Intussusception a me kona ano hiʻona

A pau i ka nui, he pono ole e like me kaʻike, o ka intussusception. 'O kēia ka hoike ana o ka hookahi AeXIeAaOIePEAaI i kekahi. Loa pinepine keia maʻi ia lŘlŘ i na kamalii uuku. Nō kāu, i ke kumu o ka haunaele peristalsis ka wā i kekahi hapa o ka hoʻopoepoe Muscle spasm mau hooleiiaʻi mawaho.

Intussusception i loko o nā keiki pinepine ia lŘlŘ puni ka makahiki o 4 mahina a hiki i ka makahiki. I kekahi manawa, i ka maʻi ke hoike mai ai ia ia iho, ma waena o nā makahiki o ka elua a hiki i 'ekolu makahiki. O ke kumu ho i ka loli ma kaʻai i ke keiki ka. Oia kaʻike, ua pinepine hanai keiki ma mua o wīwī. Symptoms o ka maʻi hoʻomaka koke: ke keiki ua e pili ana, e hea ana noʻaʻohe'ē aʻe kumu, i ua pu ma ka hoolale wāwae i kona'ōpū. Ma ka a pau, ka mea i ike i ke kumu o na keiki i ka maʻi puʻuwai i abdominal eha. Nō kāu, i ka maʻi i ka kēia mau hiʻona.

1. Ino o kaʻeha e IeAUPIIe, IAa IO pahi. Ka mea, ua nui loa ka ikaika, ka lōʻihi like 'ole o ko lākou liʻiliʻi, akā, e e systematically hai hou ma pōkoleʻanuʻu. Ma waena o kēia mau ho'āhewa wale ke keiki ka ke ano mea normalized: hiki ia pāʻani, e hiamoe.
2. Loli ma ka noho: ka mea, aole i loaa mua abnormality, no ka mea,ʻo Eli ma haalele mai ka lalo intestinal'āpana. Ma hope, mucus kawili pu ia me ke koko i Konakele. Ke kaumaha ma muli o ka ka manaʻo pohihihi o ka maʻi, i kēia mau symptoms kānāwai i loko o ka mua mau hola, akā, ia pinepine ka hana nui hope, paha i loko o lā. Paepae, a i ano o ka intussusception, like me ka mānoanoa currant jelly. I kekahi manawa, hōʻike wale eleele wai. intussusception i loko o ka noho ololi ma naʻano likeʻole: he nui na keiki ma hope o ka piʻoloke muaʻikea flatulence a me ka nohoʻana. no hoi e ae aku kekahi mai diarrhea.
3. Ka luaʻi pu ma kaʻeha. I kekahi manawa, ua mahana, akā, ma hope o kekahi mau hola ka hoʻomau 'ana hou. E hana hou i ka mea aie i ka ikaika stimulation o ka abdominal lua a me ka 'aʻe' ana o ka naʻau i iaʻi.

Nō hoʻi intussusception i loko o ka huʻi pae ua pu ma pallor o ka ili. Inā manawa 'aʻole e hoʻolako i ka pono kōkua i ke keiki, me ka hoike ana mai o ka maʻi e like me symptoms o peritonitis. Inā keia hana, oe e ike koke i kapa aku ai i ka ambulance. Ke kauka, me abdominal palpation, diagnose a ke Säkona i kaʻike, o "na naau oʻu intussusception." Mea i ka hopena o ka nana, e pono i loko o kekahi hihia e hele i ka? Aaieou e hooholo hou lapaau.

e like me ka lapaʻau hoike ana mai o ka maʻi ua maheleia i:

1. Huʻi intussusception (ka hola 98% hanana).
2. Maʻi intussusception, wehewehe aku ma ke kahua o ka adhesions, kena ae la ma ke kūpono 'ana o ka hoʻoʻino kaʻina (emi o 1%).
3. Recurrent intussusception (ma kahi o 0.5%).

intussusception iapaau ana kŰia puhi ma i ua hana ma lalo o kekahi mau anesthesia ka hoʻohana 'ana Richardsonʻano hana. Relapse ma hope o hoʻohana o ka makeʻe kulana lapaʻau ka'āina pohihihi keia.

Aia i mau contraindications i ka hoʻohana 'ana o ka makeʻe kulana lapaʻau.

1. Ke alo o ke kahe ana ke koko i loko o ka rectum.
2. Inā ka pahu radiograph hōʻike iaʻi o ka uuku liʻiliʻi.
3. A hiki mai ka hoailona mua o ka maʻi ka mea, ua i oi aku mamua o 18 hola.
4. Children mua ma mua o ka makahiki a emi o 3 mahina.
5. Ke alo o recurrent intussusception.

ʻoki lāʻau lapaʻau lapaʻau hana - laparoscopic a me ka laparotomy. intussusception ma hope aaieieno? oʻoki lāʻau lapaʻau 'uao ua hai emi pinepine ma mua o ma hope o makeʻe kulana lapaau.

Nō kāu, makeʻe kulana lapaʻau ua hoʻohana 'ia i ka hoʻomaka o ka maʻi wale, a ma o ka hihia ma he mea intussusception o ka sigmoid AeXIeAaOIePEAaI. Inā ka hihia ka mea, hoonohoia ma ka wehe 'ana o ka AeXIeAaOIePEAaI.