Ua loaʻa koke anei i kāu keiki liʻiliʻi nā hives? E aʻo kākou e pili ana i nā hives/urticaria!

Pehea kou manaʻo inā ʻōlelo koke kāu keiki, "E Māmā, e nānā, ke ʻānai nei koʻu kino a ʻulaʻula..."? Ua ʻike paha ʻoe he ʻulaʻula kona kino, ʻoiai kona umauma a me kona ʻōpū, a he mau puʻupuʻu liʻiliʻi e like me ka pehu. ʻO kēia ka mea a mākou e kapa nei he 'hives' a i ʻike ʻia ma ke ʻano lapaʻau ʻo 'urticaria'. He mea maʻamau ka makaʻu iki ke ʻike ʻoe i kēia, akā mai hopohopo. He mea maʻamau kēia ʻano i waena o nā keiki. ʻO ka mea nui loa, he manawa pōkole kēia mau mea a ʻaʻole e waiho i nā ʻeha.

I ka ʻōlelo maʻalahi, he aha kēia mau 'hives'?

He ʻulaʻula a pehu nā hives e ʻike koke ʻia ma luna o ko kākou ʻili. Hoʻomaka lākou me he mau puʻupuʻu liʻiliʻi, e like me nā nahu makika, a i kekahi manawa hiki iā lākou ke hui pū e hana i nā ʻāpana nui. ʻIke pinepine ʻia lākou ma ka umauma, ka ʻōpū, a i ʻole ke kua o nā keiki.

E noʻonoʻo, ua like ko kākou kino me ke kiaʻi palekana akamai loa. Ke komo kekahi mea ʻē, no ka laʻana he allergen, i loko o ke kino, hoʻokuʻu ko kākou ʻōnaehana pale i kahi kemika i kapa ʻia ʻo 'histamine'. ʻO ke kumu o kēia, ʻo ia ke hoʻouka i ka mea ʻē. Akā i loko o kēia hakakā, ua hoʻopilikia iki ʻia nā kīʻaha koko maikaʻi i loko o ko kākou ʻili, a puka mai kahi wai (plasma) mai loko mai o lākou ma lalo o ka ʻili. ʻO ia ka manawa e pehu ai ka ʻili a pehu e like me kēia.

Aia he ʻelua ʻano o kēia?

ʻAe, hiki ke hoʻokaʻawale ʻia nā pūnana hū i ʻelua ʻano nui. Ua hoʻokaʻawale ʻia lākou e like me ka lōʻihi o ko lākou ola ʻana.

Pehea ke ʻano o kēia mau ʻeha? Pehea ka manaʻo o ke pēpē?

Hiki ke ʻokoʻa ke ʻano a me ke ʻano o kēia mau ʻeha i ke keiki. ʻAʻole paha e ʻike kekahi mau keiki i kekahi ʻoluʻolu ʻole.

Mea nui: I loko o kahi heluna liʻiliʻi loa o ka poʻe, hiki i nā hives ke alakaʻi i kahi hopena alerika koʻikoʻi, i kapa ʻia ʻo anaphylaxis. He pilikia olakino kēia.

Nā hōʻailona hōʻike e pono ai ka nānā koke ʻana!

Inā loaʻa i kāu keiki kekahi o nā hōʻailona ma lalo nei me ka hives, e kāhea koke aku i kahi ambulance a lawe paha iā lākou i ka haukapila kokoke loa ʻo Emergency Department (ETU):Mai hoʻāʻo e hoʻokele hoʻokahi i ka manawa e like me kēia.

• Ka paʻakikī o ka hanu ʻana a i ʻole ke ale ʻana (Dysphagia)
• Ka pehu ʻana o ke alelo a i ʻole ka puʻu
• Ka waimaka
• Pōʻino a nalowale paha ka ʻike
• kuni kiʻekiʻe
• Ka luaʻi ʻana
• ʻEha hui

He aha ke kumu e loaʻa ai i nā keiki ka hives?

ʻO kaʻoiaʻiʻo, he paʻakikī ke loaʻa i kahi kumu kikoʻī no kēia ma ka hapalua o nā hihia. Akā inā hiki ke loaʻa ke kumu, ʻo ia paha kekahi ʻano allergy.

ʻO nā kumu maʻamau:

• Meaʻai: ʻOi loa ka waiū, nā nati e like me ka pīnati, a me nā meaʻai kai e like me ka iʻa paʻi.
• Nā kumu o ke kaiapuni: lepo, pollen, dander holoholona.
• Nā Kemika: Kekahi mau kopa, nā mea holoi, nā mea ʻala, a me nā lotion ʻili.
• Nā maʻi a me nā maʻi: Hiki ke hana ʻia nā hives e nā mea e like me ke anu maʻamau a me ka ʻāʻī strep. ʻO ka maʻi COVID-19 kekahi kumu.
• Nā nahu pepeke: Ke nahu ʻia e nā holoholona e like me nā makika a me nā nalo meli.

Nā kumu ʻē aʻe:

• Ke ʻaʻahu nei no ka hale paʻahao
• Nā hopena i kekahi mau lāʻau lapaʻau
• Nā hopena ʻaoʻao o nā lāʻau lapaʻau e like me ka radiation therapy

Nā kumu kakaikahi loa:

• Hoʻoikaika kino
• Ka ʻike ʻia ʻana i ka lā ikaika a i ʻole ke anu
• Ke kaumaha

He aha ka mea hiki ke hana ʻia e mālama ai i kēia?

Hoʻoholo ʻia ka lāʻau lapaʻau i ke ʻano o ka hives i loaʻa i ke keiki a me ke koʻikoʻi o nā hōʻailona.

ʻO nā hives maʻalahi a pōkole (ʻoi), ʻoiai inā ʻaʻole pilikia nui ke keiki, ʻaʻole pono ia i kekahi lāʻau lapaʻau . E nalo wale lākou i loko o hoʻokahi a ʻelua paha lā.

Eia nō naʻe, inā loaʻa i kāu keiki ka maneʻo mau a i ʻole nā ​​hives mau loa, pono ka mālama lapaʻau. Pono e kūkākūkā me kāu kauka e hoʻoholo i ka lāʻau kūpono no kāu keiki. Hoʻomaʻamaʻa pinepine ʻia nā antihistamines e kāohi i ka maneʻo a hōʻemi i ka laha ʻana o ka ʻulaʻula.

ʻo kahi laʻana:

• ʻO Cetirizine
• ʻO Loratadine
• ʻO Fexofenadine
• Diphenhydramine - E hoʻomanaʻo e hiki i kēia lāʻau lapaʻau ke hoʻohiamoe i ke keiki.

Mai hāʻawi i kēia lāʻau lapaʻau i kahi keiki me ka ʻole o ke kūkākūkā ʻana me ke kauka. Na ke kauka e hoʻoholo i ka nui kūpono no ka makahiki a me ke kaumaha o ke keiki.

Nā mea hiki iā ʻoe ke hana ma ka home e hōʻoluʻolu i kāu pēpē

ʻOiai ʻoe e hāʻawi ana i ka lāʻau lapaʻau a i ʻole e kali ana no ka hāʻawi ʻia ʻana, hiki iā ʻoe ke hoʻāʻo i kēia mau mea e kōkua ai i ka hōʻemi ʻana i ka ʻeha o kāu keiki:

• E hoʻolako i kahi wahi anuanu: E mālama i ka pēpē mai ka lā a me ka wela. E hoʻā i ka peʻahi a waiho paha iā lākou i kahi ea anuanu.
• E hoʻomohu i ka wai anuanu: E hoʻomohu i kahi lole maʻemaʻe i ka wai anuanu a kau mālie ma luna o ka wahi i hoʻopilikia ʻia. He mea maikaʻi nō hoʻi ke ʻauʻau i ka wai anuanu.
• E hoʻopili i ka lotion calamine: He kōkua nui kēia i ka hōʻemi ʻana i ka maneʻo.
• E ʻaʻahu i nā lole e ʻae ai i kou ʻili e hanu: E ʻaʻahu i nā lole māmā ʻaʻole paʻa a hana ʻia me nā mea e like me ka pulupulu.

He aha nā manawa kūpono loa e ʻike ai i ke kauka?

• Inā ʻo ka ʻulaʻula ke kumu o ka ʻoluʻolu ʻole i kāu keiki, a inā paʻakikī ke hiamoe, a inā paha ua pālahalaha aʻe i kahi ʻāpana nui o ke kino, e ʻike pono i kāu kauka.
• Inā loaʻa iā ʻoe nā hōʻailona hōʻailona o ka anaphylaxis , a mākou i kamaʻilio ai ma mua, me nā hives, he pilikia ia. E hele koke i ka haukapila.
• Inā ʻoi aku ka lōʻihi o nā hives ma mua o 6 mau pule (hives mau), pono paha ʻoe e hana i nā mea e like me ka hoʻāʻo ʻana i ka maʻi allergy e ʻike ai i ke kumu. No laila, he mea nui e ʻike i ke kauka.
• Inā manaʻo ʻoe he kumu kikoʻī no ka ʻulaʻula (e.g., kahi meaʻai), e kamaʻilio me kāu kauka e pili ana i ia mea a hoʻoholo inā pono ʻoe e hoʻōki i ka hāʻawi ʻana i kēlā meaʻai i kāu keiki a i ʻole inā pono nā hoʻokolohua ʻē aʻe.