Puʻuwai puʻuwai pēpē: ehia mau manawa no nā pēpē a me nā keiki

Anter

• Pākaukau o ka helu maʻamau o ka naʻau i ke keiki
• He aha ka mea e hoʻololi ai i ka helu o ka puʻuwai i ke keiki
• He aha ka mea e hoʻonui ai i ka helu o ka puʻuwai:
• He aha ka mea e hoʻolohi ai i ka helu o kou puʻuwai:
• He aha e hana ai inā loli ka helu o kou puʻuwai
• Nā hōʻailona hōʻailona e hele i ke kauka kauka

ʻOi aku ka wikiwiki o ka puʻuwai o ka pēpē a me ke keiki ma mua o ka poʻe mākua, a ʻaʻole kēia he kumu e hopohopo ai. ʻO kekahi mau hanana i hiki ke hoʻokuʻi i ka puʻuwai o ka pēpē ma mua o ka maʻamau i ka hihia o ke kuni, uē a i ʻole i nā pāʻani e koi ana i ka hoʻāʻo.

I kēlā me kēia hihia, maikaʻi ke ʻike inā aia kekahi mau hōʻailona ʻē aʻe, e like me ka hoʻololi ʻana i ka ʻili o ka ʻili, ka poni, poniuniu a i ʻole ka hanu nui ʻana, no ka mea hiki iā lākou ke kōkua e ʻike i nā mea e hana nei. No laila, inā ʻike nā mākua i nā loli e like me kēia, pono lākou e kamaʻilio me ke kauka lapaʻau no ka loiloi piha.

Pākaukau o ka helu maʻamau o ka naʻau i ke keiki

Hōʻike ka papa aʻe i nā loli maʻamau o ka naʻau mai ka hānau hou a 18 mau makahiki.

Hiki ke noʻonoʻo ʻia nā hoʻololi i ka helu puʻuwai e:

• Kāleka Kāleka: ke kiʻekiʻe ka naʻau o ka puʻuwai ma mua o ka maʻamau no nā makahiki: ma luna o 120 bpm i nā keiki, a ma luna o 160 bpm i nā pēpē a hiki i ka 1 makahiki;
• Bradycardia: ke emi ka helu o ka puʻuwai ma mua o ka makemake no ka makahiki: ma lalo o 80 bpm i nā keiki a ma lalo o 100 bpm i nā pēpē a hiki i ka 1 makahiki.

E hōʻoia i ka loli ʻana o ka puʻuwai i ka pēpē a me ke keiki, pono ia e waiho i ka hoʻomaha no 5 mau minuke a laila e nānā me ka mika helu o ka puʻuwai ma ka lima a me ka manamana lima, no ka laʻana. E ʻike i nā kikoʻī hou aʻe e pili ana i ke ana ʻana i ka helu o kou puʻuwai.

He aha ka mea e hoʻololi ai i ka helu o ka puʻuwai i ke keiki

ʻO ka maʻamau he nui ka wikiwiki o ka puʻuwai ma mua o ke kanaka makua, a he maʻamau maʻamau kēia. Eia nō naʻe, aia kekahi mau hanana i kumu e hoʻonui a hoʻemi paha ka puʻuwai, e like me:

He aha ka mea e hoʻonui ai i ka helu o ka puʻuwai:

ʻO nā kūlana maʻamau ka wela a me ka uē, akā aia kekahi mau hanana koʻikoʻi ʻē aʻe, e like me ka nele o ka oxygen i ka lolo, inā he ʻeha nui, anemia, kekahi maʻi puʻuwai a i ʻole ma hope o ka ʻoki ʻana o ka puʻuwai.

He aha ka mea e hoʻolohi ai i ka helu o kou puʻuwai:

He kūlana kakaikahi kēia, akā hiki ke hiki ke hoʻololi ʻia i ka puʻuwai e pili ana i ka pacemaker cardiac, nā poloka i ka ʻōnaehana conduction, nā maʻi, ka maʻi hiamoe, ka hypoglycemia, ka hypothyroidism makuahine, ka lupus erythematosus, ka maʻi pēpē, nā maʻi o ka ʻōnaehana ʻōnaehana waena o ka fetus a i ʻole ke kiʻekiʻe o ke kaomi intracranial, no ka laʻana.

He aha e hana ai inā loli ka helu o kou puʻuwai

I nā manawa he nui, ʻaʻole koʻikoʻi ka hoʻonui a hoʻemi ʻana paha o ka puʻuwai o ka puʻuwai a ʻaʻole hōʻike i kahi maʻi puʻuwai i koʻikoʻi nui, akā i ka nānā ʻana ua loli ka nui o ka puʻuwai o ke pēpē a keiki paha, pono nā mākua e lawe i ka haukapila e lilo. loiloi ʻia.

I nā hihia ʻoi loa, loaʻa pinepine nā ʻōuli ʻē aʻe, e like me ka maʻule, luhi, pallor, fiva, ʻū me ka phlegm a me nā loli i ke kala o ka ʻili i ʻike ʻia he bluish.

Ma muli o kēia, pono nā kauka e hana i nā hoʻokolohua e ʻike ai i ka mea a ka pēpē e hōʻike ai i ka lapaʻau, i hiki ke hana ʻia me ka lawe ʻana i nā lāʻau e hakakā i ke kumu o ka loli o ka helu o ka puʻuwai, a i ʻole ke ʻoki.

Nā hōʻailona hōʻailona e hele i ke kauka kauka

Loiloi pinepine ka pediatrician i ka hana o ka puʻuwai ma hope koke o ka hānau ʻana a ma nā nīnauele mua o ka pēpē, i mālama ʻia i kēlā me kēia mahina. No laila, inā aia kekahi loli nui o ka puʻuwai, ʻike paha ke kauka i kahi kipa maʻamau, ʻoiai inā ʻaʻohe o nā hōʻailona ʻē aʻe.

Inā loaʻa kāu pēpē a keiki paha i kēia mau ʻōuli, pono ʻoe e ʻike i ke kauka i ka wā hiki loa.

• ʻOi aku ka wikiwiki o ka puʻuwai ma mua o ka maʻamau a me ke kumu o ka hōʻoluʻolu.
• He kala ʻulaʻula kā ka pēpē a keiki paha, ua hala a palupalu paha;
• ʻLelo ke keiki ke kuʻi wikiwiki nei ka puʻuwai me ka ʻole o ka hopena a me ka hoʻoikaika kino.
• ʻLelo ke keiki ua nāwaliwali ʻo ia a i ʻole ʻoliʻoli ʻo ia.

Pono e loiloi mau ʻia kēia mau hihia e ka pediatrician, nāna e noi i nā hoʻokolohua e loiloi i ka puʻuwai o ke pēpē a keiki paha, e like me electrocardiogram a me echocardiogram, no ka laʻana.