ʻO ka pancreatitis reactative ma nā keiki

ʻO ka pancreatitis acute kahi mea hoʻoliʻi a hoʻonāwaliwali o ka lesi o ka pancreas e pili ana i ka hoʻōla ʻana i nā enzyme pancreatic i loko o ka kelepaʻi a me nā toxemia enzymatic. ʻO ka pancreatitis akehu ka mea nui loa i nā keiki ma mua o nā pākeke.

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He aha ke kumu o ka pancreatitisʻeha i nā keiki?

ʻO nā kumu maʻamau maʻamau o ka maʻi pancreatitis i nā keiki:

  1. nā maʻi ʻeha (mumps, viral hepatitis, enterovirus, Coxsackie B, chickenpox, herpes, flu, pseudotuberculosis, disentery, salmonellosis, sepsis),
  2. nā hōʻeha pale pancreatic ma muli o kahi kū nui o ka ʻōpū,
  3. nā maʻi me ka hāiʻi a hoʻonui ʻia i ke kaʻe o ka pancreatic ducts (papillitis, choledocholithiasis, cyst a i ʻole ka paʻakikī o ka wai, ka duodenostasis me ka duodenopancreatic reflux, kaʻaina o ka nodle duodenal me nā ʻōpala, opisthorchiasis, fascioliasis, clonorchiasis),
  4. hepatobiliary pathology (gallstone maʻi, chronic cholecystitis),
  5. ka pāpaʻi (hyperparathyroidism a i ʻole hypervitaminosis D),
  6. ka huakui (hoʻopā me ka poni, mercury, arsenic, ka phosphorus) a me ka hōʻino o ka lāʻau (azathioprine, hypothiazide, furosemide, metronidazole, tetracyclines, sulfonamides, nā inapo kiʻekiʻe o nā glucocorticoids)

ʻO ka ʻai nui o nā momona, nā meaʻai palaoa kāhea wale nō ke kumu o ka hoʻonāukiuki i ka hōʻike ʻana o ka maʻi ma ke ʻano o nā kumu ʻē aʻe ma luna aʻe o nā kumu ʻē aʻe ma luna o nā kumu ʻē aʻe ma ka 25% o nā keiki me ka maʻi pancreatitis, ʻaʻole hiki ke hoʻokumu ʻia ka etiology.

ʻO ka pathogenesis o ka pancreatitis maʻa

Ke wāwahi ʻia ka pili o ka pancreatic, ua hoʻomohala ka hopena a me ka hoʻoneʻe ʻana o nā huila lysosomal e lawe i ka hoʻōla o intrapancreatic i nā enzymes (trypsinogen) e hōʻino i ka ea. Ma muli o ka hoʻonui nui o ke koko o nā mea hana biologically ikaika, hoʻomohala ka nui a me ka maʻi microcirculatory, hiki ke hāʻule.

Nā hōʻailona o ka maʻi pancreatitis ma nā keiki

I nā keiki, loaʻa ka interstitial pancreatitis pinepine i ka manawa.

ʻO ka hoʻopiʻi nui me ia ʻeha ka ʻōpū:

  • ikaika, puhina, hele pū me ka manaʻo i ke kaumaha, ʻūlū a me ka belching,
  • hoʻopaʻa ʻia i loko o ka epigastrium a i ʻole.
  • ka ʻoni hou ʻana i ka hypochondrium hema, ke kahe lumbar hema.

Hiki paha ke hoʻohālikelike ʻia, i ʻōlelo ʻia i kekahi manawa. He maʻa iki a ʻano haʻahaʻa paha ke ʻano o ke kino.

Ma ka hōʻike, ʻike:

  • pallor a i ʻole ka heemia o ka maka,
  • takalopia, he ʻano o ka hypotension,
  • liʻiliʻi ka ʻōpū o ka ʻōpū, i kekahi manawa ua hōʻike ʻia ke kū ʻana o ka mākala ma ka epigastrium.

ʻO nā hōʻailona kūpono ka Mayo-Robson, Frenkel, Bergman a me Kalk, i hoʻoholo ʻia e ka ʻeha ʻana i ka wā o ka palpation hohonu i loko o ka wahi o Shoffar, ma nā kihi o Mayo-Robson a me Kach. Piʻi pinepine i ka eha ma hope o ka palpation o ka ʻōpū.

I ka hōʻike koko, aia paha liʻiliʻi ka leukocytosis, neutrophilia, i kekahi manawa liʻiliʻi ka nui o ka ALT, hypoglycemia. ʻO ka Hyperfermentemia (hoʻonui i nā kiʻekiʻe o ka amylase, lipase, a me trypsin) me ka pancreatitis interstitial he hapa a pōkole.

Maʻa kahi paʻa pancreatitis akene i nā keiki luhi.

  • ʻeha loa ka hoʻokau ʻana ma ka ʻaoʻao hema o ke ʻano mau,
  • aʻiwa hoʻowahāwahā
  • nā maʻi hemodynamic: pīhoihoi, hina,
  • hiki nā necrosis momona momona o ka momona subcutaneous ma luna o ka ʻōpū, ʻaʻole i emi pinepine i ka maka a me nā wāwae. Aia i nā ʻokekilena, hemorrhagic rash, jaundice,
  • subfebrile kino ʻili paha.

I ka nānā ʻana hoʻomaopopo:

  • pinepine ka poli, hoʻopiha palupalu, hypotension arterial,
  • humuhumu ka ʻōpū, kūpilikiʻi, palpation hohonu ka paʻakikī ma muli o ke kū mālie o ka paia ʻōpū.

I ka hoʻokahe koko - ua hoʻolaha ʻia neukopuleka leukocytosis, hoʻonui ESR, thrombocytopenia. Hōʻike pinepine ʻia ka Hyperfermentemia a hoʻomau ʻia hoʻi.

Hiki i ka pancreatic necrosis e hua pohala.

  • ka hoʻomaka - wīwī, hōʻeha o ka puʻuwai, hana ʻole, DIC, pehu, ka maʻi mellitus,
  • ka lōʻihi - pseudocysts pancreatic, abscesses a me phlegmon o nā pancreas, fistulas, peritonitis.

ʻO nā kumu nui o ka make i nā hopena koʻikoʻi o ka pancreatitisʻeha e make, ka pehu, kahe, peritonitis purulent.

He aha ka pancreatitis reactive i nā keiki?

ʻO ka pancreatitis akiko a i ʻole paha i nā keiki i ke wā ʻōpiopio ʻaʻole ia e hana, me ka koe wale nō nā hihia o nā pathology congenital a i ʻole nā ​​hōʻeha o ka ʻōpū. ʻO ka maʻi pancreatitis kahi maʻi o nā pākeke i alakaʻi i ke ʻano olaola ʻole no nā makahiki he nui: ʻaʻole lākou i ʻai maikaʻi, ʻawaʻawa, inu ʻona, lawe nui i nā lāʻau lapaʻau, hoʻoneʻe i ka mea liʻiliʻi a ʻai nui.

ʻO ka pancreatitis react i kahi keiki kahi hana ia e hoʻonāukiuki ʻia e nā mea maʻi pathological ʻē aʻe i ke kino. Ma ka manawa like, ʻo ka pancreas kahi maʻi olakino a me ke kāpae ʻana i ke kumu kumu, hiki iā ʻoe ke poina i nā pilikia me ia.

  • ʻeha (flu, tonsillitis, pertussis, rotavirus, SARS maʻamau) hiki ke hoʻōla i ka hoʻomaka o ka maʻi,
  • opisthorchiasis a me giardiasis - maʻi parasit,
  • lawe i kekahi mau lāʻau lapaʻau, no ka laʻana, nā antibiotika ikaika,
  • poakou loa
  • ka haʻaila (congenital pathology)
  • trauma ʻeha loa
  • hōʻeha a me ka hoʻoluhi ʻana no ka lōʻihi lōʻihi.

Nā hōʻailona o ka pancreatitis reactive i nā keiki

Hiki i ke kauka ke manaʻo i ka pancreatitis reactive i kahi keiki ma ke kumu o nā hōʻailona:

  • ʻeha i ka ʻōpū o luna (hāʻawi i ke kua a i paha mau kāʻei).
  • ʻaʻole e hoʻonui koʻikoʻi i ka mahana o ke kino (ma ka māhele o 37-37.5 ° C),
  • malekilima
  • paila, mamaila,
  • nā kīwaha māmā o nā kala kukui,
  • hōʻole no ka meaʻai
  • ʻili o ka ʻili,
  • ka malo maloʻo
  • Ua uhi ʻia ka alelo me ke kaʻi ʻana.

Nā hōʻailona koʻikoʻi o ka pancreatitis reactive i nā keiki i nā makahiki he makua. ʻAʻole ikaika ka poʻe keiki i ka wehewehe pono i ke kumu o ka hopohopo, pono nā mākua e makaʻala a inā loaʻa mau ka ʻōpū o ka ʻōpū i hui pū ʻia me nā hōʻailona i wehewehe ʻia, e hui aku i kahi keʻena olakino. Ma mua o ka nānā ʻana a me ka maʻi maʻi, ʻike ikaika ʻia e hoʻemi i ka nui o nā meaʻai i ʻai, e hōʻoiaʻiʻo ai i ka maluhia no ka mea maʻi. E hōʻemi i ka ʻeha, ʻae ʻia ke noi ʻana i ka hau i ka ʻōpū.

ʻO nā hopena o ka pancreatitis react

He mea nui ka pancreatitis i nā keiki he mea nui ia e ʻike i ke kumu mua. A laila, ke hoʻopau ʻana i ke kumu o ka hanana a me ka lawe i nā ana e pono ai, hiki ke pale aku i nā hopena maikaʻi ʻole no ke olakino. Hoʻomaopopo pinepine ʻole nā ​​hōʻailona mua o ka maʻi a pili i ka ʻoluʻolu o ke keiki. Lilo ka maʻi a lilo i nā hoʻopiʻi. Nui nā hopena o ka pancreatitis, koi i ka manawa kūpono a me ka kāohi.

ʻO ka pancreas, ma kahi o nā enzyme, e hana ai i ka insulin, inā ua ʻike ʻia ka ʻoihana hoʻonaninani o ka hormone, hoʻonui ʻia ka hopena o ka maʻi diabetes. Hōʻā ka holo ʻana o ka pancreatitis e ulu i loko o ka necrosis pancreatic (make ʻana o nā ʻāpana pancreatic), hoʻomaʻemaʻe purulent, e hōʻeha ana i nā ʻōpū o ka membous waha o ka gastrointestinal tract.

Ke hoʻonāukiuki nei nā hoʻololi i ka palaki i ke ʻano o nā cysts a me nā maʻa maʻi maʻi. ʻO ka hopena o ka hōʻeha nui a me ka hoʻowalewale - he maʻi maʻamau ka hana o nā hana kino. ʻO nā hoa pinepine o ka pancreatitis he mau leʻaleʻa o ka pēpē a me ka biliary tract. ʻO ka pīhoihoi kūloko.

Hoʻopilikia a me ka mālama ʻana

ʻO ka maʻi a me ka mālama ʻana i ka pancreatitis reactive i nā keiki ke lawe ʻia e kahi gastroenterologist. Ma hope o ke kamaʻilio ʻana i ka mea maʻi a me nā mākua e hōʻiliʻili i ka ʻikepili pono (pono, nā maʻi ma mua, ka lawe ʻana i nā lāʻau lapaʻau, ka nui o nā hōʻailona, ​​ka manawa a me ka ʻano o ka hanana), ke nānā ʻia kekahi mea maʻi ʻōpio. ʻO ka paila o ka ʻili a me nā membrane haehae, kahi kohu keʻokeʻo ma ka alelo, tachycardia, ke ʻano haʻahaʻa o ke koko, ʻeha i ka wā o ka palpation o ka ʻōpū o luna e lilo i mea hōʻoia o ka hōʻike ʻana i ka pancreatitis reactive.

Ma hope o ka hōʻike, hōʻike ʻia nā hoʻokolohua laboratorium:

  • ka nānā pinepine ʻana o ke koko a me ka urine,
  • hōʻikeʻike koko ololi,
  • loiloi ʻaʻa
  • Paona o ka kahe ʻōpū.

Mai poina e lilo ka maʻi pancreatitis i nā keiki he maʻi maʻi lua, e koi mua e ʻike i ke kumu o ka hopena a hoʻopau i nā mea hoʻonāukiuki. ʻO ka haukapila o nā keiki me ka maʻi hānai e mālama i ka hele ʻana o ka maʻi a nānā i nā loli i ka mālama pono ʻana o ka mea maʻi.

ʻO ka mea hana nui no ka mālama ʻana i ka pancreatitis e noho mau ana i ka papaʻa i kuhikuhi ʻia e ke kauka hele e pili ana i ke ʻano a me ka paʻakikī o ka papa o ka maʻi. ʻO nā lā ʻelua a ʻekolu paha mau mea e hōʻike ʻia e hōʻole loa i ka ʻai ʻana. A laila ua hāʻawi ʻia ka mea palupalu me ka maluhia a me ka hoʻomaha. No kēia, ua kuhikuhi ʻia ka hana o ka hoʻomākaukau ʻana o ka enzymatic i hana ʻia, i hoʻolālā ʻia e hoʻoikaika i ka hoʻopili ʻana o nā protein a me nā mea i kālai ʻia. He mea nui ia e ʻike ʻo ka hoʻohana mau ʻana o kēia ʻano lāʻau i ka hoʻohemo ʻana o ka waiʻai pancreatic, a ua pau ka pancreas i ka hana!

No ka hoʻomaha o ka eha, hoʻohana nā antispasmodics a me analgesics. ʻO kahi hōʻailona nui o ka hoʻihoʻi ʻana kahi nāwaliwali a hōʻeha ʻole paha i ka ʻeha.

ʻO nā loina o ka meaʻai maikaʻi

  1. ʻO ka mea koʻikoʻi ka mea maikaʻiʻole - ka nui o nā momona, ka paʻakai a me nā meaʻai anuanu (ʻai wikiwiki) i ka meaʻai.
  2. Ka hoʻohana ʻia ʻana o nā wai ʻona, ka mea, ma ka hoʻonui ʻana i ka paʻakai o ka ʻōpū, loaʻa i kahi hopena mechanical ma nā paia o ka duodenum a hoʻonāukiuki i ka hoʻolilo ʻana i nā ʻike i loko o nā kumuʻai pancreatic, iʻike maikaʻi ʻole ʻia i ka papa hana ʻana. Ma muli o kēlā mau hana, e hoʻāla ʻia ai nā hana o ka enzyme me ka ʻole e hele i ka hele, a e hoʻomaka ana ke kaʻina o ka ninini ʻana i nā ʻāpana o kahi kino ola.
  3. He mea kūpono no ka mālama ʻana i nā lawelawe lawelawe. ʻAʻole ʻae ʻia ka overeating. I mea e pale ʻole ai i nā pilikia o ka hana ʻana, ʻaʻohe pono ʻoe e koi i ke keiki e ʻai inā hōʻole ʻo ia.
  4. ʻO nā kīʻaha pinepine iki he ʻeha pōʻino o ka hana maʻamau o ke ʻano o ka ʻina ʻana.
  5. ʻO ka hoʻonaninani ʻana i ka meaʻai, nā mea mālama a me nā mea hoʻonaninani e pono ke haʻalele ʻia mai ka papaʻaina o ka pēpē i nā manawa hiki.

Kāohi ʻana i ka pancreatitis react

I mea e pale ai i ka maʻi pancreatic, pono ka makua i ka mālama ʻana i ke olakino o kā lākou mamo, e hoʻolako i ka hoʻokō kūpono a kūpono manawa i nā maʻi maʻi, e hoʻoiho i nā rula o ke ʻano ola kino, e hōʻoia ai i ka ʻai ʻano maikaʻi ʻole, ʻaʻole e hōʻino i nā lāʻau lapaʻau, akā no ka hoʻowahāwahā ʻana i ka pono no kā lākou hoʻohana ʻana, e hoʻomōhala i nā hoʻokolokolo pale. e kanuia e like me ka kalena olakino. ʻO nā pathologies Congenital e hiki ai ke hana i ka hoʻomohala ʻana o ka pancreatitis reactive e hoʻopau ʻia a i ʻole ma lalo o ka mākaʻi loiloi mau. I nā hōʻailona mua o ka malaise i kahi keiki, ʻimi koke koke i ka lapaʻau.

Hiki i ka pancreatitis reactous ke hōʻeha koʻikoʻi i ke olakino a me ka maikaʻi o ke ola o kahi keiki inā ʻaʻole ʻoe e lawe i ka maʻi nui a ʻaʻole hoʻi e uku nui i ka pale ʻana. No laila, pono e aʻo nā mākua a me nā keiki i nā lula o kaʻai kūpono a me ka mālama pono ʻana i ko lākou kino ponoʻī, me ka ʻike pū i ka hōʻailona a me ka mālama ʻana o ka maʻi, inā e hoʻomau nō ʻoe.

E mālama i ka poʻomanaʻo e heluhelu ma hope, a kaʻana paha i nā hoa:

He aha nā kumu o ka maʻi?

ʻO kēia maʻi kahi hana maʻi i loko o ka nenehana. Inā hōʻike ʻia kahi maʻi o kēia ʻano, he mea kūpono ia ma lalo o ka mālama ʻana o ka lāʻau lapaʻau.

I kēia manawa, ʻike pinepine ʻia kēia maʻi i nā keiki, ʻoiai eia ka nānā ʻole ʻia o nā helu helu.

I kēia lā, aia kahi papa o nā keiki i nā meaʻai i laila he nui nā mea mālama a me nā mea hoʻohui hoʻohui.

He mea kūpono ia e hōʻike i nā kumu kumu i ke kumu e hiki ai ka exacerbation o kēia maʻi.

  • Palaka ʻaʻai - ʻO ia kekahi o nā kumu maʻamau. Hiki iā ia ke loli koʻikoʻi i ka meaʻai, ka hānai ʻole ʻana i ke keiki, ka hōʻino ʻana i nā huahana he hopena maikaʻi ʻole i ka pancreas.
  • Nā maʻi maʻiaia ka mea i loko o ke kino o ke keiki hiki ke hoʻowalewale i ka hoʻomaka ʻana o ka maʻi.
  • Nā maʻi maʻi Parasitici maʻi pinepine ʻia nā keiki i ke ʻano o kēia maʻi.
  • Ke lawe nei i nā lāʻau lapaʻaue like me nā antibiotics,
  • Hiki congenital pathology o ka hale noho a me nā lawelawe kaiāuluhiki ke hoʻoili ʻia e ka maikaʻi ʻole i ka hana o ke kuapo. Hōʻalo i ka hoʻolālāʻana o nā hoʻopiʻi hiki ke kūpono i kahi meaʻai kaulike a i ʻole ka hōʻino ʻana;
  • Nā hōʻeha pancreashiki paha i kahi kaʻina hana hoʻololi. Ma hope o nā mea āpau, hiki i ka hoʻopilikia i kahi mea maʻi ke alakaʻi i ka hoe a poki paha i kahi maʻi,
  • Loaʻa pū kekahi pōʻai hoʻopailua. ^ E Ha yM. ʻO ke ʻano palapala koʻikoʻi nui e hiki ai i nā pilikia. He kūpono ke mālama ʻana i nā ʻōmua home aku i nā keiki.
  • Nā maʻi maʻi Biliary Hiki ke loaʻa iā lākou ma ka he ultrasound inā ʻōhumu ke keiki i ka maʻi ʻauʻau, ka luaʻi a me ka ʻeha o ka ʻōpū,
  • Waiʻala D ma ka huina nui, ʻoiai ka hoʻohana ʻana o kēia huaora i ka nui o kahi keiki, hiki ke hoʻonāukiuki i kahi kaʻina hana o ke kino.

Nā hōʻailona a me ka mālama ʻana i nānā hoʻokahi ʻia e ke kauka komo. ʻOiaʻiʻo, he nui nā maʻi e like me ka pono a he mea pono ia e hoʻokau i nā noi ʻana o ka laboratory a me nā loea e hoʻoponopono pono ai.

Nā hōʻailona maʻi i nā keiki

ʻO ke ʻano o nā hōʻailona o ka pancreatitis reactive ʻaʻole i kūpono loa no ka pēpē. Ua hui pū ʻia me ka mālamalama o ka hooneʻe ʻana o ka ʻāpana pancreatic.

Hoʻomaopopo o ka react pancreatitis pono nā keiki i ka noʻonoʻo pono ʻana a me ka ʻike kūpono no ka mālama pono ʻana.

I nā keiki, ʻo kēia hōʻike ʻia ka maʻi like ʻole:

  • ʻEha aku ʻovel
  • Nā ʻōpū o ka maʻi pāpaʻi a hiki paha i ka luaʻi
  • ʻO ka hōʻeha ʻeha inā hiamoe
  • E piʻi ka mahana i 38 degere,
  • ʻO ka maʻi kaumaha
  • Ka lei-hina keʻokeʻo ma luna o ka alelo,
  • Putu maloʻo
  • Hoʻopā ka ʻōnaehana o ke keiki.

Nui! ʻAʻole ʻike ʻia nā ʻōmaʻomaʻo i nā keiki liʻiliʻi, no laila e pono ʻoe e kiaʻi pono iā lākou a ʻike i ka maʻi maʻamau i ka manawa.

Hiki ke paʻi ʻia ka pancreatitis i kahi pēpē ma muli o ka uwē ʻana a me ke kiʻekiʻe kiʻekiʻe. I kekahi mau manawa, hiki mai ka luaʻi, akā ʻo ka hapanui e kū ʻia i nā keiki i ʻoi aku o ʻekolu mau makahiki. Inā i loiloi ke keiki i kēia maʻi, a laila pono e kāpae i nā hōʻailona, ​​a laila e ʻōlelo ʻia ka hana kūpono.

Pehea e mālama ʻia ai ka pancreatitis react?

Pono ke ʻano o ka pancreatitis react i nā keiki ke ʻano pono o ka hoʻohana ʻana i nā lāʻau lapaʻau. Hoʻohana ʻia nā lāʻau lapaʻau e mālama ai hiki ke hoʻokaʻawale i kekahi mau pūʻulu:

  1. Nā moho ʻeha, kahi e lawe ʻia ai i ka manawa kūpono e hooki i ka papa hana o ka hoʻouka ʻana a hooki i ka ʻeha.
  2. E hoʻomaikaʻi i ka ʻōnaehana digestive, koho hoʻomākaukau o ka enzyme. ^ E Ha yM. I kēia māhele, māhelehele ʻia lākou i kekahi mau pūʻulu subeke. Hoʻomoe e hoʻohui i nā enzymes a loaʻa i ka bile. ʻO kēia kahi mea kōkua kūlohelohe, no laila ʻaʻole lākou i kuhikuhi e hoʻohana i kahi manawa lōʻihi.

Ikemaka! E hoʻomaikaʻi i ka hopena o kēia mau lāʻau lapaʻau, ʻōlelo aku nā kauka i ka hoʻohana ʻana i nā antacids e kōkua i ka hoʻemi ʻana i ka waikawa.

Makemake kekahi mau mākua e hoʻopili i nā pono o nā kānaka no ka mālama ʻana, akā mai poina e hiki i kekahi mau mea ke hōʻeha i kahi maʻi kūlohelohe, no laila ma mua o ka hoʻohana ʻana, pono ʻoe e kamaʻilio i kāu kauka.

ʻO ka Lele Royal ke ʻano maʻamau no ka pancreatitis i nā keiki.. ^ E Ha yM. Hiki iā ʻoe ke hoʻohana inā ʻaʻohe keiki a kahi keiki me ka meli.

ʻO ka lōʻihi o ka lāʻau ke mālama i ka ʻelua a ʻekolu mau malama, a laila pono e lawe i kahi hoʻomaha pōkole no kahi lā. Hoʻomaopopo ʻia e lawe i ka ʻona a ʻekolu mau manawa i ka lā, ʻaʻole eʻai koke, akā hoʻomaloʻo.

Hiki iā ʻoe ke kuke kvass home mai ka celandine. ^ E Ha yM. No ka hana i kēia, pono ʻoe i ʻekolu liter o ka whey a i ʻole ka wai manawaleʻa. E ninini ʻia ka wai i loko o ka moku, a hoʻohui ʻia ka waiū a me nā kō. E ninini ʻia ka mauʻu Celandine i loko o kahi pahu ʻona maʻamau i hoʻomākaukau ʻia a hoʻohuihui ʻia i loko o ka wai wai a i ʻole whey. ʻO nā lā mua mua, pono e hoʻoulu ʻia ka kvass, a ma ka lā 10 aʻe e hoʻomaka ia e haki.

ʻIkepili! He mea kūpono ia e hoʻomanaʻo i ka mea nui e pono ke lawe ʻia i ka hana ma ka haukapila, ma lalo o ka nānā o kahi kauka.

ʻO kaʻai kūpono

Meaʻai no ka pancactitis reactive i nā keiki - ʻO kēia ke kumu hana nui e pono ai e ukali e nā mākua i ka wā e hoʻomaka ai ka mālama ʻana. Manaʻo nā mea hōʻike i kekahi mau lā ma hope o ka hoʻouka ʻana e nānā i ka pōloli a inu i ka wai ʻole ka carbonated. A laila e hoʻomaka me ka hoʻolauna ʻana i kekahi mau huahana, frayed wale nō.

Hiki ke hoʻokaʻawale ʻia kēia ʻO nā lula nui ma ka mālama ʻana o ka pancreatitis:

  • ua pono mai hana i ka hana ʻo ka pancreas, e haʻalele i nā huhū a pau mai ka meaʻai o ke pēpē. ʻO ka meaʻai i kā a i kuke ʻia, ʻono ʻia a kāwili ʻia a lawelawe ʻia. Manaʻo ʻia nā keiki i lalo o ke ʻekolu makahiki o ka hoʻopaʻa ʻana i ka meaʻai i ka wā o ke kala ʻana.
  • pono ai mālama i ka ikehu a me ka hoʻoikaika pono meaʻai koho. Ma hope o ka hōʻike ʻana o ke keiki me ka pancreatitis, ʻaʻohe pono e hana i kahi papa inoa aʻe e loaʻa ai nā huahana o ka protein. Kūleʻa nā mea hōʻike ʻana i ka hoʻonui ʻana i ka papahele a hoʻohui pū i nā huaʻai a me nā minela āpau, no ka mea pono nā keiki e ulu a hoʻomohala. He kūpono kūpono ke kūkā ʻana me ke kauka a koho i nā huahana olakino,
  • ua pono ukali i nā lula o ka ʻai momona, ʻaʻole e like me ka ʻaina kakahiaka maʻamau, ʻaina awakea, ʻaina, akā ʻo ka liʻiliʻi ma 5-6 mau manawa i ka lā. ʻAʻole pono e hana i nā papa nui i waena o nā papa, pono ke hāʻawi ʻia ke keiki i ka manawa pinepine, akā i ka liʻiliʻi no ka liʻiliʻi.

Inā he ʻōlima koi kāna keiki, alaila he mea maʻamau ke kāpae i ka meaʻai i nā lā he nui, a hāʻawi i ka wai wale nō i ka wai ʻole carbonated. A laila, hoʻomaha ka kino a ola hou, hiki iā ʻoe ke hoʻohui i ka oatmeal a me kaʻaila i ka meaʻai, akā, ʻaʻohe gula wale nō.

Ma hope o kekahi mau lā, hiki iā ʻoe ke ʻai i ka mea nui ʻaʻole nā ​​kaona hou a me nā huahana o ka waiʻai me ka nui haʻahaʻa o nā momona momona. Hoʻololi i ka hoʻohui ʻana i nā huahanaʻai.

Pono e kuke ʻia ka ʻai i ka ʻai a, inā paha he loko, a laila pono ke hoʻomoʻa ʻia e lākou. ʻO nā hua a me nā hua, ʻoiaʻiʻo, he mea pono i ke kino, akā ma hope o nā hoʻouka kaua e pono e hoʻokele maikaʻi ʻia, akā ʻoi aku ka maikaʻi ke kali hānai.

Ikemaka! ʻO ka papa helu piha o nā kīʻaha i ʻae ʻia e hoʻoholo ʻia e ke kauka.

He aha ka maʻi pancreatitis kamaliʻi?

ʻO ka pancreatitis kahi maʻi maʻi ka maʻi o ka pancreas. ʻO ka pancreas kahi papa i ʻāpana o ke kūnaehana a kahi anatomically aia ma hope o ka ʻōpū.

Hana kēia kino i nā insulin insulin a me ka glucagon, nāna e hoʻoponopono i ka nui o ke kō i loko o ke kino.

Akā, koʻikoʻi ka pancreas i ka lawe ʻana. Hoʻopuka i nā enzymes pono e kōkua i ke kaʻina o ka meaʻai a mākou e ʻai ai.

Inā hele maikaʻi ka pancreas, ʻaʻole e hele a nui ka huakaʻi a hiki i ka duodenum. Akā ka ulu ʻia ka ʻaila, hoʻōla ka huakaʻi i ka papa mua, ʻoiai e waiho ana i loko o ka okana maoli, a pili nui i ka hana o loko.

ʻO nā ʻāpana pancreatic e hana ai i nā enzyme ua iino a hoʻopau i ka hana ʻana i nā enzyme hou. ʻO ka lōʻihi o ka manawa, hiki i kēia mau iwi hōʻeha ke lilo i mauʻano.

Nā kumu o ka pancreatitis i nā keiki:

  • maʻi maʻi. Ma waena o 10% a 30% o nā keiki me ka maʻi pancreatitis hiki ke hōʻeha ʻia mai nā gallstones. Hiki i ke hoʻomaʻamaʻa ʻana i kēia ʻano ke kōkua i ka hoʻihoʻi ʻana i ka hana pancreatic maʻamau,
  • nā maʻi polyorganic. ʻO ka iwakāluakūnēneka o nā hihia o ka maʻi pancreatitis ma muli o nā kūlana e hoʻopilikia ai i kekahi mau kino a me nā ʻōnaehana o ke kino, e like me sepsis, hemolytic-uremic syndrome, a me nā systemus lupus erythematosus,
  • nā maʻi hoʻohālikelike. Ma muli o ka hopena o ka metabolic ke hoʻomau i kahi 2 - 7% o nā hihia o ka maʻi pancreatitis maʻa. ʻO kēia kahi keʻakeʻa metabola i nā keiki me nā kiʻekiʻe o nā lipids a i ʻole ka calcium i ke koko:
  • nā maʻi maʻamau. ʻO ka maʻi pancreatitis hana e hoʻomaʻamaʻa pinepine i ka wā e loaʻa ai ke keiki i kahi maʻi. Akā, he mea paʻakikī ke hoʻokumu i kahi pilina pololei ma waena o kēia mau kūlana ʻelua. ʻO kekahi o nā maʻi lēʻeha e pili ana me ka pancreatitis e pili ana i ka hina, rubella, infeksyon cytomegalovirus, ka maʻi immunodeficiency kanaka, adenovirus a me ka hui pūpū Coxsackie virus B,
  • anomalialomi. ʻO nā ʻōpū ma ke ʻano o ke pancreas a i ʻole ka mana biliary hiki ke alakaʻi i ka pancreatitis,
  • Hiki ke hoʻopaʻi ʻia ka pancreatitis e ka lāʻau lapaʻau. Manaʻo nā lāʻau lapaʻau e hoʻolilo i kahi hapaha o nā hihia o ka pancreatitis. ʻAʻole i maopopo ke kumu no kekahi mau lāʻau i hiki ke hōʻeha i ka pancreatitis. ʻO kekahi o nā mea i mālama ʻia e nā keiki me kēia mau lāʻau i nā maʻi ʻē aʻe a i ʻole nā ​​kūlana e ʻike pono iā lākou i ka pancreatitis,
  • ʻO ka pancreatitis i kekahi manawa ma ka trauma. ʻO ka hōʻeha maʻi pancreatic hiki ke hoʻowalewale i ka pancreatitis maʻa. Hiki i nā hōʻeha mīkini ke hōʻeha i loko o kahi pōpilikia kaʻa, i ka wā hoʻokūkū, i ka hāʻule, a i ʻole ma ka hōʻino i nā keiki,
  • ʻO ka pancreatitis ka hoʻoilina, ʻo ia ka mea i hoʻoili ʻia e kekahi a i ʻole nā ​​mākua ʻelua. ʻO kēia no nā cystic fibrosis, he genetic mutation i loaʻa i ke keiki, ʻaʻole naʻe i ka makua,
  • hope, aia nā nui o nā hihia o ka pancreatitis kahi i ʻike ʻole ʻia ai ke kumu. Ua kapa ʻia kēia ʻo pancreatitis idiopathic.

ʻO ka pancreatitis acute

ʻO ke ʻano ʻoi o ka pancreatitis ka maʻi ākea e paʻa ana no kahi manawa pōkole. ʻO ke ala o ka maʻi - mai ke kaumaha ʻole i ka maʻi nui, hoʻoweliweli. ʻO ka hapa nui o nā keiki me kahi ʻano o ka maʻi e ola holoʻokoʻa ma hope o ka loaʻa ʻana o ka lāʻau kūpono. I nā hihia koʻikoʻi, alakaʻi ka hopena koʻikoʻi i ka pehu i ke kino, nā meaʻinoʻino kahi maʻi, ka maʻi o ka maʻi a me ka hoʻokumu ʻana o nā cysts. ʻO ka pancreatitis hōʻeha e hōʻeha i nā lālā koʻikoʻi (puʻuwai, māmā, aʻeha).

I nā hihia lohi, ʻo ka hoʻokau pinepine ʻana o ka pancreatitis hoʻonā e alakaʻi i kahi papa maʻi o ka maʻi, kahi e hala ai ka manawa o ka hōʻeha ʻana i ka pancreas.

ʻO ka pancreatitis akena i nā keiki e hele wikiwiki loa, i loko o hoʻokahi pule. Akā he mea nui ia e ʻike i nā hōʻailona ma mua a kūkā pū me kahi loea e hōʻemi i ka hopena o nā hōʻeha.

ʻO ka maʻi maʻamau ka maʻi maha o ka pancreatitis ka nui o ka ʻeha ma ka ʻōpū o luna. ʻOi aku ka paʻakikī o kēia hōʻeha ma mua o nā colic maʻamau. Hiki ke paʻa mau, spasmodic, maikaʻi ʻole ma hope o ka ʻai ʻana. I ka manawa like, he paʻakikī no ke keiki i kū pololei.

Nā hōʻailona ʻē aʻe o ka pancreatitis i nā keiki:

  • huhū, ʻōpū paʻakikī
  • ua ka eha
  • ninini
  • utuka
  • lilo ka momona
  • kiʻekiʻe ke kiʻekiʻe
  • palpitations puʻuwai.

Ka hoʻomaʻamaʻa ʻana o ka maʻi pancreatitis ma nā keiki

ʻO ke mālama ʻana o ka pancreatitis i nā keiki he kōkua kākoʻo. ʻAʻohe mea lapaʻau hoʻokahi a iʻole ke ʻano lapaʻau e hiki ke kōkua i ka pancreas i hōʻea. Hiki i nā keiki e ʻeha ana i ka ʻehaʻeha ke hāʻawi ʻia i kahi painkiller. Hoʻohana ʻia ka maʻi a me ka luaʻi me nā lāʻau antiemetic.

Inā ʻaʻole hiki i ke keiki ke ʻai, no ka mea, loaʻa ka ʻeha, aʻi a me ka luaʻi, ʻaʻole ʻo ia e hānai, akā ua hāʻawi ʻia i ke kahe ma loko o kahi vein e pale ai i ka lepo.

Hiki i ka pēpē ke hoʻomaka i ka ʻai i kona wā e pōloli ana a mākaukau ʻo ia e ʻai i ka meaʻai. I nā ʻōlelo e like ai o ka meaʻai, e hāʻawi ʻia kekahi mea ʻai mai nā meaʻai i hoʻomaka mua ʻia, mai ka waʻala olakino e pili pono ana i ka meaʻai maʻamau.

Pili ke koho i ka paʻakikī o ke ʻano o ke keiki a me ka makemake o ke kauka hele ʻana. ʻO ke pēpē, ma ke ʻano he kānāwai, lawe hou ka olakino maikaʻi i ka lā mua a i ʻole ʻelua ma hope o ka hoʻouka kaua pancreatitis maʻa.

Hōʻike ʻia he koʻikoʻi a ʻoi paha kēia mau hōʻailona no ka lōʻihi o ka manawa. I kēia hihia, e hāʻawi ʻia ke keiki i ka meaʻai ma o ka uaki e pale ai i ka indigestion a hoʻomaikaʻi hou i ka hoʻolaʻa.

ʻO ka maʻi pancreatitis kaha

ʻO ka maʻi pancreatitis mākeke ma nā keiki kekahi mea ka hoʻonāukiuki o ka pancreas. ʻO kahi wale nō o ka pōʻino e kū mai ana me ka pancreatitis ʻoi aku ka lōʻihi o ka manawa, hoʻomau ka hoʻowalewale i kekahi mau keiki ʻē aʻe i mea e hōʻeha a hoʻomau i ka hoʻopōʻino mau ʻia o ka hana a me ka hana o ka pancreas. Hiki ke kuleana nā genetic a me ke kaiāulu no ka hiki ke hiki i ka pancreatitis.

Ke hoʻomau nei ke kūlana o ka maʻi no ka lōʻihi o ka wā e hoʻopau mālie i ke ʻano o ka pancreas. ʻO kahi laʻana, nalowale kona hiki ke hana i ka insulin. A ke hopena, hoʻomohala ke keiki i ka hoʻomehana kūlohelohe o ka glucose. Hiki ke alakaʻi i ka pancreatitis maʻi i ka pohihihi ʻana ma muli o ka hoʻoweliweli maikaʻi ʻana.

  • ʻike pinepine nā keiki i nā hōʻailona a me nā hōʻailona e like me nā mea maʻi e ka pancreatitis koʻikoʻi. ʻO kēia ka pāpā ʻeha o ka ʻōpū, e pōʻino ana ma hope o ka ʻai ʻana, me nā manawa e hoʻoiho hou ʻia hou,
  • ʻO kekahi hōʻailona maʻamau ka mea luhi. ʻO kahi hapa o ka kumu ke hiki ʻole i ke keiki ke ʻai. I kekahi mau manawa, pale nā ​​keiki i ka meaʻai no ka mea e hoʻonāukiuki i nā maʻi hōʻeha. I kekahi manawa hiki i ka pancreatitis ke hōʻemi i ka momona, ka mea e alakaʻi ai i ka hoʻoluhi kaumaha.

ʻO nā hōʻailona ʻē aʻe o kahi ʻano hana maʻamau o ka maʻi komo:

  • ninini
  • ka luaʻi (akomi paha he melemele, ʻōmaʻomaʻo a ʻalani paha ma muli o nā poke o ka bile),
  • nā huakini a me nā momona momona,
  • ʻōpū o ke kūwaho,
  • ʻāpana kala ʻula
  • he ʻeha ma ke kua a i ʻole poʻohiwi hema.

Nā kumu kumu o ka maʻi

Hoʻokumu ka pancreatitis i kahi keiki ma muli o nā hopena maikaʻiʻole o kāna iho ponoʻī ma ka pancreas. Hoʻomaka ka ʻōpala i ka hoʻokaʻalo ʻana iā ia iho, hoʻopili, kele, a me nā moku.

Hiki i nā kaʻina hana ke kumu i nā kumu:

  • pōpilikia malelena
  • nā ʻeha hōʻeha ʻōpū
  • pono kūpono, unsystematic nutritional (ʻo ka kaʻaina mau ma ke kīnā o ka paʻakai, ka momona, ka meaʻai wikiwiki, ka ʻona ʻawaʻawa a me nā meaʻai ʻōpala),
  • mea ʻona ʻia nā meaʻai
  • nā helehelena o nā kino ʻē aʻe, no ka laʻana, ka ʻōpū a me nā ʻōpū,
  • nā maʻi ʻohi
  • kūlohelohe i ka meaʻai a i ka lāʻau lapaʻau hoʻi,
  • lactose ka hemahema,
  • lawe i nā lāʻau lapaʻau.

Wahi a nā helu loea, ʻoiai me ka hoʻomohala ʻana o nā ala diagnostic, ma 20% o nā hihia ʻaʻole hiki ke hoʻokū ʻia nā kumu kumu mua o ka maʻi.

Nā ʻano o ka pancreatitis a me nā hōʻailona o kona ʻike

Wahi a ke kiʻi maʻi maʻi o nā maʻi i nā keiki, ʻekolu mau ʻano nui o ka pancreatitis:

ʻO nā hōʻailona a me ke mālama ʻana i kēia mau ʻano o ka maʻi mai nā hiʻohiʻona maʻamau a me nā hōʻailona like. E nānā ponoʻae aʻe.

I nā pae mua, hoʻomohala ka pancreatitis me ka aneane ʻole hōʻailona. I ka manawa ʻoi, hōʻike ʻia nā ʻano like ʻole e nā hōʻailona like ʻole, ʻokoʻa lākou i ka ikaika o ka hōʻike a me ka pilikia o ka hopena. ʻAʻole pono nā maʻi a ʻokoʻa ʻole, e kuhikuhi ana i ka mālama ʻana i ke keiki, he mea ʻole kēia a me ka pilikia. Akā pono e ʻike nā pākeke ma lalo o nā hōʻailona e ʻimi koke i ke kōkua olakino.

A hala nā makahiki ʻekolu, ʻaʻole maopopo i nā hōʻailona o ka pancreatitis i nā keiki me ka maopopo ma ka wā ʻelemakule. Inā liʻiliʻi ke keiki a hiki ʻole ma ka ʻōlelo ʻana e pili ana i ka mea e hoʻopili ʻia ai, e ʻohi ʻia ke ʻano o ka pēpē. ʻO kekahi ʻano hiʻohiʻona ka ʻōpū ʻāʻī, he paʻu wāwae ʻīwī, ke ʻano: hoʻoweliweli ke keiki, uwe ʻana, hōʻole hoʻi i ka ʻai ʻana, ʻaʻole makemake e pāʻani.

React pancreatitis a me kāna mau hōʻailona

ʻO ka pancreatitis react kahi ʻano kūikawā kūikawā o ka maʻi e hele ana ma o ka pane ʻana o ka pancreas i nā hana maʻi i loko o ke kino. Wahi a nā helu helu, loaʻa nō kēia ʻano maʻi i ka hapa nui o nā keiki, ʻoiai ua ʻike ʻia ke kino o ke keiki me ka hoʻonui ʻia. I nā keiki a hiki i hoʻokahi makahiki, hiki ke hoʻomohala ʻia ka hoʻomohala ʻana o kahi ʻano pancreatitis inā he mālama nui ʻia ka pēpē no kāna makahiki - ʻo ka momona momona a me ka iʻa, ʻawaʻawa.

Nā hōʻailona o kahi ʻano hoʻohoho:

  • Ua hōʻeha ʻia ke keiki ma ka pūlima:
  • ka hoʻolauʻau pinepine, puʻuwai,
  • e hoʻopiʻi ke keiki i ka ʻeha o ke kaumaha i loko o ka ʻōpū, hoʻonui ʻia lemela,
  • ka haki ʻana o ka hana.

ʻO nā hōʻailona i wehewehe ʻia i nā keiki me nā maʻi ʻē aʻe (gastritis, colitis, dysbiosis), no laila, pono nā mākua i kēlā mau hihia e hoʻopili i kahi pediatrician a i ʻole gastroenterologist. Hana ke kauka i kahi maʻi maʻi a hoʻoholo i ka pehea e mālama ai i ke pēpē.

Ka hoʻomāhuā ʻana o ka maʻi

I kahi o nā hōʻailona i wehewehe ʻia i ke keiki, pono wikiwiki nā mākua e ʻike i ke kauka no ke aʻo ʻana. Inā puka pū nā hōʻailona o ka pancreatitis koʻikoʻi, kāhea koke i kahi ambulance. Ke hāʻawi pono nei i ke kōkua olakino i nā kauka e ola hope i ke keiki, me ka hoʻolōʻihi ʻia, ua hoʻopaʻa ʻia nā loli ʻole.

I ka hōʻuluʻulu ʻana, e nīnau aku ke kauka i nā nīnau no ka hōʻiliʻili ʻana i kahi anamnesis, e hoʻokolokolo ai i kahi nānā maka, hoʻomaʻamaʻa i ka ʻōpū, a e hoʻouna iā ia no nā hoʻokolohua hou a me nā hoʻokolokolo. Hoʻomaopopo pinepine ʻia:

  • hōʻike koko (lapaʻau, biochemical),
  • urinalysis no amylase,
  • ʻO ka ultrasound a me ka MRI o ka pancreas a me ka ʻōpū o ka ʻōpū,
  • radiology hoʻohana ʻana i kahi hoʻohālikelike,
  • coprogram (ka nānā ʻana e ʻike i ke kiʻekiʻe o nā kinipōpō).

Wahi a nā ʻike i loaʻa, ua hana ʻia kahi maʻi kūpono, hoʻomohala ʻia kahi hoʻolālā lāʻau kū hoʻokahi.

Hoʻolālā algorithm

ʻO ka pancreatitis kahi maʻi e pono ai ka mālama paʻakikī. Ma ke kānāwai, aia ke ʻano ʻehā mau pae.

  1. ʻO ka mea maʻi e kuhikuhi ʻia kahi hoʻomaha hoʻomaha, ua kau ʻia ka wī ma nā lā mua o ka hoʻāliʻi, ʻae ʻia e inu wale nō ka wai me nā wai aniani, ʻaʻole ʻano carbonated. Ma hope o ka wikiwiki, ʻae ʻia ka meaʻai therapeutic. ʻO nā meaʻaiʻai i hoʻohaʻahaʻa i ka wahi huna o ka pancreas.
  2. Hoʻokomo ʻia ka Glucose i nā lāʻau lapaʻau e like me ka hōʻike ʻana.
  3. No ka hoʻopauʻana i ka maʻi ʻeha, ua kuhikuhi ʻia nā spasmalgetics, e hoʻopili ana i ke anuanu o ka ʻōpū.
  4. Hoʻohana ʻia ka Antisecretory a me ka hoʻonaninani enzyme e hoʻoikaika i ka hana maʻamau o ka pancreas.

I nā pilikia koʻikoʻi, hiki i ke kauka hele ke kau i nā antihistamines, antibiotics a me nā mea ola ʻē aʻe. Inā, me ka hoʻohana ʻana i nā ala mālama, ʻaʻole hiki ke hoʻōla i ka pancreatitis i loko o kahi keiki, ua hoʻoholo ʻia i ka hana.

Nā hiʻohiʻona o nā mea kūpono no ka maʻi pancreatitis

I loko oʻelua mau pule ma hope o ka hoʻouka ʻana, ʻōlelo ʻia ke keiki e hahai i ka meaʻai kūikawā. Ma hope o ka ʻai ʻana, pono ka mālama ʻana i ka meaʻai e like me ka mea e hiki ai. I ka wā mua, ua ʻae ʻia ka buckwheat a i ʻole ʻāmūku i hoʻomākaukau ʻia i ka wai, a laila hoʻohui ʻia nā crackers, nā huahana dairy, nā hua momona i hoʻohui ʻia i ka papa kuhikuhi. Ma hope o kekahi manawa, ua ʻae ʻia e hoʻolauna i ka ʻiʻo a me ka iʻa i loko o ka ʻaʻai.

ʻAno hoʻolapalapa ka ʻai i ka wai a hoʻolapalapa ʻia i ka wai, kalala, mālama ʻia.ʻAe ʻia ka ʻai ʻana i nā wahi liʻiliʻi, i ka wā e hiki mai ana, noho mau ka ʻai ʻana o ke keiki.

ʻElua mau pule ma hope aku, ua kuhikuhi ʻia ka mea maʻi i nā mea olakino olakino (me ka mea ʻai olakino kūikawā No. 5), ka mea i papaʻia i ka ʻai ʻana i ka momona, paʻakai, ʻaluna, momona, ulaula, momona, nā muffins, carbonated inu, nā huahana me nā kemika a me nā hoʻohui.

Ma ka hihia o ka pancreatitis ma waena o nā keiki, ma hope o ka pau ʻana o ka mālama ʻana i loko o kahi haukapila, mālama maikaʻi ka meaʻai i ka ʻai (i ka manawa like a ʻano like ʻole hoʻi) me nā malama ʻeono. Ma ka ʻae me ke kauka, i ka hoʻohui i ka mahele nui, hoʻohana ʻia ka lāʻau lapaʻau e mālama i ka pancreatitis (herbal decoctions a infusions).

Mahope o ka pau ana o nā lapaʻau i loko o kahi haukapila, ua kākau inoa ke keiki me kahi pediatrician no nā makahiki ʻelima. I loko o kēia mau makahiki, pono nā hana paʻakikī, massage, kipa ʻana i ke keʻena olakino a me ka pale ʻana i ka wai mineral.

ʻO nā ʻōlelo aʻo ʻana no nā mākua

ʻO ka mea pōʻino loa, i ʻōlelo ʻia nā kumu o ka pancreatitis i loko o nā keiki i ke ʻano o ka mālama ʻole ʻana o nā mākua i ka ʻai ʻana o kahi keiki, no ka wā, ua ʻai ʻia ka mea i hāʻawi ʻia a ʻae ʻia paha. ʻO nā kīʻaha kūpono kūpono, i hoʻokumu ʻia mai ka wā ʻōpio, lilo ia i ke kī i ke olakino maikaʻi, ka maikaʻi, e hana nui i ka ulu ʻana o ka noʻonoʻo pono o ke keiki.

No ka hōʻemi ʻana i kahi maʻi ʻalopona, pono ia e hoʻowalewale i ke keiki mai ka wā ʻōpiopio, mai hāʻawi i ka lāʻau lapaʻau me ke ʻano ʻole o ke kauka a ke kauka, koho i ka meaʻai olakino ma ka makahiki.

Inā ʻike nā mākua i nā hōʻailona mua o ka maʻi, ʻaʻole pono ʻoe e kali i ke kauka. Hoʻomaʻamaʻa maikaʻi ka pancreatitis keiki i ka wā e ʻimi nei i ke kōkua olakino, pili pono i ka lāʻau i kuhikuhi ʻia ma lalo o nā kūlana o ka pili hou i ka meaʻai.

ʻO ka pancreatitis kahi maʻi maʻamau o ka pancreas, kahi mea e hiki ke ʻano o ka pane ʻana o ke kino i nā hana hou i loko i loko ona, ka mea pinepine ʻole ke hoʻopono.

ʻO ke ʻano hana hou o ka maʻi he hana ia e hoʻoponopono ai i nā maʻi ʻē aʻe i loko o ke ake o ka gastrointestinal tract. I kēia mau makahiki i hala iho nei, ua hoʻonui nui ʻia ka loaʻa ʻana o kēia ʻano pancreatitis, ʻoi aku hoʻi i nā keiki.

E kamaʻilio hou mākou e pili ana i ke kumu e kū nei ke pancreatitis react i kahi keiki, pehea e hoʻomaʻamaʻa pololei ai a pehea ka weliweli o kēia maʻi.

He mau huaʻōlelo e pili ana i ka pancreatitis reactive

ʻO ka pancreatitis react i ke keiki he pōʻino!

E like me ka mea i hōʻike ʻia ma luna, ʻo ka pancreatitis ka maʻi maʻamau o ka pancreas. Ma ke kaʻina o ka hoʻomohala ʻana a me ke ala o kēia maʻi, ua pau ka hana o ke kino i ke ʻano maʻamau a, ma muli o ke ʻano, hana hewa ʻole nā ​​hana nui no ke kino.

ʻO ke ʻano ʻano hou o ka patology ke ʻokoʻa ʻana mai ka poʻe ʻē aʻe ma ke kūkulu ʻana i ke kumu kikoʻī wale nō, ʻo ia hoʻi, ma muli o ke ʻano o nā hana hōʻeha ma kekahi o nā nodes o ke kino (ka maʻi maʻamau ma muli o nā hana maʻi i ka gastrointestinal tract).

ʻO ka maʻi pancreatitis i kēlā me kēia ulu ʻana he maʻi koʻikoʻi a he manaʻo ʻo ia ka ʻano maʻamau o nā maʻi no ka pancreas. Hoʻohui like kēia maʻi i nā keiki a me nā pākeke, akā i ka hui mua o nā mea maʻi ua ʻoi aku ka ikaika a me ka nui, ʻoi aku ka pilikia.

ʻO ka ʻoiaʻiʻo ʻo ka maʻi pancreatic kahi hōʻemi kūpono ʻole o ka meaʻai a me nā enzyme. Ke waiho nei i nā kumukanawai, ua kīkī nā mea hope i nā puʻu nāu, ma muli o ka hoʻomaka ʻana o ka gland i ka "mope" ikaika. I ka haʻalele ʻole o nā kūpono kūpono, hiki i kahi ʻano o kēia mea ke hōʻeha i nā hōʻeha koʻikoʻi, a he make nō hoʻi i ka mea maʻi.

I nā makahiki 10-20 i hala iho nei, ua hoʻonui nui ʻia ka piʻi ʻana o nā maʻi o nā maʻi i neia me ka pancreatitis react. Hōʻike kēia mau kauka loea i kēia mea i ka nui o ka honua i ʻai nui i ka ʻai aʻai, ke hoʻopau nei i ka hana maʻamau o ka ʻeha gastrointestinal. ʻO ka hopena o kēia hana ka hopena o nā maʻi o ka pancreas.

ʻO nā kumu nui o kēia ʻano pili:

  • ke kino ua hōʻike ʻia ma luna nei
  • nā maʻi maʻi hou i kēia manawa
  • hana paʻa maʻi antibiotic,
  • ka hiki ʻana o nā mea i kau mua i ka mana predisposition,
  • maʻi ʻole a maʻi paha o ka gastrointestinal tract.

He mea nui ia e hoʻomaopopo i ka, pinepine loa, ʻo ke kumu kekahi superimposed ma kekahi, a ke hoʻonui nui nei kēia i ka hōʻeha o ka ʻaʻa. I mea e pale ai i ka pancreatitis reactive i loko o kahi keiki, ua lawa ia e hoʻomoʻalahi ʻia mai ka hiki ʻana mai o ke ʻano o ke kumu kumu nui o ka maʻi. Kūlohelohe, kūpono ia e hoʻomaka me ka hoʻoponopono ʻana i ka meaʻai.

Nā hōʻailona o ka maʻi

ʻO ka pancreatitis hoihoi i kahi keiki

Hiki i ka pancreatitis react, ma muli o kāna ʻano kikoʻī, hiki ke hele wale i kahi ʻano maʻi. ʻO kona mau hōʻeha, ʻoiaʻiʻo, hiki ke lilo i mau pathological maʻi o nā pancreas, akā reaktif pancreatitis ʻoiaʻiʻo ʻaʻole.

ʻO nā hōʻike mua o ka maʻi e like me ka poʻe i nā pākeke me ka hoʻomohala ʻana i kekahi maʻi ʻaʻa o ka pancreas. I ka nui o nā hihia, ua hoʻopiʻi ke keiki o:

  1. hoonui ae ana o ka hopena o ke ahulau, haawi ana i ke ala i ka causeless constipation,
  2. ʻeha ka ʻōpū
  3. ka malo maloʻo
  4. makewai nui
  5. lilo ka momona
  6. malekilima

Me ke ʻano o ka maʻi, ua hoʻohui ʻia nā hōʻailona i hoʻopili ʻia e ka ʻōpū o ka pēpē, hoʻonui nui i ka lethargy a me ka nalowale o ka makemake i nā mea āpau. I ka nui o nā hihia koʻikoʻi, ʻaʻole pono kekahi e kipi i ka piʻi ʻana o ke anuanu, nuka, luaʻi, nā ʻeha a me nā hala ʻole o ka naʻauao.

ʻO ka mea maoli, ʻike ikaika a ikaika ke hele aku - ʻo ka wikiwiki koke ka pono e hana i nā hana kūpono e pono ai e mālama i ka maʻi. Inā ʻaʻole, ʻaʻole hiki ke pale ʻia ke ʻano o nā hoʻopiʻi o ka pancreatitis react, ka mea i hōʻike ʻia e nā maʻi ikaika loa a kani pinepine ʻole o ka pancreas.

ʻO nā hōʻailona o ka pancreatitis i nā keiki e hoʻokomo ʻia e ke wikiō:

Therapeutic kaʻina no ka hoʻomohala ʻana i ka maʻi

Ma kahi hōʻike koko e hōʻike i kahi kaʻina hana i loko o ke kino

Ua ʻōlelo ʻia ma luna aʻe nei ma muli o kona ʻano kūikawā, ʻo ka react pancreatitis kahi maʻi koʻikoʻi loa. Hāʻawi i kēia ʻano o ka pathology, hiki iā mākou ke haʻi i ka pono a me ka mea nui o ka lawe ʻana i nā hana mua i kona hoʻomohala ʻana.

I mea e hōʻemi ai i nā hopena āpau o nā pilikia hoʻopiʻi i ka manawa o nā hōʻailona mua o ka pancreatitis i kahi keiki, ʻoi aku ka maikaʻi o ke kānalua ʻana a hōʻike i ke kauka. Inā ʻaʻole ʻoe e hōʻole i ke kāhea ʻana i kahi ambulance ma ka home.

Mai poina e ka papa pancreitis reaktika, e like me kekahi o nā mea maʻi pancreatic ʻē aʻe, no laila he mea pōʻino loa ia, no laila he mea nui e hoʻokokoke aku i ka mālamaʻana i ka maʻi me ka pae kūpono o ke kuleana.

Ma mua o ka hoʻonohonoho ʻana i ka mālama ʻana i ka mumū, ua hāʻawi ʻia i kekahi keiki kahi loiloi kiʻekiʻe kiʻekiʻe a ʻano maʻi. ʻO ka maʻamau, ke komo pū nei ia:

  • Ho‘opāliʻi ʻia nā hoʻāʻo ai koko, i mea e uku nui ʻia ai ka helu ʻana i nā kaila koko keʻokeʻo. Me kēlā me kēia ʻano o ka pancreatitis, e hoʻonui nui ʻia kā lākou helu.
  • ʻO ka nānāʻana i ka ultrasound o ka wahi o ka ʻōpū o ke kino (ka ultrasound), ʻo ia ke kumu no ka mālama ʻana i nā ʻōnaehana maʻi o ka pancreas.
  • ʻO Gastroscopy, ka mea e kōkua i ka hoʻopiha i nā hopena i ʻike ʻia no ka ultrasound, kahi i hāʻawi ʻia i ka hoʻomaikaʻi hou ʻia a me ka wikiwiki o kahi maʻi i hiki mai.

Ma ke kānāwai, ʻaʻole i hoʻohui ʻia e nā mea āpau i hōʻike ʻia nei. I nā hihia pilikia, hiki ke palekana nā gastroenterologist, e hoʻohui ai i kahi mea ʻē aʻe i ka papa inoa o nā hoʻokolokolo pono.

No laila, e ʻōlelo mākou - ua lawe ʻia nā haʻawina, ua hōʻoia ʻia ke kaulike: he aha ka mea e hana ma hope? Mālama, mālama i kahi keiki e loaʻa ana i ka pancreatitis reactive. ʻO ke ʻano maʻamau o ke kuʻuna no kēia maʻi ka:

  1. Hoʻolālā no kahi hoʻomaha o kahi moena keiki no 1-2 mau pule.
  2. Hoʻoponopono i ka hoʻoponopono pēpē pēpē.
  3. ʻO ka hoʻokipa ʻana ma kāna ʻāpana o nā lāʻau lapaʻau kūikawā e hoʻolālā ana i ka hoʻopau ʻana i ke kaʻina hana ma nā kīʻaha a me kona mau hopena.

Hoʻokomo ʻia nā kaʻina loea no ka mālama ʻana i ka pancreatitis reaktika, ʻoi loa no nā poʻe maʻi liʻiliʻi.

Ma ka nui o nā hihia, ʻike nā mākua o nā pēpē "ua maikaʻi kekahi mea" a hui koke aku i kahi loea, ma ka hana maʻamau ke kāpae nei i ka pono no nā hana kūpono.

Meaʻai no ke ala ʻula

ʻO ka overeing he kumu o ka pancreatitis

ʻO ka hanu ma ka mālamaʻana i ka pancreatitis react a ma ka manawa ma hope o ia mea kekahi o nā mea nui o ka mālama ʻana o kēia maʻi. Ma keʻano holoʻokoʻa, ʻaʻole paʻa ka ʻai no kēia maʻi a no ka hapa nui ka iho ʻana i ka hoʻopau ʻana i nā meaʻai maikaʻi ʻole mai ka meaʻai.

Aia kahi papa inoa o nā mea hope aʻe:

  • nā momona momona a me nā palaoa
  • pauna meaʻai a me nā meaʻai lau
  • meaʻai wikiwiki
  • ʻona
  • koko
  • nā ʻona ʻona
  • nā ʻano ʻōpala o ka "gastronomic" (mayonnaise, ketchup, kirieshki, chips, etc.),
  • nā meaʻai ʻona a me nā meaʻai ʻē aʻe me kahi koina kiʻekiʻe o nā wai, preservatives.

Ma ka hōʻoki ʻia ʻana a i ʻole mea hoʻoponopono nui loa i ka hoʻohana ʻia ʻana o kēia mau huahana e ke keiki, pono nō hoʻi nā mākua:

  1. ʻOi aku ka pinepine, hāʻawi i ka meaʻai o ke pēpē i loko o ka ʻōlaʻa, kalima ma ka awelika o ka lumi lumi.
  2. E pili pono i ke kumu o ke kau o ke keiki: 20% protini, 30% momona (ʻoi loa ke ola) a me 50% kāloli.
  3. E hānai iā ia me ka hapa me nā waena ma waena o nā meaʻai (maikaʻi - 3-4 mau hola).

He mea kūlohelohe, ʻaʻole mākou e kamaʻilio e pili ana i ka hoʻonui ʻana i ka meaʻai i nā mea kanu olakino, nā huaʻai, nā hua a me nā mea kanu. Pono nā mākua o kahi keiki me ka pancreatitis reactive e hana i nā ʻano e like me ke ʻano kauoha, ʻaʻole wale no ka manawa o ka mālama ʻana, akā no ka manawa lōʻihi hoʻi ma hope o ia.

Ka hoʻomaʻamaʻa ʻana o ka pancreatitis kūloko

Ke kuhikuhi nei nā alakaʻi kulekele i ka hōʻemi ʻana i ka hōʻeha a me ka hoʻomaikaʻi ʻana i ka hoʻoneʻe ʻana. ʻAʻole hiki ke hoʻokō ʻia ka pōʻino i ka pancreas, akā me ka mālama pono ʻana i ka hapanui o nā hōʻailona.

Hiki iā ʻoe ke mālama i ka pancreatitis kamaliʻi i ʻekolu mau ala:

ʻO ka lāʻau lapaʻau

  1. Nā moho ʻeha.
  2. ʻO ka hoʻomākaukau ʻana i ka enzyme Digestive (inā ua haʻahaʻa loa ka pae o ka enzyme) no ka hoʻokaʻawale ʻana i ka meaʻai maʻamau.
  3. ʻO nā haʻawina momona i ka momona A, D, E a me K, no ka mea paʻakikī i ka lawe ʻana i nā momona e pale i ka hiki ke kino o ke kino e komo i kēia mau huaʻala, e hana pono i ka mālama ola.
  4. Insulin (me ka hoʻomohala ʻana o ka maʻi diabetes).
  5. ʻO ka Steroids, inā ua loaʻa ka pancreitis o kahi keiki mai ka autoimmune, ka mea i loaʻa i ka wā i hoʻoulu ʻia nā huakaʻi a me ko lākou iho pancreas.

Hoʻopau i ka hopena Endoskopika. I kekahi mau hihia, hoʻohana ʻia kahi endoscope e hōʻemi ai i ka ʻeha a hoʻohālikelike i nā mea e pili ana i ka hana. ʻO ka endoscope kahi pūpū lōʻihi a paliko e mālama ai ke kauka ma o kona waha.

ʻAe kēia i ke kauka e wehe i nā pōhaku i loko o nā papa o ka pancreas, e kau i nā pūpū liʻiliʻi (stents) e hoʻoikaika i ko lākou mau pā, hoʻomaikaʻi i ka kahe o ka bile a i ʻole e hōʻohi i ka leakage o nā wai kūleʻa.

Nā mea lawelawe. ^ E Ha yM. ʻAʻole pono ka hana o ka hapa nui e nā keiki. Eia nō naʻe, inā ua loaʻa ke ʻeha a ke keiki ʻaʻole i hiki mai i ka lāʻau lapaʻau, wehe i ka pancreas i kekahi manawa kōkua. Hoʻohana ʻia nō hoʻi ka wawaʻi puʻuwai e wehe ai i kahi waiona pancreatic a hoʻonui ʻia paha inā he pōkole loa.

ʻAʻohe mea hōʻike maopopo loa e pono ai nā meaʻai pēpē kūikawā no ka maʻi pancreatitis. Eia nō naʻe, he nui nā kauka i kau i kahi mea momona haʻahaʻa a ʻōlelo aku i ka poʻe maʻi e ʻai pinepine ma nā ʻāpana liʻiliʻi, me ka haʻahaʻa o 10 mau mea momona.

ʻAʻole hiki ke ho'ōla i ka pancreatitis maʻi, he ola ia o ke ola, hōʻailona nā maʻi maʻamau a laila haʻalele. E hōʻike mau ʻia nā keiki i kahi kauka e loiloi i ko lākou kūlana, hāʻawi i ka pono kūpono a kūkākūkā i nā koho lapaʻau. Lawe ʻo ia i nā hoʻokau endocrine pinepine e hōʻike i nā pilikia e pili ana i ka hoʻomanawanui glucose a i ʻole ka hoʻomohala ʻana i ka maʻi diabetes.

Nā kumu o kēia ʻano maʻi:

  1. ʻO nā maʻi maʻi pēpē o ka wā kamaliʻi (SARS, tonsillitis, a pēlā aku).
  2. Halawai o ke ʻōnaehana o ka hoʻoneʻe ʻana.
  3. ʻO ka ʻeha hōʻeha.
  4. Ka hoʻohana ʻana o nā antibiotics potent.
  5. Kahunahana Chemical Toxin.
  6. Mea ʻai kūpono.
  7. ʻO nā huahana o ka maikaʻi maikaʻi a me nā ʻano like ʻole o nā "maikaʻi" ʻaʻole pono ia no ke kino o ke keiki.
  8. Hoʻomaka kaʻai ʻana i nā meaʻai ʻaʻole kūpono no nā makahiki i nā pēpē (wai momona, ʻai).

ʻO ka ʻokoʻa ma waena o ka pancreatitis reactive a me ke ʻano o ka maʻi:

  1. ʻO ke kumu o ka maʻi maʻamau o ka maʻi pancreatitis he mau maʻi o nā ʻāpana ʻē aʻe, a kū mai ka pancreatitis ma muli o nā hopena o nā pakanā a me nā hana ʻino o nā ʻano like ʻole.
  2. ʻO ka pancreatitis react, inā ʻaʻole i hoʻokaʻawale ʻia, hele i loko o kahi ʻano koʻikoʻi, akā ʻaʻole palaka ka pancreatitis ma ke ʻano he react.
  3. Me ka ʻokoʻa ʻole o ka maʻi lalo, mālama pono ʻia ka pancreatitis.
  4. I ka hoʻoholo ʻana i nā hōʻailona o ka maʻi pancreatitis reactive, ʻo ka hōʻailona o ka maʻi lalo. Ma ka maʻi pancreatitis maʻa, nā hōʻailona koʻikoʻi nā hōʻailona o ka maʻi pancreatic.
  5. I ka hōʻike ʻana o ka maʻi pancreatitis react, me ka hoʻokumu ʻana i nā hōʻailona o ka pancreatitis, ʻike ʻia nā hōʻailona o ka maʻi o nā kino ʻē aʻe. A i kahi kikoʻī - ʻaʻole pono.

Nā mea like:

  1. Hoʻopilikia ʻia ka maʻi maʻi me ka hoʻohana ʻana i nā ʻano like like like.
  2. Hoʻomaopopo ʻia ka mālama ʻia ʻana me ka like ma ka ʻano o ka maʻi o ka maʻi.
  3. Pāʻani pinepine nā hana kumu.

Hiki ke hoʻokaʻawale ʻia nā hōʻailona o kahi ʻano ka hana hou o ka mumū i nā ʻāpana ʻelua: nā hōʻike kino o ke kumu kumu o ka maʻi a me nā hōʻailona o ka maʻi pancreatic ponoʻī.

No ka laʻana, inā he react ka pancreatitis e ka maʻi ʻeha o ka maʻi ʻawaʻawa, aia ke ʻano nui o ke maʻi kiʻekiʻe a me nā kīwaha i hala mau manawa i ka lā.

ʻO ke kikowaena ka mea maʻamau.

ʻO nā ʻōuli maʻamau maʻamau o ka react pancreatitis

ʻO ka ʻeha ʻeha. Pīpī paha ka pēpē i ka kūlana o ka embryo e hōʻoluʻolu i kona kūlana Ma hope o 2 mau lā mua, e ʻānai nui ka ʻeha.

ʻO nā hōʻailona ʻē aʻe e pili ana:

  • huʻi pinepine ʻole, hoʻonui ae ma hope o nā lā 2,
  • nele i ka momona
  • jaundice (ʻulaʻula kala ʻulaʻula).
  • kiʻekiʻe ke kiʻekiʻe
  • ʻeha ma ke kua a me ka poʻohiwi hema.

Loaʻa nā hōʻailona lōʻihi i ka dehydration a me ke kahe koko haʻahaʻa.

Hoʻopilikia:

  1. Ke hopohopo nei ke kauka i ka pancreatitis reactive, ʻo ka hana mua loa ma ka hana ʻana i ke ʻano koko (amylase a me ka hōʻike lipase) e ʻike ai inā pae ka lolo i ka pae maʻamau.
  2. Inā hoʻohālikelike lākou, e hoʻouna ke kauka i ka ultrasound ʻōpū e hoʻomaopopo i nā hōʻailona o ke kuni, nā mea ʻala ʻia a i ʻole nā ​​pōhaku i ka papa pankreatic.
  3. I kekahi manawa ua kuhikuhi ke kauka i kahi scan o ka ʻōpū o ka ʻōpū e hōʻoia i ke kūleʻa ʻana o ka maʻi pancreatitis.

ʻO ka hoʻomaʻamaʻa ʻana o ke ʻano hana hou ka ʻekolu o nā ʻāpana - ka mālama ʻana i ka meaʻai, ka mālama ʻana i nā maʻi lalo, ka mālama ʻana o ka pancreatitis. Ma waho o lākou, kahi hiki ʻole ke hoʻihoʻi piha i ka pancreas.

ʻOi kaʻai no ka pancreatitis reactive i nā keiki he mea nui loa no ka mālama. No nā lā 1 a hiki i 2 (ma ka manaʻo o ke kauka), hoʻokaʻawale loa ʻia ka meaʻai i mea e hōʻoia ai i ka hoʻokuʻu ʻana i nā mea maʻi. I kēia manawa, pono e hāʻawi ʻia ke keiki me ka inu ʻoluʻolu. Hoʻoholo ʻia e ke kauka ka nui o ka wai.

Hoʻonui iki ka papa kuhikuhi. Pono ke kiko o ka calorie o ka meaʻai e liʻiliʻi (mau liʻiliʻi liʻiliʻi ma kēlā me kēia 3 a hiki i 4 hola). ʻO nā mau pule he ʻelua i kāʻili ʻia ka meaʻai.

Meaʻai no ka pancreatitis i nā keiki

Kauʻaiʻai Nā manaʻo no ka pancreatitis:

  • he mea nui ka ai momona haʻahaʻa. Mālama i nā momona a me nā aʻa
  • haʻalele i nā meaʻai iʻa,
  • Hiki iā ʻoe ke pā, hoʻoulu, hoʻokele,
  • hoʻohui i nā huaʻai a me nā mea kanu
  • ʻai pinepine, ma nā ʻāpana liʻiliʻi.

Nā huahana pono e haʻalele:

  • meaʻai ʻai
  • nā huaʻai ʻōpena,
  • hua moa
  • ʻai momona momona
  • waiū bipi
  • pata
  • ʻōmole ʻona
  • margarine
  • hau kalima
  • pīpī iʻa
  • huaka a me ka pata mai ia mai.
  • nā huaʻala a me nā huaʻala
  • palaoa a ʻūpaʻa ʻālaʻi,
  • uwi ole mai nā kekeʻe a me ka pōkole pōkole (muffins, cookies),
  • ʻaila ʻaila (mayonnaise, ʻaila kālele),
  • momona.

He aha kaʻu e ʻai ai?

Pono e hoʻokomo i nā meaʻai a me nā kīʻaha i loko o nā meaʻai a nā keiki.

  • ʻai kīʻaha haʻahaʻa,
  • manu ʻili
  • keʻokeʻo keʻokeʻo
  • skim a i ʻole momona momona huahana,
  • almond, ka waiū hānai,
  • nā lillill
  • piʻi
  • nā huahana soy
  • Ika-2 papa palaoa,
  • palaoa piha palaoa
  • laiki
  • pasta
  • nā lau a me nā huaʻai, nā pōʻai hou a i ʻole.
  • nā momona a me nā hua ʻai
  • Kākai
  • mau mea ʻai ʻai
  • wai.

Hōʻanoʻike papaʻi

ʻAina kakahiaka:

  • ʻelua ʻāpana ʻalani me ke kīkī,
  • hoʻokahi ʻoki o ka palaoa palaoa,
  • Kākai

ʻAina awakea:

ʻAina awakea:

  • ka laiki, ʻulaʻula a ʻeleʻele paha.
  • 'okahi pōkahi
  • 100 g moa moa momona,
  • wai a wai wai.

Mai Koko:

  • pākeke palaoa haʻahaʻa,
  • maiʻa
  • wai.

ʻAina pāʻina

  • hālani ʻili
  • he ʻāpana liʻiliʻi o ka salati lau (me ka ʻaila ʻole) me ka pākī liʻiliʻi a i ʻole ʻia paha ka balsamic,
  • wai a wai paha.

Snack ma hope o ka ʻaina awakea:

  • ʻO nā mea maʻi Greek Greek nonfat me ka blueberries a me ka meli,
  • wai a iʻa ʻai paha.

E kamaʻilio me ke kauka a kāu keiki me ka mea 'ai e pili ana i ka papaina o kāu keiki. Inā loaʻa iā ʻoe ka maʻi diabetes, celiac maʻi, lactose intolerance, a i ʻole he pilikia olakino ʻē aʻe, pono ʻia nā loli meaʻai.

Waiho I Kou ManaʻO HoʻOpuka