E aʻo kākou e pili ana i ke ālai ʻana o ka urethral a me kona mālama ʻana (Urethral Dilation)

Ke pilikia nei hoʻi ʻoe i ka mimi wikiwiki e like me ka wā ma mua? Ua nāwaliwali anei kou kahe mimi? Malia paha ke kahe nei me ka ʻeha iki? Inā loaʻa iā ʻoe kēia ʻano ʻoluʻolu ʻole, ʻo ke kumu paha he poloka i loko o kou urethra . I ka lāʻau lapaʻau, kapa mākou i kēia (urethral stricture) . Mai makaʻu i kou lohe ʻana i kēia inoa, he ʻano kēia e hoʻopilikia ai i nā poʻe he nui. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi lāʻau maʻalahi a maikaʻi hoʻi no kēia.

I ka ʻōlelo maʻalahi, he aha ka Urethral Dilation?

ʻO ka Urethral Dilation kahi lāʻau lapaʻau no ka hoʻonui ʻana i ka urethra . ʻO ka urethra ka ʻōmole e puka mai ai ka mimi mai kou kino. E like me ka wā e paʻa ai ka lepo i loko o kahi paipu wai, e emi ana ke kahe o ka wai, i ka wā e hana ʻia ai ka ʻiʻo ʻeha i loko o ko mākou urethra no kekahi kumu a ālai ʻia, e emi ana hoʻi ke kahe o ka mimi a lilo i mea paʻakikī. Ua kapa ʻia kēia he urethral stricture . No laila, ʻo kēia lāʻau lapaʻau maʻalahi i kapa ʻia ʻo urethral dilation e hoʻonui mālie hou i ka wahi i ālai ʻia.

No ke aha i ālai ʻia ai ke ala mimi e like me kēia?

Aia paha kekahi mau kumu no kēia.

• Nā maʻi: Ma muli o kekahi mau maʻi i loko o ke ala mimi.
• Ka mumū ʻana: Ka mumū ʻana o ke ala mimi ma muli o kekahi kumu.
• ʻEha : Ma hope o kahi ulia a ʻoki kino paha ma ia wahi.
• Me ke kumu ʻole: I kekahi manawa hiki ke kū mai kēia ʻano ʻoiai inā ʻaʻole hiki ke loaʻa kahi kumu maopopo.

Pehea e hana ʻia ai kēia lāʻau lapaʻau?

Ma kēia, hoʻohana kāu kauka, he urologist , i kahi mea lōʻihi a lahilahi (i kapa ʻia he mea kani ma nā ʻōlelo lapaʻau) e mānoanoa mālie a mānoanoa hoʻi e hoʻonui mālie i ka urethra i paʻa. ʻO kekahi ʻano hana, ʻo ia ke hoʻokomo i kahi mea e like me ka pōpō liʻiliʻi a hoʻopiha mālie iā ia e hoʻonui i ka wahi i paʻa.

Aia kekahi hana like ʻē aʻe i kapa ʻia he urethrotomy . Ma kēia kaʻina hana, ua hoʻokomo ʻia kahi ʻōmole e like me ka nui o ka penikala me kahi kāmela ma ka hopena (cystoscope) i lalo o ka urethra e ʻike pono i ka mea e hana nei. Hoʻohana kēia mea hana i kahi pahi liʻiliʻi (scalpel) e ʻoki i ka urethra.Ua ʻoki ʻia a wehe ʻia ka ʻiʻo ʻeha i paʻa, e hoʻomaikaʻi ana i ke alanui.

Akā, hoʻokahi mea. Inā ʻoe e hana i kēia i hoʻokahi manawa a loaʻa hou kahi poloka, aia kahi manawa kūpono e hana hou ʻia ʻoiai inā ʻoe e hana hou. I kēlā hihia, hiki i kāu kauka ke ʻōlelo aku i kahi ʻoki kino ʻoi aku ka koʻikoʻi (urethroplasty) . E wehewehe kāu kauka i kēia iā ʻoe me nā kikoʻī.

Pehea ʻoe e hoʻomākaukau ai no kēia?

Ma mua o kēia lāʻau lapaʻau, pono ʻoe e ʻike i ke kauka. Ma laila, e nānā ʻia ai kou olakino holoʻokoʻa, ke koko, a me ka pulse.

• Nā hoʻāʻo: Hiki ke hana ʻia kahi cystoscopy a i ʻole nā ​​​​hoʻāʻo kiʻi ʻē aʻe e ʻike pono ai pehea i ālai ʻia ai ka urethra.
• ʻIke mimi : E hana ʻia kahi ʻike mimi e nānā i ka bacteria . Inā he maʻi bacteria, pono ʻoe e lawe i nā lāʻau antibiotic ma mua o kēia lāʻau lapaʻau.
• Ka ʻIke Lāʻau Lapaʻau: He mea nui loa kēia. Pono ʻoe e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei, me nā lāʻau lapaʻau no ka maʻi diabetes, ke koko kiʻekiʻe, nā lāʻau ʻeha ʻeha ma luna o ke kauka , nā huaora, a me nā lāʻau Ayurvedic . ʻO kekahi mau lāʻau lapaʻau, e like me ka aspirin, e hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
• ʻAi a me ka Mea Inu: Inā ʻoe e hoʻomoe ʻia ana no kēia kaʻina hana, e noi pinepine ʻia ʻoe ʻaʻole e ʻai a inu paha i kekahi mea no 6 mau hola ma mua o ke kaʻina hana. Inā loaʻa iā ʻoe kekahi mau lāʻau lapaʻau i kēlā me kēia lā, e nīnau i kāu kauka inā hiki iā ʻoe ke lawe iā lākou me kahi ʻōmole wai.

He aha ka mea e hana ʻia i ka wā a ma hope o ka mālama ʻana?

ʻO ka mea mua, ʻaʻole kēia he ʻoki kino nui. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi ma hope o ka mālama ʻana (kaʻina hana outpatient) .

Hana pinepine ʻia kēia i ka wā e hoʻomoe ʻia ai ʻoe (anesthetized). No laila, ʻaʻole ʻoe e ʻeha. I kekahi manawa, inā hana ʻia i kou wā e ala ana, hoʻopili ʻia kahi lubricant numbing i ka urethra e kōkua iā ʻoe e emi iho ka ʻeha.

Ma hope o ka hoʻonui ʻia ʻana o ke ālai ʻana, hiki i ke kauka ke hoʻokomo i kahi ʻōmole i lako me ke kāmela (cystoscope) i loko o ka ʻōpū mimi e nānā i nā pilikia ʻē aʻe. ʻOi aku ka liʻiliʻi o ka hola ma mua o ke kaʻina hana holoʻokoʻa.

Ma hope o ka lāʻau lapaʻau, e hoʻohana ʻia kahi ʻōmole liʻiliʻi (urinary catheter) e kōkua i ka hoʻokahe maʻalahi ʻana o ka mimi a hiki i ka ho'ōla ʻana o ka urethra.E noho mau ana ia ma kona wahi. Mai hopohopo no kēia. Hiki ke wehe ʻia kēia ʻōmole i loko o kekahi mau lā. Ma hope o kēlā, hiki iā ʻoe ke mimi maʻalahi.

Pehea ka maikaʻi o kēia lāʻau lapaʻau?

He kūleʻa loa ka mālama ʻana i ka Urethral Dilation i ka wā pōkole. Loaʻa iā ia ka helu kūleʻa ma kahi o 60% no nā mea i ālai ʻia ma lalo o 2 kenimika. ʻO ka pōmaikaʻi nui loa, ʻo ia ka nalowale ʻana o nā hōʻailona o ka mea i ālai ʻia ka mimi a hiki iā ʻoe ke mimi maʻalahi me ka ʻeha ʻole.

Eia nō naʻe, ʻaʻole paha kēia he hopena mau loa no nā mea āpau. I ka hala ʻana o ka manawa, hiki ke pani hou ʻia ka urethra. A laila pono paha ʻoe e hana hou i kēia lāʻau lapaʻau a i ʻole kekahi lāʻau lapaʻau kūpono ʻē aʻe. E hāʻawi kāu kauka iā ʻoe i ka hopena maikaʻi loa no kēia e like me kou kūlana. No laila, mai hoʻomanaʻo i kekahi mau nīnau a kūkākūkā i nā mea āpau me kāu kauka.