Ua ʻoi aku ka ikaika o ke kino o nā keiki ma mua o ka pākeke a pane koke i nā loli a pau.
Hiki i ke kue ʻole i ka hoʻoponopono maʻamau ke hoʻonāukiuki i kahi maʻi ma kahi keiki, ʻo ia hoʻi ka pancreatitis - ka hana ʻino ʻana o ka pancreas.
ʻO ka pancreas kekahi o nā lālā nui loa e hana ai i nā enzyme e wāwahi ai i nā māhele o nā huahana. ʻO ka wai i huna ʻia e ka gland e kōkua i ka hoʻokaʻina ʻana o ka meaʻai.
Hoʻopuka pū kekahi i nā hormones e hoʻoponopono i ka nui o ke kō i loko o ke kino. Ma keʻano holoʻokoʻa, nā pilikia e pili ana i ka pancreatitis e hoʻopili ai i nā hōʻeha ma ke kino holoʻokoʻa.
Ka helu ʻana o ka pancreatitis i nā keiki
ʻO 5 a 20% wale nō o ka heluna o nā keiki ke kū i kēia pilikia.
Aia nā ʻano like o ka papa o ka maʻi.
- Kūmole maʻi - He maʻi mau kēia ka hana o ka pancreas, e hele ana i ke ʻano o ke kala ʻana, a laila i loko o ke ʻano o ka hoʻomaʻamaʻa. Hiki i kēia ʻano ke kūkulu i kahi palapala latin. Hoʻokumu ʻia ka pancreatitis maʻi i nā maʻi o ke ʻano o ka holo ʻana, ʻo ka maʻi gallbladder a me ka microflora intestinal impaired. Ua luhi pinepine ʻia kēia ʻano ʻano mumū i nā keiki; e kaumaha pinepine ʻia nā keiki o ke kula kula i kāna mau ʻōuli.
- ʻAno ʻano - ka hoʻomaʻamaʻa ʻana a me ka ʻā ʻana o ka ʻōlima ma muli o ka pono o ka ʻai, a me ke ʻano kūlohelohe hoʻi i nā lāʻau lapaʻau a i ʻole kekahi mea ʻē aʻe i waho. I ka hiki ʻole o ke kōkua, e hoʻomohala ʻia ka necrosis a me ke kahe koko. Hiki ke hiki i nā keiki o kekahi mau makahiki, akā ʻoi aku ka 10-18 mau makahiki;
- ʻAno ʻano - ʻO kēia kahi hōʻemi i nā komo o nā kelepona, ma muli o kahi e hoʻomaka ai ka pancreas e hoʻokaʻawale iā ia iho (luku). Hoʻoulu kēia ʻano ma muli o nā maʻi hoʻomohala o kahi ʻano lepa, ma muli o nā mea make. ʻO kēia ka mea maʻamau ka hoʻonāukiuki i nā keiki.
Aia kekahi ʻano like ʻole o ka ʻeha o ka maʻi.
- Kahiʻa - inā e ʻoluʻolu nā hōʻailona, hoʻopau ʻia nā hanana a me nā ʻōnaehana. E mālama maʻalahi kēia degere a loaʻa ka prognosis kūpono.
- Ka hōʻeha nui - ua hōʻike nui ʻia nā hōʻailona, kū mai nā hōʻeha paʻakikī (ʻehaʻeha purulent, necrosis). Me kēia pilikia paʻakikī, hiki ke hoʻonā ʻia ka pilikia.
I mea ʻole e hoʻonāukiuki i ke kūlana, pono e makaʻala ʻoe i ke keiki a mai haʻalele i nā hōʻailona mua e hiki ke hōʻōla ʻia me ke kōkua ʻana o ke ʻano koho pono.
Nā wikiō mai Dr. Komarovsky:
ʻO nā kumu o nā pathology i ke wā kamaliʻi
ʻO ke kumu nui o ka mumū pancreatic i kahi keiki ʻo ka mālama ʻana o nā mākua. ʻO nā maʻi o kēia ʻano ma nā keiki ke kahi o nā hihia, no laila ua hoʻonele pinepine ʻia nā mākua i ka kaohi ʻana ma ke olakino o ke pēpē.
ʻO nā waiho ʻana o ka maʻi:
- Ka hana immaturity o nā hoʻomaʻamaʻa pancreatic. ʻO kēia ke kumu i nā keiki ma lalo o 5 mau makahiki, ʻoiai ʻaʻole mākaukau ke kino e hoʻokūkū pono i ka meaʻai e hiki mai ana.
- ʻO ka ʻai a ka pēpē e pili ʻole ai i kona ʻano mau makahiki.
- Ka hōʻino o nā momona, ka pepa, ka paʻakai, ka paʻakai, nā meaʻai iʻa.
- Ka hōʻino ʻana i nā huahana semi-oti (sausages, sausages)
- Hoʻohana nuiʻia ka ʻai wikiwiki a me nā mea inu wai me ka waiʻa.
- Ka nele ʻole e hoʻokō i ka meaʻai - ka meaʻai kaiʻai ʻole (ka nui ma waena o nā pona o ka ʻai), a me nā wahi he nui, he mea pōʻino loa i ka ʻano o ke ʻano o ka ʻoihana.
- ʻO ka pale ʻana o nā hiʻohiʻona hiamoe - hiki ke lilo i mea maikaʻi kēia, no ka mea, ʻo ke kino o ke keiki kahi mea kaumaha nui loa.
- ʻO ka hana kino nui.
- ʻO ka heleʻana o ka paʻakikī. Kūpono loa nā keiki i kēia mau ʻano. I kā lākou ola he nui nā helu koʻikoʻi:
- ka hoʻolaulua i ka māla a i ʻole i ke kula;
- nā pilikia ʻohi;
- nā pilikia e kamaʻilio pū ai me nā mākua a me nā mea'ē aʻe.
- ʻO ka poʻokela he hana ʻino nui loa ma ke kīpē.
- Ke lawe nei i nā lāʻau lapaʻau, e like me ka antibiotics.
- ʻO nā maʻi maʻi koʻikoʻi, e like me cystic fibrosis. Me kēia hōʻike ʻana, pono ke keiki i ke ʻano o ka enzyme therapy no ke ola.
- Hoʻonui a loaʻa paha nā maʻi o ka ate, ka ʻōpū, ka ʻōpū ʻana o ka ʻōpū.
- ʻO ka heleʻana o nā ʻano lāʻau like ʻole i ke kino.
- Predisposition genetic a me ka moʻomeheu.
- ʻO ka heleʻana o ka maʻi mellitus type 1 a me 2.
- Inā make kahi keiki i nā maʻi maʻi, a laila pili nui kēia i ka ʻāina o ka pancreas.
- ʻO nā hopena ma hope o nā huakaʻi.
- Hoʻopuka ʻana i nā mea hanu. Loaʻa ka pōʻino o Anesthesia i nā ʻōnaehana kino.
- Nā hōʻeha i ka ʻōpū o ka ʻōpū (puʻupuʻu, bruises) pili i ka hana o nā lālā.
Video mai Kauka Komarovsky e pili ana i ka meaʻai olakino a maikaʻi.
Nā hōʻailona a me nā hōʻailona
E like me kekahi maʻi, ka pancreatitis kekahi mau hōʻailona a me nā hōʻailona:
ʻO ka hōʻailona mua i nā keiki, ma ke ʻano he kānāwai, he hoʻonui i ka mahana. Loaʻa ia ma waena o nā waiwai subfebrile o 37-37.5 ° C, ma nā hanana liʻiliʻi a kiʻekiʻe aʻe. Hoʻonā ka keiki i ka ʻeha ma ka peritoneum.
ʻOiai ke ʻeha ka ʻeha ma ka hema ma lalo o ka ʻīwī, hiki iā ia ke hāʻawi i nā ʻāpana like ʻole o ke kino.
- i ke kua;
- ma ka ʻaoʻao hema;
- ma ka wahi ma kahi o ka moʻo;
- i ke waena o ka ʻōpū;
- a he manaʻo paha e hōʻeha ana i nā wahi a pau.
Inā pili pono kēia ʻōiwi i ka hoʻowalewale o ka kelepona maʻalahi hiki ke loli inā maikaʻi ke ʻano ma hope o ka lawe ʻana i ka antispasmodics, ʻo ia ke ʻano o ka hōʻailona o ka pancreatitis.
Nā hōʻailona ʻē aʻe:
- nele i ka momona - ʻelua mau hola ma mua o ka hoʻomaka ʻana o ka ʻeha ma ka ʻōpū o ka ʻōpū, hōʻole ke keiki i ka ʻai;
- ka hopena o ka mimi;
- huʻi ae ka lua, i kekahi manawa me ka bile;
- ʻūwā;
- hoʻāliʻi (stools hookahuli) a constipation paha;
- hiki i kahi kūlana o ke ketoacidosis e ulu (ma muli o ka hōʻiliʻili o nā ketones, acetone a me ke kō e piʻi ai ke koko).
Hiki ke nānā ʻia ke ala ʻokoʻa o ka pancreatitis no ka manawa lōʻihi a luhi i ke ʻano, i kekahi manawa e hōʻeha ai i ka ʻehaʻeha. E maʻalahi ka kaohi ʻia ma o kaʻai ʻana - e hōʻoia kēia e hoʻomake ka hoʻomohala ʻana i nā maʻi inā he lōʻihi inā ʻaʻole i huki ʻia ka meaʻai.
Nā Palapala Diagnostic
ʻO kahi gastroenterologist wale nō e hiki ke hōʻoia i ka maʻi maʻi, ma hope o nā ʻano hoʻokolohua a me nā haʻawina.
- Hōʻike koko kikoʻī.
- Nā noiʻi Biochemical:
- ka hoʻoholo ʻana i nā pae protein serum;
- ka hoʻoholo ʻana o ka hana o nā pume pancreatic i loko o ke koko serum (amylase, lipase);
- hoʻoholo ʻana i ka hana amylase.
- ʻO ka ultrasound kahi maʻi ʻeha o ka nenehana, akā ʻaʻole kēia no ke aʻo pololei ʻana, ʻoiai ʻo ka hoʻonui ʻana ʻo ka pancreas, ʻaʻole he maʻi. I kekahi hihia kūikawā, kahi ʻano pilikino kēia, a ua manaʻo ʻia ke ʻano maʻamau. ʻO ka hōʻike ʻana o ka maʻi pancreatitis e manaʻo ʻia he hoʻololi i ka hana a me ke ʻano o ka pancreas.
- ʻO ka ʻōlelo kikoʻī a i ʻole MRI o nā kino e pono ai;
- ʻO ka nui o ke kō a me ka acetone i ke kino e pono e hoʻomake i ka mālama ʻana, no ka mea, e hoʻonāukiuki ana ka nui o ka gland i kā lākou hoʻonui.
Hoai ana me na olelo pahee
I mea e pale ai i ka hoʻomohala ʻana o nā maʻi ʻino, pono e hoʻomaka koke ka mālama ʻana, ʻoiai ke loaʻa nā hōʻailona mua o ka malaise.
Nā Kūmole Palapala Lāmika:
- ʻO ka mea mua, pono e hōʻalo i ka ʻeha. I ka wahi i loaʻa ai ke keli, he mea kūpono ke hoʻopili i kahi mea anuanu no 1-2 mau minuke.
- Hāʻawi i ka lāʻau lapaʻau ʻeha.
He kūpono ʻo Paracetamol a ʻo Ibuprofen no ke keiki, a hiki iā ʻoe ke hoʻohana i ka antispasmodics - Nosh-pa, Duspatalin, etc.
- Inā hana ʻia ka ʻōpala e nā mea make, a laila e kau ʻia i ka sorbents - Smecta, White ulana, Lactofiltrum, etc.
- I kēia kūlana, pono e hoʻohana i nā lāʻau lapaʻau e pale i ka dehydration - Regidron, Hydrovit, etc.
- E hoʻopau i ka nausea a me ka hoʻopuka, kūpono nā lāʻau lapaʻau e like me Cerucal, Metoclopramide, etc.
- E hoʻopau i ka heartburn, hoʻohana nā lāʻau antisecretory - Pirenzapine, Fosfalugel, Maalox a me nā mea ʻē aʻe.
- No ka mālamaʻana o ka enzyme o ka pancreas, Creon, Pancreatin, Mezim, etc.
- I kekahi mau hihia, hiki ke kuhikuhi ʻia i nā antibiotika, antihistamines, a i nā corticosteroids paha.
Hoʻolaha ʻia ka nui a me nā lāka e ke Kauka.
Inā koʻikoʻi ke kūlana, pono e hoʻopili koke i kahi keʻena olakino no ke kōkua kūpono.
No ka mālamaʻana i nā maʻi maʻi liʻiliʻi, pono e hoʻohana ʻia kekahi meaʻai kūikawā - table 5P. ʻO ke nānā ʻana, i nā hihia maʻamau, e hōʻoiaʻiʻo i kahi hopena kiʻekiʻe loa e kāohi ai i ka nūnū.
ʻO ka Papa 5P kahi mea lapaʻau e pono ai ke hahai ʻia i ka manawa o ka hoʻonui ʻana i nā hōʻailona o ka maʻi i ka liʻiliʻi ma kahi mahina a me ka hapa. Pono ʻoe e ʻai pinepine, ʻoi aku ma mua o 3-4 mau lā i ka lā. Pono ka liʻiliʻi o ka nui o ka meaʻai.
ʻO ke kumumanaʻa o kēia meaʻai e kuhikuhi ana i nā huahana e pono ke kaʻawale ʻole a me nā mea i ʻae ʻia e hoʻokomo i ka kō.
Palapala papa i papa ʻia a ʻae ʻia:
Lāʻau ʻia | I haawiia |
---|---|
Mea ʻai | |
pīpī, ʻalā, kēne ʻai ʻōpio | ʻai ʻai manu, kalima a ʻokiʻoki ʻai ʻana i ka ʻai |
Nā iʻa | |
nāʻaila ʻaila, ʻoki ʻai, paʻakai, ʻaʻai ʻole | iʻa ʻoka haʻahaʻa, kāʻai a ʻūlū ʻia |
Nā laupala | |
aole i nā lau lau, nā uala lau ʻū a me nā ʻati, ke kāleka, ka ʻamala, ka lettu, ka spinach, sorrel, the bell peppers, nā iʻa, nā pua, ka ʻūhā, nā kaupalena. | maʻa ʻili ʻia, ʻaʻohe pali ʻuala, kāoboti, beetroot, paukena, broccoli, zucchini |
Hoʻōla | |
unuhi ʻole ʻia, ʻeke loa, ʻami, hua ʻole nā huaʻala ʻāpono, hua lua, nā currants ʻulaʻula mālama | palalulu, mae, wela ʻia, mālama ʻole ʻia ʻōpōpō, mau maiʻa |
Nā huahana huahana | |
ka waiū, ka pulupulu i pauwila, nā keke i kinohi | nona ka lactic acid bacteria, kūʻokoʻa hale maoli lāʻau hoʻokaʻahaʻa haʻahaʻa haʻahaʻa, mālama ʻia waiora momona i hoʻokahi kime i hoʻokahi lā nā leʻalelima maʻa |
Pūnaewele | |
Puʻala | ʻo ka bakoʻahu - ʻoi aku me ka hoʻonui ʻana i ke kō, ka oatmeal, ka laiki, semolina, ka pasta palaoa |
ʻO nā mea ʻala a me nā mea ʻala | |
ʻōpala, ʻōwili, pōpoki, nā meli hua, nā huahana coklat, nā ʻōmole, nā hua | ʻaʻole kuki pipi, nā mea ʻala maikaʻi i hana ʻia i ka hale |
Nā mea inu | |
Ka wai, kaʻaila i hoʻomohala nui ʻia, ka inu ʻawa, inu ʻawaʻawa | wai hoʻōla wai ʻole me ka hau ʻole - "Essentuki" No. 4 a me 17 (no nā keiki ʻōpio pono e hoʻoheheʻe ʻia me ka wai maʻemaʻe 1: 1) ʻōmaʻomaʻo ʻōmaʻomaʻo, ʻeliʻula, nā hua maloʻi maloʻo |
ʻO ka wānana a me ke kālai
Loaʻa pinepine nā keiki i ka pancreatitis. Hoʻomaʻa pinepine lākou i kahi maʻi pancreatic ma muli o kaʻai pono ʻole, ka ʻai ʻana i nā meaʻai ʻole a me nā lāʻau lapaʻau.
Hoʻopili wale ʻia kēia mau mea ma ka hoʻoponopono ʻana i ka regimen a me ka meaʻai. Loaʻa kēia mau kūlana i ka hopena maikaʻi loa ma 99% o nā hihia.
Inā pili ka lolo i ka pancreatitis maʻi, a laila pono ʻo ia e kiaʻi pinepine ʻia e ka mea pediatrician a me gastroenterologist, e hoʻomaʻamaʻa ʻia i kahi papa hana e hoʻihoʻi nei i ka hoʻihoʻi hou ʻana a pono nā hana hou ma ka sanatoriums kūikawā.
Nā hana pale e pale ai i ka pancreatitis:
- kūpono ke kūpono o kaʻai;
- kūlike me ka meaʻai;
- kūpono ke ʻai no ka makahiki o ke keiki;
- ka pale ʻana i nā maʻi o nā ʻano etiology;
- kūlike me ka hoʻoponopono o ka hana a hoʻomaha;
- lawe ʻia nā lāʻau lapaʻau e like me ka mea i kau ʻia e ka kauka;
- hana kino kino.
ʻO nā mākua mālama a aloha i ke kī nui i ke ola o ke pēpē.