Stridor

ʻO Stridor kahi kani maʻamau, kani kiʻekiʻe, kani kani mele. Hoʻokumu ʻia ia e kahi paʻa i ka ʻāʻī a i ʻole pahu leo ​​(larynx). Lohe pinepine ʻia i ka wā e hanu nei.

ʻOi aku ka makaʻu o nā keiki i ke kahakaha o ke ala no ka mea ʻoi aku ka liʻiliʻi o ke ala o ko lākou ala ma mua o nā mākua. I nā keiki ʻōpio, stridor kahi hōʻailona o ka blockage airway. Pono e mālama koke ʻia e pale i ke ala ākea mai ka paʻa loa ʻana.

Hiki ke pale ʻia ke ala ākea e kahi mea, nā mea pehu o ka ʻāʻī a i ʻole ke alaloa kiʻekiʻe, a i ʻole ka spasm o nā mākala airway a i ʻole nā ​​kaula leo.

ʻO nā kumu maʻamau o ke stridor komo pū:

• Poino Airway
• Ka hopena hoʻowali
• Pilikia ka hanu ʻana a me ka ʻū hae (croup)
• Nā hōʻike diagnostics e like me ka bronchoscopy a i ʻole ka laryngoscopy
• ʻO Epiglottitis, hoʻowahāwahā o ka cartilage e uhi ana i ka puka makani
• E hoʻōha ana i kahi mea e like me ka peanut a i ʻole ke kinikini (makemake i ke kino ʻē
• ʻO ka pupuhi a me ka huhū o ka pahu leo ​​(laryngitis)
• ʻOki ʻāʻī
• Hoʻohana o kahi paipu hanu no ka manawa lōʻihi
• Nā huna e like me phlegm (sputum)
• Hoʻopau i ka uahi a i ʻole ʻeha inhalation ʻē aʻe
• ʻO ka pehu o ka ʻāʻī a i ʻole ke alo
• Pehu nā tonsil a i ʻole adenoids (e like me ka tonsillitis)
• Maʻi ʻaʻai Vocal cord

E hāhai i ka ʻōlelo aʻoaʻo a kāu kahu mālama ola e mālama ai i ke kumu o ka pilikia.

He hōʻailona paha ʻo Stridor no kahi pilikia. Kāhea koke aku i kāu mea hāʻawi inā aia kahi stridor i wehewehe ʻole ʻia, keu hoʻi i kahi keiki.

I kahi ulia pōpilikia, e nānā ka mea hāʻawi i ka mahana, ka lāʻau, ka hanu ʻana o ke hanu, a me ke kahe o ke koko, a pono paha e hana i nā ʻōpū.

Pono paha kahi paipu hanu inā ʻaʻole hiki i ke kanaka ke hanu pono.

Ma hope o ke kūpaʻa o ke kanaka, e nīnau paha ka mea hāʻawi e pili ana i ka mōʻaukala o ke kanaka, a hana i kahi hoʻokolohua kino. Hoʻopili kēia i ka hoʻolohe ʻana i nā ake māmā.

E nīnau ʻia paha nā mākua a mea mālama paha i nā nīnau mōʻaukala e hiki mai ana.

• ʻO ke kani maʻamau ka leo kiʻekiʻe?
• Ua hoʻomaka koke paha ka pilikia hanu?
• Hiki paha i ke keiki ke hoʻokau i kekahi mea i ko lākou waha?
• Ua maʻi paha ke keiki i kēia manawa?
• Ua pehu anei ka ʻāʻī o ke keiki a i ʻole ke alo?
• Ke ʻeha nei ke keiki a i ʻole ka namunamu o ka ʻāʻī ʻeha?
• He aha nā hōʻailona ʻē aʻe a ke keiki? (ʻO kahi laʻana, ka lapalapa ʻana o ka ihu a i ʻole ke kala bluish i ka ʻili, nā lehelehe, a me nā kui
• Ke hoʻohana nei ke keiki i nāʻiʻo o ka umauma e hanu (intercostal retractions)?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• ʻImi kinoea Arterial
• ʻO Bronchoscopy
• Scanner CT pahu
• Laryngoscopy (ninaninau ʻana i ka pahu leo)
• Pulse oximetry e ana i ke kiʻekiʻe o ka oxygen koko
• X-ray o ka umauma a i ʻole ʻāʻī

Kani kani hanu - abnormal; ʻO ke keʻakeʻa alanui Extrathoracic; Wheezing - stridor

ʻO Griffiths AG. Nā ʻōuli hanu mau a i ʻole hoʻi. 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 401.

ʻO Rose E. Pediatric respiratory respiratory emergency: ʻo ke alalai ākea o luna a me nā maʻi. I: Nā paia RM, Hockberger RS, Gausche-Hill M, nā ʻaoʻao. ʻO Rosen's Emergency Medicine: Nā Manaʻo Manaʻo a me ka hana lapaʻau. 9th ed. Piladelapia, PA: Elsevier; 2018: chap 167.