Loaʻa i kāu keiki liʻiliʻi nā pilikia mimi pinepine? Hiki paha kēia ke lilo i Vesicoureteral Reflux (VUR)!

E nā mākuahine a me nā mākua kāne, loaʻa pinepine anei i kāu keiki liʻiliʻi nā maʻi ʻōpū mimi (UTI)? A i ʻole he paʻakikī iā ia ke mimi , a i ʻole he kuni kona? I kekahi manawa ʻo ke kumu o kēia he kūlana a mākou e kamaʻilio nui ʻole ai, akā he mea pono ke ʻike. I kēia lā, e kamaʻilio kākou e pili ana i kēia kūlana i kapa ʻia ʻo Vesicoureteral Reflux , a i ʻole VUR no ka pōkole. Mai hopohopo, he mea kēia e hiki ke ho'ōla loa ʻia i ka hapa nui o nā hihia inā hoʻomaopopo pono ʻia a mālama ʻia i ka manawa kūpono.

He aha ka Vesicoureteral Reflux (VUR)? E hoʻomaopopo maʻalahi kākou.

I ka ʻōlelo maʻalahi, ʻo VUR ke ʻano o ko kākou mimi , ʻo ia hoʻi, ka mimi, ke kahe nei i ke ala kūpono ʻole. E noʻonoʻo i kēia ala, e like me ka mea e pono ai. Hana ka ʻōnaehana mimi o ko kākou kino e like me ke alanui hoʻokahi ala.

Eia ke ʻano o ka hana ʻana:

• Hoʻopuka ko kākou mau puʻupaʻa i ka mimi. ʻElua mau puʻupaʻa ko kākou maʻamau.
• A laila, hele kēia mimi i lalo i ʻelua mau ʻōmole lahilahi i kapa ʻia ʻo ureters a hōʻiliʻili i loko o ka ʻōpū mimi . Ua like ka ʻōpū mimi me kahi pōpō e hoʻonui ana e hōʻiliʻili i ka mimi .
• Ke mimi kākou, puka aku ka mimi i hōʻiliʻili ʻia i loko o ka ʻōpū mimi i ke kino ma o kekahi ʻōmole ʻē aʻe i kapa ʻia ʻo ka urethra .

Ua maopopo iā ʻoe i kēia manawa? Ua like kēia me ka wai e puka mai ana mai kahi pahu wai ma o kahi paipu a puka mai ana mai kahi piula wai. ʻO ka mea nui, ʻo nā ureters, kahi e pili ai lākou i ka ʻōpū mimi, e hana e like me kahi valve hoʻokahi ala . ʻO ia hoʻi, i ka wā e hiki ai ka mimi i ka ʻōpū mimi, ʻaʻole ia e ʻae ʻia e piʻi hou i luna, ʻo ia hoʻi, ma nā ureters a hiki i nā puʻupaʻa.

Eia nō naʻe, i loko o kekahi kanaka me VUR, aia kahi pilikia iki me kēia kaʻina hana. No ka mea ʻaʻole hana pono kēlā valve, kahe hou ka mimi i loko o ka ʻōpū mimi i luna, i loko o hoʻokahi a i ʻole nā ​​ureters ʻelua, a i kekahi manawa a hiki i nā puʻupaʻa. ʻO kēia ka mea a mākou e kapa nei he reflux .

ʻOi aku ka maʻamau o kēia ʻano i nā pēpē hānau hou, nā pēpē i kekahi mau mahina, a me nā keiki a hiki i ʻelua makahiki . Eia nō naʻe, hiki ke loaʻa pū i nā keiki makua a, kākaʻikahi loa, nā pākeke.

ʻO ka mea nui loa, ke kahe hope ka mimi e like me kēia, hiki i ka bacteria i loko o ka ʻōpū mimi ke hele i nā puʻupaʻa a hoʻoulu i nā maʻi puʻupaʻa . Inā ʻaʻole mālama pono ʻia kēia mau maʻi puʻupaʻa, hiki iā lākou ke hōʻeha mau loa i nā puʻupaʻa. No laila he mea nui e makaʻala i ka VUR.

Akā, mai hopohopo. Aia nā lāʻau lapaʻau no VUR. Aia ka lāʻau lapaʻau i ka makahiki o ke keiki, ke ʻano o nā hōʻailona, ​​a me ke koʻikoʻi o ka VUR. ʻAʻole pono kekahi mau hihia liʻiliʻi i ka lāʻau lapaʻau a e hoʻomaikaʻi wale nō ia i ka wā e ulu ai ke keiki. Akā, pono paha i kekahi mau keiki ka lāʻau lapaʻau a i ʻole ke ʻoki ʻana e hoʻōki i ka hōʻino ʻana i ko lākou mau puʻupaʻa.

Aia kekahi mau ʻano o VUR?

ʻAe, ʻelua ʻano nui o VUR.

• VUR Mua: ʻO kēia ke ʻano maʻamau. ʻO ka hapa nui o ka manawa, hoʻopilikia wale ia i hoʻokahi ʻaoʻao o ka urethra a me ka puʻupaʻa (ua kapa ʻia kēia he reflux unilateral ). I ka VUR mua, aia kahi kīnā liʻiliʻi ma kahi e pili ai ka urethra i ka ʻōpū mimi i ka wā hānau. ʻAʻole pani pono ka valve a mākou i kamaʻilio ai, no laila kahe ka mimi i hope.
• ʻO ka VUR Lua: Hoʻokumu ʻia kēia e kahi ālai ʻana ma kekahi wahi o ka ʻōnaehana mimi. No ka laʻana, hiki i kahi ālai ʻana i ka urethra ke hoʻoulu i ka mimi e kahe i hope, e hana ana i ke kaomi i loko o ka ʻōpū mimi e kūkulu. A i ʻole, hiki ke hana ʻia e kahi pilikia me nā aʻalolo i loko o ka ʻōpū mimi e pale ai iā ia mai ka ʻaelike pono ʻana a me ke kahe ʻana o ka mimi i hope. Hoʻopilikia pinepine ʻia nā ureters a me nā puʻupaʻa o nā keiki me ka VUR lua (ua kapa ʻia kēia he reflux bilateral ).

Pehea e hoʻoholo ʻia ai ke koʻikoʻi (kahua) o VUR? (Nā Māka o VUR)

ʻElima mau pae, a i ʻole nā ​​māka, o ke koʻikoʻi o VUR. ʻO ka Papa 1 ka mea liʻiliʻi loa ke koʻikoʻi, a ʻo ka Papa 5 ka mea koʻikoʻi loa. Hoʻoholo kēia māka:

• Pehea ka mamao o ke kahe ʻana o ka mimi i luna a i lalo o ka ʻōnaehana mimi.
• Pehea ka laulā a i ʻole ka pehu ʻana o ka urethra.

Eia kēlā mau pae ʻelima:

• Papa 1: Kahe hou ʻana o ka mimi i loko o ka urethra, akā he maʻamau ka laulā o ka urethra.
• Papa 2: Ke kahe nei ka mimi i hope ma ka ureter a hiki i ka ʻāpana mua o ka puʻupaʻa kahi e hōʻiliʻili ai ka mimi (pelvis kidney) . Eia naʻe, ʻaʻole i hoʻonui ʻia ka ureter a ʻaʻole hoʻi kēlā ʻāpana o ka puʻupaʻa.
• Papa 3: Ua hoʻonui iki ʻia nā ureters, nā pelvis kidney, a me nā calyces (kahi e hoʻomaka ai ka mimi e hōʻiliʻili i loko o ka ʻōpū mimi) ma muli o ke kahe ʻana o ka mimi i hope.
• Papa 4: Ua wili ʻia nā ureters a ua hoʻonui iki ʻia no ka mea he nui ka mimi e kahe ana i hope. Ua hoʻonui iki ʻia hoʻi kēlā mau ʻāpana o ka puʻupaʻa.
• Papa 5: Ua ʻano ʻino loa nā ureters a ua hoʻonui ʻia ma muli o ke kahe nui ʻana o ka mimi i hope. He nui loa nō hoʻi nā ducts hōʻiliʻili o nā puʻupaʻa.

Pehea ka maʻamau o VUR?

Inā ʻoe e nānā a puni ka honua,Ua manaʻo ʻia aia ma waena o 1% a me 3% o nā keiki me VUR. Eia kekahi, he 75% wale nō o nā keiki me VUR he mau kaikamahine .

He aha nā hōʻailona o VUR?

ʻO ka hapa nui o ka manawa, ʻaʻole e hōʻike kekahi keiki me VUR i kekahi mau hōʻailona. Eia nō naʻe, inā loaʻa nā hōʻailona, ​​ʻo ka hōʻailona maʻamau ka maʻi urinary tract (UTI) . Manaʻo kekahi mau hōʻike ma waena o 30% a me 50% o nā keiki e loaʻa ana i ka UTI e loaʻa paha iā VUR!

Inā loaʻa i kahi keiki kahi UTI, e nānā i nā hōʻailona e like me kēia:

• ʻO ka pono e mimi pinepine.
• ʻEha a me ke kuni i ka wā e mimi ai .
• ʻO ka ʻeha ma ka ʻaoʻao o ka ʻōpū ka ʻeha ma ka ʻōpū a i ʻole ke kua i lalo (ʻaoʻao o ka ʻōpū).
• He mau kulu wale nō o ka mimi .
• Ua loli ke kala o ka mimi , ua lilo i ʻeleʻele ʻeleʻele a he pilau maikaʻi ʻole.
• Wela a kuni ke kino.

Eia nō naʻe, hiki ke paʻakikī iki ke ʻike inā he UTI ka pēpē hānai waiū. Hiki iā lākou ke uē nui, ʻaʻole inu, a hana hoʻopiʻi paha.

He ʻeha anei ka VUR?

ʻAʻole, ʻaʻole ʻeha ka VUR ponoʻī. Eia nō naʻe, inā hoʻoulu ka VUR i kahi UTI, a laila hiki iā ʻoe ke ʻeha i ka wā e mimi ai , ʻeha puʻupaʻa/ʻōpū.

He aha ke kumu o VUR?

ʻOkoʻa nā kumu o nā ʻano ʻelua o VUR a mākou i kūkākūkā ai ma mua, ʻo ia hoʻi ka VUR mua a me ka VUR lua.

• VUR Mua: Hoʻokumu ʻia kēia e kahi kīnā hānau ma ka valve ma waena o ka ureter a me ka ʻōpū mimi. ʻAʻole ia e pani pono, e ʻae ana i ka mimi e kahe i hope i loko o nā puʻupaʻa. ʻO ka nūhou maikaʻi, i ka wā e ulu ai ke keiki, i ka wā e oʻo ai nā ʻōpū o ke kino, e hoʻomaka kēia valve e pani pono, a hiki i ka VUR mua ke hoʻomaikaʻi ma kāna iho.
• VUR Lua: ʻO ke kumu nui o kēia, he pani ʻia a i ʻole ka haiki ʻana o ka ʻāʻī o ka ʻōpū mimi a i ʻole ka urethra. ʻO kēia pilikia ke kumu o ka mimi e kahe i hope i luna o ke ala mimi ma kahi o waho. A i ʻole, ʻaʻole paha e hana pono nā aʻalolo e hoʻomalu ana i ka ʻōpū mimi. ʻO kēia pilikia ke kumu o ka ʻūlū a hoʻomaha i ka ʻōpū mimi, e pale ana i ka hoʻokuʻu ʻia ʻana o ka mimi . I ka VUR lua, ʻoi aku ka maʻamau o ka VUR bilateral.

He aha nā kumu pilikia no kēia maʻi?

Aia kekahi mau kumu pilikia e hiki ke hoʻopilikia i ka ulu ʻana o VUR:

• ʻIke Hoʻoilina: Loaʻa ka VUR i loko o nā ʻohana. Inā loaʻa i kekahi keiki o ka ʻohana ka VUR, aia kahi manawa ʻoi aku ka nui ma mua o hoʻokahi i loko o ʻehā e loaʻa pū kekahi i ke kaikunāne a i ʻole ke kaikuahine iā VUR. Inā loaʻa i kekahi o nā mākua ka VUR i kona wā kamaliʻi, aia kahi manawa ʻekolu e loaʻa pū kekahi i ke keiki iā VUR.
• Nā maʻi hānau:ʻO nā keiki me nā ʻano maʻi hānau ʻole o nā puʻupaʻa a i ʻole ka ʻōnaehana mimi e ʻoi aku ka nui o ka loaʻa ʻana o VUR.
• ʻO ka hana ʻino o ka ʻōpū mimi a me ka ʻōpū (BBD): He pilikia ko nā keiki me BBD i ka mimi ʻana a me ka hoʻokahe pono ʻana. Hoʻokumu pinepine ʻia kēia e nā pilikia me nā ʻiʻo a i ʻole nā ​​aʻalolo.
• Lāhui a me ke kāne: Ua ʻōlelo ʻia ʻoi aku ka nui o ka loaʻa ʻana o VUR i nā keiki wahine keʻokeʻo (akā hiki ke hana i kekahi keiki).

He aha nā pilikia e hiki ke loaʻa mai ka VUR?

Hiki i nā keiki me VUR ke loaʻa nā pilikia e like me:

• Nā maʻi ʻōpū mimi (UTIs): Nā maʻi ʻōpū mimi, me nā maʻi puʻupaʻa.
• Nā pilikia o ka ʻōpū mimi: hiki ʻole ke kāohi i ka mimi (urinary incontinence), ka pulu ʻana i ka moena, hiki ʻole ke hoʻokahe loa i ka mimi ( paʻa ʻana o ka mimi).
• Ke koko kiʻekiʻe.
• ʻEha puʻupaʻa, hōʻino ʻia nā puʻupaʻa (e.g., nephrotic syndrome), a i ka hapa pinepine, ka hāʻule ʻana o ka puʻupaʻa mau loa.

Akā e hoʻomanaʻo, ʻo ka hapa nui o nā keiki me VUR e ho'ōla me ka ʻole o nā pilikia lōʻihi. No laila he mea nui e pale aku i ka hopohopo a hahai i nā ʻōlelo a kāu kauka.

Pehea e ulu ai ka VUR i nā mākua? (ʻAʻole kēia no nā keiki ʻōpio wale nō)

ʻOiai he mea kakaikahi, hiki i nā pākeke ke loaʻa iā VUR. ʻO nā kumu paha:

• Ka hoʻonui ʻia ʻana o ka ʻōpū prostate ('Benign prostate hyperplasia' - no nā kāne)
• Ka hana ʻino ʻana o ka ʻōpū mimi ma muli o ka hōʻino ʻia o nā aʻalolo ('Neurogenic bladder')
• He ʻoki kino i hana ʻia ma nā ureters.

Hiki iā VUR ke hoʻoulu i nā pōhaku puʻupaʻa?

ʻAe, hiki i ka VUR ke hana i nā pōhaku puʻupaʻa. Hiki iā ia ke hana i nā pōhaku ma nā ʻāpana ʻē aʻe o ka ʻōnaehana mimi, e like me ka ʻōpū mimi.

He mea hoʻoweliweli anei ka VUR i ke ola?

ʻAʻole hoʻoweliweli ke VUR iā ia iho i ke ola. Eia nō naʻe, hiki i ka VUR ke hoʻoulu i nā maʻi ʻaʻai mimi pinepine (UTIs), hiki ke alakaʻi i ka hōʻino ʻana o nā puʻupaʻa, a i ka hala ʻana o ka manawa, hiki i ka maʻi puʻupaʻa ke alakaʻi i ke koko kiʻekiʻe (renal hypertension) a me ka maʻi puʻupaʻa. Inā loaʻa iā ʻoe ka maʻi puʻupaʻa hope loa, pono paha ʻoe i ka dialysis a i ʻole kahi hoʻoili puʻupaʻa. ʻO ia ke kumu e hopohopo ai ʻoe e pili ana iā VUR.

Pehea ʻoe e ʻike ai i ka VUR? (Diagnosis)

Inā kānalua ʻia kāu keiki he VUR, e kuhikuhi aku kāu pediatrician iā ʻoe i kahi nephrologist pediatric a i ʻole he urologist pediatric .

No ka hoʻoholo pololei ʻana inā he VUR kou, hiki iā ʻoe ke hana i nā hoʻokolohua aʻe:

• ʻO Voiding Cystourethrogram (VCUG): He hoʻāʻo X-ray kēia. Hoʻokomo ʻia kahi paipu liʻiliʻi a lahilahi (catheter) i loko o ka urethra o ke keiki a ninini ʻia kahi kala kūikawā i loko o ka ʻōpū mimi. A laila, lawe ʻia nā kukuna X i ka wā e mimi ai ke keiki, ma mua a ma hope o ka mimi ʻana . Hōʻike kēia mau kukuna X inā e kahe hou ana ka mimi mai ka ʻōpū mimi i loko o ka urethra. Hiki ke hana ʻia kēia ma ke keʻena o ke kauka, ke keʻena lapaʻau outpatient, a i ʻole ka haukapila. ʻAʻole pono ka anesthesia, akā hiki ke hāʻawi ʻia i kekahi mau keiki i ka lāʻau lapaʻau e kōkua iā lākou e hoʻomaha.
• ʻO ke scan ultrasound: He hoʻāʻo palekana a ʻeha ʻole kēia. Hoʻohana ia i nā nalu kani e kiʻi i nā kiʻi o ka ʻōnaehana mimi holoʻokoʻa o kāu pēpē (me nā puʻupaʻa a me ka ʻōpū mimi). Hana ʻia kēia ma ke keʻena o ke kauka, ke keʻena outpatient, a i ʻole ka haukapila. Inā makemake ʻoe e pale i ka ʻike ʻana i nā kukuna X a i ʻole nā ​​​​mea radioactive, makemake paha ʻoe e loaʻa kahi ultrasound ma mua o ka VCUG. E hoʻomanaʻo, i kekahi manawa hiki i kahi scan ultrasound i ka wā hāpai ke hōʻike i nā hōʻailona e loaʻa paha i kāu pēpē ka VUR (e like me nā puʻupaʻa pehu).
• ʻO ke kiʻi ʻana o ka waikawa Dimercaptosuccinic (DMSA): Nānā kēia e ʻike inā ua hōʻino ʻia nā puʻupaʻa o ke keiki e ka UTI.
• ʻO Radionuclide cystogram (RNC): He ʻano scan nukelea kēia. Hoʻokomo ʻia kahi liʻiliʻi o nā mea radioactive i loko o ka ʻōpū mimi o ke keiki. A laila, i ka wā e mimi ai ke keiki a i ʻole ma hope o ka hakahaka ʻana o ka ʻōpū mimi, e nānā kahi scanner i ka mea radioactive. Hana ʻia kēia e kahi loea i aʻo kūikawā ʻia, a nānā kahi radiologist i nā kiʻi. ʻAʻole pono kēia i ka anesthesia, akā hiki ke hāʻawi ʻia i kekahi mau keiki i ka lāʻau lapaʻau e kōkua iā lākou e hoʻomaha. ʻOi aku ka maʻalahi o ka RNC ma mua o VCUG, akā ʻaʻole ia e hāʻawi i ka nui o nā kikoʻī e pili ana i ke ʻano o ka ʻōpū mimi.

He aha nā hoʻokolohua ʻē aʻe e pono e hana ʻia no nā keiki me VUR?

Inā ua hōʻoia ʻia he VUR kāu keiki, e hana mau ʻia kēia mau hoʻokolohua:

• Ke nānā ʻana i ke koko: ʻOi aku ka nui o ka loaʻa ʻana o ke koko kiʻekiʻe i nā keiki me nā pilikia puʻupaʻa.
• Nā hoʻāʻo koko: ʻO ke kiʻekiʻe o ka protein a i ʻole creatinine i loko o ke koko he hōʻailona ia o ka hōʻino ʻia ʻana o nā puʻupaʻa.
• Nā hoʻāʻo mimi a me ka moʻomeheu: ʻO ka protein i loko o ka mimi he hōʻailona ia o ka hōʻino ʻia o nā puʻupaʻa. ʻO ka bacteria i loko o ka mimi he hōʻailona ia o ka maʻi.

E nānā pū ke kauka o kāu keiki no ka hana ʻino o ka ʻōpū mimi a me ka ʻōpū (BBD) . ʻO nā hōʻailona o ka BBD:

• Ka pono pinepine a wikiwiki hoʻi e mimi .
• Kākaʻikahi wau e mimi , a he lōʻihi loa ka manawa.
• Ka hoʻomaʻū ʻana i ke ao.
• Paʻa ʻōpū - ka neʻe ʻana o ka ʻōpū ma lalo o ʻekolu manawa i ka pule.
• ʻAʻole hiki ke kaohi i ka ʻōpala (Fecal incontinence).

ʻO nā keiki i loaʻa nā hōʻailona o BBD me VUR e ʻoi aku ka nui o ka pilikia o ka hōʻino ʻia ʻana o nā puʻupaʻa ma muli o nā maʻi.

Pehea e mālama ʻia ai ʻo VUR?

Pono ke kōkua o ke kauka no ka mālama ʻana iā VUR. Aia ka mālama ʻana i ka makahiki o kāu keiki, nā hōʻailona, ​​ke ʻano o VUR, a me kona koʻikoʻi. ʻO nā koho lapaʻau e komo pū me nā antibiotics a me nā lāʻau lapaʻau ʻē aʻe, kahi inikini o kahi mea hoʻopihapiha hiki ke hoʻoheheʻe ʻia, ka catheterization pōkole, a me ke ʻoki kino. ʻO ʻoe, kāu pediatrician, a me nā loea ʻē aʻe e kūkākūkā i kēia mau koho lapaʻau a koho i ka mea maikaʻi loa no kāu keiki.

Ka Lapaʻau ʻana o ka VUR Mua

Hiki ke hoʻomaikaʻi ʻia ka VUR mua ma kāna iho i ka wā e ulu ai ke keiki (ma kahi o 5 mau makahiki). I kekahi manawa, ua holomua kahi ala "kali a ʻike" . Akā i nā manawa ʻē aʻe, pono ke ʻoki kino a i ʻole ka lāʻau lapaʻau.

Nā lāʻau lapaʻau

Hoʻomaikaʻi pinepine ka VUR mua i ka wā e ulu ai kāu keiki a oʻo ai kā lākou ʻōnaehana mimi. A hiki i kēlā manawa, e kuhikuhi kāu kauka i kahi lāʻau antibiotic e pale aku i ka UTI mai ka hanana ʻana a i ʻole e mālama iā ia inā loaʻa.

Aia nā manaʻo like ʻole e pili ana i ka hāʻawi ʻana i nā antibiotics i ka wā lōʻihi e pale aku ai i nā UTI. ʻO kēia no ka mea hiki i ka hoʻohana lōʻihi ʻana i nā antibiotics ke alakaʻi i ke kūʻē ʻana i ka antibiotic i nā bacteria. Manaʻo ka American Academy of Pediatrics (AAP) e hāʻawi wale ʻia nā antibiotics pale i nā keiki me nā helu kiʻekiʻe o VUR (ʻoiai lākou e kali ana i kā lākou VUR e ulu aʻe mai ko lākou wā ʻelemakule).

ʻoki kino

Hoʻohana nā kauka i nā ʻano hana ʻoki like ʻole e mālama ai i ka VUR mua. ʻO ka pahuhopu nui o ke ʻoki ʻana, ʻo ia ka hoʻoponopono ʻana i ka valve hoʻokahi ala (ka valve hoʻokahi ala) ma ka hui ʻana ma waena o ka ʻōpū mimi a me ka urethra, e pale ana i ka mimi mai ke kahe ʻana i hope.

• Hoʻokomo hou ʻana o ka ureter: Ua manaʻo ʻia kēia ʻo ke "kūlana gula" o ke ʻoki ʻana no VUR. ʻO ka pahuhopu ka hoʻololi ʻana i ke kūlana o ka ureter i hiki ai ke hele ma waena o kahi tunnel o ka lōʻihi kūpono ma o ka paia o ka ʻōpū mimi, e hana ana i kahi valve e pale ai i ka mimi mai ke kahe ʻana i hope. Hiki i ke kauka o kāu keiki ke hana i kēia ʻoki ʻana ma ke ʻano he ʻoki hāmama (ma o kahi ʻoki ʻana i loko o ka ʻōpū o kāu keiki) a i ʻole laparoscopically (ma o kekahi mau ʻoki liʻiliʻi wale nō). E wehewehe kāu kauka i nā pono a me nā hemahema o kēlā me kēia ʻano hana, a me nā hopena ʻaoʻao. Pono ke ʻoki ʻana i ka anesthesia laulā , a pono paha ʻoe e noho ma ka haukapila no kekahi mau lā.

• Mea hoʻonui nui hiki ke hoʻokomo ʻia: ʻO kekahi koho lapaʻau no ka VUR muaKe hoʻohana nei i kahi wai e like me ka gel i kapa ʻia ʻo hyaluronic acid/dextranomer (Deflux®) . E hoʻokomo ke kauka o kāu keiki i kahi liʻiliʻi o kēia i loko o ka paia o ka ʻōpū mimi o kāu keiki, kokoke i ke komo ʻana i ka urethra. Hoʻoulu ka injection i ka ʻiʻo ma laila e pehu, e hana ana e like me ka valve a e paʻakikī ai ke kahe hou ʻana o ka mimi . Hana ʻia kēia ma ke ʻano outpatient (hiki i kāu keiki ke hoʻi i ka home i ka lā hoʻokahi), akā pono nō hoʻi ka anesthesia laulā. E kamaʻilio kāu kauka iā ʻoe e pili ana i nā pono a me nā pōʻino o kēia lāʻau lapaʻau.

Ka Lapaʻau ʻana o ka VUR Lua

Hoʻōla ʻia ka VUR lua ma ka wehe ʻana i ka mea paʻa a i ʻole ka hoʻomaikaʻi ʻana i ke ʻano o ka hakahaka ʻana o ka ʻōpū mimi. Hiki ke komo pū me kēia mau lāʻau lapaʻau:

• ʻO ke ʻoki kino e wehe ai i kahi mea ālai a i ʻole e hoʻoponopono i kahi ʻōpū mimi a i ʻole ka urethra i ke ʻano ʻē.
• Ke hāʻawi nei i nā lāʻau antibiotic e pale aku a mālama paha i ka UTI.
• Catheterization intermittent: ʻO kēia ke komo ʻana i kahi ʻōmole lahilahi i loko o ka ʻōpū mimi ma o ka urethra e hoʻokuke i ka ʻōpū mimi.
• Lāʻau lapaʻau no nā ʻiʻo o ka ʻōpū mimi.

He aha ka mea e hana ai inā loaʻa i kaʻu keiki ʻo VUR?

Inā ua ʻike ʻia kāu keiki me VUR, e hana pū me kāu hui lapaʻau e hoʻomohala i kahi hoʻolālā lapaʻau e kūpono no kou ʻohana. ʻO ka mālama ʻana i kahi kūlana e like me VUR hiki ke lilo i mea kaumaha no ʻoe a me kāu poʻe mālama ʻē aʻe. E kamaʻilio me ka hui lapaʻau o kāu keiki e pili ana i kāu mau hopohopo a me nā nīnau. ʻO ka nūhou maikaʻi, hiki ke mālama nui ʻia ʻo VUR, a no ka hapa nui o nā keiki, ʻaʻohe ona hopena lōʻihi.

Pehea ka lōʻihi o ka VUR? / Ke emi nei ka VUR me ka ʻelemakule?

Loaʻa paha i kāu keiki ka VUR no ka liʻiliʻi ma mua o hoʻokahi makahiki, akā ʻaʻohe manawa kikoʻī, no ka mea, ʻokoʻa ia ma muli o ke kūlana o ke keiki. I kekahi manawa e paipai kāu kauka i kahi ala "kali makaʻala", a i ʻole ke ʻoki kino inā hōʻike nā hoʻokolohua i ka VUR koʻikoʻi a i ʻole ka hōʻino ʻana o nā puʻupaʻa.

ʻAe, hiki i kāu keiki ke ulu aʻe mai ka VUR, ʻoiai inā he haʻahaʻa ka VUR mua (papa ʻekahi a ʻelua paha). Hiki i nā keiki me kēia maʻi ke ho'ōla iā lākou iho i loko o kekahi mau makahiki.

Hiki i ke keiki me VUR ke hele i ke kula?

Aia nō ia i ke koʻikoʻi o nā hōʻailona o kāu keiki. E hoʻomanaʻo, ʻaʻole pilikia ka VUR no ke ola o kāu keiki i kēlā me kēia lā, akā hiki ke lilo i pilikia inā ulu kahi UTI. Loaʻa paha i kāu keiki ka ʻeha, ka paʻa ʻana o ka ʻōpū, a i ʻole ka hiki ʻole ke hoʻomau i ka ʻōpū. E kamaʻilio me kāu kauka e pili ana i ka hoʻouna ʻana i kāu keiki i ke kula a i ʻole ka pāʻani ʻana me nā hoaaloha.

Aia kekahi ala e pale aku ai i ka VUR?

ʻAʻohe ala i ʻike ʻia e pale aku ai i ka VUR - ʻaʻole ma o ka ʻai ʻana, nā hoʻololi ʻana i ke ʻano o ka nohona, a i ʻole ka lāʻau lapaʻau. Eia naʻe, ʻo kāu keikiEia kekahi mau mea hiki iā ʻoe ke hana e mālama i ke olakino maikaʻi o ka ʻōnaehana urinary:

• E hāʻawi i ke keiki i ka wai e lawa ai e inu ai .
• E hoʻololi koke i ka diaper ma hope o ka mimi ʻana a i ʻole ka ʻōpala ʻana o ke keiki.
• Ke paipai ʻana i ke keiki e mimi pinepine, ʻaʻole "e paʻa ana."
• E ʻimi i ka lāʻau lapaʻau no nā pilikia e like me ka paʻa ʻana o ka ʻōpū, ka hiki ʻole ke hoʻomau i ka ʻōpū, a i ʻole ka hiki ʻole ke hoʻomau i ka ʻōpū i ka wā hikiwawe loa.

He mea nui hoʻi e paipai i ka hoʻoikaika kino a hāʻawi i nā meaʻai kaulike a momona hoʻi e mālama i ke olakino o kāu keiki.

Āhea wau e ʻike ai i ke kauka e pili ana iā VUR?

Inā kānalua ʻoe i kahi UTI (ʻo ia ka hōʻailona mua o VUR), e ʻike koke i ke kauka pediatric o kāu keiki. ʻO nā hōʻailona e like me ka hoʻopaʻa ʻole ʻana o ka mimi , ke kuni i wehewehe ʻole ʻia, a me ka ʻeha i ka wā e mimi ai hiki ke hōʻike i ka VUR. Inā kānalua kāu pediatrician iā VUR, e kuhikuhi ʻo ia iā ʻoe i kahi loea.

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

E kamaʻilio me ke kauka o kāu keiki e loaʻa nā pane i kāu mau nīnau e pili ana iā VUR. Eia kekahi mau nīnau hiki iā ʻoe ke nīnau:

• E hoʻomaikaʻi anei ka VUR mua o kaʻu keiki me ka ʻole o ka lāʻau lapaʻau?
• He mau pilikia puʻupaʻa ko kaʻu keiki?
• E ʻike anei au i kahi loea?
• Pehea ʻoe e mālama ai i ka VUR o kaʻu keiki?
• He aha nā hopena e hiki mai ana o ka waiho ʻole ʻana iā VUR me ka mālama ʻole ʻia?
• He aha kaʻu e hana ai ma ka home e kōkua ai i ka hoʻomaikaʻi ʻana i ke kūlana o kaʻu keiki?
• E hōʻeha anei kēia kūlana i kaʻu keiki?
• Pehea e ʻike ai au inā ke hoʻopilikia nei ʻo VUR i nā ʻōpū ʻē aʻe a i ʻole nā ​​​​hana o ke kino?
• Pehea e hiki ai iā ʻoe ke pale aku i ka maʻi urinary tract?
• Pono anei e hoʻāʻo ʻia kaʻu mau keiki ʻē aʻe no VUR?

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAʻole ʻeha a hoʻoweliweli paha ka VUR i ka manawa maʻamau. Hiki ke mālama ʻia, a ua holomua pinepine ka lāʻau lapaʻau. ʻOiai ʻaʻohe ala e pale aku ai, hiki iā ʻoe ke kōkua i kāu keiki e noho wai, hoʻoikaika kino, a ʻai i ka meaʻai momona e mālama i ko lākou olakino holoʻokoʻa. E hilinaʻi i ka ʻike loea o kāu kauka. Hiki iā lākou ke kōkua iā ʻoe e ʻike a mālama i ka VUR o kāu keiki. Mai kānalua e kamaʻilio me lākou e pili ana i kāu mau nīnau a me nā hopohopo. E wehe a ʻoiaʻiʻo e pili ana i nā hōʻailona o kāu keiki, ʻoiai inā he paʻakikī ke kamaʻilio e pili ana. ʻO kou ʻike a me ka hahai ʻana i nā ʻōlelo aʻo a kāu kauka ke ala maikaʻi loa e kōkua ai i kāu keiki e hoʻomaikaʻi.

ʻO ka reflux Vesicoureteral, VUR, maʻi ʻaʻai mimi, maʻi ʻaʻai mimi o nā keiki, maʻi ʻaʻai mimi, UTI, maʻi puʻupaʻa, olakino o ke keiki