā ʻoe kēia pilikia, mai hilahila a kaumaha paha, akā e kamaʻilio me kahi urologist. E aʻo aku ʻo ia iā ʻoe i ka lāʻau kūpono loa.
- Inā pilikia ʻoe i ka mimi ʻana, ke kahe nui ʻana o ke koko, a i ʻole nā hōʻailona o ka maʻi ma hope o ke ʻoki ʻana, e ʻimi koke i ke kōkua lapaʻau.
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