ʻAʻole i iho mai nā testicles o kāu keiki kāne? E kamaʻilio kākou e pili ana i ke ʻoki ʻana o Orchiopexy!

Ua ʻike anei ʻoe ʻaʻole kekahi o nā testicles o kāu keiki kāne liʻiliʻi i loko o ka scrotum? A i ʻole ke hoʻopiʻi koke nei kāu keiki kāne i ka ʻeha nui i loko o nā testicles? I kēia lā e kamaʻilio mākou e pili ana i kahi ʻoki kino koʻikoʻi e kōkua i nā hihia ʻelua. Mai makaʻu e lohe i kēia. He ʻoki kino maʻamau a holomua kēia.

I ka ʻōlelo maʻalahi, he aha ka Orchiopexy?

He hana ʻoki kino ʻo Orchiopexy (i kapa ʻia ʻo 'o-kee-yo-pek-see'). Hana ia i ʻelua mau mea nui. ʻO kekahi, ʻo ke ʻoki kino ʻana i nā testicles, i hānau ʻia i loko o ka ʻōpū, i loko o ka scrotum, inā ʻaʻole lākou ma kahi kūpono. ʻO kekahi, ʻo ia ka hoʻoponopono ʻana i kahi testicular torsion, ʻo ia hoʻi ka wili ʻana o ke kīʻaha koko e hoʻolako ana i ka testicle, a e hoʻopili hou i ka testicle mai loko mai o ka scrotum.

I kekahi manawa, i ka manawa like me kēia ʻoki kino, e hoʻoponopono nā kauka i kahi hernia inā he hoʻokahi, a inā pono, hiki iā lākou ke hoʻokomo i kahi prosthesis testicular. Ua kapa ʻia kēia ʻoki kino ʻo 'Orchidopaxy'.

I nā hihia hea e pono ai kēia ʻoki kino?

E like me kā mākou i kūkākūkā ai ma mua, hoʻohana nui ʻia ke ʻoki ʻana o Orchiopexy e mālama i ʻelua mau maʻi. E hoʻomaopopo pono kākou i kēia mau maʻi ʻelua.

ʻO ka makahiki hea ka maikaʻi loa e hana ai i ke ʻoki kino?

Hoʻoholo ʻia kēia e ke kūlana o ka mea maʻi.

• No nā testicles i iho ʻole: Inā ʻaʻole i iho kekahi o nā testicles o kāu keiki kāne, kali pinepine nā kauka ma kahi o 6 mau mahina e ʻike ai inā e iho ia ma kāna iho. Inā ʻaʻole, ua ʻōlelo ʻia e hana i kēia ʻoki ma waena o 6 a me 24 mau mahina (2 mau makahiki) . ʻO ka hana ʻoki i loko o kēia manawa hiki ke hōʻemi i ka pilikia o ka hānau ʻole ʻana a me ke kanesa testicular i ka wā e hiki mai ana.

• No ka Testicular Torsion: ʻAʻohe palena makahiki no kēia. He pilikia kēia. Pono ʻoe e hele i ka Emergency Department (ETU) o ka haukapila i ka wā hikiwawe ma hope o ka hoʻomaka ʻana o ka ʻeha. Inā ʻaʻole i hana ʻia ke ʻoki ʻana i loko o 6 mau hola a ʻaʻole hoʻi i hoʻihoʻi ʻia ke kahe koko, ua hōʻino ʻia paha ka testicle a pono paha e wehe ʻia. No laila, inā ʻike ʻoe i kēia ʻano ʻeha, mai hoʻokaʻulua iki.

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

Ke hoʻonohonoho ʻia kāu keiki no kahi orchiopexy, e hāʻawi kāu kauka iā ʻoe i nā kuhikuhi āpau āu e pono ai. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi e hōʻemi i nā pilikia.

• Mai hāʻawi i ka meaʻai paʻa 8 mau hola ma mua o ke ʻoki kino .
• E hoʻōki i ka hāʻawi ʻana i ka waiū pauka a i ʻole ka waiū bipi 6 mau hola ma mua o ke ʻoki kino .
• E hoʻōki i ka hānai waiū i 4 mau hola ma mua o ke ʻoki kino .
• E hoʻōki i ka hāʻawi ʻana i nā wai maopopo e like me ka wai a me ka wai huaʻai 2 mau hola ma mua o ke ʻoki ʻana .
• I ka lā ma mua o ke ʻoki kino a me ke kakahiaka o ke ʻoki kino, e holoi a mālama i ka ʻōpū o ke keiki a me ka ʻāpana ʻūhā i maʻemaʻe.

Inā ʻoe e hana ʻoki kino ulia pōpilikia ma muli o ka torsion testicular, ʻaʻohe ou manawa e hoʻomākaukau ai e like me kēia. Mai poina e haʻi i kāu kauka e pili ana i nā lāʻau lapaʻau āu e lawe nei i kēlā manawa.

He aha ka mea e hana ʻia i ka wā o ke ʻoki kino?

Hana ʻia kēia ʻoki kino e kahi hui o nā loea pediatric, me ke kauka ʻoki keiki a i ʻole ka urologist pediatric, kahi anesthesiologist pediatric, a me kahi limahana kahu maʻi pediatric.

ʻO ke ʻoki kino no kahi testicle i iho ʻole

1. ʻO ka mea mua, hāʻawi ʻia ke keiki i ka anesthesia laulā . ʻO ke ʻano kēia ua hiamoe maikaʻi ke keiki i ka wā o ke ʻoki kino. ʻAʻole ʻo ia e manaʻo a hoʻomanaʻo paha i kekahi mea.

2. A laila e hana ke kauka i kahi ʻoki liʻiliʻi ma ka ʻūhā a i ʻole ka scrotum o ke pēpē.

3. Ma o ia mea, loaʻa ka testicle i iho ʻole i lalo a me ke kīʻaha koko (kaula spermatic) i pili iā ia.

4. Nānā ʻia ka testicle. Inā ʻaʻole maikaʻi kona olakino, pono paha e wehe ʻia a hoʻololi ʻia me kahi mea hana (prosthesis).

5. Hana ʻia kahi hakahaka liʻiliʻi (ʻeke Dartos) i loko o ka scrotum e paʻa ai ka testicle.

6. A laila, lawe mālie ʻia ka testicle i loko o kēlā hakahaka a hoʻopaʻa ʻia me nā humuhumu hoʻoheheʻe .

7. ʻO ka hope loa, ua pani ʻia nā ʻoki a ua hoʻopili ʻia kekahi ʻano ke kāpili a i ʻole nā ​​​​kāʻei.

ʻO ke ʻoki kino no ka Testicular Torsion

1. Hana ke kauka ʻoki i kahi ʻoki ma ka scrotum.

2. Hoʻopololei ʻia ke kaula spermatic i wili ʻia a nānā ʻia ka testicle.

3. Inā olakino ka testicle (ua hoʻi ke kahe o ke koko), ua hoʻopaʻa ʻia i loko o ka ʻeke e pale aku ai i kona wili hou ʻana.

4. Inā ʻaʻole olakino ka testicle (inā ua oki ke kahe koko no ka manawa lōʻihi), pono e wehe ʻia. Inā pono, hiki ke hoʻokomo ʻia kahi mea hana ma kona wahi.

5. Ua pani ʻia ka ʻoki me nā humuhumu hiki ke hoʻoheheʻe ʻia a ua hoʻopili ʻia kahi plaster.

ʻO ka maʻamau, ma kahi o hoʻokahi hola ka lōʻihi o kēia ʻoki kino.

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

Ma hope o ke ʻoki ʻana, e hoʻoneʻe ʻia ke keiki i kahi lumi hoʻōla. Ma laila, e nānā nā limahana lapaʻau i ke kūlana o ke keiki no ʻelua hola. He hana maʻamau kēia no ka poʻe ma waho o ka haukapila, ʻo ia hoʻi, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila. No laila, inā holo pono nā mea āpau, hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi.

He aha nā pōmaikaʻi o kēia ʻoki kino?

• Nā pono olakino: Hiki i kēia ʻoki kino ke pale i ka hānau ʻole ʻana o ke keiki i ka wā e hiki mai ana. Eia kekahi, ʻo ka loaʻa ʻana o nā testicles i ke kūlana kūpono e maʻalahi ai ka nānā pono ʻana no ke kanesa testicular i ka wā e makua ai ke keiki.
• Hoʻemi ʻia ka pilikia o ka ʻeha: Ke waiho ʻia kahi testicle ma kahi e like me ka ʻūhā, ʻoi aku ka nui o ka manawa e ʻeha ai mai ka paʻa ʻana i ke kāʻei noho a i ʻole nā ​​​​lole paʻa i ka wā e pāʻani ana i nā haʻuki. Nalo kēia pilikia ma hope o ke ʻoki ʻana.
• Palekana: He ʻoki palekana ʻo Orchiopexy me nā pilikia liʻiliʻi.

Aia kekahi mau pilikia i loko o kēia?

E like me nā ʻoki kino āpau, aia kekahi mau pilikia e pili ana, akā he mea kakaikahi loa kēia.

• Nā hopena maikaʻi ʻole i ka anesthesia
• Maʻi
• Hematoma (ʻūpū koko) ma ka ʻeha
• Ka pehu ʻana a me ka palapū
• Ka ʻeha

He mea kākaʻikahi loa, hiki i ka testicle ke neʻe hou i luna (reascending testicle) ma hope o ke ʻoki ʻana. Inā hana ʻia kēia, pono ʻia kekahi ʻoki ʻē aʻe.

Pehea e mālama ai iā ʻoe iho ma hope o ke ʻoki kino ma ka home?

Hiki i ke keiki ke manaʻo i kekahi ʻeha a ʻoluʻolu ʻole paha no kekahi mau lā ma hope o ke ʻoki ʻana. E nalowale nā ​​humuhumu ma kahi o ʻelua pule. Hiki i ke keiki ke manaʻo i ka luhi iki no kekahi mau lā ma muli o ka anesthesia a hiki ke hiamoe ma mua o ka makaʻala. Hiki nō hoʻi ke luaʻi i ka lā mua.

I ka mālama ʻana i kāu keiki, e hoʻomanaʻo i kēia mau mea:

• Ka mālama ʻeha: Inā ʻeha kāu keiki , e noi i kāu kauka a hāʻawi iā ia i kahi lāʻau hoʻomaha ʻeha e like me Acetaminophen (Panadol) a i ʻole Ibuprofen (Bruffen) ma ka nui āna i ʻōlelo ai .
• Hau: ʻO ke kau ʻana i kahi ʻeke hau i wahī ʻia i kahi lole maʻemaʻe i ka ʻeha no 10-20 mau minuke ʻehā manawa i ka lā hiki ke kōkua i ka hōʻemi ʻana i ka pehu, ka palapū, a me ka ʻeha.
• Meaʻai: E hāʻawi i nā meaʻai māmā a wai hoʻi e like me ka wai, ka sopa, ka porridge, ka yogurt, a me ka laiki i loko o nā hola 24 mua.
• Ka Palena Hana: He mea nui loa kēia. No ʻelua pule ma hope o ke ʻoki ʻana, pono e pale loa ʻia kāu keiki mai ka holo ʻana, ka lele ʻana, ka holo paikikala ʻana, a i ʻole ka noho ʻana ma luna o nā mea pāʻani e like me nā lio lūlū. ʻO ka hana ʻana i kēia mau mea hiki ke hōʻino i nā humuhumu.
• Ka mālama ʻana i ka ʻeha maʻemaʻe: I mea e pale ai i ka maʻi, e mālama i ka ʻeha a me ka wahi a puni e like me ka hiki. E holoi mau i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻopā ʻana i ka ʻeha o kāu keiki. E nīnau i kāu kauka e pili ana i ka ʻauʻau ʻana i kāu keiki.

Hiki i ka hapa nui o nā keiki ke hoʻi i ke kula a i ʻole ka mālama keiki i loko o ʻekolu a ʻelima mau lā.

Āhea ʻoe e makemake ai e ʻike hou i ke kauka?

E noi aku kāu kauka iā ʻoe e hoʻi mai ma kahi o ʻelua pule ma hope o kāu ʻoki kino. Eia kekahi, inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona, ​​​​pono ʻoe e kāhea koke i kāu kauka.

He mea maʻamau i kekahi ke makaʻu i ka lohe ʻana e pili ana i ke ʻoki ʻana no kā lākou keiki. Akā hiki iā ʻoe ke hilinaʻi he hana palekana a pōkole ka orchiopexy me nā hopena holomua loa. Inā he mau nīnau a hopohopo paha kāu, e kamaʻilio ākea me kāu kauka.