ʻHū popoki
ʻO ka pīpī pīpī kahi pilikia o ka ʻili e ulu ma kahi ma lalo o ke kāʻei o kahi pēpē.
ʻO nā diaper rashes ka mea maʻamau i nā pēpē ma waena o 4 a 15 mau makahiki. ʻIke hou ʻia paha lākou i ka wā e hoʻomaka ai nā pēpē e ʻai i nā meaʻai paʻa.
ʻO nā huehue diaper i hoʻokumu ʻia e ka maʻi me kahi hū (fungus) i kapa ʻia ʻo candida he mea maʻamau ia i nā keiki. Ulu maikaʻi ʻo Candida i nā wahi mehana, a me ka momona, e like me ma lalo o kahi diaper. ʻO ka Candida diaper rash e kū pinepine i nā pēpē nāna:
- ʻAʻole mālama ʻia ka maʻemaʻe a me ka maloʻo
- Ke lawe nei i nā lāʻau ʻalopika a i ʻole nona ka makuahine e lawe nei i nā lāʻau ʻaloʻamo i ka wā e hānai ana
- Loaʻa i nā noho noho pinepine
ʻO nā kumu ʻē aʻe o ka pīpī diaper i:
- ʻO nā waikawa i loko o ka pahu (ʻike pinepine ʻia i ka wā o ka palahī o ke keiki)
- Amonia (kahi kemika i hana ʻia i ka wā e wāwahi ai ka bacteria i ka mimi)
- ʻO nā diaper paʻa paʻa loa a ʻānai paha i ka ʻili
- Nā hopena i nā kopa a me nā huahana i hoʻohana ʻia e hoʻomaʻemaʻe i nā pale lole
Hoʻomaopopo paha ʻoe i kēia ma ka diaper diaper o kāu keiki:
- ʻO ka ʻulaʻula ʻulaʻula e ulu nui ana
- ʻUlaʻula a scaly nā wahi ma ka scrotum a me ka peni i nā keikikāne
- ʻO nā wahi ʻulaʻula a wīwī paha ma ka labia a me ka ʻōpū i nā kaikamahine
- Nā pimples, nā blister, ulcer, nā puʻupuʻu nui, a i ʻole nā ʻeha i hoʻopiha ʻia me ka pā
- Nā pākuʻi ʻulaʻula liʻiliʻi (i kapa ʻia he mau leona ukali) e ulu a kāwili ʻia me nā pāhono ʻē aʻe
ʻ scratchkulu paha nā pēpē ʻelemakule ke wehe ʻia ka diaper.
ʻAʻole hoʻolaha pinepine nā diaper diaper ma waho o ka lihi o ka diaper.
Hiki i ka mea mālama ola ke hōʻoia pinepine i ka pehu hu i ka hū e ka nānā ʻana i ka ʻili o kāu pēpē. Hiki i kahi hōʻike KOH ke hōʻoia inā candida ia.
ʻO ka lapaʻau maikaʻi loa no ka ʻōpala diaper e mālama i ka ʻili maʻemaʻe a maloʻo. Kōkua kēia i ka pale ʻana i nā huelo diaper hou. E hoʻomoe i kāu pēpē ma ke kāwele me ka ʻole o ka diaper ke hiki. ʻO ka manawa hou e hiki ai ke mālama i ka pēpē mai kahi diaper, ʻoi aku ka maikaʻi.
ʻO nā ʻōlelo aʻoaʻo ʻē aʻe:
- Holoi mau i kou mau lima ma mua a ma hope o ka hoʻololi ʻana i ka diaper.
- Hoʻololi pinepine i ka diaper o kāu pēpē a me ka hikiwawe ma hope o ka mimiki a i ʻole ka hele ʻana o ka pēpē.
- E hoʻohana i ka wai a me ka lole palupalu a i ʻole ke kinipōpō e hoʻomaʻemaʻe mālie i ka wahi diaper me kēlā me kēia hoʻololi diaper. Mai hamo a holoi i kahi. Hiki ke hoʻohana ʻia kahi ʻōmole squirt o ka wai no nā wahi maʻalahi.
- Pākuʻi i ka wahi maloʻo a ʻae paha e hoʻomaloʻo i ka ea.
- E hoʻokuʻu i nā pale dios. ʻAʻole ʻae nā diapers paʻa paʻa i ka lele o ka ea a ʻānai a hoʻonāukiuki paha i ka pūhaka a i nā ʻūhā o ka pēpē.
- ʻO ka hoʻohana ʻana i nā pale diopers e kōkua i ka mālama ʻana i ka ʻili a hoʻēmi i ka manawa kūpono e loaʻa ai kahi maʻi.
- E noi i kāu mea lawelawe a kahu hānai paha i nā kalima, nā hamo, a me nā pauka e ʻoi aku ka maikaʻi e hoʻohana ai i ka wahi diaper.
- E nīnau inā he kōkua maikaʻi ka kirīpī pīpī pīpī. Zinc oxide a petroleum jelly-based huahana kōkua i ka mālama ʻana i ka makū mai ka ʻili o ka pēpē ke hoʻopili ʻia i ka ʻili maʻemaʻe loa.
- Mai hoʻohana i nā holoi i loaʻa ka wai ʻona a ʻala paha. E hoʻomaloʻo a hoʻonāukiuki paha lākou i ka ʻili.
- Mai hoʻohana i ka talc (talcum powder). Hiki iā ia ke komo i loko o nā māmā o kāu pēpē.
ʻO nā kalima ʻili a me nā hamo e hoʻomaʻemaʻe i nā maʻi i hoʻokumu ʻia e ka hū. ʻO Nystatin, miconazole, clotrimazole, a me ketoconazole e hoʻohana pinepine ʻia i nā lāʻau no nā huehue diapeta hū. No nā huhū nui, kahi hamo steroid, e like me 1% hydrocortisone, hiki ke noi ʻia. Hiki iā ʻoe ke kūʻai i kēia mau mea me ka ʻole o ka lāʻau. Akā e nīnau mua i kāu mea hāʻawi inā e kōkua kēia mau lāʻau.
Inā ʻoe e hoʻohana i nā pale lole:
- Mai hoʻokomo i ka palekiko a i ʻole ka uila ma luna o ka diaper. ʻAʻole lākou e ʻae i ka lewa e hele ma waena. E hoʻohana i nā uhi diaper hanu i kahi.
- Mai hoʻohana i nā palupalu lole a i ʻole nā pale maloʻo. E hōʻino paha lākou i ka hū.
- Ke holoi ana i nā pale lole, holoi iā 2 a i ʻole 3 mau manawa e hemo ai i nā kopa āpau inā he ʻōpala paha kāu keiki a i ʻole he ʻeha ma mua.
Pēlā ka pane o ka ʻehu i ka lāʻau lapaʻau.
Kāhea i ka hāʻawi o kāu keiki inā:
- Hele a māhuahua ka hū ʻole i ka 2 a i ka 3 mau lā
- Hoʻolahalaha ka ʻino i ka ʻōpū, hoʻi, lima a i ʻole ke alo
- ʻIke ʻoe i nā pimples, blister, ulcer, puʻupuʻu nui, a i ʻole nā ʻeha i hoʻopiha ʻia me ka pā
- He kuni hoʻi kāu pēpē
- Hoʻonui ka pehu o kāu pēpē i nā pule he 6 ma hope o ka hānau ʻana
Dermatitis - diaper a me Candida; Dermatitis diaper pili i pili me Candida; Dermatitis diaper; Dermatitis - hōʻiliʻili ukiuki
- ʻO Candida - ka pehu fluorescent
- ʻHū popoki
- ʻHū popoki
ʻO Bender NR, Chiu YE. Nā maʻi Eczematous. 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 674.
ʻO Gehris RP. Dermatology. 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 8.