Urination - pilikia me ke kahe

ʻO ka paʻakikī e hoʻomaka a mālama ʻana paha i kahi kahawai i kapa ʻia ka hopohopo urinary.

Hoʻopili ka hopohopo urinary i nā poʻe o nā makahiki āpau a kū i nā kāne ʻelua. Eia nō naʻe, he mea maʻamau ia i nā kāne makua me ka nui o ka gland prostate.

Hoʻolālā pinepine ka kānalua urinary i ka manawa. ʻAʻole paha ʻoe e ʻike iā ia a hiki i ka wā e hiki ʻole ai iā ʻoe ke mimī (i kapa ʻia ka mālama mimi). ʻO kēia ke kumu o ka pehu ʻana a me ka hōʻoluʻolu ʻole i kāu ʻōpū.

ʻO ke kumu maʻamau o ka hopohopo urinary i nā kāne ʻelemakule kahi prostate hoʻonui ʻia. ʻAneʻane pilikia nā kāne ʻelemakule me ka dribbling, kahawai mimi nāwaliwali, a me ka hoʻomaka ʻana i ka urination.

ʻO kekahi kumu maʻamau ka maʻi o ka prostate a i ʻole ka urinary tract. Nā hōʻailona o kahi maʻi hiki ke loaʻa:

• Ke ahi a ʻeha paha me ka urino
• Urination pinepine
• Mimi ʻōpua
• ʻIke o ka wikiwiki (ikaika, ʻoni koke e urino)
• Koko i ka mimi

Hiki ke kumu ʻia ka pilikia e:

• ʻO kekahi mau lāʻau (e like me nā lāʻau no ke anu a me nā maʻi āpau, nā antidepressants tricyclic, kekahi mau lāʻau i hoʻohana ʻia no ka hoʻomau ʻole, a me kekahi mau huaora a me nā mea hoʻopili)
• Nā pilikia ʻōnaehana hopohopo a i ʻole nā ​​pilikia me ka iwi kuamoʻo
• Nā hopena ʻaoʻao o ke kaha ʻana
• ʻO nāʻiʻo scar (strikure) i ka paipu e alakaʻi mai ana i ka ʻai
• Nā mākala spastic i ka pelvis

Nā ʻanuʻu hiki iā ʻoe ke mālama e mālama iā ʻoe iho:

• E mālama i kāu mau ʻano urination a lawe mai i ka hōʻike i kāu kauka olakino.
• Pili i ka wela i kou ʻōpū o lalo (ma lalo o kou pihi ʻōpū a ma luna o ka iwi pubic). ʻO kēia kahi e noho ai ka pākeke. Hoʻomaha ka wela i nā mākala a kōkua i ka urination.
• E lomilomi a hoʻopili i ka kaomi māmā ma luna o kāu pēke e kōkua i ka hakahaka.
• E ʻauʻau mehana a ʻauʻau paha e kōkua ai i ka hoʻoheheʻe ʻana i ka mimiki.

Kāhea i kāu mea hāʻawi inā ʻike ʻoe i ka hopohopo urinary, dribbling, a i ʻole kahi kahawai mimi nāwaliwali.

Kāhea koke i kāu mea hāʻawi inā:

• He kuni kou, ka luaʻi, ka ʻaoʻao a ʻeha hoʻi, ka haʻalulu, a ke hele iki nei i ka mimi no 1 a 2 mau lā.
• He koko kou i loko o kou mimi, mimiki ʻōpua, kahi makemake pinepine a i ʻole koi nui e mimi, a i ʻole ka hoʻokuʻu ʻia mai ka peni a me ka ʻōpala.
• ʻAʻole hiki iā ʻoe ke hele i ka mimi.

E lawe kāu mea hāʻawi i kāu mōʻaukala olakino a hana i kahi hoʻokolohua e nānā i kou pelvis, genitalia, rectum, ʻōpū, a me kou kua i lalo.

E nīnau ʻia paha ʻoe i nā nīnau e like me:

• Pehea ka lōʻihi o kou loaʻa ʻana o ka pilikia a i ka manawa hea i hoʻomaka ai?
• ʻOi aku ka maikaʻi o ke kakahiaka a i ʻole ka pō?
• Ua hōʻemi paha ka ikaika o kou kahe mimi? Loaʻa iā ʻoe kahi dribbling a i ʻole ke kolo ʻana i ka mimi?
• Kōkua paha kekahi mea a hoʻonui paha i ka pilikia?
• Loaʻa iā ʻoe kahi hōʻailona o ka maʻi?
• Ua loaʻa iā ʻoe nā kūlana olakino ʻē aʻe a i ʻole nā ​​ʻoki lāʻau e hiki ai ke hoʻopili i kou kahe mimi?
• He aha nā lāʻau e lawe ai?

Nā hoʻokolohua e hana ʻia ai paha:

• Catheterization o ka ʻōpū e hoʻoholo ai i ka nui o ka mimi i loko o kāu pākeke ma hope o ka hoʻāʻo ʻana e mimi a loaʻa ka mimi no ka moʻomeheu (kahi ʻano mimi catheterized)
• Cystometrogram a i ʻole urodynamic hoʻopaʻa haʻawina
• Transrectal ultrasound o ka prostate
• Pākuʻi Urethral no ka moʻomeheu
• Urinalysis a me ka moʻomeheu
• Voiding cystourethrogram
• ʻO kahi scan scanner me ka ultrasound (ana i ka mimi i waiho ʻia me ka ʻole o ka catheterization)
• Cystoscopy

ʻO ka mālama ʻana no ka kānalua i ka urinary ma muli o ke kumu, a pili pū paha:

• ʻO nā lāʻau e hoʻōla i nā ʻōuli o kahi prostate hoʻonui ʻia.
• Nā Antibiotics e mālama i nā maʻi āpau. E mālama pono i nā lāʻau āpau e like me ke kuhikuhi.
• ʻO ke ʻoki kino e hoʻomaha ai kahi blockage prostate (TURP).
• ʻO ke kaʻina hana e hoʻonui a ʻoki paha i nāʻiʻo ma ka urethra.

Hoopanee ka urination; Kanalua; ʻO ka paʻakikī e hoʻomaka ana i ka urination

• 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.

Smith PP, Kuchel GA. Ke ʻelemakule nei o ka maʻi urinary. I: Fillit HM, Rockwood K, Young J, eds. ʻO Brocklehurst's Textbook of Geriatric Medicine a me Gerontology. 8th ed. Piladelapia, PA: Elsevier, 2017: chap 22.