Paʻi ʻōpū - nā keiki ma lalo o 12 mau makahiki
ʻAneʻane loaʻa i nā keiki āpau i ka ʻeha ʻōpū i kekahi manawa a i kekahi. ʻO ka ʻeha o ka ʻōpū ka ʻeha o ka ʻōpū a i ʻole ka ʻōpū. Hiki iā ia ma nā wahi āpau ma waena o ka umauma a me ke ʻūlū.
ʻO ka hapa nui o ka manawa, ʻaʻole ia e kumu ʻia e kahi pilikia olakino koʻikoʻi. Akā i kekahi manawa hiki i ka ʻeha o ka ʻōpū ke hōʻailona o kahi mea koʻikoʻi. E aʻo inā pono ʻoe e ʻimi koke i kāu olakino no kāu keiki me ka ʻeha o kou ʻōpū.
Ke namunamu kāu keiki no ka ʻeha o ka ʻōpū, ʻike inā hiki iā lākou ke wehewehe iā ia iā ʻoe. Eia nā ʻano ʻeha like ʻole.
- ʻO ka ʻeha ʻeha a ʻeha paha ma mua o ka hapalua o ka ʻōpū. Hiki i kāu keiki ke loaʻa i kēia ʻano ʻeha ke loaʻa ka maʻi ʻōpū ma loko o ka ʻōpū, ka palaka ʻole, a me ke kōkō, a i ʻole ke lilo lākou i mea paʻa.
- ʻO ka ʻeha like Cramp paha ma muli o ke kinoea a me ka momona. Hahai pinepine ʻia e ka diarrhea. ʻAʻole koʻikoʻi ia.
- ʻO ka ʻeha Colicky ka ʻeha e hiki mai i nā nalu, hoʻomaka a hoʻomaka ke pau pinepine, a ʻeha pinepine.
- ʻO kaʻeha kūloko kahi ʻeha i hoʻokahi wale nō wahi o ka ʻōpū. Loaʻa paha i kāu keiki nā pilikia me kā lākou appendix, gallbladder, a hernia (twisted bowel), ovary, testicle, a ʻōpū paha (ulcer).
Inā loaʻa iā ʻoe kahi pēpē a kamaliʻi paha, pili kāu keiki iā ʻoe ke ʻike nei ua ʻeha lākou. Kuhi i ka ʻeha o ka ʻōpū inā ʻo kāu keiki:
- ʻOi aku fussy ma mua o ka maʻamau
- Ke huki nei i ko lākou mau wāwae i ka ʻōpū
- ʻAi maikaʻi ʻole
Hiki i kāu keiki ke ʻeha i ka ʻōpū no nā kumu he nui. He paʻakikī paha ke ʻike i nā mea e hana nei inā ʻeha ka ʻōpū o kāu keiki. ʻO ka hapa nui o ka manawa, ʻaʻohe mea hewa nui. Akā i kekahi manawa, hiki ke lilo i hōʻailona aia kekahi mea koʻikoʻi a makemake kāu keiki i ka mālama olakino.
Ke loaʻa nei paha i kāu keiki ka ʻeha o ka ʻōpū mai kahi mea makaʻu ʻole i ke ola. ʻO kahi laʻana, loaʻa paha i kāu keiki:
- Konipōpō
- Gasekine
- ʻAlaʻi ʻaʻai a i ʻole intolerance
- Heartburn a i ʻole reflux waikawa
- Hoʻopili i ka mauʻu a mea kanu paha
- ʻO ka maʻi ʻōpū a mea lāʻau make paha
- ʻO ka puʻu Strep a i ʻole mononucleosis ("mono")
- Colic
- ʻAha ale
- ʻO migraine ʻōpū
- Paʻi ʻia e ka hopohopo a i ʻole ke kaumaha
Loaʻa paha i kāu keiki kahi mea ʻoi aku ke koʻikoʻi inā ʻaʻole maikaʻi ka ʻeha i 24 mau hola, e ʻino a i ʻole pinepine pinepine. Hiki i ka ʻeha ʻōpū ke hōʻailona o:
- Lāʻau make ʻino
- Pākuʻi
- Nā Pohaku
- ʻO Hernia a i ʻole ke kīwī ʻana o ke ʻōpū, ka paʻa a me ke ālai
- ʻO ka maʻi maʻi ʻōpū (Crohn disease or ulcerative colitis)
- Hoʻokumu ʻia e ka hapa o ka ʻōpū e huki ʻia i loko iā ia iho
- Hapai keiki
- Pilikia maʻi maʻi ʻaʻai
- Ulcer ʻōpū
- Ua ale ʻia ke kino haole, ʻoi aku hoʻi i nā moni a i ʻole nā mea paʻa ʻē aʻe
- Torsion (wili) o ka ovary
- Torsion (wili) o ka testicle
- Tumor a i ʻole ka maʻi ʻaʻai
- ʻO nā maʻi metabolic hoʻoilina maʻamau (e like me ka hōʻiliʻili ʻole o nā protein a me nā huahana breakdown kō)
- Maʻi ʻaʻai Urinary
ʻO ka hapanui o ka manawa, hiki iā ʻoe ke hoʻohana i nā hana mālama hale a kali i kāu keiki e hoʻomaikaʻi. Inā hopohopo ʻoe a ʻeha paha ka ʻeha o kāu keiki, a ʻoi aku ka lōʻihi o ka ʻeha ma mua o 24 mau hola, e kelepona i kāu mea mālama ola.
E hoʻomoe wahaheʻe kāu keiki e ʻike inā hele aku ka ʻeha o ka ʻōpū.
Hāʻawi i kahi wai o ka wai a i ʻole nā wai ʻē aʻe i mōakāka.
E paipai i kāu keiki e hoʻāʻo i kahi pahu.
Hōʻalo i nā meaʻai paʻa no kekahi mau hola. A laila e hoʻāʻo i nā mea liʻiliʻi o nā meaʻai māmā e like me ka laiki, applesauce, a i ʻole nā pahū pahū.
Mai hāʻawi i kāu keiki i nā meaʻai a i ʻole nā mea inu e hoʻonāukiuki ana i ka ʻōpū. Pale aku:
- Kāpena
- Nā inu inu kalepona
- Citrus
- Nā huahana waiū
- Nā meaʻai palai a momona paha
- Mea ʻai momona momona
- Nā huahana Tomato
Mai hāʻawi i ka aspirin, ibuprofen, acetaminophen (Tylenol), a i ʻole nā lāʻau like me ka noi ʻole ʻana i ka mea hāʻawi i kāu keiki.
I mea e pale aku ai i nā ʻano ʻeha o ka ʻōpū.
- Hōʻalo i nā meaʻai momona a momona paha.
- Inu nui i ka wai i kēlā me kēia lā.
- E ʻai pinepine i nā meaʻai liʻiliʻi.
- Hoʻomaʻamaʻa pinepine.
- Palena i nā meaʻai e hoʻohua i ke kākālina.
- E nānā pono i ka ʻai kaulike a me ke kiʻekiʻe o ka fiber. ʻAi i nā huaʻai a me nā lau nui.
- E mālama i nā lako hoʻomaʻemaʻe āpau a me nā mea weliweli i kā lākou ipu kumu.
- E mālama i kēia mau mea weliweli kahi hiki ʻole i nā pēpē a me nā keiki ke kiʻi iā lākou.
Kāhea i kāu mea hāʻawi inā ʻaʻole hele ka ʻeha o ka ʻōpū i 24 mau hola.
E ʻimi koke i ke kōkua lapaʻau a kāhea paha i kāu helu pilikia kūloko (e like me 911) inā kāu keiki:
- ʻOi aku kahi pēpē ma mua o 3 mau mahina a loaʻa ka maʻi diarrhea a i ʻole ka luaʻi
- Ke mālama ʻia nei i kēia manawa no ka maʻi ʻaʻai
- ʻAʻole hiki ke hele i kahi pahu, keu hoʻi ke luaʻi hoʻi ke keiki
- Ke luaʻi nei paha i ke koko a i ʻole he koko i loko o ka stool (ʻoiaʻiʻo inā he Maroon a he ʻeleʻele, ʻeleʻele ke kala ʻeleʻele)
- Loaʻa iā ia ka ʻeha o ka ʻōpū hōʻeha
- He ʻōpū paʻa ʻoʻoleʻa kona
- Loaʻa iā ia kahi ʻeha i ka ʻōpū
- Ke pilikia nei i ka hanu ʻana
Kāhea i kāu mea hāʻawi inā loaʻa i kāu keiki:
- ʻO ka ʻeha o ka ʻōpū e mau ana i hoʻokahi pule a ʻoi paha, ʻoiai ke hele a hele.
- ʻO ka ʻeha o ka ʻōpū ʻaʻole hoʻomaikaʻi i 24 mau hola. Kāhea inā e ʻoi aku ana ke koʻikoʻi a me ka pinepine, a i ʻole inā lohi paha kāu keiki a luaʻi pū me ia.
- Kahi wela i ka wā o ka urination.
- ʻO Diarrhea ma mua o 2 mau lā.
- ʻO ka luaʻi ma mua o 12 mau hola.
- Fever ma luna o 100.4 ° F (38 ° C).
- ʻIno maikaʻi ʻole ma mua o 2 mau lā.
- ʻO ka pohō kaumaha i wehewehe ʻole ʻia.
E kamaʻilio me ka mea hoʻolako e pili ana i kahi o ka ʻeha a me kāna kumu manawa. E hoʻomaopopo i ka mea hāʻawi inā aia kekahi mau hōʻailona e like me ke kuni, ka luhi, ka manaʻo maʻi maʻamau, ka loli i ka lawena, ka nausea, ka luaʻi, a i ʻole nā loli i ka pahu.
E nīnau paha kāu mea hāʻawi i nā nīnau e pili ana i ka ʻeha o ka ʻōpū.
- ʻO ka ʻāpana o ka ʻōpū e ʻeha ai? Nā mea āpau? Ma lalo a ma luna paha? Ma ka'ākau, hema, a ma waena paha? A puni ka piko?
- ʻOi paha ka ʻeha a ʻūlū paha, mau a hele mai a hele paha, a i ʻole hoʻololi i ka ikaika i mau minuke?
- E ala anei ka ʻeha i kāu keiki i ka pō?
- Ua loaʻa paha i kāu keiki ka ʻeha like i ka wā ma mua? Pehea ka lōʻihi o kēlā me kēia māhele? Ehia mau manawa i hana ʻia ai?
- Ke piʻi nei ka ʻeha o ka ʻeha?
- E māhuahua paha ka ʻeha ma hope o ka ʻai ʻana a inu paha? Ma hope o ka ʻai ʻana i nā meaʻai momona, nā huahana waiū, a i ʻole nā mea inu kalapona? Ua hoʻomaka paha kāu keiki e ʻai i kahi mea hou?
- E maikaʻi paha ka ʻeha ma hope o ka ʻai ʻana a i ʻole ke neʻe ʻana o ka ʻōpū?
- E ʻeha paha ka ʻeha ma hope o ke koʻikoʻi?
- Ua loaʻa paha kahi ʻeha i kēia manawa?
- He aha nā hōʻailona ʻē aʻe e kū nei i ka manawa like?
I ka wā o ka hoʻokolohua kino, e hoʻāʻo ka mea hāʻawi e ʻike inā ʻeha ka ʻeha ma kahi o kahi (kuhi palu) a i ʻole ua pālahalaha ʻia.
Hana paha lākou i kekahi mau hoʻokolohua e nānā i ke kumu o ka ʻeha. Pākuʻi ʻia paha nā hoʻokolohua:
- ʻO nā hoʻāʻo ʻana o ke koko, mimi a me ka noho
- CT (kamepiula tomography, a i ʻole ke kiʻi holomua) scan NineManga.com
- Ultrasound (nānā nalu kani) o ka ʻōpū
- X-kukuna o ka ʻōpū
ʻEha o ka ʻōpū i nā keiki; ʻEha - ʻōpū - keiki; Hoʻopili ka ʻōpū i nā keiki; ʻEha ka ʻōpū i nā keiki
Gala PK, Posner JC. Abdominal eha. I: Selbst SM, ed. Nā ʻōlelo huna Pediatric Emergency Medicine. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier Saunders; 2015: chap 5.
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.
ʻO ka mea kūʻai aku Rh, Symons AB. Paʻi ʻōpū i nā keiki. I: Kūʻai RH, Symons AB, eds. ʻIʻike ʻokoʻa o nā hoʻopiʻi maʻamau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 2.
Smith KA. Abdominal eha. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 24.