Ua iho mai nā testicles o kāu keiki kāne? E aʻo kākou e pili ana i ke ʻoki kino orchiopexy!

Ua ʻike anei ʻoe ʻaʻole i loko o kona scrotum kekahi a i ʻole nā ​​​​pōpō ʻelua o kāu keiki kāne? A i ʻole ke hoʻopiʻi koke nei kāu keiki kāne i ka ʻeha hiki ʻole ke hoʻomanawanui ma ka ʻāpana scrotum? I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻoki kino e pono ai i nā hihia ʻelua a hāʻawi pinepine i nā hopena holomua. Mai makaʻu i kēia, e hoʻomaopopo pono kākou i nā mea āpau.

I ka ʻōlelo maʻalahi, he aha ka Orchiopexy?

He hana ʻoki kino ka Orchiopexy. Hana ia i ʻelua mau mea nui. ʻO kekahi, ʻo ia ka hoʻoneʻe ʻana i nā testicles i iho ʻole i lalo o ka pēpē, i loko o ka ʻōpū a i ʻole i loko o ka ʻūhā, i ko lākou wahi kūpono, ʻo ia hoʻi ka scrotum. ʻO kekahi, ʻo ia ka hoʻoponopono ʻana i kahi testicle i wili ʻia, ka mea i ʻoki i ke kahe koko, a me ka hoʻopaʻa ʻana i ka testicle i loko o ka scrotum. I kekahi manawa, i loko o kēia kaʻina hana, pono paha i nā kauka ke hoʻoponopono i kahi hernia a i ʻole e hoʻokomo i kahi prosthesis testicular. Ua kapa ʻia kēia kaʻina hana he orchidopexy.

He aha nā kūlana e mālama ai kēia ʻoki kino?

E like me kā mākou i kūkākūkā ai ma mua, mālama kēia ʻoki kino i ʻelua mau maʻi nui. Aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua.

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

Pili kēia i ke ʻano o nā kūlana ʻelua a mākou i kamaʻilio ai.

• No nā Testicles i iho ʻole: Inā ʻaʻole i iho nā testicles iā lākou iho i ka wā e hiki ai ke keiki ma kahi o 6 mahina, ʻōlelo pinepine nā kauka e hana i kēia ʻoki ma waena o 6 a me 24 mahina (2 mau makahiki) .

• No ka Testicular Torsion: He pilikia kēia e pono ai ka mālama koke ʻana. ʻAʻole pili ka makahiki ma ʻaneʻi. Inā ʻaʻole hoʻihoʻi ʻia ke kahe koko i loko o 6 mau hola o ka hoʻomaka ʻana o nā hōʻailona, ​​​​hiki i ka testicle ke make. I kēlā hihia, pono e wehe ʻia ma ke ʻoki ʻana. No laila, i kēlā kūlana, he mea nui e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.

Pehea e hoʻomākaukau ai no ke ʻoki kino?

Inā e hana ʻia ana kēia ʻoki kino no kāu keiki, e hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi maopopo. He mea nui loa ia e hahai pololei i kēia mau kuhikuhi e hōʻemi i nā pilikia.

Eia kekahi mau mea e hana ai ma mua o ke ʻoki ʻana no nā testicles i iho ʻole:

• Mai hāʻawi i ka meaʻai paʻa no ʻewalu hola ma mua o ke ʻoki kino.
• Mai hāʻawi i ka waiū pauka a i ʻole ka waiū bipi no ʻeono hola ma mua o ke ʻoki ʻana.
• E hoʻōki i ka hānai waiū i ʻehā hola ma mua o ke ʻoki kino.
• E ho'ōki i ka hāʻawi ʻana i nā wai e like me ka wai a me ka wai huaʻai i ʻelua 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 pono a hoʻomaʻemaʻe i ka ʻōpū o ke keiki a me ka ʻāpana ʻūhā.

Inā lawe kāu keiki i kekahi mau lāʻau lapaʻau i kēlā me kēia lā, hiki iā ʻoe ke hāʻawi iā lākou i ka lā o ke ʻoki ʻana, ke ʻole ke aʻo ʻē aʻe ke kauka. Akā, mai poina e hoʻomaopopo i ke kauka e pili ana i nā lāʻau lapaʻau a me nā huaora a pau a kāu keiki e lawe ai .

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, kahi anesthesiologist, a me nā limahana kahu maʻi pediatric.

No nā Testicles i iho ʻole

1. ʻO ka mea mua, ua hoʻomoe ʻia ke keiki i ka anesthesia laulā. ʻO ke ʻano kēia, ʻaʻole ʻeha ke keiki a ua hiamoe koke.

2. Hana ʻia kahi ʻoki liʻiliʻi loa ma ka ʻāpana groin a i ʻole ka scrotum.

3. Loaʻa ka testicle i iho ʻole a me ke kahawai i pili iā ia.

4. Nānā ʻia ka testicle. Inā ʻaʻole olakino, pono paha e wehe ʻia a hoʻokomo ʻia kahi prosthesis.

5. Hoʻokumu ʻia kahi hakahaka liʻiliʻi e like me ka ʻeke i kapa ʻia ʻo "ʻeke Dartos" i loko o ka scrotum e paʻa ai ka testicle.

6. E huki mālie i ka testicle i lalo a hoʻopaʻa iā ia i loko o ka ʻeke.

7. Hoʻohana ʻia nā humuhumu hiki ke hoʻoheheʻe ʻia no kēia.

8. ʻO ka hope loa, ua pani ʻia nā ʻoki a ua kāʻei ʻia.

No ka Testicular Torsion

1. Hana ʻia kahi ʻoki liʻiliʻi ma ka scrotum.

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

3. Inā olakino ka testicle, hoʻopaʻa ʻia i ka scrotum a humuhumu ʻia e pale aku ai i ka wili hou ʻana.

4. Inā ʻaʻole olakino ka testicle (ua make), hiki ke wehe ʻia a hiki ke hoʻokomo ʻia kahi mea hana inā pono.

5. Ua pani ʻia ka ʻeha me nā humuhumu hiki ke hoʻoheheʻe ʻia.

ʻO ka maʻamau, ma kahi o 60 mau minuke kēia hana ʻoki kino.

He aha nā pōmaikaʻi a me nā pilikia kūpono o ke ʻoki kino?

E like me nā ʻoki kino āpau, he mau pōmaikaʻi kēia a me nā pōʻino liʻiliʻi.

Pehea e mālama ai i ke keiki i ka wā hoʻōla?

Ma hope o ke ʻoki ʻana, e hoʻoneʻe ʻia ke keiki i kahi lumi hoʻōla a nānā ʻia no kekahi mau hola. ʻOiai he hana outpatient kēia, hiki iā ʻoe ke hoʻi pinepine i ka home i ka lā hoʻokahi.

• ʻEha: Aia paha kekahi ʻeha no kekahi mau lā a i ʻole hoʻokahi pule. E hāʻawi i nā lāʻau hōʻeha e like me ke kauoha a kāu kauka. Mai hāʻawi i kekahi lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
• Luhi:Hiki i ka anesthesia ke hoʻoikaika i ke keiki e luhi a hiamoe ma mua o ka makaʻala no kekahi mau lā.
• ʻAi: E hāʻawi i nā wai a me nā meaʻai māmā e like me ka ʻāpala, ka maiʻa, a me ka laiki no nā hola 24 mua.
• Maʻemaʻe: E mālama i ka ʻeha i maʻemaʻe e pale aku i ka maʻi. E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻopā ʻana i ka ʻeha o kāu keiki.
• ʻAuʻau: E kūkākūkā me kāu kauka e pili ana i ka ʻauʻau ʻana. Manaʻo paha lākou e kaupalena iā ʻoe iho i ka ʻauʻau huʻahuʻa no kekahi mau lā.
• ʻO ka mea nui loa: E hōʻalo i nā hana e like me ka holo ʻana, ka lele ʻana, a me nā mea pāʻani holo (paikala, lio lūlū) no ʻelua pule ma ka liʻiliʻi. E nānā mau me kāu kauka ma mua o ka hoʻi ʻana i nā haʻuki.

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 wau e ʻike hou ai i ke kauka?

Pono ʻoe e hele no kahi nānā hou ʻana i ʻelua pule ma hope o ke ʻoki kino. A laila e noi ʻia ʻoe e hele hou no kekahi, malia paha i loko o ʻelua a ʻekolu mahina.

He mea maʻamau i nā mākua ke hopohopo e pili ana i ke ʻoki ʻana i kā lākou keiki. Akā e hoʻomanaʻo he hana maʻamau, palekana, a maikaʻi loa ka orchiopexy. E kamaʻilio ākea me kāu kauka e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai.