Ke uē mau nei kāu keiki liʻiliʻi, "E Māmā, ʻeha koʻu ʻōpū"? ʻAʻole anei e ʻai pono ana? ʻAʻole anei e piʻi ana ke kaumaha e like me ka mea i manaʻo ʻia no kona mau makahiki? Ma ke ʻano he makua, pono ʻoe e hopohopo nui no nā mea e like me kēia. ʻO ka hapa nui o ka manawa, aia kekahi pilikia me ka ʻōnaehana hoʻoheheʻe o ke keiki ma hope o kēia mau pilikia. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi kauka kūikawā loa e hiki ke kōkua iā ʻoe a me kāu keiki i ka manawa e like me kēia. ʻO ia kekahi gastroenterologist pediatric.
ʻO wai kēia kauka Gastroenterologist Pediatric?
I ka ʻōlelo maʻalahi, he kauka kēia nona ka ʻike kūikawā a me ke aʻo ʻana i nā maʻi e pili ana i ka ʻōnaehana hoʻoheheʻe o kā mākou mau keiki, mai nā pēpē hānau hou a hiki i nā kamaliʻi liʻiliʻi.
Ke kamaʻilio kākou e pili ana i ka ʻōnaehana hoʻoheheʻe ʻana, pili ia i nā ʻōkana he nui. E noʻonoʻo wale, mai ka manawa e puka ai ka meaʻai a kākou e ʻai ai mai ko kākou waha mai, a hiki i ka manawa e hoʻoheheʻe ʻia ai a me ka manawa e hoʻokuʻu ʻia ai mai ko kākou kino mai, he nui nā mea e pili ana i kēia kaʻina hana. Loaʻa i kēia mau kauka loea ka ʻike hohonu i kēlā me kēia ʻāpana o kēia ʻōnaehana i nā keiki.
ʻO ia hoʻi:
- ʻO ka waha, ka esophagus, ka ʻōpū, ka ʻōpū liʻiliʻi, a me ka ʻōpū nui (ʻo ia ka mea a mākou e kapa pinepine ai ʻo ka ʻōnaehana gastrointestinal - 'Gastrointestinal' a i ʻole 'GI tract').
- ʻO ka pancreas, ke akepaʻa, ka gallbladder, a me nā ʻauwai bile.
I kekahi manawa, hiki i nā mea e like me ka ʻeha ʻōpū i nā keiki ke liʻiliʻi a e hoʻomaikaʻi i loko o kekahi mau lā. Akā hiki i kekahi mau kūlana olakino ke ʻoi aku ka koʻikoʻi. Hiki i kekahi ke ola a pau. Akā he mea nui e hoʻomanaʻo me ka mālama pono ʻana a me ka hana pū ʻana me kēia hui o nā loea, hiki i ke keiki ke kāohi i kēlā mau kūlana a hele i ko lākou ola o kēlā me kēia lā ma ke ʻano maʻamau a ola i kahi ola maikaʻi .
He aha ka hana a kēia poʻe loea?
Ua like kēia mau kauka me nā gastroenterologists e mālama ana i nā pākeke. ʻO ka ʻokoʻa, hāʻawi lākou i kēia mau lawelawe i nā pēpē, nā kamaliʻi liʻiliʻi, a me nā kamaliʻi ʻōpio. No laila, loaʻa iā lākou kahi ʻike maikaʻi i nā kino o nā keiki, ko lākou noʻonoʻo, a me ke ʻano kūikawā e pono ai lākou e mālama ʻia.
Hiki i kā lākou hana i kēlā me kēia lā ke komo pū me nā mea e like me:
- E kamaʻilio mākou me ʻoe a me kāu keiki a e nīnau kikoʻī e pili ana i nā hōʻailona o kāu keiki a me nā maʻi a kou ʻohana.
- Kuhikuhi lākou iā ʻoe i nā hoʻokolohua kiʻi e ʻike pono ai i ke ʻano o ka maʻi.
- Hāʻawi ʻia ka lāʻau e pono ai e mālama i ke kūlana.
- I ka wā e hiki mai ana, e aʻo a hoʻomaʻamaʻa nā kauka i nā poʻe ʻē aʻe e pili ana i kēia kumuhana.
ʻO ka mea nui loa, ʻo ia ka hoʻāʻo ʻana o kēia mau kauka e hāʻawi i ka hōʻoluʻolu ʻaʻole wale i ke kino o ke keiki, akā i kou manaʻo hoʻi ma ke ʻano he makua. Pehea lā ko kākou makaʻu i ka lohe ʻana ua maʻi kekahi keiki? No laila, hoʻomaopopo lākou i nā mea āpau a hana pū ma ka hoʻonaʻauao ʻana iā ʻoe.
Nā hoʻokolohua kūikawā e like me ka endoscopy
Nui nā hoʻokolohua kūikawā a me nā lāʻau lapaʻau e hiki i kēia poʻe loea ke hana. ʻO kekahi o nā mea nui loa o kēia he hoʻokolokolo i kapa ʻia ʻo endoscopy .
E makaʻu iki paha ʻoe ke lohe ʻoe i kēia inoa. Akā, he hoʻāʻo palekana loa kēia i hana ʻia ma lalo o ka anesthesia i ʻole e ʻeha ke keiki. ʻO ka mea e hana ʻia ana , ʻo ia ka hoʻokomo ʻia ʻana o kahi paipu lahilahi a palupalu (endoscope) me kahi kāmela liʻiliʻi loa i loko o ke kino o ke keiki a ʻike ʻia ka ʻaoʻao o loko o ka ʻōnaehana hoʻoheheʻe ma kahi pale. ʻOkoʻa kahi i hoʻokomo ʻia ai kēia paipu ma muli o nā hōʻailona.
| ʻAno o ka endoscopy | Ke nānā ʻia nei nā ʻāpana kino |
|---|---|
| ʻO ka endoscopy luna | Hoʻokomo ʻia ka ʻōmole ma ka waha a nānā ʻia ka esophagus, ka ʻōpū, a me ka hoʻomaka ʻana o ka ʻōpū liʻiliʻi. |
| Kolonoskopi | Hoʻokomo ʻia ka ʻōmole ma o ka rectum a nānā ʻia ke kolona holoʻokoʻa. |
| ʻO ka endoscopy capsule | ʻO kēia ke ale ʻana i kahi capsule liʻiliʻi me kahi kāmela i loko. Lawe ia i nā kiʻi i kona hele ʻana ma o nā ʻōpū a hoʻouna mai iā mākou. ʻAe kēia iā mākou e nānā pono i ka ʻōpū liʻiliʻi. |
He kōkua nui kēia mau hoʻokolohua endoscopic i ka ʻike pololei ʻana i nā maʻi. Eia kekahi, inā pono, hiki ke lawe ʻia kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) i ka wā o ka hoʻokolokolo ʻana a hoʻouna ʻia no ka hoʻāʻo hou ʻana. I kekahi manawa, hiki ke hoʻohana ʻia kēia ʻano hana no ka mālama ʻana.
Eia kekahi, ʻo kēia mau loea:
- Inā kānalua ʻia ka maʻi akepaʻa, lawe ʻia kahi ʻāpana liʻiliʻi o ke akepaʻa a nānā ʻia (biopsy akepaʻa).
- Inā ʻaʻole hiki i ke keiki ke ʻai pono, hiki ke hoʻokomo ʻia kahi ʻōmole hānai e hāʻawi i ka meaʻai e pono ai.
- Hana ʻia nā hoʻokolohua kūikawā (Motility testing) e ʻike ai inā he pilikia me ke ʻano o ka hana ʻana o nā ʻiʻo a me nā aʻalolo i loko o ka ʻōnaehana hoʻoheheʻe.
Hiki nō hoʻi iā ʻoe ke hana i nā mea like.
No ke aha e kuhikuhi ʻia ai kahi keiki i kahi loea e like me kēia?
ʻO ka pinepine, ʻo ke kumu nui e kuhikuhi ai kāu kauka lapaʻau ʻohana i kāu keiki i kahi loea no ka mea ke hoʻopiʻi nei kāu keiki i ka ʻeha ʻōpū pinepine. Ua kapa ʻia hoʻi kēia he "ʻeha ʻōpū hana". Hiki i kēia ʻeha ʻōpū mau ke hoʻopilikia i ka hana kula a kāu keiki a me ka pāʻani. No ka mea he nui nā kumu, hiki i kēia mau loea ke kōkua iā ʻoe e ʻike i ke kumu pololei.
Ma waho aʻe o kēlā, kōkua kēia mau kauka i ka ʻike a me ka mālama ʻana i nā ʻano maʻi like ʻole. E nānā kākou i kekahi o nā mea maʻamau.
| Kūlana olakino | He wehewehe maʻalahi |
|---|---|
| Maʻi Celiac | Ua maʻi ke kino i kahi protein i kapa ʻia ʻo gluten, ka mea i loaʻa i nā mea e like me ka palaoa huita. |
| ʻO ka maʻi reflux Gastroesophageal (GERD) | Piʻi aʻe ka waikawa o ka ʻōpū i ka esophagus. Hiki i kēia ke hana i nā mea e like me ka ʻeha puʻuwai a me ka luaʻi ʻana i ka waiū. |
| ʻO ka maʻi ʻōpū mumū (IBD) | ʻO kēia ke kumu o ka mumū i loko o nā ʻōpū. ʻO ka maʻi Crohn a me ka ulcerative colitis ʻelua ʻano o kēia maʻi. |
| Nā maʻi ʻaleka a i ʻole nā mea ʻaʻai ʻole | ʻO ke kūʻē ʻole i kekahi mau meaʻai. Eia kekahi laʻana, ka hiki ʻole ke hoʻoheheʻe i ka lactose, i loaʻa i ka waiū. |
| Ka ulu ʻana o ka ulu ʻana | ʻAʻole e piʻi ana ke kaumaha a me ke kiʻekiʻe o ke keiki e like me ko lākou mau makahiki. |
| Ke kahe koko ʻana o ke koko ma ka ʻōpū | Ke kahe ʻana o ke koko mai kekahi wahi o ka ʻōnaehana hoʻoheheʻe. Ka luaʻi ʻana i ke koko a i ʻole ke kahe ʻana o ke koko i loko o ka ʻōpala. |
| ʻO ka maʻi ʻōpū huhū (IBS) | Nā hōʻailona ʻē aʻe e like me ka ʻeha o ka ʻōpū, ka pehu ʻana, ka paʻa ʻana o ka ʻōpū, a i ʻole ka maʻi pākī. |
ʻO ke kākoʻo e loaʻa iā ʻoe a me kāu keiki mai kēia kauka
Hiki iā ʻoe ke noʻonoʻo i kēia mau loea he mau pediatricians me nā 'mana kūikawā'. He akamai loa lākou i ke kamaʻilio ʻana me nā keiki, e hoʻomaha ana iā lākou, e like me nā pediatricians maʻamau. ʻO ko lākou 'mana kūikawā' hiki iā lākou ke ʻike a mālama i kekahi pilikia paʻakikī o ka ʻōpū.
ʻO ka mea nui loa, aia kēia mau kauka ma laila no ʻoukou. Ma ke ʻano he mau mākua, ke lohe mākou ua maʻi kā mākou keiki, makaʻu loa mākou a hopohopo. ʻAʻole hiki iā mākou ke noʻonoʻo i ka mea e hiki mai ana. E wehewehe kēia mau kauka iā ʻoe ma nā ʻōlelo maʻalahi i ka mea e hana nei i loko o ke kino o kāu keiki. Hoʻāʻo mau lākou e hoʻomaopopo iā ʻoe a hoʻomaha i kou manaʻo i kēlā me kēia ʻanuʻu.
Leka Lawe-Home
- He kauka lapaʻau pediatric gastroenterologist i loaʻa i ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā maʻi o ka ʻōnaehana hoʻoheheʻe o nā pēpē a me nā keiki.
- Inā hoʻopiʻi mau kāu keiki i ka ʻeha o ka ʻōpū, ʻaʻole ʻai maikaʻi, a ʻaʻole hoʻi e piʻi ana ke kaumaha, e ʻike mua i kāu kauka keiki ʻohana. E kuhikuhi ʻo ia iā ʻoe i kahi loea inā pono.
- Mai makaʻu i nā hoʻokolohua e like me ka endoscopy. Hana ʻia lākou me ka palekana loa, ma lalo o ka anesthesia, a me ka ʻeha ʻole i ke keiki.
- ʻAʻole wale kēia mau loea e mālama i nā keiki, akā e aʻo pū a hāʻawi i ke kākoʻo naʻau iā ʻoe, ka makua. Mai makaʻu e nīnau i kāu mau nīnau a wehewehe i kou mau kānalua.
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