Ke ʻeha nei kāu keiki liʻiliʻi i ka ʻōpū? He appendicitis paha ia? E kamaʻilio kākou!

ʻAuē, ke uē mau nei kāu keiki liʻiliʻi no ka ʻeha ʻōpū? ʻAʻole anei ʻo ia e ʻai a inu paha? I kekahi manawa, luaʻi ʻo ia me ka kuni iki? He mea maʻamau loa ia no ʻoe, ma ke ʻano he makuahine a makua paha, ke makaʻu nui a hopohopo i nā manawa e like me kēia. Akā, ʻaʻole hiki ke maʻalahi nā ʻeha ʻōpū a pau. He hiki paha kēia mau hōʻailona o kahi maʻi i kapa ʻia ʻo appendicitis . No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻeā? Mai makaʻu, e hoʻomaopopo pono kākou i nā mea āpau.

He aha ka ʻōpū? Loaʻa paha ia i nā keiki ʻōpio?

I ka ʻōlelo maʻalahi, ʻo ka appendicitis kahi maʻi a i ʻole ka pehu ʻana o kahi ʻōkana liʻiliʻi i kapa ʻia ʻo ka appendix. ʻAe, ua kuhi ʻoe, hiki iā ia ke hoʻopilikia i nā pākeke a me nā keiki.

E noʻonoʻo, ua pili ko kākou ʻōpū nui i kahi ʻōmole liʻiliʻi e like me ka ilo. ʻO ia ka mea a mākou e kapa ai ʻo ka appendix , a ʻoi aku ka maʻamau, "ka appendix." Aia ia ma ka ʻaoʻao ʻākau o ka ʻōpū, ma lalo. No laila, inā loaʻa ka maʻi i kēia appendix, ʻo ia hoʻi, inā pahū, a laila loaʻa ka appendixitis.

ʻO ka mea nui loa, he pilikia olakino ka appendicitis, no laila he mea nui loa e ʻike koke i ke kauka inā loaʻa nā hōʻailona.

Ma kahi ʻāina e like me ʻAmelika, ua ʻōlelo ʻia he 70,000 mau keiki e loaʻa ana i ka appendicitis i kēlā me kēia makahiki. ʻO kēia maʻi ka mea maʻamau i nā keiki ma waena o 10 a me 18 mau makahiki. ʻO ka ʻoiaʻiʻo, ʻo ka appendicitis ke kumu nui no ke ʻoki ʻana i ka ʻōpū ulia pōpilikia i nā keiki.

Pehea e ʻike ai inā loaʻa i kaʻu keiki ka appendicitis? (Nā hōʻailona)

ʻO kēia ka pilikia nui loa i loaʻa i nā mākua he nui. Pehea ʻoe e ʻike pono ai? ʻO kekahi o nā hōʻailona nui ka ʻeha ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū. Akā, ʻaʻole hoʻomaka kēia ʻeha ma laila i ka manawa hoʻokahi.

• ʻO ka mea mua, hoʻomaka ka ʻeha a puni ka pihi ʻōpū o ke pēpē. Manaʻo paha ia ua paʻa kekahi mea.
• A laila, ma hope o kekahi manawa, neʻe mālie kēia ʻeha i ka ʻaoʻao ʻākau o ka ʻōpū, i lalo.
• Hiki paha i kekahi mau keiki ke paʻakikī i ka hele wāwae.
• Hiki i kēia ʻeha ke ʻoi aku ka ʻino ke lele ʻoe, ke ʻū, a i ʻole ka ʻakaʻaka nui. Hiki ke manaʻo ʻia e like me ka ʻeha hou mai loko mai.

Ma waho aʻe o kēia hōʻailona nui, hiki ke ʻike ʻia kekahi mau hōʻailona ʻē aʻe:

• Ka luaʻi a me ka luaʻi: ​​ʻAʻole hiki i kou ʻōpū ke ʻae i nā mea āu e ʻai ai. Hiki nō hoʻi iā ʻoe ke luaʻi.
• Makemake: Inā hōʻole ke keiki e ʻai, he hōʻailona nō hoʻi kēlā.
• Kuni: Lilo ke kino i wela a hiki mai paha ke kuni iki.
• ʻEha i ka neʻe ʻana i ke kino: Hiki ke hoʻonui ʻia kēia ʻeha i ka neʻe ʻana i ke kino a i ʻole ke ala ʻana mai kahi moe.

Inā ʻaʻole hiki iā ʻoe ke ʻike i nā hōʻailona o kāu keiki, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kāhea koke aku i kāu kauka ʻohana. Hiki iā ia ke hāʻawi iā ʻoe i ke alakaʻi kūpono.

No ke aha e loaʻa ai i nā keiki ʻōpio ka appendicitis? He aha nā kumu?

ʻO ke kumu nui e loaʻa pinepine ai i nā keiki ʻōpio ka appendicitis, ʻo ia ka paʻa ʻana o ka waha, a i ʻole ke komo ʻana, o ka appendix e kekahi mea. E noʻonoʻo e like me ka paipu wai i paʻa. Hiki ke hana ʻia kēia paʻa e:

• Paʻa nā ʻāpana meaʻai i ʻeli ʻole ʻia a me nā ʻāpana ʻōpala.
• Ma muli o nā parasites.
• Ke ʻano o kahi mea e like me ke ulu ʻana i loko o ka appendix.

Aia paha he mau kumu ʻē aʻe:

• Maʻi ʻōpū.
• Maʻi ʻōpū hoʻoheheʻe.
• Nā maʻi ʻōpū mau loa e like me ka maʻi mumū ʻōpū .

Akā i kekahi manawa, ʻaʻole hiki i nā kauka ke ʻōlelo pololei i ke kumu o ka appendicitis. Hiki nō hoʻi ke hana me ke kumu ʻole.

Aia kekahi poʻe i pilikia nui no kēia?

ʻAʻohe ala maopopo e ʻōlelo ai, "Inā ʻoe e hana i kēia, hiki iā ʻoe ke pale i ka appendicitis." Eia nō naʻe, ʻoi aku ka nui o ka loaʻa ʻana o kekahi mau keiki iā ia.

• ʻIke pinepine ʻia kēia maʻi i nā keiki ma luna o 10 mau makahiki .
• Inā ua loaʻa i kekahi o kou ʻohana ka appendicitis ma mua (mōʻaukala ʻohana), he hopena hoʻoilina paha ia.
• Ua ʻike ʻia kekahi mau noiʻi he nui ka pilikia o ka hoʻomohala ʻana o ka appendicitis i nā keiki me ka cystic fibrosis .

Hiki i ka appendicitis ke lilo i mea weliweli? He aha nā pilikia?

ʻAe, ʻo kēia ka mea a mākou e makaʻu nei. Hiki i ka appendicitis ke lilo i mea weliweli inā ʻaʻole mālama pono ʻia a i ka manawa kūpono.

ʻO ka ʻāpiki i haki

Inā ʻaʻole mālama ʻia, hiki i kahi ʻōpū i loaʻa i ka maʻi ke poha (poha) . E noʻonoʻo e like me ka pahū ʻana o kahi pōpō. Inā hana ʻia kēlā, hiki i ka bacteria a me ka pus i loko o ka ʻōpū ke pālahalaha ma loko o ka lua o ka ʻōpū.

ʻO Peritonitis a me Sepsis

Ke pahū ka ʻōpū, hiki i ka bacteria ke hoʻopilikia i ka uhi o ka lua ʻōpū (peritoneum). Ua kapa ʻia kēia he peritonitis . He maʻi koʻikoʻi loa kēia.

ʻOi aku ka weliweli ke komo kēia mau bacteria i ke koko. Hiki i ka maʻi ke laha ma ke kino holoʻokoʻa, e hana ana i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo sepsis .

ʻO ia ke kumu a mākou e ʻōlelo nei, inā loaʻa iā ʻoe nā hōʻailona o ka appendicitisMai hoʻowahāwahā iā lākou, e ʻike koke i ke kauka.

Pehea e hōʻoia ai ke kauka i kēia? (Diagnosis)

Ke lawe ʻoe i kāu keiki i ke kauka, e hana mua lākou i kahi hoʻokolokolo kino. E hoʻopā lākou i ka ʻōpū o ke keiki, e nīnau e pili ana i kahi a me ke ʻano o ka ʻeha, a e nīnau iā ʻoe e pili ana i nā hōʻailona o kāu keiki a me ka mōʻaukala olakino.

Ma hope o kēlā, hana paha ke kauka i kekahi mau hoʻokolohua hou aʻe e ʻike pono ai inā he appendicitis maoli kēia a i ʻole kekahi mea ʻē aʻe.

He aha nā hoʻokolohua e hana ʻia?

• Nā hoʻāʻo mimi a me nā hoʻāʻo koko: Hiki i kēia ke nānā i ka maʻi i loko o ke kino.
• Nā hoʻāʻo kiʻi: ʻO kēia nā hoʻāʻo e lawe i nā kiʻi o loko o ke kino.
• ʻO ke kiʻi X-ray o ka ʻōpū: I kekahi manawa hiki i kēia ke hāʻawi i kekahi manaʻo.
• ʻO ke kani ultrasound ʻōpū: Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e kiʻi i nā kiʻi o nā ʻōpū o loko. He hoʻāʻo ʻeha ʻole kēia no nā keiki ʻōpio.
• CT Scan (CT - Computer Tomography scan): Hiki i kēia ke kiʻi i nā kiʻi ʻokiʻoki o loko o ke kino. Hana ʻia kēia ma ka hoʻohui ʻana i nā kukuna X a me ka ʻenehana kamepiula. Hiki i kēia ke ʻike maopopo inā loaʻa ka appendicitis a ʻaʻole paha.

He aha nā lāʻau lapaʻau no ka appendicitis i nā keiki?

Ke hōʻoia ʻia ka hōʻailona, ​​​​hoʻomaka ka lāʻau lapaʻau.

I kekahi mau hihia palupalu loa, e hoʻāʻo paha nā kauka e mālama iā ia me nā lāʻau antibiotic wale nō. Eia naʻe, he mea kākaʻikahi loa kēia.

I ka hapanui o nā hihia, pono e wehe ʻia ka ʻōpū o ke keiki ma ke ʻoki kino (appendectomy). ʻO kēia ke ʻano maʻamau. Hiki ke hana ʻia kēia ʻoki kino ma nā ʻano ʻelua:

E aʻo kākou e pili ana i ke ʻoki kino (Appendectomy)

ʻO ke ʻoki kino Laparoscopic

ʻO kēia ke ʻano hana maʻamau i kēia manawa. Ua kapa ʻia hoʻi e kekahi poʻe ʻo "key-hole surgery."

• Ma kēia ʻano, hana ke kauka lapaʻau i kekahi mau ʻoki liʻiliʻi ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū o ke keiki.
• A laila, hoʻokomo ʻia kahi kāmela liʻiliʻi (laparoscope) ma kekahi o nā ʻoki. Hiki i kēia kāmela iā ʻoe ke ʻike i ka appendix me nā kikoʻī nui aʻe.
• Hoʻokomo ʻia nā mea hana lahilahi kūikawā ma o nā ʻoki ʻē aʻe a ʻoki ʻia a wehe ʻia ka appendix.
• ʻO nā pōmaikaʻi o kēia ʻano hana, ʻo ka wikiwiki o ka ho'ōla ʻana, ka emi ʻana o ka ʻeha, a me ka emi ʻana o ka pilikia o ka maʻi.

Laparotomy / ʻoki kino hāmama

• Ma kēia, hana ke kauka lapaʻau i kahi ʻoki nui iki ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū o ke keiki.
• Hoʻohana pinepine ʻia kēia ʻano hanaI nā hihia o ka appendicitis paʻakikī, no ka laʻana, inā ua haki ka appendix, a inā paʻakikī ke hana laparoscopically.
• ʻOi aku ka lōʻihi o ka ho'ōla ʻana o kēia ʻano hana ma mua o ke ʻoki laparoscopic.

He aha ka mea e hana ʻia ma mua a ma hope o ke ʻoki kino?

Ma mua o ke ʻoki ʻana, e hāʻawi ʻia ke keiki i nā lāʻau antibiotic e kāohi i ka maʻi. I ka wā o ke ʻoki ʻana, e hāʻawi ke kauka anesthesiologist pediatric i ka anesthesia i ʻole e ʻeha ke keiki a hiamoe maikaʻi. ʻO ka maʻamau, hoʻokahi hola ka lōʻihi o ke ʻoki ʻana.

Aia kekahi mau pilikia me ke ʻoki kino?

Ma keʻano laulā, he hana ʻoki haʻahaʻa ka pilikia o ka appendectomy. Eia nō naʻe, aia ka hiki ke loaʻa nā pilikia liʻiliʻi ma hope o kekahi ʻoki.

ʻOi aku hoʻi, inā ua pahū ka appendix o ke keiki, aia paha kahi piʻi iki o ka pilikia o kēia mau mea:

• Nā maʻi ʻeha.
• Hana ʻia nā abscesses (nā ʻeke o ka pus).
• Nā ālai ʻana o ka ʻōpū liʻiliʻi.

Akā, mai hopohopo, ke nānā pono nei nā kauka i kēia mau mea a pau.

Pehea ka wikiwiki o ka ho'ōla ʻana o ke keiki ma hope o ka lāʻau lapaʻau?

Hoʻōla koke ka hapa nui o nā keiki ma hope o ke ʻoki ʻana. ʻO ka maʻamau, ʻaʻohe kapu nui i ka meaʻai a me ka mea inu.

Ma muli o ke koʻikoʻi o ke kūlana o ke keiki, pono paha lākou e noho i ka haukapila no kekahi mau lā ma hope o ke ʻoki ʻana. Hoʻokomo pū kēia i ka mālama ʻeha, nā lāʻau antibiotic hou aʻe, a me ka nānā ʻana. Eia nō naʻe, hiki i nā keiki e hoʻōla maikaʻi me ka ʻole o ka ʻeha nui ke hoʻi i ka home i ka lā hoʻokahi me ke ʻoki ʻana.

• Inā hana ʻia ke ʻoki laparoscopic, e noi ʻia ke keiki e kāohi i nā hana e like me ka holo ʻana, ka lele ʻana, ka pāʻani ʻana, a me ka hāpai ʻana i nā mea kaumaha no kahi o 3-5 mau lā.
• Inā ua hana ʻia ʻoe i ke ʻoki kino hāmama, e noi ʻia ʻoe e hoʻomaha no kahi o 10-14 mau lā ma mua o ka hoʻi ʻana i kāu mau hana maʻamau.

Aia kekahi ala e pale aku ai i ka appendicitis?

E like me kā mākou i ʻōlelo ai ma mua, ʻaʻole hiki i nā kauka ke ʻōlelo pololei i ke kumu o ka loaʻa ʻana o ka appendicitis. No laila, ʻaʻohe ala maopopo e ʻōlelo ai, "Inā ʻoe e hana i kēia, ʻaʻole ia e hana."

ʻO ka mea maikaʻi loa āu e hiki ai ke hana, ʻo ia ke kāhea aku i ke kauka i ka wā e hoʻomaka ai kāu keiki e hōʻike i nā hōʻailona. Ma kēlā ala, hiki ke hoʻomaka koke ka lāʻau lapaʻau a pale i nā kūlana weliweli mai ka ulu ʻana.

He aha nā mea e pono ai i nā mākua ke manaʻo inā ʻike ʻia kā lākou keiki me ka appendicitis?

Inā ʻike ke kauka i kāu keiki me ka appendicitis, e hoʻomaka koke kāna hui lapaʻau e hāʻawi i nā lāʻau antibiotic. A laila, e hana lākou i nā hoʻokolohua e pono ai e hoʻoholo i ke koʻikoʻi o ke kūlana.

I ka hapanui o nā hihia, e hana ke kauka i ke ʻoki kino i loko o 24 mau hola o ka hōʻoia ʻana. Ma hope o ke ʻoki kino, pono paha ʻoe e noho i ka haukapila no kekahi mau lā. E hoʻomaopopo mau ke kime lapaʻau iā ʻoe i kēlā me kēia ʻanuʻu o ke ala.

Āhea e hiki ai i ke keiki ke hoʻi i ke kula?

• Inā ua hana ʻia kāu keiki i ke ʻoki laparoscopic, hiki paha iā lākou ke hoʻi i ke kula i loko o hoʻokahi pule.
• Inā ua hana ʻia ʻoe i ke ʻoki hāmama, hiki ke hala i hoʻokahi pule a ʻelua paha e hoʻōla ai.

Na ke kauka e mālama ana i kāu keiki e haʻi pololei iā ʻoe e pili ana i kēia.

Āhea wau e ʻike hou ai i ke kauka? He aha kaʻu e hopohopo ai?

Ma hope o ke ʻoki ʻana , e noi ʻia ʻoe e hoʻi mai e ʻike i ke kauka no kahi manawa hoʻopaʻa ma hope o ʻelua a ʻehā pule. A laila e nānā ke kauka i nā ʻoki o ke keiki a e hōʻoia e ho'ōla pono ana lākou.

I kēia manawa, inā ʻike kāu keiki i kekahi o nā hōʻailona ma lalo nei, pono ʻoe e kāhea koke i kāu kauka:

• Kuni.
• Inā piʻi ka ʻeha.
• Inā ʻoe e luaʻi ana.
• Inā pehu nui ka wahi i ʻoki ʻia, ua loli ke kala, a ke kahe nei paha ke wai.

Nā nīnau koʻikoʻi e nīnau aku i ke kauka

Ke ʻike ʻoe ua loaʻa i kāu keiki ka appendicitis, he mea maʻamau ka loaʻa ʻana o nā nīnau he nui. E nīnau i ke kauka i nā nīnau e like me:

• He aha ke ʻano o ka appendectomy e pono ai i kaʻu keiki? (Laparoscopic a wehe paha?)
• Āhea e hiki ai i kaʻu keiki ke hoʻi i ke kula?
• Pehea e hoʻokaʻawale ai i ka ʻeha ma muli o ka appendicitis a me ka ʻeha ʻōpū maʻamau?

Pehea ʻoe e haʻi aku ai i kāu keiki e pili ana i kēia? Pehea ʻoe e hōʻoluʻolu ai iā ia?

He mea nui loa kēia. Hiki ke paʻakikī ke wehewehe i ka appendicitis a me ke ʻoki kino i kahi keiki. Akā ʻo ka mea nui loa, ʻo ia ka haʻi ʻana iā lākou i ka ʻoiaʻiʻo.

• E haʻi aku i ke keiki he pilikia liʻiliʻi kona a pono e hele i ka haukapila e hoʻoponopono ʻia.
• Malia paha e pono ai kahi hana liʻiliʻi, akā i kēlā manawa, ʻaʻole ʻo ia e manaʻo i kekahi mea, no ka mea, ke hiamoe mālie nei ʻo ia, wahi a lākou.
• E haʻi aku hoʻi iā ia e hoʻāla ke kauka iā ia ke pau ke ʻoki ʻana.
• E hoʻomanaʻo i kāu keiki e kali ana ʻoe iā ia a e ola koke ana ʻo ia. He mea nui loa kou aloha a me kou mālama iā ia.

He koa iki no nā mākua

Ma ke ʻano he mau mākua, hoʻāʻo mau ʻoe e pale i kāu keiki mai nā pilikia āpau. Eia nō naʻe, i kekahi manawa hiki ke loaʻa nā maʻi me ke kumu ʻole. Inā loaʻa i kāu keiki ka appendicitis, ʻaʻole ia he manaʻo ua hana hewa ʻoe. ʻO ka mea nui loa, ʻo ia ke ʻimi i ke kōkua lapaʻau i ka wā e ʻike ai ʻoe i nā hōʻailona.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui kākou e pili ana i ka appendicitis i kēia lā, ʻeā? Manaʻo wau ua maopopo maikaʻi iā ʻoe kēia i kēia manawa.

E hoʻomanaʻo, he maʻi koʻikoʻi ka appendicitis. No laila, inā loaʻa i kahi keiki ka ʻeha ʻōpū me nā hōʻailona a mākou i kūkākūkā ai, mai manaʻo he ʻeha ʻōpū wale nō ia. E ʻike koke i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. Hiki i ka lāʻau lapaʻau koke ke hoʻopakele i kāu keiki mai kahi kūlana weliweli.

Ke makemake nei au i ke olakino maikaʻi o kāu keiki i nā manawa a pau!

ʻĀpēpē , ʻāpēpē i nā keiki, ʻāpēpē, ʻeha ʻōpū, olakino o nā keiki, wehe ʻana i ka ʻāpēpē, ʻoki kino