Overad Bladder i nā Keiki: Kumu, ʻike, a me ka mālama ʻana
Anter
- I ka makahiki hea e hiki ai i nā keiki ke kāohi i kā lākou ʻōpū?
- Nā ʻōuli o OAB
- Moʻo-moe
- He aha ke kumu o ka OAB i nā keiki?
- Ka wā e ʻike ai i ke kauka
- Ka mālama ʻana iā OAB i nā keiki
- Ke hoʻomaʻamaʻa hou ʻana i ka ʻai
- Nā Lapaʻau
- Nā hoʻoponopono ma ka home
Overad bladder
ʻO ka bladder overactive (OAB), kahi ʻano kikoʻī o ka mimiki ʻole, kahi ʻano kamaliʻi maʻamau i wehewehe ʻia e ka ʻū a me ka makemake ʻole e kaʻi. Hiki iā ia ke alakaʻi i nā pōpilikia i ka lā. E nīnau paha kahi makua i kahi keiki inā pono lākou e hele i ka lua. ʻOiai ua ʻōlelo ke keiki ʻaʻole, e pono lākou e hele i mau minuke ma hope. ʻAʻole like ka OAB me ka moe-moe ʻana, a i ʻole nā enuresis nocturnal. ʻOi aku ka maʻamau o ka hoʻomoe ʻana i kahi moe, keu hoʻi i nā keiki liʻiliʻi.
Hiki i nā ʻōuli o OAB ke hoʻopilikia i nā hana o ke keiki i kēlā me kēia lā. He mea nui e pane i nā pōpilikia o ke ao me ke ahonui a me ka ʻike. Hiki i kēia mau hanana ke hoʻopili pinepine i ka ulu ʻana o ka nohona kanaka a me ka naʻau o ke keiki. ʻO nā pilikia kino ʻē aʻe o kahi OAB i nā keiki:
- ka pilikia i ka hemo ʻana o ka ʻōpū loa
- hoʻonui i ka makaʻu no ka hōʻino ʻana o ka hakuʻala
- ua hoʻonui ʻia ka makaʻu no nā maʻi maʻi urinary
E kamaʻilio i kāu kauka inā manaʻo ʻoe he OAB kāu keiki. I ka hapanui o nā hihia, hala kahi OAB me ka manawa. Inā ʻaʻole, loaʻa nā mālama a me nā hana ma ka home e kōkua i kāu keiki e lanakila a mālama i kēia ʻano.
I ka makahiki hea e hiki ai i nā keiki ke kāohi i kā lākou ʻōpū?
ʻO ka mākū ʻana i nā keiki ma lalo o 3 mau makahiki ka mea maʻamau. Hiki i ka hapa nui o nā keiki ke kaohi i kā lākou ʻōpū ma hope o ka huli ʻana i 3, akā hiki ke hoʻololi i kēia mau makahiki. ʻAʻole ʻike pinepine ʻia kahi OAB a hiki i ke keiki he 5 a 6 paha nā makahiki. I ka makahiki 5, ʻoi aku i ka 90 pākēneka o nā keiki i hiki ke kaohi i kā lākou mimi i ka lā. ʻAʻole hiki i kāu kauka ke kuhikuhi i ka hiamoe urinary night a hiki i kāu keiki he 7 mau makahiki.
Hoʻopili ka moe-moe ʻana i ka 30 pākēneka o nā makahiki 4. Hoʻoemi kēia pākēneka i kēlā me kēia makahiki ke hele a makua nā keiki. Ma kahi o 10 pākēneka o nā makahiki 7, 3 pākēneka o nā makahiki he 12, a me ka 1 pākēneka o 18 mau makahiki e hoʻomaʻū i ka moena i ka pō.
Nā ʻōuli o OAB
ʻO ka hōʻailona maʻamau o OAB i nā keiki ka makemake e hele pinepine i ka lua i ka lua ma mua o ka maʻamau. ʻO kahi maʻamau maʻamau o ka lua e pili ana i ʻehā a ʻelima mau huakaʻi i kēlā me kēia lā. Me OAB, e ʻaelike paha ka pākā a hana i ka mimiki o ka pono e pono ai, ʻoiai ʻaʻole piha. ʻAʻole paha e haʻi pololei kāu keiki iā ʻoe he makemake ko lākou. E nānā i nā hōʻailona e like me ke kuʻi ʻana i ko lākou noho, ka hulahula ʻana a i ʻole ka lele ʻana mai kekahi wāwae i kekahi.
Hiki i nā hōʻailona ʻē aʻe ke:
- ke ʻike nei i ka makemake e urihi, akā ʻaʻole e hele i ka mimi
- nā maʻi maʻi urinary pinepine
- nā ulia pōpilikia i ka lā
ʻOi aku ka liʻiliʻi, ʻike paha kāu keiki i ka leakage, keu hoʻi i ka wā e hana ana a i ka wā e sneezing ana.
Moʻo-moe
Hana ʻia ka moe-moe ʻana ke hiki ʻole i kahi keiki ke kaohi i kāna urination i ka pō. He ʻano hana pono ʻole i hiki ke hele pū me ka bladder overactive akā pili pinepine ʻole iā ia. Manaʻo ʻia ka pulu ʻana i ka pō i ka wā kūpono i nā keiki ma o nā makahiki 5. I nā keiki makua, ua kapa ʻia kēia ʻano he voiding dis voal void inā pili pū ia me nā hopena paʻa paʻa a me nā fecal.
He aha ke kumu o ka OAB i nā keiki?
Nui a hewahewa paha nā kumu o OAB. Hoʻololi kekahi mau kumu ma muli o ka makahiki o ke keiki. ʻO kahi laʻana, i nā keiki 4 a 5 mau makahiki, ke kumu ke kumu:
- e loli i ka hana maʻamau, e like me ka neʻe ʻana i ke kūlanakauhale hou a i ʻole he kaikaina a he kaikuahine hou paha i ka hale
- poina e hoʻohana i ka lua no ka mea ke hana nei lākou i nā hana ʻē aʻe
- maʻi
Hiki i nā kumu ʻē aʻe i nā keiki o nā makahiki āpau ke:
- hopohopo
- inu i nā mea inu caffeinated a i ʻole inu inu fizzy
- ukiuki manaʻo
- loaʻa nā pilikia me ka constipation
- nā maʻi maʻi urinary pinepine
- ʻino nā nerve a i ʻole hana ʻino i kumu e loaʻa ai i kahi keiki ka paʻakikī e ʻike i kahi kīloi piha
- ke kāohi nei i ka hoʻonele loa ʻana i ka ʻai i ka wā ma ka lua
- ʻalalā ʻalalā moe
I kekahi mau keiki, lohi paha ia i ka oʻo ʻana a hele aku me ka makahiki. Akā no ka mālama ʻia ʻana o nā kuʻina bladder e nā aʻalolo, hiki paha i ka OAB ke kumu ʻia e kahi maʻi neurological.
E aʻo pū paha kahi keiki e hoʻopaʻa paʻa i kā lākou mimi, kahi e hiki ai ke hoʻololi i ko lākou hiki ke hoʻopau piha i kā lākou hāmama. Hiki i nā hopena lōʻihi o kēia maʻamau ke lilo i nā maʻi urinary tract, hoʻonui i ke alapine urinary, a me nā hōʻino puʻupaʻa. E ʻike i ke kauka inā hopohopo ʻoe ʻaʻole i hele ka OAB a kāu keiki ma ona iho.
Ka wā e ʻike ai i ke kauka
E hoʻopaʻa i kāu manawa i kāu kauka kauka no kahi nānā inā loaʻa nā ʻōuli o kāu keiki i ka OAB. Heʻoiaʻiʻo loa kēia inā he 7 mau makahiki a ʻoi paha o kāu keiki. ʻO ka hapa nui o nā keiki i kēia makahiki ke kaohi o ka ʻai.
Ke ʻike ʻoe i ke kauka, makemake lākou e hāʻawi i kāu keiki i kahi hoʻokolohua kino a lohe i ka moʻaukala o nā hōʻailona. E makemake paha kāu kauka e nānā no ka paʻa paʻa a lawe i kahi laʻana o ka mimi e kālailai no ka maʻi maʻi a i ʻole nā mea ʻē aʻe ʻē aʻe.
Pono paha kāu keiki e komo i ka hoʻokahakaha ʻana i nā hōʻike. Pili paha kēia mau hoʻāʻo i ke ana ʻana i ka nui o ka mimi a me nā mea i koe i loko o ka pākeke ma hope o ka hemo ʻana, a i ʻole ke ana ʻana i ka helu kahe. I kekahi mau hihia, makemake paha kāu kauka e hana i kahi ultrasound e hoʻoholo inā paha nā pilikia o ke ʻano o ke kīpē ke kumu.
Ka mālama ʻana iā OAB i nā keiki
Hele pinepine ʻo OAB i ka wā e nui ai ke keiki. Ke ulu a keiki:
- Hiki iā lākou ke hoʻopaʻa i nā mea hou aʻe i loko o kā lākou ʻaʻa.
- Hoʻomaka ka hana o kā lākou mau pū waikaua kino kūlohelohe.
- Noho ka lākou OAB.
- Hoʻonui ka pane o ko lākou kino.
- ʻO ka hana ʻana o ko lākou kino i ka hormone antidiuretic, kahi kemika e hoʻolohi i ka hana o ka mimi, paʻa.
Ke hoʻomaʻamaʻa hou ʻana i ka ʻai
E ʻōlelo paha kāu pediatrician i nā hoʻolālā nonmedical e like me ka hoʻomaʻamaʻa hou ʻana i ka maʻi bladder. ʻO ke hoʻomaʻamaʻa hou ʻana i ka bladder e pili ana i ka hoʻonohonoho urination a ke hoʻāʻo nei e mimi inā ʻaʻole ʻoe e makemake e hele. E aʻo ana kāu keiki i ka loiloi e uku pono i ka pono o ko lākou kino e mimi. E alakaʻi kēia i ka ninini piha ʻana o kā lākou ʻaʻa a hele i kahi lōʻihi ma mua o ka pono e mimi hou.
ʻO kahi hōʻailona urination e hele i ka lumipaku i kēlā me kēia mau hola ʻelua. ʻOi aku ka maikaʻi o kēia hana me nā keiki maʻa o ka holo pinepine ʻana i ka lumipaku, akā ʻaʻole ka mimi mau a me nā mea loaʻa ʻole ka ulia pōpilikia.
Kapa ʻia kekahi koho ʻē aʻe i ka hemo ʻana o ka pālua, kahi e pili ana i ka hoʻāʻo ʻana e mimi hou ma hope o ka manawa mua e ʻike pono ai e hoʻopau loa ʻia ka puhaka.
Pane pū kekahi mau keiki i ka lāʻau i kapa ʻia he hoʻomaʻamaʻa biofeedback. Alakaʻi ʻia e kahi mea lapaʻau, kōkua kēia hoʻomaʻamaʻa i kahi keiki e aʻo pehea e nānā ai i nā mākala o ka maʻi ʻaʻai a hoʻomaha iā lākou i ka wā e mimi ana.
Nā Lapaʻau
E ʻōlelo paha kāu kauka lāʻau i nā lāʻau inā ʻaʻole kōkua nā ʻōkuhi nonmedical i kāu keiki. Inā pilikia kāu keiki, hiki i kāu kauka ke kuhikuhi i ka laxative. Inā loaʻa ka maʻi i kāu keiki, kōkua pū kekahi nā lāʻau ʻaloʻalo.
Kōkua nā lāʻau no nā keiki i ka hoʻomaha ʻana i ka ʻai, kahi e hōʻemi ai i ka ʻiʻini e hele pinepine. ʻO kahi laʻana he oxybutynin, nona nā hopena ʻaoʻao e hoʻopili i ka waha maloʻo a me ka constipation. He mea nui e kūkākūkā i nā hopena hopena o kēia mau lāʻau me ke kauka. Hiki paha i ka OAB ke hoʻi ma hope o ka pau ʻana o kāu keiki i ka lawe ʻana i ka lāʻau.
Nā hoʻoponopono ma ka home
Nā hana i hiki iā ʻoe ke hana ma ka home e:
- Hōʻalo kāu keiki i nā mea inu a me nā meaʻai me ka caffeine. Hiki i ka cafe ke hoʻoulu i ka ʻai.
- E hana i kahi ʻōnaehana uku no laila loaʻa ka hoʻoikaika i nā keiki. He mea nui ʻaʻole e hoʻopaʻi i kahi keiki no ka uluwehi ʻana o nā pōpilikia, akā no ka uku ʻana i nā hana maikaʻi.
- E lawelawe i nā meaʻai a me nā mea inu aloha. Hoʻopili kēia mau meaʻai i nā hua palaʻai, wai cranberry, squash diluted, a me ka wai.
E makaʻala e nānā i ka wā a no ke aha e loaʻa ai i kāu keiki nā pōpilikia i ke ao. Hiki i nā ʻōnaehana makana ke kōkua me ka hoʻihoʻi ʻana i kāu keiki i ka papa manawa. Hiki iā ia ke kōkua i ka hoʻokumu ʻana i nā hui maikaʻi no ke kamaʻilio ʻana i ʻoluʻolu ai kāu keiki e hōʻike iā ʻoe i ka wā e pono ai lākou e hele. E heluhelu e aʻo e pili ana i nā meaʻai 11 e hōʻalo inā loaʻa iā OAB.