ʻO ka maʻi urinary tract i nā keiki

Anter

• Nā kumu o UTI i nā keiki
• Nā kumu pilikia no UTI i nā keiki
• Nā ʻōuli o UTI i nā keiki
• Nā pilikia o UTI i nā keiki
• ʻIke o UTI i nā keiki
• Nā hoʻāʻo hou
• Iapaau ana o UTI i na keiki
• Mālama ma ka home
  
• ʻO ka nānā lōʻihi no nā keiki me ka UTI
• Pehea e pale ai i kahi UTI i nā keiki
• Kāohi UTI
  

Overview o ka maʻi ʻaʻai urinary (UTI) i loko o nā keiki

ʻO kahi maʻi urinary tract (UTI) i loko o nā keiki kahi ʻano maʻamau. ʻO nā koʻohune e komo i ka urethra e hoʻokuʻu mau ʻia ma o ka urination. Eia nō naʻe, ke kipaku ʻole ʻia ka bacteria mai ka urethra, ulu paha lākou i loko o ka mimi. ʻO kēia ke kumu o kahi maʻi.

ʻO nā ʻāpana mimi nā ʻāpana o ke kino e pili ana i ka hana mimi. O lākou:

• ʻelua mau puʻupaʻa e kānana i kou koko a me kahi wai keu e hana i ka mimi
• ʻelua mau ureter, a i ʻole nā ​​paipu, e lawe i ka mimi i kāu ʻōpū mai kou mau puʻupaʻa
• kahi pūpū e mālama i kou mimi a hiki i ka lawe ʻia ʻana mai kou kino
• kahi urethra, a i ʻole ka paipu, e ninini i ka mimi mai kāu pākuʻi a i waho o kou kino

Hiki i kāu keiki ke ulu i kahi UTI ke komo ka bacteria i loko o ka urinary tract a hele i ka urethra a i loko o ke kino. ʻO nā ʻano ʻelua o ka UTI e loli paha i nā keiki he maʻi maʻi maʻi a me nā maʻi ʻaʻai.

Ke hoʻopili ka UTI i ka maʻi ʻaʻai, kapa ʻia ʻo cystitis. Ke hele ka maʻi mai ka maʻi ʻaʻai i nā puʻupaʻa, ua kapa ʻia ʻo pyelonephritis. Hiki ke mālama kūleʻa ʻia nā mea ʻelua me nā antibiotic, akā hiki i kahi maʻi puʻupaʻa ke alakaʻi i nā pilikia olakino keu inā haʻalele ʻole ʻia.

Nā kumu o UTI i nā keiki

Hoʻokumu pinepine ʻia nā UTI e nā koʻohune, i komo i loko o ka maʻi urinary mai ka ʻili a puni ka anus a i ʻole ka pūpū. ʻO ke kumu maʻamau o ka UTIs ʻo E. coli, ka mea i hoʻomaka i loko o nā ʻōpū. Hoʻokumu ʻia ka hapa nui o nā UTI ke hoʻolaha kēia ʻano bacteria a i ʻole nā ​​bacteria ʻē aʻe mai ke anus a i ka urethra.

Nā kumu pilikia no UTI i nā keiki

Kū pinepine nā UTI i nā kaikamahine, keu hoʻi ke hoʻomaka ka hoʻomaʻamaʻa ʻana i ka lua. ʻOi aku ka maʻalahi o nā kaikamahine no ka mea ʻoi aku ka pōkole o kā lākou urethras a kokoke i ka anus. Māmā kēia i ke komo ʻana o nā bacteria i ka urethra. ʻO nā keikikāne ʻoki poepoe ʻole ma lalo o 1 mau makahiki ka mea i ʻoi aku ka nui o ka makaʻu o ka UTI.

ʻAʻole mālama ka urethra i nā bacteria. Akā hiki i kekahi mau hanana ke maʻalahi i ke komo ʻana o ka bacteria a noho i loko o ka mimi o kāu keiki. Hiki i nā mea aʻe ke waiho i kāu keiki i kahi makaʻu kiʻekiʻe no ka UTI:

• a deformity a blockage paha i loko o kekahi o nā ʻāpana o ke kahe urinary
• hana kūpono ʻole o ka maʻi urinary
• vesicoureteral reflux, kahi hānau kīnā i hopena i ke kahe hope o ka mimi
• ka hoʻohana ʻana o nā huʻa i ka ʻauʻau (no nā kaikamahine)
• nā lole paʻa paʻa (no nā kaikamahine)
• ka holoi ʻana mai hope a i mua ma hope o ka neʻe ʻana o ka ʻōpū
• maikaʻi ʻole i ka lua a me nā ʻano hoʻomaʻemaʻe
• urination pinepine ʻole a hoʻopaneʻe paha i ka urination no nā wā lōʻihi

Nā ʻōuli o UTI i nā keiki

Hiki ke loli nā ʻōuli o ka UTI ma muli o ke kekelē o ka maʻi a me ka makahiki o kāu keiki. ʻAʻole ʻike paha nā pēpē a me nā keiki liʻiliʻi loa i nā ʻōuli. Ke hana ʻia i nā keiki ʻōpio, hiki i nā ʻōuli ke ʻano laulā. Pākuʻi ʻia lākou:

• fiva
• ʻai ʻilihune
• ka luaʻi
• pāhoehoe
• ukiuki
• manaʻo laulā o ka maʻi

Hoʻololi nā ʻōuli ʻē aʻe i ka ʻāpana o ke aʻa urinary i maʻi ʻia. Inā loaʻa i kāu keiki kahi maʻi maʻi bladder, e hoʻopili ʻia nā ʻōuli:

• koko i ka mimi
• mimi ʻōpua
• mimi ʻaʻala ʻaʻala
• ʻeha, ʻūlū, a i ʻole ke kuni ʻana me ka mimiki
• kaomi a i ʻole ka ʻeha ma ka pelvis lalo a i ʻole ke kua i lalo, ma lalo o ka piko
• urination pinepine
• e ala ana mai ka hiamoe e urino
• ke manaʻo nei i ka pono e mimi me ka liʻiliʻi o ka mimi
• ulia pōpilikia ma hope o ka makahiki o ka hoʻomaʻemaʻe hoʻomaʻamaʻa toilet

Inā ua hele ka maʻi i nā puʻupaʻa, ʻoi aku ke koʻikoʻi o ke ʻano. E ʻike paha kāu keiki i nā ʻōuli ikaika loa, e like me:

• ukiuki
• haʻalulu me ka luliluli
• wela wela
• ʻili hoʻoulu a mahana paha
• nausea a me ka luaʻi
• ʻeha ʻaoʻao a ʻaoʻao hoʻi
• ʻeha nui i ka ʻōpū
• luhi nui loa

Hiki ke nānā maʻalahi ʻia nā ʻōuli mua o kahi UTI i nā keiki. He paʻakikī paha nā keiki ʻōpio i ka wehewehe ʻana i ke kumu o ko lākou pilikia. Inā maʻi kāu keiki a he kuni kiʻekiʻe me ka ʻole o ka ihu ihu, ʻeha ka pepeiao, a i ʻole nā ​​kumu maopopo ʻē aʻe no ka maʻi, e nīnau i kā lākou kauka e hoʻoholo inā he UTI kāu keiki.

Nā pilikia o UTI i nā keiki

Hiki ke hōʻoia koke ʻia a me ka mālama ʻana i kahi UTI i kāu keiki e pale aku ai i nā pilikia olakino lōʻihi. Hoʻomaʻamaʻa ʻole ʻia, hiki i kahi UTI ke hopena i kahi maʻi puʻupaʻa e alakaʻi ai i nā kūlana ʻoi aku ka hewa, e like me:

• abscess hakuʻala
• hoʻemi i ka hana o nā puʻupaʻa a i ʻole ke kūleʻa ʻana o ka hakuʻala
• hydronephrosis, a i ʻole ka pehu ʻana o nā puʻupaʻa
• sepsis, kahi e hiki ai i ke kīnā ʻole a me ka make

ʻIke o UTI i nā keiki

E kāhea koke i kā lākou kauka inā loaʻa kāu keiki i nā ʻōuli e pili ana i ka UTI. Koi ʻia kahi laʻana mimi no kā lākou kauka e hana i kahi hōʻoia pololei. Hoʻohana ʻia paha ka laʻana no:

• Urinalysis. Hoʻomaʻo ʻia ka mimi me kahi kaha hoʻāʻo kūikawā e nānā i nā hōʻailona o ka maʻi e like me ke koko a me nā aʻa koko keʻokeʻo. Hoʻohui ʻia, hoʻohana ʻia paha kahi microscope e nānā i ka laʻana no ka bacteria a me ka pus.
• Moʻomeheu mimi. Lawe pinepine kēia hōʻike ʻōnaehana i 24 a 48 mau hola. Nānā ʻia ka hāpana e ʻike ai i ke ʻano o nā koʻohune e hoʻoulu ai i ka UTI, pehea ka nui o ia mea, a me nā lāʻau antibiotic kūpono.

ʻO ka hōʻiliʻili ʻana i kahi laʻana mimi maʻemaʻe hiki ke lilo i mea paʻakikī no nā keiki ʻaʻole hoʻomaʻamaʻa i ka lua. ʻAʻole hiki ke kiʻi ʻia kahi laʻana hoʻohana mai ka diaper pulu. E hoʻohana paha ke kauka o kāu keiki i kekahi o nā ʻenehana e hiki mai ana e kiʻi i ka mimi o kāu keiki.

• ʻEke ʻohi hōʻiliʻili. Hoʻopili ʻia kahi ʻeke ma luna o nā genital o kāu keiki e hōʻiliʻili i ka mimi.
• Hōʻiliʻili mimi Catheterized. Hoʻokomo ʻia kahi catheter i loko o ka piko o kahi keikikāne o ke keikikāne a i ʻole i ka urethra o kahi kaikamahine a i loko o ka pūpū e ʻohi ai i ka mimi. ʻO kēia ke ʻano pololei loa.

Nā hoʻāʻo hou

Hiki i kāu kauka ke noi aku i nā hoʻokolohua diagnostics hou e hoʻoholo inā paha ke kumu o ka UTI i hoʻokumu ʻia e kahi urinary tract. Inā loaʻa i kāu keiki kahi maʻi puʻupaʻa, koi ʻia paha nā hōʻike e nānā no ka hōʻino ʻana o ka hakuʻala. Hiki ke hoʻohana i nā hoʻokolohua kiʻi aʻe:

• hakuʻala a me ka ultrasound bladder
• voiding cystourethrogram (VCUG)
• lāʻau lapaʻau nukelea scan NineManga.com (DMSA)
• CT scan a i ʻole MRI o nā puʻupaʻa a me ka ʻai

ʻO kahi VCUG kahi X-ray i lawe ʻia i ka wā e piha ai ka ʻōpū o kāu keiki. E hoʻopili ke kauka i ka wai ʻokoʻa i loko o ka hue a laila mimiki kāu keiki - maʻamau ma o ka catheter - e nānā pehea e kahe ai ka mimi mai ke kino. Hiki i kēia hoʻāʻo ke kōkua i ka ʻike ʻana i nā hanana ʻano like ʻole i hiki ke hoʻokumu ʻia i kahi UTI, a inā kū paha kahi reflux vesicoureteral.

He hōʻike nukelea kahi DMSA kahi i kiʻi ʻia ai nā kiʻi o nā puʻupaʻa ma hope o ka hoʻopili ʻana o ka intravenous (IV) o kahi mea radioactive i kapa ʻia he isotope.

E hana ʻia paha nā hoʻokolohua ke loaʻa ka maʻi maʻi i kāu keiki. ʻO ka manawa pinepine, hana lākou i mau pule a i ʻole mau mahina ma hope o ka mālama ʻana e hoʻoholo inā aia kekahi mea hōʻino mai ka maʻi.

Iapaau ana o UTI i na keiki

ʻO ka UTI a kāu keiki e koi ai i ka lāʻau antibiotic koke e pale i ka hōʻino ʻana o ka hakuʻala. ʻO ke ʻano o nā koʻohune e hoʻoulu ai i ka UTI o kāu keiki a me ke koʻikoʻi o ka maʻi o kāu keiki e hoʻoholo ai i ke ʻano o nā lāʻau antibiotic i hoʻohana ʻia a me ka lōʻihi o ka lāʻau.

ʻO nā antibiotic maʻamau e hoʻohana ʻia no ka mālama ʻana i nā UTI i nā keiki:

• 'āmixicillin
• amoxicillin a me ka waikawa clavulanic
• kekona
• doxycycline, akā i nā keiki ma mua o 8 mau makahiki
• nitrofurantoin
• sulfamethoxazole-trimethoprim

Inā loaʻa ka UTI o kāu keiki i kuhi ʻia ma ke ʻano he maʻi ʻaʻā maʻalahi, malia paha e hoʻopili ʻia nā lāʻau ʻalopiko i ka home. Eia nō naʻe, koi paha nā maʻi ʻoi aku ka nui i nā haukapila a me nā wai IV a i ʻole nā ​​lāʻau antibiotic.

Pono paha ka haukapila ma nā hihia kahi o kāu keiki:

• ʻōpio ma mua o 6 mau makahiki
• he kuni kiʻekiʻe ʻaʻole hoʻomaikaʻi
• loaʻa paha i ka maʻi ʻaʻai, ʻoiaʻiʻo inā maʻi nui a ʻōpio paha ke keiki
• he maʻi koko ko ka maʻi bacteria, e like me ka sepsis
• make wai, luaʻi, a i ʻole hiki ʻole ke lawe i nā lāʻau o ka waha no kekahi kumu ʻē aʻe

ʻO ka lāʻau ʻeha e hōʻemi ai i ka hōʻoluʻolu koʻikoʻi i ka manawa o ka urination.

Inā loaʻa kāu keiki i ka lāʻau antibiotic ma ka home, hiki iā ʻoe ke kōkua e hōʻoia i kahi hopena maikaʻi ma o ka lawe ʻana i kekahi mau ʻanuʻu.

Mālama ma ka home

1. Hāʻawi i kāu keiki i nā lāʻau i kuhikuhi ʻia no ka lōʻihi o ka ʻōlelo aʻoaʻo a kāu kauka, ʻoiai inā hoʻomaka lākou e olakino.
2. Lawe i ka mahana o kāu keiki inā he kuni ko lākou.
3. Nānā i ke alapine urination o kāu keiki.
4. E noi i kāu keiki e pili ana i ke alo o ka ʻeha a i ʻole ke kuni ʻana i ka wā o ka urination.
5. E hōʻoia i inu i kāu keiki i nā wai he nui.

I ka wā o kāu keiki e hoʻomaʻamaʻa ai, e kāhea i kā lākou kauka inā hōʻeha a hoʻomau paha nā hōʻailona ma mua o ʻekolu mau lā. Kāhea pū i kā lākou kauka inā loaʻa i kāu keiki:

• kahi kuni i ʻoi aku ma mua o 101˚F (38.3˚C)
• no nā pēpē, kahi hou a hoʻomau paha (ʻoi aku ma mua o ʻekolu mau lā) ke kuni kiʻekiʻe ma mua o 100.4˚F (38˚C)

Pono ʻoe e ʻimi i ka ʻōlelo aʻoaʻo olakino inā hoʻomohala kāu keiki i nā ʻōuli hou, me:

• ʻeha
• ka luaʻi
• hūwī
• pehu
• nā hoʻololi i ka puka mimi

ʻO ka nānā lōʻihi no nā keiki me ka UTI

Me ka hōʻoia koke a me ka mālama ʻana, hiki iā ʻoe ke manaʻo i kāu keiki e ola pono loa mai kahi UTI. Eia nō naʻe, koi paha kekahi mau keiki i ka mālama ʻana no nā wā mau mai ka piha ʻana o ʻeono mahina a i ʻelua mau makahiki.

ʻOi aku paha ka hoʻomaʻamaʻa antibiotic lōʻihi inā loaʻa i kāu keiki kahi hōʻoia o vesicoureteral reflex, a i ʻole VUR. Kēia hānau kīnā hualoaʻa i loko o ka abnormal hope kua o ka mimi mai ka bladder i ka ureter, neʻe mimi i nā puʻupaʻa ma kahi o ka urethra. Pono e kuhi ʻia kēia maʻi i nā keiki ʻōpio me nā UTI hou a i ʻole nā ​​pēpē i ʻoi aku ma mua o hoʻokahi UTI me ke kuni.

ʻOi aku ka nui o ka makaʻu o nā keiki me ka VUR ma muli o ka VUR. Hoʻokumu ia i ka hoʻonui ʻia o ka hōʻeha o nā puʻupaʻa a, ʻo ka hopena, holo pono ʻole ka hakuʻala. ʻO ke ʻoki kino kahi koho i hoʻohana ʻia i nā hihia koʻikoʻi. ʻO ka maʻamau, ʻo nā keiki me ka VUR akahai a kaulua paha e hoʻonui i ke ʻano. Eia nō naʻe, hiki i ka hōʻino ʻana o nā puʻupaʻa a i ʻole ʻole ke kōkole i ke ʻano makua.

Pehea e pale ai i kahi UTI i nā keiki

Hiki iā ʻoe ke kōkua i ka hōʻemi ʻana i ka hiki i kāu keiki ke hoʻomōhala i kahi UTI me kekahi mau ʻike i hōʻike ʻia.

Kāohi UTI

1. Mai hāʻawi i nā keiki wahine ʻauʻau huʻa. Hiki iā lākou ke ʻae i ka bacteria a me ke kopa e komo i ka urethra.
2. Hōʻalo i nā lole paʻa paʻa a me nā lole komo no kāu keiki, keu hoʻi nā kaikamahine.
3. E hōʻoia i inu i kāu keiki i nā wai i lawa.
4. Hōʻalo i ka ʻae ʻana i kāu keiki i ka caffeine, i hiki ai ke hoʻonāukiuki i ka maʻi ʻaʻa.
5. Hoʻololi pinepine i nā pale pale i nā keiki liʻiliʻi.
6. E aʻo i nā keiki makua i ka maʻemaʻe kūpono no ka mālama ʻana i kahi genital maʻemaʻe.
7. E paipai i kāu keiki e hoʻohana pinepine i ka lumipaku ma mua o ka paʻa ʻana i ka mimi.
8. E aʻo aku i kāu keiki i ka holoi ʻana i nā ʻenehana, keu hoʻi ma hope o ka neʻe ʻana o ka ʻōpū. ʻO ka holoi ʻana mai mua a i hope hoʻi e hoʻoliʻiliʻi i ka likelihood e hoʻoneʻe ʻia nā bacteria mai ka anus i loko o ka urethra.

Inā loaʻa pinepine kāu keiki i nā UTI, ʻōlelo ʻia nā lāʻau ʻaloʻalo pale i kekahi manawa. Eia naʻe, ʻaʻole i loaʻa lākou e hoʻemi i ka hoʻi hou ʻana a i ʻole nā ​​pilikia ʻē aʻe. E mālama pono i nā ʻōkuhi inā ʻaʻohe o kāu keiki i hōʻailona o ka UTI.