Hypospadias: he aha ia, ʻano a me nā lāʻau
Anter
ʻO Hypospadias kahi malformation genetical i nā keikikāne i ʻike ʻia e ka wehe ākea o ka urethra ma kahi wahi ma lalo o ka peni ma mua o ka piko. ʻO ka urethra ke kahawai e puka ai ka mimi, a no kēia kumu e hele ai kēia maʻi i ka mimi ma kahi hewa.
Hiki ke mālama ʻia kēia pilikia a pono e mālama ʻia i kāna mālama ʻana i nā makahiki 2 mua o ke ola o ke keiki, ma o ke kaha ʻana e hoʻoponopono i ka wehe ʻana o ka urethra.
Nā ʻano nui o hypospadias
Hoʻokaʻawale ʻia ʻo Hypospadias i 4 ʻano nui, hoʻokaʻawale ʻia e like me ka wahi o ka wehe o ka urethra, e hoʻopili pū ana me:
- Distal: aia ka wehe o ka urethra ma kahi kokoke i ke poʻo o ka peni;
- Penile: Hōʻike ka wehe i ke kino o ka peni;
- Kokoke: aia ka wehe o ka urethra ma ka ʻāina kokoke i ka scrotum;
- Perineal: ʻo ia ka ʻano rarest, me ka wehe o ka urethra ma kahi kokoke i ka anus, e hoʻemi ana i ka peni ma mua o ka maʻamau.
Ma waho aʻe o kēia hoʻokumu ʻana, aia nō paha ka hiki ke ʻike ʻia ka wehe ʻana o ka urethra ma luna o ka peni, akā naʻe, i kēia hihia ua ʻike ʻia ka malformation ʻo epispadia. E ʻike i ka hopena a pehea e mālama ʻia ai.
Nā hōʻailona kūpono
Hoʻololi nā ʻōuli Hypospadias e like me ke ʻano o ke kīnā i hōʻike ʻia e ke keikikāne, akā ʻo ka maʻamau mau nā:
- ʻOi aku ka ʻili ma kahi o ka ʻōmaka, ka piko o ka peni;
- Ka nele o ka wehe ʻana o ka urethra ma ke poʻo o ka genital organ;
- ʻAʻole pololei ke genital i ke kū ʻana, e hōʻike ana i ke ʻano o ka lou;
- ʻAʻole kahe ka mimi i mua, a pono ke keiki e mimi ʻoiai e noho ana.
Ke loaʻa i kēia keikikāne kēia mau ʻōuli, koi ʻia e nīnau i ke kaukōkō e ʻike pono i ka pilikia a hoʻomaka i ka lāʻau kūpono. Eia nō naʻe, he mea mau ia no nā hypospadias e ʻike ʻia a hiki i ka hale hānau makuahine, i nā hola mua ma hope o ka hānau ʻana ke hana ke kauka i ka loiloi kino.
Pehea e hana ai i ka lāʻau
ʻO ke ala wale nō e mālama ai i nā hypospadias ka ʻoki ʻana e hoʻoponopono i ka wehe o ka urethra a, ʻo ke kūpono, pono e hana i ke kaha ma waena o 6 mau mahina a me 2 mau makahiki. No laila, pono e hōʻalo ʻia ke ʻoki poepoe ʻana ma mua o ke kaha ʻana, no ka mea he pono paha e hoʻohana i ka ʻili o ka ʻōmaka e kūkulu hou i ka peni o ka pēpē.
I ka wā o ke ʻoki kino, ua pani ʻia ka wehe hewa ʻana o ka urethra a hana ʻia kahi puka hou ma ka piko o ka peni, e hoʻomaikaʻi ana i nā mea hoʻohanohano o ka genital a e ʻae ana i ka hana maʻamau maʻamau i ka wā e hiki mai ana.
Ma hope o ke kaha ʻana, hoʻokomo ʻia ke keiki i 2 a 3 mau lā, a laila hiki ke hoʻi i ka home a hana i nā hana maʻamau. Eia nō naʻe, i loko o nā pule he 3 e hiki mai ana, e makaʻala nā mākua i ke ʻano o nā hōʻailona o ka maʻi ma ke kahua ʻoki kino, e like me ka pehu ʻana, ʻulaʻula a i ʻole ʻeha nui, e laʻa me.
ʻO kekahi maʻi e pale aku i ke keikikāne mai ka pee maʻamau ʻo phimosis ia, no laila e ʻike ma aneʻi i kāna mau ʻōuli a pehea e mālama ai i kēia mau hihia.