He aha ka Sudden Infant Death Syndrome? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka Sudden Infant Death Syndrome (SIDS), ʻo ia ka make koke ʻana o ka pēpē olakino me ke kumu ʻike ʻole ʻia i ka wā moe, maʻamau loa i nā pēpē ma lalo o hoʻokahi makahiki. Hiki mai kēia kūlana kaumaha me ka ʻole o ka hōʻailona mua a ʻaʻole hiki ke wehewehe ʻia ʻoiai ma hope o ka noiʻi piha, me ka autopsy a me ka nānā ʻana i ka wahi o ka make.

Ua ʻike ʻia hoʻi ka SIDS ma ke ʻano he "crib death" no ka mea pinepine ia i ka wā e moe ai nā pēpē i loko o kā lākou mau moena. ʻOiai ʻo kēia kūlana ka makaʻu nui loa o kēlā me kēia mākua, hiki i ka hoʻomaopopo ʻana i nā ʻoiaʻiʻo e pili ana i ka SIDS ke kōkua iā ʻoe e lawe i nā ʻanuʻu e hoʻemi ai i ka pilikia a ʻoi aku ka hilinaʻi i ka mālama ʻana i kāu pēpē.

He aha ka Sudden Infant Death Syndrome?

ʻO ka SIDS, ʻo ia ka make koke ʻana, me ke kumu ʻike ʻole ʻia, o kahi pēpē olakino ma lalo o 12 mau mahina. Hiki mai ka make i ka wā moe a noho mau me ke kumu ʻike ʻole ʻia ʻoiai ma hope o ka noiʻi piha e nā kauka a me ka poʻe hoʻokō kānāwai.

No ka hoʻokomo ʻia ʻana o ka make ma ke ʻano he SIDS, pono e hoʻokō ʻia ʻekolu mau kūlana. Pono ka pēpē ma lalo o hoʻokahi makahiki, pono ka make koke a manaʻo ʻole ʻia, a ʻaʻohe kumu i loaʻa ʻoiai ma hope o ka autopsy piha, ka noiʻi ʻana i ka wahi o ka make, a me ka nānā ʻana i ka mōʻaukala lapaʻau.

ʻO ka SIDS he ʻāpana o kahi māhele ākea i kapa ʻia ʻo Sudden Unexpected Infant Death (SUID), kahi e komo ai nā make pēpē koke a pau. Eia naʻe, pili wale ka SIDS i nā hihia kahi ʻaʻohe wehewehe i loaʻa ma hope o ka noiʻi piha.

He aha nā hōʻailona o ka Sudden Infant Death Syndrome?

ʻAʻohe hōʻailona mua a hōʻailona paha o ka SIDS e hiki iā ʻoe ke nānā. ʻIke ʻia nā pēpē e make ana mai ka SIDS he olakino a ʻaʻohe hōʻailona o ka pilikia ma mua o ka make.

ʻO kēia ka mea e hoʻopilikia ai ka SIDS i nā ʻohana. ʻAʻohe hōʻailona e like me ka wela, ka uē, a i ʻole ka pilikia o ka hanu e hiki ke hoʻomaopopo i nā mākua i kahi hewa. ʻAʻole ala mai ka pēpē mai ka moe.

Hopohopo kekahi mau mākua e pili ana i nā hana maʻamau o nā pēpē e like me ka hanu manawa (mau hoʻomaha pōkole i ka hanu i ka wā moe) a i ʻole ka hoʻohoka i ka wā moe. He mea maʻamau kēia mau mea a ʻaʻole pili i ka pilikia o ka SIDS.

He aha nā kumu o ka Sudden Infant Death Syndrome?

Ke noho nei ka kumu pololei o ka SIDS i ʻike ʻole ʻia, akā manaʻo nā mea noiʻi ua hopena ia mai ka hui ʻana o nā mea e hoʻopilikia ana i kahi pēpē nāwaliwali. ʻO kēia mau mea e hana pū ana paha e hoʻopilikia i ka hanu ʻana o ka pēpē, ka helu naʻau, a i ʻole ka ala ʻana mai ka moe.

He mau manaʻo nā ʻepekema e pili ana i nā mea e hiki ke hoʻokomo i ka SIDS. Eia nā mea nui e noiʻi ana nā mea noiʻi:

• Nā hemahema o ka lolo i nā wahi e kaohi ana i ka hanu a me ka ala ʻana mai ka moe
• Ka hoʻomohala ʻole o ka ʻāpana o ka lolo e hoʻoponopono ana i ka hanu
• Nā pilikia me ka hiki o ka pēpē ke ala i ka wā e emi ai ka oxygen
• Nā mea hoʻoilina e hiki ke hoʻolilo i kekahi mau pēpē i nāwaliwali
• Nā pilikia o ke kaiapuni i ka wā koʻikoʻi o ka hoʻomohala ʻana

Ke kuhikuhi nei ka "triple-risk model" ua hiki mai ka SIDS i ka wā e hui pū ai ʻekolu mau kūlana. Loaʻa i kahi pēpē nāwaliwali kahi mea hoʻoikaika mai waho i ka wā koʻikoʻi o ka hoʻomohala ʻana, maʻamau ma waena o 2-6 mau mahina i ka wā e ulu ana nā ʻōnaehana kaohi hanu.

I ka wā hea e ʻike ai i ke kauka e pili ana i nā hopohopo o ka Sudden Infant Death Syndrome?

Pono ʻoe e hoʻokaʻaʻike koke i kāu kauka pediatrics inā kū ka hanu ʻana o kāu pēpē, lilo i uliuli, a i ʻole lilo i palupalu i ka wā moe. ʻOiai he mea maʻamau ʻole kēia mau hanana i ka SIDS, pono lākou i ka mālama lapaʻau koke.

Kāhea i ka 911 koke inā ʻike ʻoe i kāu pēpē pane ʻole, ʻaʻole hanu, a i ʻole inā uliuli a hina paha ko lākou ʻili. ʻOiai inā ua holomua ʻoe i ka hoʻōla ʻana i kāu pēpē, pono lākou i ka loiloi lapaʻau pilikia.

Hoʻonohonoho i kahi hālāwai maʻamau me kāu kauka e kūkākūkā i ka pale ʻana i ka SIDS inā loaʻa iā ʻoe nā hopohopo e pili ana i ka palekana moe o kāu pēpē. Hiki i kāu kauka pediatrics ke nānā i nā hana moe palekana a pane i nā hopohopo kikoʻī āu e loaʻa ai e pili ana i ka pilikia o kāu pēpē.

He aha nā mea pilikia no ka Sudden Infant Death Syndrome?

ʻOiai hiki i ka SIDS ke hiki i kekahi pēpē, hiki i kekahi mau mea ke hoʻonui i ka pilikia. Hiki i ka hoʻomaopopo ʻana i kēia mau mea pilikia ke kōkua iā ʻoe e lawe i nā ʻanuʻu e hana i kahi wahi moe palekana loa no kāu pēpē.

Eia nā mea pilikia nui a nā mea noiʻi i ʻike ai:

• Moe ʻana ma ka ʻōpū a i ʻole ka ʻaoʻao ma mua o ke kua
• Hōʻike ʻia i ka uahi sigareta i ka wā hāpai a ma hope o ka hānau ʻana
• Wela nui i ka wā moe mai ka lole a i ʻole ka moe nui
• Moe palupalu, nā bumpers, a i ʻole nā ​​mea pāʻani i loko o ka moena
• Hānau mua a i ʻole kaumaha hānau haʻahaʻa
• Kāne kāne (nui iki ka pilikia o nā keikikāne)
• Makahiki ma waena o 2-6 mau mahina
• Mōʻaukala ʻohana o ka SIDS
• Mākua wahine ma lalo o 20 mau makahiki
• Ka mālama hāpai lohi a i ʻole lawa ʻole
• Hoʻohana lāʻau a waiʻona paha i ka wā hāpai

ʻAʻole ʻo ia hoʻi ka loaʻa ʻana o nā mea pilikia e loaʻa i kāu pēpē ka SIDS. Nui nā pēpē me nā mea pilikia he nui e noho olakino loa, ʻoiai hiki ke loaʻa ka SIDS i nā pēpē me ka ʻole o nā mea pilikia i ʻike ʻia.

He aha nā pilikia e pili ana i ka Sudden Infant Death Syndrome?

ʻAʻohe pilikia o ka SIDS ponoʻī no ka mea ua hopena ia i ka make. Eia naʻe, hiki ke hohonu a lōʻihi hoʻi ka hopena i nā ʻohana a me nā kaiāulu.

Pinepine nā ʻohana i hoʻopilikia ʻia e ka SIDS i ka kaumaha nui, ka hewa, a me ka trauma. Hiki i nā mākua ke hoʻohewa iā lākou iho a i ʻole ke paio me ka kaumaha a me ka hopohopo. Pono pū ke kōkua i nā kaikuaʻana a me nā ʻohana ākea e hoʻoponopono i ko lākou pohō.

Hopohopo kekahi mau ʻohana nui e pili ana i nā keiki ma hope, e alakaʻi ana i nā hana pale nui a i ʻole nā ​​maʻi hopohopo. Hiki i ka ʻōlelo aʻo ʻoihana a me nā hui kākoʻo ke kōkua i nā ʻohana e hoʻokele i kēia mau pilikia a loaʻa nā ala olakino e hoʻoponopono ai i ko lākou pohō.

Pehea e pale aku ai i ka Sudden Infant Death Syndrome?

ʻOiai ʻaʻole hiki iā ʻoe ke pale loa i ka SIDS, hiki i ka hahai ʻana i nā kuhikuhi moe palekana ke hoʻemi nui i ka pilikia o kāu pēpē. Ua kōkua ka papahana "Back to Sleep," i kapa ʻia i kēia manawa he "Safe to Sleep," i ka hoʻemi ʻana i nā make SIDS ma mua o 50% mai nā makahiki 1990.

Eia nā ʻanuʻu nui loa āu e hiki ai ke lawe e hoʻemi i ka pilikia o ka SIDS:

1. E waiho mau i kāu pēpē ma ko lākou kua e moe ai, no nā hiamoe a i ka pō
2. E hoʻohana i kahi papa moe paʻa i uhi ʻia me kahi pepa kūpono
3. E mālama i kahi moe o kāu pēpē me ka ʻole o nā lole, nā uluna, nā bumpers, a me nā mea pāʻani
4. E pale i ka hōʻike uahi i ka wā hāpai a ma hope o ka hānau ʻana
5. E hānai umauma i kāu pēpē inā hiki
6. E kaʻana like i kāu lumi (akā ʻaʻole kāu moe) me kāu pēpē no ka liʻiliʻi o nā mahina ʻeono mua
7. E pale i nā huahana e ʻōlelo ana e hoʻemi i ka pilikia o ka SIDS
8. E kiʻi i ka mālama hāpai maʻamau i ka wā hāpai
9. E hahai i ka papahana lāʻau lapaʻau i manaʻo ʻia
10. E hāʻawi i kahi pacifier i ka wā moe ma hope o ka hoʻokumu ʻana i ka hānai umauma

Hana pū kēia mau ʻanuʻu e hana i kahi wahi moe palekana loa no kāu pēpē. ʻOiai nā loli liʻiliʻi, e like me ka wehe ʻana i kahi lole mai ka moena, hiki ke hana i kahi ʻokoʻa koʻikoʻi i ka hoʻemi ʻana i ka pilikia.

Pehea ka hōʻoia ʻana o ka Sudden Infant Death Syndrome?

Hoʻomaopopo ʻia ka SIDS ma o kahi kaʻina hana hoʻopau ma hope o ka hoʻopau ʻia ʻana o nā kumu ʻē aʻe o ka make. Hoʻokomo kēia i kahi noiʻi piha e komo pū ana i nā ʻāpana lapaʻau, kānāwai, a me ka forensic.

Hoʻomaka ka kaʻina hana hōʻoia me ka autopsy piha i hana ʻia e kahi pathologist kūpono. Nānā ka autopsy i nā ʻōnaehana a pau o ke kino e nānā i nā hemahema a i ʻole nā ​​hōʻailona o ka maʻi e hiki ke wehewehe i ka make.

Hana pū nā mea noiʻi i kahi nānā kikoʻī i ka wahi o ka make. Ua hoʻopaʻa lākou i kahi moe o ka pēpē, ke kūlana, a me nā mea āpau e hiki ke hoʻokomo i ka make. Kōkua kēia e hoʻokaʻawale i ka SIDS mai ka suffocation pōʻino a i ʻole nā ​​make ʻē aʻe e pili ana i ka moe.

Nānā nā limahana lapaʻau i ka mōʻaukala lapaʻau piha o ka pēpē a me nā kūlana e pili ana i ka make. Wale nō i ka wā ʻaʻohe kumu i ʻike ʻia ma hope o kēia noiʻi piha ua hoʻokomo ʻia ka make ma ke ʻano he SIDS.

He aha ka lapaʻau no ka Sudden Infant Death Syndrome?

ʻAʻohe lapaʻau no ka SIDS no ka mea ua hopena ia i ka make. Eia naʻe, inā ʻike ʻoe i kāu pēpē pane ʻole, he mea nui ka CPR koke a me ka mālama lapaʻau pilikia.

Inā holomua nā mea pane pilikia i ka hoʻōla ʻana i kahi pēpē i kū ka hanu ʻana, e loaʻa i ka pēpē ka mālama lapaʻau nui. E holo nā kauka i nā hoʻokolohua nui e hoʻoholo i ka mea i hoʻomaka i ka hanu ʻana a hāʻawi i ka lapaʻau kūpono.

No nā ʻohana i nalowale i kahi pēpē i ka SIDS, pili ka lapaʻau i ka ʻōlelo aʻo kaumaha a me ke kākoʻo manaʻo. Nui nā haukapila a me nā kaiāulu e hāʻawi ana i nā papahana kaumaha kūikawā no nā ʻohana i hoʻopilikia ʻia e ka make pēpē.

Pehea e hāʻawi ai i ka mālama kākoʻo i ka wā o nā hopohopo SIDS?

Inā hopohopo ʻoe e pili ana i ka pilikia o ka SIDS, e kau i ka hana ʻana i kahi wahi moe palekana loa no kāu pēpē. Hāʻawi kēia iā ʻoe i nā hana kūikawā āu e hiki ke lawe i ka wā e hoʻokele ai i kou hopohopo e pili ana i kēia kūlana maʻamau ʻole.

E noʻonoʻo e hoʻohana i kahi monitor pēpē no ka maluhia o ka manaʻo, akā e hoʻomanaʻo ʻaʻole hiki i nā monitors ke pale aku i ka SIDS. E koho i nā mea hana e nānā i ka neʻe a i ʻole ka hanu inā kōkua lākou iā ʻoe e ʻike ʻoi aku ka palekana, akā mai hilinaʻi iā lākou ma ke ʻano he mau mea palekana.

E mālama i kou olakino noʻonoʻo ma o ke kamaʻilio ʻana me nā mākua ʻē aʻe, ke komo ʻana i nā hui kākoʻo, a i ʻole ke kamaʻilio ʻana me kahi kākāʻōlelo inā ke hoʻopilikia nei kou mau makaʻu e pili ana i ka SIDS i kou ola i kēlā me kēia lā a i ʻole ke pilina me kāu pēpē.

Pehea ʻoe e hoʻomākaukau ai no kāu hālāwai kauka e pili ana i nā hopohopo SIDS?

Ma mua o kāu hālāwai, e kākau i nā nīnau kikoʻī a i ʻole nā ​​hopohopo āu e loaʻa ai e pili ana i ka SIDS a me ka palekana moe o kāu pēpē. Kōkua kēia e hōʻoia e pane ʻoe i kāu mau hopohopo āpau i ka wā kipa.

E lawe mai i kahi papa inoa o nā hana moe o kāu pēpē, me kahi e moe ai lākou, ke kūlana āu e waiho ai iā lākou, a me nā mea i loko o ko lākou wahi moe. Hiki i kāu kauka ke nānā i kēia mau hana a manaʻo i nā loli e pono ai.

E mākaukau e kūkākūkā i kāu mōʻaukala ʻohana, me nā make pēpē ma mua a i ʻole nā ​​hanana hopohopo me kāu pēpē i kēia manawa. Kōkua kēia ʻike i kāu kauka e loiloi i nā mea pilikia o kāu pēpē a hāʻawi i nā kuhikuhi pilikino.

He aha ka mea nui e pili ana i ka Sudden Infant Death Syndrome?

He kūlana maʻamau ʻole akā koʻikoʻi ka SIDS e hoʻopilikia ana i nā pēpē olakino i ka wā moe. ʻOiai ke noho nei ka kumu pololei i ʻike ʻole ʻia, hiki i ka hahai ʻana i nā hana moe palekana ke hoʻemi nui i ka pilikia o kāu pēpē.

ʻO ka mea nui loa āu e hiki ai ke hana, ʻo ia ka waiho mau ʻana i kāu pēpē ma ko lākou kua e moe ai i kahi wahi palekana. Ua hoʻopakele kēia ʻanuʻu maʻalahi, me nā hana pale ʻē aʻe, i nā tausani o nā ola mai ka hoʻomaka ʻana o nā papahana moe palekana.

E hoʻomanaʻo he mea maʻamau ʻole ka SIDS, e hoʻopilikia ana i kahi 1 i 1,000 mau pēpē. Nui nā pēpē e hahai ana i nā kuhikuhi moe palekana e noho olakino a palekana. E kau i ka manaʻo i nā ʻanuʻu āu e hiki ke kaohi i ka wā e ʻimi ai i ke kākoʻo inā ke hoʻopilikia nei ka hopohopo e pili ana i ka SIDS i ka leʻaleʻa i kou manawa me kāu pēpē.

Nā nīnau i nīnau pinepine ʻia e pili ana i ka Sudden Infant Death Syndrome

Hiki i ka SIDS ke hiki i ka lā a i ʻole i ka pō wale nō?

Hiki i ka SIDS ke hiki i kēlā me kēia manawa moe, inā i ka wā moe awakea a i ka moe pō paha. Aia ka pilikia i kēlā me kēia manawa e moe ana kāu pēpē, ʻo ia ke kumu e pono ai ke hahai i nā hana moe palekana no nā manawa moe a pau, ʻaʻole wale i ka pō.

Ke pale nei nā monitor pēpē i ka SIDS?

ʻAʻole i hōʻoia ʻia nā monitor pēpē, me nā mea e nānā ana i ka hanu a i ʻole ka neʻe, e pale aku i ka SIDS. ʻOiai hiki i kēia mau mea hana ke hāʻawi i ka maluhia o ka manaʻo no nā mākua, ʻaʻole pono lākou e pani i nā hana moe palekana. ʻAʻole paipai ka American Academy of Pediatrics i ka hoʻohana ʻana i kēia mau monitors ma ke ʻano he mau mea pale SIDS.

He mea palekana anei ke ʻae i kāu pēpē e moe i loko o koʻu moe e nānā pono iā lākou?

Hoʻonui maoli ka moe pū ʻana i ka pilikia o ka make pēpē e pili ana i ka moe, me ka SIDS. ʻO ke ala palekana loa, ʻo ia ka kaʻana like ʻana i ka lumi me ka ʻole o ka moe pū ʻana, kahi e moe ai kāu pēpē i loko o kāu lumi akā i loko o ko lākou wahi moe kaʻawale, e like me kahi bassinet a i ʻole ka moena kokoke i kāu moe.

He aha kāu e hana ai inā huli kāu pēpē i ko lākou ʻōpū i ka wā moe?

Ke hiki i kāu pēpē ke huli mai ke kua a i ka ʻōpū a mai ka ʻōpū a i ke kua ma luna o lākou iho (maʻamau ma kahi o 4-6 mau mahina), ʻaʻole pono ʻoe e hoʻoneʻe iā lākou i ka wā moe. Eia naʻe, pono ʻoe e hoʻomau i ka waiho ʻana iā lākou ma ko lākou kua i ka hoʻomaka ʻana o kēlā me kēia manawa moe. E hōʻoia mau i ko lākou wahi moe me ka ʻole o nā lole palalulu a me nā pilikia ʻē aʻe.

Aia kekahi mau hōʻailona mua e hiki ai i kāu pēpē ke pilikia nui i ka SIDS?

Hiki mai ka SIDS me ka ʻole o nā hōʻailona mua a i ʻole nā ​​hōʻailona. ʻIke ʻia nā pēpē e make ana mai ka SIDS he olakino loa ma mua. ʻOiai hiki i kekahi mau mea pilikia ke hoʻonui i ka hiki ke loaʻa ka SIDS, ʻaʻole ʻo ia hoʻi ka loaʻa ʻana o kēia mau mea pilikia e loaʻa ka SIDS, a nui nā pēpē me ka ʻole o nā mea pilikia e noho palekana loa. E kau i ka manaʻo i ka pale ʻana ma o nā hana moe palekana ma mua o ka ʻimi ʻana i nā hōʻailona mua.