Ua paʻakikī iki anei ʻoe e mimi i kēia mau lā? ʻAʻole anei wikiwiki ke kahe ʻana o ka mimi e like me ma mua, ke paʻa nei paha, a i ʻole ke manaʻo nei ʻaʻole ʻoe i mimi iki? Hiki i kēia ʻano ʻoluʻolu ʻole ke hana pinepine i nā kāne. ʻO kekahi o nā kumu nui o kēia, ʻo ia ka paʻa ʻana o ka urethra, a i ʻole e like me kā mākou e kapa nei ma ke ʻano lapaʻau , he ʻūmiʻi o ka urethra (Urethral Stricture) . No laila i kēia lā ke kamaʻilio nei mākou e pili ana i ka Urethral Dilation, kahi hana maʻalahi a liʻiliʻi i hana ʻia ma ke ʻano he hopena i kēia pilikia.
I ka ʻōlelo maʻalahi, he aha ka Urethral Dilation?
He hana lapaʻau maʻalahi ka Urethral Dilation e hoʻonui ai i ka ʻāpana i haiki a paʻa paha o ka urethra. E noʻonoʻo inā paʻa kahi ʻāpana lepo i loko o kahi paipu wai i loko o kou hale, e lohi ke kahe ʻana o ka wai, ʻeā? Pēlā nō hoʻi ka mea e hana ʻia ma ʻaneʻi. ʻO ka ʻōmole e lawe ana i ka mimi mai kou kino aku ua kapa ʻia ʻo ka urethra. Hiki i nā ʻiʻo ʻeha ke hana i kahi ma loko o kēia ʻōmole a ālai i ke ala. Ua kapa ʻia kēia he urethral stricture .
Hiki i kekahi mau kumu no kēia ʻano ālai ʻana:
- He maʻi.
- Ka mumū.
- He ulia a ʻeha paha (trauma) i ke ala mimi.
- I kekahi manawa, ʻaʻole hiki ke loaʻa kahi kumu maopopo.
No laila, i ka mālama ʻana i ka Urethral Dilation, hoʻohana kahi Urologist i nā mea kani (leo) maikaʻi loa, lōʻihi, e like me ke koʻokoʻo e hoʻonui mālie i kahi i ālai ʻia ai kou urethra. I kekahi manawa, hana ʻia kēia ma ke kau ʻana i kahi mea liʻiliʻi e like me ka pōpō a hoʻopiha pinepine iā ia.
ʻO ka mea nui, ma hope o ka hoʻonui ʻana i ka urethra i hoʻokahi manawa, hiki ke hoʻi hou mai ka paʻa. Inā hana ʻia kēia, ʻoi aku ka maikaʻi o ka hoʻohana ʻana i kahi hopena mau loa, e like me ka urethroplasty , ma mua o ka hana hou ʻana i ka dilation. E wehewehe kāu kauka i kēia iā ʻoe me nā kikoʻī.
Ua like anei kēia me ka urethrotomy?
ʻO ka Urethrotomy kahi ʻano hoʻonui urethral. Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi ʻōmole penikala, i lako me ke kāmela (cystoscope) i loko o kou urethra e nānā i ka mea paʻa. A laila, me ka hoʻohana ʻana i kahi pahi liʻiliʻi loa (scalpel) ma ka mea hana like, ʻoki ke kauka i ka ʻiʻo ʻeha e hoʻoulu ai i ka paʻa, e hoʻonui ana i ka urethra.
Pehea e hoʻomākaukau ai no kēia lāʻau lapaʻau?
ʻAʻole kēia he hana ʻoki kino nui. Akā ma mua o kēlā, pono ʻoe e ʻike i kāu kauka a loaʻa ka ʻōlelo aʻoaʻo. Ma laila,
- Ua nānā ʻia kou kūlana olakino laulā.
- Nānā ʻia nā mea e like me ke koko a me ka pulse.
- 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.
- E hana ʻia kahi urinalysis e nānā ai no kahi maʻi. Inā he maʻi, pono ʻoe e lawe i ka lāʻau lapaʻau no ia ma mua o kēia lāʻau lapaʻau.
- E haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āpau āu e lawe ai (nā lāʻau lapaʻau a me nā lāʻau hoʻopau ʻeha a me nā huaora ma luna o ke kauka), no ka mea, hiki i kekahi mau lāʻau lapaʻau, e like me ka aspirin, ke hoʻonui i ka pilikia o ke kahe ʻana o ke koko.
- E haʻi aku kāu kauka iā ʻoe i ka lōʻihi ma mua o ka lāʻau lapaʻau e pono ai ʻoe e hoʻōki i ka ʻai ʻana a i ʻole ka inu ʻana. Ma ke ʻano laulā, inā loaʻa iā ʻoe ka anesthesia laulā, ʻoi aku ka maikaʻi o ka ʻai ʻole a inu paha i kekahi mea no ka liʻiliʻi he 6 mau hola.
| ʻIke e pili ana i ka lāʻau lapaʻau | Wehewehena |
|---|---|
| He hana ʻoki kino nui anei ia? | ʻAʻole. ʻAʻole kēia he hana ʻoki kino nui. Hiki iā ʻoe ke hoʻi pinepine i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila. |
| Pehea ka lōʻihi? | ʻAʻole i hala i hoʻokahi hola ka lōʻihi. |
| ʻEha? | ʻAʻole ʻoe e ʻike i kekahi ʻeha i ka wā o ka mālama ʻana no ka mea e hāʻawi ʻia ʻoe i ka anesthesia. Hiki iā ʻoe ke ʻike i kekahi ʻeha iki a i ʻole ke kuni i ka wā e mimi ai no kekahi mau lā ma hope. Hiki ke hoʻomalu ʻia kēia me nā lāʻau hōʻeha maʻamau. |
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o ka mālama ʻana, hiki ke hoʻokomo ʻia kahi catheter urinary e kōkua iā ʻoe e hoʻohele i ka mimi a hiki i ka ho'ōla ʻana o kou urethra. E haʻi aku kāu kauka a kahu maʻi paha iā ʻoe pehea e mālama ai. Pono ʻoe e mimi maʻalahi ma hope o ka wehe ʻia ʻana o ka catheter i loko o kekahi mau lā.
Ke loaʻa iā ʻoe kahi catheter, hiki iā ʻoe ke manaʻo i ka makemake e mimi ʻoiai ua hakahaka kou ʻōpū mimi. Mai hopohopo i kēia. He mea maʻamau nō hoʻi ke loaʻa kahi koko liʻiliʻi i loko o kou mimi (hematuria). Eia nō naʻe, inā ua ālai ʻia kāu catheter a ʻaʻole e puka mai ka mimi,Pono ʻoe e hoʻomaopopo koke i ke kauka.
Pehea nā hopena?
ʻO ka pōmaikaʻi nui o kēia lāʻau lapaʻau, ua nalowale ka ʻoluʻolu ʻole o ka paʻa ʻana o ka mimi, a hiki iā ʻoe ke mimi me ka maʻalahi a me ke olakino.
Eia naʻe, ʻaʻole kēia he hopena mau loa. I ka hala ʻana o ka manawa, hiki ke hoʻi hou mai ka paʻa ʻana. No laila, pono paha ʻoe e hana hou i kēia lāʻau lapaʻau a i ʻole e ʻimi i kahi lāʻau lapaʻau kūpono ʻē aʻe.
Ma ke ʻano o ka holomua, aia kahi helu holomua 60% no nā ālai liʻiliʻi ma lalo o 2 kenimika. Eia nō naʻe, hiki ke emi iho kēia pakeneka i ka hala ʻana o ka manawa.
He aha kaʻu e makaʻala ai ma hope o ka mālama ʻana?
ʻOkoʻa ka manawa hoʻōla mai kēlā me kēia kanaka. ʻO ka maʻamau, e ʻoi aku ka maikaʻi o kou manaʻo i loko o kekahi mau lā.
- Ke hoʻi nei i ka hana: Hiki iā ʻoe ke hoʻi hou i nā hana maʻamau i loko o kekahi mau lā. Eia nō naʻe, inā he hana koʻikoʻi kou, e noi i kāu kauka no kekahi mau lā hoʻomaha hou aku.
- Hoʻoikaika Kino: E hōʻalo i ka hoʻoikaika kino a hiki i ka wā e ʻae ai kāu kauka.
- Hana moekolohe: He mea naʻauao ke pale aku i ka hana moekolohe no hoʻokahi pule ma hope o ka lāʻau lapaʻau. E kamaʻilio pū me kāu kauka e pili ana i kēia.
Inā loaʻa iā ʻoe kēia mau hōʻailona, e kāhea koke aku i kāu kauka.
Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē ma hope o ka mālama ʻana, mai hoʻowahāwahā iā lākou. E kāhea koke aku i kāu kauka. A i ʻole e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- ʻAʻole hiki ke mimi.
- Ua ālai ʻia ka ʻōmole urethral i hoʻokomo ʻia a ʻaʻole i puka mai ka mimi.
- Hōʻike i nā hōʻailona o ka maʻi e like me ke kuni, ka ʻūlū, a me ka haʻalulu.
- Inā e ʻoi aku ka ʻeha.
- Inā he pehu ʻano ʻē.
Inā hoʻi hou mai nā hōʻailona o ka paʻa ʻana o ka mimi ma hope o ka hoʻōla ʻana, e ʻike i ke kauka.
Leka Lawe-Home
- ʻO ka Urethral Dilation kahi hana lapaʻau palekana a ʻaʻole invasive no nā urethral strictures.
- ʻAʻole kēia he hana ʻoki kino nui, a hiki pinepine iā ʻoe ke hoʻi i ka home me ka noho ʻole ʻana i ka haukapila.
- E nalowale ana ka ʻeha iki a me ke kaumaha ma hope o ka mālama ʻana i loko o kekahi mau lā.
- ʻAʻole paha he hopena mau loa kēia lāʻau lapaʻau, a inā hoʻi hou ka paʻa ʻana i ka hala ʻana o ka manawa, pono paha e hana i ka hoʻihoʻi ʻana a i ʻole e hana i kahi ʻoki kino ʻē aʻe.
- Inā loaʻa iā ʻoe kekahi mau hōʻailona ʻē (hiki ʻole ke mimi, kuni, ʻeha nui) ma hope o ka lāʻau lapaʻau, e hoʻomaopopo koke i kāu kauka.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kou kūlana, e kūkākūkā ākea me kāu kauka. Ua mākaukau mau lākou e kōkua iā ʻoe.
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