He pani koke i ka puʻu! ʻO Epiglottitis anei kēia? E ʻike pono kākou!

Ua loaʻa koke anei iā ʻoe kahi ʻeha nui i kou puʻu i paʻakikī ai ke ale i kahi liʻiliʻi o ka lawai? I ka manawa like, ke manaʻo nei ʻoe he paʻakikī iki ka hanu ʻana? ʻO kēia ʻano, ʻoiai inā loaʻa ia i kahi keiki liʻiliʻi, e hopohopo nui ai mākou ma ke ʻano he mau mākua. I kēia lā ke kamaʻilio nei mākou e pili ana i kahi ʻano i kapa ʻia ʻo Epiglottitis, ka mea e hoʻoulu ai i kēia mau hōʻailona a ua manaʻo ʻia he pilikia olakino.

I ka ʻōlelo maʻalahi, he aha ka epiglottitis?

ʻAe, e ʻōlelo kākou penei. Ma ke kumu o ko kākou alelo, i loko o ko kākou puʻu, aia kahi ʻāpana liʻiliʻi o ke cartilage i kapa ʻia ʻo ka epiglottis. ʻO kāna hana nui ka pale ʻana i nā mea mai ke komo ʻana i loko o ko kākou ʻōpū i ka wā e ʻai ai a inu paha. Ua like ia me ka puka, e pani ana i ka ʻōpū i ka wā e moni ai kākou.

ʻO ka epiglottitis ka wā, no kekahi kumu, he maʻi bacteria pinepine ia, e pehu ai ka epiglottis, ʻulaʻula, a loaʻa ka maʻi.

I ka wā ma mua, ua maʻamau loa kēia maʻi i waena o nā kamaliʻi ʻōpio. ʻO ke kumu, ʻo ia ka bacteria Haemophilus influenzae type b (Hib). Eia nō naʻe, i kēia manawa ua hoʻokomo ʻia ka lāʻau pale Hib i loko o nā lāʻau pale i hāʻawi ʻia i nā keiki ma ko mākou ʻāina, ua kakaikahi loa kēia maʻi i waena o nā keiki. No laila, i kēia manawa ua ʻike iki ʻia kēia ʻano ma waena o nā pākeke. Eia nō naʻe, ʻoiai he liʻiliʻi loa nā ala hanu o nā keiki, ʻoi aku ka weliweli inā loaʻa iā lākou kēia.

He aha nā kumu nui o ka Epiglottitis?

E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia he maʻi bacteria . I waena o lākou, ʻo kēia nā mea maʻamau:

• Haemophilus influenzae
• ʻO ka maʻi niumonia Streptococcus
• Nā hui Streptococcus A, B, a me C
• ʻO Staphylococcus aureus

Ma waho aʻe o kēia mau maʻi bacteria, hiki ke hana ʻia kēia ʻano ma muli o nā maʻi fungal. Eia kekahi, ma hope o kahi maʻi viral (e like me ka chickenpox) i loko o ke kanaka me ka ʻōnaehana pale nāwaliwali, hiki i kahi maʻi bacteria ke ulu a hoʻoulu i ka epiglottitis.

Ma waho aʻe o nā maʻi, aia kekahi mau kumu ʻē aʻe. ʻO kēia mau mea:

• Nā ʻeha o ka ʻāʻī: Ke kuni ʻana o ka ʻāʻī mai ka inu ʻana i ka meaʻai a wai wela loa, ka hanu ʻana a i ʻole ke ale ʻana i kahi kemika, ka puhi paka (ʻoi aku ka cocaine crack), a i ʻole ka ʻeha o waho i ka ʻāʻī.
• Nā maʻi ʻē aʻe: Hiki i kēia ke hana ma ke ʻano he hopena ʻaoʻao o kekahi mau lāʻau lapaʻau maʻi kanesa.

He maʻi laha kēia?

ʻAe. Hiki i ka bacteria a i ʻole ka virus e hoʻoulu ai i ka epiglottitis ke laha ma ka lewa ke ʻū a ʻūhā paha ka mea maʻi. No laila, he mea nui loa ia e hahai i nā hana olakino maikaʻi, e like me ka holoi pinepine ʻana i kou mau lima a me ka noho mamao ʻana mai ka poʻe maʻi.

E ʻike! ʻO kēia nā hōʻailona o ka epiglottitis!

ʻO ka mea weliweli loa e pili ana i kēia maʻi, hiki i nā hōʻailona ke lilo i mea koʻikoʻi koke, i loko o kekahi mau hola. ʻAʻole e liʻuliʻu a hoʻomaka ia e like me ka ʻeha puʻu maʻalahi a lilo i mea hoʻoweliweli i ke ola.

Kuhi nā kauka i ʻehā mau hōʻailona nui o kēia maʻi. I mea e maʻalahi ai ka hoʻomanaʻo ʻana, kapa lākou i kēia mau mea ʻo "4 D." E nānā kākou i ke ʻano o lākou.

Ma waho aʻe o kēia mau hōʻailona nui ʻehā, aia paha ke kuni nui a me ka hoʻomaha nui a i ʻole ka hopohopo .

E hoʻāʻo ka mea maʻi, ʻoiai he keiki, e kūlou i mua a hoʻohuli i ko lākou ʻāʻī i luna e maʻalahi ai ka hanu ʻana. Kāhea mākou i kēia ʻo ke "kūlana tripod." Hiki i ka moe ʻana i lalo ke hoʻolilo i ka hanu ʻana i mea paʻakikī loa.

Āhea ʻoe e hele koke ai i ka haukapila?

ʻOiai inā polū ka ʻili (cyanosis), ʻo ia hoʻi, ʻaʻole lawa ka oxygen i ke kino. He hōʻailona weliweli loa kēlā!

Mea nui: Mai ho'āʻo e nānā i ka puʻu o kāu keiki a i ʻole e hoʻokomo i kekahi mea i loko o ko lākou waha ma ka home. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pehu a hiki ke pale koke i ke ala ea. E hoʻomau i ka mālie o kāu keiki, e noho i luna, a e hanu maʻalahi, a e lawe koke iā lākou i ka haukapila.

Pehea e ʻike ai nā kauka i kēia maʻi?

He mea pilikia iki ka ʻike ʻana i kēia maʻi. No ka mea, i ka nānā ʻana i ka epiglottis, hiki ke ālai koke ʻia ke ala ea ma muli o ka pehu ʻana. No laila, hana pono nā kauka i kēia hoʻokolokolo ʻana, e mālama ana i nā lako pono āpau (e like me ka ʻōmole hanu) kokoke i ka wā e loaʻa ai kahi pilikia.

• Laryngoscopy: Hoʻokomo ʻia kahi ʻōmole me kahi kāmela liʻiliʻi ma ka ihu a i lalo i ka puʻu e nānā i ke kūlana o ka epiglottis.
• X-ray: Hiki i kahi X-ray o ka ʻāʻī ke ʻike i kahi epiglottis pehu.
• Nā hoʻāʻo koko: Hana ʻia nā hoʻāʻo koko e ʻike ai i ke kumu o ka maʻi.

Hiki ke huikau ʻia kēia maʻi me nā maʻi ʻē aʻe?

ʻAe. I kekahi manawa hiki ke huikau ʻia kēia maʻi me nā kūlana i kapa ʻia ʻo strep throat a i ʻole croup.

Pehea e mālama ʻia ai?

Inā ua ʻike ʻia ʻoe he epiglottitis, e lawe koke ʻia ʻoe i ka haukapila. ʻO ka pahuhopu nui o ka mālama ʻana, ʻo ia ka mālama ʻana i kou ala ea e wehe ai.

1. Ka hāʻawi ʻana i ka oxygen: Inā pilikia ka hanu ʻana, hāʻawi ʻia ka oxygen ma o ka pale maka.

2. Kōkua hanu: Inā ʻo ka pehu ke kumu o ka paʻa ʻana o ke ala ea, hiki i nā kauka ke hoʻokomo i kahi ʻōmole i loko o ka ʻōpū makani ma o ka ihu a i ʻole ka waha (intubation) no kekahi mau lā a hiki i ka emi ʻana o ka pehu. He mea kākaʻikahi loa, inā koʻikoʻi ka pehu ʻana o ka puʻu, hiki ke hana ʻia kahi ʻoki liʻiliʻi ma waho o ka ʻāʻī a hiki ke hoʻokomo ʻia kahi ʻōmole hanu (cricothyroidotomy).

3. Nā lāʻau lapaʻau: Hoʻomaka koke ʻia nā lāʻau lapaʻau ma o kahi aʻa (IV).

4. Nā wai IV: Hāʻawi ʻia nā wai e like me ka saline ma o kahi aa koko a hiki i kou hiki ke ale maʻamau.

5. Corticosteroids: Hoʻohana ʻia kēia mau lāʻau lapaʻau e hōʻemi i ka pehu.

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

ʻO ka pilikia nui a weliweli loa, ʻo ia ke ālai piha ʻana o ke alaloa a me ka make.

Eia kekahi, hiki i ka bacteria i hoʻoulu ai i ka maʻi ke laha i nā ʻāpana ʻē aʻe o ke kino,

• Pneumonia
• ʻO ka meningitis (ka maʻi o nā membrane e uhi ana i ka lolo)
• Nā maʻi ʻili
• Sepsis (ka lāʻau make koko)

Hiki ke kū mai nā kūlana koʻikoʻi.

ʻAʻole hiki ke pale ʻia? Ke koʻikoʻi o ka lāʻau pale Hib

ʻO ka nūhou maikaʻi, aia kahi lāʻau pale ikaika loa e pale aku i ka bacteria Hib, ke kumu nui o kēia maʻi. Hoʻokomo ʻia kēia i loko o ka papahana lāʻau pale aupuni no nā keiki ma ko mākou ʻāina. No laila, ma ka hāʻawi ʻana i kāu keiki i nā lāʻau pale āpau i ka manawa kūpono, hiki iā ʻoe ke pale iā ia mai kēia maʻi weliweli.

ʻAʻole ʻōlelo pinepine ʻia kēia lāʻau pale no ka poʻe ma luna o 5 mau makahiki. Eia nō naʻe, hiki i ke kauka ke ʻōlelo i kēia lāʻau pale no ka poʻe me nā ʻōnaehana pale i nāwaliwali (e.g., ka poʻe i loaʻa i ka maʻi HIV, nā maʻi kanesa).