ʻ .kū uila

ʻO ka turgorʻili ka ʻili o ka ʻili. ʻO ka hiki i ka ʻili ke hoʻololi i ke ʻano a hoʻi i ka maʻamau.

ʻO ka turgor ʻili kahi hōʻailona o ka lilo o ka wai (dehydration). Hiki i ka diarrhea a i ʻole ka luaʻi ke hana i ka lilo o ka wai. Hiki i nā pēpē a me nā keiki liʻiliʻi me kēia mau ʻano ke lilo wikiwiki i ka wai, inā ʻaʻole lawa ka wai. ʻO ka fiva ka wikiwiki o kēia hana.

No ka nānā ʻana i ka turgor o ka ʻili, hopu ka mea mālama ola i ka ʻili ma waena o nā manamana lima ʻelua i hoʻomoana ʻia. ʻO ka maʻamau ma ka lima lalo a ʻōpū paha e nānā ʻia. Mālama ʻia ka ʻili no kekona kekona a laila hoʻokuʻu ʻia.

ʻO ka ʻili me ka turgor maʻamau e hoʻi wikiwiki i kona kūlana maʻamau. Lawe ka ʻili me ka turgor hune i ka manawa e hoʻi i kona kūlana maʻamau.

Loaʻa ka hemahema o ka turgor ʻili me ke ʻano kaulike i ka nalowale o ka wai. ʻO ka make wai haʻahaʻa ke lilo ka wai i ka 5% o ke kaumaha o ke kino. ʻO ka make wai maʻamau he 10% ka pohō a ʻo ka make nui loa he 15% a ʻoi aku ka nui o ke kaupaona o ke kino.

ʻO Edema kahi kūlana kahi e hoʻoulu ai ka wai i nā aʻa a hiki i ka pehu. ʻO kēia ke kumu o ka paʻakikī o ka ʻili i ka ʻili.

ʻO nā kumu maʻamau o ka ʻili turur ʻili maikaʻi:

• Hoʻoemi i ka lawe wai
• Make wai
• Pohā
• Diabetes
• ʻO ka pohō kaumaha loa
• Ka luhi wela (sweating nui me ka lawa ʻole o ka lawe wai)
• ʻO ka luaʻi

Hiki i nā maʻi pilikino e like me scleroderma a me Ehlers-Danlos maʻi ke hoʻopili i ka ʻili o ka ʻili, akā ʻaʻole pili kēia i ka nui o ka wai i ke kino.

Hiki iā ʻoe ke nānā wikiwiki no ka make wai ma ka home. E kī i ka ʻili ma hope o ka lima, ma ka ʻōpū, a i ʻole ma mua o ka umauma ma lalo o ka iwi iwi. E hōʻike kēia i ka turgor ʻili.

ʻO ka maloʻo haʻahaʻa e hoʻolōʻihi i ka ʻili i kona hoʻi ʻana i ka maʻamau. E hoʻoinu hou, inu i nā wai hou - e like me ka wai.

Hōʻike ka turgor nui i ke kūlana haʻahaʻa a koʻikoʻi paha. E ʻike koke i kāu mea hāʻawi.

Kāhea i kāu mea hāʻawi inā:

• Hana ʻia ka turgor ʻili maikaʻi ʻole me ka luaʻi, ka palahī, a me ke kuni.
• Lohi loa ka ʻili i ka hoʻi i ka maʻamau, a i ʻole ka ʻili "ʻili" o ka ʻili i ka wā o kahi kaha. Hiki i kēia ke hōʻike i ka make wai loa e pono ai ka mālama wikiwiki.
• Ua hoʻemi ʻoe i ka turgor ʻili a hiki ʻole ke hoʻonui i kāu lawe ʻana i nā wai (e laʻa me, no ka luaʻi).

E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau i nā nīnau e pili ana i kāu mōʻaukala olakino, e like me:

• Pehea ka lōʻihi o kou loaʻa ʻana i nā ʻōuli?
• He aha nā hōʻailona ʻē aʻe i hele mai ma mua o ka loli ʻana o ka turgor ʻili (luaʻi, diarrhea, a me nā mea ʻē aʻe)?
• He aha kāu i hana ai e hoʻāʻo ai e mālama i kēia ʻano?
• Aia kekahi mau mea e hoʻomaikaʻi ai i ke kūlana a maikaʻi ʻole paha?
• He aha nā hōʻailona ʻē aʻe āu (e like me nā lehelehe maloʻo, hoʻemi i ka puka mimi, a hoʻemi i ka waimaka)?

Nā hoʻokolohua e hana ʻia paha:

• ʻO ke kemika koko (e like me kahi chem-20)
• CBC
• Urinalysis

Pono paha ʻoe i nā wai hoʻoulu no ka pohō nui o ka wai. Pono ʻoe i nā lāʻau e mālama ai i nā kumu ʻē aʻe o ka turgor ʻili maikaʻi ʻole a me ka paʻa.

ʻIli palaoa; Turgor ʻili maikaʻi ʻole; Turgor ʻili maikaʻi; Hoʻoemi i ka turgor ʻili

• ʻ .kū uila

ʻO Ball JW, Nā maʻi JE, Flynn JA, Solomon BS, Stewart RW. Ili, lauoho, a me nā kui. I: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, hua. Ke alakaʻi a Seidel i ka hoʻokolokolo kino. 9th ed. St Louis, MO: Elsevier; 2019: chap 9.

Greenbaum LA. Hoʻoikaika deficit. 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 70.

ʻO McGrath JL, Bachmann DJ. Ana ana i nā mea nui. I: Roberts JR, Custalow CB, Thomsen TW, eds. ʻO Roberts a me Hedges 'Nā Kauka Lapaʻau i ka Medicine Emergency a me ka Care Acute. ʻEpekema 7 Piladelapia, PA: Elsevier; 2019: chap 1.

Van Mater HA, Rabinovich CE. ʻO Scleroderma lāua ʻo Raynaud hanana. 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 185.