ʻAʻole hiki ke wehewehe ʻia ka hauʻoli o ka lilo ʻana i makuahine a makua kāne hou, ʻeā? Akā i ka manawa like, aia kekahi makaʻu iki. ʻOi loa aku i ka pō, ke nānā ʻoe i kāu pēpē e hiamoe ana, e nānā ana i ka piʻi ʻana a me ka hāʻule ʻana o kēlā umauma liʻiliʻi, ua manaʻo ʻoe he mea hōʻoluʻolu loa. Akā i ka manawa koke, ʻike ʻoe ua pau ka hanu ʻana o kāu pēpē no kekahi mau kekona. I kēlā manawa, lele koke kou puʻuwai, ʻeā? "Auē kuʻu Akua, he aha ka mea i hana ʻia?" Manaʻo ʻoe. A laila hoʻomaka hou ka pēpē e hanu wikiwiki, me he mea lā ʻaʻohe mea i hana ʻia. Ua loaʻa anei iā ʻoe kēia ʻike? A laila, mai makaʻu. I kēia lā, ke kamaʻilio nei mākou e pili ana i kēia hanu ʻana a nā mākua hou e makaʻu nei, akā he mea maʻamau ia.
I ka ʻōlelo maʻalahi, he aha ka Periodic Breathing?
He ʻano hanu maʻamau ka hanu ʻana i nā pēpē hānau hou. I ka ʻōlelo maʻalahi, ʻo ia ka wā e pau ai ka hanu ʻana o kāu pēpē no nā manawa pōkole loa, e like me 5 a 10 kekona, ma waena o kēlā me kēia hanu. Ma hope o kēlā, hoʻomaka hou ka pēpē e hanu iā ia iho.
Akā ma hope o ka pau ʻana o kēia hanu ʻana a laila hoʻomaka hou, ʻoi aku ka wikiwiki o ka hanu ʻana ma mua o ka maʻamau. I ka lāʻau lapaʻau, kapa mākou i kēia ʻo `(Tachypnea)`.
E noʻonoʻo i kēia ʻano. E hanu kāu pēpē no kekahi manawa, a laila e paʻa i kona hanu no kekahi mau kekona, a laila e hanu wikiwiki hou. Hiki ke hana ʻia kēia pōʻaiapuni ʻekolu a ʻehā paha manawa i ka lālani. A laila e hoʻomaka hou ka pēpē e hanu maʻamau i ka mele like. Hana pinepine kēia i ka wā e hiamoe maikaʻi ana ka pēpē.
ʻAʻole kēia he mea kupanaha. I ka ulu ʻana o ke pēpē, aʻo kona kino, ʻoiai kona lolo a me kona māmā, e kāohi pono i kona hanu ʻana. A laila nalo mālie kēia pōʻaiapuni hanu manawa.
A hiki i ka makahiki hea kēia he mea maʻamau?
Manaʻo mākou he mea maʻamau kēia kūlana i kapa ʻia ʻo ka hanu manawa a hiki i ka piha ʻana o ka pēpē i 6 mahina. He mea maʻamau loa ia ma waena o 2 a me 4 mau pule ma hope o ka hānau ʻana.
Akā inā hoʻomau kāu pēpē i ka hanu ʻana ma kēia ʻano ma hope o kona piha ʻana i 6 mahina, he mea nui loa ia e kamaʻilio me kāu kauka e pili ana i ia mea.
He mea weliweli paha kēia?
ʻO ka hapa nui o ka manawa, ʻaʻole. Akā, he mea kākaʻikahi loa ia, ʻo ia hoʻi, me kahi haʻahaʻa loa o ka hiki ke lilo i mea koʻikoʻi iki aʻe. ʻO ka maʻamau, he manawa pōkole kēia pilikia hanu ʻana, a hanu hou ka pēpē ma ke ʻano maʻamau.
Akā, e noʻonoʻo e hoʻomau ana kēia pōʻaiapuni hanu, e lōʻihi ana ma mua o ka mea i manaʻo ʻia. A laila, ʻaʻole paha e hiki i ke kino o ka pēpē ke loaʻa ka nui o ka oxygen e pono ai.
Ke loaʻa ʻole i ke kino ka nui o ka oxygen e pono ai, hāʻule ka pae oxygen i loko o ke koko. Kāhea mākou i kēia ʻo '(Hypoxemia)'.He kūlana weliweli loa kēia a pono e mālama koke ʻia e ke kauka.
E ʻike kākou i ka ʻokoʻa pololei ma waena o ka Periodic Breathing a me ka Apnea.
Ma ke ʻano he mau mākua, makaʻu nui ʻoe i kēia maʻi ʻo ia ke ʻano weliweli i kapa ʻia ʻo "Apnea". Aia kahi ʻokoʻa maopopo ma waena o nā mea ʻelua. Ke maopopo iā ʻoe kēlā ʻokoʻa, e nalowale loa kou makaʻu. E nānā kākou i kēia ala e hoʻomaopopo maʻalahi ai.
| ʻAno | Ka hanu ʻana o kēlā me kēia manawa maʻamau | ʻO ke kūlana apnea weliweli paha |
|---|---|---|
| Ka manawa paʻa hanu | Pōkole ka lōʻihi. ʻAʻole iʻoi aku ma mua o 10 kekona. | Hoʻōki ka hanu ʻana no 20 kekona a ʻoi aku paha . |
| Hoʻololi kala o ke kino | ʻAʻole e loli ke kala o ka ʻili a i ʻole nā lehelehe o ke pēpē. E mau ana ko lākou ʻulaʻula. | Lilo nā lehelehe, nā manamana lima, a i ʻole ka ʻili o ke pēpē i polū/poni, hina, a keʻokeʻo paha . |
| Ke ʻano o ka pēpē | Ua mālie a ʻoluʻolu hoʻi ke pēpē. ʻOiai ua pau kona hanu ʻana, ʻaʻole ia e hoʻopilikia iā ia. | Me he mea lā ʻoluʻolu ʻole paha ke pēpē. Me he mea lā e hakakā ana ke kino. A i ʻole me he mea lā ua make koke . |
| Nā hiʻohiʻona ʻē aʻe | ʻAʻole ia e hōʻike i nā hōʻailona weliweli ʻē aʻe. Hoʻōki ka hanu ʻana a laila hoʻi i ka maʻamau. | Hiki ke emi iho ka helu o ka puʻuwai me ka pau ʻana o ka hanu ʻana. |
| Pono ʻoe i ke aʻo lapaʻau? | ʻAʻole pono kēia i ka maʻamau. He ʻāpana maʻamau kēia o ka ulu ʻana o ke keiki. | Pono koke ke kōkua lapaʻau. He hōʻailona paha kēia o kahi maʻi. |
He maʻi lapaʻau ka `Apnea` e pono e ʻike ʻia e ke kauka. Hiki ke loaʻa nā kumu like ʻole. Hiki ke hana ʻia e nā maʻi, nā maʻi metabolic, a me nā mea ʻē aʻe. ʻOi loa aku, hiki ke loaʻa kēia maʻi i nā pēpē i hānau ʻia ma mua o ka lā hānau. Kapa mākou ia he `(Apnea of prematurity)`. ʻO ke kumu o kēia, ʻaʻole i ulu piha nā ʻāpana o ke kino e kāohi ana i ka hanu ʻana o ka pēpē.
Akā, he mea maʻamau ka hanu ʻana i kēlā me kēia manawa i nā pēpē olakino. Hiki ke hana ia i nā pēpē hānau piha a me nā pēpē hānau mua. No laila, mai makaʻu i ka apnea a hopohopo pono ʻole e pili ana i ka hanu ʻana i kēlā me kēia manawa.
Nā hae ʻulaʻula e pono ai ka nānā koke ʻana
Ua ʻike mākou i kēia manawa ʻo ka hapa nui o ka manawa, ʻaʻohe mea e hopohopo ai ka hanu ʻana i kēlā me kēia manawa. Eia nō naʻe, ma ke ʻano he makua, he mea nui e ʻike i ka wā e pono ai mākou e hana koke. Inā hōʻike kāu pēpē i kekahi o nā hōʻailona ma lalo nei, e lawe koke iā ia i ka haukapila kokoke loa i ka Emergency Department (ETU). A i ʻole e kelepona i ka lawelawe ambulance 1990.
- Inā pau ka hanu ʻana ma mua o 10 kekona: E like me kā mākou i ʻōlelo ai, pau ka hanu ʻana no 5-10 kekona. ʻO ka mea lōʻihi, ʻoi aku hoʻi kokoke i 20 kekona a ʻoi aku paha, he mea weliweli ia.
- Inā loli ke kala o ka ʻili a me nā lehelehe o ka pēpē: ʻO kēia ka hōʻailona koʻikoʻi loa. Hana ʻia kēia ke emi ka pae oxygen i loko o ke koko.
- Hiki i nā pēpē me ka ʻili keʻokeʻo ke lilo i ko lākou mau lehelehe, alelo, a me nā manamana lima i polū a poni paha .
- ʻAʻole paha e ʻike maopopo ʻia kēia ʻano polū i nā pēpē me ka ʻili keʻokeʻo iki. I ia mau hihia, e nānā pono no ka hina hina, melemele-hina, a i ʻole ke ʻano keʻokeʻo o nā lehelehe, nā ʻāʻī, a ma lalo o nā maka .
- Inā ʻaʻole hiki iā ʻoe ke hoʻāla i kāu pēpē: Inā ʻoe e pā mālie a kamaʻilio me kāu pēpē i ka wā ʻaʻole ia e hanu ana, akā ʻaʻole ia e pane mai, a inā ʻike koke ʻia ʻo ia ua make, he hōʻailona weliweli kēlā.
E hoʻomanaʻo, he paʻakikī ke pale aku i ka hopohopo i ka manawa e like me kēia. Akā ʻo ka mea nui loa, ʻo ia ka hana koke ʻana i ka mea kūpono. A ʻo ia hoʻi, e ʻimi koke i ke kōkua lapaʻau.
E hilinaʻi i kou ʻōpū.
Ma ke ʻano he mau mākua hou, hopohopo nui ʻoe i nā mea liʻiliʻi a pau e pili ana i kāu pēpē. He mea maʻamau loa ia. Ma hope o kekahi manawa, e loaʻa iā ʻoe kahi ʻike maikaʻi o ke ʻano maʻamau o kāu pēpē, nā ʻano hanu maʻamau.
Inā ʻike ʻoe i kahi mea ʻē a ʻokoʻa paha i ka hanu ʻana o kāu pēpē, mai noho wale ma laila e noʻonoʻo ana, "He mea maʻamau kēia." Inā he kānalua kāu, ʻoiai inā he liʻiliʻi lākou, e kāhea koke i kāu kauka. ʻAʻole ia he manaʻo maikaʻi ʻole ke kāhea aku i ke kauka a loaʻa ka ʻōlelo aʻo. ʻAʻohe nīnau lapuwale i ka wā e pili ana i ke olakino o kāu pēpē.
Manaʻo nā kauka he ʻano hanu ʻē iki nā pēpē hānau hou. Akā ma ka home, hiki ke paʻakikī ke ʻike inā he mea maʻamau a ʻaʻole paha kāu e ʻike nei. No laila, inā he mau hopohopo kāu, mai kānalua e ʻimi i ke kōkua.
Leka Lawe-Home
- Inā pau ka hanu ʻana o kahi pēpē hānau hou no ka liʻiliʻi ma mua o 10 kekona i ka wā e hiamoe ana a laila hoʻomaka hou i ka hanu maʻamau, ua kapa ʻia ia he hanu manawa pōkole.
- He mea maʻamau loa kēia a ke manaʻo ʻia nei a hiki i ka piha ʻana o ka pēpē i 6 mahina . E nalo ana kēia ʻano i ka wā e ulu ai ka ʻōnaehana nerve o ka pēpē.
- Inā ʻaʻole loli nā lehelehe a i ʻole ke kala o ka ʻili o ka pēpē a ʻaʻole pilikia ka pēpē, ʻaʻohe kumu e hopohopo ai.
- Inā pau ka hanu ʻana no nā kekona he 10 a ʻoi , a laila lilo ke kala o ka ʻili o ka pēpē i polū, hina, a maeʻele paha , a i ʻole ʻaʻole hiki ke hoʻāla ʻia ke pēpē, he pilikia ia. E hele koke i ka ETU (Emergency Treatment Unit) kokoke loa.
- Inā he kānalua iki kou e pili ana i ka hanu ʻana o kāu pēpē, mai hoʻowahāwahā. E kāhea koke aku i kāu kauka.
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