He aha kāu e ʻike ai e pili ana i ka Bulging Fontanel
Anter
- He aha nā kumu o ka fontanel puʻupuʻu?
- Nā kumu ʻē aʻe
- Āhea wau e ʻimi ai i ka mālama olakino?
- He aha ka mea e hiki ke hana inā ʻaʻole mālama ʻia kahi fontanel ʻōhū?
- He aha ka mea e kali ai ma ka haukapila
- Aia kekahi ala e pale aku ai i kahi fontanel ʻōhū?
- Lawe aku
He aha ka puʻupuʻu puʻupuʻu?
ʻO kahi fontanel, i kapa ʻia ʻo fontanelle, i ʻike nui ʻia ma ke ʻano he wahi palupalu. Ke hānau ʻia kahi pēpē, loaʻa iā lākou he mau fontanel kahi o nā iwi o ko lākou iwi poʻo i hoʻopili ʻole ʻia ai. ʻO kahi hānau hānau he fontanels ma luna, hope, a me nā ʻaoʻao o ko lākou poʻo.
ʻO ka maʻamau, ʻo ka fontanel mua wale nō, ka mea ma ke poʻo o ke poʻo i mua, hiki ke ʻike a ʻike ʻia. ʻO kēia ka mea i kapa ʻia ʻo kahi palupalu. I kekahi mau pēpē, hiki ke ʻike ʻia ka fontanel hope, i loaʻa i ke kua o ke poʻo, ʻoiai ka liʻiliʻi loa.
He mea nui ia no nā mākua hou e hoʻomaopopo i ke ʻano o ka fontanel a me ka manaʻo. Pono ka palupalu o kahi pēpē e palupalu a kūlou i loko loa.
Hiki i nā loli i ke kinona a i ʻole ke ʻano ke hōʻailona o nā pilikia olakino koʻikoʻi. E nānā pono nā mākua i nā kiko palupalu i wili ʻia i waho ma ke poʻo o kā lākou pēpē a manaʻo paʻa loa. ʻIke ʻia kēia ma ke ʻano he puʻupuʻu puʻupuʻu a he hōʻailona paha ia o ka pehu ʻana o ka lolo a i ʻole ka hoʻoulu wai ʻana i ka lolo.
He pōpilikia ka fontanel ʻōhū. Hiki iā ia ke lilo i hōʻailona o ke kaomi e piʻi ana i loko o ka iwi poʻo i hopena paha i ka hōʻino ʻana i ka lolo e ulu ana o ka pēpē. Inā loaʻa i kāu keiki kēia hōʻailona, e ʻimi koke i ka lāʻau.
He aha nā kumu o ka fontanel puʻupuʻu?
ʻO kekahi o nā kumu maʻamau o ka fontanel ʻōhū ʻo:
- encephalitis, kahi maʻi lolo i hoʻokumu ʻia e ka maʻi viral a me ka maʻi bacteria paha
- hydrocephalus, ʻo ia ka wai nui o ka lolo e kū nei i ka wā hānau a i ʻole kū mai ka ʻeha a maʻi paha
- meningitis, ʻo ia ka mumū o ka lolo a me nā aʻa o ke kuamoʻo i hopena ʻia mai ka maʻi viral a i ʻole ka maʻi bacteria
- hypoxic-ischemic encephalopathy, ʻo ia ka pehu o ka lolo a hōʻino ʻia i ka wā e hoʻonele ʻia ka lolo o kāu pēpē i ka oxygen no kahi wā lōʻihi.
- hemorrhaging intracranial, ka mea e kahe ana ke kahe i ka lolo
- hōʻeha poʻo
Nā kumu ʻē aʻe
Hāʻawi ʻia kahi fontanel ʻōhū i nā kumu hou aʻe, a me nā mea ʻē aʻe he nui, i hiki ke kumu.
- kahi tumo lolo a i ʻole abscess
- ʻO ka maʻi Lyme, kahi maʻi koʻohune āu e loaʻa ai mai kahi tick tick
- ʻO ka maʻi ʻo Addison, kahi kūlana kahi e hana ʻole ai kāu mau adrenal glands i nā hormona no kou kino e hana pono
- hiki ʻole i ka puʻuwai puʻuwai, ʻo ia ka wā e kūkulu ai ke koko a me ka wai i nā ʻāpana o kou kino no ka hiki ʻole i kou puʻuwai ke pauma i ke koko
- leukemia, ʻo ia ka maʻi ʻaʻai o nā hunaola keʻokeʻo
- kahi haunaele electrolyte, ʻo ia ke kū ʻole i ke kiʻekiʻe o ke koko o kekahi mau kemikolo, e like me ka sodium a me ka potassium.
- hyperthyroidism, ʻo ia ka manawa e hana ai kāu thyroid i nā homone he nui aʻe ma mua o kāu e pono ai
- maʻi maple syrup mimi, i hiki ke hiki ʻole i kou kino ke wāwahi pono i nā protein
- anemia, kahi ʻano i lawa ʻole ka oxygen i kou koko
I ka hapanui o nā kūlana o kēia mau kūlana, loaʻa i kahi pēpē nā ʻōuli ʻē aʻe i ka hoʻohui o kahi fontanel ʻōhū a maʻi paha paha.
Eia kekahi, he mea maʻamau ʻole ia, inā ʻaʻole kākaʻikahi, no kekahi o kēia mau mea - koe ka tumo lolo a i ʻole abscess - e hoʻoulu i ka fontanel puʻupuʻu, no ka mea laha ʻole ke ʻano i ka wā kamaliʻi a i ʻole no ka hanana i ke ʻano pēpē fonanel
Āhea wau e ʻimi ai i ka mālama olakino?
Nui a hewahewa nā kumu i hiki ke hōʻike i kahi wahi palupalu ke ʻōhū ʻia ke ʻoiaʻiʻo ʻaʻohe mea weliweli. ʻO nā mea maʻamau a nā pēpē e hana ai e like me ka moe ʻana i ka luaʻi, ka luaʻi ʻana, a i ʻole ka uē ʻana hiki ke kuhihewa ʻia no kāu pēpē he fontanel ʻōhū.
I mea e hoʻoholo ai inā he fontanel ʻōhū kā kāu pēpē, e hoʻāʻo mua e hoʻomaha iā lākou, a laila hoʻonohonoho iā lākou i kū pono ke poʻo. Inā kūleʻa ʻoe i ka hana ʻana i kēia a ʻike ʻia ke ʻōhū mau o ka wahi palupalu, e ʻimi koke i ka lāʻau no kāu keiki.
Mai kali e hana i kahi kau kauka. E hele i kahi lumi pilikia kokoke loa. He mea koʻikoʻi kēia inā loaʻa ke kuni o kāu pēpē a hiamoe nui paha.
Inā ʻaʻohe ou kauka kauka, hiki i ka mea hana Healthline FindCare ke kōkua iā ʻoe e loaʻa i kekahi ma kou wahi.
He aha ka mea e hiki ke hana inā ʻaʻole mālama ʻia kahi fontanel ʻōhū?
Hiki i kahi wahi palupalu ke lilo i hōʻailona o nā ʻano koʻikoʻi loa i hiki ke hoʻoweliweli i ke ola. ʻO kahi laʻana, ʻo ka encephalitis, kahi kumu maʻamau o nā fontanels huhū, hiki ke alakaʻi i ka ʻino mau o ka lolo a i ʻole ka make i nā hihia koʻikoʻi.
He aha ka mea e kali ai ma ka haukapila
Ma muli o ka hiki ke nui nā wehewehe ʻana no kēia mau ʻōuli, e hōʻiliʻili kāu kauka i ka nui o ka ʻike e pili ana i ke kūlana o kāu keiki.
E hana ana kāu kauka i kahi hoʻokolokolo kino o kāu pēpē a e nīnau paha:
- e pili ana i ka mōʻaukala olakino o kāu pēpē a me nā lāʻau
- inā kū mau ka puʻupuʻu a ʻike ʻia paha he maʻamau i nā manawa
- i kou ʻike mua ʻana i ka helehelena maikaʻi ʻole o ka kiko palupalu
E ʻike pono i kāu kauka e pili ana i nā ʻōuli ʻē aʻe āu i ʻike ai, e like me:
- hiamoe hiamoe
- kahi mahana kiʻekiʻe
- hoʻonāukiuki ma mua o ka mea maʻamau no kāu keiki
Kaukaʻi ʻia i nā pane āu e hāʻawi ai a me nā ʻōuli ʻē aʻe i loaʻa, hiki i kāu kauka ke kauoha i hoʻokahi a ʻoi paha mau hoʻokolohua, e like me ka scan MRI a i ʻole CT, e hana ai i kahi hōʻailona.
Lumbar puncture, a i ʻole i ke kuamoʻo o ke kuamoʻo, hana pū ʻia paha. Hoʻopili kēia i ka lawe ʻana i kahi laʻana o ka wai cerebrospinal mai ka iwi ʻaoʻao lalo o kāu pēpē e nānā no ka maʻi a me ka maʻi i loko o kā lākou ʻōnaehana nūnū.
E pili ka mālama ʻana i ke kumu kumu o nā hōʻailona o kāu pēpē.
Aia kekahi ala e pale aku ai i kahi fontanel ʻōhū?
ʻAʻohe ala kūpono e pale ai i nā fontanels mai ka ʻōhū ʻana. ʻO ka hapa nui kēia no ka mea he mau kumu kūpono paha ka hōʻailona.
Me nā ʻike i loaʻa, hiki i nā mākua a me nā mea mālama ʻē aʻe ke hoʻomaopopo pono i kēia ʻōuli. ʻO kahi laʻana, hiki iā ia ke kōkua iā lākou e hoʻokaʻawale ma waena o kahi wahi palupalu e hōʻike ʻia ana i kahi manawa pōkole a me kahi mea e ulu ana.
Eia nō naʻe, inā loaʻa ka ʻike, he mea nui no nā mākua a me nā mea mālama ʻē aʻe e hoʻopili aku i ke kauka o kā lākou keiki inā he mau nīnau a hopohopo paha lākou e pili ana i ka puʻupuʻu fontanel.
Lawe aku
ʻO kahi fontanel ʻōhū nui kahi pilikia olakino e koi ai i kahi kipa haukapila. Aia a hiki i laila, hiki i kāu kauka ke hoʻoholo i nā kumu kūpono a me nā hana lapaʻau kūpono.
ʻOiai he kikoʻī kikoʻī ko ka fontanel bulging, e kāhea i ka pediatrician o kāu keiki inā he kānalua kou.