Hypospadias

ʻO Hypospadias kahi kīnā hānau (congenital) kahi e wehe ai ka urethra ma ka ʻaoʻao ma lalo o ka peni. ʻO ka urethra ka paipu e hoʻokahe i ka mimi mai ka pūpū. I nā kāne, ʻo ka wehe o ka urethra maʻa mau ma ka hope o ka peni.

Hypospadias hiki i ka 4 i ka 1,000 mau keiki kāne hānau hou. ʻAʻole ʻike pinepine ʻia ke kumu.

I kekahi manawa, hoʻoili ʻia ke ʻano i loko o nā ʻohana.

Pili nā ʻōuli i ka nui o ka pilikia.

ʻO ka hapanui o nā manawa, nā keikikāne me kēia ʻano i ka wehe o ka urethra kokoke i ka piko o ka peni ma lalo.

Kū nā ʻano ʻoi aku ka nui o ka hypospadias i ka wā o ka wehe i waenakonu a i ʻole kumu o ka peni. ʻAno ʻole, aia ka wehe i loko a ma hope paha o ka scrotum.

Hiki i kēia ʻano ke kumu i ka piʻo i lalo o ka peni i kahi kūkulu. Kūleʻa nā kūkulu i nā keikikāne pēpē.

ʻO nā ʻōuli ʻē aʻe e like me:

• Ka pīpī ʻole o ka mimi
• Noho i lalo e mimi
• ʻO ka ʻōmaka nāna e hana ka peni e like me ke ʻano he "hood"

ʻAno ʻike pinepine ʻia kēia pilikia ma hope koke o ka hānau ʻana ma kahi hōʻike kino. Hana ʻia nā hoʻokolohua kiʻi e nānā no nā kīnā hānau ʻē aʻe.

ʻAʻole ʻoki poepoe ʻia nā kamaliʻi me nā hypospadias. E mālama pono ʻia ka ʻōmaka no ka hana ma ka hoʻoponopono hou ʻana ma hope.

I ka hapanui o nā hihia, hana ʻia ke kaha ma mua o ka hoʻomaka ʻana o ke keiki i ke kula. I kēia lā, ʻo ka hapa nui o nā urologist e paipai i ka hoʻoponopono ma mua o ke keiki he 18 mau makahiki. Hiki ke hana ʻoki kino e like me ka ʻōpio o 4 mau makahiki. I ka wā o ke ʻoki, hoʻopololei ʻia ka peni a hoʻoponopono pololei ʻia ka wehe ʻana me ka hoʻohana ʻana i nā grafting o nā ʻōpala mai ka ʻōmaka. Koi aku paha ka hoʻoponopono i kekahi mau ʻoki ʻana.

Maikaʻi loa nā hopena ma hope o ke kaha ʻana. I kekahi mau hihia, pono hou ʻia kahi ʻōpala e hoʻoponopono i nā fistula, hoʻoliʻiliʻi o ka urethra, a i ʻole ka hoʻihoʻi ʻana o ka piko penis.

Hiki i ka hapa nui o nā kāne ke hana i ka moekolohe maʻamau a nā mākua.

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

• ʻO kahi penis curved i ke kūkulu ʻana
• Wehe i ka urethra ʻaʻole ma ka piko o ka peni
• ʻŌmaka piha ʻole (hooded)

• Hoʻoponopono Hypospadias - hoʻokuʻu

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.

Rajpert-De Meyts E, Main KM, Toppari J, Skakkebaek NE. ʻO Testicular dysgenesis syndrome, cryptorchidism, hypospadias, a me nā tumors testicular. I: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Makua a Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2016: chap 137.

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.