ʻO Omphalocele

ʻO ka omphalocele kahi kīnā hānau kahi o ka ʻōpū o ke pēpē a i ʻole nā ​​ʻōpū ʻōpū ʻē aʻe i waho o ke kino no ka puka o ka ʻōpū piko (piko) wahi. Uhi wale ʻia nā ʻōpū e ka lahilahi o nā aʻa a hiki ke ʻike maʻalahi.

Manaʻo ʻia ʻo Omphalocele he kīnā kīnā o ka ʻōpū (kahi puka ma ka paia o ka ʻōpū). Pākuʻi mau ka ʻōpū o ke keiki (protrude) ma o ka lua.

ʻO ke ʻano e like me ka gastroschisis. ʻO kahi omphalocele kahi kīnā hānau kahi e puka ai ka ʻōpū o ke pēpē a i ʻole nā ​​ʻōpū ʻē aʻe ma o ka puka ma ka wahi o ka ʻōpū a uhi ʻia me ka membrane. I ka gastroschisis, ʻaʻohe ʻaʻohe membrane uhi.

Hoʻonui nā hemahema o ka paia ʻōpū i ka ulu ʻana o kahi pēpē i loko o ka ʻōpū o ka makuahine. I ka wā o ka hoʻomohala ʻana, ulu nā ʻōpū a me nā mea ʻē aʻe (akepaʻa, pūpū, ʻōpū, a me nā ovaries a i ʻole nā ​​hoʻāʻo) ma waho o ke kino ma mua a laila hoʻi pinepine i loko. I nā pēpē me ka omphalocele, noho nā ʻōpū a me nā mea ʻē aʻe ma waho o ka paia o ka ʻōpū, me kahi membrane e uhi ana iā lākou. ʻAʻole ʻike ʻia ke kumu kūpono o nā hemahema o ka paia ʻōpū.

Loaʻa i nā pēpē me ka omphalocele nā ​​kīnā hānau ʻē aʻe. Hoʻopili nā kīnā i nā pilikia kūpuna (nā kino kīnā o ka chromosomal), hernia diaphragmatic hernia, a me nā kīnā o ka puʻuwai a me nā puʻupaʻa. Hoʻopili pū kēia mau pilikia i ka nānā holoʻokoʻa (wānana) no ke olakino a me ke ola o ka pēpē.

Hiki ke ʻike akāka ʻia kahi omphalocele. ʻO kēia no ka mea pili nā ʻōpū (protrude) ma o ka wahi o ka ʻōpū.

Aia nā ʻano like ʻole o ka omphaloceles. I nā mea liʻiliʻi, koe wale nā ​​ʻōpū ma waho o ke kino. I nā mea nui aku, ke ākea a i ʻole nā ​​mea ʻē aʻe i waho pū kekahi.

Hoʻomaopopo pinepine nā ultrasound ultrasound i nā pēpē me ka omphalocele ma mua o ka hānau ʻana, maʻamau e 20 mau pule o ka hāpai ʻana.

ʻAʻole pono ka hoʻāʻo pinepine e kuhikuhi i ka omphalocele. Eia nō naʻe, pono e hoʻāʻo ʻia nā pēpē me ka omphalocele no nā pilikia ʻē aʻe e hele pū me ia. Hoʻopili kēia i nā ultrasounds o nā puʻupaʻa a me ka puʻuwai, a me nā hoʻokolohua koko no nā maʻi kūlohelohe, i waena o nā hoʻokolohua ʻē aʻe.

Hoʻoponopono ʻia nā Omphaloceles me ke kahakaha ʻana, ʻoiai ʻaʻole mau koke. Pale kahi ʻeke i ka ʻike o ka ʻōpū a ʻae paha i ka manawa no nā pilikia ʻoi loa (e like me nā kīnā o ka naʻau) e hana mua ʻia, inā pono.

E hoʻoponopono i kahi omphalocele, uhi ʻia ke ʻeke me kahi mea pono o ka hei, a laila humuhumu ʻia i kahi e hana ai i ka mea i kapa ʻia he silo. Ke ulu nei ka pēpē i ka hala ʻana o ka manawa, kipaku ʻia ka ʻōpū i loko o ka ʻōpū.

Ke hiki ke hōʻoluʻolu i ka omphalocele i loko o ka ʻōpū o ka ʻōpū, hemo ka silo a paʻa ka ʻōpū.

Ma muli o ke kaomi e pili ana i ka hoʻihoʻi ʻana i nā ʻōpū i ka ʻōpū, pono paha i ka pēpē ke kākoʻo e hanu me kahi ea. ʻO nā ʻano lapaʻau ʻē aʻe no ka pēpē me nā huaola a IV a me nā lāʻau ʻaloʻalo e pale ai i ka maʻi. ʻOiai ma hope o ka paʻa ʻana o ka hemahema, e hoʻomau ka meaʻai IV ʻoiai e hōʻike lohi i ka hānai ʻana i ka waiū.

I kekahi manawa, nui ka omphalocele ʻaʻole hiki ke hoʻihoʻi ʻia i loko o ka ʻōpū o ka pēpē. Ulu ka ʻili a puni ka omphalocele a laila uhi ka omphalocele. Hiki ke hoʻoponopono i nā mākala o ka ʻōpū a me ka ʻili ke ʻelemakule ke keiki no kahi hopena cosmetic maikaʻi aʻe.

Manaʻo piha ʻia ka hoʻōla hou ma hope o ke kaha ʻana no kahi omphalocele. Eia nō naʻe, kū pinepine nā omphaloceles me nā kīnā hānau ʻē aʻe. Maikaʻi ka hilinaʻi a ke keiki i nā kūlana ʻē aʻe a ke keiki.

Inā ʻike ʻia ka omphalocele ma mua o ka hānau ʻana, pono e nānā pono ʻia ka makuahine e hōʻoia i ke olakino o ka pēpē hānau ʻole.

Pono e hoʻolālā i nā hoʻolālā no ka lawe pono ʻana a me ka hoʻokele koke ʻana i ka pilikia ma hope o ka hānau ʻana. Lawe ʻia ka pēpē i kahi kikowaena olakino e mākaukau i ka hoʻoponopono ʻana i nā hemahema o ka paia ʻōpū. E ʻoi aku paha ka maikaʻi o nā pēpē inā ʻaʻole pono lākou e lawe i kahi kikowaena ʻē aʻe no ka mālama hou.

Pono nā mākua e noʻonoʻo e hoʻāʻo i ka pēpē, a me nā lālā paha o ka ʻohana, no nā pilikia ʻē aʻe e pili ana i kēia ʻano.

Hiki ke hoʻonui i ke kaomi mai nā ʻōpū o kahi ʻōpū i hiki ke hoʻoliʻiliʻi i ke kahe o ke koko i ka ʻōpū a me nā puʻupaʻa. Hiki iā ia ke lilo i mea paʻakikī i ka pēpē e hoʻonui i nā ake māmā, e hiki ai i nā pilikia hanu.

ʻO kekahi komplication ka make o ka ʻōpū (nekrosis). Kū kēia ke make kaʻiʻo ʻōpū ma muli o ke kahe o ke kahe o ke koko a i ʻole ka maʻi. Hiki ke hoʻemi ʻia ka pilikia i nā pēpē i loaʻa i ka waiū makuahine ma mua o ke kumumanaʻo.

ʻIke ʻia kēia ʻano i ka wā hānau a e ʻike ʻia i ka haukapila i ka wā hānau inā ʻaʻole i ʻike ʻia ma nā hōʻike ultrasound fetal maʻamau i ka wā hāpai. Inā ua hānau ʻoe ma ka home a loaʻa paha kāu pēpē i kēia kīnā, e kāhea koke i ka helu kūloko kūloko (e like me 911).

Kuhi ʻia kēia pilikia a hoʻoponopono ʻia i ka haukapila i ka wā hānau. Ma hope o ka hoʻi ʻana i ka home, e kāhea i kāu kahu mālama inā loaʻa i kāu pēpē kekahi o kēia mau ʻōuli.

• Hoʻoemi i ka neʻe ʻana o ka ʻōpū
• Nā pilikia hānai
• Fiva
• ʻO ka luaʻi ʻōmaʻomaʻo ʻōmaʻomaʻo ʻōmaʻomaʻo paha
• Kahi ʻōpū pehu
• ʻO ka luaʻi (ʻokoʻa ma mua o ka kuha ʻana o ka pēpē maʻamau)
• Hoʻololi i nā ʻano hana Worrisome

Hānau hānau - omphalocele; Kīnā o ka paia ʻōpū - pēpē; Kīnā o ka paia ʻōpū - neonate; Hapa kīnā o ka ʻōpū - hānau hou

• ʻO omphalocele pēpē
• Hoʻoponopono Omphalocele - moʻo
• Silo

Nā hemahema Islam S. Congenital abdomen: gastroschisis a me omphalocele. I: Holcomb GW, Murphy P, St. Peter SD, eds. ʻO Holcomb a me Ashcraft's Pediatric Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 48.

ʻO Walther AE, ʻo Nathan JD. Nā hemahema o ka paia ʻōpū hānau hou. I: Wyllie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. 5th lā. Piladelapia, PA: Elsevier; 2016: chap 58.