Hoʻoponopono Hypospadias - hoʻokuʻu

Ua hoʻoponopono hou kāu keiki i ka hypospadias e hoʻoponopono i kahi kīnā o ka hānau ʻana kahi i pau ʻole ai ka urethra ma ka piko o ka peni. ʻO ka urethra ka paipu e hali i ka mimi mai ka pūpū a i waho o ke kino. ʻO ke ʻano o ka hoʻoponopono i hana ʻia e kaukaʻi i ka nui o ka hānau hānau. ʻO kēia paha ke ʻoki kino mua loa no kēia pilikia a i ʻole he kaʻina hana e ukali ai.

Ua loaʻa i kāu keiki ka anesthesia laulaha ma mua o ke kaha ʻana e hoʻomaopopo ʻole ai a hiki ʻole ke ʻeha.

Hiamoe paha kāu keiki i ka wā mua ma ka home. ʻAʻohe paha ona makemake e ʻai a inu paha. ʻIke paha ʻo ia i kona ʻōpū a kīloi paha i ka lā like i hana ai ʻo ia i kahi ʻoki.

E pehu a paopao ka peni o kāu keiki. E maikaʻi ana kēia ma hope o kekahi mau pule. ʻO ka hoʻōla piha ʻana a 6 mau pule.

Pono paha i kāu keiki i ka catheter urinary no 5 a 14 mau lā ma hope o ke kaha.

• Hiki ke hoʻopaʻa ʻia ka catheter me nā humuhumu liʻiliʻi. E wehe ka mea mālama ola i nā humuhumu ke ʻaʻole pono kāu keiki i ka catheter hou.
• E kahe ka catheter i loko o ka diaper o kāu keiki a i ʻole he ʻeke i hoʻopaʻa ʻia i kona wāwae. E kulu paha kekahi mimi a puni ka catheter ke mimi ʻo ia. Aia paha he kiko a i ʻole ʻelua o ke koko. He maʻamau kēia.

Inā loaʻa kāu keiki i kahi catheter, loaʻa paha iā ia nā spasms bladder. ʻEha paha kēia mau mea, ʻaʻole naʻe he mea hōʻino. Inā ʻaʻole i hoʻokomo ʻia kahi catheter i loko, ʻoluʻolu ʻole ka mimi ʻana i ka lā mua a ʻelua paha ma hope o ke kaha ʻana.

E kākau paha ka mea hāʻawi i kāu keiki i kahi lāʻau no kekahi mau lāʻau:

• Nā Antibiotics e pale aku i ka maʻi.
• Nā lāʻau lapaʻau e hoʻomaha ai ka puhū a hoʻōki i nā spadms bladder. ʻO kēia paha ka mea e maloʻo ai ka waha o kāu keiki.
• Kākau lāʻau ʻeha, inā pono. Hiki iā ʻoe ke hāʻawi i kāu keiki i ka acetaminophen (Tylenol) no ka ʻeha.

ʻAi paha kāu keiki i ka papaʻai maʻamau. E hōʻoia e inu nui ʻo ia i nā wai. Kōkua nā loli i ka hoʻomaʻemaʻe o ka mimi.

ʻO kahi kapa komo me kahi uhi ʻōniʻoniʻo e wahī ʻia a puni ka peni.

• Inā hele ka pahu ma waho o ka lole, e hoʻomaʻemaʻe mālie me ka wai soapy. E holoi pono i ka peni. MAI holoi.
• E hāʻawi i kāu keiki i ka ʻauʻau holo a hiki i ka pau ʻana o ka lole. Ke hoʻomaka ʻoe e ʻauʻau i kāu keiki, hoʻohana i ka wai mehana wale nō. MAI holoi. Pākuʻi mālie iā ia ma hope.

ʻO kekahi o ka hū ʻana mai ka peni he mea maʻamau. ʻIke paha ʻoe i kahi kīʻaha ma nā lole, ka diaper, a i ʻole nā ​​lole malalo. Inā noho kāu keiki i nā pale pale, e nīnau i kāu mea hāʻawi e pili ana pehea e hoʻohana ai i nā pale ʻelua ma kahi o hoʻokahi.

Mai hoʻohana i nā pauka a i ʻole nā ​​hamo ma nā wahi āpau o ka wahi ma mua o ka noi ʻana i kāu mea hāʻawi i kāu keiki inā maikaʻi.

E noi paha ka mea hāʻawi i kāu keiki iā ʻoe e wehe i ka lole ma hope o 2 a 3 mau lā a haʻalele iā ia. Hana paha ʻoe i kēia i ka wā ʻauʻau. E akahele loa i ka huki ʻole i ka catheter mimi. Pono ʻoe e hoʻololi i ke kapa komo ma mua o kēia inā:

• ʻSwili ke kapa a paʻa a puni ka peni.
• ʻAʻohe mimi i hele ma waena o ka catheter no 4 mau hola.
• Hele ʻo Stool ma lalo o ka lole (ʻaʻole ma luna wale nō).

Hiki i nā pēpē ke hana i ka hapa nui o kā lākou hana maʻamau koe wale no ka ʻauʻau ʻana a i ʻole ke pāʻani ʻana i kahi pahu one. Maikaʻi ke lawe i kāu pēpē no ka hele wāwae i ka kaʻa kaʻa.

Pono nā keikikāne ʻelemakule e hōʻalo i nā haʻuki, ke kaʻa paikikala, ke kāʻei ʻana i nā mea pāʻani, a i ʻole ka mokomoko no 3 mau pule. He manaʻo maikaʻi e mālama i kāu keiki i ka home mai ke kula kamaliʻi a i ʻole ka mālama keiki i ka pule mua ma hope o kāna ʻoki kino.

Kāhea i ke kahu mālama ola inā loaʻa i kāu keiki:

• ʻO ke kuni haʻahaʻa haʻahaʻa a i ʻole ke kuni paha ma luna o 101 ° F (38.3 ° C) i ka pule ma hope o ke kaha ʻana.
• Hoʻonui i ka pehu, ʻeha, kahe, a i ʻole ke kahe ʻana o ka maʻi mai ka ʻeha.
• Pilikia urinary.
• Nui ka pihe o ka mimi a puni ka catheter. ʻO kēia ka mea i ālai ʻia ka paipu.

Kāhea pū inā:

• Ua kiola kāu keiki i nā manawa he 3 a ʻaʻole hiki ke mālama i ka wai.
• Puka mai nā humuhumu paʻa ʻana i ka catheter.
• Maloʻo ka diaper ke hiki i ka manawa e hoʻololi ai.
• He hopohopo kāu e pili ana i ke ʻano o kāu keiki.

ʻO Snodgrass WT, Bush NC. Hypospadias. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 147.

ʻO Thomas JC, Brock JW. Hoʻoponopono i nā hypospadias proximal. I: Smith JA, Howards SS, Preminger GM, Dmochowski RR, eds. ʻO Hinman's Atlas of Urologic Surgery. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 130.

• Hypospadias
• Hoʻoponopono Hypospadias
• ʻO ka hemo ʻana o ke kīʻaha

• Hewa hānau
• Nā maʻi Penis