Ke hoʻohui nei kou ʻohana i kahi lālā hou ? A i ʻole he hoaaloha a ʻohana paha e hānau ana i kahi pēpē? No laila, ke kamaʻilio mākou e pili ana i nā pēpē hānau hou, lohe mākou i kekahi manawa e pili ana i kahi 'Neonatologist'. ʻO wai kēia Neonatologist? He aha kāna hana? E kamaʻilio kākou e pili ana i kēia mau mea a pau me ka maʻalahi, ma ke ʻano hiki iā ʻoe ke hoʻomaopopo.
ʻO wai kēia neonatologist?
I ka ʻōlelo maʻalahi, he loea ka Neonatologist e mālama i nā pēpē hānau hou, ʻoiai nā pēpē hānau mua ʻole a i ʻole nā pēpē me nā pilikia olakino kūikawā a me nā kūlana paʻakikī. No ka laʻana, inā hānau mua ʻia kāu pēpē a i ʻole he kīnā hānau, a laila e mālama kēia Neonatologist i ka mālama olakino o kāu pēpē. I kekahi manawa, ma mua o ka hānau ʻana o ka pēpē, inā ua ʻike ʻia i ka wā hāpai he pilikia olakino ka pēpē, hiki iā ʻoe ke loaʻa ke kōkua mai kēia kauka loea ma laila. Eia kekahi, i kekahi mau hihia, aia kēia mau kauka i ka manawa hānau, ʻo ia hoʻi, ma ka lumi hānau, a hāʻawi i ka pēpē i ka mālama koke e pono ai.
Hana pinepine nā Neonatologists i nā Neonatal Intensive Care Units (NICUs) o nā haukapila. He mau kikowaena mālama kūikawā kēia mau NICU no nā pēpē maʻi a i hānau mua ʻia paha. Ma hope o ka hoʻi ʻana o kāu pēpē mai ka NICU, hiki iā lākou ke hāʻawi i ka mālama hahai a hana pū me ke kauka pediatric o kāu pēpē.
He aha ka hana a kahi neonatologist maoli?
No laila, e nānā kākou i ka hana a kēia loea. ʻO ka neonatologist kekahi mea nāna e hāʻawi i ka mālama kūikawā a me ka nānā ʻana i nā pēpē hānau hou i loaʻa i nā maʻi koʻikoʻi, nā ʻeha, a i ʻole nā pilikia mai ka hānau ʻana. I kekahi manawa, ma mua o ka hānau ʻana o ka pēpē, i ka wā hāpai, inā ʻike ʻia kahi maʻi hānau , pono ke komo ʻana o kēia kauka. Hana pū nā neonatologists me nā kauka hānau keiki e hōʻoia i loaʻa i ka pēpē nā pono lapaʻau āpau e pono ai i ka wā hānau. Eia nō naʻe, i kekahi manawa, ma hope o ka hānau ʻana o ka pēpē, inā kū mai kahi pilikia i manaʻo ʻole ʻia, pono kēia mau kauka.
Eia kekahi o nā hana nui a ka Neonatologist:
- Hoʻomaopopo a mālama i nā maʻi, nā maʻi ahulau, a i ʻole nā kūlana olakino ʻē aʻe i nā pēpē hānau hou.
- Ka hoʻonohonoho ʻana o ka mālama, ke ʻoki ʻana, a me nā lāʻau ʻē aʻe e pono ai no ka pēpēKe hana a me ka hoʻokele.
- Ua kauoha ʻia nā hoʻokolohua e like me nā hoʻokolohua koko, nā X-ray, nā echocardiograms (EKG), a i ʻole nā ultrasounds e nānā i ke kūlana o ka pēpē a i ʻole ka hana o ke kino.
- E hōʻoiaʻiʻo ana e loaʻa i nā pēpē maʻi ka meaʻai kūpono.
- Kōkua i ka lumi hānau a hāʻawi i ka mālama koke ʻana i kahi pēpē me kahi maʻi olakino i ka wā hānau.
- Kūkākūkā ʻia ka mālama ʻana i ke pēpē me nā kauka hānau keiki a me nā kauka wahine, nā loea lapaʻau makuahine-keiki, a me nā kauka pediatric.
- Hāʻawi ʻia ka ʻohana i ke kākoʻo naʻau e pono ai ʻoiai ke pēpē ma ka NICU.
I ka manawa hea e pono ai e ʻike i kahi neonatologist?
ʻAe, i kēia manawa ke noʻonoʻo nei paha ʻoe, "No ke aha wau e makemake ai e ʻike i kahi loea e like me kēia?" Hiki iā ʻoe ke ʻike mua i kahi neonatologist i kou wā hāpai. ʻO ia hoʻi, inā ua ʻike ʻia kāu pēpē i hānau ʻole ʻia me ke kīnā hānau. Hiki i kēia ke lilo i mau pilikia kūkulu i loko o kekahi o nā ʻōpū o ka pēpē, a i ʻole hiki ke hoʻoilina ʻia nā kūlana genetic e like me cystic fibrosis . Hana pū nā neonatologists me nā obstetricians a me gynecologists (OBGYNs) a me nā loea maternal-fetal e kōkua i ka mālama ʻana i kāu pēpē ma mua, i ka wā, a ma hope o ka hānau ʻana. Pono pū lākou i ke kōkua o kahi neonatologist inā he pilikia olakino koke a i ʻole ka ʻeha i ka wā hānau.
Eia kekahi mau kumu ʻē aʻe e ʻike ai ʻoe i kahi neonatologist:
- Inā he kiʻekiʻe ka pilikia o kou hāpai ʻana.
- Inā kiʻekiʻe ka pilikia o kāu pēpē i ka hānau ʻia ʻana ma mua o ka manawa.
- Inā ua ʻike ʻia kahi maʻi hānau i loko o ke keiki i hānau ʻole ʻia.
- Inā hānau mua ʻia kāu pēpē.
- Inā ua ʻeha ke pēpē i ka wā hānau.
- Inā hānau ʻia kāu pēpē me kahi maʻi a i ʻole kekahi maʻi ʻē aʻe.
- Inā loaʻa kekahi pilikia ʻē aʻe i manaʻo ʻole ʻia i ka wā hānau a ma hope paha o ka hānau ʻana.
He aha nā ʻano maʻi e mālama ai kahi neonatologist?
Hoʻomaʻamaʻa nui nā kauka hānau hou i nā pēpē hānau hou i maʻi, ʻeha, a pono paha i ka mālama kūikawā ma hope o ka hānau ʻana. Eia kekahi o nā kūlana maʻamau a lākou e mālama ai:
- Nā ʻōpū hānau mua ʻole a i ʻole nā ʻōpū i ulu ʻole.
- Ke Kaumaha Haʻahaʻa o ka Hānau ʻana a i ʻole ka Pale ʻana o ka Ulu ʻana o ka ʻŌpū.
- Nā kīnā hānau a i ʻole nā maʻi hānau.
- Nā pilikia hanu a i ʻole ka hanu ʻana.
- Nā maʻi puʻuwai e like me ka Heart Failure, Septal Defects, a i ʻole Bradycardia.
- Nā kūlana e like me ke kuʻi ʻana a i ʻole ke kahe ʻana o ke koko i loko o ka lolo.
- Ke kō koko haʻahaʻa (Ke kō koko haʻahaʻa a i ʻole Hypoglycemia).
- Nā ʻōmole hānai e mālama i ka meaʻai a me ka ulu ʻana a i ʻole e hāʻawi i ka meaʻai.
- Jaundice a i ʻole nā pilikia ʻē aʻe o ke akepaʻa a i ʻole nā puʻupaʻa.
- Nā ʻeha hānau.
He aha ka ʻokoʻa ma waena o kahi neonatologist a me kahi pediatrician maʻamau?
He nīnau kēia a ka poʻe he nui. He pediatrician maoli nō ke neonatologist. Eia nō naʻe, ua hoʻomaʻamaʻa kūikawā ʻia ʻo ia e mālama i nā pēpē hānau hou, ʻo ia hoʻi, nā pēpē e pono ai ka mālama kūikawā, loaʻa i kahi maʻi a i ʻole ka ʻeha. Loaʻa mua i nā neonatologists ka ʻike loea i ka pediatrics, a laila loaʻa iā lākou ka hoʻomaʻamaʻa kūikawā hou aʻe i ka neonatology. ʻO kā lākou manaʻo holoʻokoʻa ma luna o nā pēpē hānau hou i pilikia i ka make ma muli o kahi maʻi a i ʻole ke kīnā hānau.
Eia nō naʻe, he kauka lapaʻau keiki laulā kahi kauka e hana i nā nānā olakino maʻamau a mālama i nā maʻi o nā keiki mai ka lā i hānau ʻia ai a hiki i ko lākou mau makahiki he 18. I kekahi manawa hana pū kekahi neonatologist a me kahi pediatrician laulā e mālama i kahi pēpē.
I ka ʻōlelo maʻalahi, he Pediatrician kēlā me kēia Neonatologist, akā ʻaʻole he Neonatologist kēlā me kēia Pediatrician!
Pehea e lilo ai i Neonatologist?
He mea nui loa nō hoʻi kēia. ʻO ka Neonatology kekahi ʻoihana kūikawā ʻē aʻe i loko o ke kahua o Pediatrics. ʻO ke ʻano kēia, no ka lilo ʻana i Neonatologist, pono ʻoe e hoʻomaʻamaʻa mua ʻia ma ke ʻano he Pediatrician.
E nānā kākou pehea e hele ai kēlā huakaʻi:
1. ʻO ka mea mua, pono ʻoe e hele i ke kulanui a loaʻa i ke kēkelē laepua.
2. A laila, pono ʻoe e hala i ka Medical College Admissions Test (MCAT) a kākau inoa i kahi kula lapaʻau.
3. Ma hope o ke kula lapaʻau,Pono ʻoe e hoʻopau i kahi papahana noho ma ka pediatrics. ʻEkolu mau makahiki ka lōʻihi o kēia noho ʻana. I loko o kēia manawa, loaʻa iā ʻoe ka nui o ka ʻike kūpono e hana pū ana me nā keiki ma kahi haukapila.
4. Ma hope o ke aʻo ʻana no ka noho ʻana, pono ʻoe e hoʻopau i kahi haʻawina ma ka mālama koʻikoʻi neonatal a i ʻole neonatology. E mau ana kēia papahana haʻawina no ʻekolu mau makahiki hou aʻe.
5. ʻO ka hana hope loa, ʻo ia ka lilo ʻana i Papa Hōʻoiaʻiʻo ʻia e ka Papa ʻAmelika o nā Pediatrics a me ka Sub-Board of Neonatal-Perinatal Medicine.
E noʻonoʻo, ma hope o ka hana ʻana i kēia mau mea a pau , ma ka liʻiliʻi he 11 mau makahiki e lilo ai i Neonatologist i hōʻoia ʻia e ka Papa, a i kekahi manawa a hiki i 14 mau makahiki.
He aha nā lāʻau lapaʻau e hana ai kahi neonatologist?
Hoʻohana nā neonatologists i nā ʻano lapaʻau like ʻole e mālama i ke olakino o kāu pēpē. Nui nō hoʻi nā lako kūikawā e mālama ai i kāu pēpē ma ka NICU. Inā pono kāu pēpē i ke ʻoki ʻana, hana pū ka neonatologist me ke kauka ʻoki o kāu pēpē.
Eia kekahi o nā lāʻau lapaʻau a me nā kaʻina hana i hoʻohana pinepine ʻia e nā neonatologists:
- Lapaʻau Hanu - No ka laʻana, Kaomi Alanui Holoʻokoʻa Maikaʻi (CPAP), ʻOxygenation Membrane Extracorporeal (ECMO), Ventilator, a pēlā aku.
- Nā lāʻau hoʻomehana no nā pēpē hānau mua ʻole i hiki ʻole ke mālama i ka mahana o ko lākou kino ponoʻī.
- Lapaʻau hoʻomaʻalili no kahi pēpē me ka hōʻino ʻana o ka lolo.
- ʻO ka lāʻau lapaʻau kukui e mālama ai i ka jaundice.
- Nā wai intravenous (IV), nā antibiotics, a me nā lāʻau lapaʻau ʻē aʻe, a i ʻole nā hoʻoili koko.
He aha kāu e manaʻo ai i ka wā e hui ai me kahi neonatologist?
Inā ʻoe e kipa aku i kahi neonatologist i kou wā hāpai, e wehewehe mua lākou i ka maʻi a i ʻole ke kūlana āu e manaʻo ai he loaʻa i kāu pēpē. Hiki iā lākou ke kūkākūkā i kahi hoʻolālā lapaʻau; akā naʻe, ʻaʻole paha e ʻike piha ʻia kēia a hiki i ka wā e hānau ai ke pēpē. Nānā nā neonatologists i kou hāpai ʻana a hiki i ka wā e hānau ai ke pēpē. Ma muli o ke kūlana o ka pēpē, hiki i ka neonatologist ke kōkua i ka hānau ʻana i ka pēpē a hoʻoili paha i ka pēpē i ka NICU no ka mālama koke ʻana.
Inā, i ka manawa koke, ua hānau ʻia kāu pēpē me kahi maʻi olakino i manaʻo ʻole ʻia, e wehewehe ke neonatologist i ke ʻano iā ʻoe a haʻi iā ʻoe pehea lākou e hoʻolālā ai e mālama i ka pēpē.E kamaʻilio lākou e pili ana i nā pilikia a me nā pono o ka lāʻau lapaʻau a me nā mea āu e manaʻo ai. Mai makaʻu e nīnau iā lākou i kāu mau nīnau e pili ana i ke kūlana a i ʻole ka mālama ʻana o kāu pēpē. ʻO kou kuleana ia.
Ke hānau keiki nei nā neonatologists?
ʻAe, i kekahi mau hihia kūikawā, kōkua nā Neonatologists i ka hānau ʻana o nā pēpē. No ka laʻana, inā loaʻa i kāu pēpē kahi maʻi olakino e pono ai ka mālama koke ʻana, e kōkua ke Neonatologist i kāu Obstetrician ma ka lumi hānau.
He kauka a he kahu maʻi paha ke neonatologist?
He mea kēia e pono ai ʻoe e ʻike maopopo. He kauka ka Neonatologist. He poʻe lākou i hoʻopau i kā lākou hoʻonaʻauao mai ke kula lapaʻau.
No laila, he poʻe lawelawe mālama ola kino nā Neonatologists e loea ana i ka mālama ʻana i nā pēpē hānau hou me nā kūlana olakino a i ʻole nā kīnā hānau. Hiki iā ʻoe ke hālāwai me kahi Neonatologist i kou wā hāpai, a i ʻole pono paha ʻoe i kā lākou kōkua ma hope koke o ka hānau ʻana o kāu pēpē. Aia nā Neonatologists ma laila e hāʻawi i ka mālama maikaʻi loa no kāu pēpē hānau hou a e hōʻoia i ko lākou ulu olakino ʻana, ʻoiai inā hiki i ko lākou mau makahiki mua o ke ola ke hopohopo iki.
He aha nā manaʻo koʻikoʻi a mākou e makemake ai e lawe i ka home mai kēia ʻatikala?
ʻAe, no laila, mai kēia mau kamaʻilio a pau, ʻo nā mea nui e pono ai ʻoe e hoʻomanaʻo:
- He kauka lapaʻau ka neonatologist i loea i ka mālama ʻana i nā pēpē hānau hou, ʻoiai ka poʻe i hānau mua ʻole ʻia a i ʻole me nā pilikia olakino paʻakikī.
- Hana pinepine lākou ma nā NICU (Neonatal Intensive Care Units) o nā haukapila.
- Inā he pilikia nui kou hāpai ʻana, inā he pilikia kāu pēpē i ka wā hānau, a inā hānau mua ʻia kāu pēpē, pono paha ʻoe i ke kōkua o kahi neonatologist.
- He pediatrician nō hoʻi ka neonatologist, akā ʻo kekahi i loaʻa i ka hoʻomaʻamaʻa kūikawā hou aʻe i nā pēpē hānau hou.
- Mai makaʻu e nīnau i ke kauka neonatologist i nā nīnau āu e pili ana i ke kūlana o kāu pēpē.
E hoʻomanaʻo, inā pono kāu pēpē i ke kōkua o kahi loea e like me kēia, ʻo ia hoʻi ke loaʻa nei i kāu pēpē ka mālama olakino maikaʻi loa. No laila e noho ikaika.
Nā pēpē hānau hou, Kauka Neonatologist, Hānau mua ʻana, NICU, Nā maʻi hānau ʻole, Pediatrics, Mālama pēpē hānau hou











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