ʻO ka maʻi urinary tract i nā kaikamahine - ma hope o ka mālama ʻana

He maʻi maʻi urinary kāu keiki a ua mālama ʻia e ka mea mālama ola. Hōʻike kēia ʻatikala iā ʻoe pehea e mālama ai i kāu keiki ma hope o kona ʻike ʻia e kahi mea hāʻawi.

ʻO nā ʻōuli o ka maʻi urinary tract (UTI) pono e hoʻomaka e hoʻomaikaʻi ma waena o 1 a 2 mau lā o ka hoʻomaka ʻana o nā lāʻau antibiotic i ka hapa nui o nā kaikamahine. ʻAʻole pololei paha nā ʻōlelo aʻo ma lalo nei no nā kaikamahine me nā pilikia paʻakikī.

E inu kāu keiki i nā lāʻau antibiotic e ka waha ma ka home. Hiki i kēia mau mea ke hele mai ma ke ʻano he pila, capsule, a i ʻole he wai.

• No ka maʻi pākī maʻalahi, lawe paha kāu keiki i nā lāʻau ʻalopika no 3 a 5 mau lā. Inā he kuni kāu keiki, hiki i kāu keiki ke lawe i nā lāʻau ʻaloʻalo no 10 a 14 mau lā.
• Hiki i nā Antibiotics ke kumu i nā hopena ʻaoʻao. Hoʻopili kēia i ka nausea a i ʻole ka luaʻi, diarrhea, a me nā ʻōuli ʻē aʻe. E kamaʻilio me ke kauka o kāu keiki inā ʻike ʻoe i nā hopena ʻaoʻao. Mai hōʻoki i ka hāʻawi ʻana i ka lāʻau a hiki i kou kamaʻilio ʻana i ke kauka.
• Pono kāu keiki e hoʻopau i nā lāʻau antibiotic āpau, ʻoiai inā hele aku nā ʻōuli. Hiki i nā UTI mālama pono ʻole ʻia ke hōʻeha i nā puʻupaʻa.

ʻO nā ʻano lāʻau ʻē aʻe kekahi:

• Lawe i ka lāʻau e hoʻomāmā ai i ka ʻeha ke mimiki. Hana kēia lāʻau i ka mimi i ʻulaʻula a i ʻole ʻalani. Pono nō kāu keiki e ʻai i nā lāʻau ʻalopika i ka wā e lawe ana i ka lāʻau ʻeha.
• Ke inu nei i nā wai he nui.

Hiki i nā hana i lalo ke pale aku i nā UTI i nā kaikamahine:

• Hōʻalo i ka ʻauʻau wai ʻana o kāu keiki.
• E hoʻokomo i kāu keiki i ke kapa komo humuhumu a me ka lole pulupulu.
• E hoʻomaʻemaʻe i ka genital area o kāu keiki.
• E aʻo i kāu keiki e mimi i nā manawa he nui i ka lā.
• E aʻo i kāu keiki e holoi i ka genital mai mua a hope ma hope o ka hoʻohana ʻana i ka lua. Hiki i kēia ke kōkua i ka hoʻēmi ʻana i ka manawa kūpono o ka hoʻolaha ʻana i nā g germ mai ka anus a i ka urethra.

I mea e hōʻalo ai i nā noho paakiki, pono i kāu keiki e ʻai i nā meaʻai i kiʻekiʻe i ka fiber, e like me nā hua, nā huaʻai, a me nā mea kanu.

Kāhea i ke kahu mālama ola o kāu keiki ma hope o ka pau ʻana o ke keiki i ka lawe ʻana i nā lāʻau ʻaloʻalo. E nānā ʻia paha kāu keiki e ʻike pono ua hala ka maʻi.

Kāhea koke i kāu mea lawelawe inā ulu ʻo ia:

• Paʻi kua a ʻaoʻao paha
• ʻO Chills
• Fiva
• ʻO ka luaʻi

ʻO kēia paha nā hōʻailona o kahi maʻi maʻi kōpaʻa hiki.

Eia kekahi, kāhea inā ua ʻike mua ʻia kāu keiki me ka UTI a hoʻi mai nā ʻōuli o kahi maʻi ʻaʻa o ka maʻi ma hope koke iho o ka pau ʻana o nā lāʻau ʻalopika. Nā ʻōuli o ka maʻi ʻaʻai:

• Koko i ka mimi
• Mimi ʻōpua
• Pilau a pilau paha i ka pilau
• Pono pinepine a koi paha e mimi
• ʻO ka manaʻo maʻi maʻamau (malaise)
• Paʻi a puhi paha me ka urination
• Kaomi a ʻeha paha ma ka pelvis o lalo a i ʻole ke kua o lalo
• Nā pilikia pulu ma hope o ka hoʻomaʻamaʻa ʻia ʻana o ke keiki i ka lua
• Kaha wela

• ʻĀpana mimi wahine

ʻO Cooper CS, ʻO Storm DW. ʻO ka maʻi a me ka mumū o ka pediatric genitourinary tract. I: Wein AJ, Kavoussi LR, Partin AW, Peters CA, eds. Campbell-Walsh Urology. 11th hua. Piladelapia, PA: Elsevier; 2016: chap 127.

ʻO Davenport M, Shortliffe D. Nā maʻi maʻi urinary, abscess renal, a me nā maʻi kīnā paʻakikī ʻē aʻe. I: Long SS, Prober CG, Fischer M, hua pā. Nā Kumuhana a me nā Hana o nā maʻi maʻi Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 48.

ʻO Jeradi KE, Jackson EC. Nā maʻi maʻi urinary. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 553.

ʻO Williams G, ʻo Craig JC.ʻO nā antibiotic wā lōʻihi no ka pale ʻana i ka maʻi urinary recurrent i nā keiki. ʻO Cochrane Database Syst Rev.. 2011; (3): CD001534. PMID: 21412872 www.ncbi.nlm.nih.gov/pubmed/21412872.