Nā maʻi i loko o kahi Pēpē Pēpē

Hiki i kahi pēpē ma mua ke hoʻomohala i nā maʻi i ʻaneʻane i nā ʻāpana o ke kino; ʻo nā pūnaewele maʻamau ka pili ʻana i ke koko, nā akemāmā, ka uhi o ka lolo a me ka iwi kuamoʻo, ka ʻili, nā puʻupaʻa, ka pūpū, a me nā ʻōpū.

Hiki i kahi pēpē ke loaʻa i kahi maʻi i utero (ʻoiai i ka kōpū) ke lawe ʻia nā koʻohune a i ʻole nā ​​mea ʻino mai ke koko o ka makuahine ma o ka placenta a me ka umbilical cord.

Hiki ke loaʻa ka maʻi maʻi i ka wā o ka hānau ʻana mai nā koʻohune kūlohelohe e noho nei i ke ʻano genital, a me nā bacteria ʻino a me nā mea ʻino ʻē aʻe.

ʻO ka mea hope loa, hoʻomohala kekahi mau pēpē i nā maʻi ma hope o ka hānau ʻana, ma hope o nā lā a i ʻole mau pule i ka NICU.

Nānā ʻole ʻia ke loaʻa ʻana o kahi maʻi, ʻoi aku ka paʻakikī o ka mālama ʻana i nā maʻi ma nā wā pēpē no nā kumu ʻelua:

• Loaʻa i kahi pēpē premature kahi ʻōnaehana pale liʻiliʻi (a ʻoi aku ka liʻiliʻi o nā antibodies mai kona makuahine) ma mua o kahi pēpē wā piha. ʻO ka ʻōnaehana paleʻea a me nā mea ʻāpala nā pale nui o ke kino i ka maʻi.
• Pono kahi pēpē ma mua i nā kaʻina olakino e like me ka hoʻokomo ʻana i nā laina intravenous (IV), catheters, a me nā paipu endotracheal a me ke kōkua paha mai ka ventilator. I kēlā me kēia manawa ke hana ʻia kahi kaʻina hana, loaʻa kahi manawa o ka hoʻolauna ʻana i nā koʻohune, nā virus, a i ʻole nā ​​fungi i loko o ka ʻōnaehana o ka pēpē.

Inā loaʻa ka maʻi i kāu pēpē, ʻike paha ʻoe i kekahi o nā hōʻailona aʻe paha:

• ka nele o ka makaʻala a hana ʻole paha;
• paʻakikī i ka ʻae ʻana i ka hānai ʻana;
• leo musele ʻilihuna (floppy);
• hiki ʻole ke mālama i ka mahana o ke kino;
• ʻulaʻula a i ʻike ʻia ka ʻili o ka ʻili, a melemele paha i ka ʻili (jaundice);
• lohi ka puʻuwai puʻuwai; a i ʻole
• apnea (nā manawa ke hoʻopau ka pēpē i ka hanu ʻana).

Māmā a haʻalulu paha kēia mau hōʻailona, ​​kaukaʻi ʻia i ke koʻikoʻi o ka maʻi.

I ka manawa e kānalua ʻia he maʻi maʻi kāu pēpē, loaʻa i nā limahana NICU nā laʻana o ke koko a, pinepine, mimi a me ka wai ākea e hoʻouna i ka hale hana no ka loiloi. Hiki iā 24 a 48 mau hola ma mua o ka hōʻike ʻana o nā noiʻi hale hōʻikeʻike i kekahi hōʻike o ka maʻi. Inā loaʻa nā hōʻike o ka maʻi, mālama ʻia kāu pēpē me nā lāʻau ʻalopika; ʻO nā wai IV, oxygen, a me nā ea mīkini (kōkua mai kahi mīkini hanu) e koi ʻia paha.

ʻOiai ʻoi aku ke koʻikoʻi o kekahi mau maʻi, pane maikaʻi ka hapanui i nā antibiotic. I ka wā ma mua e mālama ʻia ai kāu pēpē, ʻo ka ʻoi aku ka maikaʻi o ke kaua kūleʻa ʻana i ka maʻi.