Ke uē koke nei kāu keiki liʻiliʻi no ka mea he ʻeha kona ʻōpū? Ke hakakā nei ʻo ia me kahi kuni iki, ʻoiai ke ʻae ʻole ʻo ia iā ʻoe e hoʻopā i ka ʻaoʻao ʻākau o kona ʻōpū? I ka manawa e like me kēia, ʻo ka makaʻu nui loa e hiki mai ana i ka manaʻo o kekahi makuahine a makuakāne paha, "ʻAuē, ʻaʻole au i ʻike e pili ana i ka appendicitis." He kūpono kēlā makaʻu. Akā, ʻaʻole ia e lilo i appendicitis. I kēia lā, e kamaʻilio mākou e pili ana i kahi maʻi ʻē aʻe e hōʻike ana i nā hōʻailona, akā ʻaʻole ia he mea weliweli. Kāhea mākou i kēia ʻo Mesenteric Lymphadenitis.
I ka ʻōlelo maʻalahi, he aha ka Mesenteric Lymphadenitis?
ʻAe, he mea paʻakikī paha kēia inoa, akā he maʻalahi loa ka moʻolelo. E wehewehe kākou i kēlā me kēia huaʻōlelo.
- Lymphadenitis: ʻO ke ʻano kēia o ka "pehu ʻana o nā lymph nodes." Ua like nā lymph nodes me nā kiaʻi liʻiliʻi i loko o ka ʻōnaehana pale o ko mākou kino. E like me nā mākaʻi. ʻO kā lākou hana ka hopu ʻana i nā germs, bacteria, a me nā virus e komo i loko o ke kino a kāohi iā lākou mai ka laha ʻana ma ke kino holoʻokoʻa. No laila, ke hakakā mākou i kahi germ, pehu kēia mau nodes a lilo i ʻeha. E like me ka pehu ʻana o nā lymph nodes i loko o ko mākou ʻāʻī.
- Mesenteric: Pili kēia i kahi o kēia mau kelepa. Mālama ʻia nā ʻōpū i loko o ko kākou ʻōpū ma kahi hoʻokahi me ka ʻole o ka lana ʻana a puni, akā ua hoʻonohonoho pono ʻia e kahi membrane i kapa ʻia ʻo "Mesentery" . Hoʻopili ʻia nā ʻōpū i ka paia ʻōpū e like me ka pale. No laila, ʻo ka pehu ʻana o nā kelepa a puni kēia membrane ua kapa ʻia ʻo Mesenteric Lymphadenitis .
I ka ʻōlelo maʻalahi, ʻo kēia ka mumū i hoʻoulu ʻia e ka maʻi bacteria i loko o ka ʻōpū a me nā ʻōpū.
ʻO wai ka mea kūpono loa e loaʻa i kēia maʻi?
ʻIke pinepine ʻia kēia i nā kamaliʻi ʻōpio a me nā mākua ʻōpio , ʻoiai ka poʻe ma lalo o 20 makahiki. He mea kākaʻikahi loa ia i nā mākua.
No ke aha i loaʻa pinepine ai iā lākou nā keiki? Ma muli o ka ulu ʻana o nā ʻōnaehana pale o nā keiki a ke hoʻopilikia mau nei lākou i nā ʻano maʻi like ʻole a me nā bacteria, hana mau nā ʻōnaehana pale o ko lākou kino. No laila, ʻoiai me kahi maʻi liʻiliʻi, ʻoi aku ka nui o ka pehu ʻana o kēia mau ʻōnaehana pale.
He aha nā hōʻailona? No ke aha i huikau ai kēia me ka appendicitis?
ʻO kēia kahi e waiho ai ka ʻāpana koʻikoʻi a weliweli hoʻi. No ka mea, ua like loa nā hōʻailona o kēia maʻi me nā hōʻailona o ka appendicitis. ʻO ke kumu o kēia, ʻo ia ka nui o kēia mau cysts e kokoke loa ana i ka appendix, kahi e loaʻa ai ka appendicitis, ma ka ʻaoʻao ʻākau haʻahaʻa o ka ʻōpū.
E nānā kākou i kēia mau ʻano like a me kekahi o nā ʻokoʻa liʻiliʻi ma ka papa ma lalo nei.
| Hōʻailona | I ke ʻano o ka Lymphadenitis Mesenteric |
|---|---|
| ʻeha ka ʻōpū | ʻIke pinepine ʻia ka ʻeha ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū. I kekahi manawa, hiki ke ʻike ʻia ka ʻeha ma nā wahi ʻē aʻe o ka ʻōpū. |
| kuni | Hiki ke wela ke kino a me ke kuni. |
| Ka luaʻi a me ka nausea | Hiki paha iā ʻoe ke manaʻo i ka luaʻi a i ʻole ka luaʻi. |
| Ka maʻi ʻōpū (ʻeha ʻōpū) | He mea maʻamau nō hoʻi ka hoʻonui ʻana o ka ʻōpū. |
| Nā hiʻohiʻona ʻē aʻe | I ka manawa pinepine, ua loaʻa paha i ke keiki ke anu a ʻeha paha ka puʻu i kekahi mau lā ma mua o kēia ʻeha ʻōpū. |
ʻO ka mea nui loa: No ka mea, ua like loa nā hōʻailona o nā maʻi ʻelua, ʻaʻole hiki ke ʻike ma ka home inā he appendicitis a ʻaʻole paha. No laila, inā loaʻa iā ʻoe ke kuni me ka ʻeha ma ka ʻaoʻao ʻākau o kou ʻōpū, he mea nui e ʻike koke i ke kauka.
No ke aha e pehu ai kēia mau puʻupuʻu? He aha nā kumu?
ʻO ke kumu nui o kēia, he maʻi ia. ʻO ia hoʻi, komo kahi germ i ke kino a hakakā kā mākou ʻōnaehana pale kino iā ia.
Ma muli o nā maʻi
ʻO ka hapa pinepine, ʻo kēia ke kumu o kahi maʻi viral .
- Gastroenteritis: He kūlana kēia a mākou e kapa pinepine ai he "ʻōpū flu," kahi e hoʻoulu ai i ka luaʻi a me ka maʻi diarrhea. Ma muli o ka hoʻopilikia ʻana o kēia maʻi i nā ʻōpū, hiki i ka uhi a puni lākou ke pehu.
- Nā maʻi ʻōnaehana hanu:Hiki ke hana ʻia kēia ʻano e kahi mea e like me ke anu maʻamau a i ʻole ka maʻi ʻāʻī.
I kekahi manawa hiki ke hana ʻia kēia e nā maʻi bacteria .
- ʻO Yersinia enterocolitica: ʻO kēia ka bacteria nui. Hoʻolaha ʻia ia ma o ka ʻiʻo i moʻa ʻole ʻia, ʻoi aku ka puaʻa, a me ka wai haumia.
- Nā bacteria ʻē aʻe: Hiki i kēia mau kelepa ke pehu i nā kūlana e like me ka maʻi tuberculosis a i ʻole ka maʻi HIV.
Ma muli o nā kūlana olakino ʻē aʻe
I ka liʻiliʻi loa, hiki i kēia mau puʻupuʻu ke lilo i hōʻailona o nā maʻi ʻē aʻe. No ka laʻana, i nā maʻi e like me ke kanesa (Lymphoma) a me ka maʻi mumū o ka ʻōpū. Akā, he mea kakaikahi loa kēia, no laila ʻaʻohe pono e hopohopo.
Pehea ʻoe e ʻike ai i kēia, e Kauka?
Ke lawe ʻoe i kāu keiki i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nīnau iā ʻoe i kekahi mau nīnau.
- "I ka manawa hea i hoʻomaka ai ka pilikia?"
- "Aia i hea ka ʻeha?"
- "Ua luaʻi anei ʻoe? Ua ʻeha kou ʻōpū?"
- "Ua anu anei ʻoe ma mua o ka hiki ʻana mai o kēia pilikia?"
A laila e nānā ke kauka i ke keiki, ʻoi aku hoʻi ka ʻōpū , e ʻimi ana i nā wahi ʻeha a me nā pehu o nā nipples.
ʻO ka mea aʻe, he mea nui e hōʻoia ʻaʻole ia he appendicitis, no ka mea, he ʻano maʻi ka appendicitis e pono ai ke ʻoki kino koke. No ka hōʻoia ʻana i kēia, hiki i kāu kauka ke kauoha i kēia mau hoʻokolohua:
- Hoʻāʻo koko (Helu Koko Piha - CBC): Nānā i ka maʻi i loko o ke kino.
- ʻO ke scan ultrasound: ʻO kēia ke ʻano i hoʻohana pinepine ʻia. Hiki iā ia ke ʻike maopopo inā ua pehu ka appendix i loko o ka ʻōpū a inā paha he appendicitis.
- CT Scan: I kekahi manawa, inā ʻaʻole maopopo ka ultrasound scan, hiki ke kauoha ʻia kahi CT scan.
He aha nā lāʻau lapaʻau? He aha kaʻu e hana ai ma ka home?
Eia ka nūhou maikaʻi. No ka hapa nui o nā keiki, hoʻopau wale ʻo Mesenteric Lymphadenitis i loko o 1 a 4 mau pule me ka ʻole o kekahi lāʻau lapaʻau kikoʻī. ʻAʻohe ona hopena lōʻihi.
Eia nō naʻe, e kuhikuhi ke kauka i ka lāʻau lapaʻau e hōʻoluʻolu i ka ʻeha o ke keiki.
- Inā he maʻi bacteria: Inā hōʻoia ʻia e nā hōʻike koko, e hāʻawi ʻia nā lāʻau antibiotic.
- Inā he maʻi viral: ʻAʻohe lāʻau lapaʻau kikoʻī no ia. He hōʻailona ka lāʻau. E hāʻawi ʻia kahi lāʻau hoʻopau ʻeha e like me ka paracetamol no ka ʻeha a me ke kuni.
Aia kekahi mau mea hiki iā ʻoe ke hana i ka wā e mālama ana i kāu keiki ma ka home.
- Hoʻomaha: E hoʻomaha nui i kāu keiki. E hōʻemi i ka pāʻani, ka holo ʻana, a me ka lele ʻana no kekahi mau lā.
- Nā wai:Hiki i ka luaʻi a me ka maʻi pākī ke hoʻomaloʻo i ka wai, no laila e hāʻawi i kāu keiki i nā wai he nui e like me ka wai, ka wai ʻuala, ka porridge, a me ka sopa.
- Hoʻomehana i ka ʻōpū: ʻO ke kau ʻana i kahi ʻōmole wai wela a i ʻole kahi lole wela ma luna o ka ʻōpū e kōkua i ka hoʻomaha ʻana i kekahi o ka ʻeha.
- Nā lāʻau hoʻopau ʻeha: E hāʻawi i nā lāʻau hoʻopau ʻeha i kauoha ʻia e ke kauka i ka manawa kūpono a me ka nui kūpono.
ʻAʻole paha makemake kāu keiki e ʻai ma muli o ka luaʻi. Akā, e hoʻāʻo e hāʻawi i nā meaʻai palupalu, haʻahaʻa ka momona, a maʻalahi ke ʻai ʻia.
Hiki ke pale ʻia kēia mai ka hana ʻana?
ʻAe, hiki iā kākou ke pale aku i kēia ma kekahi ʻano. Hoʻokumu ʻia kēia e nā maʻi, a ʻo ka mea e pono ai kākou e hana, ʻo ia ke pale iā kākou iho mai nā maʻi. ʻO ia hoʻi, ʻo ka maʻemaʻe ka mea nui loa.
| He aha e hana ai | Wehewehena |
|---|---|
| E holoi pinepine i kou mau lima. | E aʻo aku i kāu keiki e holoi pono i ko lākou mau lima me ke kopa ma mua o ka ʻai ʻana, ma hope o ka hoʻohana ʻana i ka lua, a ma hope o ka pāʻani ʻana ma waho. |
| Palekana meaʻai | E holoi pono i kou mau lima ma mua a ma hope o ka lawelawe ʻana i ka ʻiʻo a me ka iʻa maka. E hoʻomoʻa pono i ka ʻiʻo a me ka iʻa, ʻoiai ka puaʻa, a moʻa loa. |
| Nā papa ʻokiʻoki kaʻawale | E mālama i ʻelua papa ʻokiʻoki no ka ʻiʻo maka a hoʻokahi no ka ʻoki ʻana i nā mea kanu a me nā huaʻai. |
| Wai maʻemaʻe | E inu wale i ka wai piula wai a i ʻole ka wai i hoʻolapalapa ʻia. E pale i ka inu ʻana i ka wai pololei mai nā loko, nā muliwai, a me nā ala wai. |
| Ka noho mamao ʻana mai ka poʻe maʻi | E pale i ka launa pū ʻana me ka poʻe maʻi. |
He aha nā manawa koʻikoʻi loa e ʻike ai i ke kauka?
Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, e kelepona koke aku i kāu kauka a i ʻole e hele i ka ʻOihana Hoʻopilikia (ETU) o ka haukapila kokoke loa.
- ʻEha koke a koʻikoʻi o ka ʻōpū.
- Ke kuni nui me ka ʻeha o ka ʻōpū, ka luaʻi mau ʻana a i ʻole ka maʻi pākī.
- Ua nui loa ka ʻeha a ʻaʻole hiki iā ʻoe ke ʻai, hele i ka lua, a hiamoe paha.
- Inā hōʻike ke keiki i kahi loli i ke ʻano, ka hiamoe nui, a i ʻole ke ʻano palaualelo.
E hoʻomanaʻo pono, inā loaʻa i kahi pākeke ma luna o 20 mau makahiki kēia mau hōʻailona, ʻaʻole paha he Mesenteric Lymphadenitis ia. No laila, ʻoi aku ka nui o ka appendicitis. I kēlā hihia, he mea nui e kuhikuhi koke i kahi Emergency Treatment Unit (ETU).
Leka Lawe-Home
- ʻO ka Mesenteric Lymphadenitis kahi pehu ʻana o nā lymph nodes i loko o ka ʻōpū i nā keiki. ʻAʻole kēia he maʻi weliweli.
- Ma muli o ke ʻano like o nā hōʻailona me ka appendicitis, he mea nui e ʻimi i ke kōkua lapaʻau inā loaʻa ka ʻeha ma ka ʻaoʻao ʻākau o ka ʻōpū o kāu keiki a me ke kuni.
- Hoʻokumu pinepine ʻia kēia ʻano e kahi maʻi viral a hoʻopau iā ia iho i loko o kekahi mau pule me ka ʻole o ka mālama kūikawā.
- Hiki ke pale ʻia kēia maʻi ma ka hoʻomaʻamaʻa ʻana i ke olakino maikaʻi a me ka palekana o ka meaʻai.
- Inā ʻike kekahi kanaka makua i kēia mau hōʻailona, e ʻimi koke i ke kōkua lapaʻau no ka mea he pilikia paha ia.
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