Ana ana wela
Hiki i ke ana ʻana o ka mahana o ke kino ke kōkua i ka ʻike ʻana i ka maʻi. Hiki iā ia ke nānā inā paha e holo ana ka lāʻau. ʻO kahi wela wela ke kuni.
Paipai ka American Academy of Pediatrics (AAP) mai hoʻohana i nā thermometers aniani me ka mercury. Hiki ke haki ke kīʻaha, a he awaawa ka mercury.
Hōʻike pinepine ʻia nā thermometers uila. Hōʻike kahi papa maʻalahi i ka heluhelu i ka mahana. Hiki ke waiho i ka probe i loko o ka waha, ka pololei, a i ʻole ka armpit.
- Waha: waiho i ka probe ma lalo o ke alelo a pani i ka waha. Hanu ma ka ihu. E hoʻohana i nā lehelehe e hoʻopaʻa paʻa i ka thermometer ma kahi. E waiho i ka thermometer i ka waha no 3 mau minuke a i ke kani ʻana o ka mea.
- Rectum: ʻO kēia hana no nā pēpē a me nā keiki liʻiliʻi. ʻAʻole hiki iā lākou ke hoʻopaʻa pono i kahi thermometer i ko lākou waha. E hoʻonoho i ka jelly ʻaila ma ka ʻumeke o kahi thermometer rectal. E hoʻonoho i ke alo i lalo ma kahi pālahalaha a i ʻole nā uha. E hohola i nā puhaka a hoʻokomo i ka hopena kukui ma kahi o 1/2 a 1 ʻīniha (1 a 2.5 kenimika) i ka canal anal. E akahele o hoʻokomo iā ia i kahi mamao loa. Hiki i ka paio ke hoʻokuʻi i ka thermometer i kahi hou aku. Wehe ma hope o 3 mau minuke a i ʻole ke kani nā mea.
- Armpit: E kau i ka thermometer i ka ʻāpana lima. Kaomi i ka lima i ke kino. E kali no 5 mau minuke ma mua o ka heluhelu ʻana.
Hoʻololi nā thermometers loloa lika i ke kala e hōʻike ai i ka mahana. ʻO kēia ʻano hana ka pololei loa.
- E kau i ke kaʻe ma ka lae. Heluhelu ia ma hope o 1 mau minuke ke waiho ka holehole i kahi.
- Loaʻa nā thermometers palaki uila no ka waha.
ʻO nā thermometers pepeiao uila he mea maʻamau. Maʻalahi lākou e hoʻohana. Eia nō naʻe, hōʻike kekahi mau mea hoʻohana he ʻoi aku ka pololei o nā hopena ma mua o nā thermometers probe.
ʻOi aku ka pololei o nā thermometers lae uila ma mua o nā thermometers o ka pepeiao a like ko lākou pololei me nā thermometers probe.
E hoʻomaʻemaʻe mau i ka thermometer ma mua a ma hope o ka hoʻohana ʻana. Hiki iā ʻoe ke hoʻohana i ka wai ʻoluʻolu, soapy a i ʻole ka ʻānai ʻana i ka ʻalekohola.
E kali ma ka liʻiliʻi he 1 hola ma hope o ka hoʻoikaika kino a i ʻole ka ʻauʻau wela ma mua o ke ana ʻana i ka mahana o ke kino. E kali no 20 a 30 mau minuke ma hope o ka puhi ʻana, ka ʻai ʻana, a me ka inu ʻana i kahi wai wela a anuanu paha.
ʻO ka awelika o ke kino maʻamau he 98.6 ° F (37 ° C). Hiki ke hoʻololi i ka mahana maʻamau ma muli o nā mea e like me:
- Makahiki (i nā keiki ma mua o 6 mau mahina, hiki ke hoʻololi ka mahana o kēlā me kēia lā e 1 a 2 kekelē)
- Nā ʻokoʻa ma waena o kēlā me kēia kanaka
- Ka manawa o ke lā (ʻoi loa kiʻekiʻe ma ke ahiahi)
- ʻO ke ʻano o ke ana ʻana i lawe ʻia (waha, pololei, lae, a i ʻole ʻelima)
Pono ʻoe e ana i kahi ana wela kūpono e hoʻoholo ai inā aia kahi kuni. E hoʻomaopopo pono i kāu mea mālama ola i ke ʻano o ke ana wela āu i hoʻohana ai i ke kūkā ʻana i kahi kuni.
ʻAʻole maopopo ka pilina maoli ma waena o nā ʻano ana o ke ana wela. Eia nō naʻe, hoʻohana ʻia nā kulekele laulaha aʻe no nā hopena wela:
ʻO ka awelika maʻamau o ka mahana waha he 98.6 ° F (37 ° C).
- ʻO 0.5 ° F (0.3 ° C) kahi mahana wela o ka pololei ma mua o 1 ° F (0.6 ° C) kiʻekiʻe ma mua o kahi mehana waha.
- ʻO ka mahana o ka pepeiao he 0.5 ° F (0.3 ° C) a 1 ° F (0.6 ° C) ʻoi aku ka kiʻekiʻe ma mua o kahi mahana o ka waha.
- ʻO ka mahana o ka armpit ka mea pinepine ʻo 0.5 ° F (0.3 ° C) a 1 ° F (0.6 ° C) ma lalo o kahi mahana o ka waha.
- ʻO ka scanner lae pinepine ka 0.5 ° F (0.3 ° C) a 1 ° F (0.6 ° C) ma lalo o kahi mahana o ka waha.
ʻO nā kumu ʻē aʻe e noʻonoʻo ai:
- Ma ka laulā, manaʻo ʻia nā mahana o ke kī ʻoi aku ka pololei i ka nānā ʻana i ke kuni i ke keiki ʻōpio.
- E ana nā thermometers loloa lula i ka wela o ka ʻili, ʻaʻole ka mahana o ke kino. ʻAʻole lākou e koi ʻia no ka hoʻohana home maʻamau.
Inā ʻoi aku ka heluhelu ʻana ma ka thermometer ma mua o 1 a 1.5 mau kekelē ma luna o kou ana wela, he kuni kou. He hōʻailona paha nā fiva o:
- Huʻi koko
- Kanesa
- Kekahi ʻano o ka maʻi o ka maʻi, e like me rheumatoid arthritis a lupus paha
- Nā maʻi i loko o nā ʻōpū, e like me ka maʻi Crohn a i ʻole ke kolitis ulcerative
- Maʻiʻaʻai (nā koʻikoʻi a me ka 'ole-koʻikoʻi)
- Nui nā pilikia olakino ʻē aʻe
Hiki ke hāpai ʻia ka mahana o ke kino e:
- Ke ʻeleu nei
- Ke noho nei i kahi mahana wela a i ʻole ke kiʻekiʻe kiʻekiʻe
- ʻAi ʻaina
- ʻO ka manaʻo ikaika
- Menstruating
- Lawe ʻana i kekahi mau lāʻau
- Teething (i kahi keiki ʻōpio - akā ʻaʻole i ʻoi aku ma mua o 100 ° F [37.7 ° C])
- Ke komo nei i nā kapa kaumaha
Hiki ke koʻikoʻi ka mahana o ke kino a kiʻekiʻe paha. Kāhea i kāu mea hāʻawi inā ʻo kēia ka hihia.
Pili nā kumuhana pili:
- Pehea e mālama ai i ke kuni, e like me nā pēpē
- I ka wā hea e kāhea aku ai i kahi mea hoʻolako no ka fiva
- Ana ana wela
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.
Sajadi MM, Romanovsky AA. Hoʻonohonoho i ka mahana a me ka pathogenesis o ke kuni. I: Bennett JE, Dolin R, Blaser MJ, hua pā. ʻO Mandell, Douglas, a me Bennett's Principle a me ka hoʻomaʻamaʻa ʻana i nā maʻi kūpilikiʻi. 9th ed. Piladelapia, PA: Elsevier; 2020: chap 55.
Ward MA, Hannemann NL. Fever: pathogenesis a me ka lāʻau. I: Cherry JD, Harrison GJ, Kaplan SL, Steinbach WJ, Hotez PJ, eds. ʻO Feigin lāua ʻo Cherry's Textbook of Pediatric Infectious Diseases. 8th ed. Piladelapia, PA: Elsevier; 2019: chap 4.