Intussusception

ʻO ka Intussusception (in-tuh-suh-SEP-shun) he kūlana koʻikoʻi ia kahi e komo ai kekahi māhele o ka ʻōpū i loko o kahi māhele kokoke o ka ʻōpū. Hoʻokūpaʻa pinepine kēia hana telescoping i ka hala ʻana o ka meaʻai a i ʻole ka wai. Ke oki aku nei ka Intussusception i ka lako koko i ka māhele o ka ʻōpū i pilikia. Hiki i kēia ke alakaʻi i ka maʻi, ka make ʻana o ka ʻiʻo o ka ʻōpū a i ʻole ka haehae ʻana i ka ʻōpū, i kapa ʻia ʻo ka perforation.

Keiki

ʻO ka hōʻailona mua o ka intussusception ma kahi pēpē olakino maikaʻi paha, ʻo ia ka uē koke a nui i hoʻokumu ʻia e ka ʻeha ʻōpū. Hiki i nā pēpē me ka ʻeha ʻōpū ke huki i ko lākou mau kuli i ko lākou mau umauma i ka wā e uē ai.

Hele mai a hele aku ka ʻeha o ka intussusception, ma ka maʻamau i kēlā me kēia 15 a 20 mau minuke i ka hoʻomaka. Lōʻihi a pinepine aku kēia mau manawa ʻeha i ka hala ʻana o ka manawa.

ʻO nā hōʻailona ʻē aʻe o ka intussusception:

• Kahi kaka me ke koko a me ka mucus - i kapa ʻia ʻo kahi kaka jelly currant ma muli o kona ʻano.
• Luaʻi.
• Kahi ʻāpana ma ka ʻōpū.
• Nāwaliwali a nele paha i ka ikaika.
• Diarrhea.

ʻAʻole loaʻa i nā kānaka a pau nā hōʻailona a pau. ʻAʻohe ʻeha maopopo i kekahi mau pēpē. ʻAʻole hele kekahi mau keiki i ke koko a i ʻole kahi ʻāpana ma ka ʻōpū. A loaʻa i kekahi mau keiki kahiko ka ʻeha akā ʻaʻohe hōʻailona ʻē aʻe.

Pono ka intussusception i ka mālama pilikia. Inā ʻoe a i ʻole kāu keiki e loaʻa nā hōʻailona i helu ʻia ma luna nei, e ʻimi koke i ka kōkua lapaʻau.

I loko o nā pēpē, ʻo ka huki ʻana i nā kuli i ka umauma a me ka uē pinepine nā hōʻailona o ka ʻeha ʻōpū.

ʻO kou ʻōpū he lōʻihi ia e like me ka paipa. I ka intussusception, ʻo kekahi māhele o kou ʻōpū—maʻamau ka ʻōpū liʻiliʻi—e paheʻe i loko o kekahi māhele kokoke. Ua kapa ʻia kēia i kekahi manawa he telescoping no ka mea ua like ia me ke ʻano o ka paheʻe ʻana o ka telescope hiki ke pani ʻia.

I kekahi mau hihia i nā mākua, ʻo ke kumu o ka telescoping he ulu ia i loko o ka ʻōpū, e like me ka polyp a i ʻole ka tumor, i kapa ʻia he lead point. ʻO nā ʻano haʻalulu maʻamau o ka ʻōpū e hopu i kēia lead point a huki iā ia a me ka papa o ka ʻōpū i loko o ka ʻōpū ma mua ona. Akā naʻe, i ka hapanui o nā hihia, ʻaʻohe kumu i loaʻa no ka intussusception.

Nā kumu pilikia no ka intussusception:

• Makahiki. ʻOi aku ka nui o ka loaʻa ʻana o ka intussusception i nā keiki—ʻoi aku hoʻi nā keiki liʻiliʻi—ma mua o nā mākua. ʻO ia ke kumu maʻamau loa o ka pilikia o ka ʻōpū i nā keiki ma waena o 6 mau mahina a me 3 mau makahiki.
• Kūlana kāne/wahine. ʻOi aku ka pinepine o ka intussusception i nā keikikāne.
• Hoʻokumu ʻole ʻia o ka ʻōpū i ka wā hānau. ʻO ka malrotation intestinal kahi kūlana kahi ʻaʻole i hoʻomohala pono ʻia a i ʻole ka hoʻohuli pono ʻana o ka ʻōpū. Hoʻonui kēia i ka pilikia o ka intussusception.
• Nā kūlana kūikawā. Hiki i kekahi mau maʻi ke hoʻonui i ka pilikia o ka intussusception, e komo pū ana:
  • Cystic fibrosis.
  • Henoch-Schonlein purpura, i ʻike ʻia hoʻi ʻo IgA vasculitis.
  • Crohn's disease.
  • Celiac disease.

Hiki i ka Intussusception ke ʻoki i ka lako koko i ka ʻāpana o ka ʻōpū i pilikia. Inā waiho ʻole ʻia, ʻo ka nele o ke koko e hoʻopōʻino ai i nā pūnaewele o ka paia o ka ʻōpū. Hiki i ka make ʻana o nā pūnaewele ke alakaʻi i ka haehae ʻana i ka paia o ka ʻōpū, i kapa ʻia ʻo ka perforation. Hiki i kēia ke hoʻokumu i ka maʻi o ka papa o ka ʻōpū, i ʻike ʻia ʻo ka peritonitis.

He kūlana weliweli i ke ola ka Peritonitis a pono e loaʻa koke ka mālama lapaʻau. ʻO nā hōʻailona o ka peritonitis e komo pū me:

• ʻEha ʻōpū.
• Pehu i ka wahi ʻōpū.
• Fiva.
• Luaʻi.

Hiki i ka Peritonitis ke hoʻokau i kāu keiki i ka haʻalulu. ʻO nā hōʻailona o ka haʻalulu e komo pū me:

• ʻIli anuanu, pulu e hiki ke ʻeleʻele a hina paha.
• ʻO ka puʻuwai nāwaliwali a wikiwiki hoʻi.
• Hanu e hiki ke lohi a pālahalaha paha a wikiwiki loa paha.
• Hopohopo a hoʻonāukiuki paha.
• Luhi loa.

Hiki i ke keiki i loko o ka haʻalulu ke ʻike a ʻike ʻole paha. Inā manaʻo ʻoe ua haʻalulu kāu keiki, e ʻimi koke i ka mālama lapaʻau pilikia.

E hoʻomaka mua ka mea mālama ola o ʻoe a i ʻole kāu keiki ma ka loaʻa ʻana i ka mōʻaukala o nā hōʻailona o ka pilikia. Hiki paha i ka mea mālama ke ʻike i kahi ʻāpana ʻāpana e like me ka sausage ma ka ʻōpū. No ka hōʻoia ʻana i ka maʻi, hiki i kāu mea mālama ke kauoha aku:

• ʻUltrasaune a i ʻole nā ​​kiʻi ʻē aʻe o ka ʻōpū. Hiki i kahi ultrasound, X-ray a i ʻole ka computerized tomography (CT) scan ke hōʻike i ka pilikia o ka ʻōpū i hana ʻia e ka intussusception. E hōʻike maʻamau nā kiʻi i kahi "bull's-eye," e hōʻike ana i ka ʻōpū i ʻōwili ʻia i loko o ka ʻōpū. Hiki i nā kiʻi ʻōpū ke hōʻike inā ua haehae ʻia (perforated) ka ʻōpū.