Loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi? Manaʻo ʻoe e like me ʻoe e mimi hou ma hope o kou pau ʻana o ka mimi? A i ʻole ʻoe e ʻeha i ka wā moe? Hoʻopau ka nui o nā wahine i ko lākou manawa me ka ʻoluʻolu ʻole me ia mau pilikia. I kekahi manawa hiki ke ʻokoʻa ke kumu o kēia ma mua o kā mākou e manaʻo ai. I kēia lā e kamaʻilio mākou e pili ana i ia ʻano maʻi, ʻaʻole i ʻike nui ʻia akā hiki ke hoʻopilikia i nā wahine. ʻO ia ka Urethral Diverticulum.
I ka ʻōlelo maʻalahi, he aha ka Urethral Diverticulum (UD)?
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o kā mākou ʻōnaehana mimi. ʻO ka mimi, ka mea e hōʻiliʻili i loko o kā mākou ʻōpū mimi, e puka ana i ke kino ma o kahi ʻōmole liʻiliʻi i kapa ʻia ʻo ka urethra . I nā wahine, he pōkole loa kēia urethra, ma kahi o 4 kenimika ka lōʻihi.
I kēia manawa, e noʻonoʻo i loko o kēia ʻōmole kahi e hele ai ka mimi, ʻo ia hoʻi, ka urethra, kahi mea e like me ka ʻeke liʻiliʻi a i ʻole kahi puʻupuʻu e hana ʻia ma ka paia. Puʻupuʻu ia e like me ka pōpō. ʻO ia ka mea a mākou e kapa nei he Urethral Diverticulum (UD) . He ʻeke pono ʻole kēia e hana ʻia.
ʻOiai aia kēia ʻeke ma ke ala mimi, hiki i ka mimi ke hoʻopiha iā ia ke mimi ʻoe. I kekahi manawa, hiki ke piha i nā germs a me ka pus. Hiki i kēia ke alakaʻi i nā maʻi pinepine a me nā pilikia ʻē aʻe he nui, e like me ka ʻeha.
He kūlana kēia e kū nei i nā kānaka he nui?
ʻAʻole maoli. He maʻi laha ʻole kēia. Akā, ʻoi aku ka nui o ka poʻe i ʻike ʻia me kēia maʻi ma mua o ka wā ma mua. ʻO ke kumu o kēia, ua loaʻa i kēia manawa ka ʻenehana lapaʻau holomua. ʻOi loa aku me nā ʻano scan e like me MRI a me Ultrasound, ua hiki ke ʻike maopopo i kēia ʻano pilikia i loko o ke kino.
Eia nō naʻe, no ka mea he mea kākaʻikahi ia, i kekahi manawa inā he mau hōʻailona, ʻaʻole paha e nānā pono nā kauka i kēia ʻano. No laila, ʻaʻole paha e ʻike pololei ʻia kekahi mau maʻi. ʻIke pinepine ʻia kēia ʻano i waena o nā wahine ma waena o 30 a me 60 mau makahiki .
He aha ke kumu o kēia?
ʻAʻole maʻalahi ka loaʻa ʻana o kahi kumu kūpono no kēia, akā aia kekahi mau mea a nā kauka e manaʻoʻiʻo nei he hiki ke hana:
- Nā maʻi pinepine o ke ala mimi: Ke loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi a me ka urethral, hiki i ka paia o ka urethra ke lilo i mea nāwaliwali. ʻO kēia nāwaliwali kahi e hoʻomaka ai ka ʻāpana e like me ka ʻeke e hana.
- Ka ālai ʻana o nā kelepa e hoʻopuni ana i ka urethra: Ke ālai ʻia nā puka o nā kelepa liʻiliʻi e hoʻopuni ana i ka urethra, hiki i nā mea huna ke hōʻiliʻili i loko o lākou, lilo i maʻi, a i ka hala ʻana o ka manawa, hiki ke hana ʻia kēia ʻano ʻeke.
- Pilikia hānau: He mea kākaʻikahi loa, hiki ke hana ʻia kēia ʻano e kahi nāwaliwali i ka wā hānau.
- Ka hopena i ka wā hānau keiki: Aia kahi manawa liʻiliʻi e hiki mai ai kēia ʻano ma muli o kekahi kaomi a hōʻino paha i ka wahi i ka wā hānau keiki.
Loaʻa iā ʻoe kēia mau hōʻailona?
Nui nā wāhine me kahi urethral diverticulum e manaʻo paha i kekahi ʻoluʻolu ʻole, kaumaha, a i ʻole he puʻupuʻu ma ka ʻāpana vaginal. Eia nō naʻe, hiki ke ʻike ʻia kekahi a ʻoi aku paha o kēia mau hōʻailona. E nānā kākou i kēia mau mea e hoʻomaopopo pono ai iā lākou.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Nā maʻi ʻōpū mimi pinepine | Ma muli o ka noho ʻana o ka mimi i loko o kēlā ʻeke, hiki i nā germs ke laha maʻalahi a hiki ke loaʻa nā maʻi i hoʻokahi a ʻelua paha o ka mahina. |
| Kahe ʻana o ka mimi (ka liki ʻana o ka mimi) ʻoiai ma hope o ka mimi ʻana | Ma hope o kou pau ʻana i ka mimi ʻana, e puka mālie mai ana ka mimi i hoʻopiha ʻia i loko o ka ʻeke. Hiki i kēia ke hoʻomaʻū i kou lole komo. |
| ʻEha i ka wā o ka mimi ʻana | Hiki paha iā ʻoe ke manaʻo i ka wela a me ka ʻeha i ka wā e mimi ai, ʻoiai inā he maʻi kou. |
| Ka wikiwiki | Pono koke ʻoe e mimi me ke kāohi ʻole ʻia. Pono nō hoʻi ʻoe e mimi i nā manawa he nui i ka lā. |
| Koko i loko o ka mimi | I kekahi manawa hiki i ka mimi ke lilo i poni a ʻulaʻula paha. |
| ʻEha i ka wā o ka moekolohe | Ma muli o ke ʻano o kēia ʻeke, ʻo ke ʻomi ʻana iā ia i ka wā moe kolohe hiki ke hōʻeha nui. |
ʻO ka mea nui, ʻaʻole like mau kēia mau hōʻailona. I kekahi mau lā, he akahai paha lākou, i kekahi mau lā he koʻikoʻi paha. Eia kekahi, ma kahi o 20% o nā wahine me kēia maʻi ʻaʻole paha e ʻike i kekahi mau hōʻailona.
Pehea e ʻike ai ke kauka i kēia maʻi?
ʻO ka maʻamau, kānalua ke kauka i kēia ke haʻi aku ʻoe iā lākou e pili ana i kāu mau hōʻailona, a i ka wā o ka hoʻokolokolo pelvic. Ma hope o kēlā, holo lākou i kekahi mau hoʻokolohua e ʻike ai i ke kumu pololei.
1. Hoʻokolohua Kino
ʻO ka mea mua, e nānā ke kauka i nā paia o kou ʻōpū e ʻike inā he mau puʻupuʻu a ʻeke paha. E hoʻāʻo pū lākou e kuhikuhi i kahi kikoʻī o ka ʻeha. Inā manaʻo lākou i kahi puʻupuʻu e like me ka ʻeke, e ʻomi mālie lākou iā ia e ʻike inā puka mai ka mimi a i ʻole ka pus. E hana pū lākou i kahi loiloi mimi e nānā i ka maʻi.
2. Nā scan a me nā hoʻokolohua ʻē aʻe
Inā kū mai ka kānalua ma hope o ka hoʻokolokolo kino, hiki ke hoʻohana ʻia nā hoʻokolohua holomua e like me kēia e hōʻoia i ia mea.
- ʻO ke kiʻi MRI (Magnetic Resonance Imaging): He ʻano hana kēia e hoʻohana ana i kahi kahua magnetic a me nā nalu lekiō e hana i nā kiʻi maopopo loa o loko o ke kino, me ka hoʻohana ʻole ʻana i nā kukuna X. Hiki i kēia ke nānā i kou vagina a me ka ʻāpana a puni kou urethra e ʻike inā he cyst kou a pehea kona nui.
- ʻO ke scan Ultrasound: Pili kēia i ka hoʻouna ʻana i nā nalu kani alapine kiʻekiʻe i loko o ke kino a me ka hoʻohana ʻana i nā leo e hana i nā kiʻi o nā ʻōpū o loko. E like me nā scan i hoʻohana ʻia e nānā i kahi pēpē i ka wā hāpai, hiki i kēia ke nānā i nā puʻupuʻu a i ʻole ka pehu a puni ka urethra.
- Cystoscopy: Pili kēia i ka hoʻokomo ʻana i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi i hoʻopili ʻia i lalo o ka urethra e nānā i loko o ka urethra a me ka ʻōpū mimi. Hiki iā ʻoe ke ʻike pololei i kahi o ka puka. ʻO ka hapa nui o ka manawa, hiki ke hana ʻia kēia hoʻāʻo ma ke keʻena o ke kauka.
He aha nā lāʻau lapaʻau no kēia?
ʻO ka lāʻau lapaʻau maikaʻi loa a mau loa no ka diverticulum urethral, ʻo ia ka wehe ʻana i ka ʻeke ma o ke ʻoki ʻana .
Eia naʻe, ʻaʻole pono nā kānaka a pau i ke ʻoki kino koke. Makemake kekahi mau wāhine, ʻoiai inā ʻaʻole koʻikoʻi loa ko lākou mau hōʻailona, e kali a ʻike. Kali lākou e ʻike inā e nui aʻe ka cyst a i ʻole e ʻoi aku ka ʻino o ko lākou mau hōʻailona. Eia nō naʻe, inā hoʻoholo ʻoe e hana pēlā, he mea nui e ʻike i kāu kauka i ka manawa kūpono e nānā i kou kūlana.
Pehea e hana ʻia ai ke ʻoki kino
Hana pinepine ʻia kēia ʻoki kino e kahi urologist, he kauka loea i ka ʻōnaehana mimi. No ka mea he wahi palupalu loa kēia, pono e hana ʻia ke ʻoki kino me ka ʻole o ka hōʻino ʻana i ka urethra.
I ka wā o ke ʻoki ʻana, noʻonoʻo ke kauka i nā kumu he nui, e like me ka nui o ka ʻeke a me kona wahi, a laila koho i kekahi o kēia mau ʻano hana.
1. Ka wehe piha ʻana o ka ʻeke: ʻO kēia ke ʻano hana maʻamau. Hana ʻia kahi ʻoki ma o ka vagina, ʻoki loa ʻia a wehe ʻia ka ʻeke, a hoʻoponopono ʻia ka urethra.
2. Ka wehe ʻana a me ka hoʻokahe ʻana i ka ʻeke: I kekahi mau hihia, ʻoki ʻia ka ʻāʻī o ka ʻeke, hoʻokahe ʻia nā mea o loko, a hoʻoponopono ʻia ka ʻeke i ʻole e hana hou ʻia.
3. Ka wehe ʻana i ka vagina: ʻO kekahi ʻano hana ʻē aʻe, ʻo ia ka hana ʻana i kahi puka mau loa mai ka ʻeke a i ka vagina. A laila, ʻo nā mea i hōʻiliʻili ʻia i loko e puka mau ana ma o ka vagina.
ʻO ka mea maikaʻi, inā loaʻa iā ʻoe nā pilikia ʻē aʻe, e like me ka incontinence mimi, i ka wā o kēia ʻoki kino, hiki i ke kauka ke hoʻoponopono i kēlā i kekahi manawa.
Ma hope o ke ʻoki kino
Ma hope o ke ʻoki ʻana, pono ʻoe e lawe i nā lāʻau antibiotic no hoʻokahi lā. Eia kekahi, e kau ʻia kahi catheter i loko o kou ʻōpū mimi e kōkua iā ʻoe e hoʻohele maʻalahi i ka mimi a hiki i ka hoʻōla ʻana o kahi ʻoki. E waiho mau ʻia kēia no ʻelua a ʻekolu pule. Ma hope o kēlā manawa, e hana hou ke kauka i kahi hoʻokolokolo e ʻike inā ua hoʻōla ʻia ka ʻeha a laila wehe i ka catheter.
Pehea lā ke kūlana i ka wā e hiki mai ana?
Hoʻōla piha ka hapa nui o ka poʻe ma hope o ke ʻoki ʻana. Eia nō naʻe, he mea kākaʻikahi loa, hiki i kekahi poʻe ke loaʻa nā pilikia. No ka laʻana, inā ʻaʻole i wehe loa ʻia ka cyst, hiki ke kū hou mai nā pilikia. Inā hana ʻia kēlā, pono paha ʻoe e hana i kahi ʻoki lua. Eia nō naʻe, me ka ʻike pono a me ka mālama ʻana e ke kauka kūpono, hiki ke ho'ōla piha ʻia kēia maʻi.
Leka Lawe-Home
- He ʻeke makemake ʻole ʻia ka urethral diverticulum e hana ʻia ma ka urethra. Hiki iā ia ke piha me ka mimi a i ʻole ka pus.
- ʻO nā hōʻailona nui e pili ana i ka maʻi pinepine o ke ala mimi, ka liki ʻana o ka mimi ma hope o ka mimi ʻana, ka ʻeha i ka wā mimi, a me ka ʻeha i ka wā o ka moekolohe.
- ʻAʻole paha e ʻike kekahi poʻe i kekahi mau hōʻailona.
- Inā hoʻomau ʻoe i nā hōʻailona e like me kēia, mai hilahila a hilahila paha, a e ʻike pono i kāu kauka.
- Hiki ke ʻike pololei ʻia kēia kūlana ma o nā hoʻokolohua e like me ka hoʻokolokolo kino, MRI, Ultrasound, a me Cystoscopy.
- Hiki ke ho'ōla loa ʻia kēia maʻi me ke ʻoki kino, no laila ʻaʻohe pono e hopohopo.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo