Nā pae alakaʻi - ke koko

ʻO ka pae kēpau koko kahi hoʻāʻo e ana i ka nui o ke kēpau i ke koko.

Pono kahi laʻana koko. ʻO ka hapanui o ka manawa e huki ʻia ke koko mai kahi aa i waiho ʻia ma loko o ka kuʻe lima a i ʻole ka hope o ka lima.

I nā pēpē a i ʻole nā ​​keiki ʻōpio, hiki ke hoʻohana ʻia kahi mea ʻoi i kapa ʻia he lancet e hou i ka ʻili.

• Hōʻiliʻili ke koko i loko o kahi kīʻaha kīʻaha liʻiliʻi i kapa ʻia he pipette, a i ʻole ma kahi pāheʻe a i ʻole ka papa hoʻāʻo.
• Hoʻokomo ʻia kahi bandage ma luna o kahi e kū ai ke kahe ʻana o ke kahe.

ʻAʻole pono kahi hoʻomākaukau kūikawā.

No nā keiki, he mea kōkua paha ke wehewehe i ka ʻano o ka hoʻāʻo a me ke kumu o ka hana ʻia ʻana. Hiki paha i kēia ke hōʻemi i ka makaʻu.

Hiki paha iā ʻoe ke ʻeha iki a i ʻole ke kuʻi ke hoʻokomo ʻia o ka nila. Hiki paha iā ʻoe ke hāwele i kahi kani ma ka pūnaewele ma hope o ka huki ʻia ʻana o ke koko.

Hoʻohana ʻia kēia hōʻike e kānana i ka poʻe i ka makaʻu no ka lāʻau make kēpau. Pākuʻi ʻia paha kēia i nā limahana ʻoihana hana a me nā keiki e noho ana i nā kūlanakauhale. Hoʻohana ʻia ka hoʻokolohua e kuhikuhi ai i ka lāʻau make kēpē ke loaʻa i kekahi kanaka nā ʻōuli o ke ʻano. Hoʻohana ʻia ia e ana i ka maikaʻi o ka mālama ʻana no ka lāʻau make kēpau. Kūleʻa ke kēpau i ke kaiapuni, no laila ʻike pinepine ʻia i ke kino i nā pae haʻahaʻa.

ʻAʻole i manaʻo ʻia he pōkole nā ​​kēpau liʻiliʻi i nā mākua. Eia nō naʻe, hiki i nā pae haʻahaʻa o ke kēpau ke lilo i mea weliweli i nā pēpē a me nā keiki. Hiki iā ia ke kumu i ka lāʻau make kēpē e alakaʻi i nā pilikia i ka ulu ʻana o ka noʻonoʻo.

Makua:

• Ma lalo o 10 micrograms no deciliter (µg / dL) a i ʻole 0.48 micromoles i kēlā me kēia lita (µmol / L) o ke kēpau i ke koko

Keiki:

• Ma lalo o 5 µg / dL a i ʻole 0.24 µmol / L o ke kēpau i ke koko

Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. E kamaʻilio me kāu mea mālama ola e pili ana i ke ʻano o kāu mau hopena hōʻike kikoʻī.

I ka poʻe mākua, kahi pae kēpau koko o 5 µg / dL a i ʻole 0.24 µmol / L a i luna paha e manaʻo ʻia he kiʻekiʻe. Paipai ʻia ka lapaʻau inā:

• ʻOi aku ka nui o ke kiʻekiʻe o kou koko ma mua o 80 µg / dL a i ʻole 3.86 µmol / L.
• Loaʻa iā ʻoe nā ʻōuli o ka lāʻau ʻino kēpau a ʻoi aku ka nui o kāu pae o ke koko ma mua o 40 µg / dL a i ʻole 1.93 µmol / L.

I nā keiki:

• ʻO ke kiʻekiʻe alakaʻi o ke koko o 5 µg / dL a i ʻole 0.24 µmol / L a ʻoi aku paha e koi ana i ka hoʻāʻo hou a me ka nānā ʻana.
• Pono e loaʻa a lawe ʻia ke kumu o ke kēpau.
• ʻO kahi pae kēpau i ʻoi aku ma mua o 45 µg / dL a i ʻole 2.17 µmol / L i ke koko o ke keiki e hōʻike pinepine nei i ka pono no ka lapaʻau.
• E noʻonoʻo ʻia ka mālama ʻana me kahi pae ma lalo o 20 µg / dL a i ʻole 0.97 µmol / L.

Nā pae kēpau koko

• Hōʻaʻo koko

Nā kikowaena no ka pūnaewele Disease Control a me Prevent. Alakaʻi: he aha nā mākua e pono ai e ʻike e pale aku ai i kā lākou keiki? www.cdc.gov/nceh/lead/acclpp/blood_lead_levels.htm. Hoʻohou ʻia Mei 17, 2017. Loaʻa iā ʻApelila 30, 2019.

Kao LW, Rusyniak DE. Lāʻau make ʻino: nā metals a me nā mea ʻē aʻe. I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 22.

ʻO Markowitz M. Ka lāʻau make. 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 739.

ʻO Pincus MR, Bluth MH, ʻAberahama NZ. Toxicology a me ka nānā ʻana i ka lāʻau therapeutic. I: McPherson RA, Pincus MR, hua. ʻO kā Henry's Clinical Diagnosis a me Management e nā Laboratory Methods. 23rd Ed. St Louis, MO: Elsevier; 2017: chap 23.

ʻO Schnur J, ʻo John RM. ʻO ka lāʻau make kēpau kamaliʻi a me nā Kikowaena hou no ka mālama ʻana i ka maʻi a me nā alakaʻi no ka hōʻike kēpau. Hoʻomaʻamaʻa kahu ʻo J Am Assoc. 2014; 26 (5): 238-247. PMID: 24616453 www.ncbi.nlm.nih.gov/pubmed/24616453.