He mea hauʻoli nui ka loaʻa ʻana o kahi pēpē hou i loko o ka ʻohana. Eia nō naʻe, ma ke ʻano he makuahine a he makuakāne paha, he mea maʻamau nō hoʻi ke manaʻo iki i ka makaʻu a me ka hopohopo. Inā paha he anu kāu pēpē, hopohopo mākou. I kēia lā e kamaʻilio mākou e pili ana i ka sepsis, kahi maʻi weliweli e hiki ke loaʻa i nā pēpē hānau hou, ʻoi aku ka koʻikoʻi ma mua o kahi maʻi maʻalahi. He mea nui loa ka makaʻala i kēia, no ka mea, ʻo ka hana wikiwiki ʻana hiki ke hoʻopakele piha i ka pēpē.
I ka ʻōlelo maʻalahi, he aha ka sepsis?
He maʻi koʻikoʻi loa ka Sepsis e hiki ke loaʻa i kahi pēpē hānau hou (ma lalo o 28 mau lā). Hana ʻia kēia i ka wā e hoʻomaka ai ka ʻōnaehana pale o ka pēpē e pane nui i ka wā e komo ai kahi maʻi i ke kino o ka pēpē. E noʻonoʻo, ʻo ka mea e hana nei ma ʻaneʻi e like me ka pūʻali koa e pale ana i ko mākou ʻāina, e hele ana e kaua i kahi ʻenemi a hōʻeha hewa i ko mākou ʻāina ponoʻī.
Hiki i kēia hopena keu ke hoʻoulu i ka mumū ma ke kino o ke pēpē . Hiki iā ia ke hana i nā ʻūpā koko, e hōʻemi ana i ke kahe koko i nā lālā a me nā ʻōpū nui e like me ka lolo, ka puʻuwai, a me nā puʻupaʻa. Hiki i kēia ke alakaʻi i ka hāʻule ʻana o nā ʻōpū a i kekahi manawa make. ʻO ia ke kumu he mea weliweli loa ia.
Ua hoʻokaʻawale nā kauka i kēia maʻi i ʻelua mau māhele, ma muli o ka makahiki e hoʻomaka ai ka pēpē e hōʻike i nā hōʻailona.
- Sepsis neonatal mua: Hiki mai kēia maʻi i loko o nā hola 72 mua (3 mau lā) o ka hānau ʻana.
- Sepsis neonatal hoʻomaka hope loa: Hōʻike kēia maʻi ma hope o 3 mau lā o ka hānau ʻana.
ʻO wai ka mea i pilikia nui?
Hiki ke ulu kēia maʻi i loko o kekahi pēpē, akā ʻoi aku ka nui o ka pilikia o kekahi mau pēpē.
ʻOi aku ka pilikia o nā pēpē hānau mua i ka loaʻa ʻana o ka sepsis. ʻO kēia no ka mea ʻaʻole i hoʻomohala piha ʻia kā lākou ʻōnaehana pale. Hānau ʻia lākou ma mua o ko lākou loaʻa ʻana o nā antibodies e pale aku iā lākou mai ka maʻi, ʻo ia hoʻi, ʻaʻole hiki iā lākou ke pale aku i nā maʻi.
Eia kekahi, ua piʻi aʻe ka pilikia o nā pēpē ma lalo nei:
- Nā pēpē me ke kaumaha hānau haʻahaʻa.
- Ua loiloi ʻia nā pēpē me nā helu Apgar haʻahaʻa i ka wā hānau.
- Nā keiki kāne pēpē.
- Inā loaʻa i ka makuahine kekahi maʻi i ka wā hāpai.
Loaʻa i kāu pēpē kēia mau hōʻailona? E makaʻala!
Hiki ke ʻike ʻia nā hōʻailona he nui i ʻike ʻia i ka sepsis i loko o kahi pēpē me nā maʻi maʻamau ʻē aʻe. No laila, mai hopohopo inā loaʻa iā ʻoe kekahi a ʻelua paha o kēia mau hōʻailona. Eia naʻe,Inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona i ka manawa like, a inā manaʻo ʻoe ua ʻoi aku ka paʻakikī o kāu pēpē ma mua o ka maʻamau, pono ʻoe e ʻimi koke i ke kōkua lapaʻau.
| Māhele hōʻailona | He aha e hoʻolohe ai |
|---|---|
| Mahana kino a me ka helu o ka puʻuwai | Ke kuni nui a i ʻole ka mahana o ke kino haʻahaʻa (anuʻu), ka puʻuwai wikiwiki a lohi paha. |
| Ka hanu ʻana | Hoʻonui ʻia ka nui o ka hanu ʻana a i ʻole ka paʻakikī o ka hanu ʻana. |
| ʻAi a me ka ʻōpū | Ka luaʻi ʻana, ka pehu ʻana, ka emi ʻana a i ʻole ka hōʻole ʻana e inu i ka waiū, a me ka pehu ʻana (ka pehu ʻana). |
| ʻIli a me ke ʻano | Nā lima a me nā wāwae anu, ka ʻili palupalu a keʻokeʻo, ka melemele o nā maka a me ka ʻili (jaundice). |
| ʻAno | ʻOi aku ka hiamoe ma mua o ka maʻamau, emi ka hana, palaualelo, loaʻa nā maʻi hoʻokē ʻai (seizures). |
No ke aha lā kēia e hana nei? He aha nā kumu?
Hoʻoulu pinepine ʻia ka Sepsis i nā pēpē hānau hou e nā maʻi bacteria . ʻOi aku hoʻi, ʻo nā bacteria e like me `(E. coli)`, `(Listeria)` a me `(Group B streptococcus - GBS)` nā kumu nui. I kekahi manawa hiki ke hana ʻia kēia maʻi e nā virus, fungi a me nā parasites. No ka laʻana, hiki i kahi virus i kapa ʻia ʻo `(Herpes Simplex Virus - HSV)` ke hana i nā maʻi koʻikoʻi i nā pēpē.
Sepsis hoʻomaka mua
I kēia ʻano, loaʻa i ka pēpē ka maʻi mai ka makuahine mai. Hiki ke hana ʻia kēia i ka wā e noho ana ke pēpē i loko o ka ʻōpū a i ka wā hānau paha. Hoʻonui ʻia ka pilikia e nā mea e like me:
- Aia nā bacteria e like me ka Group B streptococcus (GBS) i loko o ka vagina o ka makuahine i ka wā hāpai.
- Hānau ʻia ke pēpē me ka wā ʻōpiopio.
- Moku ka wai ma mua o 18 mau hola ma mua o ka hānau ʻana o ke pēpē.
- He maʻi o ka placenta a me ka wai amniotic. Ua kapa ʻia hoʻi kēia he `(chorioamnionitis)`.
Sepsis hoʻomaka hope
I kēia ʻano, loaʻa ka maʻi i ka pēpē ma hope o ka hānau ʻana, mai ke kaiapuni a lākou e noho nei. He kiʻekiʻe loa kēia pilikia i nā pēpē e noho lōʻihi ana ma ka haukapila.
- Hiki i nā germs ke komo ma o nā catheters, IVs, a i ʻole nā mea lapaʻau ʻē aʻe.
- Kaumaha hānau haʻahaʻa.
- Inā ua hoʻokomo ʻia kahi ʻōmole hanu.
- Ke noho ʻana ma ka haukapila no ka manawa lōʻihi ma muli o kekahi maʻi ʻē aʻe.
Pehea e ʻike ai nā kauka i kēia?
Ke lawe ʻoe i kāu pēpē i ke kauka, e nānā pono ʻo ia i nā hōʻailona o kāu pēpē a nīnau iā ʻoe e pili ana iā lākou. A laila, hiki ke hana ʻia kekahi mau hoʻāʻo e hōʻoia inā he sepsis. Ua kapa ʻia kēia he "sepsis work-up."
| ʻAno hoʻāʻo | I ka ʻōlelo maʻalahi... |
|---|---|
| Nā hoʻāʻo koko | Nā hoʻokolohua e like me ka helu koko piha, nā moʻomeheu koko, a me ka protein C-reactive, e hōʻike ana i ka maʻi. |
| Nā hoʻāʻo mimi | Hoʻohana ʻia ka urinalysis a me ka moʻomeheu mimi e nānā ai i ka maʻi ʻōpū urinary. |
| ʻO ke kī ʻana o ka lumbar | Mai hopohopo ke lohe ʻoe i kēia. Hoʻohana ʻia kahi nila liʻiliʻi e lawe i kahi wai liʻiliʻi o ka iwi kuamoʻo mai ka iwi kuamoʻo o ka pēpē e nānā ai no ka maʻi meningitis. |
| Nā hoʻokolohua ʻē aʻe | ʻO ke kiʻi X-ray a i ʻole ke kiʻi ultrasound. |
Hiki ke ho'ōla ʻia kēia? He aha nā lāʻau lapaʻau?
ʻAe, hiki ke ho'ōla ʻia ka sepsis! Akā, he mea nui loa ia e hoʻomaka koke i ka lāʻau lapaʻau. Ua ʻōlelo ʻia e piʻi ana ka pilikia ma kahi o 7.6% no kēlā me kēia hola e hoʻopaneʻe ʻia ai ka lāʻau lapaʻau. No laila, ʻo ka wikiwiki ka mea nui loa.
I ka manawa pinepine, e hoʻokomo ʻia ke pēpē i loko o ka keʻena mālama koʻikoʻi (ICU) o ka haukapila a e hoʻomaka ka lāʻau lapaʻau.
- Ke hāʻawi ʻana i nā wai ma o ka intravenous (IV).
- Ke lawelawe nei i nā antibiotics intravenously no nā maʻi bacteria a me nā lāʻau antiviral no nā maʻi viral.
- Nā lāʻau lapaʻau e kaohi ai i ka helu o ka puʻuwai a me ke koko.
- Inā pono, e hāʻawi i ka oxygen keu.
I kekahi mau hihia, pono paha i ka pēpē ke hoʻoili koko.
Hiki ke loaʻa nā pilikia ma hope o ka hoʻōla piha ʻana?
ʻO ka hapa nui o nā pēpē i ho'ōla loa mai ka sepsis ʻaʻohe pilikia lōʻihi, akā hiki i kekahi mau pēpē ke loaʻa i nā pilikia olakino lōʻihi.
I kekahi manawa hiki i kēia maʻi ke laha i nā membrane e hoʻopuni ana i ka lolo, e hana ana i kahi maʻi i kapa ʻia ʻo meningitis . Inā hana ʻia kēia,
- Ka hemahema o ka lohe
- Nā lohi o ka hoʻomohala ʻana
- lolo lolo
- Hiki ke loaʻa nā pilikia e like me ka ʻūlū ʻana i ka wā lōʻihi.
Aia kekahi mau mea hiki iā kākou ke hana e pale aku ai i kēia?
ʻAe, hiki iā mākou ke kōkua i ka pale ʻana i kēia ma kekahi ʻano.
- I ka wā hāpai: Inā ʻike kāu kauka he maʻi ʻōpū kou (GBS), e hāʻawi ʻia ʻoe i nā lāʻau antibiotic IV i kekahi mau hola ma mua o ka hānau ʻana o kāu pēpē. Hāʻawi ʻia kēia lāʻau lapaʻau inā he pēpē kāu i loaʻa mua i ka sepsis a i ʻole he maʻi i loko o ka placenta.
- Ma keʻano laulā: ʻO ka mālama ʻana i ka hoʻomaʻemaʻe maikaʻi, ka holoi pinepine ʻana i nā lima, a me ka hoʻomaʻemaʻe ʻana i nā lima ma mua o ka hoʻopā ʻana i ka pēpē e hiki ke kōkua i ka hōʻemi ʻana i ka pilikia o nā germs mai ke kaiapuni waho. He mea nui hoʻi e hoʻopili i kāu pēpē i ka manawa kūpono.
Āhea e lawe koke ʻia ai ke pēpē i ka ETU?
Inā ʻike ʻoe i hoʻokahi a ʻoi aku paha o nā hōʻailona ma hope o kou hoʻi ʻana mai ka haukapila me kāu pēpē, e lawe koke i kāu pēpē i ka Emergency Department (ETU) o ka haukapila kokoke loa.
- Inā huhū loa ke pēpē a hiamoe loa paha .
- PēpēInā anu ka ʻili, keʻokeʻo, a ua loli paha ke kala.
- Inā ua maloʻo ka diaper no nā hola he 12 a ʻoi a ʻaʻohe mimi i puka mai .
- Inā pane ʻole ka pēpē a paʻakikī paha ka hanu ʻana .
Leka Lawe-Home
- He pilikia olakino ka Sepsis i nā pēpē hānau hou. Mai lawe māmā.
- E makaʻala pono i nā hōʻailona e like me ke kuni a i ʻole ke anu, ka paʻakikī o ka hanu ʻana, ka emi ʻana o ka lawe ʻana i ka waiū, a me ka hiamoe nui.
- ʻOi aku ka pilikia o nā pēpē i hānau ʻia me ke kaumaha haʻahaʻa i ka wā hānau.
- Inā he kānalua iki kou i loko o kou manaʻo, mai kali a ʻike i ke kauka. ʻO ka wikiwiki o kou hoʻomaka ʻana i ka lāʻau lapaʻau, ʻoi aku ka nui o ka manawa e hoʻopakele ai i ka pēpē.
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