Ke luaʻi mau nei kāu keiki liʻiliʻi ma hope o ka hānai ʻana? Ke uē mau nei ʻo ia? Ke nānā aku nei ʻo ia ua palaualelo a maloʻo? He mea maʻamau no ka makua a makua paha ke hopohopo nui i nā manawa e like me kēia. ʻO ka hapa nui o ka manawa, manaʻo paha ʻoe he ʻano maʻi virus a bacteria paha kēia i loaʻa i kāu pēpē. Akā ma hope o kēia mau hōʻailona koʻikoʻi he maʻi i kapa ʻia ʻo Pyloric Stenosis , he maʻi kakaikahi akā hiki ke ho'ōla loa ʻia me ke ʻoki ʻana. No laila, e kamaʻilio kākou e pili ana i kēia me ka kikoʻī me ka makaʻu ʻole.
He aha ka Pyloric Stenosis?
I ka ʻōlelo maʻalahi, ʻo ka Pyloric Stenosis kahi maʻi e loaʻa wale ana i nā pēpē ʻōpio. He ʻano ia e mānoanoa a hoʻonui ai ka ʻiʻo ma waena o ka ʻōpū o ka pēpē a me ka ʻōpū liʻiliʻi.
E noʻonoʻo e pili ana i ia mea, ʻo ka ʻōpū kahi wahi i loko o kā mākou ʻōnaehana hoʻoheheʻe kahi e mālama ʻia ai ka meaʻai a hoʻoulu ʻia a hiki i ka wā e lilo ai i wai. A laila pono kēlā meaʻai e hele i ka hana aʻe o ka hoʻoheheʻe ʻana, ʻo ia ka ʻōpū liʻiliʻi. I kēia manawa, ʻo ka ʻiʻo ikaika e like me ka puka e hoʻopili ai i ka hopena o ka ʻōpū i ka hoʻomaka ʻana o ka ʻōpū liʻiliʻi ua kapa ʻia ʻo pylorus .
ʻO ka maʻamau, i loko o kahi pēpē olakino, wehe a pani ʻia kēia ʻiʻo pylorus, e ʻae ana i ka meaʻai e hele mālie i lalo. Akā i loko o kahi pēpē me Pyloric Stenosis, mānoanoa a paʻa mālie kēia ʻiʻo, e ālai loa ana i ke hele ʻana o ka meaʻai i lalo. A laila, ʻaʻohe mea nui ka nui o ka waiū a ka pēpē e inu ai, ʻaʻole e hele ka waiū i loko o nā ʻōpū, akā e hoʻopiha i loko o ka ʻōpū, a ʻaʻole hiki ke ʻae ʻia a puka mai i waho me he luaʻi nui lā . ʻO ka hopena, ʻaʻole lawa ka meaʻai i ka pēpē, lilo ke kaumaha, a maloʻo loa.
Akā e hoʻomanaʻo, he maʻi laha ʻole ka Pyloric Stenosis. A, inā ʻike pololei ʻia, hiki ke ho'ōla piha ʻia me kahi ʻoki liʻiliʻi. No laila, mai hopohopo.
Pehea lā e ʻike pono ai ke kauka i kēia maʻi?
Ke haʻi aku ʻoe i kāu pēpē e pili ana i kāna mau hōʻailona, e nānā pono mua ke kauka i ka pēpē. Ke hoʻopā ke kauka i ka ʻōpū o ka pēpē, i kekahi manawa hiki ke manaʻo ʻia kēia ʻiʻo pylorus mānoanoa e like me ka 'ʻoliva'. Akā, ʻaʻole i ʻike mau ʻia.
No laila, ʻo ke ala maikaʻi loa a pololei hoʻi e hōʻoia i kēia kūlana, ʻo ia ka loaʻa ʻana o kahi scan ultrasound ʻōpū. Hiki i kēia i ka pēpē ke ʻike maopopo inā ua mānoanoa ka ʻiʻo pyloric a pehea kona mānoanoa, me ka ʻole o ka ʻeha.
He aha nā hōʻailona nui o ka Pyloric Stenosis?
He mea maʻamau no kahi pēpē liʻiliʻi ke luaʻi iki a kuha iki. Akā, ʻoi aku ka koʻikoʻi o nā hōʻailona o ka Pyloric Stenosis. E makaʻala i kēia.
| Hōʻailona | He aha ke ʻano o kēia? |
|---|---|
| Ka luaʻi ʻana o ka mea lele | ʻO kēia ka hōʻailona nui. Ma hope o kekahi manawa ma hope o ka inu ʻana i ka waiū, ma kahi o ka wai waiū maʻamau mai ka waha mai, e luaʻi nui ana, me he mea lā e pīpī ʻia ana ma kahi o hoʻokahi mika ka mamao. Hoʻonui ka nui o ka luaʻi i kēlā me kēia lā. |
| Pololi mau | Ma hope o ka luaʻi ʻana, e pōloli hou ana ke pēpē. No ka mea, ua hāʻawi ʻia ka waiū i inu ʻia ma mua o ka omo ʻia ʻana e ke kino, e pōloli mau ana ke pēpē. Inā e uē mau ana ke pēpē ma hope o ka inu ʻana i ka waiū, malia paha no ka pōloli. |
| ʻO ke ʻano o ka ʻūmiʻi ʻana o nā ʻiʻo o ka ʻōpū | Inā ʻoe e nānā i ka ʻōpū o kāu pēpē ma mua o ka luaʻi ʻana ma hope o ka inu ʻana i ka waiū, hiki iā ʻoe ke ʻike i nā ʻiʻo ma ka ʻaoʻao o luna o ka ʻōpū e neʻe ana i mua a i hope e like me nā nalu. ʻO kēia ka hoʻāʻo ʻana o ka ʻōpū e hoʻokuke i ka meaʻai ma o ke ala i ālai ʻia. |
| Ka maloʻo ʻana | Ua maloʻo ka pēpē no ka mea ʻaʻole lawa ka wai i loaʻa iā ia. Ua emi ka nui o nā diaper pulu i kēlā me kēia lā, ʻaʻohe waimaka ke uē ʻo ia, ua hiamoe loa ka pēpē, a hōʻike i nā hōʻailona o ka waha maloʻo. |
| ʻO ka emi ʻana o ke kaumaha a i ʻole ka nele o ka loaʻa ʻana o ke kaumaha | Ma muli o ka loaʻa ʻole o ka meaʻai kūpono i ke kino, ua pau ke kaumaha o ka pēpē, a hoʻomaka paha e emi ke kaumaha. |
Hoʻomaka pinepine kēia mau hōʻailona i ka wā he 3-5 mau pule ka pēpē. He mea kākaʻikahi loa kēia ʻano i nā pēpē ma mua o 3 mau mahina. No laila, inā he mau pule kāu pēpē a ua luaʻi nui a maloʻo ka wai, e ʻike koke i ke kauka .
He aha kēia ʻoki kino i kapa ʻia ʻo Pyloromyotomy?
He ʻoki maʻalahi a palekana hoʻi ka Pyloromyotomy e mālama ai i ka Pyloric Stenosis. Hana ʻia ia e ke Kauka Lapaʻau Pediatric.
Hana pinepine ʻia kēia ʻoki laparoscopically , i kapa ʻia ʻo "keyhole surgery."
1. Hoʻomaka ke ʻoki kino ma hope o ka hāʻawi mua ʻia ʻana o ka pēpē i ka anesthesia laulā a hiamoe maikaʻi. No laila, ʻaʻohe manaʻo o ka pēpē i kekahi mea.
2. A laila hana ke kauka lapaʻau i kahi ʻoki liʻiliʻi loa ma ka ʻōpū o ke pēpē, kokoke i ka piko, a hoʻokomo i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi (laparoscope) ma loko. ʻAe kēia kāmela i ka ʻike ʻia ʻana o loko o ka ʻōpū ma kahi pale.
3. A laila, hana ʻia hoʻokahi a ʻelua paha mau ʻoki liʻiliʻi a hoʻokomo ʻia nā mea hana palupalu loa e pono ai no ke ʻoki ʻana.
4. ʻO ka mea hope loa, ʻoki wale ke kauka i ka papa waho o ka ʻiʻo pylorus mānoanoa a hoʻonui ʻia, e hoʻokuʻu ana i ka ʻiʻo me ka ʻole o ka hōʻino ʻana i ka membrane palupalu i loko. Ua like kēia me ka ʻoki ʻana a me ka wehe ʻana i kahi kaula laholio paʻa.
Ke hoʻomaha ʻia ke ʻiʻo ma kēia ʻano, e wehe ʻia ke ala i ālai ʻia, e ʻae ana i ka waiū i loko o ka ʻōpū e hele me ke keʻakeʻa ʻole ʻia i loko o ka ʻōpū liʻiliʻi.
He aha nā pōmaikaʻi a me nā pilikia o kēia ʻoki kino?
ʻO Pyloromyotomy wale nō ka lāʻau lapaʻau maikaʻi loa no ka Pyloric Stenosis.
- Nā Pōmaikaʻi: Ma hope o ke ʻoki ʻana, e hiki i ka pēpē ke inu hou i ka waiū ma ke ʻano maʻamau a omo i nā meaʻai. Aneane pau loa ka luaʻi ʻana. Hiki ke lawe ʻia ka pēpē i ka home mai ka haukapila i loko o kekahi mau lā. E olakino ka pēpē a hoʻomaka e piʻi ke kaumaha ma ke ʻano maʻamau.
- Nā Pōʻino: E like me nā ʻoki kino āpau, aia kekahi mau pōʻino, akā haʻahaʻa loa nā pōʻino o ka pyloromyotomy. Ke hana ʻia e kahi hui ʻoki kino pediatric akamai, ʻoi aku ka liʻiliʻi o ka pilikia o nā pilikia ma mua o 1%. ʻElua mau pōʻino hiki ke hana ʻia:
1. Ua ʻoki ʻia ka membrane palupalu ma loko o ka pylorus i ka wā o ke ʻoki ʻana.
2. Ke hoʻomau nei ka luaʻi ʻana ma hope o ke ʻoki ʻana.
He mau mea kākaʻikahi loa kēia, akā hiki ke mālama ʻia.
Pehea e mālama ai i ke keiki ma hope o ke ʻoki kino?
Ma hope o ke ʻoki ʻana, e mālama ʻia ke pēpē i loko o ka lumi hoʻōla no kekahi mau hola a laila e hoʻoneʻe ʻia i ka lumi mālama. E hoʻomanaʻo i kēia mau mea i ka wā e mālama ai i kāu pēpē.
Nā Kāʻei a me nā Humuhumu
Hoʻohana ʻia nā kāʻei liʻiliʻi, pale wai (nā ʻāpana sterile) e uhi i nā ʻeha ʻoki liʻiliʻi. ʻAʻohe humuhumu i ʻike ʻia ma ka ʻili, aia nā humuhumu hiki ke hoʻoheheʻe ʻia ma lalo o ka ʻili. ʻAʻole pono ʻoe e hana i kekahi mea kūikawā no kēia. Eia nō naʻe, e nānā mau i ka ʻeha no ka ʻulaʻula, ka pus, a me ke kuni . Inā ʻike ʻoe i kekahi o kēia mau mea, e hoʻomaopopo koke i ke kauka.
Ka Mana ʻEha
ʻOiai he ʻoki liʻiliʻi loa kēia, ʻaʻole e ʻeha nui ka pēpē. ʻO ka maʻamau, hāʻawi ʻia kekahi mea e like me Paracetamol no ka ʻeha. E hāʻawi mau i nā lāʻau hōʻeha e like me ke kuhikuhi a kāu kauka a ma ka nui i kuhikuhi ʻia . Inā hoʻomau kāu pēpē i ka uē ʻana i ka ʻeha, e haʻi i kāu kauka .
ʻAi
E pōloli loa paha kāu pēpē ma hope o ke ʻoki ʻana. Hiki iā ʻoe ke hoʻomaka hou e hānai waiū i loko o kekahi mau hola. Hiki iā ʻoe ke luaʻi iki i ka wā mua, he mea maʻamau ia. Eia nō naʻe, e hahai i nā ʻōlelo a kāu kauka e pili ana i ka nui a me ka manawa e hānai ai i ka waiū ma hope o ke ʻoki ʻana. Mai hāʻawi i ka nui i ka manawa hoʻokahi.
Inā ʻeha nui kāu pēpē ma hope o ke ʻoki ʻana, loaʻa ke kuni, a i ʻole he mau hōʻailona e kānalua ai ʻoe, e kāhea koke aku i ke kauka.
Leka Lawe-Home
- Inā luaʻi ikaika kāu pēpē ma lalo o 3 mahina, me he mea lā e luaʻi ana ʻo ia, ma hope o ka inu ʻana i ka waiū, mai hoʻowahāwahā iā ia, me ka manaʻo he mea maʻamau ia.
- ʻO ke kumu paha kēia o ka Pyloric Stenosis, ʻo ia hoʻi ka mānoanoa o nā ʻiʻo ma ke komo ʻana o ka ʻōpū, e ālai ana i ke ala o ka meaʻai.
- ʻAʻole kēia kou hewa. He maʻi laha ʻole kēia akā hiki ke mālama ʻia e hiki ke loaʻa i nā pēpē.
- Hiki ke ho'ōla loa ʻia kēia maʻi me kahi ʻoki maʻalahi i kapa ʻia ʻo pyloromyotomy. He ʻoki palekana loa kēia.
- Inā ʻike ʻoe i kēia mau hōʻailona, mai hopohopo, akā e ʻike koke i kahi kauka keiki no ka ʻōlelo aʻo. ʻO ka wikiwiki o kou loaʻa ʻana o ka lāʻau lapaʻau, ʻo ka wikiwiki o ka hoʻōla ʻana o kāu pēpē.
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