Loaʻa i kāu pēpē kēia mau pehu liʻiliʻi a me nā kiko ma kona ʻili? E kamaʻilio kākou e pili ana i ka Transient Neonatal Pustular Melanosis (TNPM)!

Ma ke ʻano he makuahine, he mea maʻamau ke hopohopo iki a makaʻu hoʻi ke ʻike ʻoe i nā pehu liʻiliʻi a me nā kiko ma ka ʻili o kāu pēpē hānau hou, ʻeā? Ke noʻonoʻo nei paha ʻoe, 'Ua maʻi nui anei kaʻu pēpē?' Akā, ʻaʻole pilikia nui nā ʻōhū āpau. I kēia lā, e kamaʻilio mākou e pili ana i kahi ʻano ʻili like, akā ʻaʻole weliweli, hiki i nā pēpē hānau hou ke loaʻa.

He aha kēia 'Transient Neonatal Pustular Melanosis (TNPM)'?

Kāhea mākou i kēia ʻo 'Transient Neonatal Pustular Melanosis', a i ʻole 'TNPM' no ka pōkole. ʻOiai ke kani iki nei ka inoa, ʻaʻole ia he mea e hopohopo ai. I ka ʻōlelo maʻalahi, he ʻano ʻino ʻole ia e kū mai ana ma ka ʻili o nā pēpē hānau hou. Hānau ʻia nā pēpē me 'TNPM' me nā puʻupuʻu liʻiliʻi, i kapa ʻia ʻo pustules, ma ko lākou ʻili. Pohā kēia mau pustules ma hope o kekahi mau lā, e waiho ana i kahi apo keʻokeʻo a puni ka ʻili. Eia naʻe, mae kēia mau kiko i ka hala ʻana o ka manawa. ʻAʻole kēia he maʻi kanesa. ʻAʻole ia e ʻānai a ʻeha paha. E hoʻomaikaʻi ke ʻano me ka ʻole o kekahi lāʻau lapaʻau.

He aha ke ʻano o kēia inoa?

I kēia manawa, e nānā kākou i ke ʻano o kēia inoa ʻo 'Transient Neonatal Pustular Melanosis'. E ʻoi aku ka maopopo o kēia iā ʻoe ke hoʻomaopopo ʻoe i nā huaʻōlelo ma ke kaʻawale.

• He aha ke ʻano o ka huaʻōlelo `Transient`? ʻO ia hoʻi, ' manawa pōkole ', ' no ka manawa pōkole wale nō '. Ua like ia me kahi hoahānau e hoʻi mai ana i ka home no ka Makahiki Hou, e noho ana no kekahi mau lā a laila e haʻalele hou ana! No laila, ʻo `(TNPM)` kekahi mea e ʻoi aku ka maikaʻi ma hope o kekahi manawa.
• He aha ke ʻano o ka huaʻōlelo 'Neonatal'? Pili kēia i nā ' pēpē hānau hou '. No laila, ʻike ʻia kēia ʻano ma nā pēpē liʻiliʻi loa.
• He aha ke ʻano o ka huaʻōlelo 'pustular'? Pili kēia i kahi pehu/puʻupuʻu liʻiliʻi a pehu e kū mai ana ma ka ʻili a loaʻa iā ia ka pus .
• He aha ka 'Melanosis'? Pili kēia i ka ʻeleʻele ʻana o ke kala o ka ʻili , ʻo ia hoʻi, ka ʻeleʻele ʻana o ke kala o ka ʻili.

Ua maopopo iā ʻoe i kēia manawa? Ke hui pū ʻia kēia mau huaʻōlelo, ua hoʻokumu ʻia ka 'Transient Neonatal Pustular Melanosis'.

Pehea ka maʻamau o kēia kūlana `(TNPM)`?

ʻAʻole ia he mea maʻamau. Ma kahi o 2 i loko o 100 mau pēpē (a i ʻole ma kahi o 2.2%) e loaʻa i kēia maʻi ʻili. No laila, inā loaʻa i kāu pēpē, mai manaʻo he mea kakaikahi ia, akā ʻaʻole ia he mea e hiki mai ana i nā pēpē āpau.

No ke aha i loaʻa ai i kekahi mau pēpē kēia `(TNPM)`?

ʻO kaʻoiaʻiʻo, ʻaʻole maopopo i nā kauka ke kumu o kēia. Hiki iā ia ke hoʻopilikia i nā keikikāne a me nā kaikamahine . Eia nō naʻe, ua ʻike ʻia he ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i nā pēpē hānau mua ʻia ma mua o nā pēpē hānau mua ʻole. No laila, ʻaʻole ia he hewa o ka makuahine a i ʻole ka makuakāne.

He aha nā hōʻailona o kēia `(TNPM)`?

ʻAe, he aha nā hōʻailona o kēia `(TNPM)`? Inā loaʻa i kāu pēpē kēia maʻi, e ʻike paha ʻoe i nā puʻupuʻu liʻiliʻi i piha i ka pus (blisters) ma ka ʻili. E nānā kākou i ko lākou kikoʻī:

• Ke kala o nā cysts: Inā he pēpē ʻili ʻeleʻele kāu, he ʻeleʻele, ʻeleʻele, ʻulaʻula, a poni paha kēia mau cysts. Inā he pēpē ʻili māmā kāu, e ʻike paha ʻoe i nā cysts he melemele, keʻokeʻo, a hina paha .
• ʻAʻohe ʻulaʻula a puni ka cyst: ʻO ka mea nui loa, he ʻulaʻula ka ʻili a puni kēia cyst a ʻaʻole like me kahi maʻi.
• Nā cysts liʻiliʻi loa: ʻOi aku ka liʻiliʻi o kēia ma mua o 3 millimeters (1/10 o ka ʻīniha). I kekahi manawa e like paha lākou me kahi pehu liʻiliʻi, ka ʻākena pēpē, a i ʻole ka ʻulaʻula ʻili.
• Hoʻokahi a hui pū ʻia paha: Loaʻa paha i kekahi mau pēpē kahi hui hoʻokahi o nā pehu, aʻo kekahi poʻe he hui o nā pehu. E noʻonoʻo he hui o nā pehu kāu pēpē ma ko lākou kua, umauma, a i ʻole ke alo.
• Poha koke nā pehu: He palupalu loa kēia mau pehu. Poha maʻalahi lākou, a i loko o ʻelua lā (48 hola), e hana lākou i ʻili, maloʻo, a hoʻomaka e ho'ōla.
• ʻO ke ʻano ʻili ma kahi i ho'ōla ʻia: Ma hope o ka ho'ōla ʻana o ka pehu, e ʻeleʻele iki paha ka ʻili ma ia wahi.
• He apo keʻokeʻo a puni nā kiko ʻeleʻele: He palena keʻokeʻo lahilahi ko kēia mau kiko ʻeleʻele a pālahalaha, e like me ke apo (i kapa ʻia hoʻi he `collarette of scale`). He hiʻohiʻona kūikawā kēia o `(TNPM)`.
• ʻO ka ʻili i hoʻololi ʻia e mae mālie: ʻO kēia mau kiko ʻeleʻele e mae mālie i loko o ʻekolu a ʻehā pule, a hoʻi ka ʻili i ke ʻano maʻamau.

ʻO ka mea nui loa, ʻaʻole e hoʻoulu kēia mau pehu i ka pēpē i ka maneʻo a i ʻole ka ʻeha. Eia kekahi, ʻaʻole lākou e waiho i nā ʻeha.

Ma hea ma ke kino o ke pēpē e ʻike ʻia ai kēia mau mea?

Hiki ke ʻike ʻia kēia mau kiko ʻili i hoʻokumu ʻia e ka `(TNPM)` ma nā wahi āpau o ke kino o ke pēpē. ʻO ia hoʻi, hiki ke ʻike ʻia ma ka maka, ka ʻāʻī, ka umauma, ke kua, nā lima, nā wāwae, a i kekahi manawa nā poho lima a me nā kapuwaʻi o nā wāwae.

Pehea e ʻike pololei ai nā kauka i kēia ma ke ʻano he `(TNPM)`?

Hiki i ke kauka o kāu pēpē ke haʻi inā he TNPM kēia ma ka nānā ʻana i nā pehu a me nā kiko. ʻO ka maʻamau, ʻaʻole pono kahi hoʻāʻo kūikawā.

Eia nō naʻe, he mea kākaʻikahi loa, hiki i kahi kauka ʻili ke lawe i kahi ʻāpana liʻiliʻi o ka ʻili a hana i kahi biopsy ʻili. Hana ʻia kēia e nānā i ke kahe a i ʻole ka ʻiʻo i loko o ka abscess ma lalo o kahi microscope. Inā loaʻa i kāu pēpē ka TNPM, e ʻike ʻia kahi ʻano o ke koko keʻokeʻo i kapa ʻia ʻo neutrophils i loko o ka hāpana. He kūlana ʻino ʻole kēia, a ʻaʻohe mau hunaola kanesa i loko. No laila, mai hopohopo.

Aia kekahi mau maʻi ʻili ʻē aʻe e like me ka `(TNPM)`?

No ke aha i manaʻo ai kekahi poʻe e hana i kahi mea e like me ka `(biopsy)`? ʻO ke kumu, aia kekahi mau maʻi ʻili ʻē aʻe e hōʻike ana i nā hōʻailona like me `(TNPM)`. Makemake ke kauka e hōʻoia ʻo `(TNPM)` kēia a ʻaʻole kēlā mau maʻi ʻē aʻe. ʻO kekahi mau maʻi i loaʻa nā hōʻailona like:

• ʻO ka ʻAcropustulosis o ka wā kamaliʻi (i kēia hihia, ʻike ʻia nā pehu ma nā lima a me nā wāwae me ka maneʻo, ʻaʻohe maneʻo o ka `(TNPM)`)
• ʻAkika pēpē
• Nā maʻi bacteria, viral a i ʻole hū
• ʻO ka pāpale Cradle (seborrheic dermatitis i nā pēpē)
• ʻErythema toxicum neonatorum (He ʻulaʻula ʻili maikaʻi ʻole kēia e kū mai ana i nā pēpē hānau hou a ʻike ʻia i kekahi mau lā ma hope o ka hānau ʻana)
• ʻO Milia (he mau puʻupuʻu keʻokeʻo liʻiliʻi kēia ma ka ʻili)
• ʻO `Miliaria` (He pehu kēia e puka mai ana mai ka hou ʻana, kapa mākou ia he pehu hou)
• ʻO kekahi mau maʻi bacteria, no ka laʻana, ka maʻi Staph.

I kekahi manawa pono ka hoʻāʻo hou aʻe e hoʻokaʻawale a kuhikuhi i kēia mau mea.

He aha ka lāʻau lapaʻau e pono iaʻu ke lawe no kēia?

ʻAʻole pono nā ʻūlū a me nā kiko (TNPM) i kekahi lāʻau lapaʻau. E ola lākou ma o lākou iho. ʻO kāu wale nō e hana ai, ʻo ke kali me ke ahonui. Eia naʻe, no ka mea, he maʻalahi ka pohā ʻana o kēia mau ʻūlū, pono ʻoe e akahele iki i ka ʻauʻau ʻana a me ka hoʻololi ʻana i nā lole o kāu pēpē. E akahai i ʻole e hōʻino i ka ʻili palupalu o kāu pēpē. He manaʻo maikaʻi e nīnau i kāu kauka e pili ana i nā kopa ʻauʻau maikaʻi loa a me nā huahana hoʻomaʻū e hoʻohana ai no kāu pēpē. No ka mea, he palupalu loa ka ʻili o ka pēpē, he mea nui e hoʻohana wale i nā mea kūpono.

Aia kekahi ala e pale aku ai i kēia mai ka hana ʻana?

Wahi a nā loea lapaʻau ʻaʻole lākou i ʻike pono i ke kumu i hānau ʻia ai kekahi mau pēpē me kēia maʻi ʻili. No laila, ʻaʻohe mea hiki iā ʻoe ke hana e pale aku ai . ʻAʻole ia he mea hiki iā ʻoe ke kaohi, no laila mai hopohopo no ia mea.

He aha ka wā e hiki mai ana o kahi pēpē me `(TNPM)`? Aia kekahi mea e makaʻu ai?

ʻO kēia ka mea nui loa. Mai hopohopo no ka wā e hiki mai ana o kahi pēpē me ka `(TNPM)`. ʻAʻohe ona hopena lōʻihi. ʻAʻole waiho nā pehu i nā ʻeha a i ʻole ka ʻūlū. E mae loa nā wahi i hoʻololi ʻia ke kala i loko o kekahi mau pule. I ka hala ʻana o ka manawa, ʻaʻole ʻoe e ʻike ua loaʻa i kāu pēpē kēia maʻi ʻili. E nani ka ʻili o kāu pēpē e like me ka mea maʻamau.

Āhea ʻoe e pono ai e kamaʻilio me ke kauka?

ʻOiai ʻaʻohe mea e hopohopo ai me ka `(TNPM)`, i kekahi manawa pono ʻoe e kamaʻilio me ke kauka inā hōʻike kāu pēpē i nā hōʻailona o kahi maʻi ʻē aʻe. ʻAʻole pili kēia mau hōʻailona i ka `(TNPM)`, akā he mea nui e makaʻala iā lākou no ka mea hiki i kāu pēpē ke loaʻa nā maʻi ʻē aʻe. ʻO ia mau hōʻailona:

• Inā pilikia ʻoe i ka ale ʻana i ka meaʻai (dysphagia)
• Inā he mau wahi pehu a mumū paha ma ka ʻili (ʻoi aku hoʻi inā he ʻulaʻula a pehu nā wahi i loaʻa ai nā pehu)
• Inā loaʻa iā ʻoe ke kuni
• MimiInā ua hoʻemi ʻia ke alapine o ka mimi ʻana a ua hoʻemi ʻia ka nui o nā diapers (ka haʻahaʻa o ka mimi i hoʻopuka ʻia)
• Inā like ka ʻili me nā kaha ʻulaʻula
• Inā pilikia ʻoe i ka hanu ʻana (pōkole o ka hanu a i ʻole dyspnea)
• Inā pehu nā lymph nodes (e like me ka ʻāʻī a i ʻole nā ​​​​armpits)

Inā ʻike ʻoe i kahi mea e like me kēia, e ʻike koke aku i ke kauka .

He aha kāu e nīnau ai i ke kauka?

Ke hele ʻoe e ʻike i ke kauka, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia, e kōkua iā ʻoe e ʻoluʻolu hou aku:

• He aha nā kopa ʻauʻau a me nā lotion palekana e hoʻohana ai no kaʻu pēpē?
• Aia kekahi mau hōʻailona o nā pilikia e pono iaʻu e nānā? (ʻAʻohe pilikia o TNM, akā maikaʻi ke hōʻoia.)
• Pehea ka lōʻihi e mae loa ai kēia mau kiko?

He mea maʻamau ke hopohopo iki i ka wā e ʻike ai ʻoe i nā pehu liʻiliʻi a me nā kiko ma ka ʻili o kāu pēpē hānau hou. Akā e hoʻomanaʻo, ʻo ka hapa nui o nā maʻi ʻili i nā pēpē hānau hou he mea ʻino ʻole a no ka manawa pōkole. ʻOiai he mea ʻino paha nā pehu a me ke kala ʻili i hoʻokumu ʻia e TNPM, ʻaʻole e ʻeha kāu pēpē, ʻaʻole e ʻeha, a ʻaʻohe hopena lōʻihi. E hoʻomaikaʻi ia me ka ʻole o ka lāʻau lapaʻau. Eia nō naʻe, inā he mau nīnau a hopohopo paha kāu e pili ana i ke ʻano o ka ʻauʻau ʻana a mālama paha i kāu pēpē i ka wā e loaʻa ai iā lākou nā pehu, e kamaʻilio me kāu kauka. E hiki iā lākou ke kōkua iā ʻoe.

No laila, he aha ka leka a mākou e makemake ai e lawe i ka home mai kēia moʻolelo?

• ʻAʻohe mea e makaʻu ai i ka ``(TNPM)``: he maʻi ʻili ia no ka manawa pōkole a ʻino ʻole e kū mai ana i nā pēpē hānau hou.
• E hoʻomanaʻo i nā hōʻailona: ʻO nā pehu liʻiliʻi i piha i ka nahu, nā wahi ʻeleʻele e ʻike ʻia i ka wā e pahū ai, a me ke apo keʻokeʻo a puni lākou nā hōʻailona nui.
• ʻAʻohe lāʻau lapaʻau e pono ai: ʻAʻole pono kēia i kekahi lāʻau lapaʻau kūikawā, e hoʻomaikaʻi ia ma kāna iho.
• ʻAʻohe ʻeha: ʻAʻohe ʻeha i koe ma ka ʻili o ke pēpē. E mae nā kiko i ka hala ʻana o ka manawa.
• ʻAʻole ʻeha ka pēpē: ʻAʻole kēia mau pehu e hoʻomake a ʻeha paha i ka pēpē.
• Mālama: E akahai a makaʻala hoʻi i ka ʻauʻau ʻana a me ke kapa ʻana i kāu pēpē ʻoiai he mau pehu.
• Inā kānalua, e haʻi i kāu kauka : Inā he mau hōʻailona ʻē aʻe kāu o ka maʻi (e like me ke kuni, ka pehu ʻana, ka paʻakikī i ka ale ʻana), a inā he mau nīnau hou kāu e pili ana i kēia, e nīnau i ke kauka.

Ke makemake nei i ke olakino maikaʻi o kāu keiki liʻiliʻi!

ʻO ka Transient Neonatal Pustular Melanosis, TNPM, nā pēpē hānau hou, nā maʻi ʻili, nā pehu, nā kiko, ke olakino pēpē