Nasal ahi

Kū ka nasal i ka wā e pālahalaha nā piko i ka wā e hanu ana. He hōʻailona pinepine ia o ka hanu pilikia.

ʻIke nui ʻia ka Nasal flaring i nā pēpē a me nā keiki liʻiliʻi.

ʻO kēlā me kēia ʻano e hoʻopilikia i ka hanu ʻana e hiki ai ke lele ka nasal. ʻAʻole koʻikoʻi nā kumu he nui o ka lele ʻana o ka ihu, akā hiki i kekahi ke hoʻoweliweli i ke ola.

I nā pēpē ʻōpio, hiki i ka lele ʻana o ka ihu ke hōʻailona o ka hanu kaumaha. ʻO kēia kahi maʻi māmā koʻikoʻi e pale aku i ka lawa ʻana o ka oxygen mai ka hele ʻana i nā ake a i loko o ke koko.

Hoʻokumu ʻia ka Nasal flaring e kekahi o kēia mau mea:

• Hoʻā ʻia ka hama
• Alanui alanui i pale ʻia
• ʻO ka huʻihuʻi a me ka muus i nā ala ea liʻiliʻi loa i nā akemāmā (bronchiolitis)
• Pilikia ka hanu ʻana a me ka ʻū hae (croup)
• Pehu a pehu paha nā mea i ka wahi e uhi i ka puka makani (epiglottitis)
• Nā pilikia o ka puʻu, e like me ka maʻi a i ʻole ka hōʻino wā lōʻihi
• ʻO ka maʻi hanu i nā keiki hānau hou (tachypnea transient of the newborn)

E ʻimi koke i ke kōkua pōpilikia inā he hōʻailona kou a ʻo kāu keiki paha i kahi pilikia hanu.

Kāhea i kāu kahu mālama ola inā:

• Aia kekahi hoʻomau, ʻaʻole wehewehe ʻia ka nasal flaring, keu hoʻi i kahi keiki ʻōpio.
• Hoʻomohala ke kala Bluish i nā lehelehe, nā moena kui, a i ʻole ka ʻili. He hōʻailona kēia e koʻikoʻi ka paʻakikī o ka hanu ʻana. ʻO ia paha ke ulu nei kahi kūlana pilikia.
• Manaʻo ʻoe e pilikia ana kāu keiki i ka hanu ʻana.

E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i nā ʻōuli a me ka mōʻaukala olakino. Hiki i nā nīnau ke komo pū me:

• I ka manawa hea i hoʻomaka ai nā ʻōuli?
• Ke maikaʻi a maikaʻi ʻole nei paha lākou?
• Nūnū ka hanu ʻana, a i ʻole he kani uō?
• He aha nā hōʻailona ʻē aʻe i laila, e like me ka sweating a me ka luhi paha?
• Huki paha nā mākala o ka ʻōpū, poʻohiwi, a i ʻole nā ​​iwi iwi i loko o ka hanu ʻana?

E hoʻolohe pono ka mea hāʻawi i nā kani o ka hanu. Kapa ʻia kēia auscultation.

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻImi kinoea Arterial
• Helu piha koko (CBC)
• ECG e nānā i ka puʻuwai
• Pulse oximetry e ana i ke kiʻekiʻe o ka oxygen koko
• X-kukuna o ka umauma

Hāʻawi ʻia paha ka oxygen inā aia kekahi pilikia hanu.

Flaring of the alae nasi (nostrils); Nostrils - lele

• Nasal ahi
• ʻIke o ka pilau

ʻO Rodrigues KK. ʻO Roosevelt GE. ʻO ke ākea o ke ala ākea ākea ākea (croup, epiglottitis, laryngitis, a me ka tracheitis bacteria). 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 412.

Sarnaik AP, Clark JA, Heidemann SM. Hoʻopilikia hanu a me ka holo pono ʻole. 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 89.