Ke pilikia nei hoʻi ʻoe i ka mimi? E kamaʻilio kākou e pili ana i ka Posterior Urethral Stenosis!

Ke paʻakikī nei ʻoe i kekahi manawa e hoʻomaka e mimi, a i ʻole manaʻo paha ua haiki kou urethra? Ke manaʻo nei paha ʻoe i kekahi manawa aia nō ka mimi ma hope o kou pau ʻana o ka mimi ʻana, a i ʻole ʻaʻole ʻoe i nalowale loa? Mai hoʻowahāwahā i kēia mau mea e like me ka mea maʻamau. No ka mea, hiki iā lākou ke lilo i mau hōʻailona o kahi pilikia olakino. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi e hoʻopilikia nui ana i nā kāne ma mua o nā wahine, akā hiki ke ho'ōla piha ʻia inā ʻike ʻia a mālama ʻia i ka manawa. Ua kapa ʻia kēia ʻo Posterior Urethral Stenosis (PUS) .

He aha ka Posterior Urethral Stenosis?

I ka ʻōlelo maʻalahi, he ʻūmiʻi a ʻūmiʻi paha kēia ma ka ʻaoʻao hope o kou urethra, ʻo ia ka ʻōmole e lawe ana i ka mimi mai kou ʻōpū mimi a i kou kino. ʻO ka huaʻōlelo "stenosis" ʻo ia hoʻi ka ʻūmiʻi ʻana. I kekahi manawa ua kapa ʻia ʻo ia he "urethral stricture."

I kēia manawa, he aha kēia "urethra hope"? ʻO kēia ka ʻāpana o ka urethra kokoke loa i kou ʻōpū mimi. ʻO ke kikoʻī, aia pū me ia ka ʻāʻī o ka ʻōpū mimi, ka ʻiʻo sphincter urethral waho, kahi ʻiʻo e kāohi ana i ka mimi, a me ka ʻōpū prostate. ʻO ka urethra o ke kāne he 8 a 9 ʻīniha (ma kahi o 20 kenimika) ka lōʻihi. I ka wahine, he 1.5 ʻīniha wale nō (3-4 kenimika). No laila, ʻo ka ʻaoʻao o luna o kēia urethra lōʻihi i nā kāne, ʻo ia hoʻi, ka 1-2 ʻīniha kokoke loa i ka ʻōpū mimi, ua kapa ʻia ʻo ka urethra hope.

Ke ālai ʻia ka urethra ma kēia ʻano, ʻoiai inā ua ālai nui ʻia, hiki ke paʻakikī loa ka mimi. I kekahi manawa, ʻaʻole hiki iā ʻoe ke mimi iki.

ʻO wai ka mea kūpono loa e ʻike i kēia maʻi?

ʻOi aku ka maʻamau o ka Posterior Urethral Stenosis i nā kāne ma mua o nā wahine. ʻO ke kumu o kēia, e like me kaʻu i ʻōlelo ai ma mua, ʻoi aku ka lōʻihi o ka urethra i nā kāne. Eia kekahi, pili paha kēia kūlana i ka hiki i nā kāne ke loaʻa nā pilikia e pili ana i ka prostate.

Pehea ka maʻamau o kēia kūlana?

ʻAʻole kēia he maʻi maʻamau loa. ʻO ka hapa nui, hiki mai ia ma hope o ka mālama ʻana no kekahi maʻi ʻē aʻe ma ia wahi. E noʻonoʻo iā ia he lāʻau lapaʻau no ka maʻi ʻaʻai prostate, a i ʻole ma hope o kahi ulia nui ma ia wahi. He mea kākaʻikahi loa, hiki ke loaʻa kēia maʻi mai ka hānau ʻana mai. Kāhea mākou iā ia he "congenital". He mea kākaʻikahi loa kēia maʻi i waena o nā wahine.

He aha nā hōʻailona? E nānā inā loaʻa iā ʻoe kēia mau mea pū kekahi...

E hoʻāʻo e ʻike inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona:

• Paʻakikī ke mimi: ʻO kēia ka hōʻailona nui.
• Ka hāiki ʻana a me ka nāwaliwali o ke ala mimi.
• ʻEmi ka hoʻopuka ʻana o ka mimi ma mua o ka maʻamau.
• ʻO ka manaʻo ʻaʻole i hoʻokahe loa ʻia ka ʻōpū mimi ma hope o ka mimi ʻana ( Urinary Retention ).
• ʻEha i ka wā e mimi ai (Dysuria).
• Nā maʻi ʻōpū mimi pinepine (UTIs) .
• Ka maʻi prostate.
• ʻO ka mimi ʻeleʻele a i ʻole ke koko i loko o ka mimi (hematuria).
• ʻEha ʻōpū.

Inā paha he hoʻokahi a ʻelua paha o kēia mau hōʻailona kāu, mai hoʻowahāwahā iā lākou a noʻonoʻo, "He aha ia?" ʻOi aku ka maikaʻi o ka ʻimi ʻana i ka ʻōlelo aʻo lapaʻau.

No ke aha lā kēia e hana nei? He aha nā kumu?

E like me kaʻu i ʻōlelo ai ma mua, ʻaʻole hiki ke hānau ʻia kēia maʻi. Akā i ka hapa nui o ka manawa, hiki mai ia ma muli o kahi ulia, kahi hoʻokolokolo lapaʻau, a i ʻole ka lāʻau lapaʻau i hana ʻia ma ia wahi. Eia kekahi mau laʻana:

• ʻO ka haki pelvic kahi haki ma ka ʻāpana pelvic e hōʻino ai i ke ala mimi. E noʻonoʻo, hiki ke hana ʻia kekahi mea e like me kēia inā hāʻule kekahi mai kahi kiʻekiʻe a i ʻole i loko o kahi ulia kaʻa.
• Nā Lapaʻau no ke Kanesa Prostate :
• Hoʻōla Pāhawewe
• Ke kanu ʻana i nā hua (Brachytherapy)
• Ka Lapaʻau Hoʻōla Kukui Waho (EBRT)
• Hoʻopau ʻia ka prostate
• ʻO ke ʻoki kino no ka Benign Prostatic Hyperplasia (BPH) . ʻO kahi laʻana he ʻoki kino i kapa ʻia ʻo Transurethral Resection of the Prostate (TURP) .

No nā kumu e like me kēia, ua hōʻeha ʻia ke ala mimi, a i ka wā e ho'ōla ai kēlā mau ʻeha, hana ʻia nā ʻiʻo ʻeha, e pani ʻia ai ka urethra.

Hiki i kēia kūlana ke ʻoi aku ka ʻino inā ʻaʻole mālama ʻia?

ʻAe, ʻoiaʻiʻo nō. Inā ʻaʻole mālama pono ʻia ka Posterior Urethral Stenosis , hiki ke lilo i mea ʻino i ka hala ʻana o ka manawa. Hiki i kēia ke alakaʻi i nā kūlana koʻikoʻi e like me:

• Nā maʻi ʻōpū mimi pinepine (UTI).
• Ka hōʻino mau loa ʻana i ka ʻōpū mimi.
• ʻO ka reflux vesicoureteral ka holo ʻana o ka mimi mai ka ʻōpū mimi a i nā puʻupaʻa. Ua like kēia me ka wai e kahe ana mai loko mai o kahi paipu i manaʻo ʻia e hele i hoʻokahi ala wale nō.
• Ka hōʻino ʻana o nā puʻupaʻa. He mea weliweli loa kēia.

No laila, he mea nui loa e ʻike i ke kauka i ka wā e ʻike ai ʻoe i nā hōʻailona. Hiki i kēia ke kōkua i ka pale ʻana i nā pilikia koʻikoʻi e like me kēia.

Pehea e ʻike ai nā kauka i kēia?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua ʻo ia e pili ana i kou mōʻaukala olakino, e nīnau e pili ana i kāu mau hōʻailona, ​​a laila e hana i kahi hoʻokolokolo kino. Eia kekahi, hiki iā lākou ke kauoha i kekahi mau hoʻokolohua e hōʻoia i ka hōʻailona:

• Nā kukuna X.
• Nā hoʻokolohua ultrasound.
• Cystoscopy: Pili kēia i ka hoʻokomo ʻana i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi i hoʻopili ʻia ma o ka urethra e nānā i loko o ka urethra a me ka ʻōpū mimi. ʻOiai paha he mea ʻoluʻolu ʻole iki, hiki i kēia ke kōkua i ka ʻike pono ʻana i kahi o ka paʻa a me ke ʻano o ia mea.
• Urethrogram Retrograde: He hoʻāʻo X-ray nō hoʻi kēia. Maanei, ua hoʻokomo ʻia kahi mea kūikawā (contrast dye) i loko o ka urethra a lawe ʻia nā kiʻi X-ray. ʻAe kēia i nā mea āpau e ālai ʻia i loko o ka urethra e ʻike maopopo ʻia.
• ʻO ka Voiding Cystourethrogram (VCUG): Pili kēia i ka hoʻopiha ʻana i kou ʻōpū mimi me kahi mea kūikawā a me ka lawe ʻana i nā kukuna X i kou wā e mimi ai. Hiki i kēia ke kōkua i ka ʻike ʻana i ke kahe ʻana o kāu mimi, inā he mea e ālai ʻia ai, a inā paha e kahe ana ka mimi i hope (reflux).

Ma hope o kēia mau hoʻokolohua, hiki i ke kauka ke haʻi pololei iā ʻoe inā he Posterior Urethral Stenosis kou, a inā pēlā, i ka nui hea.

Hiki ke ho'ōla loa ʻia ka Posterior Urethral Stenosis?

ʻAe! ʻO kēia ka nūhou maikaʻi loa. Hiki ke ho'ōla ʻia kēia maʻi inā ʻike pololei ʻia a mālama pono ʻia. No laila, ʻaʻohe kumu e makaʻu ai.

Pehea e mālama ʻia ai kēia?

Aia ka lāʻau lapaʻau ma ke kumu, ka nui o nā ʻiʻo ʻeha, a me ka lōʻihi o ka wahi i paʻa. ʻAʻohe lāʻau lapaʻau i loaʻa no kēia i kēia manawa. ʻElua mau koho lapaʻau nui:

1. Hoʻonui ʻana o ka Urethral:

• Hoʻohana kēia i nā mea lōʻihi a lahilahi (nā koʻokoʻo) a i ʻole kekahi mea e like me ka pōpō e hoʻonui mālie i ka ʻāpana i paʻa ʻia o ka urethra.
• He hana maʻalahi kēia, he minimally invasive ka nui.
• Akā, ʻaʻole kēia he hopena mau loa . Hiki ke paʻa hou ma hope o kekahi manawa. No laila, pono paha ʻoe e hana i kēia lāʻau i nā manawa he nui.

2. Hoʻoponopono ʻUrethroplasty:

• He ʻoki kino kēia. Hoʻoponopono kēia ʻoki kino i ka ʻāpana i hōʻino ʻia a paʻa paha o ke ala mimi, a i ʻole e wehe i kēlā ʻāpana a hoʻohana i nā ʻiʻo olakino e hoʻoponopono i ka pōʻino.
• He ʻano hana kēia e hāʻawi ana i nā hopena holomua ma mua o ke ʻano hana `(Urethral Dilation)` i ʻōlelo ʻia ma luna. ʻOi aku ka nui o ka holomua ma mua o 80%. Eia nō naʻe, no ka mea he ʻoki kino ia, aia kekahi pilikia a he manawa iki ka hoʻōla ʻana.

E loiloi kāu kauka i kou kūlana a hoʻoholo i ke koho lapaʻau kūpono loa iā ʻoe.

He aha nā pilikia e hiki ke kū mai ma hope o ka mālama ʻana?

ʻOiai ma hope o ka lāʻau lapaʻau, aia kahi manawa e hoʻi hou mai ai ka Posterior Urethral Stenosis . No laila he mea nui e hoʻomau e like me ka ʻōlelo a kāu kauka.He mea nui loa ka hele ʻana no nā manawa hoʻopaʻa ma hope i hiki iā ʻoe ke ʻike inā e hoʻomaikaʻi ana ʻoe a inā he mau hōʻailona o ka pilikia e hoʻi hou mai ana.

Pono paha e hana hou ʻia ka Urethral Dilation (UD) i nā manawa he nui, akā kiʻekiʻe loa ka holomua o ka Urethroplasty.

Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?

Hoʻomaka ka hapa nui o ka poʻe e ʻoluʻolu i loko o hoʻokahi pule ma hope o ka loaʻa ʻana o kahi "Urethral Dilation". Eia nō naʻe, hiki ke hala i ʻelua a ʻekolu pule e hoʻōla piha ai mai kahi ʻoki "Urethroplasty".

Aia kekahi mau ala e pale aku ai iā ʻoe iho mai kēia kūlana? (Ka pale ʻana)

He mea paʻakikī ke pale aku i nā kumu āpau e kōkua ai i kēia. No ka laʻana, hiki ke hana ʻia nā mea e like me ka mālama ʻana i ka maʻi kanesa inā pono. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i kou pilikia o kēia ʻano ma ka hoʻāʻo ʻana e pale i nā ʻeha, ʻoi aku hoʻi i ka ʻāpana pelvic .

Eia kekahi mau mea hiki iā ʻoe ke hana e pili ana i ia mea:

• E kau i ke kāʻei palekana i kēlā me kēia manawa e holo ana ʻoe i loko o ke kaʻa.
• E komo i nā mea pale/lako hana kūpono i nā haʻuki koʻikoʻi (e.g. hockey, pôpeku, karate, lacrosse).
• E hahai i kahi papaʻai e paipai ana i nā iwi ikaika. E ʻai i nā meaʻai waiwai i ka calcium a me ka wikamina D.
• E nīnau i kāu kauka e pili ana i nā lāʻau lapaʻau e like me bisphosphonates e hōʻemi ana i ka pohō o ka iwi.
• E hana i nā hoʻoikaika kino e hoʻoikaika ai i ka iwi, ʻoiai hoʻi nā hana e hali ana i ke kaumaha.
• E haʻalele i ka puhipaka a kaupalena i ka inu ʻana i ka waiʻona. Hiki i ka puhipaka a me ka inu nui ʻana i ka waiʻona ke hoʻopilikia i ka paʻa o kou iwi.

He aha ka mea e hana ʻia inā loaʻa kēia kūlana? He aha ka wā e hiki mai ana? (Wānana)

Ma ke ʻano laulā, maikaʻi ka nānā ʻana no ka Posterior Urethral Stenosis . Hiki i ka lāʻau lapaʻau ke hoʻonui, hoʻoponopono, a wehe paha i ka urethra i paʻa. Eia naʻe, e like me kaʻu i ʻōlelo ai ma mua, hiki i kēia ʻano ke hoʻi hou mai. No laila, he mea nui e hoʻomau i nā nānā mau ʻana e like me ke kuhikuhi a kāu kauka.

Āhea wau e ʻike ai i ke kauka?

Inā ʻike ʻoe i kekahi mau hōʻailona o ka posterior urethral stenosis (PUS) , ʻoiai kahi loli i ke ʻano o ka mimi a i ʻole kahi loli i ke ʻano o kāu mimi, e ʻike pono i ke kauka.

I ka manawa hea e pono ai ʻoe e hele i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele i ka lumi pilikia kokoke loa i ka hikiwawe loa:

• He kūlana hiki ʻole loa ke mimi.
• Hoʻonui ka ʻeha i ka wā e mimi ai.
• Koko i loko o ka mimi.
• Nā hōʻailona o kahi maʻi (e like me ke kuni, ke anu, ka luhi nui).

He aha nā nīnau āu e nīnau ai i kāu kauka?

He mea maikaʻi ke nīnau i kēia mau nīnau ke hele ʻoe i ke kauka:

• Pehea ʻoe e ʻike pono ai he posterior urethral stenosis koʻu?
• He aha paha ke kumu i hiki mai ai kēia iaʻu?
• Pehea ka nui o ke ālai ʻana o koʻu ala mimi? / Pehea ka lōʻihi?
• Pehea e mālama ai i koʻu olakino me kēia maʻi?
• He aha ka lāʻau lapaʻau āu e paipai mai ai iaʻu?
• He aha nā pilikia a me nā pono o kēlā me kēia ʻano lapaʻau?
• ʻEhia pinepine e pono ai iaʻu ke hele 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?
• Hiki iā ʻoe ke kuhikuhi mai i kahi loea (Urologist) noʻu e pili ana i kēia?

He aha ka ʻokoʻa ma waena o ka 'Urethral Stricture' a me ka 'Stenosis'?

ʻO "Stricture" a me "stenosis" nā huaʻōlelo ʻelua i hoʻohana ʻia e nā kauka e wehewehe i ka haiki ʻana a i ʻole ka paʻa ʻana o kahi alahele a i ʻole ka wehe ʻana. Aia kahi ʻokoʻa loea iki. ʻO ka urethral stricture ka haiki ʻana o ka ʻāpana o ka urethra e hele ana ma o ka corpus spongiosum, aia ma lalo o ka penis. ʻO ka stenosis maʻamau e pili ana i ka haiki ʻana o ka ʻāpana o ka urethra e hele ana ma o ka prostate a i ʻole ka ʻāʻī bladder. ʻO ka posterior urethral stenosis kekahi o ia mau ʻano.

ʻO ka mea hope loa, leka lawe i ka home

He maʻi laha ʻole ka Posterior Urethral Stenosis (PUS) hiki ke hoʻopilikia i kekahi. Eia nō naʻe, ʻoi aku ka maʻamau i nā kāne. Hoʻokumu ʻia ia e ka ʻiʻo ʻeha e hana ana ma ka 1-2 ʻīniha o luna o ka urethra, kokoke loa i ka ʻōpū mimi. Hiki i kēia ke hana i nā pilikia mimi hilahila a ʻeha hoʻi.

Akā, ʻaʻole pono ʻoe e noho me kēia mau pilikia. He maʻi hiki ke mālama ʻia ka Posterior Urethral Stenosis , a kiʻekiʻe loa ka holomua o ka mālama ʻana.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​ʻoiai ma hope o kahi ʻeha pelvic a i ʻole kekahi lāʻau lapaʻau e pili ana, e kamaʻilio me ke kauka. Hiki i ka ʻike mua ʻana ke maʻalahi i ka lāʻau lapaʻau a wikiwiki ka hoʻōla ʻana.

ʻO ke ālai ʻana o ka urethral, ​​Posterior Urethral Stenosis, Paʻakikī i ka mimi ʻana, Ola kino o nā kāne, Prostate, Nā maʻi mimi