Loaʻa pinepine anei i kāu keiki liʻiliʻi nā maʻi ʻōpū mimi (UTI)? I kekahi manawa loaʻa iā lākou ke kuni, ʻoluʻolu ʻole kāu pēpē, a makaʻu nui paha ʻoe. Hopohopo ka nui o nā mākua no kēia pilikia. ʻO ka hapa nui o ka manawa, ua hana ʻia e kahi kīnā liʻiliʻi i loko o ke ʻōpū mimi. I kēia lā, e kamaʻilio mākou e pili ana i ia ʻano maʻi a me kāna mālama maʻalahi, ʻaʻole ia he nui e like me ke ʻoki kino.
He aha ka mea e hoʻi hope nei kēia mimi? (Vesicoureteral Reflux - VUR)
I ka ʻōlelo maʻalahi, hana ʻia ka mimi i loko o nā puʻupaʻa ʻelua o ko kākou kino. Mai laila mai, hele ka mimi i ka ʻōpū mimi, ke ʻeke kahi e hōʻiliʻili ai ka mimi, ma o ʻelua mau ʻōmole. Kāhea mākou i kēia mau ʻōmole he "(Ureters)". ʻO ka maʻamau, hele ka mimi i lalo i kēia mau ʻōmole, ʻo ia hoʻi, i ka ʻōpū mimi. ʻAʻole hiki ke piʻi i luna, i nā puʻupaʻa. ʻO ke kumu o kēia, ʻo kahi e pili ai kēia mau ʻōmole i ka ʻōpū mimi e hana like me kahi valve hoʻokahi ala.
Akā i kekahi mau keiki, ʻaʻole hana pono kēia `valve`. A laila, neʻe hou ka mimi e hōʻiliʻili ana i loko o ka ʻōpū mimi i luna i nā puʻupaʻa. ʻO kēia ka mea a mākou e kapa nei ma ke ʻano lapaʻau ʻo `Vesicoureteral Reflux` a i ʻole `(VUR)`.
E noʻonoʻo, hiki ke loaʻa nā bacteria i loko o ka mimi i loko o ka ʻōpū mimi. He aha ka mea e hana ai inā hoʻi lākou i nā puʻupaʻa? Hiki i nā puʻupaʻa ke loaʻa ka maʻi. Ke hana pinepine ʻia kēia mau maʻi, i ka hala ʻana o ka manawa, hiki i nā puʻupaʻa ke hōʻino ʻia, ʻo ia hoʻi, hiki iā lākou ke lilo i ʻeha. ʻO ia ke kumu he mea nui loa ka makaʻala i kēia kūlana.
No laila he aha kēia lāʻau i kapa ʻia ʻo Deflux?
I ka hapanui o ka manawa, e hoʻomaikaʻi wale kēia maʻi `VUR` i ka wā e ulu ai nā keiki. Akā a hiki i kēlā manawa, pono e hoʻōki i nā maʻi pinepine. ʻO ia ke kumu e hoʻohana ʻia ai kahi lāʻau i kapa ʻia ʻo `Deflux`.
He gel i hana kūikawā ʻia ʻo 'Deflux'. Hana ʻia ia mai ʻelua mau mea like me nā mea i loaʻa maoli i loko o ko kākou kino.
- Dextranomer: Hana ʻia kēia mau mea me nā mole kō. Hoʻohana ʻia hoʻi lākou i nā lāʻau lapaʻau a me nā huahana hoʻomaʻemaʻe ʻeha.
- ʻO ka gel hyaluronic acid: He mea kēia i hana kūlohelohe ʻia i loko o ko mākou kino. Hoʻohana nui ʻia hoʻi i nā huahana nani.
Ma muli o ke kūlike o kēia gel me ke kino, ua haʻahaʻa loa ka pilikia o nā hopena ʻaoʻao. ʻO ka mea a ke kauka e hana ai, ʻo ia ke hoʻokomo i kahi liʻiliʻi o kēia gel i loko o kahi o ka `valve` hana hewa. A laila, e kū mai ana kahi puʻupuʻu liʻiliʻi ma laila a hoʻomaka e hana e like me ka `valve` hou. ʻAʻole kēia e pale i ka mimi mai ka iho ʻana mai, akā e pale aku ia i ka piʻi hou ʻana i luna.
ʻAʻole kēia he ʻoki kino nui. He hana hoʻopilikia iki kēia. ʻO ia hoʻi, ʻaʻohe ʻoki nui.
I ka hala ʻana o ka manawa, ua omo mālie ʻia kēia gel a ua komo ʻia e nā ʻāpana ponoʻī o ko kākou kino, e hoʻopiha ana i ka wahi me nā ʻiʻo. Eia naʻe, ʻaʻole kēia e hoʻopilikia i ka holomua o ka lāʻau.
Ke kaʻina hana a me ka hoʻomākaukau ʻana no ka deflux
He hana maʻalahi a wikiwiki hoʻi kēia lapaʻau. ʻAʻole ma mua o 30 mau minuke ka lōʻihi. No ka mea, he hana ia ma waho o ka haukapila, ʻaʻohe pono e noho i ka haukapila.
| Manawa kūpono | He aha ka mea e hana nei a me kāu mea e hana ai |
|---|---|
| Hoʻomākaukau ma mua o ka mālama ʻana |
|
| I ka wā o ka mālama ʻana | 1. Hoʻokomo ʻia ka anesthesia laulā i ʻole e ʻeha a ʻoluʻolu ʻole ke keiki. 2. Hoʻopili ʻia kahi gel e hoʻomāʻū i ka urethra. 3. Hoʻokomo ʻia kahi ʻōmole lahilahi loa me kahi kāmela ma ka hopena, i kapa ʻia ʻo cystoscope , ma o ka urethra a i loko o ka ʻōpū mimi. 4. Ua hoʻopiha ʻia ka ʻōpū mimi me ka saline e ʻike maikaʻi ai i loko. 5. Hoʻokomo ʻia ka gel Deflux i kahi kūpono me ka hoʻohana ʻana i kahi nila lahilahi loa e hele pololei ana ma o ke kāmela. 6. Wehe ʻia nā mea hana a pau a hoʻokahe ʻia ka wai i loko o ka ʻōpū mimi. |
| Ma hope o ka mālama ʻana |
|
He aha nā pōmaikaʻi a me nā pilikia o ka mālama ʻana iā Deflux?
E like me nā lāʻau lapaʻau a pau, aia nā pono a me nā pōʻino liʻiliʻi, a he mea nui e ʻike iā lākou.
Nā Pōmaikaʻi
- Hoʻōla wikiwiki: Hiki i ke keiki ke hoʻi i nā hana maʻamau i loko o hoʻokahi a ʻelua paha lā. ʻAʻohe pono e hoʻomaha no nā pule, e like me ke ʻoki kino nui.
- Nā pilikia liʻiliʻi: Ma muli o ka ʻole o kahi ʻoki nui, ua haʻahaʻa loa ka pilikia o nā maʻi a me ka ʻeha nui.
- Maikaʻi no ke kino: Hana ʻia ka gel 'Deflux' mai nā mea hoʻohui e kūpono i ke kino, no laila ʻaʻole pinepine nā hopena maikaʻi ʻole.
Nā Pōʻino
ʻO ka nui o ka holomua o kēia lāʻau lapaʻau ma waena o 70% a me 93%. ʻO ia hoʻi, ua holomua ia i ka hapa nui o ka manawa. Akā, aia kekahi mau mea e hiki ke hana ʻia.
- ʻOiai me ka lāʻau lapaʻau, hiki ke hoʻomau ʻia ka VUR a me nā maʻi ʻōpū mimi.
- He kakaikahi loa ka manawa kūpono e pani ʻia ai ka urethra.
- Aia paha he pōʻino iki i ka ʻōpū mimi.
- No kekahi mau keiki, ʻaʻole lawa paha hoʻokahi kau ʻana o ka gel. Inā hana ʻia kēlā, pono paha ʻoe e hana hou.
ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka e pili ana i ka lāʻau lapaʻau maikaʻi loa no ke kūlana o kāu keiki. Hiki ke ʻokoʻa ka holomua o ka lāʻau lapaʻau ma muli o ke ʻano o VUR i loaʻa i kāu keiki.
Nā mea e mālama ai i ke keiki ma hope o ka lāʻau lapaʻau
Hiki i kāu keiki ke loaʻa i kekahi ʻano ʻoluʻolu ʻole no ka lā mua a ʻelua paha ma hope o ka mālama ʻana. He mea maʻamau kēia a ʻaʻole pono e hopohopo.
- Hiki iā ʻoe ke ʻōlelo ua manaʻo ʻoe i kahi kuni iki a ʻeha paha i ka wā e mimi ai ʻoe.
- Makaʻu paha ʻoe e mimi, e hoʻoluhi ana a ʻaʻole hiki ke hana.
- Hiki ke lilo ka mimi i poni.
- ʻAʻole paha ʻoe e hiki ke hoʻopaʻa i kou mimi, a i ʻole e moe paha ʻoe ma kahi moe.
Inā ʻoi aku kēia mau mea ma mua o ʻelua lā, he manaʻo maikaʻi ke kāhea aku i ke kauka. Eia kekahi, e hōʻoia i ka inu ʻana o kāu keiki i nā wai he nui. ʻO ka nui o ka mimi a lākou e hana ai, ʻo ka wikiwiki o ko lākou ho'ōla ʻana.
I ka manawa e ʻike koke ai i ke kauka
Inā loaʻa i kāu keiki kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka lapaʻau.
| Nā hōʻailona e pono ai ka nānā koke ʻana | |
|---|---|
| - Inā ʻoe e hele ana no 8-10 mau hola me ka ʻole o ka mimi ʻana a i ʻole ʻaʻole hiki iā ʻoe ke mimi iki. | - Inā loaʻa mau iā ʻoe ka ʻeha nui i ka wā e mimi ai ma hope o ʻelua lā. |
| - ʻEha nui ma ka ʻōpū, ke kua, a i ʻole ke pelvis. | - Inā ʻoi aku ke kiʻekiʻe o ke kuni ma mua o 38.6 degere Celsius (101.5 Fahrenheit). |
| - Nā ʻūmiʻi nui o ka ʻōpū mimi ʻaʻole e emi ma hope o 24 mau hola. | - Inā hoʻomau ka luaʻi ʻana. |
Inā loaʻa i kāu keiki ka VUR, he mea maʻamau ke hopohopo. Akā i kēia manawa aia nā lāʻau lapaʻau maʻalahi a palekana e like me Deflux. ʻAʻole paha kēia e kūpono no kēlā me kēia keiki. No laila, e kamaʻilio me kāu kauka e pili ana i nā koho i loaʻa i kāu keiki, nā pono a me nā pōʻino, a e hana i ka hoʻoholo maikaʻi loa.
Leka Lawe-Home
- ʻO ka urinary reflux (VUR) kekahi kumu nui o nā maʻi ʻōnaehana mimi pinepine i nā keiki.
- He ala maʻalahi a palekana hoʻi ʻo Deflux no ka mālama ʻana iā VUR ma o ka hoʻokomo ʻana i kahi gel pili kino.
- ʻAʻole kēia he hana ʻoki kino nui, a hiki i ke keiki ke hoʻōla koke a hoʻi i ke ola maʻamau.
- ʻAʻole paha e holomua 100% kēia lāʻau lapaʻau i nā manawa a pau, a pono paha i kekahi mau hihia koʻikoʻi o VUR nā lāʻau lapaʻau ʻē aʻe.
- E kamaʻilio ākea me kāu kauka e pili ana i ka lāʻau lapaʻau maikaʻi loa no kāu keiki, me nā pono a me nā pilikia āpau.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo