Ke ʻike nei hoʻi ʻoe i ka liki ʻana o ka mimi mai kahi ʻē aʻe? E aʻo kākou e pili ana i kēia fistula urethrocutaneous!

Ua manaʻo paha ʻoe e like me ke kahe ʻana o ka mimi mai kahi ʻē aʻe ma mua o ka maʻamau? A i ʻole loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi (UTI)? ʻOiai he mau mea kēia a mākou e nānā ʻole ai i kekahi manawa, ua kapa ʻia ke kūlana ma lalo he Urethrocutaneous Fistula. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia ma ke ʻano maʻalahi e hiki ai iā ʻoe ke hoʻomaopopo.

He aha kēia fistula urethrocutaneous?

I ka ʻōlelo maʻalahi, he inoa paʻakikī kēia, akā ʻaʻole paʻakikī ke hoʻomaopopo. E hoʻomaopopo mua kākou i kēia mau huaʻōlelo.

• Urethra: ʻO ka urethra ka ʻōmole e lawe ana i ka mimi (i kapa ʻia hoʻi he pee ) i waho o kou kino. Ua like ia me ka paipu wai.
• ʻIli: Pili kēia i kahi mea e pili ana i ka ʻili .
• Fistula: ʻO ka fistula kahi pilina maʻamau ʻole, culvert, a i ʻole tunnel ma waena o ʻelua mau ʻāpana o loko o ke kino a i ʻole ma waena o kahi ʻāpana o loko a me ka ʻili o ka ʻili.

A laila, he alahele hou kūlohelohe ʻole kahi fistula urethrocutaneous e hana ʻia mai kou urethra a i ka ʻili a puni kou mau ʻōpū a i ʻole ka ʻili ma waena o kou anus a me nā ʻōpū (ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo ka perineum). E noʻonoʻo iā ia e like me ka lua i loko o kahi paipu wai e hoʻokahe ana i ka wai mai kahi ʻē aʻe.

ʻO ka maʻamau, pono e hele wale ka mimi ma o ka urethra a puka i waho o ke kino. Akā ma muli o kēia fistula, hoʻomaka ka mimi e hele ma kēlā ala hou a puka i waho ma kēlā lua hou ma ka ʻili. Ua kapa ʻia kēia he fistula urinary a i ʻole urethral fistula .

Ua manaʻo ʻia kēia ʻano maʻi he mea koʻikoʻi iki no ka mea, ʻaʻole ia e ho'ōla iā ia iho. Pono maoli ia e hoʻoponopono ʻia me ke ʻoki kino . Inā ʻaʻole, hiki iā ia ke alakaʻi i nā maʻi ʻōpū mimi pinepine (UTI) a me nā pilikia ʻē aʻe.

He aha nā hōʻailona o kēia? Pehea ʻoe i ʻike ai?

Aia kekahi mau hōʻailona koʻikoʻi e hōʻike ana he pilikia kēia:

• Ke kahe ʻana o ka mimi mai ka lua i hana hou ʻia (fistula): ʻO kēia ka hōʻailona nui a maopopo loa. ʻAʻole wale i ka wā e mimi ai, akā i kekahi manawa ke kū pū kekahi. Kāhea mākou i kēia he incontinence urinary , ʻo ia hoʻi ka hiki ʻole ke kāohi i ka mimi.
• Nā maʻi pinepine o ke ala mimi (UTIs): ʻAe kēia ala kūlohelohe ʻole i nā germs e komo maʻalahi i ke ala mimi a hoʻoulu i nā maʻi. Hiki i kēia ke hōʻino i nā ʻōpū a me nā ʻiʻo a puni.

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, ʻoi aku ka maikaʻi o ke nīnau ʻana i ke kauka a hoʻāʻo.

No ke aha lā kēia e hana nei? He aha nā kumu?

Aia kekahi mau kumu nui e ulu ai ka fistula urethrocutaneous.

• Ma ke ʻano he pilikia o ke ʻoki kino ma mua: ʻO kēia ke kumu maʻamau. Hiki ke ulu aʻe kēia ʻano fistula, ʻoi aku hoʻi ma hope o ke ʻoki kino no kahi kūlana i kapa ʻia ʻo hypospadias .
• He aha ka hypospadias? I ka ʻōlelo maʻalahi, he ʻano ia i hānau ʻia ai nā keikikāne. ʻO ia hoʻi, aia ka puka no ka mimi ma lalo o ka penis, ma mua o ka piko o ka penis. No laila, ma hope o ke ʻoki ʻana e hoʻoponopono i kēia, hiki i kahi fistula ke ulu i kekahi manawa ma ke ʻano he hopena ʻaoʻao.
• Maʻi: I kekahi manawa, ma muli o kahi maʻi, hiki i ka pus ke hōʻiliʻili i loko o nā ʻiʻo ma ia wahi a hana i kahi abscess . Ma hope o ka mālama ʻia ʻana a me ka hoʻōla ʻia ʻana o kēia pus, hiki ke waiho ʻia kahi ala liʻiliʻi e like me ka hoʻokahe i loko o kēlā ʻiʻo. ʻO ia ka mea e lilo ai i fistula.
• ʻEha: Hiki ke hana ʻia kēia ma muli o kahi hahau ikaika i ka wahi i hoʻopilikia ʻia. No ka laʻana, ʻo kahi pōpō mishit i ka wā e pāʻani ana i ka cricket, kahi puck i kahi pāʻani e like me ka hockey, a i ʻole ka hāʻule ʻana ma luna o ka crossbar o kahi paikikala (i kapa ʻia he straddle injury ) hiki ke hana i kēia ʻano.
• Nā kumu kakaikahi: He mea kākaʻikahi loa, hiki i kekahi mau keiki ke hānau ʻia me kēia maʻi. Eia kekahi, ʻo ka poʻe me ka maʻi diabetes mellitus i kāohi pono ʻole ʻia (ʻo ia hoʻi, inā ʻoi aku ko lākou pae HbA1c ma mua o 8% no hoʻokahi makahiki a ʻoi aku paha, ʻoiai ke mālama mau ʻia) e pilikia ana i ka loaʻa ʻana o kēia fistula.

He aha nā kumu pilikia no kēia?

He maʻi laha ʻole ka urethrocutaneous fistula. Eia nō naʻe, ʻo ke kumu nui o ka pilikia no ka hoʻomohala ʻana, ʻo ia ka hana ʻana i kekahi ʻoki kino ma mua o kou urethra.

ʻo kahi laʻana:

• ʻO ke ʻoki kino e hoʻoponopono ai i nā hypospadias i ʻōlelo ʻia ma mua.
• Urethroplasty (ke kūkulu hou ʻana o ka urethra).
• Nā ʻoki kino e like me ke ʻoki poepoe ʻana .

Hiki i kēia fistula ke ulu aʻe i kekahi manawa ma ke ʻano he pilikia ma hope o ia mau ʻoki ʻana.

Pehea e ʻike ai nā kauka i kēia? (Diagnosis)

Inā loaʻa iā ʻoe ka liki mimi i wehewehe ʻole ʻia a i ʻole nā ​​maʻi ʻōpū mimi i wehewehe ʻole ʻia, hiki i ke kauka ke manaʻo he fistula urethrocutaneous. Aia kekahi mau hoʻokolohua e kauoha ai kāu kauka e hōʻoia i ka hōʻailona:

• ʻO ka Voiding Cystourethrogram (VCUG): Ma kēia hoʻokolohua, hoʻokomo ke kauka i kahi waihoʻoluʻu kūikawā i loko o kou ʻōpū mimi. A laila, noi ʻia ʻoe e mimi ma kahi papa hoʻokolokolo. A laila hiki i ke kauka ke ʻike i kahi e hele ai ka waihoʻoluʻu me kāu mimi a inā e kahe ana i nā wahi āpau.
• Nā urethrograms retrograde a i ʻole fistulograms: Ua like kēia me nā VCUG. Hoʻokomo lākou i kahi dye i loko o ka ʻōpū mimi e ʻike maopopo ai i kahi o ka urethra, kahi o ka fistula, a pehea e pili ai.
• ʻO ke scan CT (Computed Tomography - CT scan): Hoʻohana ka scan CT i nā kukuna X a me ka ʻenehana kamepiula e kiʻi i nā kiʻi kikoʻī o loko o ke kino. Hiki i kēia ke kōkua i nā kauka e ʻike inā he mau pilikia ʻē aʻe mai ka fistula, e like me ka abscess.
• Cystoscopy: Pili kēia i ke komo ʻana i kahi mea lōʻihi, lahilahi, a mālamalama i kapa ʻia he cystoscope i loko o kou urethra. Hiki i ke kauka ke ʻike i loko o kou urethra a ʻike pono i kahi o ka fistula a me kona ʻano.

He aha nā lāʻau lapaʻau no kēia? Hiki ke ho'ōla ʻia?

ʻAe, hiki ke mālama ʻia kēia maʻi. ʻO ka hapa nui, pono ke ʻoki kino. Akā ma mua o ka hoʻomaka ʻana o ka mālama ʻana, e noʻonoʻo ke kauka i kekahi mau mea. Eia kekahi o lākou:

• ʻO ka nui o ka fistula.
• Kahi e waiho ai (Kahi).
• Aia ma mua o hoʻokahi fistula (Hiki ke loaʻa nā fistula he nui) .

Hoʻoholo ʻia ke ʻano hana ma muli o kēia mau kumu.

• He mea maʻalahi ke pani ʻana i nā fistula liʻiliʻi (< 2mm) . E hāʻawi ke kauka iā ʻoe i kahi mea hoʻomaha e hoʻomaha iā ʻoe a hoʻohiamoe iā ʻoe, a e humuhumu ke kauka ʻoki i ka fistula a pani ʻia.
• Pono nā fistula nui i kahi ʻoki ʻoi aku ka paʻakikī. I kekahi manawa, inā ʻaʻole olakino ka ʻili a puni ka fistula, pono paha ke kauka ʻoki e hoʻohana i kahi ala multi-layered. ʻO ke ʻano kēia, lawe ʻia ka ʻili olakino mai kahi ʻāpana ʻē aʻe o kou kino (i kapa ʻia ʻo skin flaps ) e pani i nā ʻiʻo i hōʻino ʻia, a hoʻohana ʻia kahi papa pale wai e sila i ka lua.

Pono ka nui o ka poʻe e hoʻohana i kahi catheter urinary e hoʻokahe i ka mimi mai ko lākou ʻōpū mimi no kekahi mau lā ma hope o ke ʻoki ʻana. Kōkua kēia i ka wahi i hoʻoponopono hou ʻia e ho'ōla. Pono paha ʻoe e noho i ka haukapila no hoʻokahi lā a i ʻole ma hope o ke ʻoki ʻana.

E ho'ōla anei kēia fistula iā ia iho?

ʻAʻole, ʻaʻole e ho'ōla ʻia ka fistula urethral iā ia iho.Pono maoli ka nui o ka poʻe i ke ʻoki kino e pani ai i kēia. Hiki ke mālama ʻia kēia e kahi urologist wale nō, he kauka loea i nā maʻi e pili ana i ka ʻōnaehana mimi a me ka ʻōnaehana hānau keiki.

ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?

He mea paʻakikī ke ʻōlelo maopopo i kēia. He ʻokoʻa ke kino o kēlā me kēia kanaka, no laila hiki ke ʻokoʻa ka manawa ho'ōla mai kēlā kanaka a kēia kanaka. Akā, ʻo ka maʻamau, 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. Wahi a nā kauka e ho'ōla loa ʻia ʻoe ma kahi o ʻeono pule . He mea nui loa ia e hahai pono i nā kuhikuhi a kāu kauka i loko o ia manawa.

Hiki ke pale ʻia kēia kūlana mai ka hanana ʻana?

ʻO kaʻoiaʻiʻo, ʻaʻole hiki iā mākou ke pale aku i nā kumu āpau e kōkua ai i ka ulu ʻana o ka fistula urethrocutaneous. No ka laʻana, he paʻakikī iā mākou ke kaohi i hoʻokahi e ulu ana ma ke ʻano he pilikia o ke ʻoki kino.

Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau mea e pale aku ai i ka hōʻeha ʻana i kēlā wahi:

• I ka wā e pāʻani ana i nā haʻuki a i ʻole e hana ana i nā hana paʻakikī ʻē aʻe, e ʻaʻahu i kahi kīʻaha haʻuki , i ʻike ʻia hoʻi he jockstrap. E hōʻoia i ka nui kūpono iā ʻoe.
• E kau mau i kou kāʻei noho i ka wā e hoʻokele ana a i ʻole ma ke ʻano he ohua i loko o ke kaʻa.
• E palekana i ka holo ʻana i kahi paikikala. Inā hiki, e hoʻopili i kahi mea e like me ka pannier rack i ke kaola o kāu paikikala. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pilikia o ka ʻeha i ka hanana o kahi ulia.

He aha ka mea e hana ai inā loaʻa iaʻu kahi fistula urethrocutaneous? Pono anei au e hopohopo?

He mea maʻamau ke makaʻu iki i ka wā e ʻike ai ʻoe he fistula urethrocutaneous kou. Akā ʻo ka mea maikaʻi loa, aia nā lāʻau lapaʻau no ia mea, a me ka lāʻau lapaʻau, maikaʻi loa ka nui o ka hoʻōla holoʻokoʻa.

Ua ʻike ʻia kekahi noiʻi he 89% ka holomua o ke ʻoki hoʻoponopono fistula. ʻO ia hoʻi, mai loko mai o nā kānaka he ʻumi i hana ʻia ke ʻoki ʻana, ma kahi o ʻeiwa e hoʻōla piha ʻia. I kekahi manawa, inā hoʻomau nā hōʻailona ma hope o ke ʻoki mua ʻana, hiki ke hana ʻia kahi ʻano papa paʻakikī. He holomua loa nō hoʻi kēia. Eia nō naʻe, inā loaʻa iā ʻoe kahi ʻoki lua, pono ʻoe e kali ma ka liʻiliʻi he ʻeono mahina ma hope o ke ʻoki mua ʻana e ʻae i ka wahi e ho'ōla piha.

Āhea wau e ʻike ai i ke kauka?

Ma hope o ke ʻoki ʻana e hoʻoponopono i kahi fistula urethrocutaneous, he mea nui loa ia e mālama i nā manawa maʻamau me kāu kauka e hōʻoia i kou ho'ōla pono ʻana. E hōʻoia e mālama i kāu mau manawa e like me ka ʻōlelo a kāu kauka iā ʻoe. Ma kēia ala, hiki iā ia ke nānā i kou kūlana. Inā mau nō kāu mau hōʻailona, ​​​​hiki iā ia ke paipai i kahi ʻoki ʻē aʻe.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

Ma hope o ke ʻoki ʻana, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e hele koke i ka lumi pilikia (ER) kokoke loa:

• Inā he nui ke kahe koko mai ka wahi i hana ʻia ai ke ʻoki.
• Inā loaʻa iā ʻoe ke kuni he 100 Fahrenheit (38 Celsius) a ʻoi aku paha .
• Inā lilo ka ʻeha i mea hiki ʻole ke hoʻomanawanui .
• Inā pilikia ʻoe i ka mimi ʻana, a inā paha ua ālai ʻia kāu mimi.
• Inā he koko i loko o ka mimi (Hematuria).

Eia kekahi, inā puka mai kāu catheter ma kona iho, a inā paha e kahe ana ka mimi mai ka ʻaoʻao o ke catheter, he mea maikaʻi ke ʻike koke i ke kauka.

He aha nā nīnau koʻikoʻi e nīnau aku ai i kāu kauka?

Ke hele ʻoe e ʻike i kāu kauka, loaʻa iā ʻoe ke kuleana e nīnau i nā nīnau e like me kēia. E kōkua kēia iā ʻoe e hoʻomaopopo maikaʻi i kou kūlana:

• Pehea ʻoe e ʻike pono ai he Urethrocutaneous Fistula koʻu?
• He aha ka mea i hiki ke kumu o kēia fistula?
• He fistula liʻiliʻi koʻu a he fistula nui paha?
• Pehea e mālama ai iaʻu iho i koʻu wā e loaʻa ai kēia fistula? He aha kaʻu e hana ai a he aha kaʻu e hana ʻole ai?
• He aha nā pilikia e hiki mai ana o kēia ʻoki hoʻoponopono fistula?
• He mea maikaʻi anei ke moe kolohe inā he fistula urethrocutaneous koʻu? E pilikia anei kēlā?

Mai makaʻu e nīnau i nā nīnau e like me kēia. E wehewehe kāu kauka i nā mea āpau iā ʻoe.

ʻO ka mea hope loa, leka lawe i ka home:

ʻAe, i kēia manawa ua maopopo iā kākou ka mea a kākou i kamaʻilio ai, ʻo Urethrocutaneous Fistula. ʻO ka mea nui loa, inā loaʻa iā ʻoe kekahi mau hōʻailona e like me kēia, e like me ke kahe ʻana o ka mimi mai kahi ʻē aʻe ke kahe ʻoe i ka mimi, a inā he mau UTI pinepine kāu, mai hoʻowahāwahā iā ia. I kekahi manawa he mea liʻiliʻi paha ia, akā he mea naʻauao mau ke ʻimi i ka ʻōlelo aʻo lapaʻau no ka mea hiki ke hana ʻia kēia.

E hoʻomanaʻo, aia kahi lāʻau lapaʻau no kēia, a hiki ke kūpono ka lāʻau lapaʻau. No laila , mai makaʻu a hilahila paha e ʻike i ke kauka a kūkākūkā i kou mau hopohopo. Makemake mākou iā ʻoe e ho'ōla koke! ʻAʻole ʻoe hoʻokahi, a eia nā kauka e kōkua.

ʻO ka fistula urethrocutaneous, fistula urinary, liki mimi, UTI, hypospadias, urethra, ʻoki kino, fistula urinary, liki mimi, maʻi ʻaʻai urinary tract