Ke pilikia koke nei ʻoe a i ʻole kāu keiki i ka hanu ʻana me ka ʻeha o ka puʻu? He epiglottitis paha kēia!

Ua lohe paha ʻoe i kahi manaʻo ʻē kahi e ʻeha koke ai kou puʻu, ʻaʻole hiki iā ʻoe ke ale i ka meaʻai, a manaʻo ʻoe e like me ʻoe e hanu ana? Malia paha ua loaʻa i kāu keiki liʻiliʻi kekahi mea e like me kēia iā lākou a ua hopohopo nui ʻoe. I nā manawa e like me kēia, hoʻokahi mea e pono ai mākou e noʻonoʻo ai ʻo ia kēia maʻi i kapa ʻia ʻo Epiglottitis. He mea koʻikoʻi iki kēia, no laila e makaʻala kākou.

He aha ka Epiglottitis? E hoʻomaopopo maʻalahi kākou!

I ka ʻōlelo maʻalahi, ʻo ka epiglottitis ka pehu ʻana o kahi ʻāpana liʻiliʻi o ko kākou puʻu i kapa ʻia ʻo ka epiglottis. E noʻonoʻo i kēia epiglottis he ʻāpana lahilahi o ke cartilage kokoke i ke kumu o ko kākou alelo. Ke ʻai ʻoe a inu paha, kōkua ia i ke kuhikuhi pololei ʻana i kēlā mau mea i loko o ko kākou windpipe (trachea) ma kahi o loko o ko kākou windpipe. Hana ia e like me ka puka.

No laila, inā pehu kēia epiglottis no kekahi kumu, ʻo ia hoʻi, inā he 'mumū', a laila ʻo ia ka manawa e hoʻomaka ai ka pilikia. Ua kapa ʻia hoʻi kēia ʻo "acute epiglottitis" . ʻO ke ʻano kēia, ʻike koke ʻia nā hōʻailona me ka ʻino loa . Lilo ia i mea paʻakikī loa ke hanu a me ke ale ʻana i ka meaʻai. Inā ʻaʻole e mālama koke ʻia, hiki i kēia pehu ke ālai loa i ke ala ea a hiki ke hoʻoweliweli i ke ola.

He mea nui loa kēia: Inā loaʻa iā ʻoe a i ʻole kekahi o kou ʻohana kēia mau hōʻailona, ​​​​pono ʻoe e hele koke i ka haukapila a i ʻole ka lumi pilikia (ETU) . Mai noʻonoʻo e pili ana i ka mālama ʻana i kēia ma ka home. He pilikia olakino kēia!

Pehea ka maʻamau o kēia ʻano?

ʻO ka ʻoiaʻiʻo, ʻaʻole ka epiglottitis he maʻi maʻamau, akā hiki ke loaʻa i nā ʻōpio a me nā pākeke.

I ka wā ma mua, ma mua o 1985, ma mua o ka hoʻohana nui ʻia ʻana o ka lāʻau pale Haemophilus influenzae type b (Hib), ʻo kēia maʻi ka mea maʻamau i nā keiki ma waena o 3 a me 5 mau makahiki. ʻO kēia no ka mea ʻo ke kumu nui o kēia maʻi i nā keiki ʻo ia ka bacteria i kapa ʻia ʻo Hib. Akā, ʻo ka mea pōmaikaʻi, ua emi nui nā maʻi Hib ma muli o ka lāʻau pale. I kēia manawa, ʻoiai ma kahi ʻāina e like me ʻAmelika, loaʻa ia ma kahi o 0.5 mau keiki no 100,000.

Eia nō naʻe, ua loaʻa nā hōʻike e pili ana i ka piʻi ʻana o ka nui o kēia maʻi i waena o nā pākeke . ʻO kēia ma muli o nā maʻi ʻē aʻe ma mua o ka (Hib). Ua ʻōlelo nui ʻia e loaʻa ia ma waena o 1 a me 4 o 100,000 mau pākeke ma ʻAmelika Hui Pū ʻIa.

He aha nā hōʻailona o ka Epiglottitis? Pehea mākou e ʻike ai?

Hoʻomaka koke nā hōʻailona o ka epiglottitis a lilo koke i mea ʻino. I kekahi manawa, hiki ke hala kekahi mau lā no ka ʻike piha ʻana o nā hōʻailona i nā keiki makua a me nā mākua. Eia nō naʻe, no ka mea, he liʻiliʻi loa nā ala ea o nā keiki ʻōpio,ʻOiai inā pehu iki ka epiglottis, hiki ke ʻike koke ʻia nā hōʻailona koʻikoʻi me ka ʻole o ka ʻōlelo aʻo .

ʻO nā hōʻailona maʻamau kēia mau mea ʻehā e hoʻomaka ana me ka leka "D":

• Dysphagia: ʻO ke ʻano kēia , lilo ka meaʻai a me ka mea inu i mea paʻakikī loa ke ale. Me he mea lā ʻaʻole ia e iho i lalo o kou puʻu.
• Dysphonia: ʻO ke ʻano kēia e loli ai ka leo, lilo i leo haʻalulu, a paʻakikī paha ke ʻōlelo.
• Kahe ʻana o ka wai: ʻO ke ʻano kēia ke kahe nei ka lawai mai ka waha mai. He mea paʻakikī ke ale, no laila hōʻiliʻili ka lawai i loko o ka waha a puka koke mai i waho.
• Kaumaha: ʻO ke ʻano kēia o ka paʻakikī o ka hanu ʻana, ka manaʻo ua pio ka hanu, a me ka hōʻike ʻana i nā hōʻailona o ka nele o ka oxygen.

Ma waho aʻe o kēia mau mea, aia paha nā hōʻailona ʻē aʻe:

• ʻEha nui ma ka puʻu.
• He kuni o 38 kekelē Celsius (100.4 Fahrenheit) a ʻoi aku paha.
• He leo hūʻū kiʻekiʻe (stridor) i ka wā e hanu ana.
• Ke hāmama ʻana o ka waha a me ke kūlou ʻana i mua e hoʻāʻo e hanu. (He hōʻailona maʻamau kēia i ʻike ʻia i nā keiki ʻōpio.)
• Hoʻomaha loa, huhū. (He hōʻailona nui kēia i ʻike ʻia i nā keiki ʻōpio.)

Hiki ke like kekahi o nā hōʻailona o ka epiglottitis me nā kūlana ʻē aʻe, e like me ka croup . Eia nō naʻe, ʻaʻole ia he pilikia mau ka croup, e like me ka epiglottitis. No laila he mea nui e loaʻa kahi hōʻailona pololei a loaʻa koke ka lāʻau lapaʻau.

Ka nānā pono ʻana i nā hōʻailona i nā keiki ʻōpio

E like me kā mākou i ʻōlelo ai ma mua, he palupalu loa nā ala ea o nā keiki liʻiliʻi. No laila, inā loaʻa iā lākou kēia maʻi, hiki ke lilo i mea ʻino loa. E noʻonoʻo, inā ʻike ʻoe i kāu keiki liʻiliʻi e paʻakikī koke ana i ka hanu ʻana, me kona waha e hāmama ana, a kūlou ana i mua, ʻaʻole ia he hōʻailona maikaʻi. I ia hihia, ʻo ka mea maikaʻi loa e hana ai, ʻaʻole e hopohopo a lawe koke iā ia i ke kauka.

He aha nā kumu o ka Epiglottitis?

ʻO ke kumu nui o kēia he maʻi bacteria.

• No nā keiki , ʻo ka bacteria a mākou i kamaʻilio ai ma mua , ʻo Haemophilus influenzae type b (Hib), ke kumu nui.
• I nā pākeke , hiki ke hana ʻia e nā ʻano bacteria ʻē aʻe ʻaʻole Hib, e like me Streptococcus pneumoniae a me Staphylococcus .

Aia paha he mau kumu ʻē aʻe:

• Nā maʻi viral: ʻO kekahi ʻano virus, no ka laʻana , ka virus varicella-zoster, ka mea e hoʻoulu ai i ka moa, a me ka virus herpes simplex, ka mea e hoʻoulu ai i ka herpesKe loaʻa iā kākou ka maʻi, nāwaliwali ko kākou kino, a nui ka manawa kūpono o ka ulu ʻana o kahi maʻi bacteria lua a me ka epiglottitis.
• Nā maʻi fungal: Hiki ke hana ʻia kēia e nā maʻi fungal e like me Candida, ʻoi aku hoʻi i ka poʻe me nā ʻōnaehana pale nāwaliwali.
• Nā ʻeha i ka ʻāʻī: Hiki ke hana ʻia kēia ʻano inā paʻi koke kekahi mea i ka ʻāʻī, inā paʻi ʻia ʻoe mai waho mai, inā moni ʻoe i kahi mea ʻē, a inā inu ʻoe i kahi wai wela loa .
• Puhipaka: Hiki ke hana ʻia kēia ʻaʻole wale mai nā sikaleka maʻamau, akā, mai ka vaping pū kekahi, a i ʻole mai ka puhi ʻana i nā lāʻau lapaʻau e like me ka cocaine crack.
• ʻO nā ʻā kemika: Inā komo kahi kemika ʻawahia i loko o ka ʻōpū, hiki iā ia ke puhi i ka ʻāʻī a hana i ka epiglottitis. Ua kapa ʻia kēia ʻo 'corrosive epiglottitis'.

He maʻi laha anei ka Epiglottitis?

ʻO ka mea nui ma ʻaneʻi, ʻo ke ʻano i kapa ʻia ʻo epiglottitis ʻaʻole ia e laha pololei mai ke kanaka a i ke kanaka. Eia nō naʻe, hiki ke laha nā germs e hiki ai ke hoʻoulu i kēia maʻi (no ka laʻana, ka bacteria Hib) mai ke kanaka a i ke kanaka.

ʻOiai inā loaʻa iā ʻoe kahi germ e like me Hib, ʻaʻole ia he manaʻo e loaʻa iā ʻoe ka epiglottitis. Eia nō naʻe, hiki ke hana inā komo ka germ i loko o kāu epiglottis a hoʻoulu i ka pehu. Hoʻolaha pinepine ʻia kēia germ ma o nā kulu o ka saliva a i ʻole ka mucus i hoʻokuʻu ʻia i ka wā e ʻū ai ʻoe a i ʻole ke kihe.

Pehea e ʻike ai nā kauka i ka Epiglottitis?

No ka mea he pilikia olakino hoʻoweliweli kēia i ke ola, e hoʻopaʻa mua nā kauka i kou hanu ʻana. E hana wale lākou i nā hoʻokolohua diagnostic ma hope o ko lākou hoʻoholo ʻana he palekana loa ia e hana pēlā.

Ke kūpaʻa kou kūlana, hiki i nā kauka ke hana i kēia mau hoʻokolohua:

• Nā hoʻāʻo moʻomeheu: Lawe ke kauka i kahi swab mai kou puʻu a hoʻouna aku i kahi lab e ʻimi ai i nā bacteria a i ʻole nā ​​​​virus.
• Nā hoʻāʻo koko: Hiki ke hana ʻia nā hoʻāʻo koko like ʻole e nānā i ka helu o nā hunaola koko keʻokeʻo (ʻo ia nā mea e hakakā nei i ka maʻi i loko o ko mākou kino) i loko o kou koko, a i ʻole e nānā i nā bacteria a i ʻole nā ​​​​virus i loko o kou koko.
• Laryngoscopy: Pili kēia i ke kau ʻana i kahi kāmela liʻiliʻi ma ka hopena o kahi ʻōmole lahilahi a maʻalahi i loko o ka puʻu e nānā i ka epiglottis a me nā wahi a puni.
• Nā hoʻāʻo kiʻi: Hiki i kahi X-ray ke hōʻike i ka nui o ka pehu. I kekahi manawa, ma kahi X-ray, hiki i ka pehu o ka epiglottis ke like me kahi hōʻailona manamana lima i kahi pākeke .

Pehea e mālama ʻia ai ka Epiglottitis?

Inā ua ʻike ʻia ʻoe me ka epiglottitis, e hoʻomaka koke ka lāʻau lapaʻau.Ma ka haukapila, e hana ka hui lapaʻau i kēia mau mea:

• No ka hoʻihoʻi piha ʻana i kou ala ea:
• ʻO ka mea mua, kau ʻia kahi pale maka oxygen ma luna o kou waha a me kou ihu e ʻae i ka ea hou aku i loko o kou mau māmā.
• Inā ua ālai ʻia ke ala ea, hiki ke hoʻokomo ʻia kahi ʻōmole hanu ma o ka waha i loko o ka ʻōpae makani.
• He mea kākaʻikahi loa, inā ʻaʻole hiki ke hoʻokomo ʻia kēia paipu ma ka waha, pono paha e hoʻokomo ʻia kahi paipu ma ka ʻāʻī i loko o ka ʻōpū hanu. Ua kapa ʻia kēia he tracheostomy . Eia naʻe, ʻaʻole pono pinepine kēia no ka poʻe me ka epiglottitis.
• Ke hāʻawi ʻana i nā wai: E hāʻawi ʻia ʻoe i ka nui o ka wai e like me kou makemake ma o kahi ʻōmole i hoʻokomo ʻia i loko o kahi aa (ʻo ia ka 'IV drip', ʻo ia ka mea a mākou e kapa nei he saline).
• Ke hāʻawi ʻana i nā antibiotics: Inā loaʻa iā ʻoe kahi maʻi bacteria, e hāʻawi kāu kauka iā ʻoe i kahi antibiotic ākea ākea ma o kahi IV. Pepehi kēia lāʻau lapaʻau i ka hapa nui o nā bacteria e hoʻoulu ai i ka maʻi. Ke hoʻi mai nā hopena o kāu moʻomeheu, hiki ke hāʻawi ʻia iā ʻoe i kahi antibiotic ʻokoʻa e kuhikuhi ana i nā bacteria kikoʻī i hoʻoulu ai i ka maʻi.

Pehea e hiki ai iā mākou ke pale iā mākou iho mai ka Epiglottitis?

ʻOiai ʻaʻole hiki ke pale loa ʻia kēia, aia kekahi mau mea hiki iā mākou ke hana e hōʻemi i ka pilikia:

• E pale aku i kāu keiki: No nā keiki, ʻo ka palekana maikaʻi loa ka loaʻa ʻana o nā pale āpau e pono ai lākou i ka makahiki kūpono, ʻoiai ka pale Hib. No ka mea, ʻaʻole i hoʻomohala piha ʻia nā ʻōnaehana pale o nā keiki ʻōpio, hiki iā lākou ke maʻalahi loa i nā maʻi Hib.
• E hahai i nā hana hoʻomaʻemaʻe maikaʻi: E holoi pinepine i kou mau lima me ke kopa a me ka wai. Mai hoʻopā pinepine i kou mau maka, ihu, a me ka waha.
• E pale iā ʻoe iho mai ka maʻi: E makaʻala a puni ka poʻe e ʻū ana a e kihe ana. Mai hoʻokokoke aku iā lākou, a i ʻole e ʻaʻahu i ka pale maka.
• Ke pale ʻana i nā mea e hōʻeha ai i kou puʻu: E noho mamao aku mai nā mea e hōʻeha ai i kou puʻu, e like me ka inu ʻana i nā wai wela loa a me ka puhipaka.

He aha ka mea e hana ai inā loaʻa iā ʻoe ka epiglottitis? Pehea ka lōʻihi e ho'ōla ai?

No ka hapa nui o nā kānaka, he hoʻokahi pule ka lōʻihi e ho'ōla piha ai mai ka epiglottitis. Pono ʻoe e noho ma ka haukapila no ʻekolu a ʻelima mau lā. Eia nō naʻe, e hoʻomaka ʻoe e ʻoluʻolu i loko o nā lā mua. ʻOiai inā e hoʻokomo ʻia kahi ʻōmole hanu, hiki iā ʻoe ke hanu iā ʻoe iho i loko o kekahi mau lā.

Inā loaʻa iā ʻoe kēia maʻi ma muli o kahi maʻi, he mea nui loa ia e lawe i nā lāʻau antibiotic no ka papa holoʻokoʻa o ka lāʻau lapaʻau (ma kahi o ʻehiku lā) e pepehi loa i ka bacteria.

E hoʻomanaʻo i ka mea nui loa: he pilikia olakino ka epiglottis pehu!Inā loaʻa iā ʻoe a i ʻole kekahi āu i ʻike ai nā hōʻailona o ka epiglottitis, e kelepona koke i ka 1990 (a i ʻole kāu helu ulia pōpilikia kūloko), a i ʻole e hele i ka lumi ulia pōpilikia kokoke loa i ka haukapila.

Āhea mākou e ʻike ai i ke kauka? He aha kā mākou e hana ai?

Hiki i ka epiglottitis ke hoʻoweliweli i ke ola inā e ālai ka pehu i ke alaea. No laila, inā manaʻo ʻoe a i ʻole kekahi āu i ʻike ai he epiglottis pehu ko lākou, e ʻimi koke i ka lāʻau lapaʻau ulia pōpilikia.

Mai hana i kēia mau mea:

• Mai hoʻomoe i kahi kanaka me ka epiglottitis ma ko lākou kua.
• Mai hoʻokomo i kekahi mea i loko o ko lākou waha.

Hiki i kēia mau mea ke hoʻolilo i mea paʻakikī ke hanu.

E hana i kēia:

• E ho'āʻo e noho mālie e like me ka hiki, no ka mea, hiki i ke kaumaha ke hoʻonui i ka ʻūʻī o kou puʻu.

Nā nīnau koʻikoʻi e nīnau aku i ke kauka

Ma mua o ka haʻalele ʻana i ka haukapila, hiki iā ʻoe ke nīnau i ke kauka i kēia mau nīnau:

• No ke aha i loaʻa ai iaʻu ka epiglottitis?
• Pehea ka lōʻihi e pono ai iaʻu e lawe i nā antibiotics?
• Pehea e mālama ai i kuʻu ʻāʻī i ka wā e hoʻōla ai?
• Pehea ka lōʻihi e pono ai iaʻu ke kū pololei?
• Pono anei au e hoʻi hou mai no nā kipa ʻana ma hope?
• Pehea e hiki ai iaʻu ke hōʻemi i koʻu pilikia o ka loaʻa ʻana o kēia maʻi i ka wā e hiki mai ana?

ʻO ka mea hope loa, leka lawe i ka home

Inā loaʻa iā ʻoe a i ʻole kahi mea aloha nā hōʻailona o ka epiglottitis, mai hoʻokaʻulua i ka ʻimi ʻana i ka mālama ulia pōpilikia. Inā ʻaʻole ʻoe maopopo inā he epiglottitis a i ʻole kekahi mea ʻē aʻe, e hoʻomanaʻo inā pilikia kekahi i ka hanu ʻana a i ʻole ke ale ʻana, he mea naʻauao ke ʻimi koke i ka mālama ulia pōpilikia.

Me ka mālama koke ʻana, hoʻōla piha ka hapa nui o ka poʻe mai ka Epiglottitis. Eia nō naʻe, he mea nui ka hana mua. No laila, e makaʻala i kēia mau hōʻailona a e ʻimi i ke kōkua i ka wā hikiwawe loa. Makemake mākou iā ʻoe a me kou ʻohana e hoʻōla koke!

ʻEpiglottitis , ʻEpiglottitis, ʻEha ʻāʻī, Paʻakikī ka hanu ʻana, Nā maʻi o nā keiki, Mālama pilikia, Lāʻau pale Hib, Nā maʻi bacteria