He aha kahi dimple sacral? Nā hōʻailona, nā kumu, a me ka mālama

ʻO kahi dimple sacral kahi hohonu liʻiliʻi a i ʻole ka lua ma ka ʻili ma ke kumu o kou kua, ma luna pono o kou iwi huelo. ʻO ka hapa nui o nā dimple sacral he mea ʻino ʻole loa a he ʻāpana wale nō ia o ke ʻano o kekahi poʻe i hana ʻia.

Hōʻike kēia mau dimple liʻiliʻi ma kahi o 3-8% o nā pēpē hou a loaʻa pinepine ʻia i ka wā o nā nānā maʻamau o nā pēpē. ʻOiai ʻo ka hapa nui ʻaʻole pilikia loa, hiki i ka hoʻomaopopo ʻana i kā lākou mea ke kōkua i ka hoʻomaha ʻana o kou manaʻo a ʻike i ka wā e ʻimi ai i ka ʻōlelo aʻo lapaʻau.

He aha kahi dimple sacral?

ʻO kahi dimple sacral kahi hohonu liʻiliʻi ma ka ʻili i loaʻa ma ka wahi sacral, ʻo ia hoʻi ka ʻāpana haʻahaʻa o kou kua kahi e hui ai kou kua me kou iwi huelo. E noʻonoʻo iā ia he ʻeke liʻiliʻi a i ʻole ka hohonu e hana ʻia i ka wā o ka hoʻomohala mua ʻana i loko o ka ʻōpū.

ʻO ka nui maʻamau o kēia mau dimple he emi iho ma mua o 5 milimita a hōʻike ʻia e like me nā hohonu pālahalaha. ʻO ka hapa nui he mea a nā kauka i kapa ʻia ʻo nā dimple sacral "maʻalahi," ʻo ia hoʻi, he pālahalaha lākou, liʻiliʻi, a ʻaʻole pili i kekahi mea hohonu i loko o kou kino.

Loaʻa paha iā ʻoe ke lohe i nā mea lawelawe olakino e pili ana iā lākou e like me nā lua sacral a i ʻole nā dimple pilonidal, ʻoiai hiki i kēia mau huaʻōlelo ke wehewehe i nā kūlana ʻokoʻa iki. ʻO ka mea nui e hoʻomanaʻo ai, ʻo ka hapa nui o nā dimple sacral he mea palekana loa.

He aha nā hōʻailona o kahi dimple sacral?

ʻAʻole pilikia ka hapa nui o nā dimple sacral. E ʻike wale ʻoe i kahi hohonu liʻiliʻi ma ka ʻili, a ʻo ia wale nō ka hōʻailona maʻamau.

Eia naʻe, aia kekahi mau kūlana kahi e ʻike ai ʻoe i nā hōʻailona hou aku e hōʻike ana i ka pili ʻana o ka dimple i nā ʻano hohonu. Eia nā mea e nānā ai:

• Kahi ʻāpana lauoho e ulu ana mai a puni ka dimple
• Kahi tag ʻili a i ʻole ka ulu liʻiliʻi kokoke i ka dimple
• ʻUlaʻula a i ʻole pehu a puni ka wahi
• Kekahi hoʻokuʻu a i ʻole ka hoʻokahe ʻana mai ka dimple
• Kahi kala uliuli o ka ʻili kokoke
• Hōʻike ʻia ka dimple he hohonu a nui loa (nui ma mua o 5mm)
• Aia ka dimple ma luna aʻe ma ke kua, mamao aku mai ka wahi iwi huelo

ʻAʻole manaʻo kēia mau hōʻailona hou aku he pilikia nui, akā hōʻike lākou e pono i kāu kauka ke nānā kokoke aku. ʻO ka hapa nui o ka manawa, ʻoiai nā dimple me kēia mau hiʻohiʻona he mea palekana loa.

He aha nā ʻano o nā dimple sacral?

Hoʻokaʻawale maʻamau nā kauka i nā dimple sacral i ʻelua mau māhele nui ma muli o kā lākou hiʻohiʻona a me ka hiki ke pilikia.

ʻO nā dimple sacral maʻalahi ka ʻano maʻamau a manaʻo ʻia he haʻahaʻa ka pilikia. He liʻiliʻi kēia mau dimple (emi iho ma mua o 5mm), pālahalaha, a aia i loko o 2.5 kenimika o ka iwi huelo. ʻAʻohe lauoho, tag ʻili, a i ʻole nā hiʻohiʻona ʻē aʻe maʻamau a puni lākou.

Loaʻa i nā dimple sacral paʻakikī hoʻokahi a ʻoi aku paha nā hiʻohiʻona e makemake ai nā kauka e noiʻi hou aku. Hiki i kēia mau mea ke nui ma mua o 5mm, aia ma luna aʻe ma ke kua, a i ʻole loaʻa nā hiʻohiʻona e like me nā ʻāpana lauoho, nā tag ʻili, a i ʻole nā kala maʻamau ʻole. ʻOiai ʻo ka hapa nui o nā dimple paʻakikī he mea palekana loa, loaʻa iā lākou kahi manawa kiʻekiʻe iki e pili ana i ke kaula kua a i ʻole nā ʻano a puni.

Aia nō hoʻi kahi ʻano kakaikahi i kapa ʻia he dermal sinus tract, ʻo ia hoʻi kahi tunnel e hoʻolōʻihi mai ka ʻili i ke kaula kua. Hana kēia ma lalo o 1% o nā dimple sacral āpau akā pono ia i ka nānā lapaʻau no ka mea hiki ke alakaʻi i nā maʻi.

He aha ka mea e hana ai i kahi dimple sacral?

Hana ʻia nā dimple sacral i nā wā mua loa o ka hāpai ke hoʻomohala nei ke kua a me ka ʻōnaehana nerve o kāu pēpē. Hana kēia i nā wiki mua ma hope o ka hāpai ʻana, pinepine ma mua o kou ʻike ʻana ua hāpai ʻoe.

Hoʻokomo ka hana i ka neural tube, ʻo ia ka ʻano e lilo ai i ke kaula kua a me ka lolo. I kekahi manawa, hiki i nā loli liʻiliʻi i ke ʻano o kēia tube e pani ai ke hopena i kahi hohonu liʻiliʻi ma ka ʻili. E noʻonoʻo iā ia e like me kahi loli liʻiliʻi i kahi papahana kūkulu paʻakikī.

I ka hapa nui o nā hihia, ʻaʻohe kumu kūikawā āu e hōʻike ai. ʻAʻole ia he mea āu i hana ai a i ʻole i hana ʻole ai i ka wā hāpai, a ʻaʻole pili ia i kou mōʻaukala ʻohana a i ʻole nā koho nohona. He loli maʻamau wale nō ia e hana ʻia i ka wā hoʻomohala.

ʻO ka mea kakaikahi loa, hiki ke pili nā dimple sacral i nā kūlana e hoʻopilikia ana i ka hoʻomohala ʻana o ke kaula kua, e like me ka spina bifida occulta a i ʻole tethered cord syndrome. Eia naʻe, he mea maʻamau ʻole kēia mau pilina a pili pinepine i nā hōʻailona a i ʻole nā hiʻohiʻona ʻē aʻe ma mua o ka dimple ponoʻī.

I ka wā e ʻike ai i ke kauka no kahi dimple sacral?

Inā ʻike ʻoe i kahi dimple sacral i kāu pēpē hou, pono ia e haʻi aku i kāu pediatrician i ka wā o kāu kipa aʻe, akā he mea pilikia ʻole ia. E ʻike ka hapa nui o nā pediatricians i kēia mau mea i nā nānā maʻamau o nā pēpē hou.

Pono ʻoe e hoʻokaʻaʻike i kāu kauka koke inā ʻike ʻoe i kekahi o kēia mau hiʻohiʻona hopohopo:

• Hōʻike ʻia ka dimple e hoʻokahe ana i ka wai a i ʻole ka pus
• Liʻiliʻi ka wahi a puni ka dimple, pehu, a i ʻole mahana ke pā
• Hoʻomohala kāu keiki i nā hōʻailona o ka maʻi e like me ka wela
• Hōʻike ʻia ka dimple e hohonu a nui ana i ka manawa
• ʻIke ʻoe i nā hōʻailona neurological hou e like me ka nāwaliwali i nā wāwae a i ʻole nā loli i ka hana o ka ʻōpū a i ʻole ka ʻōpū

No nā mākua i noho me kahi dimple sacral me ka pilikia ʻole, lawa ka nānā maʻamau. Eia naʻe, inā hoʻomohala ʻoe i nā hōʻailona hou e like me ka ʻeha, ka hoʻokahe ʻana, a i ʻole nā maʻi hou i ka wahi, pono ia e loiloi.

He aha nā kumu pilikia no nā dimple sacral?

ʻAʻohe kumu pilikia maopopo o nā dimple sacral ma ke ʻano maʻamau no ka mea he mau loli hoʻomohala lākou e hana kūpono ʻia i ka wā hāpai mua. Eia naʻe, aia kekahi mau ʻano i ʻike ʻia e nā kauka.

Hōʻike ʻia lākou he mea maʻamau iki i kekahi mau heluna kanaka, ʻoiai he liʻiliʻi nā ʻokoʻa. Hōʻike kekahi mau noiʻi e ʻoi aku paha ka pinepine i nā kānaka o ka lāhui ʻEulopa, akā ʻaʻole kūlike kēia ʻike ma nā noiʻi āpau.

ʻAʻole manaʻo ʻia ke kāne he mea nui, no ka mea, hana like nā dimple sacral i nā keikikāne a me nā kaikamāhine. ʻAʻole manaʻo ʻia ka mōʻaukala ʻohana he mea wānana ikaika, ʻo ia hoʻi, ʻaʻole hoʻonui nui ka loaʻa ʻana o kahi dimple sacral i ka manawa o kāu mau keiki e loaʻa iā ia.

ʻO ka manawa o ka hoʻomohala ʻana o ke kua i ka wā hāpai ka mea nui, a ʻo kēia kaʻina hana ma waho o ka mana o kekahi. Pani koke ka neural tube i ka wā hāpai, ma ka wiki 4 maʻamau, i ka wā ʻaʻole ʻike nui nā kānaka ua hāpai lākou.

He aha nā pilikia hiki ke loaʻa i nā dimple sacral?

ʻAʻole pilikia ka hapa nui o nā dimple sacral i ke ola holoʻokoʻa o ke kanaka. Eia naʻe, he mea kōkua ke hoʻomaopopo i nā hiki ke loaʻa i mea e ʻike ai ʻoe i nā mea e nānā ai.

ʻO ka pilikia maʻamau loa, ʻoiai he mea kakaikahi loa, ʻo ia ka maʻi. Hiki i kēia ke hana inā hohonu lawa ka dimple e hopu i nā bacteria a i ʻole inā pili ia i nā ʻano hohonu. E komo nā hōʻailona i ka ʻulaʻula, ka pehu, ka mahana, ka hoʻokahe ʻana, a i ʻole ka wela.

I nā hihia kakaikahi loa, hiki ke pili kahi dimple sacral i ke kaula kua ma o ka mea i kapa ʻia he dermal sinus tract. Hana kēia ma lalo o 1% o nā hihia akā hiki ke alakaʻi i nā maʻi koʻikoʻi e like me ka meningitis inā hele nā bacteria i luna o ka tract. ʻO ia ke kumu e nānā ai nā kauka i kekahi mau hōʻailona hoʻomaopopo.

ʻO kekahi mau pilikia kakaikahi loa e komo pū ana:

• Tethered cord syndrome, kahi i hoʻopili ʻia a hoʻolōʻihi ʻia ai ke kaula kua
• Nā cysts a i ʻole nā tumors o ke kaula kua (dermoid a epidermoid cysts)
• Nā maʻi urinary tract mau inā loaʻa nā abnormalities o ke kua
• Hoʻokahe mau a i ʻole ka maʻi pilonidal ma ka wahi sacral

He mea maʻamau ʻole kēia mau pilikia i ʻole ka hapa nui o nā kānaka me nā dimple sacral e ʻike i kekahi pilikia. ʻO ke kī ka loiloi kūpono i ka wā e ʻike mua ʻia ai ka dimple a noho mālama i nā hōʻailona hou i ka manawa.

Pehea e ʻike ʻia ai kahi dimple sacral?

Hoʻomaka maʻamau ka ʻike ʻana i kahi dimple sacral me kahi nānā kino maʻalahi. E nānā kāu kauka i ka nui, ka hohonu, ka wahi, a me nā hiʻohiʻona e pili ana e like me ka lauoho a i ʻole nā tag ʻili.

No nā dimple sacral maʻalahi he liʻiliʻi, pālahalaha, a kokoke i ka iwi huelo me ka ʻole o nā hiʻohiʻona hopohopo, ʻaʻole pono ka hoʻokolohua hou. Hiki i kāu kauka ke hōʻoia iā ʻoe he mea palekana kēia mau mea ma muli o ka nānā kino wale nō.

Eia naʻe, inā ʻike kāu kauka i kekahi mau hiʻohiʻona paʻakikī, hiki iā lākou ke ʻōlelo aku i kahi ultrasound o ka wahi. Hiki i kēia hoʻokolohua ʻeha ʻole ke kōkua i ka hoʻoholo ʻana inā pili ka dimple i nā ʻano hohonu a inā ʻike ʻia ke kaula kua maʻamau.

I kekahi mau hihia, ʻoiai inā hōʻike ka ultrasound i kekahi mau abnormalities a i ʻole inā loaʻa nā hōʻailona neurological, hiki ke ʻōlelo ʻia kahi MRI. Hāʻawi kēia i nā kiʻi kikoʻī o ke kaula kua a me nā ʻano a puni. Eia naʻe, pono wale kēia pae hoʻokolohua i kahi hapa liʻiliʻi o nā hihia.

Hoʻokomo pinepine ʻia ka manawa o kēia mau hoʻokolohua i ka makahiki o kāu keiki. Hana maikaʻi nā ultrasounds i nā pēpē liʻiliʻi loa no ka mea ʻaʻole i paʻakikī loa ko lākou mau iwi, e maʻalahi ai ke ʻike i nā ʻano o ke kua.

He aha ka mālama no nā dimple sacral?

ʻAʻole pono ka hapa nui o nā dimple sacral i ka mālama. Inā hoʻoholo kāu kauka he dimple maʻalahi ia me ka ʻole o nā hiʻohiʻona hopohopo, ʻo ka ʻōlelo maʻamau ka mālama ʻana i ka wahi maʻemaʻe a nānā i nā loli.

No nā dimple e hōʻike ana i nā hōʻailona o ka maʻi, pili ka mālama i ka hoʻomaʻemaʻe ʻana i ka maʻi me nā antibiotics a me ka mālama ʻana i ka ʻeha. E alakaʻi kāu kauka iā ʻoe i ka mālama ʻana i ka wahi maʻemaʻe a maloʻo i ka wā e hoʻonā ai ka maʻi.

I nā hihia kakaikahi kahi e hōʻike ai nā kiʻi i kahi pilina i ke kaula kua a i ʻole nā abnormalities ʻē aʻe, pili ka mālama i nā ʻike kikoʻī. Hiki i kēia ke komo pū me:

• Hoʻoponopono ʻoki inā loaʻa kahi dermal sinus tract e pili ana i ke kaula kua
• Nānā neurosurgical no nā abnormalities o ke kaula kua
• Nānā mau me nā noiʻi kiʻi manawa
• Physical therapy inā loaʻa kekahi mau pilikia neurological

ʻO ka ʻoiaʻiʻo maikaʻi, ʻoiai ke pono ai ka mālama, maikaʻi loa nā hopena, ʻoiai ke ʻike ʻia a mālama ʻia nā pilikia i ka wā mua. Ke hele nei ka hapa nui o nā keiki i ke ola maʻamau, olakino.

Pehea e mālama ai i kahi dimple sacral ma ka home?

ʻO ka mālama ʻana i kahi dimple sacral maʻalahi ma ka home he mea pololei a komo pū me nā hana hoʻomaʻemaʻe maʻamau. E mālama i ka wahi maʻemaʻe i ka wā o ka ʻauʻau maʻamau, e holoi mālie me ka sapona a me ka wai.

E hōʻoia e maloʻo loa ka wahi ma hope o ka ʻauʻau, no ka mea, hiki i ka wai i hoʻopaʻa ʻia i loko o ka dimple ke alakaʻi i ka huhū ʻili a i ʻole ka maʻi. Hiki iā ʻoe ke pā mālie i ka wahi maloʻo me kahi kāwele maʻemaʻe.

E nānā i nā loli i ka hiʻohiʻona o ka dimple, e like me ka ʻulaʻula, ka pehu, ka hoʻokahe ʻana, a i ʻole ka ʻeha hou. ʻOiai he mea maʻamau ʻole kēia mau loli, ʻo ka hopu ʻana iā lākou i ka wā mua e maʻalahi ai ka mālama inā pono.

No nā pēpē a me nā keiki ʻōpio, he mea nui loa nā loli diaper maʻamau a me nā hana hoʻomaʻemaʻe maikaʻi no ka mea hiki i ka wahi diaper ke mālama i nā bacteria. E mālama i ka wahi dimple maʻemaʻe a maloʻo i ka wā o nā loli diaper.

ʻAʻole pono ʻoe e hoʻopili i nā kirimi a i ʻole nā mālama kūikawā i ka dimple ke ʻole kāu kauka e ʻōlelo kūikawā. ʻO ka ʻoiaʻiʻo, ʻoi aku ka maikaʻi ke pale aku i ka hoʻokomo ʻana i kekahi mea i loko o ka dimple ponoʻī, no ka mea hiki i kēia ke hoʻokomo i nā bacteria.

Pehea ʻoe e hoʻomākaukau ai no kāu kūkā kauka?

Ma mua o kāu kūkā, e hoʻolilo i ka manawa e nānā ai i ka dimple sacral a e hoʻomaopopo i nā kikoʻī e kōkua paha i kāu kauka. E nānā i kona nui, hohonu, a inā loaʻa kekahi mau hiʻohiʻona e pili ana e like me ka lauoho a i ʻole nā loli ʻili.

E kākau i nā nīnau a i ʻole nā manaʻo hopohopo āu e loaʻa ai e pili ana i ka dimple. ʻO nā nīnau maʻamau e komo pū ana inā e pilikia ia ma hope i ke ola, inā pono ia i ka mālama, a me nā hōʻailona e nānā ai ma ka home.

Inā loaʻa iā ʻoe nā kiʻi o ka dimple, ʻoiai inā ua ʻike ʻoe i nā loli i ka manawa, e lawe mai i kēia mau mea. I kekahi manawa, hiki i ka palapala kiʻi ke kōkua i ka loiloi a kāu kauka.

E hoʻomākaukau i kahi mōʻaukala pōkole o ka wā āu i ʻike mua ai i ka dimple a inā loaʻa kekahi mau hōʻailona e pili ana e like me ka hoʻokahe ʻana, ka ʻulaʻula, a i ʻole ka ʻeha. No nā pēpē, e hoʻomaopopo inā loaʻa ka dimple i ka wā hānau a i ʻole i ʻike ʻia ma hope.

Mai kānalua e noi i kāu kauka e wehewehe i kekahi mea āu i ʻike ʻole ai. He mea kūpono a he mea nui no kou maluhia nā nīnau e pili ana i ka nānā lōʻihi, nā palena hana, a me ka wā e ʻimi ai i ka nānā lapaʻau.

He aha ka mea nui e pili ana i nā dimple sacral?

ʻO ka mea nui loa e hoʻomanaʻo ai e pili ana i nā dimple sacral, ʻo ia ka hapa nui o lākou he mea palekana loa a ʻaʻole pono i ka mālama. He loli maʻamau wale nō ia i ke ʻano o kekahi poʻe i hana ʻia i ka wā hoʻomohala.

ʻOiai he mea maʻamau ke hopohopo i ka wā āu e ʻike mua ai i kahi dimple sacral, ʻoiai i loko o kahi pēpē hou, e ʻoluʻolu i ka ʻike ʻana ua noho miliona o nā kānaka i ko lākou ola holoʻokoʻa me kēia mau dimple me ka ʻole o ka pilikia.

ʻO ke kī ka loiloi kūpono ʻana o kahi dimple e kahi mea lawelawe olakino e hiki ke hoʻoholo inā he dimple maʻalahi, haʻahaʻa ka pilikia a i ʻole inā pono kekahi nānā hou aku. I ka manawa āu i loaʻa ai kēia hōʻoia, hiki iā ʻoe ke nānā i ka leʻaleʻa i ke ola me ka hopohopo ʻole.

E noho mālama i nā loli i ka hiʻohiʻona o ka dimple a i ʻole nā hōʻailona hou, akā mai hoʻokuʻu i ka hopohopo e pili ana i nā pilikia kakaikahi e pale i ka ʻoiaʻiʻo he mea maʻamau ʻole nā pilikia koʻikoʻi. Me ka alakaʻi lapaʻau kūpono, hiki iā ʻoe ke hilinaʻi i ka mālama ʻana i kēia kūlana.

Nā nīnau i nīnau pinepine ʻia e pili ana i nā dimple sacral

E hele aku anei ka dimple sacral o kaʻu keiki ma kona iho?

ʻO nā dimple sacral nā hiʻohiʻona mau loa ʻaʻole nalowale i ka manawa. Eia naʻe, hiki iā lākou ke lilo i mea ʻike ʻole ʻia i ka wā e ulu a hoʻomohala ai kāu keiki i nā ʻiʻo a me nā momona hou aʻe i ka wahi. Ke noho mau nei ka dimple ponoʻī, akā pinepine ia e lilo i mea ʻike ʻole ʻia me ka makahiki.

Hiki i nā dimple sacral ke hana i ka ʻeha kua ma hope i ke ola?

ʻAʻole hana maʻamau nā dimple sacral maʻalahi i ka ʻeha kua a i ʻole nā hōʻailona ʻē aʻe i ke ola holoʻokoʻa. Inā loaʻa i kekahi me kahi dimple sacral ka ʻeha kua, ma muli ia o nā kumu maʻamau ʻē aʻe e like me ka ʻiʻo ʻiʻo, ka kūlana maikaʻi ʻole, a i ʻole nā loli pili makahiki i ke kua, ma mua o ka dimple ponoʻī.

Aia kekahi mau palena hana no nā keiki me nā dimple sacral?

Hiki i nā keiki me nā dimple sacral maʻalahi ke komo i nā hana maʻamau āpau, e komo pū ana nā haʻuki a me nā hana kino. ʻAʻohe palena i ka ʻauʻau, nā haʻuki pili, a i ʻole nā hana ʻē aʻe. ʻAʻole hana ka dimple i ke kua i mea palekana ʻole i ka hōʻeha.

Pono anei wau e hopohopo inā maʻi ka dimple sacral o kaʻu keiki?

ʻOiai he mea maʻamau ʻole nā maʻi i nā dimple sacral, pono e loiloi koke ʻia e kahi mea lawelawe olakino. ʻO nā hōʻailona o ka maʻi e komo pū ana ka ʻulaʻula, ka pehu, ka mahana, ka hoʻokahe ʻana, a i ʻole ka wela. ʻO ka hapa nui o nā maʻi e pane maikaʻi i ka mālama antibiotic kūpono, akā he mea nui ke ʻimi i ka nānā lapaʻau ma mua o ka ho'āʻo ʻana e mālama iā ia ma ka home.

He mea palekana anei ke hoʻomaʻemaʻe i loko o ka dimple sacral?

Pono ʻoe e mālama i ka wahi a puni ka dimple maʻemaʻe me ka ʻauʻau maʻamau, akā e pale i ka ho'āʻo ʻana e hoʻomaʻemaʻe i loko o ka dimple ponoʻī. Laha ka holoi mālie ʻana me ka sapona a me ka wai i ka wā ʻauʻau maʻamau. E pale i ka hoʻohana ʻana i nā swabs pulupulu a i ʻole nā mea ʻē aʻe e hoʻomaʻemaʻe i loko o ka dimple, no ka mea hiki i kēia ke hoʻokomo i nā bacteria a i ʻole ke kumu huhū.