ʻO nā mea a nā mākua e pono ai e ʻike e pili ana i ke ʻano o kā lākou mau keiki

I kēlā ahiahi anuanu, ʻoiai wau e inu ana i ke kī wela i loko o koʻu lumi, ua kani koke mai ka puka o ko mākou keʻena lapaʻau. I koʻu wehe ʻana i ka puka, ua hopohopo nui ʻo Shalini, kekahi o kaʻu mau hoaaloha maikaʻi loa. E paʻa ana ʻo ia i kāna keiki kāne liʻiliʻi, ʻo Dinuka.

Me he mea lā ua hanu ʻo Dinuka, me ka neʻe ʻana o kona umauma i luna a i lalo me ka paʻakikī nui. Ma ke ʻano he kauka, ua ʻike au i nā maʻi he nui ma ke keʻena lapaʻau, akā ʻo ka ʻike ʻana i ke keiki a kaʻu hoaaloha ponoʻī i loko o ia kūlana paʻakikī ua hopohopo nui wau. Ua lawe koke au iā lākou.

"E Kauka Priya, ʻū pinepine ʻo Dinuka i ka wā anu. Akā i kēia pō ua ʻoi aku ka ʻino. Ke paʻakikī nei ʻo ia e hanu. Makaʻu wau, e ke kauka," wahi a Shalini me ka leo uē.

I ka nānā ʻia ʻana o Dinuka, ua ʻike ʻia ʻo ia he maʻi hānō kamaliʻi, kahi maʻi maʻamau i waena o nā keiki. No laila i kēia lā, e kamaʻilio kākou e pili ana i ke ʻano o ka hānō kamaliʻi, kona mau hōʻailona, ​​a me nā mea a nā mākua e hana koke ai inā loaʻa i kā lākou keiki kahi hānō.

He aha ka hānō?

He maʻi hanu lōʻihi ka hānō i hoʻokumu ʻia e ka mumū a me ke koʻikoʻi o nā ala ea liʻiliʻi i loko o ko kākou mau māmā.

Ke pehu a ololi kēia mau ala ea a piha i ka mucus, ua ālai ʻia ka ea e komo ana a e puka ana i waho o nā māmā. ʻO ia ka mea i hana ʻia iā Dinuka. "E Shalini, ua like ia me ka hanu ʻana ma o kahi paipu palupalu. Inā e kaomi kekahi i ka paipu ma waenakonu, ʻaʻole hiki iā ʻoe ke hanu, ʻeā? Ke hele nei ke kino o Dinuka i kahi mea like," wahi aʻu i wehewehe maʻalahi ai iā Shalini.

He mea maʻamau anei i nā keiki ke loaʻa ka maʻi hānō?

ʻAe. ʻO ka hānō ka maʻi maʻamau i nā keiki. Ma ka awelika, hoʻokahi i loko o ʻehā a ʻelima mau keiki e loaʻa i nā hōʻailona hānō i ka wā kamaliʻi.

He mea maʻamau loa ia i nā keiki ma waena o nā makahiki 2 a me 8. Hoʻopau kekahi mau keiki i ko lākou hānō i ko lākou wā ʻelemakule, aʻo kekahi poʻe e hoʻomau i ka loaʻa ʻana iā ia a hiki i ka wā makua. Eia nō naʻe, me ka mālama pono ʻana a me ka hoʻokele ʻana, hiki i kahi keiki ke pāʻani a ola i kahi ola hana e like me ka mea maʻamau.

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Nā Hōʻailona Asthma no nā Keiki

Eia nā hōʻailona nui e hiki ke kōkua iā ʻoe e ʻike inā loaʻa ka hānō i kahi keiki:

• ʻŪhū Mau: He ʻūhū maloʻo e kū mai ana i ka pō, i ke kakahiaka nui, a i ʻole i ka wā e luhi ai ke keiki i ka pāʻani ʻana.
• Wheezing: He leo malū "whoosh" a "whoosh" paha mai ka umauma mai, e like me ka ʻohe puhi, i ka wā e hanu ai ke keiki.
• Pōkole o ka Hanu: Hanu wikiwiki a me ka paʻakikī o ka hanu ʻana.
• Paʻa ka umauma: Hiki i ke keiki ke wehewehe i ka umauma he ʻeha a paʻa paha (hiki i nā keiki ʻōpio ke wehewehe i kēia me he ʻeha ʻōpū lā).
• Luhi: ʻAʻole makemake e hoʻoikaika kino a pāʻani paha a luhi koke.

Nā mea hoʻoulu no ka hoʻouka ʻana o ka hānō

Aia kekahi mau mea hoʻonāukiuki e hoʻonāukiuki i nā alaloa o ke keiki me ka hānō:

• Anu a me ka maʻi palū: Hoʻonui nā maʻi viral i ka pehu ʻana o nā alaea.
• Nā mea hoʻopilikia: Nā ʻuku lepo hale, ka huluhulu pōpoki/ʻīlio, ka pollen, a me ka ʻōpala.
• Nā loli o ke aniau: Anu, noe, a i ʻole ka emi koke ʻana o ka mahana o ke kaiapuni.
• Ka haumia o ka ea: uahi cigarette, pauka/lepo ʻulaʻula, uahi ʻōwili makika, a me nā mea ʻala ikaika.

🚨 Nā hae ʻulaʻula e pono ai ka hoʻokipa koke ʻia ʻana i ka haukapila

Inā loaʻa i kahi keiki kahi hānō a ʻike ʻia nā hōʻailona ma lalo nei, pono lākou e kāhea koke iā 1990 a lawe koke iā lākou i ka haukapila:

• Paʻakikī ka hanu ʻana: Ke hanu ke keiki, huki ʻia ka ʻili ma waena o nā iwi ʻaoʻao a ma ke kumu o ka ʻāʻī i loko (Chest Retractions).
• Paʻakikī i ka ʻōlelo ʻana: ʻAʻole hiki i ke keiki ke ʻōlelo i kekahi mau huaʻōlelo i ka manawa hoʻokahi ma muli o ka pōkole o ka hanu.
• ʻIli polū: Lilo ka ʻāpana a puni nā lehelehe, ke alelo, a i ʻole nā ​​​​manamana lima o ke pēpē i polū a hina paha (he hōʻailona o ka haʻahaʻa o ka oxygen).
• Hiamoe: Lilo ke keiki i ka palaualelo a nāwaliwali, a paʻakikī hoʻi ke ala mau.
• ʻAʻohe hōʻoluʻolu ʻoiai ke hoʻohana nei i ka inhaler polū (Reliever).

Kōkua mua i ka hihia o ka hānō (Palapala Hana Asthma)

Inā pilikia ke keiki i ka hanu ʻana, e like me ka hana a Dinuka o Shalini me kāna keiki kāne, e hahai koke i kēia mau hana kōkua mua:

1. E hoʻonoho pololei i ka pēpē: Mai hoʻokuʻu i ka pēpē e hiamoe. ʻO ka hoʻonoho pololei ʻana i ka pēpē e maʻalahi ai ka hanu ʻana.
2. E mālie: Inā hopohopo ʻoe, e makaʻu nui ka pēpē a e emi hou aku ke ala ea. E hōʻoluʻolu mālie i ka pēpē.
3. E hāʻawi i ka mea hoʻoheheʻe polū (Reliever - Ventolin) me ka mea hoʻokaʻawale:

• E lulu maikaʻi i ka inhaler a hoʻopili iā ia i ka spacer.
• E kau pono i ka pale maka ma ka maka o ke keiki a puhi i hoʻokahi manawa .
• E ʻae i ke keiki e hanu maʻamau i 4 mau hanu ma o ka mea hoʻokaʻawale.
• Ma kēia ʻano, e hāʻawi i 4 mau puffs (hoʻokahi i kēlā me kēia) i loko o 4 mau minuke .

4. E kali i 4 mau minuke: Inā ʻaʻole hoʻi ka hanu ʻana o ke keiki i ka maʻamau, e hana hou i nā ʻanuʻu ma luna a hāʻawi i 4 mau puffs hou aʻe.
5. E lawe i ka haukapila: Inā ʻaʻole e hoʻomaikaʻi ke kūlana, e kelepona koke i ka 1990 a lawe i ka haukapila. ʻOiai ʻoe e hele ana i ka haukapila, e hāʻawi i ka inhaler i 4 mau puffs i kēlā me kēia 4 mau minuke.

Ka mālama ola a me ka kaohi lōʻihi

Paipai nui nā kauka i ʻelua ʻano inhalers e kāohi i ka hānō:

• Nā mea hoʻomaha hanu (ʻo ka maʻamau he polū): Hoʻohana ʻia wale nō ke paʻakikī ka hanu ʻana i ka wā o ka hoʻouka ʻana o ka hānō (e.g. Ventolin/Salbutamol).
• Nā mea pale (ʻeleʻele, ʻulaʻula a ʻalani paha): Pono e hoʻohana ʻia kēia mau mea i kēlā me kēia lā ma kahi mahele i kuhikuhi ʻia e like me ke kuhikuhi a ke kauka e kāohi i ka hānō. Hoʻemi mālie lākou i ka pehu a me ka mucus i loko o nā alaloa hanu.