ʻO nā mea āpau āu e ʻike ai e pili ana i ka Pain o Bladder

Anter

• ʻO ke kumu ʻeha o ke kino
• Maʻi ʻaʻai Urinary
• Nā ʻōuli o ka maʻi urinary tract
• Ke hōʻike nei i nā maʻi maʻi urinary
• Nā hana no nā maʻi maʻi urinary
• Interstitial cystitis / ʻehaʻeha bladder syndrome
• Nā ʻōuli o ka cystitis interstitial
• Nānā i ka cystitis interstitial
• Nā hana no ka cystitis interstitial
• Kanesa maʻi ʻaʻai
• Nā ʻōuli o ka maʻi ʻaʻai bladder
• ʻIke i ka maʻi ʻaʻai
• Nā hana no ka maʻi ʻaʻai o ka maʻi ʻaʻai
• ʻO kaʻeha o ka hue i nā wahine a me nā kāne
• ʻEha bladder ma ka ʻaoʻao ʻākau a hema paha
• Āhea ʻoe e ʻike ai i ke kauka?
• Ka mālama ʻana i ka ʻeha
• ʻO ka lawe lawe ʻana

Hōʻike Overview

ʻO ka pūpū he puhaka, kahi ʻāpana poʻohiwi i waena o kou pelvis. Hoʻonui a kuʻikahi ʻo ia e hoʻopihapiha a hoʻokuʻu i kou mimi. Ma ke ʻano he ʻāpana o kāu ʻōnaehana mimi, paʻa ka mīmū i hoʻoiho ʻia iā ia mai kāu mau puʻupaʻa ma o nā paipu liʻiliʻi ʻelua i kapa ʻia he ureter ma mua o ka hoʻokuʻu ʻia ʻana i loko o kāu urethra.

Hiki i ka ʻeha o ke kīloi ke hoʻopili i nā kāne a me nā wahine a kumu ʻia e kekahi mau ʻano ʻokoʻa - ʻoi aku ka koʻikoʻi o kekahi ma mua o kekahi. E ʻimi mākou i nā kumu like ʻole o ka ʻeha o ka maʻi ʻai, he aha nā hōʻailona ʻē aʻe e nānā ai, a me nā koho lapaʻau.

ʻO ke kumu ʻeha o ke kino

ʻO ka ʻeha o ka maʻi ʻaʻano ke koi ʻia no ka mea he mau kumu kūpono paha ia, mai kahi maʻi urinary tract a hiki i ka mumū o ka maʻi maʻi.

Maʻi ʻaʻai Urinary

ʻO kahi maʻi maʻi urinary tract (UTI) kahi maʻi bacteria ma nā ʻāpana o kāu mimi, me ka pūpū. Hiki i nā kāne a me nā wahine ke loaʻa i nā UTI, akā ʻoi aku ka maʻamau o nā wahine. Hoʻokumu ʻia nā UTI e nā koʻohune e komo i loko o ka puhū ma o ka urethra. Ke waiho maikaʻi ʻole ʻia, hiki i nā UTI ke pāhola i kou puʻupaʻa a me ke kahe o ke koko e hana ana i nā pilikia koʻikoʻi

Nā ʻōuli o ka maʻi urinary tract

Me ka ʻeha o ka maʻi ʻai, hiki i kahi UTI ke kumu i kekahi o nā hōʻailona aʻe.

• urination ʻeha mau
• ʻeha o ka ʻōpū o lalo
• ʻehaʻeha haʻahaʻa
• kaomi pākī / pelvic
• mimi ʻōpua
• koko i ka mimi

Ke hōʻike nei i nā maʻi maʻi urinary

Hiki i kāu kauka ke hōʻoia i kahi maʻi urinary tract e hoʻohana ana i ka urinalysis e nānā i kāu mimi mole no nā keʻokeʻo keʻokeʻo a me nā ʻulaʻula, a me nā bacteria. Hiki paha i kāu kauka ke hoʻohana i kahi moʻomeheu mimi e hoʻoholo ai i ke ʻano o nā koʻohune i loaʻa.

Inā loaʻa iā ʻoe nā UTI hou, hiki i kāu kauka ke koi aku i ka hoʻāʻo hou ʻana e nānā no nā mea kūpono ʻole i loko o kāu pēpē a me kāu wahi urinary. Pili pū paha kēia mau hoʻāʻo:

• ultrasound
• MRI
• CT scan
• cystoscope

Nā hana no nā maʻi maʻi urinary

Mālama ʻia nā UTI me nā lāʻauʻalopelo waha e pepehi i nā bacteria. Kau kauka paha i kau kauka ʻeha e hōʻoluʻolu i ka ʻeha a me ke ahi. Pono paha nā UTI pinepine i kahi papa lōʻihi o nā antibiotic. Pono paha nā UTI koʻikoʻi a me nā pilikia e koi i nā antibiotic i hāʻawi ʻia ma o ka IV i kahi haukapila.

Interstitial cystitis / ʻehaʻeha bladder syndrome

ʻO ka cystitis interstitial, i kapa ʻia hoʻi he maʻi maʻi bladder pain, kahi maʻi hoʻomau e hōʻeha ai i nā ʻōnaehana urinary ʻeha. Hoʻopili ia i ka hapanui o nā wahine, e like me ka National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). ʻAʻole ʻike ʻia ke kumu o ke ʻano i kēia manawa, akā hiki i kekahi mau mea ke hoʻonāukiuki i nā ʻōuli, e like me nā maʻi, ke kaumaha o ke kino a me ka naʻau, ka ʻai, ka ʻeha o ka maʻi ʻaʻa, a i ʻole kekahi mau lāʻau.

Nā ʻōuli o ka cystitis interstitial

Hiki ke kau ʻia nā ʻōuli mai ke akahai a i ke koʻikoʻi a ʻano ʻokoʻa mai kēlā me kēia kanaka. Hiki i nā ʻōuli ke hoʻohui pū:

• ikaika urinary
• urination pinepine
• ke ahi a ʻeha paha me ka pono o ka mimi
• ʻeha bladder
• ʻeha pelvis
• abdominal eha
• ʻeha ma waena o ka puki a me ka anus (wahine)
• ʻeha ma waena o ka scrotum a me anus (kāne)
• moekolohe ʻeha

Nānā i ka cystitis interstitial

Hiki i kāu kauka ke hoʻohana i nā hoʻokolohua aʻe e ʻike ai i ka cystitis interstitial:

• mōʻaukala olakino, me nā ʻōuli
• ka diary bladder o kāu lawe wai a me ka nui o ka mimi āu e hele ai
• pelvic hōʻike (wahine)
• hoʻokolohua prostate (kāne)
• urinalysis e nānā i ka maʻi
• cystoscopy e ʻike i ka pale o kāu kīʻī
• nā hoʻāʻo urinary
• hoʻāʻo ʻana no ka potassium

Hana paha kāu kauka i nā hoʻokolohua ʻē aʻe e kōkua ai i ka pale ʻana i ka maʻi ʻaʻa e like me ke kumu o kāu mau hōʻailona, ​​e like me kahi biopsy, e hana mau ʻia i ka wā o cystoscopy a i ʻole cytology mimi e nānā ai i nā hunaola maʻi ʻaʻai i loko o kāu mimi.

Nā hana no ka cystitis interstitial

ʻAʻohe mea lapaʻau kūikawā no ka cystitis interstitial. Paipai kāu kauka i nā mālama ʻana no kāu mau ʻōuli pākahi, i pili pū me:

• Hoʻololi ka nohona. E hoʻokumu ʻia nā loli i manaʻo ʻia ai kāu mau trigger. Hoʻopili pinepine kēia i ka haʻalele ʻana i ka puhipaka, ka pale ʻana i ka ʻalekohola, a me nā loli dietary. ʻIke kekahi poʻe i ka hoʻomaʻamaʻa mālie a me ka hoʻohaʻahaʻa kaumaha ke kōkua i ka hoʻomaha ʻana i nā ʻōuli.
• Laau Lapaʻau. Hiki i nā lāʻau lapaʻau ʻino over-the-counter (OTC) ke hōʻoluʻolu i ka ʻeha. Hiki i nā lāʻau i kuhikuhi ʻia e like me Tricyclic antidepressants ke kōkua i ka hoʻomaha ʻana i kāu pākeke a pale i ka ʻeha. Ua ʻae ʻia ʻo Pentosan polysulfate sodium (Elmiron) e ka FDA e mālama i ke ʻano.
• Hoʻomaʻamaʻa Bladder. Hiki paha i ka hoʻomaʻamaʻa bladder ke kōkua i kāu ʻōpū e paʻa hou i ka mimi. Pili ia i ka huli ʻana i ka manawa pinepine o kou mimi a hoʻolōʻihi i ka manawa ma waena o ka mimiki.
• Hoʻoikaika kino. Hiki i kahi mea hoʻoponopono kino i loea i ka pelvis ke kōkua iā ʻoe e hoʻolōʻihi a hoʻoikaika i kou mau puʻupuʻu pelvic a aʻo e hoʻomaha iā lākou, kahi e kōkua ai e hōʻoluʻolu i kāu mau ʻōuli, e like me ka pelvic floor muscle spasms.
• Hoʻokomo i ka ʻūmiʻi. Hoʻokomo ʻia kahi wai liʻiliʻi i loaʻa ka lāʻau i mea e hōʻoluʻolu ai i ka huhū i loko o kāu pēke a hoʻopaʻa ʻia ma kahi o 15 mau minuke ma mua o ka hoʻokuʻu ʻia ʻana. Hiki ke hana hou i ka mālama ʻana i kēlā me kēia pule a i ʻole biweekly no hoʻokahi a ʻelua mau mahina paha.
• Ke kīloi ʻana i ka ʻōpū. Hoʻolahola ʻia ka ʻōpū ma ka hoʻopiha ʻana iā ia i ka wai. Hāʻawi ʻia ʻoe i ka lāʻau e kōkua iā ʻoe e paʻa i ka wai a hoʻomanawanui i ka ʻō ʻana. ʻIke kekahi poʻe i kahi hōʻoluʻolu manawa o nā ʻōuli ma hope o ka hohola ʻana o ka ʻōpū.
• Hoʻoikaika ka transcranial magnet. Ua ʻike ʻia kahi noiʻi liʻiliʻi ma ka makahiki 2018 i ka hoʻonui pinepine ʻana o ka transcranial magnetic stimulate i ka ʻeha pelvic mau loa a me nā maʻi urinary pili i nā poʻe me ka maʻi maʻi bladder pain.
• ʻOki kino. Paipai ʻia ke ʻoki kino inā ʻaʻole i hāʻawi ʻia nā kōkua ʻē aʻe āpau i ke kōkua a koʻikoʻi kou mau ʻōuli. Hiki i ke ʻoki kino ke hoʻopili i ka bladder augmentation a i ʻole ka hoʻonui ʻana, kahi cystectomy e hoʻoneʻe i ka pākeke, a i ʻole ka loli urinary e reroute i kou kahe mimi.

Kanesa maʻi ʻaʻai

Nā hualoaʻa a ka maʻi ʻaʻai bladder ke ulu kū ʻole ka ulu ʻana o nā hunaola. Aia kekahi mau ʻano maʻi maʻi ʻaʻai o ka maʻi ʻaʻai akā ʻo ka carcinoma urothelial, a i ʻike ʻia hoʻi me ke kinetona transitional cell, e hoʻomaka ana i nā keena urothelial i ka uhi ʻana o kou kīloi, ʻo ia ka ʻano maʻamau. ʻOi pinepine ka maʻi ʻaʻai Bladder i nā kāne ma mua o nā wahine a hana pinepine ʻia ma hope o ka makahiki 55. He ʻelua a ʻekolu mau manawa paha ka maʻamau o ka poʻe puhipaka ke hoʻohālikelike ʻia i nā poʻe puhipaka ʻole.

Nā ʻōuli o ka maʻi ʻaʻai bladder

ʻO ke koko ʻehaʻeha i ka mimi ka hōʻailona maʻamau o ka maʻi ʻaʻa maʻi. ʻO ka hapanui pinepine, ʻaʻohe ʻeha a me nā ʻōuli ʻē aʻe o ka maʻi ʻaʻai. Eia nō naʻe, inā aia nā ʻōuli hiki iā lākou ke hoʻopili:

• e mimi pinepine hou aku
• ʻeha a puhi paha i ka wā e mimi ai
• ka pīhoihoi e mimi ʻoiai ʻaʻole piha kāu kīʻaha
• pilikia urino
• kahawai wai nāwaliwali

Hiki i ka maʻi ʻaʻai holomua holomua ke hoʻopili i nā ʻōnaehana a me nā ʻōnaehana ʻē aʻe, no laila e hoʻopili pū ʻia nā ʻōuli:

• hiki ʻole ke mimī
• ʻeha ʻeha o lalo i kekahi ʻaoʻao
• ʻeha iwi
• ʻeha o ka ʻōpū a pelvic paha
• nalo ʻai ʻole
• nāwaliwali a luhi paha

ʻIke i ka maʻi ʻaʻai

ʻO ka hoʻāʻo ʻana no ka maʻi ʻaʻai bladder e komo pū paha:

• hoʻopau mōʻaukala holoʻokoʻa
• cystoscopy
• urinalysis
• moʻomeheu mimi
• cytology mimi
• nā hoʻokolohua hōʻailona mimi tumz
• nā hoʻāʻo kiʻi
• biopsy

Nā hana no ka maʻi ʻaʻai o ka maʻi ʻaʻai

Kaukaʻi ʻia no ka maʻi ʻaʻai ʻōpū e pili i ke ʻano o ka maʻi ʻaʻai o ka maʻi ʻaʻai, ke kahua o ka maʻi ʻaʻai, a me nā kumu ʻē aʻe. Hoʻomaʻamaʻa pinepine ʻia no ka maʻi ʻaʻai ʻōpū ma mua o hoʻokahi o nā ʻano aʻe:

• ʻOki kino. ʻO ke ʻano o ke kaha ʻana i hoʻohana ʻia e mālama ai i ka maʻi ʻaʻai bladder ma muli o ke kahua. Hiki ke hoʻohana ʻia ke ʻoki e wehe i kahi tumo, e hoʻoneʻe i kahi ʻāpana o ka pākeke, a i ʻole ka pāpaʻi holoʻokoʻa.
• Pāhawewe. Hoʻohana ʻia ka pāhawewe ikaika e hoʻomake i nā hunaola maʻi ʻaʻai. Hiki ke hoʻohana ʻia e mālama ai i nā maʻi ʻaʻai o ka wā mua, ma ke ʻano he koho no nā poʻe i hiki ʻole ke ʻoki ʻia, a mālama a pale aku paha i nā ʻōuli o ka maʻi ʻaʻai nui. Hoʻohui pinepine ʻia me chemotherapy.
• ʻO Chemotherapy. Hoʻohana ʻia nā lāʻau Chemotherapy e pepehi i nā hunaola maʻi ʻaʻai. Hāʻawi ʻia ka chemotherapy ʻōnaehana ma nā ʻano pill a i ʻole ma o IV. Hoʻouna pololei ʻia ka chemotherapy Intravesical, i hoʻohana wale ʻia no nā maʻi ʻōpū wīwī mua loa, i loko o ka ʻōpū.
• Immunotherapy. Hoʻohana ka Immunotherapy i ka lāʻau e kōkua i kāu ʻōnaehana pale e ʻike a pepehi i nā hunaola maʻi ʻaʻai.

ʻO kaʻeha o ka hue i nā wahine a me nā kāne

ʻOi aku ka ʻeha o ka maʻi ʻōpū i nā wahine. Loaʻa paha kēia ma muli o ka kumu o nā kumu maʻamau ʻelua o ka ʻeha o ka maʻi bladder - nā maʻi maʻi urinary a me ka cystitis interstitial - pili pinepine i nā wahine ma mua o nā kāne. ʻO ia paha ma muli o ke kumu o ka hoʻopili ʻana o ka pūpū i ka pilina pololei me nā mea hānau hānau o ka wahine, ka mea e hoʻonāukiuki a hoʻonāukiuki paha i nā ʻōuli.

Hiki i nā wahine ke loaʻa i nā ʻōuli mua o ka cystitis interstitial. Hōʻike ka noiʻi ma kahi o 40 a 60 pākēneka o nā wahine e hoʻomohala i kahi UTI i ko lākou wā e ola ana, ka hapa nui o nā maʻi pākeke.

Hoʻonui ka ʻokoʻa o ka anatomy o ka wahine i ka makaʻu o nā maʻi pākeke. ʻO ka urethra pōkole ʻo ia hoʻi ke kokoke loa o nā bacteria i ka ʻōpū o ka wahine. ʻO ka urethra a kahi wahine e pili kokoke ana i ka pololei a me ka ʻōpū kahi e ola ai nā maʻi bacteria-ka hopena maʻi.

Nui aʻe ka makaʻu o nā kāne i ka hoʻomohala ʻana i ka maʻi ʻaʻa maʻi. Wahi a ka American Cancer Society, ʻo ka maʻi ʻaʻai maʻi hā ʻo ia ka hā o nā maʻi ʻaʻai maʻamau i nā kāne. ʻO ka manawa kūpono e loaʻa ai nā kāne i ka maʻi ʻaʻai ʻōpū i ko lākou ola ʻana ma kahi o 1 i ka 27. ʻO ka manawa kūpono no nā wahine ma kahi o 1 i ka 89.

ʻEha bladder ma ka ʻaoʻao ʻākau a hema paha

Ma muli o ka noho ʻana o ka ʻōpū ma waenakonu o ke kino, ʻike pinepine ʻia ka ʻeha o ka ʻōpū ma waenakonu o ka pelvis a i ʻole ka ʻōpū o lalo e kūʻē ana i kekahi ʻaoʻao.

Āhea ʻoe e ʻike ai i ke kauka?

Pono e loiloi i kekahi ʻeha bladder e ke kauka e kōkua e hoʻoholo i ke kumu a hoʻemi i ka pilikia o nā pilikia.

Ka mālama ʻana i ka ʻeha

Hiki i ka mea aʻe ke kōkua iā ʻoe e hoʻokele i ka ʻeha o ka maʻi ʻai.

• Nā lāʻau ʻeha OTC
• pale hoʻomehana
• nā hana hoʻomaha
• hoʻoikaika kino
• lole ʻaʻano (e hōʻalo i ka hoʻokau ʻana i ka pākeke)
• loli dietary

ʻO ka lawe lawe ʻana

ʻO ka hapa nui o ka ʻehaʻeha o ka maʻi bladder e nā UTI, hiki ke mālama ʻia me nā lāʻau ʻaloʻalo. E ʻike koke i kāu kauka e kāpae i nā kumu koʻikoʻi ʻē aʻe o ka ʻeha o ka maʻi maʻi.