Ke ʻike nei hoʻi ʻoe he mea paʻakikī iki ka mimi ʻana i kou wā ʻelemakule? Pono ʻoe e mimi i nā manawa he nui i ka lā? Pono ʻoe e ala i ka pō a hele i ka lua i ʻelua a ʻekolu paha manawa? Manaʻo ʻoe ua lohi kou mimi a manaʻo ʻoe ʻaʻole ʻoe i hoʻokahe loa i kou ʻōpū mimi? He mau pilikia maʻamau kēia e kū nei i nā kāne he nui i ko lākou wā ʻelemakule. ʻO ke kumu nui o kēia, ʻo ia ka hoʻonui ʻia ʻana o ka prostate gland. Akā, mai hopohopo, aia i kēia manawa nā lāʻau lapaʻau maikaʻi loa a maʻalahi hoʻi no kēia. I kēia lā, e kamaʻilio mākou e pili ana i kekahi o nā lāʻau lapaʻau hou loa, minimally invasive.
ʻO ka mea mua, e nānā kākou, he aha kēia ʻōpū prostate?
He ʻāpana liʻiliʻi e like me ka nui o ka walnut ka ʻōpū prostate i loaʻa i nā kāne wale nō. Aia ia ma lalo o kou ʻōpū mimi, a puni ka urethra. Hele aku kou mimi a me ka semen i ke kino ma o kēia ʻōmole. ʻO ka hana nui a ka prostate gland ka hoʻohui ʻana i ka wai i ka semen.
I ka wā e ʻelemakule ai nā kāne, ma hope o 50 mau makahiki, hoʻomaka ka nui o ke kelepa prostate i ka hapa nui o nā kāne e hoʻonui. ʻAʻole kēia he maʻi kanesa. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano ʻo Benign Prostatic Hyperplasia (BPH) . ʻO ka pilikia, i ka wā e nui ai kēia kelepa a puni ka urethra, ʻomi ia i ka urethra. Ua like ia me kekahi e ʻomi ana i kahi paipu wai. ʻO ia ka manawa e lilo ai i mea paʻakikī ke mimi.
No laila he aha kēia lāʻau i kapa ʻia ʻo Prostatic Urethral Lift (PUL)?
I ka ʻōlelo maʻalahi, ʻo ka Prostatic Urethral Lift (PUL) kahi lāʻau lapaʻau hou, minimally invasive no BPH, a i ʻole nā pilikia mimi i hoʻokumu ʻia e kahi gland prostate i hoʻonui ʻia. Ua lohe paha ʻoe iā ia i kapa ʻia ʻo UroLift® .
ʻO ka maʻamau, e kuhikuhi mua kāu kauka iā ʻoe i nā lāʻau lapaʻau. Eia nō naʻe, inā ʻaʻole kōkua kēlā mau lāʻau lapaʻau, a inā ʻoi aku ka koʻikoʻi o nā hopena ʻaoʻao o nā lāʻau lapaʻau, hiki iā ʻoe ke noʻonoʻo i ka mālama ʻana i ka PUL ma ke ʻano he hana aʻe. Pili kēia i ka wehe ʻana i ka gland prostate i hoʻonui ʻia, ka mea e kaomi ana i ka urethra, ma ke kau ʻana i nā mea liʻiliʻi (implants) i loko o ka urethra, e like me ka paʻa ʻana i ka windowpane. A laila wehe hou ka urethra a hiki i ka mimi ke kahe maʻalahi.
He aha nā hoʻokolohua e hana ʻia ma mua o kēia lāʻau lapaʻau?
E hana kāu kauka (ʻo ka maʻamau he urologist) i kekahi mau hoʻokolohua ma mua o ka hoʻoholo ʻana inā kūpono kēia lāʻau lapaʻau iā ʻoe. E kōkua kēia i ka hoʻoholo ʻana i ka nui o kou prostate a me ke koʻikoʻi o kou maʻi BPH.
| Hoʻāʻo | Ua wehewehe maʻalahi ʻia |
|---|---|
| Hoʻāʻo kahe o ka mimi | Ana ia i ka wikiwiki a me ka ikaika o ke kahe ʻana o kou mimi. Ana pū ia i ka nui o ka mimi āu e hoʻokuʻu ai. |
| Hoʻāʻo ka nui koena ma hope o ka void | Ma hope o kou mimi ʻana, nānā lākou i ka nui o ka mimi i koe i loko o kou ʻōpū mimi. Hana pinepine ʻia kēia me kahi scan liʻiliʻi. |
| ʻO ke kiʻi ultrasound transrectal | Hana ʻia kahi scan prostate ma ke komo ʻana i kahi mea hana liʻiliʻi ma o ka rectum. ʻAe kēia i ka nui a me ke ʻano o ka gland e loiloi pololei ʻia. |
| ʻO ke ʻano o ka cystoscopy | Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu me kahi kāmela i hoʻopili ʻia ma o ka urethra e nānā i loko o ka urethra a me ka ʻōpū mimi. |
| Ka nānā ʻana i ka mimi | Nānā ʻia ka mimi no ka maʻi ʻaʻai mimi (UTI). Inā loaʻa ia ʻano maʻi, pono ʻoe e lawe i ka lāʻau lapaʻau no ia ma mua o ka mālama ʻana. |
Pehea ka hana o ka lāʻau lapaʻau?
He mea kēia e emi ma mua o hoʻokahi hola a hiki ke hana ʻia ma kahi keʻena lapaʻau a i ʻole ke kikowaena hana ambulatory, ma mua o kahi lumi hana nui.
1. Hoʻomākaukau: E hoʻomoe ʻia ʻoe ma luna o kahi papa kūikawā, me kou mau wāwae i hāpai ʻia a kākoʻo ʻia ma nā kākoʻo kūikawā. E maʻalahi kēia i ke kauka ke hana i ka lāʻau.
2. Mālie: Ua mālie ka urethra a me nā wahi a puni i ʻole ʻoe e ʻeha (anesthesia kūloko). Hiki ke hoʻomoe ʻia ʻoe i loko o kahi hiamoe māmā.
3. Lapaʻau:
- ʻO ka mea mua, hoʻokomo ʻia kahi mea lahilahi me kahi kāmela (cystoscope) ma o ka urethra a i loko o ka prostate gland.
- A laila, me ka hoʻohana ʻana i kahi mea kūikawā i kapa ʻia ʻo UroLift, ua hoʻokomo ʻia kekahi mau implants kila kila liʻiliʻi (ʻo 2-6 pinepine) ma kēlā ʻaoʻao kēia ʻaoʻao o ka gland prostate e wehe a paʻa i ka ʻiʻo e ʻūlū ana i ka urethra.
- Hoʻomaka kēia mau mea hoʻokomo i ka urethra i ālai ʻia. ʻO ia wale nō!
A laila wehe ʻia nā lako a pau. Nānā ʻia ʻoe no kekahi manawa, nānā ʻia e ʻike inā hiki iā ʻoe ke mimi, a laila ʻae ʻia ʻoe e hoʻi i ka home i ka lā hoʻokahi.
He aha nā pōmaikaʻi o kēia lāʻau lapaʻau?
Aia kekahi mau kumu kikoʻī e kaulana ai kēia ʻano lapaʻau i waena o nā kānaka he nui.
ʻO ka mea nui loa, ʻaʻohe pōʻino i ka hana moekolohe ma hope o kēia lāʻau lapaʻau. ʻAʻole ia e hoʻoulu i nā pilikia e like me ka erectile dysfunction a i ʻole retrograde ejaculation, hiki ke hana ma hope o kekahi mau ʻoki kino ʻē aʻe.
| Pōmaikaʻi | Ua wehewehe maʻalahi ʻia |
|---|---|
| Hoʻōla wikiwiki | Hoʻomaha koke ʻia nā hōʻailona o ka BPH. |
| Nā ʻoki liʻiliʻi a me nā ʻoki | ʻAʻole kēia he hana ʻoki kino nui, no laila he pōkole ka manawa hoʻōla a he liʻiliʻi ka ʻeha. |
| ʻAʻohe pono e noho i loko o ka haukapila. | Hoʻopau ʻia ka lāʻau lapaʻau ma lalo o hoʻokahi hola, a hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā hoʻokahi. |
| Ka mālama ʻana i ka hana moekolohe | ʻAʻole ia e hoʻopilikia i ka hoʻāla ʻana a i ʻole ka ejaculation. He mea nui kēia no nā poʻe he nui. |
He aha kaʻu e makaʻala ai ma hope o ka mālama ʻana?
Hiki ke ʻokoʻa ka manawa hoʻōla mai kēlā kanaka a kēia kanaka. Manaʻo ka hapa nui o ka poʻe i ka hōʻoluʻolu i loko o hoʻokahi pule, akā hiki ke hala a hiki i ʻehā pule e hoʻōla piha ai.
- ʻEha: I nā lā mua, hiki iā ʻoe ke manaʻo i kahi wela iki a ʻeha paha i ka wā e mimi ai. Hiki iā ʻoe ke lawe i nā lāʻau hoʻomaha ʻeha (e like me NSAID) i kuhikuhi ʻia e kāu kauka no kēia.
- Wai: E inu i ka wai he nui. E kōkua kēia i ka hoʻokahe ʻana i ke koko i loko o kou mimi, e mālama i kou ala mimi i maʻemaʻe, a pale i nā maʻi.
- ʻAi: ʻOi aku ka maikaʻi o ka pale ʻana i nā meaʻai ʻala, ke kofe, ke kī, nā mea inu citrus, a me ka waiʻona no kekahi mau lā, no ka mea hiki i kēia ke hoʻonāukiuki i ka ʻōpū mimi.
- Hana moekolohe: E nīnau i kāu kauka e pili ana i kēia. ʻŌlelo pinepine ʻia e pale i ka moekolohe a me ka masturbation no hoʻokahi pule.
I ka manawa hea ʻoe e pono ai e ʻike koke i ke kauka?
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e hoʻomaopopo koke i kāu kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Inā ʻaʻole hiki iā ʻoe ke mimi iki.
- Inā he kahe koko nui i loko o ka mimi.
- Inā ʻaʻole e pau ke kahe ʻana o ke koko i loko o ka mimi ma hope o ʻelua pule o ka mālama ʻana.
- Inā he mau hōʻailona kou o ka maʻi, e like me ke kuni, ka ʻūlū, a me nā testicles pehu.
Leka Lawe-Home
- He maʻi maʻamau loa ka Benign prostatic hyperplasia (BPH), ʻaʻole ia he maʻi kanesa e kū mai ana i ka wā e ʻelemakule ai nā kāne, no laila mai hopohopo nui ʻoe no ia mea.
- He lāʻau lapaʻau hou kūpono loa, palekana, a me ka minimally invasive no BPH ka Prostatic Urethral Lift (PUL) a i ʻole UroLift.
- ʻO kekahi o nā pono nui o kēia lāʻau lapaʻau, ʻaʻole ia e hōʻeha i ka hana moekolohe.
- He pōkole loa ka manawa ho'ōla. Hiki i ka hapa nui o ka poʻe ke hoʻi i ka home i ka lā hoʻokahi.
- Inā pilikia ʻoe i ka mimi ʻana, mai hilahila ʻoe, akā e ʻike i ke kauka kūpono a kūkākūkā i ka lāʻau lapaʻau kūpono loa iā ʻoe.
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