Loaʻa i kāu keiki kāne nā hypospadias? E kamaʻilio kākou e pili ana i kēia ʻoki kino.

I kou hoʻololi ʻana i ka diaper o kāu pēpē hou, ua ʻike anei ʻoe i kekahi mau loli i kona ʻōpū? Ua ʻike paha ʻoe ʻaʻole ma ka piko o ka penis ka urethra, akā ma lalo iki. Mai hopohopo no kēia. He maʻi maʻamau kēia i waena o nā keikikāne . I kēia lā e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo 'Hypospadias' a me ke ʻoki kino e hiki ai ke hoʻoponopono iā ia.

He aha nā Hypospadias?

I ka ʻōlelo maʻalahi, ʻo ka hypospadias kahi maʻi i loaʻa i ka wā hānau. ʻO ka maʻamau, ʻo ka urethra o ke keikikāne, ka ʻōmole e puka ai ka mimi a me ka sperm , e pau ana ma ka piko o ka penis . ʻO kēia puka e puka ai ka mimi ua kapa ʻia ʻo ka meatus.

Eia nō naʻe, i loko o ke keiki me nā hypospadias, aia kēia puka urethral (`meatus`) ma kahi ʻokoʻa. ʻO ia hoʻi:

• Ma lalo (`Subcoronal`) kokoke i ka wēlau (poʻo) o ka penis.
• Ma waenakonu o ke koʻokoʻo o ka penis (`Midshaft`).
• ʻO kahi e hui ai ka penis a me nā testicles ('Penoscrotal').

Hiki i kekahi mau keiki ke ʻike i kahi piʻo i lalo i loko o ka penis ke kū pololei, i ʻike ʻia he 'chordee'. No laila, hoʻoponopono pū nā kauka i kēia piʻo i ka wā e hana ai i ke ʻoki hypospadias.

He mea pono anei kēia ʻoki kino no nā kānaka a pau?

He nīnau kēia a nā mākua he nui. ʻAʻole pono mau ke ʻoki kino. Aia ia i ke koʻikoʻi o ke kūlana o ke keiki. ʻElua mau kumu nui o kēia ʻoki kino:

1. E lawe mai i ka puka urethral i ka piko o ka penis i hiki i ke keiki ke mimi me ke kū pololei ʻana me ka ʻole o ka pilikia.

2. Ke hoʻomākaukau ʻana i ka penis i hiki iā ia ke puka me ka ʻole o nā pilikia i ka wā o ka moekolohe i ka wā e hiki mai ana.

Inā he hypospadias iki loa kāu keiki (no ka laʻana, inā kokoke loa ka urethra i ka wēlau), ʻaʻole pono paha ke ʻoki kino. ʻOi aku ka maikaʻi o ka hoʻoholo ʻana i kēia e ʻoe a me kāu kauka.

He aha ka mea e hana ʻia ma mua o ke ʻoki kino?

Ma mua o ke ʻoki kino, ʻo ʻoe a me kāu keikiPono ʻoe e ʻike i kahi kauka urologist pediatric . E hana ke kauka i kēia mau mea:

• Ke nānā ʻana i ke olakino laulā o ke keiki: Ke nānā ʻana i nā mea e like me ke kuni, ka pulse, a me ke koko .
• Hoʻokolokolo kino: E nānā ʻia ka penis o kāu keiki e ʻike i kahi kikoʻī o ka urethra. E nīnau ʻia ʻoe e pili ana i ka wikiwiki o ke kahe ʻana o ka mimi, ke kuhikuhi o ke kahe ʻana o ka mimi, a inā he liki.
• Nā hoʻokolohua ʻē aʻe inā pono: I kekahi manawa, hiki ke hana ʻia kahi hoʻokolohua e like me ka cystoscopy e nānā ai i kekahi mau ālai ʻana i loko o ke ala urinary.

Kou kuleana ma ke ʻano he mau mākua

Aia kekahi mau mea nui e pono ai ʻoe e haʻi i kāu kauka i kēia manawa:

• E haʻi i kāu keiki e pili ana i nā lāʻau lapaʻau (i kauoha ʻia a kūʻai ʻia paha ma luna o ke kauka) a lākou e lawe nei.
• E haʻi i kāu keiki e pili ana i kekahi mau maʻi allergies i loaʻa iā lākou.
• Inā ʻoi aku ka koʻikoʻi o ke kūlana, hiki i ke kauka ke ʻōlelo aku i nā inikini hormone testosterone e hoʻonui iki i ka penis ma mua o ke ʻoki ʻana. E kōkua kēia i ka holomua o ke ʻoki ʻana.

Pehea e hana ʻia ai ke ʻoki kino?

Hana ʻia kēia ʻoki kino e kahi hui o nā loea pediatric. Ma muli o ka hoʻomaʻemaʻe piha ʻia ʻana o ke keiki (anesthesia laulā), ʻaʻole ʻo ia e ʻeha.

Lawe mua ke kauka lapaʻau i kahi ʻāpana liʻiliʻi o ka ʻili mua o ke keiki a hoʻohana ia mea e hana i kahi urethra hou. A laila lawe ʻia ka urethra i ka piko o ka penis ma o kēia ʻōmole hou.

Ma hope o ke ʻoki ʻana, e hoʻokomo ʻia kahi catheter a i ʻole stent ma o ka urethra i hana hou ʻia e pale aku ai i ka ālai ʻia a hiki i ka wā e ho'ōla ai. Pono e waiho ʻia kēia ma kahi no hoʻokahi a ʻelua pule. I ka wā e kahe ana ka mimi ma o kēia ʻōmole, e pulu pinepine ka diaper.

ʻO ka hope loa, ua pani ʻia ka ʻeha me ka hoʻohana ʻana i nā humuhumu hiki ke hoʻoheheʻe ʻia. Hiki i kēia ʻoki kino ke hala ma kahi o 2-3 mau hola.

Aia kekahi mau pilikia a me nā pilikia ma hope o ke ʻoki ʻana?

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

He haʻahaʻa loa ka pilikia o nā pilikia. He kiʻekiʻe loa ka holomua o ke ʻoki kino. Hiki i ka hapa nui o nā keiki ke ola i kahi ola olakino me ka ʻole o nā pilikia.

Pehea e mālama ai i kahi keiki ma ka home?

E luhi iki paha ke keiki ma hope o ke ʻoki kino. Pono e mālama pono ʻia ke keiki no nā pule mua.

• Maʻemaʻe: E mālama i ka ʻāpana a puni ka ʻeha i maʻemaʻe e like me ka hiki ke pale aku i ka maʻi. E holoi pono i kou mau lima me ke kopa a me ka wai ma hope o ka hoʻololi ʻana i nā diapers.
• Ke hoʻololi ʻana i nā diapers: Hoʻopuka pinepine ka catheter i ka mimi. No laila, pono ʻoe e hoʻololi pinepine i kāu mau diapers ma mua o ka maʻamau . I kekahi manawa, e haʻi aku ke kauka iā ʻoe e ʻaʻahu i ʻelua mau diapers (hoʻokahi no ka catheter, a ʻo kekahi no ka ʻōpala).
• ʻAuʻau: Mai hoʻokomo i kāu pēpē i loko o kahi ʻōmole wai a hiki i ka wā e ʻōlelo ʻia ai e kāu kauka. E holoi i ke kino me kahi lole pulu (ʻauʻau huʻa).
• Nā kapu hana: Inā ua lawa ka makahiki o kāu keiki e holo a pāʻani ai, e pale i ka holo paikikala, ka holo ʻana, a me ka lele ʻana no 2-3 mau pule.

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

Inā ʻike ʻoe i kekahi o kēia mau mea i kou wā ma ka home ma hope o ke ʻoki ʻana, e kāhea koke aku i kāu kauka a i ʻole ka haukapila .

Hoʻōla piha ka hapa nui o nā keiki ma kahi o 6 mau pule. Hiki i ke keiki ke ʻeha iki i ka wā e mimi ai no nā lā mua ma hope o ka wehe ʻia ʻana o ke catheter, akā e emi mālie kēia.