Ma ke ʻano he makua, he mea paʻakikī loa ka lohe ʻana e pono ana kāu keiki liʻiliʻi i ke ʻoki ʻana. He ʻike kaumaha ka nānā ʻana i kāu keiki e hakakā nei me ka mimi ʻana. Eia nō naʻe, inā ua ʻōlelo kāu kauka i kahi vesicostomy, mai hopohopo. He hopena palekana kēia a manawa pōkole i hoʻolālā ʻia e pale aku i ka hōʻino lōʻihi i nā puʻupaʻa o kāu keiki. E hoʻoponopono kākou i kou mau hopohopo a hoʻomālamalama i nā nīnau āu e loaʻa ai i kēia lā.
I nā ʻōlelo maʻalahi, he aha ka Vesicostomy?
He hana ʻoki kino ka vesicostomy i hana ʻia i ka wā e paʻakikī ai i ke keiki ke hoʻokahe i kā lākou ʻōpū mimi ma o lākou iho. I loko o kēia kaʻina hana, hana ke kauka lapaʻau i kahi puka liʻiliʻi loa ma ka ʻōpū lalo, ma lalo pono o ka pihi ʻōpū, i hiki ai i ka mimi ke kahe pololei mai ka ʻōpū mimi.
ʻO ka hiʻohiʻona kūikawā o kēia kaʻina hana, ʻo ia ka hoʻokahe pololei ʻana o ka mimi i loko o ka diaper o ke keiki, ma mua o ka ʻeke hōʻiliʻili waho. ʻO ka pahuhopu nui ka pale ʻana i ka mimi mai ke piʻi ʻana i luna i nā puʻupaʻa, a laila e pale aku ai iā lākou mai ka hōʻino ʻia a me ka hōʻemi ʻana i ka pilikia o nā maʻi Urinary Tract Infections (`UTIs`).
ʻO ka mea nui loa, ʻaʻole kēia he hopena mau loa. He hana manawa pōkole ia e hoʻohana ʻia e pale aku i kāu keiki a hiki i ka wā e hiki ai ke mālama ʻia ke kumu nui o ko lākou mau pilikia mimi.
No ke aha e pono ai i kahi keiki kahi vesicostomy?
Ke ʻole e hoʻokahe pono ʻia ka ʻōpū mimi o ke keiki, hiki ke piʻi aʻe ke kaomi i loko, e hoʻoulu ai i ka mimi e kahe i hope i nā puʻupaʻa. Hiki i kēia ke alakaʻi i ka hōʻino nui ʻana o nā puʻupaʻa. Aia kekahi mau kumu nui e pono ai ka vesicostomy.
| Kūlana/Kumu | He wehewehe maʻalahi |
|---|---|
| ʻO ka ʻōpū ʻōpū Neurogenic a i ʻole ka spina bifida | ʻO ka hiki ʻole ke hoʻokuʻu i ka ʻōpū mimi ma muli o nā kīnā hānau a i ʻole nā pilikia aʻalolo e kaohi ana i ka ʻōpū mimi. |
| ʻO ka reflux Vesicoureteral (VUR) | Ka mimi e kahe ana i hope mai ka ʻōpū mimi a i nā puʻupaʻa. |
| Ke ālai ʻia ʻana o ka puka o ka ʻōpū | He ālai ʻia ke ala e puka ai ka mimi mai ka ʻōpū mimi. |
| Nā UTI e hana hou ana | Nā maʻi pinepine i hoʻokumu ʻia e ka hoʻokahe pono ʻole ʻana o ka ʻōpū mimi. |
| Nā kīnā hānau ʻē aʻe | ʻO nā kūlana e like me ka Prune belly syndrome i hoʻokumu ʻia e nā kumu hānau. |
Hana pinepine ʻia kēia ʻoki kino ma nā keiki ma lalo o 5 mau makahiki , akā naʻe he mea pono paha ia no nā keiki makua i kekahi manawa.
Pehea ʻoe e hoʻomākaukau ai i kāu keiki no ke ʻoki kino?
E hāʻawi aku kāu kauka iā ʻoe i nā kuhikuhi maopopo i kūpono i nā pono o kāu keiki.
- E haʻi i ke kauka e pili ana i nā lāʻau lapaʻau a pau a kāu keiki e lawe nei a me nā mea maʻi allergies paha iā lākou.
- E hāʻawi ke kauka iā ʻoe i nā alakaʻi kikoʻī no ka wā e hoʻōki ai i ka hānai ʻana i kāu keiki ( waiū umauma , waiū waiū , a pēlā aku) ma mua o ke ʻoki ʻana. He mea nui e hahai pololei i kēia mau kuhikuhi.
He aha ka mea e hana ʻia i ka wā o ke kaʻina hana?
Ma hope o ka lawe ʻia ʻana o kāu keiki i ka lumi hana, e hāʻawi ʻia lākou i ka anesthesia laulā . Hōʻoia kēia e hiamoe ana kāu keiki a ʻaʻole ʻeha i ka wā o ke ʻoki ʻana.
E hana ke kauka ʻoki i kahi ʻoki liʻiliʻi ma ka ʻōpū lalo, e hana i kahi puka ma ka ʻōpū mimi, a hoʻopili iā ia i ka puka o ka ʻili. ʻO ka maʻamau, ʻo ke kaʻina hana holoʻokoʻa ma kahi o hoʻokahi a ʻelua mau hola .
Ma hope o ke ʻoki ʻana, pono paha ʻoe e hana i kahi hana maʻalahi: i kekahi manawa e hoʻokomo i kahi catheter liʻiliʻi i loko o ka puka e hoʻolōʻihi mālie iā ia e like me ke kuhikuhi a kāu kauka. Pale kēia i ka puka mai ka pani ʻana ma mua o ka manawa. E aʻo pololei nā limahana o ka haukapila iā ʻoe pehea e hana ai i kēia.
He aha ka mea e hana ʻia ma hope o ke ʻoki kino? Pehea ʻoe e mālama ai i kāu keiki?
ʻO kēia ka mea nui loa no nā mākua.
Noho ma ka haukapila a me ka hoʻokele ʻeha
Hiki i ka hapa nui o nā keiki ke hoʻi i ka home i kekahi mau hola ma hope o ke ʻoki ʻana. I kekahi manawa, pono paha e noho i ka pō no ka nānā ʻana. Manaʻo ʻia kekahi ʻeha iki, hiki ke mālama ʻia me nā lāʻau hōʻoluʻolu ʻeha i ʻōlelo ʻia e ke kauka (e like me ka ibuprofen a i ʻole acetaminophen). Hoʻopau pinepine ʻia kēia ʻeha i loko o kekahi mau lā.
Mālama Home
- Maʻemaʻe: E mālama i ka wahi a puni ka puka i maʻemaʻe a maloʻo i nā manawa a pau e pale aku ai i nā maʻi.
- Hoʻololi Diaper: E hoʻololi pinepine i nā diaper e like me ka mea maʻamau, e hōʻoia i ka lawa ʻana o ka nui o ka diaper e hoʻokipa i ka puka.
- ʻIli ʻIli : He mea maʻamau ka ʻike ʻana i nā ʻōhū ʻili a puni ka puka. Hiki iā ʻoe ke hoʻohana i kahi kirīmi ʻōhū diaper i ʻōlelo ʻia e kāu kauka.
- Nā Hana: Hiki i kāu keiki ke hoʻi i ka mālama keiki a i ʻole ke kula ma kahi o hoʻokahi pule. Eia nō naʻe, pono e kaupalena ʻia nā hana e hiki ke hōʻeha i ka puka—e like me ka roughhousing, ka hakakā ʻana, a i ʻole ke holo paikikala —no kekahi manawa.
Āhea ʻoe e ʻimi koke ai i ke kōkua lapaʻau?
He mea kākaʻikahi nā pilikia nui, akā inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kelepona koke aku i kāu kauka a i ʻole e ʻimi koke i nā lawelawe lapaʻau ulia pōpilikia.
| I ka manawa hea e ʻimi ai i ka mālama olakino wikiwiki | |
|---|---|
| 🌡️ | Ke piʻi nei ke kuni o kāu keiki. |
| 🔴 | ʻUlaʻula loa ka ʻāpana a puni ka puka, pehu, a i ʻole he mau hōʻailona o ka maʻi. |
| 🩸 | Aia ke koko i loko o ka mimi. |
| 😫 | Ke hoʻomau nei ka ʻeha o kāu keiki ʻoiai ke lāʻau lapaʻau ʻia. |
| 🚫 | ʻAʻole hiki ke hoʻokomo i ka catheter no ka hoʻolōʻihi ʻana. |
| ⚠️ | Ke puka mai nei kekahi hapa o ka ʻōpū mimi ma ka puka (bladder prolapse) a ʻaʻole hiki ke hoʻihoʻi ʻia. Hiki ke hana ʻia kēia i ka wā o ka neʻe ʻana o ka ʻōpū. Inā ʻaʻole ia e huki hou iā ia iho, hiki iā ʻoe ke hoʻokuʻi mālie iā ia me nā manamana lima maʻemaʻe; a i ʻole, e kelepona i kāu kauka. |
Leka Lawe-Home
- ʻAʻohe mea e makaʻu ai i ka vesicostomy; he hana palekana loa ia a no ka manawa pōkole e pale i nā puʻupaʻa o kāu keiki.
- He mea nui loa ka hahai ʻana i nā ʻōlelo aʻoaʻo a kāu kauka ma hope o ke ʻoki ʻana, ʻoiai ka mālama ʻana i ka maʻemaʻe o ka wahi a me ka hana ʻana i ke kīkoʻo ʻana e pono ai.
- ʻAʻole kēia he mea mau loa. Ke hoʻoponopono ʻia ke kūlana kumu, e pani ke kauka ʻoki i ka puka.
- Mai kānalua e hoʻokaʻaʻike aku i kāu kauka inā he kānalua a hopohopo paha kāu.
