Pancreatitis - nā keiki

Hana ʻia ʻo Pancreatitis i nā keiki, e like me ka poʻe mākua, ke hele a pehu a wela ka pancreas.

ʻO ka pancreas kahi lālā ma hope o ka ʻōpū.

Hoʻopuka ia i nā kemika i kapa ʻia ʻo nā enzyme, e pono ai e hoʻowali i ka meaʻai. ʻO ka hapanui o ka manawa, hana wale nā ​​enzyme ma hope o ka hiki ʻana i ka ʻōpū liʻiliʻi.

Ke lilo ka hana o kēia mau enzyme i loko o ka pancreas, ʻeli lākou i kaʻiʻo o ka pancreas. ʻO kēia ke kumu o ka pehu ʻana, kahe ʻana o ke koko a me ka hōʻino ʻana o ka ʻokena a me kāna mau kō koko. Kapa ʻia kēia ʻano he pancreatitis.

ʻO nā kumu maʻamau o ka pancreatitis i nā keiki e:

• ʻO ka hōʻeha i ka ʻōpū, e like me ka hōʻeha ʻana o ke kaʻa paikikala
• ʻAlalā paʻa bile
• Nā hopena o ka lāʻau, e like me nā lāʻau anti-seizure, chemotherapy, a i ʻole kekahi mau antibiotic
• Nā maʻi Viral, me nā mumps a me coxsackie B
• ʻO nā kiʻekiʻe kiʻekiʻe o ke koko o kahi momona i loko o ke koko, i kapa ʻia ʻo triglycerides

Nā kumu ʻē aʻe e:

• Ma hope o ke kolo a i ʻole ka iwi iwi kuʻi
• ʻO Cystic fibrosis
• ʻO ka maʻi Crohn a me nā maʻi ʻē aʻe, ke hoʻouka ka ʻōnaehana pale o ke kino a hoʻopau i nā kino o ke kino i ke kuhihewa
• ʻAno diabetes he 1
• ʻO ke kino kelepaʻi overactive
• Maʻi ʻo Kawasaki

I kekahi manawa, ʻike ʻole ʻia ke kumu.

ʻO ka hōʻailona nui o ka pancreatitis i nā keiki he ʻeha nui i ka ʻōpū luna. I kekahi manawa e pāhola ka ʻeha i ke kua, ka ʻōpū o lalo, a me ka ʻaoʻao mua o ka umauma. E hoʻonui paha ka ʻeha ma hope o ka ʻai ʻana.

Hiki i nā ʻōuli ʻē aʻe ke:

• Cough
• ʻO Nusea a me ka luaʻi
• ʻO ka pehu i loko o ka ʻōpū
• Fiva
• Yellowing o ka ʻili, i kapa ʻia he jaundice
• Loaʻa ka ʻai ʻole
• Hoʻonui i ka lāʻau ikiʻai

E hana ka mea mālama ola o kāu keiki i kahi hoʻokolohua kino, i hōʻike ʻia paha:

• Palupalu ʻōpū a puʻupuʻu paha (nui)
• Fiva
• Kaomi haʻahaʻa
• Ka helu puʻuwai wikiwiki
• Ka helu hanu wikiwiki

E hana ka mea hāʻawi i nā hoʻokolohua lab e nānā i ka hoʻokuʻu ʻana o nā enzyme pancreatic. Hoʻopili kēia i nā hoʻokolohua e nānā i ka:

• Pae pae amylase koko
• Pae lipase koko
• ʻO ka pae amylase mimi

ʻO nā hoʻokolohua koko ʻē aʻe:

• Helu piha koko (CBC)
• Panela a hui paha o nā hoʻokolohua koko e hāʻawi i kahi kiʻi holoʻokoʻa o ke kaulike kemika o kou kino

ʻO nā hoʻokolohua kiʻi hiki ke hōʻike i ka mumū o ka pancreas me:

• Ultrasound o ka ʻōpū (maʻamau loa)
• CT scan o ka ʻōpū
• MRI o ka ʻōpū
  

Pono paha ka lapaʻau ʻana i kahi noho i ka haukapila. Pili paha ia:

• Nā lāʻau ʻeha
• Ke kū ʻana i ka meaʻai a i ʻole nā ​​wai e ka waha
• Nā Fluids i hāʻawi ʻia ma o kahi aa (IV)
• ʻO nā lāʻau anti-nausea no kausea a me ka luaʻi
• ʻAi momona momona

Hiki i ka mea hoʻolako ke hoʻokomo i kahi paipu ma o ka ihu o ke keiki a i ʻole ka waha e wehe i nā mea o ka ʻōpū. E waiho ʻia ka paipu i hoʻokahi a ʻoi paha mau lā. Hana ʻia kēia inā ʻaʻole e hoʻomaikaʻi ka luaʻi a me ka ʻehaʻeha. Hāʻawi ʻia ke keiki i ka meaʻai ma o ka aa (IV) a i ʻole ka paipu hānai.

Hiki i ke keiki ke hāʻawi ʻia i ka meaʻai paʻa ke hoʻopau lākou i ka luaʻi. Hiki i ka hapa nui o nā keiki ke lawe i ka meaʻai paʻa ma waena o 1 a i ʻole 2 mau lā ma hope o ka hoʻouka kaua ʻana o ka pancreatitis koʻikoʻi.

I kekahi mau hihia, pono ka lāʻau e:

• Hoʻopili ka wai hoʻoliʻiliʻi i hōʻiliʻili i loko a i ʻole puni ka pancreas
• Wehe i nā kāhili
• Hōʻoluʻolu i nā palaka o ke kuʻi pancreatic

Hele ka hapa nui o nā hihia i hoʻokahi pule. Hōʻola hou nā keiki.

ʻAʻole ʻike pinepine ʻia ka pancreatitis maʻi mau i nā keiki. Ke hiki mai ia, pinepine ia ma muli o nā kīnā a me nā kīnā o ka hānau ʻana o ka pancreas a i ʻole nā ​​dule biliary.

ʻO ka huhū nui o ka pancreas, a me ka pancreatitis ma muli o ke kūpikipikiʻeha o ka trauma, e like me ka ʻaukā paʻa paʻa uila, hiki ke hana i nā pilikia. Pākuʻi ʻia kēia mau mea:

• Ka hōʻiliʻili o ka wai a puni ka pancreas
• Kūkulu o ka wai i loko o ka ʻōpū (ascites)

Kāhea i ka mea hāʻawi inā hōʻike kāu keiki i nā ʻōuli o pancreatitis. E kāhea aku hoʻi inā loaʻa kāu keiki i kēia mau ʻōuli:

• Ikaika, ʻeha mau o ka ʻōpū
• Hoʻokumu i nā ʻōuli ʻē aʻe o ka pancreatitis koʻikoʻi
• ʻOi loa ka ʻeha o ka ʻōpū o luna a me ka luaʻi

ʻO ka hapa nui o ka manawa, ʻaʻohe ala e pale ai i ka pancreatitis.

ʻO Connelly BL. Kākoʻo pancreatitis. I: Long SS, Prober CG, Fischer M, hua pā. Nā Kumuhana a me nā Hana o nā maʻi maʻi Pediatric. 5th lā. Piladelapia, PA: Elsevier; 2018: chap 63.

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. ʻO Pancreatitis. 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 378.

Vitale DS, Abu-El-Haija M. Pancreatitis. I: Wyllie R, Hyams JS, Kay M, hua pā. Pediatric Gastrointestinal a me ka maʻi maʻi. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2021: chap 82.