Ke pilikia nei kāu keiki liʻiliʻi i ka hanu ʻana me ke anu? E aʻo kākou e pili ana i ka Bronchiolitis!

Ke anu nei kāu keiki liʻiliʻi a ke paʻakikī nei iā ia ke hanu? Malia paha ke kani nei ʻo ia i loko o kona umauma. Inā pēlā, he maʻi paha kēia i kapa ʻia ʻo bronchiolitis a kāu pēpē paha e loaʻa ai. Mai hopohopo, e kamaʻilio kākou e pili ana i ia mea me nā kikoʻī, he aha ia, no ke aha e hana ʻia ai, he aha nā hōʻailona, ​​a me nā mea a mākou e hana ai.

He aha ka bronchiolitis?

I ka ʻōlelo maʻalahi, ʻo ka bronchiolitis kahi maʻi viral o nā māmā o nā keiki liʻiliʻi ma lalo o ʻelua makahiki . ʻO ka mea e hana ʻia ma kēia, ʻo ia ka pehu ʻana o nā ala ea liʻiliʻi loa i loko o nā māmā o ke keiki, i kapa ʻia ʻo bronchioles , a lilo i mea pehu a haiki. E noʻonoʻo iā ia e like me kahi paipu wai e paʻa ana i ke kua o kou puʻu, e paʻakikī ai i ka pēpē ke hanu.

E ʻike paha ʻoe e loaʻa ana i kāu pēpē nā hōʻailona o ke anu maʻamau (e like me ka ihu wai a me ke kuni), me ke kani ʻana o ka wheezing i ka wā e hanu ana. ʻOi aku ka maʻamau o kēia ʻano i ka wā anuanu, e like me ka hoʻoilo a me ka hoʻomaka ʻana o ka pūnāwai .

I ka hapa nui o ka manawa, ʻaʻole kēia he mea koʻikoʻi, akā i kekahi manawa hiki ke koʻikoʻi. No laila, inā loaʻa i kāu pēpē kēia mau hōʻailona, ​​​​pono ʻoe e makaʻala pono i ko lākou hanu ʻana a ʻike koke i ke kauka inā pilikia lākou i ka hanu ʻana.

Pehea ka maʻamau o kēia ʻano?

ʻO ka Bronchiolitis kahi maʻi maʻamau o ka ʻōpū hanu haʻahaʻa o nā māmā i ʻike ʻia i nā keiki ma lalo o ʻelua makahiki .

He maʻi lele anei ka bronchiolitis?

ʻAe, ʻoiaʻiʻo nō. He mea laha nā maʻi e hoʻoulu ai i ka bronchiolitis. Hoʻolaha ʻia kēia mau maʻi ma o nā kulu hanu ('respiratory droplets') i hoʻokuʻu ʻia i ka wā e ʻū ai a ʻūhā paha ka mea maʻi. Hiki ke hanu ʻia kēia mau kulu i ka lewa, a i ʻole hiki iā lākou ke pae ma luna o nā ʻili i hoʻopā pinepine ʻia, e like me nā mea pāʻani a me nā puka puka, a laila e hoʻoili ʻia i ka waha a me ka ihu o kāu pēpē ma ka hoʻopā ʻana iā lākou.

He aha ka ʻokoʻa ma waena o ka Bronchiolitis a me ka Bronchitis?

Ua like iki kēia mau inoa ʻelua, no laila hiki ke huikau. Ua like iki nō hoʻi nā hōʻailona. Hoʻokumu ʻia nā maʻi ʻelua e nā maʻi viral, a hoʻopilikia nā mea ʻelua i nā ala ea i loko o nā māmā.

Akā eia ka ʻokoʻa:

• Hoʻopilikia ka bronchitis i nā ala ea nui (bronchi) i loko o nā māmā. Loaʻa pinepine ia i nā keiki makua a me nā pākeke.
• Hoʻopilikia ka Bronchiolitis i nā ala ea liʻiliʻi a palupalu loa (bronchioles) i loko o nā māmā. ʻO kēia ka mea e hana ʻia i nā keiki ʻōpio, ʻoi aku hoʻi nā pēpē ma lalo o ʻelua makahiki.

E noʻonoʻo i ko kākou mau māmā e like me ka lāʻau. Ua kapa ʻia nā lālā nui o kēlā lāʻau he "bronchi". ʻO nā ala ea liʻiliʻi loa i loko o nā māmā ua kapa ʻia he "bronchioles", ua like ia me nā lālā liʻiliʻi e lālā ana i waho i ko lākou lālā ʻana. I ka bronchiolitis, ʻo ia mau ala ea liʻiliʻi ka mea i hoʻopilikia ʻia.

He aha nā hōʻailona o ka bronchiolitis?

I ka wā mua, ua like loa kēia mau hōʻailona me nā hōʻailona o ke anu maʻamau.

Nā hōʻailona mua:

• ʻO ka sinusitis (sinusitis)
• kuni iki (nā kuni ma lalo o 101 degere Fahrenheit a i ʻole 38 degere Celsius)
• Kuke
• Luhi, luhi (`(fatigue)`)
• Uē pinepine, hoʻomaha ʻole, a me ka nalowale o ka makemake i nā pēpē (`(fussiness or irritability)`)

Ma muli o ka hoʻopilikia ʻana o kēia maʻi i ka ʻōnaehana hanu o ke keiki, hiki ke loaʻa kekahi mau hōʻailona e pili ana i ka hanu ʻana:

• Hanu wikiwiki a pāpaʻu paha
• Wheezing (he kani hū i ka wā e hanu ana)
• Nā leo ʻūhū i ka wā e hanu ana
• Ka ʻō ʻana o nā puka ihu i ka wā e hanu ana

I ka manawa hea e ʻimi ai i ke kōkua lapaʻau ulia pōpilikia (e makaʻala loa i kēia mau hōʻailona!):

Inā pilikia kāu keiki i ka hanu ʻana, a inā loaʻa iā lākou kekahi o kēia mau hōʻailona o ka bronchiolitis koʻikoʻi , e kelepona koke aku i ke kauka o kāu keiki a lawe paha iā lākou i ka keʻena pilikia o ka haukapila kokoke loa.

• Ka paʻakikī o ka omo ʻana a/a i ʻole ke ale ʻana (ʻo ia hoʻi, ʻaʻole hiki i ka pēpē ke ʻai a inu pono paha)
• Ka nui o ka ʻō ʻana o nā ihu a me ka wheezing i ka wā e hanu ana
• ʻO ka huki ʻana o ka umauma i ka wā e hanu ana (pipili pono ka ʻili ma ka umauma o ke keiki i nā iwi ʻaoʻao a me he mea lā e piholo ana i loko - kapa mākou i kēia "nā huki ʻana o ka umauma")
• Polū, hina, a ʻeleʻele paha ke kala o nā lehelehe, nā manamana lima, a i ʻole nā ​​manamana wāwae (cyanosis). Hana ʻia kēia ke loaʻa ʻole i ke kino ka oxygen lawa.
• Waha maloʻo, ʻaʻohe a emi iki paha ka mimi ʻana, ʻaʻohe waimaka i ka wā e uē ana (hiki i kēia ke lilo i mau hōʻailona o ka maloʻo ʻana o ka wai )

He aha nā kumu o ka bronchiolitis?

ʻO ke kumu nui o kēia maʻi he maʻi viral . Aia kekahi mau ʻano virus e hiki ke hoʻoulu i ka bronchiolitis:

• ʻO ka maʻi Respiratory Syncytial Virus (RSV): ʻO kēia ke kumu maʻamau.
• Maʻi palū: ʻO ka maʻi e hoʻoulu ai i ka maʻi palū a mākou e kapa pinepine ai ʻo "flu."
• ʻO ka maʻi Adenovirus
• ʻO ka maʻi maʻi parainfluenza (Parainfluenza)
• ʻO ka maʻi Metapneumovirus
• ʻO ka maʻi SARS-CoV-2: ʻO kēia ka maʻi e hoʻoulu ai i ka COVID-19 (COVID-19).

ʻO wai ka mea i ʻoi aku ka pilikia o ka loaʻa ʻana o kēia maʻi?

ʻO ka Bronchiolitis kahi maʻi e hoʻopilikia pinepine i nā keiki ma lalo o ʻelua makahiki . Hiki i nā pākeke ke loaʻa iā ia, akā he mea kakaikahi. Hiki i kāu keiki ke loaʻa i ka bronchiolitis koʻikoʻi no kēia mau kumu:

• He pēpē i hānau ʻia ma mua o 37 mau pule o ka hāpai ʻana (kapa mākou iā lākou he "nā pēpē hānau mua").
• Inā he maʻi puʻuwai a māmā paha kou i hānau ʻia.
• Inā nāwaliwali ka ʻōnaehana pale maʻi o ke keiki (`(compromised immune system)`) .
• Inā ʻoe e hele pinepine ana i nā wahi piha kanaka e like me nā hale mālama keiki.

He aha nā pilikia e hiki ai i kēia ke hana?

Hiki i ka Bronchiolitis ke hana i nā pilikia ʻē aʻe i kekahi manawa. ʻO nā mea nui:

• Pneumonia
• Asthma (aia kekahi mau keiki i ka pilikia o ka loaʻa ʻana o ka hānō ma hope o ke ola)
• Ka hāʻule ʻana o ka hanu

He mea nui: He maʻi hoʻoweliweli ka Bronchiolitis i ke ola inā loaʻa i kāu keiki nā hōʻailona koʻikoʻi e hoʻopilikia nui i ko lākou hiki ke hanu. No laila, inā ʻike ʻoe e pilikia ana kāu keiki i ka hanu ʻana, e kelepona koke iā 1990 (ka lawelawe ambulance ulia pōpilikia o Sri Lanka), a i ʻole e lawe i kāu keiki i ka keʻena ulia pōpilikia kokoke loa.

Pehea e ʻike ai nā kauka i kēia maʻi?

E ʻike ke kauka o kāu keiki i ka bronchiolitis ma ka nānā kino ʻana i kāu keiki a me ka hana ʻana i nā hoʻokolohua inā pono . I ka wā o ka hoʻokolokolo kino, e nānā ke kauka i nā hōʻailona koʻikoʻi o kāu keiki, ka mahana, a e hoʻolohe i ka hanu ʻana o kāu keiki me kahi stethoscope ("auscultation") i kau ʻia ma ko lākou umauma.

E nīnau pū ke kauka iā ʻoe i nā nīnau e pili ana i nā hōʻailona o kāu keiki. Eia kekahi laʻana:

• ʻEhia ka lōʻihi o ka loaʻa ʻana o kēia mau hōʻailona i ke keiki?
• Ua loaʻa i ke keiki ke kuni?
• Ua launa pū anei ke keiki me nā poʻe ʻē aʻe i maʻi i kēia mau lā iho nei?

Hiki i ke kauka ke hoʻopili i kahi mea liʻiliʻi i kapa ʻia he pulse oximeter i ka manamana lima a i ʻole ka manamana wāwae o ke keiki e nānā i ka pae oxygen i ke koko o ke keiki.

Inā pono, hiki ke hana ʻia kahi moʻomeheu wai ihu e ʻike ai i ke ʻano o ka maʻi. Inā loaʻa i ke keiki nā hōʻailona koʻikoʻi, hiki ke hana ʻia kahi X-ray umauma .

Ua like nā hōʻailona o ka bronchiolitis me nā maʻi ʻē aʻe?

ʻAe, hiki ke like nā hōʻailona o ka bronchiolitis me nā maʻi hanu ʻē aʻe, e like me ka bronchitis a me ka pneumonia. Eia kekahi, hiki ke kuhihewa ʻia ke kani ʻana o ka wheezing i ka wā e hanu ana no ka hānō. I kekahi manawa, hiki ke kānalua ʻia ua hanu ke keiki i kahi mea (`(aspirated)`).

E hoʻomanaʻo, inā manaʻo ʻoe ua pilikia kāu keiki i ka hanu ʻana, e ʻike koke i ke kauka. ʻO ke kauka wale nō ke hiki ke hoʻokaʻawale i kekahi pilikia hanu mai kekahi a hana i kahi hōʻailona pololei.

He aha ka lāʻau lapaʻau no kēia?

ʻO ke kumu nui o ka mālama ʻana no ka bronchiolitis, ʻo ia ka hōʻoluʻolu ʻana i nā hōʻailona , ​​ʻo ia hoʻi ka hoʻēmi ʻana i ka ʻehaʻeha e ʻike nei ke pēpē.

• Nā lāʻau antipyretic: No ka laʻana, paracetamol.
• Nā lāʻau lapaʻau antiviral: No ka laʻana, inā he virus ka mea i hoʻoulu ʻia ai ka maʻi flu, hiki ke kuhikuhi ʻia kahi lāʻau lapaʻau e like me oseltamivir (he hoʻoholo kēia na ke kauka).

ʻAʻole pono nā hihia āpau o ka bronchiolitis i ka mālama ʻana, no laila ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka inā loaʻa nā hōʻailona o kāu keiki. E hoʻomanaʻo, he maʻi viral kēia, no laila ʻaʻole e kōkua nā antibiotics.

Inā pilikia kāu keiki i ka hanu ʻana, pono paha lākou e lawe ʻia i ka haukapila. Ma ka haukapila, pono paha lākou e hāʻawi ʻia i ka oxygen therapy a i ʻole nā ​​​​wai intravenous (nā wai IV, ʻo ia hoʻi ka saline) .

Pehea e mālama ai i ka bronchitis ma ka home?

ʻOiai ʻoe e nānā mau i ka hanu ʻana o kāu keiki, hiki iā ʻoe ke kōkua i kāu keiki e ʻoluʻolu ma ka hana ʻana i kēia mau mea ma ka home:

• E hoʻomaha maikaʻi ke keiki.
• Inā ʻaʻole makemake kāu keiki e ʻai i ka meaʻai nui i ka manawa hoʻokahi, e hānai iā ia i nā meaʻai liʻiliʻi i nā manawa he nui i ka lā.
• I mea e pale aku ai i ka maloʻo ʻana o ka wai, e hāʻawi i kāu keiki i nā wai he nui e inu ai. No nā keiki ma lalo o hoʻokahi makahiki, ʻoi aku ka maikaʻi o ka waiū umauma a i ʻole ka waiū waiū. No nā keiki makua, hiki ke hāʻawi ʻia nā mea inu electrolyte e like me Pedialyte ma ke ʻōlelo aʻo a ke kauka.
• E kau i kahi mea hoʻohaʻahaʻa i loko o ka lumi o kāu keiki. Kōkua ka ea pulu i ka hoʻokuʻu ʻana i ka mucus a me nā mea huna ʻē aʻe a maʻalahi hoʻi e hoʻokuʻu.
• Inā paʻa kou ihu, e hoʻohana i nā kulu ihu saline a me kahi mea omo ihu.
• E hāʻawi i kāu keiki i kahi lāʻau hoʻohaʻahaʻa kuni, e like me ka paracetamol (Tylenol), e like me ke kuhikuhi a kāu kauka.

ʻŌlelo Aʻo: Mai hāʻawi i ka aspirin i nā keiki. ʻO ka hana ʻana pēlā e hiki ai ke hana i kahi maʻi weliweli i kapa ʻia ʻo Reye's syndrome.

Pehea ka lōʻihi o ka hoʻomau ʻana o ka bronchiolitis?

ʻOi aku ka maikaʻi o ka hapa nui o nā keiki i ʻike ʻia me ka bronchiolitis i loko o hoʻokahi pule . Hiki ke hoʻomaikaʻi ʻia ka hanu ʻana i loko o kekahi mau lā, a nalowale ka hapa nui o nā hōʻailona i loko o hoʻokahi pule. Eia nō naʻe, i nā hihia kakaikahi, hiki ke hoʻomau nā hōʻailona liʻiliʻi no hoʻokahi a ʻelua paha pule. Hiki i ke kuni o ke keiki ke mau a hiki i hoʻokahi mahina.

He aha kaʻu e manaʻo ai inā loaʻa ka bronchiolitis i kaʻu keiki?

Inā loaʻa i kāu keiki ka bronchiolitis, hiki iā lākou ke loaʻa nā hōʻailona no hoʻokahi pule. I loko o kēia manawa o ka maʻi, hiki i kāu keiki ke paʻakikī i ka ʻai pono ʻana a nalowale paha ko lākou makemake. I kēlā mau hihia, e hoʻāʻo e hānai iā lākou i nā meaʻai liʻiliʻi i ka lā a pau ma kahi o nā meaʻai nui. He mea nui e mālama i kāu keiki i ka wai maikaʻi i kēia manawa, no ka mea, ʻoi aku ka nui o ko lākou pilikia o ka make wai.

E nīnau i kāu kauka i ka mea palekana e hāʻawi i kāu keiki e hōʻoluʻolu i nā hōʻailona a hoʻemi i ke kuni. Mai hāʻawi i ka aspirin no kekahi kumu , no ka mea hiki iā ia ke hana i ka maʻi Reye.

Inā ʻaʻole e hoʻomaikaʻi nā hōʻailona o kāu keiki ma hope o hoʻokahi pule, a inā e ʻoi aku ka ʻino, e ʻike i ke kauka. Inā pilikia kāu keiki i ka hanu ʻana, e kāhea koke i nā lawelawe ulia pōpilikia a i ʻole e hele i ka keʻena ulia pōpilikia o ka haukapila.

Inā loaʻa i kekahi mau keiki ka bronchiolitis i ko lākou wā pēpē, hiki iā lākou ke loaʻa i ka hānō i ko lākou ulu ʻana. Eia kekahi, hiki ke loaʻa ka niumonia ma hope o ka bronchiolitis, akā ʻaʻole kēia i maʻamau.

Hiki ke hana ʻia ka bronchiolitis ma mua o hoʻokahi manawa?

ʻAe. No ka mea, aia kekahi mau ʻano virus e hiki ke hoʻoulu i ka bronchiolitis, hiki i kāu keiki ke loaʻa i kēia maʻi ma mua o hoʻokahi manawa.

Hiki ke pale ʻia ka bronchiolitis?

Ma muli o ka maʻamau o nā maʻi e hoʻoulu ai, he paʻakikī ke pale loa i ka bronchiolitis. Eia nō naʻe, hiki iā ʻoe ke hana i kēia mau hana e hōʻemi i ka pilikia o kāu keiki i ka loaʻa ʻana:

• E pale i ka poʻe maʻi.
• E mālama i ka maʻa o ka holoi maikaʻi ʻana i kou mau lima (e holoi mau i kou mau lima me ke kopa, a e aʻo aku i kāu keiki e hana like).
• E hoʻomaʻemaʻe mau a hoʻomake i nā mea i hoʻopā pinepine ʻia e like me nā mea pāʻani a me nā ʻūpā puka.
• Mai kaʻana like i nā mea e like me ke kīʻaha, ka puna, a me nā ʻō me nā poʻe ʻē aʻe.

E mālama i kāu keiki ma ka home mai ka mālama keiki a i ʻole nā ​​​​​​wahi pili ʻē aʻe a hiki i kona ho'ōla ʻana, no ka mea, he mea laha ka maʻi i hoʻoulu ai i ka maʻi o kāu keiki.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, ​​e ʻike koke i ke kauka:

• Inā ʻoe e hōʻike ana i ka luhi nui, ka lethargy a i ʻole ka hiamoe.
• Inā ʻike ʻia ka ʻili o ke keiki, nā manamana lima, a i ʻole nā ​​lehelehe he polū, hina, a keʻokeʻo paha .
• Inā e ʻoi aku ka ʻino o nā hōʻailona.

Inā manaʻo ʻoe ʻaʻole e hoʻomaikaʻi ana ke kūlana o kāu keiki, a inā he hopohopo kou e pili ana i kekahi mea, mai makaʻu e kamaʻilio me ke kauka.

Inā pilikia ke keiki i ka hanu ʻana (no ka laʻana, inā e pālahalaha ana nā puka ihu a i ʻole e huki ana ka umauma i loko i ka wā e hanu ana) , e kāhea koke i ka 911, a i ʻole e lawe i ke keiki i ka lumi pilikia kokoke loa o ka haukapila.

He aha nā nīnau e pono iaʻu e nīnau aku i ke kauka o kaʻu keiki?

He mea maikaʻi ke nīnau i ke kauka o kāu keiki i nā nīnau penei:

• Pono anei au e hāʻawi i kaʻu pēpē i ka lāʻau lapaʻau? Inā pēlā, pehea ka lōʻihi a me ka nui o nā manawa i ka lā e hāʻawi ai au?
• Āhea e ola piha ai kaʻu pēpē?
• Pono anei iaʻu e hoʻihoʻi mai i ke pēpē no kahi kipa ma hope?
• Pono anei au e lawe i kaʻu pēpē mai ke kula a i ʻole ka hale mālama keiki no kekahi mau lā?
• He aha nā lāʻau ʻeha ʻeha kūʻai ma ke kauka āu e ʻōlelo nei no ke kuni a me nā ʻeha kino?
• He aha nā hōʻailona e pono iaʻu e makaʻala nui ai?

ʻO ka Bronchiolitis kahi maʻi e hoʻopilikia ai i nā ala ea o kāu keiki. Hiki iā ia ke paʻakikī iā lākou ke hanu. E ʻike mua paha ʻoe he mau hōʻailona o ke anu kāu keiki a hana i kahi leo wheezing ke hanu lākou. Inā hopohopo ʻoe e pili ana i ka hanu ʻana o kāu keiki, e ʻike i ke kauka. Aia nā lāʻau lapaʻau e hiki ke kōkua i nā hōʻailona o kāu keiki a hāʻawi iā lākou i ka hōʻoluʻolu. He mea maʻamau i kāu keiki ke loaʻa ka ʻū no kekahi mau pule, ʻoiai ma hope o ka pau ʻana o ka maʻi. Inā ʻoi aku ka ʻino o nā hōʻailona o kāu keiki ma kahi o ka maikaʻi, e kelepona i kāu kauka.

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai

He maʻi maʻamau ka Bronchiolitis i nā keiki ʻōpio, akā he mea nui e makaʻala iā ia. E makaʻala pono i ka hanu ʻana o kāu keiki. Inā he mau hōʻailona koʻikoʻi e like me ka paʻakikī o ka hanu ʻana a i ʻole nā ​​loli o ke kala o ka ʻili, e ʻimi koke i ke kōkua lapaʻau. Ma ka mālama pono ʻana ma ka home a me ka hahai ʻana i nā ʻōlelo a ke kauka, hiki i kāu keiki liʻiliʻi ke hoʻōla koke. E hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi, a mai kānalua e ʻimi i ke kōkua lapaʻau i kēlā me kēia manawa!

ʻO ka Bronchiolitis, Bronchiolitis, Pediatrics, Paʻakikī i ka hanu ʻana, Anu, Kuke, Nā maʻi puʻupaʻa, Nā maʻi viral, Alanui ea, Wheezing, Dehydration, Ola kino o ka pēpē, Mālama home, RSV