ʻO nā kumu, nā hōʻailona, nā ʻano lapaʻau no ka pancreatitis i nā keiki a me nā pākeke i ʻokoʻa. Wahi a nā helu loea, ʻo ka hana hou o ka mumū pancreatic i kahi keiki ka mea maʻamau. ʻO nā hoʻopiʻi o nā pathologies organ he ʻoi aku ka ʻoi. Mai nā lā mua o ke ola o ka pēpē, he mea nui ia e hoʻokō i kāna pono kūpono. He aha ka pale ʻana i ka maʻi? Pehea e hoʻopau ai i nā kumu kumu o kāna hanana? He mau hiʻohiʻona ka hoʻohana ʻana i nā lāʻau lapaʻau ma ka home?
ʻO Etiology (kumu) o ke kaʻina hana
ʻO ka hoʻopiʻi no ka hoʻonohonoho pono ʻana o ke ola o ke keiki i ka hoʻopunipuni piha me kāna kūlana makua. Ua pane ka kino o ke pēpē i nā mea makemake e makemake i kona mau mākua, nā ʻohana pili. Hoʻopuka nā keiki i ka ʻano pākeke. ʻO kahi kuhikuhi koʻikoʻi koʻikoʻi ʻo ia ka ʻai me ke kūpono, ʻoi aku me kahi keiki.
ʻO kekahi kumu nui o ka etiology o ka pancreatitis e waiho ana i nā mahele congenital o ke kūkulu ʻana a me ka hana o ka ʻōnaehana hana. Hana ʻia nā diagnoses e nā poʻe loea: cystofibriosis, cystic fibrosis, pancreatic hypoplasia. ʻO ka halemai hoʻokipa, e pono ka hoʻonohonoho ʻana o ka poʻe kōkua i ka manawa kūpono a i ʻole ʻia.
ʻO ka hōʻola a me ke ʻano maʻamau o ka pancreatitis i nā keiki a me nā pākeke, ma ke ʻano he kānāwai, kū i ka hopena o ka kaʻina o ke ake. I ke komo ʻana i ke koko o nā huahana decay nā huaʻōlelo maikaʻi ʻole e hoʻomohala. Hiki i nā poʻeʻelemakule ke hōʻemi i ka waiʻona ikaika, nā pipi momona, nā mea momona a me nā meaʻai i paʻi ʻia, a me nā lāʻau lapaʻau.
Kahi ʻia ka enzymatic o kahi olakino i loaʻa ʻole nā abnormalities i loko o ke anatomy a me ka hoʻomohala ʻana o nā mea hanu ʻoi aku ka hope o ke kuhi ʻia e pili ana i ʻekolu makahiki. Hiki i ka ukana ma ka pancreas i ka wā liʻiliʻi ma muli o ka hoʻopuka o ka pēpē i ka meaʻai "pākeke" (hāpū, nā ketchup spicy, nā kīʻaha, nā wai kalaila momona).
He aha kaʻu e ʻai ai me ka ʻaihue o ka pancreasʻO nā meaʻai o nā ʻano mea maikaʻi maikaʻi, ʻo ia hoʻi nā pōpoki, nā crackers, ʻaʻohe o ka home, ʻo kēlā me kēia manawa ke hoʻokuʻu ʻia nei i nā enzyme hao. ʻO ka meaʻai hoʻonaʻauao i lako me nā mea e hoʻoikaika ai i ka ʻono, ua hoʻohui pū kekahi. Mai ke wā kamaliʻi, hoʻomaka ka digestive hana i ka hana ma kahi "mode emergency" a me ka nui o kona mau kiko.
ʻO ka ʻai ʻana i kekahi, me nā meaʻai ʻole i ke ʻano o nā makahiki āpau, ʻoi aku hoʻi i nā keiki - ua piha me ka ʻalo, makehe, a me nā hopena maikaʻi ʻole, e like me ka make.
Hoʻololi i nā lāʻau lapaʻau pinepine i ka hoʻōla a me ka hoʻonāukiuki o ka aʻe o ke kelepona. ʻO ka poʻe, ma ka nānā mua, ka nui o ka huaʻai ʻo ka "maikaʻi ʻole" no ka hoʻohana makua (ma ka waha) e pono e koho e nā pediatricians me ka makaʻala nui loa. Pono nā kamaliʻi i nā lākaʻi e nānā mau ʻia.
Nā hōʻailona ma kēlā me kēia pae o ka pancreatitis
I nā keiki, hoʻohālikelike ʻia me nā pākeke, nā maʻi a me nā maʻi maʻamau ka mea maʻamau. I ka wā ʻōpiopio, hiki ke hōʻike pinepine ʻia kahi ʻano react pehu. Ma ka maʻi pancreatitis maʻa, he kiʻi pili kino ma hope.
- mua, he mahuahua nui i ka pā kino o ke kino;
- kekona, nā hōʻailona dyspeptic (ʻōpū a me ka maʻi pālua, holo ʻana i ka luaʻi).
I ka wā o kahi hoʻouka ʻana, hoʻopiʻi ke keiki i ka ʻeha ma ka ʻōpū. Ma ke ʻano he rula, he pilikia i ka hoʻoholo ʻana i kona wahi (kahi kikoʻī).
E like me ka hoʻopiʻi ʻana, me ka loaʻa ʻole o ka mālama kūpono no ka maʻi pancreatic, ana paha i ka edema organ, ka nui o ka nui
ʻO ke kāpae pinepine ʻia o kekahi mau meaʻai e alakaʻi i ka unsystematic production o nā huina digestive e ke kino. ʻOi iki ka ulu ʻana o ka maʻi maʻi o ka pancreas i loko o ke keiki, a ma hope o ka hōʻeha ʻana i nā maʻi, ʻaʻole i pau nā selepa i loaʻa ʻole ke hana maʻamau.
Ua hui ʻia ke ʻano o ke kūkulu ʻana o ka maʻi.
- lilo ka kaumaha;
- lilo o ka momona;
- hiamoe
- lethargy.
Hōʻīlī ke pēpē, wāwahi ʻia kona kīnā maʻamau (ua loli ke ʻano maʻi constipation).
Nā hōʻailona o ka pancreatitis i ʻoi aku ka ʻoi ma mua o nā keiki. Puhi ʻia kahi maʻi o ke keiki ma ke ʻano o kahi alerine meaʻai i kahi huahana. ʻO nā pēpē i hānai ʻia pinepine ka nele i ka lactose, i loaʻa i ka piha piha o ka waiū umauma.
Ma mua o ka mālama ʻana ...
Pono ka pono o nā pēpē pēpē e pale ʻia mai ka trauma a i ka ʻōpū o ka ʻōpū (hāʻule, nā puʻu, ke kaumaha a me ke kaumaha). Hoʻokomo ʻia nā hōʻeha i ka hōʻeha kino, hoʻohemo i nā hui, hoʻouhi ʻana i nā kahe koko, nā alapine kaile. Wahi a nā helu olakino, kekahi o nā keiki e hōʻeha nei i ka pancreatitis, ma ka pipi ua maʻi ʻo ka maʻi maʻi (flu, mumps-mumps).
Ma hope o kahi hoʻopaʻa kino maʻamau, hopu ʻia ka koko, ka urine a me nā feces. Nā hana hana (ultrasound, x-ray) e nānā i ke kūlana o ka pancreas. I ka loiloi maʻamau o ke koko o ka mea maʻi, ʻokoʻa nā ʻōnaehana biochemical mai nā mea maʻamau (ʻo ka ʻike o nā leukocytes a me ka pae o nā enzymes e hoʻonui ai).
ʻImi ʻia nā ʻōhua Fecal i loko o ka pūnaehana no kahi coprogram. E like me kāna hua hopena, hoʻopau lākou: aia ka nui o nā enzyme i ke kino i hana ʻia e ka pūnaehana digestive me nā hana endocrinological.
ʻO nā hōʻailona o ka maʻi e hōʻoia ʻia ma ke kahe ʻana o ka urine o kahi meaola - amylase. Hoʻopili kahi loiloi ultrasound i ka nui o ka pancreas, kona echogenicity (hoʻonohonoho). Hoʻonui a hōʻole ʻole paha i kaʻoiaʻiʻo e hōʻike i ka hoʻomau ʻana i nā hana ʻōnaehana.
Hiki i nā X-hihi ke hōʻike i ka neʻe mai o nā kino (ʻōpū, duodenum) e kokoke ana i ka kelepona, nā pōhaku i hoʻokumu ʻia, ka hana o nā papa pancreatic. I ka wā o ka hana akomi a me ka react, ʻaʻole ʻōlelo ʻia he hōʻike X-ray o ke keiki.
Hoʻohana ʻia ka pancreatitis
ʻO ke kumu no ka mālama ʻana i nā hana kūmama a me ke aʻalolo o ka maʻi pancreatic ka lawe ʻana i ka edema mai nā kumalā o nā mea e hoʻopau aku i ka bile. Hoʻohana ʻia nā analgesics, antispasmodics. I ka manawa like, me ke kōkua o nā maʻi maʻi, e hakakā ka kūpū e kū nei ma muli o ke kūle o ka bile. Hoʻopau ʻia nā hōʻailona o ka maʻi pancreatic, i ka hoʻohui - corticosteroids a me antihistamines.
I ka mua, pono ke kau i ke kau ʻana. He holo wikiwiki kēia a me ka hoʻolana ʻana o nā nutrra intravenous a me nā hopena lapaʻau. Hiki ke lōʻihi ka lōʻihi o kahi meaʻai "pololi", ma muli o ke ʻano maʻamau o ke kino a me ke kino, kūpono hoʻi, mai 1-3 mau lā a i ka 1-1,5 pule.
A laila, lohi, hoʻoili ʻia nā pahu i nā ʻāpana liʻiliʻi o 5-6 a i ʻole i nā manawa i kahi lā. Pono mākaukau ka meaʻai, e ʻoluʻolu - e ke aniani, palalulu, kāpaʻa - ma ka hana mau. Hoʻopili i ka hana o nā momona, ke kō a me nā huahana e loaʻa ana. Paipai ʻia e inu i nā wai kohua kaokeo ʻole, hoʻokuʻu ʻia mai i nā kaea, ases kīʻaha ma waena o nā papa.
Hoʻopili ʻia, nā enzymes synthesized e hoʻomaʻamaʻa i ka nānā ʻana o nā meaʻai i kuhikuhi ʻia no ka hoʻohana ʻana
Me ka hoʻomaʻamaʻa pololei, hoʻomaka i ka hoʻomaka mua ʻana o ka pancreatitis, he mea maikaʻi ke prognosis therapeutic. I ke ʻano o kāu maʻi, ua hilinaʻi nui ʻia i ke alapine o kona mau hōʻike. Lawe ʻia ʻo nā keiki ma hope o ka haukapila ma ka home. Hoʻohana ʻia ka hoʻomākaukau ʻana i nā lau mea ʻole me ka ʻuha pungent a i ʻole ka ʻawa ʻawa (chamomile tea, rosehip, mea kanu hakanui, ʻōlelo kalaka flax).
ʻO ka nānā ʻana o nā lāʻau lapaʻau systemic e ka mea lapaʻau a me nā gastroenterologist he mea nui a ma ka manawa he 1-2 i ka makahiki, ʻoiai ʻo ia i nā wā kamaliʻi, 6-7 mau makahiki, puberty. Hōʻike ʻia nā keiki maʻi i kahi mālama mālama kai olakino.
