He aha ka Intussusception? Nā Hōʻailona, Nā Kumu, & Lapaʻau

Hana ʻia ka Intussusception i ka wā e komo ai kekahi ʻāpana o kou ʻōpū i loko o kekahi ʻāpana ʻē aʻe, e like me ka telescope e hiolo ana i loko o ia iho. Hana kēia i kahi pale e pale ai i ka ʻai a me nā wai mai ka hele ʻana ma o kāu ʻōnaehana ʻai maʻamau.

ʻOiai he mea weliweli kēia kūlana, hiki i ka hoʻomaopopo ʻana i ka mea e hana nei ke kōkua iā ʻoe e ʻike i nā hōʻailona a loaʻa koke i ka mālama kūpono. ʻO ka hapanui o nā hihia e hana ana i nā pēpē a me nā keiki ʻōpio, ʻoiai hiki i nā mākua ke loaʻa pū kekahi no nā kumu ʻē aʻe.

He aha ka intussusception?

ʻO ka Intussusception ka wā e pelu ai kekahi ʻāpana o kou ʻōpū i loko o ka ʻāpana kokoke iā ia. E noʻonoʻo e like me ke kuʻi ʻana i kekahi ʻāpana o ka sock i loko o kekahi ʻāpana ʻē aʻe - ʻo ka ʻōpū ke ʻai iā ia iho.

Hana kēia pelu ʻana i kahi pale koʻikoʻi i kāu ʻōnaehana digestive. ʻAʻole hiki i ka ʻai, nā wai, a me nā wai digestive ke hele ma o ka wahi i pale ʻia maʻamau. Hoʻoemi ʻia hoʻi ka ʻōpū i pelu ʻia, hiki ke ʻoki i kāna lako koko inā ʻaʻole mālama koke ʻia.

Hoʻopili pinepine ʻia ke kūlana i ka wahi kahi e hui ai kou ʻōpū liʻiliʻi me kou ʻōpū nui. Eia naʻe, hiki ke hana ma nā wahi a pau ma o kāu ʻōnaehana intestinal, ma muli o ka mea e hana nei.

He aha nā hōʻailona o ka intussusception?

Hiki i nā hōʻailona ke ʻokoʻa ma muli o kou makahiki, akā ʻo ka ʻeha ʻōpū nui ka hōʻailona mua a maopopo loa. I nā pēpē a me nā keiki ʻōpio, hele pinepine mai ka ʻeha i nā nalu, e hoʻokaumaha ana iā lākou e uē nui a laila e like me ka maikaʻi ma waena o nā manawa.

Eia nā hōʻailona nui e nānā ai:

• ʻEha ʻōpū koke, nui e hele mai ana a hele aku
• Luaʻi, ʻoi aku inā he ʻōmaʻomaʻo a melemele paha
• Ke koko i loko o ka pepeiao, hiki ke like me ka jelly ʻulaʻula
• Kahi ʻāpana e like me ka sausage hiki iā ʻoe ke ʻike ma ka ʻōpū
• Nā wāwae i huki ʻia i luna i ka umauma i ka wā o nā manawa ʻeha
• Ka huhū nui i nā pēpē
• Ka luhi a i ʻole ka hiamoe maʻamau ʻole
• Hōʻole e ʻai a inu paha

I loko o nā mākua, hiki ke ulu mālie nā hōʻailona a hiki ke komo pū me ka ʻeha ʻōpū mau loa, ka luaʻi, a me nā loli i nā neʻe o ka ʻōpū. Hoʻomaopopo pinepine ʻia nā hōʻailona o nā mākua ma mua o nā keiki, kahi e hiki ai ke paʻakikī i ka ʻike.

He aha ka mea e hoʻoulu ai i ka intussusception?

ʻOkoʻa loa nā kumu ma waena o nā keiki a me nā mākua. I loko o nā pēpē a me nā keiki ʻōpio ma lalo o 2 mau makahiki, ʻaʻohe kumu maopopo - hana wale ia ma ke ʻano he ʻāpana o ka hoʻomohala maʻamau.

ʻO nā kumu maʻamau i nā keiki e komo pū me:

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• Nā maʻi viral e hoʻoulu ai i ka pehu i nā pūnaewele ʻōpū
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• Nā lymph nodes nui i ka paia ʻōpū
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• Nā hana ʻōpū maʻamau e hewa
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• Ka maʻi hou i hoʻopilikia i ka ʻōnaehana ʻai
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I loko o nā mākua, loaʻa pinepine ka intussusception i kahi kumu kumu e hana like me kahi

I loli, e makaʻala i nā manawa uwē nui kahi e huki ai lākou i ko lākou mau wāwae a hiki i ko lākou umauma, a laila e haʻalele i nā manawa mālie ʻole. Pono kēia ʻano, i hui pū ʻia me ka luaʻi ʻana a i ʻole nā ​​hoʻololi i nā neʻe ʻana o ka ʻōpū, i ka loiloi lapaʻau koke.

ʻOiai inā ʻaʻole ʻoe i maopopo loa, ʻoi aku ka maikaʻi o ka nānā ʻana o kahi mea mālama ola i nā hōʻailona pilikia. ʻO ka mālama mua e alakaʻi i nā hopena maikaʻi loa a hiki ke pale aku i ka pono no nā kaʻina hana ʻoi aku ka nui.

He aha nā kumu pilikia o ka intussusception?

Hiki i kekahi mau mea ke hoʻonui i ka hiki ke loaʻa i ka intussusception. ʻO ka makahiki ka mea pilikia nui loa, me ka hapa nui o nā hihia i loaʻa i nā keiki ma waena o 6 mau mahina a 2 mau makahiki.

ʻO nā kumu pilikia i nā keiki e komo pū me:

• Makahiki ma waena o 6 mau mahina a 2 mau makahiki
• ʻO ke kāne (ʻoi aku ka pinepine o nā keikikāne ma mua o nā kaikamāhine)
• Maʻi viral hou a i ʻole ka maʻi ʻōpū
• Ua loaʻa mua ka intussusception
• Kekahi mau kūlana genetic e pili ana i nā ʻōpū

ʻOkoʻa nā kumu pilikia o nā mākua a komo pū me:

• Loaʻa nā polyps a i ʻole nā ​​tumors intestinal
• Ka ʻoki ʻana o ka ʻōpū ma mua i hana i ka ʻili ʻili
• Ka maʻi inflammatory bowel e like me ka maʻi Crohn
• Ke lawe ʻana i kekahi mau lāʻau lapaʻau e hoʻopilikia i ka neʻe ʻana o ka ʻōpū
• Loaʻa nā ʻano anatomical o nā ʻōpū

ʻAʻole ʻo ia hoʻi ke loaʻa iā ʻoe kēia mau kumu pilikia e loaʻa nō ʻoe i ka intussusception, akā ʻo ka ʻike ʻana iā lākou e kōkua iā ʻoe e ʻike koke i nā hōʻailona inā loaʻa lākou.

He aha nā pilikia hiki ke loaʻa i ka intussusception?

Me ka ʻole o ka mālama koke ʻana, hiki i ka intussusception ke alakaʻi i nā pilikia koʻikoʻi e hoʻoweliweli i kou olakino a me kou ola. ʻO ka pilikia nui loa ka hiki ke nalowale ka lako koko o ka ʻōpū i pelu ʻia, e hoʻopōʻino ana i ka make o ka pūnaewele.

Eia nā pilikia nui e hiki ke ulu:

• Make ʻāʻī o ka ʻōpū mai ka nele o ke kahe koko
• Pūnaʻi ʻōpū (kahi puka ma ka paia o ka ʻōpū)
• Hōʻino nui ʻia ka wai mai ka luaʻi a me ka hiki ʻole ke ʻai
• Ka maʻi i loko o ka ʻōpū
• Haʻalulu mai ka nalowale o ka wai a me nā mea ʻino
• Sepsis (maʻi nui o ke kino holoʻokoʻa)

ʻO kēia mau pilikia e ulu mau ana i loko o 24 a 72 mau hola inā ʻaʻole i hoʻoponopono ʻia ka intussusception. ʻO ia ke kumu e nui ai ka wikiwiki o ka loaʻa ʻana o ka mālama ola - hiki i ka mālama mua ke pale aku i kēia mau pilikia nui a pau.

I nā hihia kakaikahi, ʻoiai ma hope o ka mālama holomua, hiki i kekahi poʻe ke ʻike i nā pilikia hoʻoheheʻe mau a i ʻole e hoʻomohala i nā adhesions (ʻili ʻili) e hiki ke hoʻokumu i nā pilikia ʻōpū i ka wā e hiki mai ana.

Pehea ka hōʻoia ʻana o ka intussusception?

Hoʻomaka mau nā kauka me ka nānā kino a me ka mōʻaukala lapaʻau e hoʻomaopopo i kou mau hōʻailona. E ʻānai mālie lākou i kou ʻōpū e nānā i ka nui o ka sausage-shaped a hoʻolohe i nā leo ʻōpū kūpono ʻole.

ʻO ka hoʻokolohua hōʻoia maʻamau loa ka ultrasound o ka ʻōpū. Hiki i kēia hoʻokolohua kiʻi ʻeha ʻole ke hōʻike i ka ʻōpū telescoped a hōʻoia i ka hōʻailona i ka hapanui o nā hihia, ʻoi aku hoʻi i nā keiki.

ʻO nā hoʻokolohua ʻē aʻe āu kauka e hoʻohana ai:

• CT scan no nā kiʻi kikoʻī o nā ʻōpū
• Nā X-rays e nānā i nā hōʻailona o ka pale ʻana
• Barium a i ʻole ka enema ea, kahi i hiki ke mālama i ke kūlana i ka wā e hōʻoia ai
• Nā hoʻokolohua koko e nānā i ka maʻi a i ʻole ka hōʻino ʻana

I kekahi mau hihia, hiki i ka hoʻokolohua hōʻoia ponoʻī ke hoʻoponopono i ka pilikia. Hoʻokumu ka enema ea a i ʻole barium enema i ka kaomi e hiki ke kipaku i ka ʻōpū i pelu ʻia i kona kūlana maʻamau, ʻoi aku hoʻi i nā keiki.

He aha ka mālama no ka intussusception?

Aia ka mālama ma nā mea he nui e like me kou makahiki, pehea ka lōʻihi o kou mau hōʻailona, ​​a inā ua hoʻomohala ʻia nā pilikia. ʻO ka pahuhopu ke wehe i ka ʻōpū a hoʻihoʻi i ka hana maʻamau i ka wikiwiki loa.

No nā keiki, ho'āʻo pinepine nā kauka i ka lāʻau lapaʻau ʻole i ka ʻoki mua. Hoʻohana ka enema ea a i ʻole ka enema barium i ka kaomi i kaohi ʻia e hoʻoemi mālie i ka ʻōpū i pelu ʻia i kona wahi. Hana maikaʻi kēia ma kahi o 80% o nā hihia kamaliʻi ke hana ʻia i loko o nā hola 24 mua.

Hiki paha ke pono ka lāʻau ʻoki ke:

• ʻAʻole hana nā ʻano hana ʻole i ka ʻoki
• Ua loaʻa nā hōʻailona no nā hola 24 ma mua
• Aia nā hōʻailona o ka pōʻino o ka ʻōpū
• He kanaka makua ka mea maʻi (ʻo ka ʻoki ʻana ka koho mua maʻamau)
• Ua ulu nā pilikia e like me ka perforation

I ka wā o ka ʻoki ʻana, hoʻoponopono mālie ka kauka ʻoki i ka ʻōpū i kona kūlana maʻamau. Inā make kekahi ʻiʻo ʻōpū, pono paha ke wehe ʻia kēlā ʻāpana a hoʻopili hou ʻia nā hopena olakino.

Ma hope o ka lāʻau ʻana, ho'ōla piha ka hapa nui o nā kānaka me ka ʻole o nā hopena lōʻihi. He pōkole maʻamau nā noho haukapila, mai 1 a 3 mau lā e pili ana i ke ʻano lāʻau i hoʻohana ʻia.

Pehea e hoʻokele ai i ka hoʻōla ma ka home?

Hoʻomaʻamaʻa ka mālama hoʻōla i ka hoʻi ʻana o kāu ʻōnaehana ʻai i ka hana maʻamau a pale aku i nā pilikia. E hāʻawi kāu kauka iā ʻoe i nā ʻōlelo kuhikuhi kikoʻī e pili ana i ka lāʻau āu i loaʻa ai.

No nā lā mua ma hope o ka lāʻau ʻana, e hoʻomaka paha ʻoe me nā wai maopopo a hoʻomau mālie i nā meaʻai maʻamau e like me ka hoʻomaka ʻana o kāu ʻōpū e hana maʻamau hou. Hiki paha kēia ke komo i ka waiʻai, ka wai, a me nā wai electrolyte ma mua o ka neʻe ʻana i nā meaʻai palupalu.

ʻO nā hana mālama home nui e komo pū ana:

• Hoʻokō pono i nā ʻōlelo aʻo hānai a kāu kauka
• Nānā i nā hōʻailona o nā hōʻailona e hoʻi hou ana
• Lawe i nā lāʻau i kuhikuhi ʻia e like me ke kuhikuhi ʻia
• Mālama i nā ʻoki ʻoki maʻemaʻe a maloʻo inā loaʻa iā ʻoe ka ʻoki
• E noho wai me nā wai i ʻae ʻia
• E loaʻa ka hoʻomaha nui e kākoʻo i ka ho'ōla

E hoʻokaʻaʻike koke i kāu mea mālama ola inā ʻike ʻoe i ka ʻeha ʻōpū mau, ka luaʻi, ka maʻi wela, a i ʻole kekahi mau hōʻailona e hōʻike ana ua hoʻi hou mai ka intussusception. ʻOi aku ka maikaʻi o ka nui o nā kānaka i loko o hoʻokahi a ʻelua pule.

Pehea ʻoe e hoʻomākaukau ai no kāu kau ʻana i ke kauka?

Inā kānalua ʻoe i ka intussusception, he kūlana pilikia kēia maʻamau e pono ai ka mālama koke ʻana ma mua o kahi kau ʻana i hoʻonohonoho ʻia. Eia naʻe, hiki i ka mākaukau ke kōkua i nā limahana lapaʻau e hāʻawi koke i ka mālama maikaʻi loa.

E kākau a hoʻomanaʻo i ka ʻike nui e pili ana i nā hōʻailona, ​​me ka manawa i hoʻomaka ai, pehea ka nui o ko lākou ʻino, a me nā mea e hoʻomaikaʻi ai a ʻoi aku ka maikaʻi ʻole paha. E hoʻomaopopo i nā maʻi hou, nā lāʻau lapaʻau, a i ʻole nā ​​hoʻololi i nā ʻano ʻai.

E lawe mai i ka ʻike nui me ʻoe:

• Papa inoa o nā lāʻau lapaʻau i kēia manawa a me nā dosage
• Mōʻaukala lapaʻau, ʻoi aku hoʻi nā hana ʻoki ʻōpū ma mua
• ʻIke inikua a me ka ʻike
• ʻIke hoʻokaʻaʻike no kāu kauka maʻamau
• Nā kikoʻī e pili ana i ka manawa i hoʻomaka ai nā hōʻailona a me ko lākou ʻano

Inā e hana ana kēia i kāu keiki, e ho'āʻo e noho mālie a hōʻoluʻolu. E lawe mai i nā mea hōʻoluʻolu e like me ka pāʻani punahele a i ʻole kahi kapa inā hiki. Hiki i ka loaʻa ʻana o kahi kanaka makua ʻē aʻe me ʻoe ke kōkua i ke kākoʻo a kōkua i ka kamaʻilio ʻana me nā limahana lapaʻau.

He aha ka mea nui e lawe ai e pili ana i ka intussusception?

He kūlana koʻikoʻi akā hiki ke mālama ʻia ka Intussusception kahi e pelu ai kahi hapa o ka ʻōpū i loko ona iho, e hana ana i ka pale. He mea nui ka ʻike koke ʻana a me ka mālama ʻana no nā hopena maikaʻi loa a pale aku i nā pilikia.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻeha ʻōpū nui e hele mai ana i nā nalu, ʻoi aku hoʻi me ka luaʻi a i ʻole ke koko i loko o ka pepeiao, pono e mālama koke ʻia. Mai kali e ʻike inā hoʻomaikaʻi nā hōʻailona - ʻoi aku ka maikaʻi a me ka liʻiliʻi o ka hoʻopili ʻana o ka mālama mua.

ʻOiai he mea weliweli ke kani o ka intussusception, nui ka poʻe i loaʻa ka mālama koke e ola piha me ka ʻole o nā hopena lōʻihi. ʻO ka mea nui, ʻo ka ʻike ʻana i nā hōʻailona a me ka loaʻa ʻana o ka mālama lapaʻau koke.

E hilinaʻi i kou mau manaʻo ma ke ʻano he mākua a i ʻole ke loiloi ʻana i kou mau hōʻailona ponoʻī. Inā manaʻo ʻia he mea hewa nui me ka ʻeha ʻōpū, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ka loiloi lapaʻau ma mua o ka kali a me ka ʻike.

Nā nīnau pinepine e pili ana i ka intussusception

Hiki i ka intussusception ke hana hou aku ma mua o hoʻokahi manawa?

ʻAe, hiki i ka intussusception ke hana hou, ʻoiai ʻaʻole ia he mea maʻamau. Ma kahi o 5-10% o nā kānaka i loaʻa ka intussusception e ʻike hou paha ia, maʻamau i loko o nā mahina mua ma hope o ka hanana mua. ʻOi aku ka nui o kēia e hana inā aia kekahi kūlana kumu i hoʻokumu i ka hanana mua. Inā ua loaʻa iā ʻoe ka intussusception ma mua, he mea nui ia e ʻike i nā hōʻailona a ʻimi koke i ka mālama lapaʻau inā hoʻi hou mai lākou.

He ʻeha anei ka intussusception no nā pēpē ʻaʻole hiki ke haʻi iā ʻoe i ka mea hewa?

ʻAe, hana ka intussusception i ka ʻeha nui i nā pēpē, a e hōʻike lākou i kēia ma o kā lākou ʻano. E ʻimi i nā manawa uē koke, ikaika kahi e huki ai ke pēpē i ko lākou mau wāwae i ko lākou umauma, a laila e haʻalele i nā manawa kahi e like ai lākou me ka luhi a i ʻole ka mālie ʻole. Hiki i ke pēpē ke hōʻole i ka ʻai, ka luaʻi, a i ʻole ke ʻano ʻoluʻolu ʻole ke pā i ko lākou ʻōpū. ʻO kēia mau loli ʻano ke ala o ke pēpē e kamaʻilio ai he mea hewa nui.

Pehea ka wikiwiki e pono ai ke mālama ʻia ka intussusception?

Pono e mālama ʻia ka intussusception i ka hiki koke, maikaʻi loa i loko o 24 mau hola ma hope o ka hoʻomaka ʻana o nā hōʻailona. ʻO ka wikiwiki o ka hoʻomaka ʻana o ka mālama ʻana, ʻoi aku ka nui o ka hana ʻana o nā ʻano ʻole o ke ʻoki ʻana a ʻoi aku ka emi o ka pilikia o nā pilikia. Ma hope o 24-48 mau hola, piʻi nui ka pilikia o ka hōʻino ʻana i ka pūnaewele ʻōpū, a ʻoi aku ka nui o ka ʻoki ʻana e pono ai. ʻO ia ke kumu i manaʻo ʻia he pilikia lapaʻau.

Hiki iā ʻoe ke pale aku i ka intussusception mai ka hana ʻana?

I ka hapa nui o nā hihia, ʻoi aku hoʻi i nā keiki liʻiliʻi, ʻaʻole hiki ke pale ʻia ka intussusception no ka mea ʻaʻohe kumu i ʻike ʻia. Eia naʻe, hiki iā ʻoe ke hoʻemi i kekahi mau mea pilikia ma ka mālama ʻana i ka mālama ola maʻamau, ka mālama ʻana i nā kūlana maʻi e like me ka maʻi inflammatory bowel, a me ka ʻimi ʻana i ka mālama koke no nā hōʻailona ʻeha ʻōpū nui. I nā mākua, ʻo ka mālama ʻana i nā kūlana e alakaʻi ai i ka intussusception, e like me nā polyps a i ʻole nā ​​tumors, hiki ke kōkua i ka hoʻemi ʻana i ka pilikia.

He aha ka ʻokoʻa ma waena o ka intussusception a me nā kumu ʻē aʻe o ka ʻeha ʻōpū?

ʻO ka intussusception maʻamau e hoʻokumu i ka ʻeha nui e hele mai ana i nā nalu, pinepine me ka luaʻi a i kekahi manawa ke koko i loko o ka wai ʻōpala. ʻO nā manawa ʻeha maʻamau he ikaika loa a hiki ke hoʻolilo i ke keiki i ka uē ʻana me ka ʻole o ka hōʻoluʻolu, a laila e ʻike ʻia he maikaʻi ma waena o nā manawa. ʻO nā kumu ʻē aʻe o ka ʻeha ʻōpū, e like me ka gastroenteritis a i ʻole ka appendicitis, he mau ʻano like ʻole - ʻo ka gastroenteritis pinepine e komo pū me ka diarrhea a me ka nausea mau, ʻoiai ʻo ka appendicitis maʻamau e hoʻokumu i ka ʻeha mau e ʻoi aku ka ʻino ma luna o ka manawa a hoʻomaka pinepine a puni ka piko ma mua o ka neʻe ʻana i ka ʻaoʻao ʻākau.