Ke hānau ʻia kahi pēpē hou i loko o kahi ʻohana, he manawa hauʻoli nui ia no nā mea a pau. Ma hope o ka hānau ʻana, hana nā kauka i kahi hoʻokolokolo piha e hōʻoia i ke olakino o ka pēpē. ʻO kekahi o nā nānā koʻikoʻi i ka wā o kēia hoʻokolokolo ʻana, ʻo ia ka hōʻoia inā ua iho nā testicles o ke keiki kāne.
He aha ka Cryptorchidism? – E hoʻomaopopo maʻalahi kākou
I ka wā o ka ulu ʻana o ka fetal, hana ʻia nā testicles o ke keiki kāne i loko o ka ʻōpū (lua ʻōpū). I nā mahina hope o ka hāpai ʻana, iho mālie nā testicles mai ka ʻōpū i loko o ka ʻeke ʻili ma lalo o ka penis, i kapa ʻia ʻo ka scrotum.
Eia nō naʻe, i kekahi mau pēpē, ʻaʻole i pau kēia kaʻina hana. ʻO ke ʻano kēia, i ka wā e hānau ʻia ai ke pēpē, ʻaʻole i iho kekahi a i ʻole nā testicle ʻelua mai ka ʻōpū a i loko o ka scrotum. Ua kapa ʻia kēia maʻi he Undescended Testicle a i ʻole Cryptorchidism .
ʻIke pinepine ʻia kēia ʻano i nā pēpē hānau mua ʻole (i hānau ʻia ma mua o ka pule 37) a me nā pēpē hānau hou me ke kaumaha haʻahaʻa i ka wā hānau.
ʻAʻole anei e iho iho nā testicles ma o lākou iho?
ʻAe, i ka hapanui o nā hihia, e iho nā testicles iā lākou iho i loko o nā mahina 3 a 4 mua o ke ola . Eia nō naʻe, inā ʻaʻole lākou i iho i ka wā e piha ai ka pēpē i 4 mahina, e lilo ka likelika o ko lākou iho kūlohelohe i mea haʻahaʻa loa, a pono ka mālama lapaʻau.
He aha nā kumu o nā testicles i iho ʻole?
Hoʻokele ʻia ke kaʻina hana o nā testicles e iho ana mai ka ʻōpū e nā hormones, nā aʻalolo, a me ke anatomy o ka pēpē e hana like ana. Hiki ke hana ʻia nā haunaele i kēia kaʻina hana e:
- Kaumaha hānau haʻahaʻa.
- Ka hānau mua ʻana.
- Ka puhipaka a ka makuahine a i ʻole ka hoʻohana ʻana i ka waiʻona i ka wā hāpai.
- Ka pilikia o ka makuahine i nā pesticides i ka wā hāpai.
- He moʻolelo ʻohana o nā testicles i iho ʻole i lalo (nā kumu genetic).
He aha nā pilikia o kēia kūlana?
I mea e hana pono ai nā testicles a hana i ka sperm olakino, pono lākou e noho i loko o ka scrotum, kahi i ʻoi aku ka anuanu o ka mahana ma mua o ke koena o ke kino. Inā noho lākou i loko o ka ʻōpū, hiki i ke kiʻekiʻe o ka mahana o ke kino ke hoʻoulu i nā pilikia koʻikoʻi no ka wā lōʻihi:
- Ka Maʻi ʻAʻai Testicular: ʻOi aku ka nui o ka pilikia o nā keikikāne me nā testicles i iho ʻole i ka ulu ʻana o ka maʻi ʻaʻai testicular ma hope aku o ke ola, ʻoiai inā noho ka testicle i loko o ka ʻōpū ma mua o ka ʻūhā.
- ʻAʻole hānau keiki: Hiki iā ia ke alakaʻi i ka helu sperm haʻahaʻa a i ʻole ka maikaʻi ʻole o ka sperm, e hoʻoulu ai i nā pilikia hānau keiki i ka wā makua. ʻOi aku ka nui o ka pilikia inā ʻaʻole i iho nā testicles ʻelua.
- ʻO ka Torsion Testicular: Hiki i ka testicle ke wili ma luna o kona mau kīʻaha koko, e ʻoki ana i kona lako koko a e hōʻino ana i nā ʻiʻo.
- ʻEha: Inā aia ka testicle ma ka ʻūhā, ʻoi aku ka maʻalahi o ka hōʻeha ʻana mai ke kaomi ʻana i ka iwi pubic.
- Inguinal Hernia: ʻO kahi puka i loko o ke ala kahi e iho ai ka testicle e hiki ai ke ʻae i kahi ʻāpana o nā ʻōpū e puka i waho.
Pehea e ʻike ʻia ai kahi testicle i iho ʻole?
ʻAʻole pono ka mīkini paʻakikī no ka ʻike ʻana i kahi testicle i iho ʻole i lalo. Hiki i ke kauka pediatric a i ʻole ke kauka laulā ke hoʻoholo maʻalahi inā aia nā testicles i loko o ka scrotum ma ka hana ʻana i kahi hoʻokolokolo kino me ka hoʻohana ʻana i ka hoʻopā.
Inā ʻaʻole hiki ke hoʻopā ʻia ka testicle, hiki ke hoʻohana ʻia kahi ultrasound scan a i ʻole, i kekahi mau hihia, kahi kaʻina hana diagnostic minimally invasive i kapa ʻia ʻo laparoscopy e ʻike ai iā ia.
He aha nā lāʻau lapaʻau i loaʻa?
ʻO ke ʻoki kino ka lāʻau lapaʻau mua a kūleʻa loa no kēia ʻano, i kapa ʻia ʻo ka orchiopexy .
I loko o kēia ʻoki kino, ua hoʻoneʻe pono ʻia ka testicle i iho ʻole mai ka ʻōpū a i ʻole ka ʻūhā i loko o ka scrotum a ua humuhumu ʻia ma kona wahi. ʻO ka maʻamau, ua ʻōlelo ʻia kēia kaʻina hana i ka wā e piha ai ka pēpē i 6 a 12 mau mahina .
ʻO ka hana ʻana i kēia ʻoki kino i ka wā mua (ʻoi aku ka maikaʻi ma mua o ka makahiki 1) e hōʻemi nui i ka pilikia o nā pilikia e hiki mai ana e like me ka hānau ʻole ʻana a me ke kanesa testicular.
He aha nā Alakaʻi ma hope o ka Lapaʻau ʻana?
He mea nui nā kipa ʻana me kāu kauka e hōʻoia i ka noho ʻana o ka testicle ma ke kūlana kūpono. Eia kekahi:
- I ka ulu ʻana o ke keikikāne (i ka wā ʻōpio), pono e aʻo ʻia ʻo ia pehea e hana ai i nā hoʻokolokolo ponoʻī o ka testicle maʻamau e ʻike mua i nā puʻupuʻu a i ʻole nā loli ʻē.
Hōʻuluʻulu Manaʻo o nā Manaʻo Koʻikoʻi
- ʻO ka Cryptorchidism ka wā i hānau ʻia ai kahi pēpē kāne me kekahi a i ʻole nā testicles ʻelua i hemo mai ka scrotum.
- I ka hapanui o nā hihia, iho maoli nā testicles i lalo i ka 4 mau mahina o ka makahiki.
- Inā ʻaʻole i iho lākou i lalo i 4 mau mahina, pono ke ʻoki kino (orchiopexy).
- ʻO ka makahiki kūpono loa no kēia ʻoki ʻana ma waena o 6 a me 12 mau mahina.
- He mea nui ka mālama mua ʻana e pale i nā pilikia e hiki mai ana e like me ka hānau ʻole ʻana a me ke kanesa testicular.
Inā he mau hopohopo kāu e pili ana i ka ulu ʻana o kāu keiki hānau hou, e nīnau koke aku i kāu pediatrician a kauka lapaʻau paha.
nā testicles i iho ʻole i lalo, ka maʻi ʻaʻai testicular, orchiopexy, ʻoki kino, keiki hānau hou, pediatrician
