He aha te Pyloric Stenosis? Tohutohu, Take, me te Maimoatanga

Ko te pyloric stenosis tetahi āhuatanga e ka pakaru ai te uaua kei te taha o te waha kei waenganui i te kopu me te whekau iti. Ka aukati tenei uaua kī kī i te kai kia kaua e neke tika i roto i te pūnaha whakahaere kai a tō pēpi.

Whakaarohia he tatau kua tino iti te whānuitanga mō ngā mea kia tika ai te neke atu. Ki te pēnei, ka kore e taea e te miraka te rere mai i te kopu ki te whekau iti, ka puta ai te ruaki kaha i muri i te whāngai i tō pēpi.

He aha te Pyloric Stenosis?

Ka pā te pyloric stenosis ki te pylorus, arā, te waha rite ki te waha kei raro o te kopu. I ngā pēpi e pangia ana e tēnei āhuatanga, ka tupu te uaua kei te taha o tēnei waha kia mātotoru rawa atu.

Ka hanga tēnei mātotorutanga i te ara poto e ārai ana i te kai kia kaua e neke whakamua ki te whekau iti. Ko te hua, ka huihuia te miraka ki roto i te kopu ka panahia atu ki waho mā te ruaki.

Ka tupu noa te āhuatanga i roto i ngā wiki tuatahi o te ora, te nuinga i waenganui i te 3 ki te 5 wiki te pakeke. Ka pā ki te 2 ki te 3 o ia 1,000 pēpi, ka meinga he mea onge engari ehara i te mea tino onge.

He aha ngā Tohutohu o te Pyloric Stenosis?

Ko te tohu matua ka kite koe ko te ruaki e pana ana e ka kaha ake i te wā. Ehara tenei i te ruaki noa e maha ngā pēpi e whiwhi ana i muri i te whāngai.

Ko ēnei ngā tohu matua hei titiro atu mō tō pēpi:

• Te ruaki kaha e pana atu ana i te maha o ngā waewae atu i tō pēpi
• Te ruaki e puta ana i te 15 ki te 30 meneti i muri i ia whāngai
• Te hiakai tonu ahakoa i muri i te ruaki
• Te ngaro o te taumaha, te kore rānei e piki te taumaha
• Ngā kakahu makuku iti i te mea noa
• Te riri me te ngenge, ina koa i te wā whāngai
• Ngā paru iti, pakeke, te kōpū rānei

Ka kite pea koe kei te hiakai tonu tō pēpi, kei te hiahia hoki ki te whāngai ano i muri tonu i te ruaki. Ka puta tenei nā te mea kaore te kai e tae ki te whekau iti kei reira ngā matū e tangohia ana.

I ētahi wā, ka taea e koe te kite i tetahi pūngāwerewere iti, rite ki te oriwa, kei te puku o runga o tō pēpi. Koinei te uaua pyloric kī kī, ahakoa ehara i te mea ngāwari ki te kite.

He aha ngā Take o te Pyloric Stenosis?

Kaore i tino mōhiotia te take pono o te pyloric stenosis, engari e whakapono ana ngā tākuta ka tupu mai i te whakakotahitanga o ngā take ira me ngā take taiao. Ka tupu noa te uaua kei te taha o te pylorus kia mātotoru atu i te mea noa i roto i ngā wiki tuatahi o te ora.

He maha ngā take ka āwhina pea ki te tupu o tēnei āhuatanga:

• Ka piki ake te tūponotanga o te pyloric stenosis i roto i te whānau
• Ko te tane (e 4 te tūponotanga o ngā tamaiti ki te whanau)
• Ko te whānau tuatahi
• Te whānau wawe
• Te whāngai i te pounamu i te wā whāngai u
• Te tango i ētahi rongoā i te wā hapu

He mea nui kia mārama koe kaore he mea i mahia e koe, te kore rānei i mahia e koe i te wā hapu i puta ai tēnei āhuatanga. He take whanaketanga tēnei e puta ana i te wā e mau tonu ana te pūnaha whakahaere kai a tō pēpi i muri i te whānau.

E whakaatu ana etahi rangahau ko ngā pēpi i whakaatuhia ki ētahi rongoā, i roto rānei i te kopu, i muri tonu rānei i te whānau, ka piki ake pea te tūponotanga. Heoi, kaore i tino whakamāramahia tēnei hononga.

Nōhea te Tiro atu ki te Tākuta mō te Pyloric Stenosis?

Me whakapiri atu koe ki tō tākuta tamariki tonu ki te tīmata tō pēpi ki te ruaki kaha, e pana ana i muri i te whāngai. He rerekē tēnei momo ruaki i te ruaki noa a te pēpi, me te hiahia kia whakarongo wawe.

Kaua e tatari ki te kite koe i ēnei tohu whakatūpato:

• Te ruaki e pana atu ana ki te kaha i te mea ngawari te rere
• Kaore tō pēpi e piki te taumaha, te ngaro rānei o te taumaha
• I raro iho i te 6 kakahu makuku i roto i te 24 haora
• Ngā tohu o te ngaunga, pēnei i te waha maroke, ngā kanohi hohonu, te ngenge rānei
• Kei te hiakai tonu tō pēpi ahakoa ngā whakamātautau whāngai maha

He mea nui te whakamārama wawe me te maimoatanga, nā te mea ka taea e te pyloric stenosis kore i te maimoatia te arahi ki ngā raruraru nui o te ngaunga me ngā raruraru kai. Me whāngai tika tō pēpi kia tupu ai.

Whakawhirinaki ki ō tūmanako hei mātua. Ki te he tetahi mea ki ngā tauira whāngai a tō pēpi, ki te kaha ake rānei te ruaki i te reflux noa o te pēpi, he pai tonu te tirotiro.

He aha ngā Tūponotanga mō te Pyloric Stenosis?

He maha ngā take e kaha ake ai te whanau o ētahi pēpi ki te pyloric stenosis i ētahi atu. Ka taea e te mārama ki ēnei tūponotanga te awhina i a koe ki te mohio ki te mea hei titiro atu, ahakoa te mea kei a koe ngā tūponotanga, kaore e tikanga ka whanau tō pēpi i te āhuatanga.

Ko ngā tūponotanga nui rawa atu ko ēnei:

• Ko te tane (e 4 te tūponotanga o ngā tamaiti i ngā kōhine)
• Te whānau, te teina rānei i pangia e te pyloric stenosis
• Ko te tamaiti tuatahi
• Te whānau wawe
• Te iwi o te Raki o Ūropi, te iwi Pākehā rānei
• Te whāngai i te pounamu i te wā whāngai u

E whakaatu ana ētahi rangahau ko te whakakā atu a te whaea i te wā hapu me te tango i ētahi rongoā ka piki ake pea te tūponotanga. Heoi, kei te rangahautia tonu ēnei hononga.

Ahakoa he maha ngā tūponotanga o tō pēpi, kia mahara he mea onge tonu te pyloric stenosis. Kaore te nuinga o ngā pēpi e pangia ana e ēnei tūponotanga e whanau i te āhuatanga.

He aha ngā Raruraru pea o te Pyloric Stenosis?

Ki te kore e maimoatia wawe te pyloric stenosis, ka taea e ia te arahi ki ngā raruraru nui e pā ana ki te hauora me te whanaketanga o tō pēpi. Ko te rongo pai, mā te tiaki hauora tika, ka taea te aukati i ēnei raruraru.

Ko ngā raruraru matua me mārama koe ko ēnei:

• Te ngaunga mai i te ruaki maha me te kore e taea te pupuri i ngā wai
• Ngā koretake o te waikawa e pā ana ki te rere o te ngakau me te mahi o te uaua
• Te kore e tupu nā te kore e tangohia ngā kai
• Te pupuhi o te kopu kei reira te kopu e totoro ana
• Te mate huhu ki te tomo te miraka i ruakia ki ngā pūkahukahu

Ko te ngaunga te mea nui rawa atu i te nuinga o te wā, nā te mea ka ngaro ngā wai o ngā pēpi mā te ruaki. Ko ngā tohu ko ngā kakahu makuku iti, te waha maroke, ngā kanohi hohonu, me te moe rānei, te riri rānei.

Ka āwangawanga pea ngā koretake o te waikawa, nā te mea ka pā ana ki te mahi o ngā uaua me ngā io o tō pēpi. Koia te take e hiahia ana ngā tākuta ki te whakatika i ēnei koretake mā ngā wai IV i mua i te pokanga.

Me pēhea te Whakamārama i te Pyloric Stenosis?

Ka tīmata tō tākuta mā te ui i ngā pātai taipitopito mō ngā tauira whāngai a tō pēpi me ngā wāhanga ruaki. Ka hiahia rātou ki te mohio ki te wā i tīmata ai te ruaki, te kaha o te ruaki, me te hiakai rānei o tō pēpi i muri mai.

I te whakamātautau tinana, ka ngawari te manawa o tō tākuta i te puku o tō pēpi i te wā e māhaea ana, e whakamaharatia ana. I ētahi wā ka taea e rātou te kite i te uaua pyloric kī kī, e rite ana ki te pūngāwerewere iti rite ki te oriwa.

Ki te kore te whakamārama e mārama mai i te whakamātautau tinana, ka tono pea tō tākuta i ngā whakamātautau whakaahua:

• Te ultrasound o te puku hei ine i te mātotorutanga o te uaua pyloric
• Te raupapa GI o runga kei reira tō pēpi e inu ana i te otinga whakakā e puta ana ki ngā X-rays
• Ngā whakamātautau toto hei tirotiro i te ngaunga me ngā koretake o te waikawa

Ko te ultrasound te whakamātautau pai i te nuinga o te wā, nā te mea he mea haumaru, he kore mamae, he tino tika ki te whakaatu i te uaua kī kī. Ka whakamahi te kaimahi i te kete ki te puku o tō pēpi ka whakamahi i te rakau motuhake hei hanga whakaahua.

Ka awhina ngā whakamātautau toto i tō rōpū hauora ki te mārama mena kua ngaunga tō pēpi, kua whanau rānei i ētahi koretake matū e hiahia ana ki te whakatika i mua i te maimoatanga.

He aha te Maimoatanga mō te Pyloric Stenosis?

Ko te maimoatanga mō te pyloric stenosis he mahi pokanga e kiia nei ko te pyloromyotomy. He tino angitu tēnei pokanga, ka whakatika tonu i te raruraru mā te tapahi i ngā uaua kī kī.

I mua i te pokanga, ka whakatika tuatahi tō rōpū hauora i ngā koretake ngaunga, waikawa rānei kua whanau pea tō pēpi. Ka hoatu e rātou ngā wai IV hei whakahoki i te makuku tika me te toenga matū.

Ko te mahi pokanga ake ka whakauru i ēnei kaupae:

1. Ka whiwhi tō pēpi i te mate moe whānui hei moe marie i te wā pokanga
2. Ka hanga e te taote pokanga he tapahi iti ki te puku, te whakamahi rānei i ngā hangarau laparoscopic iti rawa
3. Ka tapahia ngā uaua o waho o te pylorus kia whānuitia ai te waha
4. Ka mau tonu te papanga o roto, no reira kaore he rerenga
5. Ka kati te tapahi mā ngā aho e ngāwari ana ki te ngaro

Ka roa pea te pokanga i te 30 ki te 60 meneti, a ka taea e te nuinga o ngā pēpi te tīmata ki te whāngai ano i roto i te 6 ki te 12 haora i muri mai. Ka noho pea koe ki te hōhipera mō te 1 ki te 2 rā hei whakarite kia pai te whāngai a tō pēpi.

He tino ngāwari te ora, a he tata ki te 100% te angitu. Kia tapahia te uaua, kaore e taea te tipu ano, no reira kua oti te whakatika i te raruraru.

Me pēhea te whakarato i te tiaki kāinga i muri i te maimoatanga?

I muri i te hokinga mai o tō pēpi ki te kāinga mai i te pokanga, me titiro koe ki ngā tohu o te ora tika me te whakarite kia pai te whāngai. Ka ora wawe te nuinga o ngā pēpi ka hoki ki ngā tauira whāngai noa i roto i ngā rā torutoru.

Ko ēnei ngā mea ka taea e koe te mahi hei tautoko i te ora o tō pēpi:

• Tīmata ki ngā whāngai iti ake, maha atu, kia rite ki te tūtohu a tō tākuta
• Kia ma, kia maroke te wahi tapahi i te wā whakarereke i ngā kakahu
• Tirohia ngā tohu o te mate pēnei i te whero, te pupuhi, te rerenga rānei
• Hoatu te rongoā mamae kia rite ki te whakahau
• Kaua e kawe ake tō pēpi i raro i ngā ringa mō te wiki tuatahi
• Whakapiri atu ki tō tākuta ki te hoki mai te ruaki, te mau tonu rānei ngā raruraru whāngai

He mea noa ki tō pēpi te mamae iti mō ngā rā tuatahi, engari me pai wawe tēnei. Ka kite pea koe i tetahi iti o te ruaki i te tīmatanga, he rerekē tēnei i te ruaki kaha i puta i mua i te pokanga.

Ka taea e te nuinga o ngā pēpi te hoki ki ō rātou mahi noa i roto i te wiki, rua rānei. Ka ora tonu te tapahi i roto i ngā wiki torutoru, ka waiho noa he toka iti e kore e kitea i te wā.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite pai mō tō hui ka awhina i tō tākuta ki te whakamārama tika wawe. Kia mau ngā tuhinga taipitopito mō ngā tohu a tō pēpi, ina koa ngā tauira ruaki me ngā whāinga whāngai.

I mua i tō haerenga, kohia ēnei korero nui:

• Te wā i tīmata ai te ruaki me te āhua o te huringa i te wā
• Te ruaki rānei i muri i ia whāngai, tetahi rānei
• Te kaha o te ruaki me te tawhiti e haere ana
• Te taumaha o tō pēpi inaianei me ngā huringa taumaha hou
• Te maha o ngā kakahu makuku i whiwhi ai tō pēpi i roto i ngā haora 24 kua pahure
• Tetahi hītori whānau o te pyloric stenosis

Whakamātauria te kawe mai i tō pēpi ki te hui i te wā e māhaea ana, i mua atu rānei i te wā whāngai. Ka ngāwari ake, ka mārama ake te whakamātautau tinana mō te katoa.

Tuhia ētahi pātai kei a koe i mua kia kaua e wareware ki te ui. He awhina hoki te kawe mai i tetahi tangata tautoko hei awhina i te mahara ki ngā korero i kōrerotia.

He aha te tango matua mō te Pyloric Stenosis?

Ko te pyloric stenosis he āhuatanga e taea te maimoatia, ahakoa he āwangawanga mō ngā mātua, he pai te hua ki te whakamārama me te maimoatanga wawe. Ko te matua ko te kite wawe i ngā tohu me te rapu awhina hauora.

Kia mahara ko te ruaki e pana ana i roto i te pēpi e hiakai tonu ana ehara i te mea noa, me te hiahia kia whakarongo wawe. Whakawhirinaki ki ō tūmanako mātua ki te he tetahi mea ki ngā tauira whāngai a tō pēpi.

He tino angitu te pokanga hei whakatika i te pyloric stenosis, me te tata ki te 100% te angitu me ngā raruraru iti. Ka ora wawe te nuinga o ngā pēpi ka haere tonu ki te whāngai me te tupu noa kaore he pānga roa.

Ahakoa ka raru pea tēnei whakamārama, kia mōhio koe ko ngā mano o ngā pēpi e mahi ana i tēnei pokanga ia tau me ngā hua pai. He wheako nui tō rōpū hauora ki te maimoatanga i tēnei āhuatanga, ka arataki atu rātou i a koe i ia kaupae o te tukanga.

Ngā Pātai Uaua e Uiuia ana mō te Pyloric Stenosis

Ka taea te whakatika i te pyloric stenosis ake kaore he pokanga?

Kāo, kaore e taea te whakatika i te pyloric stenosis ake, me te hiahia tonu ki te maimoatanga pokanga. Kaore te uaua kī kī e hoki mai ki te rahi noa, ka kaha ake te āhuatanga me te kore whakauru. Ahakoa ka raru pea tēnei, he tino haumaru, he tino whai hua te pokanga, me ngā hua pai mo ngā pēpi.

Ka pāngia rānei tō pēpi i ngā pānga roa i muri i te pokanga pyloric stenosis?

Ko te nuinga o ngā pēpi kaore he pānga roa i muri i te pokanga pyloric stenosis, ka tupu hei tamariki, tāngata pakeke hauora. Kia oti te pokanga, ka mahi noa te pūnaha whakahaere kai, kaore he herenga kai, he raruraru hauora tonu. Me taea e tō pēpi te kai, te takaro, me te whanake rite ki ētahi atu tamariki.

He mea haumaru te whāngai u i muri i te pokanga pyloric stenosis?

Ae, ehara i te mea haumaru anake te whāngai u, engari he mea whakatenatena i muri i te pokanga pyloric stenosis. Ka taea e te maha o ngā pēpi te hoki ki te whāngai u i roto i ngā haora o te mahi, ahakoa ka tūtohu pea tō tākuta ki te tīmata ki ngā whāngai iti, maha i te tīmatanga. He mea pai te miraka u i te wā ora, nā te mea he ngāwari te whakahaere me te whakarato i ngā matū me ngā antibodies nui e tautoko ana i te ora.

Ka taea te puta ano te pyloric stenosis, te pāngia rānei ngā tamariki a muri ake nei?

Kia oti te maimoatanga mā te pokanga, kaore e taea te puta ano te pyloric stenosis i roto i te tamaiti kotahi, nā te mea kua whakarereketia tonu te uaua, kaore e taea te tipu ano. Heoi, ki te whai koe i ētahi atu tamariki i muri mai, he iti te piki o te tūponotanga ka whanau rātou i te pyloric stenosis, ina koa ki te he hītori whānau o te āhuatanga. Kaore tēnei e tikanga ka puta tonu, engari kia mōhio koe ki ngā tohu hei titiro atu.

Te tere o te ora o ngā pēpi i te pokanga pyloric stenosis?

Ka ora wawe te nuinga o ngā pēpi i te pokanga pyloric stenosis. Ka tīmata rātou ki te whāngai ano i roto i te 6 ki te 12 haora i muri i te mahi, a ka taea te haere ki te kāinga i roto i te 1 ki te 2 rā. Ko te ora tonu i te kāinga ka roa pea i te 1 ki te 2 wiki, kei reira te pēpi e hoki haere ai ki ngā tauira whāngai me ngā taumata mahi noa. Ka ora te tapahi i roto i ngā wiki torutoru, a ka hoki te nuinga o ngā pēpi ki ō rātou āhua harikoa, hauora wawe.