Ke pilikia nei kāu keiki liʻiliʻi i ka mimi? E kamaʻilio kākou e pili ana i kēia ʻoki kino (Meatoplasty/Meatotomy)

Ua ʻike anei ʻoe i kekahi mea ʻē i ka wā e mimi ai kāu keiki liʻiliʻi? Malia paha ʻaʻole pololei ka mimi , akā, kahe mai kēlā ʻaoʻao a i kēia ʻaoʻao, a i ʻole he ʻeha paha ia i ka wā e mimi ai ? He mea maʻamau no ka makua ke makaʻu iki i ka wā e ʻike ai lākou i kēia mau mea. Akā, mai hopohopo. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi maʻi i kapa ʻia ʻo 'Meatal Stenosis' hiki ke hana i kēia a me kahi ʻoki liʻiliʻi e mālama ai.

I ka ʻōlelo maʻalahi, he aha ka Meatoplasty?

He hana ʻoki kino ka Meatoplasty e hoʻonui ai i ka urethral meatus, ka puka ma ka piko o ka penis o ke keikikāne. Aia kēia puka ma ka hopena o ka urethra. Puka mai ka mimi mai loko mai o kēia puka.

Akā ua lohe paha ʻoe i ka meatotomy. Ua like loa nā mea ʻelua. I loko o ka meatoplasty, hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi ma ka piko o ka penis a hoʻololi hou i ka puka, i kekahi manawa me nā humuhumu. He mea maʻalahi iki ka meatotomy. Hoʻonui wale ia i ka puka, a i ka hapa nui o nā hihia, ʻaʻohe humuhumu i hoʻohana ʻia. Eia nō naʻe, hoʻohana ka poʻe he nui i kēia mau huaʻōlelo ʻelua me ke ʻano like.

He aha ke kumu o kēia ʻoki kino? (Meatal Stenosis)

Hana nui ʻia kēia ʻoki kino no ka mālama ʻana i kahi maʻi i kapa ʻia ʻo meatal stenosis, he puka haiki loa ia ma ka urethra. Hiki ke hānau ʻia kēia i kekahi mau keiki. Eia nō naʻe, ulu pinepine ia ma waena o nā makahiki 3 a me 7. He mea maʻamau ia i nā keikikāne i ʻoki poepoe ʻia.

Inā kānalua ʻoe ua loaʻa i kāu keiki kāne kēia maʻi, e hopohopo iki e pili ana i kēia mau hōʻailona.

Eia kekahi, hana ʻia kēia ʻoki kino i kekahi manawa ma nā keiki me kahi ʻano kīnā hānau iki i kapa ʻia ʻo hypospadias.

No ke aha e hāiki ai ka puka o ka urethra penei?

ʻO ke kumu nui o kēia, ʻo ia nā ʻeha liʻiliʻi a me nā ʻōpala e hana ʻia ma ka piko o ka penis. Aia kekahi mau kumu kūpono no kēia:

• ʻOkipoepoe ʻana: ʻO nā ʻeha liʻiliʻi e kū mai ana ma hope o ke ʻoki ʻana e wehe ai i ka ʻili mua o ka penis.
• ʻŌhūhū diaper: E noʻonoʻo, i ka wā e ʻaʻahu ana kahi pēpē i ka diaper, e hamo mau ana ka piko o kāna penis i ka diaper. Hiki i nā ʻeha liʻiliʻi i hana ʻia e kēia hamo ʻana ke lilo i mau ʻōpala.
• Ka hoʻohana ʻana i nā catheters urinary: Inā waiho ʻia kahi catheter urinary no ka manawa lōʻihi ma muli o kahi maʻi, hiki i kēlā ke kumu.

Pehea ʻoe e hoʻomākaukau ai ma mua o ke ʻoki kino?

ʻO ka mea mua, pono ʻoe e lawe i kāu keiki i ke kauka. E nānā ke kauka i ke olakino holoʻokoʻa o ke keiki. Eia kekahi,

• Hiki iā ʻoe ke nānā i ka penis a kāu keiki kāne a ana i ka laulā o ka puka urethral.
• Nīnau lākou iā ʻoe. Eia kekahi laʻana, nā mea e like me ke ala e hele ai ka mimi a inā paha e mimi ana.
• Hiki paha iā ʻoe ke nānā i ke keiki e mimi a ana i ka nui o ke kahe ʻana.

Ma ke ʻano he makua, he mea nui loa iā ʻoe ke noho mālie. ʻOiai inā ʻaʻole hiki i kāu mau keiki ke hoʻomaopopo i kāu mau ʻōlelo, hiki iā lākou ke ʻike i kāu ʻano a me kou helehelena. Inā ʻoe e noho mālie, ʻaʻole e makaʻu kāu keiki.

Pehea e hana ʻia ai ke ʻoki kino?

He hana maʻalahi loa kēia ʻaʻole i hala ma mua o hoʻokahi hola.

1. Ka Māʻū a me ka Anesthesia: ʻO ka mua, hoʻomaʻemaʻe ke kahu maʻi i ka penis o ke keikikāne a kau i kahi kirīmi māʻū. A laila, hoʻomoe loa ke kauka anesthesiology i ke keikikāne. No laila, ʻaʻole ʻeha ke keikikāne i ka wā o ke ʻoki ʻana.

2. ʻOki kino: Ma hope o ka hiamoe maikaʻi ʻana o ke keiki, hana ke kauka ʻoki kino (Pediatric Urologist) i kahi ʻoki liʻiliʻi ʻano 'V' ma lalo o ka penis, ma lalo o ka puka urethral, ​​e hoʻonui i ka puka.

3. Nā humuhumu a i ʻole ke kāpili: Ma hope o kēlā, hoʻohana ʻia kahi ʻano kāpili ʻokiʻoki kūikawā a i ʻole nā ​​humuhumu hiki ke hoʻoheheʻe ʻia e ho'ōla i ka ʻeha.

Ma hope o kēia ʻoki kino, hiki i ke keiki ke hoʻi i ka home i ka lā hoʻokahi. Ma hope o ke ala ʻana o ke keiki, mālama pono nā kahu maʻi iā ia.

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

He mea nui loa ka pule mua ma hope o ke ʻoki ʻana. E hāʻawi i kāu keiki i kahi hoʻomaha. Hiki iā ia ke hiamoe hou aku ma mua o ka maʻamau, kahi e kōkua ai iā ia e hoʻōla.

• ʻEha: Aia paha kekahi ʻā a ʻeha paha i ka wā e mimi ai no hoʻokahi a ʻelua paha pule. Hiki iā ʻoe ke lawe i kahi lāʻau hoʻopau ʻeha e like me Paracetamol e like me ke kauoha a kāu kauka.
• ʻAila poni: E kau i kahi ʻaila poni antiseptic a i ʻole kekahi mea e like me Vaseline i kuhikuhi ʻia e kāu kauka ma ka piko o ka penis ma kahi o ʻekolu manawa i ka lā.
• Maʻemaʻe: E hoʻololi pinepine i nā diaper o kāu pēpē. Inā hiki, e waiho i kāu pēpē me ka ʻole o nā diaper no kekahi mau hola i ka lā. I ka ʻauʻau ʻana i kāu pēpē, e holoi mālie i ka wahi me ke kopa a me ka wai, a pā mālie a maloʻo.
• Pāʻani: E pale i nā mea pāʻani e koi ai iā ʻoe e hoʻoluliluli i kou mau wāwae mai kēlā ʻaoʻao a i kēia ʻaoʻao, e like me nā paikikala, nā lio lūlū, a me nā luliluli, no hoʻokahi pule. ʻOi aku ka maikaʻi o ka kaupalena ʻana i ka holo a me ka lele ʻana o kāu keiki i kekahi mau pāʻani.

Nā kūlana pilikia a me ka wā e hele koke ai i ka haukapila

ʻOiai he kaʻina hana palekana loa kēia, aia kekahi mau pilikia me kekahi ʻoki kino. He mea kākaʻikahi loa ke kahe ʻana o ke koko, ka maʻi, a me ka ʻeha.

Eia nō naʻe, inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e lawe koke i kāu keiki i ka ʻOihana Pilikia kokoke loa (ETU).