Ua haʻi aku anei kāu kauka iā ʻoe a i ʻole kāu pēpē e pili ana i ke ʻoki ʻana ma muli o kahi pilikia me kou anus a i ʻole kahi pilikia hānau? Ua lohe paha ʻoe i ka huaʻōlelo "anoplasty." Hiki ke hopohopo iki kēia inoa, akā i ka manawa e maopopo ai iā ʻoe ke ʻano a me ke kumu e hana ʻia ai, e nalowale ana kou mau makaʻu a me nā kānalua. I kēia lā, e kamaʻilio mākou e pili ana i kēia ʻoki anoplasty.
I ka ʻōlelo maʻalahi, he aha ka anoplasty?
He hana ʻoki kino ʻo Anoplasty e hoʻoponopono ai a kūkulu hou paha i kou anus, ka puka e puka ai nā feces. ʻO ka anus ka ʻāpana hope loa o ko kākou ʻōpū nui. He ʻōmole ia ma kahi o 3-4 kenimika ka lōʻihi, i hoʻopuni ʻia e nā ʻiʻo poepoe. Kāhea mākou i kēia mau ʻiʻo he sphincters . ʻO kēia nā mea e kōkua ai i ka hoʻokuke ʻana i nā feces. No laila, inā he kīnā i ke ʻano o ka hana pono ʻole ʻana o kēia anus, hana ʻia kahi anoplasty e hoʻoponopono ai. Hiki i kekahi o kēia mau kīnā ke hānau ʻia. Hiki i kekahi ke ulu ma hope ma muli o kahi ulia a maʻi paha.
No ke aha he mea pono e hana i kēia ʻoki anoplasty?
Aia kekahi mau kumu nui no ka hana ʻana i kahi anoplasty. E nānā kākou i ke ʻano o lākou. E wehewehe wau i kēia iā ʻoe me kahi pakuhi maʻalahi e hoʻomaopopo.
| Kumu | He wehewehe maʻalahi |
|---|---|
| ʻO ka Stenosis Anal | ʻO kēia ka mea maʻamau i nā pākeke. Lilo ka rectum i haiki ma muli o nā ʻiʻo ʻeha i hana ʻia ma ka rectum. Hiki ke hana ʻia kēia ma ke ʻano he hopena ʻaoʻao o kahi ʻoki kino ma mua a i ʻole ma muli o kahi maʻi lōʻihi. Ke liʻiliʻi ka rectum, ʻaʻole e kīkoʻo maikaʻi ka ʻōpala e like me ka mea e pono ai, e ʻeha loa ai ka neʻe ʻana o ka ʻōpū. Inā ʻaʻole hiki i nā lāʻau ʻē aʻe ke ho'ōla i ke kūlana, pono paha kahi ʻoki kino anorectal. |
| Nā maʻi ʻino o ka anorectal | ʻO kēia nā kūlana e kū mai ana i nā pēpē i ka wā hānau. Eia kekahi laʻana, ʻo Imperforate AnusHe kūlana kēia kahi i wehe ʻole ʻia ai ka anus o ka pēpē a i ʻole ua ālai ʻia. ʻO kekahi he fistula perineal . ʻO kēia ka wā e wehe ai ka anus ma kahi kūpono ʻole, ʻaʻole ma kahi e pono ai. He haiki loa kēia puka, a ʻaʻole ia e hele ma waena o nā ʻiʻo e kāohi ana i ka neʻe ʻana o ka ʻōpū, no laila ʻaʻole hiki i ka pēpē ke kāohi i ka neʻe ʻana o ka ʻōpū. |
Āhea e pono ai ke hana i kēia ʻoki kino i kahi pēpē?
Inā loaʻa i kahi pēpē hānau hou kahi pilikia e like me kēia, he mea maʻamau wale nō iā ʻoe ma ke ʻano he makua ke kaumaha loa. Akā e hoʻomanaʻo, he mau hopena kūpono ko ka ʻepekema lapaʻau no kēia. Hiki ke hoʻoponopono ʻia kekahi mau hemahema maʻalahi me kahi ʻoki anoplasty maʻalahi i loko o kekahi mau lā o ka hānau ʻana.
Eia nō naʻe, pono nā pēpē me nā kīnā paʻakikī e hana i kekahi mau ʻoki kino. I kēlā mau hihia, e hana mua ke kauka i kahi colostomy . ʻO ke ʻano kēia, ua hana ʻia kahi puka manawa pōkole (stoma) i loko o ka ʻōpū o ka pēpē, e ʻae ana i ka ʻōpala e hele ma waena. A laila, i ka wā e ʻelemakule iki ai ka pēpē, hana ʻia kahi anoplasty i ka manawa kūpono e hoʻoponopono pono ai i ka anus. Ma hope o kēlā, ke ho'ōla ʻia nā ʻeha, wehe ʻia ka colostomy mua a hiki i ka pēpē ke hoʻokahe maʻamau ma o ka anus.
Pehea e hoʻomākaukau ai ma mua o ke ʻoki kino?
Inā he kanaka makua ʻoe, e haʻi aku kāu kauka lapaʻau iā ʻoe e hoʻomaʻemaʻe loa i kou ʻōpū ma mua o ke ʻoki ʻana. Pili kēia i ka hāʻawi ʻana iā ʻoe i kahi mea inu kūikawā i kapa ʻia he bowel prep . Inu ʻoe i kēia i ka lā ma mua o ke ʻoki ʻana. E koi kēia iā ʻoe e hele pinepine i ka lua a e hoʻokahe loa i kou ʻōpū.
E noi ʻia ʻoe e hahai i kahi papaʻai kūikawā no kekahi mau lā ma mua o ka lawe ʻana i kēia mea inu. ʻO ka maʻamau, e aʻo ʻia ʻoe e ʻai i kahi papaʻai haʻahaʻa-fiber no ʻelua lā a inu wale i nā wai moakaka i ka lā hope loa. E wehewehe pono kāu kauka i kēia mau mea āpau iā ʻoe.
He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?
ʻO ka pahuhopu nui o kahi anoplasty ka hana hou ʻana i kahi anus e hana ana. Hiki ke ʻokoʻa nā ʻanuʻu a kāu kauka lapaʻau e hahai ai ma muli o kou kūlana.
ʻO ka maʻamau, hoʻokomo ʻia ʻoe ma lalo o ka anesthesia laulā a hoʻohuli ʻia ma kou ʻōpū. Hoʻohana mua nā kauka lapaʻau i kahi mea hoʻoulu uila e ʻike i nā wahi e ʻaelike ai nā ʻiʻo i loko o kou rectum. ʻAe kēia iā lākou e palapala pololei i kahi e pono ai kou rectum a me kahi e loaʻa ai nā ʻiʻo.
- Inā ua haiki ka anus (Anal Stenosis): Pili kēia i ka wehe ʻana i nā ʻiʻo ʻeha i hoʻokumu i ka haiki. A laila hiki i ka anus ke wehe hou. Eia naʻe, i ka wā e wehe ʻia ai ka ʻeha, waiho ʻia kahi lua liʻiliʻi i loko. No ka pani ʻana, lawe ke kauka ʻoki i kahi ʻāpana ʻili liʻiliʻi (ʻili ʻili) mai kou puʻupuʻu (ka ʻili a puni ka anus), pani i ka lua, a humuhumu iā ia.
- No kahi pēpē me nā malformations anorectal: Inā nalowale ka anus o ka pēpē a i ʻole ma kahi kūpono ʻole, pono ke kauka lapaʻau e hana i kahi anus hou. Pono kēia anus hou e hele ma waena o nā ʻiʻo sphincter anal ma ka hopena o ka ʻōpū nui o ka pēpē a wehe i kahi kūpono. Inā he mau fistula e wehe ana ma nā wahi kūpono ʻole, pono nō hoʻi e pani ʻia.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? He aha nā pilikia e hiki mai ana?
Ma muli o ke ʻano o ke ʻoki ʻana, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi a i ʻole e noho i ka haukapila no kekahi mau lā. E nānā pono ke kauka iā ʻoe a hiki i ka wā e ola ai kou mau ʻeha.
ʻO ka mea nui loa, ʻo ia ka hana ʻana i nā anal dilations e like me ke kuhikuhi a kāu kauka i ka wā e ho'ōla ana ka ʻeha. Pili kēia i ke kau ʻana i kahi mea hana kūikawā (dilator) i loko o ka anus i kēlā me kēia lā e hoʻonui iki iā ia. Hana ʻia kēia e pale aku i ka anus i hana hou ʻia mai ka wili hou ʻana (stenosis) i kona ho'ōla ʻana.
E like me nā ʻoki kino āpau, aia kahi manawa liʻiliʻi e hiki ai i ke ʻoki anoplasty ke hana i kekahi mau pilikia a i ʻole nā pilikia. E makaʻala pū kākou i kēlā.
| ʻAno o ka pilikia | Wehewehena |
|---|---|
| Nā pilikia pōkole | |
| Maʻi | Inā loaʻa ka maʻi i ka ʻeha i ka wā e ho'ōla ana, hiki ke lōʻihi ka manawa e ho'ōla ai. Na kāu hui lapaʻau e aʻo iā ʻoe pehea e pale aku ai i kēia. |
| ʻO ke koko paʻa (Hematoma) | Hōʻiliʻili ke koko i loko o ka ʻeha a hana i kahi ʻūpā. E kōkua ka hoʻopili ʻana i ka hau, ke kaomi, a me kahi kāʻei. Pono paha ʻoe e hana i kahi mea liʻiliʻi e wehe ai i ke koko. |
| Paʻakikī i ka mimi ʻana (Paʻa ʻana o ka mimi) | Loaʻa i kekahi poʻe ka paʻakikī o ka mimi ma hope o ke ʻoki ʻana. Hiki ke hoʻomaha ʻia kēia no kekahi manawa me ka lāʻau lapaʻau a i ʻole, inā pono, he catheter. |
| Ka paʻa ʻana o ka ʻōpū | Hiki i kēia ke hana i nā poʻe i loaʻa i ka paʻa ʻana o ka ʻōpū ma mua. E hāʻawi ke kauka iā ʻoe i ka lāʻau lapaʻau e pono ai no kēlā. |
| Nā pilikia lōʻihi | |
| ʻAʻole hiki ke kāohi i ka ʻōpala (Fecal Incontinence) | Hiki i ke ʻoki kino ke hoʻopilikia i nā ʻiʻo a i ʻole nā aʻalolo e kaohi ana i ka neʻe ʻana o ka ʻōpū. Hiki i kekahi mau pēpē me nā kīnā hānau ke nalowale i nā aʻalolo a me nā ʻiʻo e pono ai. I ka hala ʻana o ka manawa, e loaʻa i kekahi ka mana, aʻo kekahi e nalowale. E kamaʻilio kāu kauka me ʻoe e pili ana i kēia a me nā mea hiki ke hana ʻia e pili ana i ia mea. |
| Stenosis | Inā ʻaʻole i hana pono ʻia ka hoʻonui ʻana i ka wā o ke kaʻina hana ho'ōla, hiki i ka anus ke lilo hou i ololi. No laila, he mea nui e hana ia e like me ka ʻōlelo a ke kauka iā ʻoe. |
| ʻŌhū Diaper | Ke hoʻomaka nā pēpē e hoʻomoe i ka ʻōpala ma o ko lākou anus hou i hana ʻia, hiki iā lākou ke loaʻa kahi ʻulaʻula nui. ʻO kēia no ka mea ʻaʻole i hōʻike ʻia ka ʻili i nā ʻōpala ma mua. Hiki ke kāohi ʻia kēia ma ke kau ʻana i nā poni kūikawā. |
Pehea ka manawa ho'ōla?
ʻO ka maʻamau, ma waena o 4 a me 8 mau pule e ho'ōla piha ai nā ʻeha. He mea maʻamau ke kahe iki ke koko i ka wā o ka hoʻonui ʻana i kēlā me kēia lā, no laila mai hopohopo no ia mea. ʻAʻole ia he mea ʻeha loa. E hāʻawi kāu kauka iā ʻoe i ka lāʻau lapaʻau e pono ai e kāohi i ka ʻeha. E noi ʻia hoʻi ʻoe e hahai i kahi papaʻai kūikawā i kēia manawa.
No nā pēpē i loaʻa i kahi colostomy, hiki ke hana ʻia ke ʻoki hope loa e wehe i ka colostomy ke ho'ōla loa ʻia ka rectum.
He mau maʻi kakaikahi ka hāiki ʻana o ka anus a i ʻole nā kīnā hānau, akā inā hana lākou, hiki ke hōʻoluʻolu i ka ʻike ʻana hiki ke hoʻokō ʻia nā hopena holomua me nā ʻoki ʻana e like me ka anoplasty.
Leka Lawe-Home
- He hana ʻoki kūikawā a holomua loa ʻo Anoplasty i hana ʻia e hoʻoponopono i ka hāiki a me nā kīnā hānau o ka anus.
- He mea nui loa e hahai pono i nā ʻōlelo a kāu kauka i kou wā e hoʻōla hou ai ma hope o ke ʻoki ʻana, ʻoiai i ka wā e pili ana i ka dilation.
- Inā he makua ʻoe no kahi pēpē i hānau ʻia me kēia ʻano kīnā hānau, ʻaʻole ʻoe hoʻokahi. E hana pū me kāu hui ʻoki kino a loaʻa ke kākoʻo āu e pono ai.
- Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i kēia, e ʻoluʻolu e kūkākūkā me kāu kauka me ke kānalua ʻole.
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