Ua hānau ʻia kāu pēpē me ka ʻole o ka penis? E kamaʻilio kākou e pili ana iā Aphallia

Ke nānā ʻoe i ka mea hou i kou ʻohana, e pūʻiwa paha ʻoe a makaʻu paha i ka make. Hānau ʻia kekahi mau pēpē me ka ʻole o ka penis. I ka lāʻau lapaʻau, ua kapa ʻia kēia he aphallia. He maʻi kakaikahi loa kēia. Akā, ma ke ʻano he mau mākua, ʻaʻole ʻoe hoʻokahi i ka wā e hana ʻia ai kēia, a eia mākou a pau ma ʻaneʻi e kamaʻilio e pili ana i ia mea, e hoʻomaopopo iā ia, a e hana i ka mea maikaʻi loa no kāu keiki.

He aha ʻo Aphallia? E hoʻomaopopo maʻalahi kākou.

ʻO Aphallia, i ka ʻōlelo maʻalahi, ʻo ia ka nele o ka penis i ka wā hānau . He maʻi hānau kēia. ʻO ke ʻano kēia, ʻaʻole i ulu pono ka penis i ka wā o ka ulu ʻana o ka embryonic , ʻoiai ke pēpē i loko o ka ʻōpū. ʻO kekahi inoa no kēia maʻi ʻo penile agenesis .

Ma kēia kūlana, ʻaʻole wale ka ʻole o ka penis, akā ʻaʻole hoʻi ka puka urethral ma kahi maʻamau e pono ai. ʻO ka hapa pinepine, aia kēia puka ma kahi e like me ka ʻāpana perineal, ma waena o ka anus a me nā genitals .

Manaʻo kekahi poʻe noiʻi e hoʻohana ʻia ka huaʻōlelo aphallia e wehewehe i ka nele o nā ʻiʻo kino i ka wā hānau. ʻO ka ʻiʻo kino he ʻiʻo huʻa e piha ana i ke koko i ka wā e hoʻoulu ai i ka moekolohe. Aia kēia ʻiʻo i loko o ka penis o nā keikikāne a ma ka clitoris o nā kaikamahine. Wahi a kēia wehewehe ʻana, hiki ke loaʻa ka aphallia i nā pēpē he kāne genetic (XY sex chromosomes) a wahine paha (XX sex chromosomes), ʻo ia hoʻi hiki iā lākou ke loaʻa nā chromosomes XY a i ʻole XX sex .

Pehea ka maʻamau o kēia ʻano i kapa ʻia ʻo aphallia?

He ʻano maʻi laha ʻole kēia. Wahi a kekahi hōʻike, hoʻopilikia ia i hoʻokahi o 10 a 30 miliona mau pēpē i hānau ʻia. ʻIke pinepine ʻia ia i nā pēpē kāne (nāna nā chromosomes sex XY). No laila, hiki iā ʻoe ke noʻonoʻo i ka laha ʻole o kēia. No laila, mai hopohopo, aia ke kākoʻo a me ka ʻike e hoʻoponopono ai i kēia.

Pehea ka ʻokoʻa o ka aphallia mai nā kūlana like ʻē aʻe?

I kekahi manawa, ʻoiai inā he penis ko ka pēpē, ʻaʻole paha e ʻike ʻia. No laila, ma mua o ka hoʻoholo pono ʻana he aphallia, noʻonoʻo nā kauka i kekahi mau kūlana ʻē aʻe. E nānā kākou i ke ʻano o lākou:

• Penis i kanu ʻia: Ma kēia kūlana, hiki i ka peni ke maʻamau ka nui, akā hiki ke hūnā ʻia ma lalo o ka ʻili o ka ʻōpū, nā ʻūhā, a i ʻole ka scrotum (ka ʻeke e loaʻa ana nā testicles). Ua kapa ʻia hoʻi kēia he peni huna a i ʻole peni huna . Maanei, aia ka peni ma laila, akā ʻaʻole ʻike ʻia.
• ʻO Hypospadias: Ma kēia kūlana, ʻaʻole i hana pono ʻia ka ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi a i waho, i kapa ʻia ʻo ka urethra . Eia kekahi, ʻo ka puka (meatus) kahi e puka mai ai ka mimi ʻaʻole ma kahi maʻamau ma ka piko o ka penis. Akā, hiki ke kau ʻia ma ke kumu o ka penis a i ʻole ma ka scrotum. Maanei, aia nō ka penis, akā aia ka puka i ka urethra ma kahi ʻokoʻa.
• Micropenis: Ma kēia kūlana, ʻoi aku ka pōkole o ka penis ma mua o ka maʻamau i ka wā hānau. ʻO ia hoʻi, ʻoi aku ka liʻiliʻi ma mua o 1.9 kenimika (0.75 ʻīniha). Aia ka penis, akā he liʻiliʻi kona nui.
• Nā ʻokoʻa o ka ulu ʻana o ke kāne (DSD): Ma kēia kūlana, ʻaʻole i hana maʻamau ka ulu ʻana o ke kāne ma muli o nā kumu genetic, physiological, a i ʻole hormonal. Hiki ke maopopo ʻole nā ​​​​genus (ʻo ia hoʻi, me ka ʻole o ke ʻano kāne a wahine paha) a/a i ʻole ʻaʻole paha e kūlike me ke kāne chromosomal.

No laila, ʻike ʻoe, ʻokoʻa ka aphallia mai kēia mau mea a pau, ʻo ka nele loa o ka penis .

He aha nā hōʻailona o kahi pēpē me ka aphallia?

ʻO nā hōʻailona nui:

• ʻAʻohe penis , akā aia kahi scrotum a me nā testicles.
• ʻO ka maʻamau, hōʻike nā hopena o kahi hoʻāʻo karyotype i ke kāne (46, XY) a i ʻole ka wahine (46, XX). ʻO ke ʻano kēia, ʻaʻole kēia he pilikia ma ka pae chromosome.

I kekahi manawa, hiki i nā kauka ke ʻike i kēia maʻi ma mua o ka hānau ʻana, ʻo ia hoʻi, ma mua o ka hānau ʻana o ke pēpē .

He aha ke kumu o ka aphalia?

ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike ʻia ke kumu kikoʻī o ka aphallia . Eia nō naʻe, ua ʻike nā kānaka noiʻi ʻaʻole hana maʻamau ka ulu ʻana o ka embryo (ka ulu ʻana o ka hua manu i hoʻoulu ʻia). Ua kapa ʻia kēia ʻo agenesis , ʻo ia hoʻi, ʻaʻole ulu ka hiʻohiʻona pili. Ke noiʻi nei lākou i nā kumu genetic a i ʻole ke kaiapuni e hāʻawi i kēia.

Pehea e ʻike ʻia ai ka aphalia?

Hiki i nā kauka ke ʻike maʻamau i kēia kūlana me kahi hoʻokolokolo kino . Eia nō naʻe, hiki iā lākou ke kauoha i nā hoʻokolohua koko a i ʻole nā ​​​​hoʻokolohua kiʻi , e like me ka ultrasound scan, e hōʻoia i ka hōʻailona. Hiki i kēia ke nānā i nā ʻāpana kino o loko o ka pēpē a nānā i nā pilikia ʻē aʻe.

He aha nā lāʻau lapaʻau no ʻAphallia?

Ke manaʻo ʻia he aphallia kahi pēpē hānau hou, ʻo ka nānā mua ʻana o nā kauka i nā maʻi hānau ʻē aʻe e hoʻoweliweli paha i ke ola .

ʻO ka mea nui aʻe e hiki mai ana, ʻo ia ka hōʻoia ʻana e hiki i ka pēpē ke mimi pono.ʻO ia hoʻi, nānā lākou e ʻike inā he puka no ka mimi e puka ai i waho o ke kino, a inā paha he mau mea e ālai ana i ke ala mimi. I kekahi manawa, pono paha kahi ʻoki kino i kapa ʻia he vesicostomy e hana i ala no ka mimi e puka ai.

I nā makahiki mua o ke ola o ke keiki, hiki ke hana ʻia kahi ʻoki hoʻololi penis (phalloplasty) a me kahi ʻoki hoʻololi urethra (urethroplasty) . E hoʻoholo kekahi kauka lapaʻau loea i ke ʻano maikaʻi loa no kēia mau ʻoki. He mau ʻoki paʻakikī kēia, no laila e hana ʻia ana ma lalo o ka nānā ʻana o kahi hui lapaʻau akamai.

He mea nui: I ka wā ma mua, ʻo ka lāʻau kuʻuna no nā pēpē aphallic me nā testicles (ʻo ia hoʻi, genetically XY) ʻo ia ka hana ʻana i ka feminizing genitoplasty, ka mea i hāʻawi iā lākou i kahi wahine . Eia nō naʻe, i nā hihia he nui, i ka wā e ulu ai kēia mau keiki, ʻike lākou ʻaʻole kūlike ka wahine i hāʻawi ʻia e nā kauka i ka wā hānau me ko lākou ʻano wahine maoli .

No laila, manaʻoʻiʻo ka nui o nā kauka i kēia manawa inā he kāne ke keiki (XY), ʻoi aku ka maikaʻi o ke hana ʻana i kahi ʻoki hana hou ʻana o ka penis (phalloplasty) . Manaʻo ʻia he ʻoi aku ka maikaʻi o ka waiho ʻana i kēia ʻano a hiki i ka wā e maopopo ai i ke keiki kona kāne a ua lawa kona mau makahiki e hoʻoholo ai i kāna mau hoʻoholo ponoʻī e pili ana i ka mea e hana ai. Ma hope o ka wā ʻōpio, hiki ke hana ʻia kahi ʻoki lua (phalloplasty) e hāʻawi iā ia i kahi penis nui o ka pākeke. Eia nō naʻe, he paʻakikī ke manaʻo i ka hana erectile maʻamau ma hope o ia mau ʻoki.

He mea koʻikoʻi loa kēia mau hoʻoholo, no laila e hana pū ana ka hui lapaʻau o ke keiki, nā kauka noʻonoʻo, a me nā mākua e hoʻoholo i ka mea maikaʻi loa no ke keiki.

Hiki ke hoʻemi ʻia ka pilikia o ka hānau ʻana o kahi pēpē me ka aphallia?

ʻOiai ʻaʻole ʻike ʻia ke kumu kikoʻī o ka aphallia, ʻaʻohe ala e pale aku ai i kēia manawa . Eia nō naʻe, hiki i ke aʻo ʻana i nā ʻano genetic ke kūkākūkā i nā kūlana genetic a me ka hōʻoia ʻana i ka wā hānau . Hiki i kēia ke kōkua i ka hoʻomaopopo a me ka hoʻomākaukau ʻana i nā mākua ma mua o ka hāpai ʻana a/a i ʻole ka hānau ʻana o ke keiki.

Eia kekahi, ʻo ka hahai ʻana i kahi nohona olakino i ka wā hāpai he mea maikaʻi ia no ka makuahine a me ke pēpē i loko o ka ʻōpū. ʻO ia hoʻi ka ʻai ʻana i ka meaʻai kaulike, ka pale ʻana i ka puhipaka a me ka waiʻona, a me ka hahai ʻana i nā ʻōlelo aʻo a ke kauka.

Inā loaʻa ka aphalia i kaʻu keiki, he aha kaʻu e manaʻo ai?

Inā loaʻa i kāu keiki ka aphalia, akā ʻaʻohe pilikia koʻikoʻi ʻē aʻe, maikaʻi ka prognosis.Eia nō naʻe, inā he mau pilikia olakino ʻē aʻe, hiki ke paʻakikī iki ke kūlana. ʻO kekahi mau pilikia, no ka laʻana, ka paʻakikī o ka hanu ʻana, ka nele o kekahi mau ʻāpana koʻikoʻi, hiki ke lilo i mea koʻikoʻi loa. No laila, he mea nui e kamaʻilio pinepine me nā kauka e pili ana i ke kūlana o ke keiki.

Pehea wau e mālama ai iaʻu iho ma ke ʻano he makua o kahi keiki me ka aphallia?

He mea maʻamau ka manaʻo he nui kāu mau hoʻoholo nui e hana ai ma hope koke o ka hānau ʻana o kāu pēpē. Akā, ʻaʻohe pono e hopohopo. ʻO ka mea nui, ʻo ia ke lawe i hoʻokahi ʻanuʻu i ka manawa . I ka ulu ʻana o kāu pēpē, e hele ʻo ia i nā loli he nui i ke kino, ka noʻonoʻo, a me ka noʻonoʻo. I mea e kōkua ai iā ʻoe e kū i kēia mau loli, hiki ke kōkua nui i nā mākua a me ka ʻohana ke ʻimi i ke aʻo ʻana .

E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi. He mea maʻamau ka makaʻu, ke kaumaha, ka hopohopo, a malia paha he huhū i nā manawa e like me kēia.

Ma ke ʻano he mau mākua, he mea nui e mālama i kahi pilina pili me ka hui lapaʻau o kāu keiki. E wehewehe nā kauka i ka mea e manaʻo ai a me nā hana e hiki mai ana. Mai makaʻu e kamaʻilio me lākou e pili ana i nā nīnau a hopohopo paha āu.

He aha nā nīnau e pono iaʻu e nīnau aku i kaʻu kauka?

He mea nui e kamaʻilio me kāu kauka e pili ana i nā mea āpau e noʻonoʻo ana iā ʻoe. Eia kekahi laʻana, hiki iā ʻoe ke nīnau i nā nīnau e like me:

• Pehea lā wau e kamaʻilio ai me kaʻu keiki e pili ana i kēia (i ka wā e lawa ai ka makahiki o ke keiki e hoʻomaopopo ai)?
• Pehea mākou e haʻi aku ai i ko mākou ʻohana a me nā hoaaloha e pili ana iā ʻAphallia?
• Pehea e hoʻoholo ai au e pili ana i ka mālama ʻana i ke olakino? He aha nā mea mua e pono iaʻu e noʻonoʻo?
• Ma hea e hiki ai iaʻu ke loaʻa nā hui kākoʻo no nā mākua o nā keiki e like me kēia?
• Pehea e pili ai kēia kūlana i ka ulu ʻana o ke keiki a me ka hoʻonaʻauao ʻana i ka wā e hiki mai ana? He aha kā mākou e hana ai?

He aha ka mea e hana ʻia i nā poʻe me ka aphalia i ka wā makua?

ʻAʻole i hiki i ka 100 mau kānaka ma ka honua holoʻokoʻa i ʻike ʻia me ka aphallia. ʻAʻole i makua ka hapa nui o kēia poʻe. Hiki ke paʻakikī iki ka mālama ʻana i ka aphallia i kahi pākeke ma mua o ka mālama ʻana i kahi keiki. Eia nō naʻe, aia nā hoʻonā lapaʻau a me nā lawelawe aʻoaʻo no kēlā.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

He mea maʻamau i nā mākua ke kaumaha a me ka haʻalulu ke ʻike lākou he maʻi hānau ʻokoʻa ko kāu keiki mai ka mea āu i manaʻo ai . ʻAʻohe hewa o ka makaʻu, ke kaumaha, ka hopohopo, a me ka huhū . ʻAʻole ʻoe hoʻokahi i kou mau manaʻo.

ʻO ka mea nui loa, ʻo ia ka hoʻokaʻawale ʻana i ka manawa e hana ai i nā hoʻoholo e pono ai kāu keiki, a e hoʻoponopono mua i nā hoʻoholo koʻikoʻi a wikiwiki hoʻi.E kamaʻilio me kāu hui lapaʻau a loaʻa kā lākou ʻōlelo aʻoaʻo no ke ala e hoʻomau ai. E hoʻomanaʻo, ʻo ʻoe ke kuleana o ka hāʻawi ʻana i kāu keiki i ke aloha, ka mālama, a me ka mālama olakino maikaʻi loa.

ʻAphallia , ka nele o ka penis, nā kīnā hānau, agenesis penis, ka ulu ʻana o ka moekolohe, phalloplasty, ke aʻo ʻana i nā ʻano genetic