Ua loaʻa anei i kāu keiki liʻiliʻi ka hahau? (Haʻu keiki) Mai hopohopo, e makaʻala kākou i kēia!

Ua lohe mākou a pau e hiki i nā pākeke ke loaʻa i ka hahau . Akā, ua ʻike anei ʻoe, ʻoiai he mea kakaikahi loa, hiki i kā mākou poʻe liʻiliʻi, mai nā pēpē hānau hou a hiki i nā keiki ma lalo o 18 mau makahiki, ke loaʻa i kēia ʻano, i kapa ʻia he Pediatric Stroke . ʻOiai inā hopohopo iki ʻoe i kou lohe ʻana i kēia, mai hopohopo. Inā ua ʻike pono ʻia ʻoe e pili ana i kēia, hiki iā ʻoe ke hana koke i nā mea e pono ai.

He aha ka Stroke ma nā keiki?

I ka ʻōlelo maʻalahi, ʻo ka hahau ʻana he ʻano ia e kū mai ana i ka wā e haki ai ke kahe koko i kahi ʻāpana o ko kākou lolo. Ua like ia me ka mea e hana ʻia ana i ka pau ʻana o ka wai o kā kākou mea hoʻomehana wai. Loaʻa i ka lolo kona lako oxygen mai ke koko. No laila, inā pau ke kahe koko, hoʻomaka nā hunaola o ka lolo e make. He pilikia weliweli kēia e hoʻoweliweli ana i ke ola.

Hiki ke hana kēia i nā pākeke a me nā keiki. Kapa mākou ia he ' Pediatric Stroke ' ke hana ia i loko o kahi keiki ma lalo o 18 makahiki. Aia kekahi mau ʻano like ʻole:

• Nā hahau Perinatal: Hānau ʻia kekahi mau pēpē me kēia ʻano.
• ʻO nā mea e hana ʻia i loko o nā lā mua he 28 o ke ola: ʻO ia hoʻi, nā mea e hana ʻia i nā pēpē hānau hou.
• A laila nā mea e hana ʻia a hiki i ka piha ʻana o ka makahiki 18: ʻo ia nā mea a mākou e kapa nei ʻo 'nā hahau ʻana o ke kamaliʻi'.

ʻO nā kumu pinepine ka maʻi puʻuwai, nā pilikia koko, a me nā mea ʻē aʻe. I kekahi manawa hiki ke hana ʻia e nā ulia e hōʻemi ana i ka oxygen i ka lolo, a i ʻole kekahi mau maʻi hānau .

He aha nā ʻano nui o ka polio?

E like me nā mākua, hiki i kā mākou poʻe liʻiliʻi ke loaʻa i ʻekolu mau ʻano nui o ka maʻi lolo:

• Hahau koko: Hana ʻia kēia i ka wā e pohā ai a kahe ke koko o kahi kīʻaha koko i loko o ka lolo. E noʻonoʻo e like me ka paipu wai e pohā ana a kahe ana ka wai.
• ʻO ka hahau ischemic: ʻO kēia ka wā e ālai ai kahi ʻūpā koko i kahi kīʻaha koko i loko o ka lolo, e ālai ana i ke kahe ʻana o ke koko. Ua like ia me kahi ʻāpana lepo e ālai ana i kahi paipu wai.
• Hoʻouka Ischemic Transient (TIA): Ua like kēia me ka 'mini stroke'. Paʻa kahi ʻūpā koko i loko o kahi kīʻaha koko i loko o ka lolo no kekahi manawa pōkole, a laila hemo a hoʻi ke kahe koko i ka maʻamau. Noho nā hōʻailona no kekahi manawa a laila nalo. Akā he hōʻailona koʻikoʻi loa kēia e hiki ai ke loaʻa kahi hahau nui.

Pehea ka maʻamau o kēia?

ʻO kaʻoiaʻiʻo, he mea kakaikahi loa ka hahau ʻana i nā keiki. No laila, ʻaʻohe pono e hopohopo nui ʻia. Wahi a nā kānaka noiʻi, loaʻa kēia ʻano maʻi i hoʻokahi a ʻelua paha o kēlā me kēia 100,000 mau keiki ma lalo o 18 mau makahiki i kēlā me kēia makahiki. Ma kahi o hoʻokahi o 3,500 mau pēpē hānau hou e loaʻa paha i ka hahau perinatal . Akā he paʻakikī ke hāʻawi i kahi helu pololei, no ka mea, i kekahi manawa he paʻakikī ke ʻike.

He aha nā hōʻailona o ka polio? Pehea e ʻike ʻia ai lākou?

Hiki i kekahi o nā hōʻailona e ʻike ai nā pākeke ke loaʻa iā lākou ka hahau ʻana ke hiki mai i ka poʻe ʻōpio. ʻO kēia mau hōʻailona:

• Aia kahi loli koke i ke ʻano a i ʻole ka noʻonoʻo ʻana .
• Hiki ke loli ka lohe a me ka ʻike .
• Manaʻo a nāwaliwali paha ma kekahi ʻaoʻao o ke kino (Hemiparesis) .
• Ke paʻakikī i ka ʻōlelo ʻana a me ka hoʻomaopopo ʻana i nā huaʻōlelo (Aphasia) .
• Ka paʻakikī i ke ale ʻana (Dysphagia) .
• I ka hele ʻana, manaʻo ʻia e like me ʻoe e neʻe ana i kekahi ʻaoʻao a hele hewa paha (ataxia) .

E noʻonoʻo, inā ʻōlelo hōʻino koke kāu keiki ma hope o ka pāʻani ʻana, a i ʻole manaʻo ʻaʻole hiki iā ia ke hoʻoneʻe i kahi lima a i ʻole ka wāwae... I ia mau hihia, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.

Eia nō naʻe, ʻaʻole paha e hōʻike nā keiki ʻuʻuku loa, ʻoiai nā pēpē hānau hou a me nā kamaliʻi liʻiliʻi i hiki ʻole ke ʻōlelo pono, i kēia mau hōʻailona maopopo. Akā, ʻike paha lākou i nā mea e like me:

• Nā ʻūlū. ʻO kēia ka hōʻailona maʻamau o ka maʻi lolo i nā keiki ʻōpio.
• He ʻeha nui koʻu ʻeha.
• Ka luaʻi ʻana, ka nausea.
• Ka luhi mau a me ka hiamoe.
• Kuni me ke kumu ʻole.

Hiki ke loaʻa kēia mau hōʻailona i nā maʻi ʻē aʻe, no laila he paʻakikī ke manaʻo koke he hahau ia. Akā inā ʻike ʻoe i kahi mea e like me kēia, ʻoiai inā manaʻo ʻia he ʻeha, pono ʻoe e ʻike i ke kauka.

No ke aha e loaʻa ai i nā keiki ʻōpio ka maʻi lolo? He aha nā kumu?

ʻO ka maʻamau, hiki mai ka hahau ʻana ke hoʻopau ʻia ke kahe koko i ka lolo. Hiki ke hana ʻia kēia e kahi ʻūpā koko (ischemic stroke) a i ʻole e ka pohā ʻana o kahi kīʻaha koko i loko o ka lolo (hemorrhagic stroke) .

Aia kekahi mau kumu kikoʻī e hōʻike ai i kēia ʻano maʻi i nā keiki liʻiliʻi:

• ʻO kekahi mau ʻano ʻē o nā kīʻaha koko i loko o ka lolo: No ka laʻana , he ʻano i kapa ʻia ʻo Arteriovenous Malformation (AVM) . I kēia ʻano, ua hihia nā kīʻaha koko i loko o ka lolo, e ʻoi aku ai ka pahū a me ke kahe ʻana o ke koko. He mau ʻano hānau pinepine kēia.
• Maʻi puʻuwai hānau: Hānau ʻia kekahi mau pēpē me kekahi mau pilikia puʻuwai. Hiki i kēia mau maʻi puʻuwai ke hoʻonui i ka pilikia o ka hahau ʻana.
• Nā maʻi e pili ana i ke koko: No ka laʻana , ʻoi aku ka nui o ka loaʻa ʻana o nā ʻūpā koko i nā keiki me ka maʻi i kapa ʻia ʻo Sickle Cell Disease . Eia kekahi, ʻo nā maʻi e pale ai i ke koko mai ka maʻalahi ʻana o ke kāpili ʻana (e like me Hemophilia ) hiki ke hoʻoulu i ke kahe koko i loko o ka lolo.

He aha nā kumu pilikia no ka maʻi lolo?

ʻOi aku ka nui o ka pilikia o kekahi mau keiki i ka loaʻa ʻana o ka maʻi lolo ma mua o nā poʻe ʻē aʻe. ʻO ia mau mea pilikia:

• Nā ʻano like ʻole o ka puʻuwai (Arrhythmias) .
• Maʻi puʻuwai hānau(Maʻi puʻuwai hānau).
• ʻAʻohe oxygen i ka lolo i ka wā hānau (Cerebral hypoxia) .
• Ka maʻi diabetes.
• Ke koko kiʻekiʻe.
• ʻO ke ʻano momona, ʻo ia hoʻi ka nui loa.
• Nā kūlana kahi e paʻa maʻalahi ai ke koko (Thrombophilia) a i ʻole nā ​​kūlana kahi i paʻa ʻole ai ke koko (Hemophilia) .
• Nā ʻeha koʻikoʻi o ke poʻo a i ʻole ka ʻāʻī (Traumatic Brain Injury - TBI) .
• He kiʻekiʻe iki aʻe kēia pilikia no nā keiki me kekahi mau kūlana genetic, no ka laʻana , ʻo Down syndrome .

He aha nā pilikia e hiki mai ana o ka maʻi lolo?

I ka hapanui o nā hihia, hoʻōla piha ka hapa nui o nā keiki i loaʻa i ka hahau. He nūhou maikaʻi maoli kēlā. Eia nō naʻe, ma muli o ka ʻāpana o ka lolo i hoʻopilikia ʻia e ka hahau, hiki i kekahi mau keiki ke loaʻa nā loli mau loa.

• Eia kekahi laʻana, aia paha he mau nāwaliwali mau i ke ʻano o kā mākou noʻonoʻo a me ka ʻōlelo ʻana .
• Aia paha he nāwaliwali mau ma ka ʻaoʻao o ke kino i hoʻopilikia ʻia e ka maʻi lolo.
• Hiki nō hoʻi ke loli mau i ka ʻike .
• Eia kekahi, ʻo nā keiki i loaʻa i ka hahau ʻana e ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka maʻi epilepsy ma hope aku o ke ola.

ʻO ia ke kumu he mea nui e ʻimi koke i ka lāʻau lapaʻau a komo pono i nā papahana hoʻōla hou.

Pehea e ʻike ʻia ai ka polio? He aha nā hoʻokolohua e hana ʻia ai?

ʻO kaʻoiaʻiʻo, hiki ke paʻakikī iki ka ʻike ʻana i ka maʻi lolo i nā keiki ʻōpio i kekahi manawa. No ka mea, e like me ka mea i ʻōlelo ʻia ma mua, ʻaʻole maopopo mau nā hōʻailona. No laila, ʻaʻole paha e loaʻa koke ka lāʻau i kekahi mau keiki. I kekahi manawa ʻike nā kauka i ka wā e ʻike ai lākou i ka lohi o ka ulu ʻana i loko o kahi keiki, a manaʻo lākou, 'Auē, ua loaʻa paha i kēia keiki ka maʻi lolo ma mua.'

No ka hana ʻana i kahi hōʻailona, ​​e nīnau mua ke kauka iā ʻoe e pili ana i nā hōʻailona o kāu keiki. A laila e nānā lākou i ke keiki. Eia kekahi, hiki iā lākou ke hana i kēia mau hoʻokolohua:

• CT scan (Computed Tomography scan): Lawe kēia i nā kiʻi o ke poʻo e ʻike inā he kahe koko i loko o ka lolo a inā paha ua hōʻino kahi ʻāpana o ka lolo i kahi clot koko. He hoʻāʻo wikiwiki kēia.
• CT angiogram: Nānā kēia i ke kahe o ke koko ma o ka puʻuwai, nā kīʻaha koko, a me ka lolo.
• ʻO ke kiʻi MRI (Magnetic Resonance Imaging): ʻO kēia ka hoʻāʻo koʻikoʻi loa no ka ʻike ʻana i ka hahau. Hiki i ka MRI i nā kauka ke ʻike maopopo i ke ʻano o ka lolo a me nā kīʻaha koko.
• MRA (Magnetic Resonance Angiogram): Nānā kēia i ke kahe ʻana o ke koko.

Ma waho aʻe o kēia mau hoʻokolohua nui, hana ʻia nā hoʻokolohua ʻē aʻe e ʻike ai i ke kumu o ka maʻi lolo a e nānā i nā pilikia ʻē aʻe (ʻoiai nā hopu ʻana) e hiki mai ana:

• Echocardiogram (Echo): Nānā kēia i ke ʻano o ka puʻuwai o ke pēpē.
• EEG (Electroencephalogram):Hana ʻia kēia hoʻokolohua e hoʻoholo pono ai inā he maʻi ʻōpū ke keiki.
• Nā hoʻāʻo koko: E nānā i nā maʻi koko e like me ka maʻi cell sickle a i ʻole nā ​​​​​​kūlana ʻē aʻe e hoʻopilikia ai i ke kāpili ʻana o ke koko.
• Hoʻāʻo hoʻoilina: Hana ʻia kēia hoʻāʻo inā manaʻo ʻia he kūlana hoʻoilina ke kumu o ka maʻi lolo.

Pehea e mālama ʻia ai ka maʻi lolo o nā pēpē?

He pilikia weliweli ke ola o ka lolo. No laila, inā hōʻike ke keiki i nā hōʻailona o ka lolo, pono e lawe koke ʻia lākou i ka lumi pilikia o ka haukapila kokoke loa, a i ʻole e kelepona iā 1990. He mea nui loa ka manawa e hoʻomaka ai i ka mālama ʻana.

ʻOkoʻa ka lāʻau lapaʻau ma muli o ke ʻano o ka maʻi lolo:

• No ka hahau ʻana i hoʻokumu ʻia e ke koko ʻaʻa (ischemic stroke): Hāʻawi pinepine nā kauka i ka lāʻau lapaʻau (thrombolytics) e hoʻoheheʻe i ke koko ʻaʻa, a i kekahi manawa wehe lākou i ke koko ʻaʻa ma o ke kaʻina hana i kapa ʻia ʻo thrombectomy a hoʻihoʻi i ke kahe koko i ka lolo.
• No ka hahau ʻana i hoʻokumu ʻia e ke kahe ʻana o ke koko i loko o ka lolo (hemorrhagic stroke): Pono paha ke ʻoki ʻana e hoʻōki i ke kahe ʻana o ke koko.

Loaʻa i kēlā me kēia haukapila kahi kaʻina hana kikoʻī, i kapa ʻia ʻo Stroke Protocol , i hahai ʻia no ka stroke pediatric. Penei ke ʻano o ka ʻike ʻia ʻana o ka maʻi a hoʻomaka koke ka lāʻau lapaʻau.

Ma waho aʻe o kēia mau lāʻau lapaʻau nui, hiki i nā kauka ke hoʻohana i nā lāʻau lapaʻau ʻē aʻe:

• Nā lāʻau lapaʻau anticoagulant .
• Inā loaʻa i ke keiki ka ʻōhū, e hāʻawi ʻia iā lākou nā lāʻau antiseizure e kāohi iā ia.

Pehea ka lōʻihi e hoʻōla ai? Pehea ke ʻano o ka hoʻōla hou ʻana?

ʻOkoʻa ka hoʻōla ʻana o kēlā me kēia keiki a ʻokoʻa ka manawa e pono ai. Ma hope o ka hahau ʻana, pono paha ke keiki e hele i kahi papahana hoʻōla hou ʻana o ka hahau ʻana o nā keiki . Ma muli o nā hōʻailona o ke keiki, hiki iā lākou ke loaʻa ka lāʻau lapaʻau mai kahi hui o nā loea. ʻO kēia mau mea:

• He kauka neurologist o nā keiki .
• He kauka puʻuwai keiki .
• He kauka loea i nā maʻi o ke koko, ka iwi ʻiʻo, a me ka ʻōnaehana lymphatic (Pediatric hematologist) .
• He kauka lapaʻau neurodegenerative no nā keiki .
• Luna hoʻōla kino - E hoʻomaʻamaʻa i ka ʻaoʻao o ke kino i hoʻopilikia ʻia.
• ʻO ke kauka ʻōlelo-ʻōlelo (SLP) - kōkua i ka ʻōlelo ʻana a me ke ale ʻana.
• Hoʻoponopono hana - E hoʻomaʻamaʻa iā ʻoe iho i nā hana o kēlā me kēia lā.

He aha nā kūlana e ola ai mai ka maʻi polio?

E like me ka ʻike ʻana o nā mea noiʻi i ka maʻi polio o nā kamaliʻi, ʻo ka lōʻihi o ka hōʻailona, ​​ʻo ka nui aʻe o ka hopena i nā hopena olakino.He nui nā keiki i loaʻa i ka hahau ischemic e ola ana. Eia nō naʻe, hiki iā lākou ke loaʻa hou i ka hahau ʻana, ʻoiai inā he maʻi puʻuwai a he pilikia paha ke koko.

Hiki ke pale ʻia ka polio?

Hiki ke loaʻa ka lolo lolo no nā kumu like ʻole. He mau maʻi hānau ʻia kekahi. No laila, ʻaʻohe ala e hiki ai iā mākou ke pale aku i kekahi mau maʻi hānau ʻia. Inā loaʻa i kāu keiki kahi maʻi olakino, e kamaʻilio me kāu kauka e pili ana i ia mea a loaʻa ka ʻōlelo aʻoaʻo no ka mālama ʻana i ke olakino o kāu keiki.

Inā loaʻa i kāu keiki nā maʻi e like me ka Arteriovenous Malformation (AVM) , ka maʻi puʻuwai hānau , a i ʻole ka maʻi Sickle Cell , e mālama nā kauka i kēlā mau maʻi. Hiki i kēia mau lāʻau lapaʻau ke kōkua i ka hōʻemi ʻana i ka pilikia o nā hahau ʻana i ka wā e hiki mai ana. Pono paha kekahi mau keiki i nā hoʻokolohua kiaʻi mau e ʻike ai inā piʻi aʻe ko lākou pilikia o nā hahau ʻana.

Aia kekahi pilikia i ka wā hāpai?

ʻAe, i kekahi manawa hiki i kahi pēpē ke loaʻa i ka hahau (nā hahau perinatal) ma muli o nā ʻōpū koko e hana ʻia i ka wā hānau a i ʻole ma hope koke iho o ka hānau ʻana. Hiki i kekahi mau kūlana i loaʻa i ka makuahine i ka wā hāpai ke hoʻonui i ka pilikia no ka pēpē. Nā laʻana:

• Maʻi diabetes hāpai .
• ʻO ka preeclampsia kahi maʻi koko kiʻekiʻe.
• Ka haki mua ʻana o nā membrane .

No laila, he mea nui loa e kamaʻilio me kāu kauka e pili ana i nā ala e hōʻemi ai i nā pilikia hiki ke hiki i ka wā hāpai.

He aha kaʻu e hana ai e hōʻemi i ka pilikia o ka maʻi lolo i kaʻu keiki?

E kamaʻilio me kāu kauka e pili ana i ka pilikia o kāu keiki i ka hahau ʻana. Hāʻawi ʻia kekahi mau keiki i ka lāʻau lapaʻau e pale aku i nā ʻūpā koko, hiki ke kōkua i ka pale ʻana i ka hahau ʻana.

Eia kekahi, inā e ho'ōla ana kāu keiki mai kahi hahau ʻana, e hahai pono i nā kuhikuhi a kāu kauka. E hāʻawi i nā lāʻau lapaʻau a pau e like me ke kauoha. ʻO ke keiki:

• Pono ʻoe e hoʻoikaika kino maikaʻi a noho ikaika.
• Pono ʻoe e ʻai i nā meaʻai momona (e kāohi i ka pilikia o ka cholesterol kiʻekiʻe a me ka maʻi diabetes).
• Pono ʻoe e loaʻa ka lawa o ka hiamoe.

Āhea ʻoe e lawe ai i kāu keiki i ke kauka? Āhea ʻoe e hele ai i ka ʻOihana Pōpilikia (ETU) ?

Ma hope o ka hahau ʻana, pono paha kāu keiki i ka lāʻau lapaʻau mai kahi hui o nā loea. E hōʻoia e lawe i kāu keiki i nā manawa a pau me ke kauka. Inā he mau hopohopo kou e pili ana i ke olakino a i ʻole ka ulu ʻana o kāu keiki, ʻoiai inā ʻike ʻoe i kekahi mau hōʻailona hou, e kāhea koke i kāu kauka.

Inā hōʻike kāu keiki i nā hōʻailona o ka hahau ʻana, e kelepona i ka 911 a lawe koke iā lākou i ka haukapila kokoke loa. He pilikia ka hahau ʻana. ʻO ka loaʻa koke ʻana o ka lāʻau lapaʻau hiki ke kōkua nui i ka hoʻomaikaʻi ʻana i ke olakino o kāu keiki.

ʻO nā mea nui loa e pono ai mākou e hoʻomanaʻo

ʻAe, mai nā mea a mākou i kūkākūkā ai, ke lana nei koʻu manaʻo ua maopopo iā ʻoe ka Pediatric Stroke . E hoʻomanaʻo, he mea kakaikahi loa kēia. Akā, inā hana ia, he mea nui e hana koke.

• Hiki ke ʻokoʻa nā hōʻailona o ka maʻi lolo i nā keiki ʻōpio mai nā mea o nā pākeke. E makaʻala pono i nā mea e like me nā hopu ʻana, nā loli koke o ke ʻano, a me ka nāwaliwali ma kekahi ʻaoʻao o ke kino .
• Inā ʻike ʻoe i kēia mau hōʻailona, ​​e ʻike koke i ke kauka, a i ʻole e kelepona iā 1990.
• Inā loaʻa i kāu keiki kekahi mau mea pilikia, e like me ka maʻi puʻuwai a i ʻole nā ​​​​maʻi e pili ana i ke koko, e kamaʻilio mau me kāu kauka e pili ana i ia mea a e loaʻa iā ʻoe ka lāʻau e pono ai.
• Mai makaʻu. ʻO ka ʻike ka ikaika nui loa. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana no kāu keiki, ʻo ia ka ʻike i kēia mau mea.

ʻO ka hahau ʻana o nā keiki, ka maʻi lolo, ka hahau ʻana, nā keiki, ke kahe koko o ka lolo, nā ʻūpā koko, nā keiki hānau hou, ke olakino o ke keiki