Loaʻa i kāu keiki liʻiliʻi nā maʻi ʻōnaehana mimi hou? (Nā maʻi urinary hou) E kamaʻilio kākou e pili ana i kēia!

Ke ʻōlelo nei kāu keiki i kekahi manawa, "Māmā, ʻeha ke mimi ʻoe"? A i ʻole pono ʻo ia e mimi pinepine ma mua o ka maʻamau? Ua loli anei ke kala a me ke ʻala o kona mimi ? He mau hōʻailona paha kēia o nā maʻi ʻōpū mimi , a i ʻole nā ​​​​UTI. ʻOi aku ka maʻamau o kēia ʻano i nā keiki ʻōpio, ʻoiai nā kaikamahine a me nā keikikāne i ʻoki ʻole i ko lākou ʻili mua. E kamaʻilio kākou e pili ana i kēia i kēia lā.

He aha nā maʻi ʻaʻai mimi (UTI)? He aha nā UTI e hoʻi hou ana?

I ka ʻōlelo maʻalahi, ʻo nā maʻi ʻaʻai mimi (UTI) he mau maʻi ia e kū mai ana i ka wā e komo ai ka bacteria i kā mākou ʻōnaehana mimi, ʻo ia hoʻi, nā puʻupaʻa, nā ureters, ka bladder, a i ʻole ka urethra.

ʻAʻole loaʻa i kekahi mau keiki kēia mau maʻi ʻōnaehana mimi i hoʻokahi manawa wale nō, hoʻi hou mai lākou . ʻO ia ka mea a mākou e kapa nei he mau UTI hou . Inā ʻaʻole mālama pono ʻia kēia mau mea, hiki iā lākou ke hōʻino i nā puʻupaʻa, ʻoiai hoʻi i nā keiki ma lalo o 6 mau makahiki. No laila, he mea nui loa ka ʻike ʻana i nā hōʻailona o kēia mau maʻi a kōkua i kāu keiki.

He aha nā hōʻailona o nā maʻi ʻōpū mimi?

Hiki i nā hōʻailona o ka maʻi urinary tract ke komo pū me:

• ʻEha a wela paha ke ʻano o ka mimi ʻana .
• Pono ke keiki e mimi pinepine.
• ʻO kahi loli o ke kala (e.g., melemele ʻeleʻele, ʻano koko ) a i ʻole ke ʻala (ʻala iʻa) o ka mimi .
• Kuni .
• Ke anu nei a me ka haʻalulu.
• ʻAʻohe ʻono o ka meaʻai .
• Ka luaʻi, a malia paha ka luaʻi ʻana.
• Loaʻa ka ʻeha ma ka ʻōpū lalo.
• Ke manaʻo nei i ka ʻeha a i ʻole ka ʻoluʻolu ʻole ma ke kua lalo.

I kekahi manawa, ʻoiai ke keiki i noho maikaʻi ma mua, hiki ke hoʻomohala i ka pulu moe a i ʻole ka pulu ʻana i ko lākou lole ke loaʻa iā lākou kahi maʻi mimi. Hiki i nā pēpē ʻōpiopio a me nā kamaliʻi ke hōʻike wale i nā hōʻailona maʻamau e like me ke kuni , ka luaʻi ʻana, ka nalowale o ka makemake, a i ʻole ka emi ʻana o ka hana. No laila, pono mākou e makaʻala loa e pili ana i kēlā mau loli i nā keiki ʻōpio.

Aia kekahi mau ʻano maʻi ʻōpū mimi?

ʻAe, aia kekahi mau ʻano maʻi ʻōpū mimi. ʻO nā ʻano maʻamau:

• Cystitis: ʻO kēia ke ʻano maʻamau o ka maʻi urinary tract . I ka ʻōlelo maʻalahi, he maʻi ia o ka ʻōpū mimi. Nā germsHana ʻia kēia i ka wā e piʻi ai ka mimi i ka urethra (ka ʻōmole e lawe ana i ka mimi mai ka ʻōpū mimi) a komo i loko o ka ʻōpū mimi.
• Urethritis: He maʻi kēia o ka urethra.
• Pyelonephritis : He maʻi puʻupaʻa kēia. Hiki ke hana ia i ka wā e holo hou ai ka mimi i loaʻa i ka maʻi i ke ala mimi mai ka ʻōpū mimi a i nā puʻupaʻa, a i ʻole i ka wā e laha ai kahi maʻi i loko o ke koko i nā puʻupaʻa. He kūlana koʻikoʻi kēia.

He aha nā kūlana ʻē aʻe e hiki ai ke hoʻoulu hou i nā maʻi urinary tract?

Hiki ke hoʻopili ʻia nā maʻi ʻōnaehana mimi hou i kekahi manawa me nā kūlana olakino ʻē aʻe. Eia kekahi mau laʻana:

• ʻO Vesicoureteral Reflux (VUR): Loaʻa kēia maʻi i 30%–50% o nā keiki i loaʻa i nā maʻi ʻōnaehana mimi. He maʻi hānau kēia. Ma kēia maʻi, kahe ka mimi mai ka ʻōpū mimi i hope i luna o nā ureters (nā ʻōmole lahilahi e lawe ana i ka mimi mai nā puʻupaʻa a i ka ʻōpū mimi), i kekahi manawa a hiki i nā puʻupaʻa . Inā loaʻa i kēia mimi hope nā germs, hiki iā ia ke hana i kahi maʻi puʻupaʻa i kapa ʻia ʻo pyelonephritis.
• Hydronephrosis: ʻO kēia ka wā e pehu ai kekahi a i ʻole nā ​​puʻupaʻa ʻelua. ʻO kēia no ka mea ʻaʻole hiki i ka mimi ke kahe pono, e hoʻoulu ai i ka hoʻihoʻi ʻana a hōʻiliʻili i loko o nā puʻupaʻa. Hiki ke hana ʻia kēia e ka VUR koʻikoʻi a i ʻole kahi poloka i loko o ka ureter. Pono paha kekahi mau keiki me ka hydronephrosis e lawe i nā lāʻau antibiotic haʻahaʻa i kēlā me kēia lā e pale aku i nā maʻi ʻōnaehana mimi a hiki i ka hoʻomaikaʻi ʻana o ke kūlana kumu a i ʻole e hoʻoponopono ʻia me ke ʻoki kino.

Eia nō naʻe, ʻaʻole i loaʻa mau nā maʻi ʻōnaehana mimi i kēia mau pilikia kūkulu i loko o ke kino.

Eia kekahi laʻana, ʻo ka hana ʻole o ka mimi ʻana - kahi e hoʻomaha pono ʻole ai nā ʻiʻo e pono ai e hoʻokahe i ka ʻōpū mimi i ka wā e mimi ai ke keiki - he kumu maʻamau ia o nā maʻi ʻaʻai mimi. ʻO ka mimi pinepine ʻole a me ka paʻa ʻana o ka ʻōpū e hoʻonui pū i ka pilikia o nā maʻi hou.

I ka manawa kākaʻikahi, ʻo nā kūlana pili ʻole, e like me nā maʻi o ka ʻōnaehana pale e hōʻino i nā pale kūlohelohe o ke kino, hiki ke hana hou i nā UTI. Eia kekahi, ʻo ka hoʻohana ʻana i kahi catheter urinary nonsterile hiki ke ʻae i nā germs e komo i loko o ke ala urinary a hoʻoulu i ka maʻi.

Pehea e ʻike ʻia ai nā ʻano like ʻole i loko o ka ʻōnaehana urinary?

Inā loaʻa i kahi keiki nā maʻi ʻōnaehana mimi e hoʻi hou ana, he mea nui e noiʻi inā he pilikia ma lalo o ka ʻōnaehana mimi . ʻOi aku ka maikaʻi o ka kuhikuhi ʻana i nā keiki me nā maʻi e hoʻi hou ana i kahi urologist pediatric e hoʻoholo ai i ke kumu o nā maʻi.

Hiki ke ʻike ʻia kekahi mau pilikia ma mua o ka hānau ʻana . No ka laʻana, hiki ke ʻike ʻia kahi maʻi i kapa ʻia ʻo hydronephrosis e ulu ana ma mua o ka hānau ʻana ma kahi ultrasound i ka wā mua o 16 mau pule. He mea kākaʻikahi loa, inā pili ka hydronephrosis i nā puʻupaʻa ʻelua a he mea weliweli i ka fetus, hiki i nā kauka ke noʻonoʻo i ke ʻoki kino neonatal. Eia naʻe, ʻo ka hapa pinepine, mālama nā kauka i ke ʻano ma hope o ka hānau ʻana o ka pēpē. Ma kahi o ka hapalua o kēia mau maʻi i ʻike ʻia ma mua o ka hānau ʻana e nalo aku i ka manawa e hānau ai ka pēpē.

Hopohopo nui nā kauka e pili ana i ke koko o kahi pēpē hānau hou i manaʻo ʻia he hydronephrosis a i ʻole kekahi ʻano ʻē aʻe o ke ala mimi. ʻO kēia no ka mea hiki i kekahi mau pilikia puʻupaʻa ke hoʻoulu i ke koko kiʻekiʻe. Hiki iā lākou ke kauoha i kahi ultrasound e kiʻi i kahi kiʻi maopopo o ka ʻōpū mimi a me nā puʻupaʻa. Inā ʻike ʻia ke ʻano e pili ana i nā puʻupaʻa ʻelua, hiki i nā kauka ke kauoha i nā hoʻāʻo koko e nānā i ka hana maikaʻi o nā puʻupaʻa.

He aha nā hoʻokolohua e hana ʻia?

Inā he kānalua no kahi mea ʻē i loko o ka ʻōnaehana urinary, hiki i nā kauka ke kauoha i nā hoʻokolohua e like me kēia e hana i kahi hōʻoia pololei:

• Ultrasound: Hoʻohana kēia i nā nalu kani alapine kiʻekiʻe e hana i nā kiʻi o loko o ke kino. Hiki iā ia ke ʻike i nā pilikia me nā puʻupaʻa, nā ureters, a me ka ʻōpū mimi. Hiki iā ia ke ana i ka nui a me ke ʻano o nā puʻupaʻa.
• ʻO Renal Scan (Nuclear Scan): Pili kēia i ka hoʻokomo ʻana i kahi mea radioactive i loko o kahi aa a nānā iā ia e neʻe ana ma o ka ʻōnaehana urinary. Hōʻike kēia mea i ke ʻano o nā puʻupaʻa, pehea ka maikaʻi o kā lākou hana, inā he pōʻino i nā ʻiʻo puʻupaʻa, a pehea ke kahe ʻana o ka mimi. ʻOiai ua omo ʻia kahi liʻiliʻi o ka radiation i ka wā o kēia hoʻāʻo, ua hoʻokuʻu ʻia i loko o ka mimi.
• ʻO ka Voiding Cystourethrogram (VCUG a i ʻole Cystogram): Pili kēia i ke komo ʻana i kahi catheter (he ʻōmole palupalu, hakahaka) i loko o ka ʻōpū mimi a me ka hoʻokomo ʻana i kahi dye opaque ma o ia mea, a ukali ʻia e kahi X-ray. Hiki i kēia ke kōkua i ka ʻike ʻana i ka VUR a ʻike i nā pilikia me ka ʻōpū mimi a i ʻole ka urethra.
• ʻO ka Ultrasonography Voiding Hoʻonui Hoʻohālikelike (CeVUS):Ua like me `(VCUG)`. Ma kēia, ua hoʻokomo ʻia kahi catheter a ua hoʻopiha ʻia ka ʻōpū mimi me kahi wai i ʻike ʻole ʻia me nā kukuna X, akā me `(Ultrasound).` Inā ʻike ʻia kēia wai ma kahi kokoke i nā puʻupaʻa, ʻo ia hoʻi ke kahe nei ka mimi i hope (reflux).
• Cystoscopy: Pili kēia i ke komo ʻana i kahi mea i kapa ʻia he cystoscope (he ʻōmole me kahi aniani a me ke kumu kukui) ma o ka urethra e nānā pololei i loko o ka ʻōpū mimi. Hoʻohana ʻia ia ke hōʻike nā hoʻokolohua a i ʻole nā ​​​​hōʻailona ʻē aʻe he ʻano ʻē paha i loko o ka ʻōpū mimi.
• ʻO Magnetic Resonance Urography (MR-U): Hoʻohana kēia kaʻina hana i kahi scan MRI o ka ʻōnaehana mimi me ka hoʻohana ʻole ʻana i nā kala a i ʻole nā ​​​​mea radioactive. Ua like ka pololei me nā scan ʻē aʻe. Hoʻohana pinepine ʻia ia ma kahi o kahi Intravenous Pyelogram.
• Intravenous Pyelogram (IVP): Hoʻokomo ʻia kahi dye opaque i loko o kahi aa, a laila lawe ʻia kahi X-ray e ʻike pehea e hele ai ka dye ma o ka ʻōnaehana mimi. Hoʻohana ʻia kēia hoʻāʻo i kekahi manawa, akā ua pani ʻia i nā hihia he nui e Renal MRI a me Renal Scan.

Pehea e mālama ʻia ai nā maʻi ʻōnaehana mimi e hoʻi hou ana?

ʻO ka lāʻau no nā maʻi ʻōpū mimi e kū hou ana ma muli o ke kumu . I kekahi manawa, hiki ke maʻalahi e like me ke aʻo ʻana i kāu keiki e hoʻokahe i ko lākou ʻōpū mimi i ka wā e manaʻo ai lākou e mimi .

Akā inā ua hoʻokumu ʻia ka maʻi e kahi kūlana e like me VUR, ʻoi aku ka paʻakikī o ka hoʻonā. Pono e nānā pono ʻia nā keiki me VUR, no ka mea hiki ke alakaʻi i nā maʻi puʻupaʻa (pyelonephritis) a me ka hōʻino ʻana o nā puʻupaʻa. Akā ʻo ka hapa nui o nā keiki e hoʻopau i ke kūlana i ko lākou wā ʻelemakule . Pono paha kekahi poʻe i ke ʻoki ʻana e hoʻoponopono i ka reflux.

Loaʻa i kekahi mau keiki me VUR ka pōmaikaʻi mai ka lawe ʻana i kahi mahele liʻiliʻi o nā antibiotics i kēlā me kēia lā. Hiki paha i kēia ke pale i ka pono no ke ʻoki kino. Pono e kuhikuhi ʻia nā keiki me VUR i kahi urologist pediatric nāna e hoʻoholo inā ʻo ka lāʻau antibiotic ke koho maikaʻi loa.

I kekahi mau hihia, pono ke ʻoki kino e hoʻoponopono i ka VUR. ʻO ke ʻoki kino maʻamau i kapa ʻia ʻo ureteral reimplantation . Pili kēia i ke kau hou ʻana i kekahi a i ʻole nā ​​ureters ʻelua i ke ʻano e pale ai i ka mimi mai ke kahe ʻana i hope mai ka ʻōpū mimi. Pono kēia ʻoki kino i kahi ʻoki liʻiliʻi wale nō. No kekahi mau keiki, hiki ke hana ʻia me ka hoʻohana ʻana i kahi laparoscopy robotic-assisted. Inā pono ke ʻoki kino, kiʻekiʻe ka helu holomua. Eia naʻe, ʻaʻole kūpono ia no nā mea āpau.

Hiki ke kūpono ke ʻoki ʻana i ka ureteral reimplantation no nā keiki nāna:

• Inā he maʻi ʻaʻai kou i nā antibiotics.
• Inā hoʻomau ʻoe i ka loaʻa ʻana o nā maʻi i nā manawa he nui ʻoiai ʻoe e lawe ana i nā antibiotics.
• Inā loaʻa iā ʻoe ka reflux urinary koʻikoʻi, a i ʻole "kiʻekiʻe".
• ʻO nā keiki ʻelemakule, ʻo ia hoʻi nā keiki ʻōpio a me nā ʻōpio, loaʻa iā lākou ka hoʻōki ʻana i ka mimi.

ʻO kahi koho ʻē aʻe i ka hoʻokomo hou ʻana o ka ureter ʻo ia ka inikini endoscopic . Pili kēia i ka inikini ʻana i kahi mea kūikawā i loko o kahi e komo ai ka ureter i loko o ka ʻōpū mimi e pale aku ai iā VUR. Ma kēia kaʻina hana, hoʻokomo ʻia kahi ʻōmole lahilahi i kapa ʻia ʻo endoscope ma o ka urethra i loko o ka ʻōpū mimi. Loaʻa i ka endoscope kahi kāmela liʻiliʻi ma ka hopena, no laila hiki i ke kauka lapaʻau ke alakaʻi iā ia i kahi kikoʻī a inikini i ka mea. Kōkua kēia i ka pale ʻana i ka mimi mai ke kahe ʻana i loko o nā puʻupaʻa. ʻOiai ʻoi aku ka liʻiliʻi o ka invasive o ka inikini endoscopic ma mua o ke ʻoki ʻana, ʻaʻole maikaʻi nā hopena e like me ke ʻoki ʻana. Hiki i kahi urologist pediatric ke kōkua i nā ʻohana e hoʻoholo i ka lāʻau lapaʻau maikaʻi loa no kahi keiki me VUR.

Loaʻa i kekahi mau keiki nā maʻi e hoʻi hou ana ʻaʻole i hoʻokumu ʻia e kekahi mau kīnā anatomical a i ʻole nā ​​​​pilikia ʻē aʻe e hiki ke mālama ʻia. Pono paha kēlā mau keiki e lawe i nā antibiotics no nā mahina, a hiki i nā makahiki, e pale aku i ka maʻi hou. Ua kapa ʻia kēia lāʻau lapaʻau he prophylaxis antibiotic hoʻomau .

Pehea ʻoe e kōkua ai ma ke ʻano he makua?

ʻO ka hana ʻana i kēia mau mea ma ka home e hiki ke kōkua i ka pale ʻana i nā keiki mai ka loaʻa hou ʻana o nā maʻi urinary tract:

• Inu wai: E paipai i kāu keiki e inu i 8-10 mau kīʻaha wai a me nā wai ʻē aʻe i ka lā. Ua ʻōlelo pinepine ʻia ka wai cranberry a me ka cranberry extract no ka mea ua manaʻo ʻia e kōkua lākou i ka pale ʻana i ka bacteria E. coli mai ka pipili ʻana i nā paia o ka ʻōpū mimi. Eia nō naʻe, e nīnau mau i kāu kauka inā he mea maikaʻi i kāu keiki ke inu i ka wai cranberry a i ʻole ka extract, no ka mea hiki iā lākou ke launa pū me kekahi mau lāʻau lapaʻau.
• Nā hana maikaʻi no ka lua: ʻO ka mimi pinepine ʻana a me ka pale ʻana i ka paʻa ʻana o ka ʻōpū hiki ke kōkua i ka pale ʻana i ka maʻi hou.
• ʻAʻohe ʻauʻau pehu: E pale i ka hoʻohana ʻana i nā ʻauʻau pehu a me nā kopa ʻala i nā keiki, no ka mea hiki iā lākou ke hoʻolilo i ka urethra i mea ʻoi aku ka maʻalahi.
• E hoʻololi pinepine i nā diaper: Pono e hoʻololi pinepine ʻia nā diaper. Inā noho lōʻihi ka ʻōpala ma ka ʻāpana genital, hiki iā ia ke hoʻokuke i nā germs i luna o ka urethra a i loko o ka ʻōpū mimi.
• Ka hoʻomaʻemaʻe kūpono: Pono nā kaikamāhine e holoi mai mua a i hope ma hope o ka hoʻohana ʻana i ka lua. E kōkua kēia i ka pale ʻana i ke ala mimi mai nā huakini i loko o nā ʻōpala e hiki ai ke hoʻoulu i nā maʻi ala mimi.
• Nā lole komo pulupulu:ʻO ke komo ʻana i nā lole komo pulupulu e hanu ana ʻaʻole ia e hoʻoulu i nā germs e ulu kokoke i ka urethra ma mua o ke komo ʻana i ka nylon a i ʻole nā ​​​​lole synthetic ʻē aʻe.
• Ka hele mau ʻana i ka lua: Hiki i kekahi mau keiki ke kānalua e hoʻohana i ka lua o ke kula. A i ʻole ua paʻahana loa lākou i ka hana a i ʻole ka pāʻani ʻaʻole hiki iā lākou ke mimi . Pono nā keiki me nā maʻi ʻōpū mimi e mimi ma ka liʻiliʻi i kēlā me kēia 3 a 4 mau hola . Kōkua kēia i ka hoʻopau ʻana i nā germs ma o ke ala mimi.

Āhea wau e ʻike ai i ke kauka?

Inā manaʻo ʻoe he maʻi ʻaʻai mimi kāu keiki, e ʻike koke i kāu kauka . Hiki i kāu kauka ke paipai i kahi hoʻāʻo mimi ʻē aʻe ma hope o ka lāʻau lapaʻau e hōʻoia ua nalowale loa ka maʻi.

Inā loaʻa i kāu keiki nā maʻi ʻōnaehana mimi e hoʻi hou ana, e ʻike pono i kahi urologist pediatric. Hiki iā ia ke hana i kahi loiloi piha a kauoha i nā hoʻokolohua e nānā i nā mea ʻino i loko o ka ʻōnaehana mimi. I kēia manawa, e hahai pono i nā ʻōlelo a kāu kauka no ka mālama ʻana i kahi maʻi ʻōnaehana mimi.

He mea liʻiliʻi e pili ana i ka wā e hiki mai ana

Ua ʻike ʻia nā noiʻi hou aku nei he haʻahaʻa paha nā pae o kekahi mau ʻano immunoglobulins (kahi hui o nā protein e hakakā ana i ka maʻi) i nā wāhine a me nā keiki i loaʻa hou i nā maʻi mimi. Manaʻo kekahi poʻe noiʻi e hiki ke hoʻomohala ʻia kahi lāʻau pale e hiki ke hoʻonui i ka hana ʻana o nā antibodies e hakakā ana i nā maʻi mimi. Ke hoʻāʻo ʻia nei kahi lāʻau pale e pale aku iā E. coli, ka bacteria e hoʻoulu pinepine ai i nā maʻi mimi.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

ʻAe, mai nā mea a mākou i kamaʻilio ai i kēia lā, pono ʻoe e hiki ke hoʻomaopopo i ke ʻano o nā maʻi ʻōpū mimi i nā keiki liʻiliʻi, nā mea e hana ʻia ke hoʻi hou mai lākou, a me nā mea e hana ai. ʻAʻohe mea e makaʻu ai, akā pono ʻoe e makaʻala .

• E hoʻomaopopo i nā hōʻailona: E nānā i nā hōʻailona e like me ka ʻeha i ka wā e mimi ai , ka mimi pinepine ʻana, a me ke kuni.
• E ʻike koke i ke kauka : Inā he kānalua kāu, e ʻike koke i ke kauka.
• E nānā i nā kumu kumu: Inā loaʻa iā ʻoe nā maʻi e hoʻi hou ana, e ʻimi i ka ʻōlelo aʻoaʻo loea. Loaʻa paha iā ʻoe kahi pilikia e like me `(VUR)`.
• E hoʻokumu i nā ʻano maikaʻi: E inu i kāu keiki i ka wai he nui, e paipai i ka mimi pinepine, a e mālama iā ia i ka maʻemaʻe.
• E hahai i nā ʻōlelo a ke kauka: E hahai pono i ka lāʻau lapaʻau.

ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ke olakino o kāu keiki. Lana koʻu manaʻo he mea pono kēia ʻike iā ʻoe!

ʻO nā maʻi ʻōpū mimi, nā UTI e hoʻi hou ana, Pediatrics, nā maʻi puʻupaʻa, VUR, Hydronephrosis, ʻōnaehana mimi