He aha ka Pyloric Stenosis? Nā Hōʻailona, Nā Kumu, a me ka Hoʻōla

ʻO ka pyloric stenosis kahi kūlana kahi e lilo ai ka ʻiʻo a puni ka puka ma waena o ka ʻōpū a me ka ʻōpū liʻiliʻi i mānoanoa loa. Hoʻopaʻa kēia ʻiʻo mānoanoa i ka meaʻai mai ka hele maʻamau ʻana ma o ka ʻōnaehana ʻai o kāu pēpē.

E noʻonoʻo iā ia e like me ka puka i lilo i ʻāpana loa no nā mea e hele maʻalahi ai. Ke hana ʻia kēia, ʻaʻole hiki i ka waiū a i ʻole ka fomula ke kahe mai ka ʻōpū i loko o ka ʻōpū liʻiliʻi, e hoʻokau i kāu pēpē e luaʻi ikaika ma hope o ka hānai ʻana.

He aha ka Pyloric Stenosis?

Hoʻopili ka pyloric stenosis i ka pylorus, ʻo ia ka puka valve-like ma lalo o ka ʻōpū. I nā pēpē me kēia kūlana, ulu ka ʻiʻo a puni kēia puka i mānoanoa a paʻa ʻole.

Hoʻokumu kēia mānoanoa i kahi ala ʻāpana e pale ai i ka meaʻai mai ka hele ʻana i mua i loko o ka ʻōpū liʻiliʻi. Ma muli o kēia, hōʻiliʻili ka waiū a i ʻole ka fomula i loko o ka ʻōpū a hoʻokuʻu ikaika ʻia ma o ka luaʻi ʻana.

Hoʻomaka maʻamau ka kūlana i nā hebedoma mua o ke ola, ʻoi aku ma waena o 3 a 5 mau hebedoma o ka makahiki. Hoʻopili ia i kahi 2 a 3 o kēlā me kēia 1,000 mau pēpē, e hana ana iā ia he mea maʻamau ʻole akā ʻaʻole pilikia loa.

He aha nā Hōʻailona o ka Pyloric Stenosis?

ʻO ka hōʻailona nui āu e ʻike ai ʻo ia ka luaʻi projectile e lilo ana i mea ʻino loa i ka manawa. ʻAʻole kēia ka luaʻi maʻamau āpau i nā pēpē he nui ma hope o ka hānai ʻana.

Eia nā hōʻailona nui e nānā ai i kāu pēpē:

• Luaʻi ikaika e pana aku ana i kekahi mau kapuaʻi mai kāu pēpē
• Luaʻi e hana ana i 15 a 30 mau minuke ma hope o kēlā me kēia hānai
• Pōloli mau ʻana ʻoiai ma hope o ka luaʻi ʻana
• Pau ke kaupaona a i ʻole ka nele i ka loaʻa ʻana o ke kaupaona maʻamau
• ʻOi aku ka liʻiliʻi o nā kāwele pulu ma mua o ka maʻamau
• Hoʻonāukiuki a huhū hoʻi, ʻoi aku hoʻi a puni ka manawa hānai
• Nā ʻōpala liʻiliʻi, paʻakikī a i ʻole ka constipation

Hiki paha iā ʻoe ke ʻike aku ua pōloli mau kāu pēpē a makemake e hānai hou ma hope koke o ka luaʻi ʻana. Hana ʻia kēia no ka mea ʻaʻole hiki i ka meaʻai i ka ʻōpū liʻiliʻi kahi e komo ai nā mea momona.

I kekahi mau hihia, hiki paha iā ʻoe ke ʻike i kahi ʻāpana liʻiliʻi, ʻano ʻoliva ma ka ʻōpū o luna o kāu pēpē. ʻO kēia ka ʻiʻo pyloric mānoanoa, ʻoiai ʻaʻole maʻalahi mau ka ʻike ʻana.

He aha nā Kumu o ka Pyloric Stenosis?

ʻAʻole maopopo loa ke kumu pololei o ka pyloric stenosis, akā manaʻo nā kauka ua ulu mai ia mai ka hui pū ʻana o nā kumu genetic a me nā kumu kūlohelohe. Ua ulu wale ka ʻiʻo a puni ka pylorus i mānoanoa ma mua o ka maʻamau i nā hebedoma mua o ke ola.

Hiki i kekahi mau mea ke kōkua i ka hoʻomohala ʻana o kēia kūlana:

• Hoʻonui ka mōʻaukala ʻohana o ka pyloric stenosis i ka pilikia
• ʻO ka mea kāne (ʻoi aku ka nui o nā keikikāne e loaʻa ia)
• ʻO ka mea mua
• Hānau mua
• Hānai ʻia ma ka hue ma mua o ka hānai ʻana ma ka umauma
• Lawe ʻana i kekahi mau lāʻau antibiotic i ka wā hāpai

He mea nui ia e hoʻomaopopo ʻaʻole ʻoe i hana a i ʻole ʻaʻole i hana i ka wā hāpai i kēia kūlana. He pilikia hoʻomohala ia e hana ana i ka hoʻomau ʻana o ka ʻōnaehana ʻai o kāu pēpē ma hope o ka hānau ʻana.

Hōʻike kekahi noiʻi e hiki i nā pēpē i hōʻike ʻia i kekahi mau lāʻau antibiotic i loko o ka ʻōpū a i ʻole ma hope koke o ka hānau ʻana he pilikia iki ke kiʻekiʻe. Eia naʻe, ʻaʻole i hōʻoia piha kēia pilina.

I ka wā e ʻike ai i ke Kauka no ka Pyloric Stenosis?

Pono ʻoe e kelepona koke i kāu pediatrician inā hoʻomaka kāu pēpē e luaʻi ikaika, projectile ma hope o ka hānai ʻana. ʻO kēia ʻano luaʻi ʻokoʻa ia mai ka luaʻi maʻamau o ka pēpē a pono ia i ka nānā ʻana i ka lāʻau lapaʻau.

Mai kali inā ʻike ʻoe i kēia mau hōʻailona hōʻailona:

• Luaʻi e pana aku ana me ka ikaika ma mua o ka ninini mālie
• ʻAʻole loaʻa ke kaupaona kāu pēpē a i ʻole ke nalowale nei ke kaupaona
• ʻOi aku ka liʻiliʻi ma mua o 6 mau kāwele pulu i loko o 24 mau hola
• Nā hōʻailona o ka nele wai e like me ka waha maloʻo, nā maka hohonu, a i ʻole ka luhi
• Ua pōloli mau kāu pēpē ʻoiai i nā hoʻāʻo hānai pinepine

He mea nui ka ʻike mua ʻana a me ka mālama ʻana no ka mea hiki i ka pyloric stenosis i mālama ʻole ʻia ke alakaʻi i nā pilikia koʻikoʻi o ka nele wai a me nā pilikia o ka meaʻai. Pono kāu pēpē i ka meaʻai kūpono e ulu a hoʻomohala maʻamau.

E hilinaʻi i kou mau manaʻo ma ke ʻano he mākua. Inā he mea hewa paha me nā ʻano hānai a kāu pēpē a i ʻoi aku ka nui o ka luaʻi ma mua o ka reflux maʻamau o ka pēpē, ʻoi aku ka maikaʻi o ka nānā ʻana.

He aha nā Pilikia no ka Pyloric Stenosis?

ʻO kekahi mau mea e hana ai i kekahi mau pēpē ʻoi aku ka nui o ka loaʻa ʻana o ka pyloric stenosis ma mua o nā mea ʻē aʻe. Hiki i ka hoʻomaopopo ʻana i kēia mau pilikia ke kōkua iā ʻoe e ʻike i nā mea e nānā ai, ʻoiai ʻo ka loaʻa ʻana o nā pilikia ʻaʻole ia he manaʻo e loaʻa maoli i kāu pēpē ke kūlana.

ʻO nā pilikia nui loa e komo pū ana:

• ʻO ka mea kāne (hoʻopili i nā keikikāne 4 mau manawa ʻoi aku ka nui ma mua o nā kaikamahine)
• Loaʻa i ka makua a i ʻole ke kaikuaʻana i loaʻa ka pyloric stenosis
• ʻO ke keiki mua
• Hānau mua
• ʻO ka poʻe ʻEulopa ʻĀkau a i ʻole Caucasian
• Hānai ʻia ma ka hue ma mua o ka hānai ʻana ma ka umauma

Manaʻo kekahi mau haʻawina e hiki i ka puhipaka o ka makuahine i ka wā hāpai a me ka lawe ʻana i kekahi mau lāʻau ke hoʻonui iki i ka pilikia. Eia naʻe, ke noiʻi ʻia nei kēia mau pilina.

ʻOiai inā loaʻa i kāu pēpē kekahi mau pilikia, e hoʻomanaʻo he mea maʻamau ʻole ka pyloric stenosis. ʻAʻole loaʻa ka nui o nā pēpē me kēia mau pilikia i ke kūlana.

He aha nā Pilikia Hiki o ka Pyloric Stenosis?

Ke mālama ʻole ʻia ka pyloric stenosis, hiki iā ia ke alakaʻi i kekahi mau pilikia koʻikoʻi e hoʻopilikia ana i ke olakino a me ka hoʻomohala ʻana o kāu pēpē. ʻO ka ʻoiaʻiʻo maikaʻi, me ka mālama lapaʻau kūpono, hiki ke pale ʻia kēia mau pilikia.

ʻO nā pilikia nui āu e ʻike ai e komo pū ana:

• Nele wai mai ka luaʻi pinepine ʻana a me ka hiki ʻole ke mālama i nā wai
• Nā pilikia electrolyte e hiki ke hoʻopilikia i ka rhythm naʻau a me ka hana o ka ʻiʻo
• Nele i ka ulu ʻana ma muli o ka nele o ka hoʻomoʻi meaʻai
• Hoʻonui ʻia ka ʻōpū kahi e hoʻonui ʻia ai ka ʻōpū
• Pneumonia aspiration inā komo ka waiū luaʻi i nā māmā

ʻO ka nele wai pinepine ka mea hopohopo loa no ka mea nalowale koke nā pēpē i nā wai ma o ka luaʻi ʻana. ʻO nā hōʻailona e komo pū ana nā kāwele pulu liʻiliʻi, ka waha maloʻo, nā maka hohonu, a me ka hiamoe ʻole a i ʻole ka huhū.

Hiki i nā pilikia electrolyte ke hopohopo loa no ka mea hoʻopilikia lākou i ka hana o nā ʻiʻo a me nā aʻalolo o kāu pēpē. ʻO ia ke kumu e pono ai nā kauka e hoʻoponopono i kēia mau pilikia me nā wai IV ma mua o ka ʻoki ʻana.

Pehea e ʻike ʻia ai ka Pyloric Stenosis?

E hoʻomaka kāu kauka ma ka nīnau ʻana i nā nīnau kikoʻī e pili ana i nā ʻano hānai a me nā manawa luaʻi o kāu pēpē. Makemake lākou e ʻike i ka wā i hoʻomaka ai ka luaʻi ʻana, pehea ka ikaika, a inā ua pōloli kāu pēpē ma hope.

I ka wā o ka nānā kino, e ʻike mālie kāu kauka i ka ʻōpū o kāu pēpē ʻoiai lākou e mālie a hoʻomaha. I kekahi manawa hiki iā lākou ke ʻike i ka ʻiʻo pyloric mānoanoa, kahi e like me kahi ʻāpana liʻiliʻi ʻano ʻoliva.

Inā ʻaʻole maopopo ka ʻike mai ka nānā kino, hiki i kāu kauka ke kauoha i nā hoʻokolohua kiʻi:

• Ultrasound o ka ʻōpū e ana i ka mānoanoa o ka ʻiʻo pyloric
• Upper GI series kahi e inu ai kāu pēpē i kahi hopena hoʻohālikelike e hōʻike ʻia ma nā X-rays
• Nā hoʻokolohua koko e nānā ai i ka nele wai a me nā pilikia electrolyte

ʻO ka ultrasound maʻamau ka hoʻokolohua makemake ʻia no ka mea palekana, ʻaʻole ʻeha, a pololei loa i ka hōʻike ʻana i ka ʻiʻo mānoanoa.

Kōkua nā hoʻokolohua koko i kāu hui lapaʻau e hoʻomaopopo inā ua maloʻo kāu pēpē a i ʻole ua hoʻomohala i kekahi mau pilikia kemika e pono ai ka hoʻoponopono ma mua o ka mālama ʻana.

He aha ka Mālama no ka Pyloric Stenosis?

ʻO ka mālama ʻana no ka pyloric stenosis kahi kaʻina hana ʻoki ʻana i kapa ʻia ʻo pyloromyotomy. He holomua loa kēia hana ʻoki ʻana a hoʻoponopono mau i ka pilikia ma ka ʻoki ʻana i nā ʻiʻo ʻiʻo mānoanoa.

Ma mua o ka ʻoki ʻana, e hoʻoponopono mua kāu hui lapaʻau i kekahi nele wai a i ʻole nā ​​pilikia electrolyte i loaʻa paha i kāu pēpē. E hāʻawi lākou i nā wai IV e hoʻihoʻi i ka hydration kūpono a me ke kaulike kemika.

ʻO ka hana ʻoki ʻana ponoʻī e komo pū ana i kēia mau ʻanuʻu:

1. Loaʻa i kāu pēpē ka anesthesia maʻamau e hiamoe maikaʻi i ka wā o ka ʻoki ʻana
2. Hana ka mea ʻoki i kahi ʻoki liʻiliʻi ma ka ʻōpū a i ʻole e hoʻohana i nā ʻenehana laparoscopic liʻiliʻi
3. ʻO nā ʻiʻo ʻiʻo o waho o ka pylorus e ʻoki mālie ʻia e hoʻonui i ka puka
4. Ke waiho nei ka laina o loko, no laila ʻaʻohe kahe
5. Ua pani ʻia ka ʻoki me nā humuhumu hoʻoheheʻe

Hoʻopau maʻamau ka hana ʻoki ʻana i kahi 30 a 60 mau minuke, a hiki i ka hapa nui o nā pēpē ke hoʻomaka e hānai hou i loko o 6 a 12 mau hola ma hope. E noho paha ʻoe ma ka haukapila no 1 a 2 mau lā e hōʻoia ai e hānai maikaʻi kāu pēpē.

ʻO ka hoʻōla maʻamau he mea maʻalahi loa, a kokoke i 100% ka holomua. Ke ʻoki ʻia ka ʻiʻo, ʻaʻole hiki ke ulu hou pū, no laila ua hoʻoponopono ʻia ka pilikia.

Pehea e Hāʻawi ai i ka Mālama Home ma hope o ka Mālama?

Ma hope o ka hōʻea ʻana o kāu pēpē mai ka ʻoki ʻana, pono ʻoe e nānā i nā hōʻailona o ka hoʻōla pono a hōʻoia i ka hele maikaʻi ʻana o ka hānai ʻana. Hoʻōla koke ka hapa nui o nā pēpē a hoʻi i nā ʻano hānai maʻamau i loko o kekahi mau lā.

Eia nā mea āu e hiki ai ke hana e kākoʻo i ka hoʻōla ʻana o kāu pēpē:

• E hoʻomaka me nā hānai liʻiliʻi, pinepine e like me ka ʻōlelo a kāu kauka
• E mālama i ka wahi ʻoki maʻemaʻe a maloʻo i ka wā o ka hoʻololi ʻana i nā kāwele
• E nānā i nā hōʻailona o ka maʻi e like me ka ʻulaʻula, ka pehu, a i ʻole ka waiheʻe maʻamau ʻole
• E hāʻawi i ka lāʻau ʻeha e like me ke kauoha
• E pale i ka hāpai ʻana i kāu pēpē ma lalo o nā lima no ka hebedoma mua
• E kelepona i kāu kauka inā hoʻi mai ka luaʻi ʻana a i ʻole nā ​​pilikia hānai

He mea maʻamau ia no kāu pēpē ke loaʻa kekahi mau ʻeha iki no nā lā mua, akā pono e hoʻomaikaʻi koke kēia. Hiki paha iā ʻoe ke ʻike i kahi liʻiliʻi o ka luaʻi ma ka hoʻomaka, ʻokoʻa ia mai ka luaʻi ikaika i hana ʻia ma mua o ka ʻoki ʻana.

Hiki i ka hapa nui o nā pēpē ke hoʻi i kā lākou mau hana maʻamau i loko o hoʻokahi a ʻelua pule paha. E hoʻōla piha ka ʻoki ʻana i loko o kekahi mau pule, e waiho wale ana i kahi ʻāpana liʻiliʻi e lilo pinepine i mea ʻike ʻole ʻia i ka manawa.

Pehea ʻoe e hoʻomākaukau ai no kāu manawa Kauka?

ʻO ka hoʻomākaukau maikaʻi ʻana no kāu manawa e kōkua i kāu kauka e hana i kahi ʻike pololei koke. E mālama i nā memo kikoʻī e pili ana i nā hōʻailona o kāu pēpē, ʻoi aku hoʻi nā ʻano luaʻi a me nā ʻano hānai.

Ma mua o kāu kipa, e hōʻiliʻili i kēia ʻike nui:

• I ka wā i hoʻomaka ai ka luaʻi ʻana a pehea i loli ai ia i ka manawa
• Inā hana ʻia ka luaʻi ʻana ma hope o kēlā me kēia hānai a i ʻole kekahi wale nō
• Pehea ka ikaika o ka luaʻi ʻana a pehea ka lōʻihi o kona hele ʻana
• Ke kaupaona o kāu pēpē i kēia manawa a me nā loli kaupaona hou
• Ehia mau kāwele pulu i loaʻa i kāu pēpē i nā hola 24 i hala iho nei
• Kekahi mōʻaukala ʻohana o ka pyloric stenosis

E ho'āʻo e lawe mai i kāu pēpē i ka manawa ke mālie loa lākou, maikaʻi ma mua o ka manawa hānai. Hana maʻalahi kēia i ka nānā kino a ʻoluʻolu hoʻi no nā mea a pau.

E kākau i kekahi mau nīnau āu i loaʻa ma mua, no laila ʻaʻole ʻoe e poina e nīnau iā lākou. He mea kōkua nō hoʻi ke lawe mai i kahi mea kōkua me ʻoe e hiki ke kōkua i ka hoʻomanaʻo ʻana i ka ʻike i kūkākūkā ʻia.

He aha ka lawe nui e pili ana i ka Pyloric Stenosis?

ʻO ka pyloric stenosis kahi kūlana hiki ke mālama ʻia, ʻoiai he mea hopohopo no nā mākua, he hopena maikaʻi loa ia ke ʻike ʻia a mālama ʻia koke. ʻO ke kī ka ʻike mua ʻana i nā hōʻailona a me ka ʻimi ʻana i ka nānā lapaʻau.

E hoʻomanaʻo he mea maʻamau ʻole ka luaʻi projectile i loko o kahi pēpē e pōloli mau ana a pono ia i ka loiloi lapaʻau koke. E hilinaʻi i kou mau manaʻo makua inā he mea hewa paha me nā ʻano hānai o kāu pēpē.

He holomua loa ka hana ʻoki ʻana e hoʻoponopono ai i ka pyloric stenosis, me nā holomua kokoke i 100% a me nā pilikia liʻiliʻi. Hoʻōla koke ka hapa nui o nā pēpē a hele e hānai a ulu maʻamau me ka ʻole o nā hopena lōʻihi.

ʻOiai hiki i kēia ʻike ke manaʻo nui, e ʻike ʻoe ua hana nā tausani o nā pēpē i kēia hana ʻoki ʻana i kēlā me kēia makahiki me nā hopena maikaʻi. Loaʻa i kāu hui lapaʻau ka ʻike nui i ka mālama ʻana i kēia kūlana a e alakaʻi iā ʻoe ma kēlā me kēia ʻanuʻu o ke kaʻina hana.

Nā Nīnau Pinepine e pili ana i ka Pyloric Stenosis

Hiki i ka pyloric stenosis ke hoʻonā iā ia iho me ka ʻole o ka ʻoki ʻana?

ʻAʻole, ʻaʻole hiki i ka pyloric stenosis ke hoʻonā iā ia iho a pono mau ka mālama ʻoki ʻana. ʻAʻole e hoʻi ka ʻiʻo mānoanoa i ka nui maʻamau ma ke ʻano maoli, a e ʻino loa ke kūlana me ka ʻole o ka hoʻoponopono ʻana. ʻOiai hiki i kēia ke hopohopo, he palekana loa a holomua loa ka hana ʻoki ʻana, me nā hopena lōʻihi maikaʻi loa no nā pēpē.

E loaʻa anei i kaʻu pēpē kekahi mau hopena lōʻihi ma hope o ka hana ʻoki ʻana o ka pyloric stenosis?

ʻAʻole loaʻa i ka hapa nui o nā pēpē kekahi mau hopena lōʻihi ma hope o ka hana ʻoki ʻana o ka pyloric stenosis a ulu lākou e lilo i nā keiki a me nā mākua olakino piha. Ke pau ka hana ʻoki ʻana, hana maʻamau ka ʻōnaehana ʻai, a maʻamau ʻaʻole loaʻa nā palena meaʻai a i ʻole nā ​​hopohopo lapaʻau mau. Pono e hiki i kāu pēpē ke ʻai, pāʻani, a hoʻomohala e like me kekahi keiki ʻē aʻe.

He palekana anei ka hānai ʻana ma hope o ka hana ʻoki ʻana o ka pyloric stenosis?

ʻAe, ʻaʻole wale ka hānai ʻana he palekana akā hoʻoikaika pinepine ʻia ma hope o ka hana ʻoki ʻana o ka pyloric stenosis. Hiki i nā pēpē he nui ke hoʻi i ka hānai ʻana i loko o nā hola o ke kaʻina hana, ʻoiai hiki i kāu kauka ke ʻōlelo e hoʻomaka me nā hānai liʻiliʻi, pinepine i ka hoʻomaka. He mea kūpono maoli ka waiū umauma i ka wā hoʻōla no ka mea maʻalahi ke ʻai a hāʻawi i nā mea momona a me nā antibodies nui e kākoʻo i ka hoʻōla ʻana.

Hiki anei ke hana hou i ka pyloric stenosis a i ʻole e hoʻopilikia i nā keiki e hiki mai ana?

Ke mālama ʻia me ka hana ʻoki ʻana, ʻaʻole hiki i ka pyloric stenosis ke hana hou i ka pēpē hoʻokahi no ka mea ua hoʻololi mau ʻia ka ʻiʻo a ʻaʻole hiki ke ulu hou pū. Eia naʻe, inā loaʻa iā ʻoe nā keiki hou aʻe i ka wā e hiki mai ana, aia kahi pilikia iki e hiki ai iā lākou ke loaʻa ka pyloric stenosis, ʻoi aku inā aia ka mōʻaukala ʻohana o ke kūlana. ʻAʻole kēia he manaʻo e hana maoli ia, wale nō ʻoe e ʻike i nā hōʻailona e nānā ai.

Pehea ka wikiwiki o ka hoʻōla ʻana o nā pēpē mai ka hana ʻoki ʻana o ka pyloric stenosis?

Hoʻōla koke ka hapa nui o nā pēpē mai ka hana ʻoki ʻana o ka pyloric stenosis. Hoʻomaka pinepine lākou e hānai hou i loko o 6 a 12 mau hola ma hope o ke kaʻina hana a hiki ke hele i ka home i loko o 1 a 2 mau lā. Hoʻopau ka hoʻōla piha ma ka home ma kahi o 1 a 2 mau pule, i ka wā e hoʻi mālie ai kāu pēpē i nā ʻano hānai a me nā hana maʻamau. Hoʻōla ka ʻoki ʻana i loko o kekahi mau pule, a hoʻi ka hapa nui o nā pēpē i kā lākou mau mea hauʻoli, olakino koke.