Inā e pāʻani ana kāu keiki kāne a hoʻomaka koke e uē, "Māmā... ʻeha koʻu iwi!", ʻaʻole anei e makaʻu loa kekahi makuahine a makuakāne paha? He wahi koʻikoʻi loa ia, no laila he ʻeha iki nō hoʻi no ke keiki ke hoʻomanawanui. ʻO kekahi o nā kumu nui o ia ʻeha koke, ʻo ia ka wili ʻana o ka ʻāpana liʻiliʻi a mākou e kamaʻilio ai i kēia lā i kapa ʻia ʻo 'Appendix Testis'. ʻOiai inā kani nui ka inoa, mai makaʻu. E kamaʻilio maʻalahi kākou e pili ana i kēia.
He aha maoli ka Appendix Testis?
I ka ʻōlelo maʻalahi, he ʻāpana liʻiliʻi loa kēia o ka ʻiʻo pono ʻole e kau ana mai luna o ka ʻōpū o ke keikikāne. E noʻonoʻo iā ia e like me kahi ʻāpana kaula liʻiliʻi i koe ma hope o ka humuhumu ʻana i kahi lole.
E ʻoi aku ka maopopo o kēia iā ʻoe ke hoʻomaopopo ʻoe i ke ʻano o kona ulu ʻana. I nā pae mua o ka ulu ʻana o kahi pēpē i loko o ka ʻōpū, aia kahi ʻōmole i hoʻohana ʻia e hoʻomohala i ka ʻōnaehana hānau o ke kaikamahine (uterus, fallopian tubes, a pēlā aku). Ua kapa ʻia ʻo ia ʻo `(Müllerian duct)`. Eia naʻe, i ka wā e ulu ai ke keikikāne, ʻaʻole pono hou kēia ʻōmole. No laila, lilo mālie ia i mea hana ʻole a nalowale. ʻO ka ʻāpana liʻiliʻi i koe mai kēlā ʻōmole nalowale ua kapa ʻia ʻo `Appendix Testis`.
ʻO ia hoʻi, ʻaʻole ia he maʻi a i ʻole kekahi mea ʻē. He mea maʻamau loa ia, e pili ana i kahi 8 o 10 mau keikikāne. Loaʻa paha i kekahi mau keikikāne ma nā testicles ʻelua.
Inā ʻaʻohe pono o kēia, pehea ʻoe e hoʻomaka ai i ka pilikia?
ʻOiai he mea ʻole kēia `Appendix Testis`, ua hoʻopili ʻia ia i ka testicle e kahi kumu liʻiliʻi. E like me kahi hua liʻiliʻi e kau ana mai kahi lāʻau. I kekahi manawa, me ke kumu ʻole, hiki i kēia ʻāpana liʻiliʻi o ka ʻiʻo ke wili a huli iā ia iho. ʻO ia ka mea a mākou e kapa nei he `Appendix Testis Torsion` i ka lāʻau lapaʻau.
ʻO ke ʻano o ka torsion ka wili ʻana. Ke wili ʻia e like me kēia, e pau ke kahe koko i kēlā ʻāpana liʻiliʻi o ka ʻiʻo, a e hoʻomaka mālie ia e make. ʻO kēia ke kumu o ka ʻeha koke a ʻoi.
He aha nā hōʻailona e ʻike ʻia ma kēia kūlana?
ʻIke pinepine ʻia kēia ʻano `Appendix Testis Torsion` i nā keikikāne ma waena o 7 a me 12 mau makahiki. Inā loaʻa kekahi mea like i kāu keiki kāne, e makaʻala i kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha koke, ʻoi | Hiki i ke keiki ke uē koke i ka ʻeha. ʻIke pinepine ʻia kēia ʻeha ma kekahi testicle (pinepine ma ka ʻaoʻao o luna). |
| ʻO ka pehu ʻana a me ka ʻulaʻula o ka scrotum | Hiki i ka scrotum ma ka ʻaoʻao o ka ʻeha ke lilo i ʻulaʻula a pehu iki. |
| "Hōʻailona kiko polū" | He hōʻailona koʻikoʻi loa kēia. No ka mea, ua nalowale ke koko o ka ʻāpana ʻiʻo i wili ʻia a ke lilo nei i ʻeleʻele/polū, hiki ke ʻike ʻia i kekahi manawa he kiko polū liʻiliʻi ma o ka ʻili o ka scrotum. E nānā pono nā kauka i kēia. |
| ʻEha ʻōpū a me ka luaʻi | ʻOi loa ka ʻeha a hiki i kekahi mau keiki ke manaʻo e like me ka mea e lele ana i loko o ko lākou ʻōpū. Hiki iā lākou ke manaʻo e luaʻi. |
He mea nui loa: Mai huikau i ka Appendix Testis Torsion me ka Testicular Torsion!
ʻO kēia ka ʻāpana koʻikoʻi loa o kēia ʻatikala. Hiki i kekahi poʻe ke huikau i kēia mau inoa ʻelua no ka mea ua like ke kani ʻana. Eia nō naʻe, aia kahi ʻokoʻa nui ma waena o kēia mau kūlana ʻelua.
1. Appendix Testis Torsion (ka mea a mākou e kamaʻilio nei): He ʻāpana liʻiliʻi wale nō kēia o ka ʻiʻo e wili ana. ʻOiai he ʻeha kēia, ʻaʻole ia e hōʻino i ka testicle. No laila, ʻaʻole kēia he kūlana e pono ai ke ʻoki kino ulia pōpilikia.
2. Testicular Torsion: He kūlana koʻikoʻi loa kēia a he pilikia . ʻAʻole ka testicle i wili ʻia. ʻO ke kaula spermatic, ʻo ia ke kīʻaha koko nui e hoʻolako i ke koko i ka testicle ponoʻī. Inā hana ʻia kēia, hiki ke ʻoki loa ʻia ke kahe koko i ka testicle i loko o kekahi mau hola, e lilo ai i mea hiki ʻole ke hana mau loa (make).
No laila e hoʻomanaʻo i kēia: Inā loaʻa i kāu keiki ka ʻeha testicular, mai noho ma ka home a noʻonoʻo, "He testicle wili wale nō paha kēia, ʻaʻohe mea e hopohopo ai." No ka mea, ua like loa nā hōʻailona o nā mea ʻelua. ʻO ke kauka wale nō ke hoʻoholo pololei i ka mea hea o nā mea ʻelua. No laila e lawe koke i kāu keiki i ke kauka kokoke loa a i ʻole i ka lumi pilikia (ETU) o kahi haukapila.
E nānā ke kauka i ke keiki a, inā pono, e hana i kahi scan ultrasound e hōʻoia pono i kahi o kēia mau kūlana ʻelua.
Pehea e mālama ʻia ai?
Ma hope o ka nānā ʻana o ke kauka iā ia a hōʻoia i ka ʻoiaʻiʻo he 'Appendix Testis Torsion' kēia a ʻaʻole he 'Testicular Torsion' koʻikoʻi, ua maʻalahi loa ka lāʻau lapaʻau.
- Hoʻomaha: Pono ʻoe e pale i ka holo ʻana a me ka pāʻani ʻana no kekahi mau lā a e hoʻomaha nui i kāu keiki.
- Hau: ʻO ke kau ʻana i kahi ʻeke hau i wahī ʻia i kahi lole maʻemaʻe i ka wahi ʻeha no 10-15 mau minuke hiki ke kōkua i ka hōʻemi ʻana i ka pehu a me ka ʻeha.
- Nā lāʻau hoʻopau ʻeha: E hāʻawi i ka nui i kuhikuhi ʻia o ka paracetamol a i ʻole nā lāʻau anti-inflammatory non-steroidal (NSAID) (e.g., ibuprofen) e like me ke kauoha a ke kauka.
- Ke kiʻekiʻe ʻana o ka scrotum: ʻOiai e moe ana ke keiki, ʻo ke kau ʻana i kahi mea e like me ka lole liʻiliʻi a palupalu ma lalo o ka scrotum e kākoʻo iā ia i luna iki e hiki ke kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.
ʻO ka maʻamau, me kēia lāʻau lapaʻau , e aneane pau loa ka ʻeha a me ka pehu i loko o hoʻokahi pule. E hoʻoheheʻe ke kino a omo i ka ʻāpana liʻiliʻi o ka ʻiʻo i wili ʻia. ʻAʻole pono pinepine ke ʻoki kino. Inā ʻaʻole hiki ke hoʻomanawanui i ka ʻeha a inā he kānalua e pili ana i ka hōʻailona.
Leka Lawe-Home
- He ʻāpana liʻiliʻi, maʻamau, ʻino ʻole, a pono ʻole ka ʻiʻo ʻo ka 'Appendix Testis' i loaʻa i loko o nā testicles o nā keikikāne.
- Hiki i kēia torsion ke hoʻoulu i ka ʻeha ʻoi a koke, ʻoi aku hoʻi i nā keiki ma waena o nā makahiki 7-12.
- He ʻokoʻa loa kēia kūlana mai ka 'Testicular Torsion', he kūlana koʻikoʻi ia e pono ai ke ʻoki koke ʻana.
- Eia nō naʻe, ʻaʻole pono e hoʻowahāwahā ʻia kekahi ʻeha koke i nā testicles o ke keiki. Pono e kūkākūkā koke me ke kauka e hoʻoholo ai inā he maʻi koʻikoʻi ia.
- Hiki ke ho'ōla ʻia ka lāʻau lapaʻau no ka 'Appendix Testis Torsion' me ka hoʻomaha, ka hau, a me nā mea hōʻeha ʻeha.
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