Mīkini - kala ʻokoʻa

ʻO ke kala maʻamau o ka mimi he melemele-melemele. Hiki i ka mimi abnormally ke ʻohu, ʻeleʻele, a i ʻole ʻula kala.

Hoʻokumu ʻia ke kala miki ʻole e ka maʻi, maʻi, nā lāʻau, a me nā meaʻai āu e ʻai ai.

ʻO ke ao a me ka mimiki waiū kahi hōʻailona o kahi maʻi urinary tract, a he kumu ʻala maikaʻi ʻole hoʻi ia. Hoʻokumu pū ʻia ka mimi waiū e nā koʻohune, nā aniani, momona, keʻokeʻo a i ʻole nā ​​ʻula koko, a i ʻole nā ​​mucus i ka mimi.

ʻO ka ʻeleʻele ʻeleʻele akā ka mimi akāka kahi hōʻailona o kahi maʻi kīnā e like me ka maʻi hepatitis viral a i ʻole ka cirrhosis, ka mea e nui ai ka bilirubin i ka mimi Hiki iā ia ke kuhikuhi i ka make wai nui a i ʻole kahi kūlana e pili ana i ka haki ʻana o nāʻiʻo i ʻike ʻia ʻo rhabdomyolysis.

Hiki ke kumu ʻia ka mimi, ʻulaʻula, a i ʻole ka māmā mū mū kuni e

• Beets, ʻeleʻele, a i ʻole kekahi mau kala kalaʻai
• Hemolytic anemia
• Ka hōʻeha i nā puʻupaʻa a i ʻole ka mimi
• Lapaʻau
• ʻO Porphyria
• Nā maʻi o ka mimi e kumu ai ke kahe
• Koko mai ka hoʻokahe kahe
• Tumor i loko o ka hue a i ʻole nā ​​puʻupaʻa

Hiki ke hoʻokumu ʻia ka mimi melemele a i ʻole ʻalani e:

• B nā wikamina a carotene paha
• ʻO nā lāʻau e like me phenazopyridine (hoʻohana ʻia e mālama i nā maʻi urinary tract), rifampin, a me warfarin
• Hoʻohana laxative hou

ʻO ka mīmū ʻōmaʻomaʻo a polū paha nā:

• ʻO nā kala kuʻi i nā meaʻai a lāʻau paha
• Bilirubin
• Nā lāʻau, e laʻa me ka methylene polū
• Nā maʻi maʻi urinary

E ʻike i kāu kahu mālama ola inā loaʻa iā ʻoe:

• ʻO ke kala mimi maʻamau i hiki ʻole ke wehewehe a hele aku ʻole
• ʻO ke koko i loko o kou mimi, hoʻokahi manawa
• Mimi mōakāka, pouli-ʻeleʻele
• Pīpī, ʻulaʻula, a i ʻole mimi uahi-ʻeleʻele i kū ʻole i ka meaʻai a lāʻau paha

E hana ka mea hāʻawi i kahi hoʻokolohua kino. Pākuʻi paha kēia i kahi hoʻokolohua rectal a pelvic paha. E nīnau nā mea hāʻawi iā ʻoe e pili ana i kāu ʻōuli e like me:

• I ka manawa hea ʻoe i ʻike mua ai i kahi loli o ke kala mimi a pehea ka lōʻihi o kou loaʻa ʻana o ka pilikia?
• He aha ke kala o kou mimi a hoʻololi ke kala i ka lā? ʻIke ʻoe i ke koko i ka mimi?
• Aia kekahi mau mea e hoʻonui ai i ka pilikia?
• He aha nā ʻano meaʻai āu e ʻai nei a he aha nā lāʻau e lawe ai?
• Ua loaʻa anei iā ʻoe nā pilikia urinary a i ʻole nā ​​puʻuwai i ka wā ma mua?
• Loaʻa iā ʻoe nā hōʻailona ʻē aʻe (e like me ka ʻeha, ke kuni, a i ʻole ka hoʻonui ʻana i ka make wai)?
• Aia kekahi moʻolelo ʻohana o nā maʻi kōkō a i ʻole bladder?
• Puhi paha ʻoe a i ʻole ʻike ʻia i kahi paka nui?
• Hana pū ʻoe me kekahi mau kemika e like me nā kala?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā hoʻāʻo koko, me nā hoʻāʻo o ka hana ate
• Ultrasound o nā puʻupaʻa a me ka bladder a CT scan paha
• Urinalysis
• ʻO ka moʻomeheu mimi no ka maʻi
• Cystoscopy
• ʻĀmiu cytology

Discoloration o ka mimi

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne

ʻO Gerber GS, Brendler CB. Ka loiloi o ka mea hoʻomanawanui urologic: mōʻaukala, hoʻokolokolo kino, a me ka urinalysis. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 1.

Landry DW, Bazari H. Ke hoʻokokoke aku i ka mea maʻi me ka maʻi hōʻeha. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 106.