Ua loaʻa anei iā ʻoe kahi ʻeha nui o ke kua, ma lalo o kou mau iwi ʻaoʻao a i ʻole ma nā ʻaoʻao ʻelua o kou kua? A i ʻole ua loaʻa anei iā ʻoe kahi ʻeha i kou wā e mimi ai, e like me ka hiki ʻole iā ʻoe ke mimi? I kekahi manawa hiki i kēia mau mea ke lilo i mau hōʻailona o kahi pilikia koʻikoʻi i loko o kou kino, ʻoiai ʻaʻole mākou e nānā nui iā lākou. I kēia lā e kamaʻilio mākou e pili ana i kahi kūlana āu e kānalua ai i kekahi manawa e like me kēia, akā ʻaʻole ʻike ka poʻe he nui. ʻO ia ka Ureteral Obstruction, a i ʻole `(Ureteral Obstruction)`.
I ka ʻōlelo maʻalahi, he aha ka Ureteral Obstruction?
ʻAe, no ka hoʻomaopopo ʻana i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o kēia ʻōnaehana i loko o ko kākou kino. Loaʻa iā kākou ʻelua mau puʻupaʻa i loko o ko kākou kino, ʻeā? ʻO ka hana nui o kēia mau puʻupaʻa ʻelua, ʻo ia ke kānana i ke koko, hoʻokaʻawale i nā huahana ʻōpala pono ʻole mai ia mea, a hana i ka mimi. Ua like ia me kahi kānana wai.
ʻO ka mimi i hana ʻia ma kēia ʻano e lawe ʻia mai nā puʻupaʻa a i ka ʻōpū mimi (ke ʻano a mākou e hoʻohana ai e haʻi i ka wā piha mākou i ka mimi). Ua kapa ʻia kēia mau ʻōmole ʻelua he "Ureters". Aia kekahi no kēlā me kēia puʻupaʻa. A laila hoʻokuʻu ʻia ka mimi e hōʻiliʻili ana i loko o ka ʻōpū mimi mai ke kino aku i ka wā e mimi ai mākou.
E noʻonoʻo, he aha ka mea e hana ʻia inā e ālai ʻia a pale ʻia paha kēia ʻōmole (Ureter) e lawe ana i ka mimi mai ka puʻupaʻa a i ka ʻōpū mimi no kekahi kumu? ʻO ia ka mea a mākou e kapa nei he Ureteral Obstruction. Ua like ia me ka wā e paʻa ai kahi ʻāpana lepo i loko o kahi paipu wai, e pau ke kahe ʻana o ka wai.
Ke pau ke kahe ʻana o ka mimi ma kēia ʻano, hoʻomaka ka mimi e hoʻihoʻi a hōʻiliʻili i loko o ka puʻupaʻa. Hiki i kēia ke hoʻoulu i ka pehu ʻana o ka puʻupaʻa a hōʻino ʻia. Eia kekahi, kiʻekiʻe loa ka manawa o ka maʻi ma muli o ka mimi e noho ana ma kahi hoʻokahi. Inā ʻaʻole mālama koke ʻia kēia, hiki iā ia ke alakaʻi i nā kūlana koʻikoʻi e like me ka hāʻule ʻana o ka puʻupaʻa a i ʻole ka maʻi koʻikoʻi (sepsis). Akā, mai hopohopo, hiki ke ʻike ʻia a mālama ʻia kēia kūlana i ka wā mua.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
ʻO ka ʻoiaʻiʻo, hiki ke loaʻa kēia ʻano maʻi i kēlā me kēia makahiki, i loko o kekahi. Hiki i nā keiki ʻōpio ke loaʻa iā ia ma muli o kekahi mau kumu hānau.
Eia nō naʻe, ʻoi aku ka maʻamau o kēia ʻano i nā kāne ma luna o 60 mau makahiki. ʻO ke kumu nui o kēia, ʻo ia ka hoʻonui ʻia ʻana o ke kelepa prostate i ko kākou ʻelemakule ʻana. Aia kēia kelepa ma lalo o ka ʻōpū mimi. No laila, i ka wā e hoʻonui ai, ʻoi aku ka nui o ka hiki ke ʻomi a ālai i ka urethra.
He aha nā hōʻailona o kēia? Pehea mākou e ʻike ai?
Hiki ke ʻokoʻa nā hōʻailona o ka pale ʻana o ke ala mimi mai kēlā kanaka a kēia kanaka. ʻOkoʻa nō hoʻi lākou ma muli o ke kumu o ka pale ʻana a me ka wikiwiki o kona hiki ʻana mai. No ka laʻana, inā paʻa koke kahi pōhaku puʻupaʻa i loko o ka urethra, nui ka ʻeha. Eia nō naʻe, inā paʻa mālie ka urethra ma muli o kekahi kumu ʻē aʻe, ulu mālie nā hōʻailona.
Eia kekahi mau hōʻailona e pono ai ʻoe e makaʻala:
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha ʻaoʻao | He ʻeha ʻoi e kū mai ana ma ka ʻaoʻao ʻākau a hema paha o ke kua, ma lalo pono o ka iwi ʻaoʻao. I kekahi manawa hiki i kēia ʻeha ke pālahalaha i ka ʻūhā. Hiki nō hoʻi ke lilo i ʻeha nui e hele mai a hele aku e like me ka nalu. |
| Kuni, nausea, a me ka luaʻi | Hiki ke ʻike ʻia kēia mau hōʻailona inā loaʻa kahi maʻi i ka mea e ālai ʻia ai. Hiki ke hele pū me lākou me ka manaʻo nāwaliwali. |
| Paʻakikī ke mimi | Paʻakikī i ka hoʻomaka ʻana e mimi, nāwaliwali o ke kahe ʻana o ka mimi, me ka manaʻo e like me ke koena o ka mimi ma hope o ka mimi ʻana. |
| Pono pinepine e mimi | ʻO ka pono e mimi pinepine, ʻoi aku hoʻi i ka pō. |
| Nā maʻi ʻōpū mimi hou (UTIs) | Inā hoʻomau ʻoe i ka loaʻa ʻana o nā maʻi ʻōpū mimi ma muli o ka mālama ʻia ʻana, ʻo ke kumu paha he poloka kūloko. |
| Ke koko a i ʻole ke kala ʻeleʻele i loko o ka mimi | Inā he ʻulaʻula, ʻulaʻula, a ʻeleʻele paha ke ʻano o ka mimi, he hōʻailona ia o ke koko. Inā he ao ke ʻano, he hōʻailona ia o ka maʻi. |
| Pehu wāwae | Ke hāʻule nā puʻupaʻa, hiki i ka wai ke hōʻiliʻili i loko o ke kino a hoʻoulu i ka pehu ʻana o nā wāwae. |
ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, pono ʻoe e hōʻike iā ia i ke kauka. No ka mea, hiki i kēia ke lilo i mau hōʻailona o nā maʻi ʻē aʻe. No laila, he mea nui loa ka loaʻa ʻana o kahi hōʻailona pololei.
He aha ke kumu o ke ālai ʻana o ke ala mimi e like me kēia?
Nui nā kumu e hiki ke hoʻopilikia i kēia. ʻO kekahi o loko o ke kino, aʻo kekahi e hana ʻia e ke kaomi o waho.
Nā mea pale i loko o ke kino:
- Nā Pōhaku Ureter: ʻO kēia ke kumu maʻamau. ʻO nā pōhaku i hana ʻia i loko o nā puʻupaʻa e hele pū me ka mimi a paʻa i loko o kēia ʻōmole lahilahi i kapa ʻia ʻo ka ureter.
- ʻO ka Benign Prostatic Hyperplasia (BPH): E like me kā mākou i kūkākūkā ai ma mua, i nā kāne ʻelemakule, hiki i ka prostate gland ke hoʻonui a kaomi ma ka urethra.
- ʻIʻo ʻōpala: Hiki ke hana ʻia nā ʻiʻo ʻōpala i loko o ka urethra ma muli o ke ʻoki kino ma mua, ka maʻi, a i ʻole kahi ulia, e ālai ana i ke kahe o ka mimi. I kekahi manawa, hiki ke loaʻa kēia mau mea i ka wā hānau.
- Nā pilikia i kū mai mai ka hānau ʻana mai:
- ʻO ka `Ureteropelvic Junction Obstruction`: He ālai hānau kēia ma ka hui ʻana o ka puʻupaʻa a me ka ureter.
- 'Ureterocele': He puʻupuʻu e like me ka pōpō e ālai ana i ka urethra kahi e pili ai i ka ʻōpū mimi.
- ʻUreter Ectopic: Hoʻopili ʻia ka ureter i kahi kūpono ʻole o ka ʻōpū mimi.
Nā mea keakea i hoʻokumu ʻia e ke kaomi mai waho o ke kino:
- Nā Puʻupuʻu a i ʻole Cysts: Nā Puʻupuʻu a i ʻole cysts: ʻO nā puʻupuʻu a i ʻole cysts e ulu ana ma ka ʻōpū a i ʻole ka ʻāpana pelvic, he maʻi kanesa a ʻaʻole paha, hiki ke puka mai ka urethra a ālai iā ia. (Ex: Ka maʻi ʻaʻai cervical, Ka maʻi ʻaʻai colon)
- Nā maʻi ʻōnaehana hoʻoheheʻe: ʻO nā kūlana e like me ka maʻi a Crohn a me ka diverticulitis hiki ke hoʻoulu i nā ʻōpū e pehu, a hiki i kēlā pehu ke hoʻoulu i ke kaomi ma ka urethra.
- Nā kumu kūikawā no nā wahine:
- Hāpai keiki: I ka hoʻonui ʻia ʻana o ka ʻōpū ma muli o ka pēpē e ulu ana, hiki ke hoʻopaʻa ʻia ka urethra.
- Endometriosis: ʻO ka ʻiʻo e uhi ana i loko o ka uterus e ulu ana ma waho o ka uterus, e ulu ana a puni ka urethra a e hoʻopilikia ai.
- ʻO ka prolapse o ka ʻōpū: Hiki i ka ʻōpū ke iho mai kona kūlana maʻamau, e hoʻoulu ai i ke kaomi ma ka ʻōpū mimi a me ka urethra.
Pehea e ʻike pololei ai ke kauka i kēia maʻi?
Ke hele ʻoe e ʻike i ke kauka me kāu mau hōʻailona, e nīnau mua ʻo ia iā ʻoe i nā nīnau, e nānā iā ʻoe, a laila e kauoha i kekahi mau hoʻokolohua e hōʻoia i ka maʻi.
- Nā hoʻāʻo koko a me ka mimi: Hiki i kēia ke nānā i ke ʻano o ka hana ʻana o kou mau puʻupaʻa (ʻoi aku hoʻi kou pae creatinine) a inā he maʻi a koko paha i loko o kou mimi.
- Ultrasound Scan: He hoʻāʻo maʻalahi loa kēia, ʻaʻohe ʻeha. Hiki iā ia ke ʻike maopopo inā ua pehu a paʻa paha nā puʻupaʻa.
- CT Scan: Hiki i kēia ke hana i nā kiʻi ʻekolu-dimensional maopopo o loko o ke kino. Hiki i kēia ke kōkua i ka hoʻoholo pololei ʻana i kahi o ka paʻa a me ke kumu o ia mea (e.g., he pōhaku a he puʻupuʻu paha).
- ʻO ke Kānana ʻŌpū Mimi: Nānā kēia inā ua hakahaka loa kou ʻōpū mimi ma hope o kou mimi ʻana, a inā paha he mimi i koe.
Pehea e mālama ʻia ai?
Aia ka lāʻau lapaʻau i ke kumu o kou ālai ʻana, ka nui o ke ālai ʻana, a me kou olakino holoʻokoʻa. ʻElua mau ʻanuʻu nui i ka lāʻau lapaʻau.
1. Ka hana mua: Ka lawe ʻana i ka mimi (ka wehe ʻana i ka mea paʻa)
ʻO ka mea mua e hana ai, ʻo ia ka wehe ʻana i ka mimi i hōʻiliʻili ʻia mai ke kino e hoʻōki i ka hōʻino ʻana i nā puʻupaʻa. Aia kekahi mau ala e hana ai i kēia.
- ʻO ka Stent Ureteral: Hoʻokomo ʻia kahi ʻōmole lahilahi a palupalu (stent) ma o ka ʻōpū mimi a i lalo i ka ureter a hiki i ka puʻupaʻa. Wehe kēia ʻōmole i ka ʻōmole i paʻa a ʻae i ka mimi e kahe maʻalahi.
- ʻO ka Paipu Nephrostomy: I kekahi mau hihia, hoʻokomo ʻia kahi paipu liʻiliʻi ma o ka ʻili pololei i loko o ka puʻupaʻa, kahi e hōʻiliʻili ʻia ai ka mimi i loko o kahi ʻeke.
- Catheterization: Inā kokoke ka poloka i ka ʻōpū mimi, hoʻokomo ʻia kahi catheter ma o ka urethra i loko o ka ʻōpū mimi e hoʻokahe i ka mimi.
ʻO ka mea nui, ʻo kēia mau ʻano hana e hōʻemi wale i ke kaomi no kekahi manawa a pale i ka puʻupaʻa. ʻAʻole kēia he hopena hope loa.
2. KaʻAnuʻu ʻElua: E mālama i ke kumu o ke ālai ʻana
Ke hoʻihoʻi ʻia ke kahe o ka mimi, e hoʻomaka ke kauka e mālama i ke kumu nui o ka ālai ʻana.
- Nā lāʻau lapaʻau: No nā kūlana e like me ka benign prostatic hyperplasia (BPH), hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hoʻēmi i ka gland a hoʻomaha paha i nā ʻiʻo a puni ia.
- ʻO ke ʻoki kino:ʻO ka hapa nui o ka manawa, ʻo ke ʻoki kino ka hopena mau loa. Akā, mai makaʻu e ʻōlelo "ʻoki kino." Me ka ʻenehana o kēia wā, ʻo ka hapa nui o ka manawa, hana ʻia nā ʻoki kino ma o nā ʻoki liʻiliʻi (Minimally Invasive).
- Inā he pōhaku mimi ia, hiki ke kuʻi ʻia me ka hoʻohana ʻana i ka shockwave lithotripsy a wehe ʻia paha me ka hoʻohana ʻana i nā ʻano hana e like me ka endoscopy ma ke hoʻokomo ʻana i kahi mea lahilahi me kahi kāmela.
- Inā he puʻupuʻu, ʻeha, a i ʻole kahi poloka hānau, e hana ʻia ke ʻoki ʻana e wehe i kēlā ʻāpana a hoʻoponopono hou i ka ʻōmole.
E wehewehe pono ana kāu kauka iā ʻoe i ke ʻano lapaʻau kūpono loa iā ʻoe.
Aia kekahi mea hiki iā mākou ke hana e pale aku ai i kēia kūlana?
ʻAʻole hiki ke pale ʻia kekahi mau kumu, ʻoiai nā pilikia hānau. Eia nō naʻe, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ko mākou pilikia. Hiki i kēia mau mea ke kōkua i ka pale ʻana i ke kumu maʻamau, ʻoiai nā pōhaku mimi.
- E inu i ka nui o ka wai: He mea nui loa e inu ma ka liʻiliʻi he 2-3 lita o ka wai i ka lā. Hoʻoheheʻe kēia i ka mimi a hōʻemi i ka pilikia o ke kūkulu ʻia ʻana o nā pōhaku.
- E mālama i ke kaumaha olakino: He mea nui e kaohi i ke kaumaha o kou kino.
- E hōʻemi i ka ʻai ʻana i ka paʻakai: E hōʻemi i ka nui o ka paʻakai āu e hoʻohui ai i kāu meaʻai. He kiʻekiʻe ka paʻakai i nā meaʻai i loko o ka pahu, nā ʻiʻo i hana ʻia, a me nā mea ʻala.
- E kiʻi i ka lawa o ka calcium: Manaʻo kekahi poʻe e hōʻemi ka hōʻemi ʻana i ka nui o ka calcium i ka pilikia o ka hoʻokumu ʻia ʻana o nā pōhaku. Akā, ʻaʻole ia he ʻoiaʻiʻo. E kiʻi i ka nui o ka calcium e pono ai (ma kahi o 1000-1200 milligrams) mai ka meaʻai i kēlā me kēia lā.
Leka Lawe-Home
- ʻO ke ālai ʻana o ka ureter kahi ālai ʻana o ka ʻōmole e lawe ana i ka mimi mai ka puʻupaʻa a i ka ʻōpū mimi.
- E makaʻala i nā hōʻailona e like me ka ʻeha nui ma nā ʻaoʻao ʻelua o ke kua, ka paʻakikī o ka mimi, a me ke kuni.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka. Mai mālama ponoʻī a hoʻowahāwahā paha iā lākou.
- ʻO ke kumu nui o kēia, ʻo ia nā pōhaku mimi. Hiki i ka prostate nui, nā puʻupuʻu, a me nā pilikia hānau ke kōkua pū kekahi.
- Inā ʻike ʻia a mālama ʻia i ka wā mua, hiki ke pale ʻia ka hōʻino ʻana o nā puʻupaʻa a hiki ke hoʻōla piha ʻia.
- ʻO ka inu ʻana i ka wai he nui a me ke alakaʻi ʻana i kahi nohona olakino hiki ke hōʻemi i ka pilikia o ka loaʻa ʻana o kekahi mau kumu, e like me nā pōhaku mimi.
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