Uropathy Kahakaha
Anter
- Nā kumu o ka uropathy ālai
- Nā ʻōuli o ka uropathy ālai
- ʻIke o ka uropathy ālai
- Lapaʻau no ka uropathy obstructive
- ʻOki kino
- Kau kau
- Lapaʻau no nā keiki hānau ʻole
- Nānā wā lōʻihi
He aha ka uropathy ākea?
ʻO ka uropathy ākea ke hiki ʻole i kou mimi ke kahe (ma kahi ʻāpana a holoʻokoʻa paha) ma o kāu ureter, bladder, a urethra paha ma muli o kekahi ʻano o ka ālai. Ma kahi o ke kahe ʻana mai kou mau puʻupaʻa i kāu pūpū, holo ka mimi i hope, a i ʻole nā refluxes, i loko o kāu puʻupaʻa.
ʻO nā ureter nā paipu ʻelua e hali i ka mimi mai kēlā me kēia o kou puʻupaʻa i kāu pūpū. Hiki i ke uropathy keakea ke kumu i ka pehu a me nā mea ʻino ʻē aʻe i hoʻokahi o kāu mau puʻupaʻa ʻelua.
Hiki i kēia ʻano ke hoʻololi i nā kāne a me nā wahine o nā makahiki. Hiki iā ia ke lilo i pilikia no kahi keiki hānau ʻole i ka wā hāpai.
Nā kumu o ka uropathy ālai
Hiki ke hana i ka uropathy ākea ma muli o nā ʻano like ʻole. Hiki i ke kaomi ke alakaʻi i ka hōʻino i kāu mau puʻupaʻa a me nā ureter.
Kū paʻa mau a paʻa mau paha i kāu ureter a i ʻole urethra, kahi e puka ai ka mimi i kou kino, hiki ke hopena mai:
- nā ʻeha e like me ka haki pelvic
- ka nui o ka tumo e palahalaha aʻe i kou mau puʻupaʻa, ʻūmiʻi, kōpū, a i ʻole kolone
- nā maʻi o ka digestive tract
- nā pōhaku hakuʻala i paʻa i kāu ureter
- huʻi koko
Hiki i nā maʻi ʻōnaehana nervous ke kumu i ka uropathy ālai. Hana ʻia kēia ke hana ʻole nā ʻalalā no ke kāohi ʻana o ka bladder. ʻO ka hoʻohana ʻana o nā lāʻau neurogenic e kāohi i kahi bladder overactive hiki ke hana i ka uropathy obstructive i kekahi mau hihia.
ʻO kahi prostate hoʻonui ʻia kahi kumu pinepine o ka uropathy obstructive i nā kāne. Hiki paha i nā wahine hāpai ke ʻike i kahi kahe o ka mimi i hoʻohuli ʻia ma muli o ke kaumaha hou o ka pēpē e kaomi ana i kā lākou bladder. Eia nō naʻe, kākaʻikahi loa ka uropathy i hāpai ʻia e hāpai ai.
Nā ʻōuli o ka uropathy ālai
ʻO ka hoʻomaka ʻana o ka uropathy ālai ʻia hiki ke wikiwiki a wikiwiki loa, a lohi a holomua paha. E ʻike ʻoe i ka ʻeha ma kou midsection ma kekahi a i ʻole ʻelua ʻaoʻao o kou kino. Kūlike ka pae a me kahi o ka ʻeha mai kēlā me kēia kanaka a pili i ka pili o hoʻokahi a i ʻole nā puʻupaʻa ʻelua.
ʻO ka fever, nausea, a me ka luaʻi kekahi mau hōʻailona maʻamau o ka uropathy obstructive. ʻIke paha ʻoe i ka pehu a palupalu paha i nā puʻupaʻa i ka holo ʻana o ka mimi i hope i loko o kāu mau lālā.
Hiki i kahi loli i kāu mau urinary ke hōʻike i kahi blockage i kāu ureter. Nā ʻōuli e nānā no nā:
- paʻakikī e hele i ka mimi
- kahi kahawai i lohi, i kekahi manawa i wehewehe ʻia me he "dribble"
- kahi koi pinepine e mimi, ʻoi loa i ka pō (nocturia)
- ka manaʻo ʻaʻohe hakahaka o kou ʻōpū
- hoʻemi i ka puka mimi
- ke koko i kou mimi
Hiki paha iā ʻoe ke hōʻemi i ka nui o ka mimi āu e kipaku ai inā wale kekahi o kou puʻupaʻa i ālai ʻia. ʻO ka maʻamau, pono e kāpae ʻia nā puʻupaʻa ʻelua e hopena i ka puka mimi.
ʻIke o ka uropathy ālai
E kuhi kāu kauka uropathy obstructive me kahi ultrasound. E hōʻike nā scans o kou wahi pelvic a me kou mau puʻupaʻa inā e kākoʻo ana ka mimi i kāu mau puʻupaʻa. Hiki i nā pono hana kiʻi ke kuhikuhi i nā ālai i kāu kauka.
Lapaʻau no ka uropathy obstructive
ʻO ka wehe ʻana i ka ālai mai nā ureter ālai ʻia ka pahuhopu nui o ka lapaʻau.
ʻOki kino
E hoʻoneʻe kahi kauka lapaʻau i nā lehulehu e like me nā tumo maʻi ʻaʻai, polyps, a i ʻole nā ʻili scar e hana i loko a puni kāu mau ureter. Ke hoʻomaʻemaʻe koke lākou i ka blockage mai ka ureter i hoʻopili ʻia, hiki i ka mimi ke kahe manuahi i loko o kāu pēpē.
Kau kau
ʻO kahi ʻano liʻiliʻi o ka lāʻau lapaʻau ke kau ʻana i kahi stent i ka ureter i ālai ʻia a i ʻole ke konāhua. ʻO kahi stent kahi paipu mesh e wehe i loko o kāu ureter a i ʻole wahi i ālai ʻia o kāu puʻupaʻa. Hiki i ke stenting ke hopena no nā ureter i lilo i mea ʻikiʻī mai nā ʻili scar a i ʻole nā kumu ʻē aʻe.
E kau kāu kauka i stent i kāu ureter me kahi paipu maʻalahi i kapa ʻia he catheter. Hana pinepine ʻia ka Catheterization me ka hoʻohana ʻana o ka lāʻau numbing ʻoiai ʻoe e ala ala. I kekahi mau hihia, hoʻowalewale ʻia ʻoe no ke kaʻina hana.
Lapaʻau no nā keiki hānau ʻole
Hiki paha i kāu kauka ke mālama i ka pale o ka fetal i loko o ka ʻōpū i kekahi mau hihia. Kau paha kāu kauka i kahi shunt, a i ʻole ka ʻōnaehana hoʻokahe wai, i loko o kāu pēpē i hānau ʻole ʻia. E hoʻopau ka shunt i ka mimi i loko o ka ʻeke amniotic.
Hana maʻamau ʻia ka lāʻau fetal ke hōʻike wale ʻia nā puʻupaʻa o ka pēpē e hōʻino ʻole ʻia. ʻO ka pinepine, hiki i nā kauka ke hoʻoponopono i ka hana o ka hakuʻala a ālai i nā ureter ma hope o ka hānau ʻana o ka pēpē.
Nānā wā lōʻihi
ʻO ka nānā no ka uropathy obstructive pili i ka hopena o kekahi a i ʻole nā puʻupaʻa ʻelua. ʻO ka poʻe i loaʻa ka mea keʻakeʻa i hoʻokahi kīʻaha wale nō e liʻiliʻi e kū i ka uropathy mau. ʻO ka poʻe me nā mea keakea hou i hoʻokahi a i ʻole nā puʻupaʻa ʻelua paha e ʻike i ka hōʻino nui ʻana o nā puʻupaʻa. Hiki ke hoʻohuli a hōʻino ʻia paha ka hōʻino ʻana o ka hakuʻala ma muli o ke olakino olakino o ke kanaka.