Hoʻoponopono Meningocele

ʻO ka hoʻoponopono ʻana ʻo Meningocele (ʻo ia hoʻi ʻo myelomeningocele hoʻoponopono) kahi ʻoki e hoʻoponopono i nā kīnā hānau o ka iwi kuamoʻo a me nā membrane spinal. ʻO Meningocele a me myelomeningocele kekahi ʻano o ka spina bifida.

No nā meningoceles a me nā myelomeningoceles, e pani ka mea hoʻopuka i ka wehe ma ka hope.

Ma hope o ka hānau ʻana, uhi ʻia ka hewa e kahi ʻaukā sterile. Lawe ʻia kāu keiki i kahi keʻena mālama mālama neonatal (NICU). E hāʻawi ʻia kahi mālama e kahi hui kauka me ka ʻike i nā keiki me ka spina bifida.

E loaʻa paha i kāu pēpē kahi MRI (magnetic resonance imagining) a i ʻole ultrasound o ke kua. Hiki ke hana ʻia kahi MRI a i ʻole ultrasound o ka lolo e nānā no ka hydrocephalus (keu wai i ka lolo).

Inā ʻaʻole uhi ʻia ka myelomeningocele e ka ʻili a i ʻole he membrane ke hānau ʻia kāu keiki, e hana ʻia ke kaha ma waena o 24 a 48 mau hola ma hope o ka hānau ʻana. Pale aku kēia i ka maʻi.

Inā loaʻa kāu keiki i ka hydrocephalus, e hoʻokomo ʻia kahi shunt (tube plastic) i ka lolo o ke keiki e hoʻoliʻiliʻi i ka wai keu i ka ʻōpū. Pale kēia i ke kaomi e hiki ke hōʻino i ka lolo o ka pēpē. Kapa ʻia ka shunt he shunt ventriculoperitoneal.

ʻAʻole pono e hōʻike i kāu keiki i ka latex ma mua, i ka wā, a ma hope o ke kaha ʻana. Nui nā keiki me kēia ʻano i loaʻa i nā maʻi ʻinoʻino loa i ka latex.

Pono ka hoʻoponopono ʻana i kahi meningocele a i ʻole myelomeningocele e pale aku ai i ka maʻi a me ka hōʻeha hou aku i ka iwi kuamoʻo o ke keiki a me nā aʻa. ʻAʻole hiki i ke ʻoki kino ke hoʻoponopono i nā kīnā o ke kuamoʻo a i ʻole nā ​​ʻalolo.

Nā pilikia no kekahi anesthesia a me nā ʻoki kino:

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

ʻO nā pilikia no kēia ʻoki kino penei:

• Hoʻopili ka wai a me ke kaomi i ka lolo (hydrocephalus)
• Hoʻonui i ka manawa kūpono i ka maʻi urinary tract a me nā pilikia o ka ʻōpū
• ʻO ka maʻi a me ka mumū o ka iwi kuamoʻo
• Hoʻololi ka paralysis, nāwaliwali, a i ʻole nā ​​sensation ma muli o ka nalo ʻana o ka hana nerve

E ʻike pinepine kahi mea mālama ola i kēia mau kīnā ma mua o ka hānau ʻana me ka hoʻohana ʻana i ka ultrasound fetal. E ukali loa ka mea hāʻawi i ka fetus a hiki i ka hānau ʻana. ʻOi aku ka maikaʻi inā lawe ʻia ka pēpē i kahi wā piha. E makemake kāu kauka e hana i kahi cesarean delivery (C-section). Pale kēia i ka hōʻino hou ʻana i ka ʻeke a i ʻole nā ​​iwi kuamoo hōʻike ākea.

Pono kāu keiki e lilo ma kahi o 2 mau pule ma ka haukapila ma hope o ke kaha ʻana. Pono ke keiki e moe palahalaha me ka hoʻopā ʻole ʻana i kahi o ka ʻeha. Ma hope o ke kaha ʻana, e loaʻa i kāu keiki nā lāʻau ʻaloʻolika e pale aku ai i ka maʻi.

Hana hou ʻo MRI a i ʻole ultrasound o ka lolo ma hope o ke kaha ʻana e ʻike inā ulu ka hydrocephalus ke hoʻoponopono hou ʻia ka hemahema ma ke kua.

Pono paha i kāu keiki i ke ʻano hoʻoikaika kino, hana, a me ka haʻiʻōlelo. Nui nā keiki me kēia mau pilikia i ke kino kīnā nui (nui) a maikaʻi (liʻiliʻi), a me nā pilikia ale ʻana, i ka wā mua o ke ola.

Pono paha ke keiki e ʻike i kahi hui o ka loea i spina bifida pinepine ma hope o ka hoʻokuʻu ʻia ʻana mai ka haukapila.

Ma ke ʻano o ka hilinaʻi ʻana o ke keiki i ke kūlana mua o kā lākou iwi kuamoʻo a me nā ʻalolo. Ma hope o ka hoʻoponopono hou ʻana i ka meningocele, maikaʻi maikaʻi nā keiki a ʻaʻohe o lākou lolo, nā aʻa, a me nā pilikia o ka mākala.

ʻO nā keiki i hānau ʻia me myelomeningocele pinepine ka maʻi lōlō a nāwaliwali paha o nā mākala ma lalo o ka pae o ko lākou kuamoʻo kahi o ka hemahema. ʻAʻole hiki iā lākou ke kaohi i ko lākou ʻōpū a i ʻole ka ʻōpū. Pono paha lākou i ke kākoʻo olakino a me ka hoʻonaʻauao no nā makahiki he nui.

ʻO ka hiki ke hele a kāohi i ka ʻōpū a me ka hana o ka puhū ma kahi o ka hānau hānau ma ka iwi kuamoo. ʻOi aku ka maikaʻi o ka hopena i nā kīnā o lalo i ka iwi kuamoʻo.

Hoʻoponopono Myelomeningocele; Pani pani Myelomeningocele; Hoʻoponopono Myelodysplasia; Hoʻoponopono hou i ka iwi kōpala; Hoʻoponopono Meningomyelocele; Hoʻoponopono i nā kīnā neural tube; Hoʻoponopono Spina bifida

• Mālama ʻeha ʻeha - wehe

• Hoʻoponopono Meningocele - moʻo

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Ortega-Barnett J, Mohanty A, Desai SK, Patterson JT. Neurosurgery. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier Saunders; 2017: chap 67.

Robinson S, Cohen AR. Myelomeningocele a me nā kīnā neural tube e pili ana. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2015: chap 65.