Ke kaʻina hana ʻo Pierre Robin

ʻO ke kaʻina ʻo Pierre Robin (a i ʻole ka maʻi maʻi) kahi kūlana kahi i liʻiliʻi ai ka pēpē ma mua o ka iwi ā lalo, kahi alelo e hāʻule i ka ʻāʻī, a paʻakikī i ka hanu ʻana. Aia i ka wā hānau.

ʻAʻole ʻike ʻia nā kumu kikoʻī o ke kaʻina o Pierre Robin. He ʻāpana paha ia o nā syndrome genetic.

Hoʻolālā mālie ka iwi ā lalo ma mua o ka hānau ʻana, akā ulu wikiwiki paha i nā makahiki mua o ke ola.

Nā ʻōuli o kēia ʻano:

• Pāpā palu
• Palate kiʻekiʻe
• ʻO ka iwi ʻuʻuku loa me ka auwae liʻiliʻi
• Iwi loa i ka ʻāʻī
• ʻO nā maʻi pepeiao hou
• ʻO ka wehe liʻiliʻi i ka hale o ka waha, a he kumu paha ia e ʻoki ai a i ʻole nā ​​wai e puka mai ana ma ka ihu
• ʻO nā niho e ʻike ʻia ke hānau ʻia ka pēpē
• Lelo i nui ke hoʻohālikelike ʻia i ka ā

Hiki i kahi mea mālama ola ke hōʻoia pinepine i kēia ʻano i ka wā o ka hoʻokolohua kino. ʻO ke kūkā ʻana me kahi loea genetika hiki ke kāpae i nā pilikia ʻē aʻe e pili ana i kēia maʻi.

E kamaʻilio me kāu kauka o kāu keiki e pili ana i nā kūlana hiamoe palekana. Pono kekahi mau pēpē me ke kaʻina ʻo Pierre-Robin e hiamoe ma ko lākou ʻōpū ma kahi o ko lākou kua i pale i ko lākou alelo e hāʻule hope i kā lākou ala.

I nā kūlana kūpono, pono i ke keiki e hoʻokau i kahi paipu ma o ka ihu a i loko o ke alaloa e pale ai i ka poloka o ke ala. I nā hihia koʻikoʻi, pono ke kīpoki e pale i kahi paʻa i ke alaloa kiʻekiʻe. Pono kekahi mau kamaliʻi i kahi ʻoki e hana i puka ma ko lākou ala ea a i ʻole e neʻe i mua i ko lākou alo.

Pono e hana akahele loa ka hānai ʻana i mea e pale aku ai i ka ʻānai ʻana a me ka hanu ʻana i nā wai i loko o nā alaloa. Pono e hānai ʻia ke keiki ma o kahi ʻōmole e pale ai i ke kolo ʻana.

Hiki i nā kumuwaiwai aʻe ke hāʻawi i ka ʻike hou aku ma ke kaʻina o Pierre Robin:

• ʻO ka ʻimi noiʻi hemahema hānau no nā keiki - www.birthdefects.org/pierre-robin-syndrome
• ʻO ka Cleft Palate Foundation - www.cleftline.org
• National Organization for Rare Disorder --rarediseases.org/rare-diseases/pierre-robin-sequence

Hele paha nā pilikia ʻānai a hānai iā lākou iho i nā makahiki mua i ka ulu ʻana o ka iwi ā lalo i kahi nui maʻamau. Aia kahi makaʻu nui no nā pilikia inā ʻaʻole mālama ʻia nā alaloa o ke keiki mai ka pale ʻia ʻana.

Hiki ke hana i kēia mau pilikia:

• Nā pilikia hanu, keu hoʻi ke hiamoe ke keiki
• Paukū ʻoka
• Hoka puʻuwai Congestive
• Make
• Pilikia hānai
• Low oxygen oxygen a me ka lolo poino (ma muli o ka paʻakikī hanu)
• Ke ʻano o ke koko kiʻekiʻe i kapa ʻia he pulmonary hypertension

ʻO nā pēpē i hānau ʻia me kēia ʻano ʻike pinepine ʻia i ka wā hānau.

Kāhea i kāu mea hāʻawi inā loaʻa kāu keiki i nā ʻāpana choking a i ʻole nā ​​pilikia hanu. Hiki i kahi blockage o nā alaloa ke kani i kahi kani kiʻekiʻe ke hanu ke keiki i loko. Hiki iā ia ke alakaʻi i ka blueness o ka ʻili (cyanosis).

Kāhea pū kekahi inā loaʻa nā pilikia hanu ʻē aʻe o kāu keiki.

ʻAʻohe pale e ʻike ʻia. Hiki i ka mālama ʻana ke hōʻemi i nā pilikia hanu a me ke kolo.

Maʻi ʻo Pierre Robin; Pilikia Pierre Robin; ʻO Pierre Robin anomaly

• ʻO nā palahalaha paʻakikī a palupalu hoʻi

ʻO Dhar V. Syndromes me nā hōʻike waha. I: Kliegman RM, Stanton BF, 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 337.

Purnell CA, Gosain AK. Ke kaʻina hana ʻo Pierre Robin. I loko o: Rodriguez ED, Losee JE, Neligan PC, eds. ʻOki kino: Volume ʻEkolu: Craniofacial, ʻoki poʻomanaʻo poʻo a me nā ʻāʻī a me nā ʻoki lula pediatric. ʻEhā ed. Piladelapia, PA: Elsevier; 2018: chap 36.