Ua loaʻa i kāu keiki liʻiliʻi kahi kiko ʻulaʻula liʻiliʻi ma ko lākou ʻili i kekahi mau pule ma hope o ko lākou hānau ʻana? I ka wā mua, ua manaʻo ʻoe he hōʻailona hānau maʻamau wale nō ia, akā ua ʻike anei ʻoe e ulu mālie ana, e poepoe ana, a i kekahi manawa e lilo i ʻulaʻula ʻeleʻele? Ma ke ʻano he makuahine, he mea maʻamau ke manaʻo iki i ka makaʻu a me ka hopohopo ke ʻike ʻoe i kahi mea e like me kēia. Kāhea mākou i kēia maʻi ʻo 'Infantile Hemangioma'. ʻO ka lāʻau lapaʻau kūikawā i hāʻawi ʻia no kēia ʻo 'Propranolol'. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia lāʻau lapaʻau.
I ka ʻōlelo maʻalahi, he aha ka Propranolol?
He lāʻau wai ka ʻPropranolol i hoʻohana ʻia e mālama i ke ʻano ʻo Infantile Hemangioma a mākou i kamaʻilio ai ma luna, he māka hānau e ulu wikiwiki ana ma ka ʻili o nā pēpē ʻōpio. Loaʻa ia ma ke ʻano he syrup.
E noʻonoʻo, ʻo kēia kiko ʻulaʻula he puʻupuʻu i hana ʻia e ka hōʻiliʻili ʻana o nā kīʻaha koko liʻiliʻi he nui e hoʻolako ana i ke koko i kēlā wahi. No laila, ʻo ka hana a kēia lāʻau lapaʻau ʻo 'Propranolol', ʻo ia ke hōʻemi i ke kahe o ke koko i kēlā puʻupuʻu. A laila, ʻo ka mea e hana ʻia, ʻo ia ka lilo ʻana o ka puʻupuʻu i mea liʻiliʻi ke kala, liʻiliʻi ka nui, a emi ka paʻa. I ka pololei, no kahi papa lāʻau lapaʻau i kapa ʻia ʻo 'beta blockers' kēia.
Nā mea e pono ai ʻoe e haʻi i kāu kauka ma mua o ka hoʻomaka ʻana i ka lāʻau lapaʻau
Ma mua o ka hāʻawi ʻana i kēia lāʻau lapaʻau i kāu pēpē, pono ʻoe e haʻi i kēia mau mea ke kamaʻilio ʻoe me kāu kauka. No ka mea, inā loaʻa kēia mau kūlana, na ke kauka e hoʻoholo inā e hāʻawi a ʻaʻole paha i ka lāʻau lapaʻau, a pehea e hāʻawi ai.
- Inā loaʻa i kāu pēpē ka hānō a i ʻole nā pilikia hanu ʻē aʻe.
- ʻO ka maʻi diabetes , ʻo ia hoʻi ke kiʻekiʻe o ke kō koko.
- Inā he maʻi puʻuwai kou a he puʻuwai lohi paha.
- Inā he pilikia kou ma waho aʻe o ke koko haʻahaʻa .
- Inā nalowale ka makemake o ka pēpē a i ʻole pilikia i ka inu ʻana i ka waiū/meaʻai.
- Inā ua haʻi aku ke kauka iā ʻoe he mau kūlana olakino kūikawā kou e like me ka 'PHACE syndrome' a i ʻole 'Pheochromocytoma'.
- Inā ua loaʻa iā ʻoe kahi hopena maʻi ma mua i kēia lāʻau lapaʻau, Propranolol, a i ʻole kekahi lāʻau lapaʻau ʻē aʻe, meaʻai, a mea hoʻoluʻu paha.
Pehea e hāʻawi ai i kēia lāʻau lapaʻau i ka pēpē?
He ʻāpana koʻikoʻi loa kēia. Pono ʻoe e lawe i kēia lāʻau lapaʻau e like me ke kauoha a ke kauka, i ka manawa like i kēlā me kēia lā, i ka manawa like.
- Ka nui kūpono: E hoʻohana wale i ka syringe kūikawā, ka syringe waha, a i ʻole ka puna kūikawā e hele mai me ka lāʻau lapaʻau e ana i ka lāʻau. Mai ana me nā punetēpē hale, no ka mea, ʻaʻole pololei lākou.
- E hāʻawi me ka meaʻai: E hāʻawi mau i kēia lāʻau lapaʻau i kāu pēpē i ka wā e hānai ai a ma hope koke iho paha o ka hānai ʻana. Mai hāʻawi aku i ka ʻōpū ʻole.
- Mai ho'ōki:Mai ho'ōki i ka lawe ʻana i ka lāʻau a hiki i ka wā e ʻōlelo aku ai kāu kauka iā ʻoe. ʻO ka maʻamau, he mau mahina kēia e mau ai.
He mea nui loa: Inā ʻaʻole inu kāu pēpē i ka waiū/meaʻai, e luaʻi ana, a i ʻole e hōʻole ana i ka meaʻai ma muli o kekahi maʻi ʻē aʻe, mai hāʻawi i kēia lāʻau lapaʻau i kēlā manawa. Pono e hāʻawi ʻia ka lāʻau lapaʻau ma hope o ka hoʻomaka ʻana o ka pēpē e ʻai maʻamau. Inā he kānalua kāu e pili ana i kēia, e nīnau i kāu kauka.
He aha kāu e hana ai inā e poina ʻoe i kahi mahele o ka lāʻau lapaʻau?
Inā poina iā ʻoe ke hāʻawi i kahi lāʻau, e hāʻawi koke iā ia i kou hoʻomanaʻo ʻana. Eia nō naʻe, inā kokoke ka manawa no ka lāʻau aʻe, e kāpae i ka lāʻau i hala ʻole a hāʻawi i ka lāʻau aʻe i ka manawa i hoʻonohonoho ʻia. Mai hāʻawi pālua i ka lāʻau. Eia kekahi, inā e luaʻi kāu pēpē i kekahi o ka lāʻau ma hope o ka lawe ʻana, mai hāʻawi hou i ka lāʻau.
He aha inā hāʻawi wau i ka nui o ka lāʻau lapaʻau?
Inā loaʻa iā ʻoe kahi kānalua iki ua hāʻawi ʻoe i kāu pēpē i nā lāʻau lapaʻau ma mua o kou manaʻo, mai hopohopo a kāhea koke aku i ke Kikowaena ʻIke Poisons Lahui ma ka Halemai Lahui ʻo Colombo . A i ʻole, e lawe koke i kāu pēpē i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa i ka hikiwawe loa.
Nā hopena ʻaoʻao e makaʻala i ka wā e lawe ai i ka lāʻau lapaʻau
E like me nā lāʻau lapaʻau āpau, hiki i kēia ke loaʻa nā hopena ʻaoʻao liʻiliʻi. He koʻikoʻi kekahi, he mea maʻamau kekahi. He mea nui e makaʻala i kēia mau mea.
| ʻAno o ka hopena ʻaoʻao | Nā hōʻailona i ʻike ʻia i loko o ke keiki |
|---|---|
| Nā hōʻailona koʻikoʻi e pono e hōʻike koke aku i kāu kauka | |
| Nā hopena alerika | ʻŌhūhū ʻili, maneʻo, pehu o ka maka, nā lehelehe, ke alelo a i ʻole ka puʻu. |
| Ke kō koko haʻahaʻa (Hypoglycemia) | ʻIli a i ʻole lehelehe keʻokeʻo/polū, hou ka hou, uē pinepine, puʻuwai wikiwiki, emi ʻana o ka lawe ʻana i ka waiū, a me ke anu. |
| Ka hāʻule ʻana o ka puʻuwai | Paʻakikī ka hanu ʻana, pehu ʻana o nā kuʻekuʻe wāwae, nā lima a me nā wāwae, piʻi koke ke kaumaha, luhi nui. |
| Ke koko haʻahaʻa/ka wikiwiki o ka puʻuwai | ʻIli a lehelehe polū/keʻokeʻo, nāwaliwali kūikawā, nā lima a me nā wāwae anu. |
| Paʻakikī ka hanu ʻana | ʻŌhūhū i ka wā e hanu ana. |
| ʻO nā hōʻailona i maʻa mau ʻaʻole koʻikoʻi, akā pono e hōʻike i ke kauka inā hoʻomau lākou | |
| Nā loli hiamoe | Nā loli i ke ʻano hiamoe o ka pēpē. |
| ʻeha ka ʻōpū | Ka maʻi kahe a i ʻole ka luaʻi ʻana. |
Pehea e mālama ai i ka lāʻau lapaʻau?
- E mālama i kēia lāʻau lapaʻau mai ka hiki ʻana aku o nā keiki a me nā holoholona .
- E mālama ma ka mahana o ka lumi (ma waena o 20-25 kekelē Celsius). Mai hoʻopaʻahau.
- E hoʻolei aku i kekahi lāʻau lapaʻau i koe i 2 mau mahina ma hope o ka wehe ʻana i ka ʻōmole. Eia kekahi, mai hoʻohana i ka lāʻau lapaʻau inā ua hala ka lā palena pau.
Leka Lawe-Home
- He lāʻau lapaʻau ʻo 'Propranolol' i hāʻawi ʻia no nā kiko ʻulaʻula e ulu wikiwiki ana ma ka ʻili o nā pēpē (Infantile Hemangioma).
- E hāʻawi mau i kēia lāʻau lapaʻau e like me ke kuhikuhi a kāu kauka, ma ka nui i kauoha ʻia, a me ka meaʻai/waiū.
- Inā ʻaʻole ʻai a luaʻi paha ka pēpē, mai hāʻawi i ka lāʻau lapaʻau i kēlā manawa.
- E ʻimi koke i ke kōkua lapaʻau inā ʻike ʻoe i nā hōʻailona o ke kō koko haʻahaʻa (ʻili polū, hou, uē nui), paʻakikī ka hanu ʻana, a i ʻole nā hopena maʻi ʻaleka koʻikoʻi.
- Inā he mau nīnau kāu e pili ana i kāu lāʻau lapaʻau, mai makaʻu e kūkākūkā me kāu kauka.
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