He aha ka Trigonitis?
Anter
- Nā ʻōuli o trigonitis
- Nā kumu o ka trigonitis
- Kānāwai o trigonitis
- Iapaau ana o trigonitis
- Trigonitis vs. cytititis interstitial
- ʻO ka nānā no ka trigonitis
Hōʻike Overview
ʻO ka trigone ka ʻāʻī o ka ʻai. ʻO ia kahi ʻāpana triangular o nā kiko i waiho ʻia ma ka ʻaoʻao haʻahaʻa o kāu bladder. Ma kahi kokoke i ka wehe o kāu urethra, ke duct e lawe i ka mimi mai kāu pēpē ma waho o kou kino. Ke hele a wela kēia wahi, ʻike ʻia ʻo ia ʻo trigonitis.
Eia naʻe, ʻaʻole mau ka trigonitis i ka hopena o ka mumū. ʻO kekahi manawa ma muli o nā hoʻololi o ke kelepona benign i ka trigone. ʻO ke olakino, ua kapa ʻia kēia mau hoʻololi i metaplasia squamous nonkeratinizing. ʻO kēia ka hopena i kahi kūlana i kapa ʻia pseudomembranous trigonitis. Hana ʻia kēia mau hoʻololi ma muli o ke kaulike ʻole o ka hormonal, ʻo ia hoʻi nā estrogen wahine a me ka progesterone.
Nā ʻōuli o trigonitis
ʻAʻole ʻokoʻa nā ʻōuli o trigonitis i kēlā me kēia no nā pilikia bladder ʻē aʻe. Pākuʻi ʻia lākou:
- he makemake nui e mimi
- ʻeha pelvic a i ʻole kaomi
- pilikia urino
- ʻeha i ka wā o ka urination
- koko i ka mimi
Nā kumu o ka trigonitis
Loaʻa nā kumu like ʻole o Trigonitis. ʻO kekahi mau mea maʻamau:
- Hoʻohana wā lōʻihi o ka catheter. ʻO kahi catheter kahi paipu hollow i hoʻokomo ʻia i loko o kāu pēke e hoʻokahe i ka mimi. Hoʻohana pinepine ʻia ia ma hope o ke kaha ʻana, ma hope o nā ʻeha o ke kuamoʻo, a i ʻole ke ʻalolo i loko o kāu puhā e hōʻeha a kuhi hewa paha ka ninini hōʻailona. ʻO ka lōʻihi o ka noho ʻana o kahi catheter ma kahi, eia nō naʻe, ʻo ka kiʻekiʻe o ka makaʻu no ka huhū a me ka pehu. Hoʻonui kēia i nā manawa o trigonitis. Inā loaʻa kāu catheter, e kamaʻilio me kāu kauka e pili ana i ka mālama kūpono.
- Nā maʻi maʻi urinary hou (UTIs). Hiki i nā maʻi pinepine ke hoʻonāukiuki i ka trigone, e alakaʻi i ka mumū mau a me ka trigonitis.
- Nā kaulike ʻole Hormonal. Manaʻo ʻia he pāʻani paha nā homone wahine estrogen a me progesterone i nā loli o ke kelepona e pili ana me ka trigonitis pseudomembranous. ʻO ka hapanui o ka poʻe me ka trigonitis he mau wahine o ka wā hānau pēpē a me nā kāne e hele ana i ka hormone therapy no nā mea e like me ka maʻi ʻaʻai prostate. Wahi a ka noiʻi, pseudomembranous trigonitis kū i 40 pākēneka o nā mākua wahine - akā ʻoi aku ka liʻiliʻi ma mua o 5 pākēneka o nā kāne.
Kānāwai o trigonitis
ʻAneʻane hiki ʻole ke Trigonitis ke hoʻokaʻawale mai nā UTI maʻamau i hoʻokumu ʻia i nā ʻōuli. A ʻoiai e hiki i kahi urinalysis ke ʻike i nā koʻohune i loko o kou mimi, ʻaʻole hiki iā ia ke haʻi iā ʻoe inā paha i hoʻā ʻia a hoʻonāukiuki ʻia paha ka trigone.
E hōʻoia i kahi kuhi o trigonitis, e hana kāu kauka i kahi cystoscopy. Hoʻohana kēia kaʻina hana i kahi cystoscope, kahi paipu lahilahi, maʻalahi i hoʻolako ʻia me kahi kukui a me nā aniani. Hoʻokomo ʻia i loko o kāu urethra a me kāu kīwī. Loaʻa paha iā ʻoe kahi anesthetic kūloko i hoʻopili ʻia i ka urethra ma mua o ke kaʻina hana e numb i ka wahi.
Hāʻawi ka mea kani i kāu kauka e nānā i ka uhi o ka urethra a me ka puhā a nānā i nā hōʻailona o trigonitis. Hoʻopili kēia i ka mumū o ka trigone a me kahi ʻano cobblestone i ka ʻili e hoʻopili iā ia.
Iapaau ana o trigonitis
Pehea e mālama ai i kāu trigonitis e pili i kāu mau ʻōuli. ʻO kahi laʻana, kauoha ʻia ʻoe:
- antibiotics inā he bacteria ʻoe i loko o kou mimi
- nā lāʻau antidepressants haʻahaʻa, hiki ke kōkua i ke kāohi i ka ʻeha
- nā mea hoʻomaha nāʻiʻo e hōʻoluʻolu i nā spadms bladder
- anti-inflammatories
E ʻōlelo paha kāu kauka i kahi cystoscopy me ka fulguration (CFT). ʻO kēia kahi kaʻina hana i hana ʻia ma kahi kumu maʻi ma lalo o ka anesthesia. Hoʻohana ia i kahi cystoscope a i ʻole kahi urethroscope e cauterize - a i ʻole ke kuni - nā mea ʻāpala.
Hana ʻo CFT ma lalo o ke kumumanaʻo i ka make ʻana o nā mea i hōʻino ʻia, ua hoʻololi ʻia e nā mea olakino olakino. I hoʻokahi noi, 76 pakeneka o nā wahine e hele ana iā CFT i loaʻa ka hoʻonā o kā lākou trigonitis.
Trigonitis vs. cytititis interstitial
Interstitial cystitis (IC) - i kapa ʻia hoʻi he maʻi maʻi bladder maʻi maʻi - kahi maʻi hoʻomau e hana i ka ʻeha ikaika a me ka mumū i loko a ma luna aʻe o ka ʻōpū.
Pehea ʻike ʻole ʻia ai ka IC. ʻO kekahi kumumanaʻo kahi kīnā o ka mucus e laina ana i ka paia o ka maʻi ʻaʻai e ʻae i nā mea ʻona mai ka mimi e hoʻonāukiuki a hoʻā i ka ʻai. Hoʻopuka kēia i kaʻeha a me ka makemake pinepine e mimi. Hoʻopili ka IC i ka 1 a i ka 2 miliona mau ʻAmelika. ʻO ka hapa nui o lākou he mau wahine.
ʻOiai lākou e kaʻana like ana i kekahi o nā ʻōuli like, ʻokoʻa ka trigonitis mai IC ma nā ʻano like ʻole:
- ʻO ka līlū e kū me ka trigonitis ʻike wale ʻia ma ka ʻāina trigone o ka ʻōpū. Hiki i ka IC ke hoʻoulu i ka mumū ma loko o ka maʻi bladder.
- ʻIke hohonu ka ʻeha mai trigonitis i loko o ka pelvis, e hoʻomālamalama ana i ka urethra. ʻIke ʻia ʻo IC ma ka ʻōpū o lalo.
- Wahi a ka noiʻi i paʻi ʻia ma ka Ka Waihona ʻApelika o Urology, ʻoi aku ka nui o ka trigonitis ma mua o ka IC e hana i ka ʻeha ma ka mimi hele.
ʻO ka nānā no ka trigonitis
Kūleʻa ʻo Trigonitis i nā wahine makua. ʻOiai hiki iā ia ke hana i kekahi mau hōʻailona hōʻeha a hōʻoluʻolu hoʻi, pane maikaʻi ia i ka lāʻau kūpono.
Inā manaʻo ʻoe he trigonitis a i ʻole nā pilikia o ka maʻi ʻaʻai ʻē aʻe, e ʻike i kāu kauka a i ʻole urologist e kūkākūkā i kāu mau ʻōuli, e hoʻokolokolo pono, a loaʻa i ka lāʻau kūpono.