ʻO ka hopu ʻana i ka lā Septile

ʻO ka hopu ʻana i ka febrile he konulion i loko o kahi keiki i hoʻomaka ʻia e ke kuni.

ʻO kahi mahana o 100.4 ° F (38 ° C) a i ʻole hiki ke kumu i ka hopu ʻana i nā febrile i nā keiki.

Hiki ke makaʻu ka hopu ʻana o ka febrile no kekahi makua a kahu paha. ʻO ka hapa nui o ka manawa, ʻaʻole ka hopu ʻana o ka febrile i kahi ʻino. ʻAʻohe o ke keiki i kahi pilikia olakino lōʻihi lōʻihi loa.

ʻO ka hopu ʻana i ka maʻi ʻoi loa i nā keiki olakino ʻē aʻe ma waena o nā makahiki 6 a me 5 mau makahiki. Hoʻopili pinepine ʻia nā kamaliʻi. Holo pinepine ka hopu ʻana ʻo fetile i loko o nā ʻohana.

ʻO ka hapanui o ka hopu ʻana o nā febrile i nā hola 24 mua o kahi maʻi. ʻAʻole paha e hiki ke kiʻekiʻe ke kuni. ʻO kahi maʻi anuanu a viral paha e hoʻonāukiuki i ka hopu ʻana i ka febrile.

Mālie paha ka hopu ʻana o ka febrile e like me ka ʻōwili ʻana o nā maka o ke keiki a i ʻole nā ​​ʻālia ʻoʻoleʻa. Kū kahi hopu febrile maʻalahi iā ia iho i loko o kekona kekona a 10 mau minuke. Hahai pinepine ʻia e kahi wā pōkole o ka hiamoe a huikau paha.

Pākuʻi ʻia paha nā ʻōuli i kekahi o kēia mau mea:

• Hoʻopaʻa paʻa (contraction) o nā mākala ma nā ʻaoʻao ʻelua o ke kino o ke keiki. E mau paha ka paʻa ʻana o ka miki no kekahi mau kekona a ʻoi aku paha.
• Uē a ʻū paha ke keiki.
• Inā kū, hāʻule ke keiki.
• Luai paha ke keiki a nahu paha i ko lākou alelo.
• I kekahi manawa, ʻaʻole hanu nā keiki a hoʻomaka lākou e uliuli.
• E hoʻomaka paha ke kino o ke keiki e jerk rhythmically. ʻAʻole e pane ke keiki i ka leo o ka makua.
• Hoʻohui ʻia paha ka mimi.

ʻO ka hopu ʻana he ʻoi aku ka lōʻihi ma mua o 15 mau minuke, aia i hoʻokahi ʻāpana o ke kino, a i ʻole ke kū hou i ka wā o ka maʻi like ʻaʻole ia ka hopu ʻana i ka febrile maʻamau.

Hoʻomaopopo paha ka mea mālama ola i ka hopu ʻana o ka febrile inā loaʻa ka maʻi tonic-clonic i ke keiki akā ʻaʻohe ona moʻolelo o nā maʻi hopu (epilepsy). Hoʻopili kahi hopu tonic-clonic i ke kino holoʻokoʻa. I nā pēpē a me nā keiki liʻiliʻi, he mea nui e kāpae i nā kumu ʻē aʻe o ka hopu mua ʻia ʻana, ʻo ia hoʻi ka meningitis (maʻi bacteria o ka uhi ʻana o ka lolo a me ka iwi kuamoʻo).

Me kahi kuʻina febrile maʻamau, maʻamau ka nānā ʻana, ʻokoʻa nā ʻōuli o ka maʻi e loaʻa ai ke kuni. ʻO ka manawa pinepine, ʻaʻole pono ke keiki i kahi hana hopu piha, kahi e loaʻa ai ka EEG, ke poʻo CT, a me ka lumbar puncture.

Pono paha e hoʻāʻo hou inā keiki:

• Ma mua o 9 mau mahina a ʻoi paha ma mua o 5 mau makahiki
• He lolo, ʻalalā, a maʻi maʻi hoʻomohala paha
• Loaʻa ka hopu ʻana i hoʻokahi ʻāpana o ke kino
• Inā ʻoi aku ka lōʻihi o ka hopu ʻana ma mua o 15 mau minuke
• Loaʻa ma mua o hoʻokahi ka hopu ʻana o ka febrile i loko o 24 mau hola
• Loaʻa kahi loaʻa maʻamau ke nānā ʻia

ʻO ka pahuhopu o ka mālama ʻana e hoʻokele i ke kumu kumu. ʻO nā hana aʻe e kōkua ai e mālama i ke keiki i ka wā o ka hopu ʻana.

• Mai paʻa i ke keiki a hoʻāʻo paha e hōʻoki i nā neʻe o ka hopu.
• Mai haʻalele i ke keiki.
• E hoʻomoe i ke keiki ma ka honua i kahi e palekana ai. E hoʻomaʻemaʻe i kahi o nā lako hale a i ʻole nā ​​mea ʻoi ʻē aʻe.
• E hoʻoneʻe i kahi kapa ma lalo o ke keiki inā paʻakikī ka papahele.
• E neʻe wale i ke keiki inā aia lākou ma kahi weliweli.
• E hoʻokuʻu i nā lole paʻa, keu hoʻi ma ka ʻāʻī. Inā hiki, wehe a wehe i nā lole mai ka pūhaka i luna.
• Inā luaʻi ke keiki a i ʻole inā kulu ka muha a me ka muʻu i ka waha, hoʻohuli i ke keiki i ka ʻaoʻao a i ʻole ka ʻōpū. He mea nui kēia inā ke nānā aku ke hele nei ke alelo i ke ala o ka hanu.
• Mai hoʻoikaika i kekahi mea i loko o ka waha o ke keiki e pale i ka nahu ʻana i ke alelo. Hoʻonui kēia i ka makaʻu no ka ʻeha.

Inā mau ka hopu ʻana i kekahi mau minuke, kāhea iā 911 a i ʻole ka helu kūloko kūloko e loaʻa kahi kaʻa kaʻa lawe i kāu keiki i ka haukapila.

Kāhea koke i ka mea hāʻawi i kāu keiki e wehewehe i ka hopu ʻana i kāu keiki.

Ma hope o ka hopu ʻana, ʻo ka hana nui e ʻike ai ke kumu o ke kuni. ʻO ka nānā i ka lawe ʻana i ke kuni. E haʻi paha ka mea hāʻawi iā ʻoe e hāʻawi i nā lāʻau i kāu keiki e hōʻemi ai i ke kuni. E hāhai pono i nā ʻōkuhi i ka nui a me ka pinepine e hāʻawi i kāu keiki i ka lāʻau. ʻO kēia mau lāʻau, ʻaʻole e hōʻemi i ka manawa o ka hopu ʻana i nā febrile i ka wā e hiki mai ana.

He mea maʻamau no nā keiki e hiamoe a hiamoe a huikau paha no kahi manawa pōkole ma hope koke o ka hopu ʻana.

Hiki ke makaʻu ka hopu ʻana o ka febrile mua no nā mākua. Makaʻu ka hapanui o nā mākua i make kā lākou keiki a i ʻole hōʻino ka lolo. Eia nō naʻe, maikaʻi ʻole ka hopu ʻana i nā febrile maʻalahi. ʻAʻohe mea hōʻike e kumu lākou i ka make, hōʻino ka lolo, epilepsy, a i ʻole nā ​​pilikia aʻo.

ʻOi aku ka nui o nā keiki i ka hopu ʻana i nā febrile e nā makahiki 5.

Kakaikahi nā keiki i ʻoi aku ma mua o 3 ka hopu ʻana o nā febrile i ko lākou ola. ʻAʻole pili ka helu o ka hopu ʻana i nā febrile i ka pilikia o ka epilepsy i ka wā e hiki mai ana.

ʻO nā keiki e hoʻomohala i ka maʻi epilepsy i kekahi manawa e loaʻa i kā lākou mau hopu mua i ka wā o ka fiva. ʻAʻole ʻike ʻia kēia mau hopu ʻana e like me ka hopu ʻana i ka febrile.

Inā mau ka hopu ʻana i kekahi mau minuke, kāhea iā 911 a i ʻole ka helu kūloko kūloko i loaʻa kahi kaʻa kaʻa lawe maʻi i kāu keiki i ka haukapila.

Inā hoʻopau koke ka hopu ʻana, kalaiwa i ke keiki i kahi keʻena pilikia ke pau ia.

Lawe i kāu keiki i ke kauka inā:

• Kū pinepine ka hopu ʻana i ka wā o ka maʻi like.
• ʻO kēia ke ʻano o ke ʻano o ka hopu ʻana no kāu keiki.

Kāhea a ʻike paha i ka mea hāʻawi inā loaʻa nā ʻōuli ʻē aʻe ma mua a ma hope paha o ka hopu ʻana, e like me:

• Nā neʻe maʻamau, haʻalulu, a i ʻole nā ​​pilikia me ka hoʻohui ʻana
• Hoʻonāukiuki a huikau paha
• Hiamoe
• Nusea
• Rash

Ma muli o ka hopu ʻana o ka febrile i hōʻailona mua o ka maʻi, ʻaʻole hiki pinepine ke pale aku iā lākou. ʻAʻole ka manaʻo o ka hopu ʻana i ka febrile i ka loaʻa ʻole o ka mālama kūpono i kāu keiki.

I kekahi manawa, e kuhikuhi ka mea hāʻawi i kahi lāʻau i kapa ʻia ʻo diazepam e pale a mālama ʻana paha i nā maʻi febrile e hana ʻia ma mua o hoʻokahi manawa. Eia nō naʻe, ʻaʻohe lāʻau e holo pono i ka pale ʻana i ka hopu ʻana o nā febrile.

Ka hopu ʻana - induced fever; Hoʻohaunaele ʻoi loa

• ʻO ka hopu ʻana i ka hopena - he aha e nīnau aku ai i kāu kauka

• Ka hopu ʻana ʻo Grand mal
• ʻŌnaehana ʻōnaehana waena a me ka ʻōnaehana ʻōnaehana peripheral

Abou-Khalil BW, Gallagher MJ, Macdonald RL. Epilepsy. I: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. ʻO Bradley's Neurology i ka hana lapaʻau. ʻEpekema 7 Piladelapia, PA: Elsevier; 2016: chap 101.

Mick NW. Kahuna Pediatric. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 166.

Mikati MA, Tchapyjnikov D. Ka hopu i ka wā kamaliʻi. 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 611.

National Institute of Neurological Disorder a me ka pūnaewele Stroke. Pepa ʻoi aku ka hopu pono iā Februari. www.ninds.nih.gov/Disorders/Patient-Caregiver-Education/Fact-Sheets/Febrile-Seizures-Fact-Sheet. Hoʻohou ʻia Malaki 16, 2020. Loaʻa iā Malaki 18, 2020.

ʻO Seinfeld S, Shinnar S. ʻO ka hopu ʻana i ka maʻi. 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 65.