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你应该知道的关于孩子的生理健康知识

Genital Hygiene for Kids

Baby comes out. Genitals are inspected.
婴儿出生后我们会确认性别
Here’s your kid. Now what?
这是你的孩子 然后呢?
“How do you manage hygiene
当婴儿穿着满是排泄物的尿布
while urine and feces are all lodged in there with a diaper?”
你该怎么清理
“What do you teach your kid about body care for their privates?”
你该怎么教你的孩子清理私处
“Do you go up inside with a cotton swab?”
用一个棉签吗?
“Dose the foreskin need to be pulled back?”
需要把包皮拉回来吗?
“Can kids get yeast infections?”
孩子会被真菌感染吗?
“Is it sexual abuse to clean a child’s genitals?”
这样清洁孩子的生殖器是性虐待吗
This is tough staff.
这是一个棘手的问题
You likely live in a society where genitals are associated with sex.
现代社会把生殖器和性关联起来
And sex and kids aren’t supposed to be discussed at the same time.
而性和孩子是不应该放在一起讨论的
We have to learn though, and take care of children
但我们还是要学 以便照顾孩子
their whole bodies and their sexual health.
来保证他们身体健康以及性健康
跟着Doc医生学习性知识
First, genital hygiene for anyone who isn’t able to care for themselves
首先 对于一个不能照顾自己的人来说
is designated to very specific parties,
生殖器卫生需要别人来做
typically guardians, caregivers and medical providers.
通常是监护人 看护人及医务人员
So, just because kiddo has a stinky penis,
所以 如果只是因为你的孩子阴茎很臭
dosen’t mean that you are the party responsible for that penis’s hygiene.
并不意味着你应该替他做清洁工作
If you are, here is a guide.
如果你属于以上人员 请跟我学
If you aren’t, stay curious, keep watching,
如果不是 也请带着好奇继续观看
then share this video and give a gentle nudge
并把这个视频分享给
to the person who is appropriate.
适合的人
婴儿生殖器
There are three main types:
主要有三种类型
penis and scrotum, vulva, intersex.
阴茎和阴囊 外阴 二者兼有
For intersex babies, I suggest asking a medical provider for guidance.
对于双性儿 我建议向医疗机构寻求帮助
Learn what’s ideal for the kiddo’s unique anatomy
了解对于婴儿罕见生理结构的最佳护理方式
and talk with members of the intersex community who can share their personal experiences.
并且跟那些愿意分享自己经验的双性社区成员交流
If baby has a penis and scrotum,
如果是有阴茎和阴囊的婴儿(即男宝宝)
wipe them clean during diaper changes,
在换尿布的时候把它们擦干净
then wash the genitals like the rest of the body during bath time.
洗澡时用温热的毛巾和温和的肥皂
Warm washcloth, mild soap.
像清洗身体其他部位一样清洗生殖器
Do not pull back the foreskin.
不要拉回包皮
The foreskin or previous can slide back in some infants,
有一些婴儿的包皮或者是包皮边缘会缩回去
but it’s usually fused to the head of the penis until age 3, 4, or 5.
但多数在3-5岁之前 都与龟头合在一起
Leave it alone. Let it do its thing.
就这样 让它自然生长
The foreskin has many important functions
包皮有很多重要的功能
and retracting it before it’s ready can lead to serious infections.
在它发育好之前来回拉扯会导致严重的感染
For real, leave it alone!
说真的 不要动它
It should move fluidly back and forth
随着孩子年龄的增长及自慰活动的产生
as the kiddo ages and masturbates.
它可以自由来回活动
Now, if the newborns foreskin is cut off
如果把新生儿的包皮从阴茎头切下来
from the head of the penis called circumcision,
即做包皮环割术
penis hygiene is slightly more complicated.
这样子的话卫生处理就会稍微复杂一点
After the operation, appointment and bandages should be put on the wound.
手术过后 要进行复诊 给伤口缠上绷带
A care team will likely give you follow up instructions,
护理人员会对你后续的护理进行指导
extra Praetorian jelly, and gauze
并给你额外的护理液和纱布
so that you can replace the treatment regularly,
这样你就可以自己定期换药
especially after messy diapers.
尤其是在换完很脏的尿布之后
You may notice that the tip of the penis looks
你会看到阴茎顶端
bloody or crusty or has a white or yellow discharge.
有血 有硬皮 或者有白色或黄色的排出物
This is part of the healing process and
这是愈合过程的正常现象
you’ll probably be advised to leave the crusties etc in place.
建议你最好不要动硬皮等物
Just simply add more ointment.
就简单涂一点药膏
In around ten days, the tip of the penis will be less raw
大概十天 阴茎顶端就会好一些了
and you’ll be able to clean it with soap and water
你就可以用水和肥皂清洗它
like the rest of the body.
就像清洗身体其他部位一样
I say vulva because I’m referring to the folds
外阴 我说外阴是因为我指的是
on the outside of the baby’s body.
裸露在孩子身体外面的部分
The vagina is internal.
阴道是在里边的
It does not need to be cleaned.
不需要清洗
Her diaper changes use a baby wipe or cloth
给她换尿布需要用婴儿纸巾或湿巾
and light pressure to clean from the front of baby’s body
从前面稍加点儿压力向后擦
backward toward the anus.
直到肛门
It’s just like cleaning poop out of the inner thigh folds.
就像清理大腿内侧的粪便一样
You’re trying to get that stuff out.
你是要把它擦掉
You don’t want to drag it into the vulva.
而不是把它弄到外阴上
You want to wipe it out and away from the vulva.
把它擦掉 并不沾到外阴上
Note! Babies with vulvas may bleed vaginally
注意 女婴儿在第一个周左右
in the first week or so,
可能阴道会出血
sometimes accompanied by a cloudy fluid.
有时候伴有混浊液体
This is due to withdrawal from the hormones in the womb
这是由于子宫内荷尔蒙的消失
and it’s completely normal.
非常正常
In fact, it’s an indicator that the vaginal canal is open.
事实上 它说明了阴道是开放的
Sometimes the labia, the lips of the vulva will fuse together.
有时候阴唇 外阴的边缘会贴在一起
This is only partial. You can keep an eye on it
这是暂时的 你可以继续关注
and it should dissipate with age and the increase in estrogen.
它会随着年龄和雌激素的增加而分开
If the adhesion blocks urine from getting out,
如果黏连在一起就会影响排尿
this is a hygiene concern and needs medical attention.
这是卫生问题 但也需要进行及时的医疗
幼儿生殖器
If your kiddo is able to communicate or even just understand you,
如果你可以跟孩子交流 甚至可以明白你说的话
it’s useful to explain the practice and value of genital hygiene.
这将有助于我们解释如何保持生殖器卫生
Just like you would narrate washing their hair, bellybutton
就像你指导他洗头发 洗肚脐
and in between their toes, narrate:
以及脚趾缝一样 比如说
该洗你的阴茎了
冲洗一下你的外阴
我可以帮你擦肛门 让它们看起来好好的而且很干净吗
Opening communication with your kiddo about hygiene
和你的孩子就卫生问题进行交流
can mean that they push back and say,
这就意味着 他们会推开你然后说
“No! You can’t wet my butthole.”
不行 你不能洗我的屁股
Try to listen to their objection and reason things out.
试着听取他们的拒绝理由并找出原因
I love how my dad friend puts it,
我喜欢我爸爸朋友的做法
“My daughter says ‘no’, she doesn’t want me to clean her up.
“我女儿说’不’ 她不让我给她洗
I say ‘Okay’ and explain that her bottom might get itchy.
我说’好’ 同时给她解释她下面可能会痒
She changes her mind.”
她就改变主意了”
Not only is consent important we want kids to want hygiene
同意很重要 我们希望孩子自己要讲卫生
to understand why they clean themselves
以及理解为什么需要清理自己
so that they grow up more likely
让他们长大后能够自己保持卫生
to choose those behaviors for themselves rather than neglect them.
而不是忽视掉这个问题
Verbalize how you’re wiping their bodies clean
说清楚你是怎样给他们清洗的
so that they understand and they do it the same way.
他们就能理解并以同样的方式去做
Here are some more tips for toddler hygiene.
关于幼儿卫生 我有一些建议
Avoid scented wipes, soaps, detergents, and creams.
避免使用带有香味的湿巾 肥皂 洗涤剂和面霜
Avoid dryer sheets. Avoid deodorizers.
避免使用干燥纸 除臭剂
For diaper rash and other genital irritations,
如果有湿疹和其他生殖器刺激现象
do a warm water Epsom salt soak twice a day for a few days.
每天用温盐水泡两次 坚持几天
Bubble baths I know are so fun.
我知道泡泡浴很好玩
Those cute little baby Mohawks made of suds.
但那些可爱的泡泡是用肥皂水做的
They’re not good for delicate genital tissue.
它们对娇嫩的生殖器不好
This goes for shampoo too.
洗发水也是一样
If the kiddo plays in the tub,
如果小朋友在浴缸里玩
don’t shampoo them until the very end,
到最后再洗头发
especially with vulvas.
尤其是女孩子
This way you can wash them again nothing in the vagina,
这样你就可以再洗一遍阴道
then rinse the genitals with clean water
然后用清水冲洗下生殖器
and get them out of the tub to pat dry.
最后把孩子抱出浴缸并擦干
You don’t want to soak your kids
你不会希望你的孩子泡在
in a soup of dirt and soap
脏肥皂水里
or leave their genitals damp and hospitable for germs.
或者让他们的生殖器保持潮湿 便于滋生细菌
It’s goes for swimming,
游泳也是一样
spilling drinks on their laps, wetting themselves etc.
还有饮料撒到大腿上 以及其他打湿自己的情况
Remove the wet clothing as soon as you can.
尽快把他们的湿衣服脱掉
Do a clean up especially of sugary, drinks, chlorine and urine
清理干净 尤其是含糖 饮料 氯和尿液
that can dry out the tissue or instigate a yeast infection.
这可以保持生殖器干燥 避免引发真菌感染
Then drive them off.
然后再让他们去玩
I know it’s a lot to do,
我知道事情有点多
but this kiddo’s genital hygiene matters.
但孩子的生殖卫生很重要
And as they age they can take over a lot of hygiene tasking themselves.
等他们长大了 就可以自己做这些事情了
For example, around age 5 the kiddo may start showering by themselves
比如 在5岁左右就可以自己洗澡了
and you can gently guide from outside:
你就可以在外面指导
洗洗你的蛋蛋和屁眼
If they go to masturbate, you can remind them:
如果他们手淫 你可以提醒他们
事前事后记得洗手
Explain that exploring their bodies as an adventure,
告诉他们 探索自己的身体是一场冒险
but it’s important for them to talk to you
但是重要的是要让他们知道
before putting anything in their bodies.
在把任何东西放入身体之前需要告诉你
Kids put stuff in their mouths, nostrils,
孩子们会把东西放进嘴里 鼻孔里
vaginas, anuses, up their urethras.
阴道里 肛门里和尿道里
I put a roly-poly bug in my brother’s ear when we were kids.
我小时候 把一只虫子放到了我哥哥耳朵里
You don’t know if your little one is going to be curious in this way.
你不知道你孩子会不会也这样好奇
So you have to cover all of your bases,
所以你需要面面俱到
teach them so that they know.
教他们 他们才会知道
Don’t withhold information because you’re afraid they’ll use.
不要因为担心他们会使用而去隐瞒某些信息
It will be okay, really.
没关系的 真的
They’ll present something to you like a toothbrush
他们会给你一些东西 比如牙刷
as a potential object of insertion
它作为一个可以用来插入的东西
and you’ll be able to coach them on the pros and cons.
你需要教他们这样做的好处和坏处
牙刷很容易取用 但是它很硬并且那些刷毛可能弄疼你
You don’t need to supervise their playtime,
在他们的娱乐时间你不需要监督
but certainly make sure that they aren’t harming their genitals
但是要确保他们不会玩带细菌的玩具
with bacteria-laden doll parts or ingredients you intended for stir fried dinner.
以及你打算做饭用的蔬菜不会伤害到他们的生殖器
不如用你的手指 我帮你把指甲剪掉 这样你就不会抓伤自己
Offer loops so kiddo isn’t using
拿一些圆润的玩具给孩子
harsh products to stroke in private.
防止他们私下使用尖锐的物品
Then schedule their regular doctor’s appointments
定期和他们的医生预约时间
where they can ask someone besides you their genital health questions.
这样 当孩子有生殖器健康问题时就可以咨询别人
少年
The period between childhood and adulthood is often marked by puberty.
从孩童期过渡到成人期的时期通常叫做青春期
At this time kids will need a lot of reassurance
这个时期 孩子们需要很多措施
that their bodies are normal and that hygiene is important
保证他们的身体是正常的 保证卫生很重要
and that they aren’t gross, they’re messed up
保证他们并不恶心 只是有点儿脏
because they’re still smells, fluids,
因为他们有味道 会产生液体
feelings, lumps, wobbly bits, and hair.
感觉 结块 渣滓以及毛发
Communicate that they have say over their bodies,
告诉他们学会和自己的身体对话
and that masturbation and or self-examination
手淫和自检其实是
are great ways to know what’s what.
了解身体的最好方法
The same way that they’re familiar with their faces.
就像熟悉自己的脸一样
Prepare them for wet dreams, erections, menstruation, ejaculation
告诉他们遗精 勃起 月经 射精是怎么回事
by telling them what’s happening.
让他们有所准备
West dream mostly at night but sometimes in the day,
遗精大多数在晚上但有时也会在白天
the body becomes aroused and produces more fluid than usual.
身体变得兴奋并产生比平时多的液体
It’s not gross or bad.
这不恶心 也不是什么坏事
You can wipe up the wetness
你可以自己擦干
and I’ll teach you how to use the washing machine
我会教你怎样使用洗衣机
so that you can clean up any stains on your own.
所以你就可以自己去除污渍
Erections. Most bodies have tissue in the genitals
勃起 大多数人在兴奋或害怕的时候
that gets hard when they’re excited or scared.
生殖器某一部分会变硬
It’s usually connected to thinking about someone or something that you like.
通常是发生在你想到你喜欢的人或事的时候
Having an erection isn’t dangerous unless it goes on for hours.
勃起并没有害处 除非持续几个小时
So if you get one or dozens, it’s no big deal.
所以如果你碰到了一次或者好几次 都不要紧
It’s a very common part of puberty
这是青春期身体发育很常见的事情
and they’ll start to decrease in frequency as you age.
并且随着年龄的增长 频率会降低
Menstruation. That’s where blood comes out of the vagina
月经 每个月阴道都会有血流出
for about a week each month.
持续时间大约为一周
Everyone has different timing and amounts,
每个人的时间和量都不一样
so here’s the calendar to track yours and some pads to get you started.
可以用日历跟踪时间 刚开始的时候可以用卫生垫
Just don’t leave any period products
接触外阴或放置在阴道里的卫生用品
on your vulva or in your vagina for more than 12 hours.
不要使用超过12小时
Smells. People tend to become more oily during puberty
气味 通常青春期出油比较多
and this oil collects dead skin cells dirt and pathogens
油又会收集死皮细胞 灰尘和病原体
that build up as acne smegma and smells. Washee-washee.
就会长痘痘 也会有气味 多洗洗
But not with products marketed to freshen you up and clean you out.
但是不要用市场上的清新剂和清洁剂
Many of those actually increase the harmful bacteria
实际上其中许多会增加有害细菌
that can make your genitals sick.
会让你的生殖器得病
So if you’re unsure or insecure,
如果你不确定或觉得不安全
talk to me or let’s set up a doctor’s appointment.
跟我聊聊或者去看医生
Here’s a playlist of sexplanations videos
这里有一些性教育的视频
that will help explain what’s what.
有助于你明白原理
Not all children are the same.
每个孩子都不一样
They don’t all have the same bodies or timelines or experiences.
他们的身体 时间表和经历都不一样
Some will go through sexual abuse that alters their hygiene,
有些会经历性虐待从而改变他们的卫生习惯
others will feel dysphoric about their genitals.
有些会对他们的生殖器官感到烦躁
And this may change their approach as well.
这些都有可能改变他们的想法
Start with the basics and work from there to talk it out and identify better ideas.
从最基本的开始 然后讨论找出更好的办法
Hygiene is imperative!
卫生是至关重要的!
Kids needed as much as adults
孩子跟大人一样需要
and there’s ways to help.
有很多方法帮助他们
You can do it. I’ve taught you: stay curious.
你能做到的 我已经告诉过你的:保持好奇心
This episode was brought to you by sexplanation.
本视频由sexplanation制作播出
Generous people like you who value sex education and do what they can
像你这样慷慨的人 重视性教育
to make it accessible to the planet.
也想让地球上的人接受性教育
If you would like to help too, there are many ways
如果你也想帮忙
to support sexplanations in the description.
有许多方法可以在描述中支持sexplanations
Thanks for subscribing and staying curious.
感谢订阅和保持好奇
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(擦屁屁的时候)从前往后

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视频概述

生殖卫生比你想象的重要,我们一起学习如何教孩子学会做好生殖卫生工作

听录译者

HiyaTay

翻译译者

Libby

审核员

审核员 RN

视频来源

https://www.youtube.com/watch?v=Uh45OJnMj0Q

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