ʻO ka maʻi make pēpē koke

ʻO ka maʻi make koke o ke keiki pēpē (SIDS) ka mea i manaʻo ʻole ʻia, make make ʻole kahi keiki ma lalo o nā makahiki 1. ʻAʻole hōʻike kahi autopsy i kahi kumu wehewehe o ka make.

ʻAʻole ʻike ʻia ke kumu o ka SIDS. Manaʻo ka nui o nā kauka a me nā kānaka noiʻi i kēia manawa no SIDA ka hopena o nā kumu he nui, e like me:

• Nā pilikia me ka hiki i ka pēpē ke ala aʻe (hiamoe hiamoe)
• ʻAʻole hiki i ke kino o ke pēpē ke kuhikuhi i ke kūkulu ʻana o carbon dioxide i loko o ke koko

Ua iho nui nā helu SIDID mai ka hoʻomaka ʻana o nā kauka e koi i nā pēpē e kau i ko lākou kua a i ʻole nā ​​ʻaoʻao e hiamoe e hōʻemi i ka manawa o ka pilikia. Eia nō naʻe, ʻo SIDA ke kumu nui o ka make i nā pēpē ma lalo o 1 mau makahiki. He mau kaukani pēpē e make i ka SIDS maʻAmelika Hui Pū ʻIa i kēlā me kēia makahiki.

Kū paha ka SIDS ma waena o 2 a me 4 mau mahina o kou mau makahiki. Hoʻopiʻi pinepine ka SIDS i nā keikikāne ma mua o nā kaikamahine. ʻO ka hapa nui o ka make ʻana o SIDS i ka hoʻoilo.

Hiki i ka mea aʻe ke hoʻonui i ka makaʻu no SIDS:

• Ke hiamoe nei ma ka ʻōpū
• Ma kahi o ka uahi paka i ka wā o ka ʻōpū a ma hope paha o ka hānau ʻana
• Ke hiamoe nei i ka moena like me ko lākou mau mākua (co-moe)
• Moena palupalu i ka pā moe
• ʻO nā pēpē hānau he mau māhoe (he māhoe, ʻekolu a me nā mea ʻē aʻe.)
• Hānau hānau ʻole
• Loaʻa i kahi kaikaina a kaikuahine paha i loaʻa iā SIDS
• Makuahine e puhi a hoʻohana paha i nā lāʻau kū ʻole
• Hānau ʻia i kahi makuahine ʻōpio
• ʻO ka manawa pōkole ma waena o nā hāpai
• Late a ʻaʻohe mālama mālama
• Noho i nā kūlana ʻilihune

ʻOiai nā noiʻi e hōʻike ana i nā pēpē me nā kumu pilikia i luna e ʻike pinepine ʻia e hoʻopili ʻia, ʻaʻole wehewehe ʻia a hoʻomaopopo ʻia paha ka hopena a koʻikoʻi paha o kēlā me kēia mea.

ʻAneʻane kokoke i nā make SID āpau me ka ʻole o kahi leka a me nā hōʻailona. Kū ka make ke manaʻo ʻia e hiamoe ana ke pēpē.

ʻAʻole hiki i nā hopena Autopsy ke hōʻoia i kahi kumu o ka make. Eia nō naʻe, hiki i ka ʻike mai kahi autopsy ke hoʻohui i ka ʻike holoʻokoʻa e pili ana i ka SIDS. E koi paha ke kānāwai mokuʻāina i kahi autopsy i ka hihia o ka make hiki ʻole ke wehewehe ʻia.

ʻO nā mākua i nalowale i kahi keiki iā SIDS pono ke kākoʻo naʻau. ʻEha nā mākua he nui i nā manaʻo o ka hewa. ʻO nā noiʻi i koi ʻia e ke kānāwai i loko o kahi kumu i hōʻike ʻole ʻia o ka make e hōʻeha paha kēia mau manaʻo.

Hiki i kekahi lālā o ka mokuna kūloko o ka National Foundation for Early Infant Death Syndrome ke kōkua me ka ʻōlelo aʻoaʻo a me ka hōʻoiaʻiʻo i nā mākua a me nā lālā o ka ʻohana.

Koi ʻia ka ʻōlelo aʻoaʻo ʻohana e kōkua i nā kaikaina a me nā lālā o ka ʻohana a pau i ka nalowale ʻana o kahi pēpē.

Inā ʻaʻole neʻe a pēpē paha kāu pēpē, e hoʻomaka iā CPR a kāhea iā 911. E hoʻomaʻamaʻa nā mākua a me nā mea mālama i nā pēpē āpau a me nā keiki i ka CPR.

Paipai ka American Academy of Pediatrics (AAP) i kēia mau mea:

E hoʻokau mau i kahi pēpē e hiamoe ma kona kua. (Pākuʻi ʻia kēia i nā naps.) Mai hoʻokomo i kahi pēpē e hiamoe ai i kāna ʻōpū. Eia kekahi, hiki i kahi pēpē ke ʻōwili ma luna o ka ʻōpū mai kona ʻaoʻao, no laila e hōʻalo i kēia kūlana.

E kau i nā pēpē ma kahi paʻa (e like me ka moe moe) e hiamoe ai. Mai ʻae i ka pēpē e hiamoe i kahi moe me nā keiki ʻē aʻe a i ʻole nā ​​mākua, a mai hoʻokau iā lākou e hiamoe ma nā ʻili ʻē aʻe, e like me ka sofa.

E hiamoe nā pēpē i ka lumi like (ʻaʻole ka moena like) me nā mākua. Inā hiki, pono e waiho i nā moʻo o nā pēpē i ka lumi moe o nā mākua e ʻae ai i ka ʻai ʻana i ka pō.

Hōʻalo i nā lako moe palupalu. E kau ʻia nā pēpē ma kahi moena moe paʻa paʻa paʻa paʻa ʻole me ka moe ʻole ʻole. E hoʻohana i kahi pale kukui e uhi i ka pēpē. Mai hoʻohana i nā uluna, nā mea hōʻoluʻolu, a me nā quilts.

E nānā i ka wela ʻole o ka mahana. Pono ka mahana o ka lumi e ʻoluʻolu no nā mākua lole māmā. ʻAʻole wela ka pēpē i ka pā.

Hāʻawi i ka pēpē i kahi pacifier ke hiamoe. Hiki i nā Pacifiers i ka naptime a me ka manawa hiamoe ke hōʻemi i ka makaʻu no SIDA. Manaʻo nā loea ʻoihana olakino hiki i kahi pacifier ke ʻae i ke ala ākea e wehe hou aʻe, a pale paha i ka pēpē mai ka hiamoe nui ʻana. Inā hānai ka pēpē, ʻoi aku ka maikaʻi o ke kali a hiki i 1 mau mahina ma mua o ka hāʻawi ʻana i kahi pacifier, i mea ʻaʻole ia e hoʻopilikia i ka hānai ʻana.

Mai hoʻohana i nā māka hanu a i ʻole nā ​​huahana i kūʻai ʻia e like me nā ala e hōʻemi ai i ka SIDA. Ua ʻike ʻia ka noiʻi ʻaʻole kōkua kēia mau mea i ka pale aku iā SIDS.

Nā ʻōlelo aʻoaʻo ʻē aʻe mai nā poʻe loea SIDA:

• Mālama i kāu pēpē i kahi kū ʻole i ka uahi.
• Pono nā makuahine e hōʻalo i ka waiʻona a me ka hoʻohana lāʻau i ka wā a ma hope o ka hāpai ʻana.
• Hānai hānai i kāu pēpē, inā hiki. Hoʻoemi ka hānai hānai ʻana i nā maʻi o ka hanu kiʻekiʻe i hiki ke hoʻohuli i ka ulu ʻana o SID.
• Mai hāʻawi i ka meli i kahi keiki ma mua o 1 mau makahiki. ʻO ka meli i nā keiki ʻōpio ke kumu i ka botulism pēpē, i pili pū paha me SIDA.

Ka make make moe; KEIKI

ʻO Hauck FR, Carlin RF, Moon RY, Hunt CE. ʻO ka maʻi make pēpē koke. 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 402.

ʻO Myerburg RJ, Goldberger JJ. Hopu ʻo Cardiac a make koke ka naʻau. I: Zipes DP, Libby P, Bonow RO, Mann DL, Tomaselli GF, Braunwald E, eds. ʻO ka maʻi puʻuwai ʻo Braunwald: He puke aʻo no ka lāʻau Cardiovascular. 11th hua. Piladelapia, PA: Elsevier; 2019: chap 42.

Ka Papa Hana Ma Ke Keiki Pilikino Pēpē Holo Huli; Moon RY, Darnall RA, Feldman-Winter L, Goodstein MH, Hauck FR. ʻO nā SID a me nā make pēpē e pili ana i ka hiamoe hou: Hoʻohou 2016 Manaʻo no kahi nohona pēpē palekana. Pediatrics. 2016; 138 (5). pii: e20162938. PMID: 27940804 www.ncbi.nlm.nih.gov/pubmed/27940804.