E noʻonoʻo i kahi kūlana kahi hiki ʻole iā ʻoe ke mimi pono ma muli o kahi pilikia me kou ʻōpū mimi, malia paha ma muli o ke kanesa, kahi ulia, a i ʻole kahi maʻi hānau. I kēlā hihia, pono ʻoe i kahi ala ʻē aʻe e wehe ai i ka mimi mai kou kino. A i ʻole ua hōʻino ʻia paha kou mau puʻupaʻa . ʻO kahi hopena a nā kauka e ʻōlelo ai i kēlā mau hihia he ʻoki ʻana i kapa ʻia he ureterostomy . ʻOiai paha he paʻakikī iki ka inoa o kēia, e kamaʻilio maʻalahi kākou e pili ana.
He aha ka Ureterostomy?
I ka ʻōlelo maʻalahi, he hana ʻoki kino kēia e pili ana i ka wehe ʻana i nā ʻōmole e lawe ana i ka mimi mai kou mau puʻupaʻa i kou ʻōpū mimi (i kapa ʻia he ureters) a hoʻopili iā lākou i kahi puka liʻiliʻi ma ka ʻili o kou ʻōpū. Ua kapa ʻia kēia puka he stoma ma ke ʻano lapaʻau.
E noʻonoʻo, i ka wā e ālai ʻia ai kekahi ʻāpana o ka ʻōnaehana paipu wai, hoʻokomo mākou i kahi paipu hou e kāpae i ke ālai ʻana a lawe i waho i ka wai. Ma hope o kēia ʻoki kino, ʻaʻole hele kāu mimi i ka ʻōpū mimi akā puka pololei mai ke kino mai nā puʻupaʻa ma o kēlā stoma. No ka hōʻiliʻili ʻana i ka mimi e puka mai ana, hoʻohana ʻia kahi ʻeke kūikawā (ʻeke) i hoʻopili ʻia i ka stoma. Ke piha kēia ʻeke, hiki iā mākou ke hoʻokahe iā ia.
Hana pinepine ʻia kēia ʻoki kino ma ke ʻano he hopena mau loa. I kekahi manawa hoʻokahi wale nō ureter hiki ke hoʻopili ʻia, a i ʻole hiki ke hoʻopili ʻia nā mea ʻelua.
No ke aha ʻoe e pono ai e hana i kēia ʻano ʻoki kino?
Aia kekahi mau kumu e manaʻo ai ke kauka i kēia ʻoki kino nou. ʻO ke kumu nui, ʻaʻole hana pono kou ʻōpū mimi.
- I ka wā e wehe ʻia ai ka ʻōpū mimi: I kekahi manawa, ma muli o kahi kūlana olakino e like me ke kanesa o ka ʻōpū mimi, pono paha e wehe loa ʻia.
- Ke hōʻino ʻia ka ʻōpū mimi: Ke hōʻino ʻia ka ʻōpū mimi ma muli o kahi ulia a i ʻole kekahi maʻi olakino a ʻaʻole hana pono.
- Nā Anomalies Congenital: ʻO kekahi mau kūlana congenital, e like me ka spina bifida, hiki ke hana i ka hana ʻino o ka ʻōpū.
- ʻEha o ke kaula kuamoʻo: Hiki i ka ʻeha o ke kaula kuamoʻo ke hoʻopilikia i nā aʻalolo e kaohi ana i ka ʻōpū mimi, e pilikia ai ka mimi ʻana.
He mea weliweli ka paʻa ʻana o ka mimi i loko o ke kino ma muli o kēia mau kumu. Hiki iā ia ke hoʻoulu i ka mimi pinepine.Hiki ke loaʻa nā maʻi ʻaʻai mimi ( UTI ) a hiki i ka hāʻule ʻana o nā puʻupaʻa. No laila hiki i kēia ʻoki kino ke hōʻemi i kēlā pilikia.
He aha nā hoʻokolohua e hana ʻia ma mua o ke ʻoki kino?
Ma mua o ka hana ʻana i kēia ʻoki kino, e hana nā kauka i kekahi mau hoʻokolohua e hoʻomaopopo maikaʻi ai i ke kūlana o kou kino.
| Inoa Hoʻāʻo | I ka ʻōlelo maʻalahi, he aha kāu e ʻike ai i loko? |
|---|---|
| Nā hoʻokolohua hana puʻupaʻa | E nānā i ka hana maikaʻi o kou mau puʻupaʻa. |
| Nā hoʻāʻo koko | E nānā i ke olakino laulā o ke kino a inā he mau maʻi. |
| Nā hoʻokolohua kiʻi (X-ray, Ultrasound) | E kiʻi i kahi ʻike maka o ke ʻano a me kahi o nā puʻupaʻa, nā ureters, a me ka ʻōpū mimi. |
| ʻO ka pyelogram retrograde | Hoʻokomo ʻia kahi wai kūikawā (dye) ma o ka urethra a lawe ʻia kahi X-ray e ʻike inā he mau mea keʻakeʻa i loko o ka ʻōnaehana mimi. |
| ʻO ke kiʻi C.T. (CT scan) | Lawe ʻia nā kiʻi ʻoki ʻāpana o ke kino e loaʻa ai kahi kiʻi maopopo. |
| M. R. I. (MRI) | Loaʻa nā kiʻi kikoʻī loa o nā puʻupaʻa a me ke ala mimi. |
Eia kekahi, ma mua o ke ʻoki ʻana, e kamaʻilio ke kauka a i ʻole ke kahu maʻi i aʻo kūikawā ʻia me ʻoe a e hoʻoholo i kahi kūpono loa e hana ai i ka stoma. Pono ia ma kahi e hiki ai iā ʻoe ke ʻike maʻalahi a ʻaʻole e paʻa i kou mau lole (e laʻa, he kāʻei) .
Ke ola ma hope o ke ʻoki kino a me ka mālama ʻana i ka stoma
Ma hope o ke ʻoki ʻana, pono ʻoe e hoʻomaʻamaʻa i kahi ʻano ola hou, akā ʻaʻole ia he paʻakikī e like me kou manaʻo.
Pehea e hana ai ka stoma a me ka ʻeke
ʻAʻole he ʻiʻo ka stoma. No laila, ʻaʻole hiki iā ia ke kāohi i ka mimi . Ke hoʻomau nei ka mimi i ka puka ʻana mai me kahi wai liʻiliʻi.
- ʻŌnaehana ʻEke: ʻElua ʻāpana o kēia. ʻO kekahi ka pale e pipili ana i ka ʻili. ʻO kekahi ka ʻeke e hōʻiliʻili ai i ka mimi. I kekahi manawa, hele mai nā ʻāpana me nā mea ʻelua.
- Pale: He pepili huinahā kēia me kahi lua ma waenakonu e kūpono i ka stoma. Kōkua ka ʻūpā kūikawā ma kēia i ka pale ʻana i ka mimi mai ka puka ʻana i waho a hoʻopaʻa pono iā ia i ka ʻili.
- ʻEke mimi: Hoʻopili ʻia kēia i ka ʻāpana ʻili. Hōʻiliʻili pololei ka mimi i loko.
ʻO ka maʻamau, pono e hoʻokahe ʻia ka ʻeke ke piha i hoʻokahi hapakolu a hapa paha . Me ka wehe ʻole ʻana i ka ʻeke, hiki iā ʻoe ke wehe i kahi kiwikā ma lalo a ninini i ka mimi i loko o ka lua. I ka pō, hiki iā ʻoe ke hoʻopili i kahi paipu i kēia kiwikā a hōʻiliʻili i ka mimi i loko o kahi ʻeke nui aʻe. No ka mea, kūpono kēia mau ʻeke i ke kino, ʻaʻole ʻike ʻia lākou ke ʻaʻahu ʻoe i nā lole maʻamau.
Ka mālama ʻana i ka stoma a me ka ʻili a puni
He mea nui loa ka mālama ʻana i ka stoma a me ka ʻili a puni ia mea i maʻemaʻe a maloʻo.
- E holoi i ka stoma a me ka ʻili a puni i kēlā me kēia lā me ka hoʻohana ʻana i ke kopa akahai a me ka wai.
- E holoi me ka wai a pau ke kopa.
- A laila, e hoʻomaloʻo pono. ʻAʻole maikaʻi ka loaʻa ʻana o ka makū.
Pono e hoʻololi ʻia ka ʻeke a me ka pale i kēlā me kēia 5-7 lā . Na ka haukapila e aʻo iā ʻoe pehea e hana ai i kēia mau mea āpau.
Āhea ʻoe e pono ai e kamaʻilio me ke kauka?
E makaʻala mau i kou stoma a me ka ʻili a puni. Inā ʻike ʻoe i kekahi mau loli, e haʻi koke aku i kāu kauka.
| Nā hiʻohiʻona e nānā ai | Wehewehena |
|---|---|
| Nā pilikia ʻili | |
| ʻUlaʻula a ʻeha paha | Inā ʻulaʻula ka ʻili a puni ka stoma, maneʻo, a kahe paha. |
| ʻEha a ʻeha paha ka ʻili | Inā maloʻo ka ʻili, māwae, a ʻōpala paha. |
| Nā hōʻailona o kahi maʻi | |
| Nā loli i ka mimi | Ka mimi ʻeleʻele, ke koko i loko o ka mimi, a i ʻole kahi ʻala ikaika. |
| Nā hiʻohiʻona ʻē aʻe | ʻEha kua, kuni, nausea a/a i ʻole luaʻi, nalowale o ka makemake e ʻai. |
Leka Lawe-Home
- ʻO ka Ureterostomy kahi hana ʻoki e hoʻohana ʻia e hoʻokahe i ka mimi mai ke kino ke hana ʻole ka ʻōpū mimi.
- ʻAe kēia i ka mimi e puka pololei mai nā puʻupaʻa ma o kahi puka (stoma) i hana ʻia ma ka ʻili a hōʻiliʻili i loko o kahi ʻeke kūikawā.
- He mea nui e mālama i ka stoma a me ka ʻili a puni i ka maʻemaʻe loa e pale ai i nā maʻi a me nā pilikia ʻili.
- Inā ʻike ʻoe i kekahi mau pilikia, e like me ke kuni, nā loli i ka mimi, a i ʻole ka ʻulaʻula o ka ʻili, e hoʻomaopopo koke i kāu kauka.
- ʻOiai he hoʻololi nui kēia ʻoki kino i kou ola, e pale aku ia i ka hōʻeha nui ʻana i kou mau puʻupaʻa a kōkua iā ʻoe e ola i kahi ola olakino.
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