ʻO ka maʻi urinary tract - keiki

ʻO kahi maʻi maʻi urinary kahi maʻi bacteria o ka maʻi urinary. Kūkākūkā kēia ʻatikala i nā maʻi urinary tract i nā keiki.

Hiki i ka maʻi ke hoʻopili i nā ʻāpana like ʻole o ka mimi urinary, e like me ka puhā (cystitis), nā puʻupaʻa (pyelonephritis), a me ka urethra, ka paipu e ninini i ka mimi mai ka pā a i waho.

Hiki ke loaʻa nā maʻi urinary tract (UTIs) ke hele ka bacteria i loko o ka maʻi ʻaʻa a i nā puʻupaʻa. Kūleʻa kēia mau bacteria i ka ʻili a puni ka anus. Hiki iā lākou ke noho ma kahi kokoke i ka lua.

ʻOi aku ka maʻalahi o kekahi mau mea no ke komo ʻana o ka bacteria a noho paha i ka maʻi urinary, e like me:

• ʻO ka reflux Vesicoureteral kahi e kahe ai ka mimi i loko o nā ureter a me nā puʻupaʻa.
• Nā maʻi lolo a ʻōpū paha (e like me ka myelomeningocele a i ʻole ka ʻeha o ke kuamoʻo).
• Pahu ʻauʻau a i ʻole nā ​​lole paʻa (kaikamahine).
• Nā hoʻololi a me nā kīnā hānau i ke ʻano o ka urinary tract.
• ʻAʻole lawa ka mimi pinepine i ka lā.
• ʻO ka holoi ʻana mai hope (kokoke i ka anus) a i mua ma hope o ka hele ʻana i ka lua. I nā kaikamahine, hiki i kēia ke lawe i ka bacteria i ka wehe i puka ka mimi.

ʻOi aku ka maʻamau o ka UTI i nā kaikamahine. Hiki i kēia ke hoʻomaka i nā keiki e hoʻomaʻamaʻa i ka lua no kahi o 3 mau makahiki. ʻO nā keikikāne ʻoki poepoe ʻole ʻia ʻoi aku ka nui o ka makaʻu o ka UTI ma mua o ka makahiki 1.

Loaʻa paha i nā keiki ʻōpio me ka UTI ke kuni, ka makemake maikaʻi ʻole, ka luaʻi, a ʻaole paha hōʻailona.

ʻO ka hapa nui o nā UTI i nā keiki e hoʻopili wale i ka ʻōpū. Pālahalaha paha ia i nā puʻupaʻa.

Nā ʻōuli o ka maʻi ʻaʻai i loko o nā keiki:

• 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

ʻO nā hōʻailona i pā ʻia paha ka maʻi i nā puʻupaʻa pū kekahi:

• ʻO Chills me ka haʻalulu
• Fiva
• ʻIli ʻulaʻula, mehana, a ʻulaʻula
• ʻO Nusea a me ka luaʻi
• ʻEha ma ka ʻaoʻao (ʻaoʻao) a i hope paha
• ʻEha nui ma ka ʻōpū

Pono kahi laʻana mimi e kuhikuhi i kahi UTI i kahi keiki. Nānā ʻia ka laʻana ma lalo o kahi microscope a hoʻouna ʻia i kahi keʻena hana no kahi moʻomeheu mimi.

He paʻakikī paha e kiʻi i kahi laʻana mimi i loko o kahi keiki hoʻomaʻama ʻole ʻole i ka lua. ʻAʻole hiki ke hana i ka hoʻokolohua me ka hoʻohana ʻana i ka diaper mākū.

Nā ala e hōʻiliʻili ai i kahi mimi ma kahi keiki ʻōpio:

• ʻEke hōʻiliʻili mimi - Kau ʻia kahi ʻeke ea kūikawā ma luna o ka peni a ke keiki a i ʻole ka ʻāpena e hopu i ka mimi. ʻAʻole kēia ke ala ʻoi aku ka maikaʻi no ka mea ua haumia ka laʻana.
• ʻO ka moʻomeheu mimi Catheterized - He pahu ea (catheter) i hoʻokomo ʻia i ka piko o ka peni i nā keikikāne, a i ʻole pololei i ka urethra i nā kaikamahine, ʻohiʻohi pono i ka mimi mai ka ʻai.
• ʻOhiʻohi miki Suprapubic - Hoʻokomo ʻia kahi nila i loko o ka ʻili o ka ʻōpū o lalo a me nā mākala i loko o ka pūpū. Hoʻohana ʻia e hōʻiliʻili i ka mimi.

Hana ʻia ke kiʻi e nānā ai no nā ʻano ʻino anatomical a i ʻole e nānā i nā hana o ka hakuʻala, e like me:

• Kukuna ultrasound
• Lawe ʻia ʻo X-ray ʻoiai e mimiki ana ke keiki (voiding cystourethrogram)

E noʻonoʻo kāu mea mālama ola i nā mea he nui i ka hoʻoholo ʻana inā a inā i kahi manawa e pono ai kahi noiʻi kūikawā, e like me:

• ʻO ka makahiki o ke keiki a me ka mōʻaukala o nā UTI ʻē aʻe (pono pinepine nā pēpē a me nā keiki ʻōpio i nā hoʻokolohua ukali)
• ʻO ke koʻikoʻi o ka maʻi a pehea ke ʻano o ka pane ʻana i ka lāʻau
• Nā pilikia olakino ʻē aʻe a i ʻole nā ​​kīnā o ke kino i loaʻa i ke keiki

I nā keiki, pono e mālama koke ʻia nā UTI me nā lāʻau ʻaloʻalo e pale ai i nā puʻupaʻa. ʻO kēlā me kēia keiki ma lalo o 6 mau mahina a i ʻole he pilikia ʻē aʻe nāna e ʻike koke i kahi loea.

Pono nā kamaliʻi ʻōpio e noho pinepine i ka haukapila a hāʻawi ʻia i nā lāʻau ʻaloʻalo ma o ke aa. Mālama ʻia nā pēpē ʻelemakule a me nā keiki me nā antibiotic e ka waha. Inā hiki ʻole kēia, pono lākou e mālama i ka haukapila.

Pono kāu keiki e inu i nā wai i ka wā e mālama ʻia ana no kahi UTI.

Hiki ke mālama ʻia kekahi mau keiki me nā lāʻau ʻaloʻolika no nā wā a lōʻihi o 6 mau mahina a i 2 mau makahiki. ʻOi aku paha kēia lāʻau i ka wā i loaʻa i ke keiki nā maʻi hou a i ʻole vesicoureteral reflux.

Ma hope o ka pau ʻana o nā lāʻau antibiotic, e noi paha ka mea hāʻawi i kāu keiki iā ʻoe e hoʻihoʻi i kāu keiki e hana i kahi hōʻike mimi hou aʻe. Pono paha kēia e hōʻoia i ka pau ʻole o nā bacteria i loko o ka ʻai.

Hoola ʻia ka hapa nui o nā keiki me ka lāʻau kūpono. ʻO ka hapanui o ka manawa, hiki ke pale ʻia nā maʻi hou.

ʻO nā maʻi i hana pinepine ʻia e pili ana i nā puʻupaʻa hiki ke alakaʻi i ka hōʻino wā lōʻihi i nā puʻupaʻa.

Kāhea i kāu mea hāʻawi inā hoʻomau nā ʻōuli o kāu keiki ma hope o ka hoʻomaʻamaʻa ʻana, a i ʻole hoʻi hou ma mua o ʻelua mau manawa i 6 mau mahina a i ʻole he keiki kāu keiki.

• Paʻi kua a ʻaoʻao ʻeha paha
• Hinahina ʻaʻala, koko, a i ʻole discolored
• Fever o 102.2 ° F (39 ° C) i nā pēpē no ka lōʻihi ma mua o 24 mau hola
• Paʻi ʻeha haʻahaʻa a i ʻole ʻeha o ka ʻōpū ma lalo o ke pihi ʻōpū
• ʻO ke kuni ʻaʻole e hele
• Urination pinepine, a i ʻole pono e mimi i nā manawa he nui i ka pō
• ʻO ka luaʻi

Nā mea hiki iā ʻoe ke pale aku i nā UTI me:

• Hōʻalo i ka ʻauʻau wai ʻana o kāu keiki.
• E hoʻokomo i kāu keiki i nā kapa komo leʻaleʻa a me nā lole.
• E hoʻonui i ka lawe ʻana o kāu wai i nā wai.
• E hoʻomaʻemaʻe i ka genital area o kāu keiki e pale ai i ka bacteria mai ke komo ʻana i ka urethra.
• E aʻo i kāu keiki e hele i ka lua i nā manawa he nui i kēlā me kēia lā.
• E aʻo i kāu keiki e holoi i ka genital mai mua a hope e hoʻemi i ka hoʻolaha ʻana o nā maʻi bacteria.

I mea e pale aku ai i nā UTI hou, hiki i ka mea hāʻawi ke paipai i nā lāʻau antibiotic haʻahaʻa ma hope o ka hala ʻana o nā ʻōuli mua.

UTI - keiki; Cystitis - nā keiki; Ka maʻi ʻaʻai - keiki; Pākuʻi hakuʻala - keiki; Pyelonephritis - keiki

• ʻĀpana mimi wahine
• ʻĀpana mimi kāne
• Voiding cystourethrogram
• ʻO reflux Vesicoureteral

ʻAmelika Hui Pū ʻIa o Pediatrics. Kumukānāwai ma ka maʻi urinary tract. Hoʻomaopopo hou ʻia i ka papa kuhikuhi hoʻomaʻamaʻa lapaʻau AAP: ke kuhi a me ka mālama ʻana i ka maʻi urinary tract mua i nā pēpē febrile a me nā keiki ʻōpio 2-24 mau makahiki. Pediatrics. 2016; 138 (6): e20163026. PMID: 27940735 pubmed.ncbi.nlm.nih.gov/27940735/.

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

Sobel JD, Brown P. Nā maʻi maʻi urinary. I: Bennett JE, Dolin R, Blaser MJ hua pā. ʻO Mandell, Douglas a me Bennett's Principal a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 72.

Wald ER. ʻO nā maʻi urinary tract i nā pēpē a me nā keiki. I: Kellerman RD, Rakel DP, eds. ʻO Conn's Current Therapy 2020. Piladelapia, PA: Elsevier; 2020: 1252-1253.