Hewa ka puʻuwai i nā keiki - mālama home

ʻO ke kū ʻole o ka puʻuwai kahi kūlana i hopena ke hiki ʻole i ka puʻuwai ke hoʻomaʻemaʻe pono i ke koko momona o ke oxygen i ke koena o ke kino e kū i nā pono o nā kino a me nā meaola o ke kino.

Nā mākua a me nā mea mālama, a me nā keiki makua me ka puʻuwai puʻuwai, pono e aʻo i:

• Nānā a mālama i ka mālama ʻana i ka maikaʻi ʻole o ka puʻuwai ma ka hoʻonohonoho home.
• ʻIke i nā ʻōuli e hōʻino nui ana ka naʻau ʻole.

Kōkua ka nānā ʻana i ka home iā ʻoe a me kāu keiki e noho ma luna o ka puʻuwai puʻuwai o kāu keiki. Hiki i ka hana ʻana ke kōkua i ka hopu ʻana i nā pilikia ma mua o ko lākou koʻikoʻi nui ʻana. I kekahi manawa e hoʻomanaʻo kēia mau māka maʻalahi iā ʻoe i ka inu nui ʻana o kāu wai i ka wai a i ʻole ka ʻai ʻana i ka paʻakai.

E kākau pono i nā hopena o nā hōʻoia home o kāu keiki i hiki ai iā ʻoe ke kaʻanalike aku me ka mea mālama ola o kāu keiki. Pono paha ʻoe e mālama i kahi pakuhi, a i ʻole he "telemonitor" kā ke keʻena o ke kauka, kahi mīkini e hiki ai iā ʻoe ke hoʻohana e hoʻouna ai i ka ʻike o kāu keiki. E hele pū kahi kahu ma luna o nā hopena home o kāu keiki me ʻoe i ke kelepona maʻamau.

I ka lā holoʻokoʻa, e kiaʻi i kēia mau hōʻailona a hōʻailona paha i kāu keiki:

• Pae ikehu haʻahaʻa
• Ka hanu ʻana o ka hanu ke hana i nā hana o kēlā me kēia lā
• Nā lole a kāmaʻa paha e paʻa paʻa ana
• ʻO ka pehu i nā kuʻekuʻe wāwae a i ʻole nā ​​wāwae
• ʻO ka hoʻoheheʻe hou pinepine ʻana a i ʻole ka uha mākū
• Ka hanu ʻana i ka pō

ʻO ke kaupaona ʻana i kāu keiki e kōkua iā ʻoe e ʻike inā nui ka wai i loko o ko lākou kino. Pono 'oe:

• Kaupaona i kāu keiki i kēlā me kēia kakahiaka ma ka pālākiō like i ke ala ʻana. Ma mua o kā lākou ʻai ʻana a ma hope o ka hoʻohana ʻana i ka lua. Hōʻoiaʻiʻo i kāu keiki i nā lole like i kēlā me kēia manawa.
• E noi i ka mea hāʻawi i kāu keiki i ka palena hea e noho ai ka paona o loko.
• Kāhea pū kekahi i ka mea hāʻawi inā lilo ka nui o ke kaumaha i kāu keiki.

Ke hana ikaika nei nā kino o nā pēpē a me nā pēpē ma muli o ka maikaʻi ʻole o ka naʻau. Māluhiluhi paha nā pēpē e inu i ka waiū o ka umauma a i ʻole ka haʻihaʻi ke hānai ʻia. No laila makemake pinepine lākou i nā mea keu aku e kōkua iā lākou e ulu. Hōʻike paha ka mea hāʻawi a kāu keiki i kahi hana i loaʻa ka nui o nā calorie i loko o kēlā me kēia auneke. Pono paha ʻoe e nānā i ka nui o nā haʻina i lawe ʻia, a hōʻike i ka wā e pākī ana kāu keiki. Pono pono nā pēpē a me nā pēpē i nā meaʻai hou aʻe ma o kahi paipu hānai.

ʻAʻole paha lawa nā keiki makua ma muli o ka emi o ka makemake. ʻOi aku paha nā keiki ʻoi aku ka nui i kahi paipu hānai, i nā manawa āpau paha, kahi hapa o ka lā, a i ʻole ke kū ʻana o ka paona.

Ke loaʻa ka puʻuwai puʻuwai ʻoi aku ka nui, pono paha i kāu keiki e kaohi i ka nui o ka paʻakai a me ka nui o nā wai i lawe ʻia i kēlā me kēia lā.

Pono kāu keiki e lawe i nā lāʻau e mālama pono ai ka naʻau ʻole. Mālama nā lāʻau i nā ʻōuli a pale i ka hōʻino ʻana o ka puʻuwai mai ka ʻino ʻana. He mea nui e lawe kāu keiki i ka lāʻau e like me ke kuhikuhi a ka hui mālama ola.

ʻO kēia mau lāʻau:

• Kōkua maikaʻi i ka puʻuwai puʻuwai puʻuwai
• Mālama i ke koko mai ka hoʻopili ʻana
• E wehe i nā kīʻaha koko a hoʻolohi i ka helu o ka puʻuwai no laila ʻaʻole hana ka puʻuwai me ka paʻakikī
• E hōʻemi i ka hōʻino o ka puʻuwai
• E hoʻemi i ka makaʻala o nā rhythm puʻuwai abnormal
• Hoʻololi i ka potassium
• E hoʻopau i ke kino o ka nui o ka wai a me ka paʻakai (sodium)

Pono kāu keiki e lawe i nā lāʻau o ka puʻuwai e like me ke kuhikuhi. Mai ʻae i kāu keiki e lawe i nā lāʻau ʻē aʻe a i ʻole nā ​​mea kanu me ka nīnau mua ʻole i ka mea hāʻawi i kāu keiki no lākou. ʻO nā lāʻau maʻamau e hōʻino paha i ka puʻuwai me ka:

• Ibuprofen (Advil, Motrin)
• Naproxen (Aleve, Naprosyn)

Inā koi kāu keiki i ka oxygen ma ka home, pono ʻoe e ʻike pehea e mālama a hoʻohana ai i ka oxygen. Inā ʻoe e huakaʻi, hoʻolālā i mua. Pono ʻoe e aʻo e pili ana i ka palekana o ka oxygen i ka home.

Pono paha kekahi mau keiki e kaupalena a pāpā paha i kekahi mau hana a haʻuki paha. E nānā pono i kēia me ka mea hāʻawi.

Kāhea i ka hāʻawi o kāu keiki inā kāu keiki:

• Luhi a palupalu paha.
• Manaʻo pōkole o ka hanu ke hana a hoʻomaha paha.
• He ʻili ʻulaʻula kona e pili ana i ka waha a i ʻole i nā lehelehe a me ke alelo.
• Ke ʻū nei a loaʻa ka pilikia i ka hanu ʻana. ʻIke hou ʻia kēia i nā pēpē.
• Loaʻa ka puʻu hele ʻole. Maloo paha ia a hacking paha, a i ʻole kani pulu paha a lawe mai i ka poni, a kuha i ka hua.
• He pehu i nā wāwae, nā kuʻekuʻe wāwae, a i ʻole nā ​​wāwae.
• Ua loaʻa a ua lilo kaupaona.
• He ʻeha a palupalu i loko o ka ʻōpū.
• Loaʻa iā ia kahi pulse wikiwiki a wikiwiki paha a i ʻole ka puʻuwai puʻuwai, a i ʻole maʻamau.
• Loaʻa i ke kahe o ke koko ka haʻahaʻa a ʻoi paha ma mua o ka maʻamau no kāu keiki.

Hema ka puʻuwai Congestive (CHF) - ka nānā ʻana i ka home no nā keiki; Cor pulmonale - ka mālama hale ʻana no nā keiki; Cardiomyopathy - ka mālama home ʻole ʻana o ka puʻuwai no nā keiki

Pūnaewele ʻAmelika Hui Pū ʻIa ʻAmelika. Hewa ka puʻuwai i nā keiki a me nā ʻōpio. www.heart.org/en/health-topics/heart-failure/what-is-heart-failure/heart-failure-in- keiki-and-adolescents#. Hoʻohou ʻia Mei 31, 2017. Loaʻa iā Malaki 18, 2021.

Aydin SI, Sidiqi N, Janson CM, et al. ʻO ka maikaʻi ʻole o ka naʻau a me nā cardiomyopathies pediatric. I: Ungerleider RM, Meliones JN, McMillan KN, Cooper DS, Jacobs JP, hua. ʻO ka maʻi puʻuwai koʻikoʻi i nā pēpē a me nā keiki. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier; 2019: chap 72.

Rossano JW. Hewa puʻuwai. 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 469.

Starc TJ, Hayes CJ, Hordof AJ. Cardiology Pediatric. I: Polin RA, Ditmar MF, eds. Nā Hunahuna Pediatric. ʻEpekema 7 Piladelapia, PA: Elsevier; 2021: chap 3.

• Hoka Puʻuwai