ʻ itpala palaoa a hoʻokuʻu - keiki
ʻO ka ʻili, ʻulaʻula, a me ka pehu ʻana o ka ʻili o ka puki a me nā wahi e pili ana (vulva) kahi pilikia maʻamau i nā kaikamahine ma mua o ka wā ʻōpio. Aia pū kekahi hemo ʻāpala.Hiki ke ʻokoʻa ke kala, ka honi, a me ke kūlike o ka hoʻokuʻu ʻana, kaukaʻi ʻia i ke kumu o ka pilikia.
ʻO nā kumu maʻamau o ka makaʻu a me ka hoʻokuʻu ʻana i nā kaikamahine ʻōpio e:
- ʻO nā mea kemika e like me nā mea ʻala a me nā kala i nā detergents, nā palupalu lole, nā kalima, nā hamo, a me nā pīpī e hoʻonāukiuki paha i ka puki a i ʻole ka ʻili a puni ka ʻōpala.
- ʻO ka maʻi hū ʻo ke kino.
- Vaginitis. ʻO ka Vaginitis i nā kaikamahine ma mua o ka wā ʻōpio ke maʻa mau. Inā loaʻa i kahi kaikamahine ʻōpio ka maʻi moekolohe i lawe ʻia i ka moekolohe, akā naʻe, pono e noʻonoʻo a ʻōlelo ʻia ka moekolohe.
- ʻO kahi kino haole, e like me ka pepa lua a i ʻole kahi crayon a kahi kaikamahine ʻōpio e hoʻokomo ai i loko o ka lua. Hiki ke kū i kahi maʻi me kahi hoʻokuʻu inā kū ka mea haole i ka lua.
- Pinworms (kahi maʻi parasite e hoʻopili pinepine ana i nā keiki).
- Hoʻomaʻemaʻe kūpono ʻole a me ka hoʻomaʻemaʻe
I mea e pale ai a mālama ai i ka huhū o ke kino, pono i kāu keiki e:
- Hōʻalo i ka lole ʻoma a ʻaʻala hoʻi o ka ʻauʻau a me ka wai ʻauʻau.
- E hoʻohana i ke kopa ʻaʻano ʻole.
- Palena i ka manawa ʻauʻau i 15 mau minuke a ʻoi iki paha. E noi i kāu keiki e mimi pono ma hope o ka ʻauʻau.
- E hoʻohana wale i ka wai mehana. Mai hoʻohui i ka soda kope, nā ʻoka colloidal a i ʻole nā mea ʻoka, a me nā mea ʻē aʻe i ka wai ʻauʻau.
- Mai hoʻokuʻu i ke kopa e lana i ka wai ʻauʻau. Inā pono ʻoe e shampoo i ko lākou lauoho, hana pēlā i ka pau ʻana o ka ʻauʻau.
E aʻo i kāu keiki e mālama i ka maʻemaʻe a maloʻo. Pono ʻo ia:
- Pākuʻi i ka lua waho a me ka maloʻo ma mua o ka hamo ʻana iā ia me nā mea kiko. ʻO ka hana ʻana pēlā e pale aku ai i ka haʻihaʻi ʻana i nā pōpō liʻiliʻi.
- E hoʻoneʻe i nā mea holoi mai mua a i hope (vagina i anus) ma hope o ka mimiki ʻana a i ʻole ke neʻe ʻana o ka ʻōpū.
Pono kāu keiki e:
- E komo i nā pālule pulupulu. Hōʻalo i nā lole komo o loko i hana ʻia mai nā mea synthetic a i hana ʻia paha e nā kāne.
- Hoʻololi i kā lākou lole komo i kēlā me kēia lā.
- Hōʻalo i nā pālule paʻa a pōkole paha.
- Hoʻololi i nā kapa pulu, ʻo ia hoʻi nā lole ʻauʻau pulu a me nā lole hoʻoikaika kino, i ka wā hiki loa.
Mai hoʻāʻo e hemo i kekahi mea haole mai ka ʻōpū o ke keiki. Hiki paha iā ʻoe ke pahu i kahi mea i kahi mamao loa a hōʻeha paha i kāu keiki ma ke kuhihewa. Lawe koke i ke keiki i kahi kahu mālama ola no ka hemo ʻana.
Kāhea koke i kāu keiki inā:
- Hoʻopiʻi kāu keiki no ka ʻeha a i ʻole ka ʻeha o ka ʻōpū o lalo a i ʻole he kuni.
- Manaʻo ʻoe he hoʻomāinoino moekolohe.
Kāhea pū inā:
- Aia nā ʻōhū a i ʻole nā ulcer ma ka puki a i ʻole vulva.
- He naʻau wela kāu keiki me ka mimiki a i ʻole nā pilikia ʻino aʻe.
- Loaʻa i kāu keiki ke kahe o ke kolo, ka pehu ʻana a i ʻole ka hoʻokuʻu ʻia.
- ʻOi aku ka maikaʻi o nā ʻōuli o kāu keiki, ʻoi aku ka lōʻihi ma mua o 1 pule, a i ʻole hoʻi e hoʻi.
E nānā ka mea hāʻawi i kāu keiki a hana paha i kahi hōʻike pelvis. Koi paha kāu keiki i kahi hōʻike pelvic i hana ʻia ma lalo o ka anesthesia. E nīnau ʻia ʻoe i nā nīnau e kōkua ai i ke kuhi ʻana i ke kumu o ka wili o kāu keiki. E hoʻāʻo paha e ʻimi i ke kumu.
Koi paha kāu mea hāʻawi i nā lāʻau, e like me:
- ʻO ka kirimalu a me ka waiona no nā maʻi hū
- ʻO kekahi mau lāʻau āpau (antihistamines) no ke kōkua ʻana i ka makaʻu
- ʻO nā kalima Hydrocortisone a i ʻole nā lotions i hiki iā ʻoe ke kūʻai ma ka hale kūʻai (e kamaʻilio mau me kāu mea hāʻawi)
- Nā lāʻau antibiotic waha
ʻO Pruritus vulvae; ʻIkioma - wahi aʻa; ʻIkioma Vulvar; ʻO ka maʻi hū - keiki
- Anatomia hānau wahine
- Nā kumu o ka ʻili puʻu
- Uterus
Lara-Torre E, Valea FA. ʻO ke gynecology Pediatric a me nā ʻōpio: ka nānā ʻana i nā gynecologic, nā maʻi, nā ʻehaʻeha, nā pelvic mass, ka wā ʻōpio precocious. I: Lobo RA, Gershenson DM, Lentz GM, Valea FA, eds. Gynecology Comprehensive. ʻEpekema 7 Piladelapia, PA: Elsevier; 2017: chap 12.
Marcdante KJ, Kliegman RM. Vulvovaginitis. I: Marcdante KJ, Kliegman RM, hua. Nā Pono Pono o Pediatrics o Nelson. 8th ed. Elsevier; 2019: chap 115.
ʻO Sucato GS, Murray PJ. ʻO ke gynecology pediatric a me nā ʻōpio. 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 19.