ʻIke ʻili i nā keiki hānau hou
Hele ka ʻili o kahi pēpē pēpē i nā hoʻololi he nui i ka hiʻona a me ke ʻano.
ʻO ka ʻili o kahi hānau hou olakino i ka hānau ʻana he:
- ʻIli ʻulaʻula a ʻulaʻula paha a me nā lima a me nā wāwae bluish. ʻEleʻele ka ʻili ma mua o ka lawe ʻana o ka pēpē i ka hanu mua (ke hana lākou i kēlā uē ikaika mua).
- ʻO kahi mānoanoa, waxy i kapa ʻia ʻo vernix e uhi ana i ka ʻili. Pale kēia mea i ka ʻili o ka fetus mai ka wai amniotic i loko o ka ʻōpū. Pono e holoi ʻo Vernix i ka ʻauʻau mua o ka pēpē.
- ʻO ka lauoho maikaʻi, palupalu (lanugo) i hiki ke uhi i ke poʻo, ka lae, nā papalina, nā poʻohiwi, a me ke kua. ʻOi aku ka nui o kēia ke hānau ʻia o kahi pēpē ma mua o ka lā palena. Pono e nalowale ka lauoho i loko o nā pule mua o ke ola o ka pēpē.
E ʻokoʻa ka ʻili hānau hou, kaukaʻi ʻia i ka lōʻihi o ka hāpai ʻana. He ʻili lahilahi, ʻōmaʻomaʻo hoʻi nā pēpē mua. ʻOi aku ka mānoanoa o ka ʻili o kahi pēpē wā piha.
I ka lā ʻelua a ʻekolu paha o ka pēpē, hoʻomālamalama iki ka ʻili a lilo i maloʻo a me ka flaky. E ʻulaʻula mau ka ʻili i ka uē ʻana o ke pēpē. Hiki i nā lehelehe, nā lima, a me nā wāwae ke bluish a i ʻole ke aniani (mottled) ke anuanu ka pēpē.
ʻO nā loli ʻē aʻe e komo pū paha:
- ʻO Milia, (liʻiliʻi, keʻokeʻo momi, paʻa i luna i ka maka) a nalo wale ma kā lākou iho.
- ʻO ka huehue māmā e hoʻomaʻemaʻe pinepine i loko o kekahi mau pule. ʻO kēia ke kumu o kekahi o nā homone o ka makuahine e noho i ke koko o ka pēpē.
- Erythema lāʻauʻona. ʻO kēia kahi maʻa mau, maikaʻi ʻole e like me nā pustules liʻiliʻi ma kahi kumu ʻulaʻula. ʻIke ʻia i ka maka, ke kumu, nā wāwae, a me nā lima ma kahi o 1 a 3 mau lā ma hope o ka lawe ʻana. Nalo e 1 pule.
Pili pū nā ʻōuli hānau a i ʻole nā kaha ʻili i:
- ʻO nā nevi Congenital he moles (nā ʻili ʻeleʻele pigment pigment) i loaʻa i ka wā hānau. Kūleʻa lākou i ka nui mai ka liʻiliʻi a i ka pea i lawa ka nui e uhi i ka lima āpau a i ʻole ka wāwae, a i ʻole kahi ʻāpana nui o ke kua a i ʻole ke kumu. Lawe ka nevi nui i kahi makaʻu ʻoi aku ka nui o ka lilo ʻana i ka maʻi ʻaʻai ʻili. Pono ka mea mālama ola e ukali i nā nevi āpau.
- ʻO nā kiko Mongolian he kiko polū-hina a ʻeleʻele paha. Hiki iā lākou ke puka aʻe ma ka ʻili o ka ʻūpā a i ʻole kua, nui i nā pēpē ʻeleʻele. E mae lākou i loko o hoʻokahi makahiki.
- Mālamalama nā wahi cafe-au-lait, ke kala o ke kofe me ka waiū. Hōʻike pinepine lākou i ka wā hānau, a i ʻole hoʻomohala i loko o nā makahiki mua. ʻO nā keiki i loaʻa i kēia mau kiko, a i ʻole nā kiko nunui, e loaʻa paha kahi ʻano i kapa ʻia neurofibromatosis.
Hiki i nā hānau hānau ʻulaʻula ke:
- Pahu Port-waina - nā mea ulu e loaʻa nā kīʻaha koko (ulu vascular). ʻUlaʻula lākou e purplish i ke kala. ʻIke pinepine ʻia lākou i ka maka, akā hiki ke hana ʻia ma nā wahi o ke kino.
- Hemangiomas - kahi hōʻiliʻili o nā capillaries (nā kīʻaha koko liʻiliʻi) e ʻike ʻia i ka wā hānau a i kekahi mau mahina paha ma hope.
- Nā nahu o ka stork - nā liʻiliʻi ʻulaʻula ma ka lae o ka pēpē, nā lihilihi, hope o ka ʻāʻī, a i ʻole ka lehelehe luna. Hāpai ʻia lākou i ke kīloi ʻana o nā kīʻaha koko. Hele pinepine lākou i loko o 18 mau mahina.
Nā ʻano ʻili o ka hānau hou; ʻO nā ʻili ʻili pēpē; Mālama neonatal - ʻili
- Erythema toxicum ma ka wāwae
- Nā ʻano ʻili
- Milia - ihu
- ʻO Cutis marmorata ma ka wāwae
- Miliaria crystallina - mea kokoke
- Miliaria crystallina - ka umauma a me ka lima
- Miliaria crystallina - ka umauma a me ka lima
ʻO Balest AL, Riley MM, Bogen DL. Neonatology. I: Zitelli, BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 2.
ʻO Bender NR, Chiu YE. ʻO ka loiloi Dermatological o ka mea maʻi. 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 664.
ʻO Narendran V. Ka ʻili o ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 94.
ʻO Walker VP. Loiloi hānau hou. I: Gleason CA, Juul SE, eds. Nā maʻi o Avery o ke keiki hānau. 10 o ka lā. Piladelapia, PA: Elsevier; 2018: chap 25.