Ziyintoni I-Diagnosis?
Unenkxalabo encinci malunga nosana lwakho olutsha. Wazalelwa ngexesha elipheleleyo kwaye wayeluncelisayo kwaye ufumana isisindo kakuhle. Wayebonakaliswa kumalume ophethe i-pertussis (ukukhwehlela ukukhwehlela) kwaye ngoko kwakubekwa kwi-antibiotics i-erythromycin njengomlinganiselo wokuthintela, kodwa kwakubonakala ngathi kulungile.
Umntwana Wakho Uhlahlela
Kwiintsuku ezimbalwa ezedlulileyo, uye wahlwaywa emva kokutya kwakhe.
Nangona lo ngumntwana wakho wokuqala, usebenze kwintlalontle kwaye wayibona abaninzi abantwana bebethela. Ukutshatyalaliswa komntwana wakho kubonakala kunamandla kakhulu, phantse ukuya kwelinye egumbini, kwaye ke kutheni ukhathazekile.
Uya kumbona oogqirha bakho, ongenakhathazeka kakhulu ngenxa yokuba akayikuhlanza emva kokutya konke kwaye akalahlekanga nantoni na. Ucebisa ukuyeka ukuncelisa nokumnika i-formulaal elemental, njengeNutramigen okanye i-Alimentum, endaweni yoko. Kwakhona ucinga ukuba umntwana wakho unokuba nesifo esiswini ngenxa ye-erythromycin ebeyithathile, kwaye i-Zantac ibonisa kwakhona.
Uyaqinisekiswa ukuba akazange alahlekelwe isisindo, kodwa gqiba ekubeni ukuxilisa ingcamango embi kwaye uqhubeke.
Ukuvota ngakumbi
Kwiintsuku ezimbalwa ezalandelayo, ukunyuka kwenyuka, kwenzeka emva koko okanye kungakapheli imizuzu engama-30 yokutya. I-Zantac ayibonakali isebenza kwaye uyakhathazeka ngenxa yokuba akabonakali ukuba eneenwele ezininzi ezininzi njengoko wayesebenzisa kwaye ulele ngakumbi.
Kwisikhundla sakho sezingane, bayaqaphela ukuba ulahlekelwe iipilisi eziyi-2, kodwa abaxhatshazi. Ekubeni esela i-ounces ezimbalwa ze-Pedialyte e-ofisini, udokotela wengane unomuvo wokuthi ingxaki yokunyamezela ubisi kwaye kufuneka unqabe ukuncelisa. Uchaza ukuba ukulahleka kwesisindo mhlawumbi ngenxa yokuba wayelinganiswe kwisilinganisi esahlukileyo kwaye awuqapheli i-diapers ezimanzi kuba i-diapers yanamhlanje idla kakhulu.
Ukude uqinisekiswe ngoku kunye neengcebiso zezilwanyana zakho 'akunangqiqo kuwe. Emva kwakho konke, usebenzisa i-diapers efanayo oye wayisebenzisa yonke imihla kwaye ukuba babenomdla kakhulu, beza njani beziva bexakeka phambi?
Unomdla ngakumbi kuba umyeni wakho unento efana naye eyenzeka kuye njengengane kwaye wayedinga ukuhlinzwa ngokukhawuleza ukulungisa.
Ngenxa yokuba umntwana wakho uye wahlambalaza iintsuku eziliqela eziye zadlulayo, unquma ukuya kwigumbi elingxamisekileyo kwi-Hospital ye-Children's Hospital.
Kutheni le Ntsana idibene?
Ekufikeni kwakho, ngenxa yokunciphisa umchamo we-urine, umlomo owomileyo, kunye ne-fontanelle ebonisiwe, banomuzwa wokuthi unxweme kwaye ubonakala ngokukhawuleza.
Benza isigqibo sokungamvumeli ukuba adle kwakhona (NPO) kwaye aqalise ukuphuma kwamanzi xa bezama ukuqonda into engalunganga.
Bakubuza imibuzo emininzi, kuquka:
- Ingaba nje ugawula ngokungekho ngamandla okanye ngaba yinyani, inamandla, ukuhlanza i-projectile?
- Xa ehlanza, ngaba ibukeka nje njenge-breastmilk okanye i-green emesis?
- Ngaba uhlanza ukususela ekuzalweni, okanye ngaba le nto into entsha?
- Ngaba unesifo sohudo?
- Ngaba omnye umntu ekhaya uhlanza okanye uhudo?
- Ngaba uvakalelwa ukuba unesondlo esilungeleyo sesifuba kwaye uyagcina kwaye uyasela kakuhle?
Uphendule ukuba akukho, akukho mntu ugule, akanalo isifo sohudo okanye ukuhlanza okuluhlaza okomnyama, kwaye unento yokuhlanza i-projectile. Uthetha ukuba uvakalelwa kukuba unamncelise kakuhle kwaye unesondlo esihle sebele.
Oogqirha bathi into engayifumani "umnquma," kodwa ukuba baqiniseke ukuba bayazi into engalunganga. Bayalela uvavanyo ukuba baqinisekise ukuxilongwa.
Emva kokuba umntwana wakho enokuhlanza iprojekti ahlolwe kwigumbi lexakeka, oogqirha banquma ukwenza uvavanyo ukuze baqinisekise oko bacinga ukuba akuphosakeleyo. Baye bacinga ukuba benze uvavanyo oluphezulu lweGI kodwa banquma ukuba i-ultrasound yayiza kuba yinto ekhethekileyo.
I-Pyloric Stenosis
I-ultrasound yenziwe kwaye ibonisa ukuba imisipha ye-pyloric yomntwana yakho inobungakanani obukhulu ngaphezu kwe-4mm kunye nobude be-pyloric obukhulu kune-16mm, oku kuthetha ukuba une-strostosis ye-pyloric stenosis, eyona nto ibangela ukuhlanza kwe-projectile kule minyaka.
Ufunda ukuba i-pyloric stenosis yiyona nto ibangela kakhulu isithintelo se-gastroesophageal kwiintsana, ezenzeka malunga ne-1 kuma-250 ukuya ku-500 iintsana. Nangona kudla ukufunyaniswa malunga neveki ezi-3 ubudala, kunokuvela naphi na kwiiveki ezi-5 ukuya kwiinyanga ezi-5. Kule meko, i-pylorus, okanye i-muscular outlet yesisu isandisiwe, ukwenzela ukuba isifuba okanye i-formula ikwazi ukukhupha esiswini kwaye ihlanza esikhundleni.
Nangona ezininzi iintsana ezine-pyloric stenosis zineengxaki ze-electrolyte, umsebenzi wegazi lomntwana wakho uqhelekileyo, uyaphinda avuselelwe ngokulula, kwaye ulungiselelwe ukuhlinzwa ukuze kulungiswe i-pyloric stenosis.
Emva kokudibana ne-Pediatric Surgeon, ufunda ukuba uya kuyidinga i-pyloromyotomy, apho umsila we-pyloric unqunywe okanye usasazeka ukuze uwandise.
Utyando lwakho lomntwana luhamba kakuhle kwaye lubuyela ekunceliseni kakuhle kwaye luya ekhaya iintsuku ezimbalwa.
Nangona imbangela ye-pyloric stenosis ayengaziwa, ufumanisa ukuba umntwana wakho unemiba emininzi yengozi, kubandakanywa nokuba yindoda eyizibulo (i-pyloric stenosis ixhaphake kakhulu kubafana kunamantombazana), enokuba nembali yentsapho enokwenzeka ukuba ubaba wayenayo Kwakhona, kwaye uthathe i-erythromycin, esandul 'inxulunyaniswe ne-pyloric stenosis.
Nangona iimeko ezichazwe apha zazingumzekelo 'weklasiki' ye-pyloric stenosis, ukuxilongwa akusoloko kulula ukwenza.
Ngokuphindaphindiweyo, endaweni yokuhlanza i-projectile emva kokusondeza kunye nokulahleka kwesisindo, ezi ntwana ziyakubonisa ukuhlanza kwesikhombiso, ngokuphindwe kabini okanye kabini ngosuku. Kuloo meko anzima ukuba ukuxilongwa kunokulibaziseka.
Projectile Vomiting
Phakathi kweemeko ezihlala zidityaniswa ne-pyloric stenosis zi:
- I-reflux ye-Gastroesophageal - iintsana ezinokutshatyalaliswa ngokuqhelekileyo ziya kubakho ukuhlanza okungabonakaliyo, kungabonakali. Basenokuba neengxaki kwaye banokufumana ubunzima obubi xa behlakulela i-GERD.
- Ukunyanzeliswa kwamanzi / i-formula - nangona kunjalo baya kuba ne-gas kunye nehudo, iintsana ezinokunganyameli kwexesha elidlulileyo zingahle zihluthe okanye zihlanza.
- I-Gastroenteritis - inokubangela ukuhlanza, kodwa uya kulindela uhudo kunye nabanye ootitshala abagulayo abaneempawu ezifanayo
- Ukuxhamla kwamathumbu emathunjini kunye nesithintelo okanye i-volvulus - kule meko, amathumbu omntwana angakwazi ukuguquka aze aphepheke, abangela intlungu, isisu esisisigxina, kunye nokuhlanza okumnyama. Ngokungafani ne-reflux okanye neemeko ezincinci ze-pyloric stenosis, i-volvulus yinkxamiseko yonyango.
Le meko iphinde iqokomise 'iimpazamo' zabanye abantwana abazenzayo, ngokuquka ukungazi ukuxiliswa kwemvelo ngenxa yenkolelo yokuba i-diapers ixakeka kakhulu, icebisa ukuba umntwana uya kuba ngcono xa engayi kuncancisa, kwaye akaqapheli ukubaluleka kokulahlekelwa kwesisindo, aluqhelekanga kubantwana abancinci.
Ukuba umntwana wakho uhlala ehlanza i-projectile ukuhlanza okungaphenduliyo kwiinconywa zezilwanyana zakho, kubandakanya imithi enjengeZantac okanye utshintsho lwefomula, unokubuza ukuba i-GI ephezulu okanye i-pyloric ultrasound ingadingeka ukuba incedise ukwenza ukuxilongwa, ngakumbi ukuba umntwana wakho ulahlekelwa ubunzima okanye nje ukufumana isisindo kakuhle.