Ke ʻike nei hoʻi ʻoe i ka liki ʻana o ka mimi ke mimi ʻoe? A i ʻole loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi? Hiki ke hilahila iki kēia a me ka hilahila ke kamaʻilio e pili ana. Akā, he kūlana olakino ia e pono e kūkākūkā ʻia a mālama ʻia. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana i kapa ʻia ʻo Urethrocutaneous Fistula, hiki ke hana i nā hōʻailona e like me kēia.
I ka ʻōlelo maʻalahi, he aha ka Urethrocutaneous Fistula?
ʻAe, e wehewehe maʻalahi kākou. ʻO ka ʻōmole e lawe ana i ka mimi mai kou kino aku ua kapa ʻia ʻo ka urethra. ʻO ka fistula urethrocutaneous kahi pilina maʻamau ʻole a i ʻole ka lua e ulu ana ma waena o ka urethra a me kou mau ʻōpū. Ua like ia me kahi lua liʻiliʻi i loko o kahi paipu wai e hoʻokahe ana i ka wai i kekahi ʻaoʻao.
Hiki i kēia lua ke hoʻopili i ka urethra mai nā wahi āpau o ka ʻili o kou wahi genital. ʻO ke ʻano kēia, ke mimi ʻoe, e kahe ana kekahi mimi mai loko mai o kēia lua hou. ʻAʻole wale kēia e hoʻoulu ai i ka kahe ʻana o ka mimi, akā hoʻonui pū kekahi i ka pilikia o nā maʻi urinary tract pinepine (UTIs).
ʻAʻole pinepine kēia ʻano i ka wā hānau. Hoʻomaka pinepine ia ma hope o ke ʻoki ʻana, kahi maʻi, a i ʻole kahi ulia.
He koʻikoʻi anei kēia kūlana?
ʻAe, ʻaʻole kēia he kūlana e lawe māmā ʻia. ʻAʻole ho'ōla ka Urethrocutaneous Fistula iā ia iho . ʻO ke ʻano kēia, ʻaʻole hiki ke ho'ōla ʻia ma ka lawe ʻana i ka lāʻau lapaʻau wale nō. No ka ho'ōla ʻana, pono maoli ke ʻoki kino (kahi hana). No laila, inā loaʻa iā ʻoe nā hōʻailona, he mea nui loa e ʻike koke i ke kauka.
He aha nā hōʻailona? Pehea ʻoe e ʻike ai i kēia?
ʻElua mau hōʻailona nui a maopopo loa o kēia maʻi. Loaʻa paha iā ʻoe nā mea ʻelua, a i ʻole hoʻokahi wale nō paha.
| ʻO ka hōʻailona nui | He aha ke ʻano o kēia? |
|---|---|
| Ka hoʻokahe ʻana o ka mimi mai kahi puka kūpono ʻole | ʻO ʻoeKe kahe ka mimi mai loko mai o ka puka liʻiliʻi o ka ʻili, i ka wā o ka mimi ʻana a i ʻole i nā manawa ʻē aʻe, ma waho aʻe o ke ala maʻamau, ua kapa ʻia ia he urinary incontinence . |
| Nā maʻi ʻōpū mimi pinepine (UTIs) | Hiki i nā huakini e like me ka bacteria ke komo maʻalahi i loko o ke ala mimi ma o kēia lua i hana hou ʻia, e hoʻoulu ai i nā maʻi pinepine e like me ka mumū o ke ala mimi a me ka maneʻo. |
No ke aha lā kēia e hana nei? He aha nā kumu o kēia?
ʻO ke kumu nui o kēia, he ʻoki kino ma mua. Hiki ke hana ʻia kēia ma ke ʻano he pilikia ma hope o ke ʻoki kino no kahi kūlana i kapa ʻia ʻo "hypospadias" i loaʻa i ka wā hānau, ʻoi aku hoʻi i nā keikikāne. Ma waho aʻe o kēlā, aia kekahi mau kumu ʻē aʻe.
- ʻO nā ʻoki kino ʻē aʻe: Hiki ke hana pinepine ʻia ma hope o nā ʻoki kino ʻē aʻe e pili ana i ka urethra, no ka laʻana, urethroplasty a i ʻole ke ʻoki poepoe ʻana.
- Maʻi: I kekahi manawa hiki i kahi maʻi ke hoʻoulu i ka ʻohi ʻana o ka pus i loko o nā ʻiʻo a hana i kahi abscess. Ma hope o ka ho'ōla ʻana o ka abscess, hiki ke kahe ka ʻāpana, e waiho ana i kahi puka liʻiliʻi e like me ke tunnel e pili ana i ka ʻili.
- ʻEha: Hiki ke hana ʻia kēia ʻano ma muli o kahi ulia e pili ana i kahi mea ʻino i ka ʻāpana genital (e.g., ka pā ʻia ʻana e ka pōpō cricket) a i ʻole kahi 'ʻeha straddle' i hoʻokumu ʻia e ka hāʻule ʻana ma kahi e like me nā handlebars o kahi paikikala.
- ʻO nā kumu kakaikahi ʻē aʻe: He mea kākaʻikahi loa, hiki ke loaʻa kēia ʻano mai ka wā hānau mai. Aia kekahi pilikia o ka loaʻa ʻana o ia mau ʻano ma muli o ka mālama pono ʻole ʻia o ka maʻi diabetes.
Pehea lā e ʻike ai ke kauka i kēia?
Ke hele ʻoe e ʻike i ke kauka, hiki iā ia ke kānalua i kēia ma muli o kāu mau hōʻailona. Aia kekahi mau hoʻokolohua e hiki ke hana ʻia e hōʻoia i kou kānalua. Mai makaʻu i kēia mau hoʻokolohua, hana ʻia lākou e ʻike pono i kahi o ka pilikia a me kona ʻano.
| Hoʻāʻo | I ka ʻōlelo maʻalahi, he aha ka mea e hana ʻia me kēia? |
|---|---|
| ʻO ka Voiding Cystourethrogram (VCUG) | Hoʻokomo ʻia kahi waihoʻoluʻu kūikawā i loko o kou ʻōpū mimi, a i kou mimi ʻana , lawe ʻia kahi X-ray o ke ala o ka mimi. E hōʻike maopopo kēia iā ʻoe inā he liki. |
| Nā Urethrograms Retrograde | Ua like kēia me ka mea ma mua. Hoʻoili ʻia ka waihoʻoluʻu i lalo o ka urethra e ʻike i kahi o kēia pilina maʻamau ʻole. |
| CT Scan | Hiki i kēia ke lawe i nā kiʻi 3D maopopo loa o loko o kou kino. Hiki iā ia ke nānā i nā pilikia ʻē aʻe, e like me nā abscesses, a puni ka fistula. |
| ʻO ke ʻano o ka cystoscopy | Hoʻokuʻu ʻia kahi ʻōmole lahilahi loa i lako me ke kāmela (cystoscope) i lalo o ka urethra a nānā ʻia mai loko mai. |
Pehea e mālama ʻia ai?
E like me kā mākou i ʻōlelo ai ma mua, ʻo ke ʻoki kino wale nō ka lāʻau lapaʻau kūpono no kēia. Eia nō naʻe, hiki ke ʻokoʻa ke ʻano o ke ʻoki kino i hana ʻia mai kēlā kanaka a kēia kanaka. Aia ia i ka nui o ka fistula, kona wahi, a inā he ʻoi aku ma mua o hoʻokahi.
- Nā fistula liʻiliʻi (ʻaʻole iʻoi aku ma mua o 2 milimita): Hiki ke mālama ʻia kēia mau mea me kahi ʻoki maʻalahi. E humuhumu ke kauka i ka puka i pani ʻia.
- ʻO ka fistula nui: Pono kēia i kahi ʻoki ʻoi aku ka paʻakikī. Inā ʻaʻole olakino ka ʻili a puni ka puka, pono paha ke kauka ʻoki e lawe i kahi ʻili mai kahi ʻāpana ʻē aʻe o ke kino a hoʻopili iā ia i loko o ka wahi, e hana ana i kahi papa "pale wai" maikaʻi a ikaika.
Ma hope o ke ʻoki ʻana, pono ʻoe e hoʻokomo i kahi catheter urinary e hoʻokahe i ka mimi mai kou ʻōpū mimi i kou wā e hoʻōla ana. Pono paha ʻoe e noho ma ka haukapila i ka pō.
E ola koke anei au ma hope o ke ʻoki kino?
ʻAe, kiʻekiʻe loa ka holomua o kēia mau ʻoki kino. Wahi a kekahi noiʻi, ʻo ka holomua ma kahi o 89%. He ʻokoʻa ke kino o kēlā me kēia kanaka, no laila e ʻokoʻa iki paha ka manawa hoʻōla. Ma keʻano laulā,
- ʻO ka pehu a me ka ʻeha e kū mai ana ma hope o ke ʻoki ʻana e emi iho i loko o kekahi mau pule.
- Hiki ke hala ma kahi o ʻeono pule e ho'ōla piha ai.
Inā hoʻomau nā hōʻailona ma hope o ke ʻoki kino mua, hiki i ke kauka ke hoʻoholo e hana i kahi ʻoki kino paʻakikī. Eia nō naʻe, he mea nui e kali ma ka liʻiliʻi he ʻeono mahina no ka ho'ōla piha ʻana o ka wahi mai ke ʻoki kino mua ma mua o ka hana ʻana i kahi ʻoki kino ʻelua.
| Nā mea e makaʻala ai ma hope o ke ʻoki kino | |
|---|---|
| Ka hahai ʻana maʻamau | Ma hope o ke ʻoki kino, e hōʻoia e hele i ke keʻena lapaʻau i nā lā a ke kauka i hāʻawi ai iā ʻoe. Pono ke kauka e ʻike i ke ʻano o kou hoʻōla ʻana. |
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e hele koke i ka Emergency Department (ETU). | |
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Leka Lawe-Home
- He pilina maʻamau ʻole ka urethrocutaneous fistula ma waena o kou urethra a me kou vagina. Hiki i kēia ke hoʻoulu i ka liki ʻana o ka mimi a me nā maʻi pinepine.
- ʻAʻole kēia e ho'ōla iā ia iho . He mea pono maoli ke ʻoki kino.
- Mai makaʻu, ua holomua loa nā ʻokiʻoki no kēia.
- Inā loaʻa iā ʻoe kēia mau hōʻailona, mai hilahila a hoʻohilahila paha, akā e kamaʻilio me ke kauka loea i nā maʻi o ka ʻōpū mimi a me ke ala mimi (urologist) . ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua e hiki ke kōkua iā ʻoe e hoʻōla wikiwiki.
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