ʻO stylosis pyloric i nā pēpē

ʻO Pyloric stenosis kahi mea e hoʻopili ana i ka pylorus, ka wehe mai ka ʻōpū i loko o ka ʻōpū liʻiliʻi. Hōʻike kēia ʻatikala i ke ʻano o nā pēpē.

ʻO ka maʻamau, hele maʻalahi ka ʻai mai ka ʻōpū a i ka ʻāpana mua o ka ʻōpū liʻiliʻi ma o ka vaʻa i kapa ʻia ka pylorus. Me nā stenosis pyloric, mānoanoa nā mākala o ka pylorus. Pale kēia i ka ʻōpū mai ka ninini ʻana i loko o ka ʻōpū liʻiliʻi.

ʻAʻole ʻike ʻia ke kumu maoli o ka mānoanoa. He pāʻani paha kā Genes, ʻoiai ʻo nā keiki a nā mākua i loaʻa i ka stenosis pyloric ka mea i loaʻa i kēia ʻano. ʻO nā kumuhana ʻē aʻe e pili ana i kekahi mau lāʻau antibiotic, ʻo ka nui o ka acidic i ka ʻāpana mua o ka ʻōpū liʻiliʻi (duodenum), a me kekahi mau maʻi i hānau ʻia kahi pēpē, e like me ka maʻi kō.

Hana pinepine ʻia ka stenosis pyloric i nā pēpē i ʻōpio ma mua o 6 mau mahina. ʻOi aku ka maʻamau i nā keikikāne ma mua o nā kaikamahine.

ʻO ka luaʻi ka hōʻailona mua i ka hapanui o nā keiki:

• Hiki ke hana i ka luaʻi ma hope o kēlā me kēia hānai ʻana a ma hope paha o kekahi hānai ʻana.
• Hoʻomaka ka hoʻomaka ʻana o ka luaʻi ma kahi o 3 mau pule o kou mau makahiki, akā hiki ke hoʻomaka i kēlā me kēia manawa ma waena o 1 pule a me 5 mau mahina o kou mau makahiki.
• Ikaika ka luaʻi (ka luaʻi o ka projectile).
• Pōloli ke keiki ma hope o ka luaʻi ʻana a makemake e hānai hou.

Hōʻike ʻia nā ʻōuli ʻē aʻe i kekahi mau pule ma hope o ka hānau ʻana a komo pū paha i:

• Abdominal eha
• ʻŌhumu
• Pololi mau
• Dehydration (lilo i hewa e like me ka luaʻi eʻoi aku ana ka maikaʻi)
• ʻO ka loaʻa ʻole o ke kaumaha a me ka pohō kaumaha
• ʻO ka neʻe like ʻana o ka ʻōpū ma hope o ka hānai ʻana a ma mua pono o ka luaʻi ʻana

Hoʻomaopopo pinepine ʻia ke ʻano ma mua o ka piha ʻana o ka pēpē i 6 mau makahiki.

Hōʻike kahi hoʻokolohua kino:

• ʻO nā hōʻailona o ka make wai ʻana, e like me ka ʻili maloʻo a me ka waha, ʻoi aku ka liʻiliʻi o ka haehae ʻana ke uē ʻoe, a me nā diapē maloʻo
• ʻŌpū ʻōhū
• ʻO ka nui o ka lāʻau ʻoliva ke manaʻo nei i ka ʻōpū o luna, ʻo ia ka pylorus maʻamau

ʻO ke ultrasound o ka ʻōpū ke hōʻike kiʻi mua. Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• Barium x-ray - hōʻike i kahi ʻōpū pehu a pylorus liʻiliʻi
• Nā ho'āʻo koko - hōʻike pinepine i kahi kaulike electrolyte

ʻO ka mālama ʻana no ka stenosis pyloric e pili ana i ka ʻoki ʻana e hoʻonui i ka pylorus. Kapa ʻia ke ʻoki pyloromyotomy.

Inā ʻaʻole palekana ka waiho ʻana i ka pēpē e hiamoe ai no ka ʻoki ʻana, hoʻohana ʻia kahi mea i kapa ʻia he endoscope me kahi baluna ʻuʻuku i ka hopena. Hoʻonui ʻia ka pāluna e hoʻonui i ka pylorus.

I nā pēpē hiki ʻole ke ʻoki, hoʻāʻo ʻia i ka Tube a hoʻōla i ka pylorus.

Hoʻomaha ka ʻoki ʻana i nā hōʻailona āpau. Ke hiki i kekahi mau hola ma hope o ke kaha ʻana, hiki i ka pēpē ke hoʻomaka i ka hānai liʻiliʻi, pinepine.

Inā mālama ʻole ʻia ka stylosis pyloric, ʻaʻole lawa ka pēpē a me ka wai i ka pēpē, a hiki ke lilo i kaupaona a me ka make wai.

Kāhea i kāu mea mālama ola inā loaʻa i kāu pēpē nā ʻōuli o kēia ʻano.

Congenital hypertrophic pyloric stenosis; Infenile hypertrophic pyloric stenosis; Kaohi kūwaha Gastric; ʻO ka luaʻi - stenosis pyloric

• ʻŌnaehana Digestive
• ʻO stenosis Pyloric
• ʻO stenosis pyloric Infantile - Pūnaewele

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Pyloric stenosis a me nā anomalies ʻōpū o ka 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 355.

Seifarth FG, Soldes OS. ʻO nā anomalies hānau a me nā maʻi ʻoki o ka ʻōpū. I: Wyllie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 25.