Pihi mimi - hoʻēmi
ʻO ka emi ʻana o ka mimi he mea ia e hoʻoemi ai i ka mimi ma mua o ka maʻamau. Hana ka hapanui o nā mākua ma kahi o 500 mL o ka mimi ma 24 mau hola (ma mua iki o 2 mau kīʻaha).
ʻO nā kumu maʻamau ka:
- Ka make wai ʻana mai ka inu ʻole ʻana i ka wai a me ka luaʻi, ka palahī, a me ke kuni
- Huina urinary tract blockage, e like me mai ka hoʻonui ʻia ka prostate
- ʻO nā lāʻau e like me anticholinergics a me kekahi mau lāʻau ʻaloʻalo
ʻO nā kumu maʻamau ʻole ka:
- Lilo ke koko
- ʻO ka maʻi nui a i ʻole ke ʻano olakino ʻē aʻe e alakaʻi i ka haʻalulu
Inu i ka nui o ka wai a kou kahu mālama ola e paipai ai.
E haʻi paha kāu mea lawelawe iā ʻoe e ana i ka nui o ka mimi āu e hana ai.
ʻO kahi hōʻemi nui o ka puka mimi he hōʻailona paha ia o kahi kūlana koʻikoʻi. I kekahi mau hihia, hiki ke hoʻoweliweli i ke ola. ʻO ka hapa nui o ka manawa, hiki ke hoʻihoʻi ʻia ka puka mimi me ka mālama olakino wikiwiki.
Kāhea i kāu mea hāʻawi inā:
- Hoʻomaopopo ʻoe ke hana nei ʻoe i ka liʻiliʻi o ka mimi ma mua o ka maʻamau.
- ʻOi aku ka pouli o kou mimi ma mua o ka maʻamau.
- Ke luaʻi nei ʻoe, loaʻa ka palahī, a i ʻole he kuni kiʻekiʻe a ʻaʻole hiki ke lawa nā wai ma ka waha.
- Loaʻa ʻoe i ka dizziness, lightheadedness, a i ʻole ka pulse wikiwiki me ka hoʻemi ʻia o ka mimi.
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 pilikia a ua loli paha i ka hala ʻana o ka manawa?
- Ehia mau mea e inu ai i kēlā me kēia lā a me ka nui o ka mimi e hana ai?
- Ua ʻike anei ʻoe i kekahi loli i ke kala mimi?
- He aha ka mea e ʻino ai ka pilikia? ʻOi aku ka maikaʻi?
- Ua loaʻa iā ʻoe ka luaʻi, ka pehu, ke kuni, a i ʻole nā hōʻailona ʻē aʻe o ka maʻi?
- He aha nā lāʻau e lawe ai?
- Loaʻa iā ʻoe kahi moʻolelo o nā pilikia o ke kīhāpai a i ʻole bladder?
ʻO nā hoʻāʻo e hana ʻia ana paha:
- ʻO ke ultrasound ʻōpū
- Nā hoʻokolohua koko no nā electrolytes, nā hana o ke konā, a me ka helu o ke koko
- CT scan o ka ʻōpū (hana ʻia me ka kala ʻole inā hoʻohālikelike ʻia kāu hana kidney)
- Mīkini hōʻeuʻeu
- Nā hōʻike mimi, me nā hoʻāʻo no ka maʻi
- Cystoscopy
Oliguria
- ʻĀpana mimi wahine
- ʻĀpana mimi kāne
ʻO Emmett M, Fenves AV, Schwartz JC. E hoʻokokoke aku i ka mea maʻi me ka maʻi puʻupaʻa. I: Skorecki K, Chertow GM, Marsden PA, Taal MW, Yu ASL, eds. ʻO Brenner a me Rector's The Kidney. 10 o ka lā. Piladelapia, PA: Elsevier; 2016: chap 25.
ʻO Molitoris BA. ʻEha puʻuwai koʻikoʻi. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 112.
ʻO Riley RS, ʻo McPherson RA. Ninaninau maʻamau o ka mimi. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 28.