Hānia Diaphragmatic

ʻO ka hernia diaphragmatic kahi kīnā hānau kahi kahi puka kūpono ʻole i ka diaphragm. ʻO ka diaphragm ka mākala ma waena o ka umauma a me ka ʻōpū e kōkua iā ʻoe e hanu. ʻAe ka wehe i kahi ʻāpana o nā ʻōpū mai ka ʻōpū e neʻe i loko o ka pahu umauma kokoke i nā akemāmā.

ʻO kahi hernia diaphragmatic kahi hemahema laha ʻole. Aia ia i ka wā e ulu ana ka pēpē i loko o ka ʻōpū. ʻAʻole hoʻomohala piha ʻia ka diaphragm. Ma muli o kēia, nā ʻōpū, e like me ka ʻōpū, ʻōpū liʻiliʻi, ʻāpala, ʻāpana o ke ake, a e lawe paha ka puʻupaʻa i kahi ʻāpana o ka umauma.

Hoʻokomo pinepine ʻo CDH i hoʻokahi ʻaoʻao o ka diaphragm. ʻOi aku ka maʻamau ma ka ʻaoʻao hema. ʻO ka manawa pinepine, ʻaʻole ulu ka iwi a me nā kīʻaha koko ma ia wahi i ka maʻamau. ʻAʻole maopopo inā ʻo ka diaphragmatic hernia ke kumu o ke aʻa a me nā kīʻaha koko i hoʻomohala ʻole ʻia, a i ʻole ke ala ʻē aʻe.

40 pākēneka o nā pēpē me kēia ʻano i loaʻa i nā pilikia pū kekahi. ʻO ka loaʻa ʻana o kahi makua a i ʻole hoahānau me ka maʻi e hoʻonui i ka makaʻu.

Hoʻoulu pinepine nā pilikia hanu nui ma hope koke o ka hānau ʻana o ka pēpē. Loaʻa kēia ma kahi ʻāpana i ka neʻe maikaʻi ʻole o ka mākala diaphragm a me ka lehulehu o kaʻiʻo māmā. ʻO nā pilikia me ka hanu ʻana a me nā pae o ka oxygen ma muli pinepine o ka nāʻaʻa puʻuwai underdeveloped a me nā kīʻaha koko pū kekahi.

ʻO nā ʻōuli ʻē aʻe e like me:

• ʻO kaʻili kala polū ma muli o ka nele o ka oxygen
• Ka hanu wikiwiki ʻana (tachypnea)
• Ka helu puʻuwai wikiwiki (tachycardia)

Hiki i ka Fetal ultrasound ke hōʻike i nā ʻōpū o ka ʻōpū i ka umauma umauma. Nui ka nui o ka wai amniotic o ka wahine hāpai.

Hōʻike kahi hōʻike o ke pēpē:

• Nā neʻe umauma ʻole
• Kani ka hanu ʻole ma ka ʻaoʻao me ka hernia
• Kani nā ʻōpū e lohe ʻia i ka umauma
• ʻO ka ʻōpū e nānā pono ʻole i ka protuberant ma mua o kahi keiki hānau hou a manaʻo ʻaʻole i piha ke hoʻopā ʻia

Hōʻike kahi x-ray umauma i nā ʻōpū o ka ʻōpū i ka umauma umauma.

Pono kahi hoʻoponopono diaphragmatic hernia i ke ʻoki. Hana ʻia ke kaha e hoʻonoho ai i nā ʻōpū o ka ʻōpū i ke kūlana kūpono a hoʻoponopono i ka wehe i ka diaphragm.

Pono ke keiki hānai i ke kākoʻo hanu i ka manawa o ke ola. Kau ʻia kekahi pēpē ma ka mīkini holoʻokoʻa puʻuwai / māmā e kōkua ai i ka lawe ʻana i ka nui o ka oxygen i ke kino.

Pili ka hopena o ke kaha ʻana i ka maikaʻi o ka ulu ʻana o nā māmā o ka pēpē. Aia nō ia i ka loaʻa ʻana o kekahi mau pilikia hānau ʻē aʻe. ʻO ka hapanui pinepine ka nānā aku i maikaʻi no nā pēpē i lawa ka nui o ka hana o nā māmā a ʻaʻohe pilikia ʻē aʻe.

ʻO nā holomua olakino ka mea i hiki ke ola ma mua o hoʻokahi hapalua o nā pēpē me kēia ʻano. ʻO nā pēpē i ola e loaʻa pinepine nā pilikia me ka hanu ʻana, hānai ʻana, a me ka ulu ʻana.

Komo pū nā pilikia:

• Nā maʻi lele
• Nā pilikia hānau hou

ʻAʻohe pale e ʻike ʻia. Makemake paha nā kāne me ka moʻolelo ʻohana o kēia pilikia e ʻimi i nā ʻōlelo aʻoaʻo kūlohelohe.

Hernia - diaphragmatic; Hnia hernia o ka diaphragm (CDH)

• Hernia diaphragmatic pēpē
• Hoʻoponopono hernia Diaphragmatic - moʻo

Ahlfeld SK. Nā maʻi maʻi hanu. 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 122.

ʻO Crowley MA. Nā maʻi hanu neonatal. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 66.

Harting MT, Hollinger LE, Lally KP. Congenital diaphragmatic hernia a me ke ahiahi. I: Holcomb GW, Murphy JP, St. Peter SD, eds. ʻO Holcomb a me Ashcraft's Pediatric Surgery. ʻEpekema 7 Piladelapia, PA: Elsevier; 2020: chap 24.

Kearney RD, Lo MD. Hoola hou neonatal. 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 164.