Ua aneane make ʻo Sarah Silverman i ka pule i hala

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Ke noʻonoʻo nei i ka mea a Sarah Silverman i hana ai i kēia mau lā? ʻIke ʻia ua loaʻa kahi ʻike kokoke i ka make, e hoʻolilo ana i ka pule i hala i ka ICU me ka epiglottitis, kahi ʻano laha ʻole akā make. Mahalo, ua ola ʻo ia, akā ua waiho iā mākou me kekahi mau nīnau koʻikoʻi. ʻO ia hoʻi, he aha ka epiglottis a pehea kahi wahine olakino olakino a kokoke e pepehi iā ia?

ʻO ka epiglottis kahi ʻiʻo liʻiliʻi i loko o kou puʻu e hana ana me he "puka pahele" e uhi ana i ka puka o kou trachea, a i ʻole ka makani makani, e pale ai i ka ʻai ʻana i lalo i ka wā e ʻai ai. Hanu? Piʻi ka epiglottis. ʻAi a inu paha? Aia i lalo. Ke holo maikaʻi nei, ʻaʻole ʻoe e manaʻo ke hana nei ia i kāna hana nui loa, akā hiki ke maʻi. A i ka wā e hana ai, hiki koke ke lilo i mea weliweli i ke ola.

"Epiglottitis ma muli o ka maʻi, maʻamau e ka bacteria i kapa ʻia ʻo Haemophilus influenza type B, ka mea e lilo ai ka ʻōpala lahilahi i poepoe a pehu, e like me ka cherry ʻulaʻula, e ālai pono ana i ka makani," wehewehe ʻo Robert Hamilton, MD, pediatrician ma Providence Saint. John's Health Center ma Santa Monica.

E kali, no ke aha mākou e kamaʻilio nei me ka pediatric? Ma muli o ka hapa nui o nā hihia e pili ana i nā keiki ma muli o ko lākou liʻiliʻi liʻiliʻi a me ka maʻalahi o ka maʻi-i nā makahiki pre-antibiotic, he mea pepehi maʻamau i nā keiki liʻiliʻi - akā mahalo i ka lāʻau lapaʻau hou, ʻaʻole ʻike hou ʻia, wahi āna.

"Aia kahi ma'i ma'i HiB e pale ana i ka ma'i bacteria no ka nui o na ma'i o ka epiglottitis, akā 'a'ole i loa'a i ka hapa nui o nā mākua," wahi a Hamilton. (ʻO ka lāʻau lapaʻau, ka mea e pale aku ai i ka maningitis a me ka maʻi pneumonia, ʻaʻole i loaʻa ākea a hiki i 1987, ʻo ia hoʻi ka poʻe i hānau ʻia ma mua o kēlā lā, e like me Silverman, pono e loaʻa i ka maʻi ma ke ʻano he keiki e loaʻa ai ko lākou palekana ponoʻī a i ʻole ka maʻi i ka maʻi. )

ʻO kēia rarity, i hui pū ʻia me kāna mau hōʻailona maʻamau, e hoʻolilo iā ia i kahi maʻi paʻakikī, wahi a Hamilton, me ka hoʻohui ʻana ua laki loa ʻo Silverman i kāna kauka i ʻike ai. "He maʻi maʻamau ka ʻāʻī a me ke kuni. He aha ke kani ʻana o ia maʻi? ʻO lākou a pau loa," wahi āna.

Akā i ka holo wikiwiki ʻana o ka maʻi, hōʻike ka poʻe maʻi i ka "pōloli ea," ʻo ia hoʻi ke hāʻule nei ko lākou pae oxygen i ka wā e hana ikaika ai lākou e hanu. Malia paha ʻo ka hōʻailona i ʻike nui ʻia e kuʻu poʻo i luna a piʻi i luna e hoʻāʻo a wehe hou i ke ala. E alakaʻi paha kēia i ke kauka e kauoha i nā hoʻokolohua no ka loiloi ʻana i ka epiglottis a i ʻole e nānā i lalo i ka ʻāʻī o ka mea maʻi-inā ua pehu loa ia, hiki ke ʻike ʻia me ke kukui uila.

I kēia manawa, he ulia pōpilikia maoli kēia a koi ʻia i kahi tracheotomy (kahi kaʻina hana kahi e kau ʻia ai kahi paipu liʻiliʻi ma mua o ka ʻāʻī o ke kanaka) a i ʻole intubation (kahi e waiho ʻia ai kahi paipu i lalo o ka ʻāʻī) e wehe koke i ke alaloa, Hamilton. wahi a. Hoʻomaʻamaʻa ʻia ka mea maʻi me nā lāʻau ʻalopika a mālama ʻia i ka paipu hanu a hiki i ka pau ʻana o ka maʻi a me ke emi ʻana o ka ʻōhū, ʻo ia ke kumu i mālama ʻia ai ʻo Silverman i ka ICU no hoʻokahi pule.

ʻOiai ʻo ia e ʻōlelo nei he mea ʻeha loa ka ʻike, aia kekahi mau manawa ʻakaʻaka. "Ua hooki au i kahi kahu hānai - me he mea lā he pilikia - ua kākau me ka huhū i kahi leka a hāʻawi iā ia," kākau ʻo Silverman ma Facebook. "I kona nānā ʻana, ʻōlelo wale ʻia, 'Noho ʻoe me kou makuahine?' ma hope o kahi kaha kiʻi o kahi peni. "

Ma hope o ka ho'ōla hou ʻana, ua pale ʻia nā maʻi e like me Silverman i ka bacteria, wehewehe ʻo Hamilton. Akā inā hopohopo ʻoe e pili ana i kāu epiglottis i ka hoʻouka ʻana iā ʻoe ma waho o ka uliuli i kekahi lā, ʻelua mau mea hiki iā ʻoe ke hana e pale aku ai. ʻO ka mea mua, ʻoi aku ka liʻiliʻi o ka hapa nui o ka poʻe mākua i ka maʻi ma ke ʻano he kamaliʻi a ʻaʻole hiki ke pale ʻia mai ia. Akā hopohopo ʻoe, hiki iā ʻoe ke loaʻa ka lāʻau lapaʻau HiB i kēia manawa. ʻO ka mea maikaʻi loa e hiki iā ʻoe ke hana, ʻo ka hoʻomaʻamaʻa ʻana i ka maʻemaʻe maikaʻi. Holoi i kou mau lima me ke kopa a hoʻohana i nā lāʻau antibiotic inā pono maoli, wahi a Hamilton. (Psst...Eia pehea e haʻi aku ai inā makemake ʻoe i nā lāʻau antibiotic.)

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