Ua hoʻomaka koke anei kāu keiki, a i ʻole ʻoe paha, e luaʻi me ka ikaika ʻole me ke kumu ʻike ʻole ʻia a ua mau ia no hoʻokahi a ʻelua paha lā? A laila ua hoʻi hou i ka maʻamau me he mea lā ʻaʻohe mea i hana ʻia? Inā hana pinepine ʻia kēia no kekahi mau mahina, pono ʻoe e makaʻala i kēia kūlana a mākou e kamaʻilio nei i kēia lā i kapa ʻia ʻo Cyclic Vomiting Syndrome (CVS). ʻAʻole kēia he ʻōpū huhū wale nō, he mea ʻokoʻa loa ia.
He aha maoli ka cyclic vomiting syndrome (CVS)?
I ka ʻōlelo maʻalahi, ʻo CVS kahi kūlana kahi e loaʻa ai iā ʻoe nā hoʻouka pinepine o ka nausea nui a me ka luaʻi ʻana me ke kumu ʻole. Hiki i kēia mau hanana o ka luaʻi ʻana mai kekahi mau hola a i kekahi mau lā. Hiki ke koʻikoʻi loa a hiki ʻole iā ʻoe ke ala aʻe mai kahi moe. No ka mea, ua nalowale ka nui o ka wai mai kou kino, pono paha ʻoe e hele i ka haukapila a i ʻole ka lumi pilikia (ETU) e loaʻa nā wai IV e pale aku i ka make wai.
Akā, ʻo ka mea kupaianaha, i ka pau ʻana o kēia wā o ka luaʻi nui, e lilo hou ʻoe i olakino piha a maʻamau, me he mea lā ʻaʻohe ou pilikia iki.
Hiki i kēia maʻi ke mau no nā mahina, nā makahiki, a i ʻole nā kau he ʻumi. Eia nō naʻe, ʻaʻole mau nā hōʻailona. ʻO ka maʻamau, hiki ke luaʻi e like me kēia i nā manawa he nui i ka makahiki. No kekahi poʻe, hiki ke hana ʻia i hoʻokahi a ʻelua paha i ka mahina.
ʻOkoʻa ke ʻano o ka luaʻi ʻana, ka manawa o ka lā, ke koʻikoʻi o ia mea, a me ka lōʻihi o kona luaʻi ʻana mai kēlā kanaka a kēia kanaka. Akā no ke kanaka hoʻokahi, ʻoi aku ka like o nā hōʻailona, e hahai ana i ke ʻano like i kēlā me kēia manawa.
He mea maʻamau anei kēia kūlana?
ʻOi aku ka maʻamau o CVS i nā keiki ma mua o nā pākeke. Ua manaʻo ʻia aia ma kahi o 3 i loko o 100,000 mau keiki e loaʻa i ke ʻano. Hoʻomaka pinepine ia i nā keiki ma waena o 3 a me 7 mau makahiki. Eia nō naʻe, hiki ke hoʻomaka i kēlā me kēia makahiki.
He aha nā hōʻailona o kēia maʻi?
ʻO ka hōʻailona nui o CVS ka nausea koke, pinepine, a me ka luaʻi nui. Aia kekahi mau pae like ʻole o kēia.
| Pae | He wehewehe maʻalahi o ka mea e hana nei |
|---|---|
| Ka pae prodrome | He mau minuke a mau hola paha ma mua o kou hoʻomaka ʻana e luaʻi, e hoʻomaka paha ʻoe e manaʻo i ka luaʻi a me ka hou. No nā poʻe he nui, hiki mai kēia manaʻo i ke kakahiaka nui. Manaʻo paha ʻoe "ʻAʻole maikaʻi kēia lā." |
| Ka wā luaʻi | I kēia wā, e luaʻi mau ʻoe. I kekahi manawa he mau manawa i ka hola. Hiki i nā keiki liʻiliʻi ke luaʻi koke (luaʻi projectile). Hiki i kēia ke mau mai kekahi mau hola a i kekahi mau lā. Hiki ke koʻikoʻi loa a hiki iā ʻoe ke manaʻo e like me ʻoe ʻaʻole hiki ke kamaʻilio a makemake ʻoe e noho hoʻokahi ma kahi moe. |
| Ka pae hoʻōla | Ke emi mālie nei ka luaʻi a me ka nausea a ke hoʻomaikaʻi nei. Manaʻo wau e hoʻonui mālie ana koʻu ikaika. |
| Pae luawai | E manaʻo hou ʻoe he maʻamau a olakino hoʻi, me he mea lā ʻaʻohe ou pilikia. E maikaʻi ana ʻoe a hiki i ka luaʻi hou ʻana. |
Ma waho aʻe o kēia mau mea, aia paha nā hōʻailona ʻē aʻe:
- ʻeha ka ʻōpū
- Ka maʻi ʻōpū (ʻeha ʻōpū)
- Pōʻino
- Ka waikahe a i ʻole ka waikahe ʻana
- Makewai nui
- Makemake nui
- ʻIli keʻokeʻo
- ʻEha poʻo nui a me ka luhi nui
- ʻIke i ka mālamalama a i ʻole ke kani (e like me ka mea me ka migraine)
- Kuni (a hiki i ka 101°F / 38.3°C)
- Retching (maloʻo-heaving): ʻO ke ʻano kēia ke manaʻo nei ʻoe e luaʻi ana, akā ʻaʻohe mea e puka mai ana no ka mea ʻaʻohe mea i loko o kou ʻōpū.
He aha ka mea e hiki ai ke hana iā CVS?
ʻAʻole maopopo i kēia manawa inā ʻo ia wale nō ke kumu o CVS, akā aia kekahi mau kumu i manaʻo ʻia e kōkua i ia.
ʻO ka mea nui, ʻaʻole kēia he mea āu i noʻonoʻo ai, ʻaʻole hoʻi nou ka hewa. ʻO kēia ka hopena o ke kaʻina hana e hana ʻia ana i loko o ke kino.
- Nā pilikia me kou axis lolo-ʻōpū:I ka ʻōlelo maʻalahi, ke loaʻa kahi pilikia i ka 'loulou kamaʻilio' ma waena o ko kākou lolo a me ka ʻōnaehana nerve i loko o ka ʻōpū, hiki ke luaʻi ʻia me ka hiki ʻole ke kāohi. Ua kapa pū kekahi poʻe ʻepekema i kēia he maʻi lolo-ʻōpū.
- Nā loli i loko o kāu ʻōnaehana nerve autonomic: ʻO kēia ka ʻāpana o kou kino e kaohi ana i nā mea i waho o kou mana, e like me kou helu puʻuwai, ke koko, a me ka luaʻi ʻana. Inā he pilikia me kēia ʻōnaehana, e nalowale paha kou mana i kou luaʻi ʻana.
- ʻEha poʻo migraine: Ma kahi o 80% o nā keiki me CVS a me 25% o nā pākeke e loaʻa pū ana i ka migraines. ʻAʻole wale ka migraines he ʻeha poʻo nui. E like me CVS, hiki i ka migraines ke ʻoluʻolu ʻole i ka hoʻomaka ʻana. He nui ka poʻe me CVS i loaʻa ka mōʻaukala ʻohana o ka migraines.
- ʻO ka DNA mitochondrial maʻamau ʻole: Ua like nā Mitochondria me nā 'mea kanu mana' e hāʻawi ana i ka ikehu i kēlā me kēia cell i loko o ko mākou kino. Aia nā kuhikuhi no ke ʻano o kā lākou hana ʻana i loko o ka DNA. Inā he kīnā i loko o kēia DNA ma muli o kahi maʻi, kahi kūlana genetic, a i ʻole kekahi kumu ʻē aʻe, ʻaʻole loaʻa i nā cell nerve i loko o nā ʻōpū ka ikehu e pono ai. Hiki i kēia ke hana i ka luaʻi hiki ʻole ke kāohi.
He aha nā 'Triggers' e hoʻoulu ai i ka luaʻi?
Hiki i kekahi mau hanana, nā manaʻo, a i ʻole nā kūlana ke hoʻoulu i ka luaʻi ʻana. Kāhea mākou i kēia mau 'mea hoʻoulu'. Inā loaʻa iā ʻoe ʻo CVS, he mea nui e ʻike i kāu mau mea hoʻoulu.
- Nā loli o ke aniau (ʻoi aku hoʻi i ka hāʻule a me ka hoʻoilo).
- ʻO kekahi mau meaʻai: nā mea e like me ke kokoleka, ka tīhi, ke kofe, a me ka MSG (nā mea ʻono).
- Ka hauʻoli nui o nā keiki: E noʻonoʻo, hiki i kēia ke hoʻomaka i ka manawa e hauʻoli nui ai ke keiki, e like me ka pō ma mua o kahi huakaʻi kula, a i ʻole ke kakahiaka o ka lā hānau.
- Ke kaumaha noʻonoʻo i nā mākua: Nā mea e like me ka hopohopo nui a me ke kaumaha.
- Nā maʻi ʻaleka, nā maʻi sinus, a i ʻole ke anu maʻamau.
- Ka luhi kino.
- Ka hoʻokē ʻai ʻana no ka manawa lōʻihi.
- Ka hoʻohana ʻana i ka cannabis i ka wā lōʻihi.
- Nā wā menstrual i nā wahine.
- Maʻi neʻe.
Nā pilikia e hiki mai ana inā hoʻomau ka luaʻi ʻana
Inā ʻaʻole kaohi ʻia ʻo CVS, hiki i ka luaʻi nui ke alakaʻi i nā pilikia olakino ʻē aʻe.
| Ka pilikia | He wehewehe maʻalahi |
|---|---|
| Ka maloʻo ʻana | Ka nalowale nui ʻana o ka wai mai ke kino ma muli o ka luaʻi ʻana a me ka maʻi pākī. Hiki i kēia ke lilo i mea weliweli. |
| ʻO ka ʻōpū | Ua ʻeha a pehu ka ʻōmole e holo ana mai ka puʻu a i ka ʻōpū (esophagus) e ka waikawa o ka ʻōpū e hele mai me ka luaʻi. |
| ʻO ka waimaka Mallory-Weiss | Hiki i ke kaomi o ka luaʻi nui ke haehae i ka ʻaoʻao haʻahaʻa o ka esophagus. Hiki i kēia ke hoʻopuka i ke koko me ka luaʻi. |
| Pala niho | ʻO ka hoʻopili pinepine ʻana i ka waikawa o ka ʻōpū e hoʻoheheʻe ai i ka enamel o nā niho a alakaʻi i ka pala o nā niho. |
Pehea e ʻike ai ke kauka i kēia maʻi?
He mea paʻakikī iki ka ʻike ʻana i ka CVS no ka mea ʻaʻohe hoʻāʻo kikoʻī no ia mea. E hōʻoia kāu kauka ʻaʻole ʻoe i loaʻa nā kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like.
E nīnau aku kāu kauka iā ʻoe i nā nīnau he nui e pili ana i kou mōʻaukala olakino, ka mōʻaukala olakino ʻohana, a me kou ʻano luaʻi. A laila e hana ʻo ia i kahi hoʻokolokolo kino a kauoha i nā hoʻokolohua hou inā pono.
He aha nā hoʻokolohua e hana ʻia?
- Nā hoʻāʻo koko a me ka mimi: E nānā no nā maʻi metabolic, nā maʻi mitochondrial, a i ʻole nā pilikia me nā ʻōpū ʻē aʻe.
- Nā hoʻāʻo kiʻi: E noi ʻia paha ʻoe e hana i kahi scan ultrasound ʻōpū, kahi scan MRI a i ʻole CT o ka lolo, a i ʻole kahi X-ray o ka ʻōpū. Hiki i kēia ke nānā i kekahi mau mea e ālai ana i ka ʻōnaehana hoʻoheheʻe a i ʻole ka ʻōnaehana nerve.
- ʻO ka endoscopy kiʻekiʻe: Pili kēia i ka hoʻohana ʻana i kahi ʻōmole lahilahi me kahi kāmela e nānā i kou esophagus, ʻōpū, a me ka hoʻomaka ʻana o kou ʻōpū liʻiliʻi e nānā i nā pilikia ʻē aʻe e hoʻoulu ai i kou luaʻi.
Nā maʻi ʻē aʻe e pili ana me CVS
Ma mua o ka hiki ʻana i ke kauka ke nānā i ka CVS, pono lākou e hōʻoia ʻaʻohe ou kūlana ʻē aʻe e hoʻoulu ai i nā hōʻailona like.
- ʻO ka maʻi ʻōpū a i ʻole ka gastritis
- Nā ʻōpū ʻeha
- Ka mumū ʻana o ka pancreas (pancreatitis)
- ʻApendisitis
- Ka wili ʻana o ka ʻōpū (volvulus a i ʻole malrotation)
He aha nā lāʻau lapaʻau no CVS?
ʻO ka mālama ʻana no CVS e pili ana i kou wā e luaʻi ana a i ʻole ke kūlana olakino kahi āu e hoʻāʻo nei e pale aku.
- Ka pae Prodrome: Ke hoʻomaka koke nā hōʻailona, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e hōʻemi i ka nausea, hoʻemi i ka waikawa o ka ʻōpū, a hōʻoluʻolu i ka migraines / ʻeha ʻōpū.
- Ka wā luaʻi: I loko o kēia manawa, e hāʻawi mau ʻia ʻoe i ka lāʻau lapaʻau no ka migraines, ka ʻeha puʻuwai, a me ka hopohopo. Pono paha ʻoe e lawe ʻia i ka haukapila e loaʻa ai nā wai IV a me ka meaʻai e pale aku ai i ka maloʻo ʻana. ʻO ka hoʻomaha ʻana i loko o kahi lumi pouli a mālie e hiki ke kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona i kēia manawa.
- Kaʻina hoʻōla: E hoʻomau i ka hāʻawi ʻana i ka saline inā pono. Mālie, hiki ke hoʻolauna i nā wai a laila nā meaʻai paʻa.
- Ka wā maikaʻi: I kēia manawa, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau i kēlā me kēia lā e pale aku ai i ka luaʻi ʻana i ka wā e hiki mai ana.
Nā ʻano lāʻau lapaʻau i hoʻohana ʻia
- Nā lāʻau lapaʻau anti-migraine
- Nā lāʻau lapaʻau hoʻēmi i ka nausea
- ʻO kekahi mau lāʻau anti-seizure
Eia kekahi, loaʻa i kekahi poʻe ka hōʻoluʻolu mai nā mea hoʻohui e like me ka coenzyme Q10, riboflavin, a me L-carnitine. Eia naʻe, mai hoʻomaka i kekahi mea e like me kēia me ka ʻae ʻole ʻia e kāu kauka.
He aha kāu e manaʻo ai i ka wā e noho ai me kēia maʻi?
ʻO ka hapa nui o nā keiki e hoʻopau i kēia maʻi CVS i ko lākou wā ʻelemakule. Eia nō naʻe, hiki iā lākou ke loaʻa i nā migraines koʻikoʻi i ka wā makua. Hiki i kēia luaʻi mau a koʻikoʻi ke pale i nā keiki mai ka hele ʻana i ke kula a me nā pākeke mai ka hele ʻana i ka hana. Hiki i kēia ke loaʻa ka hopena nui i ke ola o kēlā me kēia lā.
ʻO ka mea nui loa, ʻo ia ke hana pū me kāu kauka e ʻike i nā lāʻau lapaʻau e kūpono ana iā ʻoe a me nā mea hoʻonāukiuki iā ʻoe. He ʻokoʻa ka ʻike o kēlā me kēia kanaka, no laila e lōʻihi paha ka manawa e ʻike ai i ka mea e kūpono ana iā ʻoe.
He aha nā mea e hiki ke hana ʻia e pale aku ai i ka luaʻi ʻana?
Hiki iā ʻoe ke hōʻemi i kou luaʻi ʻana ma ka pale ʻana i kāu mau mea hoʻonāukiuki a me ka lawe ʻana i nā lāʻau lapaʻau a kāu kauka i kuhikuhi ai. E noʻonoʻo pū i kēia mau mea:
- Inā loaʻa iā ʻoe nā maʻi allergies a me nā pilikia sinus, e mālama koke iā lākou.
- E noho hana, akā, mai hana nui.
- E pale i nā meaʻai a me nā mea ʻono i maikaʻi ʻole iā ʻoe.
- E hōʻalo i ka ʻai paʻa a i ʻole ka hoʻokē ʻai.
- E hiamoe pono.
- E hoʻokele i ke kaumaha a me ka hopohopo.
Nā nīnau e nīnau aku ai i kāu kauka
Ke hele ʻoe e ʻike i ke kauka, mai poina e nīnau i kēia mau nīnau:
- He aha nā hoʻokolohua e pono iaʻu e ʻike inā loaʻa iaʻu ʻo CVS?
- He aha ka lāʻau lapaʻau e pono iaʻu e lawe e hoʻōki i ka luaʻi ʻana ke hoʻomaka, a e pale aku i ka hana hou ʻana?
- He aha nā hoʻololi e pono iaʻu e hana i koʻu nohona e pale aku ai i koʻu mau mea hoʻonāukiuki?
- He aha nā mea ʻē aʻe e hiki iaʻu ke hana e hōʻemi i nā hōʻailona?
- He aha nā hōʻailona e pono ai iaʻu e ʻike iā ʻoe, a i ʻole e hele i kahi ETU (Emergency Treatment Unit) ?
Hiki i ka CVS ke lilo i maʻi hoʻonāukiuki a hoʻoweliweli i ke ola. ʻAʻohe lāʻau lapaʻau a hopena paha hoʻokahi. Pono ʻoe a me kāu kauka e hoʻomanawanui i kou loaʻa ʻana o ka lāʻau kūpono a me nā mea hoʻonāukiuki nou. I ka hala ʻana o ka manawa, ʻoi aku ka maikaʻi o ka hapa nui o ka poʻe i ka ʻike ʻana a me ka pale ʻana i kā lākou mau mea hoʻonāukiuki. I kēia manawa, inā loaʻa ka luaʻi, aia nā lāʻau lapaʻau e hiki ke kōkua i ka kaohi ʻana i nā hōʻailona.
Leka Lawe-Home
- He maʻi olakino maoli ka CVS i hōʻike ʻia e nā hanana pinepine o ka luaʻi nui me ke kumu ʻole, a ukali ʻia e nā manawa o ka ho'ōla piha ʻana.
- Ua manaʻoʻiʻo ʻia ʻaʻole kēia he "ʻeha ʻōpū" wale nō, akā, ua hana ʻia e kahi pilikia ma ka pilina ma waena o ka lolo a me ka ʻōnaehana hoʻoheheʻe.
- ʻO ka ʻike ʻana a me ka pale ʻana i nā mea hoʻoulu e hoʻoulu ai i ka luaʻi ʻana iā ʻoe a i ʻole kāu keiki he ʻāpana koʻikoʻi loa ia o ka mālama ʻana.
- He mea nui e hana pū me kāu kauka e ʻike pono i kēia maʻi a loaʻa i kahi hoʻolālā lapaʻau.
- I nā hihia o ka luaʻi nui, he mea nui paha ka loaʻa ʻana o ka saline intravenous (IV fluids) i loko o ka haukapila a i ʻole ETU e pale ai i ka dehydration.
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