Loaʻa pinepine anei i kāu pēpē nā maʻi ʻōpū mimi? Hiki paha iā ia ke lilo i Vesicoureteral Reflux (VUR)

Loaʻa pinepine anei i kāu keiki liʻiliʻi nā maʻi ʻōpū mimi? Loaʻa pū kēia maʻi me ke kuni i kekahi manawa? Hopohopo ka nui o nā mākua no kēia. ʻO kekahi o nā kumu nui o kēia, ʻo ia ke ʻano a mākou e kamaʻilio nei i kēia lā, ʻo Vesicoureteral Reflux, a i ʻole VUR no ka pōkole. Mai makaʻu i kou lohe ʻana i kēia inoa, he ʻano hiki ke mālama ʻia kēia e loaʻa pinepine ana i nā keiki ʻōpio. E kamaʻilio maʻalahi kākou e pili ana.

I ka ʻōlelo maʻalahi, he aha ka VUR?

E noʻonoʻo i nā puʻupaʻa i loko o ko kākou kino e like me ʻelua kānana wai. Kānana lākou i nā huahana ʻōpala i makemake ʻole ʻia mai ko kākou koko a hoʻokuʻu iā lākou ma ke ʻano he mimi. Ke kahe nei ka mimi i hana ʻia i lalo i ʻelua mau ʻōmole lahilahi i kapa ʻia ʻo ureters a hōʻiliʻili i loko o ka ʻōpū mimi . Ua like ia me ka hoʻopiha ʻana i kahi pahu me ka wai. Ke piha ka pahu, manaʻo mākou i ka pono e mimi, a mimi mākou a hoʻokuke aku. ʻO kēia ke kaʻina hana maʻamau.

Eia nō naʻe, i loko o kekahi kanaka me VUR, ʻo ke kū'ē ka mea e hana ʻia. ʻO ia hoʻi, ʻo ka mimi i hōʻiliʻili ʻia i loko o ka ʻōpū mimi e kahe hou ana i luna, ʻo ia hoʻi, ma ka ureter, i nā puʻupaʻa. Ua like ia me ka muliwai e pono e iho i lalo akā pono e piʻi i luna. Ke kahe hou ka mimi i luna ma kēia ʻano, hiki iā ia ke lawe i nā germs, e like me ka bacteria, i nā puʻupaʻa. ʻO kēia ke kumu nui o nā maʻi urinary tract pinepine (UTIs) a me ka hōʻino ʻana o nā puʻupaʻa.

He aha ke kumu o VUR?

Hiki ke hana ʻia ka VUR ma nā ʻano nui ʻelua.

1. VUR mua

ʻO kēia ka mea maʻamau. ʻO ka hapa nui o ka manawa, ma muli kēia o kahi pilikia liʻiliʻi i loaʻa i ka wā hānau . Ma kahi e pili ai ko kākou urethra (ureter) i ka ʻōpū mimi, aia kahi ʻāpana liʻiliʻi e like me ka valve. ʻO kāna hana ka ʻae ʻana i ka mimi e hele i hoʻokahi ala wale nō, ʻo ia hoʻi, i loko o ka ʻōpū mimi. ʻAʻole ia e ʻae iā ia e piʻi hou i luna. Ua like ia me ka puka e wehe wale ana i hoʻokahi ala. Eia nō naʻe, i kekahi mau keiki, hānau pōkole kēia valve a ʻaʻole paha e pani pono. A laila, ke piha ka ʻōpū mimi a i ʻole ke mimi ʻoe, piʻi hou ka mimi.

2. VUR lua

Hoʻokumu ʻia kēia e kahi paʻa ʻana i loko o ka ʻōpū mimi a i ʻole nā ​​​​​​ʻāpana ʻē aʻe o ke ala mimi. No ka laʻana, inā ua pilikia ka hana aʻalolo o ka ʻōpū mimi a inā he paʻa ʻē aʻe, piʻi ke kaomi i loko o ka ʻōpū mimi, e hoʻihoʻi ana i ka mimi i luna.

He aha nā hōʻailona o kēia maʻi?

ʻAʻohe o nā hōʻailona o waho o ka nui o nā keiki me VUR. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​​​he hōʻailona pinepine lākou o ka maʻi urinary tract (UTI). E nānā e ʻike inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona.

Pehea lā e ʻike pono ʻia ai kēia maʻi?

Hiki ke ʻike ʻia ka VUR i kekahi manawa i ka wā o ka ultrasound scan ma mua o ka hānau ʻana o ke pēpē. A i ʻole, hiki i kāu kauka ke kuhikuhi i hoʻokahi a ʻoi aku paha o kēia mau hoʻokolohua e pili ana i kāu mau hōʻailona.

• ʻO Voiding Cystourethrogram (VCUG): ʻO kēia ka hoʻāʻo nui i hoʻohana ʻia no ka ʻike ʻana iā VUR. Ma kēia hoʻāʻo, hoʻokomo ʻia kahi ʻōmole liʻiliʻi i loko o ka ʻōpū mimi a hoʻokomo ʻia kahi kala kūikawā i loko o ka ʻōpū mimi. A laila, lawe ʻia kahi wikiō X-ray i ka wā e mimi ai ke keiki e ʻike inā e kahe hou ana ka kala i loko o nā puʻupaʻa. Hiki i kēia hoʻāʻo ke lilo i mea ʻoluʻolu ʻole no nā keiki, no laila hana ʻia me ka lāʻau lapaʻau e hoʻomālielie i ke keiki, inā pono.
• ʻŌpū Ultrasound: He scan ʻeha ʻole kēia. Hiki iā ia ke nānā i ke kūlana o nā puʻupaʻa a inā ua hōʻino ʻia a i ʻole he ʻeha.
• Hoʻāʻo koko a me ka hoʻāʻo mimi: Hiki i kahi hoʻāʻo koko ke hāʻawi i kahi manaʻo o ka hana maikaʻi o kou mau puʻupaʻa. Hiki i kahi hoʻāʻo mimi ke hōʻoia inā he maʻi kou.

He aha nā lāʻau lapaʻau?

Ma hope o nā hoʻokolohua, e hāʻawi ke kauka i ka VUR i kahi "māka" (e.g., 1 a 5) ma muli o ke koʻikoʻi o ke kūlana. ʻO ke kiʻekiʻe o ka helu, ʻo ka ʻoi aku ka koʻikoʻi o ke kūlana. Hoʻoholo ʻia ka lāʻau lapaʻau ma muli o kēia māka, ka makahiki o ke keiki, a me nā hōʻailona.

Hoʻohana ʻia nā mea aʻe ma ke ʻano he lāʻau lapaʻau:

• Nā lāʻau antibiotic: Hāʻawi ʻia kēia mau mea e pale a mālama i nā maʻi ʻōpū mimi (UTI). He mea nui loa kēia e pale aku i ka laha ʻana o ka maʻi i nā puʻupaʻa. He mea nui e lawe i ka lāʻau no ka manawa piha i kuhikuhi ʻia e ke kauka.
• ʻO ka inikini Deflux: ʻAʻole kēia he ʻoki kino. Hoʻokomo ʻia kahi wai e like me ka gel i loko o ka ʻōpū mimi me ka hoʻohana ʻana i kahi mea kūikawā, kahi i hoʻokomo ʻia i loko o ka urethra kahi e pili ai i ka urethra. Hoʻoulu kēia i kahi pehu liʻiliʻi ma laila, a hoʻomaka ka valve e pani paʻa. Hoʻōki kēia i ka mimi mai ke kahe hou ʻana i luna.
• ʻOki kino: Hana ʻia kēia i nā hihia koʻikoʻi loa, i ka wā ʻaʻole hiki i ka lāʻau lapaʻau ke kāohi i ke kūlana, a i ʻole i ka wā e hōʻino mau ʻia ai nā puʻupaʻa. Hoʻoponopono mau ke ʻoki kino i ka pilikia me ka valve.

Nā mea hiki iā ʻoe ke hana ma ka home ma ke ʻano he makua

Inā he keiki kāu me VUR, he mea nui loa ia e mālama i kēia mau mea.

• E aʻo aku i kāu keiki e hele i ka lua i nā manawa maʻamau, i kēlā me kēia ʻelua a ʻekolu hola . Mai ʻae iā ia e paʻa i kāna mimi no ka lōʻihi.
• E hāʻawi i nā lāʻau antibiotic i kuhikuhi ʻia e ke kauka e like me ke kuhikuhi ʻana, ʻoiai inā hāʻawi ʻia lākou e pale aku i ka maʻi. Mai ho'ōki i ka lawe ʻana iā lākou i ka hapalua no ka mea ua maikaʻi ke ʻano o kāu keiki.
• E hōʻoia i kāu keiki e inu nui i ka wai . E kōkua kēia i ka holoi ʻana i nā bacteria.
• E hōʻemi i kāu ʻai ʻana i nā mea inu kō a me nā sodas, no ka mea hiki iā lākou ke hoʻonāukiuki i ka ʻōpū mimi.
• Inā loaʻa iā ʻoe ka ʻeha o ka ʻōpū a i ʻole ka ʻoluʻolu ʻole, e kau i kahi ʻōmole wai wela a i ʻole kahi lole wela ma kou ʻōpū a hamo iā ia. E hāʻawi ia i ka hōʻoluʻolu.

Ma ka hoʻomaopopo ʻana i kēia kūlana a me ka hana pū ʻana me kāu kauka, hiki iā ʻoe ke pale i nā puʻupaʻa o kāu keiki a kōkua iā lākou e ola i ke ola olakino.