Aia ka urethra o kāu keikikāne ma kahi ʻē aʻe? 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 mau loli i kona ʻōpū? Ua ʻike paha ʻoe ʻaʻole i ka puka o ka urethral i kahi e pono ai, akā he haʻahaʻa iki. Ma ke ʻano he makua, hiki ke hopohopo kēia. Akā, mai hopohopo. He kūlana maʻamau kēia a mākou i ʻike ai i ka lāʻau lapaʻau a hiki ke loaʻa i nā pēpē kāne he nui i ka wā hānau. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia kūlana i kapa ʻia ʻo `(Hypospadias)`.

I ka ʻōlelo maʻalahi, he aha ʻo Hypospadias?

ʻAe, e wehewehe maʻalahi kākou i kēia. I loko o ke kāne, puka mai ka mimi a me ka sperm mai loko mai o kona kino ma o kahi ʻōmole e holo ana ma waena o kāna penis. Kāhea mākou i kēia ʻōmole ʻo ka urethra . ʻO ka maʻamau, pau kēia urethra i loko o kahi lua liʻiliʻi ma ka piko o ka penis. Kāhea mākou i kēia ʻo ka meatus.

I ka hoʻomaka ʻana o ka ulu ʻana o kahi pēpē i loko o ka ʻōpū, hana ʻia kēia urethra e like me kahi kahawai hāmama. Ma hope mai, hui pū nā ʻaoʻao ʻelua o kēia kahawai e hana i kahi ʻōmole piha. E noʻonoʻo e like me ke kau ʻana i kahi zipper.

I loko o ke keiki me ka `Hypospadias`, ʻaʻole i pani piha ʻia ka urethra a ʻaʻole i pau e like me ka ʻōmole. Me he mea lā ʻaʻole i kau ʻia ka zipper i luna loa. No laila, ʻo ka puka e puka mai ai ka mimi `(Meatus)` ʻaʻole ia e hana ʻia ma ka piko o ka penis, akā ma lalo iki iho, ma nā wahi āpau o ka penis. I kekahi manawa hiki ke loaʻa kēia lua ma kahi kokoke i nā testicles `(Scrotum)`, a i ʻole kokoke i ka anus `(Anus)`.

He mea koʻikoʻi anei kēia kūlana? He mea anei e makaʻu ai?

Hiki i nā Hypospadias ke ʻano mai ka liʻiliʻi a i ka koʻikoʻi. I kekahi mau hihia liʻiliʻi loa, ʻaʻole pono paha ke ʻoki kino. Eia nō naʻe, i ka hapanui o nā hihia, hiki i ke ʻoki kino ke hoʻoponopono piha i ke kūlana. No laila, ʻaʻohe pono e hopohopo no ia mea. Me ka mālama kūpono, 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 o Hypospadias?

Ua hoʻokaʻawale nā ​​kauka i kēia maʻi i kekahi mau ʻano nui, ma muli o kahi o ka urethra. E nānā kākou i ke ʻano o lākou.

He aha nā hōʻailona o kēia maʻi?

ʻO ka hōʻailona nui ka hewa o ka urethra. Eia kekahi, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe.

• Nā loli o ka mimi ʻana: Ke mimi ke keiki, ʻaʻole paha e hele pololei ke kahawai o ka mimi i mua, akā e kahe paha i lalo a i ka ʻaoʻao . Hiki i kēia ke paʻakikī i ke keiki ke mimi i ke kū ʻana i ko lākou wā ʻelemakule.
• ʻIli ʻōmaka piha ʻole: ʻAʻole paha i ulu piha ka ʻili e uhi ana i ke poʻo o ka penis (ka ʻili ʻōmaka), e uhi wale ana i ka piko o ka penis. Hiki i kēia ke hāʻawi i ke ʻano o kahi "cap." He mea nui loa e ʻike ʻia kahi keiki me kēia maʻi e ke kauka ma mua o ke ʻoki poepoe ʻana. Hiki ke hoʻohana ʻia kēia ʻili keu e hoʻoponopono i ka urethra i ka wā o ke ʻoki kino.
• Chordee: Hiki ke kūlou ʻia ka penis i lalo i kekahi ʻano, ma mua o ka pololei.
• ʻO nā testicles i iho ʻole: Loaʻa paha i kekahi mau keikikāne kēia ʻano kahi e noho ai kekahi a i ʻole nā ​​​​testicles ʻelua i loko o ka scrotum, ʻaʻole e iho i loko o ka scrotum.

He aha nā kumu o Hypospadias?

ʻO kaʻoiaʻiʻo, ʻaʻole i loaʻa i nā kauka ke kumu pololei o nā hypospadias. Eia nō naʻe, ua ʻike lākou i kekahi mau mea e hoʻonui ai i ka pilikia o kēia maʻi.

• Pilina hoʻoilina: Inā ua loaʻa kēia maʻi i kekahi o ka ʻohana (makua kāne, kaikunāne), aia kahi manawa e loaʻa pū ai i ke keiki.
• Nā kūlana o ka makuahine i ka wā hāpai:
• ʻOi aku ka makahiki o ka makuahine ma mua o 35 i ka wā hāpai.
• ʻOi aku ka nui o ke kino o ka makuahine (BMI) ma mua o 30, ʻo ia hoʻi ka momona .
• Ua manaʻo ʻia he hopena paha ka mālama ʻana i ka hānau keiki, ʻoiai nā hormones e like me ka progesterone, i hāʻawi ʻia e mālama i ka hāpai ʻana.
• Ka puhipaka i ka wā hāpai.
• Ka ʻike ʻia ʻana i kekahi mau kemika a i ʻole nā ​​​​pesticides i ka wā hāpai.

Pehea e mālama ʻia ai?

ʻO ke ʻoki kino ka lāʻau lapaʻau maikaʻi loa a kūleʻa loa no nā hypospadias. Hana pinepine ʻia kēia ʻoki kino i ka wā ma waena o 6 a me 12 mau mahina o ke keiki. Aia kekahi mau kumu no ka hana ʻoki kino i kēia makahiki.

• He palekana ke hāʻawi ʻana i ka anesthesia laulā i kahi keiki i kēia makahiki.
• He mea maʻalahi ke mālama i ka ʻeha ma hope o ke ʻoki ʻana.
• ʻAʻohe hoʻomanaʻo o ke keiki i kēia.

Hana pinepine ʻia ke ʻoki ʻana e ke kauka urologist pediatric . He nui nā pahuhopu nui o ke ʻoki ʻana:

1. Hoʻopololei i ka penis: Inā he kūlana `chordee`, hoʻopololei ʻia ka penis ma ka hoʻoponopono ʻana i ke kūlou ʻana.

2. Ke kūkulu hou ʻana o ka urethra: Hana ʻia ka urethra piha ʻole i loko o kahi ʻōmole piha, e lawe ana i ka puka urethral i ka piko o ka penis. Pili paha kēia i ka hoʻohana ʻana i kahi ʻāpana ʻiʻo i lawe ʻia mai ka ʻili ponoʻī o ke keiki.

3. Hoʻololi hou ʻana i ka ʻili: Hoʻololi maikaʻi ʻia ka ʻili o ka penis. I ka manawa pinepine, hana ʻia ke ʻoki poepoe i ka manawa like me kēia ʻoki kino.

Ma hope o ke ʻoki ʻana, hiki ke kau ʻia kahi ʻōmole liʻiliʻi (catheter) no kekahi manawa e hoʻokahe i ka mimi a hiki i ka wā e ho'ōla ai ka urethra. E wehe ʻia kēia e ke kauka i hoʻokahi a ʻelua paha pule.

Aia kekahi mau pilikia e hiki mai ana ma hope o ke ʻoki ʻana?

E like me nā ʻoki kino āpau, aia nā pilikia a me nā pilikia e hiki ke hana i ka wā o kēia ʻoki kino, akā he mea kakaikahi loa kēia.

• ʻO ka fistula urethrocutaneous:Hiki ke hana ʻia kahi lua liʻiliʻi ma waena o ka urethra i hana hou ʻia a me ka ʻili, kahi e hoʻoheheʻe ai ka mimi.
• Urethral stracture: Hiki i kahi ʻeha ke hoʻopaʻa i ka urethra.
• 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 kēia, pono paha kekahi ʻoki liʻiliʻi ʻē aʻe e hoʻoponopono ai, akā he nui nā keiki i loaʻa nā hopena holomua loa me hoʻokahi ʻoki ʻana.

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

He mea nui loa ka mālama pono ʻana i kāu keiki ma hope o ke ʻoki ʻana. E hahai pono i nā ʻōlelo a ke kauka.

• Maʻemaʻe: E mālama i ka ʻāpana ʻeha i maʻemaʻe a maloʻo hoʻi e like me ka hiki. E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻololi ʻana i ka diaper.
• ʻAuʻau: Mai ʻauʻau i loko o ka ʻauʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. ʻAuʻau huʻahuʻa. Ma hope o ka wehe ʻia ʻana o ka ʻōmole, hiki iā ʻoe ke ʻauʻau ma ke ʻano maʻamau.
• E pale i ke kaomi: Mai kau i ke pēpē ma luna o kona ʻōpū. Mai hāʻawi iā ia i nā mea pāʻani e noho ana me kona mau wāwae i hohola ʻia (lio lūlū, jumper) no kekahi mau pule.
• Pehu a me ke kala ʻole o ke kino: He mea maʻamau no ka penis ke pehu a loaʻa ke kala polū/poni ma hope o ke ʻoki ʻana. E emi mālie ana kēia ma luna o hoʻokahi a ʻelua paha mahina.

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

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