Omphalocele: he aha ia, nā kumu nui a me ka mālama ʻana

Anter

• Nā kumu nui
• Pehea ka hōʻailona
• Pehea e hana ai i ka lāʻau

Kūlike ka omphalocele i kahi malformation o ka paia o ka ʻōpū i ka pēpē, ka mea i ʻike pinepine ʻia i ka wā o ka hāpai ʻana a ʻike ʻia e ke alo o nā meaola, e like me ka ʻōpū, akepaʻa a i ʻole ʻāpala, ma waho o ka ʻōpū o ka ʻōpū a uhi ʻia e kahi membrane lahilahi. .

Hoʻomaopopo pinepine ʻia kēia maʻi hānau ma waena o ka pule 8th a me 12th o ka hāpai ʻana ma o nā hōʻike kiʻi i hana ʻia e ka mea hānau maʻi i ka wā prenatal, akā hiki ke ʻike ʻia ma hope wale nō o ka hānau ʻana.

ʻO ke kuhi mua o kēia pilikia he mea nui ia e hoʻomākaukau i ka kime olakino no ka lawe ʻana, no ka mea, he pono ka pēpē e hana i ke kaha ma hope pono o ka hānau ʻana e hoʻonoho i ke koʻokoʻo i kahi kūpono, e pale ana i nā pilikia koʻikoʻi.

Nā kumu nui

ʻAʻole i hoʻokumu maikaʻi ʻia nā kumu o ka omphalocele, akā hiki nō paha ma muli o ka hoʻololi kūpuna.

ʻO nā kumu e pili ana i ke kaiapuni o ka wahine hāpai, i komo pū paha me ka hoʻopili ʻana me nā mea ʻona, ka hoʻohana ʻana i nā mea inu ʻona, ka hoʻohana ʻana i ka paka a me ke komo ʻana i nā lāʻau me ka ʻole o ke alakaʻi a ke kauka, me he mea lā e hoʻonui i ka makaʻu o ka pēpē me omphalocele.

Pehea ka hōʻailona

Hiki ke ʻike ʻia ʻo Omphalocele i ka wā o ka hāpai ʻana, keu hoʻi ma waena o ka hāpai ʻana o 8th a me 12th, ma o ka noi ultrasound. Ma hope o ka hānau ʻana, hiki ke ʻike ʻia ka omphalocele ma o ka hoʻokolo kino ʻana i hana ʻia e ke kauka, kahi e ʻike ʻia ai ke alo o nā mea ma waho o ka ʻōpū o ka ʻōpū.

Ma hope o ka loiloi ʻana i ka nui o ka omphalocele, hoʻoholo ke kauka i ka lāʻau maikaʻi loa, a ma ka hapanui o nā hihia, hana ʻia ke kaha ma hope koke o ka hānau ʻana. Ke ākea loa ka omphalocele, hiki i ke kauka ke ʻōlelo iā ʻoe e hana i ke kaha ma nā pae.

Hoʻohui ʻia, hana paha ke kauka i nā hoʻokolohua ʻē aʻe, e like me echocardiography, X-ray a me nā hoʻokolohua koko, no ka laʻana, e nānā i ka loaʻa ʻana o nā maʻi ʻē aʻe, e like me nā loli, ka diaphragmatic hernia a me nā kīnā o ka puʻuwai, e laʻa me e maʻa mau i nā pēpē me nā malformations ʻē aʻe.

Pehea e hana ai i ka lāʻau

Hana ʻia ka lapaʻau ma o ke kaha ʻana, hiki ke hana koke ma hope o ka hānau ʻana a i ʻole ma hope o kekahi mau pule a i ʻole mau mahina e like me ka nui o ka omphalocele, nā ʻano olakino ʻē aʻe i loaʻa i ka pēpē a me ka wānana a ke kauka. He mea nui e hana ʻia ka lapaʻau i ka wā hiki loa e hōʻalo i nā pilikia kūpono, e like me ka make ʻana o nā aʻa a me nā maʻi maʻi.

No laila, ke hiki mai i kahi omphalocele liʻiliʻi, ʻo ia hoʻi, ke waiho wale kahi ʻāpana o ka ʻōpū ma waho o ka ʻōpū o ka ʻōpū, hana ʻia ke ʻoki ma hope koke iho o ka hānau ʻana a makemake e kau i ka ʻōpala ma kahi kūpono a laila pani i ka lua ʻōpū. . I ke kumu o ka omphalocele nui, ʻo ia hoʻi, i ka hoʻohui o ka ʻōpū, aia nā mea ʻē aʻe, e like me ke akepaʻa a i ʻole nā ​​ʻāpala, ma waho o ka ʻōpū o ka ʻōpū, hiki ke hana i ke ʻoki i nā pae i ʻole e hōʻeha i ka ulu ʻana o ka pēpē.

Ma waho aʻe o ka hoʻoneʻe ʻoki ʻana, hiki i ke kauka ke koi aku e hoʻopili ʻia kahi hamo antibiotic me ke akahele, i ka ʻeke e kūlani ana i nā mea huna, i mea e hōʻemi ai i ka maʻi o nā maʻi, ʻoiai ke hana koke ʻole ʻia ke kaha ma hope o ka hānau ʻana a i ʻole ia. hana ʻia i nā pae.