Hōʻikeʻike neonatal

ʻO ka Conjunctivitis ka pehu a i ʻole ka maʻi o ka membrane e laina ana i nā lihilihi a uhi i ka ʻāpana keʻokeʻo o ka maka.

Kūpono paha ka Conjunctivitis i kahi keiki hānau.

Hoʻokumu pinepine ʻia nā maka pehu a i ʻole nā ​​mea wela paha.

• Kahi waimaka i ālai ʻia
• Kulu ka maka me nā lāʻau ʻalopika, hāʻawi ʻia ma hope pono o ka hānau
• ʻO ka maʻi e nā bacteria a me nā mea hoʻomaʻi paha

ʻO ke koʻohune e noho maʻamau i ka ʻōpū o ka wahine e hoʻoili ʻia paha i ka pēpē i ka wā o ka hānau hānau. ʻO ke kumu o ka hōʻino maka maka hou aku paha ma o:

• ʻO Gonorrhea a me chlamydia: ʻO kēia nā maʻi i hoʻolaha ʻia mai ka pilina kolohe.
• Nā Virus i hoʻokumu i ka herpes genital a me oral: Hiki i kēia ke alakaʻi i ka hōʻino maka nui. ʻOi aku ka maʻi o nā maʻi herpes ma mua o ka hopena o gonorrhea a me chlamydia.

ʻAʻole paha i loaʻa i ka makuahine nā ʻōuli i ka manawa o ka hānau ʻana. Hāpai paha ʻo ia i nā bacteria a i ʻole nā ​​virus e hiki ke kumu i kēia pilikia.

Hoʻomohala nā pēpē pēpē hou i ka hoʻokahe ʻana i ka wai mai nā maka ma waena o 1 lā a 2 mau pule ma hope o ka hānau ʻana.

Lele ka maka o ka maka, ʻulaʻula, a palupalu hoʻi.

Aia paha he wai, koko, a mānoanoa paha e like me ka wai kahe mai nā maka o ke pēpē.

E hana ka mea mālama ola i kahi hōʻike maka ma ka pēpē. Inā ʻaʻole maʻamau ka maka, hana ʻia paha nā hoʻokolohua aʻe:

• ʻO ka moʻomeheu o ka hoʻowaiwai mai ka maka e nānā no nā koʻohune a i nā virus paha
• ʻO ka hoʻāʻo kukui kukui e nānā no ka hōʻino ʻana o ka ʻili o ka maka

ʻO ka ʻōhū o ka maka i hoʻokumu ʻia e nā kulu maka i hāʻawi ʻia i ka wā hānau e hele ma ona iho.

No kahi kaula waimaka i ālai ʻia, kōkua ka lomilomi mehana mehana ma waena o ka maka a me ka ihu. Hoʻomaʻamaʻa pinepine ʻia kēia ma mua o ka hoʻomaka ʻana o nā antibiotic. Pono paha ke ʻoki ʻana inā ʻaʻole i holoi kahi kahe waimaka i ālai ʻia e ka manawa a 1 ka makahiki o ka pēpē.

Pono nā Antibiotics i nā maʻi o ka maka i hoʻokumu ʻia e ka bacteria. Hiki ke hoʻohana pū ʻia nā kulu maka a me nā hamo. Hiki ke hoʻohana ʻia nā kulu wai wai paʻakai e hemo ai ka paheʻe melemele kōwili.

Hoʻohana ʻia nā kulu maka antiviral kūikawā a i ʻole nā ​​hamo no ka maʻi herpes o ka maka.

ʻO ka hōʻailona wikiwiki a me ka mālama ʻana e alakaʻi pinepine ai i nā hopena maikaʻi.

Komo pū nā pilikia:

• Makapō
• Ka hoʻohaunaele o ka iris
• Pākuʻi a puka paha i ke kōkea - ke ʻano mōakāka i luna o ka ʻāpana kala o ka maka (ka iris)

E kamaʻilio me kāu mea hāʻawi inā ua hānau ʻoe (a manaʻo paha e hānau) i kahi kahi i waiho pinepine ʻole ʻia ai ka lāʻau antibiotic a me ka nitrate kālā i nā maka o ke pēpē. ʻO kahi laʻana e hānau hānau ʻole ʻia ma ka home. He mea nui loa kēia inā loaʻa a makaʻu paha ʻoe i nā maʻi i loaʻa i ka moekolohe.

Pono nā wahine hāpai e mālama i nā maʻi no ka hoʻolaha ʻana i ka moekolohe e pale ai i ka conjunctivitis hānau hou i hoʻokumu ʻia e kēia mau maʻi.

Ke kau nei i nā kulu maka i nā maka o nā pēpē āpau i ka lumi hāʻawi ma hope pono o ka hānau ʻana hiki ke kōkua i ka pale ʻana i nā maʻi he nui. (He mau kānāwai ko ka hapanui o nā mokuʻāina e koi ana i kēia lapaʻau.)

Ke loaʻa nā maʻi herpes i ka makuahine i ka manawa o ka hānau ʻana, paipai ʻia kahi ʻāpana Cesarean (ʻāpana C) e pale aku i nā maʻi nui i ka pēpē.

Hōʻikeʻike hānau hou; Conjunctivitis o ka hānau hou; Ophthalmia neonatorum; Pākuʻi maka - conjunctivitis neonatal

Olitsky SE, Marsh JD. Nā maʻi o ka conjunctiva. 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 644.

ʻO Orge FH. ʻO ka hoʻokolokolo a me nā pilikia maʻamau i ka maka neonatal. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 95.

Rubenstein JB, Spektor T. Conjunctivitis: maʻi lele a me ka maʻi ʻole. I: Yanoff M, Duker JS, eds. Ophthalmology. 5th lā. Piladelapia, PA: Elsevier; 2019: chap 4.6.