I kekahi manawa, loaʻa i kāu keiki liʻiliʻi ke anu maʻamau a i ʻole ke kuni e lilo i maʻi koʻikoʻi e paʻakikī ai ka hanu ʻana, ʻeā? Manaʻo pinepine mākou he mea maʻamau kēia, he ʻeha puʻu wale nō paha. Eia nō naʻe, i kekahi manawa ma hope o kēia he maʻi i kapa ʻia ʻo Bacterial Tracheitis , he mea i manaʻo ʻole ʻia a pono e mālama koke ʻia. ʻOiai he mea kakaikahi loa kēia, hiki iā ia ke hoʻopilikia i ke ola o ke keiki, no laila he mea nui loa i kēlā me kēia makuahine a me kona makuakāne ke makaʻala i kēia.
No ke aha e hana ai ka bacterial tracheitis?
I ka ʻōlelo maʻalahi, ʻo Bacterial Tracheitis kahi maʻi o ko kākou ʻōpū hanu, ʻo ia ka ʻōmole nui a kākou e hanu ai (trachea). ʻO kēia ʻōpū hanu ka ʻōmole e holo ana mai ko kākou pahu leo i lalo i nā ala ea nui (bronchi) e pili ana i nā māmā.
ʻAʻole hikiwawe kēia maʻi. ʻO ka hapa nui, penei ka hana ʻana:
ʻO ka mea mua, loaʻa i ke keiki kahi maʻi viral, e like me ke anu maʻamau. Hoʻopōʻino kēia virus i ka uhi palupalu o ka trachea. E like me ka hiki ke komo maʻalahi nā germs i ka wā e hōʻeha ʻia ai ko mākou ʻili, hiki i nā bacteria ke komo i loko o kēia trachea i hōʻino ʻia a hoʻoulu i kahi maʻi. Ua kapa ʻia kēia ʻo Bacterial Tracheitis.
Hiki i kahi keiki olakino maikaʻi ke loaʻa i kēia maʻi. Eia nō naʻe, inā ʻike ʻia a mālama ʻia ka maʻi i ka wā mua, ʻoi aku ka wikiwiki o ka hoʻōla ʻana.
Aia kekahi mau keiki e pono ai ka nānā kūikawā. ʻO ia hoʻi, nā keiki i hoʻopilikia ʻia e ka pale ʻana i ka maʻi. Eia kekahi, ʻoi aku ka nui o ka pilikia o nā keiki me kahi paipu tracheostomy i loko o ko lākou trachea no kekahi kumu. Pono e hana pono ʻia nā mea e like me ka hoʻomaʻemaʻe ʻana i ka paipu i kēlā me kēia lā i kēlā mau keiki.
ʻOi aku ka maʻamau o kēia maʻi i nā keiki ma waena o 3 a me 8 mau makahiki. Eia kekahi, ʻoi aku ka maʻamau o kēia ʻano i ka wā anu a me nā kau ua i ka wā e maʻamau ai ke anu a me ka maʻi palū.
He aha nā hōʻailona o kēia maʻi?
I ka wā mua, hoʻomaka ia e like me ka maʻi viral maʻamau. Ma hope o hoʻokahi a ʻelua paha lā, lilo koke nā hōʻailona i mea koʻikoʻi. Hiki i kekahi mau keiki ke hōʻike i nā hōʻailona koʻikoʻi mai ka hoʻomaka ʻana. He mea nui loa ka makaʻala i kēia mau hōʻailona.
| Hōʻailona | He wehewehe maʻalahi |
|---|---|
| Stridor (he leo ʻino a haʻalulu i ka wā e hanu ana) | ʻO kēia ka hōʻailona nui. He leo ʻoi a ʻoi hoʻi e puka mai ana mai ka puʻu i ka wā e hanu ai ke keiki. Hoʻokumu ʻia kēia leo e ka pehu ʻana o ke alaea a me ka haiki. |
| Kuke ʻino | He ʻū ʻokoʻa mai ka ʻū maʻamau, hohonu a ʻaoa nui. |
| kuni kiʻekiʻe | Piʻi ke kuni ma muli o ka loaʻa ʻana o kahi maʻi bacteria i loko o ke kino. |
| Huhu mānoanoa a pipili | ʻO ka maʻi i loko o nā alaea e hana ai i ka mucus mānoanoa a pipili. Hoʻopilikia kēia mucus i ka hanu ʻana. |
| Paʻakikī ka hanu ʻana | I ka hanu ʻana, me he mea lā e huki ana nā ʻiʻo o ka umauma a me ka ʻāʻī. Ke paʻakikī nei ke keiki e hanu. |
| Ka waimaka | Ua pehu ka puʻu, e paʻakikī ai ke ale i ka lawai. Hiki i kēia ke hoʻokuʻu i ka lawai mai ka waha mai. |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, e ʻike koke i ke kauka. Inā paʻakikī kāu keiki i ka hanu ʻana, pono paha ʻoe e hele i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Pehea e ʻike ai ke kauka i kēia a mālama i kēia?
Ma hope o ka nānā ʻana i nā hōʻailona o ke keiki, inā kānalua ke kauka i kēia, e hana ʻo ia i kekahi mau mea e hōʻoia a mālama i ka maʻi.
ʻIke a me ka lāʻau lapaʻau
I kēia kūlana, pono ke keiki e hoʻokomo ʻia i ka haukapila. I kekahi manawa, pono paha e hoʻokomo ʻia i ka haukapila ma ka Intensive Care Unit (ICU) i ka lāʻau lapaʻau.
ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ke ala ea o ke keiki e wehe. Hiki ke hana ʻia kēia e kekahi loea (e like me ka loea pepeiao, ihu a me ka ʻāʻī) i kapa ʻia he bronchoscopy .ʻO kēia hoʻāʻo e pili ana i ka hoʻokomo ʻana i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi i hoʻopili ʻia i loko o ka ʻōpū hanu e nānā i loko. Hoʻohana ʻia nō hoʻi ia e wehe i ka mucus mānoanoa e ālai ana i ka ʻōpū hanu.
ʻOiai he maʻi bacteria kēia, hāʻawi maoli ʻia nā antibiotic intravenous . E hala ana kēia lāʻau ma kahi o 10 a 14 mau lā. Eia kekahi, hāʻawi pū ʻia ka oxygen e maʻalahi ai ka hanu ʻana o ke keiki.
Hoʻōla a me nā pilikia
Me ka mālama kūpono, hoʻōla piha ka hapa nui o nā keiki i loko o 3 a 12 mau lā. ʻAʻohe pōʻino mau loa. Eia nō naʻe, he mea kakaikahi loa, ma hope o ke kau ʻia ʻana o kahi paipu i loko o ke ala ea, hiki ke emi iki ke ala ea.
Eia nō naʻe, pono kākou e hoʻomanaʻo he hiki i kēia ke lilo i kūlana weliweli. Inā lohi ka mālama ʻana a i ʻole he koʻikoʻi loa ka maʻi, hiki ke loaʻa kekahi mau pilikia. No ka laʻana, hiki ke loaʻa ka hāʻule ʻana o ka puʻuwai, ka nele o ka oxygen i ka lolo, ka hiolo ʻana o nā māmā, ka 'Septic Shock' a i ʻole ka 'Acute Respiratory Distress Syndrome (ARDS)'. ʻO ia ke kumu he mea nui ka mālama mua ʻana.
Ma ia kūlana, mālama ke kime i ke keiki i haku ʻia me nā anesthesiologists, nā loea pepeiao, ihu a me ka ʻāʻī, nā loea maʻi lele, a me nā kauka o ke keʻena mālama koʻikoʻi.
Pehea e hiki ai iā ʻoe ke pale i kāu keiki mai nā kūlana e like me kēia?
ʻO ka mea maikaʻi loa e hana ai, ʻo ia ke pale ʻana i ka maʻi ma mua o ka hiki ʻana mai. Hoʻomaka pinepine ka Bacterial Tracheitis ma hope o kahi maʻi viral e like me ka measles a i ʻole ka influenza (flu), no laila ʻo ka pale ʻana i kāu keiki mai kēlā mau virus ka mea nui loa.
ʻO ka hopena maikaʻi loa, ʻo ia ka hāʻawi ʻana i kāu keiki i nā lāʻau pale āpau e pono ai i ka manawa kūpono. ʻO nā mea e like me ka lāʻau pale maʻi palū, ka mea i hāʻawi ʻia i nā keiki me nā ʻōnaehana pale nāwaliwali, e kōkua nui i ka pale ʻana iā lākou mai ia mau pilikia koʻikoʻi.
Leka Lawe-Home
- He maʻi hanu weliweli ka Bacterial Tracheitis e hiki ke loaʻa i nā keiki ʻōpio ma hope o ke anu maʻamau.
- Inā kani ʻoʻoleʻa kāu keiki i ka hanu ʻana, loaʻa iā ia ke kuni nui, a he ʻū nui hoʻi, e ʻike koke aku i ke kauka.
- Pono paha kēia e hoʻokomo ʻia i ka haukapila a me ka mālama koʻikoʻi paha. No laila, mai hopohopo a e hahai i nā ʻōlelo a kāu kauka.
- Inā ʻike ʻia a mālama ʻia i ka wā mua, hiki i ke keiki ke ho'ōla piha me ka ʻole o ka pōʻino mau loa.
- ʻO ka loaʻa ʻana o kāu keiki i ka lāʻau pale i ka manawa kūpono, ʻoiai hoʻi no ka maʻi palū a me ka maʻi ʻūlū, hiki ke kōkua i ka pale ʻana iā lākou mai kēia mau maʻi koʻikoʻi.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo