Loaʻa i kāu keikikāne kēia maʻi? E kamaʻilio kākou e pili ana iā Hypospadias

Ke hoʻololi ʻoe i ka diaper o kāu pēpē hānau hou, ua ʻike anei ʻoe i kekahi mea ʻē a ʻokoʻa paha e pili ana i kāna penis ? Ua manaʻo paha ʻoe ʻaʻole i kūpono ka urethra , akā ua haʻahaʻa iki. He mea maʻamau loa ia no ka makuahine a makua paha ke makaʻu a hopohopo nui ke ʻike ʻoe i kahi mea e like me ia. Akā, mai hopohopo. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia kūlana a nā makuahine a me nā makuakāne e nīnau nei, i ʻike pinepine ʻia, a i hānau ʻia i loko o nā keiki kāne he nui, ʻo ia hoʻi nā hypospadias.

I ka ʻōlelo maʻalahi, he aha nā hypospadias?

ʻAe, e wehewehe maʻalahi kākou i kēia. ʻO Hypospadias kahi kīnā hānau kahi i ulu pono ʻole ai ka penis a me ka ʻili mua o ke keikikāne. Loaʻa iā mākou kahi ʻōmole i loko o ko mākou kino e lawe ana i ka mimi a me ka semen i waho, a mākou e kapa nei ʻo urethra . ʻO ka maʻamau, pau kēia urethra ma ka piko o ka penis. Puka mai ka mimi a me ka semen ma o kēia puka. Kapa mākou i kēia ʻo ka meatus.

E noʻonoʻo i ka wā mua o ke ola o kahi pēpē i loko o ka ʻōpū, ua hana ʻia kēia urethra ma ke ʻano he kahawai hāmama. I ka ulu ʻana o ka pēpē, pani ʻia kēia kahawai a lilo i ʻōmole piha. Eia naʻe, i loko o kahi pēpē me nā hypospadias, ʻaʻole pani piha kēia ʻōmole i kapa ʻia ʻo ka urethra. No laila, aia ka puka urethral (meatus) ma kahi ʻē aʻe, ma lalo o ka penis, ma kahi o ka piko.

Hiki ke loaʻa kēia lua ma nā wahi āpau o ka penis , i loko o ka scrotum, a kokoke paha i ka anus.

He pilikia koʻikoʻi anei kēia? Pono anei au e makaʻu?

Ma ke ʻano he makuahine, ʻo kēia paha ka nīnau nui loa ma kou manaʻo. ʻO ka ʻoiaʻiʻo, hiki i kēia kūlana ke ʻano mai ka ʻoluʻolu a i ka ʻino. Inā he ʻoluʻolu loa ia, ʻaʻole pono paha ke ʻoki kino. Eia nō naʻe, i ka hapanui o nā hihia, hiki i ke ʻoki kino ke hoʻoponopono piha i kēia kūlana. No laila, ʻo ka mea mua, e hoʻomanaʻo ʻaʻole kēia he pilikia no ke ola holoʻokoʻa hiki ʻole ke hoʻoponopono ʻia. Me ka mālama pono ʻana, hiki i ke keiki ke ola i kahi ola maʻamau me ka ʻole o nā pilikia i ka wā e hiki mai ana.

He aha nā ʻano hypospadias i loaʻa?

Hoʻokaʻawale nā ​​kauka i kēia kūlana ma muli o kahi i loaʻa ai ka urethra. He mea nui iā ʻoe e ʻike i kēia.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hōʻailona nui, ʻaʻole i loaʻa ka puka urethral ma ka piko o ka penis. Ma waho aʻe o kēlā, aia paha kekahi mau hōʻailona ʻē aʻe.

• Hoʻololi i ke ʻano o kou mimi ʻana : ʻAʻole paha e kahe pololei ka mimi i mua, akā e kahe paha i lalo a i nā ʻaoʻao paha. E noʻonoʻo iā ia e like me ka pū pīpī, me ka mimi e kahe ana i nā ʻaoʻao a pau. Hiki i kēia ke hana i nā maʻi o ka ʻili a puni .
• ʻIli ʻōmaka i hoʻomohala ʻole ʻia:ʻAʻole paha e uhi piha ka ʻili maka i ke poʻo o ka penis, akā he ʻūpā wale nō paha ma luna. Eia kekahi mea nui loa. ʻO ia hoʻi, inā loaʻa i kāu keiki kēia maʻi, mai ʻoki poepoe iā ia me ka ʻole o ke kūkākūkā ʻana me ke kauka no kekahi kumu. No ka mea, pono nā kauka e hoʻohana i kēia ʻili maka i ka wā e hana ai i ke ʻoki kino.
• Chordee: Hiki ke kulou ʻia nā penis o kekahi mau keiki i lalo e like me ka makau ma kahi o ke pololei.
• ʻO nā testicles i iho ʻole: I kekahi manawa, i nā keikikāne me nā hypospadias, ʻaʻole paha i iho kekahi a i ʻole nā ​​​​testicles ʻelua i loko o ka scrotum.

He aha ke kumu maoli o nā hypospadias?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kauka a me nā mea noiʻi kahi kumu kūpono no kēia, akā ua ʻike lākou i kekahi mau kumu e hoʻonui ai i ka pilikia o kēia ʻano.

• He pilina hoʻoilina: Inā ua loaʻa i kahi makuakāne, kupuna kāne, a ʻanakala paha o ka ʻohana kēia maʻi, aia kahi manawa e loaʻa pū ai i ka pēpē.
• Nā kūlana o ka makuahine i ka wā hāpai :
• ʻOi aku ka makahiki o koʻu makuahine ma mua o 35.
• ʻOi aku ka nui o ke kino o ka makuahine (BMI) ma mua o 30 (momona).
• Lāʻau hānau no ka hāpai ʻana. Aia kekahi kānalua e loaʻa paha ka hopena o ka hormone "Progesterone" i hāʻawi ʻia, ʻoiai i nā wā mua o ka hāpai ʻana.
• ʻO ka hoʻohana ʻana i nā hormones ʻē aʻe i ka wā hāpai.
• Nā kumu o ke kaiapuni: Ka pilikia o ka makuahine i kekahi mau kemika a me nā pesticides i ka wā hāpai.
• Puhipaka: Ke puhipaka nei ka makuahine i ka wā hāpai.

Pehea e ʻike ai ke kauka i kēia?

He mea maʻalahi loa kēia ke ʻike. ʻIke maʻalahi ʻia e ke kauka pediatric i ka wā e nānā ai i ka pēpē ma hope o ka hānau ʻana. Hiki i ke kauka ke ʻike iā ia ma ka nānā ʻana i kahi o ka puka urethral ma ka penis a me ke ʻano o ka ʻili mua.

I kēlā manawa, e kuhikuhi ke kauka iā ʻoe i kahi urologist pediatric.

Pehea e mālama ʻia ai? E aʻo kākou e pili ana i ke ʻoki kino

ʻO ke ʻoki kino (hoʻoponopono hypospadias) wale nō ka lāʻau lapaʻau kūleʻa no nā hypospadias.

Āhea e hana ʻia ai ke ʻoki kino?

ʻO ka hapa pinepine, hana nā kauka loea i kēia ʻoki kino ke piha ka pēpē i waena o 6 a me 12 mau mahina. Aia kekahi mau kumu no ka hana ʻana i ke ʻoki kino i kēia makahiki.

• He mea maʻalahi ka mālama ʻana i ka ʻeha ma hope o ke ʻoki ʻana a mālama iā ia i ka maʻemaʻe i kēia makahiki.
• ʻOi aku ka palekana no kahi keiki i kēia makahiki ke hāʻawi ʻia i ka anesthesia laulā.
• ʻAʻohe hoʻomanaʻo o ke keiki i kēia.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

He hana ʻoki kino kēia e lawe pinepine ana i kekahi mau hola. I ka hapanui o nā hihia, hiki ke hoʻouna ʻia ke pēpē i ka home i ka lā hoʻokahi (kaʻina hana ma waho). I ka wā o ke ʻoki kino, e hana ke kauka i kekahi mau mea nui.

1. Ke hoʻopololei nei i ka penis: Inā kūlou ka penis i lalo (chordee), e hoʻopololei mua ʻia.

2. Ke kūkulu hou ʻana o ka urethra: Hoʻoponopono hou ʻia ka urethra piha ʻole (tube) a hoʻolōʻihi ʻia a hiki i ka piko o ka penis.

3. Ke hoʻololi hou ʻana i ka ʻili maka: Hoʻohana ʻia ka ʻili maka i koe e hāʻawi i ka penis i kahi ʻano maʻamau. Hana pinepine ʻia ke ʻoki poepoe i kēia manawa.

4. Ka hoʻokomo ʻana i ka catheter no ka manawa pōkole: I kekahi manawa, ma hope o ke ʻoki ʻana, ua kau ʻia kahi ʻōmole liʻiliʻi (Foley catheter) e hoʻokahe i ka mimi a hiki i ka ho'ōla ʻana o ka urethra. E wehe ke kauka i ka ʻōmole i kāu kipa ʻana i loko o hoʻokahi a ʻelua paha pule.

He aha nā pilikia e hiki ke hana ma hope o ke ʻoki ʻana?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia, akā he mea kakaikahi loa kēia.

• Maʻi: Aia kahi pilikia o ka maʻi i loko o ka ʻeha.
• Ke kahe ʻana o ke koko: Hiki ke kahe koko iki.
• Urethrocutaneous fistula: Hoʻokumu ʻia kahi lua liʻiliʻi ma waena o ka urethra i hana hou ʻia a me ka ʻili o ka penis. Hiki i kēia ke hoʻoheheʻe i ka mimi .
• Urethral stricture: He ʻūmiʻi o ka urethra i hana ʻia e kahi ʻōpala ma kahi i ʻoki ʻia ai. Hiki i kēia ke hoʻopilikia i ka mimi a me ka ʻūmiʻi o ka urethra.
• ʻO ka diverticulum urethral: Pehu aʻe kahi ʻāpana o ka urethra e like me ka pōpō, a hiki i ka mimi ke hōʻiliʻili i loko.
• Piʻo hou: Hiki i ka penis ke piʻo hou i lalo ma hope o kekahi manawa ma hope o ke ʻoki ʻana.

Inā hana ʻia kekahi mea e like me kēia, pono paha e hoʻoponopono ʻia me kahi ʻoki liʻiliʻi ʻē aʻe. Akā, he mau mea kākaʻikahi loa kēia.

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

He mea nui loa kāu mālama no ka holomua o ke ʻoki kino.

• Maʻemaʻe: E hahai pono i nā ʻōlelo a kāu kauka. I kēlā me kēia manawa āu e hoʻololi ai i kahi diaper, e holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻopā ʻana i kahi o kāu pēpē. Inā komo ka mimi a i ʻole ka ʻōpala ma ka ʻili o kāu pēpē, e holoi i kou mau lima me ke kopa a me ka wai mahana a kāpī maloʻo me kahi lole maʻemaʻe.
• ʻAuʻau: Mai ʻauʻau i ka pēpē i loko o kahi ʻōmole wai a hiki i ka wehe ʻia ʻana o ke catheter. ʻAuʻau huʻahuʻa. E makaʻala ʻaʻole e huki i ke catheter.
• Nā Hana: Mai hoʻokuʻu i kāu pēpē e kolo a hiki i kona piha ʻana i ʻelua a ʻekolu pule. Eia kekahi, mai hoʻokuʻu iā ia e noho ma luna o nā mea pāʻani me nā wāwae ma kēlā ʻaoʻao kēia ʻaoʻao, e like me nā paikikala, nā ʻūlū, a me nā lio lūlū.
• Ka pehu ʻana a me ke kala ʻana o ke kala:He mea maʻamau loa ka pehu ʻana o ka penis a polū-poni ma hope o ke ʻoki ʻana. Mai hopohopo. E emi mālie ana ia i loko o hoʻokahi a ʻelua paha mahina.

Āhea wau e ʻike ai i ke kauka a hele paha i ka ETU?

Inā loaʻa kahi pilikia ma hope o ke ʻoki ʻana, he mea nui e hana koke.