Hoʻihoʻi intercostal

Hana ʻia nā intercostal retractions ke huki nā mākala ma waena o nā iwi ʻaoʻao i loko. ʻO ka neʻe pinepine ʻana i kahi hōʻailona he pilikia ko ka hanu i ke kanaka.

ʻO ka intercostal retractions kahi pilikia olakino.

He palupalu ka paia o kou umauma. Kōkua kēia iā ʻoe e hanu maʻamau. Hoʻopili nā mea ʻoʻoleʻa i kāhea ʻia i kou iwi iwi i ka iwi umauma (sternum).

ʻO nā mākala intercostal nā mākala ma waena o nā iwi ʻaoʻao. I ka hanu ʻana, hoʻopaʻa paʻa mau kēia mauʻiʻo a huki i ka iwi ʻaoʻao i luna. Hoʻonui ʻia kou umauma a hoʻopiha ka māmā me ka ea.

ʻO nā retrinter intercostal ma muli o ka hōʻemi o ka ea i loko o kou umauma. Hiki i kēia ke hana inā ke ākea hapa ʻia ke ala ākea kiʻekiʻe (trachea) a i ʻole nā ​​alaloa liʻiliʻi o nā akemāmā (bronchioles). ʻO ka hopena, omo ʻia nā mākala intercostal i loko, ma waena o nā iwi ʻaoʻao, ke hanu ʻoe. He hōʻailona kēia o ke ala ākea i ālai ʻia. ʻO kēlā me kēia pilikia olakino e kumu i ka paʻa ʻana i ke alaloa e hoʻoiho i nā intercostal retraction.

Hoʻokumu ʻia paha nā intercostal retractions e:

• ʻO kahi hopena ʻino a ʻino hoʻi o ke kino holoʻokoʻa i kapa ʻia he anaphylaxis
• Asthma
• 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)
• ʻO ka hoʻowahāwahā o nā meaola (epiglottis) e uhi ana i ka puka makani
• Kino haole i ka paipu makani
• Pulumonia
• ʻO kahi pilikia o ka hanu i nā keiki hānau hou i kapa ʻia ʻo syndrome respiratory respiratory
• Ka hōʻiliʻili ʻana o ka nū i loko o nā aʻa ma hope o ka ʻāʻī (retropharyngeal abscess)

E ʻimi koke i ke kōkua lapaʻau inā kū ʻia nā intercostal retractions. Hiki i kēia ke hōʻailona o ke alaloa ākea i hiki ke lilo i mea hoʻoweliweli i ke ola.

E ʻimi pū kekahi i ka lāʻau lapaʻau inā e uliuli ka ʻili, nā lehelehe, a i ʻole nā ​​nailbeds, a i ʻole inā huikau ke kanaka, hiamoe, a paʻakikī paha e ala.

I kahi wā pōpilikia, e hana mua ke kime mālama ola i nā ʻanuʻu e kōkua ai iā ʻoe e hanu. Loaʻa paha iā ʻoe ka oxygen, nā lāʻau e hōʻemi ai i ka pehu ʻana, a me nā lāʻau ʻē aʻe.

Ke hiki iā ʻoe ke hanu maikaʻi, e nānā ka mea mālama ola iā ʻoe a nīnau e pili ana i kāu mōʻaukala a me nā ʻōuli, e like me:

• I ka manawa hea i hoʻomaka ai ka pilikia?
• Ke hele nei a maikaʻi, ʻino, a noho like paha?
• Hana ʻia i nā manawa āpau?
• Ua ʻike anei ʻoe i kekahi mea koʻikoʻi i hoʻokumu ʻia i ke ākea o ke ala waena?
• He aha nā ʻōuli ʻē aʻe i laila, e like me ka ʻili polū polū, hū, kani kani kiʻekiʻe ke hanu, ʻū a ʻeha ka ʻāʻī paha?
• Ua hanu ʻia kekahi mea i ke alaloa?

ʻO nā hoʻāʻo e hana ʻia ana paha:

• Nā ʻenekini koko arterial
• Pākuʻi x-ray
• Helu piha koko (CBC)
• Pulse oximetry e ana i ke kiʻekiʻe o ka oxygen koko

Hoʻihoʻi i nā mākala o ka umauma

Brown CA, Nā paia RM. Alanui Airway. 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 1.

ʻO Rodrigues KK, 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.

Sharma A. Kaumaha hanu. I loko o: Kliegman RM, Lye PS, Bordini BJ, Toth H, Basel D, eds. ʻO Diagnosis Hōʻike Hōʻikeʻike Pediatric Nelson. Piladelapia, PA: Elsevier; 2018: chap 3.