Hoʻoponopono anus Imperforate

ʻO ka hoʻoponopono anus Imperforate kahi kīʻoki e hoʻoponopono i kahi kīnā o ka hānau ʻana e pili ana i ke kiko a me ka anus.

Ke pale nei kahi kīnā anus imperforate i ka hapanui a i ʻole ka stool mai ka hele ʻana mai ka pololei.

Pehea e hana ai i kēia ʻoki ʻana ma ka ʻano o ka anus imperforate. Hana ʻia ke ʻoki ma lalo o ka anesthesia ākea. ʻO kēia ka hiamoe o ke pēpē a ʻaʻohe ona ʻeha i ke kaʻina hana.

No nā hemahema anus imperforate mālie:

• ʻO ka hana mua e hoʻonui i ka wehe i kahi e ninini ai ka pahu, no laila hiki ke maʻalahi ka maʻalahi o ka pahu.
• Hoʻopili ke kīʻaha i ka pani ʻana i nā puka o ka puʻupuʻu liʻiliʻi (fistulas), e hana ana i kahi puka anal, a kau i ka ʻeke rectal i loko o ka puka anal. Kapa ʻia kēia he anoplasty.
• Pono pinepine ke keiki e lawe i nā palupalu palupalu no nā pule a i mau mahina.

Pono nā ʻoki ʻana ʻelua no ka nui o nā hemahema o nā anus imperforate.

• Kapa ʻia ka ʻoki kino mua he colostomy. Hoʻokumu ka mea lapaʻau i kahi wehe (stoma) i ka ʻili a me nā mākala o ka paia o ka ʻōpū. Hoʻopili ka hopena o ka ʻōpū nui i ka wehe. E ninini ʻo Stool i loko o kahi ʻeke i pili i ka ʻōpū.
• ʻAe pinepine ʻia ka pēpē e ulu no 3 a 6 mau mahina.
• I ka lua o ka ʻoki kino, hoʻoneʻe ka mea lapaʻau i ke kolona i kahi kūlana hou. Hana ʻia kahi ʻoki ma ka ʻāpana anal e huki i ka ʻeke rectal i lalo i wahi a hana i kahi puka anal.
• E waiho ʻia ka colostomy ma kahi no 2 a 3 mau mahina hou aku.

Hiki i ke kaukō lapaʻau o kāu keiki ke haʻi hou aku iā ʻoe e pili ana i ke ala pololei e hana ai i nā ʻoki.

Hoʻoponopono ke ʻoki i ka hemahema i hiki i ka stool ke neʻe ma waena o ka pololei.

Nā pōpilikia mai ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena i nā lāʻau
• Nā pilikia hanu
• Kahe ʻana o ke kahe, ke koko, maʻi

Nā pilikia o kēia kaʻina hana:

• Poino i ka urethra (Tube e lawe mimi mai o ka bladder)
• Poino i ka ureter (Tube e lawe mimi mai nā puʻupaʻa i ka bladder)
• Hole e hoʻomohala ma o ka paia o ka ʻōpū
• Hoʻohui maʻamau (fistula) ma waena o ka anus a me ka lua a me ka ʻili
• Wehe ʻia o ka anus
• Nā pilikia lōʻihi me ka neʻe ʻana o ka ʻōpū ma muli o ka hōʻino ʻana i nā aʻa a me nā mākala i ke kolona a me ka poloka (hiki i ka constipation a i ʻole incontinence)
• Paralysis kuikawa o ka naʻau (paralistic ileus)

E hāhai i nā ʻōkuhi pehea e hoʻomākaukau ai i kāu pēpē no ke ʻoki.

Hiki paha i kāu pēpē ke hoʻi i ka home ma hope i ka lā like inā hoʻoponopono ʻia kahi kīnā malū. A i ʻole, pono e hoʻolimalima kāu pēpē i mau lā i ka haukapila.

E hoʻohana ka mea mālama ola i kahi mea kani e hoʻolōʻihi (hoʻonui) i ka anus hou. Hana ʻia kēia e hoʻomaikaʻi ai i ka leo o nā mākala a pale i ka hoʻopili ʻana. Pono e hana i kēia kau no mau mahina.

Hiki ke hoʻoponopono ʻia ka hapa nui o nā kīnā me ke kaha. ʻO nā keiki me nā kīnā mālie e hana maikaʻi loa. Akā, pilikia paha ka paʻa paʻa ʻana.

ʻO nā keiki i ʻoi aku ka nui o nā ʻoki ʻana paʻakikī ka mana ʻana o kā lākou ʻōpū. Akā, 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. ʻO ka hapa nui o kēia mau keiki e pono e ukali kokoke i ke ola.

ʻO nā keiki me ka anus imperforate he mau kīnā hānau ʻē aʻe kekahi, me nā pilikia me ka puʻuwai, nā puʻupaʻa, nā lima, nā wāwae, a me nā kuamoʻo.

Hoʻoponopono Anorectal malformation; Anoplasty Perineal; Analectal anomaly; Plor Anorectal

• Hoʻoponopono anus Imperforate - moʻo

Bischoff A, Levitt MA, Peña A. Imperforate anus. I: Wyllie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 55.

ʻO Shanti CM. 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.