Bezoar

ʻO ka bezoar he pōpō o nā mea haole i ale ʻia i haku pinepine ʻia i ka lauoho a me ka fiber. Hōʻiliʻili ia i loko o ka ʻōpū a ʻaʻole hele i loko o nā ʻōpū.

ʻO ka nau ʻana a i ʻole ka ʻai ʻana i ka lauoho a i ʻole nā ​​mea fuzzy (a i ʻole nā ​​mea hiki ʻole ke hoʻohuoi ʻia e like me nā ʻeke plastic) hiki ke alakaʻi i ka hoʻokumu ʻia ʻana o kahi bezoar. Haahaa loa ka helu. ʻOi aku ka nui o ka pilikia ma waena o ka poʻe me ke kīnā ʻole o ka naʻau a i ʻole nā ​​keiki hoʻohaʻahaʻa manaʻo. ʻO ka mea maʻamau, ʻike nui ʻia nā bezoar i nā wahine mai 10 a 19 mau makahiki.

Pākuʻi ʻia paha nā ʻōuli:

• Inunaele
• Hoʻonāukiuki ka ʻōpū a luʻuluʻu paha
• ʻO Nusea a me ka luaʻi
• Pohā
• ʻEha
• Gastric ulcer

He puʻupuʻu paha kā ke keiki i loko o ka ʻōpū i hiki ke ʻike ʻia e ka mea mālama ola. ʻO kahi barium e ale i ka x-ray e hōʻike i ka nui i loko o ka ʻōpū. I kekahi manawa, hoʻohana ʻia kahi laulā (endoscopy) e nānā pololei i ka bezoar.

Pono e hemo i ka bezoar, keu hoʻi inā nui ia. I kekahi mau hihia, hoʻoneʻe ʻia paha nā bezoars liʻiliʻi ma o kahi ākea i kau ʻia ma o ka waha i loko o ka ʻōpū. Ua like kēia me kahi hana EGD.

Kuhi ʻia ka hoʻōla piha.

ʻO ka luaʻi kūmau hiki ke alakaʻi i ka make wai.

Kāhea i kāu mea hāʻawi inā manaʻo ʻoe he bezoar kāu keiki.

Inā he bezoar lauoho kāu keiki i ka wā ma mua, ʻokiʻoki i ka lauoho o ke keiki pōkole i hiki ʻole iā lākou ke kau i nā wēlau i ka waha. E mālama i nā mea kūpono ʻole mai kahi keiki i loaʻa ka makemake e waiho i nā mea i ka waha.

E hoʻoneʻe i ke kiʻi o ke keiki i nā mea fuzzy a i piha paha i ka fiber.

Trichobezoar; Kinipōpō lauoho

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nā kino ʻē a me nā bezoar. 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 360.

Pfau PR, Hancock SM. Nā kino ʻē, nā bezoar, a me nā ingestions caustic. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 27.