Ke hānau ʻia kāu keikikāne liʻiliʻi, ma ke ʻano he makuahine a he makuakāne paha, nānā ʻoe i nā mea āpau me ke aloha nui, ʻeā? Ke nānā ʻoe iā ia e like me kēlā, manaʻo paha ʻoe ua nalowale kekahi testicle o kāu keikikāne, a i ʻole nā mea ʻelua. He mea maʻamau loa ke makaʻu nui i ka ʻike ʻana i kēia. Akā, mai makaʻu iki. He ʻano kēia i ʻike ʻia i kekahi ʻano ma waena o nā keikikāne hānau hou. I kēia lā, e kamaʻilio mākou e pili ana i ka mea i kapa ʻia ma ke ʻano lapaʻau ʻo 'Undescended Testicles' a i ʻole ke ʻano o ka iho ʻole ʻana o nā testicles.
I ka ʻōlelo maʻalahi, he aha nā testicles i iho ʻole?
I mea e hoʻomaopopo ai i kēia, pono kākou e noʻonoʻo i ke ʻano o ka ulu ʻana o kahi pēpē i loko o ka ʻōpū. Hoʻomaka mua nā testicles o ke kāne i loko o kona ʻōpū. I ka ulu ʻana o ke pēpē i loko o ka ʻōpū, ma mua koke o ka hānau ʻana, neʻe kēia mau testicles ʻelua i lalo mai ka ʻōpū a komo i loko o ka scrotum, kahi ʻeke ʻili liʻiliʻi ma hope o ka penis. Akā i kekahi manawa, kū kekahi a i ʻole nā testicles ʻelua i ka hapalua me ka ʻole o ka hoʻopau ʻana i kēia huakaʻi. ʻO kēia ka mea a mākou e kapa nei
he mau testicles undescended . ʻO kekahi huaʻōlelo lapaʻau no kēia ʻo
cryptorchidism .
He mea koʻikoʻi anei kēia kūlana? Pono anei kākou, ma ke ʻano he mau mākua, e makaʻu?
ʻOiai paha he mea weliweli kēia, ʻo ka mea mua e hoʻomaopopo ai,
ʻaʻole kēia he pilikia koke . Eia nō naʻe, he kūlana ia e pono e hoʻoponopono koke ʻia a mālama ʻia. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia i ka wā e hiki mai ana. Eia kekahi laʻana:
- Hiki ke emi iho ka pae o ka testosterone , ka hormone kāne , i loko o ke kino o ke keiki.
- Hiki ke hoʻopilikia ʻia ka hiki ke hana i ka sperm .
- Eia kekahi, inā i mālama ʻia a i ʻole ʻaʻole, ʻoi aku ka kiʻekiʻe o ka pilikia o ka loaʻa ʻana o ka maʻi ʻaʻai testicular ma mua o nā mea ʻē aʻe. Eia nō naʻe, me ka mālama ʻana i ka manawa kūpono, hiki ke hoʻemi nui ʻia kēia pilikia.
No laila, ʻo ka mea nui loa, ʻo ia ke waiho ʻana i ka makaʻu a hana i ka mea kūpono i ka manawa kūpono.
Pehea ka maʻamau o kēia?
He kūlana maʻamau kēia ma mua o ka manaʻo o ka poʻe he nui.
- Ma kahi o 3 o 100 (3%) mau pēpē kāne i hānau ʻia ma hope o ka hoʻopau ʻana i ka wā hāpai piha (9 mau mahina) e ʻike paha i kēia maʻi.
- Akā,ʻOi aku ka maʻamau i waena o nā pēpē hānau mua ʻole, me ka nui o 30 mai loko mai o 100 (30%) o lākou e loaʻa paha kēia maʻi.
ʻO ka nūhou maikaʻi, ma ka hapa nui o nā keiki (ma kahi o ka hapalua) ʻaʻole i iho nā testicles ma kēia ʻano, e iho maoli nā testicles a hoʻi i ko lākou kūlana kūpono i loko o nā mahina mua o ka hānau ʻana, me ka ʻole o ka lāʻau lapaʻau.
He aha nā hōʻailona o kēia? Pehea mākou e ʻike pono ai?
ʻO ka hōʻailona nui a hoʻokahi wale nō o kēia, ʻo ia ke nānā ʻoe i ka scrotum, ʻike ʻia he hakahaka. He hakahaka paha ma kekahi ʻaoʻao wale nō, a he hakahaka paha ma nā ʻaoʻao ʻelua. E nānā kākou i kekahi o nā mea e hiki ke kōkua iā ʻoe e ʻike i kēia.
| ʻAno | Wehewehena |
|---|
| ʻO ka hiʻohiʻona nui | ʻAʻohe a ʻike ʻole ʻia paha kekahi a i ʻole nā testicles ʻelua i loko o ka scrotum. |
| ʻEha | ʻAʻole kēia kūlana e hōʻeha i ke keiki. |
| Mimi ʻana | ʻAʻole pilikia a loli paha ke keiki i ka wā e mimi ai . |
No ke aha e hiki ai kēia i kekahi mau keiki? He aha ke kumu?
ʻO kaʻoiaʻiʻo, ʻaʻole i hiki i nā kauka ke loaʻa kahi kumu kūpono no kēia. Eia nō naʻe, aia kekahi manaʻo e pili ana i ka emi ʻana o ka testosterone i loko o ke kino o ka pēpē i ka wā o ka ʻōpū o ka makuahine, hiki ke loaʻa kekahi hopena i ka ulu ʻana a me ka iho ʻana o nā testicles.
Akā e hoʻomanaʻo i hoʻokahi mea: Mai manaʻo ʻino no kēia ma muli o kekahi mea āu i hana ai a i ʻole i hana ʻole i kou wā hāpai.ʻAʻohe pili o kēia iā ʻoe. He ʻāpana wale nō ia o ka ulu ʻana o ke keiki.
He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?
E like me ka mea i ʻōlelo ʻia ma mua, inā ʻaʻole mālama ʻia kēia i ka manawa kūpono, hiki iā ia ke alakaʻi i kekahi mau pilikia i ka wā e hiki mai ana. E akāka kākou e pili ana i kēlā.
| Ka pilikia | He wehewehe maʻalahi |
|---|
| Ka maʻi ʻaʻai testicle | ʻOi aku ka kiʻekiʻe o ka pilikia o nā kāne me kēia maʻi i ka loaʻa ʻana o ka maʻi ʻaʻai testicular ma mua o ka heluna kanaka maʻamau, no laila he mea nui e makaʻala i ka hoʻokolokolo ponoʻī ʻana i ka testicular i ka wā ʻōpiopio. |
| ʻO ka hoʻohuli ʻana o ka testicle | He ālai ʻia ʻana o ke kaula spermatic, ʻo ia hoʻi kahi kīʻaha koko e hoʻolako ana i ke koko i ka testicle. He pilikia ʻeha loa kēia a pono e hana koke ʻia ke ʻoki kino. |
| ʻO ka Hernia Inguinal | Hoʻonui ʻia kekahi hapa o ka ʻōpū i loko o ka ʻāpana groin ma o ke alahele kahi e iho ai nā testicles. Kāhea pū mākou i kēia "intestinal intussusception." |
| Ka nele o ka hormone (Hypogonadism) | ʻO ka hiki ʻole o nā testicles ke hana i ka testosterone lawa. |
Pehea e ʻike ai ke kauka a hōʻoia i kēia?
He mea maʻalahi loa kēia e ʻike. I ka wā o ka hoʻokolokolo kino maʻamau a
ke kauka e hana ai ma hope o ka hānau ʻana o ka pēpē, e pā ʻia ka scrotum o ka pēpē. E haʻi koke kēia iā ʻoe inā aia nā testicles ʻelua a ʻaʻole paha.
- Ka hoʻokolokolo kino : ʻO kēia ke ʻano hana diagnostic nui a koʻikoʻi loa.
- ʻŌlelo aʻoaʻo lapaʻau kūikawā: I kekahi manawa e kuhikuhi paha kāu kauka iā ʻoe i kahi urologist pediatric i loea i kēia wahi.Hiki ke kuhikuhi ʻia ʻoe i kahi Urologist .
- Nā scan : ʻAʻole pono kēia mau mea i ka hapa nui o ka manawa. Eia nō naʻe, i kekahi manawa hiki ke hana ʻia kahi scan, e like me ka ultrasound pelvic, e ʻike ai i kahi o nā testicles i loko o ka ʻōpū.
Pehea e mālama ʻia ai kēia maʻi? He aha ka makahiki maikaʻi loa?
ʻO ka mea mua, kali nā kauka a hiki i ka
piha ʻana o ke keiki i 6 mahina . No ka mea, i loko o ia manawa, aia kahi manawa kūpono e iho ai ka testicle ma kāna iho. Eia nō naʻe,
inā ʻaʻole i iho nā testicles i 6 mahina , a laila pono ʻoe e noʻonoʻo i ka lāʻau lapaʻau. ʻO ka lāʻau lapaʻau maikaʻi loa a me ke "kūlana gula" no kēia he ʻoki liʻiliʻi i kapa ʻia ʻo
orchiopexy .
He aha ke ʻano o ke ʻoki kino Orchiopexy?
Mai makaʻu i kou lohe ʻana i kēia. He ʻoki liʻiliʻi loa kēia a palekana hoʻi. 1. Hana ke kauka ʻoki i kahi ʻoki liʻiliʻi loa ma ka ʻāpana groin o ke keiki a hoʻonoho i ka testicle i loko o ka ʻōpū. 2. A laila, hana ʻia kekahi ʻoki liʻiliʻi ʻē aʻe ma ka scrotum, e hana ana i kahi ʻeke liʻiliʻi no ka testicle. 3. ʻO ka hope loa, hoʻohaʻahaʻa pono ʻia ka testicle luna, waiho ʻia i loko o kahi i hana hou ʻia, a pani ʻia me kekahi mau humuhumu liʻiliʻi. ʻŌlelo pinepine nā kauka e hana ʻia kēia ʻoki ma kahi keiki
ma waena o 12 a me 24 mahina (ʻelua makahiki) .
Nā nīnau hiki iā ʻoe ke nīnau ma ke ʻano he makua
Ke kipa aku ʻoe i ke kauka o kāu keiki, ʻo kou kuleana ia e nīnau i kāu mau nīnau. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau.
- "E ke kauka, pono maoli anei kaʻu keiki i ka lāʻau lapaʻau?"
- "Inā pono ka lāʻau lapaʻau, he aha ka makahiki kūpono loa no ia?"
- "He aha nā pilikia e hiki mai ana ma kēia hana?"
- "Pehea ka lōʻihi e ola ai ke keiki ma hope o ke ʻoki ʻana?"
- "Aia kekahi mau mea kūikawā e pono ai kākou e makaʻala i ka wā e hiki mai ana?"
ʻO kekahi mau nīnau ʻē aʻe i nīnau pinepine ʻia e nā mākua
Inā ʻaʻole i iho mai kekahi testicle, hiki anei ke loaʻa nā keiki i ka wā e hiki mai ana?
ʻAe, hiki nō ia. ʻO ka nui o ka hānau ʻana o ke kāne me hoʻokahi wale nō testicle i iho ʻole a ʻo kekahi olakino ua like ia me ke kāne me nā testicle ʻelua maʻamau. Eia nō naʻe, inā ʻaʻole i iho nā testicle ʻelua (bilateral undescended testicles), hiki ke emi iki ka hānau ʻana.
ʻAʻole anei hiki iā kākou ke hoʻopaʻa i kēia ʻōpū a waiho i lalo?
ʻAʻole loa. Mai ho'āʻo e hana i kēlā. Hiki ke hōʻeha i ka pēpē. ʻO ke ala kūpono wale nō e hana ai ma o ke ʻoki kino.
He aha ka ʻokoʻa ma waena o nā testicles retractile a me nā testicles undescended?
He wahi kēia e huikau ai nā mākua he nui.
- Nā Testicles i iho ʻole: ʻO ke ʻano kēia, ʻaʻole i iho ka testicle i loko o ka scrotum. Aia ia ma luna.
- Nā Testicles Hiku: ʻO ke ʻano kēia, aia ka testicle i loko o ka scrotum, akā i ka wā e makaʻu ai, anu, a i ʻole i ka pane ʻana i ka pā ʻana, hoʻāla ʻia kahi ʻiʻo (ka ʻiʻo cremasteric), e hoʻihoʻi ana iā ia. A laila hoʻi ia i kona kūlana mua ma hope o kekahi manawa. He kūlana kēia e hoʻopau pinepine ʻia i ka wā e hiki ai ke keikikāne i ka wā ʻōpio. ʻAʻole pono kēia i ka lāʻau lapaʻau.
Leka Lawe-Home
- He maʻi maʻamau ka iho ʻole ʻana o nā testicles i nā keikikāne, no laila mai hopohopo pono ʻole.
- ʻAʻole kēia kou hewa. Mai manaʻo he mea ia āu i hana ai i ka wā hāpai.
- I ka hapanui o nā keiki, e hoʻoholo wale kēia ʻano ma kāna iho i loko o nā mahina 6 mua o ke ola.
- Inā ʻaʻole i iho mai kou mau testicle ma hope o 6 mau mahina, e kamaʻilio pono me kāu kauka.
- He holomua loa ka hana ʻoki kino (Orchiopexy) (98% holomua) a palekana hoʻi.
- Ma hope o ka lāʻau lapaʻau, hiki i ke keiki ke ola i kahi ola maʻamau a olakino. Eia nō naʻe, i ka wā e hiki ai ke keiki i ka wā ʻōpio, he mea nui loa ke aʻo iā ia e nānā pono i nā testicles no nā loli.
Nā testicles, nā testicles i iho ʻole i lalo, cryptorchidism, olakino o nā keiki, orchiopexy, olakino o ke keiki kāne, pediatrics, olakino o nā kāne
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