He aha te Hypospadias? Tohutohu, Take, me te Maimoatanga

Ko te hypospadias he āhuatanga whānau e puta mai ana i te wā e whānau ana, kei reira te tuwhera o te urethra (te pūkaha e kawe ana i te mimi) kei raro i te titi o te pehanga, ehara i te pito. Ka puta tēnei ki te 1 o te 200 ki te 1 o te 300 o ngā tamaiti, ā, ko tētahi o ngā rerekētanga whānau tino noa e pā ana ki te pehanga.

Mēnā kua whakatauhia tō tamaiti he hypospadias, pea kei te whakaaro koe i te maha o ngā āwangawanga me ngā pātai. Ko te rongo pai, e tino mārama ana ngā tākuta ki tēnei āhuatanga, ā, ka taea te whakaora pai me te pokanga i te nuinga o ngā take.

He aha te Hypospadias?

Ka puta te hypospadias ina kore te urethra e whānuitia katoa i te wā hapu, ka waiho te tuwhera ki tetahi wāhi i raro i te titi o te pehanga, ehara i te pito. Whakaarohia he whakamutunga whanaketanga i puta i te wā e hanga ana tō pēpi i roto i te kopu.

Ka rereke te āhuatanga o te āhuatanga, mai i te ngawari rawa ki te kitea ake. I ngā take ngawari, pea kei raro noa iho i te pito o te pehanga te tuwhera. I ngā take nui ake, pea kei raro atu i te pouaka, kei te taha rānei o te pehanga.

Ko te nuinga o ngā tamaiti he hypospadias, he hauora katoa. Kāore tēnei āhuatanga e pā ki ētahi atu wāhanga o te tinana, kāore rānei e tohu i ngā raruraru hauora whānui.

He aha ngā Tohutohu o te Hypospadias?

Ko te tohu matua o te hypospadias ko te wāhi o te tuwhera o te urethra. Ka kite koe kei raro i te titi o te pehanga te tuwhera, ehara i te pito.

Ko ēnei ngā mea nui ka taea e koe te kite:

• Ka puta te tuwhera o te urethra ki tetahi wāhi i raro i te titi o te pehanga
• Pea ka piko te pehanga ki raro ina tu te tangata (e kiia ana ko te chordee)
• Pea kaore e rite te ahua o te kiri, e kiia ana he ahua “kākahu”
• Pea kaore e rite te ahua o te pito o te pehanga (glans), pea kaore i oti te hanga
• Pea ka pū te mimi a tō tamaiti ki ngā huarahi rerekē, ehara i te rere tika

I ētahi wā, pea ka kite koe me noho tō tamaiti ki te mimi, no te mea kāore te rere e haere whakamua penei i te mea e tumanakohia ana. Ka kitea ake ēnei rerekētanga i te wā e tipu ana tō tamaiti, ā, ka tīmata te whakangungu poti.

He aha ngā momo Hypospadias?

Ka wehewehea e ngā tākuta te hypospadias i runga i te wāhi o te tuwhera o te urethra. Ko te mārama ki te momo ka āwhina i te whakatau i te huarahi maimoatanga pai mō tō tamaiti.

Ko ēnei ngā momo matua:

• Hypospadias tawhiti: Kei te taha o te pito o te pehanga te tuwhera, kei raro noa iho i te wāhi e tika ana
• Hypospadias waenganui: Kei waenganui o te pouaka o te pehanga te tuwhera
• Hypospadias tata: Kei te taha o te pehanga, kei te rohe rānei o te scrotum te tuwhera

Ko te 80% o ngā take ko te hypospadias tawhiti, ā, he ngawari ake te whakaora.

He aha ngā Take o te Hypospadias?

Ka whānau te hypospadias i roto i ngā wiki 12 tuatahi o te hapu, i te wā e hanga ana te pehanga. Kāore te take tika i te nuinga o ngā wā e mārama ana, engari ka puta ina kore te tukanga o te whanaketanga o te urethra e oti pai.

He maha ngā take ka āwhina ki tēnei āhuatanga:

• Ngā take ira – ka taea te rere i roto i ngā whānau
• Ngā awe o te homoni i te wā hapu, ina koa e pā ana ki te testosterone
• Te pakeke o te whaea neke atu i te 35 tau
• Ētahi maimoatanga hua
• Te whakamahinga o ētahi rongoā i te wā hapu
• Te iti o te taumaha whānau, te whānau wawe rānei

I ngā take onge, pea ka hono te hypospadias ki ētahi atu āhuatanga ira, ki ngā mate homoni rānei. Heoi, mō te nuinga o ngā whānau, kāore he take e taea te kitea, ā, he rerekētanga noa iho i te whanaketanga noa.

He mea nui kia mōhio kāore tetahi mea i mahi koe, kāore rānei i mahi koe i te wā hapu i puta ai tēnei āhuatanga. Ka puta ēnei rerekētanga whanaketanga i te tīmatanga o te hapu, i mua atu i te nuinga o ngā tāngata e mōhio ana kei te tumanako rātou.

Nōhea te Tiro ki te Tākuta mō te Hypospadias?

Ka kitea te hypospadias i te wā whānau i te wā o te tirotiro tuatahi a tō pēpi. Mēnā kāore i kitea tonu, me whakapiri atu koe ki tō tākuta tamariki mēnā ka kite koe i te tuwhera o te urethra kei tetahi wāhi.

Me rapu awhina hauora koe mēnā ka kite koe:

• Kāore te tuwhera o te urethra kei te pito o te pehanga
• Te piko o te pehanga
• Te raruraru ki te mimi, te huarahi rere rānei o te mimi
• He ahua ke te kiri

He pai te aromatawai wawe, no te mea ka taea e tō rōpū hauora te whakarite i te wā pai mō te maimoatanga.

He aha ngā Take Raru mō te Hypospadias?

Mēnā kāore i whakaorahia, ka taea e te hypospadias te arahi ki ngā wero i te wā e tipu ana tō tamaiti.

Ko ēnei ngā raruraru mahi:

• Te raruraru ki te mimi i te wā e tū ana
• Te pū, te he rānei o te rere o te mimi
• Ngā raruraru ki te mahi taane i te wā pakeke, nā te piko o te pehanga
• Ngā raruraru ki te hua mēnā he kino te āhuatanga

Ko ēnei ngā raruraru pāpori me ngā kare-a-roto:

• Te whakama ki te ahua, ina koa i te wā taitamariki
• Te raruraru ki te whakangungu poti
• Te manukanuka ki ngā ruma kakahu, ki ngā wāhi hurihuri whānui rānei
• Ngā āwangawanga mō ngā hononga tata i muri mai i te ora

I ngā take onge, pea ka hono te hypospadias ki ētahi atu āhuatanga urogenital e pā ana ki te mahi whatukuhu, ki te whakaputa homoni rānei.

Me pēhea te Whakatau i te Hypospadias?

Ko te tikanga ka whakatauhia te hypospadias mā te tirohanga kanohi. Ka taea e tō tākuta te kite i te āhuatanga mā te titiro ki te pehanga a tō pēpi i ngā tirotiro whānau noa.

Ko te tukanga whakatau ka whakauru i te tirotiro i te wāhi o te tuwhera o te urethra, me te aromatawai mēnā he piko o te pehanga.

I ētahi wā, pea ka tūtohu tō tākuta i ētahi atu whakamātautau:

• Ultrasound hei tirotiro i te whanaketanga o te whatukuhu me te putea mimi
• Ngā whakamātautau taumata homoni mēnā he take whanaketanga ētahi atu
• Te whakamātautau ira i ngā take onge ka whakapaehia ētahi atu āhuatanga

Kāore te nuinga o ngā tamariki he hypospadias e hiahia ana ki te maha o ngā whakamātautau. He ngāwari te whakatau i te āhuatanga, ā, ko ngā whakamātautau atu ka tūtohuhia anake mēnā ka whakapae tō tākuta i ētahi atu āhuatanga e hono ana.

He aha te Maimoatanga mō te Hypospadias?

Ko te pokanga te maimoatanga matua mō te hypospadias, ā, he angitu rawa i te nuinga o ngā take. Ko te whāinga kia hanga he pehanga tika me te tuwhera o te urethra kei te pito, kia taea ai te mimi noa me te mahi taane.

Ko te huarahi pokanga ka whakawhirinaki ki te kino me te wāhi:

• Ngā take ngawari: Ko te nuinga ka hiahia ki te pokanga kotahi-wā e 1-2 haora te roa
• Ngā take waenga: Pea ka hiahia ki ngā tukanga kotahi-wā, rua-wā rānei
• Ngā take kino: Pea ka hiahia ki ngā pokanga maha i wehea ki ngā marama maha

Ko ēnei ngā whakaaro wā:

• Ko te nuinga o ngā pokanga ka puta i waenga i te 6-18 marama te pakeke
• Pea ka whakaiti te pokanga wawe i te pānga hinengaro
• Me nui te pehanga mō te tākuta ki te mahi pai
• Ka whakaarohia ngā tūponotanga o te mate moe whānui

Ko te nuinga o ngā tamariki ka ora pai i te pokanga hypospadias. He tino teitei ngā reiti angitu, neke atu i te 90% o ngā pokanga e puta ana i ngā hua mahi me ngā ataahua pai.

Me pēhea te Whakarato i te Tiaki Kāinga i te Wā Maimoatanga?

I muri i te pokanga, ka hiahia tō tamaiti ki te tiaki motuhake i te kāinga kia pai ai te ora. Ka hoatu e tō rōpū pokanga ngā tohutohu taipitopito, engari ko ēnei ngā aratohu whānui e tumanakohia ana.

Ko te tiaki i muri tonu i te pokanga ka whakauru:

• Te pupuri i te rohe pokanga kia ma, kia maroke
• Te whakahaere i te mamae me ngā rongoā kua tohua
• Te matawai mō ngā tohu o te mate penei i te whero nui, te kirika rānei
• Te aukati i tō tamaiti kei te toia ngā kakahu, ngā catheter rānei

I te wā ora, me:

• Whai i ngā tohutohu kaukau motuhake mai i tō tākuta
• Te whakatenatena i te maha o te wai inu kia ngawari te mimi
• Te matawai mō te pupuhi noa, te rerekētanga rānei
• Haere ki ngā hui whakarite katoa penei i te whakarite

Ko te nuinga o ngā tamariki ka hoki mai tere i tēnei pokanga. Ko te tukanga ora ka roa i ngā wiki maha, ka tumanakohia te ora katoa i roto i ngā marama torutoru.

Me pēhea te Whakamahere mō tō Hui Tākuta?

Ko te whakamahere mō tō hui ka āwhina i te whakarite ka whiwhi koe i ngā mōhiohio katoa e hiahia ana koe ki te mahi i ngā whakatau whakamārama mō te tiaki a tō tamaiti. Haere mai me ngā pātai me ngā mōhiohio e tika ana.

I mua i tō haerenga, kohikohia:

• Te hītori hauora katoa a tō tamaiti
• Te hītori whānau o ngā āhuatanga rite
• Rārangi o ngā rongoā, ngā taapiri rānei o nāianei
• Ngā mōhiohio inihua me ngā tuhinga tohutoro

Ko ēnei ngā pātai hei whakaaro ki te ui:

• Kia pehea te kino o te hypospadias a taku tamaiti?
• He aha te momo pokanga ka tūtohu koe?
• Nōhea te pokanga?
• He aha ngā tūponotanga me ngā painga o te maimoatanga?
• He aha ka tumanako ahau i te wā ora?

Kaua e whakaroa ki te ui mō tetahi mea e awangawanga ana koe. E hiahia ana tō rōpū hauora kia mōhio koe, kia whakamāramahia hoki koe mō te mahere maimoatanga a tō tamaiti.

He aha te Tākutake Matua mō te Hypospadias?

Ko te hypospadias he āhuatanga whānau e taea te whakaora e pā ana ki te whanaketanga o te pehanga. Ahakoa pea ka tino nui te āwangawanga i te tīmatanga, ko te nuinga o ngā tamariki he hypospadias ka ora noa iho i muri i te maimoatanga.

He tino teitei ngā reiti angitu o ngā hangarau pokanga hou, ā, ko te nuinga o ngā whakatikatika ka puta i te ahua me te mahi noa. Ko te matua ko te mahi tahi me ngā tākuta urology tamariki whai wheako e tohunga ana ki ēnei tukanga.

Kia mahara kāore tēnei āhuatanga e whakaatu i tetahi mea i mahi he koe i te wā hapu. He rerekētanga noa iho i te whanaketanga e puta ana i te tīmatanga o te hapu, ā, ka taea te whakatika pai me te tiaki hauora tika.

Me te maimoatanga me te tautoko tika, ka taea e tō tamaiti te tumanako ki te mahi mimi me te mahi taane noa i te wā e tipu ana. Ko te tautoko hinengaro e hoatu ana e koe i tēnei haerenga he mea nui ano ko te maimoatanga hauora.

Ngā Pātai Nui e Uihia ana mō te Hypospadias

Ka taea e taku tamaiti te whānau tamariki i te wā e tipu ana?

Ae, ko te nuinga o ngā tāne he hypospadias kua whakaorahia pai ka taea te whānau tamariki mā te āhua noa. Ko te whāinga o te pokanga ko te whakahoki i te tinana me te mahi noa, tae atu ki te hua.

Ka taea te ārai i te hypospadias?

Kāore he huarahi e mohiotia ana hei ārai i te hypospadias, no te mea ka puta i te wā whanaketanga o te pēpi mō ngā take kāore i tino mārama.

Ka taea e ētahi atu te kī i pokanga taku tamaiti?

Ko te whāinga o ngā hangarau pokanga hou kia puta he hua e rite ana ki te āhua noa. Ko te nuinga o ngā whakatikatika ka ora pai, ka rite te ahua o te pehanga ki te noa i muri i te ora.

Kia pehea te roa o te noho a taku tamaiti i te hōhipera?

Ko te nuinga o ngā whakatikatika hypospadias ka mahia hei tukanga manuhiri, arā, ka taea e tō tamaiti te haere ki te kāinga i taua rā anō. Pea ka hiahia ngā take uaua ki te noho mo te pō kotahi. Ka whakamōhio atu tō tākuta ki a koe he aha te mea e tumanakohia ana i runga i te momo whakatikatika motuhake e hiahia ana tō tamaiti.

Nōhea ka taea e taku tamaiti te hoki ki ngā mahi noa i muri i te pokanga?

Ko te nuinga o ngā tamariki ka taea te whakahoki i ngā mahi māori i roto i ngā rā torutoru, ka hoki ki te kura i roto i te wiki. Heoi, me karo rātou i ngā mahi uaua, te kaukau, me te takaro kino mō ngā wiki maha i te wā e ora ana. Ka hoatu e tō tākuta ngā aratohu wa motuhake i runga i te take takitahi a tō tamaiti me te ahuatanga ora.