Ke loaʻa mau nei i kāu keiki liʻiliʻi nā pilikia ʻōpū? He malrotation ʻōpū paha kēia?

Ke uē mau nei kāu keiki liʻiliʻi no ka ʻeha o ka ʻōpū? Manaʻo anei ʻo ia ua piha ʻo ia? I kekahi manawa, luaʻi ʻo ia i ka luaʻi ʻōmaʻomaʻo? Ma ke ʻano he makuahine a he makuakāne paha, he mea maʻamau ke hopohopo nui i nā manawa e like me kēia. ʻOiai ke manaʻo pinepine nei mākou he mau ʻeha ʻōpū maʻamau kēia, i kekahi manawa aia paha ke kumu ma hope o kēia e pono ai mākou e hopohopo iki. No laila, ʻo kekahi kūlana e pono ai mākou e makaʻala, ʻo ia ka torsion ʻōpū, a i ʻole ma ke ʻano lapaʻau, (Malrotation).

I ka ʻōlelo maʻalahi, he aha ka intestinal malrotation?

He huaʻōlelo paʻakikī paha kēia, akā he mea maʻalahi loa ke hoʻomaopopo. He maʻi hānau ʻia ka 'Malrotation'. ʻO ia hoʻi, hana ia i ka wā e noho ana ke pēpē i loko o ka ʻōpū.

E noʻonoʻo e pili ana i ia mea, i ka wā e hana ʻia ai nā ʻāpana kino o ke pēpē, hana mua ʻia nā ʻōpū, a laila pono lākou e ʻōwili maikaʻi a kūpono i ko lākou mau wahi kūpono i loko o ka ʻōpū. ʻO kēia ka mea maʻamau e hana ʻia.

Eia nō naʻe, i ke ʻano o ka Malrotation, ʻaʻole wili pono nā ʻōpū, akā ua kau hewa ʻia. I ka pololei, ʻaʻole i kau pono ʻia nā ʻōpū i loko o ka ʻōpū. Ma muli o kēia, ʻaʻole i hoʻopili pono ʻia nā ʻōpū i ka paia o ka ʻōpū. ʻO kēia ka mea a mākou e kapa nei he Malrotation. ʻAʻole kēia ma muli o kekahi hewa ma ka ʻaoʻao o ke keiki a i ʻole nā ​​mākua.

ʻO ka mea nui, he nui nā keiki me kēia maʻi e pono ai ke ʻoki ʻia e hoʻoponopono i ko lākou ʻōpū. Ke pau kēlā, hiki i ke keiki ke ola i ke ola maʻamau.

He aha ke kūlana weliweli i kapa ʻia ʻo 'Volvulus'?

I ke kamaʻilio ʻana e pili ana i ka 'Malrotation', ʻo ka pilikia ʻē aʻe e pono ai mākou e ʻike ʻo ia ka 'Volvulus'. ʻO kēia ka pilikia nui o ka 'Malrotation'. I ka ʻōlelo maʻalahi, ʻo ia hoʻi, e wili nā ʻōpū a hihia .

E noʻonoʻo e pili ana i kahi paipu wai. He aha ka mea e hana ai inā e kūlou a wili ʻia ka paipu i loko o kahi pōʻai i hoʻokahi manawa? Ua ālai ʻia ke kahe ʻana o ka wai, ʻeā? Pēlā nō hoʻi ka mea e hana nei ma ʻaneʻi.

ʻO ka malrotation kahi kūlana kahi i hoʻonoho pono ʻole ʻia ai nā ʻōpū i loko o ka ʻōpū, no laila hiki ke maʻalahi lākou e hihia pū. Ke hana ʻia kēia, ʻelua mau pilikia nui e kū mai:

1. Ka ālai ʻana o ka ʻōpū: Ua ālai loa ʻia ka neʻe ʻana o ka meaʻai i ʻeli ʻia ma o nā ʻōpū. Ua kapa ʻia kēia he "ālai ʻana o ka ʻōpū".

2. Ke kū ʻana o ke kahe koko: ʻO ka mea ʻoi aku ka weliweli, ʻo ia ka paʻa ʻana o nā kīʻaha koko e hoʻolako ana i ke koko i ka ʻōpū i kēia wili ʻana. A laila, ʻaʻole lawa ke koko i kēlā ʻāpana o ka ʻōpū, a hoʻomaka kēlā ʻāpana e make.

ʻO kēia kūlana i kapa ʻia ʻo 'Volvulus' he kūlana ia e pono ai ke ʻoki kino ulia pōpilikia.(he pilikia ʻoki kino). No ka mea, inā ʻaʻole mālama ʻia, hiki ke loaʻa nā pilikia koʻikoʻi e hoʻoweliweli ana i ke ola e like me ka make ʻana o ka ʻōpū, ka perforation, peritonitis, sepsis, a me ka haʻalulu.

He aha nā hōʻailona o kēia maʻi? Pehea mākou e ʻike ai?

ʻAʻole paha e hōʻike kekahi mau keiki i kekahi mau hōʻailona ke loaʻa wale iā lākou ka 'malrotation'. Eia nō naʻe, ʻike koke ʻia nā hōʻailona ke loaʻa ka 'volvulus'. ʻOi aku ka maʻamau o kēia mau hōʻailona i nā keiki ma lalo o 5 mau makahiki, ʻoi aku hoʻi i loko o ka mahina mua o ke ola.

E nānā kākou pehea e ʻokoʻa ai kēia mau ʻano no nā pēpē a me nā keiki makua.

Nā ʻano o nā keiki ma luna o hoʻokahi makahiki

ʻOkoʻa iki paha nā hōʻailona i nā keiki makua. Ua hōʻike kekahi mau noiʻi ʻaʻole nui ka luaʻi ʻana o nā keiki ma luna o 2 mau makahiki i ka ʻōmaʻomaʻo. Loaʻa pinepine iā lākou ka ʻeha ʻōpū a me ka luaʻi he kala maʻamau.

No ke aha lā kēia e hana nei? He aha ke kumu?

ʻO kaʻoiaʻiʻo, ʻaʻole ʻike nā kānaka noiʻi i ke kumu pololei o kēia. ʻO ka mea a mākou e ʻike ai, he maʻi hānau ʻia ia. Hoʻomaka ka hana ʻana o nā ʻōpū o kahi fetus ma kahi o ka pule 10 o ka hāpai ʻana. No laila, no kekahi kumu i loko o kēia kaʻina hana, ʻaʻole i hana pono ʻia kēia mau ʻōpū. Ke hoʻomau nei ka noiʻi ʻana e ʻike i ke kumu pololei.

Pehea e ʻike ai nā kauka i kēia maʻi?

Inā loaʻa i kāu keiki nā hōʻailona i luna, ke hele ʻoe e ʻike i ke kauka, e nānā pono mua ʻo ia i ke keiki. E hoʻopā ʻo ia i ka ʻōpū o ke keiki a nānā i ka pehu a i ʻole ka ʻeha.

A laila, no ka hōʻoia ʻana i ka hōʻailona, ​​ua kauoha ʻia kekahi mau hoʻokolohua e hiki ai ke kiʻi i nā kiʻi o loko o ka ʻōpū. ʻO nā mea nui:

• ʻO ke kiʻi ultrasound ʻōpū
• Nā kukuna X e hoʻohana ana i kahi mea fluorescent (ʻokoʻa)

Hiki i kēia mau hoʻokolohua ke ʻike maopopo i ke kūlana o nā ʻōpū a inā paha he mea keakea i loko o ka paipu meaʻai.

Pehea e mālama ʻia ai? Pono anei ke ʻoki kino?

ʻAe, ʻo nā keiki me ka Malrotation maʻamau e hana ʻia ke ʻoki kino. ʻO ka pahuhopu nui o kēia ʻoki kino, ʻo ia ka wehe ʻana i nā ʻōpū i wili ʻia a hoʻonoho hou iā lākou i nā wahi kūpono i loko o ka ʻōpū.

ʻElua mau ʻano hana ʻoki kino nui i hoʻohana ʻia no kēia:

1. Ke kaʻina hana a Ladd: ʻO kēia ke kaʻina hana i hoʻohana pinepine ʻia. Ma kēia kaʻina hana, ʻoki ke kauka lapaʻau i nā kaula ʻokoʻa o nā ʻiʻo e hoʻopaʻa ana i nā ʻōpū. A laila wehe ʻia nā ʻōpū i wili ʻia a hoʻololi hou ʻia. Hiki ke hana ʻia kēia kaʻina hana ma ke ʻano he ʻoki hāmama a laparoscopically paha. Eia nō naʻe, aia kahi pilikia kakaikahi loa o ka wili hou ʻana o nā ʻōpū (recurrent volvulus) ma hope o kēia kaʻina hana.

2. Ke kaʻina hana a Kareem: He kaʻina hana hou kēia. Ma kēia kaʻina hana, ua hoʻohuli piha ʻia nā ʻōpū i ke kūlana kūpono a hoʻopaʻa ʻia i ka paia ʻōpū. Manaʻo ʻia kēia e hōʻemi i ka pilikia o ka wili hou ʻana o nā ʻōpū.

E kūkākūkā ke kime lapaʻau me ʻoe i ke kaʻina hana ʻoki kūpono loa no ke kūlana o kāu keiki.

I kekahi manawa, ma muli o ka nui o ka hōʻino ʻana i ka ʻōpū, pono e hana ʻia nā hana hou aʻe ma waho aʻe o ke ʻoki ʻana.

• Ka wehe ʻana i kahi ʻāpana i hōʻino ʻia o ka ʻōpū.
• He puka no ka manawa pōkole a mau loa paha i loko o ka ʻōpū e ʻae ai i ka ʻōpala e hele i loko (Colostomy).
• Ka wehe ʻana i ka appendix (no ka mea, ua loli ke kūlana o nā ʻōpū, e paʻakikī ai ke ʻike i ka appendicitis i ka wā e hiki mai ana).

He ʻoiaʻiʻo he mea weliweli loa ke ʻoki kino ulia pōpilikia no ka makuahine a makua paha. Akā e hoʻomanaʻo, aia kāu keiki ma ka lima o kahi hui lapaʻau akamai. E kamaʻilio me lākou e pili ana i nā nīnau a hopohopo paha āu. E wehewehe lākou i nā mea āpau iā ʻoe.

Āhea mākou e ʻike ai i ke kauka? Āhea mākou e hele ai i ka ETU?

ʻO kēia ka ʻāpana koʻikoʻi loa. Inā he kānalua iki kou e pili ana i kekahi mea me kāu pēpē, mai kali a ʻōlelo, "E maikaʻi wale nō kēia." ʻOi loa aku i nā kūlana e like me 'Malrotation', hiki i ke komo mua ʻana ke hoʻopakele i ke ola o ka pēpē.

I ka manawa hea e ʻike ai i kāu kauka:

Inā loaʻa i kāu keiki nā hōʻailona ma lalo nei, e ʻike i ke kauka pediatric.

• Ka luaʻi hou ʻana (ʻoiai inā he maʻamau ke kala).
• Inā ʻoe e kamaʻilio mau e pili ana i ka ʻeha o ka ʻōpū.
• Inā ʻaʻole e piʻi pono ke kaumaha o ke keiki.

E hoʻomanaʻo, ʻaʻole i hoʻokumu mau ʻia kēia mau hōʻailona e ka 'Malrotation'. Hiki nō hoʻi ke kumu o kekahi maʻi ʻē aʻe, e like me ka 'Reflux'. ʻOiai ke kumu, ʻoi aku ka maikaʻi o ka nānā ʻana e ke kauka.

I ka manawa hea e hele koke ai i ka Emergency Treatment Unit (ETU):

Inā loaʻa kekahi o kēia mau hōʻailona, ​​e lawe koke i ke keiki i ka haukapila kokoke loa ʻo Emergency Department (ETU) . He mau hōʻailona weliweli paha kēia o kahi maʻi i kapa ʻia ʻo 'Volvulus'.

ʻAʻole hiki ke pale ʻia kēia kūlana?

ʻOiai he maʻi hānau ʻia ʻo 'Malrotation' a ʻaʻole ʻike ʻia ke kumu pololei, ʻaʻohe ala e pale aku ai. Eia kekahi, ʻaʻole hiki ke pale ʻia ke kūlana 'Volvulus' i loaʻa mai ia mea.

Eia nō naʻe, ʻo ka mea maikaʻi loa hiki iā mākou ke hana, ʻo ia ke hana koke i ka wā e ʻike ʻia ai nā hōʻailona . Hiki i kēia ke hōʻemi nui i ka pilikia o nā pilikia koʻikoʻi.