I ka wā i hānau ʻia ai kāu keikikāne liʻiliʻi, ua nānā anei ke kauka iā ia a haʻi iā ʻoe ʻaʻole i iho kekahi a i ʻole nā mea ʻelua o kāna mau testicle ? He mea maʻamau loa ia no ka makuahine a i ʻole ka makuakāne ke makaʻu iki a hopohopo i ka lohe ʻana i kekahi mea e like me ia. Akā, mai hopohopo. He kūlana maʻamau kēia. E kamaʻilio kākou e pili ana i kēia me ka maopopo a me ka maʻalahi i kēia lā.
I ka ʻōlelo maʻalahi, he aha nā testicles i iho ʻole?
ʻAe, e hoʻomaka kākou ma ka hoʻomaka. Ke komo ke keiki kāne i loko o ka ʻōpū, ulu aʻe kona mau testicle (ka ʻāpana i kapa ʻia e ka hapa nui o ka poʻe he 'nā pōpō') i loko o kona ʻōpū. ʻO kēia mau testicle ka mea e hana ai i nā hormones kāne a me ka sperm . Ma mua koke o ka hānau ʻana o ke pēpē, neʻe kēia mau testicle ʻelua i lalo mai ka ʻōpū a i loko o kahi ʻeke ʻili ma hope o ka penis. Kāhea mākou i kēia he scrotum .
No laila, ʻo ke ʻano o nā testicles i iho ʻole ʻia, ʻo ia hoʻi, ʻaʻole i iho kekahi a i ʻole nā testicles ʻelua mai ka ʻōpū, ʻo ia hoʻi, i loko o ka scrotum, i ka wā hānau a i ʻole i loko o nā mahina mua ma hope o ka hānau ʻana. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia ʻano he Cryptorchidism .
He koʻikoʻi anei kēia maʻi? Pehea ka maʻamau?
He mea weliweli paha kēia, akā hiki ke hoʻopilikia wale ʻia inā ʻaʻole mālama ʻia. Inā ʻaʻole mālama ʻia, e emi ana paha nā pae testosterone o ke keikikāne, kahi e hoʻopilikia ai i ke olakino o kāna sperm i ka wā e hiki mai ana. Eia kekahi, inā mālama ʻia a ʻaʻole paha, ʻoi aku ka nui o kona pilikia o ka maʻi ʻaʻai testicular ma mua o nā keikikāne ʻē aʻe. Eia nō naʻe, hiki i ka mālama mua ʻana ke hōʻemi nui i kēia pilikia.
He mea maʻamau loa ia e hoʻopilikia ai ma kahi o 3 mai loko mai o 100 (3%) mau pēpē kāne hānau piha. Eia nō naʻe, ʻoi aku ka maʻamau i waena o nā pēpē hānau mua . Hiki iā ia ke hoʻopilikia a hiki i 30 mai loko mai o 100 (30%) mau pēpē kāne hānau piha.
ʻO ka nūhou maikaʻi, ma kahi o ka hapalua o kēia mau testicles i iho ʻole i lalo, e iho nā testicles ma o lākou iho i loko o kekahi mau mahina o ka hānau ʻana, me ka ʻole o kekahi lāʻau lapaʻau.
He aha nā hōʻailona o kēia? No ke aha e hana ai kēia?
ʻO ka hōʻailona nui a hoʻokahi wale nō, ʻo ia ka hakahaka o kekahi a i ʻole nā ʻaoʻao ʻelua o ka scrotum. ʻO ke ʻano kēia, ʻaʻole hiki ke ʻike ʻia kekahi a i ʻole nā testicles ʻelua i loko o ka scrotum ke hoʻopā ʻia. Ma waho aʻe o kēlā, ʻaʻohe mau hōʻailona ʻē aʻe. ʻAʻole kēia e hōʻeha i ka pēpē, a ʻaʻohe pilikia i ka mimi ʻana .
ʻAʻole maopopo i nā kauka ke kumu o kēia. Ua manaʻoʻiʻo ʻia i kekahi manawa, ʻo ka nele o nā hormones testosterone i ka wā e ulu ana ke pēpē i loko o ka ʻōpū hiki ke pale i nā testicles mai ka ulu ʻana a me ka iho ʻana.
ʻO ka mea nui loa, ʻaʻohe hōʻike e hōʻike ana i kekahi mea āu i hana ai a i ʻole i hana ʻole ai i ka wā hāpai i loaʻa ai i kāu pēpē kēia maʻi. No laila, mai hopohopo no ia mea a mai hoʻāhewa iā ʻoe iho.
He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia?
Inā ʻaʻole i iho nā testicles, ua hōʻike ʻia lākou i nā mahana kiʻekiʻe aʻe ma mua o ka mahana maʻamau o ke kino. Hiki i kēia ke hoʻopilikia i kā lākou hana. No laila, inā waiho ʻole ʻia no ka manawa lōʻihi, hiki ke kū mai kekahi mau pilikia. E nānā kākou i ka papa ma lalo.
| Ka pilikia | I ka ʻōlelo maʻalahi... |
|---|---|
| Ka maʻi ʻaʻai testicle | ʻO ia ke ʻano maʻamau o ka maʻi kanesa i nā kāne ʻōpio ma waena o 15 a me 35 mau makahiki. He liʻiliʻi loa ka pilikia o nā keiki me kēia maʻi e loaʻa iā ia i ka wā e hiki mai ana. Eia nō naʻe, hiki i ka mālama mua ʻana ke hōʻemi i ka pilikia. |
| ʻO ka hoʻohuli ʻana o ka testicle | Ua wili ʻia a ua ālai ʻia kekahi kīʻaha koko e hoʻolako ana i ke koko i ka testicle. He pilikia ʻeha loa kēia a hiki ke hoʻolilo i ka testicle i mea hiki ʻole ke hana inā ʻaʻole e mālama koke ʻia. |
| ʻO ka Hernia Inguinal | Ka puka ʻana o kahi ʻōkana, e like me kahi ʻāpana o ka ʻōpū, ma o nā ʻiʻo o ka ʻāpana groin. Hiki ke hana kēia ma muli o ka nāwaliwali o ke ala e hele ai nā testicles. |
| Nā hemahema hormonal (Hypogonadism) | ʻAʻole hiki i nā testicles ke hana i ka lawa o ka testosterone, hiki ke hoʻopilikia i ka hiki ke loaʻa nā keiki i ka wā e hiki mai ana (fertility). |
Pehea e ʻike ʻia ai a mālama ʻia ai kēia maʻi?
Hiki ke ʻike ʻia kēia i ka wā o ka hoʻokolokolo kino ʻana e ke kauka ma ka haukapila ma hope koke iho o ka hānau ʻana o ke pēpē. E hoʻopā ke kauka i ka scrotum e ʻike inā aia nā testicles ʻelua. Inā ʻaʻole lākou, ua kānalua ʻia kēia ʻano.
ʻO ka maʻamau, kali nā kauka a hiki i ka piha ʻana o ke pēpē i 6 mau mahina e ʻike ai inā e iho iho nā testicles ma o lākou iho. Inā ʻaʻole, e kuhikuhi lākou iā ʻoe i kahi urologist pediatric / surgeon. I kekahi manawa hiki ke hana ʻia kahi scan ultrasound pelvic e ʻike ai i kahi kikoʻī o nā testicles.
ʻAno lapaʻau: ʻoki kino Orchiopexy
Inā ʻaʻole i iho mai nā testicles i ka wā e 6 mahina ai ka pēpē, ua ʻōlelo ʻia kahi hana ʻoki kino i kapa ʻia ʻo Orchiopexy . ʻO ka maʻamau, paipai nā kauka i kēia hana ke hiki ka pēpē ma waena o 12 a me 24 mahina (ʻelua makahiki) .
He mea maʻalahi loa ka mea e hana ʻia i ka wā o kēia ʻoki kino:
1. Hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi loa ma ka ʻāpana groin a hoʻonoho i ka testicle i loko o ka ʻōpū.
2. A laila, hana ʻia kekahi ʻoki liʻiliʻi ma ka scrotum, e hana ana i kahi hakahaka liʻiliʻi e paʻa ai ka testicle.
3. ʻO ka hope loa, ua lawe mālie ʻia ka testicle i lalo, hoʻopaʻa ʻia i loko o ka scrotum, a ua humuhumu ʻia.
He holomua loa kēia ʻoki kino. ʻOi aku ka kiʻekiʻe o ka holomua ma kahi o 98%. Ma hope o ke ʻoki kino, ulu maʻamau ka hapa nui o nā testicles o nā keikikāne a hana i ka sperm olakino i ka wā e hiki mai ana.
Eia kekahi mau mea nui ʻē aʻe no ʻoukou ma ke ʻano he mau mākua e ʻike:
Hiki ke loaʻa nā keiki inā ʻaʻole i iho kekahi testicle?
ʻAe, hiki nō ia. ʻO ke kāne me hoʻokahi wale nō testicle i iho ʻole ʻia, ua like kona hiki ke loaʻa nā keiki (momona) me ke kāne maʻamau, e like me ka nui o ka sperm i hana ʻia e ka testicle olakino ʻē aʻe. Inā ʻaʻole i iho nā testicle ʻelua, e emi iki paha ka momona.
ʻAʻole hiki iā ʻoe ke hoʻokuke i ka ʻōpū i lalo?
ʻAʻole loa.Mai ho'āʻo e hana i kēlā. Hiki ke hōʻeha i ka pēpē. Pono kēia i ka mālama lapaʻau kūpono.
He aha ka ʻokoʻa ma waena o nā testicles retractile a me nā testicles undescended?
He mea nui nō hoʻi kēia. I kekahi manawa, i ka pane ʻana i kahi mea e like me ka makaʻu, ke anu, a i ʻole ka hoʻopā ʻana, e huki i luna nā testicles a laila e hoʻi i lalo. Ua kapa ʻia kēia he Retractile Testicles . He mea maʻamau kēia e hana ʻia ma muli o ka hana a kahi ʻiʻo. Nalo wale kēia ʻano maʻi i ka wā e hiki ai ke keikikāne i ka wā ʻōpio. Eia nō naʻe, ʻo Undescended Testicles kahi ʻano kahi i hiki ʻole ai nā testicles i ka scrotum. Hiki i ke kauka ke ʻike i ka ʻokoʻa ma waena o kēia mau mea ʻelua ma ka nānā ʻana iā lākou.
Āhea ʻoe e ʻike ai i ke kauka?
- Inā ʻaʻole i iho mai nā hua o kāu pēpē i ka manawa he 6 mahina , e kamaʻilio pono me kāu kauka e pili ana i ia mea.
- Ma hope o ke ʻoki ʻana, inā loaʻa iā ʻoe nā hōʻailona aʻe, e ʻike koke i ke kauka a i ʻole e hele i ka Emergency Department (ETU) o ka haukapila:
- Ke kahe nui ʻana o ke koko mai ka wahi i ʻoki ʻia ai.
- Nā hōʻailona o ka maʻi e like me ke kuni, ke anu, a me ka ʻulaʻula o ka ʻili.
- ʻEha nui hiki ʻole ke hoʻomanawanui ma ka ʻāpana groin.
Leka Lawe-Home
- He maʻi maʻamau ka Cryptorchidism i ʻike ʻia i nā pēpē kāne. Mai hopohopo nui no ia mea.
- I ka hapa nui o nā keikikāne, iho mālie nā testicles i loko o nā mahina 6 mua o ka hānau ʻana me ka ʻole o ka lāʻau lapaʻau.
- Inā ʻaʻole i iho i lalo ma hope o 6 mau mahina, e ʻike i ke kauka no ka ʻōlelo aʻo. Hiki ke ho'ōla loa ʻia kēia me kahi ʻoki liʻiliʻi (Orchiopexy) i hana ʻia ma waena o hoʻokahi a ʻelua makahiki.
- He 98% ka holomua o kēia ʻoki kino. Ma hope o ka mālama ʻana, hiki i ke keiki ke ola i ke ola olakino.
- I ka hiki ʻana o kāu keiki i ka wā ʻōpio, he mea nui loa ka hoʻoikaika ʻana iā ia e hana i nā hoʻokolohua ponoʻī i kēlā me kēia mahina e nānā i nā loli i loko o nā testicles no kona olakino i ka wā e hiki mai ana.
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