Cystoscopy

ʻO Cystoscopy kahi hana ʻoki. Hana ʻia kēia e ʻike i ka loko o ka puhā a me ka urethra e hoʻohana ana i kahi paipu lahilahi, a uila.

Hana ʻia ʻo Cystoscopy me kahi cystoscope. ʻO kēia kahi pahu kūikawā me kahi kāmela liʻiliʻi ma ka hopena (endoscope). ʻElua ʻano cystoscope:

• Paʻamau, cystoscope paʻa
• Cystoscope maʻalahi

Hiki ke hoʻokomo ʻia i ka pahu i nā ʻano like ʻole. Eia nō naʻe, like ka hoʻāʻo. ʻO ke ʻano o ka cystoscope e hoʻohana ai kāu mea mālama ola i ka kumu o ka hoʻokolokolo.

E hana ana ke kaʻina hana ma kahi o 5 a 20 mau minuke. Hoʻomaʻemaʻe ʻia ka urethra. Hoʻokomo ʻia kahi lāʻau numbing i ka ʻili e uhi ana i ka ʻaoʻao o ka urethra. Hana ʻia kēia me ka ʻole o nā nila. Hoʻokomo ʻia ka laulā ma o ka urethra i loko o ka pale.

Kahe ka wai a i ʻole ka wai paʻakai (saline) ma loko o ka paipu e hoʻopiha i ka ʻai. Ke kū nei kēia, noi ʻia ʻoe e wehewehe i ka manaʻo. E hāʻawi kāu pane i kekahi ʻikepili e pili ana i kāu kūlana.

E like me ka wai e hoʻopiha ai i ka puhaka, hohola ia i ka paia o ka maʻi ʻaʻai. Hōʻike kēia i kāu mea hoʻolako i ka paia o ka bladder holoʻokoʻa. E ʻike ʻoe i ka pono o ka mimi ke piha ka ʻōpū. Eia naʻe, pono e noho piha ka ʻōpū a pau ka hōʻike.

Inā nānā ʻole kekahi kiko, hiki ke lawe ʻia i kahi laʻana liʻiliʻi (biopsy) ma o ka paipu. E hoʻouna ʻia kēia laʻana i kahi lab e hoʻāʻo ai.

E noi i kāu mea hāʻawi inā pono ʻoe e hōʻoki i ka lawe ʻana i nā lāʻau i hiki ke lahilahi i kou koko.

Hiki ke hana i ke kaʻina hana i kahi haukapila a i ʻole kikowaena kikowaena. I kēlā hihia, pono ʻoe i kekahi e lawe iā ʻoe i ka home ma hope.

Hiki paha iā ʻoe ke hōʻoluʻolu iki i ka wā e hele ai ka paipu ma o ka urethra i loko o ka pūpū. E ʻike ʻoe i kahi hōʻoluʻolu ʻole, pono e mimiki ke piha kāu kīʻaha.

ʻIke paha ʻoe i kahi pinch wikiwiki inā lawe ʻia kahi biopsy. Ma hope o ka hemo ʻana o ka paipu, ʻeha paha ka urethra. Loaʻa paha iā ʻoe ke koko i ka mimi a me ke ahi wela i ka wā urination no hoʻokahi a ʻelua paha lā.

Hana ʻia ka hōʻike iā:

• E hōʻoia no ka maʻi ʻaʻai o ka maʻi ʻaʻai a urethra paha
• Kuhi i ke kumu o ke koko i ka mimi
• Kuhi i ke kumu o nā pilikia e hele i ka mimi
• ʻIʻike i ke kumu o nā maʻi maʻi palahalā
• Kōkua e hoʻoholo i ke kumu o ka ʻeha i ka wā o ka urination

Pono ke nānā aku ka pā o ka pākeke. Pono ka ʻōpū i ka nui maʻamau, ke ʻano, a me ke kūlana. ʻAʻole pono nā ālai, nā ulu ʻana, a me nā pōhaku.

Hiki i nā hopena maʻamau ke kuhikuhi:

• Kanesa maʻi ʻaʻai
• Pōhaku bladder (calcululi)
• Hoʻohaʻahaʻa pā paia o ka bladder
• ʻO ka urethritis maʻi a cystitis paha
• ʻO ka scarring o ka urethra (kapa ʻia kahi koʻikoʻi)
• Congenital (i kēia manawa i ka hānau ʻana) abnormalities
• Kāpena
• ʻO Diverticula o ka puhā a i ʻole ka urethra
• Haole mea i loko o ka bladder a urethra

ʻO kekahi mau diagnose kūpono ʻē aʻe e:

• Huʻi huhū
• Polyps
• Nā pilikia Prostate, e like me ke kahe ʻana o ke koko, ka hoʻonui ʻana a i ʻole ka paʻa ʻana
• ʻO ka ʻehaʻeha o ka maʻi bladder a me ka urethra
• Ulcer
• ʻO nā koʻikoʻi urethral

Aia kahi pilikia iki no ke kahe ʻana o ke kahe ke lawe ʻia kahi biopsy.

ʻO nā pilikia ʻē aʻe e:

• Maʻi ʻaʻai
• Wāwahi o ka paia bladder

Inu i ka 4 a 6 mau aniani o ka wai i kēlā me kēia lā ma hope o ke kaʻina hana.

Hoʻomaopopo paha ʻoe i kahi koko liʻiliʻi i loko o kou mimi ma hope o kēia kaʻina hana. Inā hoʻomau ke kahe ʻana ma hope o kou mimiki ʻana i 3 mau manawa, e hoʻokaʻaʻike i kāu mea hāʻawi.

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i kekahi o kēia mau hōʻailona o ka maʻi.

• ʻO Chills
• Fiva
• ʻEha
• Hoʻoemi i ka mimi

Cystourethroscopy; Endoscopy o ka maʻi ʻaʻai

• Cystoscopy
• ʻO ka biopsy bladder

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 & 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.