ʻO kaʻimi oxygen koko hou hānauHoʻohana ʻia e nānā i ka pae o ka oxygen saturation koko o ke keiki hānau hou, hiki ke alakaʻi pono i ke kūlana olakino maʻamau o ka pēpē.
Hānau ʻia ka hapa nui o nā keiki hou me nā puʻuwai olakino a lawa ka oxygen i loko o ko lākou koko.Eia naʻe, ma kahi o 1 i loko o 100 mau keiki hou i loaʻa i ka maʻi puʻuwai congenital (CHD), a ʻo 25% o lākou e loaʻa i ka maʻi puʻuwai congenital koʻikoʻi (CCHD).
ʻO nā keiki hānau hou me ka maʻi puʻuwai koʻikoʻi he haʻahaʻa ka oxygen haʻahaʻa a koi pinepine lākou i ke ʻoki a i ʻole nā kaʻina hana ʻē aʻe i ko lākou makahiki mua o ke ola.I kekahi manawa, pono ka hana koʻikoʻi i nā lā mua a i ʻole nā pule o ke ola o kahi keiki hou.ʻO kekahi mau hiʻohiʻona o ka maʻi puʻuwai koʻikoʻi e pili ana i ka coarctation o ka aorta, ka hoʻololi ʻana o nā aʻa nui, hypoplastic left heart syndrome, a me ka tetralogy of Fallot.
ʻO kekahi mau ʻano CCHD ke kumu o ka haʻahaʻa haʻahaʻa o ka oxygen i loko o ke koko a hiki ke ʻike ʻia me kahi oximeter hānau hou ma mua o ka maʻi ʻana o ke keiki hānau hou, no laila e hāʻawi ana i ka ʻike mua ʻana a me ka mālama kūpono, a hiki paha ke hoʻomaikaʻi i kā lākou wānana.
Manaʻo ka American Academy of Pediatrics (AAP) i ka pulse oximetry i nā hōʻike hōʻike hou a pau e ʻike i ka CCHD.Ma ka makahiki 2018, ua hoʻokō nā mokuʻāina āpau o ʻAmelika i nā kulekele e nānā i nā keiki hou.
ʻAʻole hiki ke ʻike i nā ʻano kīnā ʻole o ka puʻuwai fetal
ʻOiai hiki ke ʻike ʻia ka nui o nā pilikia puʻuwai fetal i kēia manawa e ka ultrasonography fetal, a hiki ke hoʻouna mua ʻia nā ʻohana i ka cardiologist pediatric no ka mālama hou ʻana, aia nō kekahi mau maʻi CHD i hala.
ʻIke ʻia nā hōʻailona a me nā hōʻailona o CCHD, e like me ka ʻili polū a i ʻole pōkole o ka hanu ma hope o ka hānau ʻana, ʻike ʻia i nā keiki hou he nui i ʻike ʻia a mālama ʻia ma mua o ka hoʻokuʻu ʻia ʻana mai ka haukapila.Eia naʻe, ua maʻi koke kekahi mau keiki hānau hou me kekahi ʻano CCHD i ʻike ʻia he olakino a hana maʻamau i kekahi mau lā i hala aku nei.
Pehea e kānana ai?
ʻO kahi palupalu liʻiliʻi mea ʻikekaʻapuni i ka lima ʻākau o ke keiki hānau hou a me ka wāwae hoʻokahi.Hoʻopili ʻia ka mea ʻike i ka monitor no kahi o 5 mau minuke a ana i ka pae o ka oxygen i loko o ke koko a me ka puʻuwai puʻuwai.He wikiwiki, maʻalahi ka nānā ʻana o ka oxygen koko hou hānau hou.ʻO ka nānā ʻana i ka Pulse oximetry 24 mau hola ma hope o ka hānau ʻana e hiki ai i ka puʻuwai a me nā māmā o ke keiki hānau ke hoʻololi piha i ke ola ma waho o ka makuahine.Ma hope o ka pau ʻana o ka nānā ʻana, e nānā ke kauka a kahu hānai paha i nā heluhelu me nā mākua o ke keiki hānau hou.
Inā loaʻa nā pilikia me ka heluhelu hoʻāʻo ʻana, pono paha nā hoʻokolohua ʻē aʻe e loiloi ai no ka maʻi naʻau coronary a i ʻole nā kumu ʻē aʻe o ka hypoxia ma mua o ka hoʻokuʻu ʻia ʻana o ke keiki hou mai ka haukapila.
Hiki i nā ho'āʻo ke komo i ka pahu X-ray a me ka hana koko.E hana ana ke kauka maʻi maʻi i ka nānā ʻana i ka ultrasound o ka puʻuwai o ke keiki hānau hou, i kapa ʻia he echocardiogram.E loiloi ka leo i nā hale a me nā hana a pau o ka puʻuwai neonatal me ka kikoʻī.Inā hōʻike nā leo i kekahi hopohopo, e kūkākūkā kā lākou hui lapaʻau i nā hana aʻe me nā mākua.
'Ōlelo Aʻo: E like me ka hoʻāʻo ʻana, ʻaʻole pololei paha ka hoʻāʻo ʻana o ka pulse oximetry.Hiki ke loaʻa i kekahi manawa nā hoʻopunipuni hoʻopunipuni, ʻo ia hoʻi, ʻoiai ke hōʻike nei ka pale oximetry i kahi pilikia, hiki i kahi ultrasound ke hōʻoiaʻiʻo he maʻamau ka naʻau o ke keiki hānau hou.ʻAʻole ko lākou hele ʻana i ka hōʻike hōʻike ʻana i ka pulse oximetry.Loaʻa paha iā lākou nā kūlana ʻē aʻe me ka haʻahaʻa haʻahaʻa o ka oxygen, e like me nā maʻi a i ʻole ka maʻi ʻāʻī.Pēlā nō, hiki i kekahi mau keiki hānau hou olakino ke hoʻololi i ko lākou puʻuwai a me nā māmā ma hope o ka hānau ʻana, no laila, haʻahaʻa paha ka heluhelu pulse oximetry.
Ka manawa hoʻouna: Nov-02-2022