Ua ʻike anei ʻoe i kahi koko liʻiliʻi i kou mimi ʻana? A i ʻole ua ʻike anei ʻoe ua loli ke kala o kou mimi i ka poni, ʻalani, a ʻulaʻula paha? Nui ka poʻe e hoʻowahāwahā i kēia, me ka manaʻo he mea maʻamau ia, he maʻi ʻaʻai mimi paha (UTI). Eia naʻe, i kekahi manawa hiki ke lilo i hōʻailona mua o kahi mea ʻoi aku ka koʻikoʻi. I kēia lā e kamaʻilio mākou e pili ana i kēia mau hōʻailona, ʻoiai ke kanesa ʻōpū. Mai hopohopo, e wehewehe maʻalahi kākou.
ʻO ka mea mua, he aha ke kanesa o ka ʻōpū?
I ka ʻōlelo maʻalahi, ʻo ka ʻōpū mimi he ʻano ʻeke like ia me ke kino e mālama ana i ka mimi no kahi manawa pōkole. Ke hoʻomaka nā pūnaewele i loko o ka ʻōpū mimi e ulu me ka ʻole o ke kāohi ʻia, ulu ka maʻi kanesa. Hōʻuluʻulu kēia mau pūnaewele kanesa a hana i kahi puʻupuʻu. I ka hala ʻana o ka manawa, hiki i kēia puʻupuʻu ke ulu ma waena o nā paia o ka ʻōpū mimi a laha i nā ʻiʻo a puni, nā lymph node, a i ʻole nā ʻano ʻē aʻe.
ʻOi aku ka maʻamau o kēia ʻano maʻi i nā kāne ma mua o nā wahine. ʻO ke kumu nui ka puhi paka . Ke hanu mākou i nā carcinogens i loko o nā cigarette, komo lākou i ke koko a kānana ʻia ma o nā puʻupaʻa a hoʻokuʻu ʻia i loko o ka mimi. I ka wā e noho ai ka mimi i loaʻa kēia mau kemika ʻawahia i loko o ka ʻōpū mimi no ka manawa lōʻihi, ua hōʻino ʻia nā paia o ka ʻōpū mimi a piʻi aʻe ka manawa kūpono o ka ulu ʻana o nā hunaola kanesa.
"ʻO ke kumu pilikia nui loa no ka maʻi ʻōpū mimi ka moʻolelo o ka puhipaka," wahi a nā kauka.
ʻO ka ʻokoʻa ma waena o ke kanesa o ka ʻōpū a me ka maʻi urinary tract (UTI)
He nui ka poʻe e huikau nei i nā hōʻailona o ke kanesa ʻōpū me nā hōʻailona o ka maʻi ʻaʻai mimi maʻamau (UTI). Ma muli o ka like loa o nā hōʻailona o nā mea ʻelua, hiki ke paʻakikī ke ʻike i ka ʻokoʻa ma waena o nā mea ʻelua me ka ʻike ʻole ʻana i ke kauka. E nānā kākou i nā ʻano like a me nā ʻokoʻa ma waena o nā mea ʻelua.
| Hōʻailona | Wehewehena (ʻOkoʻa ma waena o ke kanesa a me ka maʻi) |
|---|---|
| Ke koko i loko o ka mimi (Hematuria) | He mea maʻamau kēia i nā mea ʻelua. Akā i ke ʻano o kahi maʻi, e nalowale kēia ke lawe ʻoe i nā lāʻau antibiotic. I ke ʻano o ka maʻi kanesa, hiki ke hoʻomau ʻia ke kahe ʻana o ke koko. Malia paha i kekahi lā e pau ke kahe ʻana o ke koko, i kekahi lā aʻe e pau ia, a laila e hoʻi hou mai ia i loko o kekahi mau lā. |
| Pono pinepine e mimi | Hiki ke ʻike ʻia i nā mea ʻelua. Manaʻo ʻoe i ka pono e mimi pinepine, ʻoiai inā ʻaʻole i piha loa kou ʻōpū mimi. |
| ʻEha/wela i ka wā e mimi ai | He hiʻohiʻona maʻamau kēia no nā mea ʻelua. |
| Mimi ʻala ʻino/ʻālohilohi | He hōʻailona pinepine kēia o ka maʻi ʻōpū , i hoʻoulu ʻia e ka bacteria. |
| Kuni, anuanu, luaʻi | He mau hōʻailona kēia e hiki ke kū mai i ka wā e lilo ai kahi maʻi mimi i mea koʻikoʻi . ʻAʻole ʻike pinepine ʻia kēia mau mea i nā pae mua o ka maʻi kanesa. |
ʻO ka mea nui loa, inā ua mālama ʻia ʻoe no ka maʻi ʻaʻai mimi akā ke hoʻomau nei nā hōʻailona (ʻoi aku ke koko ʻeha ʻole i loko o ka mimi), mai hoʻowahāwahā iā ia a e ʻike koke i kāu kauka .
Nā pae o ke kanesa a me kā lākou mau hōʻailona
Inā hoʻoholo ke kauka he maʻi ʻaʻai mimi kou, ʻo ka hana aʻe e ʻike ai i ka mamao o kona laha ʻana. Ua kapa ʻia kēia ʻo 'staging'.
Kahua I & II
I kēia mau pae mua, ua kaupalena ʻia ke kanesa i nā papa o loko o ka ʻōpū mimi. ʻAʻole ia i komo i loko o ka papa ʻiʻo. ʻO nā hōʻailona nui i ʻike ʻia i kēia mau pae:
- Koko i loko o ka mimi
- Pono pinepine e mimi
- ʻEha a wela paha i ka wā e mimi ai
- Ke manaʻo nei i ka pono e mimi ʻoiai ua hakahaka ka ʻōpū mimi
- Nā maʻi ʻōpū mimi pinepine
Pae III
I kēia manawa, ua laha ka maʻi ʻaʻai ma o ka ʻiʻo o ka ʻōpū mimi a i loko o ka ʻiʻo momona a puni ka ʻōpū mimi. Ua laha paha i nā lymph node kokoke. Ma waho aʻe o nā hōʻailona i helu ʻia ma luna, hiki iā ʻoe ke ʻike i kēia mau hōʻailona:
- ʻAʻole hiki ke mimi
- ʻEha Pelvic
- Ka emi ʻana o ke kaumaha
- Makemake nui
- Ka pehu ʻana o nā wāwae
- Luhi nui o ke kino
Pae IV - Holomua
ʻO kēia ke kahua koʻikoʻi loa. Maanei, ua pālahalaha ke kanesa i ka paia ʻōpū, ka paia pelvic, a i ʻole nā kikowaena mamao e like me ke akepaʻa, nā māmā, a i ʻole nā iwi. Ma waho aʻe o nā hōʻailona āpau i ʻōlelo ʻia ma luna, hiki ke loaʻa nā hōʻailona e like me ka ʻeha o ka iwi . Inā ua pālahalaha ke kanesa i nā māmā, hiki ke loaʻa ka ʻūlū a me ka paʻakikī o ka hanu ʻana.
Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, mai hoʻowahāwahā iā lākou, akā e ʻimi koke i kāu kauka e ʻike i ke kumu.
Nā kūlana kūikawā no nā wāhine a me nā kāne
Ka hopena i nā wāhine
ʻOiai ʻoi aku ka liʻiliʻi o ka loaʻa ʻana o ka maʻi ʻōpū mimi i nā wahine ma mua o nā kāne, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi i nā wahine ma hope. ʻO kēia no ka mea hiki iā lākou ke kuhihewa i ke koko i loko o kā lākou mimi no kekahi mea ʻē aʻe, e like me ka menstruation a i ʻole ka menopause. I kekahi manawa, hiki i nā kauka ke kuhihewa iā ia no kahi maʻi ʻōpū mimi maʻalahi.
No laila, inā he wahine ʻoe, ʻoiai inā he post-menopausal ʻoe , a ʻike ʻoe i ke koko i loko o kou mimi, e ʻimi pono i ke kōkua lapaʻau.
Ka hopena i nā kāne
ʻO ke kumu i ʻoi aku ai ka pilikia o nā kāne i ka loaʻa ʻana o kēia maʻi kanesa no ka mea ʻoi aku ka nui o ko lākou pilikia i ka puhipaka a me nā kemika carcinogenic i loko o nā hale hana (e.g., pena, nā ʻoihana lole).
Nā Nīnau i Nīnau Pinepine ʻia (FAQs)
- Ke laha koke nei ke kanesa ʻōpū?
ʻO ke ʻano maʻamau, ʻo ia hoʻi ka "Urothelial Carcinoma," e laha mālie ana. Eia nō naʻe, hiki i kekahi mau ʻano kakaikahi ke laha koke.
- Hiki ke ʻike ʻia kēia me ka hoʻāʻo mimi?
ʻAe. Hiki ke hoʻohana ʻia kahi hoʻāʻo i kapa ʻia ʻo `(Urine cytology)` e nānā i nā hunaola kanesa i loko o kahi hāpana mimi ma lalo o kahi microscope. Eia kekahi, hiki i ke kauka ke ʻōlelo aku i nā hoʻokolohua e like me `(Cystoscopy)` (ke nānā ʻana i ka ʻōpū mimi ma ka hoʻouna ʻana i kahi paipu me kahi kāmela ma o ka urethra) a i ʻole `(CAT scan)`.
- Hiki ke ho'ōla loa ʻia ke kanesa ʻōpū?
ʻAe, ʻoiaʻiʻo nō. ʻOiai inā ʻike mua ʻia, ua aneane hiki ke ho'ōla loa ʻia kēia maʻi kanesa. No laila he mea nui ka makaʻala i nā hōʻailona.
Leka Lawe-Home
- ʻO ke koko i loko o ka mimi ka hōʻailona nui a mua. Mai hoʻowahāwahā i kēia. ʻOiai inā ʻaʻohe ʻeha o ke kahe ʻana o ke koko, mai hoʻowahāwahā.
- Hiki i nā hōʻailona ke komo pū me ka pono e mimi pinepine, ka ʻeha i ka wā e mimi ai, a me nā maʻi ʻōpū mimi e hoʻi hou ana.
- Hiki i kēia mau hōʻailona ke maʻalahi e like me ka UTI. Eia nō naʻe, inā hoʻomau kēia mau hōʻailona ma hope o ka mālama ʻana, pono ʻoe e ʻike i ke kauka.
- ʻO ka puhipaka ke kumu nui o kēia maʻi kanesa. He mea nui loa ka haʻalele ʻana i ka puhipaka no ke olakino o kou ʻōpū mimi.
- Hiki ke huikau nā hōʻailona o nā wahine me nā kūlana ʻē aʻe, no laila e makaʻala loa inā ʻike ʻoe i ke koko i loko o kou mimi, ʻoiai ma hope o ka menopause.











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