ʻO ke ʻoki ʻana i ke ala mimi? E aʻo kākou e pili ana i ka Posterior Urethral Reconstruction ma nā ʻōlelo maʻalahi

He paʻakikī iki anei kou mimi ʻana? Ke manaʻo nei anei ʻoe ua nāwaliwali a ua ʻūmiʻi ka urethra? Ke manaʻo nei anei ʻoe i kekahi manawa ʻaʻole ʻoe i hoʻokahe loa i kou ʻōpū mimi ma hope o ka mimi ʻana? Hiki paha kēia ma muli o kahi paʻa i loko o kou urethra. He ʻoiaʻiʻo loa kēia inā ua loaʻa iā ʻoe kahi ulia pōpilikia i hala koke aku nei, ʻoiai kekahi e pili ana i ka ʻāpana pelvic, a i ʻole inā ua mālama ʻia ʻoe no ka maʻi ʻaʻai prostate. No laila i kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kūikawā he hopena maikaʻi ia no kēia. ʻO ia ka ʻoki Posterior Urethral Reconstruction.

I ka ʻōlelo maʻalahi, he aha ka Posterior Urethral Reconstruction?

I mea e hoʻomaopopo ai i kēia, e aʻo mua kākou e pili ana i kēia mau ʻāpana o ko kākou kino. Ua ʻike ʻoe ʻo ka urethra ka ʻōmole e lawe ana i ka mimi a me ka semen mai ko kākou ʻōpū mimi i waho o ke kino. He mau ʻāpana nō hoʻi kēia urethra.

ʻO ka Urethra hope e pili ana i ke kua o ka urethra, ʻo ia hoʻi, ka ʻāpana i loko o ke kino. I ka pololei, pili mākou i ka ʻāpana liʻiliʻi o ka urethra, ma kahi o hoʻokahi a ʻelua paha ʻīniha ka lōʻihi, e holo ana mai ka lalo o ka ʻōpū mimi, ma o ka prostate gland, a ma o nā ʻiʻo o ka papahele pelvic.

No laila, ʻo Posterior Urethral Reconstruction kahi ʻoki kino e hoʻihoʻi i ka ʻaoʻao hope o ka urethra i hōʻino ʻia, ālai ʻia, a i ʻole i hoʻohāiki ʻia no kekahi kumu.

I nā hihia hea e pono ai kēia ʻoki kino?

ʻO ke kumu nui o kēia ʻoki kino pinepine ka haiki ʻana a i ʻole ka paʻa ʻana o ka urethra (Urethral Stricture) . E like me ka hōʻiliʻili ʻana o ka lepo i loko o kahi paipu wai a hōʻemi i ke kahe ʻana o ka wai, ke hana ʻia nā ʻiʻo ʻeha i loko o ka urethra a haiki iā ia, lilo ia i mea paʻakikī ke kahe ʻana o ka mimi. I kekahi manawa hiki i ka urethra ke lilo i haiki loa, a i ʻole hiki ke oki loa.

Aia kekahi mau kumu nui e ālai ʻia ai ka urethra ma kēia ʻano.

He aha nā hoʻokolohua e hana ʻia ma mua o ke ʻoki kino?

Ma mua o ka hoʻoholo ʻana o ke kauka e hana i kēia ʻoki kino, e hana lākou i kekahi mau hoʻokolohua e hoʻoholo pono ai i ke ʻano o ka paʻa ʻana o kou urethra a me ka nui o ka pōʻino.

• Urethrogram Retrograde: Hoʻokomo ʻia kahi wai kūikawā i loko o ka urethra a lawe ʻia nā kiʻi X-ray.
• ʻO ka Voiding Cystourethrogram: Hoʻokomo ʻia kahi paipu i loko o ka ʻōpū mimi, piha i ka wai, a lawe ʻia kahi X-ray i kou wā mimi.
• Cystoscopy: Hoʻokuʻu ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia i lalo o ka urethra e nānā i loko.
• MRI Scan: I kekahi manawa, hana ʻia kahi MRI scan e kiʻi i kahi kiʻi maopopo o kēia wahi.

Pehea e hoʻomākaukau ai no ke ʻoki kino?

He mea nui e hahai ʻoe i nā ʻōlelo a ke kauka no kou palekana ma mua o ke ʻoki ʻana.

Hiki ke hāʻawi ʻia iā ʻoe kahi lāʻau antibiotic e hoʻomaka ana i ka lā ma mua o ke ʻoki ʻana e pale ai i ka maʻi.

Pehea e hana ʻia ai ke ʻoki kino?

ʻO ka mea mua, e hoʻokomo ke kauka anesthesiologist iā ʻoe ma lalo o ka anesthesia laulā . ʻO ke ʻano kēia e hiamoe nui ana ʻoe. ʻAʻole ʻoe e ʻike i kekahi ʻeha a i ʻole kekahi mea a hiki i ka pau ʻana o ke ʻoki ʻana.

A laila hoʻomaka ke kauka urologist i ke ʻoki kino. ʻO ka Anastomotic Urethroplasty ke ʻano maʻamau i hoʻohana ʻia no nā ālai ʻana ma hope o kahi ulia.

E noʻonoʻo, eia ka mea e hana nei:

1. ʻO ka mea mua, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻāpana ma waena o kou scrotum a me ka anus (perineum).

2. A laila, ʻoki loa ʻia a wehe ʻia ka ʻiʻo ʻeha i paʻa i loko o ka urethra.

3. ʻO ka hope loa, ua hoʻohui hou ʻia nā wēlau ʻelua o ke koena o ka urethra olakino, a ua humuhumu ʻia me ke akahele loa.

E noʻonoʻo, i kekahi manawa ke wehe ʻia ka ʻāpana ʻeha, hiki ke ʻoi aku ka laulā o ka hakahaka ma waena o nā ʻāpana olakino ʻelua i koe. I ia mau hihia, hana nā kauka i kahi mea ʻē loa. 'Hoʻolimalima' lākou i kahi ʻāpana liʻiliʻi o ka ʻiʻo mai loko mai o kou papālina a lehelehe paha (buccal mucosa) , hoʻopiha i kēlā hakahaka, a kūkulu hou i ka urethra.

ʻO ka maʻamau, hiki i kēia ʻoki kino ke hala ma waena o ʻekolu a me ʻeono hola .

He aha ka mea e hana ʻia ma hope o ke ʻoki kino?

Ke pau ke ʻoki ʻana, e humuhumu ʻia ka ʻoki, hoʻomaʻemaʻe ʻia, a kāʻei ʻia. Eia kekahi, e hoʻokomo ʻia kahi catheter Foley ma o kāu penis i loko o kou ʻōpū mimi e kōkua i ka hoʻokahe ʻana i ka mimi. ʻO kēia ke kōkua i ka mālama ʻana i ke kahe mālie o ka mimi a hiki i ka ho'ōla ʻana o ka urethra. Mai hopohopo, he manawa pōkole kēia.

Hiki ke kau ʻia kahi ʻauwai ʻoki liʻiliʻi kokoke i ka ʻeha e kōkua i kona ho'ōla ʻana. Hoʻoneʻe pinepine ʻia kēia ma mua o kou haʻalele ʻana i ka haukapila.

I ka pau ʻana o nā hopena o ka lāʻau hiamoe, e hoʻi mālie ʻoe i ka ʻike. E lohi iki ʻoe i ka wā mua. Ke hoʻi hou ʻoe i ka ʻike, e hāʻawi ʻia ʻoe i nā lāʻau hoʻomaha ʻeha e kāohi i ka ʻeha.

Ke hoʻoholo nā kauka ua maikaʻi kou kūlana, hiki iā ʻoe ke hoʻi i ka home. Eia nō naʻe, pono paha ʻoe e noho i ka haukapila no hoʻokahi lā a i ʻole.

E hāʻawi ʻia ʻoe i nā manawa hoʻopaʻa me ke kauka i nā mahina e hiki mai ana. I kēlā manawa, hiki ke hana hou ʻia nā hoʻokolohua e like me nā X-ray a me ka cystoscopy e ʻike ai inā e ho'ōla pono ana ka ʻeha.

Nā pono, ka holomua a me nā pilikia

E like me nā ʻoki kino āpau, loaʻa i kēia nā pōmaikaʻi a me kekahi mau pōʻino liʻiliʻi.

Ka manawa hoʻōla a me nā mea e pono ai ke hoʻomaopopo

He mea nui loa nō hoʻi kou hoʻolaʻa ʻana i ka ho'ōla ʻana ma hope o ke ʻoki ʻana.

ʻEha

Hiki i nā poʻe he nui ke ʻeha iki, akā hiki ke hoʻomalu maikaʻi ʻia me nā lāʻau ʻeha i kuhikuhi ʻia e ke kauka.

Nā Hana

• E pale i ka hoʻokele kaʻa a me ka noho ʻana no ka manawa lōʻihi a hiki i ka wehe ʻia ʻana o ke catheter (3-4 mau pule).
• ʻAʻole pilikia ka hele wāwae a me ke piʻi ʻana i nā alapiʻi.
• Mai hāpai i nā mea kaumaha ma mua o 9 kg (20 lbs).
• E hōʻalo i ka holo ʻana, ka squatting, nā hoʻomaʻamaʻa hoʻolōʻihi wāwae, a me nā haʻuki e pili ana i ka hoʻohuli ʻana i ka ʻūhā (e like me ka kolepa) no hoʻokahi mahina a ʻelua paha.

Hana moekolohe

E kāpae loa i ka moekolohe a i ʻole ka masturbation no 8 mau pule ma ka liʻiliʻi .

Hoʻi i ka hana/kula

Inā ʻoe e hana ana ma ke keʻena, hiki iā ʻoe ke hoʻomaka i loko o hoʻokahi a ʻelua paha pule. Akā inā he hana koi kino kāu, pono ʻoe e kali ma ka liʻiliʻi he 6-8 mau pule.

ʻO kēlā me kēia manawa kūpono e hālāwai ai me 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.

He paʻakikī ke hoʻoponopono ʻana i kahi mea e like me kahi ulia a i ʻole ke kanesa. He mea maʻamau ke hopohopo nui i ka wā e hiki mai ai kahi pilikia ʻē aʻe e like me ka urethral stricture. Akā ʻo ka nūhou maikaʻi, he lāʻau lapaʻau holomua loa ka Posterior Urethral Reconstruction. Me kēia ʻoki kino, hiki iā ʻoe ke mimi me ka ʻole o ka pilikia hou.