He lāʻau lapaʻau kūikawā i hāʻawi ʻia i nā pēpē hānau mua no nā pilikia hanu (Beractant Intratracheal Suspension)

He mea maʻamau loa ia no ka makuahine a i ʻole ka makuakāne ke makaʻu nui a hopohopo hoʻi ke haʻi aku ke kauka iā lākou ua pilikia kā lākou pēpē i ka hanu ʻana. ʻOi aku ma mua o ka piha ʻana o ka pēpē, ʻo ia hoʻi, hiki i nā pēpē hānau mua ke loaʻa i kēia ʻano pilikia hanu. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau waiwai nui e hoʻōla ai i ke ola a nā kauka e hoʻohana ai e kōkua i nā māmā o ka pēpē a e maʻalahi ke kaʻina hanu.

I ka ʻōlelo maʻalahi, he aha ka Beractant?

ʻAʻole kēia he lāʻau lapaʻau a mākou e inu mau ai a hoʻokomo paha. He lāʻau lapaʻau kūikawā loa kēia. Ma ke ʻano lapaʻau, no ka hui i kapa ʻia ʻo surfactants kēia lāʻau lapaʻau.

E noʻonoʻo, i loko o ko kākou mau māmā he mau ʻano liʻiliʻi e like me ka pōpō e piha ana i ka ea. Kāhea mākou i kēia mau ʻeke ea he (Alveoli). I loko o nā māmā i ulu pono ʻia, aia i loko o kēia mau ʻeke ea kahi wai pahee kūlohelohe i loko. ʻO ia ke kumu i ka wā e hanu ai mākou i loko a i waho, wehe a pani maʻalahi kēia mau ʻeke ea liʻiliʻi me ka ʻole o ka pipili.

Akā, no ka mea, ʻaʻole i ulu piha nā māmā o nā pēpē hānau mua, ʻaʻole i hana ʻia kēia wai kūlohelohe, a ʻaʻole paha i hana ʻia i ka nui kūpono. Hoʻopili kēia i nā ʻeke ea i ka wā e hanu ai ka pēpē. Ke hanu hou ka pēpē, pono ka pēpē e hana nui e wehe i kēia mau ʻeke ea i paʻa. ʻO kēia ka mea a mākou e kapa nei he Respiratory Distress Syndrome (RDS) .

No laila, he lāʻau lapaʻau synthetic ʻo Beractant e like me kēlā wai kūlohelohe. Ke hoʻokomo ʻia i loko o nā māmā o ka pēpē, uhi ia i nā ʻeke ea a pale iā lākou mai ka pipili ʻana. A laila hiki i ka pēpē ke hanu maʻalahi me ka ʻole o ka hoʻoikaika nui. ʻIke nui ʻia kēia lāʻau lapaʻau ma ka inoa inoa (Survanta).

Aia kekahi mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka hāʻawi ʻana i kēia lāʻau i ka pēpē?

ʻAe, ʻoiaʻiʻo nō. ʻOiai inā hāʻawi ʻia kēia lāʻau lapaʻau i kahi pēpē, he mea nui loa iā ʻoe, ma ke ʻano he makua, e hāʻawi i ka hui lapaʻau me ka ʻike āu i ʻike ai.

• Nā maʻi ʻaleka: Hana ʻia kēia lāʻau lapaʻau me ka hoʻohana ʻana i nā huahana holoholona (nā huahana pipi), no laila he mea nui e hoʻomaopopo i kāu kauka inā loaʻa i kāu pēpē kekahi maʻi ʻaleka koʻikoʻi i kēia mau huahana. Eia kekahi, e haʻi i kāu kauka inā loaʻa i kāu pēpē kekahi maʻi ʻaleka i kekahi mau lāʻau lapaʻau ʻē aʻe, nā meaʻai, a i ʻole nā ​​​​​​mea hoʻoluʻu.
• Nā lāʻau lapaʻau ʻē aʻe: Inā ke lawe nei kāu pēpē i nā lāʻau lapaʻau ʻē aʻe (ʻoi aku hoʻi nā lāʻau antibiotic i hanu ʻia), pono ʻoe e haʻi i ke kauka e pili ana i kēlā.

ʻO ka maʻamau, ʻōlelo nā lepili lāʻau lapaʻau e haʻi i kāu kauka inā hāpai ʻoe a hānai waiū paha. Akā, no ka mea, ke hāʻawi ʻia nei kēia lāʻau i kahi keiki hānau hou, ʻaʻole pili kēlā mau mea ma ʻaneʻi. ʻO ka mea nui loa, ʻo ia ke kaʻana like i nā mea āpau āu e ʻike ai e pili ana i ke olakino o kāu pēpē me ka hui lapaʻau.

Pehea ʻoe e hāʻawi ai i kēia lāʻau lapaʻau i kahi pēpē?

ʻAʻole kēia he lāʻau lapaʻau e lawe ʻia i ka home. Hāʻawi wale ʻia ia ma ka haukapila e nā kauka a me nā limahana kahu maʻi ma kahi keʻena mālama koʻikoʻi (NICU/SCBU).

Hiki ke hoʻopili ʻia ke pēpē i kahi mīkini hanu ma muli o ka paʻakikī o ka hanu ʻana. Hāʻawi pololei nā kauka i kēia lāʻau i nā māmā ma o kahi paipu i hoʻopili ʻia i ka paipu hanu (endotracheal tube).

I ka wā a ma hope o kēia kaʻina hana, ua nānā pono ʻia nā mea āpau mai ka helu o ka puʻuwai o ka pēpē, nā pae oxygen, a me ke koko e nā mīkini a me ke kime lapaʻau. No laila ua palekana loa ka pēpē.

He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?

Ma muli o ka hana ʻia ʻana o kēia ma kahi haukapila, ma lalo o ka nānā ʻana a nā kauka loea, ua haʻahaʻa loa ka likelika o ke kuhihewa ʻana i ka lāʻau lapaʻau. Ua helu ʻia ka nui pololei loa ma muli o ke kaumaha o ka pēpē.

Eia nō naʻe, he mea maikaʻi ke ʻike i ka mea e hana ai inā lawe nui ʻoe i kekahi lāʻau lapaʻau. ʻO ka maʻamau, i ia mau hihia, ke ʻimi nei mākou i ka ʻōlelo aʻoaʻo mai ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo a i ʻole ka Emergency Treatment Unit (ETU) kokoke loa.

Akā inā he kānalua kou i ka wā e hāʻawi ana i ka lāʻau lapaʻau i kahi pēpē ma kahi haukapila e like me kēia, ʻo ka mea maikaʻi loa a wikiwiki hoʻi e hana ai, ʻo ia ke kamaʻilio me ke kauka a kahu maʻi paha e kū koke ana ma laila.

Aia kekahi mau hopena ʻaoʻao e makaʻala ai?

ʻAe, e like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa kekahi mau hopena ʻaoʻao. Akā, mai hopohopo, ke nānā mau nei ke kime lapaʻau e mālama ana i kāu pēpē i kēia mau hōʻailona. Ma ke ʻano he makua, he mea maikaʻi iā ʻoe ke makaʻala i kēia mau mea.

Aia i loko o kēia papa inoa nā mea maʻamau e hiki ke hana. Eia kekahi, inā ʻike ʻoe i kekahi mea ʻē aʻe e pili ana i ke kino o kāu pēpē, mai makaʻu e nīnau i kāu kauka e pili ana i ia mea.