Ke nānā ʻoe i ka ʻūhā o kāu pēpē liʻiliʻi, ua ʻike anei ʻoe ua pulu, a he wahi pulu iki paha? I kekahi manawa hiki ke loaʻa kahi ʻala iki. He mea maʻamau no kekahi makuahine o kahi keiki hānau hou ke makaʻu iki i ka ʻike ʻana i kahi mea e like me kēia. ʻO kekahi kumu no kēia he pilikia paha me kahi mea i kapa ʻia ʻo 'urachus'. Mai makaʻu i ka inoa, ʻaʻole kēia he mea koʻikoʻi e like me kou manaʻo. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a me ka maopopo i kēia lā.
I ka ʻōlelo maʻalahi, he aha kēia Urachus?
E noʻonoʻo, i ka wā e noho ana kāu pēpē i loko o kou ʻōpū, aia kahi ʻāpana liʻiliʻi e like me ka paipu e holo ana mai kona ʻōpū mimi a i kona pihi ʻōpū. ʻO ia ka mea a mākou e kapa nei ʻo Urachus. ʻO kāna hana nui ka lawe ʻana i ka mimi o ke pēpē mai loko mai o kona kino i nā pule mua o ka hāpai ʻana. Hana ia e like me ka paipu wai manawa pōkole.
I ka ulu ʻana o ka pēpē i loko o ka ʻōpū, ulu pono kāna ʻōnaehana mimi. A laila nalowale ka pono no kēia urachus. No laila , i ka hapa nui o ka manawa, ma mua o ka hānau ʻana o ka pēpē, i loko o nā mahina ʻekolu mua o ka hāpai ʻana, pani koke kēia ʻōmole a lilo i kaula fibrous. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo ka ligament umbilical median.
No laila, e hoʻomanaʻo, he mea maʻamau ka urachus i loaʻa i ka wā hāpai o ka pēpē a e pani ʻia ma hope ona iho.
No laila, hoʻokahi anei ʻo Urachus a ʻelua ke kaula umbilical?
ʻAe, he ʻelua mau mea ʻokoʻa loa kēia. He nui ka poʻe e huikau i kēia.
- ʻUrachus: Aia kēia i loko o ke kino o ke pēpē . He ʻōmole ia e hoʻopili ai i ka ʻōpū mimi o ke pēpē a me ka ʻōpū.
- ʻO ke kaula piko: Aia kēia ma waho o ke kino o ka pēpē . Ma o kēia mea e loaʻa ai i ka pēpē ka oxygen a me nā meaʻai mai ka makuahine.
I ka ʻōlelo maʻalahi, i nā pae mua, komo ka mimi e hele mai ana ma o ka urachus i ke kino o ka makuahine ma o ke kaula umbilical a hoʻokuʻu ʻia. No laila, ʻoiai e hana pū ana kēia mau mea ʻelua, he ʻelua ʻāpana kaʻawale lāua.
He aha ka mea e hana ʻia inā ʻaʻole e pani pono kēia paipu?
ʻO kēia kahi e pono ai mākou e hopohopo. I kekahi manawa, he kakaikahi loa, ʻaʻole e pani piha kēia ʻōmole Urachus ma mua o ka hānau ʻana o ke pēpē. Kāhea mākou i kēia kūlana ʻo Urachal Remnant a i ʻole Urachal Abnormality. ʻEhā ʻano nui o kēia.
| Inoa Kūlana | He aha ka mea e hana ʻia me kēia? (Maʻalahi) |
|---|---|
| Palapala Sila Nui ʻo Urachus | ʻO kēia ka manawa e hāmama loa ai ke kahawai. ʻO ia hoʻi, aia kekahi ala mai ka ʻōpū mimi a i ka ʻōpū mimi. Hiki i kēia ke hoʻoheheʻe i ka mimi mai ka ʻōpū mimi o ka pēpē . Hiki ke ʻike nui ʻia kēia i ka wā e uē ai ka pēpē a ʻū paha. |
| ʻO ka Urachal Cyst (puʻupuʻu) | ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia ka paʻa ʻana o ka ʻōpū mimi a me nā ʻaoʻao piko o ka ʻōmole, a hōʻiliʻili ka wai i waenakonu , e hana ana i kahi cyst. ʻAʻohe hōʻailona maʻamau. Eia nō naʻe, inā ua loaʻa kēia i ka maʻi, hiki iā ʻoe ke ʻike i ka ʻeha o ka ʻōpū, ke kuni, a me ka ʻulaʻula kokoke i ka piko. |
| ʻO ka Sinus Urachal | I kēia hihia, ua pani ʻia ka ʻaoʻao ʻōpū o ka paipu, e waiho wale ana i ka ʻaoʻao pelvic e hāmama ana. Ua like ia me kahi paipu liʻiliʻi me kekahi ʻaoʻao i pani ʻia. Hiki i kēia ke hana i kahi wai pulu e like me ka pus e puka mai ana mai loko mai o ka pelvis. Hiki iā ia ke hana i nā maʻi. |
| ʻO ke diverticulum | ʻO ka mea e hana ʻia ma ʻaneʻi, ua pani ʻia ka ʻaoʻao pelvic o ka ʻōmole a ua hāmama ka ʻaoʻao mimi. Hoʻokumu ʻia kahi ʻāpana liʻiliʻi e like me ka ʻeke ma waho o ka mimi. ʻO ka hapa nui o ka manawa ʻaʻohe hōʻailona. Eia nō naʻe, hiki i ka mimi ke hōʻiliʻili i loko o kēia ʻeke a hoʻoulu i nā maʻi urinary tract pinepine (UTIs) . |
Pehea e ʻike ai nā kauka inā loaʻa i kahi pēpē kēia ʻano pilikia?
Ke hōʻike ʻoe i kahi ʻulaʻula diaper pulu, e nānā pono mua ke kauka i ka pēpē. A laila, hana paha lākou i kekahi mau hoʻokolohua e hōʻoia i ke kūlana.
- ʻO ke kiʻi ʻana i ka ultrasound: ʻO kēia ka hoʻāʻo maʻamau. Hiki iā ʻoe ke nānā i nā ʻōpū i loko o ke kino o ke pēpē me ka ʻole o ka ʻeha. Hiki iā ia ke nānā maʻalahi inā ua paʻa ka ʻōmole urachus a inā he puʻupuʻu.
- MRI Scan: I kekahi manawa, hiki ke hana ʻia kēia hoʻāʻo inā pono kahi kiʻi maopopo aʻe.
- Hoʻāʻo wai:Lawe ʻia kahi hāpana o ka wai mai ka ʻōpū mimi a hoʻāʻo ʻia no ke alo o nā kemika i loko o ka mimi i kapa ʻia ʻo urea a me creatinine . Inā loaʻa lākou, hiki ke hōʻoia ʻia e hele mai ana ka mimi mai ka ʻōpū mimi mai.
- VCUG (Voiding Cystourethrogram): He hoʻāʻo kūikawā kēia. Ma kēia, hoʻokomo ʻia kahi wai kūikawā (dye) ma o ka urethra i loko o ka ʻōpū mimi, a nānā ʻia ke kahe o ka wai me kahi X-ray. Hiki i kēia ke hoʻoholo pololei inā e kahe ana ka wai ma o ka urachus.
Aia kekahi kamaʻilio e pili ana i kahi maʻi weliweli i kapa ʻia ʻo ka maʻi ʻaʻai urachal. He aha ia mea?
He mea maikaʻi ke ʻike i kēia, akā , mai hopohopo nui. He ʻano kakaikahi loa ka maʻi ʻaʻai ʻōpū o ka maʻi ʻaʻai Urachal. Hiki iā ia ke ulu mai nā ʻāpana o ka ʻiʻo urachus e koe ma hope o ka hānau ʻana me ka ʻole o ka pani ʻana.
ʻOi aku ka maʻamau o kēia ʻano maʻi i nā pākeke ma luna o 50 mau makahiki. He haʻahaʻa loa ka pilikia i nā kamaliʻi ʻōpio. Eia nā hōʻailona:
- Ke koko i loko o ka mimi (hematuria)
- ʻO ka mea like me ka mucus i loko o ka mimi (mucinuria)
- ʻEha ʻōpū
- He puʻu i loko o ka ʻōpū
ʻOiai inā loaʻa iā ʻoe kēia mau hōʻailona, ʻaʻole ia he manaʻo mau he maʻi kanesa kou. Akā inā ʻike ʻoe i kahi mea e like me kēia, he mea nui e ʻimi koke i ke kōkua lapaʻau.
He aha nā lāʻau lapaʻau no kēia?
ʻO ke ʻano o ka lāʻau no kēia mea e pili ana i nā hōʻailona a me ke ʻano o ke kūlana.
- Ke Kemika Cauterization: No ka mālama ʻana i kahi ʻeha liʻiliʻi a ʻeha paha ma ka pihi ʻōpū o kāu pēpē, hiki i kāu kauka ke hoʻopili i kahi kemika i kapa ʻia ʻo silver nitrate i ka wahi. E hoʻomaloʻo kēia i ka wahi a kōkua iā ia e ho'ōla.
- Nā lāʻau antibiotic: Inā loaʻa kahi cyst urachal a sinus paha i ka maʻi bacteria, hāʻawi ʻia nā lāʻau antibiotic e mālama iā ia.
- ʻOki kino: No nā kūlana e like me Patent Urachus a me Urachal cysts ma hope o ka ho'ōla ʻana o ka maʻi, ʻo ka hopena mau loa wale nō ka hana ʻana i ke ʻoki kino e wehe loa i ke koena o ka Urachus tube. Kōkua kēia i ka hoʻopau loa ʻana i ka pilikia o nā maʻi e hiki mai ana a me ka pilikia kakaikahi loa o ka maʻi kanesa.
ʻO ka maʻamau, he holomua loa kēia ʻoki kino. Hiki i ka hapa nui o ka poʻe ke ola i kahi ola maʻamau me ka ʻole o nā pilikia ma hope o ke ʻoki kino.
Leka Lawe-Home
- Inā pulu mau ka piko o kāu pēpē, he ʻala pilau, a ʻulaʻula paha, mai hoʻowahāwahā. E ʻike i ke kauka, ʻoiai ke kauka keiki, i ka wā hikiwawe loa.
- He ʻāpana maʻamau ka urachus o ke kino o ka pēpē i ka wā hāpai. I kekahi manawa kū mai nā pilikia ke pani pono ʻole ʻia.
- Hiki ke ho'ōla loa ʻia ka nui o kēia mau maʻi me ka lāʻau lapaʻau, no laila mai makaʻu pono ʻole.
- ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka no ka ʻike kūpono a me ka mālama ʻana.
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