Ua pehu ka ʻōpū o kāu keiki liʻiliʻi? E kamaʻilio kākou e pili ana i ka Mesenteric Lymphadenitis!

Ke hoʻopiʻi koke nei kāu keiki i ka ʻeha ʻōpū? Ke luaʻi pū nei ʻo ia me ke kuni i kekahi manawa? ʻO ka makaʻu nui e hiki mai ana i ko mākou manaʻo i kēlā mau manawa, "ʻAuē, he appendicitis anei?" Akā, ʻaʻole nā ​​ʻeha ʻōpū a pau he appendicitis. I kēia lā, e kamaʻilio mākou e pili ana i kahi kūlana like loa me ka appendicitis, akā he ʻokoʻa iki, ʻoi aku hoʻi i nā keiki ʻōpio. ʻO ia ka Mesenteric Lymphadenitis.

He aha kēia lymphadenitis mesenteric?

I ka ʻōlelo maʻalahi, ʻo ka mesenteric lymphadenitis kahi mumū o nā lymph nodes i loko o ko kākou ʻōpū. I kēia manawa ke noʻonoʻo nei paha ʻoe i ke ʻano o kēia mau lymph nodes, a i ʻole e like me kā mākou e kapa mau nei iā lākou, "lumps".

E noʻonoʻo he mau wahi nānā liʻiliʻi i loko o ko kākou kino e hopu ana i nā germs, e like me nā bacteria a me nā virus, e komo ana i loko o ko kākou kino a pale iā lākou mai ka laha ʻana ma ke kino holoʻokoʻa. ʻO ia ka hana a kēia mau lymph nodes. He ʻāpana koʻikoʻi lākou o kā mākou ʻōnaehana pale . ʻOiai he nui lākou e like me ka nui o ka pea, ke loaʻa iā lākou kahi maʻi, hiki iā lākou ke pehu a ʻeha ke hoʻopā ʻia. Ua like kēia me ka pehu ʻana o ka ʻāʻī a me nā armpits.

ʻO ke ʻano o ka huaʻōlelo "mesenteric" ʻo ia hoʻi kēia pehu ʻana ma kahi ʻāpana o ke kino i kapa ʻia ʻo mesentery . ʻO ka mesentery kahi membrane e hoʻopuni ana i ko kākou mau ʻōpū a me ka ʻōpū. No laila, ke pehu nā lymph nodes i loko o kēia mesentery, kapa mākou ia he mesenteric lymphadenitis.

ʻO wai ka mea i ʻoi aku ka paʻakikī ke loaʻa i kēia?

ʻOi aku ka maʻamau o kēia ʻano ma nā keiki ʻōpio a me nā mākua ʻōpio (ma lalo o 20 mau makahiki) . He mea kākaʻikahi loa i nā pākeke ke loaʻa i kēia ʻano. No laila, ke loaʻa i kahi keiki ka ʻeha o ka ʻōpū, pono ʻoe e noʻonoʻo i kēia.

Pehea ka maʻamau o kēia?

ʻAʻole maʻamau loa ka mesenteric lymphadenitis, ʻo ia hoʻi he mea kākaʻikahi . Akā no ka mea, i kekahi manawa e pau ia ma kāna iho, ʻaʻole nui ka poʻe e hele e ʻike i ke kauka. No laila, paʻakikī ke ʻōlelo pololei i ka nui o ka poʻe i loaʻa iā ia.

He aha nā hōʻailona o kēia? Ua like ia me ka appendicitis?

ʻAe, ʻo kēia ka mea nui loa. Ua like loa nā hōʻailona me nā hōʻailona o ka appendicitis . ʻO ia ke kumu he nui ka manawa e huikau ai nā mea ʻelua. E nānā inā loaʻa i kāu keiki kēia mau hōʻailona:

• ʻEha ʻōpū: ʻO ka hapa nui o ka manawa, loaʻa ka ʻeha ma ka ʻōpū lalo, ma ka ʻaoʻao ʻākau o ka ʻōpū.
• ʻO ke kaumaha i ka wā e pā ai i ka ʻōpū.
• Kuni.
• Ka luaʻi a me/a i ʻole ka luaʻi ʻana.
• ʻŌpū ʻeha (diarrhea).

Hiki mai kēia ʻeha ke pehu nā lymph nodes i loko o ka ʻōpū. Eia kekahi, inā he maʻi i loko o nā ʻōpū, hiki iā ia ke hana i nā hōʻailona e like me ka nausea, ka luaʻi ʻana, a me ka diarrhea.

Mea nui:Ua like loa kēia mau hōʻailona me ka appendicitis, no laila he mea nui e ʻike koke i ke kauka inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, ​​​​ʻoiai he ʻano maʻi ka appendicitis e pono ai ka mālama koke ʻana.

No ke aha e kū mai ai ka lymphadenitis mesenteric? He aha nā kumu?

Ua ʻike mākou i kēia manawa ua hoʻokumu ʻia kēia e ka pehu ʻana o nā lymph nodes i loko o ka ʻōpū. No laila, no ke aha e pehu ai kēia mau mea? ʻElua mau kumu nui.

1. Nā maʻi

ʻO ka hapa pinepine, hoʻokumu ʻia kēia e kahi maʻi viral a bacteria paha . Eia kekahi mau laʻana:

• ʻO ka Gastroenteritis: ʻŌlelo pinepine mākou "ʻeha ka ʻōpū" a i ʻole "ʻeha ka ʻōpū." Hiki ke hana i kēia i kahi kūlana e like me kēia.
• Nā bacteria mai ka ʻiʻo a me ka iʻa i moʻa pono ʻole ʻia: ʻO ka bacteria `(Yersinia enterocolitica)` hiki ke hana i kēia.
• Nā maʻi e pili ana i ka maʻi HIV.
• ʻO ka maʻi puʻupuʻu.

2. Nā kūlana mumū ʻē aʻe

I kekahi manawa, hiki ke hana ʻia nā ʻōpū lymph pehu i loko o ka ʻōpū e ka pehu ʻana a i ʻole ka mumū ma kahi ʻē aʻe o ke kino. ʻO ia mau kūlana:

• ʻĀpena: Ua ʻōlelo mua mākou i kēia.
• Kekahi ʻano maʻi kanesa: No ka laʻana, lymphoma a i ʻole ke kanesa ʻōpū.
• ʻO ka diverticulitis.
• Maʻi ʻōpū mumū.
• ʻO ka pancreatitis (ka mumū o ka pancreas).

He maʻi laha kēia?

ʻAʻole laha pololei ka mesenteric lymphadenitis mai ke kanaka a i ke kanaka. Eia nō naʻe, inā i hoʻokumu ʻia e kahi maʻi viral, hiki i kēlā virus ke laha , e like me ke anu.

Pehea e ʻike ai ke kauka i kēia?

Ke lawe ʻoe i kāu keiki i ke kauka, e nānā mua lākou i ke keiki a nīnau e pili ana i ko lākou mōʻaukala olakino. E nīnau pū lākou e pili ana i nā hōʻailona - pehea ka lōʻihi o ko lākou noho ʻana a inā he mau maʻi ʻē aʻe ko lākou ma mua o ka hoʻomaka ʻana o nā hōʻailona. Hiki iā lākou ke kauoha i nā hoʻāʻo koko , ʻoiai ka helu koko piha (CBC).

E like me kaʻu i ʻōlelo ai ma mua, aia ka nui o kēia mau lymph nodes ma kahi like me ka appendix (ma ka ʻaoʻao ʻākau haʻahaʻa o ka ʻōpū). No laila , ua like loa nā hōʻailona o ka mesenteric lymphadenitis me nā hōʻailona o ka appendicitis .

ʻOiai he maʻi ka appendicitis e pono ai ke ʻoki kino ulia pōpilikia, e hoʻāʻo mua ke kauka e hōʻoia ʻaʻole ia.

No kēia, hiki i ke kauka ke hana i nā hoʻokolohua kiʻi, e like me ka ultrasound a i ʻole ka CT scan. Hiki i kēia mau scan ke nānā no nā lymph node pehu i loko o ka ʻōpū a i ʻole no ka appendicitis.

He aha nā lāʻau lapaʻau no kēia?

ʻO ka nūhou maikaʻi, ʻo ka hapa nui o nā keiki me ka mesenteric lymphadenitis e hoʻōla i loko o hoʻokahi a ʻehā mau pule me ka ʻole o kekahi lāʻau lapaʻau kikoʻī . ʻAʻohe hopena lōʻihi ma hope o kēia.

Eia nō naʻe, a hiki i ka wā e ho'ōla pono'ī ai kēia, hiki i ke kauka ke hāʻawi i ke keiki i ka lāʻau lapaʻau e hōʻemi ai i ka ʻeha. Eia kekahi laʻana:

• Lāʻau lapaʻau e hōʻemi i ka ʻeha.
• Inā ʻike ʻia ke kumu he maʻi bacteria, e kuhikuhi ke kauka i nā lāʻau antibiotic .

Eia kekahi, hiki iā ʻoe ke hana i kēia mau mea e mālama ai i nā hōʻailona:

• He mea nui loa ka hoʻomaha maikaʻi .
• I mea e pale aku ai i ka maloʻo ʻana o ka wai ma muli o ka luaʻi ʻana a me ka maʻi pākī, e hāʻawi iā lākou i kahi wai liʻiliʻi e inu mau ai .
• ʻO ka hamo ʻana i ka ʻōpū me kahi ʻōmole wai wela a i ʻole kahi pāpale hoʻomehana hiki ke hāʻawi i ka hōʻoluʻolu mai ka ʻeha o ka ʻōpū.
• Hiki iā ʻoe ke hāʻawi i nā lāʻau ʻeha maʻamau mai ka hale kūʻai lāʻau (ma hope o ke kūkākūkā ʻana me ke kauka).

Hiki ke pale ʻia kēia mai ka hana ʻana?

Hiki iā mākou ke hana i kēia mau mea e pale aku ai i kēia mai ka hiki ʻana mai ma muli o ka maʻi:

• ʻO ka holoi mau ʻana i kou mau lima me ke kopa a me ka wai e hiki ke kōkua i ka pale ʻana i nā maʻi he nui.
• E pale i ka launa pū ʻana me kekahi mea maʻi.

Hiki ke pale ʻia kēia ma ka ʻai ʻana a me ka inu ʻana?

ʻAe, hiki i kekahi ʻano bacteria ke komo ma o ka meaʻai a hoʻoulu i kēia ʻano, no laila e makaʻala i ka wā e hoʻomākaukau ai i ka 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 mālama i nā wahi e hoʻomākaukau ai i ka meaʻai, nā papa ʻokiʻoki, a me nā pahi i maʻemaʻe.
• E kuke pono i ka ʻiʻo maka, ʻoiai ka moa a me ka pipi . ʻOi aku ka maikaʻi o ka kuke ʻana i ka mahana o loko o 165°F (74°C).
• E hoʻokaʻawale i nā papa ʻoki a me nā pahi mai nā mea i hoʻohana ʻia no ke ʻoki ʻana i nā mea kanu.
• E pale i ka inu ʻana i ka wai i mālama ʻole ʻia, ʻoiai ka wai pololei mai nā luawai, nā loko, a me nā kahawai. (E hoʻohana i ka wai i hoʻolapalapa maikaʻi ʻia.)

He aha kāu e manaʻo ai inā loaʻa i kāu keiki kēia maʻi?

Inā loaʻa i kāu keiki ka mesenteric lymphadenitis, hiki iā ia ke ʻeha iki ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū a i ʻole ma kahi ʻē aʻe o ka ʻōpū, a hiki ke manaʻo i ka luaʻi . Hiki ke hele pū kēia ʻeha me nā hōʻailona e like me ke kuni a me ka malaise. Hiki i nā ʻūlū mahana ke kōkua i ka hōʻoluʻolu ʻana i kekahi o ka ʻeha. Inā koʻikoʻi ka ʻeha, hiki i ke kauka ke kuhikuhi i nā lāʻau ʻeha e kōkua i ka hōʻoluʻolu ʻana i ka ʻeha.

He mea nui loa e hāʻawi i kāu keiki i ka nui o ka hoʻomaha i kēia manawa.

Hiki i ke keiki ke nalowale i ka makemake e ʻai ma muli o nā mea e like me ka nausea a me ka luaʻi. Eia nō naʻe, e hōʻoia i loaʻa i ke kino ka meaʻai a me ka wai e pono ai . E hāʻawi i nā meaʻai māmā i nā ʻāpana liʻiliʻi, a hāʻawi pinepine i ka wai a me nā meaʻai māmā.

Pehea ka lōʻihi o kēia?

ʻO ka maʻamau, mau nā hōʻailona ma kahi o hoʻokahi a ʻehā pule.Aia paha ma laila. Ma hope o kēlā, e ho'ōla ia iā ia iho. ʻAʻole ia e hana i nā hopena ʻē aʻe ma hope.

Hiki iaʻu ke hoʻouna i kaʻu keiki i ke kula?

I ka manawa pinepine, maʻi loa nā keiki me ka mesenteric lymphadenitis a paʻakikī iā lākou ke hele i ke kula a i ʻole ke komo ʻana i nā hana maʻamau . He ʻoiaʻiʻo kēia inā loaʻa iā lākou nā hōʻailona e like me ka nausea, ka luaʻi ʻana, a i ʻole ka diarrhea. Ke pau loa nā hōʻailona, ​​hiki i ke keiki ke hoʻi i ke kula a hoʻomau i nā hana maʻamau. Pono paha kekahi mau keiki i kahi hoʻomaha iki a hiki i ko lākou hoʻōla piha ʻana.

I ka manawa hea ʻoe e pono ai e ʻike i ke kauka?

Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka:

• ʻO ka hoʻomaka koke ʻana o ka ʻeha nui o ka ʻōpū. (He appendicitis paha kēia!)
• Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū e hele pū me ke kuni, ka nausea, a me/a i ʻole ka maʻi pākī .
• Inā hoʻopau ka ʻeha i ka makemake, paʻakikī i ka ʻōpala, a hoʻopilikia paha i ka hiamoe .

He aha nā nīnau āu e nīnau ai i ke kauka?

Inā haʻi aku kāu kauka iā ʻoe he mesenteric lymphadenitis kāu keiki, makemake paha ʻoe e nīnau i kekahi mau nīnau e like me:

• Pehea ke koʻikoʻi o kēia kūlana?
• He aha nā pilikia ʻē aʻe e pono ai mākou e makaʻala?
• Pono anei iaʻu e hōʻalo i nā meaʻai, nā mea inu, a i ʻole nā ​​​​hana a hiki i ka hoʻōla ʻana o kaʻu keiki?

No laila, he aha nā mea nui loa e pono ai kākou e hoʻomanaʻo?

ʻAe, ua ʻike nui mākou i kēia manawa e pili ana i ka Mesenteric Lymphadenitis. ʻO ka mea nui loa, hiki ke huikau ʻia me ka appendicitis, no laila he mea nui e loaʻa kahi hōʻailona kūpono .

E hoʻomanaʻo: ʻO ka ʻeha a me ka ʻoluʻolu ʻole i nā keiki me kēia maʻi e nalowale pinepine i loko o kekahi mau pule. I loko o kēia manawa, e hōʻoia e hāʻawi i kāu keiki i ka meaʻai a me nā wai e pono ai lākou. Eia kekahi, he mea nui e ʻike i ke kauka e hōʻoia ʻaʻole ia he pilikia, e like me ka appendicitis.

ʻO ka mea hope loa, inā ʻoe ma luna o 20 mau makahiki a loaʻa iā ʻoe kēia mau hōʻailona (ʻoi aku ka ʻeha ma ka ʻaoʻao ʻākau o lalo o ka ʻōpū), ʻoi aku ka nui o ka appendicitis ma mua o ka mesenteric lymphadenitis. Inā pēlā, e ʻike koke i ke kauka a i ʻole e hele i ka lumi pilikia.

ʻO ka lymphadenitis mesenteric, ka pehu ʻana o ka ʻōpū, nā maʻi kamaliʻi, ka ʻeha ʻōpū, nā hōʻailona o ka appendicitis, nā lymph nodes, ka ʻeha ʻōpū