Me he mea lā e huki ana ka umauma a me ka ʻāʻī o kāu pēpē i loko i ko lākou hanu ʻana? Ua kapa ʻia kēlā he "(Retractions)". E kamaʻilio kākou e pili ana i kēia!

I kekahi manawa ke hanu kahi keiki liʻiliʻi, a i ʻole he kanaka makua paha, ua ʻike paha ʻoe i kekahi mau ʻāpana o ka umauma, ka ʻāʻī, e hele i loko e like me kēlā. Me he mea lā he paʻakikī loa ka hanu ʻana. ʻO ia ka mea a mākou e kapa nei he ``(Retractions)'' i ka lāʻau lapaʻau. I kēia lā e kamaʻilio mākou e pili ana i ke ʻano maoli o kēia, no ke aha e hana ʻia ai, a inā paha e makaʻu mākou.

He aha maoli ka "(Retractions)"?

I ka ʻōlelo maʻalahi, ʻo "(Retractions)" ka manawa e hanu ai ke kanaka (ʻo ia hoʻi, e hanu ana) a e piholo ka ʻili ma nā wahi e like me ka ʻāʻī, ma waena o nā iwi ʻaoʻao, a ma lalo o nā iwi ʻaoʻao i loko, a i ʻole e huki i loko. ʻO ka mea nui e haʻi mai nei kēia iā mākou, ʻo ia ke hakakā nei ke kanaka e hanu. Ua like ia me ka hāpai ʻana i kahi mea kaumaha, ke hakakā nei lākou e hoʻokomo i ka ea i loko o ko lākou mau māmā. Ua ʻike paha ʻoe i kekahi manawa ke hanu kahi pēpē, huki ka ʻili ma ko lākou umauma i loko, ʻo ia ke ʻano.

Pehea lā mākou e hanu mau ai?

I mea e maopopo ai i ke ʻano o kēia mau "(Retractions)", pono kākou e nānā i ke ʻano o ko kākou hanu mau ʻana. E noʻonoʻo e like me ka huki ʻana i kahi mea inu i luna ma o kahi ʻōpala.

Ma waena o ko kākou umauma a me ka ʻōpū he ʻāpana ʻiʻo nui a pālahalaha i kapa ʻia ʻo ka diaphragm . Eia kekahi, aia nā ʻāpana ʻiʻo liʻiliʻi ma waena o ko kākou mau iwi ʻaoʻao.

Ke hanu mākou i loko, e iho ana kēia diaphragm nui i lalo, a huki iki nā ʻiʻo ma waena o nā iwi ʻaoʻao i nā iwi ʻaoʻao i luna a i waho. A laila e nui aʻe ana ka hakahaka i loko o ka umauma (ka lua umauma). Hoʻemi kēia i ke kaomi i loko o nā māmā, a huki wale ka ea ma waho i loko o nā māmā. Me he mea lā ua hana ʻia kahi vacuum a huki ʻia ka ea i loko. Hana pinepine kēia me ka ʻole o ka hana nui ʻana.

A laila no ke aha lā e hana ʻia ai nā `(Retractions)`?

I kēia manawa, e noʻonoʻo ʻoe no kekahi kumu, ke pilikia nei kekahi i ka hanu ʻana. Malia paha ua ālai ʻia nā ala ea (bronchi) e alakaʻi ana i nā māmā, a i ʻole aia kekahi ʻano maʻi i loko o nā māmā.

Ke paʻakikī ka hanu ʻana e like me kēia, ʻaʻole lawa nā ʻiʻo e kōkua ai i ke kaʻina hana hanu maʻamau (nā ʻiʻo ma waena o ka diaphragm a me nā iwi ʻaoʻao) e huki i ka ea kūpono i loko o nā māmā.

He aha ka mea e hana ʻia a laila? Hoʻāʻo ko mākou kino e hoʻohana i nā ʻiʻo keu no kēia kumu. ʻOi aku ka ʻiʻo ma ka ʻāʻī, kekahi mau ʻiʻo liʻiliʻi ma waena o nā iwi ʻaoʻao, a me nā ʻiʻo ma ka ʻāpana poʻohiwi i hoʻohui ʻia i kēia.

Ke ʻūmiʻi wikiwiki a ikaika kēia mau olonā ʻiʻo keu, huki ʻia ka ʻili a me nā ʻiʻo palupalu i pili iā lākou i loko. ʻO kēia ʻano huki i loko ka mea a mākou e kapa nei he "(Retractions)".

ʻO ia hoʻi, ʻo ka ʻike ʻana i nā `(Retractions)` ʻo ia hoʻi ke hoʻohana nei ke kino o ke kanaka i kahi 'ikaika kākoʻo keu' e pamu i ka ea i loko o nā māmā!

Ma hea e hiki ai iaʻu ke ʻike i nā `(Retractions)`?

Hiki ke ʻike ʻia kēia mau lua ma nā wahi like ʻole. Ma muli o kēlā mau wahi, hiki iā mākou ke loaʻa i kekahi manawa kekahi manaʻo o ke ʻano o ka paʻakikī o ka hanu ʻana.

• Nā Hoʻihoʻi ʻana o Subcostal:Puʻupuʻu ka ʻili i loko o kahi e hui ai ka ʻōpū a me ka umauma, ma lalo o ka pā iwi ʻaoʻao. He mea maʻamau kēia i nā pēpē ʻōpio.
• Nā Hoʻihoʻi Intercostal: Hoʻihoʻi ʻia ka ʻili ma waena o nā iwi ʻaoʻao ʻelua i loko, me he mea lā e puka mai ana nā iwi ʻaoʻao.
• Nā Hoʻihoʻi Supraclavicular: He mau hakahaka liʻiliʻi kēia, e like me ka lua ma nā ʻaoʻao ʻelua o ka ʻāʻī, ma luna o ka iwi ʻāʻī (clavicle).
• Nā Huki ʻana ma luna a i ʻole ma lalo o ka sternum: Huki ka ʻili i loko ma luna a ma lalo paha o ka iwi pālahalaha ma waenakonu o ka umauma (ka sternum), e like me kahi e hoʻomaka ai ka ʻāʻī.

Hiki ke ʻike ʻia kekahi a ʻoi aku paha o kēia mau mea i ka manawa like. ʻO ka nui o kēia mau mea i ʻike ʻia, ʻo ka nui o ka paʻakikī o ka hanu ʻana.

He aha nā kumu o nā `(Retractions)`?

ʻAʻole he maʻi ka ``(Retractions)``, he hōʻailona ia. Hiki ke ʻike ʻia i kekahi kūlana e pilikia ai ka hanu ʻana. ʻO kekahi o nā kumu maʻamau i nā keiki ʻōpio:

• ʻO ka Bronchiolitis: He maʻi e hoʻoulu ai i ka mumū o nā ala ea liʻiliʻi loa i loko o nā māmā, ʻoi aku hoʻi i nā pēpē ma lalo o 2 mau makahiki. Hoʻokumu pinepine ʻia e kahi maʻi viral.
• Asthma: He ʻano e pehu ai a paʻa ai nā alaea, e paʻakikī ai ka hanu ʻana.
• Pneumonia: He maʻi i hoʻokumu ʻia e nā germs i loko o nā māmā.
• Croup: He maʻi e hoʻoulu ai i ka pehu ʻana o ka larynx a me nā alaloa o luna, e hoʻoulu ai i ka ʻuā ʻaoa.
• Ka makemake ʻana i ke kino ʻē: Inā loaʻa i kahi keiki liʻiliʻi kahi mea e like me kahi ʻāpana o kahi mea pāʻani a i ʻole kahi ʻāpana meaʻai i hoʻopaʻa ʻia i loko o ko lākou ihu a waha paha, he pilikia kēia!
• Nā kumu ʻē aʻe: Hiki ke ʻike ʻia nā retractions i kekahi mau maʻi puʻuwai, e like me nā allergies koʻikoʻi (anaphylaxis).

I nā pākeke, hiki ke ʻike ʻia kēia hōʻailona i nā kūlana e like me COPD (Maʻi Pulmonary Obstructive Chronic), ka maʻi pneumonia koʻikoʻi, a me ka hāʻule ʻana o ka puʻuwai.

He aha hou aʻe kā mākou e ʻimi ai me nā `(Retractions)`? Āhea mākou e ʻike ai i ke kauka?

Inā ʻike ʻoe i ka `(Retractions)`, ʻaʻole ia he manaʻo maikaʻi e hoʻokuke wale iā ia. No ka mea, ʻo ia hoʻi, aia kekahi ʻano pilikia.

E nānā i kēia mau hiʻohiʻona me nā `Retractions`:

• Ua wikiwiki loa anei ka hanu ʻana? `(Hanu wikiwiki / Tachypnea)` ʻOkoʻa ka nui o ka hanu maʻamau no nā keiki ʻōpio ma muli o ko lākou mau makahiki. Akā e makaʻala inā maopopo lākou e hanu wikiwiki loa ana.
• Ke pālahalaha nei kou ihu? `(Ke pālahalaha nei ka ihu)` Inā nui aʻe kou mau puka ihu i kou hanu ʻana.
• Ke hana nei ʻoe i kahi leo ʻūhū ke hanu ʻoe i loko? Inā hana ʻoe i kahi leo e like me "Agh... agh..." ke hanu ʻoe i waho.
• Ke hanu nei ʻoe me ka wheezing? Aia kekahi leo ʻūhū e puka mai ana mai kou umauma mai ke hanu ʻoe?
• He ʻūpā kou?
• Polū anei nā lehelehe, ke alelo, a me nā kui? (Cyanosis)He hōʻailona weliweli loa kēia. ʻO ia hoʻi, ʻaʻole lawa ka oxygen i ke kino. He pilikia kēia! E hele koke i ka haukapila.
• ʻAʻole anei ka pēpē e hānai waiū ana/ʻai lawa ana? Ua hiamoe anei ʻo ia? A i ʻole ua hoʻomaha loa ʻo ia?
• He kuni kou?

ʻO ka mea nui loa: Inā loaʻa i kāu keiki nā "(Retractions)", ʻoiai inā he pēpē liʻiliʻi ia, e lawe pono iā lākou i ke kauka. ʻO lākou ka poʻe hiki ke ʻike i ke kumu pololei a hoʻomaka i ka lāʻau e pono ai.

E ʻimi koke i ke kōkua lapaʻau, ʻoiai ma nā hihia ma lalo nei:

• Inā ʻaʻole i piha ke keiki ma lalo o 3 mahina.
• Inā polū kou mau lehelehe me nā `(Retractions)` a me he mea lā ke pilikia nei ʻoe i ka hanu ʻana.
• Ke hanu nui nei ke keiki, ʻaʻole hiki iā ia ke ʻōlelo.
• Inā kiʻekiʻe loa ka nui o ka hanu ʻana.
• Inā ʻike ʻia ke keiki ua nāwaliwali loa a hiamoe hoʻi.

He aha kā mākou e hana ai ma ka home?

No ka mea, ʻo "(Retractions)" he hōʻailona ia o kahi maʻi kumu, ua kaupalena ʻia nā mea hiki iā ʻoe ke hana ma ka home. ʻO ka mea nui loa, ʻo ia ke ʻimi i ke aʻo lapaʻau.

Eia nō naʻe, a hiki i kou ʻike ʻana i ke kauka, hiki iā ʻoe ke hana i kēia mau mea:

• E noho mālie: Inā hopohopo ʻoe, e makaʻu paha kāu pēpē, a hiki i kēia ke paʻakikī ai ka hanu ʻana.
• E hōʻoluʻolu i ke keiki: e kamaʻilio me ke aloha, e ʻapo iā ia.
• E hoʻonoho i ke keiki i kahi kūlana ʻoluʻolu: He mea maʻalahi paha ka hanu ʻana i ka wā e noho ana.
• Inā loaʻa i kāu keiki ka hānō: E hoʻohana i ka inhaler hoʻomaha i kuhikuhi ʻia e kāu kauka e like me ke kuhikuhi ʻana.
• Inā loaʻa ke kuni: Hiki iā ʻoe ke hāʻawi i kahi mea e like me Paracetamol ma ke ʻōlelo aʻo a ke kauka.
• E hōʻemi i ka uahi a me ka lepo i loko o ka lumi.

Mai hāʻawi iā ʻoe iho i kekahi lāʻau lapaʻau me ka ʻole o ka nīnau mua ʻana i ke kauka.

Pehea e ʻike ai a mālama ai nā kauka i kēia maʻi?

Ke lawe ʻoe i kāu keiki i ke kauka, ʻo ka mea mua āna e hana ai, ʻo ia ke nānā pono i ke keiki.

• Nānā mākou i ke ʻano hanu, nā wahi i loaʻa ai nā "(Retractions)", a me ka wikiwiki o ka hanu ʻana.
• Hoʻolohe ke kauka i ka umauma me ka stethoscope e nānā i nā leo (nā crackles, nā leo ʻē aʻe) i loko o nā māmā.
• Hiki iā ʻoe ke nānā i ka pae saturation oxygen o kou kino ma ka hoʻohana ʻana i kahi mea liʻiliʻi i kapa ʻia he pulse oximeter, i kau ʻia ma kou manamana lima a pepeiao paha.
• Inā pono, e noi ʻia paha ʻoe e lawe i kahi X-ray umauma. Hiki i kēia ke kōkua i ka ʻike ʻana i nā maʻi e like me ka niumonia.
• I kekahi manawa, hiki ke hana ʻia nā mea e like me nā hoʻāʻo koko a me nā hoʻāʻo swab ihu.

Hoʻopili ʻia ka lāʻau lapaʻau i ke kumu o nā retractations.

• Inā he maʻi bacteria (e like me ka niumonia): Hiki ke hāʻawi ʻia nā lāʻau antibiotic.
• Inā he maʻi viral ia (e.g., bronchiolitis): ʻAʻohe lāʻau lapaʻau kikoʻī. Ua ʻae ʻia ke kino e ho'ōla iā ia iho me ka mālama ʻana i nā hōʻailona (e.g., oxygen, saline).
• I ke ʻano o ka hānō: Hiki ke hāʻawi ʻia ka nebulization a i ʻole nā ​​​​inhalers e hanu i ka mahu.
• Inā paʻakikī loa ka hanu ʻana a haʻahaʻa nā pae oxygen: Pono paha ʻoe e lawe ʻia i ka haukapila a hāʻawi ʻia i ka oxygen.

ʻO ka mea nui loa, ʻo ia ka loaʻa ʻana o kahi hōʻailona pololei i ka wā hikiwawe loa a hoʻomaka i ka lāʻau lapaʻau e pono ai.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i nā `(Retractions)` i kēia manawa. ʻO ka mea hope loa, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• ʻO ke ʻano o ka "(Retractions)" ʻo ia ka ʻili ma ka umauma a me ka ʻāʻī e huki ana i loko i ka wā e hanu ana. ʻO ke ʻano kēia, ke paʻakikī nei ke kanaka i ka hanu ʻana a ke hoʻoikaika nui nei ʻo ia.
• ʻAʻole kēia he maʻi, akā he hōʻailona e hōʻike ana i ka paʻakikī o ka hanu ʻana.
• ʻIke pinepine ʻia ia i waena o nā kamaliʻi ʻōpio ma muli o nā maʻi e like me ka `(Bronchiolitis)`, `(Asthma)`, a me `(Pneumonia)`.
• E nānā pono i nā hōʻailona e like me ka hoʻonui ʻana i ka hanu ʻana, ka ʻō ʻana o ka ihu, ka hanu ʻana, a me nā lehelehe polū me ka "(Retractions)".
• Inā loaʻa i kāu keiki nā `(Retractions)`, ʻoiai inā he pēpē liʻiliʻi lākou, pono ʻoe e ʻike i ke kauka. ʻOi aku ka maikaʻi o ka hopohopo ʻole, akā e ʻimi koke i ke aʻo lapaʻau.
• E hahai pono i nā kuhikuhi a ke kauka.

E hoʻomanaʻo, ke ʻike ʻoe i kahi loli i ke ʻano hanu o kāu keiki, mai hoʻomāmā. Hiki i ke kōkua lapaʻau koke ke hoʻoponopono i nā pilikia he nui. Aloha nui iā ʻoukou a pau!

Paʻakikī ka hanu ʻana, ka huki ʻana o ka umauma i loko, nā maʻi o nā keiki, nā pilikia hanu, bronchiolitis, pneumonia, asthma