Calfactant: E aʻo kākou e pili ana i kēia lāʻau lapaʻau kūikawā i hāʻawi ʻia i nā pēpē hānau mua no nā pilikia hanu

He mea paʻakikī ke wehewehe ma nā huaʻōlelo i ka hopohopo a me ka makaʻu a ka makuahine a makua paha e manaʻo ai i ka wā e hānau mua ʻia ai kahi pēpē. He mea kaumaha loa ia ke haʻi aku nā kauka iā lākou ua pilikia ka pēpē i ka hanu pono ʻana. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau kūikawā a nā kauka e hoʻohana ai i nā manawa e like me kēia a kōkua i ka hoʻopakele ʻana i nā ola o nā pēpē he nui. ʻO ia ʻo Calfactant .

I ka ʻōlelo maʻalahi, he aha kēia Calfactant?

E noʻonoʻo, ʻaʻole i hoʻomohala piha ʻia nā māmā o kahi pēpē hānau mua, e pololei. E like me ka pua e pua ana i ka wā ʻōpiopio. No laila, he paʻakikī i kēlā mau māmā ke hana pono i ka hana o ka hanu ʻana ma o lākou iho. Ma nā ʻōlelo lapaʻau, kapa mākou i kēia maʻi ʻo Respiratory Distress Syndrome (RDS) .

I kēia manawa, e nānā, he wai kūlohelohe ko kahi pēpē olakino a piha i ka manawa i loko o ko lākou mau māmā. Ua kapa ʻia kēia he surfactant . ʻO kāna hana ka mālama ʻana i nā ʻeke ea liʻiliʻi i loko o nā māmā, ʻo ia hoʻi nā alveoli , e like me nā pōpō liʻiliʻi, e hāmama a ʻaʻole e pili pū i ka wā e hanu ai mākou i waho. ʻO kēia surfactant ka mea e hiki ai iā mākou ke hanu i loko a i waho me ka maʻalahi.

Akā i nā pēpē hānau mua ʻole ʻia, hana ka māmā i ka surfactant liʻiliʻi a ʻaʻohe paha. ʻO ia ka manawa e pili pū ai nā ʻeke ea liʻiliʻi i loko o nā māmā, e paʻakikī loa ai i ka pēpē ke hanu.

Hana pinepine ʻia kēia lāʻau lapaʻau mai nā surfactants kūlohelohe (no ka laʻana, ka ʻōpala o ka māmā pipi ), ʻo ia ke kumu e hana maikaʻi ai.

Pehea lā e hāʻawi ai i kēia lāʻau lapaʻau i ka pēpē? Pono anei kākou, ma ke ʻano he mau mākua, e makaʻu?

ʻO kēia ka pilikia nui loa i loaʻa i nā mākua he nui. He mea nui e hoʻomanaʻo i kēia:

• Hāʻawi wale ʻia ka lāʻau lapaʻau ʻo Calfactant i nā pēpē i loko o ka haukapila, ʻoi aku hoʻi i loko o kahi Neonatal Intensive Care Unit (NICU).
• ʻAʻole kēia he lāʻau lapaʻau e lawe i ka home a hāʻawi i nā mākua.
• Hāʻawi ʻia kēia e PediatricsNa nā kauka loea a me nā limahana kahu maʻi i hoʻomaʻamaʻa kūikawā ʻia.

ʻO ke ʻano o ka hāʻawi ʻana i ka lāʻau lapaʻau penei wale nō: Hoʻokomo pololei ʻia kēia lāʻau lapaʻau wai i loko o nā māmā ma o ka ʻōmole endotracheal i kau ʻia e kōkua i ka pēpē e hanu. I loko o kēia manawa, nānā pono ke kime lapaʻau i nā mea āpau mai ka helu o ka puʻuwai o ka pēpē, nā pae oxygen, a me nā ʻano hanu. No laila aia kāu pēpē i nā lima palekana loa. ʻAʻole pono ʻoe e hopohopo no ia mea.

He aha nā hopena ʻaoʻao e hiki ke loaʻa mai ka lawe ʻana i ka lāʻau lapaʻau?

E like me nā lāʻau lapaʻau āpau, aia nā hopena ʻaoʻao . Akā e hoʻomanaʻo, ʻoi aku ka nui o nā pono i kāu pēpē mai ka lawe ʻana i kēia lāʻau lapaʻau ma mua o nā pilikia. ʻO ia ke kumu e makaʻala mau ai ka hui lapaʻau no kēia mau hopena ʻaoʻao. Ua mākaukau lākou e mālama i nā loli inā loaʻa.

E wehewehe hou aku kākou i kēia me ka papa ma lalo nei.

Hiki ke hopohopo kēia mau mea ke ʻike. Akā ʻo ka ʻoiaʻiʻo, i ka hāʻawi ʻana i kāu pēpē i kēia lāʻau lapaʻau, ke nānā nui nei nā kauka a me nā kahu maʻi i kēia mau hōʻailona a pau ma mua ou. No laila, mai hopohopo.

He aha kā kākou kuleana ma ke ʻano he mau mākua?

Hiki paha iā ʻoe ke manaʻo he kōkua ʻole ke noho kāu pēpē i loko o ka lumi mālama koʻikoʻi, akā aia kekahi mau mea nui hiki iā ʻoe ke hana.

1. E nīnau i nā nīnau: E nīnau i kāu kauka a i ʻole nā ​​limahana kahu maʻi i nā nīnau a hopohopo paha āu e pili ana i kēia lāʻau lapaʻau a i ʻole ke kūlana o kāu pēpē. E wehewehe lākou i nā mea āpau iā ʻoe ma nā ʻōlelo maʻalahi.

2. Hāʻawi i ka ʻike: E haʻi i ke kauka inā loaʻa i kekahi o ka ʻohana kekahi maʻi ʻaleka, ʻoi aku hoʻi i ka pipi. E hoʻomaopopo pū i ke kauka inā ke lawe nei ka pēpē i nā lāʻau lapaʻau ʻē aʻe.

3. E noho maikaʻi: He mea nui loa kou ikaika noʻonoʻo i kēia manawa. E hilinaʻi e hana ana ka hui lapaʻau i kā lākou mea maikaʻi loa.

Hiki i kēia lāʻau lapaʻau ke launa pū me nā lāʻau lapaʻau ʻē aʻe?

Aia paha kekahi mau pilina me kekahi mau lāʻau antibiotic i hanu ʻia. Akā, ʻaʻole pono ʻoe e hopohopo no kēia. ʻOiai ʻo nā lāʻau lapaʻau a pau i hāʻawi ʻia i ka pēpē ma ka NICU aia ma lalo o ka nānā ʻana a nā kauka, mālama lākou ia mea. ʻO kāu wale nō e hana ai, ʻo ia ke hāʻawi i kāu kauka i nā kikoʻī piha e pili ana i kekahi lāʻau lapaʻau e loaʻa ana i kāu pēpē ma kahi ʻē.

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

Hāʻawi ʻia kēia ma kahi haukapila, ma lalo o ka kaohi paʻa loa, no laila ua haʻahaʻa loa ka manawa kūpono o ia mea. Hoʻomaulia ʻia ka nui kūpono ma muli o ke kaumaha a me ke kūlana o ka pēpē. Akā inā hana ʻia kekahi mea e like me ia, e hana ke kime lapaʻau i nā hana e pono ai.

ʻO ka maʻamau, inā mākou e kānalua i kahi lāʻau make, kāhea mākou i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo . A hele mākou i ka Emergency Treatment Unit (ETU) kokoke loa. Akā me kēia lāʻau lapaʻau, ʻaʻole pono nā mākua e hana i kēia mau mea, no ka mea, hana ʻia nā mea āpau i loko o ka haukapila ma lalo o ka nānā ʻana o ke kauka.