Aia kekahi wai e puka mai ana mai ka piko o kāu pēpē? He 'koena urachal' paha ia!

Ua ʻike anei ʻoe he wahi makū iki ko kekahi mau pēpē ma ko lākou ʻāpana crotch, i kekahi manawa he wai liʻiliʻi e puka mai ana? A i ʻole, ke loaʻa nei iā ʻoe ka ʻeha ma kou ʻōpū haʻahaʻa ma hope o ko lākou ulu ʻana? ʻOiai he mau mea kēia a mākou e nānā ʻole ai i kekahi manawa, aia paha he kumu olakino liʻiliʻi ma hope o lākou. I kēia lā e kamaʻilio mākou e pili ana i kekahi o ia ʻano. Ua kapa ʻia ʻo 'Urachal Remnant'. He mea ʻē paha ke kani ʻana o ka inoa, akā e hoʻomaopopo maʻalahi kākou.

He aha kēia 'Urachal Remnant'?

ʻAe, no ka hoʻomaopopo ʻana i kēia, pono kākou e hoʻi iki i ka wā i loko o ka ʻōpū o ka makuahine ka pēpē. Loaʻa i kēlā me kēia fetus i loko o ka ʻōpū o ka makuahine kahi paipu manawa pōkole ma waena o ka ʻōpū mimi (kahi e hōʻiliʻili ai ka mimi ) a me ke kaula umbilical. Ua kapa ʻia kēia ʻo 'urachus'. ʻO kēia ka mea e kōkua ai i ka mimi e hele i loko o ka wā fetal.

ʻO ka maʻamau, i ka wā o ka lua o ka trimester o ka hāpai ʻana, e emi mālie ana kēia ʻōmole i kapa ʻia ʻo urachus a lilo i ʻano kaula liʻiliʻi i hana ʻia me nā ʻiʻo fibrous. Ua kapa ʻia kēia ʻo ka median umbilical ligament. Aia kēia i loko o ke kino i ke ola holoʻokoʻa o ke kanaka olakino.

Eia nō naʻe, i kekahi manawa, ʻoiai ma hope o ka hānau ʻana o ke pēpē, aia kekahi ʻāpana o kēia ʻōmole i kapa ʻia ʻo 'urachus' me ka ʻole o ka emi loa ʻana. ʻO kēlā ʻiʻo i koe ua kapa ʻia ʻo 'urachal remnant'. I ka ʻōlelo maʻalahi, ʻo kahi mea i hana ʻia i loko o ka ʻōpū a pono e nalowale ʻaʻole ia e nalowale pono, akā e noho mau ana.

Pehea ka maʻamau o kēia ʻano?

He mea paʻakikī ke ʻōlelo pololei i ke ʻano maʻamau o kēia. Eia nō naʻe, ua manaʻo nā kauka a me nā mea noiʻi aia ma kahi o 1% o nā keiki e loaʻa paha kēia maʻi. Ua ʻōlelo ʻia hoʻi he ʻoi aku ka maʻamau o ia i nā keikikāne ma mua o nā kaikamahine.

Aia kekahi mau ʻano like ʻole o kēia 'Euracal Remnant'?

ʻAe, aia kekahi mau ʻano o kēia 'eurax' i koe ma muli o ke ʻano o kona waiho ʻia ʻana. E nānā kākou i ke ʻano o lākou:

• Hāmama loa (Patent Urachus): ʻO kēia ka manawa e hāmama loa ai ka ʻōmole mai ka ʻōpū mimi a i ka ureter. ʻO ia hoʻi, hiki i kekahi mimi ke kahe i waho o ka ureter.
• ʻUrachal Cyst: Ma kēia, ua pani ʻia ka ʻōmole ma nā ʻaoʻao ʻelua, a hōʻiliʻili ka wai i waenakonu, e hana ana i kahi cyst liʻiliʻi (pehu). Hiki nō hoʻi ke loaʻa nā ʻāpana ʻiʻo.
• Hāmama ma ka ʻaoʻao pelvic, pani ʻia ma ka ʻaoʻao mimi (Urachal Sinus): ʻO kēia kahi e hāmama ai ka ʻōmole ma ka ʻaoʻao pelvic, akā pani ʻia ma ka ʻaoʻao mimi. No laila, i kekahi manawa e puka mai kahi kahe mai ka ʻaoʻao pelvic.
• ʻO Vesicourachal Diverticulum: Ma kēia, ua hāmama ka ʻōmole i ka ʻaoʻao o ka ʻōpū mimi, akā ua pani ʻia i ka piko. Hoʻokumu kēia i kahi ʻāpana liʻiliʻi e like me ka ʻeke o ka ʻōpū mimi.

I kēia manawa ua maopopo paha iā ʻoe ʻaʻole like kēia me nā kānaka a pau.

Pono maoli anei mākou e wehe i kēia 'Euracal Remnant'?

He pilikia kēia i loaʻa i nā poʻe he nui. Hiki i kekahi mau keiki a me nā pākeke me kahi 'urachal remnant' ke loaʻa nā pilikia . I ia mau hihia, hiki i nā kauka ke hoʻoholo he mea maikaʻi ke hana i ke ʻoki ʻana e wehe i kēia ʻāpana i koe.

Eia naʻe, ʻaʻole like ke kūlana o kēlā me kēia kanaka. Hiki i kekahi poʻe ke ola me ka ʻole o nā pilikia. No laila, e nānā pono ke kauka iā ʻoe a i ʻole kāu keiki e hoʻoholo i ka mea maikaʻi loa. No laila, mai hopohopo.

No ke aha i hoʻokumu ʻia ai kēia 'Euracal Remnant'?

ʻO kaʻoiaʻiʻo, ʻaʻole i ʻike pono nā loea i ke kumu o kēia 'urachal remnant' i kekahi mau pēpē ma hope o ka hānau ʻana. ʻOiai ke hana ʻia nei i ka wā o ka embryonic, he paʻakikī ke kuhikuhi i kahi kumu kikoʻī.

He aha nā hōʻailona o kēia?

I nā hihia he nui, ʻaʻohe paha he mau hōʻailona ʻike ʻia ʻoiai inā he 'urachal remnant'. Eia kekahi, inā loaʻa nā hōʻailona, ​​​​hiki ke ʻokoʻa lākou ma muli o ke ʻano i ʻōlelo ʻia ma luna.

• No nā pēpē hānau hou: Loaʻa paha i kekahi mau pēpē kahi manaʻo pulu a puni ko lākou pihi ʻōpū , a pono ʻoe e hopohopo inā hoʻomau ia me ka maloʻo ʻole. Hiki paha iā ʻoe ke ʻike i ka mimi e kulu ana.
• Hiki i nā ʻōpio a me nā pākeke ke ʻike i nā hōʻailona e like me:
• Kuni.
• Nā maʻi pinepine o ke ala mimi (UTI) (hiki ke ʻokoʻa iki nā UTI i nā keiki mai nā UTI i nā pākeke).
• Loaʻa ka ʻeha ma ka ʻōpū lalo.
• ʻEha a me ke kuni i ka wā e mimi ai.

E noʻonoʻo i kāu keiki liʻiliʻi e ʻōlelo mau ana "Māmā, ʻeha koʻu ʻōpū," a i ʻole e uē ana i ka wā e mimi ai , a i ʻole e loaʻa ana i ke kuni. He mau hōʻailona paha kēia o kahi maʻi e like me kēia.

Pehea ʻoe i ʻike ai he 'Euracal Remnant' kēia?

ʻO ka maʻamau, kānalua nā kauka i kēia inā he kahe mau ka wai o kahi pēpē hānau hou mai ke kaula umbilical a i ʻole nā ​​​​hōʻailona ʻē aʻe. Eia nō naʻe, ʻo ka hapa nui o ka manawa, ʻaʻole i ʻike ʻia a hiki i ka wā e loaʻa ai nā pilikia, i ka wā kamaliʻi a i ʻole ka wā makua.

Hiki i nā kauka ke ʻike hewa i kahi 'urachal remnant' i ka wā e hoʻāʻo ana no kekahi mea ʻē aʻe. Inā ʻike lākou i kahi mea ʻē, hana lākou i nā hoʻokolohua hou aʻe e hōʻoia i ia mea.

He aha ke ʻano o nā hoʻokolohua e ʻike ai i kēia?

Hana pinepine nā kauka i kahi ultrasound o kou ʻōpū, ka ʻōpū mimi, a me ka ʻāpana pelvic e nānā i kahi koena urachal. He hoʻāʻo maʻalahi loa kēia a ʻeha ʻole.

I kekahi mau hihia, hiki i nā kauka ke ʻōlelo aku i kahi hoʻokolohua i kapa ʻia ʻo 'Voiding Cystourethrogram' (VCUG). Lawe kēia hoʻokolohua i nā kiʻi (e like me ka X-ray) o kou urethra a me ka ʻōpū mimi i kou wā e mimi ai. Hiki i kēia ke kōkua i ka ʻike maopopo inā he mau pilikia ma kēia wahi.

He aha nā lāʻau lapaʻau no kēia?

ʻO ke ʻano o ka mālama ʻana no kahi 'urachal remnant' e pili ana i ke ʻano a me nā hōʻailona āu e loaʻa ai.

• Inā loaʻa iā ʻoe kahi maʻi , hiki i kāu kauka ke kuhikuhi mua i nā antibiotics.
• Inā loaʻa iā ʻoe kahi cyst urachal (kahi puʻupuʻu piha i ka wai), hiki i kāu kauka ke hoʻohana i kahi nila e hoʻokahe i ka wai. Eia naʻe, he hopena manawa pōkole wale nō kēia. Hiki i ka wai ke hōʻiliʻili hou a hoʻoulu i nā hōʻailona.

I ka hapanui o nā hihia, ʻo ka hopena mau loa ka hana ʻoki kino e wehe loa i ke koena urachal. Eia nō naʻe, ua hoʻoholo ʻia kēia hoʻoholo ma muli o nā kumu he nui, me ka makahiki a me ke kūlana o ka mea maʻi. ʻAʻole pono paha nā keiki ʻōpio i ke ʻoki kino koke. E wehewehe ke kauka o kāu keiki iā ʻoe i nā koho lapaʻau maikaʻi loa, me ka noʻonoʻo ʻana i ko lākou olakino lōʻihi a me ka pono.

Hiki iā kāua ke kamaʻilio hou aku e pili ana i ke ʻoki kino?

Inā hoʻoholo ʻia ke ʻoki ʻana, e wehe nā kauka i kēia 'koena urethral' ma o ke ʻoki hāmama a i ʻole laparoscopically.

I loko o ke ʻoki kino 'laparoscopic', hana ke kauka ʻoki kino i ke ʻoki kino ma o kekahi mau ʻoki liʻiliʻi loa , me ka hoʻohana ʻana i kahi kāmela a me nā mea hana kūikawā. He nui nā pono o kēia ʻano hana:

• Ua emi ka ʻeha.
• ʻOi aku ka liʻiliʻi o ka ʻōpala.
• Hiki iā ʻoe ke ho'ōla koke.
• Hiki iā ʻoe ke hoʻi koke i nā hana o kēlā me kēia lā.

E hoʻomanaʻo, ʻoiai ke ʻano o ke ʻoki ʻana e hana ʻia, hana ʻia ia me ka noʻonoʻo ʻana i kou pono a me kou palekana.

Aia kekahi ala e pale aku ai i kēia 'uracular remnant' mai ke kūkulu ʻia ʻana?

E like me ka mea i ʻōlelo ʻia ma mua, ua hoʻokumu ʻia kahi 'urachal remnant' ma muli o kahi mea e hana ʻia ana i ka wā embryonic. ʻO ia hoʻi, kahi mea e hana ʻia ana i ka wā e noho ana ke pēpē i loko o ka ʻōpū o ka makuahine. No laila, ʻaʻohe mea hiki iā mākou ke hana e pale aku i kēia. ʻAʻohe hewa o kekahi.

Hiki paha i kēia ke loaʻa nā hopena lōʻihi?

I kekahi manawa, hiki i nā keiki a me nā pākeke me kahi 'urachal remnant' ke loaʻa i nā maʻi pinepine . ʻO kēia ka pilikia nui.

Eia kekahi, ʻo ka loaʻa ʻana o kahi 'urachal remnant' ua ʻōlelo ʻia e hoʻonui iki i ka pilikia o ka hoʻomohala ʻana i kahi ʻano maʻi ʻōpū mimi akā ʻoi aku ka koʻikoʻi (urachal cancer) . Eia naʻe, he mea kakaikahi loa kēia.No laila, mai makaʻu pono ʻole. Ua ʻike nā kauka i kēia a ke hana nei lākou i nā hana e pono ai.

Hiki i kēia maʻi ke hoʻi hou mai ma hope o ka mālama ʻia ʻana?

Inā wehe loa ʻia ke koena o ka urachal i hoʻokahi ʻoki kino, ʻaʻohe manawa kūpono e kū hou mai ai nā pilikia a i ʻole nā ​​hōʻailona. ʻO ia ke kumu ʻo ke ʻoki kino ka hopena maikaʻi loa.

Āhea mākou e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe a i kāu keiki paha kekahi o kēia mau hōʻailona, ​​​​e ʻike pono i ke kauka.

• ʻEha mau ma ka ʻōpū lalo.
• Paʻakikī, wela, a me ka ʻeha i ka wā e mimi ai.
• Inā loaʻa pinepine iā ʻoe nā maʻi ʻōpū mimi.
• Inā hoʻomau ka pulu a i ʻole ke kahe ʻana o ka piko o kahi pēpē hānau hou.

Ke ʻike ʻoe i ke kauka i ka manawa e like me kēia, e hana lākou i nā hoʻokolohua e pono ai. Hiki iā lākou ke kauoha i kahi ultrasound e ʻike inā he 'urethral remnant'.

No laila, he aha nā mea e pono ai kākou e hoʻomanaʻo mai kēia?

ʻO kahi 'urachal remnant' kahi ʻāpana o ka ʻōmole ma waena o ka ʻōpū mimi a me ka rectum e waiho ana i ka wā o ka ulu ʻana o ka fetal i ka wā ʻaʻole ia e pani pono. ʻO ka hapa nui o ka manawa, ʻaʻohe mea ʻino kēia, akā i kekahi poʻe hiki iā ia ke hoʻoulu i nā maʻi, ka ʻeha, a me ke kanesa.

ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau inā loaʻa iā ʻoe a i ʻole kāu keiki kekahi o kēia mau hōʻailona, ​​me ka hoʻowahāwahā ʻole ʻana iā lākou. ʻO ke kauka ka mea hiki ke hāʻawi iā ʻoe i ka ʻike nui loa a, inā pono, e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa. Hiki i ke ʻoki kino ke hoʻōla loa i kēia.

No laila, ke lana nei koʻu manaʻo he mea pono kēia ʻike iā ʻoe. E noho olakino!