ʻO ka ʻōpū (mai ka Latin vesica, pouch) he waihona kūlohelohe kahi e mālama ʻia ai ka mimi ma waena o kēlā me kēia mimi.

wahi. Aia i loko o ke pelvis, ʻo ka ʻumeke he ʻōpū puha kahi ʻāpana o ka ʻāpana mimi¹.

'ole. ʻElua ʻāpana o ka ʻōpū:

– ʻO ka ʻōpū o ka ʻōpū e lawelawe ana ma ke ʻano he waihona ma waena o kēlā me kēia mimi. Hana ʻia kona pā i kahi papa o waho o ka ʻiʻo maʻemaʻe, ka detrusor, a me kahi papa o loko o ka mucosa, ka urothelium.

– ʻO ka ʻāʻī o ka ʻōpū e wehe ana i ka ʻōpū ma luna o ka urethra, kahi ala e alakaʻi ai i ka puka mimi. Kōkua ia i ka hoʻopaʻa ʻana i ka mimi me ka ʻiʻo pōʻai puni i ka urethra: ka urethral sphincter.

Ke kuleana i ka mimi. Lawe ʻia ka mimi mai nā puʻupaʻa a i ka ʻōpū ma o nā ureters. Ke hoʻopiha ʻia ka ʻōpū, paʻa nā sphincters. ʻO ka hohola ʻana o ka paia o ka ʻōpū, ma muli o ka hoʻopiha ʻana, e hoʻoulu ai i nā aʻalolo e hōʻailona ana i ka makemake e mimi. ʻO ka wehe ʻana o nā sphincters a me ka ʻoki ʻana o ka detrusor e ʻae i ka mimi. Ma hope o ka mimi ʻana, pani hou nā sphincters.²

ʻO ka uila mau loa. Hōʻike ʻo ia iā ia iho ma ka leakage mimi. Hiki ke ʻokoʻa nā kumu akā hiki ke pili i ka ʻōpū.

ʻO ka cystitis. ʻO ka Cystitis kahi mumū o ka ʻōpū e pili ana i nā wahine. Hōʻike ia iā ia iho ma ka ʻeha o ka ʻōpū o lalo, ka ʻā ʻana o ka mimi, a i ʻole ke koi pinepine ʻana e mimi.³ Aia nā ʻano cystitis like ʻole, ʻokoʻa nā kumu. ʻO ka cystitis infectious i ʻike nui ʻia, ma muli o ka maʻi bacteria.

ʻO ka maʻi maʻi cystitis. ʻO ia ke ʻano o ka cystitis kaulana loa a ma muli o ka maʻi bacteria.

ʻO ka cystitis Interstitial. ʻAʻole ʻike ʻia nā kumu maoli o ka ulu ʻana o kēia maʻi akā ʻike ʻia kekahi mau haʻawina e hōʻike ana kēia mau ʻeha ma muli o nā loli o ka paia o loko o ka ʻōpū. (4)

ʻO ka maʻi hōʻokoʻa. ʻO kēia ʻano maʻi maʻi maʻi pinepine ma muli o ka ulu ʻana o nā maʻi maʻi ʻino i ka paia o loko o ka ʻōpū. (5)

ʻO ka lāʻau lapaʻau. Ma muli o ka pathology i ʻike ʻia, hiki ke kuhikuhi ʻia nā lāʻau like ʻole:

- Hoʻohana pinepine ʻia nā lāʻau antibiotic no ka cystitis infectious.

- Hiki ke kuhikuhi ʻia nā lāʻau ʻeha i nā hihia o ka cystitis infectious a me ka cystitis interstitial.

ʻO ka lāʻau lapaʻau, chemotherapy, radiotherapy. Ma muli o ke ʻano o ka ʻōpū, hiki ke hana ʻia ka chemotherapy a i ʻole radiotherapy (5). I kekahi mau hihia, hiki ke wehe ʻia ka ʻāpana a i ʻole holoʻokoʻa o ka ʻōpū (cystectomy).

ʻIke ʻia ma ke kāʻei maikaʻi. Hoʻohana pinepine ʻia kēia hōʻailona e ʻike i ka hele ʻana o ka cystitis benign.

Ninaninau cytobacteriological mimi (ECBU). Pono paha kēia hoʻāʻo, ʻoi aku hoʻi no ka cystitis paʻakikī, e ʻike ai i nā huakini i loko o ka mimi a me ko lākou ʻike i nā lāʻau antibiotic.

ʻImi hoʻokolohua kiʻi. Hiki ke hoʻohana ʻia nā hoʻokolohua like ʻole e nānā i ka ʻōpū: ultrasound, intravenous urography, retrograde cystography a i ʻole uroscanner.

ʻO ka cystoscopy. Hana ʻia kēia hoʻokolohua endoscopic no ka nānā ʻana i ka paia o loko o ka ʻōpū. Hoʻohana ʻia ia no ka hoʻomaʻamaʻa ʻana i ka cystitis interstitial a i ʻole ka maʻi maʻi ʻaʻai. Hiki ke hoʻonui ʻia kēia hoʻokolohua me kahi biopsy.

Urinary cytology. Hiki i kēia ho'āʻo ke loaʻa nā maʻi kanesa i loko o ka mimi.

ʻOkoʻa ka nui a me ke ʻano o ka ʻōpū i kēlā me kēia kanaka. Ke hoʻopiha, hiki ke hoʻonui i ka nui o ka ʻōpū ma ka hoʻomaha ʻana i nā ʻiʻo a puni.