Ua loaʻa anei i kāu keiki liʻiliʻi kahi ʻōhū me ke kuni? (Febrile Seizure) - Mai hopohopo, e kamaʻilio kākou e pili ana i kēia!

Auē ka weliweli inā ua pāʻani maikaʻi kāu keiki liʻiliʻi a loaʻa koke ke kuni, a laila hoʻomaka e haʻalulu, a nalowale paha ka ʻike. He mea maʻamau ka hopohopo i kēlā manawa. ʻO kēia ʻano hopu e hele mai me ke kuni ka mea a mākou e kapa nei ma ke ʻano lapaʻau he 'hoʻopū febrile' . He mea maopopo i nā mākua hou ke hopohopo ke ʻike lākou i kēia. Akā inā ua hoʻomaopopo pono ʻia mākou e pili ana i kēia, hiki iā mākou ke kū i kēlā kūlana me ka mālie. No laila, e kamaʻilio kākou e pili ana i kēia me nā kikoʻī hou aku i kēia lā, ʻeā?

He aha ka hopu ʻana o ka maʻi febrile?

I ka ʻōlelo maʻalahi, ʻo ka hopu ʻana i ka febrile kahi maʻi i hoʻokumu ʻia e ka hana uila maʻamau ʻole i loko o ka lolo ke loaʻa i kāu keiki ke kuni . ʻO nā hōʻailona maʻamau ka neʻe ʻana o ke kino i hiki ʻole ke kaohi ʻia, i ʻike ʻia ʻo 'convulsions' , a me nā wā pōkole o ka nalowale ʻana o ka ʻike.

ʻO ka maʻamau, loaʻa kēia ʻano kuʻi wela i nā keiki ma waena o 6 mahina a me 5 mau makahiki . He mea maʻamau ia i nā makahiki mua ʻekolu o ke ola.

ʻO ka mea maikaʻi loa, ʻaʻole koʻikoʻi ka hapa nui o nā maʻi kuni . Eia nō naʻe, ma ke ʻano he makua, hiki iā lākou ke hopohopo nui iā ʻoe. No laila, inā loaʻa i kāu keiki kekahi mea e like me kēia, he manaʻo maikaʻi e hoʻāʻo iā ia e ke kauka.

Aia kekahi mau ʻano kuʻi febrile?

ʻAe, hiki ke hoʻokaʻawale ʻia nā ʻeha febrile i ʻelua mau ʻano nui:

1. Ka hopu ʻana i ka maʻi febrile maʻalahi:

• ʻOi aku ka lōʻihi o kēia ʻano hopu ʻana ma mua o 15 mau minuke .
• ʻIke ʻole ʻia ka maʻi a me ka haʻalulu.
• Hoʻokahi wale nō maʻi hoʻouluulu e like me kēia i loko o 24 mau hola.

2. Ka hopu ʻana i ka maʻi febrile paʻakikī:

• Hiki i kēia ke hala ma mua o 15 mau minuke .
• I kekahi manawa e pau paha nā ʻūmiʻi a hoʻomaka hou, a i ʻole e hoʻomau paha.
• Hiki i kekahi mau keiki ke hōʻike wale i nā hōʻailona ma kekahi ʻaoʻao o ke kino.
• Hiki ke loaʻa i nā maʻi hopu he nui i loko o 24 mau hola.

He mea nui e ʻike e pili ana i kēia mau ʻano ʻelua, no ka mea, he mea kōkua ia i ka wehewehe ʻana i nā kikoʻī i ke kauka.

He aha nā hōʻailona o ka hopu ʻana i ka febrile?

Ke loaʻa ka maʻi febrile, hiki ke ʻike ʻia nā hōʻailona e like me:

• Nā neʻe ʻana o nā ʻiʻo hiki ʻole ke kāohi ʻia (convulsions): Me he mea lā e loaʻa ana i ka pēpē kahi hopu ʻana. I kekahi manawa e ʻūlū paha nā ʻiʻo, huki, a wili paha.
• Ka nalowale ʻana: Hiki i ke keiki ke nalowale. Hiki i nā maka ke ʻōwili i luna i kēia manawa.
• Nalowale o ke kaohi kino: Hiki i kēia ke komo pū me nā mea e like me ka salivation, ka luaʻi ʻana, a me ka urination a i ʻole ka defecation me ka makemake ʻole.

I loko o kahi hopu febrile maʻalahi, mau kēia mau hōʻailona mai kekahi mau kekona a i kekahi mau minuke. Eia nō naʻe, i loko o kahi hopu febrile paʻakikī, hiki ke lōʻihi ka lōʻihi ma mua o 15 mau minuke a hiki ke hana i nā manawa he nui i ka lā.

He aha ke kumu o nā kuʻi wela?

Hiki i nā maʻi hopu febrile ke loaʻa i nā kumu he nui. ʻO ke ʻano o ka huaʻōlelo "febrile" ʻo ia hoʻi "pili i ke kuni." Hana pinepine ʻia kēia i nā lā mua o ka maʻi ke loaʻa i kahi keiki ke wela kiʻekiʻe. Hoʻomaopopo pinepine ʻia ia i ka wā ma luna o 101 degere Fahrenheit (38.3 degere Celsius), akā hiki ke ʻokoʻa kēia mai kekahi keiki a i kekahi keiki. Hiki ke hana ʻia nā maʻi hopu e nā maʻi e hoʻoulu ai i ke kuni, e like me:

• Maʻi puʻupuʻu
• Ka maʻi Coronavirus (COVID-19)
• Maʻi pepeiao
• Maʻi palū (maʻi palū)
• ʻO ka maʻi RSV `(RSV - ka maʻi syncytial hanu)`
• ʻO ka maʻi hanu kiʻekiʻe

E noʻonoʻo wale, i kekahi manawa hiki i kahi keiki ke loaʻa i ka maʻi ʻōʻili ma mua o ko lākou loaʻa ʻana o ke kuni. Hiki nō hoʻi kēlā.

ʻO kekahi mea nui e hoʻomanaʻo ai, ʻo kekahi mau lāʻau pale keiki hiki ke hoʻoulu i ke kuni ma ke ʻano he hopena ʻaoʻao. ʻOiai he mea kakaikahi, inā loaʻa i kahi keiki kahi maʻi kuni ma hope o ka lāʻau pale ʻana, no ke kuni ia, ʻaʻole no ka lāʻau pale ponoʻī. He mea nui kēia e hoʻomanaʻo.

ʻO nā maʻi o ka lolo a me ke kaula kuamoʻo, e like me ka "encephalitis" (ka mumū o ka lolo) a me ka "meningitis" (meningitis), ʻaʻole lākou e hoʻoulu i nā hopu febrile. Eia nō naʻe, hiki i kēia mau maʻi ke hoʻoulu i nā ʻano hopu ʻē aʻe (ʻaʻole i hoʻokumu ʻia e ke kuni).

He ʻano hoʻoilina anei nā maʻi kuni?

ʻAe, aia kekahi mau genes e pili ana i nā hopu febrile. ʻO ia hoʻi, hiki ke hoʻonui ʻia ka pilikia o ke keiki i ka loaʻa ʻana o ke kūlana e kēlā mau genes. Ua ʻike ʻia ma waena o 10% a me 33% o nā keiki e loaʻa ana i nā hopu febrile he lālā pili ko lākou me ka mōʻaukala o nā hopu . ʻO ke ʻano kēia, inā ua loaʻa i kekahi o kou ʻohana nā hopu ma mua, aia kahi manawa liʻiliʻi e loaʻa pū i kāu keiki liʻiliʻi nā hopu febrile.

He aha nā kumu pilikia no ka hopu ʻana i ka febrile?

He mea maʻamau kēia ʻano maʻi - ʻo ia ke ʻano maʻamau o ka hopu ʻana i ka wā kamaliʻi. Hiki i kāu keiki ke piʻi aʻe ka pilikia o ka loaʻa ʻana o ka hopu ʻana i ka febrile no nā kumu aʻe:

• He pēpē ma lalo o hoʻokahi makahiki a i ʻole ma lalo o 5 mau makahiki.
• Ka hoʻokomo ʻia ʻana ma ka haukapila ma ka Neonatal Intensive Care Unit (NICU) no nā lā a ʻoi aku ma mua o 28.
• Loaʻa nā lohi o ka ulu ʻana.
• Loaʻa i kahi maʻi.
• Loaʻa kahi moʻolelo ʻohana o nā hopu ʻana.

I kekahi manawa hoʻokahi wale nō ka loaʻa ʻana o ka hopu ʻana. Eia nō naʻe, ʻoi aku ka nui o ka pilikia o kāu keiki i ka loaʻa ʻana o nā hopu ʻana ma mua o hoʻokahi inā:

• Inā loaʻa ka hopu mua ʻana ma mua o 12 mau mahina.
• Inā he moʻolelo o nā hopu ʻana kekahi o ka ʻohana.
• Inā kū mai nā maʻi ʻeha ma ke ʻano he hōʻailona mua o ka maʻi, ma mua o ka ʻike ʻia ʻana o nā hōʻailona ʻē aʻe.

He aha nā hopena lōʻihi o nā kuʻi wela?

I ka hapa nui o ka manawa, ʻaʻohe mea ʻino o nā maʻi kuni, a ʻaʻole lākou e hoʻoulu i nā hopena lōʻihi. No laila, mai hopohopo nui.

Hiki i kāu keiki ke loaʻa ma mua o hoʻokahi mau hopu ʻana ma mua o 5 mau makahiki. ʻAʻole kēia he mea maʻamau. Eia nō naʻe, inā loaʻa i kāu keiki nā hopu he nui, ua ʻike kekahi mau noiʻi e paʻakikī paha iā lākou ke hōʻea i nā pae hoʻomohala ʻōlelo i manaʻo ʻia i kēlā makahiki.

Eia kekahi, ua ʻike ʻia e ka noiʻi e hiki i nā hopu ʻana o ka febrile paʻakikī ke hoʻonui iki i ka pilikia o ka hoʻomohala ʻana i kahi maʻi hopu i ka wā e hiki mai ana.

Pehea e ʻike ai i nā hoʻouka febrile?

No ka ʻike ʻana i kēia maʻi, e lawe ke kauka i ka mōʻaukala olakino o kāu keiki a hana i kahi hoʻokolokolo kino. Hiki ke hana ʻia kēia ma kahi lumi pilikia a i ʻole ma ke keʻena kauka o kāu keiki. E nānā ke kauka i ke kuni o kāu keiki a nīnau e pili ana i nā hōʻailona. Hiki iā lākou ke hana i nā hoʻāʻo koko a mimi paha e ʻike ai i ke kumu o ke kuni.

Pehea ʻoe e mālama ai i nā maʻi kuni?

Inā ʻo ia ka hopu mua ʻana o kāu keiki i ka maʻi febrile, hiki iā lākou ke hoʻōla koke. Eia nō naʻe, pono ʻoe e ʻike i ke kauka o kāu keiki a i ʻole e hele i ka lumi pilikia e hōʻoia he hopu febrile maoli ia a i ʻole kekahi mea ʻoi aku ka koʻikoʻi.

Hiki i ke kauka ke ʻōlelo i ka lāʻau lapaʻau no ke kumu o ke kuni, e like me nā lāʻau hoʻohaʻahaʻa kuni kūpono i ka makahiki e like me ka acetaminophen (e.g., Tylenol®), ibuprofen (e.g., Motrin®), a i ʻole nā ​​​​lāʻau lapaʻau ʻē aʻe.

Lāʻau lapaʻau no nā hopu ʻana o ka febrile paʻakikī

ʻOi aku ka nui o ka pono o ka mālama ʻana i kahi hopu ʻana o ka febrile complex (kahi hopu ʻana e mau ana ma mua o ʻelima mau minuke, a i ʻole ma mua o hoʻokahi hopu ʻana i loko o 24 mau hola). I kēlā mau hihia, hiki i kāu kauka ke kuhikuhi i nā lāʻau lapaʻau e like me:

• ʻO Midazolam i hāʻawi ʻia i loko o ka ihu (intranasal midazolam).
• ʻO nā benzodiazepines intravenous.
• ʻO ka diazepam rectal.

Hāʻawi ʻia kēia mau lāʻau lapaʻau e hoʻōki i nā hopu ʻana. Akā hāʻawi wale ʻia kēia ma ke ʻōlelo aʻoaʻo a ke kauka.

He aha kāu e hana ai ke loaʻa iā ʻoe kahi maʻi kuni?

Inā ua loaʻa i kāu keiki kahi hopu wela ma mua, e hāʻawi ke kauka o kāu keiki iā ʻoe i nā kuhikuhi no ke kōkua mua a me ka mālama ʻana ma ka home. Ma ke ʻano laulā, pono ʻoe e hana i kēia mau mea:

• E noho mālie: He ʻoiaʻiʻo hiki ke hopohopo loa ke ʻike i kāu keiki e loaʻa ana i ka maʻi ʻōʻili. Eia nō naʻe, he mea nui e noho mālie e like me ka hiki. Inā ʻoe e hopohopo, ʻaʻole hiki iā ʻoe ke kōkua pono.
• E nānā i ka manawa: E hoʻopaʻa i ka manawa no ka lōʻihi o ka loaʻa ʻana o ka maʻi hopu o ke keiki.Inā ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o 5 mau minuke, pono ʻoe e kāhea koke i ka 119 (a i ʻole kāu helu ulia pōpilikia kūloko).
• E hoʻomoe mālie a akahele i kāu pēpē: Mai kau i kāu pēpē ma luna o ka papa ʻaina a i ʻole kahi moe. Eia kekahi, mai ho'āʻo e paʻa i kāu pēpē me kou mau lima a paʻa paha iā ia me ka paʻa. ʻO ka hana ʻana pēlā e hoʻonui ai i ka pilikia o ka ʻeha.
• E hoʻohuli i ka pēpē ma kona ʻaoʻao: E hoʻohuli i ka pēpē ma kona ʻaoʻao e pale aku i nā wai (luha a luaʻi paha) mai ke komo ʻana i loko o nā māmā a paʻa.
• Mai hoʻokomo i kekahi mea i loko o ka waha: E wehe i nā mea e like me nā mea pāʻani mai ka waha o ke keiki. Mai hoʻokomo i kekahi mea i loko o ka waha e hiki ke paʻa.

He mea nui loa ka ʻike pono ʻana i kēia mau ʻōlelo aʻoaʻo kōkua mua, no ka mea, inā ʻoe e hana i kēia mau mea me ka hopohopo ʻole i kēlā manawa, e lilo ia i mea kōkua nui i ke keiki.

He aha kāu e manaʻo ai ma hope o ka loaʻa ʻana o ka maʻi febrile?

ʻAʻole like ka pane ʻana o nā keiki a pau ma hope o ka loaʻa ʻana o ka maʻi hopu. He mea maʻamau i ke keiki ke manaʻo huikau a luhi ma hope o ka loaʻa hou ʻana o ka ʻike. Hiki ke hala kekahi mau minuke no ke keiki e hoʻomaka hou i ke ʻano maʻamau. He mea nui e mālama pono i ke keiki i kēia manawa. E hoʻomaha i ke keiki. E hoʻomau i ka launa pū me ke kauka o ke keiki a e hahai i kāna mau kuhikuhi.

ʻEhia ka lōʻihi o ka loaʻa ʻana o kahi maʻi kuni?

ʻO ka maʻamau, he mau minuke wale nō ka lōʻihi o nā hopu ʻana o ke kuni. Hiki i nā hopu maʻalahi ke mau mai kekahi mau kekona a i 15 mau minuke. Hiki i nā hopu paʻakikī ke mau ma mua o 15 mau minuke.

He mea nui loa ka hoʻonohonoho ʻana i ka manawa. ʻO kahi pilikia kakaikahi he kūlana i kapa ʻia ʻo febrile status epilepticus . I kēia hihia, ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o 30 mau minuke. He pilikia olakino kēia.

Hiki ke pale ʻia nā maʻi kuni?

He mea paʻakikī ke wānana i nā maʻi kūpilikiʻi a ʻaʻole hiki ke pale ʻia. ʻOiai inā ʻoe e mālama i ke kuni o kāu keiki, aia nō ka pilikia e hiki mai ana nā maʻi kūpilikiʻi.

Āhea ʻoe e ʻike ai i ke kauka?

Inā loaʻa i kāu keiki kahi hopu febrile no ka manawa mua, pono ʻoe e ʻimi i ke kōkua lapaʻau. Inā loaʻa i kāu keiki kahi hopu no ka manawa mua, e kelepona i ke kauka a i ʻole nā ​​​​lawelawe ulia pōpilikia.

Inā he moʻolelo ko kāu keiki no nā hopu ʻana, hiki i ke kauka lapaʻau o kāu keiki ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo maikaʻi loa no ka mea e hana ai i ia kūlana. E haʻi pū ʻo ia iā ʻoe i nā hōʻailona āu e makaʻala ai.

Āhea ʻoe e hele ai i ka Emergency Treatment Unit (ETU) ?

Pono ʻoe e ʻimi i ke kōkua lapaʻau no ka hopu ʻana i ka febrile ma kekahi o kēia mau hihia:

• ʻO kēia ka maʻi ʻeha mua o ke keiki.
• Inā ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o 5 mau minuke.
• Inā pilikia ke keiki i ka hanu ʻana .
• Nā hōʻailona o ka maʻi lolo a i ʻole ke kaula kuamoʻo i loko o kahi keiki(e.g., ʻoʻoleʻa a ʻeha paha ka ʻāʻī, hiamoe nui, luaʻi mau).
• Inā lohi ke keiki e hoʻōla (inā he hola a ʻoi aʻe paha e hoʻi ai i ka maʻamau).
• Inā ua ʻeha ke keiki i ka wā o ka hopu ʻana.

ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai

Hiki i nā maʻi kūpilikiʻi ke hopohopo nui, ʻoiai inā ʻaʻole i loaʻa i kāu keiki kekahi ma mua. Eia nō naʻe, i ka hapa nui o ka manawa, he pōkole wale nō kēia mau maʻi kūpilikiʻi, a hoʻōla koke nā keiki me ka ʻole o nā hopena lōʻihi.

Inā he mau nīnau a hopohopo paha kāu e pili ana i kēia, e kamaʻilio me ke kauka lapaʻau o kāu keiki. Hiki iā ia ke hāʻawi iā ʻoe i ke alakaʻi a me ka ʻike e pono ai ʻoe e hōʻoluʻolu i kou mau makaʻu. Eia kekahi, e nīnau iā ia e pili ana i ke ʻano o ka hāʻawi ʻana i ke kōkua mua i ka wā e loaʻa ai ka hopu ʻana. Ma kēlā ʻano, inā loaʻa i kāu keiki kahi hopu febrile i ka wā e hiki mai ana, e mākaukau ʻoe. Mai hopohopo, ʻo ka mea nui loa, ʻo ia ka ʻike!

Nā maʻi ʻūlū wela, nā maʻi ʻūlū i nā keiki, ke kuni, nā maʻi ʻūlū wela, pediatrics, kōkua mua, olakino o nā keiki