ʻO ka biopsy bladder

ʻO kahi biopsy bladder kahi hana e hemo ai nā ʻāpana liʻiliʻi o ka mea mai ka ʻai. Hōʻaʻo ʻia ke kinona ma lalo o kahi microscope.

Hiki ke hana ʻia kahi biopsy bladder ma ke ʻāpana o kahi cystoscopy. ʻO Cystoscopy kahi hana e hana ʻia e ʻike i ka loko o ka puhā ma ka hoʻohana ʻana i ka paipu kukui lahilahi i kapa ʻia he cystoscope. Lawe ʻia kahi ʻāpana liʻiliʻi o ke kiko a i ʻole ka ʻāpana kino āpau. Hoʻouna ʻia ke kiko i ka lab e hoʻāʻo inā:

• ʻIke ʻia nā pono ʻole o ka ʻōpū i kēia hoʻokolohua
• ʻIke ʻia kahi tumo

Pono ʻoe e kau inoa i kahi palapala ʻae hoʻomaopopo ma mua o kou loaʻa ʻana i kahi biopsy bladder. I ka hapanui o nā hihia, noi ʻia ʻoe e mimi ma mua o ke kaʻina hana. E noi ʻia paha ʻoe e lawe i kahi antibiotic ma mua o ke kaʻina hana.

No nā pēpē a me nā keiki, ʻo ka hoʻomākaukau i hiki iā ʻoe ke hāʻawi no kēia hoʻokolohua pili i ka makahiki o kāu keiki, nā ʻike ma mua, a me ka pae o ka hilinaʻi. No ka ʻike ākea e pili ana pehea e hiki ai iā ʻoe ke hoʻomākaukau i kāu keiki, e ʻike i nā kumuhana aʻe:

• Hoʻomaʻamaʻa pēpē a i ʻole ke kaʻina hana hoʻomākaukau (hānau i 1 makahiki)
• Hoʻomaʻamaʻa ʻōpio a i ʻole hoʻomākaukau kaʻina hana (1 a 3 mau makahiki)
• ʻO ka hoʻomaʻamaʻa preschooler a i ʻole ka hoʻomākaukau kaʻina hana (3 a 6 mau makahiki)
• Hoʻomākaukau makahiki o ke kula a i ʻole ka hoʻomākaukau kaʻina hana (6 a 12 mau makahiki)
• Hoʻomaʻamaʻa ʻōpio a i ʻole hoʻomākaukau kaʻina hana (12 a 18 mau makahiki)

Hiki paha iā ʻoe ke hōʻoluʻolu iki ke hele ka cystoscope i loko o kāu urethra i loko o kāu pēpē. E hōʻoluʻolu ʻoe e like ia me ka makemake ikaika e mimi ke piha ka wai i kāu ʻōpū.

ʻIke paha ʻoe i kahi pinch i ka biopsy. Aia paha he wela wela ke hoʻopaʻa ʻia nā kīʻaha koko e hoʻopau i ke kahe ʻana (cauterized).

Ma hope o ka hemo ʻana o ka cystoscope, ʻeha paha kāu urethra. ʻIke paha ʻoe i ke ahi i ke ahi no ka lā a ʻelua paha. Loaʻa paha ke koko i ka mimi. I ka hapanui o nā hihia, e hele kēia ma kāna iho.

I kekahi mau hihia, pono e lawe i ka biopsy mai kahi ākea. I kēlā hihia, pono ʻoe i ka anesthesia ākea a i ʻole ka sedation ma mua o ke kaʻina hana.

Hana pinepine ʻia kēia hōʻike e nānā i ka maʻi ʻaʻai o ka maʻi ʻaʻai a i ʻole ka urethra.

Paheʻe ka pā o ka maʻi ʻaʻai. ʻO ka ʻōpū o kahi nui maʻamau, ʻano, a me ke kūlana. ʻAʻohe ālai, ulu, a pōhaku paha.

Ke hōʻike nei ke alo o nā hunaola maʻi ʻaʻai i ka maʻi ʻaʻai. Hiki ke hoʻoholo ʻia ke ʻano o ka maʻi ʻaʻai mai ka laʻana biopsy.

Hiki i nā mea ʻē aʻe ke hoʻopili ʻia:

• ʻO Diverticula Bladder
• Kāpena
• Hoʻonā
• Maʻi kīnā
• Ulcer

Aia kekahi pilikia no ka maʻi urinary tract.

Aia kekahi pilikia iki no ke kahe nui ʻana o ke koko. Aia paha e haki ka paia o ka bladder me ka cystoscope a i ʻole i ka wā biopsy.

Aia kekahi pilikia e ʻike ʻole ke biopsy i kahi ʻano koʻikoʻi.

Maliʻa paha he nui kou koko i kou mimi ma hope koke iho o kēia kaʻina hana. Inā hoʻomau ke kahe ʻana ma hope o kou mimi, e kāhea i kāu kauka mālama ola.

E kāhea aku i kāu mea hāʻawi inā:

• He ʻeha kou, haʻalulu, a he kuni paha
• Ke hana nei ʻoe i ka mimi liʻiliʻi ma mua o ka maʻamau (oliguria)
• ʻAʻole hiki iā ʻoe ke mimiki ʻoiai koi ikaika e hana pēlā

ʻO Biopsy - bladder

• Catheterization ʻōpū - wahine
• Catheterization ʻōpū - kāne
• ʻĀpana mimi wahine
• ʻĀpana mimi kāne
• ʻO ka biopsy bladder

Bent AE, Cundiff GW. ʻO Cystourethroscopy. I: Baggish MS, Karram MM, eds. Nā Atlas o ka Pelvic Anatomy a me nā ʻōpala Gynecologic. ʻEhā ed. Piladelapia, PA: Elsevier; 2016: chap 122.

Dute BD, Conlin MJ. Nā manaʻo o ka endoscopy urologic. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 13.

Pūnaewele Institute of Diabetes a me Digestive a me nā maʻi maʻi puʻuwai. Cystoscopy a me ureteroscopy. www.niddk.nih.gov/health-information/diagnostic-tests/cystoscopy-ureteroscopy. Hoʻohou ʻia Iune 2015. Loaʻa iā Mei 14, 2020.

ʻO Smith TG, ʻo Coburn M. Urologic ʻoki kino. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 72.