Kilokilo paʻa hanu

Loaʻa i kekahi mau keiki nā kilokilo paʻa hanu. ʻO kēia kahi kūkaʻi ʻole i ka hanu ʻaʻole i ka kaohi a ke keiki.

Hiki i nā pēpē ke ʻōpio i ka 2 mau makahiki a hiki i ka 2 mau makahiki ke hoʻomaka i nā kēpau paʻa hanu. Loaʻa nā kilokilo koʻikoʻi i kekahi mau keiki.

Hiki i nā keiki ke loaʻa nā haʻuki paʻa hanu ke pane lākou i:

• Makau
• ʻEha
• Hanana hōʻeha
• E haʻalulu a kūʻē paha

ʻOi aku ka maʻamau o nā pēpē hanu i nā keiki me:

• Nā kūlana genetic, e like me Riley-Day Syndrome a i ʻole Rett Syndrome
• Anemia hemahema hao
• ʻO kahi moʻolelo ʻohana o nā kilokilo hanu-paʻa (hiki i nā mākua ke loaʻa nā kilokilo like i ka wā kamaliʻi)

Hana pinepine ʻia nā spell-holding spells ke huhū a pūʻiwa paha ke keiki. Hana ke keiki i kahi ea pōkole, hoʻolele, a kū i ka hanu. Hoʻolohi ka ʻōnaehana ʻōiwi o ke keiki i ka helu o ka puʻuwai a i ʻole ka hanu ʻana no kahi manawa pōkole. ʻAʻole manaʻo ʻia nā haʻuki hanu he hana makemake ʻole ia o ka hoʻowahāwahā, ʻoiai e hana pinepine ʻia me nā huhū huhū. Hiki i nā ʻōuli ke hoʻohui pū:

• ʻO kaʻili polū a pale paha
• Uē, a laila ʻaʻole hanu
• Ka maʻule a me ka nalo ʻana o ka makaʻala (ʻike ʻole)
• Nā neʻe a Jerky (pōkole, like me ka neʻe ʻana)

Hoʻomaka hou ka hanu maʻamau ma hope o kahi manawa pōkole o ka noʻonoʻo ʻole. Hoʻomaikaʻi ke kala o ke keiki me ka hanu mua. Hiki paha kēia i kekahi mau manawa i kēlā me kēia lā, a i ʻole nā ​​manawa maʻamau wale nō.

E hana ka mea mālama ola i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i ka mōʻaukala o ke keiki a me nā hōʻailona.

E hana ʻia paha nā hoʻāʻo koko e nānā no ka hemahema hao.

Nā hoʻokolohua ʻē aʻe i hana ʻia e hoʻopili ʻia:

• ECG e nānā i ka puʻuwai
• EEG e nānā i ka hopu ʻana

ʻAʻole pono ka mālama ʻana. Akā hiki ke hāʻawi ʻia i nā kulu hao a i ʻole nā ​​pila inā loaʻa ka hao i ka keiki.

Hiki i ka hanu ʻana ke lilo i mea makaʻu no nā mākua. Inā ua ʻike ʻia kāu keiki me nā pēpē paʻa hanu, e hana i kēia mau kaʻina hana:

• I ka wā o ke kilokilo, e nānā pono aia kāu keiki i kahi palekana inā ʻaʻole lākou e hina a ʻeha paha.
• E kau i kahi lole anuanu ma ka lae o kāu keiki i ka manawa o kahi kilokilo e kōkua ai e hoʻopōkole i ka hanana.
• Ma hope o ke kilokilo, e hoʻāʻo e mālie. Hōʻalo i ka nānā nui ʻana i ke keiki, no ka mea hiki i kēia ke hoʻokūpaʻa i nā hana i alakaʻi ʻia ai i ke kilokilo.
• Hōʻalo i nā hanana i hoʻonāukiuki i ka huhū o ke keiki. Hiki i kēia ke kōkua i ka hōʻemi i ka helu o nā kilokilo.
• Hoʻowahāwahā i nā pēpē paʻa hanu i kumu ʻole e maʻule ai kāu keiki. Hoʻowahāwahā i ke kilokilo ma ke ʻano like āu e nānā ʻole ai i nā huhū huhū.

Hoʻonui ka hapanui o nā keiki i nā haʻuki paʻa hanu i ka manawa o 4 a 8 mau makahiki.

ʻO nā keiki i loaʻa i ka hopu ʻana i ka wā o ka pela hanu-paʻa ʻole i ka nui o ka makaʻu o ka hopu ʻana i ka maʻi ʻē aʻe.

Kāhea i ka hāʻawi o kāu keiki inā:

• Manaʻo ʻoe e loaʻa ana i kāu keiki nā kilokilo paʻa hanu
• Ke hele a hewahewa nei ka hana a nā keiki a kou hanu i ka hana pinepine ʻana

Kāhea iā 911 a i ʻole kāu helu pilikia kūloko inā:

• Pau ka hanu ʻana o kāu keiki a i ʻole he pilikia e hanu ana
• Loaʻa ka hopu ʻana o kāu keiki ma mua o 1 mau minuke

Mikati MA, Obeid MM. Nā kūlana e hoʻohālikelike i ka hopu ʻana. 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 612.

ʻO Roddy SM. Nā ʻanā paʻa hanu a me nā ʻāhinahina reflex anoxic. I: Swaiman KF, Ashwal S, Ferriero DM, et al, eds. ʻO Swaiman's Pediatric Neurology: Nā Kumuhana a me nā Hana. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 85.