Pīpī puʻupuʻu

ʻO kahi maʻi o ka ʻōpū pōkole kahi pilikia e hana ʻia inā e nalowale ana kahi hapa o ka ʻōpū liʻiliʻi i ka wā o ke kaha. ʻAʻole hoʻokomo maikaʻi ʻia nā mea momona i ke kino ma ke ʻano he hopena.

Hoʻomoʻa ka ʻōpū liʻiliʻi i ka nui o nā meaʻai i loaʻa i nā meaʻai a mākou e ʻai ai. Ke nalowale ʻelua hapakolu o ka ʻōpū liʻiliʻi, ʻaʻole paha e hoʻopili ke kino i ka meaʻai e noho ai ke olakino a mālama i kou kaupaona.

Hānau ʻia kekahi pēpē i ka hapa o ka hapa nui o kā lākou ʻōpū.

ʻO ka pinepine, kū mai ka maʻi kō pōkole no ka mea hemo ka hapa nui o ka ʻōpū liʻiliʻi i ka wā o ke ʻoki. Pono paha kēia ʻano ʻoki kino:

• Ma hope o nā pū kī a i ʻole nā ​​trauma ʻino i hōʻino i nā ʻōpū
• No kekahi me ka maʻi Crohn nui
• No nā pēpē, hānau pinepine ʻia i ke kakahiaka nui, ke make kekahi hapa o ko lākou ʻōpū
• Ke hoʻemi ʻia ke kahe o ke kō i ka ʻōpū liʻiliʻi ma muli o ke kahe o ke koko a i ʻole nā ​​aʻa liʻiliʻi

Pākuʻi ʻia paha nā ʻōuli:

• Pohā
• Ka luhi
• Pale, noho ʻaʻala
• Pehu (edema), keu hoʻi o nā wāwae
• ʻO nā noho ʻala ʻaʻala loa
• Kaumaha emi
• Make wai

E hana ʻia paha kēia mau hoʻāʻo:

• Nā hoʻāʻo kemika koko (e like me ka pae albumin)
• Helu piha koko (CBC)
• Hōʻike momona momona
• Kaha ʻāpana x
• Nā pae o ka wikamina i ke koko

Hoʻolālā ʻia ka mālama ʻana i ka hoʻomaha ʻana i nā ʻōuli a me ka hōʻoia ʻana i ke kino e loaʻa ka lawa o ka hydration a me nā meaʻai.

ʻO kahi papaʻai calorie kiʻekiʻe e hoʻolako i:

• Nā wikamina a me nā minelala nui, e like me ka hao, folic acid, a me ka wikamina B12
• Lāʻau ʻaihue, nā protein, a me nā momona

Inā pono, e hāʻawi ʻia nā injection o kekahi mau wikamina a me nā minelala a i ʻole nā ​​kumu ulu ulu kūikawā.

Hiki ke hoʻāʻo ʻia nā lāʻau e hoʻolohi i ka neʻe ʻana o ka ʻōpū. ʻAe paha kēia e waiho i ka meaʻai i loko o ka ʻōpū lōʻihi. ʻO nā lāʻau e hoʻohaʻahaʻa ai i ka nui o ka waikawa ʻōpū e pono pū kekahi.

Inā ʻaʻole hiki i ke kino ke omo i ka nui o nā meaola, hoʻāʻo ʻia ka nui o nā meaʻai makua (TPN). Kōkua ia iā ʻoe a i ʻole paha i kāu keiki e kiʻi i ka meaʻai mai kahi hana kūikawā ma o kahi aa i loko o ke kino. E koho kāu mea mālama ola i ka nui kūpono o nā calorie a me ka hopena TPN. I kekahi manawa, hiki iā ʻoe ke ʻai a inu hoʻi i ka loaʻa ʻana o ka meaʻai mai TPN.

ʻO ke kuʻi liʻiliʻi liʻiliʻi kahi koho i kekahi mau hihia.

Hiki ke hoʻomaikaʻi ke ʻano i ka manawa inā no ke ʻoki. Hiki ke lohi a maikaʻi ka lawe ʻana o ka Nutrient.

Komo pū nā pilikia:

• ʻO ka ulu nui ʻana o ka maʻi i loko o ka ʻōpū liʻiliʻi
• Nā pilikia ʻōnaehana hopohopo i hoʻokumu ʻia e ka nele o ka wikamina B12 (Hiki ke mālama ʻia i kēia pilikia me nā lāʻau injection B12.)
• Nui loa ka waikawa i ke koko (metabolic acidosis ma muli o ka palahī)
• Nā Pohaku
• Pohaku hakuʻala
• Make wai
• Kaʻai pono ʻole
• Nā iwi nāwaliwali (osteomalacia)
• Kaumaha emi

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe i nā ʻōuli o ka maʻi kōpū pōkole, keu hoʻi ma hope o kou loaʻa ʻana i kahi ʻōpū.

Ka lawa ʻole o ka ʻōpū liʻiliʻi; Maʻi kōpū pōkole; Necrotizing enterocolitis - ʻōpū pōkole

• ʻŌnaehana Digestive
• Nā ʻōnaehana ʻōnaehana Digestive

ʻO Buchman AL. Pīpī puʻupuʻu. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 11th hua. Piladelapia, PA: Elsevier; 2021: chap 106.

Kaufman SS. Syndrome maʻi puʻupuʻu. I: Wyllie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 35.

Semrad CE. Hele i ka mea maʻi me ka maʻi pākī a me ka malabsorption. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 26th ed. Piladelapia, PA: Elsevier; 2020: chap 131.