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303^#

發表於 07-12-13 14:48 |只看該作者

星期一同妹妹去覆該，睇啱個NICU嘅主該醫生，佢話妹妹正在康復，咳出mucus係好事，仲話妹妹個肺clear，各樣都okay。初初俾我老公嚇死，話妹妹得番12磅（兩星期前13磅4安士），原來係13磅12安士！我同醫生講妹妹食奶成日喊，又好易嘔，仲成日burp唔到，喊起上嚟仲成個身向後反。醫生話佢係colicky 同 reflux，開咗liquid zantac 俾妹妹，幫佢減少胃部唔舒服，我話之前同另一個醫生講懷疑妹妹係colicky 同 reflux，醫生話唔係，只係話我逼妹妹食奶，所以佢喊，仲搞到妹妹超磅

依家呢個醫生話how did he know? Colicky baby usually cries a lot in evening (bingo for Amanda!) and reflux makes her cry, arches her back and has stomach pain (bingo!!) 幸好，我已安排妹妹轉醫生，唔睇以前個黃綠，俾佢點咗幾次。

餵樽行動依然在進行當中，我媽叫我唔駛担心，到我番工，妹妹自然會食樽。依家要幫哥哥搵托兒所，真係冇時得閒。

花旗太太生活在花旗國，留意時差，你問我未必即時答到。

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Sze_mama

洋房

積分: 35

304^#

發表於 07-12-14 03:41 |只看該作者

原文章由 rose-mag 於 07-12-13 14:48 發表
星期一同妹妹去覆該，睇啱個NICU嘅主該醫生，佢話妹妹正在康復，咳出mucus係好事，仲話妹妹個肺clear，各樣都okay。初初俾我老公嚇死，話妹妹得番12磅（兩星期前13磅4安士），原來係13磅12安士！我同醫生講妹妹食奶成日喊，又好易嘔，仲成日b ...

Hi Rose-mag,

My aunt owns a day care center in sunset area. She has been running the day care center for a long time. Actually, she is my mother’s friend. Last week I called her to see if she has any opening. However, she said there’s no opening now. 唔好意思, 幫唔到你:-| . 依家妹妹又唔舒服, 又要幫哥哥找day care. 雖然I’m a mom-to-be, 都好明白你o既忙碌同心情. I hope 妹妹will get well soon with this new doctor. 你也要保重!

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積分: 7794

305^#

發表於 07-12-14 09:48 |只看該作者

Elmolly, Isaac.cheng,
the way I know that they locked Amanda on the hight chair, because I went to pick up Amanda at different time everyday.. Day 1 at 4pm, Day 2 at 10am, Day 3 at 12 noon.
No matter anytime, Amanda is on the highchair, when they hand me my girl, Amanda's whole body is hot and sweating, you can hear all the way crying and screaming from the classroom (or I would say in the dark bedroom) thru the hallway to the door.
Amanda refused to sit inside Car seat since then.. until we found Smilerus, the new day care(which she is still there for pre-K)... her class teacher treats her as her granddaughter, and she guided Amanda out of her fear and traumatic experience from day care. we feel so glad to have Amanda in this daycare..
to sue them.. I won't waste my time.. but I tell everybody that how bad that nursery is.

原文章由 Isaac.cheng 於 07-12-12 08:27 PM 發表
Dear Nillie, wow, that's horrible. I am sorry for Amanda.
Have you sued them?

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積分: 7794

306^#

發表於 07-12-14 10:01 |只看該作者

維他魚,
Vicent daddy, can I ask.. what is the texture of the stool?
Does any blood inside the stool?
How many wet diaper does Vincent have everyday?
How many bottle and skin to skin Vincent is having now?
For those supplement..O lac.. etc, can I ask .. what are they? As we don't have that in US and I have never heard about it.. is that something like the electrolytes supplement or just formular??
Beside formular, did your wife feed your son with any kind of solid food?
You can ask your wife to do more bf, the more she bf vincent, the more milk she will produces.
as both of you know that vincent with the digestive problem, she got no excuse to not bf her son. Is she a stay home mom or a working mom?
if she is staying home, she can just give up bottle, only skin to skin.. that is the best way to stimulate milk supply.
if she is working fulltime, she can pump milk at work and also, skin to skin after work.
I do so, my son has problem with formula and my son only takes bf, and now, he is 11.5 months, he still complete bf + 2 meal solid food.
she just needs to change her diet which will help her to improve the milk production too.
Also, you bring you son to see private or see the peadi from Mother and baby health clinic?
How come they do not fix the problem and they can tell you that they got nothing to do with vincent. if they can not fix it.. they should refer Vincent to see the specialist in QMH or QEH.. prolong diarrhoea will lead to ulcer in intestines and infection, also dehydration is the main point.

原文章由 維他魚 於 07-12-13 01:39 AM 發表
Hi Nillie,
我係Andrea伯父,我想問我個仔(vincent,5個月大)呢排食奶疴,一食奶或豆奶都疴(係一食就疴嗰隻),睇o左醫生. 剩係比o左d營養水同介紹我試愛樂健.(o-lac),但都係冇乜用.都係疴.(好彩冇嘔)(但係vincent 媽媽 ...

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積分: 7794

307^#

發表於 07-12-14 10:02 |只看該作者

rose-mag,
How is Amanda now?
Listen to your mom, don't worry, Amanda will take the bottle, once you return to work.

原文章由 rose-mag 於 07-12-13 01:48 AM 發表
星期一同妹妹去覆該，睇啱個NICU嘅主該醫生，佢話妹妹正在康復，咳出mucus係好事，仲話妹妹個肺clear，各樣都okay。初初俾我老公嚇死，話妹妹得番12磅（兩星期前13磅4安士），原來係13磅12安士！我同醫生講妹妹食奶成日喊，又好易嘔，仲成日b ...

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elmolly

積分: 7423

308^#

發表於 07-12-14 10:49 |只看該作者

Nillie,

O-Lac is the lactose free formula here in HK, it's by mead-johnson, it's formula, not supplement.

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Isaac.cheng

複式洋房

積分: 283

309^#

發表於 07-12-14 11:31 |只看該作者

Dear Nillie, I am so scared now after hearing Amanda's story...I think it's very important for me to learn how to choose daycare if I need to find one for Isaac....my maid in HK is really good and loves Isaac so much. Isaac smiles and laughes most of the time and cries less than 10 min. everyday. I seldom hear him crying, honestly. I hope he can be treated as the same when we move to USA.....I am so scared now...what should I do? Sighed..........

原文章由 Nillie_Mami 於 07-12-14 09:48 發表
Elmolly, Isaac.cheng,
the way I know that they locked Amanda on the hight chair, because I went to pick up Amanda at different time everyday.. Day 1 at 4pm, Day 2 at 10am, Day 3 at 12 noon.
No matter ...

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310^#

發表於 07-12-14 13:51 |只看該作者

原文章由 Nillie_Mami 於 07-12-14 10:02 發表
rose-mag,
How is Amanda now?
Listen to your mom, don't worry, Amanda will take the bottle, once you return to work.

Nillie,
Amanda is getting better now. She still coughs but we can hear that she can cough out mucus. Now, once she cries or coughs during feeding, I (bf) and my mom (bottle-feed) will stop and clam her down first. My mom is working good with Amanda on bottle feeding. Amanda is really a lovely girl, she is very sociable, always smiles and wants to talk to people. She starts recognize faces. When the doctor checked her up this Tuesday, she "talked" to the doctor and the doctor told us that we were so lucky to have a healthy and sociable daughter. These days, since she's still not taking a lot and could not sleep too long in daytime, she sometimes was cranky, particularly when she's sleepy. She is almost 4 months old, able to raise her head when she's on her tummy, sometimes she seems to want to get up when she's on her back. I massage her and give her some exercises of her legs and arms, she laughs and enjoy it every time.

花旗太太生活在花旗國，留意時差，你問我未必即時答到。

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elmolly

積分: 7423

311^#

發表於 07-12-15 01:48 |只看該作者

Nillie,

I got 2 hands to type again, so happy

I really can't believe a day care can treat children like this, did you sense something wrong so went pick up Amanda at different time everyday? I guess you must have a hard time when you sent Amanda to another day care

I think Andrea is doing ok at the day care, the care giver there told me she's a good girl there, she has been there for 5 days including today, so far she only cried 2 times when we sent her there or went pick her up. she starts to crawl forward yesterday, my mom said that's because she saw other babies doing so and she needs to find ways to get what she wants in the day care

hey, I don't love Victoria, it's EXPENSIVE! it's just like an investment to send Andrea there for a year and hope she can get a seat in some good kindergartens. the cost of spending 3 days at Victoria is same as 5 days at other schools!

Isaac mom,

sorry I don't know where to buy 明治 over in the States, I'm a HK mom, maybe you can try in those Japanese grocery stores, but guess it should be quite expensive. are you planning to move with your Indo maid? think twice, she may just quit after she settles down, that was what happened to my cousin's bunbun when she moved to canada.

rose-mag,

Amanda都係colicky baby, Andrea又係, 真係好痛苦, 晚晚都好似一個唔完既惡夢

Amanda好d未?

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312^#

發表於 07-12-15 06:05 |只看該作者

elmolly,
As a colicky baby, Amanda is not too bad. She mainly cries and is fussy in the evening and when she's tired, sleepy. These days, she cries if my mom offers bottle. My mom talks to her a lot and tries to calm her down when she cries. Amanda is still coughing and luckily we can hear that she has mucus which is a good sign, not just dry coughing. The bad thing is that Amanda had once slept though the night with no night feeding 2 weeks ago. Since we started "bottle-feeding project", she resumed her night feeding. Maybe it's because I would breastfeeding her at night and she enjoys bf.

It's difficult to bottle feed her at night time. First of all, my hubby needs to go to work and it's too tired for him to bottle feed at 3:00am. Secondly, not to confuse her, I would rather stick to offer bf and my mom and my hubby offer bottle. Hope that she can sleep thru the night before I go back to work.

花旗太太生活在花旗國，留意時差，你問我未必即時答到。

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維他魚

別墅

積分: 753

313^#

發表於 07-12-15 22:06 |只看該作者

原文章由 Nillie_Mami 於 07-12-14 10:01 發表
維他魚,
Vicent daddy, can I ask.. what is the texture of the stool?
Does any blood inside the stool?
How many wet diaper does Vincent have everyday?
How many bottle and skin to skin Vincent is having ...

Hi,Nillie_Mami

咁我個仔就未去到有血o既階段.

最小有四五條片係濕淋.排泄物係jelly 狀.

冇埋身,之前一日二餐人奶(泵出黎). 由於依家vincine柯,所以食米水.(health clinic nurse教要全米水試.)

O lac係醫生介紹,但食完都係柯.......所以依家試緊全米水.(有好轉)

未有任何solid food 餵佢食

醫生開過隻GES(電解水),我估都係保充水份

My wife 要返工,但可以泵奶. (唔知點解食人奶都柯)

護士解釋人奶都係奶要忍一忍. (唔知係咪真,所以都係試緊)
我想餵返人奶比佢食.

[ 本文章最後由維他魚於 07-12-15 22:07 編輯 ]

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積分: 7794

314^#

發表於 07-12-16 00:04 |只看該作者

Isaac.cheng,
agree with Elmolly, as it is too attractive.. many maids will get better job in US for better salary...
Most of them once they settle down, and they got the GC, they leave their boss..
For a good daycare, you certainly have to check it by yourself many many times..
I do that not because of Amanda's first day care... it is because I am a child care worker.. I would like to search it by myself,.. Amanda first day care.. is recommended by my hubby's sister.... she really a jerk.. (mind my language).. she let my girl in the hell.
Smilerus.. the one which Amanda is attending now.. is the one I found by myself. Russian's day care. The principle is a very strick person.. she makes me cry, she makes me smile, and she makes me to trust her.. she knows that I am a child care worker.. and she also told me.. that I am a mom, therefore I am suffering double than the other mom (which knows nothing about early education). she doesn't allow me to let Amanda skips class when she cries.. she did everythings just like when I was in hk, as a child care worker... I am glad that.. she is stronger than me.. and she helps me out.. I was struggled.. I was helpness.. I was.. so depress.. but she brings sunshine to me. after Amanda attends day care, I have some personal time, and I can see the future again.. then I return to workforce, work as a charge nurse in hospital again.. and my confidence.. my life.. all come back again.
A great day care is really important, as it is the first place to educate your child, teach them concept, behavior, and social skill. certainly, day care is the best choice, as they are under government supervision very well. Home style child care is an option.. which if you can't find a day care, as they don't have those restriction like the day care... when you read Rose-mag's message.. some of them don't even have space for kids to mobilise.. and some of them not even have child -proof.. (play area with a stove inside.. that is rediculus). Watch out for Vitnamese and filipinos.. they do always caught by court as they use sleeping pills and some over the counter drugs to sedate the children inside.
that is just a reminder..

原文章由 Isaac.cheng 於 07-12-13 10:31 PM 發表
Dear Nillie, I am so scared now after hearing Amanda's story...I think it's very important for me to learn how to choose daycare if I need to find one for Isaac....my maid in HK is really good and lov ...

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積分: 7794

315^#

發表於 07-12-16 00:07 |只看該作者

Rose-mag,
Very good job, I am so glad to hear that.. so, you should keep going with your breast feeding.. and let your mom and hubby to bottle feed Amanda.. well done
Productive cough is a good sign.. ^o^.. limit the formula intake will have to reduce coughing as well

原文章由 rose-mag 於 07-12-14 12:51 AM 發表
Nillie,
Amanda is getting better now. She still coughs but we can hear that she can cough out mucus. Now, once she cries or coughs during feeding, I (bf) and my mom (bottle-feed) will stop and cla ...

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積分: 7794

316^#

發表於 07-12-16 00:24 |只看該作者

維他魚,
that is the main reason, of low milk supply.. you and your family should suggest your wife to do skin to skin for your son plus round the clock pumping.
also, change your wife's diet, if she does really care about her son.
Pump every 3 hours is a must for her if she cannot do skin to skin..
when she is at home, offer breast instead of bottle.
she only works 8 hours a day.. right?

Ask her to review this breast feeding forum plus the forum for those mom to be who planned to breast feeding.. at the top 4 forums in USA moms club.. the one for mom to be to read.
I have wrote many hints there.
Rice water... with low calories.. low fibre (which is good for vincent) but.. low in electrolytes, and I don't think that he can get any vitamin, any DHA, iron..
It is not a good idea
Did any doctor send any stool specimen for testing? and do any examination on Vincent.. check with his intestines?

About the lactulose free formula may be a option.. or you can try to import Similac Alimentum
http://welcomeaddition.com/product8.aspx

this is the one I recommended everytime..when infant pass stools like Vincent ..

Certainly, I strongly recommend you, to discuss with your wife to breast feed Vincent.
it is still not too late.. if she still has supplies.. we can help her to boost up

Also, ask the doctor .. does Vincent have Intussusception ..Vincent doesn't have the bloody stool.. however, beside that.. his s/s just like itussusception
read this below.. I found the chinese definition for you.

原文章由於 07-12-15 09:06 AM 發表
Hi,Nillie_Mami

咁我個仔就未去到有血o既階段.

最小有四五條片係濕淋.排泄物係jelly 狀.

冇埋身,之前一日二餐人奶(泵出黎). 由於依家vincine柯,所以食米水.(health clinic nurse教要全米水試.)

O lac係醫生 ...

[ 本文章最後由 Nillie_Mami 於 07-12-16 15:30 編輯 ]

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Isaac.cheng

複式洋房

積分: 283

317^#

發表於 07-12-16 14:52 |只看該作者

Hihi, Elmolly ( first of all, nice to meet you.) and Nilli_Mami, I gave up that idea bringing my maid with me already lar....cuz as you said (Nillie_mami), they may not stay with me once they are setlled down in the States....I am referring my maid to friends and friends's friends who are looking for maid now....I feel guilty for not be able to finish the two years contract with her, so I am trying my best to find her a good boss in HK....
Nillie Mami, I think I may need your advices in searching day care when I am in the States....

原文章由 elmolly 於 07-12-15 01:48 發表
Nillie,

I got 2 hands to type again, so happy

I really can't believe a day care can treat children like this, did you sense something wrong so went pick up Amanda at different time everyday? I ...

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積分: 7794

318^#

發表於 07-12-16 21:44 |只看該作者

漫談腸套疊

台北榮總小兒部賴縵光醫師

前言
腸套疊 ( Intussusception ) 是小兒常見的腹部急症之一，乃指某段腸管凹陷入於其遠端的腸管中，是消化道阻塞鑑別診斷中很重要的一項;常見於三個月至六歲之兒童，約 80%病例發生於一歲內;男性的發生率約為女性的二倍，目前認為可能與病毒感染盛行有關。
臨床症狀
典型的症狀為突發的痙攣性腹痛，常併有嘔吐，嬰兒顯得躁動不安，雙腿屈曲。當陣發性疼痛過後，病人會顯得倦怠、蒼白或出冷汗。另外於發作幾個小時後，可能會出現粉紅色果膠樣大便 ( currant jelly stoo1 )，在腹部可摸到類似香腸之質塊(mass) ; 有時作肛診亦可見手套上有血性黏便。臨床症狀以嘔吐最常見(83%)，其次是血便(75%)，這包括了果膠性血便、肛診及大便潛血反應陽性者，腹痛或煩躁不安(73%)，腹部腫塊(50%)1。臨床上如有上述症狀出現，診斷當然容易;但具備三項或以上症狀者僅達68%1，而亞急性(症狀持續在三天以上至二星期間)或慢性腸套疊(超過二星期以上)病兒的症狀則沒有這麼典型，通常只以單一症狀來表現，症狀毫不典型，常常只以間歇性腹痛為表現，或只顯不安與焦慮；一般來說症狀大多輕微，一天內可能只有一至二次發作，剛開始家長並不在意，求診時亦多被認為是腸胃炎、腹脹或便祕所引起，作血液檢驗或腹部X光檢查亦大多正常 ; 另外有些只以嘔吐為症狀，嘔吐物不一定含膽汁，剛開始可能被診斷為胃炎、胃食道逆流或上消化道阻塞，甚至被安排做了消化道攝影或內視鏡檢查，依然無法查出病因，診斷十分困難。但若有考慮到腸套疊的可能性而安排腹部超音波檢查，便能早期診斷而真相大白。因此要是臨床醫師的警覺性不夠或經驗不足，則容易延誤了治療的時機，導致腸穿孔或敗血症等併發症，或作了很多不必要的檢查。
診斷 [/tr][/tr][/tr]

	臨床症狀: 腹痛或煩燥不安、嘔吐、血便、腹部腫塊。
	身體檢查: 可能摸到腹部腫塊，肛診亦可見手套上有血性黏便。
	腹部超音波檢查，診斷率很高，除了少數情況如：嚴重腹脹、嬰幼兒嚎哭不止外，超音波診斷之準確率幾乎高達100% 。其診斷要點為：1.腹部發現一段距離具靶子( target-like ) 之圖形;2.腸尾端發現一個圈餅 (doughnut-like)之圖形; 3.target 圖形之外環厚度大於0.6公分; 4.上述之圖形為持續性，意即沒有腸蠕動情形發生。

腹部X光檢查: 隱約發現右上腹部有一質塊影像 (mass shadow)，另外腸氣佈滿於左側。

治療
目前現行之治療方式，包含灌腸(又分三種: 1.鋇劑灌腸; 2.食鹽水灌腸; 3.氣體灌腸)或手術治療(徒手復位或切除壞疽之腸子)。一般來說，急性腸套疊症狀若發生在四十八小時內，可先嚐試灌腸; 如果臨床上沒有毒性症狀如脫水、倦怠、休克等和腹膜炎症狀 (peritoneal signs，如腹部腫脹、瀰漫壓痛、反彈痛等)，則不論發病時間長短都可以先嚐試作灌腸。若腸子血液灌注不佳，因可能已發生壞疽，則不建議灌腸，應直接以手術治療，以免灌破腸子，造成危險。有一點值得注意的是，有時候手術進去很驚訝的是竟然找不到腸套疊，但若仔細觀察仍可以發現靠近迴盲瓣附近的大腸壁有紅腫現象，這是由於病兒經全身麻醉後腸壁肌肉的放鬆而自動解離復位，這時只要檢查有否導引點即可。
灌腸治療
一、鋇劑灌腸：在北美洲仍為腸套疊之標準治療方式，但禁止用在以下情況：1.腸穿孔; 2.腹膜炎 3.腸阻塞過久。成功率約 75%-80%。優點是：可做為診斷兼治療；缺點是：需暴露在幅射線中，而為人所詬病。
二、食鹽水灌腸：此方法始於1982年6。方式與鋇劑灌腸雷同，只是鋇劑換成是生理食鹽水。所需時間約數分鐘至一小時3，所需之壓力約 50-90mmHg(可高達124 mmHg)，所需之水量約為300cc-720cc2。成功率達85%-95%2,3。有許多優點，諸如：1.無放射線暴露之虞; 2.可全程追蹤質塊之變化; 3.若有腸穿孔，腹腔中就可見有腹水堆積，可立即偵測出來; 4.可就近監測病人之生命徵象，減少危險之產生2。而其唯一之缺點是需要有經驗的人來操作。是目前被認為最具有發展前景之治療方式，可能取代鋇劑灌腸以減少放射線之危害。
三、氣體灌腸：始於1959年7，在中國大陸已被廣泛使用8，乃灌空氣入腸管，在放射線下監測腸管之變化。所需之壓力約 80-120mmHg，所需時間約三分鐘，成功率約79.6%9,10。其優點是：1.便宜，不需特殊儀器; 2.不會造成治療床一片混亂或淹水; 3.耗時短(因氣體會填充任何空間，而液體則會沈積於低位); 4.若造成腸穿孔時，較不會造成糞便外洩至腹腔，因此較不會造成腹膜炎，相對可減少術後之併發症10。而其缺點是1.有小腸阻塞時不能用; 2.無法顯示出導引點，而無法找出真正之病因，故只能治標; 3.可能產生壓力性氣腹(tension pneumoperitoneum)，有生命危險，需緊急做穿刺抽出氣體，以免危及生命安全10; 4.仍需暴露在少量之放射線中。
手術治療
適應症為：1.灌腸失敗，無法解除腸套疊或導致腸穿孔時，需緊急開刀; 2.病人狀況差，如休克、腹膜炎等; 3.懷疑有導引點; 4.非好發年齡層者; 5.多次再犯者。
討論
腸套疊之結構，絕大部分是迥腸套結腸(占80%)，少數是迥腸套迥腸、迥腸套迥腸及結腸。常見於三個月至六歲之兒童，通常超過三歲則發生機率大減；其中約80%病例發生於一歲內，尤以 5至9個月大時最常發生，此階段之病因多為原因不明；然而新生兒或年紀較大之幼兒發生腸套疊，則多因解剖學上的異常所引起，如美克氏憩室、腸息肉或腫瘤、寄生蟲、病毒感染致淋巴結增生、腸血管瘤、異物和複製腸管等等1。根據統計，大約有5%的腸套疊病例與解剖學上的異常有關；在二歲以上的小孩腸套疊，一般都因解剖學上的異常而來，而大於五歲的病例中，則以淋巴瘤最常見。而患童之兄弟姊妹有3% 之機率罹患腸套疊，故有人懷疑另有環境因素影響或有遺傳傾向。目前本院對兒童腸套疊之治療方式採食鹽水灌腸法，成效卓著。若需開刀者，預後亦佳，很少合併後遺症。而抗生素之用法，一般不建議常規使用，通常是用在懷疑合併有感染時才用。而治療過程中需有充足之水份補充，否則也容易造成死亡。據國外統計，經灌腸復位術成功後發生復發者約 10%，而手術做徒手復位復發者為2-5%，若手術時要切除腸子則很少復發11。不論是急性或慢性腸套疊，若臨床上並沒有絕對禁忌，均可以嚐試作第二次甚至第三次的灌腸，一樣會有成功的可能。但是要注意的是，對於反覆發生腸套疊之病兒一定要考慮有無導引點(leading points)。故提高警覺，及早送醫，及時的診斷與治療將可大大地降低腸套疊之威脅。
Message copy from 　 http://homepage.vghtpe.gov.tw/~ped/newpage82.htm

原文章由 Nillie_Mami 於 07-12-15 11:24 AM 發表
維他魚,
that is the main reason, of low milk supply.. you and your family should suggest your wife to do skin to skin for your son plus round the clock pumping.
also, change your wife's diet, if she d ...

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原文章由 Sze_mama 於 07-12-14 03:41 發表

Hi Rose-mag,

My aunt owns a day care center in sunset area. She has been running the day care center for a long time. Actually, she is my mother’s friend. Last week I called her to see if she has ...

Sze_mama,
Thanks for asking your aunt. Too bad that she has no opening at this time but I know that good daycare is hot in here. My daughter is getting better slowly. However, this new doctor refused to follow Amanda's case because he actually does not accept new patient and it's the system error that assign Amanda to him. He has talked to my son's pedi and has Amanda to move to my son's doctor. Well, we have changed the insurance group and we will not see the doctors in this hospital next year anyway. The experience we have with this hospital were mostly not satisfactory before. Before we have seen their improvement, we have arranged change of insurance plan.

花旗太太生活在花旗國，留意時差，你問我未必即時答到。

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