Meen stenosis

ʻO ka Meatal stenosis kahi mea ākea o ka wehe ʻana o ka urethra, ka paipu e haʻalele ai ka mimi i ke kino.

Hiki i ka stalinosis Meatal ke hoʻopili i nā kāne a me nā wahine. ʻOi aku ka maʻamau i nā kāne.

I nā kāne, hana pinepine ʻia ia e ka pehu a me ka huhū (pehu). I ka hapanui o nā hihia, kū kēia pilikia i nā keiki hānau hou ma hope o ke ʻoki poepoe ʻana. Hiki i nā kikoʻī maʻamau ke ulu ma o ka puka o ka urethra, e hoʻoliʻiliʻi. ʻAʻole paha e ʻike ʻia ka pilikia a hoʻomaʻamaʻa ʻia ke keiki i ka lua.

I nā kāne makua, hiki ke hopena i ke ʻano mai ke ʻoki ʻana ma ka urethra, ka hoʻohana mau ʻana o kahi catheter noho, a i ʻole ke kaʻina hana e mālama ai i kahi gland prostate hoʻonui ʻia (BPH).

I nā wahine, aia kēia ʻano i ka wā hānau (congenital). ʻOi aku ka liʻiliʻi, hiki i ka stenosis ʻiʻo ke hoʻopili i nā wahine makua.

Nā pilikia me:

• Loaʻa i nā kaʻina hana endoscopic he nui (cystoscopy)
• ʻOi loa, lōʻihi-lōʻihi atrophic vaginitis

ʻO nā hōʻailona me:

• Ka ikaika maʻamau a me ke kuhikuhi o ke kahawai mimi
• Pulu ʻana i kahi moe
• Kahe ʻana (hematuria) ma ka hopena o ka urination
• ʻO ka hōʻoluʻolu ʻole me ka urination a i ʻole ke kānana ʻana me ka urination
• Hoʻomaha ʻole (lā a pō paha)
• Wehe ololi hāiki i nā keikikāne

I nā kāne a me nā keikikāne, ua lawa kahi moʻaukala a me ka hoʻokolohua kino e hana ai i ke kuhi.

I nā kaikamahine, hiki ke hana ʻia kahi cystourethrogram voiding. E loaʻa paha ka huikau i ka wā o ka hoʻokolohua kino, a i ʻole ke hoʻāʻo kahi kahu mālama ola e kau i kahi catheter Foley.

Hiki i nā hoʻokolohua ʻē aʻe ke:

• ʻO ka ultrasound hōʻino a me ka bladder
• Loiloi mimi
• Moʻomeheu mimi

I nā wahine, mālama pinepine ʻia ka stenosis o kaʻiʻo i ka keʻena o ka mea hāʻawi. Hana ʻia kēia me ka hoʻohana ʻana i ka anesthesia kūloko e hoʻopōpō ai i ka wahi. A laila hoʻonui ʻia ka wehe ʻana o ka urethra (dilated) me nā mea kani kūikawā.

I nā keikikāne, kahi ʻoki poʻomanaʻo waho e kapa ʻia ʻo meatoplasty ka lapaʻau o ke koho. Kūpono nō hoʻi ka dilation o ka meatus i kekahi mau hihia.

ʻO ka hapa nui o ka poʻe e mimi maʻamau ma hope o ka mālama ʻana.

Komo pū nā pilikia:

• Kahawai mimi maʻamau
• Koko i ka mimi
• Urination pinepine
• Urination ʻeha
• Miki ʻole
• Nā maʻi maʻi urinary
• Ka poino i ka bladder a i ʻole ka hakuʻala hana ma nā hihia koʻikoʻi

Kāhea i kāu mea hāʻawi inā loaʻa kāu keiki i nā ʻōuli o kēia maʻi.

Inā ua ʻoki poepoe ʻia kāu pēpē kāne, e hoʻāʻo e mālama i ka diaper maʻemaʻe a maloʻo. Hōʻalo i ka hōʻike ʻana i ka peni ʻoki poepoe hou ʻia i nā mea hoʻonāukiuki. Hoʻokumu paha lākou i ka mumū a me ka piʻina o ka wehe.

Stenosis ʻiʻo urethral

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne
• Meen stenosis

ʻO Elder JS. ʻO nā anomalies o ka peni a me ka urethra. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 544.

Marien T, Kadihasanoglu M, Miller NL. Nā pilikia o nā kaʻina hana endoscopic no ka maʻi maʻi prostatic hyperplasia. I: Taneja SS, Shah O, eds. Nā pilikia o ke kaha kino Urologic. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 26.

McCammon KA, Zuckerman JM, Jordan GH. ʻO keʻoki o ka peni a me ka urethra. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 40.

ʻO Stephany HA, ʻOst MC. Nā maʻi Urologic. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 15.