Ke pono ʻoe e holo i ka lua ma kahi o ʻumi mau manawa i loko o ʻelua hola, manaʻo paha ʻoe, "Auē, he hewa anei kekahi mea iaʻu?" Inā manaʻo pū ʻoe i kahi ʻā, ʻā, a ʻā paha i ka wā e mimi ai ʻoe, a laila ʻae ... aia kahi manawa kūpono e pololei ai kāu mea e noʻonoʻo nei. He maʻi ʻōpū paha kēia. Mai hopohopo, e kamaʻilio maʻalahi kākou e pili ana i kēia.
He aha maoli ka maʻi ʻōpū mimi?
I ka ʻōlelo maʻalahi, he ʻano maʻamau loa ka maʻi ʻōpū mimi ( UTI ) ka maʻi ʻōpū mimi . Hoʻokumu pinepine ʻia ia e ka bacteria e komo ana i loko o ko kākou urethra a laha i ka ʻōpū mimi. ʻO kēia ke kumu o ka ʻoluʻolu ʻole e like me ka ʻeha o ka ʻōpū ma lalo a me ka pono e mimi pinepine.
ʻO ka mea maikaʻi loa, ʻaʻole ia he mea weliweli. Hiki i kāu kauka ke ʻike iā ia me kekahi mau hoʻokolohua maʻalahi. He mea maʻalahi loa hoʻi ke mālama ʻia. Akā inā loaʻa pinepine kēia mau maʻi iā ʻoe, makemake paha kāu kauka e hana i nā hoʻokolohua hou aʻe e ʻike ai i ke kumu o ia mau maʻi.
He aha nā hōʻailona o kēia maʻi?
Ma waho aʻe o ka pono pinepine e mimi a me ka ʻeha a me ke kuni i ka wā e mimi ai, aia kekahi mau hōʻailona ʻē aʻe. E nānā kākou i ke ʻano o lākou.
| Hōʻailona | Wehewehena |
|---|---|
| Pono pinepine e mimi | Ke manaʻo nei i ka pono e mimi hou, ʻoiai ua hakahaka ka ʻōpū mimi. |
| Koko i loko o ka mimi | Nā ʻāpana koko poni, ʻulaʻula, a ʻeleʻele paha i loko o ka mimi. |
| ʻEha/ʻeha ʻoluʻolu ʻole o ka ʻōpū lalo | Ke ʻano o ke kaomi, ka ʻūmiʻi, a i ʻole ka paʻa ma ka ʻōpū lalo a i ʻole ka ʻāpana groin. |
| Ka loli ʻana o ke ʻano o ka mimi | Mimi noe a i ʻole kahi ʻala ikaika a ʻoluʻolu ʻole. |
He aha inā hiki i nā keiki liʻiliʻi?
Hōʻike pinepine nā keiki ʻōpio i nā hōʻailona like me nā pākeke ke loaʻa iā lākou ka maʻi ʻōpū mimi. ʻO kēia ka mimi pinepine a me ka ʻeha. I kekahi manawa, hiki i kahi keiki i aʻo ʻia i ka lua ke mimi ma luna o ko lākou mau lole me ka ʻike ʻole. I nā pēpē a me nā keiki ʻōpio, he hōʻailona maʻamau ka kuni . Eia naʻe, ʻaʻole pili mau ka kuni me kēia maʻi.
No ke aha lā e loaʻa ai iā kākou kēia mau maʻi?
ʻO ka maʻamau, maikaʻi loa kā mākou ʻōnaehana mimi i ka pale ʻana iā mākou mai ka bacteria. Akā i kekahi manawa hāʻule kēia ʻōnaehana pale. ʻO ia ka manawa e loaʻa ai nā maʻi. ʻO E. coli, kahi bacteria i loaʻa i loko o kā mākou ʻōnaehana hoʻoheheʻe, komo pinepine i loko o ka ʻōpū mimi ma o ka urethra a hoʻoulu i kēia mau maʻi. Hiki nō hoʻi kēia ke hana ma hope o ka moekolohe, akā ʻaʻole ia ke kumu i nā manawa a pau.
ʻO ka mea nui loa, ʻaʻole he maʻi lele ka maʻi ʻōpū mimi. ʻO ia hoʻi, ʻaʻole hiki ke laha mai kekahi kanaka a i kekahi kanaka.
No ke aha lā wau e ʻeha mau ai i kēia maʻi?
Loaʻa pinepine kēia mau maʻi i kekahi poʻe, ʻoi aku hoʻi nā wahine. Manaʻo nā kānaka noiʻi he kuleana ko ka genetics. Inā loaʻa pinepine kēia mau maʻi i kou makuahine a kaikuahine paha, ʻoi aku paha kou pilikia.
Eia kekahi:
- Hana moekolohe: Hiki i kēia ke hoʻonui i ka nui o nā bacteria ʻino i loko o ka ʻōpū mimi.
- Ka hoʻohana ʻana i nā spermicides: Hiki i kēia mau lāʻau hoʻomalu hānau ke pepehi i nā bacteria pono i kapa ʻia ʻo Lactobacilli i loko o ka vagina. Mālama kēia mau bacteria pono iā mākou mai nā bacteria e hoʻoulu ai i nā maʻi.
- Menopause: Ma hope o kēia manawa, emi iho ka nui o nā bacteria Lactobacilli i loko o ke kino o nā wahine. Ua emi iki hoʻi ka hiki ke hoʻokuʻu loa i ka ʻōpū mimi, e hoʻonui ana i ka pilikia o ka maʻi.
- Inu wai liʻiliʻi: Ke maloʻo ke kino, emi iho ka mimi, kahi e hōʻemi ai i ka holoi ʻana o nā bacteria a hiki ke alakaʻi i nā maʻi.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
ʻO ka mea mua, e nīnau kāu kauka iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino. I ka hapanui o nā hihia, ua lawa kēlā e hoʻoholo ai inā he maʻi ia.
A i ʻole, e noi lākou iā ʻoe e hana i kahi hoʻāʻo mimi.
- Ka Nānā ʻana i ka Mimi: Nānā kēia i kāu hāpana mimi no ka bacteria, koko, a i ʻole ka pus.
- Moʻomeheu Mimi: Kōkua kēia hoʻāʻo e ʻike pono i ka bacteria e hoʻoulu nei i ka maʻi.
ʻO ka ʻokoʻa ma waena o ka maʻi mimi a me ka maʻi puʻupaʻa
E like me ka maʻi ʻōpū mimi, he UTI nō hoʻi ka maʻi puʻupaʻa. Eia nō naʻe, he maʻi koʻikoʻi ka maʻi puʻupaʻa.
| ʻAno o ka maʻi | Nā hiʻohiʻona nui |
|---|---|
| Maʻi ʻōpū | ʻO ka maʻi ʻōpū, ka mimi pinepine ʻana, ka ʻeha o ka ʻōpū lalo. |
| Maʻi puʻupaʻa | Kuni, anuanu, ʻeha ma ke kua i lalo a i ʻole ma nā ʻaoʻao ʻelua o ke kua, nausea, a luaʻi paha. |
Inā loaʻa iā ʻoe nā hōʻailona o ka maʻi puʻupaʻa, pono ʻoe e ʻike koke i ke kauka . Mai kānalua e hele i ka Emergency Department (ETU) inā pono.
ʻO wai ka mea e pono ai nā hoʻokolohua kūikawā?
ʻAʻole ia he pilikia olakino nui ka maʻi ʻana o ke ala mimi i kekahi manawa. Eia nō naʻe, i kekahi mau hihia, he mea nui e ʻike i ke kumu pololei, ʻoiai no ka poʻe i hāʻule i loko o kēia mau ʻano:
- No nā kamaliʻi ʻōpio
- No nā kāne (ʻoiai ʻaʻole hiki i nā kāne ke loaʻa i kēia maʻi, he hōʻailona paha ia o kahi maʻi ʻē aʻe)
- No ka poʻe me ka hōʻino ʻana o nā puʻupaʻa
- ʻO nā wahine i loaʻa i nā maʻi ma mua o ʻekolu manawa i ka makahiki a i ʻole he koko i loko o ko lākou mimi
I ia mau hihia, hiki i ke kauka ke hoʻohana i nā hoʻokolohua e like me:
- ʻO ke ʻano o ka cystoscopy:Hoʻokomo ʻia kahi mea hana e like me ka paipu lahilahi (me kahi kāmela) ma o ka urethra a nānā ʻia ka ʻaoʻao o loko o ka ʻōpū mimi. Inā pono, hiki ke lawe ʻia kahi ʻāpana ʻiʻo (biopsy) no ka nānā ʻana.
- Kiʻi: Hiki i ke ultrasound, CT scan, a me MRI scan ke ʻike i nā mea e like me nā ʻōpū a me nā pōhaku puʻupaʻa.
- Nā hoʻāʻo X-ray kūikawā ʻē aʻe: Hoʻokomo ʻia kahi dye kūikawā (contrast dye) i loko o ke kino e nānā i ka hana o nā puʻupaʻa, ka ʻōpū mimi, a me ka urethra.
Pehea e mālama ʻia ai?
Hiki i kahi maʻi ʻōpū mimi liʻiliʻi ke hoʻomaʻemaʻe iā ia iho i loko o kekahi mau lā. Inā ʻaʻole, ʻo nā antibiotics ka lāʻau lapaʻau nui. Pono ʻoe e hoʻomaka e ʻoluʻolu i loko o hoʻokahi a ʻelua paha lā o ka hoʻomaka ʻana i ka lāʻau. Eia nō naʻe, he mea nui e lawe i nā lāʻau lapaʻau a pau a kāu kauka i kuhikuhi ai no ka manawa piha.
ʻO ka maʻamau, ua kuhikuhi ʻia nā lāʻau antibiotic i nā wāhine no 3-7 mau lā. Inā koʻikoʻi a hoʻi hou paha ka maʻi, pono paha ʻoe e lawe i ka lāʻau no 7-10 mau lā. Inā loaʻa iā ʻoe nā maʻi ʻē aʻe, e like me ka maʻi diabetes a i ʻole nā pilikia puʻupaʻa, pono paha ʻoe e lawe i ka lāʻau no ka manawa lōʻihi.
Nā maʻi ʻōpū mimi i ka wā hāpai
Hoʻonui ʻia ka pilikia o ka loaʻa ʻana o ka UTI i ka wā hāpai ma muli o nā loli i ke kino. I ka ulu ʻana o ka pēpē i loko o ka ʻōpū, kau ia i ke kaomi ma luna o ka ʻōpū mimi. Hiki i kēia ke kaupalena i ke kahe o ka mimi a alakaʻi i nā maʻi. Ua like nā hōʻailona a me nā kumu me nā poʻe ʻē aʻe.
Eia nō naʻe, hiki i ka UTI i ka wā hāpai ke alakaʻi i nā pilikia ʻē aʻe, e like me ke koko kiʻekiʻe (pre-eclampsia) a me ka hānau mua ʻana. No laila, inā loaʻa iā ʻoe nā hōʻailona o ka maʻi urinary tract i ka wā hāpai, pono ʻoe e ʻimi i ke kōkua lapaʻau.
ʻO ka hoʻomaha hiki iā ʻoe ke hana ma ka home
ʻOiai ʻoe e loaʻa ana i ka lāʻau lapaʻau, hiki iā ʻoe ke loaʻa ka hōʻoluʻolu mai kēia mau mea:
- E inu i ka wai he nui, akā e noho mamao aku mai nā mea e like me ka waiʻona, ke kofe, ke kī, a me nā mea ʻala. Hiki iā lākou ke hoʻonui i nā hōʻailona.
- E lawe i ka lāʻau hoʻopau ʻeha. E nīnau i kāu kauka e pili ana i ia mea.
- E noho i loko o ka ʻauʻau mehana no kahi o 15-20 mau minuke.
- E kau i kahi ʻōmole wai wela (pale hoʻomehana) ma kou ʻōpū lalo.
- Mai moe a hiki i ka wā e ho'ōla ʻia ai ka maʻi.
Leka Lawe-Home
- ʻO ka mimi pinepine ʻana, ka maʻi ʻaʻai mimi, a me ka ʻeha o ka ʻōpū ma lalo nā hōʻailona nui o ka maʻi ʻōpū mimi.
- Mai hoʻowahāwahā i kēia mau hōʻailona, ʻoiai inā he mau hōʻailona kou e like me ke kuni a me ka ʻeha hope.
- E ʻike i ke kauka no ka ʻike kūpono a me ka lāʻau lapaʻau.
- He mea nui loa e lawe i nā lāʻau antibiotic i kuhikuhi ʻia e ke kauka no ka manawa piha, me ka ʻole o ka haʻalele ʻana i hoʻokahi lā.
- E inu i ka wai he nui i ka lā a pau. E kōkua kēia i ka pale ʻana i nā maʻi a kōkua iā ʻoe e ho'ōla wikiwiki.
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