Ua ʻike anei ʻoe ua keʻokeʻo iki ka ʻili o kāu keiki liʻiliʻi? A i ʻole ua keʻokeʻo iki ʻo ia ma hope o ka inu ʻana i ka waiū? Ma ke ʻano he makuahine o kahi keiki hānau hou, he mea maʻamau ke manaʻo iki i ka makaʻu ke ʻike ʻoe i nā mea e like me kēia. ʻO ka hapa nui o ka manawa, ʻo kēia ma muli o kahi maʻi i kapa ʻia ʻo "anemia," kahi mea maʻamau i waena o nā pēpē. No laila, mai hopohopo, e kamaʻilio kākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
He aha kēia maʻi anemia?
I ka ʻōlelo maʻalahi, ʻo ka anemia ka wā e haʻahaʻa ai nā hunaola koko ʻulaʻula o ka pēpē ma mua o ka maʻamau. I kēia manawa ke noʻonoʻo nei paha ʻoe i ka mea e hana ʻia i kēia mau hunaola koko ʻulaʻula.
E noʻonoʻo he mau kalaka liʻiliʻi e lawe ana i nā waiwai ma o ko kākou kino. Pēlā ke ʻano o nā hunaola koko ʻulaʻula. Ke hanu kākou , lawe ʻia ka oxygen e komo ana i loko o nā māmā i kēlā me kēia hunaola a me nā ʻōkana o ke kino e kēia mau hunaola koko ʻulaʻula. No laila, ke emi ka helu o nā hunaola koko ʻulaʻula, emi pū ka nui o ka oxygen i loaʻa i ke kino. ʻO ia ka mea a kākou e kapa nei he anemia, a i ʻole ma nā huaʻōlelo lapaʻau he "Anemia".
He aha nā kumu o ka anemia i nā keiki hānau hou?
Aia kekahi mau kumu e hiki ai i kahi pēpē hānau hou ke loaʻa i ka anemia. E nānā kākou iā lākou pākahi.
| Kumu | He wehewehe maʻalahi |
|---|---|
| ʻAʻole lawa ka hana ʻana o ke kino o ke pēpē i nā hunaola koko ʻulaʻula. | ʻO kēia ke kumu maʻamau. I nā mahina mua ma hope o ka hānau ʻana, ulu wikiwiki loa ke kino o ke pēpē. He manawa pōkole ka hana ʻana o nā hunaola koko ʻulaʻula e mālama i kēlā wikiwiki. He kūlana maʻamau kēia i ka hapa nui o nā hihia. Kāhea pū mākou i kēia he anemia Physiologic . |
| Ka wikiwiki o ka haki ʻana o nā hunaola koko ʻulaʻula i loko o ke kino. | Hiki ke hana ʻia kēia ke kūlike ʻole nā ʻano koko o ka makuahine a me ke pēpē ( Rh/ABO incompatibility ). ʻOi aku ka nui o ka loaʻa ʻana o ka jaundice ( hyperbilirubinemia ) i kēlā mau pēpē, kahi kūlana e hoʻolilo ai i ka ʻili i melemele. Hiki nō hoʻi ke hana ʻia kēia ma muli o kekahi mau maʻi lele a i ʻole nā maʻi genetic. |
| Ke kahe nui ʻana o ke koko mai ke kino mai. | ʻIke pinepine ʻia kēia i nā pēpē e mālama ʻia ana ma ka Neonatal Intensive Care Unit (NICU ). Hiki ke hana ʻia kēia no ka mea pono e lawe pinepine ʻia nā hāpana koko e nānā i ke kūlana o ka pēpē. |
| Ka hānau mua ʻana. | ʻO ka maʻamau, he haʻahaʻa ka nui o nā hunaola koko ʻulaʻula o nā pēpē i hānau mua ʻia. A he pōkole ke ola o kēlā mau hunaola koko ʻulaʻula. Ua kapa ʻia kēia he anemia o ka hānau mua ʻana . |
He aha nā hōʻailona e hōʻike ana he anemia ka pēpē?
E hoʻomanaʻo i ka hapa nui o nā pēpē me ka anemia ʻaʻole hōʻike i kekahi mau hōʻailona. Akā i kekahi manawa e ʻike paha ʻoe i nā mea e like me:
- Ke nānā aku nei ka ʻili o ke pēpē, ʻoiai hoʻi nā lehelehe a me nā poho lima, he keʻokeʻo.
- Hoʻomaha mau a makeʻe.
- Ka nalowale ʻana o ka hoihoi i ka inu waiū a i ʻole ka luhi a me ka palaualelo ma hope o ka inu ʻana i ka waiū.
- ʻOiai ke hiamoe nei ke pēpē, e ʻike paha ʻoe i ka piʻi ʻana o ka hanu ʻana a me ka puʻuwai.
Mai makaʻu i kēia mau hōʻailona. Akā inā ʻike ʻoe i kahi mea e like me kēia, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke hoʻomaopopo i ka luna olakino ʻohana kokoke loa (kahu wahine) a ʻike i ke kauka.
Pehea e ʻike pono ai nā kauka i kēia?
He mea maʻalahi loa kēia. E nānā kāu kauka i kāu pēpē a, inā pono, e kauoha i kahi hoʻāʻo koko liʻiliʻi . E kālele ana kēia hoʻāʻo koko i kekahi mau mea nui.
| ʻO ka mea e nānā ʻia ana e ka hoʻokolohua | He aha ka ʻōlelo a kēlā? |
|---|---|
| Pae hemoglobin | Pili kēia i ka protein i loko o nā hunaola koko ʻulaʻula e lawe ana i ka oxygen. Nānā mākou e ʻike inā haʻahaʻa ka nui o kēia. |
| Pae Hematocrit | Ana kēia i ka pakeneka o ka nui o ke koko i hana ʻia me nā hunaola koko ʻulaʻula. |
| Helu o nā reticulocyte | Pili kēia i nā hunaola koko ʻulaʻula i hana hou ʻia, ʻōpiopio. Hiki i kēia helu ke hāʻawi iā ʻoe i kahi manaʻo o ka wikiwiki o ke kino o kāu pēpē e hana nei i nā hunaola koko ʻulaʻula hou. |
He aha nā lāʻau lapaʻau no kēia maʻi?
ʻO kēia ka mea nui loa. ʻAʻole pono nā pēpē āpau me ka anemia i ka lāʻau lapaʻau. ʻOi aku ka maikaʻi o nā kūlana maʻamau e like me ka "anemia physiologic" a mākou i kamaʻilio ai ma mua, e hoʻomaikaʻi iā lākou iho i ka hala ʻana o ka manawa.
Na kāu kauka e hoʻoholo i ke ʻano o ka lāʻau e pono ai kāu pēpē.
- No ka hapa nui o nā pēpē: ʻAʻohe pono o kahi mālama kūikawā. ʻO ka mea nui, ʻo ka hānai ʻana i ka pēpē i ka waiū e like me ka mea e pono ai a me ka nānā ʻana i ka ulu ʻana o ka pēpē.
- No nā pēpē i kaumaha haʻahaʻa loa i ka wā hānau, hānau mua ʻole ʻia, a i ʻole maʻi ʻē aʻe: I kekahi manawa he pono paha ka hoʻoili koko , ʻo ia hoʻi ka hāʻawi ʻana i kekahi koko, e hoʻonui koke i ka helu o nā hunaola koko ʻulaʻula i loko o ke kino.
- No nā pēpē ʻē aʻe: Hiki i ke kauka ke hoʻoholo e hāʻawi i nā mea hoʻopihapiha meaʻai a i ʻole nā lāʻau lapaʻau ʻē aʻe, e like me ka hao, e kōkua i ke kino o ka pēpē e hana i nā hunaola koko ʻulaʻula.
Me ka nānā ʻole i ka lāʻau lapaʻau, he mea nui ka hānai waiū e hōʻoia i ka loaʻa ʻana o ka meaʻai kūpono i kēlā me kēia pēpē, no ka mea, hāʻawi ka meaʻai i nā meaola e pono ai e hana i nā hunaola koko ʻulaʻula.
Leka Lawe-Home
- He mea maʻamau loa ka anemia a he mea maʻamau ia i waena o nā pēpē hānau hou, no laila mai hopohopo pono ʻole.
- Inā he keʻokeʻo ka ʻili o kāu pēpē a ke hōʻike nei ʻo ia i nā hōʻailona o ka ʻū ʻana i ka wā e hānai ana, ʻoi aku ka maikaʻi e ʻike i ke kauka.
- ʻO ke ala wale nō e ʻike ai inā he anemia kou me ka hoʻohana ʻana i kahi hoʻāʻo koko maʻalahi.
- ʻAʻole pono nā pēpē a pau i ka lāʻau lapaʻau. Na kāu kauka e hoʻoholo i ke ʻano o ka lāʻau lapaʻau e pono ai.
- He mea nui loa e hahai pololei i nā ʻōlelo aʻoaʻo lapaʻau a hānai maikaʻi i kāu pēpē i ka waiū.











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