Pilikia O Ka Pylorus

ʻO ka pā pyloric he ʻiʻo pōʻai e hoʻopaʻa ana i ka meaʻai i loko o ka ʻōpū a hiki i ka mākaukau no ke kahua aʻe i ke kaʻina hana ʻai.

Ma ka pyloric stenosis, e mānoanoa ka ʻiʻo o ka pā pyloric, e kāohi ana i ka meaʻai mai ke komo ʻana i loko o ka ʻōpū liʻiliʻi o ke pēpē.

ʻO ka pyloric stenosis (pie-LOHR-ik stuh-NOH-sis) kahi hoʻonui ʻana o ka puka ma waena o ka ʻōpū a me ka ʻōpū liʻiliʻi. Hiki i kēia kūlana maʻamau ʻole i nā pēpē ke hopu i ka meaʻai i loko o ka ʻōpū.

ʻO ka mea maʻamau, e pani kahi pā muscular pōʻai e hoʻopaʻa ai i ka meaʻai i loko o ka ʻōpū a i ʻole e wehe e ʻae i ka meaʻai e hele i loko o ka ʻōpū liʻiliʻi. Me ka pyloric stenosis, ua hoʻonui ʻia ka ʻiʻo muscular. E lilo ka puka i mea ʻāpana loa, a ʻaʻohe meaʻai e hele i loko o ka ʻōpū.

ʻO ka pyloric stenosis ka mea maʻamau e alakaʻi ai i ka luaʻi ikaika, ka nele o ka wai, ka ʻai maikaʻi ʻole a me ka pohō kaumaha. Hiki i nā pēpē me ka pyloric stenosis ke manaʻo he pololi mau.

Lapaʻau ʻia ka pyloric stenosis me ka ʻoki kino.

ʻO ke ala ma waena o ka ʻōpū a me ka ʻōpū liʻiliʻi ka mea i kapa ʻia ʻo ka pylorus. ʻO ka pā e kaohi ana i ka puka hiki ke kapa ʻia ʻo ka ʻiʻo pyloric, ka pyloric sphincter a i ʻole ka pā pyloric.

ʻO ka hoʻonui ʻana o ka ʻiʻo pyloric ka mea i kapa ʻia ʻo hypertrophy. Kī ʻia hoʻi ka pyloric stenosis ʻo ka hypertrophic pyloric stenosis.

ʻO ka maʻi pyloric stenosis, maʻamau ka hōʻike ʻana o nā hōʻailona ma waena o 3 a 6 mau pule ma hope o ka hānau ʻana. He mea maʻamau ʻole ka pyloric stenosis i nā pēpē ʻoi aku ka nui o 3 mau mahina. ʻO nā hōʻailona e komo pū ana: Ka luaʻi ʻana ma hope o ka hānai ʻana. Hiki i ka pēpē ke luaʻi ikaika, e hoʻolei ana i ka waiū umauma a i ʻole ka waiū pēpē a hiki i kekahi mau kapuaʻi mamao aku. ʻIke ʻia kēia ʻo ka luaʻi projectile. Maʻamau ka luaʻi ʻana ma hope koke o ka hānai ʻana. Hiki ke māmā ka luaʻi ʻana i ka hoʻomaka a ʻoi aku ka nui ma hope aku. Ka pōloli mau. Makemake pinepine nā pēpē me ka pyloric stenosis e ʻai koke ma hope o ka luaʻi ʻana. Nā ʻōpū ʻōpū. Hiki ke ʻike ʻia nā nalu ma luna o ka ʻōpū o kāu pēpē ma hope o ka hānai ʻana akā ma mua o ka luaʻi ʻana. He hōʻailona kēia o nā ʻiʻo ʻōpū e ho'āʻo ana e hoʻoneʻe i ka meaʻai mai ka ʻōpū. Ka nele wai. Hiki i kahi pēpē ke hōʻike i nā hōʻailona o ka wai kino haʻahaʻa, i kapa ʻia hoʻi ʻo ka nele wai. Hiki i kēia mau hōʻailona ke komo pū me ka liʻiliʻi o nā kāwele pulu, ka nele o ka ikaika, ka waha a me nā lehelehe maloʻo, a me ka uē ʻana me ka ʻole o nā waimaka. Nā loli i kahi ʻōpala. ʻOiai ke pale nei ka pyloric stenosis i ka meaʻai mai ka hōʻea ʻana i nā ʻōpū, hiki i nā pēpē me kēia kūlana ke constipation. Ka emi ʻana o ke kaumaha. Hiki i ka nele o ka meaʻai ke kumu i ka pēpē ʻaʻole e loaʻa ke kaumaha a i ʻole e nalowale ke kaumaha. Loaʻa i nā kūlana ʻē aʻe nā hōʻailona e like me ka pyloric stenosis. He mea nui ka loaʻa ʻana o kahi ʻike pololei a wikiwiki. E ʻike i ke kauka o kāu pēpē inā: Luaʻi projectile kāu pēpē ma hope o ka hānai ʻana. Pōloli hou koke ma hope o ka luaʻi ʻana. ʻIke ʻia he emi ka hana a i ʻole ka huhū maʻamau. Loaʻa nā kāwele pulu a i ʻole nā ​​kāwele lepo liʻiliʻi. ʻAʻole loaʻa ke kaumaha a i ʻole e nalowale ke kaumaha.

Aia kekahi mau kūlana ʻē aʻe me nā hōʻailona e like me ka pyloric stenosis. He mea nui ka loaʻa ʻana o kahi ʻike pololei a wikiwiki. E ʻike i ke kauka o kāu pēpē inā:

• Hoʻopuka i ka luaʻi ma hope o ka hānai ʻana.
• Pōloli hou koke ma hope o ka luaʻi ʻana.
• Mehe mea ʻoi aku ka liʻiliʻi o ka hana a i ʻole ka huhū maʻamau ʻole.
• Loaʻa nā kāwele pulu a haumia paha.
• ʻAʻole e hoʻonui i ke kaumaha a i ʻole e nalowale ana ke kaumaha.

ʻAʻole maopopo nā kumu o ka pyloric stenosis, akā, hiki i nā gene a me nā kumu o ke kaiapuni ke pāʻani i kahi kuleana. ʻAʻole maʻamau ka pyloric stenosis i ka wā hānau, akā e ulu mai ma hope.

ʻAʻole maʻamau ka pylorid stenosis. ʻOi aku ka nui o ka loaʻa ʻana i nā pēpē:

• He mau keikikāne.
• He mau keiki mua.
• Hānau mua loa.
• Loaʻa ka mōʻaukala ʻohana o ka pyloric stenosis.
• Hānau ʻia i kahi mea puhipaka.
• Hōʻike ʻia i kekahi mau lāʻau antibiotic i ka hopena o ka hāpai ʻana a i ʻole ma hope o ka hānau ʻana.
• Hānai ʻia i loko o ka hue.

Hiki i ka stenosis pyloric ke alakaʻi i kēia mau mea:

• Ka nele o ka ulu a me ka hoʻomohala. ʻO ka nele o ka meaʻai ke kumu o ka ulu maikaʻi ʻole, ka loaʻa ʻole o ke kaumaha a me ka hoʻomohala.
• Ka maloʻo. Hiki i ka luaʻi pinepine ke hoʻemi i ka wai, i kapa ʻia ʻo ka maloʻo. Hiki nō hoʻi i kēia kūlana ke hoʻopilikia i ka like ʻole o nā minelala i kapa ʻia he electrolytes. Kōkua kēia mau minelala i ka hoʻoponopono ʻana i nā hana koʻikoʻi ma ke kino holoʻokoʻa.
• Jaundice. I nā manawa kakaikahi, hiki i kahi mea i hoʻopuka ʻia e ke akepaʻa, i kapa ʻia ʻo bilirubin, ke piʻi. Hiki paha kēia ke hoʻolilo i ka ʻili a i ʻole nā ​​keʻokeʻo o nā maka i melemele. Kūpono kēia kūlana i ka jaundice.

E nīnau aku kākauka mālama keiki a kāu keiki iā ʻoe e pili ana i nā hōʻailona a hana i kahi hoʻokolohua kino.

I kekahi manawa, hiki ke ʻike ʻia kahi ʻāpana ʻoliva ma ka ʻōpū o ke keiki. ʻO kēia ʻāpana ka ʻiʻo pyloric i hoʻonui ʻia. ʻOi aku ka maʻamau o kēia ma nā pae hope o ke kūlana.

Hiki i nā ʻōpala wavelike ke ʻike ʻia i kekahi manawa i ka nānā ʻana i ka ʻōpū o ke keiki, ʻoi aku hoʻi ma hope o ka hānai ʻana a i ʻole ma mua o ka luaʻi.

Hiki ke hoʻohana ʻia nā hoʻokolohua kiʻi e ʻike i ka pyloric stenosis a i ʻole e kāpae i nā kūlana ʻē aʻe. ʻO kēia mau hoʻokolohua e komo pū ana:

• Ultrasound. ʻO ka mea hana maʻamau no ka ʻike ʻana i ka pyloric stenosis ka hoʻokolohua ultrasound. Hana ʻia kēia hoʻokolohua maʻalahi ma ka laulā me kahi mea i waiho ʻia ma ka ʻōpū o ke keiki. Hiki i ke kiʻi ultrasound ke hōʻike i ka hoʻonui ʻana o ka valve pyloric.
• X-ray: Hiki i kahi hoʻokolohua X-ray kūikawā ke hana i kahi wikiō pōkole o ka ʻōpū e hana ana. Hiki ke ʻike ʻia kahi wai kūikawā i hānai ʻia i ke keiki i kona komo ʻana a me ka puka ʻana—a i ʻole ke ho'āʻo nei e puka—mai ka ʻōpū. Hoʻohana ʻia kēia hoʻokolohua i ka manawa liʻiliʻi ma mua o ka ultrasound.

Hiki i kāu kauka mālama ola ke kauoha i nā hoʻokolohua koko. Hiki i nā hopena ke hōʻike i nā hōʻailona o nā pilikia electrolyte a me ka nele wai.

Pyloromyotomy Hoʻonui i ke kiʻi E pani iā Pyloromyotomy Pyloromyotomy I ka pyloromyotomy, ʻoki ke kauka i ka ʻiʻo apo like o ka valve pyloric a hoʻokaʻawale i ka ʻiʻo a hiki i ka papa o ka ʻōpū. E puʻupuʻu ka papa ma waena o ka hakahaka o ka ʻiʻo. E hana mau ana ka ʻiʻo i hoʻoluhi ʻia, akā e ʻae ʻia ka meaʻai e hele ma waena. Pono ka ʻoki kino e mālama i ka pyloric stenosis. Ma mua o ka ʻoki kino, hāʻawi ʻia nā wai a me nā electrolytes ma o ka paipa i waiho ʻia i loko o ka vein. Pono ka hydration kūpono a me ka kaulike electrolyte ma mua o ke kaʻina hana. Hiki paha kēia i 24 a 48 mau hola. ʻO ka hana ʻia ka pyloromyotomy. I ka pyloromyotomy, ʻoki ke kauka i ka ʻiʻo mānoanoa o ka valve pyloric. A laila hoʻohana ʻia kahi mea hana e hoʻolaha i ka ʻiʻo i lalo i nā pūnaewele o ka papa ʻōpū. E hana mau ana ka ʻiʻo pyloric, akā e hoʻoluhi kēia hakahaka i ka ʻiʻo a e ʻae i ka meaʻai e neʻe mai ka ʻōpū. E puʻupuʻu ka papa o ka ʻōpū i loko o ka hakahaka ākea, akā ʻaʻole e leaka nā mea o loko o ka ʻōpū. ʻO ka hapa nui o ka manawa, hana ʻia ka ʻoki kino ma o ʻekolu mau puka liʻiliʻi i loko o ka ʻōpū. Hoʻohana ʻia kekahi no ka kamera wikiō, a ʻelua no nā mea hana ʻoki kino. Ke kapa ʻia nei kēia he laparoscopic surgery. I kekahi mau hihia, e hana ke kauka i kahi ʻoki kino ākea ma o hoʻokahi puka nui. ʻOi aku ka pōkole o ka manawa hoʻōla o ka laparoscopic surgery. Ma hope o ka ʻoki kino: E nānā pono ʻia kāu pēpē no ka liʻiliʻi loa o 24 mau hola. Hiki ke ʻokoʻa nā ʻōlelo aʻo no ka hānai ʻana ma hope o ka ʻoki kino. I ka hapanui o nā hihia, hiki ke hoʻomaka ka hānai ʻana i 12 a 24 mau hola ma hope o ke kaʻina hana. Hiki i kāu hui mālama ola ke ʻōlelo aʻo i ka hānai ʻana i ka wā e pololi ai kāu pēpē, a i ʻole hiki iā lākou ke ʻōlelo aʻo i kahi papa hana. Hiki ke loaʻa kekahi luaʻi ʻana ma hope o ka ʻoki kino. I nā manawa hālāwai hope, e nānā kāu hui mālama i ke kaumaha, ka ulu ʻana a me ka hoʻomohala ʻana o kāu pēpē. ʻO nā pilikia hiki ke loaʻa mai ka ʻoki kino pyloric stenosis, ʻo ia ka kahe koko a me ka maʻi. Eia naʻe, ʻaʻole maʻamau nā pilikia, a maikaʻi loa nā hopena o ka ʻoki kino. Koho mālama ʻAʻole pinepine, inā loaʻa i kahi pēpē nā pilikia kiʻekiʻe loa no ka ʻoki kino, hiki ke hoʻohana ʻia kahi lāʻau lapaʻau e mālama ai i ka pyloric stenosis. Hiki i kahi lāʻau lapaʻau i kapa ʻia ʻo atropine sulfate ke kōkua i ka hoʻomaha ʻana i ka ʻiʻo pyloric. ʻAʻole maikaʻi kēia mālama a pono i nā lā hoʻokipa lōʻihi ma mua o ka ʻoki kino. Noi i kahi hālāwai