ʻO ka paʻa paʻa i nā pēpē a me nā keiki
ʻO ka paʻa paʻa ʻana i nā pēpē a me nā keiki ke loaʻa iā lākou nā pahu paʻakikī a i ʻole nā pilikia i ka hele ʻana i nā pahu. He ʻeha paha kahi keiki i ka wā e hele ana i nā noho a i ʻole hiki ʻole ke neʻe i ka ʻōpū ma hope o ke kīkī ʻana a i ʻole kaomi ʻana.
Kūleʻa ka paʻa paʻa ʻana i nā keiki. Eia nō naʻe, ʻokoʻa ka neʻe ʻana o ke ʻōpū no kēlā me kēia keiki.
I ka mahina mua, mālama nā pēpē i ka neʻe ʻana o ka ʻōpū ma kahi o hoʻokahi manawa i ka lā. Ma hope o kēlā, hiki i nā pēpē ke hele i kekahi mau lā a i hoʻokahi pule paha ma waena o ka ʻōpū. He mea paʻakikī nō hoʻi ke hele i nā noho no ka mea nāwaliwali ko lākou mau ʻōpū. No laila hānai nā pēpē i ke kanikau, uē, a ʻulaʻula i ka maka ke loaʻa kahi ʻōpū. ʻAʻole ia manaʻo he paʻa lākou. Inā palupalu nā neʻe ʻana o ka ʻōpū, a laila ʻaʻohe pilikia.
Hiki i nā ʻōuli o ka paʻa paʻa ʻana i nā pēpē a me nā keiki ke hoʻopili pū ʻia.
- ʻOhana nui a kuha pinepine pinepine (pēpē)
- Ka paʻakikī i ka hele ʻana i nā noho a ʻoluʻolu ʻole paha
- Paʻa paakiki, maloʻo
- ʻEha ke loaʻa kahi ʻōpū
- ʻEha o ka ʻōpū a me ka momona
- Nā noho nui, ākea
- ʻO ke koko ma ka pahu noho a ma ka pepa lua paha
- Nā meheu o ka wai a me ka pahu i loko o ka lole komo o ke keiki (kahi hōʻailona o ka hoʻopili fecal)
- Loaʻa ka liʻiliʻi ma mua o 3 neʻe o ka ʻōpū i hoʻokahi pule (keiki)
- Ke hoʻoneʻe nei i ko lākou kino i nā kūlana ʻokoʻa a i ʻole ke hoʻopaʻa ʻana i kā lākou kī
E ʻike pono i kahi pilikia o kāu pēpē a keiki paha ma mua o ka mālama ʻana i ka paʻa paʻa.
- ʻAʻohe o kahi kamaliʻi neʻe i kēlā me kēia lā.
- Eia kekahi, ʻo nā keiki olakino mau ka noho palupalu.
- He paʻa paʻa nā keiki ʻē aʻe, akā hiki iā lākou ke hoʻohele me ka pilikia ʻole.
Kū ka paʻa paʻa ke waiho ka stool ma ke kolona no ka lōʻihi. Hoʻokomo nui ʻia ka wai e ke kolona, e waiho ana i nā noho maloʻo a maloʻo.
Hoʻokumu ʻia ka paʻa ʻana e:
- Hoʻowahāwahā i ka makemake e hoʻohana i ka lua
- ʻAʻole lawa ka ʻai ʻana i ka fiber
- Ka inu ʻole ʻana i nā wai
- Ke hoʻololi nei i nā meaʻai paʻa a mai ka waiū umauma a i nā haʻina (pēpē)
- Nā hoʻololi i ke kūlana, e like me ka huakaʻi, ke kula hoʻomaka, a i ʻole nā hanana kaumaha
Hiki i nā lāʻau olakino o ka paʻa paʻa ke komo pū i:
- Nā maʻi o ka ʻōpū, e like me nā mea e hoʻopili i nāʻiʻo o ke ʻōpū a i ʻole nā ʻalolo
- Nā kūlana olakino ʻē aʻe e pili ana i ka ʻōpū
- Hoʻohana o kekahi mau lāʻau
E nānā paha nā keiki i ka makemake e hana i kahi ʻōpū no ka mea:
- ʻAʻole mākaukau lākou no ka hoʻomaʻamaʻa toilet
- Ke aʻo nei lākou e kaohi i ko lākou ʻōpū
- Ua loaʻa iā lākou nā ʻeha o ka ʻōpū ʻeha ma mua a makemake lākou e hōʻalo iā lākou
- ʻAʻole lākou makemake e hoʻohana i kahi kula a i ʻole ka lua o ka lehulehu
Hiki i nā loli nohona ke kōkua i kāu keiki e hōʻole i ka paʻa paʻa. Hiki ke hoʻohana ʻia kēia mau hoʻololi e mālama iā ia.
No nā pēpē:
- E hāʻawi i kāu pēpē i ka wai a i ʻole ka wai momona i ka lā ma waena o nā hānai. Hiki i ka wai inu ke kōkua i ka lawe ʻana i ka wai i ke kolona.
- Ma mua o 2 mau mahina: E hoʻāʻo i ka 2 a i ka 4 auneke (59 a i ka 118 ML) o ka wai huaʻai (hua waina, pea, ʻāpala, cherry, a i ʻole prune) ʻelua mau lā i ka lā.
- Ma mua o 4 mau mahina: Inā ua hoʻomaka ka pēpē e ʻai i nā meaʻai paʻa, e hoʻāʻo i nā meaʻai pēpē me nā mea nui e like me ka pī, nā pī, nā ʻapelika, nā pulu, nā pears, nā plum, a me ka milo ʻelua mau lā i ka lā.
No nā keiki:
- Inu nui i nā wai i kēlā me kēia lā. Hiki i ke kahu mālama ola o kāu keiki ke haʻi iā ʻoe i ka nui.
- ʻAi i nā huaʻai a me nā lau a me nā meaʻai i loko o ka fiber, e like me nā kīʻaha āpau.
- Hōʻalo i kekahi mau meaʻai e like me ka tī, ka ʻai wikiwiki, hoʻomākaukau a hoʻomākaukau ʻia nā meaʻai, ʻiʻo, a me nā kalima.
- E hōʻoki i ka hoʻomaʻamaʻa toilet inā lilo kāu keiki i kaohi. E hoʻomau hou ma hope o ka paʻa ʻole o kāu keiki.
- E aʻo i nā keiki makua e hoʻohana i ka lua i ka wā ma hope o ka ʻai ʻana i ka pāʻina
Hiki ke kōkua i nā mea palupalu (e like me nā mea i loaʻa i ka sodium palapala) no nā keiki nui. Hiki i nā laxatives nui e like me ka psyllium ke kōkua i ka hoʻohui ʻana i ka wai a me ka nui i ka pahu. Hiki ke kōkua i nā Suppositories a i ʻole nā laxatives akahai i kāu keiki i ka neʻe mau o ka ʻōpū. Hiki ke hoʻohana ʻia nā hopena uila e like me Miralax.
Pono paha kekahi mau keiki i ka enemas a i ʻole ka laxatives kuhikuhi. Pono e hoʻohana i kēia mau hana inā ʻaʻole hāʻawi nā pulupulu, nā wai, a me nā palupalu palupalu i kahi hoʻomaha lawa.
Mai hāʻawi i nā laxatives a i ʻole nā enemas i nā keiki me ka noi ʻole ʻana i kāu mea hāʻawi.
Kāhea koke i kāu keiki inā:
- Hele kahi pēpē (koe wale ka poʻe i hānai ʻia i ka umauma) i 3 mau lā me ka ʻole o kahi noho a e luaʻi ana a huhū paha
Kāhea pū i ka mea hāʻawi i kāu keiki inā:
- ʻO kahi pēpē i ʻoi aku ma mua o 2 mau mahina ka paʻa
- Hele nā pēpē hānai ʻole i 3 mau lā me ka ʻole o ka ʻōpū (kāhea koke inā he luaʻi a huhū paha)
- Ke kāohi nei kahi keiki i nā neʻe o ke ʻōpū e pale aku i ke aʻo ʻana i ka lua
- Aia ke koko i nā noho
E hana ka mea hāʻawi i kāu keiki i kahi hoʻokolohua kino. Pākuʻi ʻia paha kēia i kahi hoʻokolohua rectal.
E nīnau paha ka mea hāʻawi iā ʻoe i nā nīnau e pili ana i ka papaʻai o kāu keiki, nā ʻōuli, a me nā ʻano ʻōpū.
Hiki i nā hōʻike aʻe ke kōkua i ka loaʻa ʻana o ke kumu o ka paʻa paʻa ʻana.
- Nā ho'āʻo koko e like me ka helu piha o ke koko (CBC)
- X-kukuna o ka ʻōpū
Hiki i ka mea hāʻawi ke paipai i ka hoʻohana ʻana o nā pahee palupalu a i ʻole nā laxatives. Inā hoʻopili ʻia nā pahu, e pono e paipai ʻia nā glycerin suppositories a i ʻole nā saline enemas.
Pālewa o ka ʻōpū; Ka nele o ka neʻe ʻana o ka ʻōpū mau
- Constipation - he aha e nīnau aku ai i kāu kauka
- Meaʻai kiʻekiʻe-fiber
- Nā kumu o ke olonā
- Nā ʻōnaehana ʻōnaehana Digestive
Kwan KY Abdominal eha. I: ʻO Olympia RP, O'Neill RM, Silvis ML, ʻaoʻao. Mālama lāʻau lapaʻau wikiwikis Piladelapia, PA: Elsevier; 2018: chap 19.
Maqbool A, Liacouras CA. Nā hōʻailona nui a me nā hōʻailona o nā maʻi digestive tract. 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 332.
National Institute of Diabetes a me nā Digestive a me nā maʻi kīnā. Ka paʻa paʻa ʻana i nā keiki. www.niddk.nih.gov/health-information/digestive-diseases/constipation- keiki. Hoʻohou Mei Mei 2018. Loaʻa iā ʻOkakopa 14, 2020.