ʻOki poepoe ʻana

ʻO ke ʻoki poepoe ka wehe ʻana i ka ʻōmaka o ka peni.

E hoʻopau pinepine ka mea mālama ola i ka peni me ka anesthesia kūloko ma mua o ka hoʻomaka ʻana o ke kaʻina hana. Hoʻokomo ʻia paha ka lāʻau numbing ma ke kumu o ka peni, i ka lāʻau, a i ʻole hoʻopili ʻia me he kalima.

Nui nā ala e hana ai i ke ʻoki poepoe. ʻO ka mea maʻamau, kipaku ʻia ka ʻōmaka mai ke poʻo o ka peni a hoʻopaʻa ʻia me ka mea hao a me ke kila e like me ke apo.

Inā he hao ke apo, ʻokiʻoki ʻia ka ʻōmaka a hoʻoneʻe ʻia ka mea hao. Hoʻola ka ʻeha ma 5 a 7 mau lā.

Inā he plastic ke apo, nakinaki paʻa ʻia kahi ʻāpana o ka suture a puni ka ʻōmaka. Hoʻopiʻi kēia i nā mea i loko o ke ana ma loko o ka ea ma luna o ke poʻo o ka peni. Ma waena o 5 a 7 mau lā, hāʻule noa ka plastic e uhi ana i ka peni, e waiho ana i kahi ʻoki poepoe loa.

Hāʻawi ʻia paha ka pēpē i kahi pacifier momona i ke kaʻina hana. Hāʻawi ʻia ka Tylenol (acetaminophen) ma hope.

I nā keikikāne makua a ʻōpio hoʻi, hana pinepine ʻia ke ʻoki poepoe ma lalo o ka anesthesia ākea no laila ke hiamoe nei ke keiki a ʻaʻohe ʻeha. Lawe ʻia ka ʻōmaka a humuhumu ʻia i ka ʻili i koe o ka peni. Hoʻohana ʻia nā kuʻi e hemo e pani i ka ʻeha. Hoʻokomo ʻia lākou e ke kino ma waena o 7 a 10 mau lā. Lawe ʻia ka ʻeha a ʻekolu mau pule e hoʻōla ai.

Hana pinepine ʻia ke ʻoki poepoe i nā keikikāne olakino no nā kumu moʻomeheu a hoʻomana paha. Ma ʻAmelika Hui Pū ʻIa, ʻoki poepoe pinepine ʻia kahi keikikāne hānau hou ma mua o kona haʻalele ʻana i ka haukapila. Ua ʻoki poepoe ʻia nā keikikāne Iudaio i ka piha ʻana o ko lākou mau lā i 8 mau lā.

Ma nā wahi ʻē aʻe o ka honua, e like me ʻEulopa, ʻAsia, a me ʻAmelika Hema a me Central, he kakaikahi ka ʻoki poepoe ʻana i ka lehulehu.

Ua hoʻopaʻapaʻa ʻia nā pono o ke ʻoki poepoe ʻana. ʻO nā manaʻo e pili ana i ka pono o ke ʻoki poepoe i nā keikikāne olakino ʻokoʻa i waena o nā mea hāʻawi. Manaʻo kekahi he waiwai nui ka loaʻa ʻana o ka ʻōmaka paʻa, e like me ka ʻae ʻana i kahi pane moekolohe maʻamau i ka wā makua.

I ka makahiki 2012 ua loiloi kekahi pūʻulu hana o ka American Academy of Pediatrics i ka noiʻi i kēia manawa a ua ʻike ʻia he ʻoi aku ka maikaʻi o ke olakino o ke ʻoki poepoe kāne hou ma mua o nā pilikia. Paipai lākou e loaʻa i kēia kaʻina hana no kēlā mau ʻohana e koho ai. Pono nā ʻohana e kaupaona i nā pono olakino a me nā pilikia i ka malamalama o kā lākou makemake pilikino a moʻomeheu. ʻAʻole i ʻoi aku ka maikaʻi o ke olakino ma mua o kēlā mau manaʻo ʻē aʻe.

Nā pilikia e pili ana i ke ʻoki poepoe:

• Kahena
• Maʻi kīnā
• ʻUlaʻula a puni ka ʻoki kino kahua
• Ka hōʻeha i ka penis

Ua ʻōlelo ʻia e kekahi noiʻi ua piʻi aʻe ka makaʻu o nā pēpē kāne ʻoki poepoe ʻole ʻia i kekahi mau ʻano, e like me:

• Ka maʻi ʻaʻai o ka peni
• ʻO kekahi mau maʻi i lawe ʻia e ka moekolohe, e like me HIV
• Nā maʻi o ka penis
• Phimosis (paʻa o ka ʻōmaka e pale iā ia mai ka haʻalele ʻana)
• Nā maʻi maʻi urinary

ʻO ka piʻi nui o ka makaʻu no kēia mau kūlana ua manaʻo ʻia he liʻiliʻi.

Hiki i ke olakino kūpono o ka peni a me nā hana moekolohe palekana ke pale aku i nā ʻano o kēia ʻano. He mea nui ka maʻemaʻe kūpono no nā kāne ʻoki poepoe ʻole ʻia.

No nā keiki hānau hou:

• ʻO ka manawa hoʻōla e pili ana i 1 pule.
• E kau i ka jelly ʻaila (Vaseline) ma luna o ka wahi ma hope o ka hoʻololi ʻana i ka diaper. Kōkua kēia i ka pale ʻana i ka wahi hoʻōla.
• ʻO kekahi pehu a me ka pā kō melemele a puni ka pūnaewele he maʻamau.

No nā keiki nui a me nā ʻōpio:

• He 3 mau pule paha ka hala ʻana o ka hoʻōla.
• I ka hapanui o nā hihia, hoʻokuʻu ʻia ke keiki mai ka haukapila i ka lā o ke ʻoki.
• Ma ka home, pono nā keiki e hōʻalo i ka hoʻoikaika kino i ka wā e hoʻōla ai ka ʻeha.
• Inā kū ke kahe i loko o nā hola he 24 ma hope o ke kaha ʻana, e hoʻohana i kahi lole maʻemaʻe e hoʻopili i ka ʻeha no 10 mau minuke.
• E kau i kahi ʻeke hau ma kahi (20 mau minuke ma, 20 mau minuke keu) no 24 mau hola ma hope o ke kaha ʻana. Kōkua kēia i ka hoʻoliʻiliʻi a me ka ʻeha.

ʻAe ʻia ka ʻauʻau a ʻauʻau paha i ka hapa nui o ka manawa. E holoi mālie ʻia keʻoki ʻoki lāʻau me ke kopa ʻoluʻolu, ʻole ʻole.

Hoʻololi i ka ʻaʻahu ma ka liʻiliʻi i hoʻokahi manawa i ka lā a noi i kahi hamo antibiotic. Inā pulu ka lole, hoʻololi koke.

E hoʻohana i ka lāʻau ʻeha i kuhikuhi ʻia e like me ke kuhikuhi. ʻAʻole pono nā lāʻau ʻeha ma mua o 4 a 7 mau lā. I nā pēpē, e hoʻohana wale i ka acetaminophen (Tylenol), inā pono.

Kāhea i kāu mea hāʻawi inā:

• Kū kekahi kahe hou
• Hoʻokahe ka pus mai ka wahi o keʻokiʻoki
• Lilo ke ʻeha a koʻikoʻi a lōʻihi paha ma mua o ka mea i manaʻo ʻia
• ʻIke ʻulaʻula a pehu hoʻi ka peni holoʻokoʻa

Manaʻo ʻia ʻo ke ʻoki poepoe he hana palekana loa ia no nā keiki hānau hou a me nā keiki nui.

Wehe i ka ʻili; Ka hemo ʻana o ka ʻōmaka; Mālama hānau hou - ʻoki poepoe; Mālama neonatal - ʻoki poepoe

• ʻŌmaka
• ʻOki poepoe - moʻo

ʻAmelika Hui Pū ʻIa Pediatrics ʻAmelika Hui Pū ʻIa ma ke ʻoki poepoe. ʻOki poepoe kāne. Pediatrics. 2012; 130 (3): e756-785. PMID: 22926175 pubmed.ncbi.nlm.nih.gov/22926175/.

ʻO Fowler GC. Ke ʻoki poepoe hou a me ka meatotomy o ke keʻena. I: Fowler GC, hoʻoponopono. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 167.

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 Papic JC, Raynor SC. ʻOki poepoe ʻana. I: Holcomb GW, Murphy JP, St. Peter SD, eds. ʻO Holcomb a me Ashcraft's Pediatric Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 60.