Ke manaʻo nei ʻoe i kekahi manawa ua piʻi koke kou hanu ʻana? A i ʻole ua makaʻu paha ʻoe i ka ʻike ʻana i kāu keiki liʻiliʻi e hanu wikiwiki ana? I ka lāʻau lapaʻau, kapa mākou i kēia ʻano ʻo Tachypnea. Hiki i kēia ke lilo i mea maʻamau i kekahi manawa, a i kekahi manawa he hōʻailona ia o kahi maʻi. No laila, me ka ʻole o ka hoʻopaneʻe hou ʻana, e aʻo hou kākou e pili ana i kēia lā.
He aha ka tachypnea maʻalahi?
I ka ʻōlelo maʻalahi, ʻo ka tachypnea ka hanu wikiwiki a pāpaʻu. He mea maʻamau ka hanu wikiwiki ʻana i ka wā e hoʻoikaika kino ana ʻoe, e like me ka holo ʻana a i ʻole ke piʻi ʻana i nā alapiʻi. Akā, ʻo ka tachypnea ka wā e piʻi ai kou hanu ʻana ʻoiai ʻoe e hoʻomaha ana, me ka ʻole o ka hoʻoikaika kino.
Hiki ke loaʻa kēia ʻano maʻi i nā pēpē a me nā pākeke. He mea maʻamau ia i nā pēpē hānau mua ʻole a me nā pākeke me nā maʻi hanu e like me ka hānō a me ka COPD.
I kekahi manawa, nalowale kēia hanu wikiwiki ma hope o kekahi manawa. Kāhea mākou iā ia he 'transient tachypnea'. He mea maʻamau kēia i nā pēpē hānau hou.
Pehea e ʻike ai au inā wikiwiki loa koʻu hanu ʻana?
Hiki iā ʻoe ke hoʻāʻo i kēia ma ka home. ʻOiai ʻoe e hoʻomaha ana, e nānā i ka uaki a helu i ka nui o nā manawa āu e hanu ai i hoʻokahi minuke.
- Pākeke: ʻO ka maʻamau, hanu kahi pākeke olakino ma waena o 12 a me 25 mau manawa i kēlā me kēia minuke i ka wā e hoʻomaha ai (me ka ʻole o ka hoʻoikaika kino). Inā ʻoi aku kou wikiwiki hanu ma mua o 25 mau manawa i kēlā me kēia minuke i ka wā e hoʻomaha ai, he tachypnea paha ia.
- Hānau hou: He mea maʻamau no ka pēpē hānau hou ke hanu ma waena o 40 a me 60 mau manawa i kēlā me kēia minuke. Inā ʻoi aku ka nui o ka hanu ʻana o ka pēpē ma mua o 60 i kēlā me kēia minuke, he kūlana paha ia i kapa ʻia ʻo "transient tachypnea of the newborn" a pono e ʻike ʻia e ke kauka.
He aha nā hōʻailona i ʻike ʻia ma kēia ʻano?
Hiki i ka Tachypnea ke hele pū me kekahi mau hōʻailona ʻē aʻe, a ʻo kekahi o ia mau mea he mau hōʻailona ia o kahi pilikia.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Paʻakikī ka hanu ʻana | Me he mea lā he pono ʻoe e hakakā e hanu. |
| ʻEha umauma | Ka ʻūmiʻi o ka umauma a me ka ʻeha i ka hanu ʻana. |
| Manaʻo e like me ka hiki ʻole iā ʻoe ke hanu lawa | ʻAʻole hiki iaʻu ke hanu hohonu, ua pōkole koʻu hanu. |
| ʻO ke kala polū/hina o ka ʻili, nā lehelehe, a i ʻole nā kui | He hōʻailona weliweli e kū mai ana ke loaʻa ʻole i ke kino ka oxygen lawa. |
ʻO ka mea nui loa: Inā pilikia ʻoe a i ʻole kāu pēpē i ka hanu ʻana, ʻeha ka umauma , a i ʻole ka ʻili polū/hina , he pilikia olakino kēia. E hele koke i ka Halemai Pilikia (ETU) kokoke loa.
He aha nā kumu o ka tachypnea?
Aia paha kekahi mau kumu no kēia.
Nā kumu maʻamau i waena o nā pākeke a me nā keiki
- Nā hopena allergies: Ka pehu ʻana o nā alaloa i nā maʻi allergies koʻikoʻi.
- Hopohopo a maʻi panic paha: E wikiwiki ka hanu ʻana ke piʻi aʻe ka makaʻu a me ke kaumaha.
- Asthma: Ka paʻa ʻana o ke ala hanu.
- Nā ʻūpā koko: He ʻūpā koko, ʻoiai i loko o kahi kīʻaha koko e alakaʻi ana i nā māmā (pulmonary embolism).
- Ka lāʻau make kalapona monoxide: Ka hanu ʻana i ka uahi.
- COPD (Maʻi pulmonary obstructive mau loa): Ka hōʻino lōʻihi ʻana i nā māmā i hoʻokumu ʻia e nā kumu e like me ka puhipaka.
- Ketoacidosis maʻi diabetes: He kūlana weliweli ia i hoʻokumu ʻia e ka maʻi diabetes i kāohi ʻole ʻia, ka mea e lilo ai ke koko i waikawa.
- Pneumonia: He maʻi o nā māmā.
- Sepsis: He maʻi ʻino i laha a puni ke kino.
Nā kumu kūikawā no nā pēpē hānau hou
I ka wā e noho ana ke pēpē i loko o ka ʻōpū, ua piha kona mau māmā i ka wai. Ke hānau ʻia ke pēpē, hoʻoulu nā hormones i kēia wai e noho a piha nā māmā i ka ea. I kekahi manawa, ʻoi aku hoʻi i nā pēpē i hānau mua ʻole ʻia, noho kēia wai no kekahi manawa. A laila pono ke pēpē e hanu wikiwiki ma muli o ke koena o ka wai i loko o nā māmā. Ua kapa ʻia kēia ʻo "transient tachypnea of the newborn". ʻO ka maʻamau, e nalowale kēia ʻano i loko o ʻelua a ʻekolu mau lā.
He aha nā lāʻau lapaʻau no kēia?
Aia ka lāʻau lapaʻau i ke kumu kumu. ʻO ka mea mua a ke kauka e hana ai, ʻo ia ke ʻimi i ke kumu.
- Lapaʻau koke: Inā pilikia ka hanu ʻana, hāʻawi mua ʻia ka oxygen . No nā pēpē ʻōpio, hiki ke hāʻawi ʻia kēia ma o ka cannula ihu a i ʻole ka pale maka.
- Nā hoʻomaʻamaʻa hanu: No nā keiki makua a me nā mākua, e hoʻāʻo e hōʻoluʻolu a hoʻomaʻamaʻa i ka hanu hohonu. ʻO ka hanu ʻana i loko ma kou ihu a i waho ma kou waha e kōkua i ka hoʻopiha ʻana i kou mau māmā.
- I nā hihia koʻikoʻi: Inā koʻikoʻi ke kūlana, pono paha ʻoe e hoʻohana i kahi mīkini CPAP. A i ʻole, pono paha ʻoe e hoʻopili ʻia i kahi ventilator e kōkua iā ʻoe e hanu.
Ma muli o ke kumu, hiki i nā lāʻau lapaʻau ke komo pū me:
- Inā he maʻi, a laila nā lāʻau lapaʻau e like me nā antibiotics.
- He `inhaler` no kahi maʻi e like me ka hānō.
- ʻO nā anticoagulants he mau lāʻau hoʻokahe koko no nā ʻūpā koko.
- Inā ma muli o ka hopohopo ke kaumaha, a laila hiki ke mālama ʻia me ka cognitive behavioral therapy a, inā pono, nā lāʻau lapaʻau.
Hiki ke pale ʻia kēia kūlana?
ʻOiai ʻaʻole hiki ke pale ʻia nā kumu āpau, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i kou pilikia.
- E pale i nā mea hoʻonāukiuki i kou maʻi.
- E hoʻonui i ka ikaika o kou kino a me kou mau māmā ma ka hoʻoikaika kino mau ʻana.
- E pale i nā wahi me ka uahi a me ka haumia kiʻekiʻe.
- Inā ʻoe e hoʻohana i nā mea e like me nā geysers kinoea a me nā kapuahi wahie ma ka home, he mea nui loa ia e hoʻokomo i kahi mea ʻike carbon monoxide.
- Inā loaʻa iā ʻoe ka hopohopo, e ʻimi i ke kōkua mai kahi loea kūpono.
- Inā loaʻa iā ʻoe nā maʻi ʻē aʻe e like me ka maʻi diabetes a i ʻole ka hānō, e kaohi pono iā lākou e like me ke ʻōlelo aʻoaʻo a ke kauka.
Leka Lawe-Home
- ʻO Tachypnea ka hanu wikiwiki a pāpaʻu e hana ʻia i ka wā hoʻomaha.
- Inā loaʻa iā ʻoe nā hōʻailona e like me ka ʻeha o ka umauma, ka paʻakikī nui o ka hanu ʻana, a i ʻole ka ʻili polū/hina, he pilikia ia. E hele koke i ka ʻOihana Pilikia o ka haukapila (ETU).
- Nui nā kumu no kēia. No laila, inā loaʻa iā ʻoe nā hōʻailona, mai hoʻoholo i kāu iho a e ʻike pono i ke kauka e ʻike i ke kumu a loaʻa i ka lāʻau kūpono.
- Inā ʻoi aku ka nui o ka hanu ʻana o kahi pēpē hānau hou ma mua o 60 mau manawa i kēlā me kēia minuke, mai hopohopo, akā e ʻimi i ka ʻōlelo aʻo mai kahi kauka pediatric kokoke.











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