Ke hānau ʻia kāu keikikāne liʻiliʻi, hauʻoli nui paha ʻoe ma ke ʻano he makuahine a he makuakāne. Akā i ka manawa like, hiki paha iā ʻoe ke hopohopo iki i nā mea liʻiliʻi. Ua ʻike paha ʻoe ua kūlou iki ka penis o kāu keikikāne, a ua huli paha i kekahi ʻaoʻao. Mai hopohopo ke ʻike ʻoe i kēia. He kūlana paha kēia a mākou e kapa nei (Penile Torsion) i ka ʻepekema lapaʻau. E kamaʻilio kākou e pili ana i kēia me nā kikoʻī a me ka maʻalahi i kēia lā.
He aha kēia (Penile Torsion)?
I ka ʻōlelo maʻalahi, ʻo ka Penile Torsion ka wā e wili ʻia ai ka penis o kāu pēpē, ʻoiai hoʻi i nā keikikāne, i kekahi ʻaoʻao.
He maʻi hānau kēia. ʻO ke ʻano kēia, ʻoiai ke pēpē i loko o ka ʻōpū, ʻaʻole i hana pono ʻia ka ʻili a me nā ʻiʻo a puni i kekahi manawa i ka wā e ulu ai ka penis. ʻO ka hapa nui, aia kēia wili ʻana i ka hema (counterclockwise). ʻAʻole kēia he mea koʻikoʻi e like me kou manaʻo, a he maʻi maʻamau ia.
Pehea ʻoe e ʻike ai i kēia?
ʻO ka hapa nui o ka manawa, ʻike nā mākua i kēia kūlana (Penile Torsion) ke ʻoki poepoe ʻia kā lākou pēpē, a i ʻole ke nānā ke kauka i ka pēpē. Inā ʻike pū ʻoe i kēia wili ʻana a i ʻole ka wili ʻana o ka penis o kāu keiki kāne,
ʻo ka mea mua āu e hana ai, ʻo ia ke hoʻopanee i ka ʻoki poepoe no kekahi manawa. A laila, ʻoi aku ka maikaʻi o ka ʻike ʻana
i kahi urologist pediatric a nānā i kāu pēpē. Mālama kēia mau kauka i nā pilikia me ka ʻōnaehana mimi a me ka ʻōnaehana hānau keiki i nā keiki.
Aia kekahi mau ʻano like ʻole o ka torsion penile?
ʻAe, hiki ke kū mai kahi kūlana i kapa ʻia ʻo (Penile Torsion) ma kāna iho, a i ʻole hiki ke kū pū me
nā kīnā hānau ʻē aʻe e pili ana i ka penis. ʻO kekahi o kēia mau kūlana:
- ʻO Hypospadias : ʻO kēia ka wā e waiho ʻole ai ka urethra, ka ʻōmole e puka ai ka mimi a me ka sperm mai ke kino, ma ka piko o ka penis, akā ma kahi ʻē aʻe.
- Ke kūlou ʻana o ka peni hānau (a i ʻole 'chordee'): ʻO kēia ka manawa e kūlou ʻoi ai ka peni i kekahi ʻaoʻao a moe pālahalaha ma luna o ka moena.
He kūlana koʻikoʻi anei kēia?
Hiki i ke ʻano o ka torsion penile
ke ʻano mai ka liʻiliʻi a i ka nui . Inā loaʻa i kāu keiki ka torsion penile koʻikoʻi, hiki ke wili ʻia ka penis ma mua o 90 degere. Eia nō naʻe, i ka hapa nui o ka manawa, he ʻano liʻiliʻi wale nō kēia.
Pehea ka maʻamau o ka Penile Torsion?
Wahi a nā kauka a me nā mea noiʻi, hiki i kēia kūlana (penile torsion) ke hoʻopilikia ma waena o 1.5% a me 27% o nā keikikāne. Eia nō naʻe, ʻo nā hihia koʻikoʻi, kahi i hoʻohuli ʻia ai ka penis ma mua o 90 degere, he mea kakaikahi loa - ʻo ia hoʻi, ʻaʻole i hiki i ka 1% o nā keikikāne.
He aha nā hōʻailona?
ʻO ka hōʻailona nui o ka torsion penile, ʻo ia ka ʻike ʻia ʻana o ka penis ua wili ʻia a kūlou i kekahi ʻaoʻao. Ma waho aʻe o kēlā, ʻaʻohe mau hōʻailona ʻē aʻe, ʻoiai inā ʻaʻole i hoʻohuli ʻia ka penis ma lalo o 90 degere.
He ʻeha anei kēia?
ʻO ka hapa nui o ka manawa,
ʻaʻole ia e hōʻeha i ka torsion o ka penile. No laila, ʻaʻole paha e ʻike ka pēpē i kekahi ʻeha mai ia mea.
Hiki i ka Penile Torsion ke hoʻoulu i nā pilikia hānau?
He nīnau kēia a nā mākua he nui.
ʻAʻole, ʻaʻohe hōʻike i kēia manawa e pili ana ka torsion penile i ka hiki ke loaʻa kahi keiki (fertility). No laila, mai hopohopo nui no ia mea.
He aha nā kumu o ka torsion o ka penile?
ʻO kaʻoiaʻiʻo,
ʻaʻole i hiki i nā kauka a me nā mea noiʻi ke loaʻa kahi kumu kūpono no ka torsion penile. Eia nō naʻe, ua manaʻo ʻia e pili ana paha ke ʻano i ka nui o ka hōʻike ʻana i
nā hormones wahine e like me ka estrogen i ka wā o ka ulu ʻana o ke pēpē i loko o ka ʻōpū. Ua manaʻo ʻia hoʻi he lawa ʻole ka ʻili ma ka penis a me ka hoʻopili kūpono ʻole ʻana o nā ʻiʻo pili ma waena o ka penis, ka ʻili mua, a me ka scrotum kekahi kumu.
He aha nā pilikia e hiki ai i kēia ke hana?
ʻOi aku ma mua o ka hapalua o ka poʻe me ka penile torsion e ʻike i
nā ʻano ʻē o ke kahe mimi . Hiki i kēia ke hana:
- Nā loli o ke kaomi i ka wā e mimi ai.
- Ke kahe ʻana o ka mimi i luna, i lalo, a i ʻole i nā ʻaoʻao.
- Māhele ke kahawai mimi i ʻelua a kahe i nā ʻaoʻao like ʻole.
Hiki i kekahi poʻe mākua ke hoʻomāʻona ʻole i ke ʻano o kā lākou penis ma muli o ka torsion penile i mālama ʻole ʻia. Hiki iā ia ke loaʻa ka hopena noʻonoʻo.
Pehea e ʻike ʻia ai ka Penile Torsion?
He mea maʻalahi loa kēia. Hiki i ke kauka ke ʻike maopopo inā he torsion penile kou a i ʻole
ma hope o ka hana ʻana i kahi hoʻokolokolo kino .
Pehea e mālama ʻia ai ka Penile Torsion?
I ka hapanui o nā hihia,
ʻaʻole pono ka penile torsion i kekahi lāʻau lapaʻau kūikawā, ʻoiai inā ʻoi aku ka liʻiliʻi o ka wili ʻana o ka penis ma mua o 90 degere. Eia nō naʻe, makemake paha nā mākua he nui e noʻonoʻo i ka lāʻau lapaʻau no nā kumu hoʻonaninani. Hoʻōla ʻia ka penile torsion me
ke ʻoki ʻana ma lalo o ka anesthesia laulā. Inā loaʻa i kāu keiki nā kūlana ʻē aʻe, e like me ka hypospadias a i ʻole ka congenital penile curvature, pono e mālama ʻia, hiki i ke kauka lapaʻau ke hoʻohana i nā ʻano hana ʻoki like ʻole. E aʻo aku kāu kauka iā ʻoe i ke koho lapaʻau maikaʻi loa no kāu keiki. ʻO ke kaʻina hana ʻoki maʻamau i
kapa ʻia ʻo degloving. He ʻano ʻoki plastik kēia. Ma kēia, wehe ke kauka lapaʻau i kahi ʻāpana o ka ʻili mai ka penis o ke keiki a hoʻopili hou i ka ʻili ma ke ʻano e ʻike ʻole ʻia ai ka penile torsion.
He palekana anei ke ʻoki kino (Penile Torsion)?
Aia kekahi mau pilikia me kekahi ʻoki kino. Eia nō naʻe, ma ke ʻano laulā,
palekana ke ʻoki kino torsion penile. Manaʻo pinepine nā kauka i kēia ʻoki kino no kāu keiki
ma waena o 6 a me 18 mau mahina. Aia kekahi mau pilikia kiʻekiʻe iki aʻe i ka wā e pili ana i ka anesthesia no nā pēpē ma lalo o 6 mau mahina. Eia kekahi laʻana:
- Ka luaʻi a me ka luaʻi
- Nā pilikia me ke aʻo ʻana, ka hoʻomanaʻo, a i ʻole ke ʻano (hiki ke hana pinepine ʻia kēia mau mea)
Eia nō naʻe, hiki ke hana ʻia ke ʻoki torsion penile i kēlā me kēia makahiki. Hoʻoholo kekahi poʻe e hana i kēia ʻoki ma hope o ke ola no nā kumu pilikino.
(Penile Torsion) E ho'ōla anei ia iā ia iho??
ʻAʻole, ʻaʻole e ho'ōla ʻia ke kūlana (Penile Torsion) ma kāna iho, ʻaʻole hoʻi e hoʻomaikaʻi me ka ʻelemakule. ʻO ia wale nō ke ʻano.
Pehea ka wikiwiki o koʻu ho'ōla ʻana ma hope o ka lāʻau lapaʻau?
ʻO ka maʻamau, he 10 mau lā ma mua o ka ho'ōla piha ʻana o ka penis ma hope o ke ʻoki ʻana. He aha ke ʻano o ka wā e hiki mai ana e hiki i kekahi me Penile Torsion ke manaʻo?
Aia ka manaʻolana no ka poʻe me ka penile torsion. ʻO nā hihia liʻiliʻi o ka penile torsion ʻaʻole ia e hoʻoulu i kekahi pilikia olakino, moekolohe, a i ʻole ka hānau ʻana no ka manawa lōʻihi. ʻOiai i nā hihia koʻikoʻi e pono ai ke ʻoki ʻana, maikaʻi loa nā hopena. No laila, ʻaʻohe mea e hopohopo ai.
Pehea e mālama ai i ke keiki ma hope o ke ʻoki kino?
(Penile Torsion) E wehewehe pono ke kauka iā ʻoe pehea e mālama ai i ka pēpē ma hope o ke ʻoki kino. Pono ʻoe e hahai pololei i kēlā mau kuhikuhi. E haʻi pinepine ʻo ia iā ʻoe e hana i nā mea e like me kēia:
- E hoʻopili i kahi liʻiliʻi o ka petroleum jelly (`Vaseline®`) a i ʻole kahi kirīmi pale ʻili (`Aquaphor®`) i kahi ʻoki i kēlā me kēia manawa āu e hoʻololi ai i kahi diaper. E kōkua kēia i ka pale ʻana i ka bacteria mai ke komo ʻana.
- E hāʻawi i ka pēpē i kahi lāʻau hoʻopau ʻeha a ke kauka i ʻōlelo ai, e like me ka acetaminophen suspension (Tylenol Infants'®).
- E holoi pinepine i ka ʻeha me ke kopa a me ka wai maʻemaʻe a mehana a hiki i ka wā e ho'ōla ai.
Āhea wau e ʻike ai i ke kauka?
Inā ʻaʻole kūpono ke kahe ʻana o ka mimi o kāu keiki a manaʻo ʻoe e hoʻopilikia paha ia i ko lākou ola i ka wā e hiki mai ana,
e ʻike pono i ke kauka no ka ʻōlelo aʻo. I ka manawa hea ʻoe e pono ai e hele i ka Emergency Treatment Unit (ETU) ?
Inā ua hana ʻia kāu keiki i ke ʻoki kino e hoʻoponopono ai i kahi kūlana i kapa ʻia ʻo penile torsion, pono ʻoe e lawe
koke iā lākou i ka ʻoihana pilikia o ka haukapila inā hōʻike lākou i nā hōʻailona o ka maʻi . ʻO kēia mau hōʻailona:
- Ka kahe pinepine ʻana o ke koko .
- ʻAʻole hiki ke hoʻōki i ke kahe ʻana o ke koko.
- Me he ʻala ʻino lā.Ke kahe nei kahi wai e like me ka pehu .
- ʻAʻole e mimi no 12 mau hola ma hope o ke ʻoki ʻana.
- Inā he kuni kou.
- Inā ʻoe e anu a haʻalulu ana .
- Inā he pus a puni ke kahua ʻoki.
- Inā loli ke kala o ka ʻili (ʻulaʻula, poni, a ʻeleʻele paha ma mua o ke kala maʻamau o ka ʻili ) a like me ka ʻulaʻula .
He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?
Ke hele ʻoe e ʻike i ke kauka, e nīnau i nā nīnau a pau āu e loaʻa ai. He mea nui e nīnau i nā nīnau e like me kēia:
- Pehea ke koʻikoʻi o ke kūlana o kaʻu keiki (Penile Torsion)?
- Pono anei kaʻu keiki i ke ʻoki ʻana e hoʻoponopono ai i ka torsion o ka penile?
- He aha nā pilikia holoʻokoʻa o ke ʻoki ʻana i ka penile torsion?
- Inā he torsion ka penile o kaʻu keiki kāne, pono anei e ʻoki poepoe ʻia ʻo ia?
ʻO ka mea nui loa, ʻo ia ke kūkākūkā a hoʻoponopono i nā kānalua a me nā makaʻu āu e loaʻa nei me ke kauka.
ʻO nā mea e pono ai mākou e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai
ʻAe, ua kamaʻilio nui mākou e pili ana i ka torsion penile i kēia lā. Eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:
- He maʻi hānau maʻamau ka penile torsion.
- ʻO ka hapa nui o ka manawa, ʻaʻole kēia he mea koʻikoʻi a ʻaʻohe ʻeha.
- ʻAʻole pono nā maʻi liʻiliʻi i ka mālama kūikawā.
- Inā pono, hiki ke hoʻoponopono ʻia kēia me ke ʻoki ʻana, kahi mea palekana hoʻi.
- ʻAʻole pili kēia kūlana i ka hānau keiki.
- Inā he kānalua kāu, e ʻike i kahi urologist pediatric .
No laila, inā ʻike ʻoe i kekahi mea e like me kēia i kāu keiki kāne, mai hopohopo, e kiʻi i ke aʻo lapaʻau a hana e like me ia. E maikaʻi nā mea a pau!
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