Chii Chaunonyatsoziva?
Iwe unonetseka zvishoma nezve mwana wako achangoberekwa. Akaberekwa nguva yakazara uye akanga ave achiyamwisa nekuwana muviri. Akanga akafuridzirwa nababamunini na pertussis (avo vachikandira chifuva) uye saka vakanga vaiswa pamishonga inorwisa mabhakitiriya erythromycin sechidziviriro chekudzivirira, asi zvimwe zvaiita sezviri nani.
Mwana Wako ari kupera
Kwemazuva mashomanana adarika, ave achichera mushure mekudya kwake.
Kunyange zvazvo uyu ari mwana wenyu wokutanga, makanga makashanda mune zvekuchengetedza zuva uye makaona vana vakawanda vachipfira. Kuputika kwemwana wako kunoratidzika sechinyanya kusimba, kunenge kuchienda nekamuri, uye ndicho chikonzero iwe unonetseka.
Iwe unoenda kunoona chiremba wevana vako, uyo haasi kunyanya kunetseka nokuti haasi kurutsira mushure mekudya kwose uye haana kurasikirwa chero uremu. Anofunga kumisa kunwisa nekumupa chimiro chekutanga, saNutramigen kana Alimentum, pane. Anofungawo kuti mwana wako angave ane shungu pamudumbu nekuda kwe erythromycin akanga atora, uye anonyorawo Zantac.
Unokurudzirwa kuti haana kurasikirwa, asi sarudza kuti kumisa kufema kunenge kwakaipa uye iwe unopfuurira.
Kuwedzerwa Kuwedzera
Mumazuva mashomanana anotevera, kurutsa kunowedzera, zvichiitika shure kana mukati memaminitsi makumi matatu ekudyisa. Zantac haifaniri kunge iri kushanda uye iwe unonetsekawo nokuti haaratiri kuva neyemvura yakawanda yakawanda sezvaakashandisa uye ari kurara zvakanyanya.
Muhofisi yevana vako, vanocherechedza kuti akarasikirwa ne 1/2 pound, asi havatauri nehanya kwako. Sezvo anonwa mashomanana ePedialyte muhofisi, chiremba wevana anonzwa kuti dambudziko iri kusagadzikana kwemukaka uye kuti iwe unofanirwa kurega kunwisa. Anotsanangura kuti kurasikirwa kwepfungwa kunenge nokuti akayerwa pane imwe yakasiyana uye kuti iwe hausi kuona matheji akanyorova nokuti mapepa ezuva ranhasi ane simba guru.
Iwe uri kure nekusimbiswa ikozvino uye mazano evana vako vehutano 'hazviiti zvanzwisisiro kwauri. Mushure mezvose, uri kushandisa mapepa akafanana iwe waive uchishandisa nguva dzose uye kana aive ane simba guru, anouya sei akanzwa achidonha mvura pamberi?
Iwe unotonyanya kunetseka nokuti murume wako ane chimwe chinhu chakafanana chakaitika kwaari secheche uye aida kuvhiyiwa nokukurumidza kuti agadzirise.
Nemhaka yokuti mwana wako ane chirwere chekuzvidzivirira kwemazuva anoverengeka chiri kuramba chichiwedzera, unosarudza kuenda kuchivanze chekukurumidzira kuHome Hospital yako.
Nei Ichi Chirwere Chichikanganiswa?
Paunenge uchisvika, nekuda kwekuderera kwemuviri wake, yakaoma muromo, uye sunken fontanelle, vanofunga kuti ane mvura yakasviba uye anoonekwa pakarepo.
Vanosarudza kumurega kuti adye zvakare (NPO) uye anotanga kushandura mvura mvura pavanenge vachiedza kuziva chakaipa.
Vanokubvunza mibvunzo yakawanda zvakare, kusanganisira:
- Ari kungoparadzanisa kwete musimba here kana kuti ndeyechokwadi, inosimba, kupirisa kuputsika?
- Paanorutsira, anoita here kungoita sechifuva chemafuro kana kuti chiri chitubu chemavara (emesis bilious)?
- Akanga ari kurutsa kubva pakuberekwa, kana ichi chinhu chitsva?
- Ari iye ane chirwere cheropa here?
- Pane mumwe munhu pamba airutsira kana chirwere here?
- Iwe unonzwa sokuti iwe une chipo chakanaka chechipfuva uye ari kuchera uye achiyamwisa zvakanaka here?
Iwe unopindura kuti kwete, hakuna mumwe munhu ave achirwara, haana chirwere kana kusvibiswa kwemavara, uye kuti ane chipectile kurutsa. Iwe unotaura kuti iwe unonzwawo sokuti ave achinyatsonyatsonyatsonaka uye kuti une chibereko chakanaka chechifuva.
Vanachiremba vanotaura chimwe chinhu pamusoro pekusanzwa "muorivhi," asi kuti ivo vakanyatsoziva kuti vanoziva chakaipa. Vanorayira muedzo kuti vasimbise kuongororwa.
Mushure mokunge mwana wenyu aine chirwere chekusimudza akaongororwa muimba yekukurumidzira, vanachiremba vanotora kuedza kuedza zvavanofunga kuti hazvina kunaka. Vakanga vafunga kuita chikwata chepamusoro cheGI asi vakasarudza kuti ultrasound yaizova sarudzo yakanaka.
NdiPyloric Stenosis
Iyo ultrasound yakaitwa uye inoratidza kuti mwana wako weplorloric muscle ine uwandu hunopfuura 4mm uye urefu hwepirloric hukuru kupfuura 16mm, zvinoreva kuti ane hypertrophic pyloric stenosis, chikonzero chinowanzo chekuronga kupirisa panguva ino.
Iwe unodzidza kuti pylorosis stenosis ndiyo inonyanya kukonzera kukanganisa kwegastroesophageal mumucheche, inowanikwa munenge 1 mu 250 kusvika ku500 vacheche. Kunyange zvazvo inowanzoongororwa pane anenge masvondo matatu ezera, inogona kuitika kupi kubva kune imwe vhiki kusvika kumwedzi 5. Mumamiriro ezvinhu aya, iyo pylorus, kana muscular outlet yemudumbu inowedzera, kuitira kuti mvere yekamuti kana kuti rondedzero isingagoni kudurura kubva mudumbu uye inorutsirwa panzvimbo panzvimbo.
Kunyange zvazvo vana vakawanda vane pyloric stenosis vane zvinetso zve electrolyte, basa reropa remwana wenyu rakajairika, anonyorera mvura nyore nyore, uye anorongerwa kuti aite chirwere kuti agadzire pyloric stenosis.
Mushure mekunge musangana neChiremba Chiremba, unodzidza kuti achada pyloromyotomy, umo mishonga yeplloric yakatemwa kana kupararira yakazaruka kuti iwedzere.
Kuvhiya kwevana vako kunofamba zvakanaka uye inodzokera kunwisa kunyatsonaka uye iri kumba kwemazuva mashoma.
Kunyange zvazvo chikonzero chepirloric stenosis chisingazivikanwi, unoona kuti mwana wako ane zvinhu zvakawanda zvinokonzera njodzi, kusanganisira kuva dangwe mukomana (pyloric stenosis inowanzoonekwa nevakomana kupfuura vasikana), ine mhuri inogona kuitika sezvo baba vangave vakave nayo zvakare, uye kutora erythromycin, iyo ichangobva kubatanidzwa ne pyloric stenosis.
Kunyange zvazvo nyaya inorondedzerwa pano yaiva yakanyanya 'classic' ye pyloric stenosis, kuongorora hakusi nyore nguva dzose kuita.
Kazhinji kacho, panzvimbo yepuropiro yekurutsa mushure mekudya kwega kwega nekurema, vana vanogona kupa nechinguva chekuzvidzivirira kwepropectile, kamwe kana kaviri pazuva. Icho chiri mumamiriro ezvinhu akaoma akadai kuti kuongororwa kunogona kunonoka.
Projectile Vomiting
Pakati pemamiriro ezvinhu anowanzovhiringidzwa ne pyloric stenosis ndei:
- Gastroesophageal reflux - vacheche vane reflux vachawanzove vasina simba, kusing-projectile kurutsa. Vanogonawo kunge vari kukakavara uye vane urombo hushoma kana vakagadzira GERD.
- Misi / kusagadzikana kwemazimbe - kunyange zvazvo kazhinji vaine gesi uye chirwere, vana vanogona kusagadzikana kwemaitiro dzimwe nguva vanopfira kana kurutsa.
- Gastroenteritis - inogona kukonzera kurutsa, asi iwe unotarisirawo chirwere uye vamwe vanobatana vanorwara vane zviratidzo zvakafanana
- Utumbo husina kunaka nekudzivirira kana volvulus - mumamiriro ezvinhu aya, uturu hwomucheche hunogona kushandura uye hunovharidzirwa, huchikonzera marwadzo, chirwere chakakanganiswa, uye kusuruvara kwemavara (kusviba). Kusiyana nekunatswa kana kunyange zviitiko zvinyoro zvepirloric stenosis, a volvulus chirwere chinokurumidzira.
Nyaya iyi yakaratidzawo dzimwe 'kukanganisa' izvo vanachiremba vana dzimwe nguva vanoita, kusanganisira kusaziva kuderedza mvura nemhaka yekutenda kuti mahara anonyanyisa, achipa mazano kuti mwana achange ari nani pane kusamwisa, uye asingazivi kukosha kwekurehwa kwemazivi, izvo haambovi akajairika muvana vaduku.
Kana mwana wako akaramba achirutsa kusarura izvo zvisingabvumi kukurudzira kwevana vako, kusanganisira mishonga seZantac kana shanduko yekushandura, unogona kubvunza kana GI yakakwirira kana kuti pyloric ultrasound inogona kudiwa kuti ibatsire kuongorora, kunyanya kana mwana wako ari kurasikirwa kuyerwa kana kungorega kuverenga zvakanaka.