Ke uē koke nei kāu keiki liʻiliʻi a paʻa i kona ʻōpū? E aʻo kākou e pili ana i ka intussusception

Ke hoʻomaka koke nei kāu keiki liʻiliʻi e uē nui i ka wā e pāʻani ana? Ke huki nei ʻo ia i kona mau kuli i kona umauma, paʻa i kona ʻōpū, a uē mau? Ke pau nei ka uē ʻana ma hope o kekahi manawa, akā ma hope o 15-20 mau minuke, hoʻomaka ʻo ia e uē e like me ke kanaka ʻelemakule? He mea kūpono ia no kekahi makuahine a makua paha e makaʻu ke ʻike ʻo ia i kahi mea e like me kēia. ʻO nā hōʻailona e like me kēia i kekahi manawa he hōʻailona ia o kahi maʻi i lohe pinepine ʻole ʻia e mākou, akā pono e mālama koke ʻia e ke kauka. ʻO ia ke ʻano o Intussusception. E kamaʻilio kākou e pili ana i kēia i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Intussusception?

He ʻeha a koʻikoʻi hoʻi ka intussusception e kū mai ana i loko o nā ʻōpū . ʻO ke kikoʻī, kū mai ia i ka wā e paheʻe ai kekahi ʻāpana o ka ʻōpū i loko o kekahi ʻāpana ma mua ona.

E noʻonoʻo i kahi telescope kahiko. Ke wehe mākou, puka mai kekahi ʻāpana mai kekahi. Ke pani hou mākou, hoʻi hou nā ʻāpana i loko, ʻeā? ʻO ia ka mea e hana ʻia i ko mākou ʻōpū i kēia kūlana. Akā, ʻaʻole e like me nā telescope, ua wehe mau ko mākou ʻōpū.

He aha nā kumu a me nā kumu pilikia no kēia maʻi?

ʻO ka intussusception ka pilikia maʻamau i nā keiki ma lalo o 2 mau makahiki. Eia nō naʻe, hiki ke hana ʻia i nā keiki makua a me nā ʻōpio. He mea kākaʻikahi ia i nā pākeke. Ke hana ʻia, hoʻoulu pinepine ʻia ia e kekahi maʻi ʻē aʻe, e like me ka puʻupuʻu ma ka colon.

Aia kekahi mau kumu e hoʻonui ai i ka pilikia o kēia maʻi i waena o nā keiki ʻōpio.

Nā kumu i nā mākua

Inā loaʻa i kahi pākeke kēia maʻi, ʻo ke kumu paha kekahi o kēia mau mea:

• He polyp a he puʻupuʻu paha i loko o ka ʻōpū.
• Nā pipili a i ʻole nā ​​ʻiʻo ʻeha i loko o ka ʻōpū mai ke ʻoki kino mua.
• Nā kūlana e hoʻoulu ai i ka mumū o nā ʻōpū, e like me ka maʻi o Crohn .
• Nā ʻoki pohō kaumaha e like me ka gastric bypass.

He aha nā hōʻailona maoli o kēia?

Inā hana kēia i kahi keiki ʻōpiopio i hoʻomaka ʻole e ʻōlelo, e hōʻike ʻo ia i kona ʻeha ma ka uē koke ʻana a me ka uē nui ʻana. I ka manawa like, e huki ʻo ia i kona mau kuli i luna i kona umauma.

Hiki wale mai kēia ʻeha no ka manawa pōkole i ka wā mua. Hele mai a hele aku i kēlā me kēia 15-20 mau minuke. Akā i ka hala ʻana o ka manawa, piʻi ka pinepine a me ka lōʻihi o ka ʻeha.

Akā, ʻaʻole like nā keiki a pau. ʻAʻole paha e ʻeha iki kekahi mau keiki. No laila, e makaʻala i nā hōʻailona ma lalo nei.

No nā pākeke, hoʻomaka paha kēia ʻano ma ke ʻano he ʻeha ʻōpū maʻalahi. Inā hele mai a hele ka ʻeha ʻōpū , me ka nausea a me ka luaʻi ʻana , a e ʻoi aku ka ʻino o ka ʻeha me kēlā me kēia hanana, pono ʻoe e hopohopo.

Āhea wau e ʻike ai i ke kauka?

Ke ʻoki ʻia ke kahe koko i kahi ʻāpana o ka ʻōpū, hoʻomaka ka make ʻana o nā ʻiʻo ma ia ʻāpana. Inā hana ʻia kēia, hiki i kahi maʻi ke laha i ka uhi o ka lua ʻōpū. He kūlana weliweli loa kēia a hoʻoweliweli i ke ola i kapa ʻia ʻo Peritonitis .

Inā ʻaʻole mālama ʻia, hiki i ke keiki ke komo i ka haʻalulu. ʻO nā hōʻailona penei:

• Hōʻike ke keiki i kahi ʻano hoʻomaha ʻole.
• ʻO ka helu pulse maʻamau ʻole (lohi loa a wikiwiki paha).
• Ka hanu ʻano ʻē (pāpaʻu loa a wikiwiki paha).
• Lilo ka ʻili i anu, pulu, keʻokeʻo, a hina paha.
• Ke ʻano ola ʻole o ke kino.
• Ka nalowale o ka ʻike.

He aha kāu e hana ai ma mua o kou hele ʻana e ʻike i ke kauka?

ʻOiai he pilikia kēia, e hana koke nā mea āpau ke hiki ʻoe i ka haukapila. No laila, mai hopohopo. ʻO ka mea nui loa, mai hāʻawi i kāu keiki i kahi mea e ʻai ai, e inu ai, a i ʻole e lawe i kekahi lāʻau ʻeha ma ke kūʻai ʻole ʻia a hiki i kou hiki ʻana i ka haukapila.

Inā loaʻa iā ʻoe ka manawa, e hoʻopaʻanaʻau i nā pane i nā nīnau a ke kauka e nīnau mai ai. A laila hiki iā ʻoe ke hāʻawi koke i nā kikoʻī.

• I ka manawa hea i hoʻomaka ai nā hōʻailona e like me ka ʻeha o ka ʻōpū?
• Ua mau anei ka ʻeha a i ʻole ua hele mai a hele aku?
• Ua loaʻa anei iā ʻoe ka nausea, ka luaʻi ʻana, a i ʻole ka diarrhea?
• Ua ʻike anei ʻoe i ke koko i loko o kou ʻōpala?
• Ua ʻike anei ʻoe i kahi pehu a puʻupuʻu paha i loko o kou ʻōpū?

Pehea e hana ʻia ai ka hōʻailona?

E nīnau kāu kauka e pili ana i nā hōʻailona o kāu keiki a me ka mōʻaukala olakino. A laila e nānā lākou i kāu keiki. Hiki iā lākou ke hāʻawi iā ʻoe i kahi laina IV e kāohi i nā pae wai o kāu keiki a hiki ke hoʻokomo i kahi paipu nasogastric e kōkua i ka hoʻomaha ʻana i ke kaomi i loko o nā ʻōpū o kāu keiki.

Eia kekahi, e kauoha lākou i kekahi mau hoʻokolohua e nānā i loko o ka ʻōpū.

• ʻO ke kiʻi X-ray o ka ʻōpū: Kōkua kēia e ʻike inā he poloka i loko o ka ʻōpū.
• Ultrasound: Hoʻohana kēia hoʻāʻo i nā nalu kani e hana i nā kiʻi o nā ʻōpū o loko o ka ʻōpū. He hoʻāʻo koʻikoʻi loa kēia no ka ʻike ʻana i ka intussusception.
• ʻEnema ea a i ʻole ka enema hoʻohālikelike: Ma kēia, hoʻokomo ʻia kahi paipu palupalu ma o ka anus a hoʻokomo ʻia kahi wai kūikawā, e like me ka ea a i ʻole ka barium, i loko o ka colon. ʻAe kēia i ka ʻike maopopo ʻia ʻana o ka mea i paʻa ma kahi X-ray. I kekahi manawa, hiki i ke kaomi mai ka enema ke kōkua i ka colon e neʻe hou i kona wahi. Inā hana ʻia kēlā, hiki nō hoʻi ke lilo i lāʻau lapaʻau.

He aha nā koho lapaʻau?

He manawa pōkole kekahi mau hihia a hiki ke hoʻopau me ka ʻole o ka lāʻau lapaʻau, akā ʻo ka hapa nui o nā hihia e pono ai ka lāʻau lapaʻau.

E like me ka mea i ʻōlelo ʻia ma mua, inā ʻaʻole e ho'ōla ka enema i ke kūlana, ʻo ka hana aʻe ka ʻoki kino. Mai makaʻu i ke ʻoki kino, e hana nā kauka i nā mea āpau e hiki ai iā lākou ke hōʻoia ʻaʻole e ʻeha ke keiki.

Eia ka mea e hana ʻia i ka wā o ke ʻoki kino:

• Na ke kauka anesthesiologist pediatric (he loea i ka hāʻawi ʻana i ka anesthesia i nā keiki) e hoʻomoe loa i ke keiki.
• Inā hana ʻia ke ʻoki ʻana ma ke ʻano laparoscopically, ʻo ia hoʻi "keyhole surgery," hana ke kauka i kekahi mau ʻoki liʻiliʻi ma ka ʻōpū a hoʻokomo i kahi kāmela a me nā mea hana liʻiliʻi ma o lākou e hana i ke ʻoki ʻana.
• A i ʻole, hana ʻia kahi ʻoki liʻiliʻi ma ka ʻaoʻao ʻākau o ka ʻōpū, a ʻo ka ʻāpana o ka ʻōpū i hoʻokomo ʻia e wehe lima ʻia a hoʻihoʻi ʻia i kona wahi.
• Inā ua hōʻino ʻia kekahi ʻāpana o ka ʻōpū ma kekahi ʻano a ʻaʻole hiki ke hoʻoponopono ʻia, e wehe ke kauka i ka ʻāpana i hōʻino ʻia o ka ʻōpū a hoʻopili hou i nā ʻāpana olakino ʻelua.

He aha ka mea e hana ʻia ma hope o ka lāʻau lapaʻau?

Ma kahi o hoʻokahi o 10 mau keiki i mālama ʻia e loaʻa hou ana i loko o 72 mau hola. No laila, inā he enema a ʻoki kino paha ka lāʻau, e mālama ʻia ke keiki ma ka haukapila no hoʻokahi lā no ka nānā ʻana.

• Inā ua ho'ōla ʻia ʻoe e kahi enema:
• E hoʻokuʻu ʻia ka ea mai ke kino o ke pēpē i nā hola e hiki mai ana.
• Hiki ke hāʻawi ʻia ka Paracetamol (Acetaminophen) no ke kuni.
• ʻAʻohe meaʻai a mea inu paha e hāʻawi ʻia no nā hola 12 mua. Ma hope o kēlā, hāʻawi mua ʻia nā wai moakaka, a laila hoʻolauna ʻia nā meaʻai paʻa.

• Inā ua hana ʻia ʻoe i ke ʻoki kino:
• Ma hope o ke ʻoki ʻana, mālama ʻia ke keiki i loko o ka lumi hoʻōla no kekahi mau hola a laila hoʻoneʻe ʻia i ka keʻena.
• E hāʻawi ʻia nā lāʻau hoʻopau ʻeha ma o kahi IV no ka ʻeha.
• Inā uhi ʻia ka ʻoki me kahi kāʻei gauze, hiki ke wehe ʻia i loko o kekahi mau lā. Inā uhi ʻia me kahi mea e like me Dermabond, e heheʻe ia ma kāna iho.
• Inā hāʻawi mua ʻia lākou i nā wai a ʻaʻole lākou e luaʻi, e hoʻomaka lākou e hāʻawi iā lākou i nā meaʻai paʻa.
• Ke hoʻomaka ke keiki e ʻai a inu maikaʻi a ʻoi aku ka maikaʻi o kona ʻano, hiki iā ia ke hoʻi i ka home.
• Hiki iā ʻoe ke ʻauʻau i kāu keiki i ʻelua lā ma hope o ke ʻoki ʻana, akā e mālama iā ia mai ka holo ʻana, ka lele ʻana, a me nā hana kino ʻē aʻe a hiki i kou ʻike hou ʻana i ke kauka (ʻo ka maʻamau i loko o 2-3 mau pule).