ʻO ka diarrhea i loko o kahi keiki, he aha ka mea e hana ai?

ʻO ka maʻi maʻi i loko o kahi keiki ka hoʻonui nui ʻana o nā feces, kahi ʻokoʻa mai ka neʻe ʻana o ka ʻōpū maʻamau i ka waihoʻoluʻu, ke ʻano a me ka ʻala. Me ka maʻi maʻi, ua nalowale ka wai a me nā electrolytes, neʻe wikiwiki nā feces i loko o ka ʻōpū a ʻaʻohe manawa e hana ai. Loaʻa i kēlā me kēia makua ka maʻi maʻi maʻi ma kahi o hoʻokahi manawa i ko lākou ola ʻana, no laila he mea maʻamau ka nīnau no ke kōkua ʻana i kā lākou keiki.

He maʻalahi ka ʻike ʻana i nā hōʻailona o ka diarrhea. Ma waho aʻe o ka hoʻololi ʻana i ke ʻano o ka stool, hiki i ke keiki ke hoʻopiʻi i ka ʻeha o ka ʻōpū o kahi spasmodic a i ʻole ke ʻano acute, nausea a me ka luaʻi ʻana, ke kuni, rumbling i loko o ka ʻōpū, flatulence, hoʻopunipuni wahaheʻe e defecate.

I ka wā kamaliʻi, ʻoi aku ka pōʻino o ka maʻi maʻi, no ka mea, ʻoi aku ka wikiwiki o nā pēpē ma mua o nā pākeke. No laila, ʻo ka hoʻopili ʻana i ke kauka he mea pono ia, ʻoi aku ka nui o ka maʻi maʻi maʻi.

Me ka maʻi maʻi i loko o kahi keiki, pono e hoʻopili i kahi enterosorbent i ka wā hiki loa - he lāʻau lapaʻau nona ka hana e pili ana i ka adsorption a me ka haʻalele ʻana mai ka ʻōpū o ka ʻōpū o nā mea ʻino, bacteria a me nā maʻi i hoʻokumu i ka ʻona. I ka mālama ʻana i nā keiki ma lalo o 2 mau makahiki, pono ʻoe e koho i ka sorbent kūpono, ʻo ia ka mea mua, palekana.

ʻO ka ROAG i manaʻo ʻia ʻo nā pediatricians Lūkini ma ke ʻano he enterosorbent no ka hāpai ʻana, ka lactating wahine a me nā keiki mai ka hānau ʻana e kuhikuhi iā Enterosgel, i hōʻoia iā ia iho no nā makahiki he nui, a me nā mea like. Hoʻokaʻawale ʻia ʻo Russian Enterosgel ma ke ʻano he koho mua ma muli o ka palekana i hōʻoia ʻia (hana wale i ka ʻōpū o ka ʻōpū, ʻaʻole i komo i loko o ke koko), ka hopena o ka ʻano gel, ʻaʻole ia e maloʻo a ʻaʻole hoʻonāukiuki i ka ulu ʻana o ka constipation. he mea koʻikoʻi loa ia i ka mālama ʻana i nā mea liʻiliʻi loa.

I ka manawa hea e manaʻo ʻia ai ka maʻi maʻi pēpē?

Pono e hoʻomaopopo ʻia ʻaʻole hiki ke manaʻo ʻia kēlā me kēia kuʻekuʻe wāwae o kahi pēpē he maʻi maʻi.

No laila, he mea nui e ʻike i kēia mau hiʻohiʻona:

• Ke nānā nei i kahi ʻūhā ʻūlū i kahi keiki hou a i ʻole pēpē, ʻaʻole pono ʻoe e kāhea koke i ke kauka. No nā keiki i loko o ia wā ʻōpiopio, ʻo nā kuʻekuʻe wāwae ka mea maʻamau. ʻOiaʻiʻo, i kēia manawa, loaʻa i ka pēpē ka meaʻai wai wale nō, e pili ana i ka kūlike o nā feces.

• ʻO ka hoʻoneʻe pinepine ʻana i ka ʻōpū i ka wā kamaliʻi ʻaʻole ia he hōʻailona o ka maʻi maʻi. I kēia manawa, hiki i ka stool o ke keiki ke hiki i ka 10 a ʻoi aku paha i ka lā. ʻO kekahi manawa ka hoʻokuʻu ʻana o nā feces wai ma hope o kēlā me kēia hānai ʻana, ʻaʻole ia he deviation mai ka maʻamau.

• I nā keiki ma lalo o hoʻokahi makahiki, ʻaʻole i ʻike ʻia ka nui o ka fecal i kekahi manawa (inā ʻaʻole pilikia ke keiki i ka constipation). Hōʻike ʻia ka maʻi maʻi e ka neʻe ʻana o ka ʻōpū ma mua o 3-4 mau manawa i ka lā. I kēia hihia, lilo ka ʻili i ka wai, wai, hiki ke hoʻopuka i kahi ʻala fetid uncharacteristic a i ʻole nā ​​​​mea haumia ʻē aʻe.

• I nā keiki he 2-3 mau makahiki a ʻoi aku, pono e hoʻokumu ʻia ka stool, ʻaʻole ia i loko o nā haumia pathological. I kēia mau makahiki, ʻoi aku ka maʻalahi o ka ʻōnaehana digestive, no laila, maʻamau, ʻaʻole i ʻoi aku ka nui o nā stools ma mua o 1-2 mau manawa i ka lā. Inā piʻi ka nui o ka neʻe ʻana o ka ʻōpū, a ʻike ʻia nā haumia haole i loko o ka feces, a laila hiki ke kānalua ʻia ka maʻi maʻi.

Ua hoʻomohala nā kauka i nā pae hoʻohālikelike kikoʻī e hoʻokaʻawale i ka maʻi maʻi i loko o nā keiki o nā makahiki like ʻole mai nā waihona maʻamau:

• Inā nalowale kahi keiki ʻōpio ma mua o 15 g / kg / lā o ka stool, a laila hōʻike kēia i ka maʻi maʻi.

• I nā keiki he 3 makahiki a keu aku, ua kokoke ka nui o ka wai maʻamau i kēlā me kēia lā i ko ke kanaka makua. No laila, ua manaʻo ʻia ka maʻi ʻana i ka nalowale o nā feces i ʻoi aku ma mua o 200 g i kēlā me kēia lā.

ʻO ke ʻano o ka maʻi maʻi i nā keiki

Nui nā ʻano o ka maʻi ʻaʻai i nā keiki.

Ma muli o ke ʻano o ka hoʻomohala ʻana o ka diarrhea:

• ʻO ka maʻi maʻi huna, ke nui ka wai a me nā paʻakai i loko o ka lumen o ka ʻōpū, i hoʻokuʻu ʻia ma muli o ka hoʻonui ʻana i ka hana huna o nā epitheliocytes o ka mucosa intestinal. ʻO kēia ʻano maʻi maʻi maʻi hiki ke loaʻa i ka maʻi maʻi a i ʻole ka maʻi maʻi.

• ʻO ka maʻi maʻi exudative, e ulu ana i ke kua o nā maʻi ʻeha.

• ʻO ka maʻi maʻi Hyperkinetic, kahi i hoʻonui ʻia ai ka ʻoki ʻana o nā paia ʻōpū, a i ʻole ka nāwaliwali o ko lākou motility. Ke alakaʻi nei kēia i ka hōʻino ʻana i ka hoʻolaha ʻana i nā mea o ka ʻōpū.

• ʻO ka maʻi maʻi Hyperosmolar, i ka wā e hōʻino ʻia ai ka absorption o ka wai a me nā electrolytes i loko o ka ʻōpū.

Ma muli o ka lōʻihi o ke ʻano o ka maʻi maʻi, ʻokoʻa kona mau ʻano maʻi a me ka maʻi. ʻO ka maʻi maʻi maʻi he ʻelua pule a ʻoi aʻe paha. He osmotic ka maʻi maʻi maʻi ke kū ma hope o ka hōʻole ʻana i ka meaʻai a i ʻole kekahi mau lāʻau lapaʻau. Ke hoʻomau ʻia ka maʻi maʻi ma muli o ka pōloli o ke keiki, a laila ua manaʻo ʻia he mea huna. He kakaikahi kēia ʻano maʻi maʻi maʻi i ka wā kamaliʻi, akā he pilikia nui ia i ka pēpē.

No ka hoʻoholo ʻana he maʻi maʻi maʻi huna o ke keiki, pono ke nānā aku i nā hōʻailona e like me ka hoʻomaʻemaʻe pinepine ʻana a hiki i 5 mau manawa i ka lā a ʻoi aku paha, ʻoiai ʻo ka wai wai, hiki mai ka defecation me ka nānā ʻole i ka manawa o ka lā. I kēia hihia, pono ʻoe e kāhea koke i kahi ambulance a hoʻokipa i ke keiki, no ka mea aia kahi hoʻoweliweli pololei i kona ola.

ʻAʻole iʻoi aku ka lōʻihi o ka diarrhea ma mua o 2-3 mau lā.

Aia kekahi ʻano o ka maʻi maʻi i loko o nā keiki, ma muli o ke kumu i hoʻokumu ʻia ai:

• Hoʻopili.

• ʻAi ʻai.

• ʻona.

• Dyspeptic.

• Lapaʻau.

• Neurogenic.

• Hana pono.

ʻO nā kumu o ka maʻi maʻi i nā keiki

ʻAʻole hiki mai ka maʻi maʻi iā ia iho. ʻO ka hopena mau ia o kekahi maʻi a i ʻole nā ​​​​pilikia i loko o ka ʻōnaehana digestive.

I loko o nā keiki, ʻo ka maʻi maʻi maʻi i loaʻa pinepine ʻia e:

• ʻO ka maʻi i loko o ka ʻōpū.

• Nā maʻi hoʻoilina o ka ʻōpū ʻōpū.

• Lāʻau makeʻai.

• Nā hewa ʻai.

Pono e noʻonoʻo nui ʻia kēia mau kumu.

ʻO ka maʻi ma ke ʻano he kumu o ka maʻi maʻi

ʻO ka mea maʻamau, noho ʻia ka ʻōpū e nā huakini i kuleana no ka ʻai ʻana i ka meaʻai. Ua manaʻo ʻia kēia mau bacteria he "pono", no ka mea e hiki ai i ke kino kanaka ke ola. Ke komo nā maʻi pathogenic, nā maʻi a me nā parasites i loko o ka ʻōpū, hiki mai ka mumū o ke kino. ʻO ka pinepine kēia alakaʻi i ka diarrhea. Ma kēia ʻano, hoʻāʻo ke kino e lawe mai i nā maʻi infectious pono ʻole i loko o ka ʻōpū.

• ʻO nā maʻi e hoʻonāukiuki pinepine i ka ulu ʻana o ka maʻi maʻi i ka wā kamaliʻi: rotaviruses, adenoviruses.

• ʻO nā maʻi bacteria e hoʻonāukiuki pinepine i ka'ōpū i ka wā kamaliʻi: salmonella, dysentery coli, E. coli.

• ʻO nā parasite e hoʻoulu pinepine ai i ka maʻi maʻi i nā keiki: roundworms, amoeba, pinworms.

Ke komo ʻana i loko o ka lumen intestinal, noho ka flora pathogenic ma kona mau paia, e hana ana i kahi hopena inflammatory. Ke alakaʻi nei kēia i ka piʻi ʻana o ka peristalsis, kahi e alakaʻi ai i ka haʻalele wikiwiki ʻana o nā feces.

ʻOi aku ka ikaika o ka ulu ʻana o ka flora pathogenic, ʻoi aku ka nui o ka pōʻino o nā paia ʻōpū. Nalo lākou i ka hiki ke komo i ka wai, hoʻomaka kā lākou mucous membrane e hana i ka exudate inflammatory. ʻO ka hopena, he nui ka nui o ka wai e hōʻiliʻili i loko o ka lumen intestinal, a me ka meaʻai ʻole. Ke puka mai nei kēia mau mea a pau ma ke ʻano o ka neʻe ʻana o ka ʻōpū, ʻo ia hoʻi, ulu ke keiki i ka maʻi maʻi.

ʻO nā ala maʻamau o ka maʻi i kahi keiki:

• lima holoi ole ia.

• Meaʻai hua.

• ʻO nā mea lepo i hoʻohana ʻia i ke ola o kēlā me kēia lā.

• Nā mea hoʻomaʻemaʻe pilikino i hoʻohaumia.

• ʻAi ʻana i ka meaʻai pau.

• Pili me kekahi keiki mai. Hoʻouna ʻia nā maʻi maʻi ʻōpū ma kēia ʻano.

ʻO nā maʻi hoʻoilina o ka digestive tract, ke kumu o ka maʻi maʻi

Aia nā maʻi o ka ʻōnaehana digestive, ke kumu o ia i loko o nā maʻi genetic. ʻO ka hapa nui o nā keiki, hiki mai ka lactase deficiency. I ka manawa like, liʻiliʻi ka lactase enzyme i hana ʻia i loko o ka ʻōpū. Hoʻokumu kēia mau keiki i ka maʻi maʻi ma hope o ka ʻai ʻana i ka waiū a i ʻole nā ​​huahana waiu.

ʻAʻole maʻamau ka ʻae ʻana o Gluten (maʻi celiac). I kēia hihia, ʻaʻole hiki i ke kino o ke keiki ke ʻeli i ka cereals. Eia kekahi, ʻo nā maʻi ʻokoʻa ʻē aʻe o ka ʻōpū e pili ana i ka nele o ka sucrase-isomaltase, i ka wā ʻaʻole lawa nā enzyme i ke kino e hiki ke wāwahi i nā kō. No laila, ʻo kā lākou ʻai ʻana me ka meaʻai e hoʻoulu ai i ka maʻi maʻi.

ʻO ka atrophy congenital o ka mucosa intestinal e alakaʻi i ka maʻi maʻi i loko o kahi pēpē, no ka mea hiki ʻole ke komo piha ʻana i nā meaʻai mai ka meaʻai.

ʻO ka ʻai ʻana ma ke ʻano he kumu o ka maʻi maʻi

He mea maʻamau ka lāʻau ʻona i ka wā kamaliʻi.

Hiki ke hoʻoulu ʻia e nā kumu penei:

• ʻAi ʻana i nā meaʻai i hoʻopau ʻia.

• ʻO ka loaʻa ʻana o nā lau ʻai a i ʻole nā ​​huaʻai, ka ʻiʻo a i ʻole ka iʻa ma ka papaʻaina o ke keiki.

• ʻO ka lāʻau ʻawaʻawa me nā mea ʻawaʻawa, nā mea kanu ʻawaʻawa a i ʻole nā ​​haʻiki.

• ʻO ka inu ʻana i ka waiʻona a i ʻole ka nui o nā lāʻau lapaʻau.

ʻO nā meaʻawaʻawa i komo i loko o ka'ōpū e hōʻino i kona mucous membrane, hoʻoulu i ka hopena inflammatory, hoʻonui i ka peristalsis, kahi e pale ai i ka laweʻana o ka wai mai ka lumen'ōpū. ʻO ka hopena, ulu ke keiki i ka maʻi maʻi.

ʻO nā hewa ʻai i ke kumu o ka maʻi maʻi

ʻO nā hewa i ka meaʻai e alakaʻi i ka ʻoiaʻiʻo ua pau ka ʻōnaehana digestive. Hoʻokumu kēia i nā hopena pathological like ʻole mai ke kino, me ka maʻi maʻi.

I ka wā kamaliʻi, ulu pinepine ka maʻi maʻi ma muli o kēia mau hewa i ka meaʻai:

• Ka ʻai nui ʻana i ka meaʻai. Inā uaʻai nui ke keiki, a laila hoʻomaka ka meaʻai e hoʻokau nui i nā paia o ka ʻōpū mai loko mai. Hoʻoulu kēia i ka piʻi ʻana o ka peristalsis a me ka neʻe wikiwiki ʻana o ka nui o nā meaʻai ma o ka lumen intestinal. I ka manawa like, ʻaʻole komo piha nā mea pono mai ka meaʻai. Hoʻoulu ke keiki i ka ʻōpū. Aia i loko o ka waihona nā ʻāpana o ka meaʻai ʻaʻole hoʻoheheʻe ʻia.

• ʻO ka loaʻa ʻana o ka nui o nā huaʻai a me nā mea kanu i ka papa kuhikuhi. ʻO nā lau ʻai a me nā huaʻai he ʻano ʻano koʻikoʻi, loaʻa ka nui o ka fiber dietary indigestible. ʻOi aku ka nui o lākou i ka peel. ʻAʻole hiki i nā ʻōpū o ke keiki ke hoʻokō i kēlā mau meaʻai, no ka mea, hoʻonāukiuki ia a hoʻonui i ka peristalsis. Hoʻoulu kēia mau mea i ka ulu ʻana o ka maʻi maʻi.

• ʻO ka ʻai ʻana i nā mea ʻala, nā mea ʻala, ke kālika, nā pepa wela, nā meaʻai paʻakai loa a ʻawaʻawa paha.

• ʻAi momona loa. ʻO ka maʻi maʻi i kēia hihia ka hopena o ka hana ʻino i ka hana o ke ake a me ka gallbladder, ʻaʻole hiki ke hūnā i nā waikawa lawa e hoʻoheheʻe i nā meaʻai momona.

Nā kumu o ka maʻi maʻi i loko o kahi pēpē

ʻO ka maʻi maʻi i loko o nā pēpē e ulu pinepine no nā kumu ʻē aʻe ma mua o nā keiki i ʻoi aku ma mua o hoʻokahi makahiki.

Hoʻokomo i nā meaʻai hou (hoʻomaka ka hānai ʻana) ʻaneʻane hoʻololi i ka ʻeke. Ma kēia ʻano, hoʻololi ke kino i ka meaʻai hou nona. Hiki ke lilo ka feces i ʻōmaʻomaʻo ke hāʻawi nā mākua i nā mea kanu a me nā huaʻai i ke keiki. ʻO ka hoʻololi ʻana i ke kala o ka stool ʻaʻole ia he hōʻailona o ka maʻi maʻi, he ʻokoʻa kēia o ka maʻamau. Eia nō naʻe, inā e lilo pinepine ka ʻōpala, lilo i wai, hoʻomaka ka ʻala ʻawaʻawa mai ia mea, a ʻike ʻia ka hupa a i ʻole ka wai i loko o nā feces, a laila pono ʻoe e noʻonoʻo i ka ulu ʻana o ke keiki i ka maʻi maʻi.

ʻO nā kumu o ka maʻi maʻi i loko o kahi pēpē ma hope o ka hoʻokomo ʻana i nā meaʻai hoʻohui ʻia paha penei:

• Ua hoʻokomo mua ʻia nā meaʻai kōkua. Pono nā mākua e noʻonoʻo e mākaukau ke kino o kahi pēpē hānai e ʻae i ka meaʻai hou nona ma mua o 5-6 mau mahina. A hiki i kēlā manawa, lawa ka waiu makuahine iā ia e ulu a ulu. Ma hope o 5 mau mahina i loko o ke kino o ke keiki e hoʻomaka e hana i nā enzymes e hiki ai ke wāwahi i ka meaʻai i ʻoi aku ka paʻakikī o ka haku mele ʻana. ʻO ka mākaukau o ka pēpē e ʻae i nā meaʻai hoʻohui e hōʻike ʻia e nā kumu penei: ʻelua ka piʻi ʻana o ke kaumaha ma hope o ka hānau ʻana, ʻaʻole e hoʻokuke ke keiki i ka puna me kona alelo, hiki ke noho ma luna ona, paʻa i nā mea i kona lima a huki. lakou i kona waha.

• Ua hāʻawi nui nā mākua i ka pēpē. Inā ʻaʻole ʻoe e hahai i nā ʻōlelo aʻoaʻo no ke ʻano o nā huahana no kahi makahiki kūikawā, a laila hiki ke hoʻonāukiuki i ka maʻi maʻi.

• Hoʻokumu ke keiki i kahi maʻi allergy i kahi huahana hou. ʻO ka intolerance i kahi mea i ʻāpana o ka meaʻai hiki ke hoʻonāukiuki i kahi hopena maʻi i loko o kahi pēpē, i hōʻike pinepine ʻia e ka maʻi maʻi. ʻAʻole ʻike paha ke kino o ke keiki i ka gluten, i kēia hihia ke kamaʻilio nei mākou e pili ana i kahi pathology e like me ka maʻi celiac. Inā ʻaʻole ʻike ʻia kēia pilikia i ka manawa kūpono, a laila lilo ka maʻi maʻi maʻi. Hoʻomaka ka pēpē e loaʻa ke kaumaha me ka maikaʻi ʻole, ʻike ʻia nā maʻi maʻi ma ka ʻili.

• Hoʻokomo pinepine ʻia nā huahana hou. Pono lākou e hāʻawi mālie i ke keiki. Pono e hāʻawi ʻia nā kīʻaha hou i nā manawa o 5-7 mau lā. ʻO kēia ka manawa kūpono no nā kino o ka ʻōnaehana digestive e hoʻololi.

ʻO ka hānai ʻana i ke keiki me nā huila hana. ʻOi aku ka maʻi pāpaʻi o nā pēpē hānai ʻia ma mua o nā pēpē i hānai ʻia. ʻO ka hoʻohui ʻana o ka waiū umauma ka mea maikaʻi loa, ʻo ke koena o nā protein a me nā momona i loko o ia mea e komo ai ka ʻōpū o ke keiki iā 100%. ʻIke ʻia e ke kino o ka pēpē ka mea ʻoi aku ka maikaʻi o ka hui ʻana, no laila hiki ke ulu ka maʻi maʻi i ka wā e hānai nui ai.

ʻO ka maʻi ʻōpū. Hiki nō hoʻi i nā maʻi ʻōpū ke hoʻoulu i ka maʻi maʻi i nā pēpē. Hiki i nā Rotaviruses, enteroviruses, salmonella, shigella, Escherichia coli, staphylococci ke hana pinepine a me ka lahilahi o ka waihona. I ka wā kamaliʻi, ʻoi aku ka maʻi o nā keiki ma ke ala fecal-oral, ke hahai ʻole nā ​​​​mākua i nā lula o ka hoʻomaʻemaʻe pilikino.

ʻO nā kumu ʻē aʻe o ka diarrhea i nā pēpē:

• ʻO Dysbacteriosis e kū'ē i ke kua o ka laweʻana i nā lāʻau'alopelo.

• Nā hewa i ka ʻai ʻana o ka makuahine e hānai ana i ke keiki. Hoʻoulu pinepine ka diarrhea i nā keiki ma hope o ka ʻai ʻana o ka makuahine i nā beets, nā kukama, nā pears.

• Hiki i ka hū ʻana o nā niho waiū ke hoʻoulu i ka liquefaction o ka stool. ʻO kēia kumu o ka diarrhea he physiological a ʻaʻole pono e mālama.

• ʻO ka nele o ka lactase, kahi e hoʻoulu ai i ka maʻi maʻi mai nā lā mua o ke ola o ke keiki.

• Cystic fibrosis.

• Ka ma'i ilo o ke keiki. I kēia hihia, e hoʻololi ka diarrhea me ka constipation.

• SARS. ʻO nā keiki ma lalo o hoʻokahi makahiki o ka makahiki he nāwaliwali nā pale pale pale, no laila hiki i ke anu maʻamau ke hoʻopilikia i ka hoʻoemi maʻamau o ka meaʻai a hoʻonāukiuki i ka maʻi maʻi.

Nā hōʻailona o ka diarrhea i nā keiki

ʻO ka hōʻailona nui o ka maʻi maʻi ʻo ia ka lahilahi a me ka ʻai pinepine ʻana o ke keiki. Lilo ʻole a wai.

Hiki ke hele pū me ka diarrhea i ka wā kamaliʻi me nā hōʻailona e like me:

• Puʻupuʻu.

• Ka hamumu i ka ʻōpū.

• Ke koi hoʻopunipuni e hoʻokahe i ka ʻōpū.

• Hoʻonui ka hoʻokaʻawale kinoea.

• Ka nele i ka makemake.

• Nā pilikia o ka hiamoe.

• Puka a luwau.

• Ka hopohopo, ka waimaka.

ʻAʻole pili kēia mau hōʻailona i ka maʻi maʻi. Eia naʻe, ʻoi aku ka nui o lākou, ʻoi aku ka paʻakikī o ka maʻi.

Inā loaʻa kahi keiki i ka maʻi ʻōpū a i ʻole ke ʻai ʻana i ka meaʻai, a laila e loaʻa ka mucus a me nā ʻāpana meaʻai i hoʻokaʻawale ʻole ʻia i loko o ka waihona. I nā hihia koʻikoʻi o ka maʻi, hiki ke ʻike ʻia nā haumia koko.

ʻO ka piʻi ʻana o ka mahana o ke kino e kūʻē i ke ʻano o ka maʻi maʻi he hoa pinepine ia o nā maʻi ʻōpū a me nā mea ʻai.

Inā hoʻomohala ke keiki i ka maʻi maʻi ʻaʻole i hui pū ʻia me ka hopena hyperthermic, a laila hōʻike paha ia i nā hemahema o ka meaʻai, dysbacteriosis, allergies, a i ʻole kahi maʻi parasitic. He niho wale nō paha ke keiki.

I ka manawa hea e ike koke ai ke keiki i ke kauka me ka ma'i ma'i?

ʻO ka diarrhea i ka wā kamaliʻi hiki ke hoʻoweliweli maoli i ke olakino a me ke ola o ka pēpē. No laila, inā loaʻa kēia mau kūlana, pono ʻoe e nīnau i ke kauka:

• Aia nā hōʻailona o ka maloʻo.

• Hoʻoulu ka maʻi maʻi i ke keiki ma lalo o hoʻokahi makahiki.

• ʻAʻole pau ka maʻi maʻi no nā lā 2 a ʻoi aku paha.

• Aia ka ʻūhū a i ʻole ke koko i loko o ka pehu.

• Lilo ka ʻeleʻele a ʻeleʻele paha.

• Hoʻopili ʻia ka maʻi maʻi me ka piʻi ʻana o ka mahana o ke kino.

• Loaʻa i ke keiki ka ʻeha nui ma ka ʻōpū.

• Hoʻokumu ka maʻi maʻi i ke ʻano o ka lawe ʻana i nā lāʻau lapaʻau.

He aha ka pilikia o ka maʻi maʻi no nā keiki?

Me nā feces wai, hoʻokuʻu koke ʻia nā meaʻai mai ke kino o ke keiki, a me ka nui o ka wai. He pōʻino no nā maʻi metabolic acute a me ka dehydration. No laila, no ka neʻe ʻana o ka ʻōpū, ke keiki ʻōpio, ma ka awelika, nalowale 100 ml o ka wai. I nā keiki ma luna o 1-2 mau makahiki, hiki i ka 200 ml o ka wai a ʻoi aku paha ke puka mai me kēlā me kēia hana. Inā ʻoi aku ka nui o ka wai i nalowale ma mua o 10 ml i hoʻokahi kilokani o ke kaumaha o ke kino, a laila hiki koke ka dehydration. ʻO kēia maʻi ka pilikia nui o ka maʻi maʻi.

Nā hōʻailona o ka dehydration i ke keiki:

• ʻO ka maloʻo o ka mucous membranes a me ka ʻili, ke ʻano o nā māwae.

• Nā pōʻeleʻele ma lalo o nā maka.

• I nā keiki ma lalo o hoʻokahi makahiki, aia ka emi ʻana o ka fontanel.

• Lethargic ke keiki, hiamoe.

• ʻO ka pōʻeleʻele o ka mimi, kahi emi nui o kona nui.

Hiki koke ka wai maloʻo i ka wā kamaliʻi, no ka mea he liʻiliʻi ke kaumaha o nā ʻōpala. Hoʻonui ʻia kēia kaʻina hana e ka luaʻi a me ka regurgitation pinepine. No laila, i ka hōʻailona mua o ka dehydration, pono ka halemai.

Ma waho aʻe o ka wai i ka wā maʻi paʻakai, hoʻopau ʻia nā paʻakai mai ke kino. Hoʻoweliweli ka paona paona e hoʻopau i ka metabolism electrolyte. Me nā hewa koʻikoʻi, hiki ke hopu ʻia ka naʻau.

He pōʻino ka maʻi maʻi maʻi no ka mea e nalowale mau ana ke keiki i nā meaʻai e pono ai no ka ulu maʻamau. Hoʻomaka kēlā mau keiki e haʻalele i ka hoʻomohala kino, lilo i ke kaumaha, lilo i lethargic a me ka manaʻoʻole, hoʻomohala lākou i ka beriberi.

Eia kekahi, ʻo ka hoʻonāukiuki mau o ka ʻili a puni ka anus e alakaʻi i ka hoʻokumu ʻana o ka ʻili a me ka diaper rash. Hiki ke hoʻokumu i kahi anal fissure, i nā hihia koʻikoʻi, ʻike ʻia ka prolapse o ka rectum.

ʻO ka hōʻailona o ka maʻi maʻi i nā keiki

No kaʻikeʻana i ke kumu i alakaʻiʻia ai ka uluʻana o ka maʻi maʻi i loko o kahi keiki, ponoʻoe e hoʻokaʻaʻike i ke kauka. E hoʻolohe pono ke kauka i nā hoʻopiʻi a nā mākua, inā hiki, e hana i kahi anaina o ka mea maʻi ponoʻī. Na ke kauka e nana i ke keiki.

Inā pono, ua kuhikuhi ʻia nā haʻawina penei:

• ʻO ka laʻana koko no ka nānā ʻana i ka laulā a me ka biochemical.

• ʻOhi fecal no ka coprogram.

• ʻO ka nānāʻana i ka bacteria o ka feces a me ka luaʻi.

• Ka nānā ʻana i nā feces no ka dysbacteriosis.

• Ka hana ʻana i nā ʻōpala i nā hua o nā ilo.

• Ke hana nei i ka lekiō like ʻole me ka barium sulfate. ʻAʻole i kuhikuhi ʻia kēia kaʻina hana. Hāʻawi ia i ka ʻike e pili ana i ka neʻe ʻana o ka ʻōpū a me kona kūlana ma ka laulā.

Ma ke ʻano he haʻawina hou, hiki ke kuhikuhi ʻia kahi ultrasound o nā ʻōpū o ka ʻōpū.

Ka lapaʻau ʻana i ka maʻi maʻi i loko o kahi keiki

E like me ka mea i ʻōlelo ʻia, ʻo ka pōʻino nui o ka maʻi maʻi he dehydration, i hui pū ʻia me ka excretion o nā paʻakai e pono ai no ka hana maʻamau o ke kino. No laila, ʻo ka hana nui ka hoʻihoʻi ʻana i ka wai a me ke kaulike electrolyte. Kapa ʻia kēia kaʻina hana rehydration.

Pono e hoʻomaka ka wai hou ma hope o ka manawa mua o ka maʻi maʻi i loko o kahi keiki. No kēia kumu, hoʻohana ʻia nā lāʻau lapaʻau i hoʻomākaukau ʻia: Regidron, Glucosolan, Citroglucosolan, etc. Hoʻoheheʻe ʻia kahi ʻeke lāʻau i loko o kahi lita o ka wai i hoʻolapalapa ʻia a ʻae ʻia ke keiki e inu i nā ʻāpana liʻiliʻi.

Inā ʻaʻole hiki ke kūʻai i kahi hopena rehydration mākaukau, hiki iā ʻoe ke hana iā ʻoe iho. No ka hana ʻana i kēia, e hoʻoheheʻe i kahi teaspoon o ka paʻakai a me ke kō i loko o kahi lita o ka wai i hoʻolapalapa ʻia, a me 0,5 punetune o ka soda. Inā hānai ʻia ke keiki, a laila pono e hoʻopili pinepine ʻia i ka umauma.

Ke hoʻokumu ʻia ka maʻi maʻi ma muli o ka meaʻai a i ʻole ka lāʻau make a i ʻole ka maʻi ʻawaʻawa, pono e hāʻawi ʻia ke keiki i ka hoʻomākaukau sorbent. Hoʻopili lākou i nā mea ʻino i loko o ka ʻōpū a pale i ko lākou komo ʻana i loko o ka ʻōnaehana systemic. Aia kēia mau lāʻau lapaʻau: Enterosgel a me nā mea like.

ʻAʻole kuhikuhi ʻia nā lingin a me nā mea hoʻoheheʻe pehu no ka maʻi maʻi i hoʻokumu ʻia e ka dysbacteriosis. I kēia hihia, ua kuhikuhi ʻia ke keiki i nā lāʻau lapaʻau e hoʻoponopono i ke koena o ka microflora intestinal. Hiki i nā lāʻau lapaʻau ke hana i kēia: Bifiform, Lactobacterin, Linex, Hilak Forte, Bifikol, etc.

Pono nā maʻi bacterial e koho i nā lāʻau antibiotic. ʻO nā lāʻau i koho ʻia: Enterofuril, Furazolidone, Enterol, Levomycetin, Sulgin, Ftalazol. Pono e kuhikuhi ʻia nā lāʻau antibiotic e ke kauka ma hope o ka nānā ʻana i ka bacterial feces.

ʻO nā lāʻau lapaʻau i manaʻo ʻia e hōʻemi i ka hana o ka motility intestinal ʻaʻole i kuhikuhi ʻia i ka wā kamaliʻi. Hiki i ke kauka ke kuhikuhi iā lākou, inā aia nā kumu kūpono no kēia. ʻO kēia nā lāʻau e like me Imodium, Loperamide, Suprilol. ʻAʻole pono lākou e hoʻohana ʻia no ka maʻi maʻi ma muli o ka maʻi a i ʻole ka make ʻana i ka meaʻai.

Ma kahi o ka symptomatic therapy, pono ia e hoʻokō i ka mālama koʻikoʻi e kuhikuhi ana i ka hoʻopau ʻana i ke kumu o ka diarrhea. Pono paha ʻoe e wehe i ka mumū mai ka pancreas, a i ʻole e mālama i nā allergies, colitis, enteritis.

Pono e hui pū ʻia ka mālama ʻana i ka maʻi maʻi me kahi regimen meaʻai kūpono e hiki ai iā ʻoe ke mālama i ka ulu maʻamau a me ka ulu ʻana o ke kino. ʻO ke koʻikoʻi nui o nā mākua i ka hahai ʻana i ka meaʻai hiki ke alakaʻi i ka nele o ka ikehu.

Aia nā ʻōlelo aʻoaʻo e pili ana i kēia:

• Pono e hoʻokaʻawale mai ka papa inoa o ke keiki nā meaʻai a pau e hoʻonui ai i ka hoʻokumu ʻana i ke kinoea: ka waiū, nā hua ʻono, nā legumes, ka berena, nā ʻāpala, nā pastries, nā hua waina, ke kāpeti.

• Pono e hoʻoneʻe ʻia nā meaʻai i puhi ʻia, paʻakai, ʻala, momona a me ka palai mai ka ʻai.

• Pono e loaʻa i ka papa kuhikuhi nā kīʻaha enveloping a me ka slimy: soup mashed, wai laiki, cereals ma ka wai. Hiki iā ʻoe ke hāʻawi i kāu keiki i ka ʻuala mashed me ka ʻaila ʻaila.

• Ua ʻae ʻia nā huaʻai mai ka compote a me nā mea kanu ʻai.

• Ma kahi o ka wai, hiki iā ʻoe ke hāʻawi i kāu keiki compote e pili ana i nā blueberries a me nā lingonberries.

• Hāʻawi ʻia nā mea inu waiu ʻawaʻawa me ka akahele, ma hope o ka nīnau ʻana i ke kauka.

• Inā pau ka maʻi maʻi, a pololi ke keiki, a laila hiki iā ʻoe ke hāʻawi iā ia i ka pahū palaoa a me ke kī ʻono.

ʻAʻole pono ka hoʻopau ʻana o ka waiū i ka lactose (milk sugar). ʻO ka loli ʻana o ka intolerance carbohydrate loaʻa nā palena o kēlā me kēia kanaka i hilinaʻi ʻole i ka hemahema o ka enzyme. Eia nō naʻe, pono e hoʻomaka i ka lāʻau lapaʻau me ka ʻai ʻole lactose koʻikoʻi. I ka pau ʻana o ka maʻi maʻi, hiki ke hoʻokomo hou ʻia nā huahana waiu me ka akahele.

Inā ʻike ʻia kahi keiki me ka lua o ka lactose intolerance, i ʻike pinepine ʻia i ka wā ʻōpio, a laila pono ʻoe e hōʻole i ka hoʻohana ʻana i nā ʻano waiu maʻamau no ka manawa o 4 mau pule. Hiki ke hāʻawi ʻia i ka waiū lactase-hydrolysed i nā keiki hiki ʻole ke ʻae i ka waiū holoʻokoʻa.

Inā loaʻa nā parasites i loko o kahi keiki, pono e mālama ʻia ka lāʻau anthelmintic kūikawā.

ʻO ka ʻōlelo aʻo koʻikoʻi a ke kauka no ka mālama ʻana i ka maʻi maʻi i nā keiki

• No ka mālama ʻana i ka maʻi maʻi i kahi keiki, ʻaʻole hiki iā ʻoe ke kuhikuhi kūʻokoʻa i nā lāʻau lapaʻau iā ia. ʻO kēlā mau lāʻau i kūpono i nā poʻe mākua, hiki ke pilikia i ke olakino o ka pēpē.

• Inā lawe ke keiki i nā lāʻau antibiotic, a laila pono ʻo ia e inu i kahi papa o probiotics, e pale aku ai i ka ulu ʻana o ka dysbacteriosis. Pono ka manawa ma waena o ka lawe ʻana i nā lāʻau lapaʻau ma kahi o hoʻokahi hola. A i ʻole, ʻaʻole hiki ke hoʻokō ʻia ka hopena.

• Pono ke keiki e ulu ana i ka ma'i ma'i ma ka home. ʻAʻole hiki ke hoʻouna ʻia i ke kula kindergarten a i ke kula.

• ʻAʻole pono ʻoe e hāʻawi i kāu keiki i nā lāʻau no ka hoʻopau ʻana i ka maʻi maʻi maʻi (Loperamide, Imodium), ke ʻole ke ʻōlelo ʻia e ke kauka.

• Mai ʻoi aku ma mua o ke ʻano o ka lāʻau lapaʻau ma kāu manaʻo ponoʻī.

• Me ka ulu ʻana o ka maʻi maʻi i loko o kahi keiki ma lalo o hoʻokahi makahiki, pono ke kūkākūkā olakino.

• Pono e holoi ʻia ke keiki ma hope o kēlā me kēia neʻe ʻana o ka ʻōpū. E ʻoluʻolu e lubricate i ka ʻaoʻao anal me ka pēpē pēpē, ʻo ia ka pale ʻana i ka hoʻokumu ʻana o ka huhū a me ka maʻi diaper.

• He mea nui e nānā i ka maikaʻi o ke keiki, e hoʻomalu i ka piʻi ʻana o ka mahana o ke kino, a pale i ka dehydration. Inā maikaʻi ʻole ʻoe, e kāhea i kahi kaʻa kaʻa.

Ka mea kākau o ka ʻatikala: ʻO Sokolova Praskovya Fedorovna, ka pediatrician