E noʻonoʻo i kāu mea liʻiliʻi e pāʻani ana a hoʻomaka koke e haʻalulu, ua ākea kona mau maka, ua ʻoʻoleʻa kona kino holoʻokoʻa... I kēlā manawa, ke hoʻopā ʻoe i kona kino, ua like ia me ke ahi. ʻO ia hoʻi, he kuni kona. Ma ke ʻano he makuahine a he makuakāne paha, ʻo ka makaʻu āu e ʻike ai ke ʻike ʻoe i kahi mea e like me kēia, ʻaʻole hiki ke wehewehe ʻia. ʻO kēia ka mea a mākou e kapa nei he "febrile seizure" a i ʻole, ma nā ʻōlelo lapaʻau, he febrile seizure . ʻOiai he mea weliweli loa kēia e ʻike ai, ʻo ka nūhou maikaʻi, ʻo ka hapa nui o ka manawa, ʻaʻole ia e hōʻeha i ke keiki i ka wā lōʻihi. No laila, mai hopohopo a e makaʻala i kēia.
No ke aha e loaʻa ai kēia mau maʻi kuni?
ʻAʻole maopopo loa i nā kauka ke kumu o kēia. Akā, ua manaʻoʻiʻo nui ʻia e hiki ke loaʻa kēia ʻano ke piʻi aʻe ka mahana o ke kino o ke keiki ma luna o 38 degere Celsius (100.4 Fahrenheit). I kekahi manawa, ma kahi o ka mahana ponoʻī, hiki i ka piʻi koke ʻana o ke kuni (fever spike) ke kumu o kēia. I nā manawa he nui, ʻaʻole paha e ʻike nā mākua ua loaʻa i kā lākou keiki ke kuni. Hoʻomaopopo wale lākou ua loaʻa i kā lākou keiki ke kuni lākou ke hoʻopā lākou i ko lākou kino ma hope o ka hiki koke ʻana mai o ka hopu ʻana.
ʻO wai nā keiki e loaʻa pinepine ai i nā kuʻi febrile?
Hiki ke loaʻa pinepine kēia ʻano i nā keiki ma waena o 3 mau mahina a me 6 mau makahiki. Eia nō naʻe, ʻoi aku ka maʻamau o ia i nā keiki ma waena o 12 a me 18 mau mahina . I ka hapa nui o nā keiki, e nalo wale kēia ʻano i ka wā e hiki ai iā lākou ma kahi o 6 mau makahiki.
A eia kekahi mau mea hou aʻe:
- Moʻolelo ʻohana: Inā ua loaʻa i kekahi o kou ʻohana, ʻo ʻoe, kāu hoa, a i ʻole kekahi keiki ʻē aʻe, nā maʻi kuni i kona wā kamaliʻi, ʻoi aku ka nui o ka loaʻa ʻana o ia mau maʻi i kāu keiki.
- ʻO ka lua o ka manawa: Inā ua loaʻa i ke keiki kahi maʻi kuni i hoʻokahi manawa, aia ka manawa e loaʻa hou iā lākou.
He aha ke ʻano o ka maʻi kuni?
ʻElua ʻano nui o kēia. E nānā kākou i ka ʻokoʻa ma waena o nā mea ʻelua.
| ʻAno | Ka hopu ʻana i ka maʻi febrile maʻalahi | Ka hopu ʻana i ka maʻi febrile paʻakikī |
|---|---|---|
| Manawa | ʻO kēia ke ʻano maʻamau. ʻO ka maʻamau, he manawa pōkole ia, ma kahi o hoʻokahi a ʻelua paha minuke. Akā i kekahi manawa hiki ke mau a hiki i 15 mau minuke. | He mea kākaʻikahi kēia. ʻOi aku ma mua o 15 mau minuke. |
| Ka hopena ma ke kino | Hūlū koke ke kino holoʻokoʻa (hoʻoluliluli ʻaoʻao hoʻokahi). | Hoʻokahi wale nō ʻāpana o ke kino (e.g., hoʻokahi lima a wāwae paha) e hoʻopilikia ʻia. |
| Alapine (frequency) | ʻAʻole ia e hana hou i loko o 24 mau hola. | Hiki ke hana ʻia ma mua o hoʻokahi manawa i loko o 24 mau hola. |
| Ma hope o ka hopu ʻana | Hiki i ke keiki ke hiamoe, huhū, a huikau paha no kekahi mau hola. | Ma hope o ka loaʻa ʻana o ka maʻi ʻōʻili, hiki i ka lima a i ʻole ka wāwae ma ka ʻaoʻao o ke kino i hoʻopilikia ʻia ke manaʻo he mae wale no kekahi manawa. |
ʻO ka hopu ʻana o ka febrile paʻakikī kahi kūlana e pono ai ka nānā hou aku. I kēlā mau manawa, hiki i ke kauka ke hoʻoholo e nānā hou aku i ke keiki. Hiki i kēia ke komo pū me nā hoʻāʻo koko, nā scans (`imaging`), ka nānā ʻana i ke kahe a puni ka lolo (`spinal tap`), a i ʻole ka hoʻokipa ʻia ʻana no ka mālama ʻana.
He aha nā kumu o ke kuni?
I mea e loaʻa ai i kahi keiki kahi maʻi kuni, pono mua lākou e loaʻa i ke kuni. ʻElua mau kumu nui e loaʻa ai i nā keiki ʻōpio ke kuni.
1. Nā maʻi: Hiki i kahi maʻi bacteria a viral paha ke hoʻoulu i ke kuni. ʻO Roseola ( i ʻike ʻia hoʻi ʻo ka maʻi ʻeono) kahi maʻi viral e hiki ai ke hoʻoulu i ke kuni kiʻekiʻe koke, hiki ke alakaʻi i nā hopu febrile.
2. Ka pale ʻana: Hiki i nā keiki ke loaʻa i ke kuni ma hope o ka loaʻa ʻana o kekahi mau pale. ʻOi aku ka pale MMR no ka measles, mumps, a me ka rubella, hiki ke hoʻoulu i ke kuni ma waena o 8 a me 14 mau lā ma hope o ka hāʻawi ʻia ʻana.
He aha kaʻu e hana ai inā loaʻa i kaʻu keiki kahi maʻi ʻōpū?
ʻO kēia ka ʻāpana koʻikoʻi loa. He mea nui loa ia no ka palekana o ke keiki ʻaʻole ʻoe e hopohopo i kēia manawa, akā e hana wikiwiki a pololei.
ʻO ka mea nui loa, ʻo ia ke noho mālie . Inā wale nō ʻoe e mālie hiki iā ʻoe ke kōkua i kāu keiki.
Eia ke ʻano pololei e hana ai i kēia mau mea.
| ✔️ Nā mea e hana ai | ❌ Nā mea e hana ʻole ai |
|---|---|
| E lawe i ke keiki mai luna mai o ka moena a i ʻole ka noho a e hoʻomoe iā ia ma luna o kahi palekana (e like me ka papahele). E hōʻemi kēia i ka manawa kūpono o kona hāʻule ʻana. | Mai hoʻokomo i kekahi mea i loko o ka waha o ke keiki (ʻaʻohe puna, kī, manamana lima). |
| E hoʻohuli koke i ke keiki i ko lākou kua. Ma kēia ʻano, ʻaʻole e paʻa ka lawai a i ʻole ka luaʻi e hōʻiliʻili ana i loko o ka waha i loko o ke ala ea. | Mai paʻa a kāohi paha i kāu keiki me ka paʻa loa e pale aku i ka hopu ʻana. |
Ma hope o ka pau ʻana o ke kuʻi ʻana, inā e hanu maʻamau ana ke keiki a ua paʻa, e ʻike pono i kāu kauka . He mea nui loa ia e ʻike i ke kumu o ke kuni. ʻOiai inā loaʻa kekahi mea e like me kēia i kahi pēpē ma lalo o 12 mau mahina, hiki i ke kauka ke hana i kekahi mau hoʻokolohua e kāpae i kahi maʻi weliweli e like me ka meningitis.
Āhea wau e lawe ai i kaʻu keiki i ka Emergency Treatment Unit (ETU)?
Aia kekahi mau manawa ʻaʻole maikaʻi ke noho ma ka home. I kēlā mau hihia, pono ʻoe e lawe koke i kāu keiki i ka haukapila kokoke loa ʻo Emergency Department (ETU) . A i ʻole e kelepona i ka lawelawe ambulance 1990.
- Inā ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o 5 mau minuke.
- Inā pilikia ke keiki i ka hanu ʻana a i ʻole e polū ana kona ʻili .
- Inā hoʻokahi wale nō ʻāpana o ke kino e ʻoniʻoni ana (he hōʻailona o kahi hopu paʻakikī).
- Inā ʻaʻole kūpono ke ʻano o ke keiki ma hope o hoʻokahi hola ma hope o ka pau ʻana o ka hopu ʻana.
- Inā ʻike ʻia ke keiki ua maloʻo ka wai (waha maloʻo a me nā lehelehe, maka piholo, emi ʻana o ka mimi).
- Inā loaʻa hou kahi hopu ʻana i loko o 24 mau hola .
E hana hou anei kēia? Aia kekahi lāʻau lapaʻau?
Ma kahi o 30% a 35% o nā keiki i loaʻa i kahi maʻi kuni e loaʻa hou i loko o kekahi a ʻelua paha makahiki e hiki mai ana. He ʻoiaʻiʻo loa kēia inā ʻaʻole i piha ke keiki i 15 mau mahina i ka wā mua i loaʻa ai iā lākou kekahi. Eia naʻe, ʻaʻole kēia manaʻo i kēlā me kēia manawa e loaʻa ai i ke kuni ke keiki, e loaʻa iā lākou kahi maʻi kuni.
ʻO ka maʻamau, ʻaʻole pono ka lāʻau lapaʻau lōʻihi no ka hopu ʻana i ka maʻi febrile maʻalahi. Eia nō naʻe, inā paʻakikī ka hopu ʻana a pinepine paha, hiki i ke kauka ke kuhikuhi i kahi lāʻau lapaʻau e kāohi i ka hopu ʻana. I kekahi manawa, inā ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o 5 mau minuke, hiki i ke kauka ke kuhikuhi i kahi mea e like me ka gel 'Diazepam' rectal e hoʻōki iā ia. Akā e hoʻomanaʻo, ʻoiai inā hāʻawi ʻia kēlā ʻano lāʻau lapaʻau, pono ʻoe e lawe koke i kāu keiki i ka haukapila.
E loaʻa anei i kaʻu keiki nā pilikia ʻē aʻe ma muli o nā maʻi kuni?
ʻO kēia ka makaʻu nui loa i loko o ka manaʻo o kēlā me kēia mākua.
ʻAʻole e hōʻeha ka maʻi kuni maʻalahi i ka lolo o ke keiki, ʻaʻole hoʻi e hoʻopilikia i ka hiki ke aʻo a i ʻole ka naʻauao o ke keiki.
ʻAʻole nā maʻi hopu febrile he maʻi i kapa ʻia ʻo epilepsy. ʻO ka epilepsy ka hanana ʻana o ʻelua a ʻoi aku paha mau hopu me ka ʻole o ke kuni. ʻO kahi keiki i loaʻa i kahi hopu febrile he liʻiliʻi loa ka nui o ka pilikia o ka loaʻa ʻana o ka epilepsy ma hope o ke ola. ʻO ke ʻano kēia ʻaʻole e loaʻa i ka 98% o nā keiki ka pilikia.
No laila, ma hope o kahi hopu kuni maʻalahi, e ulu maʻamau kāu keiki. Mai hopohopo no ia mea.
Leka Lawe-Home
- ʻOiai hiki ke hoʻoweliweli loa ka maʻi kuni, ʻaʻole ia e hōʻeha pinepine i ke keiki.
- ʻO ke kuni ke kumu o kēia, ʻaʻole ia he maʻi lolo.
- Inā loaʻa i kāu keiki ka maʻi ʻōʻili, e noho mālie, e hoʻohuli i ke keiki ma ko lākou ʻaoʻao ma kahi palekana, a kali me ka hāʻawi ʻole ʻana i kekahi mea ma ka waha.
- Inā loaʻa iā ʻoe kahi ʻōhū no ka manawa mua, e ʻike pono i ke kauka ma hope o ka pau ʻana o ka ʻōhū e ʻike i ke kumu o ke kuni.
- Inā ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o 5 mau minuke a pilikia ʻoe i ka hanu ʻana, e hele koke i ka ʻOihana Pilikia (ETU) o ka haukapila.
- ʻAʻole he maʻi epilepsy nā hopu ʻana o ke kuni wela, no laila mai makaʻu pono ʻole iā lākou.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo