Rash - keiki ma lalo o 2 mau makahiki
ʻO kahi wīwī kahi hoʻololi i ke kala a i ʻole ka ʻili o ka ʻili. Hiki i kahi ʻili ʻili ke:
- Bumpy
- Pālahalaha
- ʻUlaʻula, ʻili ʻulaʻula, a i ʻole māmā iki a ʻeleʻele hoʻi ma mua o ka ʻili o ka ʻili
- Scaly
ʻO ka hapa nui o nā puʻupuʻu a me nā blotches ma kahi pēpē hou he mea ʻino ʻole a hoʻomaʻemaʻe iā lākou iho.
ʻO ka pilikia o ka ʻili maʻamau i nā pēpē ka diaper ruash. ʻO ka pīpī pīpī kahi mea hoʻonāukiuki i ka ʻili i hoʻokumu ʻia e ka pulu, mimi, a me nā feces. ʻO ka hapa nui o nā pēpē e ʻaʻa ana i nā pale diapera e loaʻa i kekahi o nā ʻano popoki ʻino.
Hiki i nā maʻi ʻili ʻē aʻe ke hana i nā huehue. ʻAʻole koʻikoʻi kēia mau mea ke ʻole lākou e kū ʻia me nā ʻōuli ʻē aʻe.
Nā kumu e komo pū paha:
- ʻO ka pīpī pīpī (ʻāwīwī i ka wahi diaper) kahi huhū o ka ʻili i hoʻokumu ʻia e ka pulu wā lōʻihi a me ka mimi a me nā feces e pili ana i ka ʻili.
- Hoʻokumu ʻia ka hū diapeta hū e kekahi ʻano hū i kapa ʻia candida, a he kumu hoʻi ia e pīpī ai i ka waha. Ke nānā aku nei ka ʻūlū i ka mea ʻokoʻa mai kahi ʻūpā diaper maʻamau. ʻUlaʻula loa ia, a he mau ʻulaʻula ʻulaʻula liʻiliʻi ma ka lihi waho o ka hū. Pono kēia wīwī me ka lāʻau lapaʻau.
- Hoʻokū ʻia ka wela, a i ʻole ka wela o ka prickly, ma muli o ka paʻa ʻana o nā pores e hiki ai i nā ʻaukā. ʻO ka mea maʻamau i nā keiki ʻōpio akā hiki ke hana i kēlā me kēia makahiki. ʻOi aku ka maʻamau i ke aniau wela a me ka wela. Mālama ʻia ka hou i loko o ka ʻili a hana i nā puʻupuʻu ʻulaʻula liʻiliʻi a i ʻole i kekahi manawa nā palapū liʻiliʻi.
- Hiki i ka Erythema toxicum ke kumu i nā splotches ʻulaʻula pālahalaha (maʻamau me kahi keʻokeʻo keʻokeʻo, a me ka pimple i waenakonu) i ʻike ʻia i hoʻokahi hapalua o nā pēpē āpau. ʻIke iki kēia ʻōpala ma hope o 5 mau lā o ka makahiki, a nalo pinepine i 7 a 14 mau lā. ʻAʻole ia he mea e hopohopo ai.
- Hoʻokumu ʻia ka huehue pēpē e ka hōʻike ʻana i nā homone a ka makuahine. ʻO nā puʻupuʻu ʻulaʻula, i kekahi manawa me nā kiko keʻokeʻo ma waenakonu, e ʻike ʻia ma ka maka o kahi keiki hānau hou. Kū pinepine ka huehue ma waena o 2 a me 4 mau pule o ka makahiki, akā ʻike ʻia a 4 mau mahina ma hope o ka hānau ʻana a hiki ke hala no 12 a 18 mau mahina.
- ʻO ka pāpale Cradle (seborrheic dermatitis) ke kumu o ka momona, ka unahi ʻana, nā kīkaha crusty ma ka ʻili i ʻike ʻia i loko o nā mahina 3 mua o ka pēpē. Hele pinepine iā ia iho, akā koi ʻia kekahi mau hihia i ka mālama ʻana me ka lāʻau.
- ʻO ka Eczema kahi ʻano o ka ʻili kahi maloʻo, scaly, ʻulaʻula (a ʻoi aku ka pouli ma mua o ke kala o ka ʻili maʻamau), a ʻili hoʻi. Ke hele no ka manawa lōʻihi hele a mānoanoa nā wahi. Hoʻohui pinepine ʻia me ka hānō a me nā maʻi āpau, ʻoiai hiki ke hana pinepine ʻia me ka ʻole o kekahi o kēia. Holo pinepine ʻo Eczema i loko o nā ʻohana.
- ʻO nā hives nā welts ʻulaʻula e ʻike e neʻe ana ma ke kino. ʻO kahi laʻana, inā ʻoe e kahakiʻi i kahi pōʻai e hōʻailona i kekahi o nā welts, i kekahi mau hola ma hope ʻaʻole he welt i loko o ia pōʻai, akā aia nā welts ma nā ʻāpana ʻē aʻe o ke kino. Kūlike lākou i ka nui a me ke ʻano. Noho mau paha ʻo Hives no kekahi mau pule. ʻAʻole maopopo ke kumu.
HOLOHOLU ANA O NA DIAPER
E hoʻomaloʻo i ka ʻili. Hoʻololi i nā pale pulu i ka hiki ke hiki. E ʻae i ka ʻili o ke pēpē e hoʻomaloʻo i ka ea e like me ka lōʻihi o ka hiki ke hana. E holoi i nā lole pale lole ma ke kopa a holoi maikaʻi. Hōʻalo i ka hoʻohana ʻana i ka palule palika. Hōʻalo i nā holoi hoʻonāukiuki (ʻo ka mea ʻona hoʻi me ka waiʻona) ke hoʻomaʻemaʻe i ka pēpē.
Hiki i nā hamo a i ʻole nā kalima ke kōkua i ka hoʻoliʻiliʻi i ka hakakā a pale i ka ʻili o ka pēpē mai ka huhū. Pono e hoʻohana akahele nā pauka e like me ka ʻoka palaoa a i ʻole talc, no ka mea hiki ke hanu ʻia e ka pēpē a hiki paha ke hōʻeha i ka māmā.
Inā loaʻa ka pēpē hū i kāu pēpē, e kauoha ka mea mālama ola i kahi kalima e mālama iā ia.
HE MAU HOLO EKAHI
ʻOi aku ka maikaʻi o ka mālama ʻana i ka wela a me ka wela prickly e ka hāʻawi ʻana i kahi anuanu a me ka haʻahaʻa o ka wai no ke keiki.
ʻAʻole hiki i nā pauka ke kōkua i ka mālama ʻana i ka wela a pono e mālama ʻia i waho o ke alo o ke pēpē e pale ai i ka hanu ʻana ʻole. Hōʻalo i nā hamo a me nā kalima no ka mea mālama lākou i ka ʻili mehana a pale i nā pores.
He maʻa mau ka Erythema toxicum i nā pēpē hou a hele aku iā ia iho i kekahi mau lā. ʻAʻole pono ʻoe e hana i kekahi mea no ia.
E hele aku ka milia keʻokeʻo a maʻemaʻe paha ma kā lākou iho. ʻAʻole pono ʻoe e hana i kekahi mea no ia.
No nā hives, e kamaʻilio me kāu mea lawelawe e hoʻāʻo e ʻike i ke kumu. Pono kekahi mau kumu i nā lāʻau lapaʻau. Hiki paha i nā Antihistamines ke kōkua i ka hoʻōki ʻana i ka ʻili.
ʻNLELE BAIBALA
ʻO ka holoi maʻamau ka mea pono e mālama ai i ka huehue pēpē i ka hapanui o ka manawa. E hoʻohana i ka wai maʻalahi a kopa pēpē māmā a ʻauʻau wale i kāu pēpē i kēlā me kēia 2 a 3 mau lā. Hōʻalo i nā lāʻau huehue i hoʻohana ʻia e nā ʻōpio a me nā mākua.
PAPA KUHIKUHI
No ka pāpale moe, holoi i ka lauoho a i ʻole ka maʻi poʻo me ka wai a i ʻole kahi shampoo pēpē māmā. E hoʻohana i kahi palaki e hoʻoneʻe i nā flakes o ka ʻili maloʻo. Inā ʻaʻole hiki ke hemo maʻalahi, hoʻopili i kahi aila i ka ʻili i palupalu. Nalo pinepine ka pāpale Cradle e 18 mau mahina. Inā ʻaʻole e nalo, lilo ia i maʻi, a i ʻole kūpaʻa ia i nā mālama ʻana, e nīnau i kāu mea hāʻawi.
ECZEMA
No nā pilikia o ka ʻili i hoʻokumu ʻia e ka eczema, ʻo nā kī o ka hōʻemi ʻana i ka wikiwiki e hōʻemi i ka ʻili ʻana a mālama i ka ʻili i ka wai.
- E mālama pōkole i nā manamana o ka pēpē a noʻonoʻo e kau i nā mīkina lima palupalu i ke keiki i ka pō e hoʻoliʻiliʻi i ka wili ʻana.
- ʻO nā kopa maloʻo a me nā mea āpau i hoʻonāukiuki i ka wā i hala (me nā meaʻai) e pono e hōʻalo.
- E noi i kahi waiū palū a hamo paha ma hope koke o ka ʻauʻau ʻana e hōʻalo ai i ka maloʻo ʻana.
- ʻO nā ʻauʻau wela a lōʻihi paha, a i ʻole nā ʻauʻau huʻa, ʻoi aku ka maloʻo a pono e hōʻole ʻia.
- Loose, lole pulupulu e kōkua ia e omo i ka hou.
- E nīnau i kahi mea hāʻawi inā ʻaʻole kēia mau ana e kaohi i ka eczema, (pono paha i kāu keiki i nā lāʻau i kuhikuhi ʻia) a i ʻole inā hoʻomaka ka ʻili e maʻi.
ʻOiai e ulu ana ka hapanui o nā keiki me ka eczema iā ia, he nui ka poʻe e ʻili kūpilikiʻi e like me nā mākua.
Kāhea i ka hāʻawi o kāu keiki inā loaʻa i kāu keiki:
- ʻO kahi kuni a i ʻole nā hōʻailona ʻē aʻe ʻole e pili ana i ka hū
- ʻO nā wahi āpau ke nānā aku, pulu, a ʻulaʻula paha, kahi hōʻailona o ka maʻi
- ʻO kahi wīwī e hoʻonui i ka wahi o ka diaper
- ʻO kahi wīwī i ʻoi aku ka maikaʻi o ka ʻili
- ʻO kahi wīwī, nā kiko, hū, a i ʻole discoloration a ʻoi aku kona ʻōpio ma mua o 3 mau mahina
- Pahū
- ʻAʻohe hoʻomaikaʻi ma hope o 3 mau lā o ka mālama ʻana i ka home
- ʻIngkala nui
E hana ka mea hāʻawi i kahi hoʻokolohua kino. E nānā pono ʻia ka ʻili o ka pēpē e hoʻoholo i ka nui a me ke ʻano o ka ʻino. Lawe mai i kahi papa inoa o nā huahana a pau i hoʻohana ʻia ma ka ʻili o ke keiki.
E nīnau ʻia paha ʻoe i nā nīnau e like me:
- I ka manawa hea i hoʻomaka ai ka hū?
- Ua hoʻomaka anei nā ʻōuli ma ka wā hānau? Ua hana ʻia ia ma hope o ka hoʻomaha ʻana o ka fiva?
- Pili ka hū i ka ʻeha o ka ʻili, ʻauʻau, a i ʻole ke kū ʻana i ka lā a me ke anuanu?
- Pehea ke ʻano o ka hū?
- Ma kahi o ke kino e puka ai ka ʻehu? Ua hoʻolaha ʻia i nā wahi ʻē aʻe?
- He aha nā hōʻailona ʻē aʻe e kū pū kekahi?
- He aha ke ʻano o nā kopa e hoʻohana ai?
- Kau ʻoe i kekahi mea ma ka ʻili (kaila, ka wai hoʻowali, nā aila, nā mea ʻala)?
- Ke lawe nei kāu keiki i nā lāʻau? Pehea ka lōʻihi o ka lawe ʻana o ke keiki iā lākou?
- Ua ʻai paha kāu keiki i nā meaʻai hou?
- Ua pili paha kāu keiki i ka mauʻu / mauʻu / mauʻu i kēia mau lā?
- Ua maʻi paha kāu keiki?
- Holo paha kekahi pilikia ʻili i kou ʻohana? Loaʻa i kāu keiki a i ʻole kekahi i kou ʻohana i nā maʻi ʻaihue?
Kākaʻikahi ka makemake o nā hoʻāʻo akā hiki ke hoʻopili i kēia mau mea:
- Nā hoʻāʻo ʻana o ka ʻili āpau
- Nā aʻo ʻana i ke koko (e like me CBC, ka hoʻokae koko)
- Ninaninau ʻia ʻo microscopic o kahi laʻana o ka ʻili i hoʻopili ʻia
Kaukaʻi ʻia i ke kumu o ka hū, hiki ke koi ʻia nā antihistamines e hoʻēmi i ka aniani. Hiki ke kuhikuhi ʻia nā antibiotic inā aia kekahi maʻi bacteria.
Hiki i ka mea hāʻawi ke kuhikuhi i kahi kalima no ka hūpē diaper i hoʻokumu ʻia e ka hū. Inā koʻikoʻi ka hū ʻole ma muli o ka hū, e paipai ʻia kahi holika corticosteroid.
No ka eczema, hiki i ka mea hāʻawi ke kuhikuhi i nā hamo a i ʻole nā lāʻau cortisone e hōʻemi ai i ka mumū.
ʻHiki hānai pēpē; Miliaria; Wela huhū
- Erythema toxicum ma ka wāwae
- Hūwī wela
- Miliaria profunda - pani
- Erythema toxicum neonatorum - kokoke loa
ʻO Gehris RP. Dermatology. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 8.
Kohut T, Orozco A. Dermatology. I: Ka Haukapila ʻo Johns Hopkins; Hughes HK, Kahl LK, hoʻoponopono. ʻO ka Halemai ʻo Johns Hopkins: Ka puke lima ʻo Harriet Lane. 21st ed. Piladelapia, PA: Elsevier; 2018: chap 8.