He aha ka Urethral Stricture? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka urethral stricture kahi hoʻoemi ʻana o ka urethra, ʻo ia ka paipu e lawe ai i ka mimi mai kou ʻōpū mimi i waho o kou kino. Hana kēia hoʻoemi ʻana i ka wā e hoʻokumu ai ka ʻili ʻeha i loko o ka urethra, e hoʻopilikia ai i ka kahe ʻana o ka mimi ma ke ʻano maʻamau.

E noʻonoʻo iā ia e like me ka hose māla i kāʻili ʻia a i ʻole i hōʻino ʻia. E like me ka palena ʻia o ka kahe ʻana o ka wai i loko o ka hose i hōʻino ʻia, palena ʻia ka kahe ʻana o ka mimi i ka wā e hoʻoemi ai kou urethra. ʻOiai hiki i kēia kūlana ke manaʻo hopohopo, hiki ke mālama ʻia me ka mālama lapaʻau kūpono.

He aha nā hōʻailona o ka urethral stricture?

ʻO ka hōʻailona maʻamau āu e ʻike ai, ʻo ia nā loli i ke ʻano o kou mimi ʻana. Hiki i kou kahe mimi ke nāwaliwali, lohi, a i ʻole ke manaʻo ʻole i hoʻopau ʻia kou ʻōpū mimi.

Eia nā hōʻailona nui e hiki ke hoʻomohala mālie i ka manawa:

• Kahe mimi nāwaliwali a lohi paha
• Paʻakikī e hoʻomaka i ka mimi ʻana
• Manaʻo ʻole i hoʻopau loa ʻia kou ʻōpū mimi
• Mimi pinepine, ʻoi aku hoʻi i ka pō
• Pono koke e mimi
• ʻEha a puhi paha i ka wā e mimi ai
• Ke koko i loko o ka mimi (i kekahi manawa)
• Nā maʻi mimi e hoʻi hou mai ana

I nā hihia ʻoi aku ka nui, hiki iā ʻoe ke ʻike i ka hiki ʻole ke mimi loa, kahi e pono ai ka mālama lapaʻau koke. ʻIke kekahi poʻe i ka pehu a i ʻole ka ʻeha ma ka urethra.

He aha nā ʻano o ka urethral stricture?

Hoʻokaʻawale ʻia nā urethral strictures ma muli o kahi e loaʻa ai lākou i loko o kou urethra a me ka mea i kumu ai iā lākou. Ke hoʻomaopopo ʻoe i kēia mau ʻano, kōkua ia i kāu kauka e koho i ke ala mālama maikaʻi loa.

ʻO nā ʻano nui e komo pū ana:

• Nā urethral strictures mua: Aia ma ka ʻāpana mua o ka urethra, pinepine i kumu ʻia e ka hōʻino a i ʻole ka maʻi
• Nā urethral strictures hope: Loaʻa kokoke i ka ʻōpū mimi, maʻamau mai ka hōʻino pelvic a i ʻole ka ʻoki kino
• Nā bulbar strictures: ʻO ka ʻano maʻamau loa, e loaʻa ana ma ka ʻāpana bulbous o ka urethra
• Nā penile strictures: Aia ma ka lōʻihi o ka penis
• Nā meatal strictures: Hoʻopilikia i ka puka urethra ma ka piko o ka penis

Hiki i kēlā me kēia ʻano ke pono i nā ala mālama like ʻole. E hoʻoholo kāu kauka i kahi kūpono a me ka nui ma o nā hoʻokolohua kūikawā.

He aha ka mea e kumu ai i ka urethral stricture?

Hoʻomohala ʻia nā urethral strictures i ka wā e hōʻino ʻia ai ka ʻili palupalu e uhi ana i kou urethra a hoʻokumu i ka ʻili ʻeha i ka wā e ho'ōla ai. Hoʻoemi mālie kēia kaʻina hana ʻili ʻeha i ka puka urethra.

He nui nā kumu e alakaʻi ai i kēia hōʻino ʻili:

• Hōʻino a i ʻole ka hōʻino: Nā pōpilikia kaʻa paikikala, nā hāʻule, a i ʻole nā ​​papa kuʻi pololei i ka ʻāpana pelvic
• Nā kaʻina hana lapaʻau: Hoʻokomo catheter, cystoscopy, a i ʻole ka ʻoki kino prostate
• Nā maʻi: Nā maʻi moekolohe e like me ka gonorrhea a i ʻole ka chlamydia
• Nā kūlana inflammatory: Lichen sclerosus a i ʻole nā ​​kūlana ʻili ʻē aʻe e hoʻopilikia ana i ka ʻāpana genital
• ʻOki kino ma mua: Hoʻoponopono Hypospadias a i ʻole nā ​​kaʻina hana urethra ʻē aʻe
• Lapaʻau radiation: Lapaʻau no nā maʻi kanesa prostate a i ʻole pelvic

I kekahi mau hihia, ʻoi aku ka liʻiliʻi, hiki ke loaʻa nā strictures mai ka hānau ʻana ma muli o nā pilikia hoʻomohala. I kekahi manawa, ʻoiai ka loiloi piha, ʻaʻole hiki i nā kauka ke ʻike i kahi kumu kikoʻī, kahi i kapa ʻia ʻo ka urethral stricture idiopathic.

I ka wā e ʻike ai i ke kauka no ka urethral stricture?

Pono ʻoe e hoʻokaʻaʻike i kāu mea mālama ola inā ʻike ʻoe i nā loli mau i kou ʻano mimi ʻana. Hiki i ka loiloi mua ke pale aku i nā pilikia a alakaʻi i nā hopena mālama maikaʻi aʻe.

E ʻimi i ka mālama lapaʻau inā ʻike ʻoe i kekahi o kēia mau hōʻailona no nā lā he nui ma mua:

• Kahe mimi nāwaliwali e holomua ana
• Paʻakikī e hoʻomaka i ka mimi ʻana
• Manaʻo ʻole e hiki ʻole iā ʻoe ke hoʻopau loa i kou ʻōpū mimi
• Nā maʻi mimi pinepine
• Ke koko i loko o kou mimi
• ʻEha i ka wā e mimi ai ʻaʻole e hoʻomaikaʻi

E kiʻi i ka mālama lapaʻau koke inā hiki ʻole iā ʻoe ke mimi loa, ʻike ʻoe i ka ʻeha nui, a i ʻole e hoʻomohala i ka mahana me nā hōʻailona mimi. Hiki i kēia ke hōʻike i nā pilikia koʻikoʻi e pono ai ka mālama koke.

He aha nā mea pilikia no ka urethral stricture?

ʻOiai hiki i nā urethral strictures ke hoʻopilikia i kekahi, hoʻonui kekahi mau mea i kou hiki ke hoʻomohala i kēia kūlana. Hiki i ka hoʻomaopopo ʻana i kēia mau mea pilikia ke kōkua iā ʻoe e lawe i nā hana palekana i kahi hiki.

ʻO nā mea pilikia nui e komo pū ana:

• Ke kāne ʻana: ʻOi aku ka nui o nā kāne e hoʻomohala i nā urethral strictures ma mua o nā wahine
• Makahiki: Hoʻonui ka pilikia me ka makahiki, ʻoi aku hoʻi ma hope o 55
• Mōʻaukala o ka hōʻino urethral: Nā hōʻino ma mua i ka ʻāpana pelvic a i ʻole ka urethra
• Hoʻohana pinepine ʻana i ka catheter: Hoʻokomo catheter hou a lōʻihi paha
• Nā kaʻina hana urological ma mua: ʻOki kino e komo pū ana i ka prostate, ʻōpū mimi, a i ʻole ka urethra
• Nā maʻi moekolohe: Mōʻaukala o ka gonorrhea, chlamydia, a i ʻole nā ​​STIs ʻē aʻe
• Nā kūlana ʻili inflammatory: Lichen sclerosus a i ʻole nā ​​kūlana like
• Lapaʻau radiation: Lapaʻau radiation ma mua i ka ʻāpana pelvic

ʻAʻole ʻo ia hoʻi ka loaʻa ʻana o kēia mau mea pilikia e hoʻomohala pono ʻoe i kahi stricture. ʻAʻole ʻike ka nui o nā kānaka me nā mea pilikia i kēia pilikia, ʻoiai ke hoʻomohala nei kekahi i nā strictures me ka ʻole o nā mea pilikia maopopo.

He aha nā pilikia hiki ke loaʻa i ka urethral stricture?

Inā waiho ʻole ʻia, hiki i nā urethral strictures ke alakaʻi i nā pilikia he nui e hoʻopilikia ana i kou ʻōnaehana mimi a me kou olakino holoʻokoʻa. Ke hoʻomaopopo nei i kēia mau pilikia hiki ke hōʻike i ke kumu nui o ka ʻimi ʻana i ka mālama ʻana.

ʻO nā pilikia maʻamau e komo pū ana:

• Nā maʻi mimi e hoʻi hou mai ana: Hoʻokumu ka hoʻopau ʻole ʻana i ka ʻōpū mimi i kahi kaiaola e hiki ai i nā bacteria ke ulu
• Nā pōhaku ʻōpū mimi: Hiki i ka mimi kū i ka hoʻokumu ʻana i nā waihona mineral i loko o kou ʻōpū mimi
• Hōʻino ʻōpū mimi: Hiki i ke kaomi kiʻekiʻe mau ke hoʻonāwaliwali i nā ʻiʻo ʻōpū mimi i ka manawa
• Nā pilikia kidney: Hiki i ka hoʻi ʻana o ka mimi ke hoʻopilikia i ka hana kidney
• Urinary retention: Hiki ʻole ke mimi loa, e pono ai ka mālama ʻana i ka pōpilikia
• ʻEha mau: ʻEha mau i ka ʻāpana pelvic

I nā hihia liʻiliʻi, hiki i nā strictures koʻikoʻi ke alakaʻi i ka hōʻino kidney a i ʻole ka maʻi kidney mau inā pale ka kūlana i ka hoʻokahe pono ʻana o ka mimi no nā manawa lōʻihi. Eia naʻe, me ka mālama kūpono, pale ka hapa nui o nā kānaka i kēia mau pilikia koʻikoʻi loa.

Pehea e pale aku ai i ka urethral stricture?

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā kumu a pau o ka urethral stricture, hiki iā ʻoe ke lawe i nā hana e hoʻemi ai i kou pilikia. Nānā ka nui o nā hana palekana i ka pale ʻana i kou ʻili urethra mai ka hōʻino a me ka maʻi.

Eia nā ala hana e hoʻemi ai i kou pilikia:

• E hana i ka moekolohe palekana: E hoʻohana i ka pale e pale aku i nā maʻi moekolohe
• E ʻimi i ka mālama STI koke: E ho'āʻo pinepine a mālama koke i nā maʻi
• E komo i nā mea palekana: E hoʻohana i ka padding kūpono i ka wā o nā haʻuki hoʻopili a i ʻole ka paikikala
• E mālama i ka maʻemaʻe maikaʻi: E mālama i ka ʻāpana genital i maʻemaʻe e pale aku i nā maʻi
• E inu wai nui: E inu wai nui e mālama i ka kahe ʻana o ka mimi
• E pale aku i ka hōʻino urethral: E makaʻala me nā hana e hiki ke hōʻino i ka ʻāpana pelvic

Inā pono ʻoe i nā kaʻina hana lapaʻau e komo pū ana i ka urethra, e kūkākūkā i nā pilikia a me nā pono me kāu kauka. Hiki iā lākou ke hoʻohana pinepine i nā ʻenehana e hoʻemi ai i ka hōʻino ʻili a hoʻemi i ka pilikia stricture.

Pehea e ʻike ʻia ai ka urethral stricture?

ʻO ka ʻike ʻana i ka urethral stricture e komo pū ana i nā hoʻokolohua he nui e kōkua ai i kāu kauka e ʻike i loko o kou urethra a ana i ka maikaʻi o ka kahe ʻana o ka mimi. Hoʻomaka maʻamau ke kaʻina hana me ka kūkākūkā ʻana i kou mau hōʻailona a me ka mōʻaukala lapaʻau.

E hana paha kāu kauka i kēia mau hoʻokolohua diagnostic:

• Nānā kino: Ke nānā nei no ka ʻeha, ka pehu, a i ʻole ka hoʻokuʻu ʻana
• Hoʻokolohua kahe mimi: Ke ana nei i ka wikiwiki a me ka nui o ka mimi āu e hana ai
• Post-void residual: Ke hoʻohana nei i ka ultrasound e nānā i ka nui o ka mimi e koe ana i loko o kou ʻōpū mimi
• Urethrography: Nā X-rays me ka waihoʻoluʻu contrast e ʻike i ke ʻano o ka urethra
• Cystoscopy: Kahi kāmela lahilahi, flexible i hoʻokomo ʻia ma o ka urethra e ʻike pololei i ka stricture
• Ultrasound: I kekahi manawa i hoʻohana ʻia e ana i ka lōʻihi a me ka mānoanoa o ka stricture

Kōkua kēia mau hoʻokolohua e hoʻoholo i kahi kūpono, ka lōʻihi, a me ka nui o kou stricture. He mea nui kēia ʻike no ka hoʻolālā ʻana i ke ala mālama maikaʻi loa no kou kūlana kikoʻī.

He aha ka mālama ʻana no ka urethral stricture?

ʻO ka mālama ʻana no ka urethral stricture e hilinaʻi ana i kahi, ka lōʻihi, a me ka nui o ka hoʻoemi ʻana. E paipai kāu kauka i ke ala e hiki ai ke hāʻawi i ka holomua lōʻihi no kou kūlana kikoʻī.

ʻO nā koho mālama nui e komo pū ana:

• Urethral dilation: Ke hoʻolōʻihi mālie nei i ka stricture me ka hoʻohana ʻana i nā mea hana nui e holomua ana
• Urethrotomy: Ke hana nei i kahi ʻoki liʻiliʻi i ka ʻili ʻeha e hoʻonui i ka puka
• Urethroplasty: Hoʻolālā hou ʻana i ka ʻoki kino me ka hoʻohana ʻana i nā grafts a i ʻole nā ​​flap ʻili
• Hoʻokomo stent: Ke hoʻokomo nei i kahi paipu liʻiliʻi e mālama i ka urethra i wehe (ʻaʻole maʻamau)
• Intermittent self-catheterization: Hoʻohana mau ʻana i nā catheters e pale aku i ka hoʻoemi hou ʻana

No nā strictures pōkole a maʻalahi hoʻi, hiki i kāu kauka ke hoʻomaka me nā koho liʻiliʻi invasive e like me ka dilation a i ʻole urethrotomy. Pono pinepine nā strictures paʻakikī a i ʻole e hoʻi hou ana i ka urethroplasty, kahi i loaʻa ai nā helu holomua lōʻihi kiʻekiʻe akā e komo pū ana i ka ʻoki kino nui aʻe.

E kūkākūkā kāu urologist i nā pono a me nā hemahema o kēlā me kēia koho ma muli o kou hihia kikoʻī. Hoʻololi ka manawa ho'ōla a me nā helu holomua ma muli o ke ala mālama i koho ʻia a me nā mea pilikino.

Pehea e mālama ai i ka urethral stricture ma ka home?

ʻOiai he mea nui ka mālama lapaʻau no ka urethral stricture, aia nā hana kākoʻo hiki iā ʻoe ke lawe ma ka home e kōkua i ka mālama ʻana i nā hōʻailona a kākoʻo i kou ho'ōla ʻana. Hana kēia mau ala hana me ka hana pū ʻana, ʻaʻole ma kahi o, ka mālama lapaʻau ʻoihana.

Eia nā hana hoʻokele home kōkua:

• E noho maikaʻi i ka wai: E inu wai nui e kōkua i ka holoi ʻana i kou ʻōnaehana mimi
• E ʻau i nā ʻau mahana: Hiki i ka ʻau ʻana ke kōkua i ka hoʻemi ʻana i ka ʻoluʻolu ʻole a me ka ʻiʻo ʻiʻo
• E hana i ka maʻemaʻe maikaʻi: E mālama i ka ʻāpana genital i maʻemaʻe e pale aku i nā maʻi
• E pale aku i nā mea hoʻonāukiuki ʻōpū mimi: E kaupalena i ka caffeine, ka waiʻona, a me nā meaʻai ʻawaʻawa e hiki ke hoʻonāukiuki i nā hōʻailona
• Mai hoʻokaʻulua i ka mimi ʻana: E hele i ka lumipaku i ka wā e manaʻo ai ʻoe i ka makemake
• E hahai i nā ʻōlelo aʻo lāʻau: E lawe i nā lāʻau antibiotic a i ʻole nā ​​lāʻau ʻeha e like me ke kuhikuhi ʻia

Inā ua aʻo kāu kauka iā ʻoe i ka self-catheterization, e hahai pono i kā lākou mau ʻōlelo aʻo a mālama i ka ʻenehana maʻemaʻe koʻikoʻi. Mai ho'āʻo e mālama i kahi stricture me nā lāʻau home, ʻoiai hiki i kēia ke hoʻonāukiuki i ke kūlana a i ʻole ke kumu i nā pilikia koʻikoʻi.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa kauka?

ʻO ka hoʻomākaukau maikaʻi ʻana no kāu manawa e kōkua ai e hōʻoia i ka loaʻa ʻana iā ʻoe i ka ʻike pololei loa a me ka hoʻolālā mālama kūpono. Ke lawe ʻana i ka manawa e hoʻonohonoho i kou mau manaʻo a me ka ʻike ma mua e hana i ka kipa ʻoi aku ka hua.

Eia pehea e hoʻomākaukau pono ai:

• E hahai i kou mau hōʻailona: E hoʻomaopopo i ka wā i hoʻomaka ai lākou, pehea lākou i loli ai, a me ka mea e hoʻomaikaʻi ai iā lākou a i ʻole e ʻino ai
• E papa inoa i nā lāʻau a pau: E komo pū me nā lāʻau lapaʻau, nā lāʻau lapaʻau ma luna o ka papa kūʻai, a me nā mea hoʻohui
• E hōʻiliʻili i nā moʻolelo lapaʻau: E lawe mai i nā moʻolelo o nā kaʻina hana urological ma mua, nā ʻoki kino, a i ʻole nā ​​mālama
• E hoʻomākaukau i nā nīnau: E kākau i nā hopohopo kikoʻī a i ʻole nā ​​nīnau āu e makemake ai e kūkākūkā
• E hoʻomaopopo i kou mōʻaukala lapaʻau: E komo pū me nā pilikia mimi ma mua, nā maʻi, a i ʻole nā ​​hōʻino
• E noʻonoʻo e lawe mai i ke kākoʻo: Hiki i kahi lālā ʻohana a hoaaloha paha ke kōkua iā ʻoe e hoʻomanaʻo i ka ʻike nui

Mai hilahila e kūkākūkā i nā hōʻailona mimi i ka kikoʻī. Pono kāu kauka i ka ʻike piha e hāʻawi i ka mālama maikaʻi loa. Ke wehe a ʻoiaʻiʻo nei i kou mau hōʻailona e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mālama kūpono.

He aha ka mea nui e lawe ai e pili ana i ka urethral stricture?

ʻO ka urethral stricture kahi kūlana hiki ke mālama ʻia e pane maikaʻi ana i ka mālama lapaʻau kūpono i ka wā e hoʻoponopono koke ʻia. ʻOiai hiki iā ia ke hoʻopilikia nui i kou maikaʻi o ke ola, hāʻawi nā mālama hou i nā helu holomua maikaʻi loa no ka hapa nui o nā kānaka.

ʻO nā mea nui loa e hoʻomanaʻo ai, ʻo ia ka ʻimi ʻana i ka mālama lapaʻau mua i ka wā e ʻike ai ʻoe i nā loli mimi a me ka hana pū ʻana me kāu urologist e ʻike i ke ala mālama maikaʻi loa. Me ka mālama kūpono, hiki i ka hapa nui o nā kānaka me nā urethral strictures ke hoʻi i ka hana mimi maʻamau a me nā hana o kēlā me kēia lā.

Mai ʻae i ka hilahila e pale aku iā ʻoe mai ka loaʻa ʻana o ke kōkua. ʻO nā urologists nā mea kūikawā e hana mau ana me kēia mau kūlana a hiki ke hāʻawi i nā koho mālama maikaʻi e kūpono i kou mau pono kikoʻī.

Nā nīnau pinepine e pili ana i ka urethral stricture

Hiki i ka urethral stricture ke ho'ōla iā ia iho?

ʻAʻole, ʻaʻole ho'ōla maoli nā urethral strictures a maʻamau e ʻino aku ana i ka manawa me ka ʻole o ka mālama ʻana. ʻAʻole hoʻonā maoli ka ʻili ʻeha e kumu ai i ka hoʻoemi ʻana a maʻamau e hoʻomau i ka hoʻopaʻa ʻana, e hoʻoliʻiliʻi ai i ka puka. ʻOi aku ka maikaʻi o ka hoʻoponopono lapaʻau mua a pale aku i nā pilikia.

Pehea ka lōʻihi o ka ʻoki kino urethral stricture e ho'ōla ai?

Hoʻololi ka manawa ho'ōla ma muli o ke ʻano o ka ʻoki kino i hana ʻia. Hiki i nā kaʻina hana maʻalahi e like me ka urethrotomy ke pono i nā hebedoma 1-2 no ka ho'ōla mua, ʻoiai hiki i ka urethroplasty paʻakikī ke pono i nā hebedoma 6-8 no ka ho'ōla piha. E hāʻawi kāu kauka i nā manaʻo manawa kikoʻī ma muli o kāu kaʻina hana a me nā mea ho'ōla pilikino.

E hoʻi mai anei ka urethral stricture ma hope o ka mālama ʻana?

Hoʻololi nā helu hoʻi hou ʻana ma muli o ke ala mālama a me nā ʻano stricture. Loaʻa i nā mālama maʻalahi e like me ka dilation nā helu hoʻi hou ʻana kiʻekiʻe, ʻoiai loaʻa i ka hoʻolālā hou ʻana i ka ʻoki kino (urethroplasty) nā helu holomua o 85-95% no ka hoʻonā lōʻihi. E kūkākūkā kāu urologist i nā hopena i manaʻo ʻia ma muli o kou kūlana kikoʻī.

Hiki i nā wahine ke loaʻa i nā urethral strictures?

ʻAe, akā ʻoi aku ka liʻiliʻi o nā urethral strictures i nā wahine ma muli o ko lākou urethra pōkole. I ka wā e loaʻa ai iā lākou i nā wahine, pili pinepine lākou i ka ʻoki kino ma mua, ka lapaʻau radiation, a i ʻole nā ​​kūlana inflammatory. ʻO nā hōʻailona a me nā ala mālama like me nā kāne.

He hōʻailona anei ka urethral stricture o ka maʻi kanesa?

ʻAʻole ia iho ka urethral stricture he kanesa a ʻaʻole maʻamau e hōʻike ana i ka maʻi kanesa. Eia naʻe, i nā hihia liʻiliʻi, hiki i ka mumū mau a i ʻole kekahi mau kūlana kumu ke pili me ka hoʻonui ʻia o ka pilikia kanesa. E loiloi kāu kauka i kou kūlana kikoʻī a hiki ke paipai i nā hoʻokolohua hou inā loaʻa nā hiʻohiʻona hopohopo.