Ke paʻakikī iki nei hoʻi ʻoe i ka mimi ʻana? He palupalu loa a lohi paha ke kahe ʻana o ka mimi? A i ʻole e puka mai ana ia me he mau kulu lā? Manaʻo paha ʻoe i kekahi manawa aia nō ka mimi ma hope o kou pau ʻana i ka mimi ʻana? Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ʻo ke kumu paha he pani ʻana a he ʻūmiʻi paha o kou urethra. Ua ʻike ʻia kēia ma ke ʻano lapaʻau ʻo `(Urethral Stricture)`. No laila, i kēia lā e kamaʻilio mākou e pili ana i ka hopena holomua a mau loa no kēia pilikia. ʻO ia ke ʻoki kino i kapa ʻia ʻo `Urethroplasty`.
I ka ʻōlelo maʻalahi, he aha ka Urethroplasty?
I mea e hoʻomaopopo ai i kēia, e nānā mua kākou i ke ʻano o ka hana ʻana o kā kākou ʻōnaehana mimi. Hana ʻia ka mimi i loko o ko kākou kino ma nā puʻupaʻa. A laila, hōʻiliʻili kēlā mimi i loko o ka ʻōpū mimi. Ke piha ka ʻōpū mimi, manaʻo mākou i ka pono e mimi. A laila, aia kahi ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi a i waho o ke kino. Ua kapa ʻia kēlā ʻōmole ʻo ka urethra . I loko o ke kāne, puka pū ka sperm i ke kino ma o kēia urethra.
E noʻonoʻo i ka mea e hana ʻia inā paʻa a haiki paha kēia urethra no kekahi kumu? E like me ka wā e paʻa ai ka lepo i loko o kahi paipu wai, lilo ia i mea paʻakikī no ka wai ke kahe, a ʻaʻole hiki i ka mimi ke kahe maʻalahi i waho. ʻO ke ʻoki ʻana i hana ʻia e hoʻihoʻi a hoʻoponopono i kēlā urethra i paʻa a haiki paha ua kapa ʻia ʻo Urethroplasty .
Ma kēia kaʻina hana, ʻoki ke kauka lapaʻau i ka ʻiʻo ʻeha e ālai ana i ka urethra a hoʻopili hou i nā ʻāpana olakino ʻelua o ka ʻōmole. I kekahi manawa, inā lōʻihi loa ka ālai ʻana, hoʻohana ʻia kahi ʻāpana ʻiʻo i lawe ʻia mai kahi ʻāpana ʻē aʻe o ke kino e hana hou i ka ʻāpana. Ua like ia me ka wehe ʻana i kahi ʻāpana o ka paipu wai kahiko a hoʻololi iā ia me kahi ʻāpana hou.
No ke aha he mea pono ai kēia ʻoki kino?
Aia kekahi mau kumu nui no ka hana ʻana i ka urethroplasty. E nānā kākou i ke ʻano o lākou.
- ʻO ke koʻikoʻi o ka urethral: ʻO kēia ke kumu maʻamau. Hiki i ka ʻōpala i loko o ka urethra ke hoʻolilo iā ia i mea haiki ma muli o kahi maʻi, kahi ulia, kahi ʻoki kino ma mua, a i ʻole kekahi kumu ʻē aʻe. ʻOi aku ka maʻamau o kēia ʻano i nā kāne ma mua o nā wahine.
- Nā kūlana hānau ʻia: Hānau ʻia kekahi mau keiki me kekahi mau pilikia me ka urethra. ʻO Epispadias a me hypospadias ʻelua mau kūlana like. ʻOiai hiki ke hoʻoponopono ʻia kēia mau mea ma ke ʻoki ʻana i ka wā kamaliʻi, hiki iā lākou ke hoʻomohala i nā ālai ʻana ma nā wahi i hana ʻia ai ke ʻoki ʻana ma hope.
- ʻO ke ʻoki hana hou ʻē aʻe: Pono paha kēia ʻoki hana i kekahi manawa no kekahi mea i loaʻa i nā ʻoki hana hou ʻē aʻe ma ka ʻāpana genital.
He hana ʻoki nui anei ka Urethroplasty?
Aia maoli kēia i ka nui o kou urethra e pono ai ke hoʻoponopono ʻia. Inā liʻiliʻi ka mea i paʻa, ʻoi aku ka liʻiliʻi o ka manawa e pono ai ke ʻoki ʻana a hoʻohui i nā wēlau ʻelua o ka urethra. Akā inā lōʻihi ka mea i paʻa, hiki ke hoʻohana ʻia kahi ʻāpana ʻiʻo (graft) mai kahi ʻāpana ʻē aʻe o ke kino e hoʻoponopono i ka urethra. A laila ʻoi aku ka paʻakikī o ke ʻoki ʻana a ʻoi aku ka lōʻihi.
Ma hea ʻoe e loaʻa ai kēia pepa ʻili?
Aia kekahi mau wahi e loaʻa pinepine ai i nā kauka ʻokiʻoki nā ʻiʻo no kēia kumu.
- Mai loko mai o kou waha: ʻAe, ua lohe pololei ʻoe. Lawe pinepine ʻia kēia ʻiʻo mai ka ʻili laumania o kou papālina (buccal mucosa) a i ʻole ka ʻaoʻao o loko o kou mau lehelehe. He ʻano hana holomua loa kēia.
- Mai kou wahi hoʻokamakama: Inā he kāne ʻoe, hiki ke lawe ʻia kahi ʻāpana o ka ʻili mai kāu penis. I ke ʻano o ke ʻoki hana hou ʻana, hiki ke lawe ʻia kahi ʻāpana o ka ʻili mai kou vagina a i ʻole labia.
- Rectal: ʻOiai ʻoe ma lalo o ka anesthesia no ke ʻoki ʻana, hiki ke lawe ʻia kahi ʻāpana o ka ʻiʻo mai ka paia o loko o ka rectum ma o ka rectum.
Mai makaʻu i kēia. Hana ʻia kēia mau mea a pau ma lalo o ka anesthesia piha i ʻole ʻoe e ʻeha.
He aha ka mea e hana ʻia ma mua o ke ʻoki kino?
Ma hope o ka hoʻoholo ʻana e hana i ke ʻoki Urethroplasty, e hana mua kāu kauka i kekahi mau hoʻokolohua e hoʻoholo pono ai i kahi o ka poloka i loko o kou urethra a pehea ka lōʻihi.
| Hoʻāʻo | I ka ʻōlelo maʻalahi, |
|---|---|
| ʻO ka Urethrogram Retrograde | He hoʻāʻo X-ray kēia. Hoʻokomo ʻia kahi wai kūikawā ma kou urethra a lawe ʻia nā kiʻi X-ray. ʻAe kēia iā ʻoe e ʻike maopopo i ka mea i ālai ʻia. |
| ʻO ke ʻano o ka cystoscopy | Hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi i lalo o ka urethra a nānā pololei ʻia ke kūlana i loko o ka ʻōmole. |
He wikiwiki a ʻeha ʻole kēia mau hoʻāʻo ʻelua. A laila e hoʻonohonoho ke kauka i ke ʻoki kino. I kekahi mau lā ma mua o ke ʻoki kino, e hāʻawi ʻo ia iā ʻoe i nā kuhikuhi no nā lāʻau lapaʻau e lawe ai, nā mea e ʻai ai, a me ka lōʻihi o ka hoʻokē ʻai ʻana.
I kekahi manawa, pono ʻoe i kahi Suprapubic Catheter ma mua o ke ʻoki ʻana.Hiki i kāu kauka ke ʻōlelo aku i hoʻokahi. ʻO kēia ke komo ʻana i kahi ʻōmole pololei i loko o kou ʻōpū mimi mai kou ʻōpū haʻahaʻa a hoʻokahe iā ia. Hāʻawi kēia i ka urethra i kahi "hoʻomaha." A laila ʻike maopopo ʻia ka ʻiʻo ʻeha, e maʻalahi ai ka wehe ʻana i ka wā o ke ʻoki ʻana.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
I ka lā o kou ʻoki kino, e lawe ʻia ʻoe i ka lumi hana. Ma laila, e hāʻawi ke kauka anesthesiologist iā ʻoe i ka anesthesia laulā . ʻO ke ʻano kēia e hiamoe nui ʻoe a hiki i ka pau ʻana o ke ʻoki kino. ʻAʻole ʻoe e manaʻo i kekahi mea.
A laila hana ke kauka ʻoki i kahi ʻoki ma ka ʻili e komo ai i ka urethra. Hana pinepine ʻia kēia ʻoki ma lalo o ka penis, ma ka scrotum, a i ʻole ma kahi ma waena o ka scrotum a me ka anus (ka perineum).
A laila, ʻike ʻia ka wahi i paʻa a i ʻole ka ʻeha, a ma muli o kona lōʻihi a me kona wahi, ʻoki ʻia a wehe ʻia a kūkulu hou ʻia paha ka wahi. Inā lōʻihi ka mea i paʻa, hoʻohana ʻia kahi graft e kūkulu hou i ka wahi, e like me ka mea i kūkākūkā ʻia ma mua, mai ka waha, nā ʻōpū, a i ʻole ka rectum.
Ma hope o ka pau ʻana o ka hoʻoponopono ʻana, hoʻokomo ʻia kahi catheter e hoʻokahe i ka mimi a hiki i ka ho'ōla ʻana o ka urethra. A laila pani ʻia ka ʻoki a humuhumu ʻia. Hana pinepine ʻia kēia mau humuhumu me kahi ʻano kaula e hoʻoheheʻe ʻia i loko o ke kino. No laila, ʻaʻole pono ʻoe e hoʻi mai e wehe i nā humuhumu.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, e lawe ʻia ʻoe i ka lumi hoʻōla a hiki i kou ala ʻana mai ka anesthesia. ʻO ka urethroplasty he lā a ʻelua paha e noho ai i ka haukapila, a hiki iā ʻoe ke hoʻi i ka home. I kekahi manawa hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi. Eia naʻe, ʻaʻole hiki iā ʻoe ke hoʻokele iā ʻoe iho, a pono kekahi e hoʻokele iā ʻoe i ka home.
Ke hoʻi ʻoe i ka home, pono ʻoe e lawe pū me ʻoe i kēia mau mea:
- ʻO ke catheter mimi
- Nā lāʻau hoʻopau ʻeha
- Nā lāʻau antibiotic e pale aku i nā maʻi
- Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau e pale aku ai i nā spasms o ka ʻōpū mimi.
- Inā ua lawe ʻia kahi ʻiʻo mai ka waha mai, e hoʻohana ʻia kahi wai holoi waha kūikawā e mālama i ka maʻemaʻe o ka ʻeha.
Pono ʻoe e ʻike hou i kāu kauka ma kahi o ʻelua a ʻekolu mau pule ma hope o kāu ʻoki ʻana. I kēlā manawa, loaʻa paha iā ʻoe kekahi X-ray ʻē aʻe e nānā i ka hoʻoponopono ʻana. Pili kēia i ka wehe ʻana i ka catheter, ka hoʻopiha ʻana i kou ʻōpū mimi me kahi hopena kūikawā, a me ka lawe ʻana i nā kiʻi X-ray i kou wā e mimi ai. E kōkua kēia mau kiʻi i ka hoʻoholo ʻana i kāu holomua ho'ōla.
Ua ʻike ʻia ke ʻoki urethroplasty ma ka honua holoʻokoʻa ʻo ia ka lāʻau lapaʻau maikaʻi loa a holomua loa no ka urethral stricture.
He aha nā pono, nā pilikia, a me nā pilikia o kēia ʻoki kino?
E like me nā ʻoki kino āpau, loaʻa i kēia kekahi mau pōmaikaʻi a me kekahi mau pōʻino.
Nā Pōmaikaʻi
ʻO ka pōmaikaʻi nui o kēia ʻoki kino, ʻo ia kona pae holomua kiʻekiʻe loa . Ua hōʻike ʻia e ka noiʻi ʻana ʻoi aku ka nui o ka holomua o kēia ʻoki kino ma mua o 80% . I kekahi mau hihia, ma muli o ke ʻano o ka paʻa ʻana, hiki i ka pae holomua ke ʻoi aku ma mua o 90% . ʻO ia hoʻi, inā he 10 mau kānaka e hana ʻia ke ʻoki kino, e hoʻōla piha ʻia he 8 a i ʻole 9.
Nā Pōʻino a me nā Pilikia
Aia nā pilikia maʻamau me ka anesthesia a me ka pilikia o ka maʻi i maʻamau i kekahi ʻoki kino. Eia kekahi, aia kekahi mau pilikia e pili pono ana i kēia ʻoki kino. E nānā pono kākou i kēlā mau mea.
| Pilikia/Paʻakikī | Wehewehena |
|---|---|
| Nā pilikia e pili ana i ka catheter | Hiki ke puka mai ka liki o ka mimi a i ʻole ka paʻa ʻana o ke catheter ma kahi kokoke i ke catheter. Inā hana kēia, pono e ʻimi koke i ke kōkua lapaʻau. |
| Nā maʻi | Hiki ke ulu aʻe kahi maʻi ma kahi i ʻoki ʻia ai a i ʻole ma ke ala mimi. Hiki ke mālama ʻia kēia me nā antibiotics. |
| Ka hāʻule ʻana o ke ʻoki kino | I ka liʻiliʻi loa, hiki ke pani hou ʻia ka urethra ma hope o ke ʻoki ʻana, e koi ana i ke ʻoki hou ʻana a i ʻole kekahi lāʻau ʻē aʻe. |
| ʻEha o ke aʻalolo | ʻO ke kūlana āu e noho nei i ka wā o ke ʻoki ʻana e hōʻeha paha i nā aʻalolo i kou mau wāwae, nā lima, a me nā manamana lima (he mea kākaʻikahi loa). |
| ʻEha | Hiki ke loaʻa ka ʻeha lōʻihi ma muli o ka hōʻino ʻia ʻana o nā aʻalolo ma kahi i hana ʻia ai ke ʻoki ʻana (ka scrotum a i ʻole ka perineum). |
| Ka liki ʻana o ka mimi a i ʻole ka sperm | Hiki ke hōʻiliʻili ka mimi a i ʻole ka sperm ma kahi i hana ʻia ai ke ʻoki ʻana a kahe i waho o ka penis. |
| Ka Hana ʻino ʻana o ka Erectile | Hiki ke hana ʻia kēia, akā he manawa pōkole wale nō ia a hoʻoholo ʻia i loko o 18 mau mahina a i ʻole ka liʻiliʻi. |
ʻEhia ka lōʻihi e ola ai? Āhea wau e hoʻi ai i ka hana?
He pilikia kēia i loaʻa i nā poʻe he nui. Aia kekahi mau mea e pono ai ʻoe e makaʻala e pili ana i ka wā hoʻōla.
- ʻOiai ke kau ʻia nei ke catheter: I loko o kēia manawa (ma kahi o 2-3 mau pule), pono ʻoe e pale i ka hoʻokele kaʻa a i ʻole ka noho ʻana no ka manawa lōʻihi . Eia kekahi, e pale i ka squatting a i ʻole ka hana ʻana i nā mea me kou mau wāwae i hohola ākea ʻia (e like me ke piʻi ʻana i nā alapiʻi) . Eia nō naʻe, ua maikaʻi ke hele maʻamau a hana i nā hana māmā o ka hale.
- ʻEha waha: Inā he ʻoki ʻiʻo kou ma kou waha, mai hopohopo. Hoʻōla koke nā ʻeha waha. Ma kahi o 3 mau pule, e ulu mai nā ʻiʻo hou a uhi i ka wahi.
- Ke hoʻi ʻana i ka hana: E hiki iā ʻoe ke hoʻi i ka hana ma hope o ka wehe ʻia ʻana o ke catheter. ʻO ke ʻano kēia e pono ai ʻoe e hoʻomaha no 2-3 mau pule . Inā he hana koi kino kāu, hiki ke lōʻihi iki.
- Hana moekolohe: He mea nui loa kēia. Pono ʻoe e kāohi loa i ka moekolohe a i ʻole ka masturbation no 6 mau pule ma hope o ke ʻoki ʻana. He mea nui kēia no ka ho'ōla pono ʻana o ka ʻeha.
Āhea ʻoe e pono ai e ʻike i ke kauka?
Inā pilikia ʻoe i ka mimi ʻana, nā maʻi ʻōpū mimi pinepine (UTIs), a i ʻole ua haʻi ʻia e ke kauka he paʻa kou urethra, pono ʻoe e ʻike i ke kauka a kamaʻilio e pili ana i kēia.
Inā ua hana ʻia ʻoe i ke ʻoki urethroplasty a ʻike ʻoe i kekahi o nā hōʻailona hōʻailona ma lalo nei, pono ʻoe e kelepona koke aku i kāu kauka.
- Inā loaʻa iā ʻoe ke kuni .
- Inā hāmama ke ʻano o ka ʻoki ʻoki .
- Inā he mau ʻila koko nui ma kou lole komo.
- Inā he wai e like me ka pus e puka mai ana mai loko mai o ka ʻoki.
- Manaʻo ʻole ʻiaInā he ʻeha nui .
- Inā ua ālai ʻia kāu catheter a ʻaʻohe mimi e puka mai ana.
Inā he kānalua kou e pili ana i kekahi mea e like me kēia, mai hoʻowahāwahā. E kāhea koke aku i kāu kauka a i ʻole ka haukapila no ka ʻōlelo aʻo.
Leka Lawe-Home
- He ʻano hana ʻoki kino maikaʻi loa ka Urethroplasty no ka mālama ʻana i ka urethral stricture.
- ʻO ka nui o ka holomua o kēia ʻoki kino he 80%-90%.
- Pono e hoʻokomo ʻia kahi catheter ma kahi o 2-3 mau pule ma hope o ke ʻoki ʻana.
- E hahai pono i nā ʻōlelo aʻo a ke kauka, ʻoiai e pale aku i ka moekolohe a me ka kaupalena ʻana i nā hana, i ka wā e hoʻōla ai.
- Inā ʻike ʻoe i nā hōʻailona hōʻailona e like me ke kuni, ka ʻeha nui, a i ʻole ka pus e hele mai ana mai ka ʻoki ʻana, e hoʻomaopopo koke i kāu kauka.
- Inā he mau nīnau a hopohopo paha kāu e pili ana i kou olakino, e kamaʻilio ākea me kāu kauka.
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