Ma mua o ka hanaʻana i nā lāʻau'alopelo, he nui nā maʻi maʻi i make no kekahi keiki liʻiliʻi. ʻO ka pale wela hoʻokahi kahi maʻi like, e pili ana i nā keiki he 2-16 makahiki. Mahalo i nā hōʻailona o kēia manawa,ʻaʻole ia he mea weliweli nui kēia maʻi, a ua maʻalahi kona mau hōʻailona.
ʻO ka pale wela
ʻO ka maʻi i haʻiʻia e komo i loko o ke kino ma waho wale nō, mai kekahi kanaka ai kekahi. ʻO ka mea nāna i hana i kaʻulaʻula ulaula he streptococcus hemolytic o ka hui A o kahiʻano kiko'ī. Pono pono iā ia ke hana i kahi waiwai kūikawā i kapaʻia "erythrotoxin". He meaʻawaʻawa kēia a hoʻoholo i ka hanaʻana o ka ulaula i nā keiki -ʻo nā hōʻailona a me ka mālamaʻana i ka maʻi, ka paʻakikī a me ka lōʻihi. Ma hope o ka ho'āla houʻana i ka erythrotoxin, hiki i ka maʻi āpau ke ola, no laila, hiki ke hoʻololi i ka pathology i hoʻokahi wale nō.
Pehea e hoʻopiliʻia ai ke kuniʻulaʻula?
ʻO nā maʻiʻeha'elepopo e hoʻopili ai,ʻo ka ala nui ke ea. Noho mau ka Streptococcus ma waho o ke kino o ke kanaka, no laila, ke laweʻia nei ma o nā mea likeʻole (lole lole, mea hana, nā leka a me nā mea'ē aʻe). ʻO ke kuni wela i loko o kahi keiki e hiki ke hana i ka wā e launa pū me kekahi kanaka olakino me kaʻole o nā hōʻailona. Ma kahi o 15% o ka heluna o ke ao holoʻokoʻa e halihali ana i nā hua bacteri, nā meaʻanoʻano pathogenic e noho mau ana ma ka mucosa o kā lākou nasopharynx a ua hoʻokuʻuʻia i loko o ke kaiapuni.
ʻO ke kuni wela - hoʻolālā hoʻopau i nā keiki
ʻO ka heleʻana o nā hōʻailona hōʻailona muaʻaʻole i maʻalahi, heʻole ia no kēlā me kēia keiki. ʻAʻole wale ka hoʻopili waleʻana i ka lāʻauʻulaʻula i hōʻikeʻia i nā keiki -ʻo ka hōʻailona a me nā kānalua e pili ana i ka pono o ka meaʻai a ke keiki, ka nohona o kona olakino a me kona nohona. Me kahi polokalamu palekana hana, ua maʻalahi ka maʻi,ʻikeʻia kona mau hōʻailona ma hope o 5-10 mau lā ma hope o ka maʻi. I nā keiki nāwaliwali, ua wikiwiki ka lole ulaula - he 1-4 mau lā. I nāʻano likeʻole,ʻoi aku ka paʻakikī o ka bacteria, kūpono paha ka hopena hopena.
Ehia ka ulaula ulaula?
Hoʻopiliʻia kekahi keiki maʻi i mea kūlohelohe i nā keiki'ē aʻe i loko o nā hebedoma 2-3 o ka hoʻomakaʻana o nā hōʻailona mua. ʻO ka pinepine he lāʻauʻeleʻele ka maʻi a ma hope o ka hoʻoponoponoʻana. Loaʻa ka manaʻo o ka convalescence o streptococcus, i ka wā e hoʻokuʻuʻia ai ka huapē i loko o ka honua no nā lā he 21 a hiki i ka pauʻana o nā hōʻailona o ka maʻi.
Pehea iʻikeʻia ai ke kuniʻulaʻula?
ʻO nā maʻi pilikino i hōʻikeʻiaʻekolu mau hōʻailona nui. He mea hōʻailona lākou,ʻo ia ke kumu e hoʻomaopopo pono ai nā'ōpiopio a me nā mākua i nāʻano o keʻano ulaula:
- ka huapalapala ma ke kino;
- e hoʻololi i ka pā o ke alelo;
- ka wela o ka larynx.
Ma waho aʻe o nā hōʻailona kiko'ī, aia kekahi mau hōʻailona o ka lāʻau:
- wela;
- nāwaliwali;
- nā maʻiʻeha;
- ka maloʻo a me ka peeling o ka epidermis (i ka lā e ola ai);
- malaise;
- ka nui o nā hanana lymph .
E kīʻaha me ka lāʻauʻulaʻula
ʻO ka uhi mua o ke kīpoki i keʻokeʻo ma lalo o ka hana o nā leka kiʻekiʻe o ka erythroxin i loko o ke koko. Ma hope o kekahi mau hola e hoʻomaopopo loa ia he ulaula ka'ōpū - ua uhi ka'ōpū i ka kino a pau ma keʻano o nāʻili ulaula ulaula. ʻO ka nui o ka hamo ma ke kino ma nāʻaoʻao, ma kahi o nā pōpikipā o nā lima a me nā wāwae. Hikiʻole i kaʻulaʻula kūikawā ma nā keiki keʻole ka triangle haʻihaʻi. Ke kū'ē i ka hopena o ka'iliʻula aʻulaʻula, he pale kona.
'Ōlelo me ka lāʻau pa'ū
ʻO ka hopena hou aʻe i ka nānāʻana i ka pēpē,ʻo ia ke nānanā i ka ohele waha. Hōʻikeʻia nā hōʻailona hōʻailona ulaula i nā keiki ma ka'ōlelo. I nā lā mua o ka maʻi, ua uhiʻia i ka uhi keʻokeʻo, i kekahi manawa me ka'ā'ī hina. Ma hope iho ua hoʻopau loaʻia kaʻili, aʻikeʻia nā hōʻailona hōʻailona, e like me kaʻulaʻula iʻikeʻia i nā keiki ma ka'ōlelo:
- ʻulaʻula;
- hōʻailona nui i ka papillae;
- 'ōlelo hoʻolaha.
'Oke me ka lāʻauʻulaʻula
Ināʻoe e hohonu hohonu,ʻoluʻolu e loaʻa kahi kiʻiʻokoʻa o kahi puʻu throly purulent. ʻO nā hōʻailonaʻulaʻula loa e like me keʻano o ka'ōpū:
- nā'ōpūʻulaʻula a momona;
- ka palaho o ka palaho palaho, ka paia o nā pharyngeal, nā'ōlelo, a me nā paepae ("pharynx lumana");
- keʻokeʻo keʻokeʻo a iʻole ke kāmaʻa ma luna o nā āpau.
I kēia manawa, he mea nui ia e hōʻoiaʻaʻole he angina e holomua, akā, he ulaula i nā keiki - heʻano likeʻole nā hōʻailona a me ka mālamaʻana i kēia mau maʻi, akā, uaʻano like nā hōʻailona. No ka nānāʻana, pono pono e nānā hou i nā hōʻailona kiko'ī o ka hoʻokuʻu erythrotoxin. Inā hikiʻole iāʻoe ke hōʻoiaʻiʻo i nāʻano pilikino i nīnauʻia, eʻoi aku ka maikaʻi o ka nīnau wikiwikiʻana i kahi pediatric.
Mālaʻau i ka meaʻulaʻula i nā keiki
I kaʻikeʻana i keʻano o ka mea hoʻopuka hopena o ka maʻi, hoʻomaʻemaʻeʻia keʻano hoʻohālike me nā antibacterial. Hiki i nā keiki keʻili i ka meaʻulaʻula - hanaʻia ka mālamaʻana ma ka home, pono ka halemai i nā hanana kūikawā, i ka nāwaliwali o ka pēpē a iʻole ka nui o ka pilikia. Nā hana lapaʻau maʻamau no ka hōʻoluʻolu o nā hōʻailona a me ka paleʻana o nā keiki:
- ʻO ka hamo. No nā lā he 10 paha, pono e mālama i ke kaʻawaleʻana o ke keiki, e hōʻole i kona pilina me nā kānaka'ē aʻe.
- Hoʻomaha ka maha. Hoʻopaʻaʻia ke koena i loko o ka wā lōʻihi o ka maʻi,ʻoiai inā he maʻi nui ka pēpē, a ke manaʻo neiʻo ia he malaise, he poʻo hina. Ke mālamaʻia ka nohona olakino, hiki ke hoʻoholo i nā pāʻani a me nā holo wā pōkole.
- ʻO kahi inu wai nui. ʻO nā keiki nā hua waina maikaʻi, nā mea inu meaʻai a me nā compotes o ke anahana o ka mahana, nāʻano mehana teasal me kaʻaila a me ka meli, nā mea momona o nā hua maloʻo.
- ʻAlaʻai. Ma muli o ka puʻu kaumaha, he paʻakikī no ka'ōpiopioʻana eʻai i ka meaʻai paʻa, no laila, ua makemakeʻia e'ōniʻoniʻo nā keiki, nā mea'āpana a me nā wai i maʻalahiʻia, e lako i nā mea kiko a me nā huaʻa. He mea pono e kaohi i ka hoʻohanaʻana i nā mea momona a me nā mea i hoʻomoʻaʻia, nā meaʻai i hanaʻia, nā mea puhi puaʻa, ka wai kalapona. 'Ōlelo pinepineʻia nā pediatric e mālama i nā rula o ka helu helu 2 no Pevzner.
- Ke kākoʻo hoʻokele. ʻO kekahi mau hopena hopena maikaʻiʻole e hele pū me ka ulaula i nā keiki -ʻo nā hōʻailona a me nā maʻi me nā lāʻau lapaʻau e hoʻonāʻia i ka pukaʻana mai o nā meaʻeha a me ka hakiʻana i ka pale o microflora i loko o ka'ōpū. No ka paleʻana i kēia mau hanana, probiotics (Bifiform), antihistamines ( Suprastin ), enterosorbents ( Enterosgel ) e lawelaweʻia.
ʻO nā lāʻau'apaʻau no ka meaʻulaʻula
ʻO keʻano o Streptococcus A ka mea maʻalahi loa i ka penicillins, no laila, he mea nui ka lāʻau lapaʻau i loko o kēia hui i ka hoʻomohalaʻana i nā kumuhana. Eia kēia mau mea:
- Kākoʻo hou;
- Hiconcile;
- Waiwai;
- 'Ālika;
- Amoxl;
- ʻO Flemoxin Solutab a me nā likeʻana.
Inā he maʻi'ekepili paha ka keiki a peni paha i ka penicillins, aiʻole he maʻi nui ka maʻi, ua mālamaʻia ka lāʻau fila i macrolides a me cephalosporins:
- Hōʻoia;
- Cefazolin;
- 'Azima;
- Klabel;
- Cephezole;
- Remora a me nā mea'ē aʻe.
ʻAʻole hiki iāʻoe ke kākau pono a kūʻai i nā lāʻau'alopelo, aia wale nō ke komoʻana o ke kauka i kēia. Hiki i ke kauka ke koho i ka lōʻihi o ke kaʻina hana. He mea nui e hoʻoponoponoʻia ka ulaula i loko o nā keiki - ua maʻalahi nā hōʻailona a me ka mālamaʻana inā pololei ke kūkuluʻana. Pono e hoʻokuʻuʻia nā lāʻau antibacterial i nā lā he 10, hiki i ka hoʻokuʻu kokeʻiaʻana o ka papahele me ka hoʻomau houʻana i ke kāpili streptococcal, ko lākou hoʻolahaʻana i nā mea'ē aʻe a me ka hopena o nā pilikia.
Ma mua o ka pale me kahi lāʻauʻulaʻula?
ʻO kēia kaʻina hana e kōkua i ka hoʻomaʻemaʻeʻana i nā kinona mai ka pākeke bacteria a hoʻemiʻia kaʻeha i loko o ka pharynx. ʻO kahi maikaʻi e hana ai i ka maʻiʻulaʻula,ʻo ia ke holoi mau i kou puʻu me nā hōʻailona hōʻailona:
- ʻO Furacilin;
- ʻO Chlorophyllitis;
- ʻO Miramistin ;
- ʻO Chlorhexidine;
- ʻO Stomatidine;
- Ke like a me nāʻano like.
Ma ka home, hiki iāʻoe ke hoʻomākaukau i kahi wai lāʻau lapaʻau. No nā'ōkiko, nā saline a me nā hamo o ka soda, nā pūpū o nā lāʻau lapaʻau:
- chamomile;
- eucalyptus;
- calendula;
- lime-keʻokeʻo;
- keki.
ʻO ke kuni wela - nā hopena
Kūkaʻi maikaʻi nā wānana. Ināʻikeʻia nā hōʻailona i ka manawa, a koho pololeiʻia ke kohoʻana,ʻeleʻele wikiwiki ka maʻi keʻokeʻo a maʻalahi - pilikia nā hanana i nā kūlana kūikawā. I ka wā o ka hana kūponoʻole o ka palekanaʻole a iʻole ka hoʻopauʻana o ka papa o nā lāʻau'alopelo, hiki i nā hopena e pili ana i nā maʻi maʻi:
- purulent otitis media;
- lymphadenitis;
- poniumona;
- synovitis;
- 'ōponalonepelu;
- maʻi;
- pyelonephritis;
- myocarditis;
- ha'īmāmā;
- nā maʻi o ka pūʻali koa.
Ka paleʻana i kaʻulaʻula i loko o nā keiki
Nā kūkuhi kūikawā no ka paleʻana i ke keiki mai ka maʻi me ka streptococcus, akā. ʻO kaʻiliʻana mai ka lāʻauʻulaʻula,ʻaʻole i hoʻokumuʻia i mea e pale ai i ka maʻi, e'ōleloʻia nā pediatric e pili wale i nā manaʻo loea.
Nā mana nui:
- E mālama pono i nā rula o ke olakala pilikino, e holoi pinepine i nā lima.
- No ke aʻoʻana i ka pēpē e hoʻopāʻole i kona mau maka me nā manamana lepoʻole, mai'okiʻaka i ka maka aʻaʻole hoʻi i ka ihu.
- E hoʻomaʻemaʻe mau i ka hale a hoʻomaha i ka hale.
- E uhi i kou ihu a me kou waha i ka wā e uila ai ke kaumaha (ʻoʻoe a me nā mea'ē aʻe).
- E aʻo aku i kahi keiki e hoʻohana wale i kāna mau kīʻaha pono'ī, mai inu i kekahi hue.
Heʻoi aʻe ka paʻakikī ke pale aku i ka maʻi, inā loaʻa ka maʻi'ulama i loko o ka pūʻulu o kahi keiki,ʻo ka paleʻana i kēlā mau mea e hanaʻia ana e pale i kahi maʻi:
- ʻO nā keiki olakino i hōʻaloʻole i ka maʻi maʻi i weheweheʻia i ka hale no 7 mau lā.
- Noho nā keiki maʻi i ke kula āpau a ma lalo o ka nānāʻana o kekahi mea lapaʻau a hiki i nā pule he 6 (ma ke kauka hoʻoholo).
- ʻO kēlā mea kēia mea e launa pū ana i ke keiki maʻi, i loko o 5 mau lā, hoʻohemo i ka pharynx aiʻole e holoi i ka puʻu me ka hoʻomakeʻana (4 manawa i ka lā ma hope koke iho o nā meaʻai).
- Hanaʻia ka wahi i kēlā me kēia lā me kahi 0.5% o ka hopena o Chloramine.
- ʻO ka lina a me nā kīʻaha e pili ana i ka paila a me ka haoʻana me ka hao wela.