ʻOiaiʻo kona mau makahiki, heʻano likeʻoleʻo ke kaikamahine me he wahine makua kāne lā,ʻo ia ke kumu e hiki ai i nā mākua ke kū i ka wā kamaliʻi. Wahi a nā poʻe akamai o ka'ōkiko o ka'ōpiopio, 15-25% o nā kaikamāhine ma ke kula mua a me nā kula e loaʻa ana i nā maʻi likeʻole. Ināʻikeʻoleʻia kēia mau hana hewa a mālamaʻia i ka manawa, hiki ke hana i nā maʻi kūlohelohe i ka wā hānau.
He aha ka meaʻokoʻa ma waena o kahi kanaka makua a me kahi kanaka makua?
ʻO ka hōʻailona o nā maʻi i nā keiki e pono ai kahi hoʻomākaukau kūikawā. I ka manawa pinepine, e ulu malūʻia nā maʻi kīpiko i loko o ke kino o nā keiki, a me nā hōʻailona hōʻailona i hōʻikeʻoleʻia, no laila he mea paʻakikī loa kaʻikeʻana iā lākou. Na nā kauka lapaʻau kūikawā wale nō iʻike i nā'ōnaehana pediatric a me nā'ōpiopio e koho i kahiʻano o nā hōʻailona hoʻokolohua kahi eʻikeʻia ai nā hōʻailona hikiʻole keʻikeʻia ka maʻi. Eia kekahi,ʻo ke kāpena o nā keiki, he mea'ē aʻe i ka hoʻonaʻauaoʻoihanaʻana i ke kolokīkolo, he mea ponoʻo ia ke kāpena o ka lono, no ka mea, ua makaʻu nā kaikamāhine, i nā'ōpio, no kekahi kumu, a hilahila paha o ke kālaiʻike a no laila hiki ke hūnā i nā hōʻailona.
Loaʻa i ka poʻe mākua mālama a pau ka makemake i ka nīnau o nā hana a nā keiki a ke kaukene. ʻO ka mea maʻamau he maʻalahi loa no ke kauka e nānā i ka genitalia o waho, akā inā pono, hiki iā ia ke kuhikuhi i nā haʻawina hou (ultrasound, blood and urine analysis).
I ka wā hea e pono ai e nānāʻia me ke kāpena pediatric?
- I nā keiki hou, i ka wā e pili ana nā pilikia hormonal i ka laweʻana o nā hormones wahine ma ka waiū o ka makuahine. Ke hopohopo nei nā kaikamāhine e pili ana i nā hōʻike o kēia mau mea: ka nuiʻana o nā moma momona, ka hoʻopukaʻana.
- ʻO ka hoʻopiʻi pinepine pinepineʻia ka hanaʻeha a me nā maʻi o ka mea palaualelo. Hōʻikeʻia lākou e ka hoʻopiʻiʻana i nā mea palapu,'āʻana, a hoʻonui i ka urination. Hiki ke hoʻololiʻia nā hana'elepona eʻikeʻoleʻia i nā maʻiʻoi aku o nā keiki hānai keiki,ʻo ia hoʻi, synechia.
- Ka'ehaʻewa o ka'ōpiopio - ke ulu kokeʻana o nā momi momona ma nā makahiki 6-7 a me keʻano o ka lauoho i lalo o nā āpau a me ka moku hoʻolaha, aiʻole, ma kahiʻano likeʻole, ma 13-14 makahiki - ka nele o kēia mau hōʻailona.
- Ka hoʻohaʻehaʻana i ka haʻalina i nā kaikamāhine'ōpio, ka hana maʻamau aʻeha paha, ma ka moeʻana me ka nui o ke koko.
I ka loaʻaʻana o nā kaulike o nā keiki
ʻO ka nānā muaʻana i ka genitalia i waho e hanaʻia ma ka home hānai e kahi pediatric. A laila, i ka wā e komo ai i loko o ke kula a i ka hoʻomakaʻana o ka wā'ōpio, ua hoʻonohonohoʻia nā hōʻailona kūpono o ke kauka wahine i nā keiki a me nā'ōpio ma nā kula. Loaʻa i nā mākua ke kuleana e hele pololei i ke kauka me kekahi mau mea hemahema a iʻole nā pane.
Ma ka manawa i kohoʻia ai me kahi kaukiko'ōpio, e hele mai ke kaikamahine me kona makuahine. I kekahi manawa, makemake nā'ōpio e hoʻoponopono i ko lākou mau pilikia pono'ī, e like me nā kinipona. Akā ma kēiaʻano,ʻoi aku ka maikaʻi o ka hoʻomaopopo mua i ke kaikamahine i kaʻike o ke kaukahonua i nā maʻi
Ma kekahi mau kūlanakauhale, ua hoʻohanaʻia e kekahi kaukeneka i ka papa kula papa. Ma kēia papahana, ua mau ka paio. Pono nā mākua o nā kaikamāhine eʻikeʻaʻole hiki ke hoʻokōʻia me kaʻaeʻole o nā mākua a me kaʻaeʻana.
I ka hopena, hiki iā mākou ke hoʻohui i kahi mea hoʻokahi wale nō,ʻo ka hoʻopauʻana i ka naʻauao o nā kānaka,ʻaʻole wale lākou e mahalo i ka hanohano, akā,ʻo kā lākou maʻi olakinoʻole.