Ua ʻike anei ʻoe ua paʻa nā labia o kāu kaikamahine liʻiliʻi i ka wā e ʻauʻau ana a i ʻole e hoʻololi ana i kāna diaper? I kekahi manawa hiki ke like me ka pani piha ʻana o ka vagina. E like me kāu e noʻonoʻo ai, e makaʻu iki kekahi makuahine a makuakāne paha ke ʻike lākou i kahi mea e like me kēia. "Ua maʻi nui anei kaʻu kaikamahine?" e noʻonoʻo paha ʻoe. Akā ʻo ka ʻoiaʻiʻo, ʻo ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai. I kēia lā ke kamaʻilio nei mākou e pili ana i kēia ʻano, i kapa ʻia ma ke ʻano lapaʻau ʻo 'Labial Fusion' a i ʻole 'Labial Adhesion'.
I ka ʻōlelo maʻalahi, he aha ka Labial Fusion?
He mea maʻalahi loa kēia. ʻO ka mea e hana ʻia, ʻo ka labia minora, nā lehelehe palupalu i loko o ka ʻōpū o ke kaikamahine, e pili pū ana. I ka pololei, ua hoʻopili ʻia kēia mau lehelehe e kahi membrane lahilahi ma waena o nā mea ʻelua. He maʻi ʻeha ʻole kēia maʻamau.
ʻO kēia kūlana ka mea maʻamau i nā kaikamahine ma lalo o nā makahiki ʻehiku, ʻoi aku hoʻi ma waena o nā makahiki 3 mahina a me 3 makahiki . No ke aha e loaʻa wale ai i nā keiki o ia makahiki? ʻO ke kumu nui, ʻo ia ka emi ʻana o ka nui o ka hormone estrogen i loko o ke kino o nā kaikamahine ma mua o ka wā ʻōpio. Ma muli o kēia pae estrogen haʻahaʻa, lilo ka ʻili ma ka ʻāpana vaginal i mea palupalu a lahilahi. A laila, ʻoiai he mumū liʻiliʻi a i ʻole ka maʻi, ʻoi aku ka paʻa o nā lehelehe o kēlā ʻili palupalu.
ʻO ka mea nui, ʻaʻole kēia he mea i loaʻa i ka wā hānau. ʻIke pinepine ʻia ma hope o kekahi mau mahina o ka pēpē.
He aha nā kumu e alakaʻi ai i kēia kūlana?
E like me kā mākou i kūkākūkā ai ma mua, ʻo ke kumu nui ka nele o ka estrogen, akā aia kekahi mau kumu ʻē aʻe e pili pū ai nā labia. E nānā kākou iā lākou ma kahi papa.
| Kumu | He wehewehe maʻalahi |
|---|---|
| ʻO ka huhū ʻili | ʻOi aku ka lahilahi o ka papa ʻili o waho loa i nā keiki ʻōpio, ʻo ia ka stratum corneum, ma mua o ko nā pākeke. No laila, he mea koʻikoʻi loa ia. ʻO ka mumū i hoʻokumu ʻia e nā kūlana e like me ka diaper rash, kahi e kū mai ana ke hoʻololi ʻole ʻia ka diaper i ka manawa kūpono, hiki ke lilo i kumu nui o ka pipili ʻana o kēia mau labia. |
| ʻO ka maʻi ʻōpū (Vaginitis) | Hiki ke loaʻa kahi maʻi i kapa ʻia ʻo vaginitis ma muli o ke kaulike ʻole o ka nui o ka bacteria a me ka hū e pono ai e mālama i ke olakino o ka vagina. Hiki i nā kopa ʻino, nā pīpī, a me kekahi mau ʻano lole ke hana i kēia. ʻO ka pehu a me ka mumū e hele mai me kēia maʻi hiki ke hoʻopili i kou mau lehelehe. |
| ʻO ka trauma i ka ʻāpana vaginal | ʻO ka pehu a me ka mumū i hoʻokumu ʻia e kahi hanana traumatic, e like me kahi ulia, ʻeha i ka wā hānau keiki, a i ʻole ka hana hoʻomāinoino moekolohe, hiki ke lilo i kumu. |
| Nā kumu e pili ana i nā wāhine makua | I ka wā e hānai waiū ai, piʻi aʻe nā pae prolactin serum. ʻO kēia ke kumu e emi ai nā pae estrogen i loko o ke kino (kahi kūlana 'hypo-estrogenic'). Eia kekahi, he haʻahaʻa nā pae estrogen o nā wahine postmenopausal. Hiki ke ʻike ʻia kēia ʻano i kekahi manawa i kēia mau kūlana. |
No ke aha he mea nui ka hoʻomaʻemaʻe kino o ke keiki?
E noʻonoʻo e ʻānai mau ana kāu kaikamahine i kona ʻōpū a ʻike ʻoe he ʻulaʻula ia. He ʻano maʻi paha kēia i kapa ʻia ʻo vaginitis. Hiki ke loaʻa kēia ʻano maʻi ma muli o nā mea e like me ka hoʻomaʻemaʻe pono ʻole ma hope o ka hoʻohana ʻana i ka lua, ka noho ʻana i loko o kahi ʻauʻau pulu, a i ʻole ke komo ʻana i nā lole paʻa. ʻO ka mumū i hoʻokumu ʻia e kēia maʻi hiki ke hoʻomākaukau i ke ala no ka hui labial. No laila, he mea nui loa ia e mālama i ka ʻōpū o kāu keiki i maʻemaʻe, maloʻo, a pale i ka hoʻohana ʻana i nā kopa ʻino.
He aha nā hōʻailona o kēia?
ʻO ka hōʻailona nui ka pipili ʻana o ka labia minora. Eia nō naʻe, aia kekahi mau hōʻailona ʻē aʻe e hiki ke kū mai, ʻoiai inā koʻikoʻi ka pipili ʻana.
- Paʻakikī ke mimi: I kekahi manawa hiki ke uhi ʻia ka puka urethral e kēia membrane. ʻO kēia ka mea e paʻakikī ai i ke keiki ke mimi, a ʻaʻole paha e kahe pololei ka mimi, akā e kahe paha i ka ʻaoʻao. I kekahi mau hihia koʻikoʻi, hiki ke oki loa ka mimi.
- Nā maʻi ʻōpū mimi hou (UTIs): ʻOiai hiki i ka mimi ke noho i loko o ka vagina no kekahi manawa, ʻoi aku ka nui o ka hiki ke hoʻoulu i nā maʻi bacteria.
- ʻEha ma ka Vulval: Hiki ke ʻike ʻia kēia hōʻailona me kahi maʻi.
- Hoʻonui ʻia ka hoʻokuʻu ʻana o ka vaginal.
- ʻEha i ka wā o nā hana e hohola ai i nā wāwae: Ke hana nei i nā mea e like me ke holo paikikala, hiki i ke keiki ke ʻeha ma muli o ke kīkoʻo ʻana o ka ʻili i hoʻopili ʻia.
Akā e hoʻomanaʻo, he nui nā keiki me nā labia minora ʻaʻole paha i loaʻa i kekahi o kēia mau hōʻailona . ʻAʻohe mea e ʻike a hiki i ka ʻike hewa ʻana o ko lākou makuahine iā lākou i ka wā e hoʻololi ana i kā lākou diaper.
Pehea e hiki ai ke mālama ʻia kēia? Pono anei au e hopohopo?
Eia ka mea nui. I ka hapanui o nā hihia, ʻaʻole pono kēia i kekahi lāʻau lapaʻau. I ka wā e ulu ai ke keiki a kokoke i ka wā ʻōpio, piʻi maoli ka hormone estrogen o ke kino. A laila e hoʻokaʻawale kēia mau labia paʻa iā lākou iho me ka ʻole o ʻoe e hana i kekahi mea.
Eia nō naʻe, inā loaʻa i ke keiki nā hōʻailona a mākou i kūkākūkā ai ma mua, ʻo ia hoʻi, inā paʻakikī ke mimi, inā loaʻa pinepine iā lākou nā maʻi mimi, a inā ʻeha lākou, a laila pono lākou e mālama ʻia.
ʻElua mau ʻano lapaʻau nui:
1. Kirimina ʻĀpana Estrogen:
ʻO kēia ka lāʻau lapaʻau i hoʻohana pinepine ʻia. Pono e hoʻopili mālie ʻia kēia kirīmi, a ke kauka i kuhikuhi ai, i ka ʻili i hoʻopilikia ʻia i hoʻokahi a ʻelua paha i ka lā. Ma hope o ka hoʻohana ʻana i kēia no kahi o 4-6 mau pule, e hoʻoheheʻe mālie ʻia ka ʻili lahilahi a hoʻokaʻawale ʻia nā lehelehe ʻelua.
- Nā hopena ʻaoʻao: Hiki i kēia kirīmi ke hoʻoulu i ka ʻeleʻele iki o ka ʻili ma ka ʻāpana vaginal, ka wela iki, a i ʻole ka ʻōhū iki ma hope o ka hoʻōki ʻana i ka kirīmi. Eia nō naʻe, he manawa pōkole kēia a e nalo aku i loko o kekahi mau lā. ʻAʻohe mea e hopohopo ai.
- I kekahi manawa, ʻōlelo paha kāu kauka e hoʻohana i kahi emollient, ʻo ia ka kirīmi e palupalu a hoʻomaʻū i ka ʻili.
2. ʻOki kino:
Hana kākaʻikahi loa kēia. ʻO ia hoʻi, i nā hihia wale nō i hana ʻole ai nā poni, ua pau loa ka mimi ʻana, a i ʻole he maʻi koʻikoʻi. He ʻoki liʻiliʻi kēia. No ka mea he ʻeha, hāʻawi ʻia ke keiki i ka anesthesia laulā a kūloko paha. Ma hope o ke ʻoki ʻana, e aʻo aku ke kauka iā ʻoe e hoʻohana i kahi poni kūikawā e pale aku ai i ka hoʻopili hou ʻana.
ʻO ka ʻōlelo aʻo koʻikoʻi loa:
Ma mua o ka hoʻomaka ʻana i kekahi o kēia mau lāʻau lapaʻau, pono ʻoe e nīnau i kāu kauka. Mai hoʻohana i nā lāʻau lapaʻau, ʻoiai nā kirīmi hormonal, ma kāu keiki ma muli o kou mau manaʻo ponoʻī a i ʻole nā mea a haʻi i haʻi aku ai iā ʻoe.
Leka Lawe-Home
- He mea maʻamau ka fusion labial i nā kaikamahine a ʻaʻole ia he maʻi weliweli.
- ʻO ke kumu nui o kēia, ʻo ia ka emi ʻana o ka hormone estrogen ma mua o ka wā ʻōpio. Hoʻoholo pinepine ʻia kēia i ka wā e hiki ai ke keiki i ka wā ʻōpio.
- Pono wale nō ka lāʻau lapaʻau inā pilikia kāu keiki i ka mimi ʻana, ʻeha, a i ʻole nā maʻi pinepine. A i ʻole, ʻoi aku ka maikaʻi o ke ahonui.
- I kēlā me kēia hihia, inā he kānalua kou e pili ana i kēia a inā paha e ʻeha ana kāu keiki, ʻoi aku ka maikaʻi o ke kūkākūkā ʻana me kahi pediatrician a i ʻole kāu kauka ʻohana no ka ʻōlelo aʻo.
- ʻO nā hana hoʻomaʻemaʻe maikaʻi, e like me ka hoʻololi pinepine ʻana i nā diapers, ka pale ʻana i nā kopa ʻino, a me ka mālama ʻana i ka ʻāpana vaginal i maloʻo, hiki ke kōkua i ka pale ʻana i ka mumū a me ka maʻi.
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