ʻOihana anti-reflux - keiki - hoʻokuʻu

Ua ʻoki ʻia kāu keiki e mālama i ka maʻi reflux gastroesophageal (GERD). ʻO GERD kahi ʻano e hoʻoulu ai i ka waikawa, meaʻai, a wai paha mai ka ʻōpū i loko o ka esophagus. ʻO kēia paipu e hāpai i ka meaʻai mai ka waha a i ka ʻōpū.

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.

I ka wā o ka hana, ua wahī ke kauka lāʻau i ka ʻaoʻao i luna o kou ʻōpū ʻōpū a puni ka wēlau o ka esophagus.

Ua hana ʻia ke ʻoki ma kekahi o kēia mau ʻano:

• Ma o kahiʻoki (ʻoki) i loko o ka ʻōpū o kāu keiki (wehe hāmama)
• Me kahi laparoscope (kahi paipu lahilahi me kahi kamera liʻiliʻi ma ka hopena) ma o nā ʻoki liʻiliʻi
• Na ka hoʻoponopono endoluminal (e like me ka laparoscope, akā hele ka mea lapaʻau ma o ka waha)

Ua loaʻa paha kāu keiki i kahi pyloroplasty.ʻO kēia kahi hana e hoʻonui i ka wehe ma waena o ka ʻōpū a me ka ʻōpū liʻiliʻi. Ua hoʻokau paha ke kauka i kahi g-Tube (gastrostomy Tube) i loko o ka ʻōpū o ke keiki no ka hānai ʻana.

Hiki i ka hapa nui o nā keiki ke hoʻi i ke kula a i ka mālama wā keiki ke ʻike pono lākou a lawa a ke manaʻo ke kahu he palekana ia.

• Pono kāu keiki e hōʻole i ka hāpai hāpai a i ʻole ka hana ikaika, e like me ka papa haʻuki a me ka pāʻani ikaika loa, no 3 a 4 mau pule.
• E noi paha ʻoe i kāu kauka i kāu leka no kahi leka e hāʻawi aku i ke kahu kula a me nā kumu e wehewehe i nā kapu a kāu keiki.

Loaʻa paha i kāu keiki ke ʻano o ka pilī i ka wā e ale ana. ʻO kēia mai ka pehu ʻana i loko o ka esophagus o kāu keiki. Loaʻa paha i kāu keiki i kahi ʻōpū. E hele aku kēia ma 6 a 8 mau pule.

ʻOi aku ka wikiwiki o ka hoʻōla hou ʻana mai ke ʻoki laparoscopic ma mua o ka ʻoki ākea.

Pono ʻoe e hoʻonohonoho i kahi manawa e ukali ai me ka mea mālama mua o kāu keiki a i ʻole ke gastroenterologist a me ke kaukipō ma hope o ke ʻoki.

E kōkua ʻoe i kāu keiki e hoʻi i kahi papaʻai maʻamau i ka manawa.

• Ua hoʻomaka kāu keiki i ka papaʻai wai i ka haukapila.
• Ma hope o ka manaʻo o ke kauka ua mākaukau kāu keiki, hiki iā ʻoe ke hoʻohui i nā meaʻai palupalu.
• Ke lawe maikaʻi nei kāu keiki i nā meaʻai palupalu, e kamaʻilio me ke kauka o kāu keiki e pili ana i ka hoʻi ʻana i kahi papaʻai maʻamau.

Inā loaʻa i kāu keiki kahi ʻōpū gastrostomy (G-Tube) i hoʻokau ʻia i ka wā o ke kaha ʻana, hiki ke hoʻohana ʻia no ka hānai ʻana a me ka hoʻokuʻu ʻana. ʻO Venting ke wehe ʻia ka ipu G e hoʻokuʻu i ka ea mai ka ʻōpū, e like me ke kanu ʻana.

• Inā pono iā ʻoe e hōʻike i ke kahu ma ka haukapila pehea e hoʻokuʻu ai, mālama, a hoʻololi i ka pū G, a pehea e kauoha ai i nā lako G-Tube. E hāhai i nā ʻōkuhi ma ka mālama G-Tube.
• Inā makemake ʻoe i ke kōkua me ka G-Tube ma ka home, e kāhea i ke kahu mālama ola e hana ana no ka mea hāʻawi iā G-Tube.

No ka ʻeha, hiki iā ʻoe ke hāʻawi i kāu keiki i nā lāʻau ʻeha loa e like me ka acetaminophen (Tylenol) a me ka ibuprofen (Advil, Motrin). Inā mau ka ʻeha o kāu keiki, e kāhea i ke kauka o kāu keiki.

Inā hoʻohana ʻia nā sutures (stitches), staples, a i ʻole glue e pani ai i ka ʻili o kāu keiki.

• Hiki iā ʻoe ke hemo i nā lole (bandages) a ʻae i kāu keiki e ʻauʻau i ka lā ma hope o ke kaha ʻana inā ʻaʻole haʻi ʻokoʻa kāu kauka iā ʻoe.
• Inā hiki ʻole ka lawe ʻana i ka ʻauʻau, hiki iā ʻoe ke hāʻawi i kāu keiki i kahi ʻauʻau spons.

Inā hoʻohana ʻia nā ʻope o ka lepe e hoʻopaʻa i ka ʻili o kāu keiki:

• Uhi i nā ʻokiʻoki me ka wahī palika ma mua o ka holoi ʻana no ka pule mua. E hoʻopaʻa pono i nā kihi o ka ea i mea e waho ai ka wai.
• Mai hoʻāʻo e holoi i ka lepe. E hāʻule lākou ma hope o hoʻokahi pule.

MAI ʻae i kāu keiki e pulu i loko o kahi pahu wai a i ʻole pahu wai wela a i ʻole hele i ka ʻauʻau ʻana a hiki i ke kauka a kāu keiki e haʻi aku ai ua maikaʻi.

Kāhea i kāu kahu mālama ola inā loaʻa i kāu keiki:

• ʻO ke kuni o 101 ° F (38.3 ° C) a ʻoi aku paha
• ʻO nā ʻokiʻoki e hoʻokahe ana i ke koko, ʻulaʻula, mehana i ka pā, a i ʻole ka paheʻe, melemele, ʻōmaʻomaʻo, a me ka wai wai waiū
• He ʻōpū pehu a ʻeha paha
• Nusea a i ʻole ka luaʻi no 24 mau hola
• Pilikia ʻana i nā pilikia e mālama i kāu keiki mai ka ʻai ʻana
• ʻO nā pilikia e ale ana ʻaʻole e hele ma hope o 2 a 3 mau pule
• ʻAʻole ʻeha ke kōkua i ka lāʻau ʻeha
• Hī pilikia
• Kahi uha hele ʻole
• Nā pilikia e hiki ʻole ai i kāu keiki ke ʻai
• Inā hemo wale a hū paha i waho ka paipu G

Fundoplication - keiki - hoʻokuʻu; Nissen fundoplication - keiki - hoʻokuʻu; Belsey (Mark IV) fundoplication - keiki - hoʻokuʻu; Toupet fundoplication - keiki - hoʻokuʻu; Thal fundoplication - keiki - hoʻokuʻu; Hoʻoponopono Hiatal hernia - nā keiki - hoʻokuʻu; Endoluminal fundoplication - keiki - hoʻokuʻu

ʻIqbal CW, Holcomb GW. ʻO reflux Gastroesophageal. I: Holcomb GW, Murphy JP, Ostlie DJ, eds. ʻO Surgery Pediatricʻo Ashcraft. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2014: chap 28.

Salvatore S, Vandenplas Y. ʻO Gastroesophageal reflux. I: Wylie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 21.

• ʻOki kino Anti-reflux - keiki
• ʻO ka maʻi reflux Gastroesophageal

• Reflux Gastroesophageal - hoʻokuʻu
• Heartburn - he aha e nīnau aku ai i kāu kauka

• GERD