Ke manaʻo nei ʻoe i kekahi manawa i ka ʻeha a i ʻole ke kuni ʻana i kou mimi ʻana ? A i ʻole ke manaʻo nei ʻoe e kahe iki ana kou wai ma hope o kou pau ʻana i ka mimi ʻana? ʻAʻole paha kēia he mea i lohe ʻia e ka poʻe he nui, akā hiki ke hana ʻia i kekahi mau wahine. ʻO ia ka mea a mākou e kamaʻilio ai i kēia lā. Mai hopohopo, e maopopo iā ʻoe ka nui ke aʻo hou ʻoe e pili ana i ia mea.
He aha ka Urethral Diverticulum (UD)?
I ka ʻōlelo maʻalahi, ʻo kēia Urethral Diverticulum (UD) ka wā e hoʻomohala ai ko kākou urethra , ʻo ia hoʻi, ka ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi a i waho, i kahi ʻeke liʻiliʻi a ʻeke paha i loko o kona paia. E noʻonoʻo iā ia e like me kahi pehu liʻiliʻi ma luna o kahi pōpō e puka mai ana. ʻO kēia ka urethra i nā wahine, ʻo ia hoʻi ma kahi o 4 kenimika ka lōʻihi. No laila, hiki i ka mimi a me ka pus ke hōʻiliʻili i loko o ka ʻeke e hana ʻia. A laila, aia kahi manawa nui o nā maʻi a me nā pilikia ʻē aʻe, ʻeā?
He kūlana maʻamau anei kēia?
ʻOiaʻiʻo, ʻaʻole kēia he maʻi maʻamau loa. Akā ke ʻike pinepine ʻia nei ia i kēia manawa ma mua o ka wā ma mua. ʻO ke kumu o kēia, ua loaʻa i nā kauka nā ʻano hana kiʻi hou e hiki ai ke kiʻi i nā kiʻi maopopo . No laila, ke ʻōlelo kekahi he ʻeha ko lākou ma kēia wahi, hiki iā lākou ke hoʻohana maʻalahi i kēlā mau ʻano hana e ʻike ai.
Akā, no ka mea he ʻano ʻē kēia, i kekahi manawa ʻaʻole noʻonoʻo ke kauka i ia mea, a aia kekahi mau manawa i ʻike ʻole ʻia ai kahi hōʻailona pololei.
ʻOiai kēlā, ʻoiai he maʻi laha ʻole kēia, ʻaʻole paha e noʻonoʻo ke kauka i ia mea i ka wā mua. No laila he mea nui e wehewehe pono i nā hōʻailona.
ʻIke pinepine ʻia ka Urethral Diverticulum (UD) i nā wahine ma waena o 30 a me 60 mau makahiki. No laila, inā ʻoe i loko o kēlā hui makahiki, he manaʻo maikaʻi e hoʻomanaʻo i kēia.
He aha ke kumu o kēia?
He paʻakikī ke ʻōlelo pololei i ke kumu o kēia, akā aia kekahi mau mea e noʻonoʻo ai.
- ʻO kekahi, ʻo ia ka maʻi ʻōpū mimi pinepine . Ke hoʻomau ʻia kēlā mau maʻi, hiki i ka paia o ka urethra ke lilo i mea nāwaliwali. A laila, hiki ke hana ʻia kahi ʻeke e like me ia.
- ʻO kekahi mea hiki ke hana ʻia kēia ʻano ma muli o kahi paʻa ʻana o nā kelepa kokoke i ka urethra. Hiki nō hoʻi ke hana ʻia ma muli o kekahi nāwaliwali hānau.
He aha nā hōʻailona?
He nui nā wahine i loaʻa kēia Urethral Diverticulum (UD) ma ka ʻaoʻao o ka vagina , ʻo ia hoʻiHe manaʻo ʻoluʻolu ʻole ma ka ʻōpū lalo , me he mea lā he mea puʻupuʻu . E noʻonoʻo, ʻoiai ua manaʻo ʻoe ua mimi maikaʻi ʻoe, ke manaʻo nei ʻoe i kahi pulu iki i loko o kou lole komo ma hope o ke ala ʻana. A i ʻole i kekahi manawa manaʻo koke ʻoe i ka makemake nui e mimi, a me he mea lā he paʻakikī ke hoʻomanawanui. ʻO kēia wale nō kekahi o nā hōʻailona.
Eia kekahi, hiki ke loaʻa nā hōʻailona e like me:
- Nā maʻi ʻōpū mimi pinepine (UTIs) .
- ʻO ke kahe ʻana o ka mimi ka manaʻo o ka mimi e kahe ana i waho ma hope o kou pau ʻana o ka mimi. I ka pololei, ke ala ʻoe ma hope o ka mimi ʻana, ua pulu hou kou lole komo.
- ʻEha a wela paha i ka wā e mimi ai.
- Ke manaʻo nei i ka pono pinepine a wikiwiki hoʻi e mimi .
- He koko liʻiliʻi i loko o ka mimi.
- ʻEha i ka wā o ka moekolohe.
ʻO ka mea nui, ʻaʻole like mau kēia mau hōʻailona. Hiki iā lākou ke hele mai a hele aku no nā lā . ʻO ka mea kupanaha, loaʻa i kekahi poʻe ka Urethral Diverticulum (UD) a ʻaʻole hōʻike i kekahi mau hōʻailona . ʻO ia hoʻi, ma kahi o 20% o nā maʻi ʻaʻole lākou e ʻike i kekahi ʻoluʻolu ʻole! No laila, inā ʻoe e manaʻo i kekahi mea e like me kēia, mai hoʻowahāwahā iā ia, ʻeā?
Pehea ʻoe e ʻike ai i kēia?
ʻIke pinepine ʻia ka Urethral Diverticulum (UD) i ka wā o ka hoʻokolokolo pelvic maʻamau , a i ʻole ke haʻi aku ʻoe i kāu kauka e pili ana i kāu mau hōʻailona. A laila e hana ke kauka i kahi hoʻokolokolo kino a kauoha paha i nā hoʻokolohua ʻē aʻe e ʻike ai i ke kumu.
He aha ka mea e nānā ʻia i ka wā o ka hoʻokolokolo kino?
E hoʻopā ke kauka i ka paia o kou ʻōpū e ʻike inā he mau puʻupuʻu a puʻupuʻu paha, a inā he ʻeha ke kaomi ʻoe iā ia. Inā manaʻo lākou i kahi puʻupuʻu, hiki iā lākou ke ʻomi mālie iā ia e ʻike inā puka mai kekahi mimi a pus paha . I kēia manawa, e kauoha pinepine ke kauka i kahi urinalysis e nānā i kahi maʻi.
Nā hoʻokolohua kūikawā (Nā Hoʻokolohua Kiʻi)
Ma hope o ka hoʻokolokolo kino, inā manaʻo ke kauka he pilikia paha, hiki iā ia ke kauoha i kekahi mau hoʻokolohua kiʻi. ʻO kekahi o kēia mau mea:
- Hoʻāʻo MRI (Magnetic Resonance Imaging): Hoʻohana kēia hoʻāʻo i kahi magnet nui, nā nalu lekiō, a me kahi kamepiula e hana i nā kiʻi maopopo loa o loko o ke kino, me ka hoʻohana ʻole ʻana i nā kukuna X. Hiki i kēia MRI ke nānā i ka ʻōpū haʻahaʻa holoʻokoʻa, ʻoi aku hoʻi a puni ka vagina, i loko o kekahi kanaka nona paha kahi urethral diverticulum (UD).No ka ʻike ʻana inā he mau puʻupuʻu a i ʻole nā mea ʻē aʻe. He hoʻāʻo kēia e hoʻopau manawa ai, akā pololei loa.
- Ultrasound: Hoʻohana kēia hoʻāʻo i nā nalu kani alapine kiʻekiʻe i lohe ʻole ʻia e ko mākou mau pepeiao e hele ma waena o nā ʻiʻo o ke kino a hoʻopaʻa i nā leo e hoʻi mai ana e hana i nā kiʻi o nā ʻōpū o loko. Hiki i kēia i ke kauka ke ʻike inā he mau pilikia kūkulu, pehu, a i ʻole ka hōʻiliʻili ʻana o ka wai i loko o nā ʻōpū o loko a puni ka vagina. Hiki ke hana koke ʻia kēia.
- Cystoscopy: Pili kēia i ka hoʻokomo ʻana i kahi ʻōmole liʻiliʻi i hoʻolako ʻia me ke kāmela i loko o ka urethra a i ʻole ka ʻōpū mimi e ʻike inā he diverticulum a me kona wahi e wehe ai. He hoʻāʻo pinepine kēia e hiki ke hana ʻia ma ke keʻena o ke kauka. ʻOiai he mea ʻoluʻolu ʻole iki, hiki iā ia ke hāʻawi i ka ʻike he nui.
Pehea e mālama ʻia ai?
I ka hapanui o nā hihia, ʻo ke ʻoki ʻana ka lāʻau maikaʻi loa no ka Urethral Diverticulum (UD) .
"ʻOiai ʻo ke ʻoki kino ka hopena maikaʻi loa, ʻaʻole ia he mea e pono ai nā kānaka a pau e hana koke. He mea nui e kamaʻilio me kāu kauka a hoʻoholo i ka mea maikaʻi loa iā ʻoe."
Eia nō naʻe, ʻaʻole kūpono ke ʻoki kino no nā kānaka a pau. Makemake kekahi mau wāhine e kali a ʻike inā e nui aʻe ka UD a i ʻole inā e ʻoi aʻe ka ʻino o nā hōʻailona, a laila e hoʻoholo inā e hana ʻia ke ʻoki kino a i ʻole. No kēia mau wāhine, he mea nui loa nā kipa hahai mau .
Nā kikoʻī e pili ana i ke ʻoki kino
Hana pinepine ʻia kēia ʻoki kino e ke kauka loea i kēia wahi, he urologist , no ka mea, he wahi koʻikoʻi loa kēia. He mea nui loa ia e hōʻoia ʻaʻole i hōʻino ʻia ka urethra i ka wā o ke ʻoki kino. Ma muli o ka nui a me ka wahi o ka ʻeke UD, e wehe loa ke kauka i ka ʻeke . Eia nō naʻe, hiki iā lākou ke ʻoki i ka ʻāʻī o ka ʻeke e hoʻokahe i nā mea o loko , a i ʻole e hana i kahi puka mai ka ʻeke i loko o ka vagina e ʻae i nā mea o loko e hele. Inā he mau pilikia incontinence urinary i ka wā o ke ʻoki kino UD, hiki paha i ke kauka ke mālama i kēlā mau mea.
Ma hope o ke ʻoki ʻana, pono ka hapa nui o ka poʻe e lawe i nā lāʻau antibiotic no 24 mau hola ma ka liʻiliʻi e pale aku i ka maʻi. Pono nō hoʻi lākou i kahi catheter e kōkua i ka hoʻokahe ʻana i ka mimi mai ka ʻōpū mimi i kona wā e ho'ōla ai, ʻo ia hoʻi he ʻelua a ʻekolu pule ka lōʻihi.Hiki iā ʻoe ke waiho i loko. He mea ʻoluʻolu ʻole paha kēia i ka wā mua, akā e kōkua ia iā ʻoe e ho'ōla wikiwiki. Ma mua o ka wehe ʻana i ka catheter, makemake paha kāu kauka lapaʻau e hana i kahi hoʻokolohua hahai hou i kekahi mau pule ma hope e ʻike ai pehea e ho'ōla nei ka wahi.
He aha ka mea e hiki mai ana? (Pehea ke kūlana?)
ʻOiai ʻaʻole kēia he mea maʻamau, hiki i kekahi poʻe ke hoʻomau i ka loaʻa ʻana o nā pilikia. No ka laʻana, inā ʻaʻole i wehe loa ʻia ka ʻeke a i ʻole ʻaʻole i hoʻopaʻa pono ʻia, hiki ke hoʻi hou mai nā pilikia. Inā hana ʻia kēia, pono paha kahi ʻoki lua . Eia nō naʻe, hiki i ka hapa nui o ka poʻe ke loaʻa nā hopena holomua me ke ʻoki mua. ʻO ka mea nui loa, ʻo ia ka hahai ʻana i nā ʻōlelo a kāu kauka a hahai pono.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai
No laila, inā loaʻa iā ʻoe kekahi o nā hōʻailona i ʻōlelo ʻia ma kēia ʻatikala, mai kānalua e ʻike i ke kauka . Hiki paha he maʻi maʻi mimi maʻalahi. A i ʻole, inā he ʻano ia e like me ka Urethral Diverticulum (UD), ʻo ka ʻike mua ʻana a me ka mālama kūpono e lawe mai i ka hōʻoluʻolu nui i kou ola.
E hoʻomanaʻo, ʻaʻohe kumu e hilahila ai a makaʻu paha e kamaʻilio e pili ana i kēia mau mea. ʻO kou olakino ka mea waiwai nui loa iā ʻoe. No laila, ʻo kou kuleana ke mālama iā ia. E kamaʻilio me kāu kauka e pili ana i kāu mau nīnau a wehewehe iā lākou . A laila hiki iā ʻoe ke ola i kahi ola olakino a hauʻoli.
ʻO ka Diverticulum Urethral, Ube Urethral, Maʻi ʻAla Mimi, Ola Kino Wahine, Urethritis, ʻoki kino, MRI, Ultrasound, Cystoscopy











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo