E hopohopo nui ana kekahi makuahine a makua paha inā ʻike koke lākou i kahi a ʻelua paha ʻila koko ma nā lole komo o kā lākou kaikamahine liʻiliʻi, ʻeā? He mea maʻamau loa ka makaʻu ke ʻike ʻoe i kahi mea e like me kēia, ʻoiai he ʻōpiopio nō ke keiki. Akā, ʻaʻole kēia he mea e makaʻu mau ai. I kekahi manawa hiki ke hana ʻia kēia e ke kūlana a mākou e kamaʻilio nei i kēia lā, he kūlana kakaikahi akā ʻaʻole weliweli i kapa ʻia ʻo Urethral Prolapse. No laila e kamaʻilio maopopo kākou e pili ana i kēia i kēia lā.
He aha ka Urethral Prolapse?
I ka ʻōlelo maʻalahi, ʻo ia ka manawa e puka mai ai ka uhi lahilahi o ka urethra, ka ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi a i waho o ko mākou kino. I nā kaikamahine, aia ka urethra ma luna iki o ka vagina. No laila, i ka wā e puka mai ai ka uhi o loko o kēia ʻōmole, ua like ia me kahi donut poni liʻiliʻi e puka mai ana mai ka puka kahi e puka mai ai ka mimi.
He maʻi laha ʻole kēia. Hoʻopilikia ia ma kahi o 1 i loko o 5,000 mau kaikamahine. ʻAʻole ia he maʻi hoʻoweliweli i ke ola , a ʻaʻole hoʻi he maʻi kanesa . No laila, mai hopohopo no ia mea. ʻOi aku ka maʻamau o kēia maʻi i nā kaikamahine prepubescent a me nā wahine postmenopausal.
No ke aha e hiki ai kēia i kahi keiki? He aha nā kumu?
ʻAʻohe kumu hoʻokahi a maopopo no kēia. Eia nō naʻe, manaʻoʻiʻo nā kauka he nui nā mea pilikia e hiki ke kōkua i ia mea. ʻO kēia mau mea a pau e alakaʻi ai i ka piʻi koke ʻana o ke kaomi ʻōpū.
E noʻonoʻo e pili ana i ia mea, hiki i nā mea e like me kēia ke hoʻonui i ke kaomi intra-abdominal:
- ʻŪhū mau loa: Inā hoʻomau ke keiki i ka ʻūhū me ka leo nui.
- Paʻa ʻōpū: Inā pilikia ʻoe i ka hele ʻana i ka ʻōpala, ma muli ia o ke kaumaha āu e ʻike ai i kēlā manawa.
- Ka Maʻi ʻAla Mimi (UTI): Inā loaʻa pinepine iā ʻoe nā maʻi ʻala mimi.
- Ka piʻi ʻana o ke kaumaha: Hiki i ka momona ke lilo i kumu.
- ʻEha: Inā loaʻa kekahi mea i kēlā wahi, e like me ka hahau nui a i ʻole ka hāʻule ʻana.
ʻO kekahi mea nui ʻē aʻe, ma mua o ka wā ʻōpio, he haʻahaʻa nā pae o ka hormone 'Oestrogen' i loko o ko lākou kino no nā kaikamahine. Hiki i kēia ke hoʻonāwaliwali i nā ʻiʻo a puni ka urethra. Hiki i kēia nāwaliwali ke hoʻoulu i ka membrane e puka i waho ma kēia ʻano.
He aha nā hōʻailona? Pehea ʻoe e ʻike ai?
E noʻonoʻo, ma kahi o 10% o nā keiki me kēia maʻi ʻaʻole paha e hōʻike i kekahi mau hōʻailona. Hiki ke ʻike ʻia ma ka manawa kūpono ke hele lākou i ke kauka no kekahi mea ʻē aʻe. Akā, inā ʻike ʻia nā hōʻailona, e nānā kākou i ke ʻano o ia mau mea.
| Hōʻailona | Wehewehena |
|---|---|
| Nā ʻōpala koko ma nā lole komo | ʻO kēia ka hōʻailona maʻamau. Hiki ke ʻike ʻia he mau kulu koko liʻiliʻi ma luna o nā lole komo. ʻO kēia ka mea e hopohopo ai nā mākua he nui. |
| ʻEha i ka wā e mimi ai | Loaʻa i kekahi mau keiki ka ʻeha a i ʻole ke kuni i ka wā e mimi ai lākou. Kāhea nā kauka i kēia dysuria. |
| Paʻakikī ke mimi | I kekahi manawa, hiki ke paʻakikī ke hoʻokuʻu loa i kou ʻōpū mimi (paʻa ʻana o ka mimi). |
| ʻIke kūloko | E ʻeha iki paha ka wahi ma hope o ka mimi ʻana a me ka holoi ʻana. |
| Ka pehu ʻana o ke kino e puka mai ana | Inā hoʻomau kēia ʻano no ka manawa lōʻihi, hiki i ka ʻiʻo e puka mai ana ke pehu, ʻeha, a ʻeha hoʻi. |
Pehea e ʻike ai ke kauka i kēia? (Diagnosis)
ʻO ka mea maikaʻi loa e hana ai ke ʻike ʻoe i kahi mea e like me kēia, ʻo ia ke lawe i kāu keiki i ke kauka, ʻoi aku hoʻi i ke kauka pediatric .
I ka hapanui o nā hihia, hiki i ke kauka ke ʻike i kēia kūlana ma ka nānā ʻana i ke keiki (clinical diagnosis). Hiki ke kānalua ʻia kēia inā ʻike ʻia kahi ʻiʻo glandular poni a poni paha e puka mai ana mai ka urethra.
Eia nō naʻe, no ka mea he ʻano kakaikahi kēia, i kekahi manawa e ʻōlelo paha ke kauka i kekahi mau hoʻokolohua hou aʻe e hōʻoia inā he ʻano ʻē aʻe kēia.
- Pelvic Ultrasound Scan: E noi ʻia paha ʻoe e hana i kahi ultrasound scan o ka ʻōpū.
- ʻO ka Voiding Cystourethrogram (VCUG): He hoʻāʻo X-ray kūikawā kēia e hiki ai ke ʻike maopopo i ka ʻōpū mimi a me ka urethra o ke keiki.
No ka mea he mea kākaʻikahi kēia, hiki ke kuhihewa ʻia i kekahi manawa no ke 'vaginal bleeding'. ʻO ia ke kumu he mea nui e ʻike i ke kauka no ka ʻike pololei.
He aha nā lāʻau lapaʻau no kēia? Pono anei au i ke ʻoki kino?
ʻOiai paha he mea weliweli kēia, i ka hapanui o nā hihia aia kahi lāʻau maʻalahi no kēia. ʻAʻole pono pinepine ke ʻoki kino. Hoʻoholo ʻia ka lāʻau lapaʻau e ke koʻikoʻi o nā hōʻailona o ke keiki.
| ʻAno Lapaʻau | Wehewehena |
|---|---|
| Kirimina Estrogen | ʻO kēia ka lāʻau lapaʻau mua. Pono e hoʻopili ʻia kēia kirīmi ma ka wahi e like me ke kauoha a ke kauka. E hoʻoikaika kēia i nā ʻiʻo ma ia wahi a kōkua i ka ʻāpana i puka mai e hoʻi i loko. |
| ʻAuʻau Sitz | ʻO ka ʻauʻau sitz he ʻauʻau ʻana no 15-20 mau minuke i loko o kahi pola wai mehana. He ala maikaʻi loa kēia e mālama ai i ka maʻemaʻe o ka wahi a hōʻoluʻolu i ka ʻeha a me ka mumū. |
| Ke hoʻopili ʻana i ka Vaseline | ʻO ka hoʻohana ʻana i kahi mea e like me Vaseline hiki ke hōʻemi i ka ʻike a me ka mumū ma ia wahi. |
| Nā lāʻau lapaʻau | Inā hana ʻia kēia kūlana e kahi mea e like me ka maʻi urinary tract, hiki i kāu kauka ke kuhikuhi i nā antibiotics e mālama iā ia. |
| Nā hihia kahi e pono ai ke ʻoki kino | |
| ʻoki kino | Inā ʻaʻole kōkua nā lāʻau ʻē aʻe, a pehu ka ʻiʻo e puka mai ana, poni ʻeleʻele/polū, a ʻeha hoʻi, hiki i ke kauka ke ʻōlelo aku i ke ʻoki kino. Pili kēia i ka wehe ʻana i ka ʻiʻo e puka mai ana a me ka humuhumu ʻana iā ia e pale aku ai i kona hoʻi hou ʻana mai. He hana maʻalahi kēia maʻamau. |
I ka hapanui o nā hihia, e hoʻoholo loa ʻia kēia ʻano ma hope o ʻelua pule o ka hoʻohana ʻana i ka estrogen cream a me nā ʻauʻau sitz, no laila ʻaʻohe kumu e hopohopo ai.
Leka Lawe-Home
- He mea laha ʻole ka urethral prolapse akā ʻaʻole ia he maʻi hoʻoweliweli i ke ola o nā kaikamahine.
- ʻO ka hōʻailona nui ka ʻike ʻia ʻana o nā ʻōpala koko ma nā lole komo o ke keiki.
- Inā ʻike ʻoe i kekahi mea e like me kēia, mai hopohopo, e ʻike koke i kahi kauka keiki. Mai hele i kekahi lāʻau lapaʻau āu e makemake ai e hana a i ʻole e hana i nā mea a ka poʻe a puni ʻoe e haʻi aku ai iā ʻoe e hana.
- I ka manawa pinepine, hiki i nā lāʻau lapaʻau maʻalahi (nā kirīmi, nā ʻauʻau sitz) ke ho'ōla loa i kēia maʻi i loko o kekahi mau pule.
- ʻAʻole pono pinepine ke ʻoki ʻana, a he hana maʻalahi ia e hiki ke hana pono ʻia.
- He mea nui loa no ka ho'ōla koke ʻana e hahai pololei i nā ʻōlelo a kāu kauka.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo