ʻAho Tukuange Aí: 05/13/2022
Naʻe ongoʻi ʻe Tamako ha tightness ʻi hono kete lolotonga e kalasi koeʻuhi he naʻe ʻikai ke ʻi ai haʻane ngaue ki ʻi ha ʻaho nai ʻe tolu, pea ʻaʻahi ki he falemahaki. ʻOku kamata ke vakaiʻi ʻe Toketa Kagami, ko ha toketa fefine fakafoʻofoʻou, ʻa Mako ʻi he malumalu ʻo e fakahinohino ʻa e talekita Higashimoto. Hili ʻene toʻo ʻa e piva ʻo Mako, tuku ia ʻi hono tuʻa ʻi he mohenga sivi pea kamata massaging hono kete maʻulalo ange. ʻI hoʻo lomiʻi malohi ʻa e ngakau lahi, ʻoku malohi leva ʻa e ngakau, pea ʻe lava ke ongona ʻa e ongo ʻo e sea ʻoku ngaʻunu mei he kete ʻo e mako. -Tuku ke ne tuʻu ʻi he ʻeni ki kotoa pe ʻi he mohenga sivi ʻo hange ko ia ʻoku hoko, pea mo anal fotofota ʻe Dr. Kagami. ʻI he taimi naʻe e malolo lelei ai ʻa Mako mo e ngaahi meʻa naʻa ne ʻai ke mingimingi ʻaki hono ʻuluʻulutuhu vali ʻaki ha fuʻu lolo fokotuʻu lahi, naʻe hola ha kiʻi mapuhoi mei he loungutu ʻo Mako. -ʻI he taimi ʻoku fakahu mamalie ai ʻa e foʻi tuhu ki he anus, ʻoku tokakovi leva ʻa e manava ʻa Mako. ʻOku maʻu ʻe he ʻuluʻulutuhu ʻo Dr. Kagami ʻa e loto rectum pea ʻoku ngaahi ʻa e viku, ʻo tupu ai urinary incontinence. Ko ʻeni kuo ke fakapapauʻi ʻa e ʻekitiviti ʻo e rectum, tuku ke manava lolotonga ʻene ʻeni ki kotoa. -ʻOku ʻi ai ha ngaahi meʻa ʻoku ne aake mo tekaʻi ʻi he taimi kotoa pe ʻoku malohi ai ʻa Mako. ʻI hono teke ʻe Mako ʻa e kete maʻulalo ange, ʻoku toe urinary incontinence. Mei he an, ʻa ia ʻoku ne toutou fakahoko ʻa e ngaue ki hono fakalahi mo e aleapau, ʻoku ʻasi mamalie mai ha meʻa lanu melomelo. ʻOku lumps ʻa e kiʻi sea siʻisiʻi mo faingataʻa ki he laʻipepa ʻoku ʻi ai e ngaahi kulupu sivi ʻi ha ngaahi kulupu kehekehe. Urinary incontinence lolotonga hono fakaʻaongaʻi ʻo e fotofota ʻa ʻAlo ke vakaiʻi ʻaki ʻa e abnormalities ʻi he viku ʻa Mako ʻo fakaʻaongaʻi ha urinary catheter. ʻOku aʻu ʻa e tokoni ʻa e catheter ki he viku, pea urine ʻa e lanu fakapoʻupoʻuli mo e nanamu pulupulu ki he hina sioʻata. Palpation ʻo e rectum ʻe he talekita, ʻa ia ko ha tokotaha ʻoku ne siviʻi ʻa ʻAlo. ʻI he taimi naʻe tokoto ai ʻa Mako ʻi hono tuʻa ʻo puke ia, naʻe fakamalohiʻi ia ke ne toʻo ha tuʻunga naʻe ʻikai ke ʻi ai ha maka, ʻo ʻasi ai ʻene anʻo hange ha kiʻi moto. ʻI hono maʻu ko ia e louhiʻi nima matolu ʻo e tangata ʻi he an, ʻoku hoko ʻa e fiefia fakasekisuale ʻi Mako, pea kamata ke ʻi ʻa e talausese fakaʻofoʻofa. ʻOku toe hoko foki ia ko e taumuʻa ʻo e fakalahi ʻa ʻAlo, ko ia kapau te ke fakalahi ʻa e lahi ʻo e ʻuluʻulutuhu ki he ua, ʻe fakalahi ʻa e panting ʻa Mako, pea ʻe mingi malohi ʻe he sphincter ʻa ʻAlo ho louhiʻi nima. ʻI he fakaʻau ke lahi ange ʻa e tali fakasekisuale ʻa Mako, ʻoku fakaʻau ke vave ange ʻa e ngaue ʻa e ʻuluʻulutuhu ʻo Higashimoto. ʻI he aʻu pe ʻa e panting ki hono tumutumu, ʻoku tahi ho tafaʻaki urine hange ha fauniteni. ʻIkai ngata ai, ko e mucus hinehina ʻoku fonu mahuohua mei he vagina ʻoku fio ʻaki urine tanaki ʻi he ʻaofinima ʻo e talekita. Hoko, ne u fakakaukau ke fakaʻaongaʻi ha bougie ʻa ʻAlo ke fakalahi ʻaki ʻa e anus pea vakaiʻi ʻa e ongo ʻo e ʻAlo. Mei ha bougie manifi ange ʻi ha kiʻi foʻi tuhu, ki ha sitepu matolu bougie ʻi he sitepu ki he sitepu, pea faifai ʻo bougie matolu ange ʻi he motuʻa tuhu ʻoku ne fakaʻaiʻai ʻa Makoto. Koeʻuhi ke lava ʻo vakaiʻi ʻa e sea ʻoku kei toe ʻi he ngakau, naʻe fakahu ai ha anoscope pea naʻe fakalahi lahi ʻa e an, pea naʻe fakapapauʻi naʻe kei tuʻu pe ha sea ʻi he tafaʻaki ki mui ʻo e rectum. ʻOku fokotuʻu ʻe Toketa Kagami ki fakamaʻa ʻaki ha enema ki Mako, ʻa ia ʻoku ne launga ʻoku ʻikai fakafoʻou hono kete. ʻOku matolu ʻa e ava ʻi he konga ko ia ʻoku fakahu ki he an, pea ʻi hono liliu ʻo e maʻolunga ʻo e ilrigator, ʻoku fakaʻaongaʻi ai ha enema makehe ʻa ia ʻoku kiʻi holomui ai ʻa e vai mafana ʻi he vahaʻa ʻo e ilrigator mo e rectum. ʻOku foki ʻa e 500cc ʻo ha kiʻi vai mafana kuo tafe ki he rectum ʻo e mako ki he ilrigator ʻaki hono holoki e tuʻunga ʻo e ilrigator. ʻI hono toutou fai ʻo e founga, naʻe liliu mamalie ʻa e kiʻi vai mafana, ʻa ia naʻe ʻikai puli, ʻo liliu mamalie. ʻAi ke nau tui ha taipa ʻoku ʻikai ke ʻi ai ha meʻa ke ne ʻai ke nau katakiʻi ʻa e excretion. Naʻe feinga ʻa Mako ke katakiʻi ʻa e fakama ʻo diaper defecation, ka naʻe ʻikai fuoloa kuo ne fai ha longoaʻa squeaking leʻo lahi pea excreted ʻa e huhuʻa ʻaoʻaofia. Ko ha oozes lanu melomelo ki he diaper hinehina. ʻI he tuʻunga fakaʻosi ʻo e fakamaʻa ki, ʻoku fakamaʻa ʻa e ngakau ʻaki hano ʻoange ha enema ʻo e 1000 cc ʻo ha kiʻi vai mafana pea toutou excreting ia. ʻOku hange naʻe mahulu hake ʻa e lahi ʻo e paʻanga ʻi he ngaahi fakangatangata ʻo e sino ʻo Makoto, pea ʻoku toe tafe mai ʻa e huhuʻa lanu melomelo mo ʻaoʻaofia ki he Irrigator. Naʻe hange naʻe mahulu hake ʻa e faʻa kataki ʻa Makoto ʻi he fakangatangata, pea ko e momeniti naʻa ne toʻo hake ai ʻa e konga ʻo e an, naʻe maumau ʻa e anus pea spewed malohi ʻa e huhuʻa turbid.