Ke luaʻi pinepine nei kāu pēpē ma hope o ka inu ʻana i ka waiū? He Pyloric Stenosis paha ia!

Ke luaʻi nei kāu pēpē a kuha aʻe ma hope o ka inu ʻana i ka waiū? ʻAʻole wale kēlā, akā ke emi nei kona kaumaha a ʻano lahilahi hoʻi i kēlā me kēia lā? I kekahi manawa hiki i kēia mau hōʻailona ke kumu o ia mea, akā i kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e hiki ke loaʻa i nā pēpē liʻiliʻi, akā hiki ke ho'ōla loa ʻia inā mālama ʻia. ʻO ia kahi maʻi i kapa ʻia ʻo Pyloric Stenosis . Mai hopohopo, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī.

He aha ka Pyloric Stenosis?

I ka ʻōlelo maʻalahi, ʻo Pyloric Stenosis kahi kūlana kahi e mānoanoa a ololi ai ka ʻiʻo i kapa ʻia ʻo Pylorus , ka puka kahi e hele ai ka meaʻai mai ka ʻōpū o kāu pēpē a i ka ʻōpū liʻiliʻi. Ua like ia me kahi paipu wai e ālai ʻia a paʻakikī ai ke kahe ʻana o ka wai. Ua ʻike ʻia kēia ma ke ʻano lapaʻau ʻo Hypertrophic Pyloric Stenosis (HPS) .

• ʻO ke ʻano o ka hypertrophic ka mānoanoa a i ʻole ka nui ʻana.
• ʻO Pyloric ka ʻiʻo i kapa ʻia ʻo pylorus a mākou i ʻōlelo ai.
• ʻO Stenosis ke ʻano o ka haiki ʻana.

No laila, i ka wā e mānoanoa a līlī ai kēia pylorus, ʻaʻole hiki i ka waiū a ka pēpē e inu ai ke iho mai ka ʻōpū. ʻO ia ka manawa e puka mai ai ka luaʻi projectile . Hiki i kēia ke hoʻomaloʻo i ka pēpē. Akā ʻo ka nūhou maikaʻi, hiki ke ho'ōla loa ʻia kēia me kahi hana liʻiliʻi.

He aha ka mea e hana nei ma kēia kūlana?

Ma ka hopena o ko kākou ʻōpū, kahi e hoʻomaka ai ka ʻōpū liʻiliʻi, aia kahi valve ʻiʻo i kapa ʻia ʻo pylorus . Ua like ia me ka puka. He ʻiʻo sphincter ia, ʻo ia hoʻi, hiki iā ia ke wehe a pani. Pani ʻia ia ke hoʻoheheʻe ʻia ka meaʻai i loko o ka ʻōpū. Ke hoʻoheheʻe ʻia ka meaʻai, wehe ia e hoʻouna i ka meaʻai i loko o ka ʻōpū liʻiliʻi.

Eia nō naʻe, i loko o kahi pēpē me ka pyloric stenosis, lilo ka ʻiʻo pylorus i mānoanoa loa. A laila lilo ka ala no ka meaʻai e hele ai i loko e haiki. No laila, ʻo ka waiū a ka pēpē e inu ai, inā he waiū formula a waiū umauma paha, ʻaʻole hiki ke hele mai ka ʻōpū a i ka ʻōpū liʻiliʻi a paʻa. ʻO ia ke kumu e luaʻi pinepine ai ka pēpē. Ke hoʻomau ka pēpē i ka luaʻi ʻana penei, ʻaʻole e piʻi ke kaumaha o ka pēpē, no ka mea, ʻaʻole hiki i ke kino ke omo pono i ka meaʻai i ʻai ʻia. Hiki i ka pēpē ke luaʻi i kēlā me kēia manawa e inu ai ʻo ia i ka waiū, a i ʻole e luaʻi paha i kekahi manawa wale nō.

I ka manawa hea e kū mai ai kēia maʻi i kahi pēpē? He aha nā hōʻailona?

ʻAʻole hānau pinepine ʻia nā pēpē me kēia maʻi. Hoʻomaka ka pylorus e mānoanoa i kekahi mau pule ma hope o ka hānau ʻana.

Hoʻomaka pinepine nā hōʻailona o ka Pyloric Stenosis i ka wā he 3 a 6 mau pule o kāu pēpē . Eia nō naʻe, i kekahi manawa hiki ke hoʻomaka nā hōʻailona e ʻike ʻia i ka wā mua o 5 mau mahina. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka. ʻOi aku ka maikaʻi o ka mālama ʻana i kāu pēpē ma mua o ko lākou maloʻo ʻana a me ka nele i ka meaʻai.

Ke hana nei kēia i nā keiki makua? He mea kākaʻikahi loa i nā keiki makua ke loaʻa kahi poloka i loko o ka pylorus. ʻO ka maʻamau, hana ʻia kēia e kahi maʻi ʻōpū peptic . I kekahi manawa hiki ke hana ʻia e kahi maʻi kākaʻikahi i kapa ʻia ʻo eosinophilic gastroenteritis, ʻo ia ka mumū o ka ʻōpū.

Pehea ka maʻamau o kēia? Hoʻopilikia kēia maʻi ma waena o 1 a me 3.5 o 1,000 mau pēpē hānau hou. ʻO ia nō hoʻi ke ʻano maʻamau e pono ai ke ʻoki ʻana i nā pēpē.

ʻO nā hōʻailona nui:

ʻOiai inā inu maikaʻi kāu pēpē, hiki nō iā lākou ke hōʻike i kēia mau hōʻailona:

• Luaʻi ʻana i ka mea lele: Ua like kēia me ka pana ʻia ʻana mai loko mai o kahi pūnāwai. Hana pinepine ʻia ia i loko o ka hapalua hola a i hoʻokahi hola o ka inu ʻana i ka waiū.
• ʻEha ʻōpū: Me he mea lā ua ʻeha a ʻoluʻolu ʻole paha ke pēpē.
• Ka maloʻo ʻana o ka wai: ʻO nā hōʻailona e komo pū me ka waha maloʻo, nā maka i piholo, ka ʻili maloʻo, ka nele o ka hou, a me ka emi ʻana o ka mimi.
• Pololi ʻoiai ma hope o ka inu ʻana i ka waiū: Ma hope o ka luaʻi ʻana, ua hakahaka kou ʻōpū a pōloli hou ʻoe.
• Ka hoʻomaha mau a me ka uē ʻana (Irritability).
• Ua emi iho a liʻiliʻi nā ʻōpala.
• Ma hope o ka inu ʻana i ka waiū, ma mua o ka luaʻi ʻana, e neʻe paha ka ʻōpū e like me ka nalu (Wavelike stomach motion). I kekahi manawa, ke lohe ʻoe i ka ʻōpū o ke pēpē, e ʻike paha ʻoe i kahi puʻupuʻu liʻiliʻi e like me ka ʻoliva. ʻO ia ka ʻiʻo pylorus mānoanoa.
• Ka emi ʻana o ke kaumaha a i ʻole ka piʻi ʻana o ke kaumaha.

No ka mea, ʻike pinepine ʻia nā pēpē he olakino maikaʻi ʻole, ʻaʻole paha e ʻike nā mākua he pilikia koʻikoʻi kēia a hiki i ka wā e maloʻo loa ai ka pēpē a nele paha i ka meaʻai. Hiki i kekahi mau pēpē ke loaʻa i ka jaundice (melemele o ka ʻili a me nā keʻokeʻo o nā maka).

He ninini wale nō anei kēia o ka waiū? A i ʻole he mea hou aku paha?

He nui nā pēpē e luaʻi iki i ka waiū ma hope o ka hānai ʻana. He mea maʻamau kēia a ʻaʻohe mea e hopohopo ai. Eia nō naʻe , ʻo ka luaʻi ʻana i ka mea i hoʻolei ʻia me ka ikaika a ʻeha paha, hiki ke lilo i hōʻailona o kahi mea koʻikoʻi. Inā e luaʻi ana kāu pēpē e like me kēia ma hope o ka hānai ʻana, pono ʻoe e kamaʻilio me ke kauka.

No ke aha e ulu ai ka pyloric stenosis? He aha nā kumu pilikia?

ʻAʻole maopopo i ka poʻe ʻepekema ke kumu o ka pyloric stenosis, akā ua manaʻo ʻia he pili nā genetics a me nā kumu o ke kaiapuni .

Aia kekahi mau kumu pilikia:

• Moʻolelo ʻohana: Ma kahi o 15% o nā pēpē me ka pyloric stenosis he lālā ʻohana ko lākou (hoahānau koko) i loaʻa i ke ʻano ma mua.
• Kāne/Wahine:ʻOi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā pēpē kāne i hānau ʻia i ka manawa kūpono a ʻo ka mua i loko o ka ʻohana. ʻOi aku ka liʻiliʻi o ka loaʻa ʻana o kēia maʻi i nā pēpē wahine.
• Lāhui: ʻOi aku ka maʻamau o kēia i nā pēpē keʻokeʻo, ʻoi aku hoʻi ka poʻe o ka hanauna ʻEulopa.
• Puhipaka: Inā puhipaka ka makuahine i ka wā hāpai, ʻoi aku ka nui o ka pilikia o ka pēpē i ka loaʻa ʻana o kēia maʻi.
• Nā lāʻau lapaʻau: ʻO kekahi mau pēpē i hāʻawi ʻia i nā lāʻau lapaʻau i ka wā hānau, ʻoi aku paha ka nui o ka pilikia. Eia kekahi, inā ua lawe ka makuahine i kekahi mau lāʻau lapaʻau i ka wā hāpai, he pilikia paha kēlā.
• Ke ʻano o ka hānai ʻana: Ua hōʻike kekahi mau noiʻi he ʻoi aku ka nui o ka pilikia o nā pēpē i hānai ʻia me ka waiū waiū i ka loaʻa ʻana o kēia maʻi. Eia nō naʻe, ʻaʻole maopopo inā paha mai ka ʻōmole a i ʻole ka waiū waiū paha ka pilikia. Inā mai ka ʻōmole ia, hiki nō hoʻi ke hoʻopilikia i nā pēpē i hānai ʻia me ka waiū umauma.

Pehea e ʻike ai nā kauka i kēia?

E nīnau ke kauka o kāu pēpē iā ʻoe e pili ana i nā ʻano hānai a kāu pēpē a laila e hana i kahi hoʻokolokolo kino . I kekahi manawa, hiki i nā kauka ke manaʻo i kahi puʻupuʻu i loko o ka ʻōpū o kāu pēpē e like me ka ʻoliva. ʻO ia ka ʻiʻo pylorus mānoanoa.

Hiki paha i ke kauka ke kauoha i kahi hoʻāʻo koko . Hiki i kēia ke kōkua i ka hoʻoholo ʻana inā ua maloʻo kāu pēpē mai ka luaʻi ʻana a i ʻole he electrolyte imbalance . ʻO nā electrolytes he mau minelala e kōkua i ke kino o kāu pēpē e hana pono.

He aha ke ʻano o nā hoʻokolohua e hana ʻia?

Inā ʻaʻole hiki i ke kauka ke ʻike i ka puʻupuʻu i loko o ka ʻōpū o ke pēpē, e kauoha ʻo ia i kahi ultrasound e hōʻoia i ka hōʻoia pololei.

• I ka wā o ka ultrasound, kau mālie ke kauka i kahi mea liʻiliʻi (probe) ma luna o ka ʻōpū o ke pēpē.
• Hoʻohana kēia mea hana i nā nalu kani e hana i nā kiʻi o loko.
• Hiki ke ʻike pinepine ʻia ka ʻiʻo pyloric mānoanoa i loko o kēia mau kiʻi.

I kekahi manawa, ʻaʻole paha e hōʻike ʻia kahi pilikia e kahi hoʻokolohua kino a me ka ultrasound. Inā pēlā, hiki i kāu kauka ke kauoha i kahi barium X-ray (Upper Gastrointestinal (GI) series a i ʻole Barium X-ray) :

• I loko o kēia, hāʻawi ʻia ke keiki i kahi wai kūikawā e inu.
• Hiki i ke kauka ke hoʻohana i kahi X-ray e ʻike ai pehea e neʻe ai kēia wai mai ka ʻōpū a i ka ʻōpū liʻiliʻi.
• Hiki i kēia ke hoʻoholo inā e kahe ana ke wai mai ka ʻōpū ma o ka pylorus. Inā ʻaʻole, hōʻike ia i ka pyloric stenosis.

Pehea e mālama ʻia ai kēia?

Hoʻōla ʻia ka pyloric stenosis me ke ʻano ʻoki kino i kapa ʻia ʻo pyloromyotomy . He ʻano ʻoki kino kēia i kapa ʻia ʻo pyloroplasty . Ke ʻike ʻia ka pyloric stenosis, e kūkākūkā ke kauka lapaʻau o kāu pēpē i kēia ʻoki kino me ʻoe.

He aha kāu e hana ai ma mua o ke ʻoki ʻana?

Hiki i nā pēpē me ka pyloric stenosis ke maloʻo loa no ka mea e luaʻi nui ana lākou. Ma mua o ke ʻoki ʻana, e hāʻawi ke kauka i ka pēpē i ka saline e like me ka mea e pono ai e hoʻomaʻū hou i ka pēpē. Pono pinepine ʻia ka pēpē e hāʻawi ʻia i kahi wai saline IV (intravenous) ma ka haukapila. I loko o kēia manawa, hiki ke hana ʻia nā hoʻāʻo koko e ʻike inā e hoʻomaikaʻi ana ka maloʻo o ka pēpē.

Pono ʻoe e hoʻōki i ka hānai waiū ʻana i kāu pēpē i ʻeono hola ma mua o ke ʻoki ʻana. ʻO kēia ke hōʻemi i ka pilikia o ka luaʻi ʻana i ka wā ma lalo o ka anesthesia a me ka huki ʻana o ka luaʻi i loko o nā māmā.

He aha ka mea e hana ʻia i ka wā o ke kaʻina hana?

I ka wā o ke ʻoki ʻana i ka stenosis pyloric, e hana ke kime lapaʻau i kēia mau mea:

• Hāʻawi ʻia ka pēpē i ka anesthesia laulā . ʻO ke ʻano kēia, ua hiamoe loa ka pēpē i ka wā o ke ʻoki ʻana a ʻaʻole ia e ʻeha.
• Hana ʻia kahi ʻoki liʻiliʻi ma ka ʻaoʻao hema o ka ʻōpū o ke pēpē, ma luna pono o ka piko.
• Hana ʻia kahi ʻoki i kapa ʻia he pyloromyotomy . ʻO ke ʻano kēia, ua hana ʻia kahi ʻoki i loko o ka ʻiʻo pylorus mānoanoa a ua wehe ʻia. Hoʻokumu kēia i kahi ala no ka meaʻai a me ka mea inu e hele ai mai ka ʻōpū o ke pēpē a i nā ʻōpū.

ʻO ka maʻamau, ʻaʻole i hala i hoʻokahi hola kēia hana.

Pehea ke ʻano o ke pēpē ma hope o ke ʻoki ʻana?

Ma hope o ke ʻoki ʻana, pono kāu pēpē e noho i ka haukapila no hoʻokahi a ʻekolu lā. Eia nā mea hiki iā ʻoe ke manaʻo:

• I kekahi mau hola ma hope o ke ʻoki ʻana, e hoʻomaka ʻoe e hāʻawi i kāu pēpē i ka waiū waiū a i ʻole ka waiū umauma. E hāʻawi mua iā ia i nā liʻiliʻi. E haʻi aku kāu kauka lapaʻau iā ʻoe e pili ana i kāu hoʻolālā hānai waiū.
• Inā ʻoe e hāʻawi ana i ka waiū formula, e hoʻonui mālie ke kime lapaʻau i ka nui a me ka nui o ka waiū e like me ka hiki i ke pēpē ke hoʻomanawanui.
• Inā ʻoe e hānai waiū ana, pono ʻoe e hāʻawi i nā hānai mua ʻana i loko o ka ʻōmole, ʻoiai pono ʻoe e ana i ka nui pololei āu e hāʻawi nei.

He aha inā e luaʻi mau ana ka pēpē ma hope o ke ʻoki ʻana?

Hiki i nā pēpē ke luaʻi ma hope o ke ʻoki ʻana i ka pyloric stenosis. ʻAʻole kēia manaʻo ua hoʻi hou ke ʻano. Hiki ke hana ʻia ka luaʻi e:

• ʻO ka anesthesia i hāʻawi ʻia i ka wā o ke hana.
• ʻAʻole mimi pono ma hope o ka inu ʻana i ka waiū.
• Ka hāʻawi ʻana i ka meaʻai he nui loa i ka manawa hoʻokahi, ka hāʻawi ʻana me ka wikiwiki .

Inā hoʻomau kāu pēpē i ka luaʻi nui, pono paha nā hoʻokolohua hou aku. E hoʻomau ka hui lapaʻau e hoʻāʻo e hoʻoponopono i ka luaʻi.

He aha ka mea e hiki mai ana i ka pēpē ma hope o kēia kūlana? Aia kekahi mau hopena lōʻihi?

He maikaʻi loa ka nānā ʻana no nā pēpē me HPS (Hypertrophic Pyloric Stenosis) . Ma hope o kahi hana pyloric stenosis holomua, ʻaʻole pilikia ka hapa nui o nā keiki i ka wā lōʻihi. ʻAi maikaʻi lākou, ulu maikaʻi, a noho olakino.

I ka manawa kākaʻikahi loa, hiki i ka pylorus ke haiki loa ma hope o ke ʻoki ʻana. Inā hana ʻia kēia, hiki i nā kauka lapaʻau ke hana i kahi ʻoki lua e ʻoki iki aʻe.

Ma hope o ka mālama ʻana, ʻaʻohe pilikia lōʻihi o ka pēpē ma hope o ke ola. Ua hōʻike ʻia nā haʻawina ma hope mai ʻaʻole i loaʻa i ka poʻe i loaʻa ka pyloromyotomy i ko lākou wā kamaliʻi nā pilikia ʻōpū e like me ka gastroesophageal reflux i ko lākou wā makua.

Aia kekahi ala e pale aku ai i kēia?

ʻAʻohe ala e pale aku ai i ka pyloric stenosis. Inā ʻike ʻoe ua loaʻa i kekahi o kou ʻohana ka pyloric stenosis, e haʻi i ke kauka o kāu pēpē. A laila hiki i ke kauka ke nānā i nā hōʻailona o kēia maʻi.

ʻO ka ʻike ʻana i nā hōʻailona o ka pyloric stenosis hiki ke kōkua iā ʻoe e loaʻa koke ke kōkua. ʻO ka loaʻa ʻana o ka lāʻau lapaʻau i ka wā mua hiki ke kōkua i ka pale ʻana i nā pilikia e like me ka ʻai ʻole a me ka dehydration.

Pehea e mālama ai i ke keiki ma hope o ke kaʻina hana ma ka home?

Ma hope o ka hoʻi ʻana mai ka haukapila mai:

• ʻOiai ke hānai waiū nei ke pēpē i ka waiū maʻamau, hiki iā ʻoe ke hānai waiū me ka pilikia ʻole.
• Inā ʻeha kāu pēpē, e hāʻawi iā ia i kahi lāʻau hoʻomaha ʻeha e like me ka acetaminophen (e like me Tylenol®) e like me ke kauoha a kāu kauka.
• E hāʻawi i kāu pēpē i ka ʻauʻau huʻahuʻa i ka lā ma hope o ke ʻoki ʻana. Ma hope o ʻekolu lā, hiki iā ʻoe ke ʻauʻau iā ia i loko o ka ʻauʻau.
• E kau ʻia kahi ʻāpana liʻiliʻi i kapa ʻia ʻo Steri-Strip™ ma luna o ka ʻoki. Mai wehe iā ia - e hemo wale nō ia. Inā ʻaʻole, e wehe kāu kauka iā ia i kāu manawa hoʻopaʻa.

Āhea ʻoe e ʻike hou ai i ke kauka?

He mea maʻamau ka loaʻa ʻana o kekahi pehu a puni ka ʻoki ʻana, akā inā loaʻa i kāu pēpē kekahi o kēia mau hōʻailona, ​​​​e kāhea i kāu kauka:

• Ke kahe ʻana o ke koko.
• ʻŌpū pehu a nui paha.
• Ka pehu nui a puni ka ʻoki.
• Kuni.
• Ka emi ʻana o ka mimi ʻana ma mua o ka maʻamau (ka emi ʻana o ka nui o ka pulu ʻana o ka diaper).
• Ka luaʻi pinepine ʻana.
• Ka luaʻi ʻana i ka ʻōmaʻomaʻo ʻeleʻele a i ʻole ke koko.
• Hoʻonui i ka ʻeha.
• ʻUlaʻula ka ʻoki a i ʻole e puka mai ana he wai e like me ka pea.

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

Inā loaʻa i kāu pēpē nā hōʻailona o ka pyloric stenosis, aia paha kekahi mau nīnau āu e nīnau ai i ke kauka:

• Pehea e ʻike ai inā e kuha wale ana kaʻu pēpē i ka waiū, a inā he pyloric stenosis kēia?
• He ʻeha anei ka pyloric stenosis?
• Pono anei kaʻu pēpē i ke ʻoki kino? ʻAʻohe anei he mau lāʻau lapaʻau ʻē aʻe?
• Pono anei kaʻu pēpē e hana hou i ke ʻoki kino?

He mea maʻamau i kahi pēpē ke luaʻi i ka waiū liʻiliʻi. Akā inā luaʻi pinepine kāu pēpē ma hope o kēlā me kēia hānai ʻana, a i ʻole ma hope o nā hānai ʻana he nui, loaʻa paha iā ia ka pyloric stenosis.

ʻO ka mea hope loa, nā mea nui e hoʻomanaʻo

ʻOiai he mea maʻamau no ka pēpē ke kuha i ka waiū, inā luaʻi pinepine kāu pēpē, ʻoi aku hoʻi me ka ikaika (ka luaʻi ikaika), he hōʻailona paha ia o ka Pyloric Stenosis. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka o kāu pēpē. ʻO ka wikiwiki o ka ʻike ʻia ʻana a me ka mālama ʻia ʻana o ke kūlana, ʻoi aku ka maikaʻi. ʻO ka hoʻopaneʻe ʻana i ka mālama ʻana hiki ke alakaʻi i ka maloʻo a me ka ʻai ʻole i kāu pēpē. ʻO ka nūhou maikaʻi, ʻo ka Pyloric Stenosis kahi kūlana hiki ke ho'ōla loa ʻia me ke ʻoki ʻana. Manaʻolana mākou e hoʻōla koke kāu pēpē, olakino, a hauʻoli!

ʻO ka stenosis pyloric, ka luaʻi ʻana o ka pēpē, nā maʻi pēpē, nā pilikia ʻōpū, ke ʻoki kino, ka maloʻo wai, HPS