Nā hymen Imperforate

ʻO ka hymen kahi membrane lahilahi. Hoʻopili pinepine ia i ka ʻāpana o ka wehe ʻana o ka lua. ʻO ka hymen Imperforate ke uhi ka hymen i ka wehe āpau o ka ʻōpala.

ʻO nā hymen Imperforate ka ʻano maʻamau o ka blockage o ka ʻōpala.

ʻO ka hymen Imperforate kahi mea i hānau ʻia ai kaikamahine. ʻAʻohe mea e ʻike i ke kumu o kēia hana. ʻAʻohe mea a ka makuahine i hana ai ke kumu o ia.

Hiki ke ʻike ʻia nā kaikamahine me nā hymen imperforate i kēlā me kēia makahiki. Hoʻomaopopo pinepine ʻia i ka wā hānau a ma hope paha i ka wā ʻōpio.

I ka wā hānau a i ʻole ke keiki kamaliʻi, ʻike paha ka mea mālama ola ʻaʻohe wehe i ka hymen i ka wā o ka hoʻokolohua kino.

I ka wā ʻōpio, ʻaʻohe pilikia o nā kaikamahine mai kahi hymen imperforate a hiki i ka wā e hoʻomaka ai ko lākou wā. Paʻa ka hymen imperforate i ke koko mai kahe ana. Ke kākoʻo nei ke koko i ka ʻōpala, kumu ia:

• Mass a piha paha i ka ʻaoʻao haʻahaʻa o ka ʻōpū (mai ke kūkulu ʻia ʻana o ke koko ʻaʻole hiki ke puka i waho)
• ʻEha ʻeha
• ʻEha kua
• Nā pilikia me ka mimiki a me ka ʻōpū

E hana ka mea hāʻawi i kahi hōʻike pelvic. Hiki i ka mea hāʻawi ke hana i kahi pelvic ultrasound a me nā ʻike kiʻi ʻana o nā puʻupaʻa. Hana ʻia kēia e hōʻoia i ka pilikia o ka hymen imperforate ma mua o kahi pilikia ʻē aʻe. E paipai paha ka mea hāʻawi i ke kaikamahine e ʻike i kahi loea e ʻike pono i ka hoʻomaʻemaʻe ʻia ʻana o nā hymen.

Hiki i kahi ʻoki liʻiliʻi ke hoʻoponopono i kahi hymen imperforate. Hana ke kaukoki i kahi ʻoki liʻiliʻi a i ʻole ʻokiʻoki a hoʻohemo i ka membrane hymen keu.

• ʻO nā kaikamahine i ʻike ʻia me nā hymen imperforate ma ke ʻano he pēpē ka hana pinepine ʻana i ka wā ʻelemakule a hoʻomaka i ka wā ʻōpio. Hana ʻia ke ʻoki i ka wā ʻōpio i ka wā e hoʻomaka ai ka ulu ʻana o ka umauma a me ka ulu ʻana o ka lauoho ʻōpio.
• ʻO nā kaikamahine i ʻike ʻia i ka wā ʻelemakule lākou e like me ka ʻoki ʻana. ʻAe ka ʻoki i ke koko o ka menstrual e waiho i ke kino.

Ola hou nā kaikamahine mai kēia ʻoki ʻana i kekahi mau lā.

Ma hope o ke kahakaha ʻana, pono i ke kaikamahine e hoʻokomo i nā dilators i loko o ka lua no 15 mau minuke i kēlā me kēia lā. ʻO kahi dilator ke nānā aku me he tampon lā. Mālama kēia i ka ʻokiʻoki mai ka pani ʻana iā ia iho a hāmama ka ʻōpū.

Ma hope o ke ola ʻana o nā kaikamahine mai ke ʻoki, loaʻa iā lākou nā wā maʻamau. Hiki iā lākou ke hoʻohana i nā tampon, loaʻa ka moekolohe maʻamau, a loaʻa nā keiki.

Kāhea i ka mea hāʻawi inā:

• Aia nā hōʻailona o ka maʻi ma hope o ke kaha ʻana, e like me ka ʻeha, ka pus, a me ke kuni.
• Ke pani nei ka lua o ka lua. ʻAʻole hele ka dilator a i ʻole nui ka ʻeha ke hoʻokomo ʻia.

Kaefer M. Ka mālama ʻana i nā mea kūpono ʻole o ka genitalia i nā kaikamahine. I: Partin AW, Dmochowski RR, Kavoussi LR, Peters CA, eds. Campbell-Walsh Urology. 12th ed. Piladelapia, PA: Elsevier; 2021: chap 47.

ʻO Sucato GS, Murray PJ. ʻO ke gynecology pediatric a me nā ʻōpio. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 19.

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