Intussusception - nā keiki

ʻO ka Intussusception ka paheʻe ʻana o kekahi ʻāpana o ka ʻōpū i kahi ʻē aʻe.

Kuhi kēia ʻatikala i ka intussusception i nā keiki.

Hoʻokumu ʻia ka Intussusception e kahi ʻāpana o ka ʻōpū e huki ʻia i loko iā ia iho.

ʻO ke kaomi i hana ʻia e nā paia o ka ʻōpū ke kaomi pū ʻana:

• Hoemi i ke kahe o ke koko
• Hoʻonāukiuki
• ʻŌhū

Hiki i ka Intussusception ke ālai i ka hele ʻana o ka meaʻai ma o ka ʻōpū. Inā ʻoki ʻia ka lako o ke koko, make ka ʻāpana o ka ʻōpū i huki ʻia i loko. Hiki ke hana i ke kahe kaumaha. Inā ulu kahi lua, maʻi, pūʻiwa, a me ka make wai hiki ke hana me ka wikiwiki.

ʻAʻole ʻike ʻia ke kumu o ka intussusception. Nā kūlana e alakaʻi ai i ka pilikia me:

• Maʻi maʻi Viral
• Hoʻonui ʻia ka lymph node i loko o ka ʻōpū
• Polyp a i ʻole tumo i loko o ka ʻōpū

Hiki i ka Intussusception ke hoʻopili i nā keiki a me nā mākua. ʻOi aku ka maʻamau i nā keikikāne. Hoʻololi pinepine ia i nā keiki mai nā makahiki 5 a 3 mau makahiki.

ʻO ka hōʻailona mua o ka intussusception he pinepine loa, ka uē nui i hoʻokumu ʻia e ka ʻeha o ka ʻōpū. Pākuʻi ka ʻeha a mau ʻole (intermittent), akā hoʻi pinepine ia. E ikaika ka ʻeha a lōʻihi hou i kēlā me kēia manawa ke hoʻi mai.

ʻO kahi pēpē me ka ʻeha o ka ʻōpū nui e huki i nā kuli i ka umauma i ka wā e uē ana.

ʻO nā ʻōuli ʻē aʻe e like me:

• ʻO ke kolo e like me ka neʻe ʻana o ka ʻōpū, i kekahi manawa i kapa ʻia kahi noho "currant jelly"
• Fiva
• Pākuʻi (keʻokeʻo kala, lethargy, sweating)
• ʻO Stool i kāwili ʻia me ke koko a me ka mucus
• ʻO ka luaʻi

E hana pono kāu mea mālama ola i kahi hoʻokolohua piha, i hōʻike ʻia i ka nui i loko o ka ʻōpū. Aia kekahi mau hōʻailona o ka make wai a haʻalulu paha.

E komo pū paha nā hoʻāʻo:

• ʻO ke ultrasound ʻōpū
• Hihi x ʻōpū
• Enema ea a ʻokoʻa paha

E hoʻokūpaʻa mua ke keiki. E hele ʻia kahi paipu i loko o ka ʻōpū ma o ka ihu (nasogastric tube). E hoʻokomo ʻia kahi laina intravenous (IV) i ka lima, a e hāʻawi ʻia nā wai e pale ai i ka make wai.

I kekahi mau hihia, hiki ke mālama ʻia ka paʻa ʻana o ka ʻōpū me kahi ea a i ʻole enema ʻokoʻa. Hana ʻia kēia e kahi radiologist mākaukau me ke kaʻina hana. Aia ka makaʻu o ka hāhae ʻana o ka ʻōpū (perforation) me kēia kaʻina hana.

Pono ke keiki i ke kaha inā ʻaʻole holo pono kēia mau ʻano hana. Hiki ke mālama pinepine ʻia ka ʻōpū o ke ʻōpū. E hoʻoneʻe ʻia nā mea make.

Pono paha nā antibiotic e mālama i nā maʻi āpau.

E hoʻomau ʻia ka hānai ʻana a me nā wai a hiki i ke keiki ke neʻe i ka ʻōpū maʻamau.

Maikaʻi ka hopena me ka lapaʻau mua. Aia kekahi pilikia e hoʻi paha kēia pilikia.

Ke puka a haehae paha i ka ʻōpū, pono e mālama koke ʻia. Inā mālama ʻole ʻia, ʻaneʻane make pinepine ka intussusception no nā pēpē a me nā keiki liʻiliʻi.

He pilikia olakino ʻo Intussusception. Kāhea iā 911 a i ʻole e hele koke i ka lumi pilikia.

Paʻi ʻōpū i nā keiki - intussusception

• Kolonekia
• Intussusception - x-ray
• Nā ʻōnaehana ʻōnaehana Digestive

Hu YY, Jensen T, Finck C. Nā ʻoki ʻana o ka ʻōpū liʻiliʻi i nā pēpē a me nā keiki. I: Yeo CJ, hoʻoponopono. ʻO Shackelford's Surgery o ke Alimentary Tract. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 83.

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. ʻO Ileus, adhesions, intussusception, a me nā āpana loop-closed. 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 359.

ʻO Maloney PJ. Nā maʻi Gastrointestinal. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 171.