Ua ʻike mākou i ka weliweli no ka makuahine a i ʻole ka makuakāne ke haʻi aku ke kauka iā lākou ua pilikia kā lākou keiki liʻiliʻi i ka hanu ʻana. Hiki ke ʻoiaʻiʻo kēia inā ua hānau mua ʻia ke pēpē, ʻo ia hoʻi, ʻo ia hoʻi, ʻo ka hānau mua ʻana. No laila, i kēia lā ke kamaʻilio nei mākou e pili ana i kahi lāʻau lapaʻau koʻikoʻi loa e hiki ke hoʻopakele i ke ola o kahi keiki i kēlā mau manawa. ʻO ia ʻo Poractant Alfa.
I ka ʻōlelo maʻalahi, he aha ka Poractant Alfa?
He lāʻau lapaʻau kūikawā ka Poractant Alfa i hāʻawi ʻia e mālama a pale aku i ka respiratory distress syndrome (RDS) , kahi ʻano i nā pēpē hānau mua ʻia e kū mai ana i ka wā ʻaʻole i ulu piha ko lākou mau māmā.
E noʻonoʻo i loko o ko kākou mau māmā he miliona mau ʻeke ea liʻiliʻi (i kapa ʻia ʻo alveoli ma ke ʻano lapaʻau) . Ke hanu kākou i loko, hoʻonui a ʻuʻuku kēia mau mea ke hanu kākou i waho. Ma kahi o kēia mau ʻeke ea liʻiliʻi e pipili pū a ʻuʻuku, hana ko kākou mau māmā i kahi wai kūlohelohe e kōkua iā lākou e hoʻonui maʻalahi. ʻO kēia ka mea a kākou e kapa nei he surfactant .
ʻO ka pilikia me nā pēpē hānau mua ʻole, ʻaʻole i lawa ka oʻo o ko lākou mau māmā e hana i kēia wai i kapa ʻia ʻo surfactant. A laila pili pū kēlā mau ʻeke ea liʻiliʻi, e paʻakikī loa ai i ka pēpē ke hanu, a pono lākou e hana nui. ʻO Poractant Alfa, ʻo ia hoʻi, he surfactant artificial i hāʻawi ʻia mai waho e pani i kēia surfactant kūlohelohe i hoʻemi ʻia. Ke komo kēia lāʻau lapaʻau i loko o nā māmā, wehe maʻalahi ia i kēlā mau ʻeke ea i paʻa, e maʻalahi ai i ka pēpē ke hanu.
I ka ʻōlelo maʻalahi, he kōkua nui kēia i nā māmā o ka pēpē. Hāʻawi ia iā lākou i ka ikaika e hana pono i kā lākou hana.
Pehea e hāʻawi ai i kēia lāʻau lapaʻau i kahi keiki?
ʻAʻole kēia he lāʻau lapaʻau home. Hāʻawi ʻia ia e kahi hui o nā kauka i aʻo ʻia ma ka haukapila, ʻoi aku hoʻi ma ka Neonatal Intensive Care Unit (NICU) .
Hoʻokomo ʻia kahi ʻōmole hanu liʻiliʻi i loko o ke ala ea e kōkua i ka pēpē e hanu. ʻO kēia kahi e hoʻokomo pololei ʻia ai ka lāʻau lapaʻau wai i loko o nā māmā. ʻAʻole ʻeha kēia no ka pēpē. Ke nānā mau nei nā kauka a me nā kahu maʻi i nā mea āpau, me ka helu o ka puʻuwai o ka pēpē a me nā pae oxygen, i ka wā o kēia mālama ʻana. No laila, aia kāu pēpē i nā lima palekana loa.
Aia kekahi mau mea e pono iaʻu e haʻi aku i ke kauka ma mua o ka mālama ʻana?
ʻAe. ʻOiai e nīnau pinepine ka hui lapaʻau iā ʻoe e pili ana i kēia, he mea nui loa ia e hoʻomaopopo iā lākou i kēia mau mea:
- Nā maʻi ʻaleka: Loaʻa i ke keiki a i ʻole kekahi o ka ʻohana kahi maʻi ʻaleka i ka Poractant Alfa, nā huahana puaʻa, E hōʻoia e haʻi i kāu kauka inā he mau maʻi ʻaleka kou i nā lāʻau lapaʻau ʻē aʻe, nā meaʻai, nā kala, a i ʻole nā mea mālama. (Hana ʻia kēia lāʻau lapaʻau mai kahi mea i loaʻa mai nā māmā puaʻa, no laila he mea nui e makaʻala i nā maʻi ʻaleka i nā huahana e pili ana i ka puaʻa.)
- Ke kūlana o ka makuahine: Inā hāpai ʻoe, e hoʻāʻo ana e hāpai, a i ʻole e hānai waiū ana, e hoʻomaopopo pū i ka hui lapaʻau.
ʻOiai ua hāʻawi ʻia kēia lāʻau lapaʻau i nā pēpē hānau hou, loaʻa kēia ʻike mai iā ʻoukou, nā mākua. No laila, e kūkākūkā i nā ʻike āpau āu i ʻike ai me ke kauka.
He aha ka mea e hana ai inā hoʻonui ʻia ka nui o ka lāʻau lapaʻau?
ʻOiai he lāʻau lapaʻau kēia i hāʻawi ʻia ma lalo o ka nānā ʻana o ke kauka ma kahi haukapila, ʻaʻohe pilikia o ka overdose. Inā he kānalua ua hana ʻia kēia ma kekahi ʻano, e hoʻomaopopo koke ka hui lapaʻau i ke Kikowaena ʻIke Poisons National ma ka Halemai Lahui ʻo Colombo a i ʻole ka Emergency Treatment Unit (ETU) kokoke loa. ʻOiai ʻaʻole kēia he lāʻau lapaʻau e lawe ʻia i ka home, ʻaʻole pono ʻoe e makaʻu iā ia.
He aha nā hopena ʻaoʻao e hiki ke loaʻa mai kēia lāʻau lapaʻau?
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke hana i nā hopena ʻaoʻao i kekahi manawa. Akā e hoʻomanaʻo, aia kāu keiki ma lalo o ka nānā pololei ʻana o nā kauka a me nā kahu maʻi i nā hola he 24 o ka lā. No laila, inā loli kekahi mea, ua mākaukau mau lākou e hana i nā hana e pono ai.
Aia ma lalo iho kekahi o nā hopena ʻaoʻao e pono ʻoe e makaʻala koke. Inā ʻike ʻoe i kekahi o kēia mau mea, e hana koke ke kime lapaʻau.
| Ka hopena ʻaoʻao | Wehewehena |
|---|---|
| Nā hopena maʻi ʻaleka | Nā hōʻailona e like me ka ʻulaʻula o ka ʻili, ka maneʻo, ka pehu ʻana o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ka emi ʻana o ka puʻuwai a i ʻole ke koko haʻahaʻa | Lilo ka ʻili a i ʻole nā lehelehe o ke pēpē i ke keʻokeʻo, uliuli, a poni paha. Nāwaliwali maʻamau. Nā lima a me nā wāwae anu. |
| Ke kahe ʻana o ke koko i loko o ka lolo | Nā loli i nā ʻano hanu, ka uē nui ʻana, ka pehu ʻana a i ʻole ka puʻupuʻu ʻana o nā ʻāpana palupalu o ke poʻo (ka lae), a me nā maʻi ʻūlū. |
ʻAʻole i hoʻokomo ʻia nā hopena ʻaoʻao āpau i kēia papa inoa. A ʻaʻole paha e loaʻa i kēlā me kēia keiki. He mau kūlana kakaikahi loa kēia. ʻO ka mea nui, ʻo ka makaʻala mau ʻana o ka hui lapaʻau no kēia mau hōʻailona.
Hiki paha nā pilikia me nā lāʻau lapaʻau ʻē aʻe?
Hiki i kēia lāʻau lapaʻau ke launa pū me kekahi mau lāʻau antibiotic i hanu ʻia . Eia nō naʻe, ua ʻike ka hui lapaʻau i nā lāʻau lapaʻau a pau a kāu keiki e lawe nei, no laila e lawe lākou i nā hana palekana e pono ai. E haʻi i kāu kauka e pili ana i nā huaora ʻē aʻe, nā mea hoʻohui, a i ʻole nā lāʻau lapaʻau lāʻau āu e hāʻawi nei i kāu keiki.
Leka Lawe-Home
- He lāʻau lapaʻau koʻikoʻi loa ka Poractant Alfa e kōkua ana i nā pēpē i hānau mua ʻia e hoʻomohala i ko lākou mau māmā.
- Hāʻawi ʻia kēia ma kahi haukapila, ma lalo o ka nānā ʻana o kahi hui o nā kauka loea, no laila e palekana kāu keiki.
- Pale kēia lāʻau lapaʻau i nā ʻeke ea liʻiliʻi (alveoli) i loko o nā māmā o ke keiki mai ka pipili ʻana, e maʻalahi ai ka hanu ʻana.
- Inā he maʻi allergy kāu keiki a i ʻole kekahi o kou ʻohana i nā huahana puaʻa, he mea nui e hoʻomaopopo i ke kauka.
- ʻOiai aia kahi hiki ke loaʻa nā hopena ʻaoʻao, mai hopohopo no ia mea no ka mea e nānā ʻia ke keiki i nā hola he 24 o ka lā ma ka keʻena mālama koʻikoʻi.
- Inā he mau nīnau kāu, hopohopo, a kānalua paha e pili ana i kēia lāʻau lapaʻau, e kūkākūkā ākea me kāu kauka. E wehewehe lākou i nā mea āpau iā ʻoe.
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