Ua ʻike au i kou mālama a me kou aloha i kāu keiki liʻiliʻi. ʻAʻohe mea ʻoi aku ka ʻeha o ka naʻau no ka makua ma mua o ka ʻike ʻana i kahi pēpē e maʻi ana. I kekahi manawa he mea maʻamau loa ka makaʻu a me ka hopohopo ke lohe ʻoe e pili ana i nā maʻi e pili ana i nā keiki liʻiliʻi. I kēia lā e kamaʻilio mākou e pili ana i kahi maʻi e pono ai ka nānā iki ʻana, akā hiki ke ho'ōla piha ʻia inā ʻike ʻia a mālama ʻia i ka wā mua. He ʻano kēia i kapa ʻia ʻo Infant Botulism .
He aha kēia (Infant Botulism)?
I ka ʻōlelo maʻalahi, ʻo ka botulism pēpē kahi maʻi e kū mai ana i ka wā e ʻai ai kahi pēpē i kahi mea ʻawahia i hana ʻia e kekahi ʻano bacteria. Ua haʻi ʻia ʻo (BAH-chuh-liz-im). Ke kū mai kēia maʻi, nāwaliwali paha nā ʻiʻo o ka pēpē, emi paha ka uē ʻana, a paʻakikī paha ka hanu ʻana . No laila, pono maoli kēlā pēpē e lawe ʻia i ka haukapila. Akā, mai hopohopo, inā ʻike mua ʻia ka maʻi a hāʻawi ʻia ka lāʻau lapaʻau kūpono, hiki ke hoʻōla piha ʻia ka pēpē.
No ke aha i loaʻa ai kēia i nā pēpē (Infant Botulism)? He aha nā kumu?
ʻO ke kumu nui o kēia he ʻano bacteria i kapa ʻia ʻo 'Clostridium botulinum' . ʻO ka pololei, ʻo kahi toxin i hana ʻia e kēia bacteria ke kumu o kēia maʻi. I kēia manawa ke noʻonoʻo nei paha ʻoe i hea mai kēia bacteria. ʻO ka mea kupanaha, hiki i kēia bacteria ke noho i loko o ko kākou wahi, i ka lepo, a me ka lepo . ʻO ia hoʻi, hiki ke loaʻa nā spores o kēia bacteria ma nā wahi e like me nā kāpeti, nā papahele, a me loko o ka hale.
Nā pōʻino o ka meli
ʻO kekahi kumu nui o kēia mau spores bacteria ka meli . ʻO ia ke kumu a mākou e ʻōlelo nei ʻaʻole loa e hāʻawi i ka meli i nā pēpē ma lalo o hoʻokahi makahiki . ʻAʻole wale ka meli, akā ʻo nā meaʻai i hana ʻia me ka meli, e like me nā crackers meli graham, ʻaʻole ia he manaʻo maikaʻi.
E noʻonoʻo e pili ana i ia mea, i kekahi manawa manaʻo mākou, "ʻĀ, he mea maikaʻi loa ka meli, ʻaʻohe pilikia ke hāʻawi iki aku." Akā, no kahi pēpē ma lalo o hoʻokahi makahiki, ʻoiai he mea liʻiliʻi hiki ke lilo i mea weliweli.
No ke aha i pili ʻole ai kēia i nā mākua?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, 'A laila no ke aha ʻaʻole e hoʻopilikia kēia bacteria i nā keiki makua a me nā pākeke?' He nīnau koʻikoʻi loa kēlā. Ua ulu maikaʻi ka ʻōnaehana hoʻoheheʻe o nā pākeke, ua oʻo, a ikaika hoʻi. No laila, inā komo kēia mea ʻawahia bacteria i ke kino, hiki i kā lākou ʻōnaehana ke hoʻopau iā ia mai ke kino ma mua o ka hiki ke hana i ka pōʻino nui. E like me nā kiaʻi palekana o ke kino, hakakā lākou i kēia mea ʻawahia a kipaku aku iā ia.
Akā, he palupalu loa ka ʻōnaehana hoʻoheheʻe o nā pēpē ma lalo o 6 mahina.ʻAʻole i lawa ka oʻo e pale aku ai i kēia ʻano mea ʻawahia. ʻO ia ke kumu e hoʻopilikia pinepine ai kēia maʻi (Infant Botulism) i nā pēpē ma lalo o 6 mahina. Eia nō naʻe, he mea nui e hoʻomanaʻo he pilikia kēia a hiki i ka piha ʻana o ka pēpē i hoʻokahi makahiki .
He aha nā hōʻailona o ka Infant Botulism? Pehea ʻoe e ʻike ai?
Hiki i kahi pēpē me ka Infant Botulism ke hōʻike i nā hōʻailona e like me:
- Ka paʻa ʻana o ka ʻōpū: ʻO kēia ka hōʻailona mua a nā mākua e ʻike ai. Hiki i ka pēpē ke hele i kekahi mau lā me ka ʻole o ka neʻe ʻana o ka ʻōpū.
- Nāwaliwali o nā ʻiʻo maka: Hiki ke ʻike ʻia ka helehelena o ke pēpē he "pālahalaha" a ʻaʻohe manaʻo. Hiki ke loli kēlā ʻano minoʻaka maʻamau a me nā hiʻohiʻona o ka helehelena.
- He uē nāwaliwali a palupalu: Hiki ke kani mālie a make paha ka uē a ke pēpē ma mua o ka mea maʻamau.
- Ka nāwaliwali o nā ʻiʻo ma nā lima, nā wāwae, a me ka ʻāʻī: Hiki i kēia ke hana i ke kino o ke pēpē e ʻano palupalu a palupalu . Hiki ke manaʻo ʻia e like me kahi pēpē ʻōpala.
- Nā pilikia hanu: Hiki ke wikiwiki ka hanu ʻana a i ʻole e like me ʻoe e ʻū ana.
- Paʻakikī ke ale ʻana a me ka lawai nui ʻana: Hiki ke paʻakikī ke ale ʻana i kahi waiū liʻiliʻi. E ʻike paha ʻoe e kahe mau ana kou waha.
Ma waho aʻe o kēia mau hōʻailona, ʻaʻole paha makemake kāu pēpē e inu waiū, hoʻoneʻe iki i kona kino ma mua o ka maʻamau, a nalowale ka hoihoi i ka pāʻani . E noʻonoʻo, ʻakaʻaka nui kāu pēpē, hoʻoneʻe i kona mau lima a me kona mau wāwae, a pāʻani. Akā, ua lilo koke kona helehelena i mea palaualelo, a me he mea lā ua nalowale kēlā ʻakaʻaka waiū. ʻAʻole makemake ʻo ia e inu waiū, a ua nāwaliwali loa kona uē ʻana. Kaumaha nō hoʻi kona kino me he mea lā ua make ʻo ia... Inā ʻike ʻoe i kēlā ʻano loli ʻē, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
Pehea e ʻike pololei ai ke kauka i kēia maʻi? (Diagnosis)
Hoʻomaopopo nā kauka i ka botulism pēpē ma ka nīnau mua ʻana iā ʻoe e pili ana i nā hōʻailona o kāu pēpē. A laila nānā pono lākou i kāu pēpē. I kekahi manawa e kauoha paha lākou i nā hoʻokolohua kūikawā (e like me kahi hāpana ʻōpala) e nānā i ke alo o ka toxin bacteria i loko o ke kino, a i ʻole e kauoha paha lākou i nā hoʻokolohua e nānā i ke ʻano o ka hana ʻana o nā ʻiʻo o kāu pēpē (e like me ka electromyography (EMG)).
He aha nā lāʻau lapaʻau no ka Infant Botulism?
Pono e mālama ʻia kahi pēpē me ka infant botulism ma kahi haukapila, maʻamau ma kahi keʻena mālama koʻikoʻi (ICU). Hoʻāʻo ka hui lapaʻau e hōʻemi i ka pōʻino i hana ʻia e kēia mea ʻawahia bacteria i ke kino o ka pēpē.
Ke koʻikoʻi o ka mālama ʻana i ka haukapila
Ma ka haukapila, nānā mau ʻia nā mea e like me ka hanu ʻana o ka pēpē a me ka puʻuwai o ka naʻau, no ka mea, inā hoʻonāwaliwali ʻia nā ʻiʻo hanu e kēia mea ʻawahia, hiki ke lilo i mea weliweli.
Lapaʻau Kūikawā - (BIGIV)
Hoʻōla nā kauka i ke kūlana (Infant Botulism)Hāʻawi ʻia kahi lāʻau antitoxin kūikawā i kapa ʻia ʻo 'Botulism Immune Globulin Intravenous' (BIGIV) i ka pēpē i ka wā hikiwawe loa ma hope o ka manaʻo ʻia ʻana he botulism. Ua hōʻike ʻia e ka noiʻi ʻana e hoʻōla koke nā pēpē i loaʻa i kēia lāʻau (BIGIV) a hoʻolilo i ka manawa liʻiliʻi ma ka haukapila ma mua o nā pēpē i loaʻa ʻole .
Mālama hou aku
- Nā pilikia hanu: Inā ua hoʻopilikia ʻia nā ʻiʻo hanu e ka mea ʻawahia bacteria, pono paha i ka pēpē ke kōkua o kahi mīkini hanu (ventilator) no kekahi mau pule. Kōkua kēia i ka pēpē e hanu maʻalahi a hiki i kona loaʻa hou ʻana o ka ikaika.
- Ka Hānai ʻAna: Hiki i kēia mea ʻawahia ke hoʻonāwaliwali i nā ʻiʻo ale. Inā hana ʻia kēia, pono paha e hānai ʻia ka pēpē ma o nā wai intravenous (IV) a i ʻole ma o kahi ʻōmole hānai .
Hiki ke pale ʻia kēia maʻi (Infant Botulism)? (Kāohi ʻana)
ʻO ka ʻoiaʻiʻo, ʻaʻole hiki i nā loea ke ʻōlelo maopopo i ke kumu e loaʻa ai i kekahi mau pēpē ka botulism pēpē aʻo kekahi ʻaʻole. Eia nō naʻe, aia kekahi mea nui e hiki iā mākou ke hana e hōʻemi i kēia pilikia.
ʻO ia hoʻi, mai hāʻawi i ka meli a i ʻole kekahi meaʻai i loaʻa ka meli i kahi pēpē a hiki i ko lākou makahiki hoʻokahi. ʻO ka meli ka mea nui i hōʻoia ʻia e loaʻa ana kēia mau spores bacteria.
Ma waho aʻe o ka meli, ua manaʻo ʻia aia i loko o nā syrup kulina māmā a me ka ʻeleʻele ka bacteria e hoʻoulu ai i ka botulism, akā ʻaʻole i hōʻoia ʻia kēia. No laila, e ʻoluʻolu e nīnau i kāu kauka ma mua o ka hāʻawi ʻana i kēia mau syrup i kāu pēpē.
Inā he mau nīnau kāu e pili ana i ka mea e hāʻawi ʻole ai i kāu pēpē, mai makaʻu e nīnau i kāu pediatrician.
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
No laila, ke lana nei koʻu manaʻo ua ʻike maikaʻi ʻoe i ke kūlana a mākou i kamaʻilio ai i kēia lā (Infant Botulism). Eia kekahi o nā mea nui e hoʻomanaʻo:
- Mai hāʻawi i ka meli i nā pēpē ma lalo o hoʻokahi makahiki! ʻO kēia ka mea palekana koʻikoʻi loa.
- Inā ʻike ʻoe i kekahi mau loli ʻē i ke ʻano a i ʻole ke olakino o kāu pēpē (ʻoi aku ka paʻa ʻana o ka ʻōpū, ka palaualelo, ka uē nāwaliwali, ka paʻakikī i ke ale ʻana), mai hoʻonele i ka manawa a e ʻimi koke i ke kōkua lapaʻau.
- He maʻi hiki ke ho'ōla loa ʻia ka botulism pēpē inā ʻike ʻia a mālama ʻia i ka wā mua . No laila, mai hopohopo, e hana i ka mea kūpono.
ʻO ka makemake o nā kānaka a pau ka ʻike ʻana i kāu pēpē e olakino a hauʻoli. No laila, he mea nui loa ka makaʻala i ia mau mea.
ʻO ka Botulism pēpē, Clostridium botulinum, meli, nā maʻi pēpē, olakino pēpē, botulism, BIGIV
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