Ua pehu anei kou mau ʻōpū ʻelua? ʻO Enterocolitis kēia!

Ke ʻike nei ʻoe i kekahi manawa i ka ʻeha o ka ʻōpū, ka pehu ʻana, a me ka maʻi pākīkī me nā hōʻailona ʻē aʻe? I kekahi manawa hiki ke lilo kēia i mea ʻoi aku ka koʻikoʻi ma mua o ka ʻeha ʻōpū maʻalahi. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi i kapa ʻia ʻo enterocolitis , hiki ke hoʻopilikia i ka ʻōpū liʻiliʻi a me ka ʻōpū nui i ka manawa like . ʻOi aku ka paʻakikī o ka hoʻopilikia ʻana i nā keiki ʻōpio a me ka poʻe me nā ʻōnaehana pale nāwaliwali.

No laila he aha ka enterocolitis?

I ka ʻōlelo maʻalahi, ʻo ka Enterocolitis kahi mumū o ko kākou ʻōnaehana ʻōpū. Hana ʻia ia i ʻelua ʻāpana. ʻO kekahi ʻo "enteritis", ʻo ia hoʻi ka mumū o ka ʻōpū liʻiliʻi. ʻO kekahi ʻo "colitis", ʻo ia hoʻi ka mumū o ka ʻōpū nui. Ke hui pū ʻia kēia mau mea ʻelua, kapa mākou iā ia ʻo Enterocolitis.

He mea maʻamau ka mumū ʻana i loko o ka ʻōpū liʻiliʻi a i ʻole ka ʻōpū nui. Eia nō naʻe , inā mumū nā mea ʻelua i ka manawa like, hiki ke lilo i mea koʻikoʻi iki . Eia kekahi, hoʻopilikia pinepine kēia ʻano i ka poʻe me nā ʻōnaehana pale nāwaliwali, ʻoiai nā pēpē hānau hou a me nā keiki liʻiliʻi .

Pehea ka hopena o ka enterocolitis i ke kino?

Ke pehu ko kākou ʻōpū, hoʻopilikia nui ia i ka uhi palupalu o nā ʻōpū, a mākou e kapa nei he mucosa . Hoʻoulu kēia pehu i ka ʻāpana e pehu, e ʻeha, a hoʻololi i ke ʻano o ka hoʻopuka ʻana o nā ʻōpū i nā wai a me ka omo ʻana i nā meaʻai. Hiki i kēia ke loaʻa ka hopena nui i kāu ʻai ʻana a me ka neʻe ʻana o ka ʻōpū .

E noʻonoʻo e pili ana i ia mea, ke loaʻa i ko mākou kino kahi germ, kahi maʻi, a i ʻole kahi ʻeha, e komo mai ka ʻōnaehana pale o ko mākou kino, ʻo ia hoʻi ka ʻōnaehana pale . ʻO ia ke ʻano o ka mumū. No laila, me ka mumū o ka ʻōpū, hiki ke ʻike ʻia nā hōʻailona maʻamau e like me ka ʻoluʻolu ʻole a me ke kuni.

He aha nā hōʻailona o ka enterocolitis?

Eia nā hōʻailona i ʻike pinepine ʻia ma kēia ʻano:

• ʻEha ka ʻōpū a me ka ʻōʻō ʻana.
• ʻO ka maʻi kahe, i kekahi manawa hele pū me ke koko .
• ʻAʻohe ʻono o ka meaʻai.
• Ka luaʻi a me ka luaʻi.
• Kuni.
• Manaʻo luhi loa.
• Manaʻo e like me ka pehu ʻana o kou ʻōpū a me ka pehu.

Inā loaʻa iā ʻoe kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​ʻoiai inā ʻaʻole lākou e hoʻomaikaʻi i loko o kekahi mau lā, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke kōkua lapaʻau.

Pehea ka lōʻihi e hiki ai ke hoʻomau i ka enterocolitis?

Aia maoli nō ia i ke kumu o ke kūlana. ʻO ke kumu maʻamau ka maʻi . He manawa pōkole kēia mau mea. Hiki i kā mākou ʻōnaehana pale ke hoʻomalu iā lākou iho. Akā i kekahi manawa pono ʻoe e lawe i ka lāʻau lapaʻau.

Eia nō naʻe, aia kekahi mau kumu i emi pinepine ʻole, no ka laʻana:ʻO ka Enterocolitis, i hoʻokumu ʻia e nā mea e like me nā maʻi autoimmune, hiki ke mau no kekahi manawa. ʻOiai ʻaʻole hiki ke ho'ōla loa ʻia kēia mau maʻi mau loa, hiki i nā kauka ke kuhikuhi i nā lāʻau lapaʻau e kāohi i ka mumū.

He aha nā kumu o ka enterocolitis?

ʻO ka ʻoiaʻiʻo, hiki ke loaʻa ka mumū o ka ʻōpū liʻiliʻi (enteritis) a me ka ʻōpū nui (colitis) no kekahi kumu, a hiki i nā ʻōpū ʻelua ke lilo i mumū, ʻo ia hoʻi, ka enterocolitis. Akā inā hana ʻia kēlā, ʻo ia hoʻi he hopena ʻoi aku ka koʻikoʻi ma mua o ka mea maʻamau , a hiki nō hoʻi ke ʻano ua nāwaliwali ka ʻōnaehana pale.

ʻO ka hapa nui o kēia ke kumu o:

• Nā maʻi viral: No ka laʻana, ka maʻi ʻōpū.
• Nā maʻi parasitic: e like me giardiasis.
• Nā maʻi bacteria: e like me ka lāʻau make meaʻai.

Eia kekahi, ʻo ka hoʻohana nui ʻana i kekahi mau mea hiki ke lilo i kumu. No ka laʻana, ʻo ka hoʻohana mau ʻana i ka waiʻona, nā lāʻau lapaʻau e like me ka cocaine, a me kekahi mau lāʻau lapaʻau kūʻai ʻole ʻia. Eia kekahi, ʻo nā maʻi ʻōpū mau loa e like me ka maʻi Celiac a me ka maʻi Crohn hiki ke hana i kēia.

Inā nāwaliwali kou ʻōnaehana pale kino, ʻoi aku ka nui o ka loaʻa ʻana o ka enterocolitis. Hoʻopilikia pinepine kēia maʻi i nā pēpē hānau hou a me nā kamaliʻi liʻiliʻi , a me nā poʻe me nā maʻi maʻi mau, e like me ka HIV .

Aia kekahi mau ʻano kikoʻī o ka enterocolitis?

ʻAe, ua ʻike nā kauka i kekahi mau ʻano kikoʻī o ka enterocolitis. Ua hoʻokaʻawale ʻia kēia mau mea ma muli o nā kumu e hoʻoulu ai iā lākou. ʻO kēia nā maʻi a me nā maʻi paʻakikī e ʻoi aku ka paʻakikī e hoʻopilikia i nā ʻōpū ʻelua.

ʻO ka ʻōpū kokoleka necrotizing (NEC)

ʻO kēia ka mea maʻamau i nā pēpē maʻi a hānau mua ʻole ʻia . Ua palupalu mua kēia mau pēpē i ka pale ʻana o ka maʻi. ʻOiai ua hānai ʻia lākou i ka bacteria maʻamau ma o ka waiū umauma, pane maikaʻi ʻole ko lākou ʻōpū. ʻOi loa ka mumū a me ka pehu ʻana a ua ʻoki ʻia ke kahe koko i ka uhi o nā ʻōpū, a hoʻomaka ka make ʻana o nā ʻiʻo . ʻO ia ke ʻano o ka huaʻōlelo "necrotizing".

ʻAʻole maopopo i nā kauka ke kumu o NEC. Hiki paha no ka mea ʻaʻole lawa ke koko o nā ʻōpū o ka pēpē, a no ka mea ʻoi aku ka maʻalahi o ka loaʻa ʻana o ke koko i nā maʻi bacteria. Me he mea lā he kōkua nā mea ʻelua.

ʻO ka ʻōpū ʻōpū pseudomembranous

Ua kapa ʻia hoʻi kēia he enterocolitis pili i ka antibiotic . Hoʻokumu ʻia ia e kahi maʻi bacteria. ʻO ka mea kupanaha, ua mālama ʻia me nā antibiotics .ʻO ka hoʻohana ʻana i nā antibiotics kekahi kumu. ʻO kahi bacteria kūikawā i kapa ʻia ʻo Clostridium difficile (C. diff) ke kuleana no kēia. Hoʻomohala pinepine kēia maʻi `C. diff` i nā poʻe i lawe i nā antibiotics e mālama i kahi maʻi ʻē aʻe. ʻAʻole pepehi ka hapa nui o nā antibiotics iā `C. diff`, akā pepehi lākou i nā bacteria maikaʻi i loko o ko mākou ʻōpū e pepehi iā `C. diff`. A laila hiki i ka `C. diff` ke ulu maʻalahi ma waho o ke kaohi.

I ka ulu ʻana o kēia bacteria, hoʻokuʻu ia i nā mea ʻawahia i loko o ka ʻili o nā ʻōpū. Hiki i kekahi poʻe ke loaʻa i kahi hopena koʻikoʻi i kēia mau mea ʻawahia, e alakaʻi ana i kahi maʻi i kapa ʻia ʻo enterocolitis. He mea maʻamau kēia maʻi ma nā haukapila a me nā hale mālama ma muli o ka haʻahaʻa o ka pale ʻana o ka poʻe noho, ka hoʻohana nui ʻana i nā antibiotics , a me ka hiki o ka bacteria C. diff ke ola no ka wā lōʻihi ma nā ʻili like ʻole.

ʻO ka ʻōpū koko

Hiki ke hoʻoulu ʻia kēia kūlana e kahi maʻi E. coli . He bacteria ʻo E. coli e noho maʻamau me ka ʻino ʻole i loko o ko kākou ʻōpū. Eia nō naʻe, he mea weliweli kahi ʻano kūikawā i kapa ʻia ʻo Enterohemorrhagic E. coli (EHEC) , a i ʻole Shiga toxin-producing E. coli (STEC) . Hoʻopili kēia ʻano i ka uhi o ko kākou ʻōpū a hana i nā mea ʻawahia i kapa ʻia ʻo Shiga toxins e hoʻoulu ai i ka mumū a me ke kahe koko.

ʻO ke ʻano o "Enterohemorrhagic" ke kahe koko i loko o ka ʻōpū liʻiliʻi. Hiki i ka poʻe e pane nui i ka toxin Shiga ke loaʻa i ka enterocolitis a me ke kahe koko ma nā ʻōpū ʻelua. ʻO kēia ke kumu o ka maʻi diarrhea koko (dysentery) . ʻO kēia maʻi ka mea maʻamau e pili ana i nā keiki ʻōpio a me ka poʻe ʻelemakule .

ʻO ka maʻi Enterocolitis i hoʻoulu ʻia e ka protein meaʻai (FPIES)

He maʻi ʻaleka meaʻai kēia. Hoʻopilikia nui ia i nā keiki ma lalo o ʻelua makahiki. Hoʻoulu ia i ka mumū o ka uhi o ko lākou ʻōpū. ʻO ka 'FPIES' kahi maʻi ʻaleka i hoʻopili ʻole ʻia e IgE . No laila, he ʻokoʻa ia mai nā maʻi ʻaleka ʻē aʻe āu i lohe ai.

I ka hapa nui o nā maʻi ʻaleka, hana kā mākou ʻōnaehana pale i nā antibodies kikoʻī i kapa ʻia ʻo IgE antibodies e kūʻē i ka allergen. Hoʻokumu kēia mau antibodies i kahi hopena koke, e hana ana i nā hōʻailona ma ka ihu, ka puʻu, nā māmā, a me ka ʻili. Eia nō naʻe, i nā maʻi ʻaleka i hoʻopili ʻole ʻia e IgE, ʻaʻole hana ʻia nā antibodies 'IgE'. Akā, hana wale ʻia kahi hopena lohi i loko o nā ʻōpū, e hana ana i nā hōʻailona o ka enterocolitis.

ʻO ka Enterocolitis e pili ana iā Hirschsprung

ʻO kēia ka maʻi Hirschsprung.He pilikia maʻamau a weliweli hoʻi ka maʻi Hirschsprung o kahi kīnā hānau e hoʻopilikia ai i ka ʻōpū nui. Loaʻa i nā pēpē me ka maʻi Hirschsprung kahi hemahema o kekahi mau ʻano cell i loko o ka uhi o ka ʻōpū nui, maʻamau ma kahi hoʻokahi. Pili kēia mau cell i nā ʻūmiʻi ʻiʻo e kōkua ai i ka hoʻoneʻe ʻana i ka ʻōpala ma o ka ʻōpū nui, i kapa ʻia ʻo peristalsis .

Ma kēia wahi me nā ʻāpana ʻole, paʻa ka ʻōpala ma kahi hoʻokahi a ʻaʻole hiki ke neʻe i mua, e hana ana i kahi ālai . Hoʻokumu kēia ālai i kahi kūlana maikaʻi no ka ulu ʻana o ka bacteria. Hohola kēia ulu ʻana o ka bacteria ma loko o nā ʻōpū, a laila e luku ana i ka uhi o ka ʻōpū, e ʻae ana i ka bacteria e komo i kēlā papa. Hiki i kēia mau mea āpau ke kōkua i ka ulu ʻana o ka enterocolitis.

ʻO ka ʻōpū kokoleka Neutropenic

Hoʻopilikia kēia i nā poʻe me ke ʻano i kapa ʻia ʻo neutropenia . ʻO ke ʻano kēia, he haʻahaʻa ko lākou pae ma mua o ka maʻamau o kahi ʻano o nā keʻokeʻo koko keʻokeʻo i kapa ʻia ʻo neutrophils . ʻO kēia mau neutrophils ka mea maʻamau e kōkua i ka pale ʻana iā mākou mai nā maʻi. ʻOi aku ka nui o ka poʻe me ka neutropenia e loaʻa i nā maʻi koʻikoʻi, a hiki nō hoʻi ke hoʻomohala i ka enterocolitis.

Ua loaʻa i nā poʻe he nui me ka neutropenic enterocolitis ka chemotherapy no nā maʻi ʻaʻai koko e like me ka leukemia a me ka lymphoma . Hoʻoulu kēia mau kūlana i ka neutropenia, a hiki i ka chemotherapy ke hoʻonāwaliwali i ka uhi o nā ʻōpū. Eia nō naʻe, hiki nō hoʻi ke hana i nā poʻe me ka neutropenia i hoʻokumu ʻia e nā kūlana ʻē aʻe, e like me ka HIV/AIDS a me nā maʻi autoimmune .

Pehea e hōʻike ʻia ai ka enterocolitis?

ʻO ka ʻoiaʻiʻo, ua like loa nā hōʻailona o ka enteritis, colitis, a me ka enterocolitis. ʻAʻole hiki i ke kauka ke ʻike koke i ka ʻāpana o kou ʻōpū i hoʻopilikia ʻia. Eia nō naʻe, ma muli o kāu mau hōʻailona kino a me nā ʻōuli, e kānalua ʻo ia i ka mumū. A laila, ʻo kāna hana ke ʻike i ke kumu o ia mea. A laila wale nō e hiki ai ke ʻike ʻia ke ʻano kikoʻī o ka enterocolitis.

Hoʻohana nā kauka i nā hoʻāʻo koko, nā hoʻāʻo ʻōpala, a me nā hoʻāʻo kiʻi e ʻike i ke kumu. Hiki i nā hoʻāʻo kiʻi, e like me ka ultrasound ʻōpū a i ʻole CT scan, ke nānā i nā hōʻike o ka mumū i loko o nā ʻōpū a me nā pilikia hiki. Hiki i nā hoʻāʻo koko a me nā hoʻāʻo ʻōpala ke kōkua i ka ʻike ʻana i nā maʻi kikoʻī a i ʻole nā ​​​​maʻi e pili ana.

Pehea e mālama ai nā kauka i ka enterocolitis?

Aia ka lāʻau lapaʻau ma ke kumu. Hiki i ka lāʻau lapaʻau koke ke komo pū me:

• Ke lawelawe nei i nā lāʻau antibiotic , antivirals, a i ʻole nā ​​​​lāʻau antiparasitic e mālama i nā maʻi.
• ʻO ka hoʻolako ʻana i nā wai IV a me nā electrolytes e mālama i ka dehydration i hoʻokumu ʻia e ka maʻi diarrhea a me ka luaʻi ʻana.
• Ke lawelawe ʻana i nā corticosteroids e hōʻemi i ka mumū.
• Ke hāʻawi nei i nā lāʻau hōʻeha.

I kekahi mau hihia koʻikoʻi, pono paha nā maʻi i kēia mau mea:

• ʻO ka wehe ʻana i ke wai, ke kinoea, a i ʻole nā ​​mea paʻa mai nā ʻōpū a i ʻole ka lua peritoneal (drainage) .
• Nā hana ʻoki kino e hoʻoponopono ai i kahi lua i loko o ka ʻōpū, wehe i kahi mea i ālai ʻia, a wehe paha i nā ʻiʻo make.
• ʻO ke ʻoki colostomy manawa pōkole a i ʻole ka ileostomy e hoʻololi i ka hele ʻana o ka meaʻai a hiki i ka ho'ōla ʻana o nā ʻōpū.
• Ke hoʻolako nei i ka meaʻai intravenous (meaʻai IV) .

E ola anei kaʻu pēpē inā loaʻa iā ia ka enterocolitis?

ʻO nā kūlana e hoʻopilikia ana i nā pēpē, ʻoiai ka necrotizing enterocolitis (NEC) a me ka Hirschsprung-associated enterocolitis, hiki ke hoʻoweliweli i ke ola . Eia nō naʻe, me ka ʻike ʻana a me ka mālama ʻana i ka manawa kūpono, hoʻōla ka hapa nui o nā pēpē . Hiki i kekahi ke loaʻa i nā maʻi mau a i ʻole nā ​​​​pilikia lōʻihi ʻē aʻe.

No laila, inā hōʻike kāu keiki liʻiliʻi i kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka. ʻO ka wā mua āu e ʻike ai, ʻo ka maʻalahi ka mālama ʻana.

He aha nā pilikia e hiki mai ana mai ka enterocolitis nui?

Hiki i nā pilikia ke komo pū me:

• ʻO ke koʻikoʻi a me ke ālai ʻana: ʻO ka mumū lōʻihi a me ka hōʻeha ʻana i ka uhi o ka ʻōpū hiki ke alakaʻi i ka ʻōpala. Hiki i kēia ʻiʻo ʻōpala ke hoʻohaiki i ka ʻōpū a hoʻolilo i mea paʻakikī no ka meaʻai paʻa e hele ma waena.
• ʻO ka Ischemia a me ka necrosis: Inā ʻoki ʻia ke kahe koko i ka uhi o ka ʻōpū, hiki i ka ʻiʻo ke make. Pono e wehe ʻia kēia ʻiʻo make e mālama i nā ʻāpana i koe.
• ʻO ka maʻi ʻōpū pōkole: ʻO nā keiki i wehe ʻia kekahi hapa o ko lākou ʻōpū ma muli o nā pilikia e pilikia paha i ka omo ʻana i nā meaola mai ka meaʻai (malabsorption). Hiki i kēia ke alakaʻi i ka ʻai ʻole, ka hiki ʻole ke ulu, a me ka lohi o ka ulu ʻana a me ka hoʻomohala ʻana.
• ʻO Cholestasis: I ka wā o ka enterocolitis, hiki i ka bile ke hōʻiliʻili i loko o nā ʻauwai bile o nā keiki hiki ʻole ke hoʻoheheʻe i ka meaʻai ma ke ʻano maʻamau. Ke kahe ʻole ka bile i loko o nā ʻōpū e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai, hiki iā ia ke hōʻiliʻili a hoʻopūʻiʻi, e hana ana i nā pōhaku gall.Hiki iā ia ke hana i ka bile e piha i loko o ka gallbladder a me ke ake, e hoʻoulu ai i ka mumū.
• ʻO ka perforation intestinal: ʻO ka make ʻana o nā ʻiʻo, ka ʻeha nui, a i ʻole ka hoʻouka kaua bacteria e hiki ai ke uhaki i ka ʻaoʻao o ka ʻōpū a lilo paha i perforated, e ʻae ana i ka bacteria e lele i waho.
• ʻO Septicemia, Sepsis, a me ka haʻalulu: Inā pālahalaha kahi maʻi e puka mai ana mai loko mai o nā ʻōpū i ka lua ʻōpū (peritonitis), hiki iā ia ke pālahalaha i ke kahe koko (septicemia). Hiki i kēia ke hana i ka mumū a me ke koko e pehu ana ma ke kino holoʻokoʻa (sepsis). He pilikia ka Sepsis . I nā hihia koʻikoʻi loa, hiki iā ia ke alakaʻi i ka haʻalulu septic . Hiki i kēia ke hana i ka hāʻule ʻana o nā ʻōpū he nui a me ka make.

ʻO ka mea nui e hoʻomanaʻo (Leka Lawe-Home)

He mea maʻamau ka mumū ʻana o nā ʻōpū, ʻoiai hoʻi i ka pane ʻana i kahi maʻi. Eia nō naʻe, inā pili ia i kou ʻōpū liʻiliʻi a me kou kolona i ka manawa like, ʻo ia hoʻi ka enterocolitis, hiki ke lilo i mea koʻikoʻi iki . Hoʻopilikia pinepine kēia ʻano i ka poʻe me nā ʻōnaehana pale nāwaliwali. No laila, hiki ke ʻoi aku ka weliweli ma mua o ka ʻeha ʻōpū maʻalahi no ka poʻe i ʻike iā ia a me kā lākou poʻe aloha.

Eia nō naʻe, me ke akahele a me ka pane koke ʻana , hiki i nā kauka ke mālama i kēia ma mua o ka ulu ʻana o nā pilikia. Inā he nāwaliwali kou ʻōnaehana pale maʻi a i ʻole kahi mea aloha, he mea nui loa ia e makaʻala i ka pilikia o ka enterocolitis. Inā ʻike ʻoe i kekahi mau hōʻailona, ​​mai hoʻokaʻulua a e ʻimi i ke aʻo lapaʻau. A laila hiki iā mākou ke kāohi i kēia kūlana ma mua o ka lilo ʻana i mea ʻino.

ʻEnterocolitis , maʻi ʻōpū, mumū ʻōpū, maʻi kahe, nā maʻi kamaliʻi, palekana, ʻai ʻana