Hoʻoponopono Gastroschisis

ʻO ka hoʻoponopono ʻana ʻo Gastroschisis kahi hana i hana ʻia i kahi pēpē e hoʻoponopono i kahi kīnā hānau e kumu i ka wehe o ka ʻili a me nā mākala e uhi ana i ka ʻōpū (paia ʻōpū). ʻAe ka wehe i nā ʻōpū a i kekahi manawa e huʻupuʻu nā mea ʻē aʻe i waho o ka ʻōpū.

ʻO ka pahuhopu o ke kaʻina hana ke hoʻihoʻi i nā mea i loko o ka ʻōpū o ka pēpē a hoʻoponopono i ka hemahema. Hoʻoponopono paha ma hope pono o ka hānau ʻana o ka pēpē. Kapa ʻia kēia ka hoʻoponopono mua. A i ʻole, hana ʻia ka hoʻoponopono i nā pae. Kāhea ʻia kēia i ka hoʻoponopono ʻia ʻana. Hana ʻia ke ʻoki no ka hana mua i ke ʻano penei:

• Inā hiki, hana ʻia ke ʻoki i ka lā i hānau ʻia ai kāu pēpē. Hana ʻia kēia ʻoki ke loaʻa ka liʻiliʻi o ka ʻōpū ma waho o ka ʻōpū a ʻaʻole pehu nui ka ʻōpū.
• Ma hope pono o ka hānau ʻana, hoʻonoho ʻia ka ʻōpū ma waho o ka ʻōpū i loko o kahi ʻeke kūikawā a i ʻole uhi ʻia me kahi wahī palekiko e pale aku ai iā ia.
• Hoʻomākaukau kāu pēpē no ke ʻoki ʻana.
• Loaʻa i kāu pēpē ka anesthesia ākea. He lāʻau kēia e ʻae ai i kāu pēpē e hiamoe a ʻaʻohe ʻeha i ka wā o ka hana.
• Nānā pono ke kauka lāʻau i ka ʻōpū o kāu pēpē (ʻōpū) no nā hōʻailona o ka hōʻino a i ʻole nā ​​kīnā hānau ʻē aʻe. Lawe ʻia nā ʻāpana maikaʻi ʻole. Kuʻi pū ʻia nā kihi olakino.
• Hoʻokomo ʻia ka ʻōpū i loko o ka ʻōpū.
• Hoʻoponopono ka wehe ʻana i ka paia o ka ʻōpū.

Hana ʻia ke kahua hoʻonohonoho ʻana inā ʻaʻole paʻa kāu pēpē no ka hoʻoponopono mua. Hiki nō ke hana ʻia inā pehu ka ʻōpū o ka pēpē a i ʻole he nui ka nui o ka ʻōpū ma waho o ke kino. A i ʻole, hana ʻia ia inā ʻaʻole nui ka ʻōpū o ka pēpē e lawa i nā ʻōpū āpau. Hana ʻia ka hoʻoponopono i ke ala aʻe:

• Ma hope pono o ka hānau ʻana, hoʻonoho ʻia ka ʻōpū o ka pēpē a me nā mea ʻē aʻe i waho o ka ʻōpū i loko o kahi ʻeke plastic lōʻihi. Kapa ʻia kēia ʻeke he silo. Hoʻopili ka silo i ka ʻōpū o ka pēpē.
• ʻO ka wēlau ʻē aʻe o ka silo e kau ʻia ma luna o ka pēpē. ʻAe kēia i ka umekaumaha e kōkua i ka ʻōpū e heʻe i loko o ka ʻōpū. I kēlā me kēia lā, hoʻopaʻa ka mea mālama olakino i ka silo e pahu i ka ʻōpū i loko o ka ʻōpū.
• Lawe ʻia i 2 mau pule no ka ʻōpū āpau a me nā mea ʻē aʻe e hoʻi i loko o ka ʻōpū. Lawe ʻia ka silo. Hoʻoponopono ka wehe ʻana o ka ʻōpū.

Pono hou ʻia kahi ʻōpala hou i ka manawa hope e hoʻoponopono i nā mākala i loko o ka ʻōpū o kāu pēpē.

ʻO Gastroschisis kahi kūlana hoʻoweliweli ola. Pono e mālama koke ma hope o ka hānau ʻana i hiki i nā ʻōpū o ke pēpē ke hoʻomohala a pale ʻia i loko o ka ʻōpū.

Nā pilikia no ka anesthesia a me ke kahakaha ʻana ma:

• Nā hopena āpau i nā lāʻau
• Nā pilikia hanu
• Kahena
• Maʻi kīnā

Nā pilikia no ka hoʻoponopono gastroschisis ʻo:

• Nā pilikia hanu inā liʻiliʻi ka ʻōpū o ka ʻōpū (kahi o ka ʻōpū) ma mua o ka maʻamau. Pono paha i ka pēpē i kahi puʻupuʻu hanu a me ka mīkini hanu no kekahi mau lā a i ʻole mau pule ma hope o ke kaha ʻana.
• ʻO ka hoʻowahāwahā o nā pūnaewele i kū i ka paia o ka ʻōpū a uhi i nā ʻōpū o ka ʻōpū.
• ʻAha ʻeha.
• ʻO nā pilikia me ka digestion a me ka mimiki ʻana i nā meaʻai mai ka meaʻai, inā nui ka hōʻino o ka pēpē i ka ʻōpū liʻiliʻi.
• Pōlō kūlohelohe (hooki nāʻiʻo i ka neʻe ʻana) o ka ʻōpū liʻiliʻi.
• Hernnia paia ʻōpū.
  
  

ʻIke mau ʻia ʻo Gastroschisis ma ka ultrasound ma mua o ka hānau ʻia ʻana o ka pēpē. Hōʻike paha ka ultrasound i nā puka lou o ka ʻōpū e lana wale ana ma waho o ka ʻōpū o ka pēpē.

Ma hope o ka loaʻa ʻana o gastroschisis, e ukali kokoke loa kāu pēpē e hōʻoia ana ke ulu nei lākou.

Pono e hānau ʻia kāu pēpē ma kahi haukapila i loaʻa kahi keʻena mālama maʻi neonatal (NICU) a me kahi kauka lāʻau pediatric. Hoʻonohonoho ʻia kahi NICU e lawelawe i nā pilikia kūpilikiʻi i kū i ka wā hānau. He hoʻomaʻamaʻa kūikawā kahi kauka lāʻau pediatric ma ke ʻoki kino no nā pēpē a me nā keiki. ʻO ka hapa nui o nā pēpē i loaʻa i ka gastroschisis e hāʻawi ʻia e ka ʻāpana cesarean (ʻāpana C).

Ma hope o ke kahakaha ʻana, e mālama ʻia kāu pēpē i ka NICU. E hoʻokau ʻia ka pēpē i kahi moena kūikawā e mahana ai kāu pēpē.

Pono paha kāu pēpē ma kahi mīkini hanu a hiki i ka emi ʻana o ka ʻōpala a hoʻonui ʻia ka nui o ka ʻōpū.

ʻO nā mālama ʻē aʻe e pono ai kāu pēpē ma hope o ke kaʻoki ʻana:

• Hoʻokomo ʻia kahi paipu nasogastric (NG) ma o ka ihu e hoʻopau i ka ʻōpū a hakahaka.
• Nā Antibiotics.
• Hāʻawi ʻia nā wai a me nā meaʻai i loko o ke aa.
• Oxygen.
• Nā lāʻau ʻeha.

Hoʻomaka ka hānai ma o ka NG tube i ka manawa e hoʻomaka ai ka hana ʻana o ka ʻōpū o kāu pēpē ma hope o ke kaha ʻana. E hoʻomaka lohi ka hanai ʻana ma ka waha. ʻAi mālie paha kāu pēpē a pono paha ʻoe e hānai i ka lāʻau, ka paipai nui, a me ka manawa e ola ai ma hope o ka hānai ʻana.

ʻO ka noho maʻamau i ka haukapila he mau pule a hiki i kekahi mau mahina. Hiki paha iā ʻoe ke lawe i kāu pēpē i ka home ke hoʻomaka lākou e lawe i nā meaʻai āpau ma ka waha a loaʻa ke kaumaha.

Ma hope o kou hoʻi ʻana i ka home, hoʻomohala paha kāu keiki i kahi poloka i loko o nā ʻōpū (ʻōpū o ke ʻōpū) ma muli o ke kink a i ʻole nā ​​ʻeha ma nā ʻōpū. Hiki i ke kauka ke haʻi iā ʻoe pehea e mālama ʻia ai kēia.

ʻO ka hapanui o ka manawa, hiki i ka gastroschisis ke hoʻoponopono me hoʻokahi a ʻelua paha ʻoki. Ma ke ʻano o ka hilinaʻi a kāu pēpē i ka nui o ka pōʻino o ka ʻōpū.

Ma hope o ka hoʻi hou ʻana mai ke ʻoki kino, hana maikaʻi loa ka hapa nui o nā keiki me gastroschisis a ola i nā ola maʻamau. ʻO ka hapa nui o nā pēpē i hānau ʻia me gastroschisis ʻaʻohe ona kīnā hānau ʻē aʻe.

Hoʻoponopono i nā hemahema o ka paia ʻōpū - gastroschisis

• Hoʻoponopono Gastroschisis - moʻo
• Silo

ʻO Chung DH. ʻOki kino Pediatric. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 66.

Nā hemahema Islam S. Congenital abdomen. I: Holcomb GW, Murphy JP, Ostlie DJ, eds. ʻO Surgery Pediatricʻo Ashcraft. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2014: chap 48.

Ledbetter DJ, Chabra S, Javid PJ. Nā hemahema o ka paia ʻōpū. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 73.