Ua hānau mua ʻia kāu pēpē? E aʻo e pili ana i ka apnea o ka prematurity

Ua hiki koke mai anei kāu keiki liʻiliʻi i kēia ao? He mea maʻamau ke hopohopo iki ma ke ʻano he makuahine a makua paha i kēlā mau manawa. Ke noʻonoʻo nei paha ʻoe e pili ana i ka hanu ʻana o kāu pēpē, ʻoi aku hoʻi. No laila, ʻo ka pilikia hanu a mākou e kamaʻilio nei i kēia lā ʻo 'Apnea of ​​​​Prematurity', hiki ke loaʻa i nā pēpē i hānau ʻia ma mua o ko lākou lā hānau, ʻo ia hoʻi, ma mua o 37 mau pule o ka hāpai ʻana. Mai hopohopo, he manawa pōkole kēia, a ʻike nā kauka pehea e kōkua ai i kēia.

He aha ka Apnea o ka hānau mua ʻana?

I ka ʻōlelo maʻalahi, ʻaʻole i hoʻomohala piha ʻia nā ʻāpana kino o kahi pēpē hānau mua, ʻoiai nā ʻōnaehana e kōkua iā lākou e hanu. E noʻonoʻo e pili ana i ia mea, ʻo ko lākou mau māmā liʻiliʻi, ke kikowaena hanu i loko o ko lākou lolo, ke 'aʻo' nei kēia mau mea a pau. No laila, ʻaʻole lākou i mākaukau e hanu i kahi mele kūpono. Ma muli o kēia, i kekahi manawa e kū ana ko lākou hanu no kekahi mau kekona. ʻO kēia ka mea a nā kauka e kapa nei he 'apneic spell'.

E makaʻu paha ʻoe ke lohe ʻoe i kēia, "Auē, ʻaʻole hanu pono kaʻu pēpē?" Akā, he mea maʻamau kēia ʻano i waena o nā pēpē hānau mua. A ʻike nā kauka pehea e mālama ai. E hoʻolilo kāu pēpē i kekahi manawa ma ka Neonatal Intensive Care Unit (NICU). Ma laila, e nānā mau nā kauka a me nā kahu maʻi i ke kūlana o ka pēpē a hāʻawi iā lākou i nā lāʻau lapaʻau e kōkua iā lākou e hanu. Ke hiki i kāu pēpē ke hanu maʻamau iā lākou iho, me ke kōkua ʻole, hiki iā lākou ke hoʻi i ka home.

He aha nā hōʻailona o kēia maʻi?

I kēia manawa, e nānā kākou i nā hōʻailona e hiki ai i kahi pēpē me ka Apnea of ​​Prematurity ke hōʻike:

• Ua kū ka hanu ʻana no 15 a i ʻole 20 kekona, a ʻoi aku paha ka lōʻihi.
• Lohi ka puʻuwai. Kāhea mākou i kēia 'bradycardia'.
• Haʻahaʻa nā pae oxygen i loko o ke koko. Ua kapa ʻia kēia he hypoxemia. Hiki i kēia ke hana i ka ʻili o ke pēpē, ʻoiai nā lehelehe a me ke alelo, e ʻike ʻia he uliuli, keʻokeʻo, melemele-hina, a hina paha. Ua kapa ʻia kēia he cyanosis.

I kekahi manawa, hiki ke oki ka hanu ʻana o kahi pēpē no ka liʻiliʻi ma mua o 15 kekona. Eia nō naʻe, inā he lohi ka puʻuwai (bradycardia) a i ʻole nā ​​pae oxygen haʻahaʻa (hypoxemia), ua manaʻo ʻia hoʻi kēia he hōʻailona o kēia maʻi 'apnea'.

He mea nui: Pono e hoʻokaʻawale ʻia kēia mai kahi kūlana i kapa ʻia ʻo 'manawa hanu'. ʻO ka manawa hanu ka wā e loaʻa ai i nā pēpē nā hoʻomaha pōkole (ʻaʻole i ʻoi aku ma mua o 10 kekona) i ko lākou hanu ʻana. Eia naʻe, ʻaʻole kēia e hoʻoulu i ka emi ʻana o ka puʻuwai a i ʻole nā ​​​​pae oxygen. Ma hope o kēlā, hanu wikiwiki lākou. Ua manaʻo ʻia kēia he mea maʻamau.

No ke aha e hana ai kēia i kā mākou mau pēpē? (Nā kumu o ka Apnea o ka hānau mua ʻana)

ʻO ke kumu nui o kēia (Apnea of ​​Prematurity), e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole i hoʻomohala piha ʻia nā ala ea o ka pēpē a me ke kikowaena hanu o ka lolo. Hana pū kēia mau ʻāpana ʻelua e ʻae i ka pēpē e hanu pono. Hoʻokaʻawale nā ​​​​kauka i kēia mau hoʻomaha hanu i ʻekolu mau ʻano nui e pili ana i ke kumu:

• Apnea pale
• ʻApnea Waena
• ʻApnea Hui Pū ʻia

He aha ka Apnea Obstructive?

ʻO ka mea e hana ʻia ma kēia hihia, aia kahi keʻakeʻa i loko o nā ala ea o ka pēpē. ʻO kēia mau ala ea nā mea e lawe ai i ka ea momona i ka oxygen i loko o nā māmā a wehe i ke kalapona ʻokikene mai nā māmā. No laila, i mea e holo pono ai ka ea, pono e wehe ʻia kēia mau ala ea.

Eia nō naʻe, ʻaʻole paha e lawa ka ikaika o ke ala ea o kahi pēpē hānau mua ʻole (ʻoi aku ka ʻāpana e holo ana mai ka ʻāʻī) e hoʻomau i ka wehe ʻana i nā manawa a pau. ʻO ia ka manawa e hiki ai ke oki ka hanu ʻana. Ua like ia me kahi ʻōmole liʻiliʻi i wehe pono ʻole ʻia a paʻa.

He aha ka Apnea Waena?

Hana ʻia kēia i ka wā ʻaʻole e hoʻouna ka lolo, ke kikowaena o ka lolo o ka pēpē e kāohi ana i ka hanu ʻana, i nā hōʻailona i ka manawa kūpono. ʻO ka maʻamau, hoʻouna kēia lolo i nā hōʻailona i nā ʻiʻo hanu o ka pēpē - no ka laʻana, ka diaphragm a me nā ʻiʻo intercostal. Kōkua kēia mau ʻiʻo i ka huki ʻana i ka ea i loko a i waho o nā māmā.

Eia nō naʻe, inā ʻaʻole i ulu piha ka lolo o ke pēpē, ʻaʻole i hoʻonohonoho pono ʻia a hilinaʻi ʻia nā hōʻailona e puka mai ana mai ia mea. ʻO ia ke kumu e hiki ai i ka hanu ʻana ke kū ma waenakonu. Me he mea lā ʻaʻole i hala ka manawa i ke kauoha mai ka lolo e "hanu!".

He aha ka Apnea Hui Pū ʻia?

ʻO ka mea e hana ʻia ma kēia hihia, aia kahi pilikia me ke ala hanu o ka pēpē, a ʻaʻole e hele pono mai nā hōʻailona mai ke kikowaena hoʻomalu hanu o ka lolo. Me he mea lā ua hui pū nā kumu ʻelua i ʻōlelo ʻia ma luna. ʻIke pinepine ʻia kēia ʻano apnea i nā pēpē i hānau mua ʻole ʻia.

Pehea e ʻike ai nā kauka i kēia?

Ua ʻike ʻia kēia maʻi (Apnea of ​​Prematurity) ma ka Neonatal Intensive Care Unit (NICU) kahi o ka pēpē. ʻO kēia ka ʻāpana o ka haukapila kahi e mālama ʻia ai nā pēpē e pono ai ka mālama kūikawā a me ka nānā lapaʻau. Inā hānau mua ʻia kāu pēpē, pono paha ʻo ia e noho ma ka NICU no kekahi manawa ma mua o ka hoʻi ʻana i ka home.

ʻOiai ke pēpē i loko o ka NICU, ke nānā mau nei nā kauka a me nā kahu maʻi i kēia mau mea:

• Ka helu o ka puʻuwai
• Pehea e hanu ai
• Pae oxygen koko

Hoʻouna kēia mau mea nānā i nā hōʻailona inā lohi ka puʻuwai o ka pēpē a i ʻole inā e pau ka hanu ʻana no kekahi manawa. Hoʻohana nā kauka i ka ʻikepili mai kēia mau mīkini a me nā nānā ʻana a nā kahu maʻi e ʻike i ke kūlana.

I kekahi manawa, hiki i kēia mau hoʻomaha hanu ʻana i nā pēpē hānau hou ke lilo i hōʻailona o nā maʻi ʻē aʻe. No ka laʻana, nā maʻi metabolic, ke kahe ʻana o ke koko o ka lolo, a me nā maʻi. No laila, nānā mua nā kauka i ka pēpē e ʻike inā he mau maʻi ʻē aʻe e like me kēia. Ma hope o ka hoʻopau ʻana i nā kumu ʻē aʻe a pau, hiki iā lākou ke hoʻoholo pono he Apnea of ​​Prematurity kēia.

Ua wehewehe ʻia ʻo Apnea of ​​Prematurity ʻo ia ka pau ʻana o ka hanu ʻana o ka pēpē no ka mea ua hānau mua ʻia lākou, a ʻaʻole i hoʻomohala piha ʻia ko lākou mau ʻōnaehana nerve a me ka hanu. No laila, a hiki i ka wā e mākaukau ai ko lākou kino e hana i kēia mau mea ma kāna iho, pono lākou i kahi kōkua iki no ka hanu ʻana.

He aha ka lāʻau lapaʻau no kēia?

ʻO ka lāʻau lapaʻau no ka Apnea o ka hānau mua ʻana he hoʻokahi a ʻelua paha o kēia mau mea:

• Nā lāʻau lapaʻau (pinepine ka caffeine citrate)
• Kōkua i ka hanu ʻana

No ke aha i hoʻohui ʻia ai ka caffeine i kēia?

He lāʻau lapaʻau ka caffeine citrate i hoʻohana ʻia no ka mālama ʻana i ka Apnea o ka hānau mua ʻana. E like me ka haʻalulu a mākou e loaʻa ai i ka wā e inu ai mākou i ke kofe i ke kakahiaka, hoʻoulu kēia lāʻau lapaʻau i ka ʻōnaehana nerve o ka pēpē. Kōkua kēia 'ala ʻana' i ke kikowaena hanu o ka lolo o ka pēpē a me nā ʻāpana nerve e hoʻouna i nā hōʻailona e hoʻoponopono i ka hanu ʻana.

Hoʻemi kēia pila caffeine i ka nui o nā manawa apneic i loaʻa i ka pēpē. Kōkua pū ia i ka hōʻemi ʻana i ka lōʻihi o kēia mau hoʻomaha i ka hanu ʻana.

Kākoʻo Hanu

I kekahi manawa, pono ke kōkua iki no ke ala ea o luna o ka pēpē, ʻo ia hoʻi ka pharynx a me ka larynx, e wehe ai. I kēia hihia, hoʻohana pinepine nā kauka i kahi ʻano hana i kapa ʻia ʻo Continuous Positive Airway Pressure (CPAP). Ma kēia, hanu ka pēpē iā ia iho. Eia nō naʻe, hoʻouna ʻia ka ea ma o ʻelua mau ʻōmole liʻiliʻi i kau ʻia i loko o nā puka ihu o ka pēpē. Hoʻemi kēia i ka pilikia o ka hopu ʻia ʻana o ka hanu i hana ʻia e ka paʻa ʻana o ke ala ea.

E noʻonoʻo, ke puhi ʻoe i kahi ea liʻiliʻi i loko o kahi pōpō liʻiliʻi, me he mea lā e pehu ana, kōkua kēia CPAP i ka wehe ʻana o ke ala ea.

Inā hoʻomau ka paʻa ʻana o ka hanu o kāu pēpē, pono paha iā ia ka 'mechanical ventilation'. ʻO ke ʻano kēia, e hana kahi mīkini (ventilator) i ka hanu ʻana no ka pēpē a hiki i ka hiki ʻana i ke kino o ka pēpē ke hanu iā ia iho. He manawa pōkole wale nō kēia.

Inā loaʻa kēia maʻi i kaʻu pēpē, he aha kaʻu e manaʻo ai?

He kūlana manawa pōkole ka Apnea o ka Hānau Mua. I ka ulu ʻana a me ka ulu ʻana o ka pēpē, e emi mālie kēia mau hōʻailona. Pono paha kāu pēpē e noho ma ka NICU no kekahi mau pule, a i ʻole ʻelua a ʻekolu mahina paha. Ma laila, e loaʻa iā ia ka lāʻau lapaʻau ʻaʻole wale no nā pilikia hanu, akā, no nā pilikia ʻē aʻe e kū mai ana mai ka hānau mua ʻana.

E haʻi aku nā kauka iā ʻoe i ka lōʻihi o ka noho ʻana o ke pēpē ma ka NICU a me nā mea e pono e hana ʻia e lawe palekana i ke pēpē i ka home.

ʻO ka maʻamau, e hoʻoholo nā kauka i kahi manawa palekana e hoʻōki ai i ka mālama ʻana o ka pēpē. A laila, ma hope o ka hoʻōki ʻana o ka mālama ʻana, e nānā lākou i ke ʻano o ka pane ʻana o ke kino o ka pēpē iā ia. Ma mua o ka hoʻouna ʻia ʻana o ka pēpē i ka home, pono lākou e noho ma laila no kekahi mau lā me ka ʻole o nā pilikia hanu. ʻO ka lōʻihi o kēia "manawa nānā" e pili ana i ke ʻano o ka hānau mua ʻana o ka pēpē a me ko lākou olakino holoʻokoʻa.

ʻAʻole pono ka hapa nui o nā pēpē i ka nānā mau ʻana ma hope o ko lākou hoʻi ʻana i ka home. Eia nō naʻe, inā pono kāu pēpē i ka nānā ʻana, e wehewehe pono kāu kauka i ka mea e hana ai. Inā he mea āu e kānalua nei a inā he hopohopo paha kāu e pili ana i ka mālama ʻana i kāu pēpē ma ka home, e ʻoluʻolu e nīnau i kāu kauka a kahu maʻi paha. E hāʻawi lākou iā ʻoe i ka ʻike āpau āu e pono ai e maʻa i kēia ʻano hou.

He maʻi maʻamau ka Apnea o ka Prematurity i nā pēpē hānau mua. Eia nō naʻe, me ka ʻike he mea maʻamau ia, ʻaʻole maʻalahi ka noho kaʻawale mai kāu keiki hānau hou ke makemake ʻoe e ʻapo iā ia. E manaʻo ʻoe he mehameha loa a kaumaha hoʻi ʻoiai kāu pēpē i loko o ka NICU. Eia naʻe, e hoʻomanaʻo mau he manawa pōkole kēia.

E kōkua nā kauka a me nā kahu maʻi ma ka NICU iā ʻoe e ʻimi i nā ala e hoʻolilo ai i ka manawa me kāu pēpē i kēia manawa. E hāʻawi pū lākou iā ʻoe i ka ʻike e pili ana i ke ʻano o ka hanu ʻana o kāu pēpē a me ka wā e hiki ai iā ʻoe ke lawe i kāu pēpē i ka home.

E hoʻomanaʻo ma ke ʻano he hōʻuluʻulu manaʻo (Leka Lawe-Home)

Inā loaʻa i kāu pēpē hānau mua ka apnea o ka hānau mua ʻana, hiki ke hopohopo loa. Akā e hoʻomanaʻo:

• He manawa pōkole wale nō kēia. I ka ulu ʻana o ke pēpē, ikaika pū kekahi kona ʻōnaehana hanu.
• Ua ʻike nā kauka pehea e mālama ai i kēia. E loaʻa i kāu pēpē ka mālama maikaʻi loa ma ka NICU.
• ʻAʻole ʻoe hoʻokahi. Aia kekahi mau mākua ʻē aʻe i loaʻa nā ʻike like, ʻaʻole wale nā ​​​​kauka a me nā kahu maʻi. Mai kānalua e kaʻana like i kou mau manaʻo a noi i ke kōkua.
• E hoʻomau i ka manaʻolana. E loaʻa nō hoʻi iā ʻoe ka manawa kūpono e hoʻi i ka home me kāu pēpē i loko o kekahi mau lā.

Ke makemake nei i kāu pēpē e ola koke!

Hānau mua ʻana, apnea, hanu ʻana o ka pēpē, NICU, olakino pēpē, pilikia hanu, lāʻau lapaʻau caffeine