I kekahi manawa ʻike nā mākua ua paʻakikī kā lākou keiki liʻiliʻi i ka mimi ʻana , a i ʻole ʻaʻole pololei ka urethra , akā, ua puka i luna. I kekahi manawa ʻōlelo pū lākou he ʻeha ia i ka wā e mimi ai lākou. He mea maʻamau ke makaʻu ke ʻike ʻoe i kahi mea e like me kēia. Ke noʻonoʻo nei ʻoe inā he koʻikoʻi kēia a no ke aha e hana nei kēia. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Meatal Stenosis' ʻo ia paha ke kumu o kēia. Mai hopohopo, e hoʻomaopopo maʻalahi kākou i kēia.
He aha maoli ke ʻano o ka 'meatal stenosis'?
I ka ʻōlelo maʻalahi, ʻo ka 'meatal stenosis' ka haiki ʻana o ka puka ma ka piko o ka penis o ke keikikāne kahi e puka mai ai ka mimi (ʻo ia ka mea a mākou e kapa nei ʻo 'meatus' ma nā huaʻōlelo lapaʻau). ʻO ka huaʻōlelo 'stenosis' ʻo ia hoʻi ka haiki ʻana o kahi ala a i ʻole ka paipu i loko o ko mākou kino. No laila, ma kēia kūlana, ʻo ka mea e hana ʻia, ʻo ia ka liʻiliʻi o ka puka kahi e puka mai ai ka mimi ma mua o ka maʻamau.
Hiki ke loaʻa kēia maʻi i ka wā hānau (congenital) a i ʻole e ulu aʻe ma hope o ke ola. Eia nō naʻe, ʻo ka mea maʻamau no kahi keiki ke ulu i kēia maʻi ma waena o nā makahiki 3 a me 7 .
Hiki anei kēia i nā kāne makua pū kekahi?
ʻAe, akā he mea kākaʻikahi loa ia. Inā loaʻa i kahi pākeke kēia maʻi, ʻo ia paha ma muli o ke ʻoki ʻana ma ke ala mimi, ke kau ʻana o kahi hāmeʻa, a i ʻole kekahi maʻi autoimmune.
He aha nā hōʻailona o kēia maʻi?
ʻO ka hōʻailona nui, ʻo ia ka hāiki ʻana o ka puka ma ka piko o ka penis a hiki i ka ʻike ʻia ʻana e ka maka ʻōlohelohe. Ke ālai nei kēia hāiki ʻana i ke kahe o ka mimi . Hiki i kēia ke hana i hoʻokahi a ʻoi aku paha o nā hōʻailona i helu ʻia ma lalo nei.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha a wela paha i ka wā e mimi ai (dysuria) | Uē ke keiki a ʻōlelo paha "ʻeha" i ka wā e mimi ana . |
| Pono pinepine e mimi | ʻOi aku ka pinepine o ka mimi ʻana ma mua o ka maʻamauKe piʻi nei ke kaumaha. |
| He kahe mimi lahilahi a wikiwiki hoʻi | He haiki loa ka urethra . I kekahi manawa e kahe koke ana. |
| Ka hoʻōki ʻana o ka mimi a i ʻole ka nalowale o ke kaohi | ʻAʻole pololei ka urethra , akā, i luna a i ʻaoʻao. He mea paʻakikī ke kuhikuhi pono. |
| ʻAʻole e hoʻokahe loa ka ʻōpū mimi | ʻOiai ma hope o ka mimi ʻana , manaʻo ʻia he mimi nō i koe. |
| Ke kahe ʻana o kahi kulu koko (hematuria) | Ma hope o kou pau ʻana i ka mimi ʻana , e ʻike paha ʻoe i kahi kulu o ke koko ma ka piko o kāu penis. |
He aha nā kumu o ke ʻano o ka "Metal Stenosis"?
Ua ʻike ʻia ke ʻoki poepoe ʻana ʻo ia ke kumu nui a me ka mea maʻamau o kēia maʻi. Kākaʻikahi kēia ʻano i ka wā e ʻoki poepoe ʻia ai ke keiki.
Ma hope o ke ʻoki poepoe ʻana, hamo pinepine ka piko o ka penis i ka diaper a i ʻole ka ʻili e puni ana, e pehu ai ka ʻāpana a lilo i ʻeha, a e hāiki paha ka puka i kona ho'ōla ʻana.
Eia kekahi, aia paha nā kumu ʻē aʻe.
- Nā diapers i hoʻoluhi ʻia e ka mimi : Hiki i nā mea e like me ka uric acid a me ka ammonia i loko o ka mimi ke hōʻiliʻili ma luna o ka diaper a hoʻoulu i ka mumū ke pili ia me ka piko o ka penis.
- Ka hoʻohana ʻana i nā catheters: Inā pono ʻoe e hoʻopaʻa i nā catheters urinary no ka manawa lōʻihi.
- ʻO nā hana ʻoki ʻē aʻe: ʻO ke ʻoki ʻana a i ʻole ka hoʻāʻo ʻana e pili ana i ka hoʻokomo ʻana i kahi mea hana ma o ka urethra.
He aha ka mea e hana ʻia inā ʻaʻole ia e mālama ʻia?
Aia nā manaʻo like ʻole ma waena o nā kauka e pili ana i kēia. Manaʻo kekahi mau kauka inā ʻaʻole mālama ʻia kēia maʻi,
- Hiki ke loaʻa nā maʻi ʻaʻai mimi (UTI).
- Hiki ke hoʻopilikia ʻia nā puʻupaʻa.
- Hiki ke hana ʻia ka mimi ʻana me ka makemake ʻole.
Eia nō naʻe, manaʻo kekahi mau kauka ʻē aʻe ʻaʻole i hoʻokumu wale ʻia kēia mau pilikia e ka 'meatal stenosis'. No laila, ke paipai nei lākou i ke ʻoki ʻana ʻaʻole wale no ka mea he haiki ka lua, akā inā wale nō e kū mai nā pilikia i ʻōlelo ʻia ma luna.
No laila, inā loaʻa i kāu keiki kēia maʻi, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu kauka a hoʻoholo i ka mea kūpono loa nona.
Pehea e ʻike ai ke kauka i kēia?
Hiki i ke kauka ke ʻike i kēia maʻi i ka wā o ka hoʻokolokolo kino ʻana o ke keiki. I loko o kēia hoʻokolokolo ʻana, e hana ʻia nā hana aʻe:
- Ke ana ʻana i ka laulā o ka puka: E nānā ke kauka i ka laulā o ka puka ma ka piko o ka penis. Akā e hoʻomanaʻo, ʻaʻole like ka puka o kēlā me kēia kanaka, a he ʻano haiki iki paha ka puka o kāu keiki kāne. No laila e noʻonoʻo ke kauka i kēia mau mea a pau ma mua o ka hoʻoholo ʻana.
- Ke nīnau ʻana i nā nīnau: E nīnau ʻia ʻoe e pili ana i nā mea e like me ke ʻano o ka mimi ʻana o ke keiki, kahi e hele ai ka mimi , a inā paha e liki ana.
- Nānā: Inā he keiki liʻiliʻi, hiki i ke kauka ke nānā i ke keiki i ko lākou mimi ʻana e ʻike inā e hele pololei ana ke ala mimi a i ʻole e kahe ana.
- Ke ana ʻana i ka nui o ke kahe o ka mimi : I kekahi manawa, hiki ke ana ʻia ka nui o ke kahe o ka mimi me kahi hāmeʻa kūikawā.
He aha nā lāʻau lapaʻau no kēia?
Aia kekahi mau lāʻau lapaʻau no kēia maʻi.
1. ʻO ke ʻoki ʻana i ka ʻiʻo: ʻO kēia ka lāʻau lapaʻau maikaʻi loa a holomua loa i ka hapa nui o nā hihia. He ʻoki liʻiliʻi maʻalahi loa kēia. ʻO ka mea i hana ʻia ma ʻaneʻi, ʻo ia ke ʻoki ʻana i kahi ʻāpana liʻiliʻi o ka lua i haiki a hoʻonui iā ia. He holomua loa kēia ʻoki ʻana, a he haʻahaʻa loa ka manawa e hoʻi hou ai kēia maʻi.
2. Kirimina Steroid: I kekahi mau hihia, hiki i kahi kirimina corticosteroid topical i hoʻopili ʻia ma ka piko o ka penis ke kōkua i ka mālama ʻana i kēia kūlana. Pono paha e hoʻopili ʻia kēia i ʻelua manawa i ka lā no kahi o ʻekolu mahina.
3. Hoʻonui: ʻO kekahi ʻano hana, ʻo ia ka hoʻonui ʻana i ka lua ma ke kīkoʻo ʻana me kahi mea hana kūikawā. Eia nō naʻe, hiki i kēia ʻano hana ke haehae i ka ʻili a hana i nā ʻōpala. ʻAʻole hoʻohana nui ʻia kēia ʻano hana no ka mea hiki i ka ʻiʻo ʻōpala ke hoʻolilo i ka lua i ʻoi aku ka liʻiliʻi ma mua o ka wā ma mua.
He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?
Ma hope o kahi 'meatotomy', e hoʻomaka ke keiki e ʻoluʻolu i loko o kekahi mau lā. Inā he ʻeha, hiki i nā mea hoʻomaha ʻeha a me nā ʻauʻau mahana ke hāʻawi i ka hōʻoluʻolu. ʻAʻole pinepine ke kahe koko. Inā he koko iki, ʻo ke kaomi mālie ʻana i ka wahi me kahi lole maʻemaʻe e hoʻōki i ke kahe koko. ʻO ka hoʻopili ʻana i kahi poni i ʻōlelo ʻia e ke kauka, e like me Vaseline®, ʻelua i ka lā no kekahi mau pule e kōkua i ka ʻeha e ho'ōla koke.
Hiki ke pale ʻia kēia kūlana?
ʻAʻohe ala e pale aku ai i ka stenosis mitral congenital.
I ka hapanui o nā hihia, hiki mai kēia ʻano ma hope o ke ʻoki poepoe ʻana, a hiki ke pale ʻia ma ka hana ʻole ʻana pēlā. Eia nō naʻe, ʻo ka ʻoki poepoe ʻana a i ʻole ka ʻoki poepoe ʻana e pili ana i nā manaʻo pilikino, hoʻomana, a me nā moʻomeheu. He mea nui hoʻi e hoʻomanaʻo ʻo ka ʻoki poepoe ʻole ʻana e hoʻonui iki i ka pilikia o nā maʻi ʻē aʻe, e like me nā maʻi i laha ma ke ʻano moekolohe (STI) a me ke kanesa penile.
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka e pili ana i kēia, e hoʻomaopopo i nā pōmaikaʻi a me nā pōʻino, a hoʻoholo.
Inā ua ʻoki poepoe ʻia kāu keiki, ʻo ka hoʻopili mau ʻana i ka ʻaila poni i ʻōlelo ʻia e kāu kauka ma ka piko o ka penis ma hope e hiki ke kōkua i ka pale ʻana i kēia maʻi i kekahi ʻano.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa i kāu keiki a i ʻole ʻoe kekahi o kēia mau mea, e ʻike koke i ke kauka. Mai noho ma ka home a hoʻokolohua.
| Manawa kūpono | Wehewehena |
|---|---|
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike i kāu kauka. | |
| Paʻakikī ke mimi | Inā ʻaʻole hiki i ke keiki ke mimi maʻalahi a i ʻole he paʻakikī iā ia ke hana pēlā. |
| Inā ʻaʻole hiki iā ʻoe ke mimi iki | ʻOiai inā he kahe nui o ka mimi , ʻaʻole liʻiliʻi kahi mimi e puka mai ana. |
| ʻEha | Inā ʻoe e kamaʻilio ana e pili ana i ka ʻeha a i ʻole ke kuni ʻana i ka wā e mimi ai . |
| Inā loaʻa kēia mau hōʻailona ma hope o kahi meatotomy, e hele koke i ka ETU. | |
| kuni | Inā he 38 kekelē Celsius (100 Fahrenheit) a ʻoi aku paha ke kuni. |
| Kahe nui ʻana o ke koko | Inā ʻoe e kahe ana ke koko me ka hiki ʻole ke hoʻōki. |
| Hoʻonui ʻia ka ʻeha | Inā e ʻoi aku ka ʻino o ka ʻeha ma kahi o ka emi ʻana. |
| Ka luaʻi ʻana | Inā ʻoe e luaʻi ma mua o ʻekolu manawa i ka lā. |
| Paʻakikī hou ka mimi ʻana | Inā pilikia mau ʻoe i ka mimi ʻana ma hope o ke ʻoki kino. |
| Ua maloʻo ka diaper. | Inā ʻaʻole i hiamoe pulu ke keiki liʻiliʻi no kekahi mau hola (ua maloʻo paha lākou). |
Leka Lawe-Home
- ʻO ka 'stenosis metala' ka haiki ʻana o ka puka ma ka piko o ka penis i nā keikikāne. He kūlana maʻamau kēia.
- ʻO nā hōʻailona nui o ka mimi , ka ʻeha, a me ka hoʻomau ʻana o ka mimi .
- ʻO ke kumu maʻamau o kēia, ʻo ia ka mumū ma hope o ke ʻoki poepoe ʻana.
- He maʻalahi loa ke ʻoki kino, i kapa ʻia he meatotomy, holomua, a palekana hoʻi.
- Inā ʻike ʻoe i kēia mau hōʻailona i kāu keiki, mai hopohopo. Eia nō naʻe, e ʻoluʻolu e nīnau i kahi kauka keiki a kauka ʻoki paha no ka ʻōlelo aʻo.
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