ʻO ke kiaʻi mālie o kā mākou ʻōnaehana mimi: E aʻo wale kākou e pili ana i ka urothelium

Mimi mākou a pau i nā manawa he nui i ka lā. Akā, ua noʻonoʻo paha ʻoe i ke ʻano kupaianaha ma hope o kēia kaʻina hana holoʻokoʻa? Ua ʻike anei ʻoe he membrane pale kūikawā kēia ʻōnaehana e hoʻokuke aku i nā ʻōpala mai ko mākou kino ma ke ʻano he wai e pale aku ai mai loko mai? ʻO ia ka mea pale leo ʻole a mākou e kamaʻilio ai i kēia lā. ʻO kona inoa ʻo ka urothelium.

I ka ʻōlelo maʻalahi, he aha kēia urothelium?

E noʻonoʻo i kāu ʻōnaehana mimi e like me ka paipu wai. ʻO ka mimi, ka mea i hana ʻia e nā puʻupaʻa, hele ma o nā ureters, hōʻiliʻili i loko o ka ʻōpū mimi, a laila puka i waho ma o ka urethra. ʻĀnō, ʻaʻole wale kēia mimi he wai. Loaʻa iā ia nā kemika i pono ʻole ʻia e ke kino, a i kekahi manawa hiki ke hoʻopōʻino i nā ʻāpana ʻē aʻe o ke kino. He wai ʻakika iki nō hoʻi ka mimi.

No laila, ʻo ke ala e hele ai ka mimi, ʻo ia hoʻi, mai loko mai o nā ʻōpū e like me ka ʻōpū mimi a me ka urethra, pono e loaʻa kahi uhi ikaika e pale aku ai i kēia mau mea ʻino mai ke komo ʻana i loko o ke kino, ʻo ia hoʻi, i loko o ko kākou koko a me nā ʻiʻo. ʻO kēlā uhi pale kūikawā ka mea a mākou e kapa nei he urothelium.

Ua like kēia me ka pena pale wai ma nā paia o ko mākou hale. Pale kēlā pena i ka wai mai ke komo ʻana i loko o ka hale. Ma ke ʻano like, pale ka urothelium i nā mea o loko o ka mimi mai ke komo ʻana i loko o ke kino. Hana ʻia ia me kekahi mau papa o nā pūnaewele i hoʻopaʻa paʻa ʻia kekahi i kekahi. ʻO kekahi hiki kupaianaha o kēia mau pūnaewele, hiki iā lākou ke kīkoʻo maikaʻi i ka wā e piha ai ka ʻōpū mimi a hoʻi i ka maʻamau i ka wā e hakahaka ai.

He aha nā hana nui o ka urothelium?

ʻAʻole he hana maʻalahi ka lawelawe i hāʻawi ʻia e kēia membrane liʻiliʻi. E nānā kākou i kekahi o kāna mau hana nui.

Aia ma hea ka urothelium?

Aia kēia uhi pale ma ka ʻaoʻao haʻahaʻa o kā mākou ʻōnaehana mimi. ʻO ia hoʻi:

• ʻO ke pelvis Renal: ʻO kēia ka ʻāpana e like me ke kīʻaha o ka puʻupaʻa kahi e hōʻiliʻili mua ai ka mimi i hana ʻia i loko.
• Nā Ureters: ʻO nā ʻōmole ʻelua e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi.
• ʻŌmole mimi: ʻO ka ʻeke e hōʻiliʻili a mālama i ka mimi.
• Urethra: ʻO ka ʻōmole e lawe ai i ka mimi mai ka ʻōpū mimi a i waho o ke kino.

ʻO nā papa ʻekolu o ka urothelium

ʻAʻole kēia he papa hoʻokahi wale nō. E like me ka pā kaua, he ʻekolu ona papa nui.

Nā maʻi e pili ana i ka urothelium

Ke hōʻino ʻia kēia membrane pale a loli paha kāna hana, hiki ke loaʻa nā maʻi like ʻole.

• Kanesa: Hoʻomaka ka hapa nui o nā maʻi ʻaʻai mimi i loko o nā pūnaewele o ka urothelium. Ua kapa ʻia kēia he urothelial carcinoma . Loaʻa i ka poʻe puhi paka kahi pilikia kiʻekiʻe loa o ka hoʻomohala ʻana i kēia ʻano maʻi ʻaʻai.
• ʻO Interstitial Cystitis: He ʻano ʻeha mau kēia e hoʻopilikia ai i ka ʻōpū mimi. Manaʻo kekahi mau kauka ʻo ka hōʻino ʻana i ka urothelium ke kumu o ka hoʻokahe ʻana o nā mea ʻino i loko o ka mimi i loko o ka paia o ka ʻōpū mimi, e hana ana i kēia ʻeha.
• ʻO ka ʻōpū mimi hana nui a i ʻole ka incontinence mimi: Ke hōʻino ʻia ka urothelium e nā pilikia e like me nā pōhaku puʻupaʻa, hiki iā ia ke hoʻouna i nā hōʻailona hewa i ka lolo. No ka laʻana, hiki i ka ʻōpū mimi ke hoʻouna i kahi hōʻailona e pono ai e mimi koke, ʻoiai ʻaʻole i piha loa.

He aha nā hōʻailona maʻamau o kēia maʻi?

Inā loaʻa iā ʻoe ka pilikia me kou urothelium, hiki iā ʻoe ke ʻike i nā hōʻailona e like me:

• Koko i loko o ka mimi (Hematochezia): ʻO kēiaMai hoʻowahāwahā iā ia. Inā ʻike ʻoe i ke koko i loko o kou mimi e lilo i ʻulaʻula, poni, a ʻeleʻele paha, e ʻike koke i ke kauka.
• Ka loli ʻana o ke kala o ka mimi (ka pouli ʻana).
• ʻEha o ka ʻōpū haʻahaʻa.
• ʻEha a wela paha i ka wā e mimi ai.
• Pono e mimi pinepine.

Nā hoʻokolohua i hana ʻia e ke kauka

Inā loaʻa iā ʻoe nā hōʻailona e like me kēia, makemake paha kāu kauka e hana i kekahi mau hoʻokolohua e ʻike ai i ke kumu.

• Urinalysis: Lawe ʻia kahi hāpana mimi a nānā ʻia no ke koko, ka pus, ka bacteria, a i ʻole nā ​​​​​​mea ʻē aʻe.
• Nā hoʻāʻo hana puʻupaʻa: Hana ʻia nā hoʻāʻo koko a mimi paha e ʻike ai inā e hana pono ana nā puʻupaʻa.
• Nā hoʻāʻo koko: Hiki iā lākou ke hāʻawi i ka ʻike e pili ana i nā maʻi a i ʻole nā ​​​​pilikia ʻē aʻe i loko o ke kino.
• Nā hoʻāʻo kiʻi: Hiki ke hana ʻia kahi ultrasound, MRI , a i ʻole CT scan e nānā i nā pōhaku, nā ʻōpū, a i ʻole nā ​​​​​​mea ʻē aʻe i loko o nā ʻōpū e like me nā puʻupaʻa a me ka ʻōpū mimi.
• Ke lawe ʻana i kahi hāpana ʻiʻo (Biopsy): Inā kānalua ʻia ka maʻi ʻaʻai, hoʻokomo ʻia kahi kāmela i loko o ka ʻōpū mimi (Cystoscopy) a lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo mai kahi kānalua a nānā ʻia.

He mea maʻamau anei ke loaʻa ʻana o nā pūnaewele urothelial i loko o ka mimi?

ʻAe, i kekahi manawa hiki ke maʻamau. Ke make mau nei ko mākou mau pūnaewele kino a ke kūkulu ʻia nei nā pūnaewele hou. No laila, he mea maʻamau no kekahi o nā pūnaewele ʻili o kēia urothelium e hoʻokahe a puka aku me ka mimi. Eia nō naʻe, hiki i ka nui o kēia mau pūnaewele ke hōʻiliʻili i loko o ka mimi ma muli o kahi maʻi urinary tract, kahi ʻeha i hoʻokumu ʻia e kahi pōhaku puʻupaʻa, a i ʻole kekahi ʻano maʻi kanesa. Inā ʻōlelo ʻia kēia ma kāu hōʻike hoʻāʻo mimi, e kamaʻilio me kāu kauka e pili ana i ia mea a e ʻike i ke kumu o ia mea.

He aha ka dysplasia?

I kekahi manawa, hiki i kahi biopsy ke hōʻike he dysplasia nā cell urothelial. ʻO ke ʻano kēia he ʻano ʻē iki ke nānā ʻia nā cell ke nānā ʻia ma lalo o kahi microscope. ʻAʻole kēia manaʻo he maʻi kanesa lākou. Eia nō naʻe, i kekahi manawa he pilikia ko kēia mau cell ʻano ʻē i ka ulu ʻana i ka maʻi kanesa i ka wā e hiki mai ana. No laila, inā ʻike ke kauka i kēia ʻano, e nānā mau lākou iā ʻoe a kuhikuhi i ka lāʻau lapaʻau inā pono.

ʻAʻohe o mākou e hoʻohana i ka huaʻōlelo "urothelium" i ko mākou ola o kēlā me kēia lā. Akā i kēia manawa ua ʻike ʻoe ʻaʻole hiki iā mākou ke olakino me ka ʻole o kēia kiaʻi leo ʻole. No laila, inā ʻike ʻoe i kekahi mea ʻē i loko o kāu ʻōnaehana mimi, ʻoiai ke koko i loko o kou mimi, mai hoʻowahāwahā iā ia a nīnau koke i ke kauka no ka ʻōlelo aʻo.