Wehe ʻeleʻele - keiki - hoʻokuʻu

Ua ʻoki ʻia kāu keiki e hemo i ka māpala. I kēia manawa e hoʻi ana kāu keiki i ka home, e hāhai i nā ʻōkuhi a ke kauka no ka mālama ʻana i kāu keiki ma ka home. E hoʻohana i ka ʻike ma lalo i mea hoʻomanaʻo.

Wehe ʻia ka iwi kuamoʻo o kāu keiki ma hope o ka hāʻawi ʻia ʻana o kāu anesthesia (hiamoe a ʻaʻohe ʻeha).

• Inā ua wehe kāu keiki i kahi ʻoki ākea, hana ka mea lapaʻau i kahi ʻokiʻoki (ʻoki) i loko o ka ʻōpū o kāu keiki.
• Inā loaʻa i kāu keiki ke kīʻaha laparoscopic, ua hana ka mea lapaʻau iā 3 i ka 4 ʻoki liʻiliʻi i loko o ka ʻōpū o kāu keiki.

Ola ka hapa nui o nā keiki ma hope o ka hemo ʻana o ka spleen. ʻOi aku ka wikiwiki o ka hoʻōla ʻana mai ke ʻoki laparoscopic ma mua o ka hoʻōla ʻia ʻana mai kahi ʻoki ākea.

Loaʻa paha i kāu keiki kekahi o kēia mau ʻōuli. E hele mālie lākou a pau:

• ʻEha a puni nā ʻokiʻoki no kekahi mau lā.
• Ua ʻeha ka ʻāʻī mai ka pahu hanu. ʻO ka hānai ʻana i nā ʻāpana hau a i ʻole ka gargling ʻana (inā ʻelemakule kāu keiki e hana i kēia mau mea) hiki ke kōkua e hōʻoluʻolu i ka ʻāʻī.
• ʻEha, ʻulaʻula o ka ʻili, a ʻeha paha a puni ke ʻoki, a ʻoki paha.
• Pilikia i ka hanu ʻana.

Inā wehe ʻia ka iwi kuamoʻo o kāu keiki no kahi maʻi koko a i ʻole lymphoma, pono paha i kāu keiki i nā lāʻau hou aʻe e like me ka maʻi.

Ke hāpai ʻoe i kāu pēpē, e kākoʻo i ke poʻo o ka pēpē a me ka lalo no nā 4 a 6 mau pule ma hope o ke kahakaha ʻana.

ʻO nā kamaliʻi a me nā keiki nui e hoʻokū pinepine i kekahi hana inā luhi lākou. MAI kaomi iā lākou e hana hou inā luhi lākou.

E haʻi aku kāu mea mālama ola iā ʻoe inā maikaʻi kāu hoʻi ʻana o kāu keiki i ke kula a i ʻole ka mālama keiki. ʻO kēia paha ma kahi o 1 a 2 mau pule ma hope o ke kahakaha ʻana.

Pili ka papa hana a kāu keiki i:

• Ke ʻano o ke ʻoki kino (wehe a i ʻole laparoscopic)
• Ka makahiki o kāu keiki
• Ke kumu o ka hana

E noi i kāu kauka e pili ana i nā kuhikuhi a me nā palena o ka hana.

Ma ka laulā, maikaʻi ka hele wāwae ʻana a me ka piʻi ʻana i nā ʻanuʻu.

Hiki iā ʻoe ke hāʻawi i kāu keiki i ka acetaminophen (Tylenol) no ka ʻeha. Kauoha paha ke kauka i nā lāʻau ʻeha ʻē aʻe e hoʻohana ai ma ka home inā makemake kāu keiki iā lākou.

E haʻi aku kāu kauka iā ʻoe i ka wā e wehe ai i nā kapa komo o kāu keiki. Mālama i nā ʻokiʻoki e like me ke kauoha. E mālama i ka wahi ʻokiʻoki a maʻemaʻe. E holoi iā ia inā kauoha ʻia e kāu kauka.

Hiki iā ʻoe ke hemo i nā lole ʻokiʻoki (bandages) e hāʻawi i kāu keiki i kahi ʻauʻau. Inā hoʻohana ʻia nā ʻāpana o ka leki a i ʻole ke koki ʻoki e hoʻopau i ka ʻokiʻoki.

• Uhi i ka incision me ka wahī wahī ma mua o ka holoi ʻana no ka pule mua.
• Mai hoʻāʻo e holoi i ka lipine a i ʻole ke kāpili. E hāʻule lākou ma kahi o hoʻokahi pule.

ʻAʻole pono kāu keiki e pulu i loko o kahi pahu wai a i ʻole pahu wai wela a i ʻole hele hele ʻauʻau a ʻōlelo ke kauka ua maikaʻi.

Noho ka hapa nui o ka poʻe i kahi ola maʻamau me ka ʻole o ka palu, akā aia ka makaʻu mau i ka loaʻa ʻana i kahi maʻi. ʻO kēia no ka mea ʻo ka spleen kahi ʻāpana o ka pale o ke kino, kōkua i ke kaua ʻana i kekahi mau maʻi.

E loaʻa paha i kāu keiki nā maʻi i waho o ka maʻi lele.

• ʻOi aku ka kiʻekiʻe o ka maʻi maʻi i nā makahiki 2 ma hope o ke kaha ʻana, a i ʻole a 5 a 6 paha mau makahiki o kāu keiki.
• E haʻi mau i kāu kauka i kāu keiki inā he kuni kāu keiki, ʻeha ka ʻāʻī, ʻeha poʻo, ʻeha o ka ʻōpū, a i ʻole diarrhea, a i ʻole ʻeha e haki i ka ʻili. ʻO ka hapa nui o ka manawa, ʻaʻole koʻikoʻi nā pilikia e like me kēia. Akā, i kekahi manawa hiki iā lākou ke alakaʻi i nā maʻi nui.

No ka pule mua ma hope o ke kaha ʻana, e nānā i ka mahana o kāu keiki i kēlā me kēia lā.

E noi i kāu kauka inā loaʻa i kāu keiki kēia mau lāʻau lapaʻau:

• Pulumonia
• Meningococcal
• Haemophilus
• Flu shot (i kēlā me kēia makahiki)

Pono paha kāu keiki e lawe i nā lāʻau ʻaloʻalo i kēlā me kēia lā no kekahi manawa. E haʻi i kāu kauka i kāu keiki inā pilikia ka lāʻau i kāu keiki. Mai hōʻoki i ka hāʻawi ʻana i nā lāʻau ʻalopika ma mua o ka nānā ʻana me ke kauka o kāu keiki.

E kōkua kēia mau mea i ka pale ʻana i nā maʻi i kāu keiki.

• E aʻo i kāu keiki e holoi pinepine i kona mau lima me ke kopa a me ka wai. Pono e hana i nā lālā ʻohana.
• E mālama i kāu keiki no nā nahu, ʻo ia hoʻi nā nahu ʻīlio, koke.
• E hoʻomaopopo i ke kauka o kāu keiki inā e hele ana kāu keiki i waho o ka ʻāina. Pono paha kāu keiki e halihali i nā lāʻau ʻino hou aʻe, e makaʻala i ka malaria, a e ʻike pono i nā pale ʻana i kēia lā.
• E haʻi i nā mea mālama ola a kāu keiki (kauka niho, nā kauka, nā kahu hānai, a i ʻole nā ​​mea lawelawe kahu maʻi) ʻaʻohe wahi āpau o kāu keiki.
• E noi i ka mea hāʻawi i kāu keiki e pili ana i kahi kūpeʻe lima kūikawā no kāu keiki e ʻaahu ai e ʻōlelo ana ʻaʻohe anakā o kāu keiki.

Ma hope o ke kahakaha ʻana, hiki i ka hapanui o nā pēpē a me nā pēpē (ʻoi aku ma mua o 12 a 15 mau mahina) ke lawe i ka haʻilula a i ʻole ka waiū umauma e like me ko lākou makemake. E nīnau mua i kāu kauka i kāu keiki inā pololei kēia no kāu pēpē. E haʻi paha ka mea hāʻawi i kāu keiki iā ʻoe pehea e hoʻohui ai i nā calorie keu.

Hāʻawi i nā kamaliʻi liʻiliʻi a me nā keiki nui i nā meaʻai olakino. E haʻi ka mea hāʻawi iā ʻoe e pili ana i nā loli āu e hana ai.

Kāhea i kāu kahu mālama ola inā:

• ʻO ka mahana o kāu keiki he 101 ° F (38.3 ° C) a ʻoi aku paha.
• Ke kahe nei nā ʻeha ʻoki, ʻulaʻula a pumehana paha i ka pā, a i ʻole ka paheʻe, melemele, ʻōmaʻomaʻo, a me ka wai wai waiū.
• He ʻeha kā kāu keiki i kōkua ʻole ʻia e nā lāʻau ʻeha.
• He paʻakikī i kāu keiki e hanu.
• He puʻu ko kāu keiki hōʻole.
• ʻAʻole hiki i kāu keiki ke inu a ʻai.
• ʻAʻole ikaika ka ikaika o kāu keiki e like me ka maʻamau, ʻaʻole ʻai, a ʻano maʻi.

Splenectomy - keiki - hoʻokuʻu; Wehe ʻeleʻele - keiki - hoʻokuʻu

ʻO Brandow AM, Camitta BM. Hyposplenism, splenic trauma, a me splenectomy. I: Kliegman RM, Stanton BF, St. Geme JW, Schor NF, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 20 ouk. Piladelapia, PA: Elsevier; 2016: chap 487.

ʻO Rescorla FJ. Nā kūlana Splenic. I: Holcomb GW, Murphy JP, Ostlie DJ, eds. ʻO Surgery Pediatricʻo Ashcraft. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2014: chap 47.

• Wehe ʻeleʻele

• Keʻai nei i nā calorie keu ke maʻi - keiki
• Mālama ʻeha ʻeha - wehe

• Nā Maʻi Spleen