Ke paʻakikī nei hoʻi ʻoe i ka mimi ʻana ? Ke manaʻo nei anei ʻoe he haiki ka urethra ? A i ʻole ke manaʻo nei paha ʻaʻole i hoʻokahe loa ʻia ka ʻōpū mimi ma hope o ka mimi ʻana ? ʻAʻole kēia he mau hōʻailona maikaʻi e hoʻowahāwahā wale ʻia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi kumuhana koʻikoʻi loa a ka poʻe he nui e kānalua nei e kamaʻilio e pili ana. ʻO ia ke ʻano i kapa ʻia ʻo Posterior Urethral Stenosis.
I ka ʻōlelo maʻalahi, he aha ka Posterior Urethral Stenosis (PUS)?
Me he inoa ʻepekema paha kēia, akā he mea maʻalahi loa ke hoʻomaopopo. ʻO ka Posterior Urethral Stenosis (PUS) , i kapa ʻia i kekahi manawa ʻo Urethral Stenosis a i ʻole Urethral Stricture , he ʻano ia e haiki ai ka ʻāpana o ka urethra (posterior urethra) kokoke loa i ka ʻōpū mimi, a ʻoi aku ka pololei, ua ālai ʻia.
E like me ka wā e paʻa ai kekahi mea i loko o ka paipu wai, lohi ke kahe ʻana o ka wai, a ʻo ia ka mea e hana ʻia ke ālai ʻia kā mākou mimi. I kekahi manawa hiki ke koʻikoʻi loa kēia ālai ʻana a lilo i mea paʻakikī loa ke mimi , a i kekahi manawa hiki ke alakaʻi i ka hiki ʻole ke mimi.
ʻOi aku ka maʻamau o kēia ʻano maʻi i nā kāne ma mua o nā wahine. ʻO ke kumu o kēia, ʻoi aku ka lōʻihi o ka urethra kāne ma mua o ka wahine. ʻOiai he 8-9 ʻīniha ka lōʻihi o ka urethra o ke kāne, he 1.5 ʻīniha ka lōʻihi o ka wahine. No laila, ʻo ka ʻāpana 1-2 ʻīniha o ka urethra kāne, kokoke loa i ka mimi ʻōpū, ʻo ia ka mea e paʻa ai ma kēia ʻano. Loaʻa pū i kēia ʻāpana ka ʻāpana e hele ana ma o ka prostate gland.
Pehea ka maʻamau o kēia ʻano?
ʻAʻole maʻamau ka Posterior Urethral Stenosis. I ka hapa nui o ka manawa, kū mai kēia maʻi ma ke ʻano he hopena ʻaoʻao o ka mālama ʻana no kekahi maʻi ʻē aʻe ma ia wahi. He mea kākaʻikahi loa, hiki ke loaʻa kēia maʻi i ka wā hānau (congenital). He mea kākaʻikahi loa ia i nā wahine.
Loaʻa iā ʻoe kēia mau hōʻailona?
Hiki i kekahi kanaka me kēia maʻi ke hōʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei. E nānā inā loaʻa iā ʻoe kekahi o kēia mau mea.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Paʻakikī ke mimi | Paʻa ka mimi , paʻakikī i ka mimi , a me ka manaʻo ʻaʻole i hoʻokahe loa ʻia ka ʻōpū mimi ma hope o ka mimi ʻana (ua kapa ʻia kēia he paʻa ka mimi ma ka ʻōlelo lapaʻau). |
| ʻEha i ka wā e mimi ai | ʻEha a wela paha i ka wā e mimi ai (ua kapa ʻia kēia he dysuria ). |
| ʻO ka maʻi ʻaʻai mimi (UTI) | Nā maʻi pinepine o ke ala mimi. |
| Nā maʻi prostate | Nā maʻi o ka ʻōpū prostate. |
| Koko a i ʻole ka mimi ʻeleʻele | ʻO ka mimi ʻeleʻele a i ʻole ke koko i loko o ka mimi (ua kapa ʻia kēia ʻo Hematuria) . |
| ʻEha ʻōpū haʻahaʻa | ʻEha mau ma ka ʻōpū lalo. |
No ke aha lā kēia e hana nei? He aha nā kumu nui?
E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole hiki ke loaʻa pinepine kēia ʻano i ka wā hānau. Eia nō naʻe, ʻo ka hapa nui o ka manawa e kū mai ana ma muli o kahi ulia a i ʻole ka lāʻau lapaʻau i hana ʻia ma ia wahi.
Eia kekahi o nā kumu nui:
- Pelvic Fracture: He ulia koʻikoʻi e hōʻino ai i kou iwi pelvic a me ka ʻeha i kou urethra.
- Nā lāʻau lapaʻau no ke kanesa prostate: Hiki ke hana ʻia kēia ʻano ma hope ma muli o nā lāʻau lapaʻau no ke kanesa prostate e like me ka radiation therapy, brachytherapy, external beam radiation therapy (EBRT), a me ka wehe ʻana i ka prostate (prostatectomy).
- ʻO ke ʻoki kino no BPH:Hiki ke hana ʻia kēia kūlana e nā ʻoki kino e like me TURP (Transurethral Resection of the Prostate) no ka Benign Prostatic Hyperplasia (BPH).
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?
ʻO kēia ka mea nui loa. Inā manaʻo ʻoe "e hoʻomaikaʻi ia ma kāna iho" ʻoiai inā loaʻa iā ʻoe kēia mau hōʻailona, hiki i ke kūlana ke ʻoi aku ka ʻino. Inā hana ʻia kēlā, hiki mai nā pilikia koʻikoʻi e like me:
- Nā maʻi ʻōpū mimi pinepine (UTI).
- Ka hōʻino mau loa ʻana i ka ʻōpū mimi.
- Ke kahe nei ka mimi i hope mai ka ʻōpū mimi a i nā puʻupaʻa (vesicoureteral reflux).
- Ka pōʻino o nā puʻupaʻa.
ʻO ia ke kumu a mākou e ʻōlelo nei inā loaʻa iā ʻoe kēia mau hōʻailona, mai hoʻonele i ka manawa a e ʻike i ke kauka. Inā ʻoe e hoʻowahāwahā i kahi mea liʻiliʻi, hiki iā ʻoe ke kū i kahi pilikia nui aʻe ma hope.
E ke kauka, pehea ʻoe e ʻike ai i kēia?
Ke hele ʻoe e ʻike i ke kauka, e hoʻolohe pono mua ʻo ia i kāu mau hōʻailona. E nīnau pū ʻo ia e pili ana i kou mōʻaukala olakino. A laila e hana ʻo ia i kahi hoʻokolokolo kino. No ka hōʻoia ʻana i ke ʻano pololei o kou kūlana, hiki iā ia ke hana i kekahi mau hoʻokolohua, e like me:
- Nā hoʻāʻo X-ray
- ʻO ke kiʻi ʻana o ka ultrasound
- Cystoscopy (ka nānā ʻana i ka urethra me ka hoʻohana ʻana i kahi ʻōmole liʻiliʻi me kahi kāmela)
- ʻO ka urethrogram retrograde
- ʻO ka cystourethrogram hoʻopau ʻana (VCUG)
Hiki ke ho'ōla loa ʻia kēia maʻi?
ʻAe, ʻoiaʻiʻo nō. Aia nā lāʻau lapaʻau no kēia. ʻAʻole kēia he maʻi e hiki ke ho'ōla ʻia me ka lāʻau lapaʻau. Eia nō naʻe, hiki ke mālama ʻia ma o ʻelua mau ʻano. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa nou ma muli o ke ʻano o kou kūlana, ka nui o ka ʻiʻo pala, a me ka lōʻihi o ke ālai ʻana.
1. Hoʻonui ʻana o ka Urethral
ʻO kēia ka hoʻonui ʻana i ka ʻāpana i paʻa ʻia o ka urethra me ka hoʻohana ʻana i nā mea hana kūikawā (e like me nā koʻokoʻo lōʻihi a lahilahi) a i ʻole kahi pōpō. He hana maʻalahi kēia. Eia naʻe, ʻaʻole ia he hopena mau loa. Pono paha ʻoe e hana i kēia lāʻau i nā manawa he nui.
2. ʻO ke ʻoki kino (Urethroplasty)
ʻO kēia ka hopena holomua loa a mau loa. Ma kēia ʻoki kino, hoʻoponopono ʻia ka ʻāpana i hōʻino ʻia a paʻa o ka urethra a i ʻole e hoʻoili ʻia kahi ʻāpana hou. ʻOi aku ka nui o ka holomua o kēia ʻoki kino ma mua o 80%.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka hoʻonui ʻana o ka urethral, e hoʻomaka ʻoe e ʻoluʻolu i loko o hoʻokahi pule. Ma hope o ke ʻoki urethroplasty, hiki ke hala i ʻelua a ʻekolu pule e hoʻōla piha ai.
ʻO ka mea nui, ʻo kēia kūlana i kekahi manawaHiki iā ia ke hoʻi hou ma hope o ka mālama ʻana. No laila, mai poina e hele i nā manawa hoʻopaʻa e like me ka ʻōlelo a kāu kauka iā ʻoe. Ma kēlā ala, hiki iā ia ke nānā i kou kūlana a ʻike i nā pilikia i ka wā mua.
Aia kekahi mau ala e pale aku ai i kēia?
ʻAʻole hiki ke pale ʻia nā kumu a pau a mākou i kūkākūkā ai ma mua. No ka laʻana, he paʻakikī ke pale aku i kēia mai ka hana ʻana ma hope o ka mālama ʻana i ka maʻi kanesa. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kēia pilikia ma ka pale ʻana i nā ʻeha ma ka ʻaoʻao o ka ʻūhā.
- E kau i kou kāʻei noho i kēlā me kēia manawa āu e holo ai i loko o ke kaʻa.
- Inā ʻoe e pāʻani i nā haʻuki koʻikoʻi e like me ka hockey a i ʻole ka pôpeku , e ʻaʻahu i nā lole pale kūpono a me nā lako hana .
- E ʻai i nā meaʻai waiwai i ka calcium a me ka wikamina D, nā mea e hoʻoikaika ai i nā iwi.
- E komo i nā hoʻoikaika kino e hoʻoikaika ai i ka iwi (ʻoi aku hoʻi nā hoʻoikaika kino e hāpai kaumaha).
- E ho'ōki i ka puhipaka a me ka inu nui ʻana i ka waiʻona . Hoʻopilikia kēia i ka mānoanoa o kou mau iwi.
- Inā pono, e nīnau i kāu kauka e pili ana i nā lāʻau hoʻoikaika iwi (bisphosphonates).
Āhea wau e hele ai i ka Emergency Treatment Unit (ETU)?
He mea nui loa kēia. Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻonele i ka manawa a e hele koke i ka haukapila kokoke loa i ka Emergency Department (ETU).
| Pilikia - E hele koke i ka haukapila! | |
|---|---|
| 🚨 | Inā ʻaʻole hiki iā ʻoe ke mimi loa . |
| 🚨 | Inā e hoʻonui ana ka ʻeha i ka wā o ka mimi ʻana . |
| 🚨 | Inā he koko i loko o ka mimi . |
| 🚨 | Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi, e like me ke kuni a me ka ʻūhā . |
He aha nā nīnau āu e nīnau ai i ke kauka?
Ke hele mākou e ʻike i ke kauka, i kekahi manawa poina iā mākou ka mea a mākou e makemake ai e nīnau. No laila, e kākau i kēia mau nīnau ma kahi ʻāpana pepa.
- No ke aha i manaʻo ai ke kauka he maʻi koʻu?
- He aha ke kumu o koʻu kūlana?
- Pehea ka nui o ke ālai ʻana o koʻu ala mimi?
- He aha ke koho lapaʻau maikaʻi loa noʻu?
- He aha nā pōmaikaʻi a me nā pōʻino o kēlā me kēia lāʻau lapaʻau?
- Pehea e mālama ai iaʻu iho ma hope o ka lāʻau lapaʻau?
- I ka manawa hea e pono ai iaʻu e hoʻi hou mai no ka nānā ʻana?
- Manaʻo ʻoe e hiki hou mai ana kēia kūlana iaʻu?
- Aia kekahi mea hiki iaʻu ke hana e pale aku ai i kēia mai ka hana hou ʻana?
- Pono anei au e ʻike i kahi loea (urologist) e pili ana i kēia?
Leka Lawe-Home
- ʻO ka Posterior Urethral Stenosis (PUS) kahi e haiki ai ka urethra kokoke i ka ʻōpū mimi. ʻOi aku ka maʻamau i nā kāne ma mua o nā wahine.
- ʻO nā hōʻailona nui ka paʻakikī o ka mimi ʻana , ka ʻeha, ke ālai ʻia ʻana o ke ala mimi , a me nā maʻi pinepine o ke ala mimi.
- ʻO ka hapa pinepine, hiki mai kēia ʻano ma muli o kahi ulia a i ʻole ke ʻoki kino mua a i ʻole ka lāʻau e pili ana i ka prostate gland.
- Hiki ke ho'ōla loa ʻia kēia me ka lāʻau lapaʻau. ʻO ke ʻoki kino (Urethroplasty) ka lāʻau lapaʻau holomua loa.
- Inā loaʻa iā ʻoe nā hōʻailona, mai hoʻowahāwahā iā lākou. Hiki i ka hana ʻana pēlā ke hōʻino i kou mau puʻupaʻa. No laila, e ʻike pono i ke kauka.
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