Ke pilikia nei hoʻi ʻoe i ka mimi ʻana? He urethral stricture paha kēia!

Ke manaʻo nei ʻoe i kekahi manawa he paʻakikī iki ke mimi ʻoe? A i ʻole ke manaʻo nei ʻoe e emi ana kāu mimi, a i ʻole ke manaʻo nei ʻoe he nui hou aʻe ma hope o kou pau ʻana o ka mimi ʻana? He mau pilikia maʻamau kēia. Akā ʻo ke kumu o kēia paha he haiki iki kou urethra. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia he urethral stricture .

He aha ke ʻano o ka Urethral Stricture?

I ka ʻōlelo maʻalahi, ʻo ka urethral stricture ka hoʻohaiki ʻana o kou urethra. ʻIke ʻoe, ʻo ka mimi ke ala e hoʻopau ai ko mākou kino i nā ʻōpala. Puka mai kēia mimi ma o kahi ʻōmole liʻiliʻi e puka mai ana mai ka ʻōpū mimi. Kāhea mākou i kēia ʻōmole ʻo ka urethra.

I kēia manawa, e nānā, i loko o ke kāne , holo kēia urethra mai ka ʻōpū mimi a i ka urethral meatus ma ka piko o ka penis. I loko o ka wahine , pili kēia paipu mai ka ʻōpū mimi a i ka puka ma mua pono o ka vagina.

No laila, inā paʻa a haiki paha kēia alahele no ka mimi, ʻo ia hoʻi, ka (Urethra), no kekahi kumu, a laila ʻo ia ka manawa e hana ʻia ai (Urethral Stricture). Ua like ia me ka paipu wai e paʻa ana i waenakonu. Ua kapa pū kekahi poʻe i kēia (Urethral Stricture Disease).

Pehea ka maʻamau o kēia ʻano?

ʻOi aku ka maʻamau o ka urethral stricture i nā kāne. Ma ke ʻano maʻamau, pili ia i kahi 1% o nā kāne. ʻAʻole ia he mea maʻamau i nā wahine.

He aha nā hōʻailona o kēia?

ʻO ka hōʻailona nui o ka urethral stricture ka emi ʻana o ka wikiwiki o ke kahe ʻana o ka mimi, a i ʻole ka haiki ʻana o ka urethra. Hiki iā ʻoe ke ʻike i kēia mau mea:

• Ke hoʻoikaika nei e mimi: Pono ʻoe e hoʻoikaika nui e hoʻokuʻu i ka mimi.
• ʻEha i ka wā e mimi ai (dysuria).
• Nā maʻi ʻōpū mimi pinepine (UTI). Hiki iā ʻoe ke loaʻa i ke kuni a me ke anu.
• Prostatitis: Hiki ke hana kēia i nā kāne.

E noʻonoʻo inā ʻoe i loko o kahi kūlana kahi i kaumaha nui ai ʻoe a hiki ʻole iā ʻoe ke mimi? He mea paʻakikī loa kēlā, ʻeā?

I kekahi manawa, inā lilo kēia (Urethral Stricture) i mea koʻikoʻi loa, hiki iā ʻoe ke ʻike koke i kahi kūlana kahi hiki ʻole iā ʻoe ke mimi (Acute Urinary Retention). He kūlana kēia e pono ai ka mālama olakino ulia pōpilikia. No ka mea, inā ʻaʻole i mālama ʻia, hiki i ka mimi ke hoʻi hou a hoʻopilikia i nā puʻupaʻa ʻelua, e hoʻoulu ai iā lākou e pehu (Hydronephrosis). Eia kekahi, aia kahi hiki ke hāʻule ka puʻupaʻa (Kidney Failure). No laila, pono ʻoe e makaʻala loa i kēia.

Pehea kou manaʻo ke loaʻa iā ʻoe kahi (Urethral Stricture)?

Pili maoli kēia i ke koʻikoʻi o kou urethral stricture. No kekahi poʻeManaʻo paha ʻoe e pono ʻoe e mimi pinepine, me he mea lā e pono mau ana ʻoe e mimi ma hope o kou puka ʻana mai ka lua. A i ʻole e loaʻa koke paha iā ʻoe kahi makemake hiki ʻole ke kāohi ʻia e mimi. I kekahi mau hihia, hiki iā ʻoe ke ʻeha i ka wā e mimi ai ʻoe.

He aha ke kumu o kēia?

I ka hapanui o nā hihia, ʻo ke kumu nui o ka urethral stricture ka mumū mau a i ʻole ka ʻiʻo palapū mai kahi ʻeha. Hoʻohaiki kēia ʻiʻo palapū i ka urethra, e paʻakikī ai ke kahe maʻalahi o ka mimi.

Hiki ke hana mālie ʻia kēia ʻiʻo ʻeha ma muli o nā kumu penei:

• ʻO kahi ʻeha i kāu penis a i ʻole scrotum (ka ʻeke e paʻa ai kāu mau testicles), malia paha mai kahi hāʻule ʻana a i ʻole kahi ulia.
• ʻO kahi maʻi, ʻoi aku hoʻi kahi maʻi i laha ma ke moekolohe (STI), e like me ka chlamydia.
• Hoʻokomo ʻia nā catheters mimi a i ʻole nā ​​​​mea hana ʻē aʻe ma o ka urethra i ka wā o ke ʻoki kino a i ʻole nā ​​​​kaʻina hana lapaʻau ʻē aʻe.
• Ma muli o nā kūlana e like me ke kanesa urethral a i ʻole ka prostate .
• Ma muli o ka loaʻa ʻana o ka radiation therapy .

I kekahi manawa, ʻaʻole ʻoe e ʻike he urethral stricture kou a hiki i ka wā ma hope o ka ho'ōla ʻana o ka mumū a i ʻole ka ʻeha i ka urethra. I kekahi manawa, hiki ke hana ʻia kēia haiki ma hope koke iho o ka ʻeha.

Hiki ke mimi i ka wā e hōʻeha ai ka urethra?

Hiki i nā kānaka he nui ke mimi me ka urethral stricture. Eia nō naʻe, hiki ke paʻakikī a ʻeha hoʻi. Manaʻo paha ʻoe me he mea lā ʻaʻole i hoʻokahe loa ʻia kou ʻōpū mimi. Eia nō naʻe, inā koʻikoʻi ka urethral stricture, ʻaʻole paha ʻoe e hiki ke mimi iki. Inā loaʻa iā ʻoe kahi maʻi urinary tract akā ʻaʻole hiki ke mimi, he mea nui e ʻimi koke i ke kōkua lapaʻau.

ʻO wai ka mea i hoʻopilikia nui ʻia e kēia kūlana?

Hiki i kekahi ke loaʻa i kahi urethral stricture. Eia nō naʻe, inā he kāne ʻoe a ʻoi aku ma mua o 55 mau makahiki, ʻoi aku ka nui o kou loaʻa ʻana i kēia maʻi.

Pehea ʻoe e ʻike ai inā he Urethral Stricture kou (Urethral Stricture)?

Inā manaʻo ʻoe e mimi lohi loa ana ʻoe a nāwaliwali paha, e ʻike koke i ke kauka. Hiki iā ia ke hana i kekahi mau hoʻokolohua maʻalahi e ʻike ai inā he pilikia kou i ka hoʻokahe ʻana i kou ʻōpū mimi. ʻOiai ʻaʻole hiki i kēia mau hoʻokolohua ke haʻi pololei inā he urethral stricture kou, hiki iā lākou ke kōkua i ka ʻike ʻana inā he pilikia. Eia nā hoʻokolohua i hana pinepine ʻia:

• Nā hoʻāʻo kahe o ka mimi: Ke ana kēia i ka nui o ke kahe o ka mimi ke hele ʻoe i ka lua.
• Hoʻāʻo mimi koena ma hope o ka puka ʻana o ka mimi (PVR): He hoʻāʻo kiʻi kēia e ana i ka nui o ka mimi i koe i loko o kou ʻōpū mimi ma hope o kou mimi ʻana. ʻO ka maʻamau, pono e hakahaka loa kou ʻōpū mimi ma hope o kou mimi ʻana. Eia nō naʻe, inā he stricture kou, hiki ke waiho ʻia kekahi mimi.

ʻAʻole hiki i kēia mau hoʻokolohua maʻalahi ke ʻike maopopo inā ʻo kou pilikia i ka hoʻokahe ʻana i kāu ʻōpū mimi ma muli o kahi urethral stricture a i ʻole kekahi maʻi ʻē aʻe. No laila, inā kānalua kāu kauka i kahi stricture, hiki iā ia ke kauoha i kahi X-ray i kapa ʻia he retrograde urethrogram e ʻike iā ia a ana i kona lōʻihi a me ka laulā. Ma kēia hoʻokolohua, hoʻokomo ke kauka i kahi wai kūikawā (contrast dye) i loko o kou urethra. Kōkua kēia wai i ka X-ray e hōʻike i kahi o ka stricture a me kona lōʻihi.

Hiki i kāu kauka ke hana i kahi hoʻokolohua i kapa ʻia he cystoscopy . Pili kēia i ke kau ʻana i kahi ʻōmole liʻiliʻi a palupalu (scope) me kahi kāmela i hoʻopili ʻia i ka hopena i loko o kou urethra. ʻAe ka cystoscope i ke kauka e ʻike i kahi o ka stricture. Ma mua o ka hoʻokolohua, ua hoʻokomo ʻia kahi lāʻau hoʻomānoino i loko o kou urethra e hōʻemi i ka ʻoluʻolu ʻole.

Pehea e mālama ai i kahi (Urethral Stricture)?

Aia kekahi mau lāʻau lapaʻau no ka Urethral Stricture. Na kāu kauka e hoʻoholo i ka lāʻau lapaʻau kūpono loa e pili ana i kou kūlana.

• Urethral Dilation: Ma kēia kaʻina hana, hoʻohana kekahi urologist i kahi ʻano o nā koʻokoʻo lōʻihi a lahilahi e hoʻonui i ka ʻāpana i hāiki ʻia, e hoʻokomo mālie ana i nā koʻokoʻo o ka mānoanoa e hoʻonui ana.
• Urethrotomy Kūloko: Ma kēia, ua hoʻopili ʻia kahi pahi liʻiliʻi (scalpel) i ka hopena o kahi cystoscope, a ua ʻoki ʻia a wehe ʻia ka ʻiʻo ʻeha.
• Ke Kūkulu Hou ʻana o ka Urethral: He ʻoki kino nui iki kēia. Ma kēia, ua wehe ʻia ka ʻāpana i haiki a ua hoʻopili hou ʻia nā wēlau olakino ʻelua o ka urethra.

ʻO ka mea nui loa, ʻo ke kamaʻilio ʻana me kāu kauka a hoʻoholo i ka lāʻau lapaʻau kūpono iā ʻoe.

Pehea ka wikiwiki o koʻu ʻoluʻolu ma hope o ka lāʻau lapaʻau?

Aia ia i ke ʻano o ka lāʻau āu e loaʻa ai. Hiki i kahi lāʻau maʻalahi e like me ka Urethral Dilation ke hoʻomaka e hōʻoluʻolu i kāu mau hōʻailona i loko o kekahi mau lā. Eia nō naʻe, inā loaʻa iā ʻoe ke ʻoki ʻana, hiki ke hala a hiki i ʻewalu pule e hoʻōla piha ai. E hāʻawi kāu kauka iā ʻoe i kahi manaʻo maopopo o kou manawa hoʻōla, ma muli o ka lāʻau i ʻōlelo ʻia nou.

He aha kāu e manaʻo ai inā loaʻa iā ʻoe kahi (Urethral Stricture)?

Me ka mālama kūpono, loaʻa pinepine nā hopena maikaʻi i ke kūlana (Urethral Stricture). Eia nō naʻe, no ka mea hiki ke hoʻi hou mai nā ʻiʻo palapū, pono paha nā lāʻau lapaʻau he nui.Pono ʻoe e loaʻa i nā manawa hoʻopaʻa me kāu kauka e ʻike ai inā e ho'ōla pono ana ʻoe a inā e hana hou ana nā ʻiʻo palapū.

Hiki ke noho me kahi (Urethral Stricture)?

Inā ʻaʻole mālama ʻia, hiki i ka urethral stricture ke alakaʻi i nā pilikia e hoʻoweliweli ai i ke ola, e like me ka hāʻule ʻana o nā puʻupaʻa a me nā maʻi koʻikoʻi. No laila, inā loaʻa iā ʻoe nā hōʻailona o ka urethral stricture, ʻoiai inā hiki koke mai nā hōʻailona, ​​e ʻike koke i ke kauka.

Pehea e pale ai i ke kūkulu ʻana o kahi urethral stricture?

ʻAʻole hiki ke pale ʻia nā kumu āpau o ka urethral stricture. Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e kōkua ai i ka pale ʻana i ka hōʻeha ʻana i kou wahi pelvic:

• E komo i kahi uhi pale kūpono (kīʻaha haʻuki/jockstrap) i ka wā e pāʻani ana i nā haʻuki a i ʻole nā ​​​​hana koʻikoʻi ʻē aʻe.
• Ke hoʻokomo ʻana i kahi catheter urinary, e hoʻopili i ka nui o ka jelly lubricating.
• E pale i nā maʻi i laha ma ke moekolohe (STI). Pono ʻoe a/a i ʻole kāu hoa e hoʻohana i nā condom. Inā manaʻo ʻoe he STI kou, e ʻike koke i ke kauka. E lawe i nā lāʻau antibiotic i kuhikuhi ʻia e kāu kauka no ka manawa piha.

E hoʻomanaʻo, he mau mea kēia e hiki iā kākou ke hana. ʻAʻole nā ​​mea āpau i lalo o kā kākou mana, akā he mea nui e akahele loa.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe nā hōʻailona o ka urethral stricture, e ʻike koke i ke kauka. Ma hope o ka mālama ʻana, e mālama i nā manawa maʻamau me kāu kauka e hōʻoia i kou ho'ōla pono ʻana a ʻaʻole hoʻi e hoʻi hou mai ka stricture. Inā loaʻa iā ʻoe nā hōʻailona, ​​​​hiki iā ia ke paipai i ka mālama hou aku.

I ka manawa hea ʻoe e hele ai i kahi Emergency Treatment Unit (ETU) ?

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​e hele i ka lumi pilikia kokoke loa:

• ʻAʻole hiki ke mimi iki.
• Hoʻonui ʻia ka ʻeha i ka wā e mimi ai.
• Ke koko i loko o ka mimi (Hematuria).
• Loaʻa nā hōʻailona o kahi maʻi, e like me ke kuni.

He aha nā nīnau āu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me:

• Pehea ʻoe e ʻike pono ai he (Urethral Stricture) koʻu?
• No ke aha i loaʻa ai iaʻu kēia (Urethral Stricture)?
• Pehea ka nui/koʻikoʻi o koʻu (Urethral Stricture)?
• Pehea lā wau e mālama ai iaʻu iho i koʻu wā e loaʻa ai kēia (Urethral Stricture)?
• He aha ke ʻano o ka lāʻau lapaʻau āu e paipai nei?
• ʻEhia pinepine e pono ai iaʻu e hele mai no nā hālāwai hoʻomaʻamaʻa?
• He aha ka manawa kūpono e hoʻi hou mai ai koʻu (Urethral Stricture)?ʻehia ?

Mai makaʻu e nīnau i kāu kauka i nā nīnau āu e loaʻa ai. Ma kēlā ala, hiki iā ʻoe ke hoʻomaopopo maikaʻi i kēia maʻi.

ʻO ka mea hope loa, pono ʻoe e ʻōlelo ...

ʻO ke koʻikoʻi o ka urethra ka hāiki ʻana o ka urethra ma muli o nā ʻiʻo ʻeha. ʻOiai hiki ke hana kēia i kekahi, ʻoi aku ka maʻamau i nā kāne ma luna o 55 mau makahiki. Hiki i kēia ke hana i nā pilikia hoʻopilikia, i kekahi manawa e hoʻoweliweli i ke ola, e like me ka paʻakikī o ka mimi ʻana.

Akā, ʻaʻole pono ʻoe e ʻeha me kēia mau pilikia. Inā loaʻa iā ʻoe nā hōʻailona, ​​e ʻike i ke kauka. Hiki iā ia ke hoʻonui i kēia wahi haiki a hōʻoluʻolu i kāu mau hōʻailona. No laila, mai hopohopo, ʻo ka mea nui loa, ʻo ia ke ʻimi i ke aʻo lapaʻau i ka wā hikiwawe loa.

ʻO ke koʻikoʻi o ka urethral, ​​ka pale ʻana o ke ala mimi, nā maʻi o ke ala mimi, ka paipu urethral, ​​ke ʻoki kino, nā hōʻailona