I kekahi manawa, loaʻa paha i kāu keiki liʻiliʻi nā maʻi ʻōpū mimi pinepine (UTI). A i ʻole e hoʻopiʻi paha lākou i ka ʻeha o ka ʻōpū. ʻO ka hapa nui o ka manawa, manaʻo mākou he mau mea maʻamau kēia, akā i kekahi manawa aia paha kahi pilikia liʻiliʻi e kū mai ana mai ka hānau ʻana. ʻO ia ke ʻano o kahi maʻi i kapa ʻia ʻo 'Ureterocele'. ʻOiai ke kani iki nei ka inoa, inā maopopo iā mākou, he mea ia e hiki ke hoʻokele ʻia. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi hiki iā ʻoe ke hoʻomaopopo.
I ka ʻōlelo maʻalahi, he aha ka Ureterocele?
ʻAe, e hoʻomaopopo kākou i kēia ma kēia ʻano. Loaʻa iā kākou ʻelua mau puʻupaʻa i loko o ko kākou kino. ʻO ka hana a kēia mau puʻupaʻa, ʻo ia ke kānana i ko kākou koko a wehe i nā mea ʻōpala i makemake ʻole ʻia ma ke ʻano he mimi. ʻO ka mimi i hana ʻia ma kēia ʻano, ua hōʻiliʻili ʻia i loko o ka ʻōpū mimi ma o ʻelua mau paipu. Kāhea mākou i kēia mau paipu ʻelua he mau ureter . Hoʻokahi ureter mai kēlā me kēia puʻupaʻa.
I kēia manawa, e noʻonoʻo ʻoe ua puʻupuʻu ka hopena o kēia urethra, kahi e pili ai i ka ʻōpū mimi, e like me kahi pōpō liʻiliʻi. ʻO ia ka mea a mākou e kapa nei he ureterocele.
ʻO kēia ʻāpana e like me ka pōpō e pale aku ai i ka mimi mai ke kahe manuahi ʻana i loko o ka ʻōpū mimi. Ua like ia me kahi mea e ālai ʻia ai. He aha ka mea e hana ʻia? ʻOiai ʻaʻole hiki i ka mimi ke kahe pono i lalo, hoʻomaka ia e kahe i hope i nā puʻupaʻa. Ua kapa mākou i kēia ma ke ʻano lapaʻau he (vesicoureteral reflux) . ʻO kēia ka pilikia nui me ka ureterocele. No ka mea, ʻaʻole maikaʻi ka mimi e kahe ana i hope no nā puʻupaʻa.
Aia kekahi mau ʻano o ka urethrocele?
ʻAe, hiki ke hoʻokaʻawale ʻia kēia kūlana i kekahi mau ʻano nui.
- Ma muli o ka mea ma kekahi ʻaoʻao a i ʻole nā ʻaoʻao ʻelua: Loaʻa paha i kekahi mau keiki kēia ʻano ma hoʻokahi urethra wale nō (unilateral). ʻO ia ka mea maʻamau. Eia naʻe, he mea kākaʻikahi loa, hiki ke hana ʻia kēia dilation ma nā urethra ʻelua (bilateral).
- Ma kahi o ka puʻupuʻu: Eia kekahi, ua hoʻokaʻawale ʻia kēia mau puʻupuʻu e ko lākou wahi i loko o ka ʻōpū mimi. Hoʻopaʻa ʻia kekahi i ka ʻōpū mimi (intravesical). Eia naʻe, ʻo ke ʻano maʻamau, ʻoi aku hoʻi i nā keiki ʻōpio (extravesical), hiki ke hoʻolōʻihi i lalo o ka ʻōpū mimi, i ka ʻōmole e lawe ana i ka mimi i waho (urethra).
He mea nui kēia mau hoʻokaʻawale ʻana i nā kauka e koho i ke ʻano lapaʻau e kūpono loa i ke keiki.
He aha nā hōʻailona o ka ureterocele?
ʻO ka mea kupanaha, ʻo ka hapa nui o ka manawa, ʻaʻole paha e hōʻike ka Ureterocele i kekahi mau hōʻailona. Eia nō naʻe, e like me kaʻu i ʻōlelo ai ma mua, aia kahi manawa kiʻekiʻe o ka loaʻa ʻana o ka maʻi Urinary Tract Infection (UTI) ma muli o ke kahe pono ʻole o ka mimi a paʻa. ʻO ia ka manawa e hoʻomaka ai nā hōʻailona e ʻike ʻia.
E nānā inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona. He mau hōʻailona paha kēia o ka maʻi ʻaʻai mimi.
| Hōʻailona | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻEha i ka wā e mimi ai | Uē ke keiki i ka wā e mimi ana, a ʻōhumu paha i ka ʻeha. Hiki paha iā lākou ke ʻōlelo he manaʻo wela ia. |
| Mimi pilau | ʻOi aku ka ikaika o ka mimi a ʻoi aku ka pilau ma mua o ka maʻamau. |
| ʻEha ʻōpū a i ʻole he puʻupuʻu | Hiki ke manaʻo ʻia e like me ka ʻeha o ka ʻōpū lalo a i ʻole kahi puʻupuʻu liʻiliʻi i hiki ke hoʻopā ʻia ma ka lima. |
| Koko i loko o ka mimi | Lilo ka mimi i poni a ʻulaʻula paha. |
| Pono pinepine e mimi | ʻO ka ʻōlelo ʻana "Pono wau e mimi " i nā manawa pinepine aʻe ma mua o ka maʻamau. |
| ʻAʻole hiki ke kāohi i ka mimi | ʻOiai he keiki i aʻo ʻia e hoʻohana i ka halepaku, hiki nō iā ia ke mimi ma luna o ko lākou lole me ka ʻike ʻole. |
| ʻAʻole e hoʻokahe loa ka ʻōpū mimi | Manaʻo e like me he mimi lā i loko o ka ʻōpū ʻōpū ma hope o ka mimi ʻana. |
Inā hōʻike kāu keiki i kekahi o kēia mau hōʻailona, e ʻike koke i kāu kauka.
No ke aha lā kēia e hana nei? He aha ke kumu o kēia?
He mea nui loa kēia no nā mākua. ʻO UreteroceleHe maʻi hānau ʻia. ʻO ke ʻano kēia, ʻoiai e ulu ana ke pēpē i loko o ka ʻōpū, ʻaʻole i ulu pono ka urethra aʻu i ʻōlelo ai ma mua ma kahi e pili ai i ka ʻōpū mimi.
ʻAʻole kēia ma muli o kekahi hewa i hana ʻia e ka makuahine i ka wā hāpai, a i ʻole i kahi mea āna i ʻai ai a inu ai paha, a i ʻole i kahi mea āna i ʻōlelo ai a hana paha. Manaʻo nā kānaka noiʻi he mea hanana wale nō kēia. No laila, mai hopohopo no ia mea.
I kekahi manawa ʻike ʻia nā hōʻailona o kēia maʻi i ka wā makua. Akā naʻe, like nō ke kumu. He mea ia i loaʻa i ke kino mai ka wā hānau mai.
He kūlana koʻikoʻi anei kēia? He aha nā pilikia?
He maʻi koʻikoʻi ka Ureterocele e pono ai ke mālama ʻia. Akā ʻo ka mea maikaʻi loa, hiki ke ho'ōla ʻia. Kū mai nā pilikia inā waiho ʻole ʻia. ʻO ka pilikia nui ka hōʻino ʻana i nā puʻupaʻa.
I ke kahe ʻana o ka mimi i hope i loko o nā puʻupaʻa, hiki i nā puʻupaʻa ke pehu, lilo i maʻi, a i ka hala ʻana o ka manawa, e hoʻopilikia mau loa i ka hana a nā puʻupaʻa.
ʻO ka mea nui loa, ʻo ia ka hōʻino ʻia ʻana o ka puʻupaʻa a hiki ʻole ke hoʻihoʻi hou ʻia. ʻO ia hoʻi, i ka wā i hōʻemi ʻia ai ka hana o ka puʻupaʻa i kekahi ʻano, he paʻakikī ke hoʻihoʻi piha iā ia. No laila he mea nui loa ka ʻike a me ka mālama ʻana i kēia maʻi ma mua o ka hōʻino ʻia ʻana o ka puʻupaʻa.
ʻO nā pilikia ʻē aʻe paha:
- Nā pōhaku puʻupaʻa.
- Ka pōʻino o ka ʻōpū mimi.
- Nā maʻi ʻōpū mimi hou (UTIs).
Pehea e ʻike ai ke kauka i kēia?
Hoʻomaopopo pinepine ʻia kēia maʻi ma mua o ka hānau ʻana o ka pēpē. ʻAe, i ka wā o nā ultrasound prenatal . Hana pinepine ʻia ma kahi o 20 mau pule, kānalua paha nā kauka i kahi puʻupaʻa a i ʻole ureter inā ʻike lākou i ka pehu. A laila, ma hope o ka hānau ʻana o ka pēpē, hana lākou i nā hoʻokolohua hou aʻe e hōʻoia iā ia.
Akā i kekahi manawa ua ʻike ʻia ma hope o ka hānau ʻana, ma kahi o 2 mau makahiki. Hiki ke ʻike ʻia me ka ulia pōpilikia i nā pākeke i ka wā o nā hoʻokolohua no nā pōhaku puʻupaʻa a i ʻole nā maʻi ʻōpū mimi.
Eia kekahi mau hoʻokolohua a nā kauka e hoʻohana ai e ʻike i kēia maʻi.
| Hoʻāʻo | He aha ka hana a kēia? |
|---|---|
| ʻO ke kani ʻana o nā puʻupaʻa | Nānā ʻia ke ʻano, ka nui, a me ka pehu ʻana o nā puʻupaʻa a me ka ʻōpū mimi. |
| Hoʻāʻo VCUG (Voiding Cystourethrogram) | He hoʻāʻo X-ray kūikawā kēia. Hoʻokomo ʻia kahi ʻōmole liʻiliʻi i loko o ka ʻōpū mimi a hoʻopiha ʻia me kahi wai kūikawā. Lawe ʻia kahi X-ray i ka wā e mimi ana ke keiki. Hiki ke hoʻohana ʻia kēia e nānā i ka reflux (kahe hope o ka mimi) i loko o nā puʻupaʻa. |
| Nānā ʻana i ka Renal | Kōkua kēia i ka nānā ʻana, ma ke ʻano he pakeneka, pehea ka maikaʻi o ka hana ʻana o nā puʻupaʻa a inā ua hōʻino ʻia. |
| ʻO ke kiʻi CT a i ʻole MRI | Hiki ke hoʻohana ʻia kēia mau scan e kiʻi i nā kiʻi maopopo a kikoʻī hoʻi o ka ʻōnaehana mimi. |
| Hoʻāʻo mimi | Hana ʻia kēia e hōʻoia inā loaʻa iā ʻoe kahi maʻi ʻōpū urinary (UTI). |
Pehea e mālama ʻia ai ka ureterocele?
Hoʻoholo ʻia ke ʻano o ka mālama ʻana ma ka noʻonoʻo ʻana i kekahi mau kumu, e like me ka makahiki o ke keiki, ka nui o ka ureterocele, inā he hōʻino ʻia nā puʻupaʻa, a inā paha e reflux ana ka mimi.
ʻO nā lāʻau lapaʻau nui, ʻo ia ke ʻoki kino a me ke kali makaʻala.
Nā Hana Lapaʻau
ʻO ka pahuhopu nui o ke ʻoki ʻana, ʻo ia ka wehe ʻana i ka pehu e like me ka pōpō pehu a ʻae i ka mimi e kahe manuahi. Nui nā ʻano hana ʻoki no kēia.
| ʻAno hana ʻoki kino | He wehewehe maʻalahi |
|---|---|
| ʻO ke kuʻi ʻana o ka urethral | ʻO kēia ke ʻano maʻalahi loa. Maanei, hoʻokomo ke kauka lapaʻau i kahi ʻōmole lahilahi me kahi kāmela (cystoscope) ma o ka urethra e nānā i loko o ka ʻōpū mimi. A laila, hana ʻia kahi lua liʻiliʻi ma ka ureterocele e like me ka baluna. Ua like ia me ka puhi ʻana i kahi baluna. A laila, kahe maʻalahi ka mimi i ālai ʻia. Hana pinepine ʻia kēia ma lalo o ka anesthesia a he hana outpatient ia. |
| Hoʻokomo hou ʻana o ka ureter | He ʻoki kino paʻakikī iki kēia. Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻōpū lalo e wehe ai i ka ʻōpū mimi. A laila, ʻoki ʻia a wehe ʻia ka ʻāpana o ka ureter me ka ureterocele, a hoʻopili hou ʻia ka ureter olakino i ka ʻōpū mimi, e pale ana i ka mimi mai ke kahe ʻana i hope (kahi ʻano hana flap valve). He 90%-95% ka holomua o kēia ʻoki kino. |
| ʻO ka Nephrectomy o ke pou luna | Loaʻa i kekahi mau keiki kahi maʻi i kapa ʻia he 'duplex kidney'. ʻO ke ʻano kēia ua māhele ʻia kekahi puʻupaʻa i ʻelua ʻāpana. Inā hōʻino nui ka ureterocele i ka ʻaoʻao o luna o ka puʻupaʻa a oki ka hana, pono ke ʻoki ʻana e wehe i ka ʻāpana i hōʻino ʻia. |
Ke Kali Makaʻala
Hoʻohana pinepine ʻia kēia kaʻina hana i nā pākeke. Inā ʻaʻole ke kumu o ka ureterocele i kekahi mau hōʻailona a i ʻole ke kumu o ka hōʻino ʻana o nā puʻupaʻa, hiki i kāu kauka ke hoʻoholo e nānā i ke kūlana no kekahi manawa me ka ʻole o ke ʻoki ʻana.
He aha ka manaʻo o ke keiki?
Maikaʻi loa ka nānā ʻana. No ka mea, he manawa pōkole ka paʻa ʻana o ka mimi. Ma hope o ka hoʻoponopono ʻia ʻana me ke ʻoki ʻana, hiki i ke keiki ke ola maʻamau. ʻO ka mea wale nō e hoʻomanaʻo ai, inā ua hōʻino ka ureterocele i nā puʻupaʻa, he mau loa ia hōʻino. ʻAʻole hiki ke hoʻihoʻi ʻia. ʻO ka mea hiki iā mākou ke hana, ʻo ia ke hoʻōki i ka hōʻino hou aʻe. ʻO ia ke kumu he mea nui ka ʻike mua a me ka mālama ʻana i kēia ʻano no ke ola.
Leka Lawe-Home
- He maʻi hānau ʻia ka Ureterocele. ʻAʻole ia ma muli o kekahi hewa o nā mākua.
- ʻO ka pilikia nui o kēia, ʻo ia ka hiki i ka mimi ke piʻi hou a hōʻino i nā puʻupaʻa.
- I ka hapanui o nā hihia, hiki ke ʻike ʻia kēia ʻano ma o nā scan ma mua o ka hānau ʻana o ke pēpē.
- Hiki i ke ʻoki kino ke ho'ōla loa i kēia maʻi. Ua holomua loa nā hopena.
- Inā loaʻa pinepine i kāu keiki nā maʻi mimi a i ʻole e hoʻopiʻi ana i ka ʻeha i ka wā e mimi ana, mai hoʻowahāwahā iā lākou. E ʻike koke i ke kauka. Hiki i ka lāʻau lapaʻau koke ke kōkua i ka pale ʻana i nā puʻupaʻa.
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