ʻO Ureterocele

ʻO ka ureterocele he pehu ma ka lalo o kekahi o nā ureter. ʻO Ureter nā paipu e halihali i ka mimi mai ka puʻupaʻa a i ka pale. Hiki i ka wahi pehu ke ālai i ke kahe o ka mimi.

He kīnā hānau kahi ureterocele.

Hana ʻia kahi ureterocele ma ka ʻaoʻao haʻahaʻa o ka ureter. ʻO ia ka ʻāpana e komo ai ka paipu i loko o ka ʻai. Pale ka wahi pehu i ka mimi mai ka neʻe kūʻokoʻa ʻana i loko o ka pūpū. Hōʻiliʻili ka mimi i ka ureter a hohola i kona mau paia. Hoʻonui ia e like me ka baluna wai.

Hiki i kahi ureterocele ke kahe i ke kahe o hope mai ka pākeke i ka puʻupaʻa. Kapa ʻia kēia reflux.

Hana ʻo Ureteroceles ma kahi o 1 i 500 mau kānaka. Kūlike like kēia ʻano ma nā ureter hema a ʻākau hoʻi.

ʻO ka hapa nui o ka poʻe me nā ureteroceles ʻaʻohe o lākou hōʻailona. Ke hiki mai nā ʻōuli, pili pū paha lākou:

• Abdominal eha
• ʻEha kua ma ka ʻaoʻao wale nō
• ʻAoʻao ʻeha (flank) ʻeha a me nā spasms i hiki i ke ʻūlū, nā genital, a me ka ʻūhā
• Koko i ka mimi
• ʻO ka ʻā ʻana i ke ʻeha ʻoiai e mimiki (disuria)
• Fiva
• ʻO ka paʻakikī e hoʻomaka ana i ka kahe mimi a i ʻole ka lohi o ka kahe mimi

ʻO kekahi mau hōʻailona ʻē aʻe:

• Mimi ʻaʻala ʻaʻala
• Urination pinepine a me ka wikiwiki
• Lū (nui) i loko o ka ʻōpū i hiki ke ʻike ʻia
• Hāʻule i lalo ke kino o Ureterocele (prolaps) ma o ka urethra wahine a i loko o ka ʻōpala
• Miki ʻole

Hoʻomaopopo pinepine ʻia nā ureteroceles nui ma mua o nā mea liʻiliʻi. ʻIke ʻia paha i kahi ultrasound hāpai keiki ma mua o ka hānau ʻana o ka pēpē.

ʻO kekahi poʻe me nā ureteroceles ʻaʻole maopopo iā lākou ka maʻi. ʻO ka pinepine, ʻike ʻia ka pilikia ma hope o ke ola ma muli o nā pōhaku kōkō a i ʻole ka maʻi maʻi.

Hōʻike paha kahi urinalysis i ke koko i ka mimi a i ʻole nā ​​hōʻailona o ka maʻi urinary tract.

E hana ʻia paha kēia mau hoʻāʻo:

• ʻO ke ultrasound ʻōpū
• CT scan o ka ʻōpū
• Cystoscopy (ninaninau ʻana i ka loko o ka hū)
• Pyelogram
• ʻO Radionuclide hōʻiliʻili kōpaʻa
• Voiding cystourethrogram

Hiki ke kiʻekiʻe ke kahe o ke koko inā loaʻa ka ʻino o ka hakuʻala.

Hāʻawi pinepine ʻia nā antibiotic i mea e pale aku ai i nā maʻi hou a hiki i ka hiki ʻana ke hoʻopau ʻia.

ʻO ka pahuhopu o ka mālama ʻana e hoʻopau i ka ālai. Hoʻokomo ʻia nā auwai i loko o ka ureter a i ʻole nā ​​ʻāpana kōkā (stents) i ke kōkua manawa pōkole o nā ʻōuli.

ʻO ke kaha e hoʻoponopono i ka ureterocele e hoʻōla ai i ke ʻano i nā manawa pinepine. Hiki paha i kāu kaukipoki keʻoki i ka ureterocele. Pili paha kahi ʻoki hou i ka hemo ʻana i ka ureterocele a hoʻopili hou i ka ureter i ka maʻi kī. Pili ke ʻano o ke kaha ʻana i kou mau makahiki, ke olakino holoʻokoʻa, a me ka nui o ka paʻa ʻana.

Hoʻololi ka hopena. He pōkole paha ka pōʻino inā hiki ke hoʻōla ʻia ka palaka. Eia nō naʻe, mau paha ka hōʻino ʻana i ka puʻupaʻa inā ʻaʻole hele ke ʻano.

ʻO ka maikaʻi ʻole o ka hakuʻala. E hana maʻamau ka ʻōpū ʻē aʻe.

Komo pū nā pilikia:

• Loiloi i ka wā lōʻihi lōʻihi (ka paʻa ʻana o ka urinary)
• ʻO ka hōʻino kīwī wā lōʻihi, me ka nalowale ʻana o ka hana i hoʻokahi puʻupaʻa
• ʻO ka maʻi urinary tract e hoʻi mau nei

E kāhea aku i kāu lawelawe mālama ola inā loaʻa iā ʻoe nā ʻōuli o ka ureterocele.

Kūpaʻa ʻole - ureterocele

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne
• ʻO Ureterocele

ʻO Guay-Woodford LM. Nā nephropathies hoʻoilina a me nā hanana kūpono ʻole o ke kahe urinary. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 119.

Stanasel I, Peters CA. ʻO ka ureter Ectopic, ureterocele, a me nā anomalies ureteral. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 41.