Urination - ʻeha
ʻO ka mimiki ʻeha kekahi ʻeha, hōʻoluʻolu, a i ʻole ke kuni i ka wā e hele ana ka mimi.
ʻIke ʻia paha ka ʻeha ma kahi e puka ai ka mimi mai ke kino. A i ʻole, e ʻike ʻia paha i loko o ke kino, ma hope o ka iwi pubic, a i ʻole i ka pūpū a prostate paha.
ʻO ka ʻeha ma ka urination kahi pilikia maʻamau. ʻO ka poʻe i loaʻa ka ʻeha me ka urination hiki ke loaʻa iā lākou ka makemake e mimi pinepine pinepine.
Hoʻokomo pinepine ʻia ka urination ʻeha e ka maʻi maʻi a i ʻole ka mumū ma kahi o ka urinary tract, e like me:
- Pākuʻi maʻi (makua)
- Pākuʻi maʻi (keiki)
- ʻO ka pehu a me ka huhū o ka pahu e lawe i ka mimi mai ke kino (urethra)
ʻO ka urination ʻeha ma nā wahine a me nā kaikamahine ma muli o:
- Nā loli i ke aʻa liʻiliʻi i ka manawa o ka menopause (atrophic vaginitis)
- ʻO ka maʻi herpes i ka wahi genital
- Hoʻonāukiuki i nāʻiʻo o ke kino i hoʻokumu ʻia e ka ʻauʻau, nā mea ʻala, a me nā lotion
- ʻO Vulvovaginitis, e like me ka hū a i ʻole nā maʻi ʻino ʻē aʻe o ka puʻupuʻu a me ka ʻōpū
ʻO nā kumu ʻē aʻe o ka urination ʻeha pū me:
- Cystitis puʻuwai
- ʻO ka maʻi Prostate (prostatitis)
- ʻO cystitis uila - hōʻino i ka pale o ka maʻi bladder mai ka radiation radiation i ka wahi pelvis
- Nā maʻi i lawe ʻia i ka moekolohe (STI), e like me gonorrhea a i ʻole chlamydia
- Manuahi spadms
Kāhea i kāu kahu mālama ola inā:
- Aia kahi kahawai a i ʻole kahi hoʻokuʻu ʻana mai kāu peni a puki paha.
- Hāpai ʻoe a ke loaʻa nei i kahi urination ʻeha.
- Loaʻa iā ʻoe ka urination ʻeha e mau ma mua o 1 mau lā.
- ʻIke ʻoe i ke koko i kāu mimi.
- He kuni kou.
E hana ana kāu mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e like me:
- I ka manawa hea i hoʻomaka ai ka mimiki ʻeha?
- Hana wale ka ʻeha i ka manawa o ka urination? Kū paha ma hope o ka urination?
- Loaʻa iā ʻoe kekahi mau hōʻailona ʻē aʻe e like me ka ʻeha o ke kua?
- Ua loaʻa paha ʻoe i ke kuni ma mua o 100 ° F (37.7 ° C)?
- Aia kekahi kahawai a hoʻokuʻu paha ma waena o nā urination? Aia kekahi pilau mimi maʻamau? Aia ke koko i ka mimi?
- Aia kekahi mau hoʻololi i ka leo a i ʻole ke alapine o ka urination?
- ʻIke paha ʻoe i ka makemake e mimi?
- Aia kekahi mau ʻino a ʻili paha i ka genital area?
- He aha nā lāʻau e lawe nei ʻoe?
- Hāpai ʻoe a i ʻole hiki iā ʻoe ke hāpai?
- Ua loaʻa ʻoe i kahi maʻi maʻi palahā?
- Loaʻa paha iā ʻoe nā maʻi āpau i nā lāʻau?
- Ua moe kolohe ʻoe me kekahi mea i loaʻa, a i ʻole loaʻa, gonorrhea a chlamydia paha?
- Ua loaʻa he loli hou i kāu brand o ke kopa, ka mea holoi, a me ka mea hoʻoluʻu lole?
- Ua loaʻa iā ʻoe kahi ʻoki a i ʻole radiation i kāu urinary a i ʻole nā kino kolohe?
E hana ʻia kahi urinalysis. E kauoha ʻia kahi moʻomeheu mimi. Inā loaʻa iā ʻoe kahi maʻi kīnā ma mua a i ʻole ka hakuʻala, pono ʻia kahi mōʻaukala kikoʻī a me ka hoʻokolohua kino. E koi ʻia nā hoʻokolohua lab. Pono kahi hoʻokolohua pelvic a me ka hoʻāʻo o nā wai āpau no nā wahine a me nā kaikamahine i loaʻa i ka maʻi puʻupuʻu. ʻO nā kāne i hoʻokuʻu ʻia mai ka peni e pono paha e hana i kahi pale urethral. Eia nō naʻe, lawa paha ka hoʻāʻo ʻana i kahi hāpana mimi i kekahi mau hihia.
Hiki i nā hoʻokolohua ʻē aʻe ke:
- Ultrasound o nā puʻupaʻa a me ka bladder
- ʻO kahi hōʻike o loko o ka bladder me kahi teleskopa uila (cystoscope)
Pili ka mālama ʻana i ka mea e ʻeha ai ka ʻeha.
ʻO Dysuria; Urination ʻeha
- ʻĀpana mimi wahine
- ʻĀpana mimi kāne
Cody P. Dysuria. I loko o: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. ʻO Diagnosis Hōʻike Hōʻikeʻike Pediatric Nelson. Piladelapia, PA: Elsevier; 2018: chap 18.
Kelemania CA, Holmes JA. Nā maʻi urologic i wae ʻia. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 89.
ʻO Schaeffer AJ, Matulewicz RS, Klumpp DJ. Nā maʻi o ka maʻi urinary. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 12.
Sobel JD, Kaye D. Nā maʻi maʻi urinary. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpikipiki, Hoʻopuka Hou. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 74.