Bronchiolitis: physiotherapy hanu ma ka laina o ka ʻike

ʻO ka physiotherapy a me ka bronchiolitis: nā hopena o ka puke pai ʻo Prescrire a me ka pane o kahi physiotherapist.

ʻO nā ʻoiaʻiʻo: i ka lā ʻo Dekemaba 2012, ʻo ka puke pai lāʻau ʻo Prescrire e hōʻoia ana he ʻeiwa mau haʻawina, i hana ʻia me nā pēpē 891 i mālama ʻia i ka haukapila no ka bronchiolitis i hōʻike ʻole i ka ʻokoʻa ma waena o nā pēpē i mālama ʻia me ka physiotherapy hanu a me ka ʻole o ka physiotherapy, ma nā huaʻōlelo a me ka physiological (ke koko oxygenation, ka hanu hanu, ka lōʻihi o ka maʻi, etc.).

Brice Mommaton: ʻAʻole pili kēia haʻawina i nā physiotherapist liberal. Ua hana ʻia i nā pēpē i mālama ʻia i ka haukapila no ka bronchiolitis. mākou, kaua mākou e pale aku i ka hale maʻi. Hoʻopili ʻia nā hihia koʻikoʻi a palupalu o ka bronchiolitis i kēia hana. ʻOiaʻiʻo, ke mālama ʻia kahi pēpē i ka haukapila, ʻo ka mea nui mālama i ka saturation oxygen a e kaua aku i keia pehu o ka bronchi. Eia kekahi, hiki ke hana ʻia nā hana physiotherapy e wehe i nā ʻāpana ihu, akā pono lākou e akahai loa i ʻole e hoʻonāwaliwali i ke keiki.

He mea pono anei ka physiotherapy hanu i na hihia o ka bronchiolitis?

BM: ʻAe, kōkua ʻo ia inā ʻaʻole hiki i ka pēpē ke kipaku aku i ka hypersecretion o ka phlegm i hōʻiliʻili ʻia i loko o kāna bronchi. No ka mea ʻo ka pilikia koʻikoʻi ʻo ka deterioration o ka hana hanu a no laila ka hale maʻi. ʻO ka hana a ka physiotherapist ka pololei o ka hoʻohaʻahaʻa ʻana i ka bronchi e hiki ai i ke keiki ke hanu a ʻai. E ninau i na makua, ma hope o kahi kau, ʻaʻole noho ka pēpē i ka pō hoʻokahi, loaʻa hou ka ʻai, ʻuʻu iki. Akā hoʻomau ka bronchiolitis no ka liʻiliʻi o 8-10 mau lā, no laila ke koʻikoʻi o ka loaʻa ʻana o kekahi mau kau.

ʻO ka physiotherapy o ka hanu: pehea e pili ana i nā hopena ʻino (ka luaʻi, ka ʻeha a me nā ʻaoʻao ʻaoʻao, etc.)?

BM: No 15 makahiki aʻu e hoʻomaʻamaʻa nei, ʻAʻole au i ʻike i ka haki ʻana o ka iwi ʻaoʻao. He hihia laha loa keia. Pono ʻoe e ʻike he ʻokoʻa nui ma waena o nā ʻano ʻano like ʻole o ka physiotherapy hanu. Ma Farani, hoʻohana mākou i ka ʻenehana ohoʻonui i ke kahe ʻana. ʻAʻohe mea pili i nā ʻano haʻihaʻi a hikiwawe ke ʻike ʻia ma ke kīwī. ʻAʻole ʻeha ka physiotherapy hanu. Uwe ke keiki no ka mea ʻaʻole ʻoluʻolu iā ia ka hana hoʻopunipuni. Kakaikahi loa ka luai ana. Hana ʻia ia i ka wā e loaʻa ai i ka pēpē kahi ʻōpala ʻaʻole hiki ke hoʻoheheʻe ʻia e pono ai ʻo ia e haʻalele. I kēlā me kēia manawa, ʻO ka mea nui, ʻo ke koho ʻana i kahi loea loea ka mea i aʻo ʻia i kēia hana pediatric me ka heluhelu ʻana i kēia mau hōʻailona lapaʻau.

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