ʻO ka pancreatitis hoihoi i kahi keiki
Nui nā maʻi a me nā maʻi hopohopo e ʻike ʻole ʻia e ke kino. Ma hope o lākou, hōʻike pinepine nā kauka i ka pancreatitis reactive. I nā keiki, ke hōʻike nei nā hōʻailona o kēia maʻi i ka hōʻino i ka nui o ke kaila o ka digestive - nā pancreas. Eia naʻe, kaʻeha o ka ʻōpū, belching a me ka puʻuwai, ʻaʻole mau e hōʻike i kahi ʻano maʻi. Inā ʻōhumu ke keiki i ka ʻeha, pono ʻoe e kāhea i ke kauka. Hiki i ka mālama kūlohelohe i ka hoʻopiʻi ʻana i ke kaʻina pili.
He aha kāu e pono ai e ʻike i ka maʻi?
ʻO ka pancreatitis kekahi o nā maʻi maʻi pancreatic maʻamau. E kū ana i nā mea pākeke a me nā keiki. ʻO ke kiʻi lapaʻau a me ke ʻano o ke kaʻina o ke kaʻina pili pathological e hoʻoholo i kona ʻano - ʻāʻī a i ʻole ke ʻano koʻikoʻi. Hoʻopilikia loa kēia kūlana. Inā ʻaʻole ʻoe e hana i nā manawa kūpono e hoʻopau i ke kumu o ka maʻi, pono ʻoe e muli i kahi meaʻai ikaika a puni ka nohona.
ʻO ka pancreatitis react i kahi keiki he ʻokoʻa ia ma ke ʻano nui o nā maʻi. Hoʻomaka kona hoʻolālā ʻana me ka mānoanoa o ka pancreas. Ma kahi hopena, he pilikia ka hana o ke kino, a ʻo nā hana i hāʻawi ʻia i hana ʻole ia. ʻAʻole hiki i nā ʻōmeʻa e komo i ka wāwahi i ka meaʻai ke komo i nā ahalā palā. Noho lākou i ka pancreas a hoʻomaka e hoʻoheheʻe maoli iā ia mai loko.
ʻO nā kumu o ke kaʻina hana
ʻO kēia manawa, ʻike hou ʻia ka pancreatitis i nā keiki a maʻi pinepine ʻia. Hōʻike nā kauka i kēia mea i kahi loli e nā ʻāpana ʻono o ka lehulehu. I kēia mau lā, ʻo ka papa o nā keiki i ka hapa nui o nā huahana i loaʻa i ka nui o ka preservatives, nā mea ʻona a me nā mea ʻono. Hoʻopilikia wale kēia mau mea i ka hana a ka pancreas. Hoʻonāukiuki lākou i ka spasm o nā papa o ka wahī, ma muli o ke komo ʻana o nā huina o ka digestive tract. Hoʻopahoʻo ke ʻano a me ka ulu ʻana.
Hiki i ka pancreatitis react i ke keiki ke hele mai ma muli o nā maʻi hou. No ka laʻana, hoʻonāukiuki ʻo nā maʻi maʻi pāpaʻi aʻeha paha e hoʻomaʻamaʻa pinepine ʻia nā ʻōkuhi i mea ma kahi o nā kaʻina pili. ʻO kekahi kumu nui o nā maʻi ka maʻi antibiotic. ʻO ka hoʻohana ʻana o "Metronidazole" a i ʻole "Furosemide" i ka mālamaʻana e hoʻonui i ka pilikia o ka hoʻomohala ʻana i ka maʻi.
I nā hihia lohi, ulu ka pancreitis reactive e pili ana i kahi mea hoʻonaninani o nā maʻi pancreatic congenital. ʻO kēia ka nele o ka lactase, ka fibrosis cystic, kahi hoʻololi maʻamau i ka hopena o ka duodenum. I kēlā mau mea maʻi mai kahi wā ʻōpiopio e ʻike e pili ana i nā pilikia olakino, no laila e hahai lākou i kahi meaʻai kūikawā a lawe i nā lāʻau lapaʻau. Hiki ke pale ʻia ka ʻeha o ke aʻalopihi ma ka pancreas, akā mau nō.
ʻO nā hōʻike mua o ka maʻi
ʻAʻole hōʻailona nā hōʻailona o ka pancreatitis reactive i nā keiki ma mua o nā hōʻailona o ka maʻi i nā pākeke. ʻO ka hoʻomohala ʻana o ke kaʻina pili me ka ʻeha nui i loko o ka wahi epigastric. Hoʻohui ʻia ka kiʻi haukapila e ka maʻi ʻoluʻolu, kaʻaea paʻa ʻole. Hāʻawi i nā hopena hōʻeha ma ke ʻano he constipation. Me nā huʻi, he wai ka stool, a uhi ʻia nā feces i ke kuʻi maikaʻi ʻana. Hoʻopiʻi pinepine nā keiki i ka waha maloʻo, make wai nui. Hoʻokomo ʻia ka ʻeke, a ua hōʻole kekahi mau pēpē e ʻai i ka manawa.
Hoʻonui pinepine ʻia ka maʻi me nā hōʻailona o ka malaise laulā. Hele ke keiki a lethargic a lethargic, nele ka makemake i nā mea āpau i hana. Makemake mau ʻo ia e hiamoe, a ʻaʻole i ʻae ke kiʻekiʻe kiʻekiʻe iā ia e hana i nā mea maʻamau.
ʻO ka hōʻeha o nā hōʻailona o ka maʻi ma luna o ka makahiki o ka mea maʻi. ʻOi aku ka makua o ke keiki, ʻoi aku ka ikaika o nā hōʻailona o ka maʻi. I nā keiki hou, haʻi ʻia ke ʻeha o ka ʻōpū e ka ʻoluʻolu a hoʻonui i ka hana o ke kaʻa. ʻO ka pancreatitis react i ka wā ʻōpio e hele pū me ia i ka ʻehaʻeha koʻikoʻi i ka pus. Eia naʻe, ʻaʻole hiki iā lākou ke hōʻike i ka wahi kūpono o ka ʻeha. Hoʻopiʻi pinepine nā ʻōpiopio i ka maʻi ʻino a me ka luaʻi. Hiki i kēia mau hōʻailona ke lawelawe i kumu no ka mālama koke ʻana i nā lāʻau lapaʻau.
ʻO ke kōkua mua no ka hoʻouka ʻana o ka pancreatitis
Ke puka ʻia nā hōʻailona o ka pancreatitis react, pono ʻoe e kāhea koke i kahi pūʻulu o nā limahana lapaʻau. Ma mua o ka hiki ʻana mai o ke kōkua, e pono e kau pono i ke keiki ma luna o kahi moe a i ʻole moe, e hōʻoia pono ʻo ia e maluhia. Ma ka ʻōpū, hiki iā ʻoe ke kau i kahi pā mahana iihua wela. ʻAʻole ia e hāʻawi i hāʻawi i ka analgesics mea maʻi a i nā lāʻau lapaʻau ʻē aʻe, no ka mea hiki iā lākou ke lubricate i ke kiʻi lapaʻau holoʻokoʻa. ʻO ka pancreatitis reactative ma loko o nā keiki, ʻehā nā manawa e hoʻemi ʻia e nā mākua, he maʻi nihi ia. No laila, pono e nānā ʻia kona nānā ʻana me ke koʻikoʻi a me ke kuleana.
Nā Palapala Diagnostic
Ma mua o ka hoʻomau ʻana me ka mālama ʻana o ka maʻi, pono i ka mea ʻōpio ʻōpio ke hoʻomaʻamaʻa ʻano i ka lapaʻau holoʻokoʻa.
- Kahi ʻia ka helu koko piha pono no nā helu sela keʻokeʻo. Hoʻonui ka nui o kēia mau mea me ka pancreatitis.
- Hōʻike ka hana o ka pōkole o ka ʻōpū i ka hoʻopili ʻana i ka lepa, me nā hoʻololi ʻē aʻe o ke kuʻuna o ke kino.
- ʻO kahi hōʻike koko biochemical e hiki ai iā ʻoe ke nānā i ke kiʻekiʻe o ka enzymes i hana ʻia e ka pancreas.
- Me ke kōkua o ka gastroscopy, hiki i ke kauka ke mālama i nā mea no ka hoʻokolokolo cytological i nā kūlana o ka ʻoihana.
Inā hōʻoia nā hōʻike i ka pancreatitis reactive i ke keiki, hoʻomaka ke ʻano o ka maʻi mai.
ʻO nā kumumeaʻōlelo kūloko o ka hoʻomehana
ʻO ka hoʻomaʻamaʻaʻana i ka mumū i ka pancreas e koi i kahi ala hoʻohui. Loaʻa pinepine ia me nā lāʻau lapaʻau a me nā meaʻai koʻikoʻi. Ke koho nei i nā lāʻau lapaʻau kūikawā no ka mālama ʻana ma muli o ke ʻano o ka mea maʻi a me nā ʻano o kona kino. Pono e hoʻokomo ʻia ka mea maʻi i ka haukapila. I nā lā mua he pono e hōʻoia ʻo ia e hoʻomaha. ʻO ka noho o ka haukapila i ka manawa o ka hoʻomaʻamaʻa ʻana i ka maʻi hiki iā ʻoe ke hopohopo i ka mea e pono ai ke papaʻa no ka pancreatitis reactive i nā keiki.
Pono nā mākua e hoʻopiʻi pono i nā ʻōlelo a ke kauka, no ka mea makemake ʻo ia wale nō ke ola hou o ke keiki. No laila, ʻaʻole hiki ke manaʻo ʻia nā mea ʻai a pau e ke ʻano o kahi kauka, e like me ka manaʻo o kekahi. Inā ua loaʻa mua kahi mea maʻi i ka hōʻoki ʻana i ka pancreatitis reactive, ua hōʻike ʻia kāna mau hōʻailona, he hana paʻa ke ʻano o ka maʻi. Inā ʻaʻole, hiki i kahi hoʻomaha.
Meaʻai no ka mumū pancreatic
He aha e pono ai e hoʻololi i loko o ka papaʻai me ka loaʻa ʻana o ka maʻi pancreatitis reactive? ʻAʻole pono ke hilahila nā meaʻai a kahi keiki. Ponoʻo ia e noʻonoʻo ʻo ia i ka ʻāpana maʻamau o ke ola maʻamau, no ka mea e pili ana nā mea koʻikoʻi i nā huahana maikaʻi wale nō. ʻO kēia papa inoa ka mea i momona kīʻaha momona a me nā mea momona, nā mea momona a me nā meaʻai wikiwiki. Manaʻo ʻia ʻia e haʻalele i ka tioka, koko a me nā mea ʻono. Aia ma lalo ke kapu o nā rula o ka papa ʻaina.
- Pono e hoʻolako i ka pancreas me ka hoʻomaha hoʻomaha hana. ʻO ka mea mua, pono ke haʻalele ʻia nā mea minamina a pau mai ka meaʻai o ka mea maʻi liʻiliʻi. Pono e hoʻolako ʻia i nā huahana i kuke ʻia ai ʻole ʻaihue ma ka mahana o ka lumi.
- Pono ia e mālama pono i ka mālama ʻana i ka ikehu a me nā mea kūpono o ka meaʻai. ʻAʻohe pono e hānai i ke keiki i ka ʻai piha ʻana i ka protein. ʻO ka meaʻai e like ai e like me ka ʻokoʻa a ke komo pū me nā meaʻai momona.
- Pono ʻoe e ʻai i nā wahi liʻiliʻi, akā pinepine. Hoʻomaopopo ʻia e hoʻomanaʻo i nā kumuwaiwai o ka pono fractional. ʻAʻole hoʻi i waena o ʻehā mau hola ma waena.
I mea e pale ai i nā maʻi hou o ka maʻi, pono ʻoe e kiaʻi mau i kāu kī ʻana. ʻO kekahi hoʻokolohua me ka meaʻai hiki ke alakaʻi i kahi hoʻouka hou a me ka pono e lawe i ka lāʻau lapaʻau.
He aha nā meaʻai kūpono no ka pancreatitis reactive?
ʻO nā keiki me nā hōʻailona o ka mumū e kau mua ʻia ma ka papaʻaina pololi. No nā lā ʻelua, ʻae ʻia ka poʻe maʻi e inu i nā wai wai maʻamau. Mai ke kolu o ka lā o ka mālama ʻana, ua hoʻohui ʻia ka mea ʻaina me nā mea kīhāpai home a me nā kīʻī ʻole o ka honi, ʻoatemeal ma ka wai. A laila hiki iā ʻoe ke hoʻohui i ka aniani, nā huahana huluhulu, nāʻaila keʻokeʻo. I ka lā ʻelima o ka papa maʻi, ʻae ʻia nā mau aniani ʻona maʻalahi ʻole a i ʻole nā moʻa momona. Ma hope oʻelima mau lā, e kau ʻia ma ka dinamika kūpono, hiki i nā mea maʻi ke ʻai i ka ʻiʻo kalo, nā ʻōpala ʻaʻa. Pono e hoʻokomo pono i nā lau a me nā huaʻai i loko o kaʻai, a ʻoi aku ka maikaʻi. ʻO kahi papa inoa piha o nā kīʻaha i ʻae ʻia i kēlā me kēia pae o ka meaʻai e pono ai e hoʻoholo e ke kauka hele mai.
Ke hoʻomaʻamaʻa ʻana o ka pancreatitis reactive me nā lāʻau lapaʻau
ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau i kēia maʻi e hiki ai iā ʻoe ke pale i kona ulu ʻana a hoʻopaʻa i nā hōʻailona. ʻO nā lāʻau lapaʻau āpau i komo i ke ʻano maʻamau o ka maʻi hiki ke hoʻokaʻawale i nā ʻokoʻa ʻelua.
- Antispasmodics. Kēia pū kekahi hui i nā lāʻau lapaʻau "pure" ("No-shpa") a me nā lāʻau lapaʻau e loaʻa ai nā ʻehaʻeha ("Analgin", "Paracetamol").
- Nā mea hoʻonā Enzymatic. Hana ʻia kā lākou hana ma ka hoʻomaikaʻi ʻana i ke kaʻina hana. Ma kēia hui, māhele ʻia nā lāʻau lapaʻau i ʻelua mau māhele: nā ʻenehana (Mezim, Pancreatin) a me ka hua bile e loaʻa ai (Festal, Ferestal). ʻAʻole pono e hōʻino i ka lāʻau lapaʻau, no ka mea hiki i ke kino ke hoʻohana i nā kōkua kūlohelohe. Hāʻawi nā hoʻomākaukau mai ka lua o ka hopena i kahi hopena therapeutic maikaʻi, akā ke hoʻohana nei kā lākou hoʻohana i ka cholelithiasis a me ka exacerbation o gastritis.
No ka hoʻolōʻihi i ka hopena therapeutic o nā lāʻau lapaʻau, hoʻolaha nā kauka i ka lawe i nā antacids. Kōkua lākou i ka hoʻēmi i ka acidity o ka ʻōpū, ma laila e hoʻonui ai i ka hopena o nā lāʻau lapaʻau.
Hana ʻana me ka hoʻoponopono ʻana o nā kānaka
ʻAʻole hiki ke hoʻōla me ka hoʻohana ʻana i nā lāʻau lapaʻau. Eia nō naʻe, e kāpae i nā ʻōmaʻomaʻo, hiki iā ʻoe ke huakaʻi i ke kōkua o nā ʻola olakino o nā kauka lapaʻau. Ma mua o ka hoʻomaka ʻana i kahi papa o ka papa hana, pono ʻoe e kamaʻilio i kāu kauka.
ʻO kekahi huahana kaulana i ka mālama ʻana o ka pancreatitis i ka leʻa aliʻi. Hiki ke hoʻohana wale ʻia inā ʻaʻole ʻōleʻamaʻa ke keiki i ka meli. ʻO ka lōʻihi o ka papa o ke kau he 2-3 mau mahina. A laila pono ʻoe e lawe i kahi hoʻomaha pōkole i mau lā. ʻO ka ʻai ʻana i ke aniani a ke kau ʻia no ka paʻakai ʻekolu mau manawa i ka lā. ʻOi aku ka maikaʻi e hoʻohemo mālie i ka hoʻomaʻamaʻa maikaʻi, a i ʻole kaomi maikaʻi holoʻokoʻa.
Hiki iā ʻoe ke hana i kvass home mai ka celandine. I mea e hoʻomākaukau ai, pono ʻoe i 3 l o whey. Inā ʻaʻole ʻoe e ʻike, hiki iā ʻoe ke hoʻololi i ka wai maʻemaʻe. Pono e ninini ka wai i loko o kahi moku, e hoʻohui i kahi puna o ka waiū a me ka kō. I loko o kahi kīʻaha gauze, hapalua wai aniani o ka mauʻu celandine e ninini ʻia, hāʻule i loko o ka wai wai a i ʻole whey. No nā pule ʻelua e pono e hoʻoulu i ka kvass i kēlā me kēia lā. Inā maopopo ʻoe i nā ʻōkuhi i hōʻike ʻia, ma ka lā 10 o ka mea e hoʻomaka e inu ka inu. E lawe kvass no he hebedoma i hoʻokahi papa i ʻekolu manawa i ka lā.
Nā hana kūpono
ʻAʻole hiki i nā mākua ke pale aku i kā lākou keiki mai nā mea pili i ka hoʻomaka ʻana o ka pancreatitis reactive. ʻO ia ke kumu e wehewehe pono ai i ke keiki i ka ʻano o ka maʻi, e kamaʻilio e pili ana i ka pono e hahai i ka ʻai kūikawā.
Nui nā keiki homaʻi. ʻO nā keke a me nā pastry ka mea e hoʻokau nui loa ai i ka pancreas. ʻO kekahi o nā hana e pale ai i ka maʻi mai ke kaupalena i ka hoʻohana ʻana i nā sweets. ʻO ke ʻano o ko lākou kaila o ka meli ka mea maʻamau loa. Eia nō naʻe, me kēia mea maikaʻi he mea nui ia ka luhi nui ʻole. ʻElua lawa punetēpē o kēia huahana no ka pēpē, i hoʻolako ʻole ʻia nā ʻoma āpau. ʻO kekahi kānāwai koʻikoʻi, ʻaʻole ia e pā nui. Pono ke keiki e kū aʻe mai ka papaʻaina me kahi haʻahaʻa o ka pōloli.
ʻO kahi ala e pale aku ai i ka maʻi maʻi, ʻo ka mālama kūpono ʻana o ka mau maʻi a me ka maʻi ʻana, nā maʻi gastrointestinal. ʻO kekahi manawa pinepine, e kū'ē i ka hope o kēlā mau pilikia, ulu ka pancreatitis react i ke keiki. Ma o ka hiki ʻana i nā lāʻau hoʻokūkū hiki ke hōʻoki ʻia i ka pale ʻana o ka pancreas. Pono e hoʻomaopopo ʻia he pono nā lāʻau lapaʻau e hoʻolako ʻia e kekahi kauka. Ke ʻoki paʻa nei ʻoe i nā lāʻau lapaʻau.
E hōʻuluʻulu i
ʻO ka pancreatitis reactate i loko o nā keiki, nā hōʻailona a me ka mālama ʻana i nā mea i wehewehe ʻia i kēia ʻatikala, ua manaʻo ʻia he ʻano pōpilikia. I ka wā e loaʻa mai ana nā hōʻailona mua o ka maʻi, ua wikiwiki ke ʻimi i ke kōkua olakino. ʻO ka nānāʻole i ke kulekele ke alakaʻi i nā hopena maikaʻiʻole. I waena o lākou, ʻo ka mea e hoʻowalewale i ka luku pono ʻia ʻana o ka pancreas. Ma muli o ka hiki ʻole ke kipa i ke kauka i ka wā e hiki mai ana, hiki i ke keiki ke hoʻomohala i ka maʻi mellitus.
He aha ka pancreatitis react?
Ke hoʻomaopopo nei i ka mea e ulu ai ka pancreatitis ma kahi keiki, pono ʻoe e hoʻomaopopo i nā kumu o kāna hanana ʻana. ʻO ke ʻano piha o nā keiki he nāwaliwali nāwaliwali, no laila ke hiki ke hōʻeha ʻia e nā maʻi a me nā maʻi a pau, e like me ke ʻano o ka maʻi o ke ea hanu, nā maʻi ʻeha huhū, tonsillitis, a me nā ʻeha o ka ʻōpū. I waena o kēia mau maʻi, ua hāʻawi ʻia kahi kuleana kūikawā i nā kaʻina ʻaoʻao a lākou i kumu ai. ʻOiaʻiʻo, i ka wā ʻōpio, ke kū nei nā kaʻina hana i puka mai i ka hoʻomohala ʻana o nā maʻi no ka ʻāpana gastrointestinal holoʻokoʻa. He aha ka pancreatitis reactive i nā keiki?
ʻO ka pancreatitis, ka mea i loaʻa i ka hoʻomohala hou o ka hoʻomohala i ka hoʻohui o ka ʻōpū o ka maʻi, e hoʻowalewale ʻia e ka maʻi kino a me kahi hōʻeha huikala. ʻO kēia mau mea, he hopena hoʻonāukiuki i ka pancreas a me ka hoʻowalewale ʻana, hoʻonāukiuki i ka hoʻowalewale i nā papa wai no ka wai pancreatic, ka mea e hāʻawi ai i kahi pale o ka hapa a i ʻole ka hōʻina o ka hoʻopuka o nā enzymes a me ka waiwawa i ka duodenum. ʻO ka kuhi i loko o nā papa, hele a kaomi kūloko o ka pancreas, e hoʻololi ana i ke kuhikuhi i ka lula a ola. E hoʻomaka ana e hoʻoponopono i nā paia o nā kīʻaha koko, nā ʻāpana, nā pili o ka pili.
Hōʻike ʻia ka manaʻo o ka mumū me kahi ʻōnaehana nāwaliwali o ke keiki e hoʻomaka e pālahalaha aku, e hoʻopiʻi ana i nā ʻōpū hou, nā kīʻaha koko. ʻO ka haʻalele ʻana o ka lāʻau no ka pathology hopena, hiki i ka hoʻomohala hoʻomohala ʻana o ka hoʻokumu ʻana i peritonitis, necrosis o nā palapa a me nā hui, e ulu hou ana i nā maʻi oncological.
I ka mālamaʻana i ka pancreatitis react, ua hoʻohana ʻia kahi hoʻolālā hōʻola maʻamau, e like me ka mālama ʻana i ka maʻi pancreatic maʻa.
Hoʻokomo ʻia ka Therapy i nā hana nui:
- ka hoʻokō paʻa ʻana i nā kūlana meaʻai no ka ʻai ʻana i ka meaʻai,
- hōʻoluʻolu o nā hōʻailona o ka maʻi pancreatitis react,
- kuhikuhi i nā lāʻau lapaʻau e pili ana i nā kinina i hana ʻia e ka pancreas,
- ka wehe ʻana i nā mea hoʻonāukiuki mai ka lula, e hoʻohana ana i nā ʻano o ka hana lapaʻau.
- ʻO ka ʻano hou o ka pancreatitis, e like me nā helu, ʻike pinepine ʻia a lanakila ma mua o nā keiki a me nā ʻōpio, ʻo ka mea pili nui i ka maluhia, ka ʻalo kino.
ʻAʻole maikaʻi ka nānā ʻana o ka pancreatitis react no kahi keiki, me ka edema inflammatory o ka ʻōpū pancreatic, ka hoʻopaʻa ʻana i ka sphincter.Hāʻawi ka pale ʻana i ka hoʻokalakupua i nā kumuwaiwai o ka wai pancreatic, nā ʻenehana, a laila e alakaʻi ana i ka maʻi maʻi koʻikoʻi.
Hoʻomaʻomaʻo ka hōʻailona i nā keiki me ka pancreatitis reactive e nānā pono a hōʻike pololei hoʻi i ka mālama ʻana i nā huahana kūpono. ʻO nā hōʻailona nui o ka pancreatitis reactive:
- ʻeha ʻana i ka pōʻeha,
- ukau, helehelena,
- hoonui i ke kaumaha ma kahi kūlana,
- mahuahua ka nui o ke kino o ke keiki a hiki i ka 38 * C,
- hūpē me nā ʻāpana o nā meaʻai,
- hina ʻulaʻula hina i ka alelo,
- ka malo maloʻo
- ka huhū o ke keiki,
- lethargy.
ʻO kēia mau hōʻailona kēia mea ma mua o ke mumū i nā pancreas.
ʻO nā keiki liʻiliʻi, ʻoi aku ka nāwaliwali o nā hōʻailona o ka pancreatitis react. I nā hōʻailona mua o kahi hōʻike o ka maʻi pancreatitis, e nīnau wikiwiki i ke kauka i ka wikiwiki.
I nā keiki hānau hou, ka hōʻike ʻana o ka pancreatitis reaktif me ka ʻūhū mau ʻana i ka maʻi, ke kuni. Hiki paha ke kolohe, akā ʻoi aku ka hoʻomaʻamaʻa ʻana o nā maʻi i nā keiki i ʻoi aku ma mua o 3 mau makahiki. ʻO ka ʻōmaʻomaʻo hopena hualoaʻa me ka pancreatitis reactive i kahi keiki e koi ai i kahi maʻi paʻa a me ka hoʻāʻo ʻana, me ka hōʻoluʻolu o nā hōʻailona. I ka manawa pinepine me ka exacerbations i ka pancreas, hele mai ka pancreatopathy reactive. He aha ke ʻano o ka maʻi maʻi o ka maʻi pancreatopathy ma ke keiki?
ʻO ka pancreatopathy kūmua kahi maʻi kahi i hana ʻia i ka hihia o ka hana ʻana i ka pancreas me ka ʻole ʻokiʻoki. Ala mai ia i ka hopena pololei ma ke kino o ka lālani o nā huahana meaʻai, kahi hōʻike ma muli o nā hopena ʻaoʻao o nā maʻi ʻohi, hiki i nā maʻi kai. Hoʻokumu ʻia ka pancreatopathy ʻano spasms i loko o ka pancreas, kahi e hōʻeha ai i nā lipi i loko o ka pūlima. I loko o nā wā kamaliʻi, hōʻike ʻia ʻo ia iho i kēlā me ia:
- nā hewa ʻole o nā lula o nā meaʻai piha.
- huehina hua waina
- ʻai ʻiʻo
- nā mea ʻala a me nā kau.
Hōʻeha kēia pilikia i ke keiki ka nui o ka hoʻouka ʻana i ka mīkini, ʻeha i loko o nā ʻōpū, a me ka hōʻea ʻana o ka enzyme pancreatic impaired. ʻO ka hōʻeha mau i ka hoʻonā ʻia ʻana o ka ʻōlelo kūkākūkā me ke kauoha a ka poʻe pediatrician e hele nei, gastroenterologist.
Pēlā nō, ua ala hou kekahi ʻano maʻi maʻi pancreatic - dispancreatism. ʻO ka maʻi i kū mai i ka wā kamaliʻi, nā mea liʻiliʻi, ka dyspancreatism ʻaʻole ʻokoʻa mai nā maʻi ʻē aʻe e like me ka pancreatopathy reactive a i ʻole pancreatitis, e hōʻeha nei i nā pilikia i ka hana ʻana i kahi maʻi kūpono. ʻO ke kiʻi o ka lāʻau lapaʻau o ka hoʻomohala ʻana o ka pathology he like like, me kaʻole o ka hema a me ke ʻeha i ka wā dispancreatism.
Hoʻopilikia a me ka mālama ʻana
Pono ke ʻano o nā hōʻailona a me nā hōʻailona me ke kūkākūkā wikiwiki me kāu kauka, e like me ka pancreatitis i kekahi ʻano e pono ke hoʻokipa. Akā ʻo ka mea mua, lawe ʻia nā hana diagnostic a hoʻokau ʻia ai ka maʻi a me ke kumu o ka pathology. ʻO ka papa inoa o nā hoʻokolohua pono kūpono no ka maʻi pancreatitis:
- hōʻikeʻike koko ololi,
- Paona o ka ʻōpū,
- Eia nō naʻe, no ka hoʻoholo ʻana i ka maʻi maʻi, ua hoʻohuihui ʻia ka tomography o nā ʻōpū kūloko.
ʻO ia ka mea i ka mālama koʻikoʻi, ʻaʻole i hoʻokō ʻia ka hoʻomaikaʻi, no laila pono ʻoe e hoʻopili i kahi mea maʻi oncologist nāna e kuhikuhi i kahi kikoʻī hou - he biopsy.
ʻO ka nānā ʻana a me ke nānā ʻana o ka pancreatitis reactive i nā keiki e koi ai i ka hoʻohana ʻana i nā rula o ka papaʻai no ka ʻai ʻana i ka meaʻai a me ka lāʻau lapaʻau lāʻau. I ka wā mālama, ua mālama ʻia ka hoʻohana ʻana o nā lāʻau lapaʻau: nā pehu, nā māka e loaʻa ana i nā enzyme, vitamines complexes. Kuhi ʻia ke ʻano a me ke ʻano o ke kauka, e like me nā hopena o nā hōʻike.
ʻO ka lapaʻau lāʻau e pili ana i:
- hōʻoluʻolu o ka ʻeha,
- kōkua i ka hana o ke ahe, kūwaho,
- ka hoopau ana i na mea oloo a me na mea olino mai ke kino,
- ka hoʻomaikaʻi ʻana i ka ʻōnaehana pale.
Ma ka hoʻohālike me ka lawe ʻana i nā lāʻau lapaʻau, ua kuhikuhi ʻia ka meaʻai i ka meaʻai.
Kāohi
Me ka pancreatitis react i ka poʻe, hoʻomaka ke pale ʻana me ka hoʻohana pono ʻana i nā meaʻai a me nā ʻano kai. I ka wā e ʻai ai, pāpā ʻia ia i ʻai nui i nā meaʻai i loko o ka noho. Hoʻomaopopo ʻia e uha i nā kiʻi 6-7 mau lā i ka lā ma kahi mau wahi liʻiliʻi.
Pono ka poʻeʻelemakule e hoʻololi lōlī i ko lākou meaʻai a lawe aku i nā huahana maikaʻi aʻe e pili ana i nā paʻi kumulima a me nā mea hoʻohui, e hoʻopili iā lākou me nā huaʻai maikaʻi e loaʻa ana i nā huaora.
Inā makemake ʻoe i kahi kuhi hewa i loko o ka punawai gastrointestinal, e nīnau aku i kāu kauka, e hiki iā ia ke hana wikiwiki e hoʻoiho inā kahi maʻi i loaʻa.
Wahi a Kauka Komarovsky, me ka huhū o ka pancreas, ʻo ka pancreatitis reactive i nā keiki ʻo ia ka waiwai o nā mākua. E hoʻokaʻawale loa i nā kulekele a me ke ʻano o nā hoʻopiʻi kūpono paha, hahai i kahi meaʻai kūpono a me ka olakino.
ʻO nā loina o ka meaʻai maikaʻi
ʻO ke kānāwai nui i ka mālama ʻana i ka meaʻai kūpono no ka maʻi pancreatitis:
- ʻO ka weheʻana i nā huhū pancreatic mai ka meaʻai,
- kuke ʻia ka kuke ʻia, ka umu,
- nā meaʻai ʻai a pau ma ke ʻano he mushy (kōpala),
- ho'ēmi i ka komo ʻana o ka momona momona a me nā momona
- hoʻonui hoʻonui i nā meaʻai a hiki i ka 6-7 mau manawa i ka lā, i nā wahi liʻiliʻi.
I ka lā mua ma hope o kahi hoʻouka ʻana o ka pancreatitis, ʻoi mau ka hāʻawi ʻana no ka lā 2-3 o ka ʻai ʻana i ka meaʻai. I loko o kēia manawa, ʻae ʻia ia e lawe i decoction o ka hint ma luna, chamomile, ka wai mineral me ka ʻona ʻole o ka hau.
Ma hope o ka hala ʻana i ka paepae o ka exacerbation o ka pancreatitis e ka pōloli, hiki iā ʻoe ke hoʻomaka iki e hoʻohana i nā meaʻai i ka meaʻai, ka meaʻai.
ʻO ke kūpono no ka pancreatitis e kōkua i ka hoʻihoʻi hou ʻana i ka pancreas a hoʻomaikaʻi i ka hoʻihoʻi.
Nā hopena
Hoʻopilikia kēia maʻi maʻi i ka manawa kūpono a me ka hoʻomaka ʻana o ka ʻoihana. ʻO kēia ke ala wale nō e pale aku ai i nā hopena kūpono o nā pathology. I nā ʻohana he nui, ʻaʻole i manaʻo ʻia nā hōʻailona kumu ʻole i ʻike ʻia a pili ʻia i nā ʻeha o ke keiki.
No laila, komo ka maʻi i ke ana kūlohelohe, kahi e hōʻeha ai i nā pilikia olakino.
ʻO nā enzyme o ka pancreatic i hana ʻia ka insulin, e wāwahi ana i ka kō. Inā ʻaʻole he keu o ke kō o ke kō i loko o ka huina o ke kūwali, kahi e hoʻoiho ai i ka mellitus maʻi diabetes.
Lawe ʻia ke ʻano o ka pancreatitis me ia ka hōʻike o ka necrosis o nā kiko a me nā ʻāpana, nā mea: nā peritonitis, ka maʻi ʻeha, ka maʻi purulent.
Aia nā maʻi concomitant: kahi maʻi maʻi pāpaʻi o ka pāpaʻi, ka apili apana, ka mea e hoʻonāukiuki i ka hele ʻana o ka hepatitis B, C.
He mea nui ia e hoʻokomo i ka hōʻola maʻi maʻamau a me ka mālama ʻana i nā keiki me ka pancreatitis reactive i ka manawa kūpono loa, e mālama ai i ke olakino.
ʻO wai ka pilikia?
ʻAʻole hiki ke kapa ʻia ʻo ka maʻi pancreatitis e kapa ʻia he maʻi weliweli, inā naʻe ʻaʻole hoʻomaka ka mālama ʻana i ka manawa kūpono, e hele mai ka maʻi i kahi ʻano kūlana koʻikoʻi. ʻO ka pancreatitis reaktipʻo ka hōʻailona mua wale nō e ʻai ai kahi kanaka me ka palaka maikaʻi.
Ma ke kānāwai, ke hōʻeha nei nā kāne i kēia ʻano pancreatitis ma muli o ka mālama ʻole mau o ka meaʻai a me ka hoʻohana ʻana i nā mea inu ʻona. ʻO kēia ʻano e hoʻokūkū ai i ka maʻi puhaka a me ka duodenum. ʻO ka hopena, pau ke ʻano o ka wai pancreatic a hoʻomaka ʻia ka hoʻōla ʻana. Eia kekahi, hiki i ka maʻi pancreatitis hiki ke lilo i kahi hōʻike o nā maʻi e noho nei.
- ʻeha nā ʻōpū ʻōpū
- hauʻoli maʻa ka ate,
- maʻi maʻi viral hepatitis
- gaugitis
- maʻi maʻi
- cholecystitis.
Hiki i ka maʻi ke hoʻomaka ma hope o kahi pupuhi i loaʻa, kahi i hoʻohuli ʻia i nā aʻa. I kēlā mau kūlana, hoʻopau nā enzyme gastric e komo i ka duodenum, e hele ana i ka luku ʻia a me ka hoʻokaʻawale ʻana iho o ka ʻōpū, ʻo nā ʻōuli o kēia mau mea e hoʻomālamalama nui.
I nā hihia ʻē aʻe, hiki i ka hoʻomohala ʻana o ka pancreatitis react ka hoʻonāukiuki i ka hoʻohana pinepine ʻana i nā lāʻau lapaʻau.
Hiki i ka pancreatitis ke hoʻoulu i ka hoʻomohala ʻana i ka maʻi diabetes, no ka mea, ʻo ia ka pancreas o ke ʻano ka mea pili i ka hana o ka insulin. Inā hōʻike ʻia nā hōʻailona i ka maʻi o ka pala, a laila ʻike ʻia nā kuhihewa i kāna hana, e hoʻomaka ka pae ʻana o ke kōʻai koko a laila hoʻonāukiuki i ka hoʻomaka ʻana o ka maʻi pākeke ma nā pākeke a me nā keiki.
Hoʻomaopopo o ka react pancreatitis
Inā mākou e kamaʻilio e pili ana i nā hiʻohiʻona hiʻohiʻona, a laila e hōʻike ʻia ana ka maʻi e ka ikaika ʻokiʻoki i nā ʻāʻī ma nā iwi, ke koi pinepine nei i ka luaʻi a me nā hiccups. Hiki i nā hōʻailona hōʻeha ke ʻano like me ka hoʻoliʻiliʻi a me ka ikaika, akā, ʻaʻole hiki ke lilo i ke kumu no ka lawe wale ʻana i nā mea hōʻeha.
Eia kekahi, hiki ke hōʻeha i nā wahi ʻē aʻe, ma muli o ke kīpē ʻana i nā ʻāpana āpau o ka gallbladder. Inā pili ʻia kona lalo, a laila e ʻike ʻia ka ʻūhā ma lalo o ka ʻōpū kūpono, inā he kino o ke kīpapa, a laila ma lalo o ka scapula. ʻO ka hōʻailona o ka ua o ka gallbladder e hōʻike i ka ʻeha ma lalo o ka iwi hema. Inā he nekrosis pancreatic, a laila e maopopo nā hōʻailona, a pono ʻole ke hopena.
Aia kekahi mau hōʻailona ʻē aʻe o ka hoʻomohala ʻana i kēia maʻi. Kēia mau ʻōuli e loaʻa pū ka momona nui o ka makemake, ke hoʻowahāwahā i ka meaʻai, a hiki pū nō hoʻi i ka salivation nui, palaki, ʻehaʻeha me nā ʻano o ka ʻano like ʻole, ka mea i hōʻike ʻia e nā pākeke a me nā keiki.
Inā mākou e kamaʻilio e pili ana i nā keiki, a laila ke hoʻomanʻi pinepine ʻia nā maʻi e ka maʻa, ke kuni a me ka ʻilihune maikaʻi ʻole.
Pehea e hoʻomaopopo ai i ka maʻi?
He mea paʻakikī loa ke hoʻoponopono i ka maʻi a no ka mea he pono ke hoʻopaʻa ʻia i kahi ʻano o nā lāʻau lapaʻau:
- ua hana i kahi ma ka ultrasound (ultrasound) o ka ʻōpū o ka ʻōpū,
- hāʻawi i ka urine no ka loiloi laulā,
- hāʻawi kālā i ke koko no ka nānā ʻana i ka loiloi a me ka biochemistry,
- hana i kahi gastroscopy
- hele ma loko o ka puʻuwai hoʻohui ʻia.
ʻO kēlā me kēia kaʻina hana he mea nui a pono e hoʻoholo i ke kiʻekiʻe o ka hōʻino i ke kino. Ke hōʻike ʻia nei kahi hōʻike koko koko nui i ka nui o nā leukocytes, no ka mea i mua o ka pancreatitis reactive, e hoʻonui nui ʻia kā lākou kiʻekiʻe. Hiki i ke biochemistry ke ʻike i nā pae amylase, e kōkua i ka hana ʻana i ka maʻi hope loa i ka mea maʻi.
Ma hope o ke kau ʻana i ke kaʻina hana gastroscopy mandatory, hiki i ke kauka ke loaʻa nā hopena o kahi maʻi biopsy, e wehewehe pū ai i ke kiʻi holoʻokoʻa o ka maʻi. E hōʻike i ka Gastroscopy i ke kiʻekiʻe o nā mānoanoa o nā lau o ka duodenum a me ka ʻōpū. ʻO ka loiloi ultrasound o ka ʻōpū ʻōpū e kōkua i ka hoʻoholo ʻana i nā loli kūikawā i loko o nā kino a me ke kiʻekiʻe o ko lākou neʻe mai ka maʻamau maʻamau. Hoʻomaka ʻia ka nānā ʻana o ke kūlana o ka pauna āpau me ka hoʻohana ʻana i ka tomography compted.
Ka maʻi pancreatitis react, ʻoiai ʻaʻole ia he mea weliweli, e pono ai ka mālama ʻana me kahi ʻole. Eia kekahi, e hāʻawi ʻia e kiaʻi mau ana i ko lākou olakino, me ka hoʻopiʻi ʻia i nā meaʻai kūikawā. Hiki i ke lāʻau lapaʻau ke kumu kumu no ka hoʻololi ʻana o ka maʻi i loko o ka māhele o kahi maʻi ʻano.
I kekahi mau pilikia, ʻo ka pancreatitis reactive e hoʻoulu loa i ka hoʻokipa wikiwiki o nā pākeke a me nā keiki. Inā he hana kaua o ka maʻi, a laila no ka lā 4 i loko o ka hale mālama hale e hana lākou i ka nui o ka gastric. Hoʻokomo ʻia i ka hoʻōla ʻana i kēia manawa inu ka inu ʻana ma muli o ka wai me ka wai ʻole, a me ka noi ʻana i kahi pā wela anu i ka ʻōpū.
Holo i nā maʻi i nā pākeke a me nā keiki, pono ia e hoʻomōla i ke ʻano holoʻokoʻa o nā hanana hoʻoponopono hou e hoʻokumu i ka hana maʻamau o ka ʻōpū a me ke kiko holoʻokoʻa. Hoʻomaka ka mālamaʻana i ka pancreatitis o kēia ʻano me nā droppers, painkillers a me nā lāʻau diuretic e hiki ai ke hōʻoluʻolu i ka puhi ʻana. Eia kekahi, ke kauka nei ke kauka i nā lāʻau lapaʻau e pale i ka hūnā ʻia o ka wai pancreatic.
Pono ke kauka i ke aʻo aku i nā meaʻai kūpono maʻamau i ka wā o ka lā a me ka meaʻai hiki ʻole iā ʻoe ke pale aku. E loaʻa ia i ka hoʻopau piha ʻana o nā meaʻai kaumaha mai ka papaʻaina: momona, ke kō, ka paʻakai, ka momona, ka uahi, a me ka wehe ʻana i nā mea inu wai. ʻO ka pau nui o ka meaʻai i kēlā me kēia lā e pono e inu.
Inā hōʻike ka maʻi pancreatitis i nā keiki, no ka laʻana, a laila ma ia mau ʻano ke ʻano anane nā ʻano lāʻau lapaʻau. Ua kau ʻia nā lāʻau lapaʻau āpau i ka noʻonoʻo ʻana o nā makahiki o kēlā me kēia maʻi a me ka nui o ka maʻi. Me ka exacerbation o ka pancreatitis reactive, ua noi ke hoʻohana ʻana i nā lāʻau lapaʻau:
Ma kahi o nā lāʻau lapaʻau, mālama ka lāʻau lapaʻau i kahi meaʻai kūikawā o ke ʻano i ʻōlelo ʻia no nā pākeke.
Aia nā lāʻau lapaʻau e pili pono ana i nā lolo o nā pākeke a me nā keiki. Hiki iā lākou ke hoʻomaikaʻi i kā lākou hana, me ke hoʻokumu i ka hana a ka duodenum. Me kahi ala paʻa i ka mālama ʻana o ka maʻi, hiki ke ʻōlelo ʻia nā mea ola e hoʻopōmaikaʻi ana i ka holomua o ka microflora o ka pēpē gastrointestinal.
Nā kumu o ka pancreatitis reactive i nā keiki
ʻAʻole e like i nā pākeke, ʻoi aku ka nui o nā keiki e pane i nā maʻi a me nā māla ma muli o ka heʻe ʻana o ka pancreas.
ʻO nā kumu kumu maʻamau loa o ka pancreatitis reactive i nā keiki:
- uhaki hewa ʻole o ka meaʻai,
- kaʻai maʻamau o ka momona a me nā meaʻai momona, nā meaʻai e kiʻekiʻe i nā preservatives a me nā kala.
- lawaiʻa wā lōʻihi
- SARS pinepine, flu, mauʻa,
- maʻiʻi hōʻano hou,
- kahi maʻi kūlohelohe (i ka meaʻai a i ʻole ka lāʻau lapaʻau),
- nā loea congenital o ka pānaʻi kūwili, kahi i kōkua i ka hoʻomohala ʻana o ka ʻeha o ka pancreas,
- kaumaha, kaumaha kaumaha.
Hōʻike ka hana lapaʻau e pili ana i nā kumu nui o ka pancreatitis reactive i nā keiki e pili ana i ka meaʻai. ʻIke, me ka hoʻokahuli o kona aupuni, ka hoʻomaka ʻana o nā huahana maikaʻi ʻole i loko o ka ʻai, a me ka makemake i ka ʻai aʻai.
ʻO nā huahana e hoʻonāukiuki i ka loaʻa ʻana o ka pancreatitis reactive i nā keiki:
- nā meaʻai palaoa (i ka palaoa a me ka pata),
- nā meaʻai momona
- nā mea inu ʻoki
- ʻuwā hāhā
- ka ʻai wikiwiki (hamburgers, chips, French fries, crackers),
- ʻO ka hui me nā mea hoʻonaninani, nā mea hoʻohui hoʻohui.
- nā ʻona ʻona
- nā ʻalani ʻalani.
Ka hoʻomaʻamaʻa ʻana o ka pancreatitis reactive i nā keiki
Hoʻopilikia ʻia ka maʻi maʻi o ka maʻi e hoʻohana ana i kahi hōʻike koko (biochemistry) a me ka ultrasound o ka ʻōpū o ka ʻōpū. Inā hoʻoholo pololei ʻia ka maʻi, a laila ke loaʻa ka mālama ʻana i ka pancreatitis reactive i nā keiki me nā kūlike like e like me ka mālama ʻana o ka ʻano o ka ʻano o ka maʻi.
Hāʻawi ka hana no ka mālama ʻana i ka pancreatitis reactive me ka pāʻai a me ka hopena ʻoihana paʻakikī. Hiki ia i nā antibiotics, enzymes, antihistamines - pono ke kauka e hoʻoholo i ka regimen lāʻau kūpono.
ʻO kahi kūlana koʻikoʻi no ka mālama ʻana i ka pancreatitis reactive i nā keiki he meaʻai. ʻO nā kumu kumu o ke olakino no ka maʻi i nā:
- ka wehe ʻana o nā huhū hiki mai ka ʻaina keiki e mālama ai i ka hana ʻana o nā pancreas,
- ka hoʻolauna ʻana i nā huahana aʻaʻa lau a ʻaihue paha - ua ʻōlelo ʻia lākou e lawe i kahi ʻano mahana a pākī paha.
- ka mālama ʻana i ke kumukūʻai o ka ikehu - pono ia e hoʻemi i ka hoʻoliʻu i ka momona i ke aloha ʻana i nā momona a me nā mea momona,
- ʻO ka pāʻālua a me nā manawa pinepine - ʻekolu mau lā i ka lā me ka pancreatitis reactive i contraindicated. Ma kahi o, pono ʻoe e pili i ka papa hana o ka ʻahaʻaina o 5-6 mau lā i kahi lā ma waena o nā manawa ʻaʻole eʻoi aku ma mua o 4 mau hola.
Hiki i ke kauka ke hoʻolālā i ka hoʻolele ʻana i ka lā mua o ka mālama ʻana i ka hoʻokipa olakino, e ʻae ai i ka hoʻohana ʻana i nā wai wai wale nō me ka ʻole o ka hau.A ma ka lā aʻe e hiki ai iā ʻoe ke hoʻolauna i ka moa māmā a i ʻole ka mea ʻoa huaʻai, nā kuʻi ʻai, ka ʻala palapalapa ʻia (e hoʻokaʻawale ʻole i ka kāpeti, kīwī, ʻīwī a me nā ʻihiʻō), nā ʻīwī ʻaʻa ʻoka haʻahaʻa, hua ʻōpala.
Hoʻokomo ʻia ka lāʻau lapaʻau i nā keiki me ka pancreatitis reactive:
- ka hemo ʻana o ka ʻeha
- ka hoʻomaikaʻiʻana i ka kūwili ʻana,
- pohōkeo
- inā pono - e lawe ana i nā hōʻike o nā pālolo,
- hoʻonui i ke kū'ē o ke kino (ka lāʻau lapaʻau lāʻau).
ʻO kahi hana nui i ka mālama ʻana i ka pancreatitis reaktika ka maʻamau o ka hana ʻana o ka hoʻoneʻe. No kēia pahuhopu, hoʻohana ʻia ka hoʻomākaukau ʻana i ka enzyme o kēia mau lā iā Creon®. Hoʻouka ʻo ia no ka nāwaliwali o nā enzyme pancreatic a kōkua i ka hoʻoluʻolu ʻana o ka meaʻai. Ma muli o ka ʻike palekana palekana kiʻekiʻe loa, hiki ke kuhikuhi ʻia mai ʻo Creon® i nā keiki mai ka hānau ʻana, akā naʻe, hiki ke hana wale ʻia kēia mea e like me nā ʻōlelo aʻoaʻo o ka pediatrician.
ʻO ke kumu nui no ka pale ʻana i ka pancreatitis reactive, e pili ana i nā kuʻina o kahi meaʻai palekana. Pono nā mākua i ka ʻōnaehana ʻana, akā hoʻomau i ka hoʻololi ʻana i ka ʻono o ka gastronomic o ke keiki, me ka ʻike o ka ʻono a me ka pilikia - ʻo kēia kahi laʻa i ke ala o nā pancreas a me nā maʻi maʻi.
Kūkulu ʻia ka pahuhopu me ke kākoʻo o ʻAbbott i mea e hoʻonui ai i ka ʻike o ke ahonui no ke kūlana olakino. ʻAʻole e hoʻohuli nā ʻike i nā kumuwaiwai i nā ʻōlelo aʻo a kahi limahana olakino. E ʻike i kāu kauka
RUCRE172469 mai 07/13/2017
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8. Ke kauoha no ka hoʻohana olakino i ka lāʻau Creon® 10000 mai ka 05/11/2018