Urination pinepine a i ʻole urgent
ʻO ka urination pinepine ka pono o ka mimi pinepine ma mua o ka maʻamau. ʻO ka urination urinary kahi hikiwawe, pono ikaika e mimiki. ʻO kēia ke kumu o ka hōʻoluʻolu ʻole i kāu ʻōpū. Hana i ka mimiki wikiwiki e hoʻolohi i ka hoʻohana ʻana i ka lua.
ʻO ka pono pinepine e mimi i ka pō i kapa ʻia ʻo nocturia. Hiki i ka hapanui o ka poʻe ke hiamoe no 6 a 8 mau hola me ka ʻole o ka mimiki.
ʻO nā kumu maʻamau o kēia mau ʻōuli ke:
- ʻO ka maʻi urinary tract (UTI)
- Hoʻonui i ka prostate ma waena o nā makahiki a me nā kāne ʻelemakule
- ʻO ka pehu ʻana a me ka maʻi o ka urethra
- Vaginitis (ka pehu ʻana a i ʻole ka hoʻokuʻu ʻana o ka vulva a me ka ʻōpū)
- Nā pilikia pili i ke aʻalolo
- Ka lawe ʻana i ka ʻākena
ʻO nā kumu maʻamau ʻole ka:
- Hoʻohana rama
- Hopohopo
- Ka maʻi ʻaʻai ʻāwī (ʻaʻole maʻamau)
- Nā pilikia Spine
- ʻO ka maʻi diabetes e kāohi maikaʻi ʻole ʻia
- Hapai keiki
- Cystitis puʻuwai
- Nā lāʻau e like me nā pila wai (diuretics)
- Overactive bladder syndrome
- ʻO ka radiation radiation i ka pelvis, kahi e hoʻohana ai e mālama i kekahi mau maʻi maʻi maʻi
- ʻO ka hahau a me nā lolo a i ʻole nā maʻi ʻōnaehana
- Tumor a ulu paha i ka pelvis
E hāhai i nā ʻōlelo aʻoaʻo a kāu kauka olakino e mālama ai i ke kumu o ka pilikia.
Hiki ke kōkua i ke kākau ʻana i nā manawa ke mimi ʻoe a me ka nui o ka mimi āu e hana ai. Lawe mai i kēia moʻolelo i kāu kipa me ka mea hāʻawi. Kapa ʻia kēia inoa he diary diary.
I kekahi mau hihia, loaʻa paha iā ʻoe nā pilikia e kaohi ana i ka mimi (incontinence) no kekahi manawa. Pono paha ʻoe e hana i nā pale e pale ai i kou kapa a me kou wahi moe.
No ka urination i ka pō, e hōʻalo i ka inu wai nui ma mua o ka hiamoe. E ʻokiʻoki i ka nui o nā wai āu e inu ai i loaʻa ka ʻalekō a i ʻole ka caffeine.
Kāhea koke i kāu mea hāʻawi inā:
- He kuni kou, ʻeha a ʻeha a ʻaoʻao paha, luaʻi, a haʻalulu paha
- Ua hoʻonui ʻoe i ka make wai a i ʻole makemake ʻole, luhi, a me ka pohō kaumaha kaumaha
Kāhea pū i kāu mea hāʻawi inā:
- Loaʻa ʻoe i ke alapine urinary a i ʻole ka wikiwiki, akā ʻaʻole ʻoe hāpai a ʻaʻole ʻoe e inu i ka nui o ka wai.
- Loaʻa iā ʻoe ka incontinence a i ʻole hoʻololi paha ʻoe i kou nohona no kāu mau ʻōuli.
- He mimi koko a ʻohuʻehu paha kou.
- Aia kahi hoʻokuʻu mai ka peni a me ka lua paha.
E lawe kāu mea hāʻawi i ka mōʻaukala olakino a hana i kahi hoʻokolohua kino.
ʻO nā hoʻāʻo e hana ʻia ana paha:
- Urinalysis
- Moʻomeheu mimi
- Cystometry a i ʻole ka hoʻokolohua urodynamic (kahi ana o ke kaomi i loko o ka puhā)
- Cystoscopy
- Nā hoʻāʻo ʻōnaehana hopohopo (no kekahi mau pilikia koʻikoʻi)
- Ultrasound (e like me ka ultrasound ʻōpū a i ʻole ke pelvic ultrasound)
Pili ka mālama ʻana i ke kumu o ka wikiwiki a me ka pinepine. Pono ʻoe e ʻai i nā lāʻau ʻalopika a me nā lāʻau e hoʻomāmā ai i kou pilikia.
Urination wikiwiki; Urinary alapine (frequency) a me ka wikiwiki; Urgency-frequency Syndrome; Overactive bladder (OAB) Syndrome; Urge maʻi maʻi
- ʻĀpana mimi wahine
- ʻĀpana mimi kāne
Konway B, Phelan PJ, Stewart GD. Nefology a me ka urology. I: Ralston SH, Penman ID, Strachan MWJ, Hobson RP, eds. Nā Kumuhana a Davidson a me ka hana o ka lāʻau. 23rd Ed. Piladelapia, PA: Elsevier; 2018: chap 15.
Rane A, Kulkarni M, Iyer J. Prolapse a me nā maʻi o ka maʻi urinary. I: Symonds I, Arulkumaran S, eds. Nā Hōʻailona Pono a me nā Gynecology. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2020: chap 21.
ʻO Reynolds WS, Cohn JA. Overad bladder. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 117.