Uropathy ākea

ʻO ke uropathy ākea kahi ʻano kahi i ālai ʻia ai ke kahe o ka mimi. ʻO kēia ke kumu o ka mimi e hoʻihoʻi a ʻeha i hoʻokahi a i ʻole nā ​​puʻupaʻa ʻelua.

Hana ʻia ka uropathy ākea ke hiki ʻole i ka mimi ke kahe ma waena o ka urinary tract. Hoi i ka mimi i loko o ka puʻupaʻa a pehu. ʻIke ʻia kēia ʻano he hydronephrosis.

Hiki i ke uropathy keakea ke hoʻopili i hoʻokahi a i ʻole nā ​​kola ʻelua. Hiki ke kū koke, a i ʻole he pilikia lōʻihi.

ʻO nā kumu maʻamau o ka uropathy ālai pū me:

• Pōhaku Bladder
• Pohaku hakuʻala
• ʻO Benpl prostatic hyperplasia (hoʻonui ʻia ʻo prostate)
• Maʻi ʻaʻai prostate holomua
  
• ʻO ka maʻi ʻaʻai a i ʻole ka maʻi ʻaʻai ureteral
• Maʻi ʻaʻai Kolona
• Ka maʻi ʻaʻai cervical a i ʻole uterine
• Maʻi ʻaʻai Ovarian
• Kekahi maʻi ʻaʻai e laha
• ʻO nāʻiʻo scar i kū i loko a ma waho paha o nā ureter
• ʻO nāʻiʻo scar i kū i loko o ka urethra
• Nā pilikia me nā aʻalolo e hoʻolako i ka puhā

Pili nā ʻōuli inā e hoʻomaka lohi a pilikia ʻole paha ka pilikia, a inā pili kekahi a i ʻole nā ​​puʻupaʻa ʻelua. Pākuʻi ʻia paha nā ʻōuli:

• ʻĀwī ʻeha loa i ka ʻaoʻao. ʻIke ʻia ka ʻeha ma nā ʻaoʻao ʻelua a ʻelua paha.
• Fiva.
• Nausea a i ʻole ka luaʻi.
• Loaʻa kaupaona a pehu paha (edema) o ka puʻupaʻa.

Hiki paha iā ʻoe ke loaʻa nā pilikia i ka hala ʻana i ka mimi, e like me:

• Koi aku e mimi pinepine
• E hoʻemi i ka ikaika o ke kahe mimi a i ʻole paʻakikī i ka mimī
• Dribbling o ka mimi
• ʻAʻole manaʻo me he mea lā ua hakahaka ka pākino
• Pono e mimi pinepine i ka pō
• Hoemi i ka nui o ka mimi
• Kaha o ka mimi (incontinence)
• Koko i ka mimi

E kauoha kāu mea mālama ola i nā hana a i ʻole nā ​​kiʻi paʻi e ʻike i ka uropathy obstructive. ʻO nā hoʻokolohua e hoʻohana mau ʻia e:

• Ultrasound o ka ʻōpū a pelvis
• CT scan o ka ʻōpū a pelvis
• ʻO ka pyelogram Intravenous (IVP)
• Voiding cystourethrogram
• Mīkini hoʻokalakupua ʻōniʻoniʻo
• MRI
• Hōʻike Urodynamic
• Cystoscopy

Hiki ke hoʻohana ʻia nā lāʻau inā he prostate hoʻonui ʻia ke kumu.

ʻO Stents a i ʻole nā ​​ʻauwaha i kau ʻia i ka ureter a i ʻole i kahi ʻāpana o ka puʻupaʻa i kapa ʻia ʻo ka pelvis renal hiki ke hāʻawi i ka manawa pōkole o nā ʻōuli.

Hiki ke hoʻohana ʻia nā paipu nephostostomy, kahe o ka mimi mai nā puʻupaʻa ma ke kua, e kāpae i ka paʻa.

ʻO kahi catheter Foley, kau ʻia ma o ka urethra i loko o ka pāpaʻi, hiki ke kōkua i ke kahe mimi.

Hiki ke hoʻomaha manawa pōkole mai ka paʻa me ka ʻole o ke kahakaha. Eia nō naʻe, pono e hemo ke kumu o ka paʻa ʻana a hoʻoponopono i ka ʻōnaehana urinary. Pono paha ke ʻoki no ke kōkua lōʻihi lōʻihi mai ka pilikia.

Pono e hemo ka hakuʻala inā kumu ka hopena i ka nalowale o ka hana.

Inā hiki koke mai ka paʻa, ʻaʻole liʻiliʻi ka pōʻino o ke konā inā ʻike ʻia ka pilikia a hoʻoponopono koke ʻia. ʻO ka manawa pinepine, hele aku ka ʻino o nā puʻupaʻa. Hiki ke hōʻino i nā puʻupaʻa lōʻihi inā pili ka lōʻihi i laila.

Inā hoʻokahi wale nō hakuʻala e hōʻino ʻia, ʻoi aku ka liʻiliʻi o nā pilikia o ka hakuʻala maʻi.

Hiki paha iā ʻoe ke dialysis a i ʻole ke kuʻi ʻōiwi inā loaʻa ka ʻino i nā puʻupaʻa ʻelua a ʻaʻole holo lākou, ʻoiai ma hope o ka hoʻoponopono ʻana o ka paʻa.

Hiki i ke uropathy keakea ke kumu i ka pōʻino paʻa a koʻikoʻi loa i nā puʻupaʻa, e hopena ai i ke kōpaʻa ʻole.

Inā ua hoʻokumu ʻia ka pilikia e kahi poloka i loko o ka pākeke, loaʻa paha ka pōʻino i ka wā lōʻihi. Hiki i kēia ke alakaʻi i nā pilikia i ka waiho ʻana i ka bladder a i ʻole ke kulu ʻana o ka mimi.

Hoʻopili ʻia ka uropathy ākea i nā manawa kiʻekiʻe o nā maʻi maʻi urinary tract.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o ka uropathy ālai.

Hiki ke pale ʻia ka uropathy ākea e ka mālama ʻana i nā maʻi e hiki ke kumu.

Uropathy - mea ālai

• Catheterization ʻōpū - wahine
• Catheterization ʻōpū - kāne
• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

Frøkiaer J. Urinary tract keakea. I: Yu ASL, Chertow GM, Luyckx VA, Marsden PA, Skorecki K, Taal MW, eds. ʻO Brenner a me Rector's The Kidney. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 37.

Gallagher KM, Hughes J. Urinary tract ālai ʻia. I: Feehally J, Floege J, Tonelli M, Johnson RJ, eds. Nā Nephrology Haumāna piha. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2019: chap 58.