Asthma i nā keiki

ʻO ka Asthma kahi maʻi e hoʻonā i nā ala ākea a hāiki. Hiki i ka wheezing, ka pōkole o ka hanu, ka paʻa o ka umauma, a me ke kaʻe.

Hoʻokumu ʻia ʻo Asthma e ka ʻōhū ʻana. I ka wā o ka hoʻouka hānō, paʻa nā mākala e hoʻopuni ana i nā alaloa. Hū ka pale o nā ʻāpana lewa. ʻO ka hopena, hiki i ka ea liʻiliʻi ke hele ma waena.

ʻIke pinepine ʻia ʻo Asthma i nā keiki. ʻO ia ke kumu nui o ka hala ʻana o nā lā kula a me nā kipa haukapila no nā keiki. ʻO kahi hopena maʻi ʻaʻano nui o ka hānō i nā keiki. Kū pinepine ka Asthma a me nā maʻi āpau.

I nā keiki i loaʻa i nā ea ākea, hiki ke hoʻomaka ʻia nā ʻōuli hāno e ka hanu ʻana i nā mea i kapa ʻia he allergens, a i ʻole nā ​​mea hoʻoheheʻe.

Pākuʻi hānō maʻamau i:

• Nā holoholona (ka lauoho a i ʻole dander)
• Lepo, punahelu, a me ka pollen
• Aspirin a me nā lāʻau ʻē aʻe
• Nā hoʻololi i ka wā (ke anuanu pinepine)
• Nā kemika i ka lewa a i ʻole ka meaʻai
• Powa paka
• Hoʻoikaika kino
• Nā manaʻo ikaika
• Nā maʻi virus, e like me ke anuanu maʻamau

Kūleʻa nā pilikia hanu. Hiki iā lākou ke hoʻopili:

• Pokole o ka hanu
• Manaʻo ka hanu
• Gasping no ka ea
• Hoʻopilikia i ka hanu ʻana (hemo ʻana)
• Hanu wikiwiki ma mua o ka maʻamau

Ke paʻakikī nei ke keiki i ka hanu ʻana, e omo ka ʻili o ka umauma a me ka ʻāʻī i loko.

ʻO nā ʻōuli ʻē aʻe o ka hānō i nā keiki e:

• ʻO Coughing e ala ala i ke keiki i ka pō (ʻo ia wale nō ka hōʻailona).
• ʻEke ʻeleʻele ma lalo o nā maka.
• Luhi luhi.
• Huhū.
• Hoʻopili i ka umauma.
• Kani ʻia kahi kani kani i ka hanu ʻana. E ʻike hou paha ʻoe i ka wā e hanu ai ke keiki.

E loli paha nā ʻōuli hānō o kāu keiki. Hiki ke ʻike pinepine ʻia nā ʻōuli a hoʻomohala paha ke loaʻa nā mea hoʻonāukiuki. Loaʻa paha i kekahi mau keiki ke loaʻa nā hōʻailona hānō i ka pō.

E hoʻohana ka mea mālama ola i ka stethoscope e hoʻolohe i nā ake māmā o ke keiki. Hiki paha i ka mea hāʻawi ke lohe i nā kani hānō. Eia nō naʻe, maʻamau ke kani o nā māmā inā ʻaʻole loaʻa kahi hānō i ke keiki.

E hāhā ka mea hāʻawi i ke keiki i loko o kahi hāmeʻa i kapa ʻia he mika kahe kiʻekiʻe. Hiki i nā mika kahe ka piko ke haʻi i ke ʻano o ke puhi ʻana o ke keiki i ka ea mai nā akemāmā. Inā hāiki nā kahawai ma muli o ka hānō, hāʻule nā ​​helu kahe kiʻekiʻe.

E aʻo ʻoe a me kāu keiki e ana i ka kahe ka piko ma ka home.

E kauoha paha ka mea hāʻawi i kāu keiki i kēia mau hōʻike:

• Ke hoʻāʻo ʻana i ka maʻi āpau ma ka ʻili, a i ʻole ke hoʻāʻo ʻana o ke koko e ʻike inā he maʻi kūpale kāu keiki i kekahi mau mea
• Pākuʻi x-ray
• Nā hoʻāʻo hana lung

Pono ʻoe a me nā mea hāʻawi o kāu keiki e hana pū ma ke ʻano he kime e hana a hoʻokō i kahi papa hana hānō.

E haʻi kēia hoʻolālā iā ʻoe pehea e:

• Hōʻalo i nā mea hānō
• Nānā i nā ʻōuli
• E ana i ke kahe o ka piko
• E lawe i nā lāʻau

E haʻi pū paha ka hoʻolālā iā ʻoe i ka wā hea aku ai i ka mea hāʻawi. He mea nui e ʻike i nā nīnau e nīnau ai i ka mea hāʻawi i kāu keiki.

Pono nā keiki me ka hānō i ke kākoʻo he nui ma ke kula.

• E hāʻawi i nā limahana o ke kula i kāu papa hana hānō i ʻike lākou i ka mālama ʻana i ka hānō a kāu keiki.
• E ʻike pehea e ʻae ai i kāu keiki i ka lāʻau i nā hola kula. (Pono ʻoe e kau inoa i kahi palapala ʻae.)
• ʻO ka loaʻa ʻana o ka hānō ʻaʻole ia he kumu ʻaʻole hiki i kāu keiki ke hoʻoikaika kino. Pono nā kumu aʻo, nā kumu haʻuki, a me kāu keiki e ʻike i ka mea e hana ai inā loaʻa nā hōʻailona hānō i kāu keiki i hoʻokumu ʻia e ka hoʻoikaika kino.

NA LAAU LAPAAU ASTHMA

ʻElua ʻano maʻamau o ka lāʻau e hoʻohana ai e mālama i ka hānō.

Lawe ʻia nā lāʻau lapaʻau lōʻihi no kēlā me kēia lā e pale ai i nā hōʻailona hānō. Lawe kāu keiki i kēia mau lāʻau inā ʻaʻohe o nā ʻōuli. Pono paha i kekahi mau keiki ma mua o hoʻokahi lāʻau hoʻomalu lōʻihi.

Nā ʻano o nā lāʻau hoʻomalu lōʻihi e pili pū ana:

• Hoʻokomo ʻia nā steroid i loko (ʻo kēia ka koho mua mua loa o ka mālama ʻana)
• ʻO nā bronchodilators hana lōʻihi (ʻaneʻane hoʻohana mau ʻia kēia me nā steroid inhal)
• Nā mea kāohi Leukotriene
• ʻO sodium Cromolyn

Hoʻomaha wikiwiki a hoʻopakele paha i nā lāʻau hānō e hana wikiwiki e kaohi i nā ʻōuli hānō. Lawe nā keiki iā lākou i ka wā e puʻu ana lākou, ʻūpē, pilikia ʻana i ka hanu ʻana, a i ʻole hoʻouka hānō paha.

Hiki ke lawe ʻia i kekahi o nā lāʻau lapaʻau hānō a kāu keiki me ka hoʻohana ʻana i kahi inhaler.

• ʻO nā keiki e hoʻohana nei i kahi inhaler pono e hoʻohana i kahi hāmeʻa spacer. Kōkua kēia iā lākou e loaʻa pono ka lāʻau i loko o nā akemāmā.
• Inā hoʻohana hewa kāu keiki i ka inhaler i ke ala hewa, e hōʻemi ʻia ka lāʻau i loko o nā akemāmā. E hōʻike i kāu mea hāʻawi i kāu keiki pehea e hoʻohana pono ai i kahi inhaler.
• Hiki i nā keiki ʻōpio ke hoʻohana i kahi nebulizer ma kahi o kahi inhaler e lawe i kā lākou lāʻau. Hoʻololi kahi nebulizer i ka lāʻau hānō i mist.

HOLOHE ANA I NA KANAKA

He mea nui ia e ʻike i nā mea hānō a kāu keiki. ʻO ka pale ʻana iā lākou ke ala mua e kōkua ai i kāu keiki e ʻoi aku ka maikaʻi.

E mālama i nā holoholona i waho, a i ʻole ma ka liʻiliʻi loa mai ka lumi moe a ke keiki.

ʻAʻole pono kekahi e puhi i loko o ka hale a puni kahi keiki me ka hānō.

• ʻO ka hemo ʻana i ka uahi paka i ka home ka mea nui hoʻokahi a ka ʻohana e hana ai e kōkua i ke keiki me ka hānō.
• ʻAʻole lawa ka puhipaka ma waho o ka hale. Lawe aku nā lālā o ka ʻohana a me nā malihini kipa i ka uahi i loko o ko lākou lole a me ko lākou lauoho. Hiki i kēia ke hoʻomaka i nā ʻōuli hānō.
• Mai hoʻohana i nā kapuahi o loko.

E mālama i ka maʻemaʻe o ka hale. E mālama i ka meaʻai i loko o nā pahu a me nā lumi moe. Kōkua kēia i ka hoʻohaʻahaʻa ʻana i ka hiki o ka ʻāpā, ka mea hiki ke hoʻoulu i ka hōʻeha hānō. Pono e hoʻomaʻemaʻe ʻole i nā huahana hoʻomaʻemaʻe i ka home.

MONITOR KA PALAPALA A KAU KEIKI

Ke nānā nei i ka kahe piko kekahi ala maikaʻi loa e kaohi ai i ka hānō. Hiki iā ia ke kōkua iā ʻoe e mālama i ka hānō a kāu keiki mai ka ʻinoʻino. Kū pinepine ka hōʻeha Asthma me ka ʻole o ka ʻōlelo aʻoaʻo.

ʻAʻole hiki i nā keiki ma lalo o ka makahiki 5 ke hoʻohana i ka mika kahe kahe e lawa pono ia e lilo i mea kōkua. Eia nō naʻe, pono ke keiki e hoʻomaka i ka hoʻohana ʻana i ka mika kahe kiʻekiʻe i ka wā ʻōpio e maʻa ai. E kiaʻi mau kahi makua i nā ʻōuli o ke hānō o ke keiki.

Me ka lapaʻau kūpono, hiki i ka hapanui o nā keiki me ka hānō ke ola i kahi ola maʻamau. Ke mālama maikaʻi ʻole ʻia ka hānō, hiki iā ia ke alakaʻi i ke kula i hala ʻole, nā pilikia e pāʻani ana i nā haʻuki, haʻalele i ka hana no nā mākua, a me nā kipa he nui i ka keʻena o ka mea hāʻawi a me ka lumi pilikia.

Hoʻoemi pinepine nā hōʻailona Asthma a hele loa i ka wā e nui ai ke keiki. ʻAʻole hiki ke kaohi maikaʻi ʻia ʻo Asthma e hiki ai ke alakaʻi i nā pilikia kūleʻa mau loa.

I nā hihia maʻamau, ʻo ka hānō kahi maʻi hoʻoweliweli i ke ola. Pono nā ʻohana e hana pū me kā lākou mea hāʻawi e hoʻomohala i kahi hoʻolālā e mālama i kahi keiki me ka hānō.

Kāhea i ka hāʻawi o kāu keiki inā manaʻo ʻoe he ʻōuli hou kāu keiki o ka hānō. Inā ua ʻike ʻia kāu keiki me ka hānō, e kāhea i ka mea hāʻawi:

• Ma hope o ke kipa ʻana o kahi lumi pilikia
• Ke piʻi haʻahaʻa nei nā helu kiʻekiʻe
• Ke hele pinepine a ʻoi aku ka nui o nā ʻōuli, ʻoiai ke ukali nei kāu keiki i ka papa hana hānō

Inā pilikia kāu keiki i ka hanu ʻana a i ʻole ka hōʻeha hānō, e kiʻi koke i ke kōkua olakino.

ʻO nā hōʻailona kūpilikiʻi me:

• Hanu paʻakikī
• ʻO kaʻulaʻula Bluish i nā lehelehe a me ka maka
• Hopohopo nui ma muli o ka liʻiliʻi o ka hanu
• Pākuʻi wikiwiki
• Hoʻoulu
• Hoemi i ke kiʻekiʻe o ka makaʻala, e like me ka hiamoe nui a huikau paha

Pono paha kahi keiki e loaʻa nei i kahi hōʻeha hānō nui e noho i ka haukapila a loaʻa ka oxygen a me nā lāʻau i loko o kahi aa (laina intravenous a i ʻole IV).

Hānō pediatric; Asthma - pediatric; Wheezing - hānō - keiki

• Asthma a me ke kula
• Asthma - kaohi lāʻau
• Asthma i nā keiki - he aha e nīnau aku ai i kāu kauka
• Asthma - nā lāʻau hoʻōla wikiwiki
• ʻO ka bronchoconstrict i hoʻokomo ʻia e ka hoʻoikaika kino
• Ka hoʻoikaika kino a me ka hānō ma ke kula
• Pehea e hoʻohana ai i kahi nebulizer
• Pehea e hoʻohana ai i kahi inhaler - ʻaʻohe spacer
• Pehea e hoʻohana ai i kahi inhaler - me ka spacer
• Pehea e hoʻohana ai i kāu mika kahe kiʻekiʻe
• E maʻa mau i ka piko
• Nā hōʻailona o ka hoʻouka hānō
• Noho mamao aku i nā pākī hānō

• ʻO ka bronchiole asthmatic maʻamau
• Mika kahe kawa
• Lungs
• ʻO nā hānā hānō maʻamau

Dunn NA, Neff LA, Maurer DM. Ke ala hele i kahi hānō pediatric. J Fam Hoʻohana. 2017; 66 (5): 280-286. PMID: 28459888 www.ncbi.nlm.nih.gov/pubmed/28459888/.

ʻO Jackson DJ, Lemanske RF, Bacharier LB. Ka mālama ʻana i ka hānō i nā pēpē a me nā keiki. I: Burks AW, Holgate ST, O'Hehir RE, et al, eds. Middleton's Allergy: Nā Manaʻo a me ka Hoʻomaʻamaʻa. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 50.

Liu AH, Spahn JD, Sicherer SH. Hānō 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 169.

Lugogo N, Que LG, Gilstrap DL, Kraft M. Asthma: ʻike maʻi a me ka hoʻokele. I: Broaddus VC, Mason RJ, Ernst JD, et al, eds. ʻO Murray a me Nadel's Textbook of Respiratory Medicine. ʻElua huaʻōlelo Piladelapia, PA: Elsevier Saunders; 2016: chap 42.

ʻO ka US Department of Health and Human Services; Pūnaewele National Heart, Lung, a me Blood Institute. Mālama wikiwiki ʻo Asthma: ʻikeʻike a me ka mālama ʻana i ka hānō; nā alakaʻi mai ka National Asthma Education and Prevent Program, hōʻike papa loea loea 3. www.nhlbi.nih.gov/files/docs/guidelines/asthma_qrg.pdf. Hoʻohou ʻia Kepakemapa 2012. Loaʻa iā Mei 8, 2020.