He aha ka hoʻouluʻana o ka maʻi wela? Nā hōʻailona, nā kumu, a me ka mālama

ʻO ka hoʻouluʻana o ka maʻi wela he mea hoʻouluʻulu ia e hana ana i ka piʻi koke ʻana o ka mahana o ke kino o ke keiki, maʻamau i ka wā o ka maʻi wela. He mea maʻamau loa kēia mau hoʻouluʻulu a pili i kahi 1 i 25 mau keiki ma waena o 6 mau mahina a 5 mau makahiki. ʻOiai ʻo ka ʻike ʻana i kāu keiki e hoʻouluʻulu ana he mea weliweli loa ia, ʻaʻohe pilikia o ka hapanui o nā hoʻouluʻulu maʻi wela a ʻaʻohe pilikia mau loa.

He aha ka hoʻouluʻana o ka maʻi wela?

Hana ʻia ka hoʻouluʻana o ka maʻi wela i ka wā e hemahema ai ka lolo o kāu keiki no ka manawa pōkole ma muli o ka piʻi koke ʻana o ka mahana o ke kino. E noʻonoʻo iā ia e like me ka mea uila e hoʻopau ʻia ana i ka wā nui loa ka hana uila. ʻOi aku ka maʻalahi o ka lolo e ulu ana i nā keiki ʻōpio i nā loli mahana, ʻo ia ke kumu e hana ai kēia mau hoʻouluʻulu ma mua o 6 mau makahiki.

ʻO ka manawa maʻamau o kēia mau hoʻouluʻulu mai 30 kekona a 2 mau minuke, ʻoiai paha e lōʻihi loa ka manaʻo i ka wā e nānā ana ʻoe. Hiki i kāu keiki ke paʻa, e hoʻoluliluli i kona mau lima a me nā wāwae, e ʻōwili i kona mau maka, a i ʻole e nalowale koke i ka ʻike. Hoʻōla piha ka hapanui o nā keiki i loko o nā minuke a hana maʻamau ma hope.

He aha nā hōʻailona o nā hoʻouluʻulu maʻi wela?

Hiki i nā hōʻailona ke ʻokoʻa ma muli o ke ʻano o ka hoʻouluʻana o ka maʻi wela a kāu keiki e ʻike ai. ʻŌlelo ka hapanui o nā mākua i ka manaʻo ʻole a me ka makaʻu i ka wā mua e ʻike ai lākou i kēia mau hōʻailona, ​​he mea maopopo loa kēlā.

Nā hoʻouluʻulu maʻi wela maʻalahi (ʻo ke ʻano maʻamau loa) e hōʻike maʻamau i kēia mau hōʻailona:

• Ke kino holoʻokoʻa e paʻa ana, a laila e hoʻoluliluli ana
• Nalowale o ka ʻike no 1-2 mau minuke
• ʻŌwili ʻana o nā maka a i ʻole ke nānā ʻana me ka hakahaka
• Hōʻuluʻulu iki a hiamoe ma hope
• ʻAʻohe nāwaliwali a pilikia paha

Nā hoʻouluʻulu maʻi wela paʻakikī he mea maʻamau ʻole akā ʻoi aku ka hopohopo:

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• Hoʻopilikia lōʻihi ma mua o 15 mau minuke
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• Hoʻopilikia wale i hoʻokahi ʻāpana o ke kino
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• Ke hana nei ma mua o hoʻokahi manawa i loko o 24 mau hola
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• Ke lōʻihi nei e hoʻihoʻi i ka ʻike maopopo maʻamau
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Ma hope o kekahi hoʻopilikia wela, hiki i kāu keiki ke manaʻo luhi, huikau, a i ʻole huhū no kahi 30 mau minuke. He mea maʻamau kēia a ʻaʻole ia he manaʻo he hewa kekahi mea me ko lākou lolo.

He aha nā ʻano o nā hoʻopilikia wela?

Hoʻokaʻawale nā kauka i nā hoʻopilikia wela i ʻelua ʻano nui ma muli o ke ʻano o ko lākou ʻano a me ka lōʻihi o ko lākou lōʻihi. Hiki i ka hoʻomaopopo ʻana i kēia mau ʻokoʻa ke kōkua iā ʻoe e ʻike i ka mea e manaʻo ai a me ka wā e ʻimi ai i ka mālama koke.

Nā hoʻopilikia wela maʻalahi e hana ana ma kahi o 85% o nā hihia a pau. Ua kapa ʻia lākou ʻo

I loko o nā hihia kakaʻikahi, hiki i nā maʻi ʻoi aku ka nui e like me ka meningitis a i ʻole ka encephalitis ke kumu i nā hopena wela. Eia naʻe, ʻo kēia mau kūlana e hele mai maʻamau me nā hōʻailona ʻōlelo mua ʻē aʻe e like me ka ʻeha poʻo nui, ka ʻāʻī paʻakikī, a i ʻole ka luhi nui.

I ka wā hea ʻoe e ʻike ai i ke kauka no nā hopena wela?

Kāhea i ka 911 koke inā ke loaʻa nei kāu keiki i kā lākou hopena mua, inā lōʻihi ia ma mua o 5 mau minuke, a i ʻole inā pilikia lākou i ka hanu. ʻOiai he palekana ka hapa nui o nā hopena wela, pono ʻoe i ka loiloi lapaʻau e kāpae i nā kumu koʻikoʻi.

E ʻimi i ka mālama pilikia koke inā hōʻike kāu keiki i kēia mau hōʻailona:

• Hopena lōʻihi ma mua o 5 mau minuke
• Paʻakikī i ka hanu a i ʻole nā ​​lehelehe uliuli
• Luhi nui ma hope o ka pau ʻana o ka hopena
• ʻĀʻī paʻakikī a i ʻole ʻeha poʻo nui
• Hoʻōla mau
• Nā hōʻailona o ka nele wai

E hoʻokaʻaʻike i kāu pediatrician i loko o 24 mau hola no kekahi hopena wela, ʻoiai inā ʻike ʻia kāu keiki maikaʻi ma hope. Makemake lākou e nānā i kāu keiki a hoʻoholo i ke kumu o ka wela.

No nā hopena wela e hiki mai ana i nā keiki i loaʻa mua iā lākou, ʻaʻole pono ʻoe i ka mālama pilikia ke lōʻihi ka hopena ma mua o ka maʻamau a i ʻole ʻoi aku ka maʻi o kāu keiki ma mua o nā manawa ma mua.

He aha nā pilikia pilikia no nā hopena wela?

Hiki i kekahi mau mea ke hoʻonui i ka hiki ke loaʻa i kāu keiki nā hopena wela. Hiki i ka hoʻomaopopo ʻana i kēia mau pilikia ke kōkua iā ʻoe e mākaukau, ʻoiai e hoʻomanaʻo he nui nā keiki me nā pilikia pilikia ʻaʻole loaʻa nā hopena.

ʻO nā pilikia pilikia nui loa:

• Makahiki ma waena o 6 mau mahina a me 5 mau makahiki (ʻo ka pilikia kiʻekiʻe loa he 12-18 mau mahina)
• Mōʻaukala ʻohana o nā hopena wela i nā mākua a i ʻole nā ​​hoahānau
• Hopena wela ma mua
• Ke hele nei i ka mālama lā (ʻoi aku ka nui o ka hōʻike ʻana i nā maʻi)
• Nā hoʻopaneʻe hoʻomohala
• Ke hānau ʻia ma mua o ka manawa

He mea nui loa ka mōʻaukala ʻohana. Inā loaʻa iā ʻoe a i ʻole kāu hoa kāne nā hopena wela i ka wā kamaliʻi, aia kahi manawa o 25% e loaʻa ai i kāu keiki. Inā loaʻa i nā mākua ʻelua nā hopena wela, piʻi ka pilikia i kahi 50%.

ʻOi aku ka nui o nā keiki i loaʻa ko lākou hopena wela mua ma mua o 1 makahiki a i ʻole nā ​​​​hopena wela paʻakikī e loaʻa hou nā hopena ma ka wā e hiki mai ana.

He aha nā pilikia e hiki ke loaʻa i nā hopena wela?

ʻO ka ʻoiaʻiʻo maikaʻi, ʻaʻole pinepine nā hopena wela e hoʻokumu i nā pilikia lōʻihi a i ʻole ka hōʻino ʻana i ka lolo. ulu nui nā keiki i loaʻa nā hopena wela me ka ʻole o ka hopena i kā lākou aʻo ʻana, ʻano, a i ʻole ka ulu ʻana.

Eia naʻe, aia kekahi mau manaʻo e pono ai ke makaʻala:

• Pilikia o ka hōʻeha i ka wā o ka hopena mai ka hāʻule ʻana a i ʻole ka hahau ʻana i nā mea
• Hoʻonui iki ʻia ka pilikia o ka maʻi epilepsy i ka wā e hiki mai ana (ma kahi o 2-5% vs 1% i ka heluna kanaka maʻamau)
• Hoʻi hou ʻana o nā hopena wela me nā maʻi wela i ka wā e hiki mai ana
• Nā pilikia hoʻomanaʻo manawa a i ʻole ka huikau ma hope o nā hopena paʻakikī
• Hopohopo o nā mākua e pili ana i nā maʻi wela a me nā maʻi i ka wā e hiki mai ana

ʻOi aku ka nui o ka pilikia o ka loaʻa ʻana o ka epilepsy inā loaʻa i kāu keiki nā hopena wela paʻakikī, ka mōʻaukala ʻohana o ka epilepsy, a i ʻole nā ​​​​hoʻopaneʻe ulu. ʻOiai pēlā, ʻaʻole loaʻa ka hapa nui o nā keiki i nā pilikia hopena mau.

I nā hihia kakaikahi loa, hiki i nā hopena wela lōʻihi loa (ʻoi aku ma mua o 30 mau minuke) ke hoʻokumu i kekahi mau loli lolo, akā he mea maʻamau ʻole kēia me ka mālama lapaʻau kūpono.

Pehea e pale aku ai i nā hopena wela?

ʻAʻole hiki iā ʻoe ke pale aku loa i nā hopena wela, ʻoiai ua hoʻonāukiuki ʻia lākou e ka pane kūlohelohe o kāu keiki i ka maʻi. Eia naʻe, hiki iā ʻoe ke lawe i nā ʻanuʻu e hoʻemi i ka wela a hoʻemi paha i ka pilikia.

Ke loaʻa i kāu keiki ka wela, hiki i kēia mau ʻano hana ke kōkua:

• Hāʻawi i nā lāʻau e hoʻoemi ai i ka wela e like me ka acetaminophen a i ʻole ka ibuprofen e like me ke kuhikuhi ʻia.
• E mālama pono i kāu keiki me ka wai nui.
• E kāhiko iā lākou i nā lole māmā.
• E hoʻohana i nā ʻauʻau mahana a i ʻole nā ​​ʻauʻau pulupulu (e pale i ka hau a i ʻole ka waiʻona).
• E mālama i ka mahana o ka lumi i ʻoluʻolu.
• E nānā mau i ka mahana.

E hoʻomanaʻo ʻaʻole ke hōʻoia ʻana o ka pale ʻana i ka wela i ka pale ʻana i nā hopena, ʻoiai e hana pinepine ka hopena i ka piʻi ʻana o ka wela, i kekahi manawa ma mua o kou ʻike ʻana ua maʻi kāu keiki.

Hiki i kekahi mau kauka ke kuhikuhi i ka lāʻau pale ʻana i ka hopena no nā keiki me nā hopena wela paʻakikī pinepine, akā he mea maʻamau ʻole kēia a hele mai me kāna mau pilikia a me nā hopena ʻē aʻe.

Pehea ka hōʻoia ʻana o nā hopena wela?

Hoʻomaka ka hōʻoia ʻana me ka wehewehe pololei ʻana i nā mea i hana ʻia i ka wā o ka hopena. E makemake kāu kauka e ʻike i ka lōʻihi o kona lōʻihi, pehea ke ʻano o kāu keiki, a pehea lākou i hana ai ma hope.

Hoʻokumu ka nānā kino i ka ʻimi ʻana i ke kumu o ka wela a me ka nānā ʻana i nā hōʻailona o ka maʻi koʻikoʻi. E ʻimi kāu kauka i nā maʻi pepeiao, nā maʻi ʻāʻī, a i ʻole nā ​​kumu maʻamau ʻē aʻe o ka wela i nā keiki.

Hiki i nā hoʻokolohua hou ke komo pū:

• Nā hoʻokolohua koko e nānā i ka maʻi a i ʻole nā ​​pilikia ʻē aʻe.
• Nā hoʻokolohua mimi e kāpae i nā maʻi maʻi mimi.
• X-ray umauma inā manaʻo ʻia ka pneumonia.
• Lumbar puncture (spinal tap) i nā hihia kakaikahi inā manaʻo ʻia ka meningitis.

No nā hopena wela maʻalahi i nā keiki ma mua o 18 mahina, ʻaʻole pono pinepine ka hoʻokolohua ākea. ʻO ka mea nui ka mālama ʻana i ka maʻi kumu e hoʻoulu ai i ka wela.

ʻAʻole pono pinepine ka EEG (hoʻokolohua nalu lolo) a me ka kiʻi lolo ke loaʻa i kāu keiki nā hopena wela paʻakikī a i ʻole nā ​​hōʻailona pilikia ʻē aʻe.

He aha ka lāʻau no nā hopena wela?

ʻO ka hapa nui o nā loaʻa wela e pau iho lākou i loko o kekahi mau minuke a ʻaʻole pono i ka lāʻau lapaʻau loaʻa kūikawā. ʻO ka mea nui loa, ʻo ia ka mālama ʻana i ka maʻi kumu a me ka mālama ʻana i kou keiki i ʻoluʻolu.

I ka wā o ka loaʻa, ʻo ka mea nui loa, ʻo ia ka mālama ʻana i kou keiki i palekana. E hoʻohuli iā ia ma kona ʻaoʻao, e hoʻomaʻemaʻe i ka wahi mai nā mea paʻakikī, a mai hoʻokomo i kekahi mea i loko o kona waha. E helu i ka manawa o ka loaʻa a e mālie, ʻoiai he mea weliweli.

Ma hope o ka loaʻa, ʻo ka mālama maʻamau e komo pū me:

• Nā lāʻau e hoʻoemi ai i ka wela (acetaminophen a ibuprofen paha)
• Nā lāʻau ʻalopona inā loaʻa ka maʻi bacteria
• Nui o nā wai a me ka hoʻomaha
• Ke nānā pono ʻana no nā loaʻa hou aku
• Ka mālama ʻana i ka maʻi kumu e hoʻoulu ai i ka wela

No nā keiki me nā loaʻa wela paʻakikī pinepine, hiki i nā kauka ke noʻonoʻo i nā lāʻau pale, akā pono e noʻonoʻo pono ʻia kēia hoʻoholo i nā pono a me nā pilikia.

Hiki ke kuhikuhi ʻia nā lāʻau lapaʻau pōpilikia e like me ka rectal diazepam no nā keiki me nā loaʻa lōʻihi, ʻoiai he mea maʻamau ʻole kēia.

Pehea e hāʻawi ai i ka mālama home i ka wā o nā loaʻa wela?

ʻO ka ʻike pehea e pane ai i ka wā a ma hope o ka loaʻa wela e kōkua iā ʻoe e mālie a mālama i kou keiki i palekana. ʻO ka hapa nui o kāu mālama e kau nui ʻia ma ka mālama ʻana i ka wela a me ka nānā ʻana i nā hōʻailona o ka maʻi kumu.

I ka wā o ka loaʻa, e hoʻomanaʻo i kēia mau ʻanuʻu:

• E mālie a e helu i ka manawa o ka loaʻa
• E hoʻohuli i kāu keiki ma kona ʻaoʻao e pale aku i ka ʻānai ʻana
• E wehe i nā mea paʻakikī mai ka wahi
• Mai hoʻokomo i kekahi mea i loko o kona waha
• Mai ho'āʻo e paʻa iā ia a i ʻole e hoʻopau i nā neʻe
• E kāhea i ka 911 inā ʻo ia ka loaʻa mua a lōʻihi ma mua o 5 mau minuke

Ma hope o ka pau ʻana o ka loaʻa, e kau nui i ka ʻoluʻolu a me ka mālama ʻana i ka wela. E hāʻawi i ka lāʻau e hoʻoemi ai i ka wela e like me ke kuhikuhi ʻia, e hāʻawi i nā ʻūpiki liʻiliʻi o ka wai, a e hoʻomaha i kāu keiki. E mālama i ka lumi i anuanu a ʻoluʻolu.

Kiai i nā hōʻailona e pono ai ka mālama ola kino koke, e like me ka pilikia o ka hanu, ka hiamoe nui loa, a i ʻole ka luaʻi pinepine. E hoʻi ka nui o nā keiki i ko lākou ʻano maʻamau i loko o hoʻokahi hola.

Pehea ʻoe e hoʻomākaukau ai no kāu kau ʻana i ke kauka?

ʻO ka hoʻomākaukau ʻana no kāu kipa i ke kauka e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka ʻike a me ka mālama e pono ai kāu keiki. E kākau i kāu mau nānā ʻana i ka wā e hou ana i loko o kou hoʻomanaʻo.

Ma mua o kāu kau ʻana, e ʻohi i kēia ʻike:

• Ka manawa pololei a me ka lōʻihi o ka loaʻa ʻana o ka maʻi ʻeha
• Wehewehe o ke ʻano o ka maʻi ʻeha
• Ka mahana o kāu keiki ma mua, i ka wā, a ma hope
• Pehea ka hana a kāu keiki ma mua a ma hope o ka maʻi ʻeha
• Kekahi mau lāʻau lapaʻau i hāʻawi ʻia a me ka wā
• Mōʻaukala ʻohana o nā maʻi ʻeha wela a i ʻole ka maʻi epilepsy

E lawe mai i ka papa inoa o nā nīnau āu e makemake ai e nīnau, e like me ka mea e manaʻo ai inā loaʻa hou ka maʻi ʻeha, i ka wā e kāhea ai i ke kauka, a i ʻole pehea e hoʻokele maikaʻi ai i nā wela e hiki mai ana.

Inā hiki, e lawe mai i nā lāʻau lapaʻau āpau a kāu keiki e inu nei a me kā lākou moʻolelo hoʻokani. E kōkua kēia ʻike i kāu kauka e hana i nā hoʻoholo mālama maikaʻi loa.

He aha ka mea nui e lawe ai e pili ana i nā maʻi ʻeha wela?

He mea weliweli ka ʻike ʻana i nā maʻi ʻeha wela akā he mea ʻuʻuku wale nō ka pōʻino i ke olakino lōʻihi a me ka ulu ʻana o kāu keiki. He ʻike maʻamau ia o ka wā kamaliʻi e ulu nui ai ka nui o nā keiki ma mua o ka makahiki 6.

ʻOiai ʻaʻole hiki iā ʻoe ke pale aku i nā maʻi ʻeha wela a pau, ʻo ka hoʻokele koke ʻana i ka wela a me ka ʻike pehea e pane ai i ka wā o ka maʻi ʻeha e kōkua i ka mālama ʻana i ka palekana o kāu keiki. ʻO ka nui o nā keiki i loaʻa nā maʻi ʻeha wela e ulu me ka ʻole o nā hopena mau.

E hoʻomanaʻo ʻaʻole ʻo ka loaʻa ʻana o nā maʻi ʻeha wela ʻo ia hoʻi he maʻi epilepsy kāu keiki a i ʻole e loaʻa nā pilikia aʻo. Me ka mālama ola kino kūpono a me kāu kākoʻo aloha, hiki i kāu keiki ke hoʻomau i ka ulu a me ka ulu maʻamau.

Hilinaʻi i kou mau manaʻo makuakane. Inā he mea ʻokoʻa a i ʻole he mea hopohopo e pili ana i nā hopena a kāu keiki a i ʻole ka hoʻōla ʻana, mai kānalua e kelepona aku i kāu mea mālama ola no ke alakaʻi a me ka hōʻoia.

Nā nīnau pinepine e pili ana i nā hopena wela

Q1: E loaʻa anei i kaʻu keiki ka pōʻino o ka lolo mai nā hopena wela?

ʻAʻole hana nā hopena wela maʻalahi i ka pōʻino o ka lolo a i ʻole ka hopena i ka naʻauao, ka hiki ke aʻo, a i ʻole ka ulu ʻana o kāu keiki. ʻAʻohe pinepine o nā hopena wela paʻakikī e hana i nā pilikia lōʻihi. Hoʻolālā ʻia ka lolo o kāu keiki e mālama i kēia mau manawa pōkole me ka ʻole o ka pōʻino mau loa.

Q2: Inā loaʻa i kaʻu keiki hoʻokahi hopena wela, e loaʻa hou anei iā lākou?

Ma kahi o 30-40% o nā keiki i loaʻa iā lākou hoʻokahi hopena wela e loaʻa hou iā lākou me ka wela hou. Eia naʻe, pau ka nui o nā keiki i ka loaʻa ʻana o nā hopena wela ma ka makahiki 6 ke ulu aʻe ko lākou lolo. ʻAʻole hoʻonui ka loaʻa ʻana o nā hopena wela he nui i ka pilikia o ka pōʻino o ka lolo.

Q3: E hāʻawi anei au i kaʻu keiki i ka lāʻau lapaʻau wela e pale aku ai i nā hopena?

ʻOiai hiki i nā lāʻau lapaʻau hoʻoemi wela ke ʻoluʻolu hou i kāu keiki, ʻaʻole lākou e pale pono i nā hopena wela. Hana pinepine nā hopena i ka piʻi ʻana o ka wela, i kekahi manawa ma mua o kou ʻike ua maʻi kāu keiki. E nānā i ka mālama ʻana i ka wela no ka ʻoluʻolu ma mua o ka pale ʻana i nā hopena.

Q4: ʻO ka loaʻa ʻana o nā hopena wela ke ʻano paha e ulu ai kāu keiki i ka maʻi epilepsy?

ʻO ka hapa nui o nā keiki me nā hopena wela ʻaʻole loa e ulu i ka maʻi epilepsy. ʻOi aku ka nui o ka pilikia ma mua o ka awelika (ma kahi o 2-5% vs 1% i ka lehulehu), akā he haʻahaʻa loa ia. ʻAʻohe kokoke i ka hoʻonui ʻia o ka pilikia o ka epilepsy i ka wā e hiki mai ana i nā hopena wela maʻalahi.

Q5: Hiki iaʻu ke hoʻouna i kaʻu keiki i ke kula a i ʻole ka hale mālama keiki ma hope o ka hopena wela?

Hiki i kāu keiki ke hoʻi i nā hana maʻamau, me ke kula a i ʻole ka hale mālama keiki, ke pau ka wela no 24 mau hola a me ka manaʻo maikaʻi. E hōʻoia e haʻi aku i nā mea mālama a me nā kumu e pili ana i ka hopena i ʻike lākou i ka mōʻaukala lapaʻau o kāu keiki a hiki ke pane pono inā pono.