He aha ka Vesicoureteral Reflux? Nā Hōʻailona, Nā Kumu, & Lapaʻau

Hana ʻia ka vesicoureteral reflux ke kahe hou mai ka wai mimi mai kou ʻōpū i loko o nā paipu e hoʻohui ana i kou mau puʻupaʻa i kou ʻōpū. E noʻonoʻo e like me ke alanui hoʻokahi wale nō ka hele ʻana o ke kaʻa ma ke ala hewa. He mea maʻamau kēia maʻi i nā pēpē a me nā keiki ʻōpio, ʻoiai hiki ke hoʻopili i nā kānaka o kēlā me kēia makahiki.

Hana ʻia ke kūlana no ka mea ʻaʻole hana pono ka mīkini valve ma kahi e hui ai kāu ureter me kāu ʻōpū. I loko o ka ʻōnaehana mimi olakino, kahe ka wai mimi mai kou mau puʻupaʻa i lalo ma o nā paipu i kapa ʻia ʻo ureters i loko o kou ʻōpū, a laila i waho o kou kino. Ke loaʻa iā ʻoe ka vesicoureteral reflux, hoʻi hou kekahi o kēlā wai mimi i luna i kou mau puʻupaʻa ma mua o ka noho ʻana i kou ʻōpū.

He aha nā hōʻailona o ka vesicoureteral reflux?

ʻAʻohe hōʻailona o ka nui o nā kānaka me ka vesicoureteral reflux, ʻoi aku inā he māmā ke kūlana. Ke ʻike ʻia nā hōʻailona, pili pinepine lākou i nā maʻi o ke ala mimi, kahi e hana pinepine ai ke kahe hou mai ka wai mimi.

Eia nā hōʻailona maʻamau e hiki ke hōʻike i ka vesicoureteral reflux, ʻoi aku hoʻi i nā keiki:

• Nā maʻi o ke ala mimi pinepine me ka wela
• Ke kuni a i ʻole ke kuni ʻana i ka wā e mimi ai
• Pono koke e mimi a mimi pinepine
• Nā pōpilikia pulu i nā keiki i aʻo mua ʻia e hoʻohana i ka halepaku
• Wai mimi mālie a i ʻole ʻala ikaika
• ʻEha ʻōpū a ʻaoʻao paha
• Kōpū paʻa a i ʻole pilikia me nā neʻe ʻana o ka ʻōpū

I nā pēpē a me nā keiki ʻōpio loa, hiki iā ʻoe ke ʻike i ka huhū, ka hānai maikaʻi ʻole, a i ʻole nā ​​wela wehe ʻole. ʻAʻole hiki i kēia mau mea liʻiliʻi ke haʻi aku iā ʻoe i ka mea e hoʻopilikia ana iā lākou, no laila, ʻo nā wela hou me ka kumu maopopo ʻole e hoʻoikaika pinepine i nā kauka e nānā i nā pilikia mimi.

Hiki i kekahi mau keiki me ka reflux ʻoi aku ka nui ke loaʻa iā lākou ke koko kiʻekiʻe a i ʻole nā ​​hōʻailona o ka ulu ʻole. Hoʻomaka mau kēia mau hōʻailona ke lōʻihi ka maʻi a hoʻomaka e hoʻopilikia i ka hana o ka puʻupaʻa.

He aha nā ʻano o ka vesicoureteral reflux?

Hoʻokaʻawale nā ​​kauka i ka vesicoureteral reflux i ʻelima mau papa e pili ana i ka lōʻihi o ka hoʻi ʻana o ka mimi a me ka nui o kona hopena i ka ʻōnaehana mimi. ʻO ka Papa 1 ka ʻano palupalu loa, ʻoiai ʻo ka Papa 5 ka ʻoi loa.

I ka reflux Papa 1, hoʻi hope wale ka mimi i loko o ka ureter. ʻO ka Papa 2, hiki ka mimi i ka puʻupaʻa akā ʻaʻole ia e hoʻoulu i ka pehu. Hoʻopili ka Papa 3 i ka pehu iki o ka ʻōnaehana hōʻiliʻili o ka puʻupaʻa.

Hoʻokumu ka reflux Papa 4 i ka pehu waena a me kekahi mau kihi ʻoi ʻole o nā kihi ʻoi o ka puʻupaʻa. ʻO ka Papa 5 ka mea weliweli loa, me ka pehu nui a me nā loli nui i ke ʻano o ka puʻupaʻa. ʻOi aku ka nui o ka pilikia o ka pōʻino o ka puʻupaʻa i nā papa kiʻekiʻe a pono pinepine i ka mālama ʻoi aku ka ikaika.

Aia nō hoʻi ʻelua mau ʻano nui e pili ana i ka wā e ulu ai ke kūlana. Aia ka vesicoureteral reflux mua mai ka hānau ʻana ma muli o ka pōkole o ka ureter a i ʻole nā ​​pilikia i ke ʻano o ka hoʻopili ʻana o ka ureter i ka ʻōpū. Hoʻomohala ʻia ka reflux lua ma hope ma muli o nā mea ālai, nā maʻi, a i ʻole nā ​​kūlana ʻē aʻe e hoʻopilikia i ke kahe maʻamau o ka mimi.

He aha ka mea e hoʻokumu ai i ka vesicoureteral reflux?

ʻO ka hapa nui o nā hihia o ka vesicoureteral reflux e hana ʻia ma muli o ke ʻano o ka ulu ʻana o ka ʻōnaehana mimi o ke keiki ma mua o ka hānau ʻana. ʻAʻole paha i kūkulu pono ʻia ka mīkini valve kahi e hui ai ka ureter me ka ʻōpū, e hana ana i kahi ala no ka mimi e kahe ai i hope.

I ka reflux mua, komo ka ureter i ka ʻōpū ma ke kihi kūpono ʻole a i ʻole ka puka ma o ka paia o ka ʻōpū he pōkole loa. ʻO ia hoʻi, ʻaʻole pani pono ka ʻōnaehana valve maoli ke piha ka ʻōpū i ka mimi. I ka ulu ʻana o nā keiki, lōʻihi pinepine nā ureters a hoʻomaikaʻi ka kihi, ʻo ia ke kumu e hoʻonā ai nā hihia he nui ma o lākou iho.

Hoʻomōhala ka reflux lua ke pani ʻia a i ʻole ke keakea ʻia ka kahe maʻamau o ka mimi. Eia nā kumu nui e alakaʻi ai i kēia ʻano:

• Ka hana ʻole o ka ʻōpū a i ʻole nā ​​muscle ʻōpū ikaika loa
• Ka constipation pinepine e kaumaha ana i ka ʻōpū
• Neurogenic bladder mai nā pilikia o ke kaula kua
• Nā ʻano kino ʻē aʻe e like me nā ureters pālua
• Nā maʻi maʻi urinary tract nui e hoʻoulu ai i ka pehu
• Nā pōhaku kidney a i ʻole nā ​​pā ʻē aʻe
• Ka hana ʻoki mua ma ka ʻōnaehana urinary

I kekahi manawa, e kū mai ka reflux i nā ʻohana, e hōʻike ana i ka pāʻani ʻana o ka genetics. Inā loaʻa i ke keiki hoʻokahi ka vesicoureteral reflux, aia kahi manawa o 25-30% i nā kaikuaʻana e loaʻa pū ia. ʻO kēia pilina ʻohana ke kumu e paipai pinepine ai nā kauka i ka nānā ʻana i nā kaikuaʻana a me nā kaikuahine o nā keiki i hoʻopilikia ʻia.

ʻAʻole pinepine, hiki i kekahi mau lāʻau a i ʻole nā ​​kaʻina hana lapaʻau ke hoʻokumu i ka reflux no kekahi manawa. ʻO ka ʻoiaʻiʻo maikaʻi, ʻoi aku ka maikaʻi o kēia mau hihia ke hoʻoponopono ʻia ke kumu kumu.

I ka wā e ʻike ai i ke kauka no ka vesicoureteral reflux?

Pono ʻoe e hoʻokaʻaʻike i kāu kauka inā loaʻa i kāu keiki nā maʻi urinary tract i hoʻi hou mai, ʻoiai inā hele mai lākou me ka mahana. ʻO ka UTI hoʻokahi wale nō i loko o kahi keiki ʻōpio ma lalo o 2 mau makahiki e pono ai ka loiloi, ʻoiai ʻoi aku ka nui o ka pilikia o ka pili ʻana o nā puʻupaʻa i kēia makahiki.

Kāhea i kāu mea hoʻolako mālama ola inā ʻike ʻoe i nā hōʻailona o ka maʻi urinary tract ʻaʻole i hoʻomaikaʻi me ka mālama ʻana a i ʻole e hoʻi hou mai. Hiki i kēia ke komo pū me ka mahana, ka ʻeha i ka wā e mimi ai, ka mimi pinepine, a i ʻole ka mimi ikaika.

E ʻimi i ka mālama ola kino koke inā loaʻa i kāu keiki ka mahana kiʻekiʻe me ka ʻeha kua a i ʻole ka ʻaoʻao, ʻoiai hiki ke hōʻike i ka maʻi kidney. ʻO nā hōʻailona wikiwiki ʻē aʻe e komo pū ana ka ʻeha ʻōpū nui, ka luaʻi me ka mahana, a i ʻole nā ​​hōʻailona o ka dehydration e like me ka emi ʻana o ka mimi a i ʻole ka huhū nui i nā pēpē.

No nā keiki nui a me nā mākua, e ʻimi i ke kauka inā loaʻa iā ʻoe nā UTI hou, koko i loko o kou mimi, a i ʻole ka ʻeha kua mau loa. ʻOiai ʻaʻole pinepine ka vesicoureteral reflux i nā mākua, hiki nō ia ke loaʻa a pono e loiloi pono ʻia.

He aha nā mea pilikia no ka vesicoureteral reflux?

Hiki i kekahi mau mea ke hoʻonui i ka hiki ke loaʻa i ka vesicoureteral reflux, ʻoiai ʻaʻole manaʻo ia inā loaʻa iā ʻoe kēia mau mea pilikia e loaʻa nō ʻoe i ka maʻi. Ke hoʻomaopopo ʻana iā lākou e kōkua i nā ʻohana e ʻike i ka wā e makaʻala ai i nā hōʻailona.

ʻO ka makahiki ka mea pilikia nui loa, me ka maʻi maʻamau i nā pēpē a me nā keiki liʻiliʻi. Hoʻopili pinepine ʻia nā kaikamahine ma mua o nā keikikāne, koe wale nō i ka makahiki mua o ke ola i ka wā i kiʻekiʻe iki ai ka nui o nā keikikāne. ʻO ke kino o ka wahine, me ka urethra pōkole, hiki ke kōkua i nā maʻi urinary tract pinepine e hōʻike i ka reflux ma lalo.

He kuleana nui ka mōʻaukala ʻohana i ka pilikia. Inā loaʻa i ka makua ka vesicoureteral reflux i ke keiki, aia kahi manawa 25% o kā lākou mau keiki e loaʻa pū kekahi. Loaʻa pū i nā kaikuaʻana o nā keiki i hoʻopilikia ʻia ka pilikia, ʻo ia ke kumu e ʻōlelo pinepine ai nā kauka e nānā i nā lālā o ka ʻohana.

Hiki i kekahi mau kūlana olakino ke hoʻonui i nā mea pilikia:

• Spina bifida a i ʻole nā ​​kīnā ʻē aʻe o ka spinal cord
• Nā kīnā ʻē aʻe o ka puʻupaʻa a i ʻole ka urinary tract
• Ka constipation mau a i ʻole nā ​​pilikia o ka ʻōpū
• Ka hana ʻole o ka ʻōpū a i ʻole nā ​​pilikia voiding
• Posterior urethral valves i nā keikikāne
• Prune belly syndrome

Hiki i nā hana ʻano like me ka mimi pinepine ʻole a i ʻole ka paʻa ʻana o ka mimi no ka manawa lōʻihi ke hoʻopilikia i ka reflux i loaʻa. Hiki i kekahi mau keiki e kali lōʻihi loa e hoʻohana i ka lumipaku a i ʻole ʻaʻole hoʻopau loa i kā lākou mau ʻōpū ke loaʻa nā pilikia hou aku me ka reflux.

Hoʻopili pū ke ʻano lāhui a me ka lāhui i ka pilikia, me ka maʻi maʻamau i nā keiki Caucasian a emi pinepine i nā keiki ʻAmelika ʻApelika. ʻAʻole maopopo loa nā kumu o kēia mau ʻokoʻa akā hiki ke pili i nā kumu genetic e hoʻopilikia ana i ka hoʻomohala ʻana o ka ʻōnaehana mimi.

He aha nā pilikia hiki ke loaʻa mai ka vesicoureteral reflux?

ʻO ka manaʻo nui loa me ka vesicoureteral reflux, ʻo ia ka hiki ke alakaʻi i ka hōʻino ʻana i nā puʻupaʻa ma hope o kekahi manawa, ʻoi aku inā loaʻa pinepine nā maʻi o ka ʻōnaehana mimi. I ka wā e kahe hou ai ka mimi i piha i nā bacteria i nā puʻupaʻa, hiki ke hoʻoulu i nā maʻi e hōʻino ai i nā pūnaewele puʻupaʻa.

ʻO ka hōʻino ʻana i nā puʻupaʻa, i kapa ʻia hoʻi ʻo reflux nephropathy, ʻo ia ka pilikia nui loa. Hiki i kēia hōʻino ke hoʻopilikia i ka maikaʻi o ka kānana ʻana o kāu mau puʻupaʻa i nā ʻōpala a mālama i ke kaomi koko kūpono. I nā hihia koʻikoʻi, hiki ke alakaʻi i ka maʻi puʻupaʻa maʻi mau, ʻoiai he mea maʻamau ʻole kēia me ka mālama lapaʻau kūpono.

Eia nā pilikia nui e hiki ke loaʻa me ka vesicoureteral reflux i mālama ʻole ʻia a i ʻole koʻikoʻi:

• Nā maʻi mimi hou
• Ka hōʻino ʻana i nā puʻupaʻa a me ka hōʻino mau
• Ke kiʻekiʻe o ke kaomi koko (hypertension)
• Protein i loko o ka mimi
• Maʻi puʻupaʻa mau
• Ka hāʻule ʻana o nā puʻupaʻa i nā hihia koʻikoʻi a maʻamau ʻole
• Nā pilikia ulu i nā keiki me ka pilikia koʻikoʻi o nā puʻupaʻa

ʻO ka ʻoiaʻiʻo maikaʻi, ʻo ia ka mea me ka nānā pono a me ka mālama ʻana, ʻo ka hapa nui o nā keiki me ka vesicoureteral reflux e pale aku i nā pilikia koʻikoʻi. Hoʻonā pinepine nā hihia māmā i ka ulu ʻana o nā keiki, a hiki ke hoʻokele pono ʻia nā hihia waena me ka mālama lapaʻau.

Hiki i ka hāpai ke hōʻike i nā manaʻo kūikawā no nā wāhine i loaʻa ka vesicoureteral reflux i keiki. ʻOiai ʻo ka hapa nui o nā wāhine me ka mōʻaukala o ka reflux he hāpai maʻamau, pono paha e nānā kokoke aku i nā mea i loaʻa ka hōʻino ʻana i nā puʻupaʻa no ke kiʻekiʻe o ke kaomi koko a i ʻole nā ​​hoʻololi i ka hana puʻupaʻa.

ʻAʻole pinepine, ʻo ka reflux bilateral koʻikoʻi (e pili ana i nā puʻupaʻa ʻelua) hiki ke alakaʻi i ka pōʻino nui o ka puʻupaʻa e pono ai ka dialysis a i ʻole ka transplant. Eia naʻe, ʻaʻole maʻamau kēia pae o nā pilikia ke loaʻa i nā keiki ka mālama lapaʻau kūpono a me ka hahai.

Pehea e pale aku ai i ka vesicoureteral reflux?

ʻOiai ʻo ka hapa nui o ka vesicoureteral reflux e loaʻa mai ka hānau ʻana ma muli o ke ʻano o ka hoʻomohala ʻana o ka ʻōnaehana mimi, ʻaʻohe ala e pale aku ai i ke ʻano mua o kēia kūlana. Eia naʻe, hiki iā ʻoe ke lawe i nā hana e hōʻemi ai i ka pilikia o nā pilikia a me ka reflux lua.

ʻO ka hana pale nui loa ka pale ʻana i nā maʻi o ke ala mimi, kahi e hiki ai ke hoʻoino i ka reflux i loaʻa a i ʻole kekahi manawa e hoʻokumu i ka reflux lua. He kuleana nui ka maʻamau maikaʻi o ka lumipaku i ka mālama ʻana i ke olakino o ka ʻōnaehana mimi.

Eia nā hana hana e hiki ke kōkua i ka pale ʻana i nā pilikia:

• Paipai i ka hoʻopau mau ʻana, piha o ka ʻeke mimi
• Hōʻoia i ka lawa o ka wai i kēlā me kēia lā
• Mālama koke a maikaʻi i ka constipation
• Hoʻomaʻamaʻa i ka maʻemaʻe maikaʻi o nā ʻano genital
• E holoi mai mua a hope ma hope o ka hoʻohana ʻana i ka halepaku
• E mimi koke ma hope o ka hana moe kolohe (no nā ʻōpio a me nā mākua)
• E pale i nā ʻauʻau pūpū a me nā kopa ʻino i ka wahi genital

No nā ʻohana me ka mōʻaukala o ka vesicoureteral reflux, hiki i ka nānā mua ʻana i nā kaikuaʻana ke kōkua i ka ʻike ʻana i ke kūlana ma mua o ka hoʻomohala ʻana o nā pilikia. ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i ka reflux ponoʻī, ʻo ka hopu ʻana iā ia i ka wā mua e ʻae ai i ka nānā ʻana a me ka mālama ʻana maikaʻi.

He mea nui loa ka aʻo ʻana i nā keiki i nā maʻamau hoʻopau olakino mai ka wā ʻōpio. ʻO kēia ka mea ʻaʻole e hoʻopaʻa i ka mimi no nā manawa lōʻihi, e lawe i ka manawa e hoʻopau loa ai i ka ʻeke mimi, a me ka mālama ʻana i nā neʻe ʻōpū maʻamau e pale aku ai i ka constipation.

Inā ua ʻike ʻia kāu keiki me ka reflux vesicoureteral, ʻo ka hahai pono ʻana i ka hoʻolālā lapaʻau a kāu kauka ka ala maikaʻi loa e pale aku ai i nā pilikia lōʻihi. Loaʻa paha kēia i ka lawe ʻana i nā lāʻau pale ʻana i nā maʻi, ke hele ʻana i nā hālāwai kūkākūkā maʻamau, a me ka nānā ʻana i nā hōʻailona o nā maʻi o ke ala mimi.

Pehea ka ʻike ʻana i ka reflux vesicoureteral?

ʻO ka ʻike ʻana i ka reflux vesicoureteral e hoʻomaka pinepine ke loaʻa i ke keiki nā maʻi o ke ala mimi hou a i ʻole ke ʻike nā kauka i nā hōʻailona i ka wā o ka hoʻokolohua maʻamau. E hoʻomaka kāu mea lawelawe ola me ka moʻolelo lapaʻau kikoʻī a me ka nānā kino.

ʻO ka hoʻokolohua nui e hoʻohana ʻia e ʻike i ka reflux vesicoureteral ka mea i kapa ʻia ʻo ka voiding cystourethrogram (VCUG). I loko o kēia hoʻokolohua, hoʻokomo ʻia kahi paipu lahilahi i loko o ka ʻōpū ma o ka urethra, a hoʻohana ʻia ka waihoʻoluʻu hoʻohālikelike e hoʻopiha i ka ʻōpū. Lawe ʻia nā kiʻi X-ray i ka wā e mimi ai kāu keiki e ʻike inā e kahe hou ka mimi i loko o nā ureters.

ʻOiai paha he ʻoluʻolu ʻole ka VCUG, ua maikaʻi loa ia a hāʻawi i ka kiʻi maopopo loa o ka reflux. Hōʻike pū ka hoʻokolohua i ka papa o ka reflux, kahi e kōkua ai i kāu kauka e hoʻoholo i ke ala lapaʻau maikaʻi loa.

ʻO nā hoʻokolohua hou a kāu kauka e ʻōlelo ai e komo pū:

• ʻO ka ultrasound o ka puʻupaʻa e nānā i nā pilikia o ke ʻano
• ʻO ka scan nuklea (DMSA) e nānā i ka ʻeha o ka puʻupaʻa
• ʻO ka moʻomeheu mimi e nānā i ka maʻi hana
• Nā hoʻokolohua koko e loiloi i ka hana o ka puʻupaʻa
• ʻO ka ultrasound hoʻonui ʻia i kekahi mau hihia

No nā pēpē a me nā keiki ʻōpio, hiki i nā kauka ke hoʻohana i kahi hoʻokolohua lāʻau nuklea i kapa ʻia ʻo ka cystogram nuklea ma kahi o ka VCUG. Hoʻohana kēia hoʻokolohua i kahi liʻiliʻi o ka mea radioactive ma kahi o nā kiʻi X-ray a hiki ke emi iki ka ʻoluʻolu ʻole no nā keiki ʻōpio loa.

Inā ua loaʻa i kāu keiki kekahi mau UTIs, hiki i kāu kauka ke ʻōlelo e hoʻokolohua ʻoiai ʻaʻole maopopo nā hōʻailona ʻē aʻe. He mea nui ka ʻike mua no ka mea e ʻae ai i ka nānā ʻana a me ka lapaʻau ma mua o ka hōʻino ʻana i ka puʻupaʻa.

I kekahi manawa, ʻike ʻia ka reflux ma ke ʻano he mea kūpono ʻole i ka wā o ka hoʻokolokolo ʻana no nā kūlana ʻē aʻe. He mea maʻamau loa kēia i ka wā e loaʻa ai i nā keiki nā ultrasounds no nā kumu ʻē aʻe, a ʻike nā kauka i nā loli i nā puʻupaʻa e hōʻike ana i ka reflux paha.

He aha ka lāʻau lapaʻau no ka vesicoureteral reflux?

ʻO ka lāʻau lapaʻau no ka vesicoureteral reflux e hilinaʻi ana i nā mea he nui, e like me ke ʻano o ka reflux, ka makahiki o kāu keiki, ka pinepine o ka loaʻa ʻana o nā UTIs, a inā paha he hōʻike o ka pōʻino o ka puʻupaʻa. ʻAʻole pono ka nui o nā hihia māmā i ka lāʻau lapaʻau hana ʻē aʻe ma mua o ka nānā pono ʻana.

No ka reflux haʻahaʻa (grades 1-2), ʻōlelo pinepine nā kauka i kahi ala

Hoʻoponopono ʻoki kino, i kapa ʻia ʻo ka hoʻoponopono hou ʻana o ka ureter, e pili ana i ka hoʻoneʻe hou ʻana o ka ureter i komo ai i loko o ka ʻōpū me kahi kihi ʻoi aku ka maikaʻi me kahi alanui lōʻihi ma o ka paia o ka ʻōpū. He kiʻekiʻe loa ka holomua o kēia ʻoki kino akā pono ka noho halemai a me ka manawa hoʻōla.

Hāʻawi ka ʻoki kino kōkua robotic i nā hopena maikaʻi like me ka ʻoki kino ākea kuʻuna akā me nā ʻoki liʻiliʻi a me ka hoʻōla wikiwiki paha. E kūkākūkā kāu kauka i ke ala maikaʻi loa ma muli o ke kūlana kikoʻī o kāu keiki.

ʻO ka hoʻoholo e pili ana i ka wā e alualu ai i ka mālama ʻoki kino e hilinaʻi ana i nā mea e like me nā maʻi holomua ʻoiai ʻo ka pale ʻana i nā lāʻau ʻalopona, ka ʻeha o ka puʻupaʻa, ka makemake o ka ʻohana, a me ka hiki o ke keiki ke ʻae i ka hoʻohana lōʻihi o nā lāʻau ʻalopona.

Pehea e mālama ai i ka reflux vesicoureteral ma ka home?

ʻO ka mālama ʻana i ka reflux vesicoureteral ma ka home e kau nui ana i ka pale ʻana i nā maʻi o ke ala mimi a me ke kākoʻo ʻana i ke olakino mimi holoʻokoʻa o kāu keiki. Hiki i nā maʻamau maikaʻi o kēlā me kēia lā ke hoʻolilo i kahi ʻokoʻa nui i ka hōʻemi ʻana i nā pilikia a me ke kōkua ʻana i kāu keiki e ʻoluʻolu hou aku.

He mea nui nā maʻamau lumipaku no nā keiki me ka reflux vesicoureteral. E paipai i kāu keiki e mimi pinepine i ka lā ma mua o ka hoʻopaʻa ʻana no nā manawa lōʻihi. E hōʻoia i ka lawa o ko lākou manawa e hoʻopau loa ai i ko lākou ʻōpū, ʻoiai ʻo ka wikiwiki ʻana e waiho i ka mimi i koe e hoʻonui ai i ka pilikia o ka maʻi.

Eia nā ʻōlelo aʻoaʻo koʻikoʻi no ka mālama ʻana ma ka home:

• E hōʻoia i ka lawa o ka wai inu i kēlā me kēia lā, ʻoi aku ka wai
• E hoʻokumu i nā hoʻomaha lumipaku maʻamau i kēlā me kēia hola 2-3
• E mālama koke i ka constipation me ka ʻai a me nā wai
• E mālama i ka maʻemaʻe maikaʻi o nā ʻāpana genital
• E nānā i nā hōʻailona o nā maʻi o ke ala mimi
• E hāʻawi i nā lāʻau ʻalopona i kuhikuhi ʻia e like me ke kuhikuhi
• E mālama i kahi puke moʻolelo hōʻailona inā kuhikuhi ʻia e kāu kauka

He kuleana nui ka wai inu i ka holoi ʻana i nā bacteria mai ke ʻōnaehana mimi. E paipai i kāu keiki e inu wai nui i ka lā a pau, akā e pale i ka nui loa ma mua o ka moe ʻana inā he pilikia ka pulu ʻana i ka pō.

Hiki i ka constipation ke hoʻoino i ka reflux ma ke kaumaha ʻana i ka ʻōpū mimi a me ka hoʻopilikia ʻana i nā ʻano mimi maʻamau. E hoʻokomo i nā meaʻai momona i ka fiber i ka ʻai a kāu keiki a e hōʻoia i ka lawa o ka wai e inu ai. Inā mau ka constipation, e kamaʻilio me kāu kauka e pili ana i nā koho mālama palekana.

E nānā i nā hōʻailona mua o nā maʻi mimi, e like me ka wela, ka ʻeha i ka wā e mimi ai, ka mimi pinepine, a i ʻole nā ​​hoʻololi i ke kala a i ʻole ke ʻala o ka mimi. ʻO ka hopu ʻana i nā maʻi ma mua e hiki ai ke mālama koke ʻia a hiki ke pale aku iā lākou mai ka hōʻea ʻana i nā puʻupaʻa.

Inā e lawe ana kāu keiki i nā lāʻau lapaʻau pale, e hāʻawi iā lākou i ka manawa hoʻokahi i kēlā me kēia lā a e hoʻopau i ka papa holoʻokoʻa ʻoiai inā maikaʻi kāu keiki. Mai haʻalele i nā lāʻau a i ʻole e hoʻōki i ka lāʻau me ka ʻole o ke kamaʻilio ʻana me kāu kauka ma mua.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai me ke kauka?

Ke hoʻomākaukau nei no kāu kipa i ke kauka e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kāu hālāwai a ʻaʻole e poina i nā nīnau koʻikoʻi a i ʻole ka ʻike. E hoʻomaka ma ke kākau ʻana i nā hōʻailona āu i ʻike ai a me ka manawa i loaʻa ai.

E mālama i kahi moʻolelo maʻalahi o nā maʻamau lumipaku a kāu keiki, me ka pinepine o ka mimi ʻana, kekahi ʻeha a i ʻole ka ʻoluʻolu ʻole, a me nā hōʻailona o nā maʻi hiki. E hoʻomaopopo i nā manawa wela, ʻoiai inā me he mea lā ʻaʻole pili lākou i nā hōʻailona mimi i kēlā manawa.

E lawe mai i kēia mau mea nui i kāu hālāwai:

• Papa inoa o nā lāʻau lapaʻau a me nā mea hoʻohui i kēia manawa
• Hoʻopaʻa ʻana o nā hōʻailona hou a me kā lākou manawa
• Nā hopena hoʻokolohua ma mua a me nā moʻolelo lapaʻau
• Nā kāleka ʻinikua a me ka ʻike
• Papa inoa o nā nīnau āu e makemake ai e nīnau
• ʻIke pili no nā kauka ʻē aʻe e mālama ana i kāu keiki

E kākau i mua i kāu mau nīnau i ʻole e poina iā lākou i ka wā o ka ʻaha kūkā. ʻO nā nīnau maʻamau paha e komo pū ana i ka nīnau e pili ana i nā palena o ka hana, i ka wā e kāhea ai no nā hōʻailona hopohopo, a i ʻole pehea ka lōʻihi o ka mālama ʻana.

Inā ua lawa ka nui o kāu keiki, e hoʻokomo iā lākou i ka hoʻomākaukau ʻana no ka ʻaha kūkā. E wehewehe i nā mea e hana ʻia ma nā huaʻōlelo kūpono i ka makahiki a paipai iā lākou e nīnau i kā lākou mau nīnau ponoʻī. Kūleʻa kēia iā lākou e ʻoluʻolu a komo i loko o kā lākou mālama.

E noʻonoʻo e lawe mai i kahi hoa pilikino a hoaaloha paha e kōkua iā ʻoe e hoʻomanaʻo i ka ʻike i kūkākūkā ʻia i ka wā o ka ʻaha kūkā. Hiki ke nui nā kipa lapaʻau, ʻoi aku hoʻi i ka wā e kūkākūkā ana i nā koho mālama a i ʻole nā ​​hualoaʻa hoʻokolohua.

E mākaukau e kūkākūkā i ka mōʻaukala lapaʻau o kou ʻohana, ʻoi aku hoʻi i nā pilikia o ka puʻupaʻa, nā pilikia o ke ala mimi, a i ʻole ka reflux vesicoureteral i nā kaikuaʻana a i ʻole nā ​​mākua. Kūleʻa kēia ʻike i kāu kauka e loiloi i nā kumu pilikia a hoʻolālā i ka mālama kūpono.

He aha ka mea nui e lawe aku e pili ana i ka reflux vesicoureteral?

ʻO ka reflux vesicoureteral kahi kūlana hiki ke mālama ʻia e hoʻomaikaʻi pinepine ma ke ʻano maoli i ka ulu ʻana o nā keiki. ʻOiai e pono ai ka nānā ʻana a i kekahi manawa ka mālama ʻana, ʻo ka hapa nui o nā keiki me ka reflux e ola i nā ola maʻamau loa, olakino loa me ka ʻole o nā pilikia lōʻihi.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ka ʻike mua ʻana a me ka mālama lapaʻau kūpono e hiki ke pale aku i nā pilikia nui. Me ka kamaʻilio maikaʻi me kāu hui olakino a me ka nānā ʻana i ke olakino mimi o kāu keiki, hiki iā ʻoe ke kōkua i ka hōʻoia ʻana i nā hopena maikaʻi loa.

Hoʻonā nui nā hihia o ka reflux māmā iā lākou iho i ka wā e hiki ai i nā keiki i ka makahiki kula. ʻOiai ke pono ai ka mālama ʻana, ʻo nā koho lapaʻau a me nā ʻoki kino o kēia wā he mea maikaʻi loa a emi iki ka hoʻopilikia ʻana ma mua o ka wā ma mua.

E mālama i ka manaolana a e hoʻomanaʻo ʻaʻole ʻoe wale nō i ka mālama ʻana i kēia kūlana. Aia kāu hui olakino e kākoʻo iā ʻoe a me kāu keiki i kēlā me kēia ʻanuʻu o ke ala, a me ka mālama kūpono, ʻaʻole pono ka reflux vesicoureteral e kaupalu i nā hana a kāu keiki a i ʻole ka olakino o ka wā e hiki mai ana.

Nā nīnau pinepine e pili ana i ka reflux vesicoureteral

E ulu anei ka reflux vesicoureteral o kaʻu keiki?

He nui nā keiki e ulu aʻe i ka reflux vesicoureteral māmā a waena i ko lākou ulu ʻana. I ka ulu ʻana o kāu keiki, e lilo nā ureters i lōʻihi a ʻoi aku ka maikaʻi o ke kihi kahi e hoʻohui ai lākou i ka ʻōpū, e hana ana i kahi mīkini valve maikaʻi aʻe. Hōʻike nā haʻawina he 80% o nā keiki me ka reflux papa 1-2 e ʻike i ka hoʻomaikaʻi ʻana i loko o 5 mau makahiki. ʻOi aku ka emi o ka hoʻonā ʻana i nā papa kiʻekiʻe o ka reflux ma luna o lākou iho, akā hiki ke loaʻa ka hoʻomaikaʻi nui. E nānā kāu kauka i ka holomua o kāu keiki me nā nānā maʻamau a me nā hoʻokolohua e ʻike ai i ke ʻano o ka reflux e loli ana i ka manawa.

Hiki i kaʻu keiki ke komo i nā hana maʻamau a me nā haʻuki?

Hiki i nā keiki me ka reflux vesicoureteral ke komo maʻamau i nā hana maʻamau a pau o ka wā kamaliʻi, me nā haʻuki a me ka ʻauʻau. ʻAʻole kaupalu ka kūlana iho i ka hana kino, a he mea nui ka noho ʻana i ka hana no ke olakino holoʻokoʻa. Eia naʻe, he mea nui ka mālama ʻana i ka wai maikaʻi i ka wā o nā haʻuki a me ka hoʻoikaika ʻana i nā hoʻomaha lumipaku maʻamau. Inā e lawe ana kāu keiki i nā lāʻau pale, e hōʻoia e hoʻomau lākou i kā lākou lāʻau e like me ke kauoha ʻia ʻana ʻoiai i nā papa hana pōkole. E kamaʻilio me kāu kauka inā loaʻa iā ʻoe nā manaʻo e pili ana i nā hana kikoʻī, akā ʻaʻole pono ka hapa nui o nā keiki i kekahi palena i kā lākou mau hana i kēlā me kēia lā.

He ʻeha anei ka reflux vesicoureteral no kaʻu keiki?

ʻO ka reflux vesicoureteral iho, ʻaʻole ia e hōʻeha maʻamau. ʻO ka hapa nui o nā keiki me ka reflux, ua maʻamau loa ko lākou ola i kēlā me kēia lā, a ʻaʻole paha lākou i ʻike i ko lākou kūlana. ʻO ka ʻeha wale nō ka mea e hiki mai ana inā loaʻa ka maʻi maʻi i loko o ke ala mimi, kahi e hiki ai ke hōʻeha i ka wā e mimi ai, ʻeha ʻōpū, a i ʻole ʻeha kua. Hiki i kekahi mau keiki ke ʻike i ka ʻoluʻolu iki inā piha loa ko lākou ʻōpū, akā ʻaʻole kēia mai ka reflux pololei. Inā hoʻopiʻi kāu keiki i ka ʻeha mau loa, ʻoi aku hoʻi me ka mahana, e kelepona koke i kāu kauka no ka mea hiki ke hōʻike i ka maʻi e pono ai ka mālama.

Pehea pinepine ka pono o kaʻu keiki i nā hālāwai hope?

Hoʻololi nā papa hana hoʻomau ma muli o ke ʻano o ka reflux a me ke kūlana kūikawā o kāu keiki. Hiki i nā keiki me ka reflux māmā ke pono i nā nānā ʻana i kēlā me kēia mahina 6-12, ʻoiai ʻo nā mea me nā māka kiʻekiʻe a i ʻole nā ​​maʻi pinepine paha e pono ai ka nānā pinepine ʻana. ʻO ka nānā ʻana maʻamau e komo pū ana i nā hoʻokolohua mimi e nānā i nā maʻi, nā ultrasounds e nānā i ka ulu ʻana o nā puʻupaʻa a me ke olakino, a me nā noiʻi kiʻi hou e ʻike inā ke holomua nei ka reflux. E hana kāu kauka i kahi papa hana pilikino ma muli o nā pono o kāu keiki. Ma waena o nā hālāwai, e kelepona i kāu mea lawelawe olakino inā ʻike ʻoe i nā hōʻailona o nā maʻi maʻi mimi a i ʻole nā ​​hōʻailona ʻē aʻe e hopohopo nei.

Hiki paha i kaʻu mau keiki ʻē aʻe ke loaʻa pū ka reflux vesicoureteral?

Ua nui aku ka manawa e loaʻa ai i nā kaikuaʻana o ke keiki me ka vesicoureteral reflux kēia maʻi hoʻi. Ke hōʻike nei nā haʻawina aia ma kahi o 25-30% ka manawa o nā kaikuaʻana a me nā kaikuahine e loaʻa ai ka reflux, ʻoi aku ka nui ma mua o ka lehulehu. ʻO ia ke kumu e ʻōlelo ai nā kauka he nui e nānā i nā kaikuaʻana, ʻoi aku inā he ʻōpiopio lākou a i ʻole ua loaʻa iā lākou nā maʻi o ke ala mimi. ʻO ka nānā maʻamau ka ultrasound a me nā hoʻokolohua ʻē aʻe paha inā loaʻa nā mea ʻē aʻe. Eia naʻe, ʻaʻole ʻo ia hoʻi ke loaʻa i ke keiki hoʻokahi reflux, e loaʻa i kāu mau keiki a pau, a nui nā kaikuaʻana e ola maikaʻi loa. E kūkākūkā i nā ʻōlelo aʻo no ka nānā ʻana me kāu kauka ma muli o ke kūlana kūikawā o kou ʻohana.