ʻOki puʻuwai Pediatric - hoʻokuʻu

Ua ʻoki ʻia kāu keiki e hoʻoponopono i kahi kīnā o ka puʻuwai. Inā he ʻoki puʻuwai puʻuwai kāu keiki, hana ʻia kahi ʻokiʻoki ma o ka umauma a i ʻole ka ʻaoʻao o ka umauma. Hoʻokomo ʻia paha ke keiki i ka mīkini holoʻokoʻa puʻuwai puʻuwai i ke kau ʻana.

Ma hope o ke kahakaha ʻana, aia paha kāu keiki i loko o ka keʻena mālama maʻi (ICU) a laila ma kekahi ʻāpana o ka haukapila.

Pono kāu keiki ma ka liʻiliʻi he 3 a he 4 mau pule hou aʻe ma ka home e ola hou ai. No nā ʻoki ʻana nui, 6 a 8 mau pule paha ke ola ʻana. E kamaʻilio me kāu kahu mālama ola e pili ana i ka wā e hoʻi ai kāu keiki i ke kula, mālama pēpē, a i ʻole e komo i nā haʻuki.

ʻO ka ʻeha ma hope o ke kaha ʻana he maʻamau. Aia paha he ʻeha hou aʻe ma hope o ke kīpoki puʻuwai pani ma mua o ke kīkoki puʻuwai ʻO kēia no ka hoʻonāukiuki a ʻoki ʻia paha o nā aʻalolo. E emi paha ka ʻeha ma hope o ka lua o ka lā a hiki i kekahi manawa ke mālama ʻia me ka acetaminophen (Tylenol).

ʻAno ʻokoʻa nā keiki he nui ma hope o ka ʻoki ʻana o ka naʻau. Pili paha lākou, huhū, pulu i ka moena, a uē paha. Hana paha lākou i kēia mau mea inā ʻaʻole lākou e hana ma mua o kā lākou ʻoki ʻana. E kākoʻo i kāu keiki ma o kēia manawa. Hoʻomaka e hoʻomaka mālie e hoʻonohonoho i nā palena ma mua o ke kaha.

No kahi pēpē, e kāohi i ke keiki mai ka uē no ka lōʻihi no 3 a 4 mau pule. Hiki iā ʻoe ke hōʻoluʻolu i kāu keiki ma ka noho mālie ʻana iā ʻoe iho. Ke hāpai ʻana i kāu keiki, kākoʻo i ke poʻo o ke keiki a me ka lalo no nā 4 a 6 mau pule mua.

ʻO nā kamaliʻi a me nā keiki nui e hoʻokū pinepine i kekahi hana inā luhi lākou.

E haʻi ka mea hāʻawi iā ʻoe inā maikaʻi kāu hoʻi ʻana o kāu keiki i ke kula a i ka mālama mālama lā.

• ʻO ka pinepine, ʻo nā pule mua ma hope o ke kaha ʻana he manawa ia e hoʻomaha ai.
• Ma hope o ka hele mua ʻana o ke kipa, e haʻi ka mea hāʻawi iā ʻoe i ka mea a kāu keiki e hiki ai ke hana.

No nā pule he 4 ma hope o ke kahakaha ʻana, ʻaʻole pono kāu keiki e hana i kekahi hana e hopena ai i ka hāʻule a i ʻole ka pā ʻana i ka umauma. Pono nō hoʻi kāu keiki e hōʻalo i ka holo paikikala a i ʻole ke kaʻa skateboard, ka heʻe ʻana, ka ʻauʻau ʻana, a me nā haʻuki pili āpau a hiki i ka wā e ʻōlelo ai ka mea hāʻawi ua maikaʻi.

ʻO nā keiki i loaʻa i kahi ʻokiʻoki ma o ka umauma pono e makaʻala e pili ana i ka pehea e hoʻohana ai i ko lākou mau lima a me nā kino o luna no 6 a 8 mau pule mua.

• Mai huki a hāpai paha i ke keiki e nā lima a mai ko lākou wahi ʻāpana lima. Scoop i ke keiki ma kahi.
• Kāohi i kāu keiki mai ka hana ʻana i nā hana e pili ana i ka huki ʻana a i ʻole ka hoʻokuke ʻana me nā lima.
• E hoʻāʻo e mālama i kāu keiki mai ka hāpai ʻana i nā lima ma luna o ke poʻo.
• ʻAʻole pono kāu keiki e hāpai i kekahi mea ʻoi aku ka nui ma mua o 5 paona (2 kg).

E nānā pono i ka papaʻai o kāu keiki e ʻike pono ua lawa kā lākou calorie e hoʻōla a ulu.

Ma hope o ke kāpili puʻuwai, hiki i ka hapanui o nā pēpē a me nā pēpē (ʻoi aku ma mua o 12 a 15 mau mahina) ke lawe i ka haʻilula a i ʻole ka waiū umauma e like me ko lākou makemake. I kekahi mau hihia, makemake paha ka mea hāʻawi i kāu pēpē e hōʻalo i ka inu ʻana i ka nui o ka waiū a i ʻole ka waiū umauma. Ka palena o ka manawa hānai ma kahi o 30 mau minuke. E haʻi ka mea hāʻawi a kāu keiki iā ʻoe pehea e hoʻohui ai i ka nui o nā calorie i ka haʻilula inā pono.

Pono e hāʻawi i nā kamaliʻi a me nā keiki nui i kahi papaʻai olakino maʻamau. E haʻi ka mea hāʻawi iā ʻoe pehea e hoʻomaikaʻi ai i ka papaʻai o ke keiki ma hope o ke kaha ʻana.

E noi i ka mea hāʻawi i kāu keiki inā he nīnau kāu e pili ana i ka meaʻai a kāu keiki.

E aʻo aku kāu mea lawelawe iā ʻoe i ka mālama ʻana i nā ʻokiʻoki. E nānā i ka ʻeha no nā hōʻailona o ka maʻi, e like me ka ʻulaʻula, ka pehu ʻana, ka palupalu, mehana, a me ke kahawai wai.

Lawe wale kāu keiki i kahi ʻauʻau a i ʻole ka holoi ʻōpala a ʻōlelo wale kāu mea hāʻawi. ʻAʻole pono e pulu ʻo Steri-Strips i ka wai. E hoʻomaka lākou e ihi ma hope o ka pule mua. Maikaʻi ke hemo iā lākou ke hoʻomaka lākou e ihi.

No ka mea ke nānā aku ka ʻili i ka poni, e nānā pono ua uhi ʻia me ka lole a i ʻole ke kaula i ka wā o kāu keiki i ka lā.

E noi i ka mea hāʻawi i kāu keiki ma mua o ka loaʻa ʻana o nā lāʻau āpau no 2 a 3 mau mahina ma hope o ke kahakaha ʻana. Ma hope, pono i kāu keiki e puhi ʻia i ka maʻi flu i kēlā me kēia makahiki.

ʻO nā keiki he nui i loaʻa i ka puʻuwai puʻuwai e pono e lawe i nā lāʻau ʻaloʻalo ma mua, a i kekahi manawa ma hope o ka loaʻa ʻana o kahi hana niho. E ʻike pono i kāu mau kuhikuhi akāka mai ka puʻuwai puʻuwai o kāu keiki e pili ana i ka manawa e pono ai kāu keiki i nā lāʻau antibiotic. He mea nui ia e hoʻomaʻemaʻe pinepine i nā niho o kāu keiki.

Pono paha kāu keiki e ʻai i ka lāʻau ke hoʻouna ʻia i ka home. Hoʻopili paha kēia i nā diuretics (nā wai wai) a me nā lāʻau puʻuwai ʻē aʻe. E hāʻawi pono i kāu keiki i nā huahana kūpono. E hāhai me kāu mea hoʻolako 1 a 2 mau pule ma hope o ka haʻalele ʻana o ke keiki i ka haukapila a i ʻole i kuhikuhi ʻia.

Kāhea i ka mea hāʻawi inā loaʻa i kāu keiki:

• Fever, nausea, a i ʻole ka luaʻi
• ʻEha ʻeha, a ʻeha ʻeha ʻē aʻe
• ʻO kaʻulaʻula, ka pehu ʻana, a me ke kahe o ka ʻeha
• Ka hanu paʻakikī ʻana a i ʻole ka liʻiliʻi o ka hanu
• Nā maka a i ʻole ke alo
• Luhi i nā manawa āpau
• ʻEleʻele a hina hina ka ʻili
• Pōpō, maʻule, a palpitations puʻuwai paha
• Hānai i nā pilikia a hoʻēmi paha i ka makemake

ʻOki puʻuwai Congenital - hoʻokuʻu; Pākuʻi ductus arteriosus ligation - hoʻokuʻu; Hoʻoponopono i ka naʻau hema hema Hypoplastic - hoʻokuʻu; Hoʻoponopono Tetralogy o Fallot - hoʻokuʻu; Coarctation o ka hoʻoponopono aorta - hoʻokuʻu; ʻO ke kīʻaha puʻuwai no nā keiki - hoʻokuʻu; Hoʻoponopono i ka hemahema septtr attrial - hoʻokuʻu; Hoʻoponopono i nā kīnā septal Ventricular - hoʻokuʻu; Hoʻoponopono Truncus arteriosus - hoʻokuʻu; Ka hoʻoponopono ʻana o ke aʻa aʻa anomalino - hoʻokuʻu; Hoʻololi o ka hana hou ʻana o nā moku nui - hoʻokuʻu; Hoʻoponopono Tricuspid atresia - hoʻokuʻu; Hoʻoponopono VSD - hoʻokuʻu; Hoʻoponopono ASD - hoʻokuʻu; PDA ligation - hoʻokuʻu; Loaʻa maʻi puʻuwai - hoʻokuʻu; ʻOki kino puʻuwai - keiki - hoʻokuʻu; Puʻuwai puʻuwai - pediatric - hoʻokuʻu; Ke kuʻi puʻuwai - pediatric - hoʻokuʻu

• ʻOki puʻuwai puuwai hamama

Arnaoutakis DJ, Lillehei CW, Menard MT. ʻO nā ʻenehana kūikawā i ka ʻoki vascular pediatric. I: Sidawy AN, Perler BA, hua. ʻO Rutherford's Vascular Surgery a me Endotherapy Therapy. 9th ed. Piladelapia, PA: Elsevier; 2019: chap 186.

ʻO Beerman LB, Kreutzer J, Allada V. Cardiology. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 5.

Bernstein D. Nā loina laulā o ka mālama ʻana i nā maʻi puʻuwai congenital. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 461.

Fraser CD, Kane LC. Maʻi maʻi ʻōpū. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 58.

• ʻOki kino Aortic - invasive minimally
• ʻOki kino Aortic - wehe
• Hewa septal Atrial (ASD)
• Coarctation o ka aorta
• Hōʻino puʻuwai Congenital - hoʻoponopono ʻoki
• Patent ductus arteriosus
• ʻOki kino naʻau Pediatric
• ʻO Tetralogy o Fallot
• Transposition o nā aʻa nui
• Truncus arteriosus
• Hewa septal ʻo Ventricular

• Ka palekana o ka lumipaku - keiki
• Ke lawe nei i kāu keiki e kipa i kahi kaikaina maʻi loa
• Ka palekana o oxygen
• Mālama ʻeha ʻeha - wehe
• Ke hoʻohana nei i ka oxygen ma ka home

• Nā Puʻuwai Puʻuwai Congenital
• ʻOki kino naʻau