Ke hoʻomaka koke nei kāu keiki liʻiliʻi e uē i ka wā e mimi ai ? A i ʻole ua manaʻo paha ʻoe e like me ka ʻeha i ka wā e mimi ana ? Ua ʻike anei ʻoe i kekahi manawa ʻaʻole pololei ka mimi , akā, ke kahe nei ma ke ʻano ʻē? He mea maʻamau i ka makua ke makaʻu iki i ka wā e ʻike ai lākou i kahi mea e like me kēia. Akā, mai hopohopo. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi i ʻike ʻole ʻia e ka poʻe he nui, akā he mea maʻamau ia i waena o nā keiki.
I ka ʻōlelo maʻalahi, he aha ka Meatal Stenosis?
He mea paʻakikī iki paha ke kani ʻana o ka inoa, akā he maʻalahi loa ke ʻano. ʻO ka Meatal Stenosis kahi kūlana kahi e emi ai ka puka ma ka piko o ka penis o ke kāne a i ʻole ke keiki kāne (ka mea a mākou e kapa nei ma ke ʻano lapaʻau he meatus) kahi e puka mai ai ka mimi ma mua o ka maʻamau. ʻO ke ʻano o ka huaʻōlelo "stenosis" ʻo ia hoʻi "ka haiki ʻana."
Hiki i kēia maʻi ke hānau ʻia i kekahi manawa, akā ʻike pinepine ʻia ma hope koke iho o ka hānau ʻana o ke keiki, ʻoiai ma waena o nā makahiki 3 a me 7 .
He mea kākaʻikahi loa kēia ʻano i nā kāne makua. Ke hana ʻia, hiki ke hana ʻia e ke ʻoki ʻana ma ka urethra, ke kau ʻana o kahi mea hana (e like me ka catheter lōʻihi), a i ʻole kekahi mau ʻano ʻili.
Ma ka honua holoʻokoʻa, ua manaʻo ʻia aia ma waena o 8% a me 10% o nā kāne i loaʻa i ka Meatal Stenosis.
He aha nā hōʻailona o kēia maʻi?
ʻO ka hōʻailona nui, ʻo ia ka puka ma ka piko o ka penis e ʻike ʻia he haiki. ʻO kēia haiki ke kumu o ke ālai ʻana i ke kahe o ka mimi . A laila hiki iā ʻoe ke ʻike i hoʻokahi a ʻoi aku paha o nā hōʻailona ma lalo nei. E nānā kākou i kēia mau mea ma kahi papa.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| ʻEha a wela paha (Dysuria) | Uē ke keiki i ka wā e mimi ana , a ʻōlelo paha he ʻeha a he wela paha. |
| Hoʻoikaika i ka Incontinence | Ua manaʻo koke au i ka makemake nui e mimi , a i kekahi manawa ʻaʻole hiki iaʻu ke hoʻōki. |
| Mimi pinepine | Pono e mimi pinepine ma mua o ka maʻamau. |
| Nā loli o ke ala mimi | Lahilahi loa ke kahe o ka mimi , a kahe wikiwiki paha. I kekahi manawa, ʻaʻole ia e hele pololei a ninini i waho (pinepine i luna) . |
| ʻAʻole e hoʻokahe loa ka ʻōpū mimi | Manaʻo e like me he mimi lā ke koe nei ma hope o kou pau ʻana o ka mimi ʻana . |
| Ke ʻike ʻana i kahi kulu koko (Hematuria) | ʻIke ʻia kahi kulu koko ma ka piko o ka penis ma hope o ka mimi ʻana . |
E noʻonoʻo, inā ʻoe e ʻomi iki i ka waha o kahi paipu wai, e pīpī koke ka wai i waho, ʻeā? Pēlā nō hoʻi ka mea e hana ʻia ma ʻaneʻi. No ka mea, he haiki ka lua, ʻaʻohe wahi lawa no ka mimi e puka mai ai, a hoʻomaka ia e pīpī i waho.
No ke aha lā e kū mai ai kēia kūlana?
ʻO ke kumu nui a me ke kumu maʻamau o ka Meatal Stenosis i nā keiki ʻōpio, ʻo ia ke ʻoki poepoe ʻana . He mea kākaʻikahi loa kēia ʻano i nā keiki ʻoki poepoe ʻole ʻia.
Aia kekahi mau kumu ʻē aʻe e hiki ai ke hana ʻia kēia ma hope o ka ʻoki ʻana:
- ʻO ka pehu ʻana a i ʻole ka ʻeha ma ka piko o ka penis: Ma hope o ke ʻoki poepoe ʻana, hamo pololei ka piko o ka penis i ka diaper. Hiki i kēia friction ke hoʻoulu i ka ʻili palupalu e pehu, lilo i ʻulaʻula, a loaʻa nā ʻeha liʻiliʻi. I ka wā e ho'ōla ai kēia mau ʻeha, hiki i ka puka ke haiki i kekahi manawa.
- Nā diaper i hoʻomoʻa ʻia i ka mimi : Loaʻa i ka mimi nā huahana ʻōpala i kapa ʻia ʻo ka uric acid a me ka ammonia. Hiki i kēia mau mea ke hōʻiliʻili i loko o ka diaper a, inā waiho ʻia e pili ana i ka piko o ka penis no ka manawa lōʻihi, e hōʻino i ka ʻili palupalu, e hoʻoulu ai i ka pehu a me ka haiki o ka puka.
- Ka hoʻohana lōʻihi ʻana o nā catheters urinary: Hiki ke hoʻohaiki ʻia kēia puka i nā poʻe i loaʻa kahi catheter urinary no ka manawa lōʻihi ma muli o kahi maʻi.
- ʻO nā ʻokiʻoki a i ʻole nā hoʻokolohua ʻē aʻe: Hiki ke hana ʻia kēia ʻano e nā ʻokiʻoki a i ʻole nā hoʻokolohua e hoʻokomo i nā mea hana ma o ka urethra.
He aha ka mea e hiki ke hana inā ʻaʻole mālama ʻia?
He nīnau kēia a nā mākua he nui. Aia nā manaʻo like ʻole ma waena o nā kauka e pili ana i ka mea e hiki ke hana inā ʻaʻole mālama ʻia ka Meatal Stenosis. Manaʻo kekahi mau kauka e hiki i kēia kūlana ke alakaʻi i nā pilikia penei:
- Nā Maʻi ʻAla Mimi (UTI)
- Nā pilikia puʻupaʻa
- Mimi ʻole ʻia
Eia nō naʻe, manaʻo kekahi mau kauka ʻē aʻe ʻaʻole i hoʻokumu ʻia kēia mau pilikia e ka Meatal Stenosis wale nō. No laila, ke paipai nei lākou ʻoiai inā he haiki ka lua, ʻaʻole pono ke ʻoki ʻana inā ʻaʻole ke keiki e ʻike nei i kekahi ʻeha a i ʻole nā pilikia.
No laila, inā loaʻa kēia maʻi i kāu keiki, he mea nui e kamaʻilio ākea me kāu kauka e pili ana i ka mālama ʻana a i ʻole ka mālama ʻole ʻana, a me ka mea e hana ʻia inā ʻaʻole mālama ʻia, e hana i ka hoʻoholo maikaʻi loa.
Pehea e ʻike ai ke kauka i kēia?
Hiki i ke kauka ke ʻike maʻalahi inā loaʻa i kahi keiki kēia maʻi ma ka hana ʻana i kahi hoʻokolokolo kino. I loko o kēia hoʻokolokolo ʻana, e hana ke kauka i kēia mau mea:
- Ke ana ʻana i ka laulā o ka lua: Eia naʻe, ʻaʻole like ka nui o kēia lua i nā kānaka a pau. Hiki i kekahi poʻe ke hānau ʻia me kahi lua haiki iki, akā, ʻaʻole ia he manaʻo he Meatal Stenosis ko lākou.
- Nā nīnau e pili ana i ke ʻano o kou mimi ʻana : Nīnau lākou iā ʻoe i nā mea e like me kahi e hele ai kou mimi a inā paha e ninini ʻia.
- Ke nānā ʻana i ke keiki e mimi ana : No nā keiki ʻōpio, hiki i ke kauka ke nānā i ke keiki e mimi ana e hoʻoholo i ke ʻano o ke ala mimi (inā e kahe pololei ana a i ʻole e kahe ana).
- Ke ana ʻana i ka wikiwiki o ke kahe ʻana o ka mimi : I kekahi manawa, hiki ke hoʻohana ʻia kahi mea kūikawā e ana i ka wikiwiki o ke kahe ʻana o ka mimi.
He aha nā lāʻau lapaʻau no kēia?
ʻAʻole ho'ōla ʻia ka Meatal Stenosis ma kāna iho. Pono e mālama ʻia. Aia kekahi mau ʻano lapaʻau nui no kēia.
ʻO ke ʻoki ʻana i ka meatotomy
ʻO kēia ka lāʻau lapaʻau maikaʻi loa a holomua loa i ka hapa nui o nā hihia . ʻAʻole ia he ʻoki kino nui. Pili ia i ka hana ʻana i kahi ʻoki liʻiliʻi a me ka hoʻonui ʻana i ka lua i haiki. He maʻalahi loa ia a he mau minuke wale nō. Haʻahaʻa loa ka manawa e hoʻi hou ai kēia maʻi ma hope o kēia ʻoki kino.
Kirimina Steroid
I kekahi mau hihia, ma kahi o ke ʻoki ʻana, hiki i kāu kauka ke ʻōlelo aku i kahi kirīmi corticosteroid topical i hoʻopili ʻia ma ka piko o kāu penis. Pono paha e hoʻopili ʻia kēia kirīmi ʻelua i ka lā, i kekahi manawa a hiki i ʻekolu mahina.
Hoʻonui
ʻO kekahi lāʻau lapaʻau ʻo ia ka hoʻohana ʻana i kahi mea hana kūikawā e hoʻonui i ka lua. 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 i kēia manawa no ka mea hiki i ka ʻiʻo ʻōpala ke hoʻolilo i ka lua i ʻoi aku ka haiki ma mua o ka wā ma mua.
ʻEhia ka lōʻihi e hoʻōla ai ma hope o ke ʻoki kino?
E hoʻomaka ana ke keiki e ʻoluʻolu i loko o kekahi mau lā ma hope o ke ʻoki meatotomy.
- Hiki iā ʻoe ke hoʻohana i nā painkillers i kauoha ʻia e kāu kauka e hōʻemi i ka ʻeha.
- ʻO ka ʻauʻau ʻana i kāu pēpē i ka wai mehana (nā ʻauʻau mehana) e hōʻemi nui ana i ka ʻeha a me ka ʻoluʻolu ʻole.
- ʻAʻole pinepine ke kahe ʻana o ke koko. Inā he wahi koko iki, ʻo ke kaomi ʻana i ka wahi me kahi lole maʻemaʻe e hoʻōki i ke kahe ʻana o ke koko.
- No ka wikiwiki ʻana i ke kaʻina hana ho'ōla, ʻōlelo ke kauka e hoʻopili i kahi mea poni e like me Vaseline® a i ʻole Aquaphor® ʻelua i ka lā no kekahi mau pule.
Āhea wau e ʻike ai i ke kauka?
Inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o nā hōʻailona ma lalo nei, e ʻike pono i ke kauka.
- Inā pilikia ʻoe i ka mimi ʻana .
- Inā ʻaʻole hiki iā ʻoe ke mimi .
- Inā ʻoe e ʻeha i ka wā e mimi ai .
Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU)?
Inā loaʻa iā ʻoe kekahi o nā hōʻailona ma lalo nei ma hope o kahi meatotomy, e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa i ka hikiwawe loa.
- Inā he 38 kekelē Celsius (100 Fahrenheit) a ʻoi aku paha ke kuni.
- Inā he koko nui , ʻaʻole hiki ke hoʻōki.
- Inā e ʻoi aku ka ʻeha.
- Inā ʻoe e luaʻi ma mua o ʻekolu manawa i ka lā.
- Inā pilikia ʻoe i ka mimi ʻana .
- (Inā he pēpē liʻiliʻi) Inā maloʻo nō ka diaper.
Leka Lawe-Home
- ʻO ka stenosis meatal ka haiki ʻana o ka puka urethral ma ka piko o ka penis i nā keikikāne a me nā kāne.
- He mea maʻamau kēia ʻano i waena o nā keikikāne i ʻoki poepoe ʻia.
- ʻO nā hōʻailona nui o ka mimi ka ʻeha, ka wela, a me ka hoʻōki ʻole o ka mimi .
- Mai hopohopo ke ʻike ʻoe i kēia. Hiki ke ho'ōla loa ʻia me nā lāʻau lapaʻau maʻalahi e like me ka meatotomy.
- Inā kānalua ʻoe ua loaʻa i kāu keiki kēia mau hōʻailona, mai kānalua e nīnau i kahi pediatrician a kauka ʻoki paha no ka ʻōlelo aʻo.
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