ʻOki kino Anti-reflux - keiki

ʻO ke kīʻaha anti-reflux kahi ʻoki e hoʻopaʻa i nā mākala ma ka lalo o ka esophagus (ka paipu e lawe i ka meaʻai mai ka waha a ka ʻōpū). Hiki i nā pilikia me kēia mau mākala ke alakaʻi i ka maʻi reflux gastroesophageal (GERD).

Hiki ke hana i kēia ʻokiʻoki i ka wā o ka hoʻoponopono hinia hernia.

Kūkākūkā kēia ʻatikala i ka hoʻoponopono ʻino anti reflux i nā keiki.

ʻO ke ʻano maʻamau o ka ʻoki anti-reflux i kapa ʻia he fundoplication. Lawe pinepine kēia ʻoki i 2 a 3 mau hola.

Hāʻawi ʻia kāu keiki i ka anesthesia ākea ma mua o ke ʻoki ʻana. ʻO ia ka mea e hiamoe ana ke keiki a ʻaʻole hiki ke ʻehaʻeha i ke kaʻina hana.

E hoʻohana ke kaukōkō i nā humuhumu e wahī i ka ʻaoʻao luna o ka ʻōpū o kāu keiki a puni ka hopena o ka esophagus. Kōkua kēia i ka pale ʻana i ka waikawa ʻōpū a me ka meaʻai e kahe ana i luna i luna.

Hiki ke hoʻokomo ʻia i kahi ʻōpū gastrostomy (g-Tube) inā loaʻa i kāu keiki ke ale a me ka pilikia hānai ʻana. Kōkua kēia paipu me ka hānai ʻana a hoʻokuʻu i ka ea mai ka ʻōpū o kāu keiki.

Kekahi ʻoki kino, i kapa ʻia pyloroplasty paha e hana ʻia. Hoʻonui kēia ʻōpoki i ka wehe ma waena o ka ʻōpū a me ka ʻōpū liʻiliʻi i hiki i ka ʻōpū ke holo wikiwiki i ka wikiwiki.

Hana ʻia kēia ʻoki i nā ala he nui, e like me:

• Hoʻoponopono wehe - E ʻokiʻoki ke kaukoki ma kahi o ka ʻōpū o ke keiki (ʻōpū).
• Hoʻoponopono Laparoscopic - E hana ka mea lapaʻau iā 3 a 5 mau ʻoki liʻiliʻi i loko o ka ʻōpū. Hoʻokomo ʻia kahi ʻōiwi lahilahi a hollow me kahi kāmela liʻiliʻi ma ka hopena (kahi laparoscope) ma o kekahi o kēia mau ʻoki. Hoʻoholo ʻia nā mea hana ʻē aʻe i nā ʻoki ʻoki lāʻau ʻē aʻe.

Pono paha ke kauka e kuapo i kahi hana hāmama inā aia ke kahe o ke kahe, ka nui o nā maʻi ʻōniʻoniʻo mai nā hana ma mua, a i ʻole ke kaumaha nui o ke keiki.

ʻAno like ka endoparinal fundoplication me ka hoʻoponopono laparoscopic, akā hiki i ka mea lapaʻau i ka ʻōpū ma o ka hele ʻana ma ka waha. Hoʻohana ʻia nā pakuhi liʻiliʻi e hoʻopaʻa i ka pilina ma waena o ka ʻōpū a me ka esophagus.

Hana pinepine ʻia ke ʻoki lāʻau anti-reflux e mālama iā GERD i nā keiki ma hope wale nō o ka hana ʻole ʻana o nā lāʻau. E ʻōlelo paha ka mea mālama ola o kāu keiki i ke kīʻaha anti-reflux ke:

• He ʻōuli ko kāu keiki o ka puʻuwai puʻuwai e ʻoi aku ka maikaʻi me nā lāʻau, akā ʻaʻole ʻoe makemake i kāu keiki e hoʻomau i ka lawe ʻana i kēia mau lāʻau.
• Ke puhi nei nā ʻōuli o ka ʻāʻī puʻuwai i loko o ko lākou ʻōpū, ʻāʻī, a i ʻole ka umauma, ke kanu ʻana a i ʻole nā ​​ʻōmole kinoea, a i ʻole nā ​​pilikia e ale ana i ka meaʻai a wai paha.
• Ke paʻa nei ka ʻāpana o kou ʻōpū i ka umauma a i ʻole ke wili nei iā ia iho.
• Loaʻa i kāu keiki ka liʻiliʻi o ka esophagus (i kapa ʻia ʻo strikure) a i ʻole ke kahe ʻana o ke koko i ka esophagus.
• ʻAʻole maikaʻi ke ulu ʻana o kāu keiki a i ʻole hāʻule paha i ka ulu.
• Loaʻa i kāu keiki kahi maʻi maʻi maʻi ma muli o ka hanu ʻana o ka ʻōpū i loko o nā māmā (i kapa ʻia he aspironia pneumonia).
• Hoʻokumu ʻo GERD i ka huehue mau a i ʻole ke oho ʻana i kāu keiki.

ʻO nā pōʻino no kēlā me kēia ʻoki pū me:

• Kahena
• Maʻi kīnā

ʻO nā pilikia no ka anesthesia pū kekahi:

• Nā hopena i nā lāʻau
• Nā pilikia hanu, me ka maʻi ponia
• Nā pilikia puʻuwai

Hoʻopilikia ʻia nā ʻōpala anti-reflux i:

• Hoʻopōʻino i ka ʻōpū, esophagus, ate, a i ʻole ka ʻōpū liʻiliʻi. Kākaʻikahi loa kēia.
• Gas a me ka bloating e paʻakikī ai i ke kanu ʻana a i ʻole kīloi ʻana i luna. ʻO ka hapa nui o ka manawa, hoʻomaikaʻi iki kēia mau ʻōuli.
• ʻO Gagging.
• ʻEhaʻeha, paʻakikī i ka ale ʻana, i kapa ʻia ʻo dysphagia. No ka hapanui o nā keiki, hele kēia i nā mahina 3 mua ma hope o ke kaha ʻana.
• Kākaʻikahi ka pilikia o ka hanu ʻana a i ʻole nā ​​mumū, e like me ka hanu hāneʻe.

E hōʻoia mau i ka ʻike olakino o kāu keiki e pili ana i nā lāʻau a pau a me nā mea hoʻopihapiha a kāu keiki e lawe nei, me nā mea āu i kūʻai ai me ka ʻole o ka lāʻau.

I hoʻokahi pule ma mua o ke kahakaha ʻana, e noi ʻia paha ʻoe e haʻalele i ka hāʻawi ʻana i nā huahana o kāu keiki e pili ana i ka hoʻopili ʻana o ke koko. Hiki i kēia ke komo i ka aspirin, ibuprofen (Advil, Motrin), wikamina E, a me warfarin (Coumadin).

E haʻi ʻia ʻoe i ka wā e hōʻea ai i ka haukapila.

• ʻAʻole pono ke keiki e ʻai a inu i kekahi mea ma hope o ke aumoe ma mua o ke kaha ʻana.
• Hiki i kāu keiki ke ʻauʻau a ʻauʻau paha i ka pō ma mua a i ʻole ke kakahiaka o ke ʻoki ʻana.
• I ka lā o ke kaha ʻana, pono i ke keiki e lawe i kekahi lāʻau i ʻōlelo ʻia e ka mea hāʻawi e lawe me kahi wahi wai liʻiliʻi.

Pehea ka lōʻihi e noho ai kāu keiki ma ka haukapila e pili ana i ka hana ʻana o ke ʻoki.

• Noho mau nā kamaliʻi nāna ka hana laparoscopic anti-reflux surgery i ka haukapila no 2 a 3 mau lā.
• ʻO nā keiki i loaʻa i kahi ʻoki ākea hiki ke lilo i 2 a 6 mau lā i ka haukapila.

Hiki i kāu keiki ke hoʻomaka e ʻai hou ma kahi o 1 a 2 mau lā ma hope o ke kaha ʻana. Hāʻawi pinepine ʻia nā wai.

Hoʻokomo ʻia kekahi mau keiki i ka paipu g i ka wā o ke ʻoki. Hiki ke hoʻohana i kēia paipu no ka hānai wai ʻana, a i ʻole e hoʻokuʻu i ke kinoea mai ka ʻōpū.

Inā ʻaʻole i kau keiki kahi ʻōpala g i hoʻonoho ʻia, e hoʻokomo ʻia kahi paipu ma o ka ihu i ka ʻōpū e kōkua ai e hoʻokuʻu i ke kinoea. Lawe ʻia kēia ʻōmole ke hoʻomaka hou kāu keiki e ʻai hou.

Hiki i kāu keiki ke hoʻi i ka home ke ʻai lākou i ka meaʻai, ua loaʻa kahi ʻōpū a maikaʻi maikaʻi.

Pono e hoʻomaikaʻi hou aku ka naʻau a me nā hōʻailona e pili ana ma hope o ke kipi anti-reflux. Eia nō naʻe, pono paha i kāu keiki e lawe i nā lāʻau no ka puʻuwai puʻuwai ma hope o ke kahakaha ʻana.

Pono kekahi mau keiki i kahi hana hou i ka wā e hiki mai ana e mālama i nā hōʻailona reflux hou a i ʻole ka ale ʻana i nā pilikia. Hiki paha kēia inā ua ʻōwili ʻia ka ʻōpū a puni ka esophagus a paʻa loa a wehe paha.

ʻAʻole kūleʻa paha ke kaha ʻana inā lohi loa ka hoʻoponopono.

Fundoplication - keiki; Nissen fundoplication - keiki; Belsey (Mark IV) waihona kālā - keiki; Toupet fundoplication - keiki; Thal fundoplication - keiki; Hoʻoponopono hou ʻo Hiatal hernia - keiki; Endoluminal fundoplication - nā keiki

• ʻOihana anti-reflux - keiki - hoʻokuʻu
• ʻOki kino Anti-reflux - hoʻokuʻu
• Reflux Gastroesophageal - hoʻokuʻu
• Heartburn - he aha e nīnau aku ai i kāu kauka

Chun R, Noel RJ. Laryngopharyngeal a me gastroesophageal reflux maʻi a me eosinophilic esophagitis. I: Lesperance MM, Flint PW, eds. ʻO Cummings Pediatric Otolaryngology. Piladelapia, PA: Elsevier Saunders; 2015: chap 29.

ʻO Khan S, Matta SKR. ʻO ka maʻi reflux Gastroesophageal. 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 349.

Kane TD, Brown MF, Chen MK; Nā lālā o ke Kōmike ʻenehana ʻo APSA Hou. ʻO ka pepa hoʻonohonoho ma nā laparoscopic antireflux hana i nā pēpē a me nā keiki no ka maʻi reflux gastroesophageal. ʻAhahui ʻoki kino Pediatric ʻAmelika. ʻO J Pediatr Surg. 2009; 44 (5): 1034-1040. PMID: 19433194 www.ncbi.nlm.nih.gov/pubmed/19433194.

ʻO Yates RB, ʻOelschlager BK, Pellegrini CA. ʻO ka maʻi reflux Gastroesophageal a me ka hernia hernia. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 42.