Pono wau e ʻoki poepoe i kaʻu keiki? Kaupaona ʻia kahi Urologist

Anter

• Ua puni ka ʻoki poepoe no nā makahiki, akā ke emi nei ka maʻamau i kekahi mau moʻomeheu
• ʻO nā pōmaikaʻi o ke ʻoki poepoe ma mua o nā pilikia
• ʻO ke ʻoki poepoe ʻole ʻia e hiki ke alakaʻi i nā pilikia ma hope o ke ola
• ʻO ka hoʻoholo e ʻoki poepoe i kāu pēpē e pono e hoʻomaka me kahi kūkā

Pehea mākou e ʻike ai i ke ʻano o ka honua a mākou e koho ai - a kaʻana like ʻana i nā ʻike i hiki ke hoʻopaʻa i ke ʻano o kā mākou mālama ʻana i kekahi i kekahi, no ka maikaʻi. He kuanaʻike mana kēia.

Keʻike koke nā mākua e loaʻa ana kahi keikikāne, ʻaʻole lākou e holo maʻamau i kahi urologist no nā ʻōlelo aʻo e ʻoki poepoe paha i kā lākou keiki. I koʻu ʻike, ʻo ka hapa nui o ka pilina o ka hapanui o nā mākua ma ke kumuhana ʻo kā lākou pediatric.

ʻO kēlā, ʻoiai hiki i kahi pediatrician ke kōkua i ka hoʻomālamalama ʻana i ke kumuhana o ke ʻoki poepoe, he mea nui nō hoʻi e kamaʻilio me kahi urologist ʻoiai he ʻōpio kāu keiki.

Me kahi loea lapaʻau e kia ana i ka genitalia kāne a me ka ʻōnaehana urinary system, hiki i nā urologist ke hāʻawi aku i ka maopopo o ka maopopo o ka makua inā he kūpono ke ʻoki poepoe no kā lākou keiki, a me nā pilikia e pili pū ana me ka hana ʻole ʻana.

Ua puni ka ʻoki poepoe no nā makahiki, akā ke emi nei ka maʻamau i kekahi mau moʻomeheu

ʻOiai ke ʻoki poepoe ʻia ma nā a me nā wahi ʻē aʻe o ka honua Komohana, ua hana ʻia ia no nā makahiki he mau kaukani a ua hana ʻia ma nā moʻomeheu like ʻole o ka honua holoʻokoʻa. Ma hea kahi keiki e ʻoki poepoe ʻia ai, ke ʻole. Ma United States, Israel, kekahi mau ʻāpana o West Africa, a me nā mokuʻāina ʻo Gulf, ʻo kahi laʻana, hana mau ʻia ke kaʻina hana ma hope o ka hānau ʻana.

Ma Asia Komohana a me ʻApelika ʻĀkau, a me kekahi mau wahi ma Hikina Hema Asia, hana ʻia ke kaʻina hana i ka wā ʻōpio ke keiki. I nā ʻāpana o ka hema a me ka hikina o ʻApelika, hana ʻia ia ke hōʻea nā kāne i ka ʻōpio a i ʻole ke ʻano ʻōpio.

I ka Honua Komohana naʻe, ua lilo ke kumuhana i mea hakakā. Mai koʻu kuanaʻike kauka, ʻaʻole pono ia.

ʻO nā pōmaikaʻi o ke ʻoki poepoe ma mua o nā pilikia

Ua paipai ka American Academy of Pediatrics (AAP) i ke kaʻina hana no nā makahiki. Kākoʻo ka ʻahahui ʻoi aku ka nui o nā pōmaikaʻi ma mua o nā pōpilikia, ʻo ia hoʻi ka pili pinepine ʻana i ke kahe ʻana a me ka maʻi ma ke kahua o ke ʻoki poepoe.

ʻO nā keiki i ʻoki poepoe ʻia e like me nā pēpē e ʻeha lākou i nā maʻi urinary-tract (pyelonephritis a i ʻole UTIs), inā he koʻikoʻi, hiki ke alakaʻi i ka sepsis.

E like me nā pilikia he nui i ka lāʻau, ʻaʻole pili ka ʻōlelo aʻoaʻo e ʻoki poepoe i kahi keiki ma ka papa no nā keiki hānau hou a pau. I ka ʻoiaʻiʻo, paipai ka AAP e kūkākūkā ʻia kēia mea ma kēlā me kēia hihia me ke kauka pediatrician o ka ʻohana a i ʻole kekahi loea i kūpono e like me ke kauka lāʻau pediatric a i ʻole ka urologist pediatric.

ʻOiai ʻaʻole he mea hōʻoia ka ʻoki poepoe ʻaʻole e ulu kahi keiki ʻōpio i kahi UTI, loaʻa i nā kāne pēpē ka hoʻomohala ʻana i ka maʻi inā ʻaʻole ʻoki poepoe ʻia.

Inā kū pinepine kēia mau maʻi, ʻo ke kīʻaha - e ulu mau nei i nā keiki liʻiliʻi - ʻili paha a hiki ke hōʻino a hiki i ka hopena o ka hōʻino kīnā ʻole.

I kēia manawa, i ke ola o ke kāne, ʻo ka makaʻu o ka hoʻomohala ʻana i kahi UTI ma mua o ke kāne i ʻoki poepoe ʻia.

ʻO ke ʻoki poepoe ʻole ʻia e hiki ke alakaʻi i nā pilikia ma hope o ke ola

ʻOiai ke kākoʻo o ka AAP no ke ʻoki poepoe ʻana i ka pēpē a me ka wā kamaliʻi, hoʻomau ka nui o nā pediatrician o ke komohana i ka hoʻopaʻapaʻa ʻaʻole pono e hana i ke kaʻina hana ma kahi pēpē a keiki paha.

ʻAʻole ʻike kēia mau pediatric i kēlā mau keiki ma hope o ke ola, e like me kaʻu e ʻike nei, ke hōʻike lākou i nā pilikia urological e pili pinepine ʻia i ka ʻoki poepoe ʻole ʻia.

I kaʻu hana haukapila ma Mekiko, ʻike pinepine wau i nā mākua ʻoki poepoe ʻole ʻia e hele mai iaʻu.

• maʻi ʻaʻai
• phimosis (hiki ʻole ke hoʻihoʻi i ka ʻōmaka)
• Pākuʻi ka HPV ma ka ʻōmaka
• maʻi ʻaʻai penile

ʻO nā kūlana e like me nā maʻi o ka ʻōmaka me nā kāne ʻoki poepoe ʻole ʻia, ʻo ka phimosis wale nō nā kāne i ʻoki poepoe ʻole ʻia. Minamina, nui ka poʻe o koʻu poʻe ʻōpio ʻōpio i hele mai e ʻike iaʻu e noʻonoʻo ana he maʻamau kā lākou phimosis.

Hiki i kēia hoʻopaʻa ʻana i ka ʻili ke hana eha iā lākou i ke kūkulu ʻana. ʻAʻole e hōʻike ʻia, hiki iā ia ke lilo i mea paʻakikī e hoʻomaʻemaʻe pono i kā lākou peni, ka mea hiki ke hana i nā ʻala maikaʻi ʻole a hoʻonui i ka hopena o ka maʻi.

I ka manawa e hana ai kēia mau mea like i ke kaʻina hana, akā naʻe, hoʻomaha lākou i ka loaʻa ʻole o ka ʻeha ke loaʻa iā lākou kahi kūkulu. Manaʻo lākou i ka maikaʻi e pili ana iā lākou iho, e pili ana i ka hoʻomaʻemaʻe pilikino.

ʻOiai he wahi hoʻopaʻapaʻa ia ma waena o nā ʻepekema, aia kekahi kūkākūkā e pili ana i ka makaʻu o ka maʻi HIV. Ua kuhikuhi ka hapa nui i ka emi ʻana o ka makaʻu o ka lawe a me ka maʻi ʻana o ka maʻi HIV e nā kāne ʻoki poepoe ʻia. ʻOiai, ʻo nā kāne i ʻoki poepoe ʻia, pono mau lākou e komo i ka condom, no ka mea, ʻo ia kekahi o nā hana pale e pono ai.

, akā naʻe, ua ʻike ʻo ke ʻoki poepoe kekahi o nā hana i ʻāpana ʻē aʻe i hiki ke kōkua i ka pale ʻana i ka lawe a me ka maʻi ʻana o nā maʻi i lawe ʻia e ka moekolohe, me HIV.

E pili ana i nā warts HPV a me nā ʻano ʻoi loa o HPV i hiki ke alakaʻi i ka maʻi ʻaʻai penile, aia kahi hoʻopaʻapaʻa i ke kaiāulu no ka manawa lōʻihi.

I ka makahiki 2018, eia naʻe, ua paʻi nā Centers for Disease Control and Prevent i kahi pepa e hōʻike ana i ke kāne ʻo ke ʻoki poepoe ʻana he ʻano hana e hoʻoliʻiliʻi pōpilikia pono ʻia e pono ai e hoʻohana pū ʻia me nā hana ʻē aʻe, e like me ka HPV vaccination and condoms

ʻO ka hoʻoholo e ʻoki poepoe i kāu pēpē e pono e hoʻomaka me kahi kūkā

Maopopo iaʻu aia he hoʻopaʻapaʻa e pili ana inā ʻo ke ʻoki poepoe ʻana i kahi keiki ʻōpio e hoʻokahuli i kā lākou kūʻokoʻa no ka mea ʻaʻohe o lākou manaʻo i ka hoʻoholo. ʻOiai he hopohopo kūpono kēia, pono nō hoʻi i nā ʻohana ke noʻonoʻo i nā pilikia o ka ʻoki poepoe ʻole ʻia o kā lākou keiki.

Mai koʻu ʻike ponoʻī ponoʻī, ʻoi aku ka maikaʻi o nā pono olakino ma mua o nā hopena o nā pilikia.

Koi aku au i nā mākua o nā keiki hou e kamaʻilio me kahi urologist e ʻike inā ʻo ke ʻoki poepoe ke koho kūpono no kā lākou pēpē a e hoʻomaopopo pono ai i nā pono o kēia kaʻina hana.

I ka hopena, he hoʻoholo ʻohana kēia, a hiki i nā mākua ʻelua ke kūkākūkā e pili ana i ke kumuhana a hoʻoholo pū ʻia.

Inā makemake ʻoe e heluhelu hou aʻe e pili ana i ke ʻoki poepoe, hiki iā ʻoe ke nānā i ka ʻike ma aneʻi, ma aneʻi, a ma aneʻi.

ʻO Marcos Del Rosario, MD, he urologist Mekiko i hōʻoia ʻia e ka Mexico National Council of Urology. Noho ʻo ia a hana ma Campeche, Mexico. Ua puka ʻo ia mai ke Kulanui ʻo Anáhuac ma Mekiko City (Universidad Anáhuac México) a ua hoʻopau i kāna noho ʻana i ka urology ma ka Halemai Nui o Mexico (Halemai General de Mexico, HGM), kekahi o nā noiʻi nui a me nā hale aʻo e aʻo ana i ka ʻāina.