ʻAha moe moe keiki

Me ka apnea moe pediatric, hoʻomaha iki ka hanu o kahi keiki i ka wā hiamoe no ka mea ua hele a ākea paha ke ala ākea.

I ka wā hiamoe, ʻoi aku ka maʻalahi o nā mākala i ke kino. Pākuʻi ʻia kēia i nā mākala e kōkua ai e hāmama ka ʻāʻī i hiki i ke ea ke kahe i loko o nā akemāmā.

ʻO ka maʻamau, hāmama ka ʻāʻī i ka wā hiamoe e hele ka ea. Eia nō naʻe, he ʻīkī kā kekahi mau keiki. ʻO kēia pinepine ma muli o nā tonsil nui a i ʻole adenoids, kahi e ālai hapa i ka airflow. Ke hoʻomaha nā mākala i ko lākou ʻāʻī o luna i ka wā hiamoe, pili nā aʻaʻa a ālai i ke alaloa. Kapa ʻia kēia kū i ka hanu ʻana he apnea.

ʻO nā kumu ʻē aʻe e hoʻonui paha i ka makaʻu o ka hiamoe apnea i nā keiki.

• ʻO kahi ā liʻiliʻi
• ʻO kekahi ʻano o ke kaupaku o ka waha (palate)
• Nui ke alelo, e hāʻule paha i hope a ālai i ke alaloa
• Ka momona
• Nā leo nāwaliwali nāu ma muli o nā kūlana e like me Down syndrome a i ʻole ka palsy cerebral

ʻO ke kaniʻuhū nui kahi ʻōuli o ka sleep apnea. Hoʻokumu ʻia ka Snoring e ka ea e kahe ana ma waena o ke alaloa ākea a i ʻole wahi ʻia. Eia nō naʻe, ʻaʻole kēlā me kēia keiki e ʻūlū i ka maʻi hiamoe.

ʻO nā keiki me ka apnea hiamoe kekahi o kēia mau ʻōuli i ka pō:

• Hoʻomaha hoʻomaha lōʻihi lōʻihi i ka hanu ʻana a ukali ʻia e nā hū, ʻāʻā, a me nā ea no ka ea
• ʻO ka hanu nui naʻe ka waha
• Hiamoe hoʻomaha ʻole
• Ke ala ala pinepine nei
• Holo hiamoe
• Hoʻoulu
• Moe moe

I ke ao, hiki i nā keiki me ka ʻamoe ke:

• Hiamoe a hiamoe paha i loko o ka lā
• Hana huhū, hoʻomanawanui, a ukiuki paha
• Loaʻa ka pilikia i ka noʻonoʻo ʻana i ke kula
• Loaʻa i ka hana hyperactive

E lawe ka mea mālama ola i ka mōʻaukala olakino o kāu keiki a hana i kahi hoʻokolohua kino.

• E nānā ka mea hāʻawi i ka waha o kāu keiki, ʻāʻī, a me ka puʻu.
• E nīnau ʻia paha kāu keiki e pili ana i ka hiamoe o ke ao, pehea ka maikaʻi o ko lākou hiamoe ʻana, a me nā ʻano hiamoe.

Hāʻawi ʻia kāu keiki i kahi hiamoe e hōʻoia i ka hiamoe apnea.

ʻO ke kaha e wehe i nā tonsil a me nā adenoids e hoola pinepine i ke ʻano i nā keiki.

Inā pono, hiki ke hoʻohana ʻia ke ʻoki ʻana i:

• Wehe i nā kiko keu ma ka hope o ka ʻāʻī
• Hoʻoponopono i nā pilikia me nā hanana i ka maka
• E hana i kahi wehe i ka puka makani e kāpae i ke ala ākea i ālai ʻia inā loaʻa nā pilikia o ke kino

I kekahi manawa, ʻaʻole koi ʻia ke ʻoki a kōkua ʻole paha. I kēlā hihia, kāu keiki kaʻu hoʻohana ʻana i kahi hāmeʻa puʻuwai puʻuwai (CPAP) mau.

• Hoʻokomo ke keiki i ka pale maka ma luna o ko lākou ihu i ka wā hiamoe.
• Pili ka pale maka e ka kaukini i kahi mīkini liʻiliʻi e noho ana ma ka ʻaoʻao o kahi moe.
• Hoʻopili ka mīkini i ka ea ma lalo o ke kaomi ma o ka kaukini a me ka pale maka a i ke ala ea i ka wā hiamoe. Kōkua kēia i ka hāmama o ke ala ākea.

Hiki iā ia ke lilo i kahi manawa e maʻa ai i ka hiamoe me ka hoʻohana ʻana i ka lāʻau lapaʻau CPAP. Hiki i ka ukali ʻana a me ke kākoʻo maikaʻi mai kahi kikowaena moe ke kōkua i kāu keiki e lanakila i nā pilikia ma ka hoʻohana ʻana iā CPAP.

Hiki i nā mālama ʻē aʻe ke:

• Hoʻokomo ʻia nā ihu steroid.
• Niho hāmeʻa. Hoʻokomo ʻia kēia i loko o ka waha i ka wā o ka hiamoe e hoʻomau i ka iwi ā i mua a hāmama ke ala.
• ʻO ka hoʻēmi kino, no nā keiki kaupaona.

I ka hapanui o nā hihia, hoʻomaha loa ka lapaʻau ʻana i nā ʻōuli a me nā pilikia mai ka sleep apnea.

Hiki i ka apnea hiamoe pediatric ke hoʻomaʻamaʻa ʻole ʻia ke alakaʻi i:

• Piʻi koko kiʻekiʻe
• Nā pilikia puʻuwai a i ʻole māmā
• Hoʻonui lohi a ulu

Kāhea i kahi mea hāʻawi inā:

• ʻIke ʻoe i nā ʻōuli o ka hiamoe apnea i kāu keiki
• ʻAʻole hoʻomaikaʻi nā ʻōuli me ka lāʻau lapaʻau, a ulu ʻole nā ​​ʻōuli hou

ʻAno moe - pediatric; Apnea - pediatric sleep apnea syndrome; Ka hanu hiamoe hiamoe ʻole - pediatric

• ʻO Adenoids

ʻO Amara AW, Maddox MH. Epidemiology o ka hiamoe hiamoe. I: Kryger M, Roth T, Dement WC, hua pā. Nā Kumumanaʻo a me ka Hoʻomaʻamaʻa ʻana o ka lāʻau hiamoe. ʻElua huaʻōlelo Piladelapia, PA: Elsevier; 2017: chap 62.

Ishman SL, Prosser JD. Ka loiloi a me ka hoʻokele o ka hoʻomau i ka moe maʻi pale keiki pediatric. I: Friedman M, Jacobowitz O, eds. ʻO ka Apne Moe a me ka Honi. ʻElua ed. Piladelapia, PA: Elsevier; 2020: chap 69.

Marcus CL, Brooks LJ, Draper KA, et al. ʻIke a me ka hoʻokele o ka maʻi hiamoe ʻo ke keiki hiamoe. Pediatrics. 2012; 130 (3): e714-e755. PMID: 22926176 pubmed.ncbi.nlm.nih.gov/22926176.