Anus Imperforate

ʻO Defusate anus kahi hemahema kahi o ka wehe ʻana i ka anus e nalowale a ālai ʻia paha. ʻO ka anus ka wehe i ka kiko ma kahi e haʻalele ai nā stools i ke kino. Aia kēia mai ka hānau ʻana (congenital).

Hiki paha ke anus Imperforate i kekahi mau ʻano:

• Hiki paha i ke kiko ke hoʻopau i kahi ʻeke i pili ʻole me ke kolona.
• Hiki paha i ka rectum ke hāmama i nā hale ʻē aʻe. Hoʻopili paha kēia i ka urethra, bladder, base o ka penis a scrotum paha i nā keikikāne, a i ʻole nā ​​ʻōpū wahine.
• Loaʻa paha ka hoʻopili ʻana (stenosis) o ka anus a ʻaʻohe anus.

Hoʻokumu ʻia ia e ka hoʻomohala pono ʻole o ka fetus. Nui nā ʻano o ka anus imperforate me nā kīnā hānau ʻē aʻe.

Pākuʻi ʻia paha nā ʻōuli o ka pilikia me:

• ʻO ka wehe ʻana o ka anal kokoke loa i ka wehe ʻana o ka ʻōpū i nā kaikamahine
• ʻAʻole i hala ka stool mua ma waena o 24 a 48 mau hola ma hope o ka hānau ʻana
• Hala a neʻe paha i ka wehe i ka anus
• Hele ka Stool i waho o ka lua, kumu o ka peni, scrotum, a i ʻole urethra
• Kahi ʻōpū pehu

Hiki i kahi mea mālama ola ke hōʻoia i kēia ʻano i ka wā o ka hoʻokolohua kino. Kauoha ʻia paha nā hoʻokolohua kiʻi.

Pono e nānā i ke keiki pēpē no nā pilikia ʻē aʻe, e like me nā mea maʻamau o nā genital, nā wahi urinary, a me ka iwi kuamoʻo.

Pono ke ʻoki e hoʻoponopono i ka hemahema. Inā hoʻohui ka rectum me nā ʻōnaehana ʻē aʻe, pono e hoʻoponopono hou ʻia kēia mau meaola. ʻO kahi colostomy kūlohelohe (e hoʻopili ana i ka hopena o ka ʻōpū nui i ka paia o ka ʻōpū i hiki i ka ʻōpala ke ʻohiʻohi i loko o kahi ʻeke) e pono pinepine ai.

Hiki ke hoʻoponopono kūleʻa ʻia ka hapa nui o nā kīnā me ke kaha. ʻO ka hapa nui o nā keiki me nā kīnā mālie e hana maikaʻi loa. Eia nō naʻe, hiki i ka paʻa paʻa pilikia ke lilo i pilikia.

ʻO nā keiki i ʻoi aku ka nui o nā ʻoki lāʻau paʻakikī ke hoʻomalu nei i kā lākou ʻōpū i ka hapa nui o ka manawa. Eia nō naʻe, pono lākou e ukali pinepine i kahi papahana ʻōpū. Hoʻopili kēia i ka ʻai ʻana i nā meaʻai kiʻekiʻe, lawe i nā mea palupalu, a i kekahi manawa me ka hoʻohana ʻana i nā enemas.

Pono paha kekahi keiki e ʻoki hou.

ʻIke pinepine ʻia kēia pilikia ke nānā mua ʻia ke keiki hānau hou.

Kāhea i kāu mea hāʻawi inā mālama ʻia kahi keiki no ka anus imperforate:

• Abdominal eha
• Pāpīpī paʻakikī e mālama
• ʻAʻole hiki ke hoʻomohala i nā ʻōpū o ka ʻōpū e ka makahiki 3

ʻAʻohe pale e ʻike ʻia. Hiki i nā mākua me ka mōʻaukala ʻohana o kēia kīnā ke ʻimi i nā ʻōlelo aʻo kūpuna.

Malformation Anorectal; ʻAtela anal

• Anus Imperforate
• Hoʻoponopono anus Imperforate - moʻo

ʻO Dingelsein M. Nā anomal gastrointestinal i wae ʻia i ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 84.

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nā kūlana ʻoki lāʻau o ka anus a me ka pololei. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 371.