Ua pehu nā ʻōpū o kāu keikikāne? He 'Communicating Hydrocele' paha ia!

Ua ʻike anei ʻoe ua ʻoi aku ka nui o kekahi ʻaoʻao o ka scrotum o kāu keiki kāne ma mua o kekahi, a me he mea lā ua pehu? Malia paha ke nānā ʻoe iā ia i ke kakahiaka, ua emi iho ka pehu, akā ma hope o ka pāʻani ʻana a puni ka lā a pau, me he mea lā ua pehu hou i ke ahiahi? He mea maʻamau loa ia no ka makuahine a makua paha ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike lākou i kahi mea e like me kēia. Akā, mai hopohopo, ʻo ka hapa nui o ka manawa ʻaʻole ia he mea koʻikoʻi. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana maʻamau e hiki ai ke hana i kēia, i kapa ʻia ʻo Communicating Hydrocele .

I ka ʻōlelo maʻalahi, he aha ka Hydrocele?

E nānā mua kākou i ke ʻano o kēia hydrocele. He mea maʻalahi loa ia. Aia nā testicles o ke kāne i loko o ka scrotum. Kapa mākou iā ia he 'Hydrocele' ke hana ʻia kahi ʻeke liʻiliʻi a puni kekahi o kēia mau testicles, i piha i kahi wai. ʻO kēia ke kumu e pehu ai ka scrotum.

I kēia manawa, he nīnau kāu, he aha kēia Communicating Hydrocele ? ʻO ke ʻano o ka huaʻōlelo "Communicating" ʻo ia hoʻi "ka loaʻa ʻana o kahi pilina." Ke hana nei kekahi mea like ma ʻaneʻi.

ʻO kēia pilina, a i ʻole ka ʻoiaʻiʻo ua wehe ʻia ke alahele, e ʻae i ka wai e neʻe i mua a i hope. No ka laʻana, i ka wā e moe ana ka pēpē a hiamoe paha, neʻe hou ka wai i ka ʻōpū, kahi e hōʻemi ai i ka pehu. Ke kū ka pēpē, ʻoniʻoni, a uē paha, piʻi aʻe ke kaomi i loko o ka ʻōpū, e hoʻoneʻe ana i ka wai i lalo, e hoʻonui ana i ka pehu.

He koʻikoʻi anei kēia kūlana?

ʻAʻole koʻikoʻi loa ka ʻeha maʻamau (Hydrocele) (ʻAʻole kamaʻilio). He wahi liʻiliʻi wale nō ia o ka wai e hōʻiliʻili ana a puni ka testicle. ʻAʻole ia e pili ana i ka ʻōpū. No laila, ua like ka nui o ka pehu ʻana, a i ʻole e nui loa.

Akā, ʻo ke kūlana i kapa ʻia ʻo Communicating Hydrocele he mea ia e pono ai ka nānā hou aku, no ka mea, ʻo ka pilina me ka ʻōpū, ʻo ia hoʻi, kēlā ala hāmama, hiki ke hana i nā pilikia.

He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia?

Inā ʻaʻole hoʻomaikaʻi kēia kūlana iā ia iho a waiho ʻia paha me ka mālama ʻole ʻia, ʻo ka pilikia nui ka ulu ʻana o kahi hernia inguinal .

I ka ʻōlelo maʻalahi, inā e nui iki ke ala no kēlā wai, hiki i kahi ʻāpana o nā ʻōpū i loko o ka ʻōpū ke iho i lalo ma o kēlā ala, i ka scrotum. ʻO ia ka mea a mākou e kapa nei he hernia. He ʻano koʻikoʻi loa ka hernia ma mua o ka 'Communicating Hydrocele'. Pono maoli ia i ke ʻoki ʻana. ʻO ia ke kumu e pono ai ʻoe e makaʻala e pili ana i kēia.

ʻO wai ka mea i loaʻa i kēia? Pehea lā e hana ai?

ʻIke pinepine ʻia kēia ʻano ma nā keikikāne hānau hou . ʻO ka ʻoiaʻiʻo, a hiki i ka 50% o nā keikikāne hānau hou e loaʻa paha kēia ʻano. He mea maʻamau loa ia.

No ke aha i loaʻa ai i nā pēpē liʻiliʻi kēia?

I mea e hoʻomaopopo ai i kēia, pono kākou e hoʻi i ka wā i loko o ka ʻōpū ke pēpē. Ke ulu nei ke pēpē i loko o ka ʻōpū, ulu mua nā testicles i loko o ka ʻōpū. A laila iho mālie lākou a komo i loko o ka scrotum. I ko lākou iho ʻana, iho pū kekahi ʻāpana liʻiliʻi e like me ka paipu (ka 'processus vaginalis') i hana ʻia me kahi membrane e uhi ana i loko o ka ʻōpū.

Ke kokoke e hānau ʻia ke pēpē a ma hope paha o ka hānau ʻana, pono e pani ʻia kēia ʻāpana e like me ka paipu ma kāna iho. A laila e nalowale ka pilina ma waena o ka ʻōpū a me ka scrotum.

ʻIke pinepine ʻia kēia ʻano i nā pākeke a i ʻole nā ​​​​keiki liʻiliʻi me ka hernia.

He aha nā hōʻailona o kēia maʻi?

Hiki ke ʻokoʻa iki nā hōʻailona o kēia ma muli o ka makahiki o ke keiki.

He mea nui: Inā loaʻa koke i kahi keikikāne makua kahi puʻupuʻu e like me kēia, hiki ke loaʻa ma muli o kekahi kumu ʻē aʻe. No ka laʻana, hiki ke lilo i maʻi, testicular torsion, a i ʻole, kakaikahi, he puʻupuʻu. No laila , inā ʻike ʻoe i kahi puʻupuʻu i loko o ka scrotum i kēlā me kēia makahiki, he mea nui e ʻike i ke kauka.

Pehea ʻoe e ʻike ai i kēia, e Kauka?

I ka hapanui o nā hihia, hiki i ke kauka ke nānā i ke keiki, nīnau iā ʻoe no nā kikoʻī, a haʻi pololei iā ʻoe i ke ʻano o ke kūlana.

• Hoʻokolokolo kino: E ʻike ke kauka i ka wahi o ka pehu a nānā iā ia.
• Hoʻāʻo Transillumination: He hoʻāʻo maʻalahi loa kēia a ʻeha ʻole. Hoʻomālamalama ke kauka i ka pehu me kahi mea liʻiliʻi e like me ke kukui. Inā he wai e like me ka wai i loko, e ʻike maopopo ʻia ke kukui mai kēlā ʻaoʻao. Ua like ia me ka hoʻomālamalama ʻana i ke kukui i loko o kahi ʻōmole wai. Hiki i kēia ke hōʻoia maʻalahi he 'Hydrocele' ia.
• ʻO ke Kiʻi Ultrasound: I kekahi manawa, inā nui loa ka pehu, manaʻo paʻakikī e like me ka pōhaku, a inā he kānalua paha no kekahi pilikia ʻē aʻe, e kauoha paha ke kauka i kahi `Ultrasound Scan`. ʻAʻohe ʻeha hoʻi kēia. Hiki i kēia ke hōʻoia 100% inā he wai i loko a i ʻole kekahi mea ʻē aʻe.

Pehea e mālama ʻia ai? He mea pono anei ke ʻoki kino?

ʻO kēia ka nīnau nui a nā mākua: "Pono anei kā mākou keiki liʻiliʻi e hana i ke ʻoki kino?"

ʻO ka maʻamau, i ka wā e piha ai ke keiki i hoʻokahi makahiki , e pani ʻia ka processus vaginalis a mākou i ʻōlelo ai ma kāna iho. A laila, e pau ke kahe ʻana o ka wai mai ka ʻōpū mai, a e omo ke kino i ke koena o ke wai, e hoʻopau loa ana i ka pehu.

No laila, hana pinepine ke kauka i ka mea i kapa ʻia ʻo "kali makaʻala." E haʻi aku ʻo ia iā ʻoe e hoʻihoʻi mai i kāu pēpē i loko o kekahi mau mahina. I loko o kēia manawa, e ʻike ʻo ia inā e emi ana a piʻi paha ka pehu.

Āhea e pono ai ke ʻoki kino?

Hiki i kāu kauka ke ʻōlelo i ke ʻoki kino (hydrocelectomy) i nā hihia aʻe:

• Inā ʻaʻole e iho ka pehu ma kona iho ma hope o ka piha ʻana o ke keiki i 1-2 mau makahiki .
• Inā e nui mālie ka pehu .
• Inā ʻeha ke keiki a i ʻole he ʻoluʻolu nui ma muli o ka pehu ʻana.
• Inā ua hōʻoia ʻia he hernia (Inguinal Hernia) me ka hydrocele.

He maʻalahi loa kēia ʻoki kino a palekana hoʻi. Hana ke kauka ʻoki kino i kahi ʻoki liʻiliʻi loa (ma kahi o 2 cm) ma ka ʻūhā, wehe i ke kahe keu, a pani i ka pilina i ka ʻōpū (ka puka). He ʻoki kino ao kēia. ʻO ia hoʻi, inā e komo ʻoe i ke kakahiaka, hiki iā ʻoe ke lawe i kāu keiki i ka home i kēlā ahiahi hoʻokahi.

Pehea e mālama ai i ke keiki ma hope o ke ʻoki kino?

E hoʻi hou ke keiki i ke ʻano maʻamau i loko o kekahi mau lā ma hope o ke ʻoki ʻana, akā pono ʻoe e akahele iki no nā pule ʻelua a ʻekolu e hiki mai ana.

• ʻEha: E kuhikuhi ke kauka i kahi syrup e like me Paracetamol no ka ʻeha. E hāʻawi iā ia i ka wā e pono ai, ma ke ʻano i kuhikuhi ʻia.
• Nā Hana: Hiki i ke keiki ke pāʻani maʻamau. Eia nō naʻe, pono e hōʻalo ʻia nā mea pāʻani e koi ana i ke keiki e holo ma luna o ko lākou kua (e.g., nā paikikala liʻiliʻi), lele, a kolo no 2-3 mau pule , no ka mea hiki i kēia ke kau i ke kaomi pono ʻole ma kahi i ʻoki ʻia.
• ʻEha: Pono e mālama ʻia kahi ʻoki i maʻemaʻe a maloʻo. Na kāu kauka e hāʻawi iā ʻoe i nā kuhikuhi no kēia.
• ʻAi: Hiki ke hānai ʻia ke keiki ma ke ʻano maʻamau.

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e kāhea koke aku i kāu kauka.

Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole ka haukapila.

• Inā e kahe ana ke koko o ka ʻeha.
• Inā e hoʻonui ana ka ʻeha o ke keiki.
• Inā loaʻa i ke keiki ke kuni .
• Inā piʻi nui ka pehu a puni ka ʻeha .
• Inā ua loli ke kala o ka ʻili ma kahi o ka ʻeha i ʻulaʻula, poni, ʻeleʻele, a ʻeleʻele paha .

Aia kekahi ala e pale aku ai i kēia kūlana?

ʻAʻohe mea hiki i nā mākua ke hana e pale aku ai i kahi keiki hānau hou mai ka loaʻa ʻana o kahi `Communicating Hydrocele`, no ka mea, ua hoʻoulu ʻia ia e kahi loli iki i ke kaʻina hana kūlohelohe e hana ʻia ana i ka wā e ulu ana ke pēpē i loko o ka ʻōpū.

Akā, no ka mea, pili pinepine nā hydroceles i nā pākeke me nā hernias, aia paha kekahi pono i ka hana ʻana i nā mea e pale aku ai i nā hernias:

• Ke hoʻohana nei i ke ʻano kūpono i ka wā e hāpai ana i nā mea kaumaha a hoʻoikaika kino ma ka hale hoʻoikaika kino. ʻAʻole e hoʻāʻo e hāpai i nā mea kaumaha hiki ʻole iā ʻoe ke hāpai.
• Ka mālama ʻana i ke kaumaha o ke kino olakino .
• Ke kāohi ʻana i ka paʻa ʻana o ka ʻōpū. No ka hana ʻana i kēia, he mea nui e inu i ka wai he nui a ʻai i nā meaʻai kiʻekiʻe i ka fiber, e like me nā greens, nā mea kanu, a me nā huaʻai.