Paraphimosis

Hana ʻia ka paraphimosis ke hiki ʻole ke huki ʻia ka ʻōmaka o ke kāne ʻoki poepoe ʻole ʻia ma luna o ke poʻo o ka peni.

ʻO nā kumu o ka paraphimosis:

• Ka hōʻeha i ka wahi.
• ʻAʻole hiki ke hoʻihoʻi i ka ʻōmaka i kona wahi maʻamau ma hope o ka urination a holoi ʻana paha. ʻOi aku ka maʻamau o kēia i nā haukapila a me nā home kahu.
• ʻO ka maʻi maʻi, ma muli paha o ka holoi ʻole ʻana i ka wahi me ka maikaʻi.

ʻO nā kāne i ʻoki poepoe ʻole ʻia a i kēlā poʻe i ʻoki poepoe ʻole ʻia, e makaʻu lākou.

Kū pinepine ka paraphimosis i nā keikikāne a me nā kāne ʻelemakule.

Huki ʻia ka ʻōmaka (hoʻi i hope) ma hope o ka piko o ka penis (glans) a noho ma laila. Hoʻopūpaka ka ʻōmaka i huki hou ʻia. He mea paʻakikī kēia e hoʻihoʻi i ka ʻōmaka i kona kūlana lōʻihi.

ʻO nā hōʻailona me:

• ʻAʻole hiki ke huki i ka ʻōmaka i hoʻihoʻi ʻia ma luna o ke poʻo o ka peni
• ʻO ka pehu ʻeha ma ka hope o ka peni
• ʻEha ma ka peni

Hōʻoia kahi hōʻike kino i ka ʻike. E ʻike maʻamau ka mea mālama ola i kahi "donut" a puni ka lāʻau kokoke i ke poʻo o ka penis (glans).

ʻO ke kaomi ʻana i ke poʻo o ka peni me ka hoʻokau ʻana i ka ʻōmaka i mua e hōʻemi ai i ka pehu. Inā holo ʻole kēia, pono ke ʻoki poepoe ʻoki a i ʻole ke ʻoki ʻē aʻe e pono ai ka pehu.

E maikaʻi paha ka hopena inā ʻike ʻia ke ʻano a mālama koke ʻia.

Inā haʻalele ʻole ʻia ka paraphimosis, hiki iā ia ke hoʻohaunaele i ke kahe o ke koko i ka piko o ka peni. I nā hihia koʻikoʻi (a kākaʻikahi), hiki i kēia ke alakaʻi iā:

• Poino i ka piko penis
• ʻO Gangrene
• Loaʻa o ka wēlau penis

E hele i kāu keʻena pilikia kūloko inā kū kēia.

Ke hoʻihoʻi nei i ka ʻōmaka i kona kūlana maʻamau ma hope o ka huki ʻana i hope e kōkua i ka pale ʻana i kēia ʻano.

ʻO ke ʻoki poepoe, ke hana pololei ʻia, pale aku i kēia ʻano.

• Anatomia hānau kāne

ʻO Elder JS. ʻO nā anomalies o ka peni a me ka urethra. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 544.

McCammon KA, Zuckerman JM, Jordan GH. ʻO keʻoki o ka peni a me ka urethra. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 40.

ʻO McCollough M, ʻo Rose E. Genitourinary a me nā maʻi maʻi ʻōiwi. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 173.