ʻO ka hauʻoli o nā lā mua o ka heleʻana i loko o kaʻohana o kahi pēpē ua pau, i ka loheʻana o nā mākua i ka hōʻailona likeʻole e like me ka maʻi maʻi. Ma muli o nāʻikepili, ua hānauʻia he 1% o nā keiki me kēia maʻi nui. ʻO ka maʻi maʻi maʻi o ka maʻi i loaʻa i ka hanu o ka puʻuwai a me nā kīʻaha koko nui, i hiki mai i ka hānauʻana.
Nā kumu o ka maʻi maʻi i nā keiki hou
ʻO keʻano o kēia pōpilikia ka mea nui ma muli o ka anomaly o ka uluʻana o intrauterine. ʻO ke maʻi maʻi ke hanaʻia i ka lā mua (mai ka 2 a 8 mau wiki o ke kōhua), i ka manawa e kau ai nā'ōpū a me nā pūnaewele o ka'ōpiopio. ʻO nā kumuʻino e hāpai ana i ke kāpiliʻana o nā maʻi maʻi i loko o:
ka maʻi intrauterine (ka diana, ka rubella, ka herpes, ka cytomegalovirus);- ka laweʻana i ka waiʻona i ka lā mua o ka'ōpūʻana;
- hoʻohana i nā lāʻau lapaʻau e kekahi makuahine i ka wā e hiki mai ana i ka hopena o ka hopena;
- ka predisposition genetic;
- nā maʻiʻeha o ka makuahine;
- makahiki o nā mākua.
Nā hōʻailona o ka'ōpū hopeʻole i nā keiki hou
ʻO nā hōʻailonaʻoi loa o kēia hemahema,ʻo ka mea mua, ka hanaʻana i kaʻili a me nā membmo mucous - ka mea i kapaʻia cyanosis. ʻO ka hapanui o nā lālā "blue" a me ka triangle haʻihaʻi. ʻO nā hōʻailona o ka maʻi maʻi i nā keiki hou he mau lōʻihi a iʻole paroxysmal paha o ka pauʻole o ka naʻau me he meaʻinoʻole o ke kaumaha, nāwaliwali, dyspnea, hoʻonui. ʻOi ke keiki me kēia kino kīnā aʻeleʻele loa i kaʻaiʻana. I ka wā e hiki mai ana, e waiho ana ke pēpē ma hope o ka uluʻana i ke kino a me ka naʻau a me kekahi o nā maʻi. Eia kekahi, me kēia maʻi, hiki i ka pediatric ke lohe i ka'ōhumuʻana o ka puʻuwai a hoʻomaopopo i ka wikiwiki o ka naʻau o ke keiki. Inā loaʻa kahi kānalua o ka maʻi maʻi kūpilikiʻi i nā keiki hou, pono e kūkākūkā pū me kahi kāpipipikia, e kuhikuhi i nā mea e like me ka electrocardiogram, ka mea kani o ka naʻau.
Hoʻomaʻoʻia o ka maʻi maʻi ma nā keiki hou
ʻO ka hoʻomaʻamaʻaʻana i kēia maʻi nui ma muli o ka paʻakikī a me keʻano. Aia nā mea i kapaʻia he "keʻokeʻo" a me ka "blue" hewa. Uaʻikeʻiaʻo ka puka o nāʻanoʻelua o ke koko i loko o ka puʻuwai - ka mea huhū a me ka meaʻeha, akā ua hoʻokaʻawaleʻia lākou e nā pāpahu iʻole e hoʻohui i ke koko. Me nā maʻi "keʻokeʻo", e komo ke koko koko i loko o ke kokoʻeha ma muli o kahi hemahema o ka septum maka honua, kahi septum interventricalular, a iʻole ka puka ākea. Me ke komoʻana o ke kokoʻulaʻula "blue" i ka wai. ʻO nā pōʻino o kēiaʻano,ʻo ia hoʻiʻo Tetrada Fallot, underdevelopment of septum, transposition of the main vessels. Aia kekahi mau kīʻaha o ka ventricular ejection - kahi hua o ka pulmonary trunk, a sticosis aortic aortta aortta. Me ka maʻi maʻi o nā keiki hou,ʻo ke kīʻaha kaʻoihanaʻoi loa o ka lawelaweʻana. Eia kekahi,ʻo kekahi mau hana hewaʻole me ke kaʻina hanaʻole i kahi hopena make. No laila, ua'ōleloʻia nā mākua e hōʻike i ke pēpēʻaʻole i ka mea maʻi naʻaupō wale nō, akā, i ka maʻi hōʻailona naʻaupō hoʻi. ʻO nāʻanoʻoihana olala e like me keʻano lapaʻau nui loa. Me kā lākou kōkua e hoʻopakele i nā hōʻailona symptomal-kahi o ka dyspnea, arrhythmia. Me nā pilikia o ke kino, ua lawa ia e nānā ai, no ka mea, ua ulu ka naʻau o ka pēpē i kona iho pono'ī.
Hoʻololi nuiʻia e nā mākua o ke pēpē. Ke pono ka maʻi o ke keiki hou i ka manawa hiki ke hele me ke keiki i ka ea, hoʻonāukiu, ho'āʻo e pale i nā maʻi a me nā kaumaha. Kūponoʻia e hoʻonui i ka helu o nā hānai ma ka hoʻemiʻana i ka nui o ka waiu hoʻohana.
Pono e kākau inoaʻia kahi keiki me ka maʻi maʻi kūponoʻole me ka cardiologist a me ka pediatric District. Hiki i ke cardiologist ke nānā i ka pēpē i ka makahiki mua o ke ola i kēlā me kēiaʻekolu mahina a hoʻouna i ka ECG i nā mahinaʻeono.
Inā huliʻoe i ke kauka i ka manawa, hiki iāʻoe ke ho'ōla i ka maʻi maʻi. E nā mākua, e hoʻolohe i kāʻoukou mau kuhū!