Volvulus - wā kamaliʻi

ʻO ka volvulus kahi wili o ka ʻōpū e hiki ke hana i ka wā kamaliʻi. Hāpai ia i kahi paʻa i hiki ke hōʻoki i ke kahe o ke koko. Hiki ke hōʻino ʻia kahi ʻāpana o ka ʻōpū ma ke ʻano he hopena.

ʻO kahi kīnā hānau i kapa ʻia ʻo ka malrotation ʻōpū hiki ke hana i kahi pēpē i kahi volvulus. Eia nō naʻe, hiki i kahi volvulus ke hana me ka ʻole o kēia ʻano.

Loaʻa pinepine ʻo Volvulus ma muli o ka malrotation i ka makahiki mua o ke ola.

ʻO nā ʻōuli maʻamau o ka volvulus:

• ʻO nā noho noho ʻulaʻula a ʻeleʻele paha
• ʻO ka paʻa paʻa a paʻakikī paha i ka hoʻokuʻu ʻana i nā noho
• ʻŌpū ʻōpū
• ʻEha a palupalu paha i loko o ka ʻōpū
• Nausea a i ʻole ka luaʻi
• Pāhaʻi
• Ke noi nei i nā mea ʻōmaʻomaʻo

Kū pinepine pinepine nā ʻōuli. Lawe ʻia ke pēpē i nā ʻano hihia i ka lumi pilikia. Hiki i ka mālama mua ʻana ke lilo i mea koʻikoʻi no ke ola.

E kauoha paha kāu mea mālama ola i kēia mau hōʻike e hōʻike i ke ʻano.

• Enema Barium
• Nā ho'āʻo koko e nānā i nā electrolytes
• CT scan
• ʻO Stoch guaiac (hōʻike i ke koko i ka pahu.
• Papa moʻo GI luna

I kekahi mau hihia, hiki ke hoʻohana ʻia ke kolonekia e hoʻoponopono i ka pilikia. Hoʻopili kēia i ka hoʻohana ʻana o kahi paipu maʻalahi me kahi kukui ma ka hopena i hoʻoili ʻia i loko o ke kolona (ʻōpū nui) ma o ka pololei.

Pono pinepine ke keʻoki pilikia e hoʻoponopono hou i ka volvulus. Hana ʻia kahi ʻokiʻoki ma ka ʻōpū. Hoʻopili ʻole ʻia ka ʻōpū a hoʻihoʻi ʻia ke koko.

Inā ua make kahi ʻāpana o ke kō mai ka nele o ke kahe o ke koko (nekrotic), hemo ia. Humuhumu pū ʻia nā wēlau o ka ʻōpū. A i ʻole, hoʻohana ʻia lākou e hana i kahi pilina o nā ʻōpū i waho o ke kino (colostomy a i ʻole ileostomy). Hiki ke wehe i nā ʻōpū o loko i kēia wehe.

ʻO ka hapanui o ka manawa, ʻike wikiwiki a me ka mālama ʻana i ka volvulus e alakaʻi i kahi hopena maikaʻi.

Inā make ka ʻōpū, ʻilihune ka maka. He mea make paha ke kūlana, kaukaʻi ʻia i ka nui o ka make o ka ʻōpū.

ʻO nā pilikia kūpono o ka volvulus:

• Peritonitis lua
• Short bowel syndrome (ma hope o ka hemo ʻana o kahi ʻāpana nui o ka ʻōpū liʻiliʻi)

He kūlana pilikia kēia. Hoʻolālā koke nā ʻōuli o ka volvulus o ka wā kamaliʻi a maʻi loa ke keiki. E kiʻi koke i ka lāʻau inā loaʻa kēia.

Volvulus kamaliʻi; Paʻi ʻōpū - volvulus

• Volvulus
• Volvulus - x-ray

Maqbool A, Liacouras CA. Nā hōʻailona nui a me nā hōʻailona o nā maʻi digestive tract. 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 332.

Mokha J. ʻomlelo hoʻomalu a me ka nausea. I: Wyllie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2021: chap 8.

Peterson MA, Wu AW. Nā maʻi o ka ʻōpū nui. 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 85.

ʻO Turay F, Rudolph JA. ʻO ka meaʻai a me ka gastroenterology. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 11.