Ua ālai ʻia kou urethra? E aʻo kākou e pili ana i ke ʻoki Urethroplasty!

Ke ʻike nei hoʻi ʻoe i kekahi ʻeha, ʻeha, a i ʻole kahi kahe mimi nāwaliwali loa a hoʻopau ʻia i ka wā e mimi ana? Manaʻo paha ʻoe i kekahi manawa ʻaʻole i hoʻokahe loa ʻia kou ʻōpū mimi? ʻO ke kumu o kēia kūlana, ʻo ia ka paʻa ʻana o kou urethra, ka ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi a i waho o ke kino, a ua ʻūmiʻi paha i kekahi wahi. No laila, i kēia lā e kamaʻilio mākou e pili ana i ka Urethroplasty, kahi hana kūikawā i hana ʻia ma ia ʻano kūlana a loaʻa nā hopena holomua loa.

I ka ʻōlelo maʻalahi, he aha ka Urethroplasty?

He hana ʻoki kino ka Urethroplasty ma kou urethra. ʻO kēia ʻōmole, ʻo ia kekahi ʻāpana o kā mākou ʻōnaehana mimi, e lawe ana i ka mimi mai ka ʻōpū mimi i waho o ke kino. I nā kāne, hoʻokuʻu ʻia ka sperm ma o kēia ʻōmole.

No laila, no kekahi kumu, hana ʻia nā ʻiʻo ʻeha i loko o kēia urethra, a hoʻomaka ka ʻōmole e lilo i haiki a ʻūmiʻi paha, kahi e pale ai i ke kahe ʻana o ka mimi. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano he urethral stricture . ʻOi aku ka maʻamau o kēia ʻano i nā kāne ma mua o nā wahine.

ʻO ka Urethroplasty e pili ana i ka ʻoki ʻana i ka ʻāpana i paʻa a ʻeha o ka urethra a hoʻopili hou i nā ʻāpana olakino ʻelua o ka ʻōmole. A i ʻole, inā lōʻihi ka paʻa ʻana, lawe ʻia kahi ʻāpana ʻiʻo mai kahi ʻāpana ʻē aʻe o ke kino a hoʻohana ʻia e hoʻoponopono i ka ʻāpana i paʻa.

Aia kekahi mau kūlana nui e pono ai kēia ʻoki kino:

• Inā loaʻa iā ʻoe kahi urethral stricture .
• Inā ua hana ʻia ke ʻoki ʻana ma kou urethra i kou wā kamaliʻi ma muli o kekahi mau kīnā hānau, e like me epispadias a i ʻole hypospadias, no ka mea, ʻoi aku ka nui o ka manawa e hana hou ai nā ālai ʻana i nā urethra i hana mua ʻia.
• Ma ke ʻano he ʻāpana o kahi ʻoki hana hou ʻē aʻe.

Pehea e hana ʻia ai ke ʻoki kino? Mai hea mai e lawe ʻia ai ke kino?

ʻO ka manawa e pono ai no kēia ʻoki ʻana e pili ana i ka lōʻihi a me ke kūlana o ka paʻa ʻana. Hiki ke hoʻopau ʻia kahi paʻa liʻiliʻi i ka manawa pōkole. Eia nō naʻe, ʻoi aku ka lōʻihi o ka paʻa ʻana no ka mea pono e lawe ʻia kahi ʻāpana ʻiʻo mai kahi ʻē aʻe e hoʻoponopono ai.

No laila, e nānā kākou i kahi e loaʻa pinepine ai ka ʻiʻo e hoʻoponopono ai i ka urethra.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Ma mua o ke ʻoki ʻana, pono kāu kauka e ʻike pono i kahi o ka paʻa ʻana i loko o kou urethra a me kona lōʻihi. ʻO ka maʻamau, e pili ana kēia i kahi X-ray (retrograde urethrogram) a i ʻole kahi kaʻina hana i alakaʻi ʻia e ke kāmela (cystoscopy) . ʻAʻole kēia he mau hoʻokolohua ʻeha loa.

A laila, ma mua o ka lā o ke ʻoki kino, e hāʻawi ʻia ʻoe i nā kuhikuhi no ka wā e ʻai ai a inu ai, a inā paha e hoʻōki i ka lawe ʻana i nā lāʻau lapaʻau āu e lawe nei.

I kekahi manawa, e ʻōlelo paha kāu kauka e kau ʻia kahi catheter suprapubic ma mua o ke ʻoki ʻana. He kaʻina hana kēia kahi e hoʻokomo ʻia ai kahi paipu ma o ka ʻōpū haʻahaʻa, pololei i loko o ka ʻōpū mimi, e hoʻokahe i ka mimi. ʻAe kēia i ka urethra e "hoʻomaha" ʻoiai e hoʻokahe maʻalahi ana ka ʻōpū mimi, e ʻae ana i ka ʻiʻo ʻeha e ʻike maopopo ʻia. ʻOi aku ka maʻalahi o ka wehe ʻana i ka wahi i ka wā o ke ʻoki ʻana.

He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ka manawa hoʻōla?

Ma hope o ke ʻoki ʻana, e mālama ʻia ʻoe i loko o kahi lumi hoʻōla a hiki i kou ala ʻana mai ka anesthesia. I ka hapanui o nā hihia, hiki iā ʻoe ke hoʻi i ka home i ke ahiahi hoʻokahi, a i ʻole e noho ʻoe i ka haukapila i ka pō. Ke hoʻi ʻoe i ka home, e loaʻa iā ʻoe kahi catheter . ʻO kēia ke hoʻomau i ke kahe ʻana o kāu mimi me ka ʻole o ke ālai a hiki i ka ho'ōla ʻana o ka urethra i hana hou ʻia.

Me kēlā, e hāʻawi ʻia ʻoe i nā lāʻau ʻeha, nā lāʻau antibiotic e pale aku i ka maʻi, a me nā lāʻau lapaʻau e pale aku ai i nā ʻūmiʻi pono ʻole o ka ʻōpū mimi. Inā ua lawe ʻia ka ʻiʻo mai ka waha mai, e haʻi ʻia iā ʻoe e hoʻohana i kahi holoi waha kūikawā e mālama i ka maʻemaʻe o ka ʻeha.

E hāʻawi ʻia iā ʻoe kahi lā e ʻike hou ai i kāu kauka i ʻelua a ʻekolu paha pule ma hope o ke ʻoki ʻana. I kēlā manawa, pono paha ʻoe e loaʻa i kahi X-ray e nānā i ka hoʻoponopono ʻana. Pili kēia i ka hoʻopiha ʻana i kou ʻōpū mimi me kahi hopena kūikawā, ka wehe ʻana i ka urethra, a me ka lawe ʻana i nā kiʻi X-ray i kou wā mimi.

E hoʻomanaʻo i kēia mau mea i ka wā e hoʻōla ai

• Pono ʻoe e pale i ka hoʻokele kaʻa a noho paha no ka manawa lōʻihi ʻoiai ʻoe e hoʻokomo nei i kāu catheter urinary.
• Pono ʻoe e pale i ka noho ʻana me nā wāwae keʻa a i ʻole ka hana ʻana i nā mea me kou mau wāwae i hohola ākea ʻia (e like me ka piʻi ʻana i nā alapiʻi) . He mea maikaʻi ka hele wāwae maʻamau a me ka piʻi ʻana i nā alapiʻi.
• ʻOiai ma hope o ka wehe ʻia ʻana o ke catheter urethral, ​​pono ʻoe e pale i ka moekolohe a i ʻole ka masturbation no 6 mau pule mai ka lā o ke ʻoki ʻana.
• Hoʻōla koke ka ʻeha i loko o ka waha. Ma kahi o ʻekolu pule, e kū mai ana nā ʻiʻo hou a pani ʻia ka ʻeha.
• ʻO ka maʻamau, pono ʻoe e hoʻomaha mai ka hana a i ke kula paha no ʻelua a ʻekolu mau pule ma hope o ke kau ʻia ʻana o kāu catheter urinary.

He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?

ʻO ka pōmaikaʻi nui o kēia ʻoki kino, ʻo ia ke ala maikaʻi loa a maikaʻi loa e mālama ai i ke ālai ʻana o ka urethral. Ua hōʻike ʻia e ka noiʻi ʻana ua ʻoi aku ka nui o ka holomua o kēia ʻoki kino ma mua o 80%, a i kekahi mau hihia, ʻoi aku ia ma mua o 90%.

E like me nā ʻoki kino āpau, aia kekahi mau pilikia. He mea maʻamau nā pilikia me ka anesthesia a me ka maʻi ʻeha.

ʻO ka pilikia nui, ʻaʻole paha e holomua ke ʻoki ʻana i ka wā lōʻihi a e hoʻi hou mai nā ʻōpala a paʻa. Inā hana ʻia kēlā, pono paha ʻoe e hana hou i ke ʻoki ʻana. No laila he mea nui e hele mai i ke keʻena lapaʻau i nā lā a ke kauka i hāʻawi ai iā ʻoe a loaʻa kahi nānā.

ʻO kekahi mau pilikia kakaikahi ʻē aʻe:

• Ka hōʻeha manawa pōkole i nā aʻalolo ma nā wāwae, nā lima, a me nā manamana lima ma muli o ke kūlana i ka wā o ke ʻoki ʻana.
• ʻEha ma ka ʻāpana ma waena o nā testicles a me ka anus ma muli o ka hōʻino ʻia ʻana o nā aʻalolo.
• Hiki ke hōʻiliʻili ka mimi a i ʻole ka sperm i loko o ka wahi ʻoki, e hoʻoulu ai i ka liki a i ʻole ka hoʻokuʻu ʻia mai ka penis.
• ʻO ka hana ʻino o ka erectile . Eia nō naʻe, inā hana kēia, he manawa pōkole ia a hoʻopau ʻia i loko o 18 mau mahina a i ʻole ka liʻiliʻi.

I ka manawa e ʻike koke ai i kāu kauka

Inā pilikia ʻoe i ka mimi ʻana, loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi, a i ʻole ua haʻi ʻia e ke kauka he paʻa kou urethra, e ʻimi pono i ka ʻōlelo aʻo lapaʻau.

Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma hope o ka urethroplasty, e hoʻomaopopo koke i kāu kauka.

Mai makaʻu e kamaʻilio me kāu kauka e pili ana i nā hōʻailona āu e hopohopo nei. ʻO ia ke kanaka maikaʻi loa e haʻi iā ʻoe i ka mea maikaʻi loa e hana ai.