He aha ka Hypospadias? Nā Hōʻailona, Nā Kumu, & Lapaʻau

ʻO ka hypospadias kahi kūlana hānau kahi e waiho ai ka puka o ka urethra (ka paipu e lawe ai i ka mimi) ma lalo o ka penis ma mua o ka piko. Hana kēia ma kahi o 1 i 200 a 1 i 300 mau pēpē kāne, ʻo ia kekahi o nā ʻokoʻa hānau maʻamau loa e pili ana i ka penis.

Inā ua ʻike ʻia kāu keiki me ka hypospadias, manaʻo paha ʻoe i kahi hui o ka hopohopo a me nā nīnau. ʻO ka ʻoiaʻiʻo maikaʻi, ua maopopo loa kēia kūlana i nā kauka a hiki ke mālama ʻia me ka ʻoki kino i ka hapanui o nā hihia.

He aha ka Hypospadias?

Hana ka hypospadias i ka wā ʻaʻole i hoʻomohala piha ka urethra i ka wā hāpai, e waiho ana i ka puka ma kahi ma lalo o ka penis ma mua o ka piko. E noʻonoʻo iā ia he hoʻomaha hoʻomohala i hana ʻia i ka wā e hoʻokumu ai kāu pēpē i loko o ka ʻōpū.

Hiki i ke kūlana ke hele mai ka palupalu loa a ʻike ʻia. I nā hihia palupalu, hiki i ka puka ke emi iki ma lalo o ka piko o ka penis. I nā hihia nui aʻe, hiki ke waiho ʻia ka puka ma lalo o ke kumu a i ʻole kokoke i ke kumu o ka penis.

ʻO ka hapa nui o nā keikikāne me ka hypospadias he olakino piha. ʻAʻole pili kēia kūlana i nā ʻāpana ʻē aʻe o ke kino a i ʻole e hōʻike i nā pilikia olakino ākea.

He aha nā Hōʻailona o ka Hypospadias?

ʻO ka hōʻailona nui o ka hypospadias kahi o ka puka urethral. E ʻike ʻoe aia ka puka ma lalo o ka penis ma mua o ka piko.

Eia nā mea nui āu e ʻike ai:

• ʻIke ʻia ka puka urethral ma kahi ma lalo o ka penis
• Hiki i ka penis ke kūlou i lalo i ka wā e kū ai (i kapa ʻia ʻo chordee)
• Hiki i ka foreskin ke nānā ʻole, pinepine i kapa ʻia ʻo ka hiʻohiʻona

  I kekahi manawa, e ʻike paha ʻoe e pono kāu keiki e noho i lalo e mimi no ka mea ʻaʻole hele pololei ka wai e like me ka mea maʻamau. E ʻike nui ʻia kēia mau ʻokoʻa i ka ulu ʻana o kāu keiki a hoʻomaka i ka hoʻomaʻamaʻa potty.

  He aha nā ʻano o ka Hypospadias?

  Hoʻokaʻawale nā kauka i ka hypospadias ma muli o kahi o ka puka o ka urethra. Ke hoʻomaopopo ʻia ke ʻano, e kōkua ia i ka hoʻoholo ʻana i ke ala lapaʻau maikaʻi loa no kāu keiki.

  ʻO nā ʻano nui e komo pū ana:

  • Hypospadias distal: Aia ka puka kokoke i ke poʻo o ka penis, ma lalo pono o kahi e pono ai
  • Hypospadias midshaft: Aia ka puka ma ka ʻāpana waena o ke kumu o ka penis
  • Hypospadias proximal: Aia ka puka kokoke i ke kumu o ka penis a i ʻole ma ka wahi scrotum

  Ma kahi o 80% o nā hihia, he hypospadias distal, kahi e emi iki ai a maʻalahi hoʻi ke hoʻoponopono. ʻOi aku ka liʻiliʻi o nā ʻano koʻikoʻi akā pono paha i ka hoʻolālā ʻoki kino paʻakikī.

  He aha ka mea e hoʻokumu ai i ka Hypospadias?

  Hoʻomohala ʻia ka Hypospadias i loko o nā hebedoma 12 mua o ka hāpai ʻana i ka wā e hoʻokumu ʻia ai ka penis. ʻAʻole maopopo mau ke kumu pololei, akā hana ia i ka wā e hoʻopau ʻole ai ke kaʻina hana o ka hoʻomohala ʻana o ka urethra.

  Hiki i kekahi mau kumu ke hoʻopili i kēia kūlana:

  • Nā kumu genetic - hiki ke holo i nā ʻohana
  • Nā mana hormonal i ka wā hāpai, ʻoiai e pili ana i ka testosterone
  • ʻOi aku ka makahiki o ka makuahine ma mua o 35
  • Kekahi mau lāʻau lapaʻau hāpai
  • Hōʻike ʻia i nā lāʻau lapaʻau kikoʻī i ka wā hāpai
  • Kaumaha hānau haʻahaʻa a i ʻole hānau ma mua o ka manawa

  I nā hihia kakaikahi, pili paha ka hypospadias me nā kūlana genetic ʻē aʻe a i ʻole nā maʻi hormonal. Eia naʻe, no ka hapa nui o nā ʻohana, ʻaʻohe kumu i ʻike ʻia, a hōʻike wale ia i kahi hoʻololi i ka hoʻomohala maʻamau.

  He mea nui ke ʻike ʻaʻole ʻoe i hana a ʻaʻole i hana i kekahi mea i ka wā hāpai e hoʻokumu ai i kēia kūlana. Hana koke kēia mau ʻokoʻa hoʻomohala i ka wā hāpai, ma mua pinepine o ka ʻike ʻana o ka nui o nā kānaka ua hāpai lākou.

  I ka Wā e ʻIke ai i ke Kauka no ka Hypospadias?

  Hoʻomaopopo pinepine ʻia ka Hypospadias i ka wā hānau i ka nānā mua ʻana o kāu pēpē. Inā ʻaʻole i ʻike koke ʻia, pono ʻoe e hoʻokaʻaʻike i kāu kauka keiki inā ʻike ʻoe i ka puka o ka urethra ma kahi kūlana maʻamau ʻole.

  Pono ʻoe e ʻimi i ka mālama lapaʻau inā ʻike ʻoe:

  • ʻAʻole ma ka piko o ka penis ka puka o ka urethra
  • Ka wili ʻana o ka penis
  • Paʻakikī me ka urination a i ʻole ka kuhikuhi kahe mimi maʻamau ʻole
  • He ʻano maʻamau ʻole ke ʻano o ka foreskin

  He pono ka loiloi koke no ka mea e hiki ai i kāu hui olakino ke hoʻolālā i ka manawa kūpono loa no ka mālama ʻana. Hoʻouna pinepine nā kauka keiki iā ʻoe i kahi urologist pediatric e kūikawā ana i kēia mau kūlana.

  He aha nā Kumu Hōʻeha no ka Hypospadias?

  ʻOiai hiki ke loaʻa ka hypospadias i loko o kekahi ʻohana, hiki i kekahi mau mea ke hoʻonui iki i ka hiki ke hoʻomohala ʻia kēia kūlana i ka wā hāpai.

  ʻO nā kumu pilikia maʻamau e komo pū ana:

  • Mōʻaukala ʻohana o ka hypospadias (makua kāne a kaikaina paha me ke kūlana)
  • ʻOi aku ka makahiki o ka makuahine ma mua o 35 mau makahiki
  • Hoʻohana ʻana i nā lāʻau lapaʻau a i ʻole nā ​​hormones i ka wā hāpai
  • Gestational diabetes
  • Hōʻike ʻia i kekahi mau kemika a i ʻole nā ​​lāʻau lapaʻau i ka wā hāpai mua

  ʻO nā kumu pilikia liʻiliʻi e komo pū ana:

  • Nā hāpai he nui (māhoe, triplets)
  • Kaumaha hānau haʻahaʻa
  • Hānau mua
  • Kekahi mau syndromes genetic (ʻoiai he mea maʻamau ʻole kēia)

  ʻAʻole manaʻo ia e loaʻa maoli ka hypospadias inā loaʻa nā kumu pilikia. ʻAʻole hoʻomohala ka nui o nā pēpē i hānau ʻia i nā mākua me nā kumu pilikia he nui i kēia kūlana, ʻoiai kekahi poʻe ʻē aʻe me nā kumu pilikia ʻike ʻole ʻia.

  He aha nā pilikia hiki ke loaʻa o Hypospadias?

  Inā waiho ʻia me ka mālama ʻole ʻia, hiki i ka hypospadias ke alakaʻi i kekahi mau pilikia i ka ulu ʻana o kāu keiki. ʻO ka hoʻomaopopo ʻana i kēia mau pilikia hiki ke kōkua i ka wehewehe ʻana i ke kumu e ʻōlelo pinepine ʻia ai ka mālama.

  Hiki i nā pilikia hana ke komo pū me:

  • Paʻakikī ke mimi ʻana i ka kū ʻana
  • Pīpī ʻana a i ʻole ka huli ʻana o ke kahawai mimi
  • Nā pilikia me ka hana moekolohe i ka wā makua ma muli o ka wili ʻana o ka penis
  • Nā pilikia me ka hānau ke koʻikoʻi ka maʻi

  Hiki i nā pilikia pili kaiāulu a me ka manaʻo ke komo pū me:

  • Ka hopohopo e pili ana i ke ʻano, ʻoi aku hoʻi i ka wā ʻōpiopio
  • Paʻakikī me ka hoʻomaʻamaʻa halepaku
  • Hopohopo e pili ana i nā lumi loka a i ʻole nā wahi hoʻololi lehulehu
  • Nā manaʻo e pili ana i nā pilina pilikino ma hope i ke ola

  I nā hihia kakaikahi, hiki ke pili ka hypospadias i mālama ʻole ʻia me nā ʻano ʻē aʻe o ka urogenital e hiki ke hoʻopilikia i ka hana o ka puʻupaʻa a i ʻole ka hana hormone. E loiloi kāu kauka urology pediatric no kēia mau mea hiki i ka loiloi mua.

  Pehea ka Diagnosed ʻana o Hypospadias?

  ʻO ka maʻamau, hana ʻia ka diagnosing ʻana o ka hypospadias ma o ka nānā ʻana. Hiki i kāu kauka ke ʻike maʻamau i ke kūlana ma ka nānā ʻana i ka penis o kāu pēpē i nā nānā pēpē maʻamau.

  ʻO ke kaʻina hana diagnostic e komo pū ana i ka nānā ʻana i ka wahi o ka wehe ʻana o ka urethra a me ka loiloi ʻana inā aia kekahi curvature penis e pili ana. E nānā kāu pediatrician inā aia ka wehe ʻana ma ka piko o ka penis a i ʻole ma kahi ma lalo.

I kekahi mau hihia, hiki i kāu kauka ke ʻōlelo aku i nā hoʻokolohua hou aku:

• Ultrasound e nānā i ka ulu ʻana o ka puʻupaʻa a me ka ʻōpū
• Nā hoʻokolohua pae hormone inā aia nā pilikia ulu ʻē aʻe
• Ka hoʻokolohua genetika i nā hihia kakaikahi kahi i manaʻo ʻia ai nā ʻano ʻē aʻe

ʻAʻole pono ka nui o nā keiki me ka hypospadias i ka hoʻokolohua nui. He maʻalahi ka maʻi e diagnose, a ʻōlelo ʻia nā hoʻokolohua hou aku wale nō inā manaʻo kāu kauka i nā kūlana pili ʻē aʻe.

He aha ka lāʻau lapaʻau no ka hypospadias?

ʻO ka ʻoki kino ka lāʻau lapaʻau nui no ka hypospadias, a he holomua loa ia ma ka hapanui o nā hihia. ʻO ka pahuhopu, ʻo ia ke hana i kahi penis pololei me ka puka o ka urethra ma ka piko, e ʻae ana i ka urination maʻamau a me ka hana moekolohe.

Ke hilinaʻi nei ke ala ʻoki kino i ka nui a me ka wahi:

• Nā hihia māmā: Pono pinepine i ka ʻoki kino hoʻokahi wale nō e lōʻihi ana i 1-2 mau hola
• Nā hihia waena: Pono paha i nā hana hoʻokahi a ʻelua paha
• Nā hihia koʻikoʻi: Pono paha i nā ʻoki kino he nui i hoʻokaʻawale ʻia i kekahi mau mahina

ʻO nā manaʻo e pili ana i ka manawa:

• Hana pinepine ʻia ka ʻoki kino ma waena o 6-18 mau mahina o ka makahiki
• Hiki i ka ʻoki kino mua ke hoʻemi i ka hopena noʻonoʻo
• Pono ka penis e lawa ka nui no ka mea ʻoki e hana pono ai
• Noʻonoʻo ʻia nā pilikia o ka anesthesia laulā

Hoʻōla maikaʻi ka hapanui o nā keiki mai ka ʻoki kino hypospadias. He kiʻekiʻe loa nā helu holomua, me kahi ʻoi aku ma mua o 90% o nā ʻoki kino e hopena ana i nā hopena hana a me nā mea hoʻonaninani maikaʻi.

Pehea e hāʻawi ai i ka mālama home i ka wā o ka lāʻau lapaʻau?

Ma hope o ka ʻoki kino, pono kāu keiki i ka mālama kūikawā ma ka home e hōʻoia i ka hoʻōla pono. E hāʻawi kāu hui ʻoki kino i nā ʻōlelo kuhikuhi kikoʻī, akā eia nā kuhikuhi laulā e manaʻo ai.

ʻO ka mālama ma hope koke o ka ʻoki kino:

• Mālama i ka wahi ʻoki kino i maʻemaʻe a maloʻo
• Hoʻokele i ka ʻeha me nā lāʻau lapaʻau i kuhikuhi ʻia
• Nānā no nā hōʻailona o ka maʻi e like me ka ʻulaʻula nui a i ʻole ka wela
• Pale i kāu keiki mai ka huki ʻana i nā lole a i ʻole nā ​​catheter

I ka wā hoʻōla, pono ʻoe e:

• Hahai i nā ʻōlelo kuhikuhi ʻauʻau kūikawā mai kāu kauka ʻoki kino
• Paipai i ka nui o ka inu wai e mālama i ka mimi i hoʻoheheʻe ʻia
• Nānā no ka pehu maʻamau vs. nā loli hopohopo
• E hele i nā hālāwai hoʻomau a pau e like me ka hoʻonohonoho ʻia

Hoʻōla koke ka hapa nui o nā keiki mai kēia ʻoki kino. ʻO ke kaʻina hoʻōla maʻamau he mau pule, me ka hoʻōla piha i manaʻo ʻia i loko o kekahi mau mahina.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā me ke kauka?

Ke hoʻomākaukau ʻoe no kāu kūkā, e kōkua ia e hōʻoia i loaʻa iā ʻoe nā ʻike āpau āu e pono ai e hana i nā hoʻoholo naʻauao e pili ana i ka mālama ʻana i kāu keiki. E hele mai me nā nīnau a me nā ʻike pili.

Ma mua o kāu kipa, e ʻohi:

• Ka mōʻaukala lapaʻau piha o kāu keiki
• Mōʻaukala ʻohana o nā kūlana like
• Papa inoa o nā lāʻau lapaʻau a i ʻole nā mea hoʻohui i kēia manawa
• ʻIke inikua a me nā palapala kuhikuhi

ʻO nā nīnau e noʻonoʻo ai e nīnau e komo pū:

• Pehea ka nui o ka hypospadias o kaʻu keiki?
• He aha ke ʻano o ka ʻoki kino āu e manaʻo ai?
• I ka wā hea e hana ʻia ai ka ʻoki kino?
• He aha nā pilikia a me nā pono o ka mālama?
• He aha kaʻu e manaʻo ai i ka wā hoʻōla?

Mai kānalua e nīnau e pili ana i kekahi mea e hopohopo ai ʻoe. Makemake kāu hui mālama ola e hōʻoia i kou manaʻo hilinaʻi a me ka ʻike e pili ana i ka hoʻolālā mālama ʻana o kāu keiki.

He aha ka lawe nui e pili ana i ka Hypospadias?

ʻO ka Hypospadias kahi kūlana hānau hiki ke mālama ʻia e pili ana i ka hoʻomohala ʻana o ka penis. ʻOiai paha e manaʻo ʻia he kaumaha i ka hoʻomaka, ʻo ka hapa nui o nā keiki me ka hypospadias e ola i nā ola maʻamau loa ma hope o ka mālama ʻana.

Loaʻa i nā ʻenehana ʻoki kino hou nā kūleʻa maikaʻi loa, a ʻo ka hapa nui o nā hoʻoponopono e hopena i ka helehelena a me ka hana maʻamau. ʻO ke kī ka hana pū ʻana me nā urologist pediatric akamai e kūikawā ana i kēia mau kaʻina hana.

E hoʻomanaʻo ʻaʻole kēia kūlana e hōʻike ana i kekahi mea āu i hana hewa ai i ka wā hāpai. He hoʻololi wale ia i ka hoʻomohala ʻana e hana ma mua i ka wā hāpai a hiki ke hoʻoponopono ʻia me ka mālama lapaʻau kūpono.

Me ka mālama kūpono a me ke kākoʻo, hiki i kāu keiki ke manaʻo e loaʻa iā ia ka hana maʻamau o ka mimi a me ka moekolohe i kona ulu ʻana. ʻO ke kākoʻo manaʻo āu e hāʻawi ai i loko o kēia huakaʻi he mea nui loa ia e like me ka mālama lapaʻau.

Nā Nīnau Pinepine e pili ana i ka Hypospadias

E hiki anei i kāu keiki ke loaʻa nā keiki i kona wā ulu?

ʻAe, ʻo ka hapanui o nā kāne me ka hypospadias i hoʻoponopono pono ʻia hiki ke hānau i nā keiki ma ke ʻano maoli. ʻO ka pahuhopu o ke ʻoki kino ʻana ka hoʻihoʻi ʻana i ke ʻano kino maʻamau a me ka hana, me ka hānau keiki pū. I nā hihia kakaikahi o ka hypospadias koʻikoʻi loa, aia paha nā hopena iki ma ka hānau keiki, akā hiki i kāu urologist ke kūkākūkā i kēia i loko o kāu kūkā inā pili ia i ke kūlana o kāu keiki.

Hiki anei ke pale ʻia ka hypospadias?

ʻAʻohe ala i ʻike ʻia e pale aku ai i ka hypospadias ʻoiai e hana ia i ka wā ulu mua o ka pēpē no nā kumu ʻaʻole i maopopo loa. ʻO ka lawe ʻana i nā huaora prenatal maʻamau a me ka pale ʻana i nā mea ʻino i ʻike ʻia i ka wā hāpai e kākoʻo i ka ulu olakino holoʻokoʻa, akā ʻaʻole i hana ʻia ka hypospadias e kekahi mea hiki ke pale ʻia e nā mākua.

E ʻike anei nā poʻe ʻē aʻe ua hana ʻia ke ʻoki kino i kāu keiki?

ʻO nā ʻenehana ʻoki kino hou e pahuhopu i nā hopena e nānā maoli loa. Hoʻōla maikaʻi ka hapa nui o nā hoʻoponopono ʻana i kūpono loa ka penis ma hope o ka hoʻōla ʻana. E kūkākūkā kāu urologist o ke keiki i nā manaʻo nani kūikawā i ka hihia o kāu keiki, akā ʻo ka pahuhopu mau ka loaʻa ʻana o ka hana maʻamau a me ke ʻano maoli.

Pehea ka lōʻihi e noho ai kāu keiki ma ka haukapila?

Hana ʻia ka nui o nā hoʻoponopono hypospadias ma ke ʻano he mau kaʻina hana outpatient, ʻo ia hoʻi hiki i kāu keiki ke hoʻi i ka home i ka lā like. Hiki i nā hihia paʻakikī ke koi i kahi noho i ka pō. E haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai ma muli o ke ʻano kūikawā o ka hoʻoponopono e pono ai kāu keiki.

I ka wā hea e hiki ai i kāu keiki ke hoʻi i nā hana maʻamau ma hope o ke ʻoki kino?

Hiki i ka hapanui o nā keiki ke hoʻomaka hou i nā hana mālie i loko o kekahi mau lā a hoʻi i ke kula i loko o hoʻokahi pule. Eia naʻe, pono lākou e pale aku i nā hana ikaika, ka ʻauʻau, a me ka pāʻani kolohe no kekahi mau pule ʻoiai e ho'ōla ana. E hāʻawi kāu kauka ʻoki i nā kuhikuhi manawa kūikawā ma muli o ka hihia o kāu keiki a me ka holomua o ka ho'ōla.