Ua hānau mua ʻia kāu pēpē? He pilikia kona māmā? E kamaʻilio kākou e pili ana i ka Bronchopulmonary Dysplasia!

Ke pilikia nei kāu pēpē i ka hanu ʻana no ka mea ua hānau mua ʻia ʻo ia ? A i ʻole ua haʻi aku ke kauka iā ʻoe he maʻi ko kāu pēpē i kapa ʻia ʻo Bronchopulmonary Dysplasia? He mea maʻamau ka makaʻu a me ka hopohopo i nā manawa e like me kēia. Akā, mai hopohopo. E kamaʻilio kākou e pili ana i kēia me ka maʻalahi a ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo. No ka mea, he mea nui loa iā ʻoe a me kāu pēpē ke ʻike pono i kēia maʻi.

No laila he aha ka Bronchopulmonary Dysplasia (BPD)?

I ka ʻōlelo maʻalahi, ʻo ka `(Bronchopulmonary Dysplasia)` he maʻi māmā e hiki ke loaʻa i nā pēpē hānau mua ʻole . E nānā, i ka wā e hānau mua ʻia ai kahi pēpē, ʻaʻole i ulu piha nā māmā o kēlā pēpē. Me he mea lā e kūkulu ʻia ana nā paia o kahi hale hou. No laila, ma muli o kēia, pilikia kēlā mau keiki liʻiliʻi i ka hanu ʻana iā lākou iho. A laila pono lākou e hāʻawi ʻia i ka oxygen (`Oxygen Therapy`) a i ʻole e hoʻopili ʻia i kahi mīkini hanu (`Ventilator`) e kōkua iā lākou e hanu .

ʻOiai he mea nui kēia mau lāʻau lapaʻau e hoʻopakele i ke ola o ka pēpē, i kekahi manawa hiki iā lākou ke hoʻonui i nā ʻeke ea liʻiliʻi (alveoli) i loko o nā māmā o ka pēpē me ke kumu ʻole. E noʻonoʻo i ka mea e hana ʻia inā hoʻopiha nui ʻia kahi pōpō liʻiliʻi. Ma ke ʻano like, i ka hala ʻana o ka manawa, hiki i kēia ke hōʻino i ka ʻiʻo māmā o ka pēpē a me nā ʻōmole palupalu i loko o nā ala ea (bronchi). ʻO kēia hōʻino i kēia mau ʻiʻo ua kapa ʻia ʻo "Dysplasia".

E hoʻomanaʻo, piʻi ka pilikia o ka loaʻa ʻana o kēia maʻi ma muli o ke ʻano o ka hānau mua ʻana o kāu pēpē . Hiki i kekahi mau pēpē ke hoʻopilikia nui ʻia e kēia maʻi, akā hoʻōla mālie ka hapa nui . Eia nō naʻe, hiki i kekahi ke loaʻa nā pilikia hanu no ke ola holoʻokoʻa a me nā pilikia ʻē aʻe.

He aha nā hōʻailona o kēia maʻi? Pehea mākou e ʻike ai?

Hiki ke ʻokoʻa nā hōʻailona mai kēlā pēpē a kēia pēpē me ka Bronchopulmonary Dysplasia. Eia nō naʻe, aia kekahi mau hōʻailona maʻamau e pono ʻoe e makaʻala:

• Cyanosis: I loko o kahi pēpē me ka ʻili keʻokeʻo, hiki i ka ʻili a me nā lehelehe ke lilo i ʻulaʻula. I loko o kahi pēpē me ka ʻili ʻeleʻele, hiki iā ʻoe ke ʻike i kahi melemele-hina, hina, a keʻokeʻo paha i nā lehelehe, ke alelo, a i ʻole nā ​​​​manamana lima. ʻO kēia ma muli o ka emi ʻana o ka nui o ka oxygen i loko o ke koko.
• ʻEha Hanu: Me he mea lā e paʻakikī ana ka pēpē i ka hanu ʻana. E ʻike paha ʻoe i nā mea e like me ke huki ʻia ʻana o ka umauma i loko a me ka piʻi ʻana a me ka hāʻule ʻana o ka ʻōpū me ka wikiwiki.
• Nā pae oxygen koko haʻahaʻa: He mea kēia e ʻike wale ʻia e nā kauka ma o nā hoʻokolohua.
• Apnea: Ka pau koke ʻana o ke ʻano hanu o ka pēpē, kahi e pau ai ka hanu ʻana o ka pēpē no kekahi mau kekona.
• Tachypnea: Ka hanu ʻana me ka wikiwiki ma mua o kahi pēpē maʻamau.
• Wheezing: Lohe ʻia kahi leo hū mālie i loko o ka umauma i ka wā e hanu ana.

Inā loaʻa i kāu pēpē kekahi a ʻoi aku paha o kēia mau hōʻailona, ​​​​ʻoi aku ka maikaʻi o ka hoʻomaopopo koke ʻana i ke kauka.

ʻO wai ka mea e kūpono loa e hoʻomohala i ka BPD?

E like me ka mea i ʻōlelo ʻia ma mua, ʻo nā pēpē hānau mua ka mea nui loa.

• Nā pēpē i hānau ʻia ma mua o 10 mau pule ma mua o ka manawa .
• Nā pēpē i emi ke kaumaha ma lalo o 900 grams (2 paona) i ka wā hānau.
• Nā pēpē i ulu ʻole ko lākou mau māmā a i ʻole he mau pilikia hanu mai ka hānau ʻana mai.

ʻO nā pēpē i hānau ʻia i nā pule he 32 o ka hāpai ʻana, ʻoi aku ka haʻahaʻa o ka pilikia o ka hoʻomohala ʻana i ka BPD.

He aha nā pilikia ʻē aʻe e hiki ke hana ma muli o kēia `(BPD)`?

Hoʻōla ka hapa nui o nā keiki mai ka BPD i ka piha ʻana o 5 mau makahiki. Eia nō naʻe, aia nā keiki me kēia kūlana i ka pilikia o ka hoʻomohala ʻana i nā pilikia olakino ʻē aʻe, e like me:

• Nā pilikia hoʻoheheʻe a me ka nalowale o ka makemake.
• ʻO ka maʻi Reflux Gastroesophageal (GERD).
• Nā pilikia aʻo a me nā maʻi pili ʻē aʻe.
• Nā maʻi Neurological.
• Nā pilikia lohe a me ka ʻike.
• Ke koko kiʻekiʻe o ka puʻuwai.

Eia kekahi, hiki i kekahi mau keiki a me nā mākua i loaʻa ka BPD i ko lākou wā kamaliʻi ke loaʻa i nā pilikia ʻē aʻe o ka māmā. Eia kekahi laʻana:

• Asthma
• ʻO ka bronchitis
• ʻApnea hiamoe pale
• Pneumonia
• Maʻi Alanui Reactive
• Nā maʻi koʻikoʻi '(RSV - Respiratory Syncytial Virus)'.

Mai makaʻu i ka lohe ʻana i kēia mau mea. ʻAʻole hiki kēia mau mea a pau i nā pēpē a pau. Akā, he mea nui e makaʻala iā lākou.

Pehea e ʻike pololei ai nā kauka i kēia maʻi (BPD)?

Inā hānau mua ʻia kāu pēpē a pono ke kōkua i ka hanu ʻana no nā lā 28 mua o ke ola, e manaʻo pinepine nā kauka he maʻi kona i kapa ʻia ʻo "BPD." ʻAʻohe hoʻāʻo kikoʻī e ʻike ai i kēia maʻi. Eia nō naʻe, aia kekahi mau hoʻāʻo e hiki ke kōkua i ka ʻike ʻana a kōkua i ka mālama ʻana i ke kūlana:

• Nā hoʻāʻo koko: E nānā i ka nui o ka oxygen i loko o ke koko o ke pēpē.
• Nā hoʻāʻo kiʻi e like me ka X-ray umauma: E nānā i ke kūlana o nā māmā o ke pēpē.

Hoʻoholo nā kauka ma muli o ka ʻike i loaʻa mai kēia mau hoʻokolohua, a me nā hōʻailona o ke pēpē a me ka mōʻaukala olakino.

Hiki ke ho'ōla loa ʻia ka BPD?

ʻO kaʻoiaʻiʻo, ʻaʻohe lāʻau lapaʻau kūikawā no ka Bronchopulmonary Dysplasia . Eia naʻe, ʻaʻole ia he manaʻo ʻaʻole hiki iā ʻoe ke manaʻolana. Hiki i ka lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i ka hōʻino hou ʻana i nā māmā a kōkua i ka ulu ʻana a me ka ho'ōla ʻana o nā māmā o kāu pēpē .

No laila he aha ka lāʻau lapaʻau no kēia?

ʻO ka pahuhopu nui o ka mālama ʻana i ka BPDʻO ka pahuhopu ka wehe ʻana i ka pēpē mai ka oxygen i ka hikiwawe loa a ʻae iā ia e hanu iā ia iho. ʻO ka pahuhopu o ka lāʻau lapaʻau ka hoʻomaikaʻi ʻana i ka hana māmā o ka pēpē. Hoʻohana ʻia nā ʻano lāʻau like ʻole no kēia:

• ʻIke Meaʻai: ʻO ka hoʻonui ʻana i ka nui o nā calorie o ka meaʻai i hāʻawi ʻia i ka pēpē e kōkua i ka ulu ʻana o ka māmā, no ka mea, he mea nui ka meaʻai maikaʻi no ka ulu ʻana o nā hunaola māmā.
• Diuretics: Hoʻemi kēia mau lāʻau lapaʻau i ka nui o ka wai keu e hōʻiliʻili ana i loko a puni nā māmā, e maʻalahi ai ka hanu ʻana.
• Nā Bronchodilators: Hana kēia ma ka hoʻomaha ʻana i nā ʻiʻo a puni nā alaloa, e hoʻonui ana i nā alaloa, e like me ka wehe ʻana i kahi alaloa i ālai ʻia.
• Corticosteroids: Kōkua kēia mau lāʻau lapaʻau i ka hōʻemi ʻana i ka pehu (mumū) i loko a puni nā māmā.
• ʻO Nirsevimab a i ʻole Palivizumab: He mau lāʻau pale antibody kēia i hāʻawi ʻia e pale i kāu pēpē mai nā maʻi viral e like me RSV.
• Mīkini `nCPAP` ihu `(Nasal Continuous Positive Airway Pressure)`: He mīkini liʻiliʻi kēia. Hoʻokuke ia i ka ea i loko o nā māmā ma o ʻelua mau ʻōpuʻu kūikawā (nā paipu liʻiliʻi) i kau ʻia i loko o ka ihu o ka pēpē. Kōkua kēia i ka wehe ʻana o nā māmā.
• Tracheostomy: No nā pēpē me ka BPD koʻikoʻi, hiki i nā kauka ke hana i ke ʻoki kino e hoʻokomo pololei i kahi paipu i loko o ka windpipe (trachea) ma o ka ʻāʻī e kōkua iā lākou e hanu. He manawa pōkole kēia pinepine.

Na ke kauka ka mea nāna e hoʻoholo i ka lāʻau kūpono loa no kāu pēpē.

ʻEhia ka lōʻihi e hanu ai ke pēpē iā ia iho ma hope o ka mālama ʻana?

Ke hoʻomaka ka lāʻau lapaʻau, e holomua mālie ke olakino o kāu pēpē i nā mahina e hiki mai ana . I loko o kēia manawa, e hoʻomau ka ho'ōla a me ka ulu ʻana o nā māmā o kāu pēpē. ʻO ka pahuhopu nui loa, ʻo ia ka hiki i kāu pēpē ke hanu iā ia iho me ke kōkua ʻole. Hiki i kēia ke lōʻihi, no laila e hoʻomanawanui.

Inā loaʻa i kāu pēpē kēia mau hōʻailona, ​​pono anei ʻoe e ʻike koke i ke kauka?

ʻOiai ma hope o ka hoʻi ʻana o kāu pēpē i ka home ma hope o ka mālama ʻana, aia kekahi mau mea āu e makaʻala ai. Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, ​​e ʻike koke i kāu kauka:

• ʻŪhū mau.
• Inā he leo hoʻohū mau.
• Inā paʻakikī iā ʻoe ke ʻai, inā hōʻole ʻoe i ka meaʻai.
• Inā nui aʻe kou mau puka ihu i kou hanu ʻana (nā puka ihu e lele ana).
• Inā ʻoe e hanu nui a wikiwiki hoʻi.
• Inā ʻoe e hōʻike nei i nā hōʻailona o kahi maʻi viral e like me ke kuni, ka ʻūhā, a me ka ʻū.
• Inā ua hoʻonui ʻia ka hanu ʻana.

Pilikia! Inā pau ka hanu ʻana o ka pēpē, paʻakikī ka hanu ʻana, a i ʻole e polū/hina ka ʻili a i ʻole nā ​​lehelehe, e lawe koke iā lākou i ka haukapila a i ʻole e kelepona i ka 911.

Pehea e hōʻemi ai i ka pilikia o ka loaʻa ʻana o kahi pēpē me BPD? (I ka wā hāpai)

Inā hāpai ʻoe i kēia manawa, he mea nui loa ia e noho olakino a hana i nā hana e pale aku ai i ka hānau mua ʻana . ʻO kēia no ka mea ua emi nui ka pilikia o ka BPD inā loaʻa i nā māmā o ka pēpē ka manawa kūpono e ulu pono ai. Hiki iā ʻoe ke hana i kēia mau mea e hōʻemi ai i kēia pilikia:

• E pale loa i ka hoʻohana ʻana i ka paka, nā lāʻau lapaʻau a me ka waiʻona.
• E ʻai i ka meaʻai maikaʻi a momona hoʻi.
• E hele i nā keʻena lapaʻau e like me ka mea i hoʻonohonoho ʻia i kou wā hāpai.
• E hōʻemi i ke kaumaha i ka hiki.

ʻO ka hahai ʻana i kēia mau mea e hoʻonui ai i kou manawa e loaʻa ai kahi pēpē olakino.

Inā loaʻa ka BPD i kaʻu pēpē, he aha kaʻu e manaʻo ai? Pehea wau e mālama ai iā ia ke hoʻi ʻo ia i ka home?

ʻOiai ma hope o ka hoʻi ʻana mai o kāu pēpē mai ka haukapila mai, ke ulu mau nei ko lākou mau māmā. No laila, he palupalu loa lākou a he mea hiki ʻole ke hōʻeha ʻia . ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ke olakino o kāu pēpē. No ka hana ʻana i kēia, e hana i kēia mau mea:

• E mālama i kāu pēpē mai nā poʻe me nā maʻi ʻōpū hanu, ʻoi aku hoʻi ka RSV.
• E kiʻi i ka lāʻau pale maʻi palū (flu) no nā mea a pau o ka ʻohana.
• E pale piha i kāu pēpē mai ka uahi paka a me nā uahi ʻino ʻē aʻe (ʻoi aku ka uahi o ka cigarette).

Hiki i nā pēpē me BPD ke loaʻa ka pilikia i ka ʻai ʻana, hiki ke emi ke kaumaha, a hiki ke emi ka ulu ʻana. No laila, he mea nui loa e ʻike i ke kauka i nā lā maʻamau a nānā i ka ulu ʻana o ka pēpē . A laila, inā he pilikia, hiki ke hoʻoponopono koke ʻia.

Ma muli o ko lākou hānau mua ʻole ʻia ʻana, hiki i nā pēpē me BPD ke loaʻa i kekahi mau lohi i kā lākou mau pae hoʻomohala . ʻO ke ʻano kēia e lōʻihi iki paha ka manawa e hana ai lākou i nā mea a nā pēpē ʻē aʻe e hana ai (e laʻa, ka minoʻaka, ka paʻa ʻana i ko lākou ʻāʻī, ke kolo ʻana). Akā, mai hopohopo, nui nā pēpē e lanakila i kēia mau lohi me nā ʻano lāʻau like ʻole (e laʻa, ka hoʻōla kino, ka hoʻōla ʻōlelo, ka hoʻōla hana) a hopu i nā poʻe ʻē aʻe.

ʻOiai hiki i kekahi mau hihia koʻikoʻi o ka BPD ke hoʻoweliweli i ke ola, ola ka hapa nui o nā pēpē . I ko lākou ulu ʻana a me ke kaumaha ʻana, e holomua mālie ana ko lākou olakino.

He ʻeha loa ka ʻike ʻana i kāu keiki liʻiliʻi e hakakā nei e hanu. Makemake ʻoe e paʻa iā ia. Akā, ua hoʻopili ʻia ke pēpē i nā mea nānā a me nā mea kōkua hanu. Hopohopo nui ʻoe no kona olakino. Ke noʻonoʻo nei paha ʻoe, "Auē, inā ua hana kēia iaʻu." Akā, e hilinaʻi mai iaʻu, ke hana nei nā kauka a me nā kahu maʻi e mālama nei i kāu pēpē i nā mea āpau e hiki ai iā lākou ke lawe iā ia i kahi kūlana kahi e hiki ai iā ia ke hanu iā ia iho.ʻOiai inā he manawa iki, e hoʻomaka ana kāu pēpē e hanu iā ia iho, a e hiki iā ʻoe ke lawe iā ia i ka home.

ʻO ka mea hope loa, ʻo ka mea nui loa (Leka Lawe-Home)

ʻAe, eia nā mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai:

• ʻO ka Bronchopulmonary Dysplasia (BPD) kahi maʻi māmā e hoʻopilikia nui ana i nā pēpē hānau mua .
• Ma muli kēia o nā māmā ʻōpiopio a me ka pōʻino e hiki i nā lāʻau lapaʻau hoʻōla ola (oxygen, ventilators) ke hana i nā māmā.
• Hiki i nā hōʻailona ke komo pū me ka paʻakikī o ka hanu ʻana, ka ʻili polū, a me ka hanu wikiwiki.
• ʻOiai ʻaʻohe lāʻau lapaʻau, hiki i ka lāʻau lapaʻau ke kōkua i ka ulu ʻana a me ka ho'ōla ʻana o nā māmā.
• ʻOiai ma hope o ka lawe ʻana mai i kāu pēpē i ka home, he mea nui loa ia e pale iā lākou mai nā maʻi hanu, e mālama iā lākou mai ka uahi, a e lawe iā lākou no nā hoʻokolohua lapaʻau maʻamau .
• Hoʻōla ʻia ka nui o nā pēpē mai kēia maʻi a ola i ke ola olakino. No laila, ʻo ka mea nui loa, ʻo ia ka noʻonoʻo maikaʻi a hahai i nā ʻōlelo aʻoaʻo a nā kauka .

Inā he mau nīnau hou aku kāu, hopohopo, a kānalua paha, e kamaʻilio ākea me kāu kauka. E kōkua lākou iā ʻoe.

ʻO ka Bronchopulmonary Dysplasia, BPD, pēpē hānau mua, maʻi māmā, oxygen therapy, ventilator, pilikia hanu, nā pēpē hānau mua, maʻi māmā, pilikia hanu