He aha ka maʻi hanu pēpē pēpē a pehea e mālama ai

Anter

• Nā ʻōuli i ka pēpē
• Pehea e hana ai i ka lāʻau
• Hoʻoipo Physiotherapy

ʻO ka maʻi ʻeha hanu koʻikoʻi, i ʻike ʻia hoʻi me ka maʻi membrane hyaline, ka maʻi ʻeha a me ka ARDS wale nō, kahi maʻi e kū aʻe ma muli o ka lohi o ka hoʻomohala ʻana o nā māmā māmā o ke pēpē, e pilikia ana i ka hanu ʻana, ka hanu wikiwiki ʻana a i ʻole ke kani ʻana i ka hanu ʻana., No ka laʻana .

ʻO ka maʻamau, hānau ʻia ka pēpē me kahi mea i kapa ʻia he surfactant, e ʻae ai i nā ake e hoʻopiha me ka ea, eia nō naʻe, i kēia maʻi ʻaʻole lawa ka nui o ka surfactant e ʻae ai i ka hanu maikaʻi a, no laila, ʻaʻole hanu maikaʻi ka pēpē.

No laila, ʻoi aku ka maʻamau o ka maʻi ʻeha o ka hanu koʻikoʻi i nā keiki i nā pēpē hānau hou ma lalo o 28 mau pule o ka hāpai ʻana, ʻike ʻia e ke kauka ma hope koke o ka hānau ʻana a i ʻole 24 mau hola mua. Hiki ke hoʻōla ʻia kēia maʻi, akā pono e hoʻokomo i ka pēpē i ka haukapila e hana i ka lāʻau kūpono, me nā lāʻau e pili ana i ka surfactant synthetic a me ka hoʻohana ʻana i kahi mask oxygen, a hiki i ka manawa e hoʻomohala pono ai nā māmā. Hoʻomaopopo i ke aha he surfactant pulmonary.

Nā ʻōuli i ka pēpē

ʻO nā ʻōuli nui o ka maʻi hanu hanu kamaliʻi pū me:

• Nā lehelehe polū a me nā manamana lima;
• Hanu wikiwiki;
• Hamama loa nā ihu i ka wā e hanu ana;
• Wili i ka umauma ke hanu;
• Nā wā wikiwiki o ka hopu hanu;
• Hoemi i ka nui o ka mimi.

Hōʻike kēia mau ʻōuli i ka holo pono ʻole o ka hanu, ʻo ia hoʻi, ʻaʻole hiki i ka pēpē ke hanu kūpono a hōʻiliʻili i ka oxygen no ke kino. ʻOi aku ka maʻamau ma hope pono o ka hānau ʻana, akā hiki ke hala i 36 mau hola e ʻikea ai, kaukaʻi ʻia i ke koʻikoʻi o ka maʻi maʻi a me ka wā ʻōpio o ka pēpē.

I mea e hōʻoia ai i kēia maʻi maʻi, e loiloi ka pediatrician i kēia mau hōʻailona olakino o ka hānau hou, me ke kauoha ʻana i nā hoʻokolohua koko e loiloi i ka oxygenation o ke koko a me X-ray o nā akemāmā.

Pehea e hana ai i ka lāʻau

Pono e hoʻomaka i ka mālama ʻana no ka maʻi ʻōpū hanu pēpē ke ʻike ʻia nā ʻōuli e ke kauka lapaʻau a he mea maʻamau ia e ʻae ʻia ka pēpē i kahi incubator a loaʻa ka oxygen ma o ka pale maka a i ʻole i kahi hāmeʻa, i kapa ʻia ʻo CPAP, ka mea e kōkua i ka ke ea e komo ana i nā ake māmā no kekahi mau lā a i ʻole mau pule, a hiki i ka hoʻomohala ʻana o nā māmā. E aʻo hou aʻe e pili ana i ka hana o kēia hāmeʻa ma: Nasal CPAP.

Hiki ke pale ʻia kēia maʻi maʻi i kekahi mau hihia, ʻoiai hiki i ka mea hānau ke hōʻike i nā kuʻina o nā lāʻau corticoid no ka wahine hāpai e makaʻu i ka hānau mua ʻana, kahi e hiki ai ke hōʻeleu i ka ulu o nā pēpē o ka pēpē.

Hoʻoipo Physiotherapy

Physiotherapy, hana ʻia e kekahi physiotherapist hana kūikawā, hiki ke lilo i mea pono loa no ka mālama ʻana i nā pēpē me ka maʻi ʻeha hanu, no ka mea hoʻohana ia i nā ʻenehana e hiki ke kōkua i ka wehe ʻana i ke ala o ka ea, hoʻoulu i nā mākala hanu a kōkua i ka hemo ʻana o nā mea huna mai nā ake māmā.

No laila, he mea nui ka physiotherapy e hōʻemi i nā hōʻailona o ka hanu hanu a me kāna mau pilikia, e like me ka nele o ka oxygen, nā ʻeha a me nā ʻeha o ka lolo.