Ua kānalua iki mākou e kamaʻilio e pili ana i kekahi mau ʻāpana o ko mākou kino, ʻeā? ʻO ka anus kekahi o ia mau wahi. Eia nō naʻe, he mea nui loa ia no mākou e makaʻala i nā pilikia olakino e pili ana i kēia ʻāpana. I kekahi manawa, pono paha ke ʻoki ʻana e hoʻoponopono i kēia mau pilikia. I kēia lā ke kamaʻilio nei mākou e pili ana i kekahi ʻano ʻoki ʻana, ʻo Anoplasty. ʻOiai inā ʻaʻole ʻoe i lohe i kēia, ʻo ka ʻike ʻana i kēia ʻike he mea nui paha iā ʻoe a i ʻole kekahi mea kokoke iā ʻoe i kekahi lā.
He aha ka Anoplasty?
I ka ʻōlelo maʻalahi, he hana ʻoki kino ka anoplasty e hoʻoponopono a hoʻololi paha i kou anus. E like me kou ʻike, ʻo ka anus ka ʻāpana hope loa o ko kākou ʻōpū nui. He ʻāpana ia e like me ka paipu ma kahi o 3-4 kenimika ka lōʻihi, i hoʻopuni ʻia e nā ʻiʻo. Kōkua kēia mau ʻiʻo (sphincters) i ka hele ʻana o ka ʻōpala.
No laila, inā he kīnā i ke ʻano o ka hana pono ʻole ʻana o ka rectum, hana ʻia kēia ʻoki kino e hoʻoponopono iā ia. Hiki i kekahi o kēia mau kīnā ke hānau ʻia, aʻo kekahi e ulu aʻe ma hope ma muli o kahi ulia a i ʻole ke kūlana olakino.
ʻO ke ʻoki kino anorectal kahi ʻano ʻoki kino e pili ana i ka anus a me ka ʻāpana hope o ka ʻōpū nui (rectum).
No ke aha he mea pono ai kēia ʻoki kino?
ʻElua kumu nui no ka hana ʻana i kahi anoplasty. E hoʻomaopopo pono kākou iā lākou.
| Kumu nui | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻO ka Stenosis Anal | ʻO kēia ka mea maʻamau i nā pākeke. Hoʻokumu ʻia nā ʻiʻo ʻeha i loko o ka rectum, e hoʻohaiki ana i ke alahele. E noʻonoʻo e like me ka paipu wai e paʻa ana i ka lepo. Ua kapa ʻia hoʻi kēia he "stricture." Hoʻolilo kēia i mea paʻakikī ke hele i loko o ka ʻōpala. Pono wale nō ke ʻoki ʻana ke hiki ʻole i nā lāʻau ʻē aʻe ke hoʻomaikaʻi i ke kūlana. |
| Nā maʻi ʻino o ka anorectal | He mau kīnā kēia i hānau ʻia ai kahi pēpē. No ka laʻana, ʻo Imperforate Anus kahi kūlana kahi i loaʻa ʻole ai ka puka (lua) o ka anus a i ʻole ua ālai ʻia. Perineal FistulaʻO ia hoʻi, ʻaʻole ka puka anal ma kahi e pono ai, akā ma kahi ʻokoʻa (pinepine ma lalo). He haiki kēia puka, a nele hoʻi i ka hiki ke kaohi i ka ʻōpala. |
I ka manawa hea e hana ʻia ai kēia ʻoki kino ma kahi pēpē liʻiliʻi?
He mea maʻamau i nā mākua ke haʻalulu loa i ka wā e ʻike ai lākou he pilikia like kēia no kahi pēpē hānau hou. Eia nō naʻe, mahalo i nā holomua o ka ʻepekema lapaʻau, aia nā hopena kūpono no kēia.
Hiki ke hoʻoponopono ʻia kekahi mau kīnā hānau maʻalahi me kahi ʻoki anoplasty maʻalahi, i kekahi mau lā ma hope o ka hānau ʻana o ke pēpē.
Eia nō naʻe, pono paha nā pēpē me nā kīnā paʻakikī e hana i nā ʻoki kino he nui.
I ia mau hihia, e hana mua ke kauka i kahi colostomy . ʻO ia hoʻi, ua hana ʻia kahi puka liʻiliʻi (stoma) i loko o ka ʻōpū o ka pēpē, e hana ana i kahi ala no ka puka ʻana o ka ʻōpala. ʻAe kēia i ka pēpē e hoʻokahe palekana. A laila, i ka manawa kūpono i hoʻoholo ʻia e ke kauka, hana ʻia kahi anoplasty e hoʻoponopono pono i ka anus. Ma hope o kēlā, ke ho'ōla maikaʻi ʻia nā ʻeha, wehe ʻia ka colostomy no ka manawa pōkole, 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 aʻo aku kāu kauka iā ʻoe e hoʻomaʻemaʻe loa i kou ʻōpū (hoʻomākaukau ʻōpū) ma mua o ke ʻoki ʻana. Pili kēia i ka hāʻawi ʻana iā ʻoe i kahi lāʻau wai kūikawā (laxative) e inu. Ke inu ʻoe i kēia, e hoʻokuʻu ʻia nā mea āpau i loko o kou ʻōpū me kāu ʻōpala.
Pono nō hoʻi ʻoe e kāohi i kāu ʻai no hoʻokahi a ʻelua paha lā ma mua o ka lawe ʻana i kēia lāʻau. E ʻōlelo pinepine ʻia ʻoe e ʻai i kahi meaʻai haʻahaʻa-fiber a inu wale i nā wai maopopo i ka lā hope loa. He mea nui loa ia e hahai pololei i nā ʻōlelo a kāu kauka.
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 ka hana a kāu kauka lapaʻau ma muli o kou kūlana.
Hana pinepine ʻia ke ʻoki ʻana ma lalo o ka anesthesia laulā .
- No kekahi me ka stenosis anal: Wehe ke kauka lapaʻau i ka ʻiʻo ʻeha i hoʻokumu i ka haiki. A laila ākea hou ka anus. Akā a laila hana ʻia kahi hakahaka liʻiliʻi i loko. No ka pani ʻana i ka hakahaka, lawe ʻia kahi ʻāpana ʻili liʻiliʻi (skin flap) mai waho o ka anus, mai nā puʻupuʻu, a hoʻopili ʻia i kēlā wahi a humuhumu ʻia.
- Inā he kīnā hānau (Anorectal Malformation) ko kahi pēpē:Pono ke kauka lapaʻau e hana i kahi ʻauwai anal hou. Pono e hoʻomaka kēia ʻauwai hou mai ka ʻōpū, e hele ma waena o nā ʻiʻo sphincter anal, a wehe i waho ma kahi kūpono. Inā he mau fistula e wehe ana ma nā wahi kūpono ʻole, e pani ʻia lākou. Inā loaʻa i ka pēpē kahi colostomy manawa pōkole, e noho ia ma laila a hiki i ka ho'ōla ʻana o ke ʻauwai anal i hana hou ʻia.
He aha nā pilikia e hiki ke loaʻa ma hope o ke ʻoki kino?
E like me nā hana ʻoki kino a pau, aia nā pilikia a me nā pilikia e hiki ke hana, a he mea nui e ʻike iā lākou.
| ʻAno o ka pilikia | Wehewehena |
|---|---|
| Nā pilikia pōkole | |
| Maʻi | Hiki ke loaʻa ka maʻi i ka wā e ho'ōla ana ka ʻeha. E aʻo aku kāu hui lapaʻau iā ʻoe pehea e pale aku ai i kēia. |
| ʻO ke koko paʻa (Hematoma) | Hiki i ke koko ke hōʻiliʻili i loko o ka ʻeha a hana i kahi ʻūpā. Hiki ke mālama ʻia kēia ma ka hoʻopili ʻana i ka hau a me ke kaomi ʻana. |
| Paʻakikī i ka mimi ʻana (Paʻa ʻana o ka mimi) | Hiki i kekahi poʻe ke paʻakikī i ka mimi ʻana ma hope o ke ʻoki ʻana, kahi mea e pono ai ka lāʻau lapaʻau a i ʻole kahi catheter manawa pōkole. |
| Ka paʻa ʻana o ka ʻōpū | Hiki ke loaʻa ka paʻa ʻana o ka ʻōpū ma hope o ke ʻoki ʻana. E hāʻawi ke kauka iā ʻoe i ka lāʻau lapaʻau e pono ai no kēia. |
| Nā pilikia lōʻihi | |
| Ka hoʻōki ʻana o ka fecal | Hiki ke hana ʻia kēia inā hōʻino ke ʻoki ʻana i nā ʻiʻo a i ʻole nā aʻalolo. Hiki i kekahi mau keiki me nā kīnā hānau ke nalowale i nā aʻalolo a me nā ʻiʻo e pono ai mai ka hoʻomaka ʻana. Hiki i kekahi poʻe ke hoʻokele i kēia i ka hala ʻana o ka manawa. E kamaʻilio kāu kauka me ʻoe e pili ana i kēia. |
| Stenosis | Inā ʻaʻole i hoʻonui ʻia ka anus i kēlā me kēia lā i ka wā o ke kaʻina hana ho'ōla, nui ka manawa e hāhā hou ai. No laila, he mea nui e hana i ka hoʻonui ʻana e like me ke kuhikuhi a ke kauka. |
| ʻŌhū Diaper | Ke hoʻomaka mua nā pēpē e ʻōpala ma o ka anus, hiki iā lākou ke loaʻa kahi ʻulaʻula ʻili nui ma ia wahi. ʻO kēia no ka mea ʻaʻole i maʻa ka ʻili i ka ʻōpala. Hiki i nā ʻaila poni kūikawā ke kōkua i ka pale ʻana a me ka mālama ʻana i kēia. |
Pehea ka manawa ho'ōla?
ʻO ka maʻamau, ma kahi o 4 a 8 mau pule ka lōʻihi o ke kaʻina hana ho'ōla. I loko o kēia manawa, pono ʻoe e hana i nā hoʻonui anal i kēlā me kēia lā . He ʻanuʻu koʻikoʻi loa kēia i ke kaʻina hana ho'ōla. Hoʻokomo ʻia kahi mea hana kūikawā (dilator) i loko o ka anus i kēlā me kēia lā a huki ʻia. Hana ʻia kēia e pale aku i ka anus mai ka ʻūlū hou ʻana a me ke kumu ʻana o ka ʻeha i kona wā e ho'ōla ai.
He mea maʻamau ke kahe iki ke koko i ka wā e hana ai i kēia, no laila mai hopohopo. E hāʻawi ke kauka iā ʻoe i ka lāʻau lapaʻau e kāohi i ka ʻeha. E haʻi aku nō hoʻi ʻo ia iā ʻoe e hahai i kahi papaʻai kūikawā i kou wā e ho'ōla ana.
E hoʻomanaʻo, ʻaʻole maʻamau loa kēia mau kūlana. Eia nō naʻe, inā loaʻa lākou, he lāʻau lapaʻau maikaʻi loa ka anoplasty. ʻOiai ʻaʻole hiki i kahi keiki me kahi kīnā hānau koʻikoʻi ke hoʻi piha i ka maʻamau, hiki i kēia ʻoki kino ke hāʻawi iā lākou i ka manawa kūpono e ola i ke ola maʻamau e like me ka hiki.
Leka Lawe-Home
- ʻO Anoplasty kahi ʻoki hana i hana ʻia e hoʻoponopono i ka stenosis anal i nā pākeke a i ʻole nā hemahema hānau i nā pēpē.
- Pono paha kekahi mau pēpē i kahi colostomy manawa pōkole e hele ai i ka ʻōpū ma mua o ke ʻoki kino nui.
- He mea nui ka hoʻonui ʻana i ka anal i kēlā me kēia lā ma hope o ke ʻoki ʻana e pale ai i ka hoʻohaiki ʻana o ke ala hou i hana ʻia.
- E hahai i nā ʻōlelo a kāu kauka e pili ana i ka mālama ʻeha, ka ʻai, a me nā kipa ʻana.
- Inā loaʻa iā ʻoe kekahi mau pilikia, e like me ka ʻeha nui, nā hōʻailona o ka maʻi (pehu, ʻulaʻula, pus), a i ʻole ka paʻakikī nui o ka mimi/defecating, e haʻi koke aku i kāu kauka.
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