Ke ʻeha pinepine nei kāu keiki liʻiliʻi i ka ʻōpū? E aʻo kākou e pili ana i kahi Pediatric Gastroenterologist!

ʻŌlelo pinepine kāu keiki, "Māmā, ʻeha koʻu ʻōpū"? Luaʻi anei ʻo ia ma hope o ka inu ʻana i ka waiū? A i ʻole ʻaʻole makemake maoli ʻo ia e ʻai? Ma ke ʻano he makua, ke loaʻa i kahi keiki liʻiliʻi ka ʻeha ʻōpū, manaʻo paha ʻoe i ke kaumaha a me ka makaʻu. No laila i kēia lā e kamaʻilio mākou e pili ana i kahi kauka loea i ka ʻōnaehana hoʻoheheʻe o kāu keiki, ʻo ia hoʻi, nā ʻeha ʻōpū. ʻO kēia mau kauka ka mea a mākou e kapa nei he Pediatric Gastroenterologists .

ʻO wai kēia Pediatric Gastroenterologist? (ʻO wai ka Pediatric Gastroenterologist?)

I ka ʻōlelo maʻalahi, he kauka kēia i loaʻa i ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā pilikia ʻōpū i nā keiki ʻōpio, ʻo ia hoʻi, nā pilikia me ka ʻōnaehana hoʻoheheʻe. E like me nā kauka e mālama nei i nā pilikia ʻōpū i nā pākeke, akā mālama pono kēia mau kauka i nā pilikia e like me kēia i nā pēpē, nā kamaliʻi liʻiliʻi, a me nā ʻōpio.

ʻO ka ʻōnaehana hoʻoheheʻe o kāu keiki:

• Waha
• ʻO ka Esophagus (ka ʻōmole e lawe ai i ka meaʻai i lalo o ka puʻu)
• ʻŌpū (kahi e mālama ʻia ai ka meaʻai a kākou e ʻai ai)
• ʻōpū liʻiliʻi
• ʻōpū nui

(ʻO kēia ka mea a mākou e kapa pinepine ai ʻo ke ala ʻai a i ʻole "Gastrointestinal a i ʻole GI tract".)

• A ʻo ka pancreas hoʻi.
• Ake
• ʻŌpū Gall
• ʻAla biliary

Hoʻomaopopo a mālama kēia mau kauka loea i nā pilikia ma kēia mau wahi āpau. E noʻonoʻo wale, i kekahi manawa he liʻiliʻi paha ka ʻeha ʻōpū o ke keiki, a e hoʻomaikaʻi ia i loko o ʻelua a ʻekolu paha lā. Akā i kekahi manawa hiki ke koʻikoʻi kēia mau pilikia, a pono paha ka lāʻau lapaʻau e hoʻōla ai i ke ola. Aia kekahi mau maʻi e ola mau ana no ke ola holoʻokoʻa, akā me ka lāʻau maikaʻi a me ka hana pū ʻana me ke kauka, hiki i ke keiki ke ola maʻamau me kēlā maʻi. ʻO ka mea hope loa, ʻo ka hoʻoikaika ʻana o kēia mau kauka, ʻo ia ke hāʻawi i kāu keiki i kahi ola maikaʻi a hauʻoli (`(maikaʻi ke ʻano o ke ola)`).

Mai ka manawa e ale ai ke keiki i ka meaʻai, hoʻoheheʻe iā ia, a laila e ʻōpala, he paʻakikī loa nā mea a pau e hana ʻia ana. Ua ʻike maikaʻi kēia mau kauka loea i kēia kaʻina hana holoʻokoʻa. No laila, hiki iā lākou ke hoʻāʻo a mālama i kāu keiki ma ke ʻano kūpono iā ʻoe. Hiki iā lākou ke kōkua iā ʻoe e hoʻomaopopo i ka maʻi o kāu keiki a me nā mea e manaʻo ai i ka wā e hiki mai ana.

He aha ka hana a kēia mau kauka? (He aha ka hana a nā Pediatric Gastroenterologists?)

Hana nā gastroenterologists pediatric i nā mea āpau a nā gastroenterologists makua e hana ai. ʻO ka ʻokoʻa, hāʻawi ʻia kēia mau lawelawe i nā pēpē, nā kamaliʻi liʻiliʻi, a me nā kamaliʻi ʻōpio. ʻO kā lākou hana i kēlā me kēia lā e komo pū ana paha:

• Kamaʻilio lākou me nā mākua a nīnau e pili ana i nā hōʻailona o ke keiki a me ka mōʻaukala olakino.E nīnau lākou iā ʻoe i nā nīnau e like me, "Pehea ka lōʻihi o ka ʻeha ʻōpū o ke pēpē?", "Ke luaʻi nei ʻo ia?", "Ke emi nei kona kaumaha?"
• Hiki iā lākou ke kuhikuhi iā ʻoe no nā hoʻokolohua kiʻi kūikawā e ʻike pono ai i ke ʻano o ka maʻi, a i ʻole e hana paha lākou i kekahi mau kaʻina hana iā lākou iho.
• Hoʻōla ʻia ka maʻi i ʻike ʻia. Hiki paha me ka lāʻau lapaʻau, a i ʻole he mau lāʻau lapaʻau ʻē aʻe paha.
• Ke hana ʻia nei nā noiʻi hou aʻe e pili ana i nā maʻi gastrointestinal o nā keiki .
• I ka wā e hiki mai ana, e aʻo a alakaʻi nā kauka i nā poʻe ʻē aʻe.

He aha ke ʻano o nā hoʻokolohua a me nā lāʻau lapaʻau a kēia mau kauka e hana ai? (Nā kaʻina hana e hiki i kahi Pediatric Gastroenterologist ke hana)

Hiki i kēia mau kauka loea ke hana i nā ʻano hoʻokolohua a me nā lāʻau lapaʻau like ʻole. No ka laʻana, ua hoʻomaʻamaʻa kūikawā ʻia lākou e hana i kahi hoʻokolohua i kapa ʻia he endoscopy .

I ka ʻōlelo maʻalahi, he hana ka endoscopy kahi e hoʻokomo ʻia ai kahi ʻōmole lōʻihi a lahilahi me kahi kāmela i hoʻopili ʻia i loko o ke kino o ke keiki e nānā i loko e hoʻoholo ai i ke kumu o nā hōʻailona. Hoʻoholo ʻia kahi o ka ʻōmole e nā hōʻailona o ke keiki a me nā mea a ke kauka e makemake ai e ʻike.

Eia kekahi mau ʻano `(Endoscopy)`:

• ʻO ka endoscopy luna: Pili kēia i ke komo ʻana i kahi ʻōmole ma o ka waha. Hiki i ke keiki ke ʻike i ka esophagus, ka ʻōpū, a me ka ʻaoʻao o luna o ka ʻōpū liʻiliʻi (duodenum).
• Colonoscopy: Pili kēia i ke komo ʻana i kahi ʻōmole ma o ka anus (i lalo o ka anus) e nānā i ka ʻōpū nui holoʻokoʻa (colon).
• ʻO ka endoscopy capsule: He ʻano ʻokoʻa iki kēia. Moni ke keiki i kahi kāmela liʻiliʻi, e like me ka capsule huaora. Lawe ke kāmela i nā kiʻi o ka ʻōpū liʻiliʻi i kona neʻe ʻana ma ke kino.

He kōkua nui kēia mau hoʻāʻo `(Endoscopy)` i ka ʻike ʻana i nā maʻi. No ka mea hiki iā lākou ke nānā i loko o nā ʻōpū o ka ʻōnaehana hoʻoheheʻe o ke keiki. I kekahi manawa i loko o kēia hoʻāʻo, hiki ke lawe ʻia kahi hāpana ʻiʻo liʻiliʻi (`(biopsy)`) e hoʻouna no nā hoʻāʻo hou aku. Eia kekahi, i kekahi manawa hiki ke hoʻohana ʻia `(Endoscopy)` e mālama i ka maʻi.

Eia kekahi, hiki i nā gastroenterologists pediatric ke hana i nā mea e like me:

• ʻO ka biopsy akepaʻa kahi hana e lawe ai i kahi ʻāpana liʻiliʻi o ke akepaʻa e ʻike ai inā he maʻi akepaʻa, he aha ke kumu, a me ka nui o ka pōʻino i hana ʻia.
• Inā paʻakikī ke keiki i ka ʻai ʻana, hiki ke hoʻokomo ʻia kahi ʻōmole hānai ("(feeding tube)`) e hāʻawi i ka meaʻai e pono ai, a i ʻole hiki ke hāʻawi ʻia ka meaʻai ma o kahi catheter intravenous ("(IV catheter)`).
• E hana i nā hoʻokolohua kūikawā ('motility testing`) e ʻike ai inā e hana pono ana nā ʻiʻo laumania a me nā aʻalolo i loko o ke ala ʻai o kāu keiki.

I ka manawa hea e kuhikuhi ʻia ai ke keiki i kahi gastroenterologist? (No ke aha e kuhikuhi ʻia ai ke keiki i kahi gastroenterologist?)

Pono paha kāu keiki e ʻike i kahi loea e like me kēia no ka hoʻāʻo ʻana a i ʻole ka mālama ʻana. Eia kekahi mau nīnau e hiki i kēia mau kauka ke kōkua me:

• Ke hōʻike ke keiki i nā hōʻailona e pili ana i ka ʻōnaehana hoʻoheheʻe (`(GI symptoms)`) . (e.g. ʻeha mau o ka ʻōpū, luaʻi, diarrhea, constipation).
• I nā hihia kahi i komo ʻole ai ke keiki i nā meaola mai ka meaʻai a lākou e ʻai ai.
• Inā ʻaʻole mālama pono ʻia ka maʻi , hiki ke loaʻa nā pilikia ʻē aʻe .
• I kekahi manawa ma nā kūlana kahi e pilikia ai ke ola .

ʻO ka mea nui, kuhikuhi pinepine nā kauka pediatric i nā keiki i kahi gastroenterologist no ka ʻeha ʻōpū hana. Inā loaʻa pinepine nā ʻeha ʻōpū o kāu keiki e pale ana iā lākou mai ka hele ʻana i ke kula a i ʻole ka pāʻani ʻana, hiki ke lilo i mea keakea nui i kā lākou hana o kēlā me kēia lā. Nui nā kumu no kēia mau ʻeha ʻōpū. Hiki i kahi gastroenterologist ke hana i nā hoʻokolohua e ʻike ai i ka mea e hana nei.

He aha kekahi o nā maʻi a kēia mau kauka e mālama ai? (Nā hiʻohiʻona o nā kūlana i ʻike ʻia a mālama ʻia e nā gastroenterologists pediatric)

Hoʻoponopono nā gastroenterologists pediatric i kekahi mau kūlana, e like me:

• Maʻi Celiac: He maʻi allergy kēia i kahi protein i kapa ʻia ʻo gluten (i loaʻa i ka palaoa a me ka bale).
• ʻO ka maʻi luaʻi cyclic: Ka luaʻi ʻana no nā lā he nui me ke kumu ʻole.
• ʻEosinophilic esophagitis (EOE): Ka mumū o ka esophagus (paipu meaʻai) i hoʻokumu ʻia e kahi maʻi allergy.
• Nā maʻi ʻaleka a i ʻole nā ​​​​​​meaʻai ʻole: Ke ʻano ʻole o ke keiki i kekahi mau meaʻai.
• ʻO ka maʻi reflux Gastroesophageal (GERD): ʻO ka reflux o nā mea o loko o ka ʻōpū i loko o ka esophagus (like me ka gastritis).
• Ke kahe ʻana o ke koko mai ka ʻōpū ʻai (GI bleeding) .
• Ka lohi o ka ulu ʻana/ʻaʻole e piʻi ke kaumaha .
• ʻO ka maʻi ʻōpū mumū (IBD): ʻO kēia ka maʻi mumū mau loa o nā ʻōpū i kapa ʻia ʻo ka maʻi Crohn a me ka colitis ulcerative.
• ʻO ka maʻi ʻōpū huhū (IBS): ʻO ia ke ʻano e lilo ai nā ʻōpū i mea palupalu a hoʻoulu ai i ka ʻōpū ʻeha, ka maʻi palahēhē, a i ʻole ka paʻa ʻana o ka ʻōpū.
• Maʻi akepaʻa .
• Nā pilikia neʻe o ke ala GI: ʻAʻole e neʻe pono ka meaʻai ma o nā ʻōpū.
• Ka maʻi pancreatic .
• ʻAi ʻole i ka meaʻai .
• Kaumaha a me ka momona.
• ʻO ka maʻi ʻōpū pōkole: He kūlana e kū mai ana i nā keiki i wehe ʻia kahi ʻāpana o ko lākou ʻōpū liʻiliʻi.

He aha ka ʻike loea a me ke aʻo ʻana o kēia mau kauka? (He aha ka hana a nā pediatric gastroenterologists?)

ʻAʻole maʻalahi ka lilo ʻana i pediatric gastroenterologist. Pono lākou e hele i kahi manawa lōʻihi o ka hoʻonaʻauao a me ke aʻo ʻana:

• ʻO ka mea mua, he kekelē laepua (ma kahi o 4 mau makahiki).
• A laila e hele i ke kula lapaʻau a loaʻa i ke kēkelē laepua (ma kahi o 4 mau makahiki).
• ʻO ka mea aʻe he hoʻomaʻamaʻa kūikawā ma ka pediatrics (`(papahana noho ma ka pediatrics)`) (ma kahi o 3 mau makahiki).
• Ma hope o kēlā wale nō e hana ʻia ai kahi haʻawina haumāna ma ka pediatric gastroenterology (ma kahi o 3 mau makahiki).
• Loaʻa i kekahi poʻe ke aʻo ʻoi aku ka holomua , no ka laʻana ma nā wahi e like me ka transplant hepatology, neurogastroenterology, a i ʻole ka lāʻau lapaʻau no ka momona.

Ma hope o ka pau ʻana o kēia mau mea a pau, pono lākou e hala i nā hoʻokolohua a loaʻa i ka palapala hōʻoia no ka pediatrics a me nā maʻi gastrointestinal pediatric .

Koho kekahi mau gastroenterologists pediatric e loea i nā wahi ʻē aʻe a aʻo hou e pili ana iā lākou. Nā Laʻana:

• ʻO ka maʻi akepaʻa o nā keiki a me ka hoʻoili akepaʻa.
• Maʻi ʻōpū mumū.
• ʻAi ʻai.

Hiki iā ʻoe ke noʻonoʻo i kēia mau kauka he "mau kauka keiki me nā mana nui." E like me nā kauka keiki maʻamau, maikaʻi loa lākou i ke kamaʻilio ʻana me nā keiki, e mālama iā lākou i ka palekana, a e hōʻoluʻolu iā lākou. ʻO ko lākou mana kūikawā ko lākou ʻike hohonu i nā pilikia ʻōpū o nā keiki a me nā pilikia o ka ʻōnaehana hoʻoheheʻe. Hiki iā lākou ke hoʻoponopono i nā mea āpau mai ka ʻeha ʻōpū mau a hiki i ke kahe koko i wehewehe ʻole ʻia.

Aia kēia mau kauka loea nou pū kekahi. He mea maʻamau ka makaʻu a me ka maopopo ʻole i ka mea e manaʻo ai ke ʻeha ka ʻōpū o kāu keiki. E wehewehe lākou iā ʻoe i nā mea e hana nei i loko o ke kino o kāu keiki a e hoʻomaopopo iā ʻoe i kēlā me kēia ʻanuʻu o ke ala.

Nā mea e pono ai kākou e hoʻomanaʻo mai kēia moʻolelo (Leka Lawe-Home)

ʻAe, ua nui kā mākou kamaʻilio ʻana i kēia lā. I ka hopena, eia nā mea nui e pono ai ʻoe e hoʻomanaʻo:

• He mau kauka lapaʻau ʻo Pediatric Gastroenterologists i loea i ka mālama ʻana i nā maʻi ʻōnaehana hoʻoheheʻe i nā pēpē, nā kamaliʻi, a me nā kamaliʻi ʻōpio.
• Inā loaʻa i kāu keiki nā ʻeha ʻōpū pinepine, nā pilikia o ka ʻai ʻana, a i ʻole nā ​​​​pilikia o ka ulu ʻana, mai hopohopo e ʻike i kahi loea e like me kēia.
• Hiki i kēia mau kauka keE nānā pono i ka maʻi, e hāʻawi i ka lāʻau kūpono, a kōkua i ke keiki e ola i ke ola maikaʻi.
• Eia kekahi, he launa maikaʻi loa lākou me nā keiki a kākoʻo nui i ko lākou mau mākua.

No laila, i ka wā e pili ana i ke olakino o kāu keiki, he mea kūpono ke ʻimi i ke kōkua o ke kauka me ia ʻano akamai.

ʻO ka Gastroenterology Pediatric, Gastroenterologist Pediatric, Nā Maʻi ʻŌpū o nā Keiki, ʻAi ʻana, Endoscopy, Colonoscopy, Ola Kino o nā Keiki