ʻO Anus Imperforate

Anter

• He aha nā hōʻailona o kahi anus imperforate?
• Pehea e ʻike ʻia ai kahi anus imperforate?
• He aha nā ʻano lāʻau no ka anus imperforate?
• He aha ka manaʻo lōʻihi?

He aha ka anus imperforate?

ʻO kahi anus imperforate kahi kīnā hānau i hana ʻia i ka wā e ulu ana kāu pēpē i ka ʻōpū. ʻO ke ʻano o kēia hemahema he anus i hoʻomōhala kūpono ʻole ʻia kāu pēpē, a no laila ʻaʻole hiki ke hele i kahi noho maʻamau mai kā lākou kiko ma waho o ko lākou kino.

Wahi a ka Halemai Haumāna ʻo Cincinnati, ma kahi o 1 o kēlā me kēia pēpē 5,000 he anus imperforate a i ʻole nā ​​malformation o ka anus a i ʻole ka poloka. Kū pinepine ia i nā keikikāne ma mua o nā kaikamahine. ʻO ka rectum, bladder, a me ka ʻōpū o kahi pēpē wahine me kahi anus imperforate e mahele i kekahi manawa i hoʻokahi wehe nui. Kapa ʻia kēia wehe ʻana he koloka.

Kūkulu ke ʻano i loko o ka ʻōpū i ka pule ʻelima a ʻehiku o ka hāpai ʻana. ʻAʻole ʻike ʻia ke kumu. ʻO nā manawa he nui nā pēpē me kēia ʻano i loaʻa i nā hemahema ʻē aʻe o ke kīhā.

Hiki i nā kauka ke hōʻoia i kēia ʻano ma hope koke iho o ka hānau ʻana. He kūlana koʻikoʻi loa kēia e pono ai e mālama koke. Pono ka hapa nui o nā pēpē i ke ʻoki e hoʻoponopono hou i ka hemahema. He maikaʻi loa ka nānā ʻana ma hope o ke kaha ʻana.

He aha nā hōʻailona o kahi anus imperforate?

ʻO nā ʻōuli o ka anus imperforate ʻike maopopo ʻia ma hope koke o ka hānau ʻana. Pākuʻi ʻia lākou:

• ʻaʻohe puka anal
• kahi anal e wehe ai ma kahi hewa, e like me ke kokoke loa i ka ʻōpū
• ʻaʻohe pahu i ka 24 a 48 mau hola o ke ola
• ka hue e hele ma waena o nā wahi kūpono ʻole, e like me ka urethra, ʻāpala, scrotum, a i ʻole ke kumu o ka peni
• he ʻōpū pehu
• kahi pilina pono ʻole, a i ʻole fistula, ma waena o ka polima o kāu pēpē a me kā lākou ʻōnaehana hānau a i ʻole ka urinary tract

Ma kahi o ka hapalua o nā pēpē āpau i hānau ʻia me ka anus imperforate he mau mea hou aʻe. ʻO kekahi o kēia mau mea:

• hakuʻala a me nā urinary tract kīnā
• abnormalities o ka iwi kuamoʻo
• ʻaoʻao makani, a i ʻole tracheal, nā kīnā
• kīnā kīnā ʻole
• nā kīnā o nā lima a me nā wāwae
• Down Syndrome, kahi kūlana chromosomal e pili ana me ka lohi o ka naʻau, ke kīnā ʻole o ka ʻike, kahi helehelena helehelena, a me nā leo nāwaliwali nāwaliwali.
• ʻO ka maʻi ʻo Hirschsprung, kahi ʻano e pili ana i ka nalowale ʻana o nā aʻa nerve o ka ʻōpū nui
• duodenal atresia, kahi ulu kūpono ʻole o ka ʻāpana mua o ka ʻōpū liʻiliʻi
• kīnā kīnā ʻole

Pehea e ʻike ʻia ai kahi anus imperforate?

Hiki i ke kauka ke kuhikuhi maʻamau i kahi anus imperforate e ka hana ʻana i kahi hoʻokolohua kino ma hope o ka hānau ʻana. Hiki i kahi X-ray o ka ʻōpū a me ka ultrasound ʻōpū ke kōkua e hōʻike i ka nui o nā mea pono ʻole.

Ma hope o ka diagnose anus imperforate, pono i kāu kauka pēpē e hoʻāʻo no nā ʻano maʻi ʻē aʻe e pili ana i kēia ʻano. Hoʻokomo ʻia paha nā hoʻāʻo i hoʻohana ʻia:

• ʻO nā kukuna X o ka iwi kuamoʻo e ʻike i nā mea kūpono ʻole o ka iwi
• Ke nānā nei i ka ultrasound spinal no nā mea kūpono ʻole i ke kino vertebral, a i ʻole nā ​​iwi o ka iwi kuamoʻo
• echocardiogram e ʻimi nei i nā anomalies naʻau
• Ke ʻimi nei ʻo MRI i nā hōʻike o nā hemahema esophageal e like me ka hoʻokumu ʻana o fistulae me ka trachea, a i ʻole ka windpipe

He aha nā ʻano lāʻau no ka anus imperforate?

ʻAneʻane koi kēia ʻano i ke kahakaha. Pono nā kaʻina hana he nui i kekahi manawa e hoʻoponopono i ka pilikia. Hiki i kahi colostomy kūlohelohe ke ʻae i ka manawa o kāu pēpē e ulu ma mua o ke kahakaha ʻana.

No kahi colostomy, hana ke kahu o kāu pēpē i ʻelua mau puka liʻiliʻi, a i ʻole stoma, i loko o ka ʻōpū. Hoʻopili lākou i ka ʻaoʻao haʻahaʻa o nā ʻōpū i hoʻokahi wehe a ʻo ka ʻaoʻao luna o nā ʻōpū i kekahi. Hoʻopili kahi ʻeke i waho o ke kino i nā huahana neoneo.

ʻO ke ʻano o ke ʻoki hoʻopololei e pono ai i nā kikoʻī o ka hemahema, e like me ka nui o ka iho ʻana o kāu pēpē, pehea ka hopena i nā mākala kokoke, a inā pili nā fistula.

I loko o kahi anoplasty perineal, pani ke kauka lāʻau o kāu pēpē i nā fistula i pili ʻole ka palahu i ka urethra a i ʻole ka ʻōpū. A laila hana lākou i kahi anus me ka hoʻonohonoho maʻamau.

ʻO kahi hana huki i ka wā e huki ai ke kahu o kāu pēpē i ka pololei ma lalo a hoʻohui iā ia i ka anus hou.

I mea e pale ʻole ai i ka anus, pono paha e hoʻolōʻihi i ka anus i kēlā me kēia manawa. Kapa ʻia kēia he anal dilation. Pono paha ʻoe e hana i kēia i kēlā me kēia manawa no kekahi mau mahina. Hiki i kāu kauka ke aʻo iā ʻoe pehea e hana ai i kēia ma ka home.

He aha ka manaʻo lōʻihi?

E aʻo aku kāu kauka iā ʻoe pehea e hana ai i nā anal anal. Mālama kēia mau mea i ka wehe ʻana o ka aniani e lawa ka nui e ʻae ai i ka pahu.

E ʻike kekahi mau keiki i nā pilikia me ka paʻa paʻa. Lōʻihi paha ka lōʻihi o ka hoʻomaʻamaʻa ʻana i ka mākeke. Pono pono nā palupalu Stool, enemas, a laxatives paha e hōʻoluʻolu i ka constipation ma hope o ke ola. Hiki i ke kīpoki ke hoʻoponopono maʻamau i nā mea kūpono ʻole, a maikaʻi loa ka hapanui o nā keiki.

ʻO kahi papaʻai i kiʻekiʻe i ka fiber a me ka mālama maʻamau maʻamau i ka wā kamaliʻi.