Ke hopohopo nei paha ʻoe no ka hiki ʻole o kāu keikikāne ke huki i kona ʻili mua. A i ʻole ua loaʻa paha kēia pilikia iā ʻoe iho i kou wā makua. He mea maʻamau anei kēia? He mea anei e hopohopo ai? He nui ka poʻe e nīnau e pili ana i kēia. No laila i kēia lā, e kamaʻilio maʻalahi a maopopo e pili ana i kēia maʻi i kapa ʻia ʻo 'Phimosis'.
I ka ʻōlelo maʻalahi, he aha ka Phimosis?
ʻO ka Phimosis kahi kūlana kahi i hiki ʻole ai ke huki piha ʻia ka ʻili o ka penis, a i ʻole glans, i nā keikikāne ʻoki poepoe ʻole ʻia a me nā pākeke. I kekahi manawa hiki ke like me ke kaula laholio a puni ka piko o ka penis. Ma lalo o nā kūlana maʻamau, pono e huki maʻalahi ʻia ka ʻili me ka ʻole o ka ʻeha, e hōʻike ana i ka glans holoʻokoʻa.
Akā, ʻaʻole pilikia mau ka Phimosis. Ua hānau ʻia kēlā me kēia keiki kāne me kēia maʻi , a he mea maoli nō ia. I ka wā e ulu ai ke keiki, nalowale kēia paʻa me ka ʻole o ka lāʻau lapaʻau a lilo ka ʻili mua i palupalu. Lilo wale ka Phimosis i pilikia inā loaʻa nā hōʻailona. No ka laʻana, ua liʻiliʻi loa ka puka e puka mai ai ka mimi, a ua paʻa loa ka ʻili mua e hoʻomaʻemaʻe.
ʻElua mau ʻano nui o ka phimosis:
Hoʻokaʻawale mākou i ka Phimosis i ʻelua ʻano nui. He mea nui loa ia e hoʻomaopopo i ka ʻokoʻa ma waena o kēia mau mea ʻelua.
| ʻAno phimosis | Ka wehewehe maʻalahi |
|---|---|
| Phimosis Kūlohelohe (Phimosis Pilikino) | ʻO kēia ka mea maʻamau i waena o nā keikikāne. He mea maʻamau ka paʻa ʻana o ka ʻili mua i ka wā hānau. E nalo wale nō kēia i ka wā e ulu ana ke keiki. ʻAʻohe kumu e makaʻu ai i kēia. |
| ʻO ka Phimosis i hoʻokumu ʻia e kahi maʻi (Pathologic Phimosis) | Hoʻokumu ʻia kēia e kahi maʻi, mumū, a i ʻole ka ʻeha o ka ʻili mua. ʻO kekahi mau maʻi ʻili, e like me ke ʻano i kapa ʻia ʻo Lichen Sclerosus, hiki ke lilo i kumu nui o kēia. |
He aha nā hōʻailona o kēia maʻi?
ʻO ka hōʻailona nui o ka phimosis ka hiki ʻole ke huki hou i ka ʻili mua. Eia nō naʻe, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe.
- Ka pehu ʻana a me ka ʻulaʻula: Inā he maʻi a huhū paha a puni ka ʻili ʻōmaka, hiki ke pehu a huli i ka ʻulaʻula, poni, a ʻeleʻele paha.
- ʻEha: Hiki paha iā ʻoe ke ʻeha i ka wā e hoʻopā ai i ka penis a i ʻole i ka wā e ʻeha ai.
- Dysuria: ʻEha a wela paha i ka wā e mimi ai .
- Kahawai mimi nāwaliwali: Hiki ke nāwaliwali a puehu paha ke kahawai mimi ma muli o kahi ālai ʻana i ka urethra.
- Koko i loko o ka mimi (Hematuria): I kekahi manawa e hele pū kekahi koko me ka mimi.
- Smegma: He mea keʻokeʻo, ʻano tīhi e hōʻiliʻili ana ma lalo o ka ʻili mua. He huahana kūlohelohe kēia i hana ʻia e ke kino, akā inā ʻaʻole mālama ʻia, hiki iā ia ke hoʻoulu i ka maʻi.
- ʻEha i ka wā o ka moekolohe: ʻEha ma muli o ka paʻa o ka ʻili mua i ka wā o ke kūkulu ʻana a i ʻole ka moekolohe.
He aha nā kumu nui o ka phimosis?
He ʻāpana maʻamau ka phimosis kūlohelohe o ka ulu ʻana o ke keiki. Eia nō naʻe, aia kekahi mau kumu nui o ka phimosis ma ke ʻano he maʻi lapaʻau.
- Nā maʻi: Hiki i nā maʻi bacteria a fungal paha ke hoʻoulu i ka ʻili mua e pehu, ʻeha, a paʻakikī. Hiki i nā maʻi i laha ma ke ʻano moekolohe (STI) ke hana i kēia.
- ʻAʻole lawa ka maʻemaʻe: ʻO ka hoʻomaʻemaʻe pono ʻole ʻana ma lalo o ka ʻili ʻōmaka hiki ke hana i ka hōʻiliʻili ʻana o 'Smegma', hiki ke alakaʻi i nā maʻi.
- ʻO ka ʻōpala: ʻO nā waimaka liʻiliʻi i hoʻokumu ʻia e nā mea e like me ka huki ikaika ʻana i ka ʻili maka hiki ke hana i ka ʻiʻo ʻōpala e hoʻopili a hoʻopaʻa i ka ʻili maka i kona wā e ho'ōla ai.
- Nā maʻi ʻili: ʻO kekahi mau maʻi ʻili, no ka laʻana, ʻo Eczema, Psoriasis, Lichen Planus, a ʻoi aku hoʻi ʻo Lichen Sclerosus, hiki ke hoʻomānoanoa i ka ʻili mua a nalowale kona palupalu, e alakaʻi ana i ka phimosis.
- ʻEha: Hiki ke hana ʻia kēia ʻano e kekahi mau ʻeha i ka penis.
ʻO ka mea nui loa , ʻaʻole loa e hoʻāʻo e huki ikaika i ka ʻili omaka o ke keiki. E ʻoi aku ka pōʻino o kēia ma mua o ka maikaʻi. Hiki iā ia ke hana i nā ʻeha liʻiliʻi, nā ʻōpala, a hoʻopaʻa i ka ʻili omaka ma mua o ka mea maoli.
He aha nā pilikia e hiki ke loaʻa mai ka phimosis?
ʻOiai ʻaʻole he pilikia koʻikoʻi ʻo Phimosis i ka hapanui o nā hihia, hiki ke loaʻa kekahi mau pilikia inā ʻaʻole mālama ʻia.
- Ka mumū a me ka maʻi: Hiki ke loaʻa ka mumū o ka glans penis (balanitis), ka mumū o ka ʻili ʻōmaka (posthitis), a i ʻole ka mumū o nā mea ʻelua (balanoposthitis).
- Nā maʻi ʻōpū mimi (UTI):ʻO ka paʻa ʻana o ke ala mimi e hoʻonui ai i ka pilikia o nā maʻi ala mimi.
- Paraphimosis: He pilikia olakino kēia. Hana ʻia kēia i ka wā e huki ʻia ai ka ʻili mua i hope a ʻaʻole hiki ke huki ʻia i hope, e paʻa ana i ka glans ma hope o ka glans. Hiki i kēia ke hana i ka glans e pehu, ʻeha, a ʻoki ʻia mai ke kahe koko. Inā ʻaʻole e mālama koke ʻia, hiki ke hōʻino ʻia nā ʻiʻo.
- Ka pilikia o ke kanesa: He mea kākaʻikahi loa, hiki i ka phimosis lōʻihi a me nā maʻi maʻi mau ke hoʻonui iki i ka pilikia o ka maʻi ʻaʻai penile.
He aha nā lāʻau lapaʻau no ka phimosis?
Inā loaʻa iā ʻoe a i ʻole kāu keiki ka phimosis, mai hopohopo. Aia nā lāʻau lapaʻau maʻalahi a maikaʻi hoʻi no ia.
1. Ho'ōla Kūlohelohe: E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole pono ka phimosis kūlohelohe i nā keiki liʻiliʻi i kekahi lāʻau lapaʻau. E ho'ōla pono ia i kona wā e ulu ana ke keiki.
2. Nā Kilima Steroid Topical: ʻO kēia ka lāʻau lapaʻau mua e hoʻāʻo ai. E kuhikuhi kāu kauka i kahi kilima steroid kūikawā e hoʻopili ʻia i ka ʻili omaka i kēlā me kēia lā. E hoʻomāmā kēia kilima i ka ʻili o ka ʻili omaka a hoʻonui i kona palupalu.
3. Hoʻolōʻihi mālie: ʻOiai e hoʻohana ana i ka kirīmi lāʻau lapaʻau, aʻo aku ke kauka iā ʻoe e hana i kahi hoʻomaʻamaʻa hoʻolōʻihi mālie a ʻeha ʻole o ka huki ʻana i ka ʻili mua i hope. Pono e hana ʻia kēia me ke akahele a me ka ʻole o ka ʻeha.
4. ʻOki ʻana (ʻoki poepoe): Inā ʻaʻole i holomua nā lāʻau ʻē aʻe a inā he koʻikoʻi loa ka phimosis, hiki i kāu kauka ke ʻōlelo aku i ke ʻoki poepoe. Pili kēia i ka wehe ʻana i ka ʻili āpau a i ʻole kekahi hapa o ka ʻōmaka.
E ʻike kākou i ke ʻano o ka ʻokoʻa ma waena o Phimosis a me Paraphimosis!
He nui ka poʻe e huikau i kēia mau kūlana ʻelua, akā aia kahi ʻokoʻa nui ma waena o nā mea ʻelua, ʻoiai hoʻi ma ke ʻano o ka wikiwiki.
| ʻoiaʻiʻo | ʻO ka phimosis | ʻO ka paraphimosis |
|---|---|---|
| Kūlana | ʻAʻole hiki ke huki ʻia ka ʻili omaka mai ka glans penis. | Huki ʻia ka ʻili ʻōmaka i hope a paʻa, ʻaʻole hiki ke huki hou ʻia i mua . |
| He pilikia paha ia? | ʻAʻole pinepine he pilikia. | ʻAe! Pono koke ke kōkua lapaʻau. He kūlana kēia e pono ai ke hele i ka Emergency Treatment Unit (ETU). |
| Hiʻohiʻona nui | ʻIli ʻōmaka paʻa a paʻa ʻole. | Pehu, ʻeleʻele/polū ke kala o ka glans penis, a me ka ʻeha nui. |
Āhea ʻoe e ʻike ai i ke kauka?
Inā he kānalua a nīnau paha kāu e pili ana i kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me ke kauka. He mea nui loa ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau ma nā kūlana aʻe:
- Inā manaʻo ʻoe he phimosis kou a i ʻole kāu keiki.
- Inā he ʻeha, pehu, a ʻulaʻula paha a puni ka ʻili ʻōmaka.
- Inā he ʻeha a paʻakikī paha kou mimi ʻana.
- Inā loaʻa pinepine iā ʻoe nā maʻi ma lalo o ka ʻili ʻōmaka.
E hele koke i ka Emergency Treatment Unit (ETU)!
Ma nā hihia aʻe, mai hoʻonele i ka manawa a hele i ka ʻOihana Pōpilikia (ETU) o ka haukapila kokoke loa.
Inā ʻaʻole hiki ke huki ʻia ka ʻili maka i hope a paʻa (paraphimosis), he pilikia olakino ia. I ia mau hihia, e hele koke i ka haukapila.
Leka Lawe-Home
- Mai hopohopo e pili ana i ka phimosis kūlohelohe i aneane kēlā me kēia pēpē kāne i hānau ʻia me ia. E nalo wale nō ia i ka wā e ulu ana ke pēpē.
- ʻO ke ala maikaʻi loa e pale aku ai i ka phimosis i nā pākeke a i ʻole nā keiki, ʻo ia ka mālama ʻana i ka hoʻomaʻemaʻe kūpono .
- Mai huki ikaika i ka ʻili mua o ke keiki no kekahi kumu. Hiki i kēia ke hoʻonui i ke kūlana.
- Inā huki ʻia ka ʻili maka i hope a ʻaʻole hiki ke huki ʻia i mua (Paraphimosis), he pilikia olakino ia. E hele koke i ka haukapila.
- Inā he mau nīnau a kānalua paha kāu e pili ana i kēia, e nīnau pono i kāuE kamaʻilio me kāu kauka. E loaʻa iā ʻoe ka ʻōlelo aʻoaʻo pololei loa ma laila ma mua o ka ʻimi ʻana i ka ʻike ma ka pūnaewele.
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