Ke nānā aku nei anei ke ʻano o ka peni o kāu keikikāne me he mea lā ua wili ʻia? E kamaʻilio kākou e pili ana i ka torsion o ka peni.

Ua ʻike anei ʻoe ua kūlou iki a wili paha ka penis o kāu keiki kāne i kekahi ʻaoʻao i ka wā e hoʻololi ana i kāna diaper a i ʻole e ʻauʻau ana iā ia? Ua manaʻo paha ʻoe he mea maʻamau kēia a e ulu aʻe ʻo ia mai loko mai. Ua loaʻa i nā mākua he nui kēia ʻike. I ka lāʻau lapaʻau, hānau ʻia ka penis o ke keiki kāne me ka wili iki a wili ʻia, ʻo ia hoʻi ʻo 'Penile Torsion'. Mai makaʻu i ka lohe ʻana i kēia inoa. I kēia lā, e kamaʻilio mākou e pili ana iā ia ma ke ʻano maʻalahi loa, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.

He aha maoli ka Penile Torsion?

I ka ʻōlelo maʻalahi, ʻo ka 'Penile Torsion' kahi kūlana i wili iki ʻia ai ka penis o ke keikikāne. Ua like ia me ka uhi ʻōmole. He kūlana hānau kēia. ʻO ia hoʻi, i ka wā e ulu ana ka pēpē i loko o ka ʻōpū o ka makuahine, ʻaʻole i hana pono ʻia ka ʻili a me nā ʻiʻo a puni o ka penis.

ʻO ka hapa nui o ka manawa, aia kēia wili ʻana ma ka hema. ʻO ia hoʻi, ma ke ʻano ʻē. ʻAʻole kēia he mea koʻikoʻi e like me kou manaʻo, a ʻoi aku ka maʻamau ma mua o kou manaʻo.

He nui nā mākua e ʻike i kēia i ka wā e ʻoki poepoe ʻia ai kā lākou pēpē, a i ʻole ke nānā ke kauka i ke pēpē.

Hiki paha i nā pilikia ʻē aʻe ke hele pū me kēia kūlana?

ʻAe, i kekahi manawa ʻaʻole hana wale ʻia ka Penile Torsion, akā hiki ke hana pū me nā kīnā hānau ʻē aʻe. ʻElua mau kūlana nui penei:

• ʻO Hypospadias: ʻO kēia ka manawa e wehe ai ka urethra, ka ʻōmole e hele ai ka mimi a me ka sperm, ma kahi ma lalo o ka penis ma kahi o ka piko.
• Chordee: He kūlana kēia kahi i kū pono ʻole ai ka penis i ka wā e hoʻāla ʻia ai akā kūlou iki i lalo a i ʻole i ka ʻaoʻao.

E nānā pū kāu kauka i kēia mau kūlana.

He mea koʻikoʻi anei kēia? Pehea ka maʻamau?

Hiki i ka wili ʻana o ka penile ke ʻano mai ka liʻiliʻi a i ka koʻikoʻi. Inā ʻoi aku ka wili ʻana o ka penis ma mua o 90 degere, ʻo ia hoʻi, ʻoi aku ma mua o kahi kihi ʻākau, ua manaʻo ʻia he ʻoi aku ka koʻikoʻi.

He mea maʻamau kēia a hōʻike kekahi mau noiʻi e hiki ke hoʻopilikia i kēlā me kēia wahi mai 1.5% a i 27% o nā pēpē kāne. Akā e like me kaʻu i ʻōlelo ai ma mua, he mea kakaikahi loa, ʻaʻole i hiki i ka 1%, ke loaʻa kahi piʻo ma mua o 90 degere.

He aha nā hōʻailona a me nā pilikia?

ʻO ke ʻano nui, ʻo ia ka huli ʻana o ka penis i kekahi ʻaoʻao.Ma waho aʻe o kēlā, ʻaʻohe mau hōʻailona ʻē aʻe. ʻOiai inā ʻoi aku ka liʻiliʻi o ka wili ma mua o 90 degere, ʻaʻole e ʻeha a ʻoluʻolu ʻole paha ka pēpē. No laila, ʻaʻohe mea e hopohopo ai.

Eia nō naʻe, hiki i kēia ke hana i kekahi mau pilikia maoli.

He aha ke kumu o kēia?

ʻAʻole i loaʻa i nā kauka kahi kumu kikoʻī no kēia. Akā aia kekahi mau manaʻo. ʻO kekahi, ua manaʻo ʻia e pili ana paha ka nui o ka hoʻopili ʻana i nā hormones wahine, ʻoiai ka estrogen, i ka wā e ulu ana ke keiki i loko o ka ʻōpū. Hiki nō hoʻi ke kumu o kekahi mau ʻano ʻē i ka ulu ʻana o ka ʻili a me nā ʻiʻo o ka penis.

Pehea e mālama ai ke kauka i kēia?

ʻO ka mea mua, e nānā pono ke kauka i ka pēpē. Hiki ke ʻike ʻia kēia maʻi me kahi hoʻokolohua kino maʻalahi.

I kēia manawa, e nānā kākou i ka lāʻau lapaʻau. I ka hapanui o nā hihia, ʻoiai inā ʻoi aku ka liʻiliʻi o ka wili ma mua o 90 degere, ʻaʻohe pono o ka lāʻau lapaʻau. ʻAʻole ia e hōʻeha i ka pēpē ma kekahi ʻano.

Eia nō naʻe, hopohopo kekahi mau mākua e pili ana i ke ʻano o ka penis a makemake lākou e mālama iā ia. Eia kekahi, inā e hele ana ke kahe o ka mimi i kahi ʻaoʻao loa, pono e hoʻoponopono ʻia kēlā. ʻO ke ʻoki liʻiliʻi wale nō ka lāʻau lapaʻau no kēia.

Hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā. I ka wā o ke ʻoki kino, hoʻokuʻu ke kauka i kekahi o ka ʻili ma ka penis, hoʻopololei iā ia, a humuhumu hou i ka ʻili. Ua kapa ʻia kēia he degloving. Ua like ia me ka ʻili pono ʻana i ka ʻili mai ka maiʻa a laila hoʻopili hou.

Palekana anei ke ʻoki kino?

ʻAe, ma ke ʻano laulā, he ʻoki kino palekana loa kēia. E like me nā ʻoki kino āpau, aia kekahi mau pilikia, akā haʻahaʻa loa kēia. Manaʻo pinepine nā kauka e hana i kēia ʻoki kino i ka wā e piha ana ka pēpē i 6 a me 18 mau mahina. ʻO kēia no ka mea he kiʻekiʻe iki aʻe nā pilikia i ka wā e hāʻawi ai i ka anesthesia i nā pēpē ma lalo o 6 mau mahina.

Akā hiki ke hana ʻia kēia ʻoki kino i kēlā me kēia makahiki. Hana ʻia kekahi poʻe i ka wā ʻōpiopio, ma muli o ko lākou makemake ponoʻī.

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

ʻO ka maʻamau, he 10 mau lā e ola ai ka ʻeha ma hope o ke ʻoki ʻana. E wehewehe pono kāu kauka i ke ʻano o ka mālama ʻana i kāu pēpē i kēia manawa. ʻO ka maʻamau, hāʻawi ʻia nā kuhikuhi ma lalo nei:

• Ka mālama ʻana i ka maʻemaʻe: I kēlā me kēia manawa āu e hoʻololi ai i ka diaper o kāu pēpē, e hoʻopili i kahi petroleum jelly liʻiliʻi (`Vaseline®`) a i ʻole kahi poni ʻē aʻe i ʻōlelo ʻia e kāu kauka a puni kahi ʻoki. E kōkua kēia i ka pale ʻana i nā germs mai ke komo ʻana.
• No ka ʻeha: Inā ʻeha ka pēpē, e hāʻawi i kahi lāʻau hoʻopau ʻeha e like me Paracetamol ma ke ʻano i kuhikuhi ʻia e like me ka ʻōlelo a ke kauka.
• Pehea e holoi ai: Ke ho'ōla ʻia ka ʻeha, e holoi mālie i ka ʻāpana me ke kopa a me ka wai maʻemaʻe a mehana.

I kēlā me kēia manawa āu e makemake ai e ʻike i ke kauka

Inā he ʻano ʻē ke kahe ʻana o ka mimi o kāu pēpē, he mea maikaʻi ke kamaʻilio ʻana me ke kauka, no ka mea, he mea ʻoluʻolu ʻole paha kēia nona i kona wā e ʻelemakule ai.

I ka manawa e hele ai i ka ETU ma hope o ke ʻoki kino

Inā loaʻa iā ʻoe kekahi mau hōʻailona o ka maʻi ma hope o ke ʻoki ʻana, pono ʻoe e hele koke i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa. ʻO kēia mau hōʻailona:

• Inā pinepine ʻoe e kahe ana ke koko a inā ʻaʻole hiki iā ʻoe ke hoʻōki i ke kahe ʻana o ke koko.
• Inā e kahe ana kahi wai pilau mai ka ʻeha mai.
• Inā ʻaʻole i mimi ka pēpē no 12 mau hola ma hope o ke ʻoki ʻana.
• Inā loaʻa i ka pēpē ke kuni, ke anu, a me ka haʻalulu.
• Inā ua hōʻiliʻili ka pus a puni nā humuhumu.
• Inā ʻulaʻula ka ʻili, poni, a ʻeleʻele paha ma mua o ka maʻamau.

Inā ʻike ʻoe i kekahi mea e like me kēia, mai hoʻonele i ka manawa a lawe i ke pēpē i ka haukapila.