Loaʻa pinepine anei i kāu keiki liʻiliʻi nā maʻi ʻōpū mimi (UTI)? Ua haʻi aku paha ke kauka iā ʻoe ʻo kēia no ka mea ke kahe nei ka mimi i hope mai ka ʻōpū mimi, i nā puʻupaʻa. Ma ke ʻano lapaʻau, ua kapa ʻia kēia ʻano he Vesicoureteral Reflux (VUR) . Mai makaʻu i ka lohe ʻana i kēia inoa a manaʻo he maʻi koʻikoʻi ia. He ʻano kēia i ʻike ʻia i nā keiki. I kēia manawa, aia kahi lāʻau maʻalahi loa, palekana a maikaʻi hoʻi no kēia. I kēia lā, ke kamaʻilio nei mākou e pili ana i kahi lāʻau i kapa ʻia ʻo Deflux .
He aha ka Deflux?
I ka ʻōlelo maʻalahi, he mea wai e like me ka gel ʻo Deflux. Hāʻawi ʻia ia ma ke ʻano he injection. Hana ia ma ke kāohi ʻana i ka mimi mai ke kahe ʻana i luna o nā ureters, nā ʻōmole e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi.
E noʻonoʻo iā ia e like me kahi kiwikā i loko o nā paipu e puka mai ana mai kā mākou pahu wai ma ka home i hoʻolālā ʻia e ʻae i ka wai e kahe wale i hoʻokahi ala. Eia kekahi, ke hoʻokomo ʻia kēia gel Deflux i loko o kahi e pili ai ka urethra i ka ʻōpū mimi, e hana ʻia kahi puʻupuʻu liʻiliʻi ma laila a hana e like me kahi kiwikā kūlohelohe. ʻAe kēia i ka mimi e kahe i ke ala kūpono, ʻo ia hoʻi, mai loko mai o ka ʻōpū mimi, a pale loa iā ia mai ka hoʻi ʻana i hope.
Hana ʻia kēia lāʻau lapaʻau e kahi urologist, he kauka loea i nā maʻi urological. ʻO Cystoscopy kahi hana minimally invasive kahi e hoʻokomo ʻia ai kahi ʻōmole i lako me ke kāmela (cystoscope) i loko o ka ʻōpū mimi.
He aha nā kūlana e pono ai ka mālama ʻana me ka Deflux?
Hoʻohana pinepine ʻia kēia lāʻau lapaʻau e mālama iā VUR, kahi maʻi i ʻike ʻia i nā keiki. Eia nō naʻe, hoʻohana ʻia i kekahi manawa i nā pākeke. Hiki i ka VUR ke hoʻoulu i ka mimi e kahe i hope i loko o nā puʻupaʻa. ʻO ka pōʻino, hiki i kēia ke alakaʻi i nā maʻi pinepine o ke ala mimi, nā ʻeha puʻupaʻa, a me nā pilikia ʻē aʻe i ka hala ʻana o ka manawa.
No ka hapa nui o nā keiki, e hoʻoponopono wale ʻo VUR i ko lākou wā ʻelemakule. Eia nō naʻe, he hopena maikaʻi loa ʻo Deflux e pale aku ai i ka hōʻino ʻana o nā puʻupaʻa i kou kali ʻana e hoʻoponopono.
E noʻonoʻo e loaʻa ana i kāu keiki kahi maʻi mimi me ke kuni i kēlā me kēia mau mahina. Lawe ʻo ia i ka lāʻau lapaʻau i kēlā me kēia manawa, akā hoʻi hou mai ia. I ka wā e hana ai ke kauka i nā hoʻokolohua e ʻike ai ʻo ia he VUR kona. ʻO kēia ka manawa e lilo ai ka lāʻau Deflux i mea pono loa.
| Ka hopena o ke kūlana VUR | ʻO ka hopena i hāʻawi ʻia e Deflux |
|---|---|
| Nā maʻi ʻōpū mimi pinepine (UTI). | Hoʻōki ia i ka mimi mai ke kahe ʻana i hope, e pale ana i ka bacteria mai ka hiki ʻana i nā puʻupaʻa a e hoʻemi ana i ka pilikia o ka maʻi. |
| ʻO ka ʻeha o ka puʻupaʻa i ka hala ʻana o ka manawa. | Mālama i nā puʻupaʻa, pale i ka hōʻino a me nā pilikia no ka wā lōʻihi. |
| Loaʻa i ke keiki ka hiki ke ho'ōla kūlohelohe i ko lākou ulu ʻana. | He mea ia e pale ai i nā puʻupaʻa a hiki i ka wā e ola maoli ai ke kino o ke keiki. |
He aha ka mea i hana ʻia ai kēia Deflux?
ʻAʻohe mea e hopohopo ai me kēia huahana. Hana ʻia ia mai nā mea kūlohelohe a palaho.
- Dextranomer: He polysaccharide kēia, he kalapona i hana ʻia me nā molekala kō. Hoʻohana ʻia nō hoʻi ia i ka hana ʻana i nā lāʻau lapaʻau a me nā huahana hoʻomaʻemaʻe ʻeha.
- ʻO ka gel waikawa hyaluronic: He polysaccharide nō hoʻi kēia. He mea ia e kū maoli ana i loko o ko kākou kino. Ua lohe paha ʻoe ua hoʻohana nui ʻia ia i nā huahana nani no ka mea kōkua ia i ka hoʻomaʻū ʻana i ka ʻili.
Hoʻololi ʻia kēia gel e ko kākou mau ʻiʻo ponoʻī i ka hala ʻana o ka manawa a ua komo palekana ʻia e ke kino. Eia naʻe, ʻaʻole ia e hoʻopilikia i ka holomua o ka lāʻau lapaʻau.
Pehea ʻoe e hoʻomākaukau ai no ka lāʻau lapaʻau a pehea e hana ʻia ai?
E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo maopopo e pili ana i kēia. ʻO ka maʻamau, e noi ʻia ʻoe e hoʻokē ʻai no kekahi mau hola ma mua o ka mālama ʻana. He mea nui hoʻi e hoʻomaopopo i kāu kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe āu e lawe nei. Mai hoʻōki i ka lawe ʻana i kāu a i ʻole nā lāʻau lapaʻau a kāu keiki me ka ʻole o ke aʻo ʻana a kāu kauka.
He maʻalahi loa ke kaʻina hana lapaʻau:
1. ʻO ka mea mua, hāʻawi ʻia ke keiki i ka anesthesia laulā . No laila, ʻaʻole lākou e ʻeha a ʻoluʻolu ʻole paha.
2. Hoʻopili ʻia kahi gel hoʻomaʻalili i ka urethra.
3. A laila, ua hoʻokomo ʻia kahi ʻōmole lahilahi me kahi kāmela i hoʻopili ʻia (cystoscope) ma o ka urethra a i loko o ka ʻōpū mimi.
4. I mea e ʻike maikaʻi ai i loko o ka ʻōpū mimi, ua hoʻopiha ʻia me ka saline.
5. A laila, hoʻokomo ʻia kahi nila ma o kēlā ʻōmole a hoʻokomo ʻia ka gel Deflux i loko o kahi e pili ai ka urethra i ka ʻōpū mimi.
6. A pau ka hana, e wehe ʻia ke kui a me ka ʻōmole, a e wehe ʻia kekahi wai i loko o ka ʻōpū mimi.
ʻAʻole ma mua o 30 mau minuke ka lōʻihi o ke kaʻina hana holoʻokoʻa. ʻAʻole kēia he kaʻina hana ma waho o ka haukapila. ʻO ke ʻano kēia hiki iā ʻoe ke hoʻi koke i ka home ma hope o ka pau ʻana o ka mālama ʻana.
He aha ka mea e hana ʻia ma hope o ka mālama ʻana? A me nā mea e makaʻala ai
Ma hope o ka lāʻau lapaʻau, e manaʻo paha kāu keiki i kahi poniuniu iki. ʻOi aku ka maikaʻi o ka hoʻomaha ma ka home no ke koena o ka lā. Hiki i ke kauka ke hana i kahi hoʻokolohua ʻē aʻe (voiding cystourethrogram - VCUG) e ʻike ai inā ua holomua ka lāʻau lapaʻau.
He mea maʻamau ke ʻike i kēia mau mea no hoʻokahi a ʻelua paha lā ma hope o ka lāʻau lapaʻau:
- Ke kānalua nei e mimi a inu paha i nā wai.
- Ke hōʻike nei i ka ʻeha a i ʻole ke kuni ʻana i ka wā e mimi ai.
- Ka hoʻōki ʻana i ka hoʻomoe ʻana a i ʻole ka pulu ʻana i ka moe.
- ʻAlani i loko o ka mimi.
E nalo loa kēia mau mea i hoʻokahi a ʻelua paha lā. E hōʻoia i ka inu ʻana o kāu keiki i nā wai he nui. Eia kekahi, e makaʻala ʻaʻole e hele ma mua o 8 mau hola me ka ʻole o ka mimi ʻana.
| I ka manawa e kāhea koke aku ai i kāu kauka | |
|---|---|
| ʻAʻole hiki ke mimi | Inā ʻaʻole i mimi ke keiki no 8-10 mau hola. |
| ʻEha nui | ʻO ka mimi ʻeha, a i ʻole ka ʻeha nui ma ka ʻōpū, ke kua, a i ʻole nā ʻaoʻao, e hoʻomau no ʻelua lā ma hope o ka lāʻau lapaʻau. |
| kuni | Inā ʻoi aku ka mahana o ke kino ma mua o 38.6 Celsius (101.5 Fahrenheit). |
| Nā hiʻohiʻona ʻē aʻe | Ka luaʻi pinepine ʻana, ka ʻūmiʻi o ka ʻōpū mimi e mau ana ma mua o 24 mau hola, a i ʻole ka ʻeha o ke kua/ʻūhā. |
ʻO ka holomua o ka mālama ʻana i ka deflux ma waena o 70% a me 93%. He maikaʻi loa nā hopena i nā pae mua o ka maʻi (VUR haʻahaʻa).
Leka Lawe-Home
- ʻO ka VUR (retrograde urinary tract infection) kahi maʻi maʻamau i nā keiki. Hiki iā ia ke hana i nā maʻi urinary tract pinepine a hōʻino i nā puʻupaʻa.
- He lāʻau iniki palekana loa, maʻalahi, a pono hoʻi ʻo Deflux no kēia.
- ʻAʻole i hiki i 30 mau minuke kēia, hana ʻia ma lalo o ka anesthesia, a hiki iā ʻoe ke hoʻi i ka home i ka lā hoʻokahi me ka ʻole o ka noho ʻana i ka haukapila. He pōkole loa ka manawa hoʻōla.
- He pono a he maikaʻi ʻole ko kēlā me kēia lāʻau lapaʻau. No laila, e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa no kāu keiki, e kamaʻilio me kāu kauka, a e kiʻi i nā kikoʻī āpau.
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