Hoʻoponopono urachus Patent

Hoʻoponopono ka patach urachus i kahi ʻoki e hoʻoponopono ai i kahi kīnā o ka maʻi ʻaʻa. I kahi urachus hāmama (a i ʻole patent), aia kahi hāmama ma waena o ka ʻōpū a me ka pihi ʻōpū (piko). ʻO ka urachus kahi paipu ma waena o ka puhā a me ka pihi ʻōpū e kū nei ma mua o ka hānau ʻana. I ka hapanui o nā hihia, pani ʻo ia ma kona lōʻihi piha ma mua o ka hānau ʻia ʻana o ka pēpē. Loaʻa kahi urachus hāmama i ka hapanui o nā pēpē.

ʻO nā keiki i loaʻa i kēia ʻoki e loaʻa ka anesthesia āpau (hiamoe a ʻaʻohe ʻeha).

E ʻokiʻoki ke kaukōpō i ka ʻōpū o lalo o ke keiki. A laila, e ʻike ka mea lōkō i ka paipu urachal a hemo iā ia. E hoʻoponopono hou ʻia ka wehe o ka ʻōpū, a e paʻa ka ʻoki.

Hiki ke hana i ke ʻoki me kahi laparoscope. He mea kani kēia i loaʻa i kahi kāmela liʻiliʻi a me nā kukui ma ka hopena.

• E hōʻoki ke kaukipoki i ʻoki liʻiliʻi ʻekolu ma ka ʻōpū o ke keiki. E hoʻokomo ke kauka i ka laparoscope ma o kekahi o kēia mau ʻoki a me nā mea hana ʻē aʻe ma o nā ʻoki ʻē aʻe.
• Hoʻohana ka mea hoʻopuka i nā pono hana e hemo i ka paipu urachal a hoʻopau i ka puhā a me kahi e pili ai ka paipu i ka umbilicus (pihi ʻōpū).

Hiki ke hana i kēia ʻoki ʻana i nā keiki ma mua o 6 mau mahina.

Paipai ʻia ke ʻoki kino no kahi urachus patent i pili ʻole ma hope o ka hānau ʻana. ʻO nā pilikia i hiki ke hana ʻia inā ʻaʻole hoʻoponopono ʻia kahi Tube urachal patent me:

• ʻO kahi kiʻekiʻe kiʻekiʻe no nā maʻi maʻi urinary
• ʻO kahi kiʻekiʻe kiʻekiʻe no ka maʻi ʻaʻai o ka paipu urachal ma hope o ke ola
• Hoʻomau ka liʻina o ka mimi mai ka urachus

Nā pilikia no kekahi anesthesia:

• Nā hopena i nā lāʻau
• Nā pilikia hanu

ʻO nā pōʻino no kēlā me kēia ʻoki kino:

• Kahena
• Maʻi kīnā
• Hoʻopaʻa ke koko i nā wāwae e hele paha i nā akemāmā

ʻO nā pilikia hou aʻe no kēia ʻoki kino:

• Maʻi ʻaʻai.
• Bladder fistula (ka pilina ma waena o ka ʻōpū a me ka ʻili) - inā kū kēia, hoʻokomo ʻia kahi pōpō (paipu lahilahi) i loko o ka wai i ka mimi. Waiho ʻia ia a hiki i ka wā e hoʻōla ai ka maʻi ʻaʻai a i ʻole e pono ai ke kahakaha hou aʻe.

E noi paha ke kaukoki i kāu keiki e loaʻa iā:

• He moʻolelo olakino piha a me ka hoʻokolohua kino.
• Pākuʻi ultrasound.
• Sinogram o ka urachus. I kēia kaʻina hana, ua hoʻokomo ʻia kahi kala radio-opaque i kapa ʻia he ʻokoʻa i loko o ka wehe urachal a lawe ʻia nā x-ray.
• Ultrasound o ka urachus.
• VCUG (voiding cystourethrogram), kahi x-ray kūikawā e hōʻoia i ka hana ʻana o ka ʻōpū.
• CT scan a i ʻole MRI.

E haʻi mau i ka mālama mālama ola o kāu keiki:

• He aha nā lāʻau a kāu keiki e lawe nei. Hoʻopili i nā lāʻau, nā lau nahele, nā wikamina, a i ʻole nā ​​mea hoʻohui ʻē aʻe āu i kūʻai ai me ka ʻole o ka lāʻau.
• E pili ana i nā maʻi āpau i loaʻa i kāu keiki i ka lāʻau, latex, tape, a hoʻomaʻemaʻe ʻili paha.

I nā lā ma mua o ke kaha ʻana:

• Ma kahi o 10 mau lā ma mua o ke kaha ʻana, e noi ʻia ʻoe e haʻalele i ka hāʻawi ʻana i kāu keiki aspirin, ibuprofen (Advil, Motrin), naproxen (Aleve, Naprosyn), warfarin (Coumadin), a me nā lāʻau ʻē aʻe paʻakikī i ke kō o ke koko.
• E nīnau i nā lāʻau a kāu keiki e pono ai e lawe i ka lā o ke kaha.

I ka lā o ke kaha:

• ʻAʻole hiki i kāu keiki ke inu a ʻai i kekahi mea no 4 a 8 mau hola ma mua o ke kaha ʻana.
• Hāʻawi i kāu keiki i nā lāʻau i haʻi ʻia iā ʻoe e pono i kāu keiki me kahi wahi wai.
• E haʻi ka mea hāʻawi i kāu keiki iā ʻoe i ka wā e hōʻea ai i ka haukapila.
• E hoʻomaopopo ka mea hāʻawi i kāu keiki ʻaʻohe hōʻailona o ka maʻi ma mua o ke kaha ʻana. Inā maʻi kāu keiki, lohi paha ke kāla ʻana.

Noho ka hapa nui o nā keiki i ka haukapila no kekahi mau lā ma hope o kēia ʻoki. Hoʻoiho hou ka hapanui. Hiki i nā keiki ke ʻai i kā lākou mau meaʻai maʻamau ke hoʻomaka lākou e ʻai hou.

Ma mua o ka haʻalele ʻana i ka haukapila, e aʻo ʻoe pehea e mālama ai i ka ʻeha a i ʻole nā ​​ʻeha. Inā hoʻohana ʻia ʻo Steri-Strips e pani i ka ʻeha, pono lākou e waiho ma kahi a hāʻule lākou iho ma kahi o hoʻokahi pule.

Hiki iā ʻoe ke loaʻa i ke kauka no nā lāʻau ʻalopika e pale aku ai i ka maʻi, a no kahi lāʻau palekana e hoʻohana ai no ka ʻeha.

ʻO ka hopena pinepine maikaʻi loa.

Hoʻopili ka paipu urachal patent

• Mālama ʻeha ʻeha - wehe

• Urachus pālua
• Hoʻoponopono urachus Patent - moʻo

ʻO Frimberger D, Kropp BP. ʻO nā anomalies o ka bladder i nā keiki. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 138.

Katz A, Richardson W. ʻoki kino. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 18.

Ordon M, Eichel L, Landman J. Fundamentals o laparoscopic a me robotic urologic ʻoki kino. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 10.

ʻO Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH. Hoʻolālā o ka ʻōnaehana urinary. I: Schoenwolf GC, Bleyl SB, Brauer PR, Francis-West PH, eds. ʻO Larsen's Embryology Kanaka. 5th lā. Piladelapia, PA: Elsevier Churchill Livingstone; 2015: chap 15.