Ua manaʻo paha ʻoe ʻaʻole i piha loa kou ʻōpū mimi ma hope o kou hele ʻana i ka lua? A i ʻole ke manaʻo nei ʻoe e pono ʻoe e mimi pinepine, e like me kēlā me kēia hola? Pono anei ʻoe e hele i ka lua i ʻekolu a ʻehā paha manawa ke hoʻomākaukau nei ʻoe e hele i kahi huakaʻi? ʻOiai ke ʻano maʻamau kēia mau mea, i kekahi manawa aia kekahi kumu olakino ma hope o kēia. ʻO ia ke kumu e kamaʻilio nei mākou e pili ana i kahi hoʻokolohua koʻikoʻi e pono ai kāu kauka e hana i kēlā mau manawa.
He aha kēia hoʻāʻo Post-Void Residual (PVR)?
ʻOiai paha he ʻano paʻakikī iki ka inoa, he maʻalahi loa ke ʻano. ʻO "Post-Void" ke ʻano "ma hope o kou pau ʻana i ka mimi." ʻO "Residual" ke ʻano "ka mea i koe." No laila, ma nā huaʻōlelo maʻalahi, ana ka hoʻāʻo PVR i ka nui o ka mimi i koe i loko o kou ʻōpū mimi ma hope o kou pau ʻana i ka mimi.
ʻO ka maʻamau, ke mimi ke kanaka olakino, pono e hakahaka loa ka ʻōpū mimi. Akā i kekahi manawa e waiho paha kahi liʻiliʻi. He mea maʻamau kēia. Eia nō naʻe, inā paʻa mau ka nui o ka mimi, kapa mākou i kēia kūlana ʻo Urinary Retention . ʻAʻole kēia he kūlana maikaʻi e hoʻowahāwahā ʻia. No ka mea, ʻo ka paʻa lōʻihi o ka mimi i loko o ka ʻōpū mimi hiki ke alakaʻi i nā maʻi ʻaʻai urinary (UTI), nā pōhaku puʻupaʻa, a me ka hōʻino ʻana o nā puʻupaʻa.
No ke aha e ʻōlelo ai ke kauka i kēia hoʻāʻo PVR?
Ke hele ʻoe i ke kauka a haʻi iā ia e pili ana i kekahi mau hōʻailona, hiki iā ia ke kānalua he loaʻa iā ʻoe kēia maʻi paʻa mimi. Hana nui ʻia kēia hoʻāʻo e hōʻoia i kēlā kānalua. Inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, ʻoi aku ka nui o ke kauka e ʻōlelo i kēia hoʻāʻo.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Pono pinepine e mimi | No ka mea, ʻaʻole e hoʻokahe loa ka ʻōpū mimi, hoʻopiha hou ia ma hope o kekahi manawa, no laila pono ʻoe e hele pinepine i ka lua. |
| Ka hoʻōki ʻana o ka manaʻo | Ke piha ka ʻōpū mimi a koe nō kekahi mimi, hiki iā ʻoe ke kahe me ka ʻole o ke kāohi ʻia. Hiki ke hana kēia ʻoiai ʻoe e ʻakaʻaka a i ʻole e kihe ana. |
| Nā maʻi ʻōpū mimi pinepine (UTIs) | ʻO ka mimi e noho ana i loko o ka ʻōpū mimi kahi kūpono loa ia no ka ulu ʻana o ka bacteria, e ʻoi aku ka maʻalahi o ka hoʻoulu ʻana i ka maʻi. |
| Manaʻo ʻoe ʻaʻole i pau loa ka mimi ʻana | ʻO kēia kekahi o nā ʻano nui o kēia maʻi. ʻOiai ma hope o kou puka ʻana mai ka lua, ʻaʻole ʻoe e ʻoluʻolu. |
| Nā Pōhaku ʻŌpū Mimi | Hiki i nā paʻakai mineral i loko o ke koena o ka mimi ke hōʻiliʻili a hana i nā pōhaku i ka hala ʻana o ka manawa. |
Pehea ʻoe e hana ai i kēia hoʻāʻo PVR?
ʻElua ala nui e ana ai i kēia nui o ka mimi i koe. ʻAʻohe ʻeha o nā ʻano ʻelua, no laila ʻaʻohe kumu e makaʻu ai.
1. Ma o kahi scan ultrasound
ʻO kēia ke ʻano maʻamau, maʻalahi loa, a maʻalahi hoʻi. Ua like ia me ke scan no kahi makuahine e kokoke ana e hānau i kahi pēpē.
- ʻO ka mea mua, e noi ʻia ʻoe e mimi maikaʻi a hoʻokahe i kou ʻōpū mimi.
- A laila e hoʻomoe ʻia ʻoe ma luna o kahi moe.
- E hoʻopili ke kauka a mea loea paha i kahi gel kūikawā i kou ʻōpū haʻahaʻa a laila e hoʻokomo i kahi mea liʻiliʻi (probe) ma o ia mea.
- Hiki ke nānā ʻia nā kiʻi o ka ʻōpū mimi ma ka pale kamepiula ma o nā nalu kani i hoʻopuka ʻia e kēia hāmeʻa.
- Ma ka nānā ʻana i kēlā mau kiʻi, helu pono lākou i ka nui o ka mimi i koe i loko o ka ʻōpū mimi.
- I kekahi mau hihia kūikawā, hiki ke hana ʻia kahi ultrasound transvaginal no nā wahine. Hana pū kēia i ka mea like.
2. Ka hoʻokomo ʻana i ka ʻōpū mimi
I kekahi manawa, hoʻohana ʻia kēia ʻano hana inā makemake ʻoe e loaʻa kahi hopena pololei ma mua o ka scan. Eia ka mea e hana ʻia:
- Ma kēia ʻano hana nō hoʻi, e noi mua ʻia ʻoe e mimi i ka nui o ka hiki.
- A laila e hoʻomoe ʻia ʻoe ma luna o kahi moena hoʻokolokolo.
- ʻO ka mea aʻe, e hoʻomaʻemaʻe pono ke kauka a kahu maʻi paha i ka ʻāpana a puni kou urethra a kau i kahi lāʻau hoʻomānoʻo , i ʻole ʻoe e ʻeha nui.
- A laila, hoʻokomo pono ʻia kahi paipu maikaʻi loa a palupalu (catheter) ma o kēlā ala i loko o ka ʻōpū mimi.
- ʻO nā mimi a pau i koe i loko o ka ʻōpū mimi e puka mai ana ma kēlā ʻōmole a hōʻiliʻili.
- Hoʻopaʻa ʻia ka nui o ka mimi i hōʻiliʻili ʻia.
- Ke pau ka hana, wehe pono ʻia ka ʻōmole.
ʻO kēlā me kēia ʻano, pono e hana ʻia e kahi loea lapaʻau akamai. No laila, mai makaʻu. Inā he mau hopohopo kāu, e haʻi koke aku iā lākou.
Pono anei iaʻu e hoʻomākaukau i kekahi mea ma mua o kēia hoʻokolohua?
I ka hapanui o nā hihia, ʻaʻohe pono o ka hoʻomākaukau kūikawā no kēia hoʻāʻo PVR. Hiki iā ʻoe ke ʻai a inu ma ke ʻano maʻamau. Eia nō naʻe, ʻoi aku ka maikaʻi o ke nīnau ʻana i kāu kauka ma mua o ka hoʻāʻo inā he mau kuhikuhi kūikawā.
He aha ka mea e hana ʻia ma hope o ka hoʻāʻo? Aia kekahi mau pilikia?
He hoʻāʻo maʻi outpatient kēia maʻamau, ʻo ia hoʻi hiki iā ʻoe ke hoʻi i ka home a hele koke paha i ka hana ma hope o ka hoʻāʻo.
Inā ua loaʻa iā ʻoe kahi scan, ʻaʻole ʻoe e ʻike i kekahi ʻeha. Eia nō naʻe, inā ua hoʻokomo ʻia kahi catheter iā ʻoe, hiki iā ʻoe ke manaʻo i kahi ʻā iki a i ʻole ka ʻeha ke mimi ʻoe i ka pau ʻana o ka lāʻau hoʻomāno. He mea maʻamau kēia.
Ma hope o ka inu ʻana i ka wai nui a me ka mimi ʻana i ʻelua a ʻekolu paha manawa, e nalo nui aku kēia ʻeha.
Ma ke ʻano o nā pilikia, ʻaʻohe pilikia me ka ultrasound scan. Eia nō naʻe, aia kekahi mau pilikia liʻiliʻi loa me ke komo ʻana i kahi catheter.
- ʻO ka maʻi ʻōpū mimi (UTI): He liʻiliʻi ka manawa e loaʻa ai ka maʻi ma muli o ka hoʻokomo ʻia ʻana o kekahi mea mai waho mai. Hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic e pale aku i kēia.
- Ke koko iki i loko o ka mimi (hematuria): Hiki paha kēia ma muli o kahi ʻūlū liʻiliʻi i loko o ka urethra i hana ʻia e ka ʻōmole lahilahi.
- He pōʻino iki i ka urethra a i ʻole ka mimi ʻōpū: He mea paʻakikī loa kēia e hana ʻia no ka mea na ka poʻe akamai loa i hana i kēia.
He aha ka ʻōlelo a nā hopena o ka hoʻāʻo PVR?
E hāʻawi nā hualoaʻa iā ʻoe i kahi waiwai ma nā milliliters (mL), ʻo ia ka nui o ka mimi i waiho ʻia i loko o kou ʻōpū mimi.
Ma keʻano laulā, ʻo ka waiwai PVR o kahi pākeke ma lalo o 50mL ua manaʻo ʻia he pae maikaʻi loa. ʻO ka waiwai ma waena o 50mL a me 100mL hiki ke manaʻo ʻia he maʻamau. Eia nō naʻe, ʻo ka waiwai PVR ma mua o 100mL e hōʻike ana ʻaʻole e hoʻokahe pono ana ka ʻōpū mimi. ʻO ke ʻano kēia he paʻa paha kou mimi.
Akā e hoʻomanaʻo, hiki ke ʻokoʻa kēia mau waiwai me ka makahiki, ke kāne, a me nā kūlana olakino ʻē aʻe.No laila, hiki i kāu kauka ke wehewehe iā ʻoe i ke ʻano maoli o kāu mau hopena.
He aha nā kumu no ke kiʻekiʻe o ka waiwai PVR?
Inā kiʻekiʻe kāu PVR, hiki i kāu kauka ke hana i kekahi mau hoʻokolohua hou aʻe e ʻike ai i ke kumu. ʻO nā kumu nui e hiki ke hana ʻia penei:
- ʻO kahi ālai ʻana o ke ala mimi (e like me ka puʻupuʻu, ka pōhaku mimi)
- Ka hoʻonui ʻia o ka prostate i nā kāne
- Nā hopena ʻaoʻao o kekahi mau lāʻau lapaʻau
- Ka hoʻohaiki ʻana o ka urethra
- Nā pilikia o ka ʻōnaehana nerve (ʻōpū neurogenic)
Aia ka lāʻau lapaʻau ma ke kumu a hiki ke komo pū me ka lāʻau lapaʻau, ke ʻoki kino, a i ʻole nā lāʻau lapaʻau ʻē aʻe.
No laila, he aha nā manawa kūpono loa e ʻike ai i ke kauka?
He mea nui loa kēia.
Inā ʻaʻole hiki iā ʻoe ke mimi iki, ʻo ia hoʻi, ʻaʻole i puka mai kahi kulu o ka mimi, he pilikia ia. E hele koke i ka lumi pilikia o ka haukapila kokoke loa (ETU). Mai hoʻokaʻulua.
Eia kekahi, inā loaʻa iā ʻoe nā hōʻailona ma lalo nei, e ʻike koke i kāu kauka.
- ʻEha a pehu paha ka ʻōpū haʻahaʻa
- ʻEha a wela paha i ka wā e mimi ai
- kuni
- ʻO ka mimi he ʻeleʻele ke kala a he ʻala pilau paha
Mai hoʻowahāwahā i kēia mau hōʻailona. He hoʻāʻo waiwai nui ka hoʻāʻo PVR e hiki ke kōkua i ka ʻike ʻana i kahi maʻi ma mua o ka lilo ʻana i pilikia nui.
Leka Lawe-Home
- Ana ka hoʻāʻo PVR i ka nui o ka mimi i waiho ʻia i loko o kou ʻōpū mimi ma hope o kou mimi ʻana.
- Kōkua kēia i ka ʻike ʻana i kahi kūlana i kapa ʻia ʻo ka paʻa ʻana o ka urinary.
- Hiki ke hana ʻia kēia hoʻāʻo me kahi scan ultrasound a i ʻole me kahi catheter. ʻAʻohe ʻeha o nā mea ʻelua.
- ʻO kahi waiwai PVR kiʻekiʻe paha he hōʻailona ia o kahi maʻi olakino, kahi e pono ai ke kōkua lapaʻau.
- Inā ʻaʻole hiki iā ʻoe ke mimi iki, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia hoʻāʻo a i ʻole kona mau hopena, e kūkākūkā ākea me kāu kauka.
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