Inā ʻoe e kali ana i kahi pēpē kāne, a i ʻole ua hoʻokipa koke nei i kekahi, ʻo ka nīnau nui loa ma ka noʻonoʻo o kāu a me kāu hoa, ʻo ia paha, "Pono anei mākou e ʻoki poepoe i kā mākou keiki kāne?" Ua kūkākūkā mua paha ʻoe i kēia a ua loaʻa paha kekahi mau hoʻopaʻapaʻa e pili ana i ia mea. He hoʻoholo pilikino loa kēia a nā mākua he nui e noʻonoʻo nei. He kuleana ko nā manaʻoʻiʻo hoʻomana, nā kuanaʻike moʻomeheu, a me nā ʻoiaʻiʻo lapaʻau i kēia koho. Ma Nirogi Lanka, makemake mākou e kōkua iā ʻoe e hana i kahi hoʻoholo naʻauao a hilinaʻi me ka hopohopo ʻole.
He aha ke ʻoki poepoe ʻana, a no ke aha i lilo ai ia i kumuhana i kūkākūkā ʻia?
I ka ʻōlelo maʻalahi, ʻo ke ʻoki poepoe he hana ʻoki kino e wehe ai i ka ʻili mua, ʻo ia hoʻi ka ʻiʻo e uhi ana i ka glans (ke poʻo o ka penis). Hana pinepine ʻia kēia e ke kauka ma ka haukapila i loko o nā lā ʻelua mua o ke ola. Ma ke kuʻuna Iudaio, hana ʻia ke kaʻina hana ma ka lā ʻewalu.
I ka wā ma mua, ʻoiai ma nā ʻāina e like me ʻAmelika Hui Pū ʻIa, ua ʻoki poepoe ʻia ma kahi o 90% o nā keiki kāne pēpē. ʻO ke kumu nui o kēia no ka mea ua manaʻo nā kauka he mea ia e hoʻoikaika ai i ka hoʻomaʻemaʻe maikaʻi a pale aku i kekahi mau pilikia olakino. Eia kekahi, ma ka Islam a me ka Iudaio, he ʻano kapu ia e hōʻailona ana i kahi berita me ke Akua.
Eia nō naʻe, ua loli ke ʻano o ka ʻāina. Ma nā wahi he nui o ka honua (me ʻEulopa, ʻĀsia, a me ʻAmelika Latina), ʻaʻole ia he hana maʻamau a maʻamau paha. ʻOiai ka American Academy of Pediatrics (AAP) e ʻōlelo nei ʻaʻole lawa nā hōʻike e paipai iā ia ma ke ʻano he mea pono lapaʻau maʻamau no kēlā me kēia pēpē kāne. ʻO ke ʻano kēia no ka mea aia nā pono a me nā pilikia, aia ka hoʻoholo iā ʻoukou, nā mākua, ma hope o ka noʻonoʻo pono ʻana.
Nā pono a me nā pōʻino lapaʻau - E nānā pono kākou
E like me nā hana lapaʻau āpau, aia nā pono a me nā hemahema o ke ʻoki poepoe ʻana. E nānā kākou iā lākou pākahi. E ʻoluʻolu e nānā i ka papa ma lalo nei.
| Nā Pōmaikaʻi (Nā Pōmaikaʻi) | Nā Pōʻino (Cons) |
|---|---|
| Hoʻemi i ka pilikia o nā maʻi ʻaʻai mimi (UTI) i ka makahiki mua o ke ola ma 4-10 mau manawa. (Nānā: ʻO ka pilikia kumu no nā UTI he haʻahaʻa maoli nō ia, ma kahi o 1%). | ʻEha. Me ka ʻole o ka anesthesia kūpono, ʻeha loa kēia kaʻina hana no kahi pēpē. Manaʻo kekahi mau kumumanaʻo e hiki i ka ʻike mua ʻana i ka ʻeha nui ke hoʻopilikia i ka hana ʻana o ka ʻeha ma hope o ke ola. |
| Hoʻemi i ka pilikia o ka maʻi ʻaʻai penile i ka wā makua ma kahi o ʻekolu manawa. (E ʻoluʻolu e hoʻomaopopo he maʻi laha ʻole kēia). | Nā pilikia ʻoki kino. ʻO ke kahe koko liʻiliʻi (0.1%) a me ka maʻi kūloko nā pilikia maʻamau, ʻoiai he mea kakaikahi lākou (e kū mai ana ma 0.2% - 0.6% o nā hihia). |
| Hoʻemi iki i ka pilikia o kekahi mau maʻi i laha ma ke ʻano moekolohe (STD), e like me ka HIV. (E hoʻomanaʻo, ʻoi aku ka koʻikoʻi o nā kumu hana i ka pale ʻana i nā STD). | Nā pilikia kākaʻikahi akā koʻikoʻi e like me ka wehe pono ʻole ʻana i nā ʻiʻo (nui loa a liʻiliʻi paha). Ua hoʻopaʻa ʻia nā hihia o ka hōʻeha ulia pōpilikia i ka penis. |
| Kāohi i ka ulu ʻana o Phimosis (kahi kūlana kahi hiki ʻole ke huki hou ʻia ka ʻili mua). | Kumukūʻai. ʻAʻole hana manuahi ʻia kēia ma nā haukapila aupuni, a e pili ana nā kumukūʻai ma ka ʻāpana pilikino. |
| ʻIke ʻia ka maʻalahi o ka hoʻomaʻemaʻe. (Eia nō naʻe, hiki ke mālama ʻia nā penis i ʻoki poepoe ʻole ʻia me ka holoi maʻamau a me ke kopa). | Ka emi ʻana o ka ʻike moekolohe. No ka mea, he nui nā hopena aʻalolo o ka ʻili mua, ke paio nei kekahi poʻe e hiki i kona wehe ʻana ke hoʻopilikia i ka leʻaleʻa moekolohe, ʻoiai ʻaʻole i maopopo nā haʻawina ʻepekema. |
He ʻoiaʻiʻo anei ka hoʻopaʻapaʻa no ka hoʻomaʻemaʻe?
Manaʻo ka poʻe he nui e maʻalahi ka ʻoki poepoe ʻana i ka hoʻomaʻemaʻe. Eia nō naʻe, ʻaʻole manaʻo nā kauka lapaʻau he kumu lapaʻau nui kēia. I ka ʻauʻau ʻana i kahi pēpē i ʻoki poepoe ʻole ʻia, pono ʻoe e holoi i ka ʻāpana genital me ke kopa a me ka wai e like me kāu e hana ai i nā ʻāpana ʻē aʻe o ke kino. I ka manawa e piha ai kāu keiki i 5 mau makahiki, hiki ke huki ʻia ka ʻili mua, a hiki iā ʻoe ke aʻo iā lākou e huki mālie iā ia e hoʻomaʻemaʻe i ka glans.
ʻO ka mea nui loa, mai hoʻokau hou i ka ʻili ʻōmaka i hope. Hana maoli kēia kaʻina hana i ka hala ʻana o ka manawa.
He ʻeha anei kēia kaʻina hana no kāu pēpē? He aha kāu e hana ai?
ʻAe, he mea hōʻole ʻole kēia he ʻike ʻeha no kahi pēpē. I ka wā ma mua, aia kahi manaʻo kuhihewa ʻaʻole ʻike nā pēpē i ka ʻeha e like me ka poʻe mākua, no laila ua hana pinepine ʻia ke kaʻina hana me ka ʻole o ka anesthesia. Ua ʻike mākou i kēia manawa he hewa kēia. I ka wā o ke kaʻina hana, hōʻike pinepine nā pēpē i nā loli koʻikoʻi i ka helu o ka puʻuwai, ke koko, a me nā pae oxygen.
No laila, inā hoʻoholo ʻoe e hoʻomau i ke ʻoki poepoe ʻana no kāu keiki kāne, he mea nui e koi aku ʻoe i kāu kauka e hoʻohana ʻia ka anesthesia kūpono. Hiki i ka anesthesia kūloko (e like me ka kirīmi hoʻomāʻū topical a i ʻole ka injection) ke hōʻemi nui i ka ʻeha o kāu pēpē. I kahi pilikia a i ʻole inā ʻike ʻoe i nā pilikia ma hope o ke ʻoki ʻana, e ʻoluʻolu e kelepona koke i ka 911 a i ʻole nā lawelawe pilikia kokoke loa iā ʻoe.
Pehea ʻoe e hana ai i ka hoʻoholo maikaʻi loa ma ke ʻano he mau mākua?
ʻO kēia ka ʻāpana paʻakikī loa, ʻoiai ʻaʻohe pane "pololei" hoʻokahi. He hoʻoholo pilikino loa ia ma waena ou a me kāu hoa.
- Kamaʻilio: E kūkākūkā ākea i kou mau manaʻo, makaʻu, a me nā manaʻoʻiʻo kekahi i kekahi e pili ana i ka pono o kāu keiki kāne.
- Pōʻaiapili Kaiapili a me ka ʻOhana: I kekahi manawa, he kuleana ko nā manaʻolana moʻomeheu a ʻohana paha. Hiki iā ʻoe ke noʻonoʻo pehea e manaʻo ai kāu keiki inā ʻokoʻa kona ʻano mai kona makuakāne a i ʻole nā hoa.
- Nā Manaʻoʻiʻo Hoʻomana: Inā ʻoe no ka manaʻoʻiʻo Iudaio a Islam paha, he hana hoʻomana koʻikoʻi kēia, a ua alakaʻi pinepine ʻia ka hoʻoholo e kēlā mau kuʻuna.
- E kūkākūkā me kāu kauka keiki: ʻO ka mea nui loa, e kamaʻilio me kāu kauka keiki a kauka ʻohana paha . Hiki iā lākou ke wehewehe i nā pono, nā pōʻino, a me nā pilikia e pili pono ana i kāu keiki. Mai kānalua e nīnau i kāu mau nīnau a pau.
ʻO ka mea hope loa, ʻike ka lāʻau lapaʻau hou i ke ʻoki poepoe he koho koho. ʻO ke koho ʻana ʻaʻole e hana ʻia, ʻaʻole ia he hoʻoweliweli koʻikoʻi i ke olakino o kāu keiki. I ka ʻaoʻao ʻē aʻe, inā hana pololei ʻia me ka hoʻokele ʻeha kūpono, he liʻiliʻi nā pilikia. Aia wale nō ka hoʻoholo iā ʻoe ma ke ʻano he mau mākua nona, a eia ʻo Nirogi Lanka e kākoʻo i kāu koho naʻauao.
Nā Manaʻo Koʻikoʻi
- ʻAʻole koi ʻia ke ʻoki poepoe ʻana no kēlā me kēia keiki ma ke ʻano he kauka. He koho pilikino ia na ʻoukou ma ke ʻano he mau mākua e hana ai.
- ʻOiai paha he mau pono liʻiliʻi, e like me ka emi ʻana o ka pilikia o kekahi mau maʻi ʻōpū mimi a me nā maʻi kanesa kūikawā, pono ʻoe e kaupaona i kēia mau mea e kūʻē i nā hemahema e like me nā pilikia ʻoki kino, ka ʻeha, a me nā kumukūʻai.
- Paipai mākou iā ʻoe e kūkākūkā ākea i kēia me kāu hoa, me ka mahalo i nā manaʻo o kekahi i kekahi e hiki ai i kahi hoʻoholo like.
- Ma mua o ka neʻe ʻana i mua, e ʻoluʻolu e kūkākūkā pono me kāu pediatrician e pane i nā nīnau a hopohopo paha āu e loaʻa ai.
- Inā hoʻoholo ʻoe e hoʻomau me ke ʻoki poepoe ʻana, e hōʻoia e hana ʻia e kahi loea lapaʻau kūpono e hoʻohana ana i ka anesthesia kūpono e hōʻemi i kekahi ʻeha a ʻoluʻolu ʻole paha no kāu pēpē.
- Me ka nānā ʻole i kāu hoʻoholo, he mea nui ka mālama ʻana i ka maʻemaʻe kūpono o ka ʻāpana genital o kāu keiki no ko lākou olakino lōʻihi.
ʻoki poepoe, olakino hānau hou, makua, olakino kāne, Nirogi Lanka, ʻoki kino
