Faʻalavelave poloka poloka

O le poloka poloka poloka poloka (BOO) o se poloka i le pito i lalo o le tagāmimi. E faʻaititia pe taofi le tafe o le miaga i le urethra. O le urethra o le paipa lea e aveina le urine mai le tino.

O lenei tulaga e taatele i tama ua matutua. E masani ona mafua mai ile faʻatele ole prostate. O maʻa tagāmimi ma le kanesa o le tagāmimi e sili atu ona masani ona vaʻaia e aliʻi nai lo fafine. A o matua le tagata, o le avanoa e maua ai nei faʻamaʻi faʻateleina tele.

Isi mafuaʻaga masani ole BOO aofia ai:

• Tumua o le pelvic (cervix, prostate, uterus, rectum)
• Faʻaititia o le paipa e aveina le miaga mai le tino mai le tagāmimi (urethra), ona o maʻila maʻila po o ni maʻema fanauina

Mafuaaga masani masani aofia ai:

• Cystocele (pe a paʻu le tagāmimi i totonu o le fafine)
• Mea mai fafo
• Urethral pe pelvic maso spasms
• Inguinal (groin) hernia

O faʻailoga o le BOO e ono fesuisuiaʻi, ae mafai ona aofia ai:

• Tiga o le manava
• Lagona faifai pea o le ato atoa tagāmimi
• Urination soo
• Tiga i le taimi urination (disuria)
• Faʻafitauli amata urination (urinary faʻatuai)
• Faʻasolosolo, le tutusa le tafe o le mimi, i nisi taimi e le mafai ona faʻamimi
• Faʻasolosolo e urination
• Faamaʻi pipisi auala
• Ala i le po e urination (nocturia)

O le a fesili lau tausi soifua maloloina e uiga i ou faʻailoga ma talaʻaga faʻafomaʻi. O le a faia sau suʻega tino.

Tasi pe sili atu o faʻafitauli nei ono maua:

• Tupu tuputupu aʻe
• Cystocele (fafine)
• Faʻateleina tagāmimi
• Faʻateleina fafine talitane (tamaloa)

O suʻega e mafai ona aofia ai:

• Toto chemistries e vaai mo faʻailoga o le fatuga faʻaletonu
• Cystoscopy ma retrograde urethrogram (x-ray) e vaʻai mo le faʻaititia o le urethra
• Suʻega e iloa ai pe faʻapefea ona vave alu ese le urine mai le tino (uroflowmetry)
• Suʻega e iloa ai le tele o loʻo poloka le tafe o le vai ma pe faʻafefea ona lelei le polotini (suʻesuʻega urodynamic)
• Ultrasound e suʻe ai le poloka o miaga ma suʻesuʻe pe faʻafefea ona goto le gafatia
• Urinalysis e vaʻai mo le toto poʻo faʻailoga o siama i le miaga
• Miaga aganuu e siaki ai se faʻamaʻi

Togafitiga o le BOO faʻamoemoe i lona mafuaʻaga. O se faagaau, e taʻu o le catheter, e tuu i totonu o le tagāmimi i totonu o le uretra. Ua faia lea e faʻamama ai le poloka.

O isi taimi, o le catheter e tuʻuina i totonu o le manava vaega i totonu o le tagāmimi e faʻateʻa ese le tagāvai. E taʻu lea ole tubo suprapubic.

Tele o taimi, e te manaʻomia se taotoga mo le faʻamalolo umi o le BOO. Peitai, tele o faʻamaʻi e mafua ai lenei faʻafitauli e mafai ona togafitia i vailaʻau. Talanoa i lau tautua e uiga i togafitiga talafeagai.

Tele mafuaʻaga ole BOO e mafai ona faʻamalolo pe a vave iloa. Ae peitaʻi, afai e tuai le faʻamaoniga poʻo togafitiga, o lenei mea e ono mafua ai le faʻaleagaina tumau o le tagāmimi poʻo fatugaʻo.

Valaʻau lau tautua peʻa iai sau faʻailoga ole BOO.

TUSI; Faʻafitauli laititi o le urinary tract; Faitama; Taofia urinary - BOO

• Anatomia fatugaʻo
• Tamaʻi ala urinary
• Tahi auala urinary
• Fatugaʻo - tafe le toto ma miaga

Andersson KE, Wein AJ. Pulega o vailaʻau faʻafomaʻi o le pito i lalo o le urinary tract storage ma le gaogao o le le aoga. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th lomiga. Filatelefia, PA: Elsevier; 2021: mata 120.

Berney D. Urinary ma male genital tract. I le: Cross SS, ed. Underwood’s Pathology. 7th ed. Filatelefia, PA: Elsevier; 2019: chap 20.

Boone TB, Stewart JN, Martinez LM. Faʻaopoopoga togafitiga mo le teuina ma le faʻaleaogaina faʻaletonu. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th lomiga. Filatelefia, PA: Elsevier; 2021: mata 127.

Capogrosso P, Salonia A, Montorsi F. Suʻesuʻega ma le faʻatonutonuina ole aoga ole benign prostatic hyperplasia. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh-Wein Urology. 12th lomiga. Filatelefia, PA: Elsevier; 2021: mata 145.