Ke pilikia nei kāu keiki liʻiliʻi i ka hanu ʻana? E aʻo kākou e pili ana i ka bronchiolitis!

Ke anu nei kāu pēpē a paʻakikī iki ka hanu ʻana? Ke ʻū iki nei ʻo ia i kekahi manawa a hana i kahi leo wheezing i loko o kona umauma? He mea maʻamau iā ʻoe ma ke ʻano he makuahine ke makaʻu nui i ka wā e hana ʻia ai kēia. ʻO ka hapa nui o ka manawa, hana ʻia kēia i nā kamaliʻi liʻiliʻi ma muli o kahi maʻi i kapa ʻia ʻo bronchiolitis. No laila, e ʻike pono kākou i ke ʻano o kēia a me ka mea e hana ai me ka ʻole o ka hopohopo.

He aha ka bronchiolitis?

I ka ʻōlelo maʻalahi, ʻo ka bronchiolitis kahi maʻi i hoʻokumu ʻia e kahi maʻi i loko o nā ala ea liʻiliʻi loa ( bronchioles ) i loko o nā māmā o kā mākou mau keiki liʻiliʻi. E noʻonoʻo i kēia ʻano: he nui nā ʻōmole liʻiliʻi o ko mākou mau māmā, e like me nā lālā o kahi lāʻau. ʻO kēia nā ʻōmole e hanu ai mākou. ʻO ka mea liʻiliʻi loa o kēlā mau ʻōmole, e like me ka nui o ka lauoho, ua kapa ʻia ʻo bronchioles.

No laila, ke komo mai kahi maʻi, pehu kēia mau bronchioles i loko a hōʻiliʻili kahi wai e like me ka mucus. E like me ka wā e paʻa ai ka lepo i loko o ka paipu wai, paʻakikī ke kahe o ka wai, ke ālai ʻia kēia mau bronchioles , paʻakikī i ka pēpē ke hanu. Ua kapa ʻia kēia he bronchiolitis.

ʻOi aku ka maʻamau o kēia ʻano ma nā pēpē ma lalo o ʻelua makahiki, ʻoi aku hoʻi ka poʻe ma lalo o ʻeono mahina. ʻOi aku ka maʻamau i ka wā anuanu, e like me ke kau ua.

ʻO ka mea maikaʻi loa, ʻo ka hapa nui o ka manawa ʻaʻole kēia he kūlana weliweli. Hiki ke ho'ōla ʻia me ka mālama pono ma ka home. Akā i kekahi manawa aia nā hōʻailona e makaʻala iki ai. E kamaʻilio pū kākou e pili ana i kēlā.

No ke aha e kū mai ai ka bronchiolitis?

E like me kaʻu i ʻōlelo ai ma mua, ʻo ke kumu nui o kēia he maʻi viral . Hiki ke hana ʻia e nā ʻano virus like ʻole.

• ʻO ka mea nui loa o kēia mau mea, ʻo ia ka maʻi respiratory syncytial (RSV). ʻO RSV ke kuleana no kahi ʻehiku a ʻewalu o kēlā me kēia ʻumi hihia o ka bronchiolitis i nā pēpē ʻōpio.
• Eia kekahi, hiki ke hana ʻia kēia ʻano e nā maʻi ʻē aʻe, e like me ka rhinovirus, ka mea e hoʻoulu ai i ke anu maʻamau, a me ka maʻi influenza.

Laha maʻalahi kēia maʻi mai ke kanaka a i ke kanaka.

• Mai nā kulu liʻiliʻi e komo i ka lewa i ka wā e ʻū ai a kihe paha ka mea maʻi.
• Ke hoʻopā ʻoe i kahi ʻili i loaʻa ka maʻi ma luna (e like me kahi mea pāʻani a i ʻole ka puka) a laila hoʻopā i kou ihu, waha, a i ʻole nā ​​​​maka me ka lima hoʻokahi.

ʻO wai ka mea i ʻoi aku ka nui o ka pilikia o ka hoʻomohala ʻana i kēia?

ʻOiai hiki i kekahi keiki ʻōpiopio ke loaʻa i ka bronchiolitis, ʻoi aku ka nui o ka pilikia o kekahi mau keiki i ka loaʻa ʻana o ia mea a ʻoi aku ka koʻikoʻi.

• Nā keiki ma lalo o ʻelua makahiki,ʻOi aku hoʻi nā pēpē ma lalo o 6 mahina, no ka mea, ʻaʻole i hoʻomohala piha ʻia ko lākou ʻōnaehana hanu a me ka ʻōnaehana pale maʻi.
• Nā pēpē hānau mua ʻole : Nā pēpē i hānau ʻia ma mua o ko lākou lā hānau.
• Nā keiki me nā maʻi puʻuwai hānau a i ʻole nā ​​​​maʻi akemāmā.
• Nā keiki me nā ʻōnaehana pale kino nāwaliwali (no ka laʻana, nā keiki e lawe ana i kekahi mau lāʻau lapaʻau, a i ʻole ma muli o nā kūlana olakino ʻē aʻe).
• Nā keiki i hōʻike ʻia i ka uahi lua: Inā puhipaka kekahi ma ka home, he mea ʻino loa ia i ka pēpē.
• Nā keiki e hele ana i nā kikowaena mālama keiki : Hiki ke laha maʻalahi nā maʻi ma muli o ka nui o nā keiki e noho pū ana.

He aha nā hōʻailona o ka bronchiolitis?

I ka hapanui o ka manawa, hoʻomaka ia e like me ke anu maʻamau.

• Ihu kahe ( ka kahe ʻana o ka ihu ).
• He ʻū iki.
• Malia paha he kuni.

Ma hope o ʻelua a ʻekolu paha lā, e hoʻonui iki ʻia paha kēia mau hōʻailona. ʻO ia ka manawa e hoʻomaka ai nā hōʻailona kūikawā e pili ana i ka bronchiolitis. E noʻonoʻo, ua ʻūhū kāu pēpē no ʻelua a ʻekolu paha lā, a he kuni iki kona. I ka manawa koke, hoʻomaka ka pēpē e hanu wikiwiki loa, ke komo nei kona umauma i loko, a hana ʻo ia i kahi leo wheezing iki ... ʻO ia ka manawa e pono ai ʻoe e noʻonoʻo e pili ana i ka bronchiolitis.

ʻO nā hōʻailona nui:

• Hoʻonui ʻia ka hanu ʻana : Hoʻomaka ka pēpē e hanu wikiwiki loa, me he mea lā e hanu ana ʻo ia. Ua kapa ʻia kēia e nā kauka he (Tachypnea) .
• Wheezing: Hiki ke lohe ʻia ke kani ʻūlū mai ka umauma i ka wā e hanu ana i loko a i waho.
• Kuke: Hiki ke piʻi mālie ka kuke, a i kekahi manawa e luaʻi iki ʻia ka waiū me ka kuke.
• Ka hoʻokaʻulua ʻana e ʻai/inu waiū: Hiki i ka pēpē ke paʻakikī i ka omo ʻana a i ʻole ka ʻai ʻana ma muli o ka paʻakikī o ka hanu ʻana.
• Ka ʻūlū ʻana o ka lae, ka ʻō ʻana o nā ihu: Hiki ke ʻike ʻia kēia mau hōʻailona i ka wā e hoʻāʻo ai e hanu.
• Ka huki ʻana o ka umauma: Me he mea lā e huki ana ka wahi ma waena o nā iwi umauma a ma lalo o ka ʻāʻī i ka wā e hanu ana. Hōʻike kēia e hakakā nei ka pēpē e hanu.
• Uē pinepine, hoʻomaha ʻole, a hiamoe nui paha.
• I nā hihia koʻikoʻi: ʻO ke kala polū o nā lehelehe, ke alelo, a i ʻole nā ​​​​kui lima (cyanosis) . He pilikia kēia!

Āhea mākou e ʻike ai i ke kauka? (Nā hōʻailona pilikia)

ʻOiai e hoʻopau pinepine ʻia kēia maʻi me ka mālama ʻana ma ka home, aia kekahi mau hōʻailona e pono ai ke kōkua koke ʻia e ke kauka. E ʻike pono kākou i kēia mau hōʻailona:

• Paʻakikī nui ka hanu ʻana:
• Inā hanu wikiwiki loa ka pēpē (no ka laʻana, ʻoi aku ka hanu ʻana o kahi pēpē ma lalo o 2 mahina ma mua o 60 mau manawa i ka minuke, a ʻoi aku ka hanu ʻana o kahi pēpē ma waena o 2-12 mahina ma mua o 50 mau manawa i ka minuke).
• Inā ʻoe e hanu me kou mau puka ihu e hāmama ana a me he mea lā e ʻū ana ʻoe.
• Inā ʻike ʻia ka umauma e huki ana i loko o ka ʻōpū (retractions).
• Inā ʻoe e hana i kahi leo ʻūhū i ka wā e hanu ana.
• Inā polū kou mau lehelehe, alelo, a ʻili paha (cyanosis): ʻO ke ʻano kēia ʻaʻole lawa ka oxygen i kou kino. He pilikia kēia a pono ʻoe e hele koke i ka haukapila.
• Inā haʻahaʻa loa ka nui o ka waiū/meaʻai a i ʻole ʻike ʻia nā hōʻailona o ka make wai:
• Inā haʻahaʻa ka nui o nā diaper pulu i kēlā me kēia lā (inā ʻaʻole pulu ka diaper no ka liʻiliʻi he 6 mau hola ma ka awelika).
• Inā maloʻo ka waha a me ke alelo.
• Inā ʻaʻole e puka mai nā waimaka i kou wā e uē ai.
• Inā hiamoe loa ke pēpē a me he mea lā ua make.
• Kuni kiʻekiʻe loa: ʻOi loa aku inā he kuni ko kahi pēpē ma lalo o 3 mahina he 100.4°F (38°C) a ʻoi aku paha.
• Inā palaualelo loa ka pēpē, palaualelo, a paʻakikī paha ke hoʻāla.
• Inā hānau mua ʻole kāu pēpē, loaʻa iā ia ka maʻi puʻuwai a i ʻole ka maʻi māmā, a i ʻole e hōʻike ana i kekahi o nā hōʻailona i ʻōlelo ʻia ma luna, e ʻike koke i ke kauka.

E hoʻomanaʻo, inā he kānalua a hopohopo paha kāu e pili ana i kāu pēpē, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka. Mai ʻōlelo wale, "ʻAuē, he mea liʻiliʻi wale nō ia."

Pehea e ʻike ai ke kauka/wahine i kēia? (Diagnosis)

ʻO ka hapa nui o ka manawa, e ʻike ke kauka i ka bronchiolitis ma ka nīnau ʻana iā ʻoe e pili ana i nā hōʻailona o kāu pēpē a me ka nānā ʻana i kāu pēpē.

• E hoʻolohe ke kauka i ka umauma o ke pēpē me kahi stethoscope e nānā i ka wheezing a i ʻole nā ​​​​leo ʻē aʻe.
• Nānā i ka wikiwiki o ka hanu ʻana o ka pēpē a me ke ʻano hanu.
• I kekahi manawa, kau ʻia kahi mea liʻiliʻi e like me ke clip i kapa ʻia he pulse oximeter ma ka manamana lima o ke pēpē e ana i ka saturation oxygen i loko o ke koko.
• I ka hapa nui o ka manawa, ʻaʻohe pono o nā hoʻokolohua ʻē aʻe. Eia nō naʻe, inā koʻikoʻi nā hōʻailona, ​​a inā paha he manaʻo ʻia kekahi maʻi ʻē aʻe, hiki paha iā lākou ke:
• Hiki ke lawe ʻia kahi swab ihu e hoʻāʻo ai no ka RSV a i ʻole nā ​​​​maʻi ʻē aʻe (ʻaʻole hana mau ʻia kēia).
• E noi ʻia paha ʻoe e lawe i kahi X-ray umauma (hana ʻia kēia inā koʻikoʻi ka maʻi a ʻaʻole maopopo ka hōʻailona).

He aha kāu e hana ai no kāu pēpē ma ka home? (Mālama Home)

Hiki ke mālama ʻia a ho'ōla ʻia ka hapa nui o nā pēpē me ka bronchiolitis ma ka home. Mai hopohopo. Eia kekahi mau mea hiki iā ʻoe ke hana:

• E hāʻawi i ka nui o nā wai: He mea nui loa ia e pale aku i ka make ʻole o ka pēpē.
• Inā hānai ʻia kāu pēpē me ka waiū umauma, e hānai pinepine i kahi liʻiliʻi o ka waiū umauma. Hiki ke paʻakikī ke hānai i ka nui i ka manawa hoʻokahi.
• Inā hānai ʻia kāu pēpē i ka waiū waiū, e hoʻomau i ka hāʻawi ʻana iā ia i nā ʻāpana liʻiliʻi pinepine.
• Inā ʻoi aku ka nui o ke pēpē ma mua o 6 mahina, hiki iā ʻoe ke hāʻawi iā ia i nā mea e like me ka wai a me ka sopa.
• E mālama i kou ihu maʻemaʻe: Inā paʻa ka ihu o kāu pēpē, e ʻoi aku ka paʻakikī iā lākou ke hanu.
• E hoʻokomo i nā kulu ihu saline, hiki iā ʻoe ke kūʻai ma ka hale kūʻai lāʻau lapaʻau, i loko o nā puka ihu o kāu pēpē a e omo mālie i ka mucus me kahi syringe bulb i ka hala ʻana o ka manawa. ʻOi aku ka maikaʻi o ka hana ʻana i kēia ma mua o ka hānai ʻana/hānai ʻana a ma mua o ka hoʻomoe ʻana i kāu pēpē.
• E hoʻohui i ka makū i ka lewa: Hiki i ka ea maloʻo ke hoʻonui i ke kuni.
• Inā he humidifier kāu, e hoʻohana (ʻoi aku ka maikaʻi o ka humidifier noe anuanu).
• A i ʻole, e hoʻā i ka piula wai wela i loko o ka lua, e hoʻopiha i ka mahu i loko o ka lumi, a lawe i kāu pēpē a noho ma laila no 10-15 mau minuke. ʻO ka hanu ʻana i ka mahu e kōkua i kāu pēpē e hanu maʻalahi.
• E hoʻokiʻekiʻe iki i ke poʻo o kāu pēpē: I ka wā e hiamoe ana, e kau i kahi kāwele liʻiliʻi a i ʻole kekahi mea ma lalo o ka moena e hoʻokiʻekiʻe iki i ke poʻo o ka pēpē. (Mai kau i kahi uluna ma lalo o ke poʻo o ka pēpē no nā pēpē ma lalo o hoʻokahi makahiki.) E kōkua kēia iā lākou e hanu maʻalahi.
• Hoʻomaha: E hoʻomaha maikaʻi ka pēpē.
• Kaohi kuni: Inā loaʻa i kāu pēpē ke kuni, hiki iā ʻoe ke hāʻawi iā lākou i ka paracetamol inā ʻōlelo a kāu kauka. Mai hāʻawi i ka aspirin i nā keiki liʻiliʻi me ka ʻole o ke aʻo a ke kauka.
• E pale loa i ka uahi lua! Inā puhipaka kekahi ma ka hale, mai hana ia mea a puni kāu pēpē. Hiki i ka uahi o ka cigarette ke hoʻonui i ka bronchiolitis a hoʻonui i ka hiki ke hana.
• Nā lāʻau lapaʻau no ke kuni a me ke anu i kūʻai ʻia ma ke kūʻai aku: ʻAʻole kūpono kēia mau mea no nā keiki ʻōpio (ʻoi aku hoʻi ka poʻe ma lalo o 2 mau makahiki). ʻAʻole lākou e kōkua i ke kūlana a hiki ke hana i nā hopena ʻaoʻao. Mai hāʻawi i kēia me ka ʻole o ka ʻōlelo aʻoaʻo a ke kauka.

He aha ke ʻano o ka lāʻau lapaʻau e hāʻawi ʻia ana ma ka haukapila? (Lapaʻau Lapaʻau)

ʻAʻole pono ka hapa nui o nā keiki e lawe ʻia i ka haukapila. Eia nō naʻe, inā pilikia nui ka pēpē i ka hanu ʻana, ua maloʻo loa, a i ʻole he haʻahaʻa ka nui o ka oxygen, hiki i nā kauka ke hoʻoholo e lawe i ka pēpē i ka haukapila. ʻO nā lāʻau lapaʻau i hāʻawi ʻia ma ka haukapila:

• Hoʻōla oxygen: Hāʻawi ʻia ka oxygen ma o kahi ʻōmole liʻiliʻi i kau ʻia i loko o ka ihu (cannula nasal) a i ʻole ma o kahi pale maka i kau ʻia ma ka maka.
• Nā wai intravenous (nā wai IV): Inā ʻaʻole hiki i ka pēpē ke lawe i nā wai ma ka waha, hāʻawi ʻia nā wai e like me ka saline i loko o kahi aʻa koko ma ka lima e pale aku ai i ka maloʻo ʻana.
• Ka omo ʻana: I kekahi manawa hoʻohana ʻia nā mea hana kūikawā e wehe i ka mucus mai ka ihu a me ka puʻu.
• Nā Bronchodilators: I kekahi manawa hoʻāʻo nā kauka i kekahi mau lāʻau hānō (e like me ka salbutamol), akā he kakaikahi nā hōʻike e hōʻike ana he nui ka pono o kēia mau mea no ka bronchiolitis.
• Nā lāʻau antibiotic: ʻAʻole e ho'ōla kēia i ka bronchiolitis, no ka mea, he maʻi viral ia, ʻaʻole he maʻi bacteria. ʻAʻole hāʻawi ʻia nā lāʻau antibiotic ke ʻole ka manaʻo he maʻi bacteria (e like me ka pneumonia).
• Nā Steroid: ʻAʻole ʻōlelo ʻia kēia mau mea no ka bronchiolitis.

Pehea e pale ai i kāu pēpē mai ka bronchiolitis? (Ka pale ʻana)

"ʻOi aku ka maikaʻi o ka pale ʻana i ka maʻi ma mua o ka ʻeha ʻana mai ia mea." No laila, aia kekahi mau mea hiki iā mākou ke hana e pale aku i kā mākou poʻe liʻiliʻi mai kēia bronchiolitis hoʻonāukiuki:

• E holoi pinepine i kou mau lima: ʻO ʻoe a me ka mea nāna e hoʻopā i kāu pēpē e holoi pono i ko lākou mau lima me ke kopa a me ka wai, ʻoiai ma mua o ka hoʻomākaukau ʻana i ka meaʻai, ma mua o ka hānai ʻana, ma mua o ka hoʻopā ʻana i kāu pēpē, a ma hope o ka hoʻohana ʻana i ka lua.
• E mālama i kāu pēpē mai ka poʻe maʻi: Mai hoʻokuʻu i kāu pēpē e launa pū me ka poʻe i loaʻa i ke anu a i ʻole ke kuni.
• E pale i nā wahi piha kanaka: E pale i ka lawe ʻana i nā pēpē liʻiliʻi i nā wahi piha kanaka (e like me nā hale kūʻai kūʻai, nā ʻahaʻaina), ʻoiai i nā manawa i maʻamau ai ka bronchiolitis (nā kau anu, nā kau ua).
• Ka hānai waiū: Hāʻawi ka waiū umauma i ka palekana i ka pēpē, no laila e kōkua ana i ka pale ʻana i nā maʻi. ʻOi aku ka maikaʻi o ka hānai waiū no ka lōʻihi e like me ka hiki.
• He wahi ʻole ka uahi! E ʻōlelo hou wau i kēia, he mea nui loa kēia. ʻAʻohe mea e puhipaka i loko o kahi home me kahi pēpē.
• E mālama i nā mea pāʻani a me nā wahi pāʻani a pēpē i hoʻomaʻemaʻe: E mālama i nā mea pāʻani i hoʻohana pinepine ʻia a me nā wahi a nā pēpē e hoʻopā ai (nā papa ʻaina, nā noho) i maʻemaʻe.
• ʻO ka lāʻau pale ʻo Palivizumab: He lāʻau pale kūikawā kēia. Hāʻawi ʻia i kēlā me kēia mahina i ka wā RSV e pale aku i nā keiki pilikia kiʻekiʻe (e.g., nā pēpē hānau mua ʻole, nā keiki me ka maʻi puʻuwai hānau koʻikoʻi a i ʻole ka maʻi māmā) mai ka RSV. ʻAʻole hāʻawi ʻia i nā mea āpau, a na kāu kauka e hoʻoholo inā pono.

He ʻokoʻa anei kēia mai ka bronchitis?

ʻAe, ʻoiai hiki i kēia mau mea ʻelua ke huikau iki, he mau kūlana ʻokoʻa kēia ʻelua.

• Bronchiolitis: E like me kā mākou i kūkākūkā ai, he maʻi kēia o nā ala ea liʻiliʻi loa (bronchioles) i loko o nā māmā . ʻO ka hapa nui, loaʻa pinepine ia i nā keiki ʻōpio ma lalo o 2 mau makahiki.
• Bronchitis: He maʻi kēia o nā ala ea nui (bronchi). Hiki ke loaʻa i nā pākeke a me nā keiki makua.

Pehea ka lōʻihi o kēia pilikia e mau ai? (Prognosis)

ʻO ka maʻamau, ʻike nui ʻia nā hōʻailona o ka bronchiolitis ma hope o 3-5 mau lā a laila e hoʻomaka mālie e emi.

• Hoʻōla ka hapa nui o nā keiki i loko o hoʻokahi a ʻelua paha pule .
• Eia nō naʻe, hiki i ke koʻokoʻo ke mau no kekahi mau pule (hiki paha i hoʻokahi mahina). Mai hopohopo no ia mea, he mea maʻamau ia.

ʻO ka mea maikaʻi loa, ʻo ka hapa nui o nā keiki i loaʻa i ka bronchiolitis e ho'ōla loa ʻia, a he mea kākaʻikahi nā pilikia lōʻihi.

Leka Hoʻihoʻi Hope Loa

ʻAe, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka bronchiolitis mai nā mea a mākou i kūkākūkā ai. Eia kekahi mau mea nui e hoʻomanaʻo:

• ʻO ka Bronchiolitis kahi maʻi viral o nā ala ea liʻiliʻi loa i nā pēpē ʻōpio.
• I ka hapanui o nā hihia, ʻaʻole kēia he kūlana weliweli a hiki ke ho'ōla ʻia me ka mālama home.
• Eia nō naʻe, e makaʻala i nā hōʻailona weliweli e like me ka paʻakikī o ka hanu ʻana, ka uliuli, a me ka make wai . Inā ʻike ʻoe i kekahi o kēia mau mea , e ʻike koke i ke kauka.
• Ma ka home, he mea nui loa ka hāʻawi ʻana i ka pēpē i ka nui o nā wai, e mālama i ka ihu maʻemaʻe, a e hoʻomaha iā ia .
• E hoʻomalu pono i kāu pēpē mai ka uahi o ka cigarette.
• ʻO ke kāohi ʻana ke ala maikaʻi loa e pale aku ai i kāu pēpē. Hiki iā ʻoe ke pale aku i kāu pēpē ma ka holoi pinepine ʻana i kou mau lima a me ka mālama ʻana iā lākou mai ka poʻe maʻi .

Inā loaʻa i kāu pēpē kēia mau hōʻailona, ​​mai hopohopo, mai hopohopo, e ʻimi i ke kōkua lapaʻau inā pono, a mālama pono i kāu pēpē. E maikaʻi koke nā mea a pau!

ʻO ka Bronchiolitis, Bronchiolitis, Nā Maʻi Kamaliʻi, Nā Maʻi Hanu, Nā Pilikia Hanu, Ka Maʻi RSV, Ola Kino o ke Keiki