ʻO ka pale ʻana i ka puka waho

ʻO ka pale i ka puka o ke kīloi (BOO) kahi paʻa ma ke kumu o ka ʻōpū. Hoʻoemi a kū paha i ke kahe o ka mimi i loko o ka urethra. ʻO ka urethra ka paipu e lawe i ka mimi mai ke kino.

ʻO kēia ʻano maʻamau i nā kāne ʻelemakule. Hoʻokumu pinepine ʻia ia e ka prostate hoʻonui. ʻIke ʻia nā pōhaku bladder a me ka maʻi ʻaʻai o ka maʻi maʻi i nā kāne ma mua o nā wahine. I ke kāne e ʻelemakule ana, hoʻonui nui nā manawa o ka loaʻa ʻana o kēia mau maʻi.

ʻO nā kumu maʻamau o BOO e komo pū ana:

• ʻO nā pelvic tumors (cervix, prostate, uterus, rectum)
• Hoʻopili ʻia o ka paipu e lawe i ka mimi mai ke kino mai ka pākeke (urethra), ma muli o ka maʻi ʻōpala a i ʻole nā ​​hemahema hānau.

ʻO nā kumu maʻamau ʻole ka:

• ʻO Cystocele (ke hāʻule ka puhā i loko o ka lua)
• Nā mea haole
• ʻO ka urethral a i ʻole nā ​​pelvic muscle spasms
• Hernnia inguinal

E loli paha nā ʻōuli o BOO, akā hiki ke hoʻopili ʻia:

• Abdominal eha
• Manaʻo hoʻomau o ka bladder piha
• Urination pinepine
• Pain ma urination (dysuria)
• Nā pilikia e hoʻomaka ana i ka urination (ke kanalua urinary)
• Kahe, kahe kahe o ka mimi kaulike, i kekahi manawa hiki ʻole ke mimī
• Hoʻopili i ka mimi
• Maʻi ʻaʻai Urinary
• E ala ana i ka pō e mimi (nocturia)

E nīnau kāu mea mālama ola e pili ana i kāu mau hōʻailona a me ka mōʻaukala olakino. E hele ana ʻoe i kahi hoʻokolohua kino.

E loaʻa hoʻokahi a ʻoi paha o nā pilikia aʻe:

• Ulu ʻōpū
• ʻO Cystocele (wahine)
• Pākuʻi hoʻonui
• Hoʻonui prostate (kāne)

E komo pū paha nā hoʻāʻo:

• ʻO nā chemistries o ke koko e nānā i nā hōʻailona o ka hōʻino ʻana o ka hakuʻala
• Cystoscopy a me retrograde urethrogram (x-ray) e nānā no ka hoʻopili ʻana o ka urethra
• Nā hoʻāʻo e hoʻoholo ai i ka wikiwiki o ke kahe o ka mimi mai ke kino (uroflowmetry)
• Nā hoʻāʻo e ʻike i ka nui o ka kahe o ka mimi i ālai ʻia a pehea ka maikaʻi o ka ʻaelike o ka maʻi ʻaʻa (hōʻike urodynamic)
• E huli i ka ultrasound i ka paʻa o ka mimi a ʻike i ke ʻano o ka ninini ʻana o ka ʻai
• ʻO Urinalysis e nānā i ke koko a i ʻole nā ​​hōʻailona o ka maʻi i ka mimi
• ʻO ka moʻomeheu mimi e nānā ai i kahi maʻi

Pili ka mālama ʻana i ka BOO i ke kumu. Hoʻokomo ʻia kahi paipu, i kapa ʻia he catheter, i loko o ka pahu i loko o ka urethra. Hana ʻia kēia e hōʻoluʻolu i ka poloka.

I kekahi manawa, hoʻonoho ʻia ka catheter ma loko o ka ʻōpū i loko o ka pahu wai e hoʻowahāwahā i ka ʻai. Kapa ʻia kēia he paipu suprapubic.

ʻO ka pinepine, pono ʻoe i ke ʻoki no ka hoʻōla lōʻihi o BOO. Eia nō naʻe, hiki ke mālama ʻia nā maʻi he nui i kumu i kēia pilikia me nā lāʻau. E kamaʻilio me kāu mea hoʻolako e pili ana i nā lāʻau kūpono.

Hiki ke hoʻōla ʻia ka hapa nui o nā kumu o ka BOO inā ʻike wawe ʻia. Eia nō naʻe, inā hoʻopaneʻe ka ʻike a me ka hoʻomaʻamaʻa ʻana, hiki i kēia ke kumu i ka hōʻino mau ʻana i ka pūpū a me nā puʻupaʻa.

Kāhea i kāu mea hāʻawi inā loaʻa iā ʻoe nā ʻōuli o BOO.

ʻO BOO; Keakea o ke aʻa urinary; Moekolohe; Ka mālama mimi - BOO

• Anatomia hakuʻala
• ʻĀpana mimi wahine
• ʻĀpana mimi kāne
• ʻO Kidney - ke kahe o ke koko a me ka mimi

Andersson KE, Wein AJ. Ka mālama ʻana i ka lāʻau Pharmacologic o ka waiho ʻana o ka urinary tract pūnaewele a me ka hoʻopau ʻana i ka holomua. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 120.

ʻO Berney D. Urinary a me nā ʻāpana genital kāne. I: Cross SS, ed. Underwood's Pathology. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 20.

ʻO Boone TB, Stewart JN, Martinez LM. ʻO nā hoʻoponopono hou aʻe no ka mālama ʻana a me ka haʻalele ʻana i ka holo pono ʻole. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 127.

Capogrosso P, Salonia A, Montorsi F. Ka loiloi a me ka hoʻokele nonsurgical o ka hyperplasia prostatic maikaʻi. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 145.