ʻO ka hemahema o ka wikamina K o ke keiki hānau hou

ʻO ka hoʻokahe ʻana o ka Vitamin K (VKDB) o ke keiki hānau he maʻi hoʻokahe koko i nā pēpē. Hoʻonui pinepine ia i nā lā mua a me nā pule o ke ola.

ʻO ka nele o ka wikamina K ke kumu o ke kahe ʻana o ke koko i nā pēpē hou. He mea nui ka wikamina K i ke kāpili ʻana i ke koko.

Loaʻa ka pae haʻahaʻa o nā pēpē i nā pēpē K no nā ʻano kumu like ʻole. ʻAʻole neʻe maʻalahi ka Vitamin K ma waena o ka placenta mai ka makuahine a hiki i ka pēpē. A ʻo kahi hopena, ʻaʻohe nui o ka huaora K i kahi hānau hou i mālama ʻia i ka wā hānau. Eia kekahi, ʻo nā bacteria e kōkua i ka hana ʻana i ka wikamina K ʻaʻole i kēia manawa i kahi ʻōpū gastrointestinal gastrointestinal. ʻO ka hope, ʻaʻohe nui o ka wikamina K i ka waiū o ka makuahine.

E hoʻomohala paha kāu pēpē i kēia ʻano inā:

• ʻAʻole hāʻawi ʻia kahi kīmike pale K i ka wā hānau (inā hāʻawi ʻia ka huaʻai K ma ka waha ma kahi o ka pana, pono e hāʻawi ʻia ma mua o hoʻokahi manawa, a ʻaʻole ia e like me ka maikaʻi o ka pana).
• Lawe ʻoe i kekahi lāʻau anti-seizure a i ʻole nā ​​lāʻau hoʻomāliʻi koko.

Hoʻohui ʻia ke ʻano i ʻekolu mau ʻano:

• Kākaʻikahi loa ka hoʻomaka ʻana o VKDB. Hana ʻia ia i nā hola mua ma hope o ka hānau ʻana a ma loko o 48 mau hola. Hoʻokumu pinepine ʻia ia e ka hoʻohana ʻana i nā lāʻau anti-seizure a i ʻole nā ​​lāʻau ʻē aʻe, e like me ka mea lahilahi o ke koko i kapa ʻia ʻo Coumadin, i ka wā hāpai.
• Kū ka maʻi maʻamau-ma waena o 2 a 7 mau lā ma hope o ka hānau ʻana. ʻIke ʻia paha i nā pēpē i hānai ʻole ʻia i kī ʻole ʻia i kī ʻia i loko o ka pule mua ma hope o ka hānau ʻana, e like me ka poʻe i hoʻopaneʻe mua ʻia ka hānai ʻana. Kākaʻikahi nō hoʻi ia.
• ʻIke ʻia ʻo VKDB Late-hoʻomaka i nā pēpē ma waena o 2 mau pule a me 2 mau makahiki. ʻOi aku ka maʻamau i nā keiki i loaʻa ʻole ka pū kī K.

ʻO nā keiki hānau a me nā pēpē me nā pilikia e pili ana i ka ʻōnaehana gastrointestinal e ulu paha i kēia maʻi.

• Ka nele o Alpha1-antitrypsin
• Biliary atresia
• Maʻi Celiac
• ʻO Cystic fibrosis
• Pohā
• Hepatitis

ʻO ke kumu ke kumu o ke kahe ʻana. ʻO nā wahi maʻamau o ke kahe ʻana o ke koko:

• ʻO kahi peni kāne a ke keikikāne, inā ua ʻoki poepoe ʻia ʻo ia
• ʻĀpana pihi Belly
• Gastrointestinal tract (e hopena ana i ke koko i ka ʻōpū o ke pēpē neʻe)
• Nā membrane mucus (e like me ka uhi ʻana o ka ihu a me ka waha)
• Nā wahi i loaʻa ai kahi lāʻau kui kele

Eia kekahi:

• Koko i ka mimi
• ʻUpala
• ʻO ka hopu ʻana (convulsions) a i ʻole ka lawena maʻamau

E hana ʻia nā hoʻāo koko ʻana.

Hoʻopaʻa ʻia ka hōʻoia inā pau kahi kīkī K i hoʻopau i ke kahe ʻana o ke kahe a me ke kō ʻana o ke koko (manawa prothrombin) e lilo i mea maʻamau. (I ka hemahema o ka wikamina K, ʻaʻole kūpono ka manawa prothrombin.)

Hāʻawi ʻia ka Vitamin K inā kū kahe i ke kahe. ʻO nā pēpē me ke kahe ʻana o ke kahe e pono ai i ka plasma a i ʻole ke koko.

ʻOi aku ka maikaʻi o ka nānā aku i nā pēpē me ka maʻi hemorrhagic hopena hope ma mua o nā ʻano ʻē aʻe. Aia kahi kiʻekiʻe o ke kahe o ke kahe i loko o ka iwi poʻo (intracranial hemorrhage) e pili ana i ke ʻano hopena o ka hopena.

Komo pū nā pilikia:

• Kahe i loko o ka iwi poʻo (intracranial hemorrhage), me ka hiki i ka lolo ke hōʻino
• Make

Kāhea i kāu kahu mālama ola inā loaʻa i kāu pēpē:

• ʻO kekahi kahe koko ʻole
• Ka hopu ʻana i nā maʻi
• ʻAno ʻōpū

E kiʻi koke i ka lāʻau lapaʻau inā pilikia nā ʻōuli.

Hiki ke pale ʻia ke ʻano hoʻomaka mua o ka maʻi ma ka hāʻawi ʻana i nā kī kīkī K i nā wahine hāpai e lawe i nā lāʻau anti-seizure. I mea e pale aku ai i nā ʻano mele kahiko a me ka hopena o ka hopena, ua paipai ka American Academy of Pediatrics e hāʻawi i kēlā me kēia pēpē i kahi kī o ka huaora K ma hope koke o ka hānau ʻana. Ma muli o kēia hana, kākaʻikahi ka hemahema o ka huaʻai K i kēia manawa ma ʻAmelika Hui Pū ʻIa koe wale nō kēlā mau pēpē i loaʻa ʻole ka pū kī K.

ʻO ka maʻi hemorrhagic o ke keiki hānau hou (HDN)

ʻO Bhatt MD, Ho K, Chan AKC. Nā maʻi o ka coagulation i ka neonate. I: Hoffman R, Benz EJ, Silberstein LE, et al, eds. Hematology: Nā Kumumanaʻo a me ka Hoʻomeheu. ʻEpekema 7 Piladelapia, PA: Elsevier Saunders; 2018: chap 150.

Nā kikowaena no ka mālama ʻana a me ka pale ʻana i ka maʻi (CDC). Nā memo mai ke kula: ka hopena hope o ka wikamina K i loko o nā pēpē i hōʻole nā ​​mākua i ka wikamina K prophylaxis - Tennessee, 2013. MMWR Morb Mortal Wkly Rep. 2013; 62 (45): 901-902. PMID: 24226627 www.ncbi.nlm.nih.gov/pubmed/24226627.

Greenbaum LA. Ka hemahema o ka wikamina K. 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 66.

ʻO Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Nā maʻi koko. 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 66.

Sankar MJ, Chandrasekaran A, Kumar P, Thukral A, Agarwal R, Paul VK. ʻO ka Vitamin K prophylaxis no ka pale ʻana i ka lawa ʻole o ka wikamina K: he loiloi ʻōnaehana. J Perinatol. 2016; 36 Hōʻawi 1: S29-S35. PMID: 27109090 www.ncbi.nlm.nih.gov/pubmed/27109090.