Ke manaʻo nei hoʻi ʻoe e pono ʻoe e mimi pinepine? Akā i kou hele ʻana i ka lua, hele iki wale nō ʻoe? Ua hele pū ʻia me ka nui o ke kuni a me ka ʻeha? A laila aia kahi manawa kūpono e loaʻa iā ʻoe kahi maʻi ʻaʻai mimi, kahi a mākou e ʻike nei he UTI (Urinary Tract Infection). He pilikia maʻamau kēia no nā poʻe he nui, ʻoi aku hoʻi nā wahine. Akā, mai hopohopo, inā ʻike pono ʻia ʻoe e pili ana i kēia a loaʻa ka lāʻau i ka manawa kūpono, hiki iā ʻoe ke hoʻōla koke. E kamaʻilio kākou e pili ana i kēia mai ka hoʻomaka ʻana.
I ka ʻōlelo maʻalahi, he aha ka maʻi ʻaʻai mimi (UTI)?
ʻO ka maʻi ʻaʻai mimi ka wā e komo ai kahi germ, ʻo ia hoʻi ka bacteria, i loko o kā mākou ʻōnaehana mimi a hoʻoulu i kahi maʻi. E like me ka ʻeha i loko o ko mākou kino e pehu ana, ulu kahi maʻi i loko o ka ʻōnaehana mimi.
I mea e hoʻomaopopo ai i kēia, e aʻo mua kākou e pili ana i kā kākou ʻōnaehana mimi. E noʻonoʻo iā ia he ʻōnaehana hoʻomaʻemaʻe e kānana ana i nā ʻōpala mai ko kākou kino. He ʻehā ona ʻāpana nui:
- Nā puʻupaʻa: ʻElua mau ʻāpana ʻano pīni ma ke kua o ko kākou kino, ma luna pono o ka pūhaka. Kānana lākou i nā huahana ʻōpala a me ka wai keu mai ko kākou koko a hana i ka mimi.
- Nā Ureters: ʻElua mau ʻōmole lahilahi e lawe ana i ka mimi, i hana ʻia i loko o nā puʻupaʻa, i ka ʻōpū mimi.
- ʻŌmole: He ʻeke elastic e like me ka pōpō. ʻO ia kahi e mālama ʻia ai ka mimi no kekahi manawa a hiki i ka hōʻiliʻili ʻana.
- Urethra: ʻO ka ʻōmole e lawe ai i ka mimi mai ka ʻōpū mimi a i waho o ke kino.
ʻO ka maʻamau, ʻaʻohe germs i loko o kēia ʻōnaehana mimi. Eia nō naʻe, inā komo nā germs, e like me ka bacteria, ma o ka urethra, hiki i ka maʻi ke laha i ka mimi ʻōpū a me nā puʻupaʻa ma ka urethra.
Ua kapa ʻia ʻo ia ma nā inoa like ʻole ma muli o kahi i loaʻa ai ka maʻi:
- ʻO ka maʻi ʻaʻai mimi: (Urethritis)
- ʻO ka maʻi ʻōpū: (Cystitis) (ʻo kēia ka mea maʻamau)
- Maʻi puʻupaʻa: (Pyelonephritis) (He ʻano koʻikoʻi iki kēia)
He aha nā hōʻailona o ka UTI? Pehea ʻoe e ʻike ai?
ʻOiai ʻokoʻa iki nā hōʻailona o ka maʻi mimi mai kēlā kanaka a kēia kanaka, aia kekahi mau hōʻailona maʻamau āu e ʻike ai. E nānā inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau mea.
| Hōʻailona | Pehea kēlā manaʻo? |
|---|---|
| ʻEha/ʻā i ka wā e mimi ai (Dysuria) | ʻO kēia ka hōʻailona nui i ʻike ʻia e ka hapa nui o ka poʻe. Ua like ia me ka ʻeha wela a ʻeha hou paha i ka wā e mimi ai. |
| Pono pinepine e mimi | ʻOiai ʻaʻole i piha loa ka ʻōpū mimi, aia mau ka manaʻo e mimi. Pono paha ʻoe e hele i ka lua i nā manawa he nui i ka hola. |
| Ka wikiwiki | Ke manaʻo ʻoe i ka makemake e mimi, ʻaʻole hiki iā ʻoe ke kāohi a pono ʻoe e holo koke i ka lua. I kekahi manawa hiki iā ʻoe ke hemo iki ma mua o kou pono. |
| Nā loli i ka mimi | Hiki ke ʻike ʻia ka mimi he ao a he waiū paha. Loaʻa paha iā ia kahi ʻala ikaika a ʻoluʻolu ʻole. I kekahi manawa, aia paha kekahi koko i loko o ka mimi (hematuria) . |
| ʻEha o ka ʻōpū haʻahaʻa a i ʻole ke kua | E manaʻo paha ʻoe i ke kaumaha, ke kaomi, a i ʻole ka ʻeha ma ka ʻōpū lalo. Inā laha ka maʻi i nā puʻupaʻa, e manaʻo paha ʻoe i ka ʻeha ma lalo o nā iwi ʻaoʻao ma nā ʻaoʻao ʻelua o kou kua. |
Hiki ke loaʻa pū kēia mau hōʻailona.
Ma waho aʻe o nā hōʻailona nui i ʻōlelo ʻia ma luna nei, hiki i kekahi poʻe ke loaʻa i kēia mau mea:
- Manaʻo luhi loa
- Kuni a me nā anu
- Ka luaʻi a me ka luaʻi
- Inā he ʻelemakule ʻoe, he kūlana huikau koke o ka noʻonoʻo
Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, mai hoʻowahāwahā iā ia me ka manaʻo he mea maʻalahi ia. ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke ʻike koke i ke kauka.
No ke aha mākou e loaʻa ai i nā UTI? ʻO wai ka mea i ʻoi aku ka pilikia?
Ma kahi o 90% o nā maʻi ʻōpū mimi i hoʻokumu ʻia e kahi bacteria i kapa ʻia ʻo E. coli (Escherichia coli) . Noho maʻamau kēia bacteria i loko o ko kākou ʻōpū nui (kokoke i ka rectum). ʻAʻole ia he pilikia inā e noho ana ia ma laila, akā i ka wā e komo ai i loko o ke ala mimi e hoʻoulu ai i ka maʻi.
Aia kekahi mau kumu e hiki ai i kekahi ke loaʻa kahi UTI:
- ʻOiai he wahine: ʻOi aku ka nui o ka pilikia o nā wahine i ka loaʻa ʻana o nā UTI ma mua o nā kāne. ʻO kēia no ka mea ʻoi aku ka pōkole o ka urethra o nā wahine ma mua o nā kāne a aia kokoke i ka anus. ʻOi aku ka maʻalahi o ke komo ʻana o ka bacteria E. coli i loko o ke ala mimi.
- Moe kolohe: Hiki i ka hana moekolohe ke hoʻokuke i ka bacteria i loko o ka urethra.
- Hoʻomaʻemaʻe: ʻO ka holoi ʻana mai hope a i mua ma hope o ka hoʻohana ʻana i ka lua hiki ke hoʻoili i ka bacteria mai ka rectum i ke ala mimi. ʻO ke ʻano kūpono, ʻo ia ka holoi mau ʻana mai mua a i hope.
- Ke paʻa ʻana i ka mimi no ka lōʻihi loa: ʻO ka paʻa ʻana i ka mimi no ka lōʻihi ma hope o ka piha ʻana o ka ʻōpū mimi e hoʻonui ai i ka manawa e ulu ai ka bacteria.
- Nā kūlana olakino ʻē aʻe: ʻO ka poʻe me ka maʻi diabetes, nā pōhaku puʻupaʻa, a i ʻole nā mea pale ʻē aʻe o ka urinary tract hiki ke hoʻomohala pinepine i nā UTI.
- Menopause: Ma hope o ka menopause, emi iho ka nui o ka estrogen o ke kino, hiki ke hoʻololi i ke kaiapuni bacteria pale i loko o ka vagina a me ke ala urinary, e hoʻonui ai iā ʻoe i nā maʻi.
He aha ke ʻano o nā hoʻokolohua āu e hana ai ke hele ʻoe i ke kauka?
Ke haʻi aku ʻoe i kāu kauka he mau hōʻailona kou o ka UTI, e hoʻolohe pono ʻo ia i kāu mau hōʻailona a kauoha i kekahi mau hoʻokolohua inā pono.
1. Urinalysis: ʻO kēia ka hoʻāʻo maʻalahi loa. Lawe ʻia kahi hāpana o kāu mimi a nānā ʻia no nā mea e like me ka bacteria, nā hunaola koko keʻokeʻo, a me nā nitrites. ʻO ke alo o kēia mau mea he hōʻailona ia o kahi maʻi.
2. Ka Moʻomeheu Mimi: I kekahi manawa, ʻoiai inā e hoʻi hou ana ka maʻi a i ʻole ʻaʻole pane mai ka lāʻau lapaʻau, hana ʻia kēia hoʻāʻo e ʻike pono i nā bacteria i loko o kāu mimi a e ʻike i ka antibiotic maikaʻi loa e pepehi iā ia.
Inā paʻakikī ka maʻi a inā paha he pilikia ʻē aʻe, hiki i ke kauka ke kauoha i nā hoʻokolohua e like me ka ultrasound scan , CT scan , a i ʻole cystoscopy (kahi ʻōmole lahilahi me kahi kāmela i hoʻokomo ʻia ma o ka urethra e nānā i ka ʻōpū mimi).
Pehea ʻoe e mālama ai i kahi UTI?
ʻO ke ala maikaʻi loa a ʻo ke ala wale nō e ho'ōla ai i ka maʻi mimi, ʻo ia ka lawe ʻana i nā lāʻau antibiotic . E loiloi kāu kauka i kou kūlana a kuhikuhi i ka lāʻau antibiotic kūpono loa.
Eia kahi mea nui loa e pono ai ʻoe e hoʻomanaʻo.ʻAe. ʻO ia hoʻi, pono ʻoe e hoʻohana i ka nui holoʻokoʻa o ka lāʻau lapaʻau i kuhikuhi ʻia e ke kauka no ka helu o nā lā i kuhikuhi ʻia. ʻAʻole loa ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau no ka mea ua emi ka ʻeha i hoʻokahi a ʻelua paha lā.
Inā ʻoe e hoʻōki, ʻaʻole paha e ho'ōla loa ʻia ka maʻi a hoʻi hou mai paha. ʻAʻole wale kēlā, akā hiki i nā bacteria i koe ke maʻa i ka antibiotic a kūʻē iā ia i ka manawa aʻe. No laila, he mea nui e hoʻopau i ka papa o ka lāʻau lapaʻau.
ʻOiai e lawe ana i ka lāʻau lapaʻau, hiki iā ʻoe ke hana i kēia mau mea e kōkua ai i ka hōʻoluʻolu ʻana i ka ʻeha:
- E inu i ka wai nui: E inu ma ka liʻiliʻi he 8-10 mau aniani wai i ka lā. ʻO ka inu ʻana i ka wai nui e kōkua i ka hoʻokahe ʻana i nā bacteria me ka mimi.
- Nā lāʻau hoʻopau ʻeha: No ka ʻeha o ka ʻōpū haʻahaʻa, hiki iā ʻoe ke lawe i kahi lāʻau hoʻopau ʻeha e like me ka paracetamol, e like me ka ʻōlelo a kāu kauka.
E ola anei ka UTI me ka ʻole o ka lāʻau lapaʻau?
Hiki ke ho'ōla ʻia nā maʻi liʻiliʻi loa e ka ʻōnaehana pale ponoʻī o ke kino. Akā he mea weliweli kēlā. I nā hihia he nui, inā ʻaʻole mālama ʻia, hiki i ka maʻi ke ʻoi aku ka ʻino a laha i nā puʻupaʻa. No laila, inā loaʻa iā ʻoe nā hōʻailona, e ʻike pono i ke kauka a loaʻa ka lāʻau lapaʻau.
Āhea ʻoe e hele koke ai i ka haukapila (ETU)?
Inā loaʻa iā ʻoe nā hōʻailona o kahi UTI maʻamau me nā hōʻailona ma lalo nei, he hōʻailona paha ia ua laha ka maʻi i nā puʻupaʻa. I kēlā hihia, mai noho ma ka home. E hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- kuni kiʻekiʻe
- Ke anu nei a me ka haʻalulu
- ʻEha nui ma nā ʻaoʻao ʻelua o ke kua
- Ka luaʻi a me ka luaʻi
He mea nui e ʻimi koke i ke kōkua lapaʻau no ka mea he mau hōʻailona kēia o kahi maʻi koʻikoʻi.
Pehea e hiki ai iaʻu ke pale aku i ka hoʻi hou ʻana o ka UTI?
"ʻOi aku ka maikaʻi o ka pale ʻana ma mua o ka hoʻōla ʻana," wahi a lākou. No laila, ʻoi aku ka maikaʻi o ka pale ʻana i ka UTI ma mua o ka ʻeha ʻana mai ia mea. Inā ʻoe e hoʻokomo i kēia mau hana maʻalahi i kou ola, hiki iā ʻoe ke hōʻemi nui i kou pilikia o ka loaʻa ʻana o ka UTI.
- E inu i ka wai he nui i ka lā a pau. ʻO kēia ka mea nui loa.
- Mai paʻa i kou mimi ke manaʻo ʻoe e mimi. E mimi koke i ka hiki.
- E holoi mau i ka ʻili mai mua a i hope ma hope o ka hoʻohana ʻana i ka lua.
- E mimi ma mua a ma hope o ka moekolohe. He mea nui nō hoʻi e noho maʻemaʻe.
- E koho i nā lole omo hou e like me ka pulupulu no nā lole komo. Hiki i nā mea synthetic e like me ka nylon ke hoʻopaʻa i ka hou a ʻae i ka bacteria e ulu.
- E pale i ka ʻauʻau pehu a me ka hoʻohana ʻana i nā mea ʻala a me nā pīpī ma ka ʻāpana vaginal. Hiki i kēia ke hoʻololi i ka pH kūlohelohe o ka ʻāpana a alakaʻi i nā maʻi.
- Wai Cranberry a i ʻole nā huapalaoa:Ua hōʻike kekahi mau noiʻi e hiki i nā mea i loko o nā cranberries ke pale i ka bacteria mai ka pipili ʻana i nā paia o ka ʻōpū mimi. Eia nō naʻe, e kamaʻilio me kāu kauka e pili ana i kēia a loaʻa ka ʻōlelo aʻoaʻo.
Leka Lawe-Home
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni ʻana i ka wā e mimi ai ʻoe a me ka pono e mimi pinepine, he maʻi ʻaʻai mimi paha ia (UTI). Mai hoʻowahāwahā iā ia.
- Inā kānalua ʻoe he UTI kou, e ʻike pono i ke kauka. Mai mālama ponoʻī.
- E lawe i nā lāʻau antibiotic i kuhikuhi ʻia e kāu kauka no ke kaʻina holoʻokoʻa o ka lāʻau lapaʻau, me ka haʻalele ʻole i hoʻokahi lā. Mai hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau ʻoiai inā e emi ana ka ʻeha.
- ʻO ka inu ʻana i ka wai he nui i ka lā a pau ʻaʻole wale ia e kōkua i ka pale ʻana i nā UTI, akā kōkua pū kekahi i ka mea i loaʻa iā ia e hoʻōla koke.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ke kuni, ka luaʻi ʻana, a me ka ʻeha nui o ke kua, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- Hiki ke pale nui ʻia nā UTI pinepine ma o ka hahai ʻana i nā hana hoʻomaʻemaʻe kūpono.











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