ʻO nā keiki i pilikia i nā maʻi pili i ka wela i ka wā wela: eia ka mea e hana ai
ʻO nā maʻi e pili ana i ka wela a me ka wela, nā ʻōlelo aʻoaʻo loea e pale aku i nā pilikia: e aʻo i nā keiki e inu a ʻaʻahu i nā lole māmā.
ʻO ka wela wela, ka wela wela a me ka hahau wela, ʻo ia nā maʻi e hiki ai i ka wela ke hoʻoulu, pili pū me nā mea hoʻonāukiuki ʻē aʻe (ka haʻahaʻa, nā wahi paʻa, ka maikaʻi ʻole, nā lole mānoanoa), ʻoi aku i nā keiki.
"No ka mālama ʻana i ka mahana o ke kino mau, hana ko mākou kino i ka wela, ka mea e hoʻoheheʻe ʻia ma ka hoʻoluʻu ʻana iā ia iho ma o ka hoʻoluhi ʻana a me ka ʻili.
ʻO kēia ʻōnaehana hoʻoluʻu kūlohelohe, i ka wā e wela loa ai, hiki ke hāʻule ʻole, e ʻae ana i ko mākou kino e hiki i nā pae weliweli,' wehewehe ʻo Flavio Quarantiello, ka luna lapaʻau ma ka hui hana paʻakikī o Paediatrics and Adolescentology Aorn S. Pio Benevento, i loko o kahi ʻatikala i paʻi ʻia. ma ka pūnaewele o ka Italian Society of Paediatrics (Sip).
ʻO ka wela a me nā keiki: pehea e hōʻike ai nā maʻi pili i ka wela a pehea mākou e komo ai?
KA PILI ANA
'He ʻeha lākou, ʻeha loa, pōkole ka ʻiʻo muscular e pili ana i nā ʻiʻo o nā wāwae, nā lima, nā ʻōpū,' wehewehe ʻo Quarantiello.
'Hiki iā lākou ke hana i ka wā a i ʻole ma hope o ka hoʻoikaika kino kino i ka wela loa a ma muli o ka nalowale nui o nā wai a me nā paʻakai ma muli o ka wela nui.
Hiki i nā keiki ke loaʻa i ka ʻeha wela ke inu ʻole lākou i ka wai.
ʻOiai ʻeha loa, ʻaʻole koʻikoʻi nā ʻōpū wela iā lākou iho, akā hiki iā lākou ke lilo i ka hōʻailona mua o kahi maʻi wela nui, no laila pono lākou e mālama koke ʻia e pale i nā pilikia '.
He aha ka hana? Ua wehewehe ka mea akamai e 'ho'ōki koke i ka hoʻoikaika kino, e lawe i ke keiki i kahi maʻalili ma ka noho ʻana a moe ʻana paha, a hāʻawi iā ia i nā mea inu i loaʻa i ke kō a me nā minela (ka mea i kapa ʻia nā mea inu haʻuki).
ʻO ka hoʻomaloʻo ʻana a me ka lomilomi mālie o nā ʻiʻo i pili pū kekahi i mea kōkua i ka hoʻohaʻahaʻa ʻana i nā hōʻailona '.
HOOLAHA WELA
He maʻi wela ʻoi aʻe ia e hiki mai ana i ka wā i inu ʻole ai ke keiki i kahi ea wela a i ʻole ma kahi wela loa (a paʻa) i ka wai.
Ua wehewehe ka loea 'o nā hōʻailona paha e komo pū me ka nui o ka make wai, nāwaliwali, ʻūlū a maule paha, ʻeha ʻiʻo, nausea a/a i ʻole. luaʻi, ukiuki, po'o po'o, ho'onui i ka houhu, 'ili ma'alili, pi'i 'ana o ka wela kino (<40°C)'.
He aha ka hana? Quarantiello e hoʻokūpaʻa i ka mea pono e 'lawe koke i ke keiki i kahi maʻalili i malu mai ka lā a i loko o ke kaʻa me ka ea ea ma luna o ka malu wahi, wehe i ke kapa lole, paipai i ke keiki e inu i ka wai a me ka wai anuanu i loko o ka paʻakai a me ka sugars. e like me nā mea inu haʻuki i nā sips pinepine, e uhi i ke kāwele pulu me ka wai anuanu a i ʻole e pulu i ka ʻili o ke keiki me ka wai anuanu'.
A laila 'kahea iā 118 a i ʻole kāu pediatrician (ʻo ke keiki nawaliwali loa i ka inu e pono paha i ka hoʻomaʻemaʻe intravenous)'.
Inā ʻaʻole mālama koke ʻia, hiki i ka luhi wela ke lilo i hahau wela, kahi maʻi nui loa.
KA HAAWINA
ʻO ia 'ke ʻano koʻikoʻi loa o ka maʻi wela a he pilikia olakino hoʻoweliweli,' i ʻōlelo ai ka loea.
"I ka wela, ʻaʻole hiki i ke kino ke hoʻoponopono hou i kona wela ponoʻī, hiki ke piʻi i luna o 41.1 ° C, e hōʻeha ai i ka lolo a i ʻole ka make inā ʻaʻole mālama koke ʻia.
Pono ka mālama kino a me ka wikiwiki e hoʻomalu a hoʻohaʻahaʻa i ka wela o ke kino.
Hiki i nā keiki ke loaʻa i ka wela ke ʻaʻahu ʻia lākou a i ʻole ke komo ʻana i ka hana kino koʻikoʻi i ka wā wela loa a ʻaʻole lawa ka wai.
Hiki i ka hahau wela ke waiho ʻia ke keiki a paʻa paha i loko o ke kaʻa i ka lā wela.
Ke 34°C ka wela o waho, hiki i ka wela o loko o ke ka'a ke pi'i i 52°C i loko o 20 mau minuke wale no, e pi'i koke ai ka wela o ke kino o ke keiki i pa'a 'ia.
He aha ka mea e hana ai ke alo i ka hahau wela?
ʻO ka mea mua, 'Kahea koke iā 118,' wahi a Quarantiello.
ʻO nā hōʻailona o ke keiki e loaʻa ana i ka maʻi wela: ʻo ka ʻeha nui, nāwaliwali, ʻūlū, huikau, nausea, wikiwiki ka hanu a me ka puʻuwai puʻuwai, nalowale ka ʻike, convulsions, liʻiliʻi a ʻaʻohe hou, ʻulaʻula, wela a maloʻo ka ʻili, a me ka wela o ke kino> 40 °C.
Oiai e kali ana no ka hoea ana mai o na oihana pilikia 118, e lawe i ke keiki i kahi anuanu a malu paha, e hoomoe ia ia a hapai i kona mau wawae, e wehe i ke kapa a e auau i ka wai mehana, ina ua ala ke keiki a ike, e inu pinepine. ʻO nā mea inu ʻoluʻolu, inā luaʻi ke keiki, e hoʻohuli iā ia ma kona ʻaoʻao e pale ai i ka choking, mai hāʻawi i ka wai inā ʻaʻole ala a ʻike ke keiki.
Pehea e pale ai i ka maʻi wela?
No ka pale ʻana i nā maʻi wela, akā naʻe, hiki ke mālama ʻia kekahi mau mea mālama.
ʻO ka mea mua, 'e aʻo i nā keiki i ka inu nui ma mua a i ka wā hoʻoikaika kino i ke kau kauwela a i ka wā lōʻihi e ʻike ai i ka lā, ʻoiai inā ʻaʻole lākou make wai,' wehewehe ʻo Quarantiello, 'a laila e hoʻokomo iā lākou i ka lole. ʻO nā lole ʻoluʻolu, ʻulaʻula a me nā pāpale māmā i nā lā wela loa, e hoʻohana i ka holika pale lā a pulu pinepine i ko lākou mau poʻo a me ka ʻāʻī o ko lākou ʻāʻī me ka wai anuanu inā lōʻihi ka lōʻihi.
Ma nā lā wela a haʻahaʻa paha, ʻoi aku ka maikaʻi o ka hoʻokaʻawale ʻana i ka hana kino i waho i nā hola wela loa.
A ʻo ka hope loa, 'e aʻo aku i nā keiki e hele i nā wahi ʻoluʻolu i pale ʻia mai ka lā, a hoʻomaha a hoʻomaʻemaʻe koke i nā manawa a lākou e manaʻo ai i ka wela,' hoʻopau ka loea.
E heluhelu pū nō hoʻi:
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ʻO ke kala o ka pee: He aha ka ʻōlelo a ka mimi iā mākou e pili ana i ko mākou olakino?
ʻO ke kauwela a me nā wela kiʻekiʻe: Dehydration ma Paramedics a me nā mea pane mua
ʻO ke kōkua mua no ka wai maloʻo: ʻike pehea e pane ai i kahi kūlana i pili ʻole i ka wela.