Ke paʻa koke nei kāu keiki liʻiliʻi i kona hanu i kekahi manawa? Pono ʻoe e makaʻu loa i kēlā manawa, ʻeā? He mea hopohopo maoli nō ia ke ʻike. Akā, mai hopohopo, i kēia lā e aʻo pono kākou e pili ana i kēia 'ʻōlelo hoʻopaʻa hanu' a i ʻole ma ke ʻano lapaʻau `(Breath-Holding Spell)`. E kamaʻilio kākou e pili ana i nā mea he nui e like me ke ʻano maoli, no ke aha e hana ʻia ai, a me ka mea e hana ai inā hana ʻia.
He aha ke ʻano o kēia hanu ʻana?
I ka ʻōlelo maʻalahi, ʻo ke kāohi ʻana i kou hanu ʻo ia ka wā e kāohi ai ke keiki liʻiliʻi i ko lākou hanu no kahi manawa pōkole
ke huhū lākou, huhū, makaʻu, a ʻeha paha . E noʻonoʻo, inā noi kāu pēpē i kahi mea pāʻani a ʻaʻole ʻoe e hāʻawi iā lākou, huhū nui paha lākou a uwē koke a laila kāohi i ko lākou hanu. I kekahi manawa hiki i kēia kāohi ʻana i ka hanu
ke lilo i ka ʻike o ke keiki. ʻO ka ʻoiaʻiʻo, ʻo ka ʻike ʻana i kahi keiki e kāohi ana i ko lākou hanu e like me kēia he
ʻike weliweli loa ia no ka makuahine a makua paha. ʻO ka hopohopo e hiki mai ana i ka noʻonoʻo i kēlā manawa he mea hiki ʻole ke hoʻomanawanui. Akā ʻo ka mea hōʻoluʻolu loa hiki iā ʻoe ke ʻōlelo aku, ʻo ka kāohi ʻana i kou hanu
ʻaʻole ia he mea hōʻino i ke keiki . ʻO ka hapa nui o ka manawa, ʻaʻole ia
e emi ma mua o hoʻokahi minute . ʻO ka mea nui loa, ʻo ia
ka nalowale ʻana o kēia ʻano me ka ʻole o kahi mālama kūikawā i ka wā e ulu ai nā keiki. No laila, ʻaʻohe mea e hopohopo ai.
Aia kekahi mau ʻano hanu ʻana?
ʻAe, ʻelua mau ʻano hanu nui. E nānā kākou i ke ʻano o lākou.
1. Kilo Hoʻopaʻa Hanu Cyanotic
ʻO kēia ke ʻano maʻamau. ʻO ka mea e hana ʻia ma ʻaneʻi, ʻo ia
ka uē nui ʻana o ke keiki, ʻo ia hoʻi, ke uē nui lākou a uwē nui a i ʻole me ka huhū, paʻa koke lākou i ko lākou hanu. A laila
hoʻomaka ka maka a me nā lehelehe o ke keiki e lilo i polū . Me he mea lā ʻaʻole lawa ka oxygen iā lākou. ʻO ka huaʻōlelo `(Cyanotic)` ʻo ia hoʻi "e lilo i polū". E noʻonoʻo, ke lawe ʻoe i kāu mea liʻiliʻi i ka hale kūʻai a noi ʻo ia i kahi mea pāʻani, a ʻaʻole ʻoe i hāʻawi iā ia. A laila moe ʻo ia ma ka papahele a uwē nui, a paʻa koke i kona hanu a lilo i polū. Ua kapa ʻia kēia ʻo `(Cyanotic breath-holding spell)`. Hana pinepine kēia ma muli o
ka huhū nui a i ʻole
ka huhū .
2. Ka Hana Hoʻopaʻa Hanu Pallid
ʻO ka mea e hana ʻia ana,
ua mae koke ke alo o ke keiki. Me he mea lā ua nalowale iki ke koko. Ma mua o kēia hana ʻana, e
uē iki paha ke keiki, a ʻaʻole paha
e uē iki . ʻO ke ʻano o ka "Pallid" ʻo ia hoʻi "pale". ʻO kēia "(Pallid breath-holding spell)" ka mea maʻamau e hana ʻia i ka wā
e pūʻiwa koke ai ke keiki a i ʻole e
ʻeha iki . No ka laʻana, inā hāʻule koke ke keiki i ka wā e pāʻani ana, a i ʻole e kuʻi i kona poʻo i kekahi wahi, a i ʻole e makaʻu ʻia e kahi leo nui, hiki ke hana ʻia kēia. A laila hiki iā ia ke mae koke a paʻa i kona hanu me ka ʻole o ka uē ʻana.
He mea nui: Ma nā hihia ʻelua, inā he uliuli a keʻokeʻo paha ke keiki, hiki iā lākou ke nalowale i ka ʻike a hiki i hoʻokahi minute . He mea weliweli ke ʻike i kēlā. Akā, hoʻi hou lākou i ka ʻike ma hope o kekahi manawa.
ʻO kekahi mea ʻē aʻe, he mea kākaʻikahi loa ia, ʻo ia hoʻi,
i nā hihia maʻamau ʻole , hiki i ke keiki
ke loaʻa i kahi hopu liʻiliʻi e like me ka "Seizure" me kēia hanu ʻana. Akā, mai hopohopo i kēia. ʻOiai inā loaʻa kahi hopu ma kēia ʻano,
ʻaʻole ia e hōʻeha i ke keiki no ka manawa lōʻihi . Eia kekahi, ʻaʻole kēia e hoʻokau i ke keiki i ka pilikia o ka loaʻa ʻana o kahi maʻi hopu (e like me ka maʻi epilepsy) ma hope. E hoʻomanaʻo i kēlā. ʻIke pinepine ʻia kēia hanu ʻana i waena o
nā keiki olakino . Hiki ke ʻike ʻia kēia ʻano
mai kahi o 6 mahina a hiki i kahi o 6 makahiki . Eia naʻe, ʻoi aku ka maʻamau i nā keiki
ma waena o 6 mahina a me 18 mahina (hoʻokahi makahiki a me ka hapa) . I kekahi manawa hiki ke
holo kēia i loko o nā ʻohana . ʻO ia hoʻi, inā loaʻa i nā mākua kēia i ko lākou wā ʻōpiopio, aia kahi manawa liʻiliʻi e loaʻa pū i ke keiki.
No ke aha i loaʻa ai i nā kamaliʻi kēia ʻano o ka paʻa ʻana i ko lākou hanu?
ʻO ka mea mua e ʻōlelo ai,
ʻaʻole loa e hoʻopaʻa nā keiki i ko lākou hanu me ka manaʻo . ʻO ia hoʻi, ʻaʻole lākou e hana ia mea no ka makaʻu i ka 'hoʻoweliweli iā Māmā' a i ʻole 'Makemake au e hana i kaʻu makemake'. He
mea kēia hiki ʻole iā lākou ke kāohi . Ua like ia me ka pane kūlohelohe mai ko lākou kino. ʻO kaʻoiaʻiʻo,
ʻaʻole i hiki i nā kauka ke ʻike pono i ke kumu pololei . ʻO ia hoʻi, he paʻakikī ke ʻōlelo, 'ʻAuē, ʻo kēia ke kumu'. Eia naʻe, ua ʻike ʻia i kekahi manawa ʻo nā keiki me
ka anemia nele i ka hao, i hoʻokumu ʻia e ka nele i ka hao, e ʻike pinepine i kēia hanu ʻana. ʻO ia hoʻi, aia paha kahi pilina iki ma waena o kēia kūlana a me nā pae hao haʻahaʻa i loko o ke kino. Inā he ʻano like ia, a laila inā
mālama pono ʻia, hiki paha ke hoʻemi i ke alapine o kēia hanu ʻana. No laila, he manaʻo maikaʻi e ʻike i ke kauka a kamaʻilio e pili ana i kēia.
He aha kaʻu e hana ai inā e paʻa ana ka hanu o kaʻu pēpē?
ʻO kēia ka pilikia nui loa a nā mākua he nui. He manawa weliweli loa kēia, ʻeā? Akā, ʻo ka mea nui loa, ʻaʻole ia e hopohopo. E nānā kākou i ka mea e hana ai i ia manawa.
Inā hiki kēia no ka manawa mua ...
Inā ʻo kēia
ka manawa mua i loaʻa ai i kāu keiki kēia ʻano wheezing,
he mea nui e ʻimi i ke kōkua lapaʻau . ʻO ia hoʻi ke kipa ʻana i kahi kauka pediatric. E like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole ia he mea ʻino kēia ʻano wheezing. Eia nō naʻe,
he mea nui e nānā i kāu keiki . E hōʻoia pū kēia ʻaʻohe pilikia koʻikoʻi ʻē aʻe. Hiki i ke kauka ke hana i kahi hoʻāʻo koko maʻalahi.
Ke hoʻopaʻa nei ke keiki i kona hanu ...
Ke pau ka hanu ʻana o kāu pēpē, e hana i kēia me ka makaʻu ʻole:
- I ka hikiwawe loa, e hoʻomoe i kāu pēpē ma luna o kahi pālahalaha a palekana . Hiki paha kēia i loko o kona wahi moe a i ʻole ma ka papahele. Akā inā ʻoe e hoʻomoe ana iā ia ma ka papahele, e hoʻomoe iā ia ma luna o kahi lole maʻemaʻe. ʻOi aku ka maikaʻi inā hiki iā ʻoe ke hoʻohuli i kona poʻo i ka ʻaoʻao.
- Inā he mau mea ʻoi (e like me nā mea ʻoi, nā ʻāpana aniani) a i ʻole nā mea paʻakikī (e like me nā pōhaku, nā ʻāpana lāʻau, nā wāwae o ka papa ʻaina a me ka noho) a puni ke keiki, e wehe iā lākou. ʻO kēia no ka mea inā nalowale ka ʻike o ke keiki, hiki iā lākou ke kuʻi i ko lākou kino a hōʻeha .
- E noho kokoke i kāu keiki . Mai waiho wale iā ia. He mea nui ka noho kokoke ʻana iā ʻoe no ke keiki a me ʻoe. E ʻike ʻia kou mālie e ke keiki.
Inā nalowale ke keiki i ka ʻike ...
Inā nalowale ka ʻike o ke keiki i kona paʻa ʻana i ko lākou hanu, auē! Akā, e hoʻomanaʻo i kēia mau mea:
- E hoʻāʻo e noho mālie e like me ka hiki. Inā hopohopo ʻoe, hiki i nā mea ke lilo i mea paʻakikī. E haʻi iā ʻoe iho, 'ʻAʻole e ʻeha kaʻu pēpē, e nalowale ana kēia i kekahi manawa, ua ʻōlelo ke kauka ʻaʻole ia he mea weliweli.'
- E nānā i ka waha o kāu keiki no ka meaʻai a i ʻole nā mea ʻē aʻe e hiki ke paʻa (e like me nā mea pāʻani). I kekahi manawa, hiki i kahi mea i loko o ka waha ke kumu i ka ʻū ʻana inā paʻa. Inā he mea i loko o ka waha, e wehe pono.
- ʻO ka mea nui loa: Inā polū ke keiki a pau paha ka hanu ʻana no ka ʻoi aku ma mua o hoʻokahi minuke , e kāhea koke i ka 1990 ( Suwaseriya ) ambulance a i ʻole e lawe koke i ke keiki i ka haukapila kokoke loa. Pono e mālama ʻia kēia ma ke ʻano he pilikia .
Ma hope o koʻu hopu ʻana i koʻu hanu...
Ma hope o ka pau ʻana o ka hanu ʻana a hoʻi ke keiki i ke ʻano maʻamau,
- E ʻapo i ke keiki me ke aloha a hōʻoluʻolu iā ia . E ʻōlelo, 'Ua maikaʻi nā mea a pau i kēia manawa, e ke keiki kāne/kaikamahine, ʻaʻohe mea e makaʻu ai, eia ʻo Māmā/Pāpā.'
- E hōʻoia e hoʻomaopopo i kāu keiki ʻaʻole kēia ko lākou hewa , no ka mea, makaʻu paha kekahi mau keiki he mea kēia a lākou i hana ai a manaʻo paha lākou he hewa.
Aia kekahi mau ala e pale aku ai i kēia hanu ʻana?
ʻAʻohe ala e ʻōlelo ai, "Inā ʻoe e hana i kēia, ʻaʻole ʻoe e loaʻa hou i kou hanu." No ka mea, e like me kaʻu i ʻōlelo ai ma mua, ʻaʻole kēia he mea a nā keiki e hana ai me ka manaʻo. He pane kūlohelohe ia. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hoʻāʻo e hōʻemi i ke alapine o kēia mau hopu ʻana i kou hanu. Hiki iā ʻoe
ke kamaʻilio me kāu kauka no ka ʻōlelo aʻoaʻo hou aku e pili ana i kēia. Inā loaʻa mau i kāu keiki kona hanu i ka wā e uē ana a huhū paha, aia kekahi mau mea hiki iā ʻoe ke hana
e hōʻemi i kona hopohopo a me ka huhū . Eia kekahi laʻana:
- Mai hoʻokuʻu i ke keiki e luhi loa . A mai hoʻokuʻu iā ia e pōloli loa .Mai hāʻawi aku iā lākou. No ka mea, i ka wā e luhi ai a pōloli ai lākou, huhū nā kamaliʻi, a nalowale ke ahonui. No laila, e hāʻawi iā lākou i ka meaʻai a me ka hiamoe i ka manawa kūpono.
- I ka wehewehe ʻana a i ʻole ka hoʻopaʻi ʻana i kāu keiki, e hoʻohana i nā ʻano hoʻopaʻi mālie . E ho'āʻo e wehewehe i nā mea me ke aloha akā paʻa, me ka ʻole o ka hoʻōho a me ke kuʻi ʻana. He mea nui e kau i nā palena no ke ʻano o kāu keiki.
- E ʻike mua i nā kūlana i ka wā e huhū ai kāu keiki, a inā hiki, e pale i kēlā mau kūlana (e laʻa, e hele ana i kahi āna i makemake ʻole ai) a i ʻole e hoʻomākaukau i kāu keiki no kēlā mau kūlana.
He mea nui loa: He mea paʻakikī loa ke ʻike i kahi keiki e hakakā nei e hanu. Mai hoʻokuʻu i nā huhū a me ka uē ʻana o kāu keiki e hele wale me ka ʻike ʻole ʻia . ʻAʻole maikaʻi ke hāʻawi iā lākou i nā mea a pau a lākou e noi ai, e hoʻohālike ʻaʻole ʻoe e ʻike i nā hewa a pau a lākou e hana ai, no ka mea, makaʻu ʻoe e pau kā lākou hanu ʻana. Inā hana ʻia kēia, hiki nō hoʻi ke hoʻopilikia i ka hoʻopaʻi ʻana o kāu keiki, a hiki iā lākou ke hoʻohana i kēia ma ke ʻano he mea kaua. Inā pilikia ʻoe i ka noʻonoʻo ʻana i ke ala maikaʻi loa e hoʻopaʻi ai i kāu keiki, e kamaʻilio me kāu kauka e pili ana i ia mea. E hāʻawi ʻo ia iā ʻoe i nā ʻōlelo aʻoaʻo maikaʻi.
E haʻi pinepine iā ʻoe iho
ʻaʻole ia he mea ʻino ka paʻa ʻana i kou hanu a
e nalo wale ia i ka wā e ulu ana kāu pēpē . I kekahi manawa, inā
nui loa kou makaʻu a me kou hopohopo e pili ana i ka paʻa ʻana i kou hanu nou, e ʻike paha ʻoe he mea kōkua
ke kamaʻilio me kahi loea olakino noʻonoʻo . Hiki iā lākou ke hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo no ka pehea e hana ai i ke kūlana a pehea e mālie ai. He mea nui hoʻi e mālama i kou olakino noʻonoʻo.
No laila, ʻo ka mea hope loa, eia kekahi mau mea e hoʻomanaʻo ai ...
ʻAe, ua kamaʻilio nui kākou e pili ana i kēia `(Breath-Holding Spell)` a i ʻole nā keiki liʻiliʻi e paʻa ana i ko lākou hanu, ʻaʻole anei? Manaʻolana wau ua hoʻomāmā iki kēlā i kou mau makaʻu. ʻO ka mea hope loa, e hoʻomanaʻo hou kākou iā kākou iho i kēia mau manaʻo:
- ʻAʻole hana nā keiki i ka paʻa ʻana i kou hanu me ka manaʻo. ʻAʻole hiki iā lākou ke kāohi iā ia. No laila, mai hoʻāhewa i ke keiki.
- ʻAʻole kēia he mea ʻino a ʻaʻole iʻoi aku ma mua o hoʻokahi minute ka lōʻihi.
- Hiki i ke keiki ke lilo i cyanotic a i ʻole ka liʻiliʻi . I kekahi manawa, hiki iā lākou ke nalowale ka ʻike .
- I ka manawa kākaʻikahi loa , hiki ke loaʻa kahi hopu liʻiliʻi , akā, ʻaʻole ia e hōʻeha i ka wā lōʻihi, ʻaʻole hoʻi e alakaʻi i ka maʻi epilepsy.
- Inā hana ʻia kēia no ka manawa mua, e ʻike pono i ke kauka. E nānā inā he mau kumu ʻē aʻe.
- E noho mālie a e hoʻomoe i ke keiki ma kahi palekana i kona hanu ʻana. E wehe i nā mea ʻoi mai ia wahi.
- Inā ʻaʻole e hanu ke kanaka no hoʻokahi minuke a ʻoi, a inā e polū lākou, e lawe koke iā lākou i ka haukapila (e kelepona iā 1990).
- ʻO ke keiki kēia.He mea ia e nalo wale aku ana i kou wā e ʻelemakule ai (ma kahi o 5-6 mau makahiki).
- Mai hoʻokuʻu i kāu keiki e hana i kekahi mea me ka hopohopo no kēia. He mea nui ka hoʻopaʻi.
- Inā ʻoe e hopohopo nui nei no kēia, e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau a i ʻole kekahi loea olakino noʻonoʻo .
No laila, inā loaʻa kekahi mea e like me kēia i kāu keiki liʻiliʻi, mai hopohopo, e hana naʻauao. I ka mālama ʻana i kāu keiki me ke aloha, mai poina e ʻimi i ke aʻo lapaʻau e pono ai. Ola maikaʻi iā ʻoukou a pau!
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