Ke wela iki nei kāu keiki liʻiliʻi? I kēlā mau manawa, ʻo ka makaʻu nui loa e hiki mai ana i kou manaʻo ma ke ʻano he makuahine a makua paha, ʻo ia, "Ke kuni nei kaʻu keiki?" I kēlā mau manawa, nānā koke mākou i ka mahana. I kekahi manawa, ua ʻike paha ʻoe i nā kānaka e nānā ana i ka mahana ma ke kau ʻana i kahi ana wela ma ka ʻauwae e nānā koke ai, a malia paha ua hana like ʻoe. I kēia lā, e kamaʻilio mākou e pili ana i ka nānā ʻana i ka mahana ma ka ʻauwae, ʻo ia hoʻi, ke ana ʻana i ka mahana o ka ʻauwae `(Axillary Temperature`) .
He aha ka mahana axillary? He aha ke ʻano maoli?
I ka ʻōlelo maʻalahi, ʻo ka mahana axillary kahi helu e kōkua iā ʻoe e ʻike inā he kuni kāu keiki. Nānā mākou i kēia ma ke kau ʻana i ka piko o kahi ana wela uila i loko o ka ʻāʻī o ke keiki. Ma hope o kekahi manawa, e kani ka ana wela i kahi leo "beep", a laila e hōʻike ka pale liʻiliʻi ma luna i ka mahana o ke kino o ke keiki. Hiki ke hōʻike ʻia kēia ma Fahrenheit a i ʻole Celsius.
E nānā, he hana maʻalahi loa kēia. Hiki i kahi keiki liʻiliʻi ke hana koke me ka ʻole o ka pilikia nui.
He pololei maoli anei ke ana ʻana i ka mahana mai loko mai o ka ʻāʻī? I ka nui hea ka pololei?
Eia ka nīnau koʻikoʻi loa. ʻO kaʻoiaʻiʻo, ʻaʻole pololei 100 pakeneka ka mahana o ka ʻauwae e like me nā ʻano hana ʻē aʻe, e like me ka mahana rectal a i ʻole ka mahana waha . Akā, he maʻalahi loa kēia ʻano hana, ʻaʻohe invasive, a ʻaʻohe ʻeha no ke keiki. Eia kekahi, ʻaʻole wale ʻoe, akā malia paha hiki i ke kumu ma ke kikowaena mālama keiki ke hoʻohana i kēia ʻano hana e nānā koke inā he kuni ke keiki .
E noʻonoʻo i kēia ʻano. Ua luhi iki kāu keiki mai ke kakahiaka mai. Manaʻo ʻoe, "Me he mea lā he kuni kona." A laila nānā ʻoe i ka mahana ma kou ʻāʻī a manaʻo, "ʻĀ, me he mea lā he kuni kona, e nānā hou aku kākou." Kōkua kēia.
ʻO ia hoʻi, he mea maikaʻi kēia ma ke ʻano he nānā wikiwiki , akā, ʻaʻole paha i lawa ka ʻike pono i ke kiʻekiʻe o ke kuni.
Pono ʻoe e hoʻohui i kahi kekelē i ka mahana o ka armpit? No ke aha ʻoe e hana ai i kēlā?
ʻAe, he mea kēia a ka poʻe he nui e nīnau nei. ʻO kā lākou e ʻōlelo nei, ʻo ia ka hoʻohui ʻana i ka ½ a i 1 degere Fahrenheit (a i ʻole 0.3 a i 0.6 degere Celsius) i ka mahana o ka ʻāʻī. Ma kēlā ala, hiki iā ʻoe ke loaʻa kahi manaʻo maʻamau o ka mahana maoli o ke kino o kāu keiki. Eia naʻe, inā ʻoe e hoʻohui i kēlā, pono ʻoe e haʻi aku i kāu kauka pediatric .
Ua hōʻike ʻia e ka noiʻi ʻana he haʻahaʻa ka mahana o ka ʻāʻī ma mua o ka mahana o ka waha a i ʻole ka rectal. ʻO kēia no ka mea aia wale nō ka piko o ka thermometer ma ka ʻili o ke keiki, ʻaʻole i loko o ke kino. No laila, ʻaʻole ia e hāʻawi i ka mahana maoli i loko o ke kino.
No laila, e like me ka mea i ʻōlelo ʻia, ʻo ka hoʻohui ʻana i kahi kekelē Fahrenheit e ʻoi aku ka pololei o ka waiwai.Eia nō naʻe, i nā manawa hiki, ʻoi aku ka maikaʻi o ka hōʻoia ʻana i ka wela ma ka lawe ʻana i ka mahana mai ka ʻāʻī, a i ʻole ma ka lawe ʻana i ka mahana mai ka rectum, ka waha, ka lae, a i ʻole ka pepeiao inā he kānalua. E wehewehe kāu kauka pediatric iā ʻoe i ke ʻano hana maikaʻi loa e pili ana i ka makahiki o kāu keiki.
Pehea e nānā pono ai i ka mahana axillary o kahi keiki liʻiliʻi?
He mea nui loa ka hana pololei ʻana i kēia. Hiki iā ʻoe ke hoʻohana i kahi ana wela uila maʻamau no kēia. (Inā he ana wela aniani kāu, mai hoʻohana i kēia manawa!). Mai poina e hoʻomaʻemaʻe pono i ka ana wela ma mua a ma hope o ka hoʻohana ʻana, e like me nā kuhikuhi ma ka pūʻolo. Eia ke ʻano e nānā ai i ka mahana o kāu keiki ma lalo o ka ʻāʻī:
- ʻO ka mea mua, e wehe i nā lole mai ka ʻaoʻao o ke keiki i hiki iā ʻoe ke ʻike maopopo. Pono ka piko o ka ana wela e hoʻopā pololei i ka ʻili o ke keiki.
- I kēia manawa e hoʻā i ka thermometer.
- E hāpai iki i ka lima o ke keiki.
- E kau i ka piko o ka ana wela ma waenakonu o ka ʻāʻī o ke keiki . ʻO ia hoʻi, ma kahi e like me ka ʻeke a ke keiki e hūnā ai i kona wā e hoʻohaʻahaʻa ai i kona lima.
- I kēia manawa, ʻoiai ke waiho nei ka ana wela ma laila, e hoʻohaʻahaʻa hou i ka lima o ke keiki.
- Pono ka lima o ka pēpē e pili pono i kou kino. Hiki iā ʻoe ke hoʻopaʻa i ka pēpē a kokoke i kou kino, ʻo ia ka mea e maʻalahi ai ka paʻa ʻana i ka lima o kāu pēpē me ka ʻole o ka neʻe ʻana. ʻAʻole pono e ʻike ʻia ka piko o ka ana wela.
- Ke kani ka thermometer, e wehe a heluhelu i ka mahana ma ka pale.
- E kākau i kēlā mahana ma kekahi wahi.
- A laila, e like me ka mea i ʻōlelo ʻia ma mua, e hoʻohui i ka ½ a i 1 degere Fahrenheit (0.3 a i 0.6 degere Celsius) e ʻike ai i ka "mahana i hoʻoponopono ʻia".
- Inā kānalua ʻoe i ke kuni, e haʻi i kēia mau waiwai ʻelua ke kamaʻilio ʻoe me kāu pediatrician.
He aha ka mahana maʻamau i loko o ka ʻāʻī o kahi pēpē? I ka manawa hea e hōʻike ai he kuni ko lākou?
Ua ʻike ʻia ma kahi noiʻi i ka makahiki 2023 ʻo ka awelika o ka mahana o loko o nā ʻauwae no nā pēpē hānau hou a hiki i nā kamaliʻi liʻiliʻi ma kahi o 98.24 degere Fahrenheit (36.8 degere Celsius). No laila, ʻoi aku paha ka mahana o kāu pēpē ma mua iki o kēia pae, a he mea maʻamau kēlā.
Eia nō naʻe, inā he 99 degere Fahrenheit (37.22 degere Celsius) a ʻoi aku paha ka mahana o ka ʻauwae o kāu pēpē, he kuni ia. Ua like kēia pae o ke kuni no nā pēpē hānau hou a me nā keiki a hiki i 5 mau makahiki.
Ma hope o ka piha ʻana o 5 mau makahiki, ʻoi aku ka maikaʻi o ka lawe ʻana i ka mahana o ke keiki ma ka waha i nā manawa āpau e hiki ai . Manaʻo ʻia he kuni ke loaʻa inā he 100 degere Fahrenheit (37.77 degere Celsius) a ʻoi aku paha ka mahana ke ana ʻia ma ka waha.
He aha ka mahana maʻamau o ka armpit no nā pākeke?
Wahi a kahi loiloi noiʻi 2019, hiki i ka awelika o ka mahana o ka ʻauwae no nā pākeke ke piʻi mai 95 a 98.47 degere Fahrenheit (35.01 a 36.93 degere Celsius). Eia naʻe,ʻOiai no nā pākeke, ʻo ka lawe ʻana i kou mahana ma ka waha, inā hiki, ʻo ia ke ala maikaʻi loa e loaʻa ai nā hopena pololei loa.
ʻO kaʻoiaʻiʻo, i ka wā e pili ana i ka mahana o ke kino, hiki ke ʻokoʻa ka waiwai maʻamau mai kēlā kanaka a kēia kanaka. Hiki nō hoʻi ke loli i ke ola holoʻokoʻa. Hiki i kāu kauka ke hāʻawi iā ʻoe i ka ʻike hou aku e pili ana i ka mea maʻamau iā ʻoe.
No laila, i ka manawa hea e hopohopo ai kākou? I ka manawa hea e kāhea aku ai kākou i ke kauka?
He pilikia kēia i loaʻa i nā mākua he nui. E noʻonoʻo, ʻaʻole maikaʻi ke ʻano o kāu keiki, a ke noʻonoʻo nei ʻoe i ke kakahiaka inā e hoʻouna iā lākou i kahi mālama keiki a i ʻole. A laila lawe ʻoe i ka ana wela. Lawe ʻoe i ka mahana mai kou ʻauwae, ʻike i ka helu ma ka pale, a noʻonoʻo, "ʻAuē, ʻaʻohe kuni!" Akā a laila noʻonoʻo ʻoe... "Pololei maoli anei kēia mahana o kēia ʻauwae?"
No ka nānā wikiwiki ʻana, ʻoi aku ka maikaʻi o ka lawe ʻana i ka mahana ma ka ʻāʻī ma mua o ka hana ʻole ʻana. Eia nō naʻe, inā manaʻo ʻoe he kuni kāu keiki, e lawe i ka mahana ma ke ʻano pololei i ka hikiwawe loa - ma ka waha, ma ke kua, ma ka lae a i ʻole ma ka pepeiao.
Inā he mau nīnau kāu e pili ana i ka mahana o kāu keiki a i ʻole ke ala maikaʻi loa e nānā ai i ke kuni, e kamaʻilio me kāu kauka keiki. E hāʻawi lākou iā ʻoe i ka ʻōlelo aʻoaʻo kūpono. ʻAʻohe pono e hopohopo, akā, mai kānalua hoʻi.
Leka Lawe-Home mai ka Mea a Mākou i Kamaʻilio Nei
ʻAe, e nānā kākou i kekahi o nā mea nui e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai i kēia lā:
- He ala wikiwiki a maʻalahi hoʻi ke ana ʻana i ka mahana o ke axillary hiki ke hana palekana ʻia no nā keiki liʻiliʻi.
- Eia naʻe, ʻaʻole pololei kēia e like me nā ʻano hana ʻē aʻe (waha, rectal).
- Pono ʻoe e hoʻohui i ka ½ a i ʻole 1 degere Fahrenheit (0.3°C - 0.6°C Celsius) i ka mahana o ka ʻāʻī e loaʻa ai kahi kuhi kūpono. Pono nō hoʻi ʻoe e haʻi i kāu kauka e pili ana i kēia.
- E hoʻohana i kahi ana wela uila a mālama iā ia i ka maʻemaʻe.
- I ke ana ʻana i ka mahana, e hōʻoia e kau i ka piko o ka ana wela ma waenakonu o ka ʻāʻī .
- Inā he 99°F (37.22°C) a ʻoi aku paha ka mahana o ka ʻauwae o kāu pēpē, he kuni ia.
- Inā he kānalua kāu, a inā maʻi kāu keiki, e kamaʻilio pono me ke kauka keiki. E hoʻāʻo hoʻi e nānā i ke kuni ma ke ʻano pololei.
Manaʻolana wau he kōkua kēia ʻike iā ʻoe. E hoʻomanaʻo, inā he mau hopohopo kāu e pili ana i ke olakino o kāu keiki, ʻoi aku ka maikaʻi o ka ʻimi ʻana i ke aʻo lapaʻau.
ʻO ke kuni ʻāʻī, ka mahana o ke kua, ke kuni pēpē, ke kuni o ke keiki, pehea e nānā ai i ke kuni, ka ana wela uila, ke olakino o ke keiki











💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo