Ua ʻike au ua hopohopo nui ʻoe no ke olakino o kāu keiki liʻiliʻi i kēia mau lā, no ka mea, ua hānau mua ʻia ʻo ia a i ʻole me ke kaumaha haʻahaʻa i ka wā hānau. ʻOi aku ka nui o ka pilikia o kēlā mau pēpē i ka hanu ʻana. ʻO ke kumu nui o kēia, ʻaʻole i hoʻomohala piha ʻia ko lākou mau māmā no ka hānau ʻana. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau koʻikoʻi a nā kauka e hoʻohana ai i nā manawa e like me kēia, hiki ke hoʻopakele i ke ola o ka pēpē.
He aha kēia Calfactant?
I ka ʻōlelo maʻalahi, ʻo ka 'surfactant māmā' kahi mea wai kūlohelohe e kōkua ai i ka mālama ʻana i nā ʻeke ea liʻiliʻi (alveoli) i loko o ko kākou mau māmā a ʻaʻole e pipili pū i ka wā e hanu ai kākou. E noʻonoʻo e like me ka wā e hoʻopiha ai ʻoe i kahi pōpō kopa, mālama ka ea i loko i ka pōpō mai ka hiolo ʻana.
He liʻiliʻi loa ka surfactant i loko o ke kino o nā pēpē i hānau mua ʻole ʻia, e paʻakikī ai iā lākou ke mālama i ko lākou mau māmā i ka wā e hanu ana. ʻO Calfactant (i ʻike pinepine ʻia e ka inoa inoa ʻo Infasurf ) he surfactant i hana ʻia a hāʻawi pololei ʻia i nā māmā o ka pēpē e kōkua i ka hoʻoponopono ʻana i kēia hemahema.
Hoʻohana ʻia kēia lāʻau lapaʻau e mālama a pale aku i kahi maʻi i kapa ʻia ʻo Respiratory Distress Syndrome (RDS), ka mea e kū mai ana i nā pēpē hānau mua ʻole.
Pehea ʻoe e hāʻawi ai i kēia lāʻau lapaʻau i kahi pēpē?
ʻAʻole kēia he syrup a i ʻole ka pila hiki ke hoʻohana ʻia ma ka home. Pono e hāʻawi wale ʻia ma kahi haukapila, ʻoiai ma kahi Neonatal Intensive Care Unit (NICU) , e ke kauka a i ʻole nā limahana kahu hānai kūikawā i loaʻa i ke aʻo kūikawā ma kēia.
Hoʻouna pololei ʻia kēia wai i loko o nā māmā ma o kahi ʻōmole liʻiliʻi (endotracheal tube) i kau ʻia i loko o ka waha o ka pēpē e kōkua iā ia e hanu. I ka wā a ma hope o kēia, e nānā pono ke kauka a me nā limahana hānai i ka pēpē. Hoʻomau ʻia ka nānā ʻana i ka puʻuwai o ka pēpē a me nā pae oxygen me ke kōkua o nā mīkini.
Nā mea nui e hoʻomaopopo i ka hui lapaʻau
Ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau, e nānā pono ke kime lapaʻau i ka mōʻaukala olakino piha o ka pēpē a me ka makuahine. Eia nō naʻe, inā he mea kūikawā āu e ʻike ai, ma ke ʻano he makua, he mea nui loa ia e hoʻomaopopo i ke kauka.
- Nā maʻi ʻaleka: E haʻi i kāu pēpē a i ʻole kekahi o kou ʻohana inā he maʻi ʻaleka ko lākou i kekahi mau lāʻau lapaʻau, meaʻai, a i ʻole nā mea hoʻoluʻu. ʻO ka mea kūikawā, ʻo Calfactant kahi lāʻau lapaʻau i hana ʻia mai kahi mea i lawe ʻia mai nā māmā o nā keiki bipi.He mea nui loa e hoʻomaopopo mai iā mākou inā loaʻa iā ʻoe kahi maʻi alerika i nā huahana pipi.
- Nā lāʻau lapaʻau ʻē aʻe: E hoʻomaopopo i ke kauka e pili ana i nā lāʻau lapaʻau ʻē aʻe, nā huaora, a i ʻole nā mea hoʻohui a ka makuahine i lawe ai i ka wā hāpai.
- Ka hānai waiū ʻana: Inā e hānai waiū ana ka makuahine, he mea nui e hoʻomaopopo i ke kauka e pili ana i kēia.
He aha nā hopena ʻaoʻao i manaʻo ʻia?
ʻOiai ua nānā pono ʻia ke pēpē i ka wā e loaʻa ana kēia lāʻau lapaʻau, ua mākaukau ka hui lapaʻau e ʻike koke a hoʻokele i nā hopena ʻaoʻao. Eia nō naʻe, he mea maikaʻi ke ʻike i kēia ma ke ʻano he makua.
| ʻAno o ka hopena ʻaoʻao | Ka wehewehe a me nā mea e pono ai ke hana |
|---|---|
| Inā ʻike ʻoe i kēia mau hōʻailona, e haʻi koke aku i kāu kauka a kahu maʻi paha. | |
| Nā hopena maʻi ʻaleka | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe a i ʻole ke alelo. |
| ʻIli polū (Cyanosis) | Polū ka ʻili, nā lehelehe, a i ʻole nā kui lima o ka pēpē (ʻo ia hoʻi, ʻaʻole lawa ka oxygen i ke kino). |
| Nā loli hanu | Ka hanu wikiwiki, paʻakikī, a i ʻole ka pau ʻana o ka hanu no kekahi manawa. |
| Nā loli i ke koko | Piʻi koke a hāʻule paha ke koko. |
| Nā hōʻailona o ka maʻi | Ke hōʻike nei i nā hōʻailona o kahi maʻi lele e like me ke kuni. |
| Ke kahe koko ʻano ʻē | Ke kahe koko ʻano ʻē mai ka ʻōmole hanu a i ʻole ma kahi ʻē aʻe. |
| Inā hoʻomau kēia mau mea a lilo paha i mea hoʻopilikia, e haʻi i kāu kauka. | |
| Ua emi ka helu o ka puʻuwai | Hiki ke lohi iki ka wikiwiki o kou puʻuwai i ka wā e hāʻawi ʻia ai ka lāʻau. Ke nānā mau nei ke kime lapaʻau i kēia. |
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
ʻAe, i kekahi manawa hiki. ʻOi aku ka nui, aia nā pilikia me kekahi mau lāʻau antibiotic i hanu ʻia i hāʻawi ʻia i nā māmā. Akā, ʻaʻole pono ʻoe e hopohopo no kēia. Ua ʻike ka hui lapaʻau o ka haukapila i kēlā me kēia lāʻau lapaʻau i hāʻawi ʻia i ka pēpē, no laila lawe lākou i nā hana palekana e pono ai. Hāʻawi ʻia nā lāʻau lapaʻau a pau i hāʻawi ʻia i ka pēpē ma lalo o kā lākou nānā pono ʻana.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
Hoʻokele ʻia kēia ma ka haukapila e nā loea lapaʻau i aʻo ʻia, nāna e helu pono i ka nui e kūpono i ke kaumaha a me ke kūlana o ka pēpē, no laila ua haʻahaʻa loa ka pilikia o ka overdose. Inā hana kēia, e hana koke lākou e hāʻawi i ka lāʻau lapaʻau e pono ai.
Inā makemake ʻoe i kekahi ʻike wikiwiki e pili ana i kekahi lāʻau lapaʻau a lāʻau make paha, hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Lāʻau Make Lahui ma ka Halemai Lahui ʻo Colombo . E hāʻawi lākou iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai i kēlā me kēia manawa.
Leka Lawe-Home
- He lāʻau lapaʻau kūikawā ʻo Calfactant e hoʻōla ola ai e kōkua ai i ka mālama ʻana i nā māmā o nā pēpē i ulu ʻole i ka wā ʻōpiopio e hana pono ana.
- Hāʻawi wale ʻia kēia lāʻau lapaʻau ma kahi haukapila e kahi hui lapaʻau i aʻo kūikawā ʻia. ʻAʻole kēia he lāʻau lapaʻau e lawe ʻia i ka home a i ʻole e hāʻawi ʻia e nā mākua.
- E nānā pono ʻia ke pēpē i ka wā a ma hope o ka hāʻawi ʻana i ka lāʻau lapaʻau. Inā ʻike ʻoe i kekahi mea e like me ka ʻili polū a i ʻole kahi loli i ka hanu ʻana, e hoʻomaopopo koke i ka hui lapaʻau.
- Inā he mau nīnau kāu e pili ana i kēia lāʻau lapaʻau a i ʻole ke kūlana o kāu pēpē, mai makaʻu e nīnau i ke kauka a i ʻole nā limahana kahu hānai e mālama ana i kāu pēpē. E wehewehe lākou i nā mea āpau iā ʻoe.
- E hōʻoiaʻiʻo ʻia e kōkua nui kēia lāʻau lapaʻau i ka hoʻomaikaʻi ʻana i ke olakino o kāu pēpē.
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