He mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke haʻi ʻia kāu keiki liʻiliʻi e ke kauka e pono lākou e hana i kahi 'enema', a pēlā pū me kahi X-ray. Inaina iki mākou a pau i ka huaʻōlelo 'enema', ʻeā? Akā, he mea maoli anei kēia e makaʻu ai? No ke aha e haʻi aku ai nā kauka i nā keiki liʻiliʻi e hana i kēia ʻano hoʻāʻo? E hōʻeha anei ia i ka pēpē? I kēia lā, e pane mākou i kēia mau nīnau a pau ma kēia ʻatikala. E wehewehe kākou i nā mea āpau me ka maʻalahi a me ka maopopo.
He aha ka Contrast Enema (Barium Enema)?
I ka ʻōlelo maʻalahi, he hoʻāʻo X-ray kūikawā kēia e nānā i ka ʻōpū nui o kāu keiki (i kapa ʻia hoʻi ʻo ke kolona). Hana pinepine ʻia kēia e kahi radiologist pediatric nāna i loea i nā maʻi pediatric.
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻAʻole anei lawa ka X-ray maʻamau? No ke aha i kapa ʻia ai ʻo 'Contrast'?" He nīnau maikaʻi! ʻO ko kākou mau ʻōpū he mau ʻōpū i hana ʻia me nā ʻiʻo palupalu. No laila, he paʻakikī ke ʻike maopopo i ke ʻano, ka nui, a i ʻole nā pilikia i loko o nā ʻōpū me kahi X-ray maʻamau.
ʻO kēia ka manawa e hoʻohana ʻia ai kahi mea `(Contrast)`. He wai kūikawā kēia. ʻO ka mea maʻamau i hoʻohana ʻia no kēia hoʻāʻo he wai keʻokeʻo, ʻano ʻōka i kapa ʻia ʻo barium . Ke hoʻokomo ʻia kēia wai i loko o ka anus (ʻaoʻao hope) o ke pēpē, hele ia a hoʻohaumia i nā paia o loko o ka ʻōpū nui. A laila, ke lawe ʻia kahi X-ray, ʻike maopopo ʻia nā wahi i hoʻohaumia ʻia ai ka barium i ke keʻokeʻo ma ka X-ray. Ua like ia me kahi laina ʻōka i kaha ʻia ma ka papa ʻeleʻele. ʻAe kēia i ke kauka e ʻike maʻalahi i ke ʻano o ka ʻōpū, inā he mea paʻa, inā he ākea loa, a inā he pilikia ʻē aʻe.
I kekahi manawa, hana ʻia kēia hoʻāʻo me ka hoʻohana ʻana i kahi ʻano hana i kapa ʻia ʻo "fluoroscopy." ʻO ia hoʻi, ma kahi o ka lawe ʻana i hoʻokahi kiʻi X-ray, ua lawe ʻia kekahi mau kiʻi X-ray e neʻe ana, e like me ke wikiō. Hiki iā ʻoe ke ʻike ola pehea e neʻe ai ka wai barium ma o nā ʻōpū a pehea e hana ai nā ʻōpū.
No ke aha e pono ai i kaʻu keiki kēia ʻano hoʻokolohua?
Ke nānā ke kauka i kahi keiki ma ke ʻano maʻamau, ʻaʻole hiki iā ia ke ʻike i nā mea āpau ma ka pā ʻana i ka ʻōpū. ʻAʻole ʻike ʻia nā pilikia i loko o nā ʻōpū mai waho mai. No laila, inā loaʻa i ke keiki nā hōʻailona a i ʻole nā kūlana ma lalo nei, ua ʻōlelo ʻia kēia hoʻāʻo e ʻike i ke kumu pololei.
| Hōʻailona/kūlana | He wehewehe maʻalahi |
|---|---|
| Ka paʻa ʻana o ka ʻōpū | Inā pilikia kāu keiki i ka hele ʻana i ka lua, ʻaʻole hele no nā lā, a ʻeha loa paha ka neʻe ʻana o ka ʻōpū, hiki i kēia hoʻāʻo ke kōkua i ka hoʻoholo ʻana inā he poloka a i ʻole kekahi pilikia kūkulu ʻē aʻe i loko o ka ʻōpū. |
| Ka maʻi pākī mau | Inā hoʻomau ka maʻi diarrhea o kahi keiki me ke kumu ʻole, hiki i kēia ke kōkua i ka hoʻoholo ʻana inā he maʻi e like me ka maʻi a i ʻole ka mumū i loko o nā ʻōpū. |
| Maʻi Hirschsprung | He ʻano paʻakikī kēia, he ʻano hānau hānau. ʻO ka mea e hana ʻia ana, ʻo ia ka nalowale ʻana o nā hunaola aʻalolo e pono ai ke hoʻokuke i ka ʻōpala ma o kahi ʻāpana o ka ʻōpū nui. ʻO kēia ke kumu e ālai ʻia ai kēlā ʻāpana o ka ʻōpū, a hoʻonui ʻia ka ʻāpana ma luna. He mea nui loa ka enema contrast no ka ʻike ʻana i kēia ʻano. |
| Ka Pohō Kaumaha i Wehewehe ʻole ʻia | Inā ʻai maikaʻi ke keiki akā ke emi nei kona kaumaha me ke kumu ʻole, hiki paha i ke kino ke omo pono i nā meaʻai ma muli o kahi pilikia me ka ʻōnaehana hoʻoheheʻe. Hoʻohana ʻia kēia hoʻāʻo e ʻike i ia mau kūlana. |
Pono anei mākou e hoʻomākaukau ma mua o ka hoʻokolohua?
I ka hapanui o nā hihia, ʻaʻole koi kēia hoʻāʻo i kekahi hoʻomākaukau kūikawā no nā keiki ʻōpio. Hiki ke hānai ʻia a inu ʻia ke keiki e like me ka mea maʻamau.
Akā he mea nui loa kēia: Inā hāʻawi kāu kauka iā ʻoe i kekahi mau ʻōlelo kūikawā (no ka laʻana, e hoʻōki i ka ʻai ʻana a me ka inu ʻana i kekahi mau hola ma mua o ka hoʻāʻo ʻana), pono ʻoe e hahai pololei i kēlā mau ʻōlelo kuhikuhi.
Eia kekahi, aia kekahi mau mea hiki iā mākou ke hana ma ke ʻano he mau mākua:
- E kamaʻilio me kāu keiki: Inā ua lawa ka makahiki o kāu keiki e hoʻomaopopo ai, e wehewehe maʻalahi i kēia iā lākou. E ʻōlelo maʻalahi me nā huaʻōlelo maʻalahi e like me, "Ke kiʻi nei ke kauka i kou ʻōpū, e hoʻokomo ana i kahi paipu liʻiliʻi i loko a e hoʻokomo ana i kekahi lāʻau lapaʻau i loko. ʻAʻole ia e ʻeha." E kōkua kēia i ka hoʻēmi ʻana i ka makaʻu o ke keiki.
- Mea pāʻani punahele:E lawe mai i kahi mea pāʻani punahele, teddy bear, a i ʻole kahi pākeke liʻiliʻi me ʻoe. ʻO ka paʻa ʻana iā ia i ka wā o ka hoʻāʻo e kōkua i kāu keiki e ʻoi aku ka palekana a me ka ʻoluʻolu.
He aha ka mea e hana ʻia i ka wā o ka hoʻāʻo?
ʻO ka maʻamau, ma waena o 30 a me 45 mau minuke ka lōʻihi o kēia hoʻāʻo. ʻO ka mea maikaʻi loa , hiki iā ʻoe ke noho pū me kāu keiki i ka wā o ka hoʻāʻo holoʻokoʻa. He mea hōʻoluʻolu nui ia no ke keiki a me ʻoe.
Eia ka mea e hana ʻia ma kēlā me kēia ʻanuʻu:
1. I ka lumi X-ray: ʻO ka mea mua, e lawe ʻia ʻoe a me kāu pēpē i kahi lumi X-ray. E noi ʻia ʻoe e ʻaʻahu i kahi lole kūikawā i hāʻawi ʻia e ka haukapila.
2. Ma luna o kahi moe X-ray: A laila e hoʻomoe ʻia ke keiki ma luna o kahi moe i loko o ka mīkini X-ray.
3. No ka palekana: ʻOiai ʻoe e noho pū ana me kāu pēpē, e noi ʻia ʻoe e ʻaʻahu i kahi ʻaʻahu kēpau e pale aku iā ʻoe iho mai nā kukuna X. Inā hāpai ʻoe, ʻoi aku ka maikaʻi o ka lawe ʻana mai i kahi lālā o ka ʻohana hilinaʻi (e like me kāu kāne a makuahine paha) me ʻoe e noho pū me kāu pēpē, no ka mea, ʻaʻole kūpono ke hōʻike ʻia i nā kukuna X.
4. X-ray mua: Ma mua o ka hāʻawi ʻia ʻana o ka barium ale, lawe ʻia kahi kiʻi X-ray maʻamau o ka ʻōpū.
5. Ke kau ʻana i ke pēpē: A laila e noi ʻia ke pēpē e huli i ko lākou ʻaoʻao a lawe mai i ko lākou mau kuli i ko lākou umauma. Inā he pēpē liʻiliʻi, e kōkua nā limahana me kēia.
6. Ke hoʻokomo ʻana i ka ʻōmole: E hoʻokomo pono ke kauka radiology a i ʻole ka loea ʻenehana i kahi ʻōmole liʻiliʻi a palupalu, i poni ʻia me kahi lubricant, i loko o ka rectum o ke keiki. Ua hoʻopili ʻia kekahi ʻaoʻao o kēia ʻōmole i kahi ʻeke e loaʻa ana ka wai barium.
7. ʻEnema Barium: I kēia manawa ua hoʻokomo mālie ʻia ka wai barium ma o ka ʻōmole i loko o ka ʻōpū nui o ke keiki.
- He mea nui: He mea maʻamau loa ia no kāu pēpē ke manaʻo ua māʻona, ʻeha iki ka ʻōpū, a makemake nui e hele i ka lua i kēia manawa. ʻO kēia no ka mea ke piha nei nā ʻōpū i ka wai. Mai hopohopo no kēia. E hoʻomālielie i kāu pēpē a paʻa i kona lima.
8. Ke kiʻi ʻana i nā kiʻi X-ray: Ke pālahalaha nei ka barium ma o nā ʻōpū, lawe ka radiologist i kekahi mau kiʻi X-ray mai nā kihi like ʻole. Hiki ke noi ʻia ke keiki e ʻōwili iki i ka ʻākau a me ka hema.
9. Ke wehe ʻana i ka ʻōmole: Ma hope o ka lawe ʻia ʻana o nā kiʻi a pau e pono ai, e wehe pono ʻia ka ʻōmole.
10. Ke hele ʻana i ka lua: I kēia manawa ua ʻae ʻia ke keiki e hele i ka lua a hoʻohele i ka wai barium a me ka ʻōpala.
11. X-ray hope loa: Ma hope o ka hele ʻana o ke keiki i ka lua, lawe ʻia kekahi kiʻi X-ray ʻē aʻe e ʻike i ke ʻano o ka ʻōpū ma hope o ka hoʻokahe ʻia ʻana.
ʻO ia wale nō! Ua pau ka hoʻāʻo.
He aha kaʻu e hopohopo ai ma hope o ka hoʻokolohua?
Ke pau ka hoʻāʻo ʻana, hiki i kāu keiki ke ʻai a inu ma ke ʻano maʻamau a hoʻomau i kā lākou hana o kēlā me kēia lā. Akā e hoʻomanaʻo i kēia mau mea:
- E hāʻawi i kāu keiki i nā wai he nui e inu ai: He mea nui e hāʻawi i kāu keiki i nā wai he nui, e like me ka wai a me ka wai huaʻai, ma hope o ka hoʻāʻo. E kōkua kēia i ke koena o ka barium i loko o ke kino e puka maʻalahi i loko o ka ʻōpala.
- Nā noho keʻokeʻo: He mea maʻamau loa ka keʻokeʻo o nā noho o kāu keiki, e like me ka pōhaku lepo, no hoʻokahi a ʻelua paha lā ma hope o ka hoʻāʻo ʻana. ʻO kēia no ka mea e hoʻopuka ʻia ana ka barium. Mai hopohopo no ia mea.
- Ka hele pinepine ʻana i ka lua: No kekahi mau lā, pono paha ke keiki e hele pinepine i ka lua ma mua o ka maʻamau.
Aia kekahi mau pilikia i loko o kēia?
He hana palekana loa ka enema contrast. He liʻiliʻi ka ʻike ʻia ʻana i nā kukuna X. Eia nō naʻe, e like me nā hana lapaʻau āpau, aia kekahi mau pilikia liʻiliʻi.
| Nā hopena ʻaoʻao hiki ke loaʻa | E aʻo e pili ana i kēia |
|---|---|
| Pehu, paʻa ʻole, palahēhē, nausea, ʻeha poʻo | He mau ʻeha liʻiliʻi kēia e hiki ke loaʻa. E nalo aku kēia mau mea inā ʻoe e inu i ka nui o nā wai. |
| Ka hopena maʻi ʻaleka i ka Barium | He mea kākaʻikahi loa kēia. Inā pilikia kāu keiki i ka hanu ʻana a i ʻole e loaʻa nā ʻeha ʻili, e hoʻomaopopo koke i ke limahana lapaʻau. |
| Ka ʻōpū o ka ʻōpū | He kūlana koʻikoʻi loa kēia a he mea laha ʻole. Hiki ke kānalua ʻia kēia inā loaʻa i ke keiki ka ʻeha nui o ka ʻōpū i ka wā a ma hope paha o ka hoʻokolokolo ʻana. |
Āhea ʻoe e pono ai e kamaʻilio me ke kauka?
Ma hope o ka hoʻāʻo ʻana, pono e maikaʻi kāu keiki a pono e maikaʻi. Eia nō naʻe, inā ʻike kāu keiki i kekahi o kēia mau hōʻailona, e kāhea koke aku i kāu kauka me ka hoʻokaʻulua ʻole:A i ʻole e lawe i ke keiki i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
| I ka manawa e ʻimi koke ai i ke aʻo lapaʻau | |
|---|---|
| - Ua pehu ka ʻōpū o ke keiki | - Kuni |
| - Ke kahe koko ʻana o ka rectal | - ʻEha nui o ka ʻōpū, hiki ʻole ke hoʻomanawanui |
| - Pōʻino a i ʻole ka nawaliwali | - ʻAʻohe neʻe ʻana o ka ʻōpū no nā lā ʻelua ma hope o ka hoʻāʻo ʻana |
Leka Lawe-Home
- He hoʻāʻo X-ray palekana loa ka enema contrast i hoʻohana ʻia e ʻimi i nā pilikia ma ka ʻōpū o ke keiki.
- ʻAʻole pono e hoʻomoe ʻia ka pēpē (hoʻomoe ʻia i ka ʻike ʻole) i kēia kaʻina hana. ʻAʻole i hala i hoʻokahi hola ka lōʻihi o ke kaʻina hana holoʻokoʻa.
- Hiki iā ʻoe ke noho pū me kāu keiki i ka wā o ka hoʻokolohua. He mea hōʻoluʻolu nui ia no kāu keiki ke lawe pū me ia i kahi mea pāʻani punahele.
- He mea maʻamau ke keʻokeʻo ka ʻōpala o kāu pēpē a no lākou e hele iki i ka lua no kekahi mau lā ma hope o ka hoʻāʻo ʻana. Mai hopohopo no kēlā.
- Inā ʻike ʻoe i kekahi mea e like me ka ʻōpū ʻeha nui, ke kuni, a i ʻole ke koko i loko o kou noho, e kāhea koke aku i kāu kauka me ka hoʻokaʻulua ʻole .
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