ʻO ka ʻehaʻeha o ka maʻi bladder a me ka urethra

ʻO ka ʻehaʻeha o ka pūpū a me ka urethra pili i ka poino i hopena ʻia e kahi mana waho.

ʻO nā ʻano ʻeha o ka maʻi bladder:

• Trauma trauma (e like me ka pā i ke kino)
• Hoʻopili i nā ʻeha (e like me ka pōkā a i ʻole nā ​​ʻeha kū)

ʻO ka nui o ka ʻeha i ka puhā ma ka:

• Pehea ka piha o ka ʻōpū i ka manawa ʻeha
• He aha ka mea i hōʻeha ai

ʻO ka ʻeha i ka ʻōpū ma muli o ka trauma ʻaʻole maʻamau. Aia ka ʻōpū ma loko o nā iwi o ka pelvis. Pale kēia iā ia mai ka hapa nui o nā mana waho. Hiki paha ka ʻeha inā loaʻa kahi pā i ka pelvis ikaika a haki nā iwi. I kēia hihia, hiki i nā ʻāpana iwi ke hou i ka paia o ka bladder. ʻOi aku ka liʻiliʻi ma mua o 1 i 10 mau haki pelvic i ka ʻeha o ka maʻi maʻi.

ʻO nā kumu ʻē aʻe o ka hōʻino a i ʻole ka ʻeha urethra:

• Nā ʻoki kino o ke pelvis a i ʻole ke ʻino (e like me ka hernia hoʻoponopono a me ka hemo ʻana o ka uterus).
• ʻO nā waimaka, ʻokiʻoki, ʻāʻī, a me nā hōʻeha ʻē aʻe i ka urethra. ʻO Urethra ka paipu e lawe i ka mimi mai ke kino. ʻO ka mea maʻamau kēia i nā kāne.
• Nā ʻehaʻeha Straddle. Hiki paha kēia ʻeha inā loaʻa kahi ikaika pololei e hōʻeha i ka wahi ma hope o ka scrotum.
• ʻEha hōʻeha. Hiki paha kēia ʻeha i ka wā o kahi ulia kaʻa kaʻa. Hiki i kou ʻōpū ke ʻeha inā ua piha a kau ʻoe i ka seatbelt.

Hiki i ka ʻino i ka pūpū a i ʻole ka urethra ke hoʻoheheʻe i ka mimi i loko o ka ʻōpū. Hiki i kēia ke alakaʻi i ka maʻi.

ʻO kekahi mau hōʻailona maʻamau:

• ʻEha ʻeha o lalo
• Palupalu ʻōpū
• ʻEha ma ke kahua o ka ʻeha
• Koko i ka mimi
• Hoʻokuʻu koko
• Ke hoʻomaka nei ka paʻakikī e mimi a i ʻole hiki ʻole ke hoʻonele i ka ʻōpū
• Kaha o ka mimi
• Urination ʻeha
• ʻEha pelvis
• Kahawai mimi liʻiliʻi a nawaliwali hoʻi
• ʻO ka distention Abdominal a bloating paha

Hiki ke kūpilikiʻi a kūloko paha i ke kahe ma hope o kahi ʻeha o ka maʻi ʻaʻa. He pilikia olakino kēia. ʻO nā hōʻailona me:

• Hoemi i ka makaʻala, hiamoe, koma
• Hoʻonui i ka helu o ka puʻuwai
• Hoʻoemi i ke kahe o ke koko
• ʻIli pale
• Hoʻoulu
• ʻO kaʻili anuanu i ka paʻi

Inā ʻaʻohe a liʻiliʻi paha ka mimi i hoʻokuʻu ʻia, malia paha e hoʻonui ʻia ka makaʻu no nā maʻi maʻi urinary (UTI) a i ʻole nā ​​hōʻino puʻupaʻa.

Hōʻike kahi hōʻike o nā genital i ka hōʻeha i ka urethra. Inā manaʻo ka mea mālama ola i kahi ʻeha, hiki iā ʻoe ke loaʻa nā hōʻike aʻe:

• Retrograde urethrogram (kahi x-ray o ka urethra e hoʻohana ana i ka kala) no ka ʻeha o ka urethra
• Retrograde cystogram (kiʻi o ka maʻi ʻaʻai) no ka hōʻeha o ka maʻi ʻaʻai

Hōʻike paha ka hōʻike:

• ʻEha o ka maʻi ʻaʻai a pehu paha (distended) bladder
• ʻO nā hōʻailona ʻē aʻe o ka hōʻeha pelvic, e like me ka palu ʻana ma luna o ka peni, scrotum, a me ka perineum
• Nā hōʻailona o ka hemorrhage a i ʻole haʻalulu, e like me ka hoʻēmi ʻana o ke koko - ʻoi loa i nā hihia o ka pelvic
• Ka palupalu a me ka piha o ka ʻai i ka wā i hoʻopā ʻia (hoʻokumu ʻia e ka mimi ka paʻa)
• ʻO nā iwi pelvic palupalu a paʻa ʻole
• Mimi i loko o ka lua o ka ʻōpū

Hoʻokomo ʻia paha kahi catheter ke hoʻopau ʻia kahi ʻeha o ka urethra. ʻO kēia paipu e ninini i ka mimi mai ke kino. Hiki ke hana ʻia kahi x-ray o ka pākeke e hoʻohana ai i ke kala e hōʻike i kahi ʻino.

ʻO nā pahuhopu o ka mālama ʻana i:

• Nā hōʻailona kāohi
• E hoʻopau i ka mimi
• Hoʻoponopono i ka ʻeha
• Kāohi i nā pilikia

ʻO ka mālama ulia pōpilikia ʻana o ke kahe a i ʻole ka haʻalulu paha e komo pū:

• Hoʻokahe koko
• Nā wai lulu (IV)
• Ke nānā nei i ka haukapila

Hiki ke hana ʻia ke ʻoki kūpilikiʻi e hoʻoponopono ai i ka ʻeha a hoʻokahe i ka mimi mai ka ʻōpū o ka ʻōpū inā loaʻa ka ʻeha nui a i ʻole peritonitis (ka palahu o ka ʻōpū o ka ʻōpū).

Hiki ke hoʻoponopono ʻia ka ʻeha me ke kaha ʻana i ka hapanui o nā hihia. Hiki ke hoʻokahe ʻia ke kīloi e kahi catheter ma o ka urethra a i ʻole ka paia o ka ʻōpū (i kapa ʻia he Tube suprapubic) ma kahi o nā lā i mau pule. Pale aku kēia i ka mimi ʻole mai ke kūkulu ʻana i loko o ka ʻai. ʻAe ia i ka maʻi ʻeha a i ʻole ka urethra e hōʻola a pale i ka pehu ʻana o ka urethra mai ka pale ʻana i ke kahe mimi.

Inā ʻoki ʻia ka urethra, hiki i kahi loea urological ke hoʻāʻo e kau i kahi catheter ma kahi. Inā ʻaʻole hiki ke hana ʻia kēia, e hoʻokomo ʻia kahi paipu ma o ka paia o ka ʻōpū ma loko pono o ka ʻōpū. Kapa ʻia kēia he paipu suprapubic. E waiho ʻia ia a hiki i ka hele ʻana o ka pehu a hiki ke hoʻoponopono ʻia ka urethra me ke kaha. Lawe kēia i 3 a 6 mau mahina.

ʻO ka ʻeha o ka ʻōpū a me ka urethra ma muli o ka trauma hiki ke lilo i mea liʻiliʻi a make paha. Hiki ke hana i nā pilikia koʻikoʻi pōkole a lōʻihi paha.

ʻO kekahi o nā pilikia kūpono o ka ʻeha o ka pūpū a me ka urethra nā:

• Kahe ʻana o ke koko, pūʻiwa.
• Hoʻopili i ke kahe o ka mimi. ʻO kēia ke kumu o ka mimi e hoʻihoʻi a ʻeha i hoʻokahi a i ʻole nā ​​puʻupaʻa ʻelua.
• ʻO Scarring e alakaʻi ana i ka blockage o ka urethra.
• Hoʻopau loa nā pilikia i ka bladder.

Kāhea i ka helu kūloko kūloko (911) a i ʻole e hele i ka lumi pilikia inā loaʻa ʻoe i kahi ʻeha i ka puhā a i ʻole ka urethra.

Kāhea i kāu mea nāna e hāʻawi inā maikaʻi a hewa ʻole nā ​​ʻōuli hou, e like me:

• Hoʻoemi i ka hana mimi
• Fiva
• Koko i ka mimi
• ʻEha ʻeha loa
• Paʻa koʻikoʻi a ʻeha hope paha
• Pāhaʻi a i ʻole heʻe koko

Kāohi i ka ʻeha ma waho o ka maʻi ʻaʻai a me ka urethra ma o ka mālama ʻana i kēia ʻōlelo aʻoaʻo palekana.

• Mai hoʻokomo i nā mea i ka urethra.
• Inā makemake ʻoe i ka catheterization ponoʻī, e hāhai i nā ʻōkuhi o kāu mea hāʻawi.
• E hoʻohana i nā pono palekana i ka wā o ka hana a me ka pāʻani.

ʻEha - bladder and urethra; ʻŪlū pēpē; ʻEha Urethral; ʻEha hōʻino; Haki pelvic; Hoʻohaunaele Urethral; Perforation pā pālolo

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

ʻO Brandes SB, Eswara JR. ʻO ka trauma urinary tract luna. Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 90.

ʻO Shewakramani SN. ʻŌnaehana genitourinary. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 40.