Ulcerative Colitis - keiki - hoʻokuʻu

Aia kāu keiki i ka haukapila no ka mea he ulcerative colitis (UC) lākou. ʻO kēia ka pehu ʻana o ka uhi o loko o ka kolona a me ka pololei (ʻōpū nui). Hoʻopilikia ia i ka uhi ʻana, e hoʻokahe i ke kahe a i ʻole ka huehue a i ʻole ka pā.

Ua loaʻa paha kāu keiki i nā wai ma o kahi paipu (IV) i loko o kona aʻa. Ua loaʻa paha iā lākou:

• Hoʻohuli koko
• ʻO ka meaʻai ma o kahi pahu hānai a i ʻole IV
• ʻO nā lāʻau e kōkua ai i ka hōʻoki ʻana i ka pehu

Ua hāʻawi ʻia paha i kāu keiki i nā lāʻau e hōʻemi ai i ka pehu ʻana, pale a pale aku i ka maʻi, a i ʻole kōkua i ka ʻōnaehana pale.

Ua ʻoki ʻia kāu keiki, e like me:

• Ka hemo ʻana o ke kolona (colectomy)
• Ka hemo ʻana o ka ʻōpū nui a me ka hapa nui o ka pololei
• Kau o kahi ileostomy
• Ka wehe ʻana i kahi ʻāpana o ke kolona

E wā lōʻihi paha kāu keiki ma waena o nā flare o ulcerative colitis.

Ke hoʻi mua kāu keiki i ka hale, pono lākou e inu i nā wai a ʻai wale paha i nā meaʻai like ʻole a lākou e ʻai maʻamau ai. E hāhai i nā ʻōkuhi i hāʻawi ʻia e kāu kahu mālama ola. E noi i ka mea hāʻawi ke hiki iā ʻoe ke hoʻomaka i ka papaʻai maʻamau o kāu keiki.

E hāʻawi ʻoe i kāu keiki:

• ʻAi kaulike maikaʻi, olakino olakino. He mea nui e loaʻa i kāu keiki ka nui o nā calories, protein, a me nā meaola mai nā ʻano meaʻai like ʻole.
• ʻO kahi papaʻai haʻahaʻa i nā momona momona a me ke kō.
• Liʻiliʻi, ʻai pinepine a me nā wai he nui.

Hiki i kekahi mau meaʻai a me nā mea inu ke hōʻino i nā hōʻailona o kāu keiki. Hoʻokumu paha kēia mau meaʻai i nā pilikia no lākou i nā manawa āpau a i ʻole i ka wā o kahi uila.

E hoʻāʻo e hōʻalo i nā meaʻai aʻe e hiki ai ke hōʻino i nā hōʻailona o kāu keiki:

• ʻO ka nui o ka fiber e hōʻino ai i nā ʻōuli. E hoʻāʻo i ka hoʻomoʻa ʻana a i ʻole kohu ʻana i nā huaʻai a me nā mea kanu inā ʻai lākou iā lākou i ka mea maka.
• Hōʻalo i ka hāʻawi ʻana i nā meaʻai e ʻike ʻia ai ke kumu o ke kinoea, e like me nā pīni, nā mea ʻono, kāpī, broccoli, cauliflower, nā wai huaʻai maka, a me nā huaʻai, keu hoʻi nā hua citrus.
• Hōʻalo a kau palena paha i ka caffeine, no ka mea e ʻoi aku paha ka maikaʻi o ka maʻi pākī. Hiki i nā meaʻai e like me kekahi soda, nā mea inu ikehu, tī, a me nā kokoleka ke loaʻa ka caffeine.

E noi i ka mea hāʻawi e pili ana i nā huaora a me nā minelala keu e pono ai i kāu keiki, e like me:

• ʻO nā mea hoʻohui hao (inā he anemia lākou)
• Nā mea hoʻopihaʻai pono
• Kalipuna a me ka wikamina D nā mea hoʻopili e kōkua i ka ikaika o ko lākou iwi

E kamaʻilio me kahi kaukaʻai e hōʻoia i ka loaʻa ʻana o ka meaʻai kūpono i kāu keiki. E mālama pono inā hana kēia i ka paona o kāu keiki a i ʻole lilo ka palena o kā lākou papaʻai.

Hopohopo paha kāu keiki e pili ana i ka loaʻa ʻana o kahi ʻōpū o ka ʻōpū, hilahila, a i ʻole kaumaha a kaumaha paha. He mea paʻakikī paha iā lākou ke komo i nā hana i ke kula. Hiki iā ʻoe ke kākoʻo i kāu keiki a kōkua iā lākou e hoʻomaopopo pehea e ola ai me ka maʻi.

Hiki i kēia mau ʻōlelo aʻoaʻo ke kōkua iā ʻoe e hoʻokele i kāu colitis ulcerative ulcerative:

• E hoʻāʻo e kamaʻilio ākea me kāu keiki. Pane i kā lākou nīnau e pili ana i ko lākou kūlana.
• Kōkua i kāu keiki e ʻeleu. E kamaʻilio me kāu mea hāʻawi i kāu keiki e pili ana i nā hoʻoikaika kino a me nā hana i hiki iā lākou ke hana.
• ʻO nā mea maʻalahi e like me ka hana yoga a i ʻole tai chi, hoʻolohe ʻana i nā mele, heluhelu, noʻonoʻo ʻana, a i ʻole ke kau ʻana i ka ʻauʻau mehana hiki ke hoʻomaha i kāu keiki a kōkua i ka hōʻemi ʻana i ke kaumaha.
• E makaʻala inā e lilo ana kāu keiki i ka hoihoi i ke kula, nā hoaaloha, a me nā hana. Inā manaʻo ʻoe ua kaumaha paha kāu keiki, e kamaʻilio me ke kākā'ōlelo olakino noʻonoʻo.

Makemake paha ʻoe e hui i kahi hui kōkua e kōkua iā ʻoe a me kāu keiki e mālama i ka maʻi. ʻO Crohn's & Colitis Foundation o ʻAmelika (CCFA) kekahi o ia mau hui. Hāʻawi ʻo CCFA i kahi papa inoa o nā kumuwaiwai, kahi waihona o nā kauka i loea i ka mālama ʻana i ka maʻi Crohn, ka ʻike e pili ana i nā hui kākoʻo kūloko, a me kahi pūnaewele no nā ʻōpio - www.crohnscolitisfoundation.org.

Hāʻawi paha ka mea hāʻawi i kāu keiki iā lākou i kekahi mau lāʻau e kōkua ai e hōʻoluʻolu i kā lākou mau ʻōuli. Ma muli o ke koʻikoʻi o kā lākou ulcerative colitis a pehea lākou e pane ai i ka lāʻau, pono paha lākou e lawe i hoʻokahi aʻoi aku paha o kēia mau lāʻau.

• Hiki i nā lāʻau lapaʻau kūpale ke kōkua ke loaʻa ka maʻi maʻi maikaʻi ʻole. Hiki iā ʻoe ke kūʻai i ka loperamide (Imodium) me ka ʻole o ke kuhikuhi. E kamaʻilio mau i kā lākou mea hāʻawi ma mua o ka hoʻohana ʻana i kēia mau lāʻau.
• Hiki i nā mea hoʻopili puluniu ke kōkua i kā lākou mau ʻōuli. Hiki iā ʻoe ke kūʻai i ka pauka psyllium (Metamucil) a i ʻole methylcellulose (Citrucel) me ka ʻole o ka lāʻau.
• E kamaʻilio mau i ka mea hāʻawi o kāu keiki ma mua o ka hoʻohana ʻana i nā lāʻau laxative.
• Hiki paha iā ʻoe ke hoʻohana i ka acetaminophen no ka ʻeha haʻahaʻa. ʻO nā lāʻau e like me aspirin, ibuprofen, a naproxen paha e hōʻino i kā lākou mau ʻōuli. E kamaʻilio me kā lākou mea hāʻawi ma mua o ka lawe ʻana i kēia mau lāʻau. Pono paha i kāu keiki i kahi palapala no ka lāʻau ʻoi aku ka ʻeha o ka ʻeha.

Nui a hewahewa nā ʻano lāʻau i loaʻa e pale a mālama i nā hoʻouka ʻana o kāu colitis ulcerative colitis o kāu keiki.

ʻO ka mālama mau ʻana o kāu keiki e kau ʻia ana ma kā lākou mau pono. E haʻi ka mea hāʻawi iā ʻoe i ka manawa e hoʻi ai kāu keiki no kahi hoʻokolohua o loko o kā lākou kiko a me ke kolona ma o kahi paipu hikiwawe (sigmoidoscopy a i ʻole colonoscopy).

Kāhea i kāu mea hāʻawi inā loaʻa i kāu keiki:

• Pākuʻi a ʻeha paha ma ka ʻōpū o lalo e hele ʻole
• ʻO ka diarrhea koko, pinepine me ka mucus a i ʻole ka pā
• ʻAʻole hiki ke kaohi ʻia me ka palahī me nā loliʻai
• Kahe koko, kahena, a i ʻole nā ​​ʻeha
• ʻEha ʻeha hou
• ʻO ke kuni e ʻoi aku ana ma mua o 2 a 3 mau lā a i ʻole ke kuni ma mua o 100.4 ° F (38 ° C) me ka ʻole o ka wehewehe
• ʻO kausea a me ka luaʻi e ʻoi aku ma mua o hoʻokahi lā o ka luaʻi he ʻano melemele / ʻōmaʻomaʻo
• ʻO nā ʻeha a me nā ʻili hoʻi e hōʻola ʻole ai
• ʻO kaʻeha hoʻohui e mālama i kāu keiki mai ka hana i nā hana o kēlā me kēia lā
• ʻO ka manaʻo o ke kau iki ʻana ma mua o ka pono e hana i kahi ʻōpū
• Pono e ala mai ka hiamoe ʻana e loaʻa i kahi ʻōpū
• ʻO ka loaʻa ʻole o ke kaumaha, kahi hopohopo no kāu pēpē e ulu ana a i ʻole keiki
• Nā hopena ʻaoʻao mai nā lāʻau i kuhikuhi ʻia no ke kūlana o kāu keiki

UC - keiki; Maʻi maʻi ʻōpū i nā keiki - UC; Proceritis ulcerative - nā keiki; Colitis i nā keiki - UC

ʻO Bitton S, Markowitz JF. ʻO Ulcerative colitis i nā keiki a me nā ʻōpio. I: Wyllie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2021: chap 43.

Stein RE, Baldassano RN. Maʻi maʻi ʻōpū. 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 362.

• Ulcerative Colitis