Ke lilo ʻoe i makuahine a makua kāne hou paha, he mea maʻamau ka hopohopo a me ka hoihoi i nā mea liʻiliʻi a pau e pili ana i kāu pēpē. ʻOi loa aku i ka wā e ʻike ai ʻoe i nā mea i loko o ka diaper o kāu pēpē. 'Auē, ke loaʻa nei iā ia ka maʻi diarrhea? He mea maʻamau anei kēia kala, kēia ʻano wai?' Ua noʻonoʻo paha ʻoe i hoʻokahi tausani manawa. ʻOiaʻiʻo, ʻaʻole like ka ʻōpala o nā pēpē me nā pākeke. No laila i kēia lā, e kamaʻilio kākou e pili ana i ka maʻi diarrhea o kēia pēpē, a i ʻole ka huaʻōlelo lapaʻau no ia mea he diarrhea.
ʻOiai ʻoe e ʻōlelo nei ua pōloli ʻoe, he aha maoli kēia?
I ka ʻōlelo maʻalahi, ʻo ke colic ke ʻano o ka wai o ka ʻōpala o kāu pēpē ma mua o ka maʻamau, ʻoi aku ka like me ka wai . He ʻoiaʻiʻo he lahilahi iki ka ʻōpala o nā pēpē ma mua o ka ʻōpala o nā pākeke. Akā inā ʻike koke ʻoe i kahi ʻokoʻa, e like me ka wai ma mua o ka maʻamau, a ua piʻi koke ka nui o nā diapers āu e hoʻololi nei i kēlā me kēia lā, he colic paha ia.
ʻAʻole manaʻo pinepine nā kauka he mea nui inā loaʻa i kāu pēpē ka maʻi diarrhea i hoʻokahi a ʻelua paha. Hiki ke hana ia ke hoʻolauna ʻoe i kahi meaʻai hou i kāu pēpē. Akā inā loaʻa i kāu pēpē ka maʻi diarrhea ma mua o ʻekolu manawa i ka lā, he maʻi diarrhea paha ia. ʻO ke ʻano kēia, loaʻa i kāu pēpē ka maʻi diarrhea ma muli o kahi maʻi. Akā, mai hopohopo, ʻo ka hapa nui o kēia mau maʻi he manawa pōkole wale nō.
Akā inā hoʻomau kēia ʻeha ʻōpū no nā pule ʻelua a ʻoi aku paha, he hōʻailona paha ia o kahi pilikia ʻōpū ʻē aʻe, kahi e pono ai ke kōkua lapaʻau.
Pehea ʻoe e ʻike ai i kēia mai ka diaper o kahi pēpē?
Hiki ke paʻakikī i nā mākua hou ke hoʻomaopopo i ka mea maʻamau no nā ʻāʻī o kā lākou pēpē, no laila he mea nui e makaʻala i kēia mau mea.
- Inā ʻoe e hānai waiū ana i kāu pēpē: I ka pule mua o ke ola, e ʻōpuʻu kāu pēpē ma kahi o ʻekolu a ʻehā manawa i ka lā. E melemele lākou, e like me ka iwi, a he wai iki. He mea maʻamau kēia a ʻaʻole ia he hōʻailona o ka ʻōpū ʻole. Ma hope o kēlā, e loaʻa iā lākou ka ʻōpuʻu e like me ka ʻāpala a hiki i ko lākou 4-6 mahina.
- Inā ʻoe e hānai ana i kāu pēpē i ka waiū waiū: E mānoanoa iki a paʻapū ko lākou ʻōpala mai ka wā hānau mai.
Inā ʻoi aku ka wai o ka wai ma mua o ka maʻamau, he hōʻailona paha ia o ka neʻe ʻana o ka ʻōpū. ʻO kekahi hōʻailona maʻalahi, ʻo ia ka ʻole o ka hiki ke hoʻopaʻa ʻia ka ʻōpala e puka mai ana mai ka diaper a e kahe wale nō i waho.
Pehea ʻoe e ana ai i ke koʻikoʻi o kēia?
ʻO ka nui o nā diapers pulu āu e hoʻololi ai i kēlā me kēia lā, ʻo ka ʻoi aku ka koʻikoʻi o ke kūlana. Hoʻohana nā kauka i kahi unahi e like me kēia e ana i ke koʻikoʻi o kēia.
| Ka nui o ke kūlana | Ka nui o nā manawa āu e hoʻolei ai i ka wai i ka lā |
|---|---|
| Kūlana palupalu | 3 a 5 |
| Kūlana kūpono | 6 a i 9 |
| Kūlana koʻikoʻi | 10 a ʻoi aku paha |
ʻO ka mea nui loa, ʻoiai e piʻi aʻe ana ka nui o nā neʻe ʻana o ka ʻōpū, e nalowale ana ke kino o ke pēpē i ka nui o ka wai a me ka paʻakai, e hoʻonui ana i ka pilikia o ka maloʻo ʻana.
No ke aha lā e huhū ai kaʻu pēpē?
ʻO ke kumu nui a me ke kumu maʻamau o ka ʻeha o ka ʻōpū i nā pēpē, ʻo ia ka viral gastroenteritis, ʻo ia ka mumū o nā ʻōpū i hoʻokumu ʻia e kahi maʻi viral . ʻO kēia ka mea a mākou e kapa nei he "ʻeha o ka ʻōpū" a i ʻole "maʻi ʻōpū." ʻOiai hiki i nā ʻano virus he nui ke hana i kēia, ʻo norovirus a me rotavirus nā mea nui.
ʻO nā kumu maʻamau ʻē aʻe:
- Nā maʻi bacteria e like me Salmonella a i ʻole E. coli.
- ʻO nā maʻi parasitic e like me Giardiasis, he mea maʻamau, ʻoi aku hoʻi i nā kikowaena mālama keiki me nā keiki ʻōpio.
- Ma ke ʻano he hopena ʻaoʻao o nā lāʻau antibiotic i hāʻawi ʻia no kekahi maʻi ʻē aʻe.
Hiki i nā hōʻailona ʻē aʻe ke hele pū me kēia mau maʻi. I kekahi manawa, hiki ke hele pū ka luaʻi me ka nausea, hiki ke "piʻi a iho." ʻIke ʻia ke kuni a me ka nalowale o ka makemake.
Inā loaʻa iā ʻoe ka maʻi diarrhea no nā pule ʻelua a ʻoi aku? - Ke manaʻo nei anei kēlā he Diarrhea Chronic?
ʻO ka hapa nui o ka manawa, e hoʻomaikaʻi ka maʻi kahe i loko o kekahi mau lā, a hiki i ʻelua pule ma ka lōʻihi. Kāhea mākou i kēlā maʻi kahe koke . Akā, loaʻa i kekahi mau pēpē ka maʻi kahe e mau ana ma mua o ʻelua pule. Ua kapa ʻia kēia maʻi he maʻi kahe mau .
Hiki paha kēia ma muli o kahi pilikia me ka ʻōnaehana hoʻoheheʻe o ka pēpē. No ka laʻana, kahi kūlana kahi i hiki ʻole ai i nā ʻōpū ke omo pono i nā meaʻai (`Malabsorption`). No ka ʻike pololei ʻana i ia mau kūlana, pono ʻoe e ʻike i kahi pediatrician a hoʻāʻo ʻia. ʻO kekahi o nā mea e hiki ai ke hoʻoulu i ka maʻi diarrhea mau loa:
- ʻAleʻaleʻa (intolerance) i ka waiū bipi a i ʻole nā protein soy:Aia kēia i loko o kekahi ʻano waiū pauka. Inā paʻakikī ke kino o ke pēpē i ka ʻeli ʻana i kēia mau mea, hiki iā lākou ke hoʻonāukiuki i ka ʻōpū.
- ʻO ka maʻi Celiac: ʻO ka pane nui ʻana o ka ʻōnaehana pale o ke kino i ka gluten protein.
- ʻO Cystic Fibrosis (CF): He maʻi hoʻoilina kēia e hōʻino ana i ka pancreas a pale iā ia mai ka hana ʻana i nā enzymes e pono ai ke hoʻoheheʻe i ka meaʻai.
- ʻO ka maʻi ʻōpū pōkole: ʻO ke ʻano i nele ai kahi ʻāpana o ka ʻōpū liʻiliʻi o kahi pēpē mai ka hānau ʻana.
- ʻO nā maʻi diarrhea hānau ʻia a me nā enteropathies (CODEs): He mau maʻi genetic kakaikahi loa kēia.
He aha kaʻu e hana ai ma ka home?
He mea kaumaha ke ʻōlelo aku i kēia, akā ʻaʻohe pōkā kilokilo e hiki ke hoʻōki i ka maʻi diarrhea i ka pō hoʻokahi. ʻO ka hapa nui, ua hoʻokumu ʻia kēia maʻi e kahi maʻi viral, a pono ʻoe e kali a hiki i ka pau ʻana o kona ala. Hiki ke mau ma waena o 5 a me 14 mau lā. Akā ʻo ka ʻāpana ʻino loa i nā lā ʻelua mua wale nō.
ʻO ka ʻōlelo aʻoaʻo koʻikoʻi loa: Mai hāʻawi i kekahi lāʻau lapaʻau anti-diarrhea i hāʻawi ʻia i nā pākeke i kahi pēpē liʻiliʻi me ka ʻole o ke aʻo ʻana a ke kauka. Pēlā nō, mai hāʻawi i nā mea e like me nā 'mea inu electrolyte' hiki iā ʻoe ke kūʻai mai nā hale kūʻai lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka.
Akā aia kekahi mau mea hiki iā ʻoe ke hana ma ka home e hōʻoluʻolu ai i kāu pēpē a pale i ka maloʻo ʻana:
- E hāʻawi mau i nā wai: E hoʻomau i ka hāʻawi ʻana i ka waiū umauma a i ʻole ka waiū waiū. Pono paha ʻoe e hāʻawi pinepine ma mua o ka maʻamau e pani i nā wai i nalowale i kāu pēpē.
- E hoʻomau i ka ʻai ʻana i nā meaʻai paʻa: Inā ua hoʻomaka kāu pēpē i nā meaʻai paʻa, e hoʻomau i ka hāʻawi ʻana iā lākou. ʻO nā meaʻai starch e like me ka laiki, ka porridge, ka ʻuala, a me ka ʻuala ka mea maikaʻi loa no ka mea he maʻalahi ia no ka ʻōpū e ʻeli.
- E pale i ka ʻōpala diaper: Ma hope o kēlā me kēia hoʻololi diaper, e holoi pono i ka hope o kāu pēpē me ka wai mehana, e pā maloʻo me kahi lole maʻemaʻe, a pā maloʻo pono. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka pilikia o ka ʻōpala diaper.
He aha nā manawa kūpono loa e ʻike ai i ke kauka?
He mea nui loa kēia ʻāpana. He mea nui e makaʻala i ke kūlana o ke pēpē.
| Nā hōʻailona e makaʻala ai | |
|---|---|
| Inā loaʻa iā ʻoe kēia mau hōʻailona, e ʻike koke i ke kauka. | |
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| Nā Hōʻailona o ka Makewai - Inā loaʻa iā ʻoe kēia mau mea, e hele koke i ka haukapila! | |
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Inā loaʻa kekahi o kēia mau hōʻailona o ka make wai, mai kali a lawe koke i kāu pēpē i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa. Inā pono, e hāʻawi nā kauka i ka saline (IV fluids) ma o kahi aa koko e hoʻihoʻi i ka nui o ka wai i nalowale o ke kino o ke pēpē.
Leka Lawe-Home
- He ʻano wai iki ka ʻōpala o nā pēpē. Inā ʻoi aku ka like me ka wai a puka pinepine mai i waho i ka manawa hoʻokahi, ua kapa ʻia ia he colic.
- ʻO ka pilikia nui ka maloʻo ʻana o ka wai, ʻo ia hoʻi ka nalowale ʻana o ka wai mai ke kino o ka pēpē. No laila, he mea nui e hoʻomau i ka hānai waiū a i ʻole ka hānai waiū waiū.
- Mai hāʻawi i kāu pēpē i kekahi lāʻau lapaʻau a huahana lāʻau paha i kūʻai ʻia mai ka hale kūʻai lāʻau me ka ʻole o ke aʻo ʻana a ke kauka.
- E ʻimi koke i ke kōkua lapaʻau inā he kuni, luaʻi, maʻi kahe nui, a inā he pēpē ma lalo o 3 mahina.
- Inā ʻike ʻoe i nā hōʻailona o ka make wai (ka mimi pinepine ʻole, ka hiamoe nui, ke kuʻi ʻana ma ke alo o ke poʻo), mai kali hou a e hele koke i ka Emergency Treatment Unit (ETU) o ka haukapila.
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