Hoʻoponopono Hypospadias

ʻO ka hoʻoponopono ʻana ʻo Hypospadias kahi ʻoki e hoʻoponopono i kahi kīnā i ka wehe ʻana o ka peni i loaʻa i ka wā hānau. ʻO ka urethra (ka paipu e lawe ana i ka mimi mai ka pākuʻi a i waho o ke kino) ʻaʻole e pau ma ka piko o ka peni. Ma ka hakahaka, e pau ia ma ka lalo o ka peni. I nā hihia ʻoi loa, wehe ka urethra ma ka waena a i lalo paha o ka peni, a i ʻole ma hope o ka scrotum.

Hana pinepine ʻia ka hoʻoponopono ʻana ʻo Hypospadias ke aia nā keikikāne ma waena o 6 mau mahina a me 2 mau makahiki. Hana ʻia ke kīʻaha ma ke ʻano he mea maʻi. ʻAʻohe pinepine ke keiki e noho i kahi pō i ka haukapila. ʻAʻole ʻoki poepoe ʻia nā keikikāne i hānau ʻia me hypospadias i ka wā hānau. Pono paha ke kiko keu o ka ʻōmaka e hoʻoponopono i nā hypospadias i ka wā o ke ʻoki.

Ma mua o ke kaha ʻana, e loaʻa i kāu keiki ka maʻi anesthesia ākea. ʻO kēia e hiamoe ai ia a hiki ʻole iā ia ke ʻeha i ka wā o ke ʻoki. Hiki ke hoʻoponopono hou i nā hemahema māmā i hoʻokahi kaʻina hana. Pono nā hemahema loa i ʻelua a ʻoi mau kaʻina hana.

E hoʻohana ka kaukipala i kahi ʻāpana o ka ʻili foreskin a i ʻole ke kele mai kahi pūnaewele ʻē aʻe e hana i kahi paipu e hoʻonui i ka lōʻihi o ka urethra. ʻO ka hoʻolōʻihi ʻana i ka lōʻihi o ka urethra e ʻae iā ia e wehe ma ka piko o ka peni.

I ka wā o ke ʻoki ʻana, hiki i ke kauka lāʻau ke waiho i kahi catheter (Tube) i ka urethra e hoʻopaʻa i kona kinona hou. Humuhumu ʻia a hoʻopaʻa ʻia paha ka catheter i ke poʻo o ka peni e paʻa pono ai. Lawe ʻia ia 1 a 2 mau pule ma hope o ke kaha ʻana.

ʻO ka hapa nui o nā humuhumu i hoʻohana ʻia i ka wā o ke kahakaha e hoʻoheheʻe iā lākou iho a ʻaʻole pono e hemo ma hope.

ʻO Hypospadias kekahi o nā hānau hānau maʻamau i nā keikikāne. Hana ʻia kēia ʻoki kino ma ka hapanui o nā keikikāne i hānau ʻia me ka pilikia.

Inā ʻaʻole pau ka hana hou, hiki i nā pilikia ma hope ma hope e like me:

• ʻO ka paʻakikī ke kaohi ʻana a me ke kuhikuhi ʻana i ke kahawai mimi
• Kuhi i ka peni i ke kūkulu ʻana
• Hoʻoemi momona
• Hilahila e pili ana i ka helehelena o ka peni
  
  

ʻAʻole pono ke ʻoki kino inā ʻaʻole pili ke ʻano i ka urination maʻamau ke kū nei, ka moekolohe, a me ka waiho ʻana o ka semen.

Nā pilikia no kēia kaʻina hana:

• He puka e kulu i ka mimi (fistula)
• Pākuʻi koko nui (hematoma)
• Hoʻopili a ʻākiki paha o ka urethra hoʻoponopono

E noi paha ka mea mālama ola o ke keiki i kahi mōʻaukala piha a hana i kahi hoʻokolohua kino ma mua o ke kaʻina hana.

E haʻi mau i ka mea hāʻawi:

• He aha nā lāʻau a kāu keiki e lawe nei
• Nā lāʻau, nā mea kanu, a me nā wikamina a kāu keiki e lawe nei āu i kūʻai ai me ka ʻole o ka lāʻau
• ʻO nā maʻi āpau a kāu keiki i ka lāʻau, latex, tape, a hoʻomaʻemaʻe ʻili paha

E noi i ka mea hāʻawi i ke keiki i nā lāʻau a kāu keiki e pono ai e lawe i ka lā o ke ʻoki.

I ka lā o ke kaha:

• E noi pinepine ʻia kāu keiki mai inu a ʻai ʻole i kekahi mea ma hope o ke aumoe i ka pō ma mua o ke kaha ʻana a i ʻole 6 a 8 mau hola ma mua o ka ʻoki ʻana.
• Hāʻawi i kāu keiki i nā lāʻau i hāʻawi ʻia e kāu mea hāʻawi iā ʻoe e hāʻawi i kāu keiki me kahi wai liʻiliʻi.
• E haʻi ʻia ʻoe i ka wā e hōʻea ai no ke ʻoki.
• E ʻike pono ka mea hāʻawi i ke olakino maikaʻi o kāu keiki no ke ʻoki kino. Inā maʻi kāu keiki, lohi paha ke kāla ʻana.

Ma hope pono o ke kaha ʻana, hiki ke hoʻopaʻa ʻia ka peni a ke keiki i kona ʻōpū i ʻole e neʻe.

ʻO ka manawa pinepine, kau ʻia kahi kapa nui a kīʻaha kīʻaha paha ma luna o ka peni e pale ai i kahi ʻoki. E hoʻokomo ʻia kahi catheter urinary (kahi ʻōmole i hoʻohana ʻia e hoʻokahe i ka mimi mai loko o ka pale wai) i loko o ke kapa komo i hiki ai i ka mimi ke kahe i ka diaper.

Paipai ʻia kāu keiki e inu i nā wai i mimiki ʻo ia. Mālama ʻo Urencing i ke kaomi mai ke kūkulu ʻana i ka uretra.

Hāʻawi ʻia paha kāu keiki i lāʻau e hōʻoluʻolu ai i ka ʻeha. ʻO ka hapa nui o ka manawa, hiki i ke keiki ke haʻalele i ka haukapila i ka lā like me ke ʻoki. Inā noho lōʻihi ʻoe mai ka haukapila, makemake paha ʻoe e noho i kahi hōkele e kokoke ana i ka haukapila no ka pō mua ma hope o ke kaha ʻana.

E wehewehe kāu mea lawelawe i ka mālama ʻana i kāu keiki ma ka home ma hope o ka haʻalele ʻana i ka haukapila.

ʻO kēia ʻoki mau ke ola ʻana. Hana maikaʻi ka hapa nui o nā keiki ma hope o kēia ʻoki ʻana. E nānā ka penis a aneane a maʻamau paha a holo pono.

Inā loaʻa i kāu keiki kahi hypospadias paʻakikī, pono paha ia i nā hana hou aku e hoʻomaikaʻi i ka helehelena o ka peni a i ʻole e hoʻoponopono i kahi puka a i ʻole ka liʻiliʻi i ka urethra.

Pono paha nā kipa ukali me kahi urologist ma hope o ke ola ʻana o ke ʻoki. Pono kekahi mau keikikāne e kipa aku i ka urologist ke hiki lākou i ka wā ʻōpio.

Urethroplasty; Meatoplasty; ʻO Glanuloplasty

• Hoʻoponopono Hypospadias - hoʻokuʻu
• Hoʻomaʻamaʻa Kegel - mālama pono iā ʻoe iho
• Mālama ʻeha ʻeha - wehe

• Hypospadias
• Hoʻoponopono Hypospadias - moʻo

ʻO Carrasco A, Murphy JP. Hypospadias. I: Holcomb GW, Murphy JP, St. Peter SD, eds. ʻO Holcomb a me Ashcraft's Pediatric Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 59.

ʻO Elder JS. ʻO nā anomalies o ka peni a me ka urethra. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM ,. nā ʻaoʻao ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 559.

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.

ʻO Thomas JC, Brock JW. Hoʻoponopono i nā hypospadias proximal. I: Smith JA Jr, Howards SS, Preminger GM, Dmochowski RR, eds. ʻO Hinman's Atlas of Urologic Surgery. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 130.