Haʻawina Cystometric

Ana ke ana o Cystometric i ka nui o ka wai i loko o ka pāpaʻi ke ʻike mua ʻoe i ka pono o ka mimi, ke hiki iā ʻoe ke ʻike i ka piha, a i ka piha loa o kāu ʻōpū.

Ma mua o ka hoʻopaʻa ʻana o ka cystometric, noi ʻia ʻoe e mimi (hakahaka) i loko o kahi pahu kūikawā i hoʻopili ʻia me kahi kamepiula. Kāhea ʻia kēia ʻano aʻo he uroflow, kahi e hoʻopaʻa ʻia ai kēia e ka kamepiula.

• ʻO ka manawa ke hoʻomaka iā ʻoe i ka mimi
• Ke kumu, ka wikiwiki, a me ka hoʻomau o kāu kahawai urinary
• Ka nui o ka mimi
• Pehea ka lōʻihi o kou hoʻolei ʻana i kāu ʻōpū

E moe ʻoe i lalo, a waiho ʻia kahi paipu lahilahi a maʻalahi (catheter) i loko o kāu pēpē. Ana ka catheter i kekahi mimi i waiho ʻia i loko o ka ʻai. Hoʻokomo ʻia kahi catheter liʻiliʻi i kāu rekima i mea e ana ai i ke kaomi ʻōpū. Ana electrodes, like me ka sticky pads i hoʻohana ʻia no kahi ECG, hoʻonoho ʻia ma kahi kokoke i ka pā.

Hoʻopili ʻia kahi paipu e nānā i ke kaomi o ka bladder (cystometer) i ka catheter. Kahe ka wai i loko o ka bladder ma kahi helu i kāohi ʻia. E noi ʻia ʻoe e haʻi i ka mea hāʻawi i ke olakino ke ʻike mua ʻoe i ka pono e mimi a ke manaʻo ʻoe ua piha piha kāu kīʻaha.

ʻO ka manawa pinepine, pono i kāu mea hāʻawi i ka ʻike hou aku a kauoha i nā hoʻokolohua e loiloi i kāu hana o ka maʻi ʻaʻa. Hāʻawi pinepine ʻia kēia ʻano hoʻokolohua ma ke ʻano he urodynamics a i ʻole nā ​​urodynamics piha.Hoʻokomo ʻia ka hui ʻana ʻekolu mau hoʻāʻo.

• Ana i ka hakahaka me ka ʻole o ka catheter (uroflow)
• Cystometry (hoʻopiha pae)
• Hoʻoholo a i ʻole ka hoʻoneʻe ʻana i ka hoʻāʻo pae

No ka hoʻāʻo urodynamic piha, hoʻonoho ʻia kahi catheter ʻoi aku ka liʻiliʻi i loko o ka pākeke. Hiki iā ʻoe ke urinā a puni ia. Ma muli o ka loaʻa ʻana o kēia catheter kūikawā i kahi mea ʻike ma ka piko, hiki i ke kamepiula ke ana i ke kaomi a me nā nui e like me ka hoʻopihapiha o kāu ʻōpū a i kou wā e hoʻonele ai. Nonoi ʻia ʻoe e kohā a pahu i hiki i ka mea hāʻawi ke nānā no ka liu o ka mimi. Hiki i kēia ʻano hoʻāʻo piha ke hōʻike i nā ʻike he nui e pili ana i kāu hana o ka maʻi ʻaʻa.

No ka ʻike hou aku, hiki ke lawe ʻia nā kukuna x i ka wā o ka hoʻāʻo. I kēia hihia, ma kahi o ka wai, hoʻohana ʻia kahi wai kūikawā (ʻokoʻa) e hōʻike ana ma kahi x-ray e hoʻopiha i kāu kīloi. Kapa ʻia kēia ʻano urodynamics videourodynamics.

ʻAʻole pono kahi hoʻomākaukau kūikawā no kēia hōʻike.

No nā pēpē a me nā keiki, pili ka hoʻomākaukau i ka makahiki o ke keiki, nā ʻike i hala, 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:

• 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)

Aia kekahi pilikia e pili ana i kēia hōʻike. Hiki iā ʻoe ke ʻike:

• Hoʻopiha hoʻopihapiha
• Flushing
• Nusea
• ʻEha
• Hoʻoulu
• Pono urinary
• Hoʻā ʻana

E kōkua ka hōʻoia i ke kumu o ka pale o ka maʻi huki.

Hoʻololi nā hopena maʻamau a pono e kūkākūkā ʻia me kāu mea hāʻawi.

Nā hopena kūpono ʻole ma muli o:

• Prostate hoʻonui
• Sclerosis lehulehu
• Overad bladder
• Hoʻoemi i ka hiki i ka ʻai
• ʻEha ʻiwi
• Hahau
• Maʻi ʻaʻai Urinary

Aia kahi pilikia iki o ka maʻi urinary tract a me ke koko i ka mimi.

ʻAʻole pono e hana i kēia hōʻike inā loaʻa kahi maʻi urinary tract i ʻike ʻia. Hoʻonui ka maʻi kū i kēia manawa i ka hopena o nā hopena hōʻike wahaheʻe. Hoʻonui ka hōʻike iā ia iho i ka hiki ke hoʻolaha i ka maʻi.

CMG; Cystometrogram

• Anatomia hānau kāne

ʻO Grochmal SA. ʻO nā koho hoʻokolohua a me nā koho lapaʻau no ka cytitite interstitial (maʻi hōʻeha maʻi). I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 98.

ʻO Kirby AC, ʻo Lentz GM. ʻO ka hana o ka urinary tract haʻahaʻa a me nā maʻi: physiology o ka micturition, hoʻopau ʻole i ka hana ʻole, ka hoʻomau ʻole ʻana o ka urinary, nā maʻi maʻi urinary, a me ka maʻi maʻi bladder. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 21.

ʻO Nitti V, Brucker BM. ʻO ka loiloi Urodynamic a me videourodynamic o ka hoʻopau ʻana i ka hana ʻole. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 73.

ʻO Yeung CK, Yang S S-D, Hoebeke P. Hoʻolālā a me ka helu ʻana o ka hana o ka urinary tract haʻahaʻa i nā keiki. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 136.