Ke hoʻololi ʻoe i ka diaper o kāu pēpē hānau hou, ua ʻike anei ʻoe he ʻoi aku ka nui o kekahi ʻaoʻao o kona scrotum (pōpō) ma mua o kekahi? I kekahi manawa e emi iho ana ka pehu i ke kakahiaka, akā i ka hala ʻana o ka lā, ʻoiai ke ʻūlū nei ka pēpē a uē paha, me he mea lā e piʻi aʻe ana ka pehu? He nui nā mākua e makaʻu iki ana i ka ʻike ʻana i kēia, a he mea maʻamau ia. Akā i ka hapa nui o ka manawa, ʻaʻole ia he mea e makaʻu ai. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia kūlana i loaʻa i nā pēpē he nui, i kapa ʻia ʻo Communicating Hydrocele .
I ka ʻōlelo maʻalahi, he aha kēia Communicating Hydrocele?
ʻAe, e mālama kākou i kēia maʻalahi loa. ʻO ka hydrocele he ʻeke e like me ka ʻeke i piha i ka wai e hana ana a puni ka testicle. I kēia manawa ke nīnau nei paha ʻoe, "No laila he aha kēia 'Kamaʻilio'?" ʻO ia ka mea nui loa.
E noʻonoʻo, i loko o ko kākou ʻōpū (lua ʻōpū) aia kahi wai me nā ʻāpana e like me ko kākou naʻau a me ke akepaʻa. Ke noho ka pēpē i loko o ka ʻōpū o ka makuahine, ulu mua nā testicles i loko o ka ʻōpū o ka pēpē. A laila iho mālie lākou a hiki i ka scrotum. I ko lākou iho ʻana, hana ʻia kahi ala liʻiliʻi e like me ka paipu mai ka ʻōpū a i ka scrotum. I ka lāʻau lapaʻau, kapa mākou i kēia "processus vaginalis". ʻO ka maʻamau, pani koke kēia ala ma mua a ma hope paha o ka hānau ʻana o ka pēpē.
Akā i kekahi mau pēpē, ʻaʻole pani piha kēia ala, e waiho ana i kahi lua liʻiliʻi. Ma o kēlā lua, hele mai ka wai i loko o ka ʻōpū a hōʻiliʻili a puni ka scrotum. Ua kapa ʻia kēia he hydrocele kamaʻilio no ka mea aia kahi "pilina" a i ʻole "kamaʻilio" me ka wai i loko o ka ʻōpū.
Ua like kēia me nā nalu ma ke kahakai e hele mai ana a e hele aku ana. Ke kū aʻe ke pēpē a ʻoniʻoni, piʻi aʻe ke kaomi i loko o ka ʻōpū, e hoʻohaʻahaʻa ana i ka wai a e nui aʻe ana ka pehu. Ke hiamoe ke pēpē, hoʻi hou ka wai i loko o ka ʻōpū, e hoʻēmi ana i ka pehu.
He aha ka ʻokoʻa ma waena o ka hydrocele kamaʻilio a me ka hydrocele kamaʻilio ʻole?
Aia kahi ʻokoʻa liʻiliʻi akā koʻikoʻi ma waena o kēia mau ʻano ʻelua. He mea nui loa iā ʻoe e ʻike i kēia.
| ʻAno | Ke kamaʻilio ʻana me ka Hydrocele | ʻO ka Hydrocele kamaʻilio ʻole |
|---|---|---|
| Kumu | Ua wehe ʻia ke ala ma waena o ka ʻōpū a me ka scrotum (processus vaginalis). | Ua pani ʻia ke alahele, akā, ua mau nō ke kahe o ka wai i hōʻiliʻili mua ʻia no ka mea, ʻaʻole i omo ke kino iā ia. |
| ʻAno o ka pehu | Hoʻololi ka nui i ka lā a pau (emi i ke kakahiaka, ʻoi aku ka nui i kou ala ʻana). | Paʻa pinepine ka nui a piʻi mālie paha. |
| Koʻikoʻi | Pono ʻoe e akahele iki aʻe, no ka mea, aia kahi pilikia o ka hoʻokumu ʻia ʻana o ka hernia ma o kēia. | He mea ʻino ʻole ia i ka manawa pinepine a ho'ōla ponoʻī ia. |
He aha ka mea e hana ʻia inā ʻaʻole mālama ʻia? Ka pilikia o ka hernia
ʻO ke kumu nui e hopohopo iki ai mākou e pili ana i ka 'Communicating Hydrocele' ʻo ia ka pilikia o ka loaʻa ʻana o kahi hernia inguinal . Inā e mau ana kēlā puka a mākou i kamaʻilio ai, ʻaʻole wale ka wai i loko o ka ʻōpū, akā i kekahi manawa hiki i kahi ʻāpana liʻiliʻi o ka ʻōpū ke iho i lalo ma o kēlā lua a i loko o ka scrotum. ʻO ia ka mea a mākou e kapa nei he hernia. Inā ulu kahi hernia, hiki ke paʻa i kekahi manawa, he ʻano koʻikoʻi ia e pono ai ke ʻoki kino ulia pōpilikia. No laila, inā ʻike ʻoe i kahi 'Hydrocele', he mea nui e hōʻike iā ia i ke kauka.
ʻO wai ka mea kūpono loa e ʻike i kēia maʻi?
He kūlana maʻamau loa kēia.
- Nā keikikāne hānau hou: Hiki i kēia maʻi ke hoʻopilikia a hiki i ka 50% o nā keikikāne hānau hou. Eia nō naʻe, ʻo ka hapa nui o nā hihia e hoʻopau iā lākou iho me ka ʻole o ka lāʻau lapaʻau i ka wā e hiki ai ke pēpē i hoʻokahi makahiki.
- Nā keiki ʻelemakule a me nā pākeke: Hiki ke hana i kekahi manawa i nā keiki ʻōpio a me nā kāne makua, akā i kēlā makahiki, ʻoi aku ka nui o ka hana ʻia me ka hernia.
He aha nā hōʻailona? Pehea kou manaʻo?
ʻO ka hōʻailona nui o kēia, he pehu ʻeha ʻole. Hiki ke like me kahi pōpō liʻiliʻi i piha i ka wai i loko o ka scrotum.
| Pūʻulu makahiki | Nā hōʻailona i ʻike ʻia |
|---|---|
| Nā pēpē hānau hou |
|
| Nā keiki makua a me nā mākua |
He mea nui: Inā loaʻa koke i kahi keiki makua ka pehu a me ka ʻeha nui i loko o nā testicles, hiki ke lilo i pilikia i kapa ʻia ʻo 'Testicular Torsion'. Inā hana ʻia kēia , e hele koke i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Pehea e ʻike ai ke kauka i kēia?
Ke haʻi aku ʻoe i kāu kauka e pili ana i ka pehu ʻana o kāu pēpē, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i kāu pēpē. Hiki ke ʻike ʻia kēia me kahi hoʻāʻo maʻalahi loa.
1. Hoʻokolokolo kino: E ʻike ke kauka i ka pehu. E nānā ʻo ia inā palupalu, paʻakikī, ʻeha, a pehea kona nui.
2. Transillumination: He hoʻāʻo maʻalahi loa kēia. Hoʻohana ke kauka i kahi mea liʻiliʻi e like me ke kukui e hoʻomālamalama i ka testicle pehu. Inā he wai wale nō i loko, e hele ke kukui ma o ia mea a ʻike ʻia he poni. E hōʻoia kēia he hydrocele ia i ka hapa nui.
3. Ultrasound Scan: I kekahi manawa, inā nui loa ka pehu, inā he puʻupuʻu paʻakikī, a inā paha he kānalua iki no kekahi pilikia ʻē aʻe (e like me ke kanesa), e kauoha ke kauka i kahi `Ultrasound` scan. He hoʻāʻo ʻeha ʻole kēia a palekana hoʻi.
Pehea e mālama ʻia ai? Pono anei ke ʻoki kino?
ʻO kēia kahi e waiho ai ka nūhou maikaʻi loa no nā mākua he nui.
ʻO ka hapa nui o ka manawa, ʻo ia hoʻi ma kahi o 90% o nā pēpē,ʻAʻohe pono o ka lāʻau lapaʻau. I ka wā e hiki ai i ka pēpē i hoʻokahi makahiki, e pani ʻia ka lua a mākou i kamaʻilio ai ma mua ma kona iho a e nalowale ka pehu.
No laila, lawe pinepine ke kauka i ke ʻano "e ʻike kākou". E haʻi aku ʻo ia iā ʻoe e lawe mai i ke pēpē no ka nānā ʻana i kēlā me kēia mau mahina.
No laila, i ka manawa hea e pono ai ke ʻoki kino (Hydrocelectomy)?
- Inā ʻaʻohe pehu o ka pēpē no hoʻokahi a ʻelua paha makahiki .
- Inā nui loa ka pehu a i ʻole e hōʻeha ai i ka pēpē.
- Inā ua hōʻoia ʻia aia kahi hernia (inguinal hernia) me ka hydrocele.
ʻAʻole kēia hana ʻoki kino he mea nui. ʻO ka maʻamau, hana ʻia kahi ʻoki liʻiliʻi (ma kahi o 2 kenimika) ma ka ʻāpana ʻūhā, hoʻokahe ʻia ke wai i loko, a pani ʻia ka lua. He hana ʻoki kino ao kēia, ʻo ia hoʻi hiki iā ʻoe ke lawe i kāu pēpē i ka home i ke ahiahi hoʻokahi.
Pehea e mālama ai i ke keiki ma hope o ke ʻoki kino?
E hoʻi hou ana ke pēpē i ka maʻamau i loko o kekahi mau lā ma hope o ke ʻoki ʻana, akā pono ʻoe e makaʻala e pili ana i kēia mau mea no ʻelua a ʻekolu pule.
- E pale i ka hāpai kaumaha: Mai hoʻokuʻu i kāu pēpē e noho ma luna o nā mea pāʻani i hohola ʻia ko lākou mau wāwae, e like me nā lio lūlū. E kaupalena i ka nui o ka piʻi ʻana, ka holo ʻana, a me ka lele ʻana a kāu pēpē e hana ai.
- E mālama i ka ʻoki: He mea maʻamau ka loaʻa ʻana o kahi pehu iki a puni ka ʻoki. E kuhikuhi ke kauka i ka lāʻau ʻeha.
- E kāhea koke i kāu kauka : Inā ʻike ʻoe i nā hōʻailona ma lalo nei, e kāhea koke i kāu kauka.
- Inā e kahe ana ke koko o ka ʻoki
- Inā piʻi ka ʻeha
- Inā loaʻa ke kuni i ka pēpē
- Inā piʻi nui ka pehu
- Inā ʻike ʻoe i kahi loli o ke kala o ka ʻili (ʻulaʻula, poni, ʻeleʻele, a ʻeleʻele paha)
I ka manawa hea e pono ai ʻoe e ʻike i ke kauka
ʻOiai ʻaʻole koʻikoʻi ka hydrocele maʻalahi, inā loaʻa i kāu pēpē kekahi o kēia mau hōʻailona, hiki ke lilo ia i hōʻailona o kahi hernia strangulated. No laila e ʻimi koke i ke kōkua lapaʻau.
| Nā hōʻailona hōʻike e makaʻala ai | |
|---|---|
| ʻAno | Wehewehena |
| He pehu a he puʻupuʻu paha | He puʻu paʻakikī koke i loko o ka scrotum a i ʻole ka ʻāpana groin. |
| ʻEha maopopo | Hoʻomau ka pēpē i ka uē, ʻaʻole hiki ke hōʻoluʻolu ʻia, a ʻoi aku ka uē ke hoʻopā ʻia ka pehu. |
| Makemake nui | Inā ʻaʻole ka pēpē e hānai waiū ana a ʻai paha e like me ka mea maʻamau. |
| Ka luaʻi ʻana | Inā e luaʻi ana ka pēpē me ke kumu ʻole. |
| Hoʻemi ʻia ka neʻe ʻana o ka ʻōpū | Inā ʻaʻole e ʻō ka pēpē e like me ka mea maʻamau. |
Leka Lawe-Home
- He mea maʻamau loa kēia: He mea maʻamau loa ka Hydrocele i nā keikikāne hānau hou. No laila, mai hopohopo pono ʻole.
- Hoʻōla ia iā ia iho: I ka hapanui o nā hihia, e hoʻōla kēia ʻano ma kāna iho me ka ʻole o ka lāʻau lapaʻau i ka wā i hoʻokahi makahiki o ka pēpē.
- Nā loli o ka pehu ʻana: He hōʻailona ia o kēia maʻi e piʻi a emi ana ka pehu ʻana i ka lā a pau. He mea maʻamau kēia.
- E hōʻike i ke kauka : Inā ʻike ʻoe i kekahi pehu ʻana i loko o nā testicles o kāu pēpē, he mea nui e hōʻike iā ia i ke kauka no ka ʻike pololei.
- E makaʻala i nā hernias: Inā ʻike ʻoe i nā hōʻailona e like me ka ʻeha koke, kahi puʻupuʻu paʻakikī, a i ʻole ka luaʻi ʻana, he hernia paha ia, no laila e hele koke i ka haukapila.
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