Loaʻa iā ʻoe kekahi ʻeha ma ke ala mimi? E aʻo kākou e pili ana i kēia (Urethral Syndrome)!

Loaʻa iā ʻoe ke makemake e mimi pinepine? A i ʻole ke manaʻo nei ʻoe i ka ʻeha a i ʻole ke kuni i kou mimi ʻana? I kekahi manawa hiki ke hele pū kēia mau ʻeha me ka ʻeha o ka ʻōpū ma lalo. Ke loaʻa iā mākou nā hōʻailona e like me kēia, manaʻo mākou he maʻi ʻaʻai mimi (UTI). Eia naʻe, ʻaʻole ia ka hihia mau. Loaʻa paha iā ʻoe kēia maʻi i kapa ʻia ʻo (Urethral Syndrome). I kēia lā, e kamaʻilio maʻalahi mākou e pili ana i kēia, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

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He aha ka (Urethral Syndrome)?

I ka ʻōlelo maʻalahi, ʻo ka (Urethral Syndrome) he ʻeha a mumū paha e pili ana i kou urethra . E like me kou ʻike, ʻo ka urethra ka paipu e lawe ana i ka mimi mai ko mākou ʻōpū mimi a i waho o ke kino. I nā kāne, puka pū ka sperm ma o kēia paipu like.

ʻO ka mea e hana ʻia ana ma kēia kūlana, aia kekahi ʻano huhū i loko o ke ala mimi. Akā, ʻo ka mea nui, ʻaʻole kēia i hana pinepine ʻia e kahi maʻi bacteria a viral paha, e like me ka maʻi ala mimi (UTI). ʻO ia ke kumu e paʻakikī iki ai ke ʻike.

Ua kapa ʻia kēia mea kanu e kekahi mau inoa ʻē aʻe, ʻo ia hoʻi:

(ʻO ka cystitis abacteria)
(Frequency-dysuria syndrome)
(ʻAbacteriuria hōʻailona)
(ʻO ka maʻi ʻeha urethral (UPS)

Mai hopohopo ke lohe ʻoe i kēia mau inoa, he mau inoa like ʻole lākou a pau no ke kūlana hoʻokahi.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

Hiki iā ia ke hoʻopilikia i kekahi o kēlā me kēia makahiki, lāhui, a kāne paha. Eia nō naʻe, ʻoi aku ka maʻamau o ia i nā wahine , ʻoiai ka poʻe ma waena o 30 a me 50 mau makahiki. Ke hōʻike nei hoʻi nā kauka he ʻoi aku ka maʻamau o ia i ka poʻe keʻokeʻo.

I kēia manawa, e nānā, ma kahi o 25% o ka poʻe e hele mai e ʻike i ke kauka me nā hōʻailona o kekahi ʻano ma ke ala mimi haʻahaʻa, ʻo ia hoʻi, ma kahi o hoʻokahi i loko o ʻehā mau kānaka, loaʻa paha kēia "Urethral Syndrome".

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He aha ka ʻokoʻa ma waena o ka (Urethral Syndrome) a me ka (Urethritis)?

Ua like loa nā hōʻailona o kēia mau maʻi ʻelua, no laila hiki ke huikau. ʻO ka (Urethritis) he mumū hoʻi ia o ka urethra. Akā ʻo ka ʻokoʻa nui, ʻo ia ka (Urethritis) i hoʻokumu ʻia e kahi maʻi bacteria a viral paha . No ka laʻana, ʻo (Nongonococcal Urethritis) ke ʻano i loaʻa i nā kāne.

Akā i loko o ka (Urethral Syndrome) , ʻaʻohe maʻi like e loaʻa . Inā ʻike ke kauka ʻaʻole he maʻi ke kumu o kāu mau hōʻailona, a laila hiki ke kānalua ʻia ka (Urethral Syndrome).

He aha nā kumu o ka (Urethral Syndrome)?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kānaka noiʻi kahi kumu paʻa no kēia. Eia nō naʻe, ke manaʻo nei lākou he nui nā kumu like ʻole e pili ana. ʻO ka mea nui loa, ʻaʻole ia i hoʻokumu ʻia e kahi maʻi bacteria a viral paha.

Eia kekahi mau kumu e hiki iā ʻoe ke noʻonoʻo:

ʻO ka hāiki ʻana o kou urethra (kahi kūlana i kapa ʻia ʻo "Posterior Urethral Stenosis" a i ʻole "Urethral Stricture" i nā kāne).
Ka hoʻonāukiuki hou ʻana o ke ala mimi.
ʻO nā hemahema hormonal, no ka laʻana, ka estrogen haʻahaʻa.
ʻO kēlā me kēia ʻeha i ke ala mimi.
Ka hana pono ʻole o ka papahele pelvic.
ʻO ke ʻano o ka ʻōpū mimi ma hope o kahi maʻi ʻōpū mimi ma mua (UTI).
Nā maʻi a me nā maʻi i laha ma ke ʻano moekolohe (STD a me STI).
Nā spasms o nā ʻiʻo o ke ala mimi.
Kaumaha.

Pehea e hiki ai ke hōʻeha ʻia ke ala mimi?

Ua ʻōlelo mua mākou he hiki i ka hōʻeha ʻana i ke ala mimi ke lilo i kumu. Pehea lā e hana ʻia ai kēlā?

I kekahi manawa, inā he moekolohe ʻino .
Ma muli o ka diaphragm, kahi ʻano kaohi hānau i hoʻohana ʻia e nā wahine.
Ma muli o nā tampons a nā wahine e hoʻohana ai i ka wā menstruation.
Hiki ke hana ʻia e nā hana e like me ke kaʻa paikikala.

Nā mea e hiki ai ke hoʻonāukiuki hou aku i ke ala urinary

Aia kekahi mau mea e hiki ai ke hoʻolilo i ke ala mimi i mea ʻoluʻolu ʻole a hoʻonāukiuki.

Nā mea inu i loaʻa ka caffeine (e like me ke kofe, ke tī).
Nā mea inu ʻona.
Nā meaʻai ʻala.
Nā lāʻau lapaʻau maʻi kanesa, no ka laʻana (Chemotherapy) a me (Radiation Therapy).
ʻO kekahi mau ʻano condom a me nā gels kaohi hānau, ʻoiai nā mea i loaʻa ka spermicide.
Nā huahana me nā ʻala. E noʻonoʻo i nā mea e like me nā kopa āu e hoʻohana ai, nā gels ʻauʻau (nā ʻauʻau pehu), a me nā mea ʻala.

Mea nui: Inā he mea hoʻohana ʻoe i kēia ʻano huahana ʻala, e hoʻāʻo e hoʻōki iā lākou no kekahi manawa e ʻike ai inā e emi ana ka ʻoluʻolu ʻole.

He aha nā hōʻailona o ka (Urethral Syndrome)?

Aia kekahi mau hōʻailona e hiki ke ʻike ʻia ma kēia ʻano:

Ke koko i loko o ka mimi (Hematuria).
Paʻakikī ke mimi, i kekahi manawa e like me ka paʻa ʻana o ka mimi.
Ke manaʻo nei i ka makemake koke a ikaika e mimi.
Ka mimi pinepine ʻana, ʻoi aku hoʻi i ka lā.
ʻEha i ka wā o ka moekolohe (Dyspareunia).
ʻEha a wela paha ka manaʻo i ka wā e mimi ai (Dysuria).
ʻEha ma ka ʻāpana genital, ka ʻōpū lalo, a me ke kua lalo.
He manaʻo o ke kaomi ma ka ʻōpū lalo.
Ke ala ʻana e mimi i ka pō (Nocturia).

Nā ʻano kūikawā i loaʻa wale i nā kāne

Inā loaʻa i ke kāne ka "Urethral Syndrome", hiki iā ia ke ʻike i nā hōʻailona ʻē aʻe e like me:

Koko i loko o ka semen (Hematospermia).
Hoʻokuʻu ʻana o ka urethral.
ʻEha i ka wā o ka ejaculation.
Pehu ʻana o ka scrotal.

Nā hiʻohiʻona kūikawā i loaʻa wale i nā wahine

Hiki i nā wāhine ke loaʻa ka ʻeha a me ka ʻoluʻolu ʻole a puni ka puka o ka vagina (Vulvodynia a i ʻole Vulvitis).

Pehea ʻoe e ʻike pono ai i kēia?

I mea e ʻike pololei ai i kēia maʻi, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka loea i nā maʻi e pili ana i ka ʻōnaehana mimi (Urologist). E nīnau mua ʻo ia iā ʻoe e pili ana i kāu mau hōʻailona a hana i kahi hoʻokolokolo kino.

A laila, pono e kāpae ʻia nā kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like. No ka mea, ma ka ʻike wale ʻana i ke kumu pololei hiki ke hāʻawi ʻia ka lāʻau kūpono. ʻO ia mau kūlana:

Ka maʻi ʻōpū.
Ka maʻi ʻaʻai o ka ʻōpū.
ʻO ka maʻi ʻeha o ka ʻōpū mimi (Interstitial Cystitis).
Nā maʻi i laha ma ke moekolohe (STIs).
ʻUrethritis.
Nā maʻi ʻōpū mimi (UTI).

Inā kānalua kāu kauka i ka Urethral Syndrome, hiki iā lākou ke lawe i kahi hāpana mimi mai ou aku a hana i nā hoʻokolohua aʻe:

(Urinalysis): E nānā i nā kūlana olakino maʻamau a me nā maʻi ʻōpū mimi.
Moʻomeheu mimi: E nānā no ka ulu ʻana o ka bacteria a i ʻole ka hū.

Inā he koko i loko o kou mimi, hiki i kāu kauka ke kuhikuhi i nā hoʻokolohua hou aʻe:

(CT scan): E nānā i ka ʻaoʻao o luna o ka ʻōnaehana mimi.
Cystoscopy: Hoʻokolokolo ʻana i loko o ka urethra a me ka ʻōpū mimi me ka hoʻohana ʻana i kahi ʻōmole me kahi kāmela.

Eia kekahi, hiki ke hana ʻia nā hoʻokolohua ʻē aʻe e like me kēia:

Hoʻāʻo vaginosis bacteria: Nānā inā loaʻa i nā wāhine ka vaginosis bacteria.
(Pap smear): E nānā no ka maʻi ʻaʻai kōpū.
(Urine cytology): E nānā no nā hunaola kanesa o ka ʻōpū mimi.
Nā ʻōpala o ka ʻōpū: E nānā no nā maʻi hū a me nā maʻi STI.

Hiki ke hana ʻia nā haʻawina kiʻi e like me kēia:

ʻO ke kani ʻana o ka ʻōpū mimi, nā puʻupaʻa, a i ʻole nā ʻōpū pelvic: E nānā i nā kūlana ʻē aʻe e like me nā cysts a me nā tumors.
Pelvic MRI: No ka hoʻopau ʻana i nā kūlana e like me ka Interstitial Cystitis.

He aha nā lāʻau lapaʻau no ka (Urethral Syndrome)?

ʻO ka pahuhopu nui o ka mālama ʻana no kēia, ʻo ia ka hoʻēmi ʻana i kou ʻeha a me ka pinepine o ka mimi ʻana . Hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

Biofeedback: Kōkua kēia i ka hoʻomaha ʻana i nā ʻiʻo ma ka papahele pelvic.
Nā lāʻau lapaʻau: Nā lāʻau lapaʻau e hoʻomaikaʻi ai i ke kahe koko a hōʻemi i ka ʻeha.
Hoʻomanaʻo a i ʻole Hypnotherapy: E hōʻemi i ke kaumaha.
I kekahi mau hihia, hiki ke hana ʻia ke ʻoki kino e hoʻonui i ka urethra.

Pehea wau e mālama ai iaʻu iho me kēia maʻi?

ʻO ka hana ʻana i kekahi mau hoʻololi i ke ʻano o ka nohona e hiki ke kōkua i ka hōʻemi ʻana i ka pinepine o ka mimi. Eia kekahi mau mea e noʻonoʻo ai:

E pale i ka ʻai ʻana i nā meaʻai ʻakika loa, e like me nā tōmato, nā ʻalani, a me nā lime.
E hana i nā hoʻoikaika kino e like me "Tai chi" a me "Yoga" e kōkua iā ʻoe e kaohi a hoʻomaha i kou mau ʻiʻo.
E ʻai i ka ʻai maikaʻi me nā huahana waiū, nā huaʻai, a me nā mea kanu.
E hoʻomau i ka inu wai . He mea maikaʻi ke inu i ka liʻiliʻi he 8 mau aniani wai i ka lā.
E kaupalena i ka inu ʻana i ka waiʻona.
E ho'āʻo e hōʻemi i ke kaumaha. Hiki i nā mea e like me ke komo ʻana i kahi hana leʻaleʻa āu e hauʻoli ai a i ʻole ke kamaʻilio ʻana me kahi hoaaloha ke kōkua.
E hoʻohana i nā kopa a me nā mea holoi ʻala ʻole.

Pehea e hōʻemi ai i ka pilikia o ka loaʻa ʻana o ka (Urethral Syndrome)?

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia o kēia ʻano:

E hōʻalo i ka hoʻohana ʻana i nā kopa a me nā detergents ʻala.
Inā loaʻa iā ʻoe nā STI, e hoʻāʻo koke ʻia a e mālama ʻia.
E mimi koke ma hope o ka moekolohe.
E hoʻohana i ka palekana i ka wā o ka moekolohe.
E pale i ke komo ʻana i nā lole paʻa.
E ʻaʻahu i nā lole komo pulupulu ma kahi o nā lole komo nylon.
I ka hoʻomaʻemaʻe ʻana i ka ʻāpana genital ma hope o ka mimi ʻana , e holoi mai mua a i hope. He mea nui loa kēia no nā wahine.

Aia kekahi mau maʻi ʻē aʻe e hoʻonui ai i ka pilikia o kēia ʻano?

ʻAe, hiki i kekahi mau kūlana olakino ʻē aʻe ke hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka Urethral Syndrome:

Nā maʻi bacteria o ka ʻōpū mimi a i ʻole nā puʻupaʻa.
Ka hānau ʻana i kahi pēpē me ka ʻoki ʻole ʻana ma waena o ka vagina a me ka anus (Episiotomy).
Nā maʻi i laha ma ke moekolohe (STIs).
Ke lawe nei i nā immunosuppressants.

He aha ka mea e hana inā loaʻa iā ʻoe ka (Urethral Syndrome)?

Hiki ke mau kēia maʻi i ke ola holoʻokoʻa. Akā, mai hopohopo. Me ka mālama pono ʻana a me nā loli o ke ʻano o ka nohona, hiki ke emi nā hōʻailona i ka hala ʻana o ka manawa. No laila, he mea nui e mālama iā ʻoe iho a e hahai i nā ʻōlelo aʻoaʻo a kāu kauka.

Pono anei ʻoe e noʻonoʻo e pili ana i ka pono o ka noʻonoʻo?

ʻAe, ʻoiaʻiʻo nō. Hiki i ka ʻoluʻolu ʻole i hoʻokumu ʻia e ka Urethral Syndrome ke hoʻopilikia i kou olakino noʻonoʻo. No kekahi poʻe, hiki iā ia ke alakaʻi i nā kūlana e like me ka hopohopo, ke kaumaha, a i ʻole ke kaumaha nui.

Inā manaʻo ʻoe i kēia ʻano, hiki ke kōkua nui ke kamaʻilio ʻana me kāu kauka a i ʻole kekahi mea lapaʻau e pili ana i ia mea. Hiki iā ia ke kōkua iā ʻoe e hoʻokele i kāu mau hōʻailona a pale i ka ʻoluʻolu ʻole mai ka hoʻi hou ʻana mai.

Āhea wau e ʻike ai i ke kauka?

Inā e ʻoi aku ka ʻino o kou mau hōʻailona, e ʻike pono i ke kauka. Hiki i kāu kauka ke nānā i nā pilikia ʻē aʻe, e like me nā maʻi ʻōpū mimi (UTI).

Eia kekahi, inā ʻaʻole ʻoe e ʻike i kekahi hoʻomaikaʻi a loli paha ma hope o kekahi manawa mai kou hoʻomaka ʻana i ka lāʻau lapaʻau, e haʻi i kāu kauka e pili ana i kēlā.E haʻi iā ia. A laila hiki iā ia ke hāʻawi i nā manaʻo no nā lāʻau ʻē aʻe i kūpono iā ʻoe.

Nā mea e hoʻomanaʻo ai i ka pōkole

ʻAe, e hōʻuluʻulu kākou i kā mākou i kamaʻilio ai e pili ana i ka (Urethral Syndrome):

ʻO ka Urethral Syndrome kahi mumū a i ʻole ka huhū o ka urethra, ʻaʻole ia he maʻi.
ʻAʻole i ʻike ʻia ke kumu maoli o kēia, akā hiki ke hoʻohui ʻia e nā kumu like ʻole.
ʻO nā hōʻailona nui ka koko i loko o ka mimi, ka paʻakikī o ka mimi ʻana, ka mimi pinepine ʻana, a me ka ʻeha i ka wā e mimi ai.
Hoʻoholo ʻia ka maʻi ma hope o ka hoʻoholo ʻana i nā pilikia olakino ʻē aʻe.
ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka hoʻēmi ʻana i ka ʻeha a kōkua iā ʻoe e ʻoluʻolu.
Hiki i ka hoʻololi ʻana i ke ʻano o ka nohona ke hāʻawi i ka hōʻoluʻolu nui.
ʻOiai hiki ke ola kēia i ke ola holoʻokoʻa, hiki ke emi iho nā hōʻailona i ka hala ʻana o ka manawa.

Inā loaʻa iā ʻoe kēia mau hōʻailona, mai ʻeha wale ʻoe, akā e ʻike i ke kauka no ka ʻōlelo aʻo. A laila hiki iā ʻoe ke loaʻa ka hōʻoluʻolu.

ʻO ka maʻi urethral, ka maʻi ʻaʻai mimi, ka mimi pinepine ʻana, ka maʻi ʻaʻole pili i ka ʻaʻai mimi, ka ʻeha o ke ʻaʻai mimi, nā maʻi ʻaʻai mimi wahine, nā maʻi ʻaʻai mimi kāne