No laila, ʻo ka mea a nā kānaka a pau e kamaʻilio nei i kēia mau lā, ʻo ia ka maʻi ahulau Covid (COVID-19). Ua ʻike paha ʻoe hiki i kā mākou poʻe liʻiliʻi ke loaʻa iā ia e like me nā pākeke. Akā i ka hapa nui o ka manawa, i ka wā e loaʻa ai i nā kamaliʻi liʻiliʻi, ʻaʻole ia he ʻoi aku ka koʻikoʻi ma mua o nā pākeke. Akā ma ke ʻano he makuahine a makua paha, he mea maʻamau ka makaʻu i kekahi maʻi e loaʻa ai i kahi keiki liʻiliʻi. No laila i kēia lā, e kamaʻilio kākou e pili ana i ka Covid (COVID-19) hiki i kēia mau kamaliʻi ke loaʻa.
He aha ke ʻano o COVID-19 i nā keiki?
I ka ʻōlelo maʻalahi, he maʻi hanu lele loa ʻo COVID-19. Hiki iā ia ke hoʻopilikia i kekahi, ʻōpio a ʻelemakule paha. Hoʻokumu ʻia ia e kahi maʻi i kapa ʻia ʻo SARS-CoV-2. ʻO nā keiki, ʻoi aku ka ʻōpio ma mua o ka poʻe pākeke, ʻaʻole paha e hōʻike i nā hōʻailona ke loaʻa iā lākou, a i ʻole e hele mai a hele aku e like me ke anu.
Eia nō naʻe, no kekahi mau keiki, hiki ke ʻoi aku ka koʻikoʻi . I kēlā hihia, pono paha lākou e lawe ʻia i ka haukapila a mālama ʻia, i kekahi manawa ma ka Intensive Care Unit (ICU). ʻO nā keiki me nā kūlana olakino ʻē aʻe, e like me ka maʻi diabetes type 2 , ka maʻi puʻuwai , a i ʻole ka maʻi māmā, ʻoi aku ka nui o ka pilikia o ka loaʻa ʻana o ka COVID-19 koʻikoʻi.
Eia nō naʻe, he mea nui e hoʻomaopopo ʻia ʻoiai nā keiki me ka ʻole o nā kūlana olakino kumu hiki ke maʻi nui i ka COVID-19, ʻoiai inā ʻaʻole lākou i hoʻopili ʻia . ʻO ia ke kumu e ʻōlelo mau ai nā kauka pediatric i nā keiki e loaʻa i ka lāʻau pale COVID-19. He mea nui hoʻi e loaʻa i nā mea āpau o ka hale kā lākou mau dosis o ka lāʻau pale COVID-19. E pale aku kēia i nā keiki ma lalo o 6 mahina o ka makahiki, ka poʻe hiki ʻole ke hoʻopili ʻia, a me nā poʻe ʻē aʻe i maʻi nui aʻe.
He aha nā hōʻailona o COVID-19 i nā keiki?
ʻO ka ʻoiaʻiʻo, hiki ke paʻakikī iki ke ʻike inā loaʻa i kāu keiki ka COVID-19 ma muli o nā hōʻailona wale nō. ʻO kēia no ka mea ua like loa nā hōʻailona o COVID-19 me nā hōʻailona o nā maʻi ʻē aʻe a mākou e ʻike pinepine ai, e like me ka maʻi palū a i ʻole RSV (Respiratory Syncytial Virus) .
ʻO nā hōʻailona maʻamau o COVID-19 i nā keiki:
- Kuni (ʻo kēia ka mea maʻamau)
- ʻŪhā (he mea maʻamau loa kēia)
- Paʻakikī ka hanu ʻana
- ʻeha ka ʻāʻī
- ʻEha poʻo
- ʻEhaʻeha kino, manaʻo ʻūlū nā ʻiʻo
- Luhi (nele i ka ikaika e hana i kekahi mea)
- Ihu wai (ihu paʻa)
- Ihu wai
- Nā hōʻailona Gastrointestinal (nā hōʻailona GI) - nā mea e like me ka nausea, ka luaʻi ʻana, a me ka maʻi pā.
Hiki ke ʻokoʻa kēia mau hōʻailona mai kekahi keiki a i kekahi. ʻAʻole paha e hōʻike iki kekahi mau keiki i kekahi mau hōʻailona (kapa mākou iā lākou he 'asymptomatic', ʻo ia hoʻi, ʻaʻohe o lākou hōʻailona). No nā pēpē ma lalo o hoʻokahi makahikiHe kuni wale nō paha, ka nalowale o ka hoihoi i ka hānai waiū, a ʻaʻohe hōʻailona ʻē aʻe e ʻike ʻia.
Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona, a inā manaʻo ʻoe ua maʻi kāu keiki, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka keiki . A laila hiki i ke kauka ke ʻike pono i ka mea e hana nei, a inā pono, e noi iā ʻoe e hele mai e ʻike i kāu keiki.
No ke aha e loaʻa ai i nā kamaliʻi liʻiliʻi ka COVID-19?
ʻO ka maʻi i kapa ʻia ʻo COVID-19 ua hoʻokumu ʻia e kahi maʻi i kapa ʻia ʻo 'SARS-CoV-2', ka mea e hoʻopilikia i nā keiki a me nā pākeke. No ka ʻohana coronavirus kēia maʻi. Komo kēia maʻi i ke kino ma o ka waha, ka ihu, a i ʻole nā maka o ke kanaka. Ke komo i loko o ke kino, hoʻomaka ka maʻi e hoʻonui mālie.
He maʻi lele loa ʻo COVID-19. Hiki i kāu keiki ke loaʻa i ka maʻi inā pili lākou i nā kulu hanu liʻiliʻi ('respiratory droplets') i hoʻokuʻu ʻia i ka wā e ʻū ai, e kihe ana, e kamaʻilio ana, e hīmeni ana, a e hanu ana paha kekahi me ka maʻi. Hiki nō hoʻi iā lākou ke loaʻa i ka maʻi ma ka hoʻopā ʻana i kahi ʻili me ka maʻi ma luna a laila e hoʻopā i ko lākou maka. No ka laʻana, inā hele kāu keiki i ke kula a launa pū me kekahi mea i loaʻa iā COVID, a i ʻole e hoʻopā i kahi mea pāʻani me ka maʻi ma luna, nui ka manawa e loaʻa ai iā lākou ka maʻi.
He aha nā pilikia e hiki mai ana o kēia maʻi?
Aia kekahi mau pilikia e hiki ke loaʻa i nā keiki ʻōpio ma muli o COVID-19:
- Croup - He ʻū nui i hoʻokumu ʻia e ka pehu ʻana o ke ala hanu luna.
- Bronchiolitis - He maʻi ia o nā ala ea liʻiliʻi i loko o nā māmā.
- ʻO ka Acute Respiratory Distress Syndrome (ARDS) - He kūlana e hoʻopilikia nui ai i nā māmā.
- Myocarditis - ka mumū o nā ʻiʻo puʻuwai .
- Ka hāʻule ʻana o ka puʻupaʻa koke - ka hāʻule koke ʻana o ka puʻupaʻa.
- ʻO ka Multisystem Inflammatory Syndrome i nā keiki (MIS-C) - He maʻi koʻikoʻi kēia e hiki ke hana i kekahi mau pule ma hope o ka loaʻa ʻana o COVID-19. Hoʻopilikia ia i nā ʻōnaehana he nui i loko o ke kino i ka manawa hoʻokahi.
ʻO wai nā keiki i ʻoi aku ka nui o ka pilikia o ka COVID-19 koʻikoʻi?
ʻOi aku ka nui o ka pilikia o nā keiki me nā kūlana ma lalo nei i ka loaʻa ʻana o nā maʻi koʻikoʻi a i ʻole nā pilikia mai COVID-19:
- Nā hānau mua ʻana (nā pēpē i hānau mua ʻia)
- ʻO ka Asthma a i ʻole nā maʻi māmā mau loa
- Ka momona nui - Ka momona nui loa
- ʻAno 2 diabetes
- Maʻi puʻuwai hānau a i ʻole ka maʻi cardiovascular
- Maʻi ʻeha o ke kelepona ʻokiʻoki
- Nā maʻi e hoʻopilikia ana i ka lolo a i ʻole ka ʻōnaehana nerve
- Nā kūlana kahi e pono ai ke hoʻohana ʻia kahi ʻōmole hānai e hāʻawi i ka meaʻai
- ʻŌnaehana pale kino i hoʻopilikia ʻia
Pehea ʻoe e ʻike ai inā loaʻa i kahi keiki ka COVID-19?
Hōʻoia nā kauka i ke alo o COVID-19 me kahi hoʻāʻo hoʻokolohua . Hiki i ke kauka ke lawe i kahi hāpana o ka lawai o kāu keiki, a hoʻohana paha i kahi swab liʻiliʻi e lawe i kahi hāpana o ka wai mai ko lākou ihu a i ʻole ka puʻu a hoʻouna aku i ka hale hoʻokolohua.
I kēia manawa, aia nā pahu hoʻāʻo "ma ka home" hiki iā ʻoe ke lawe ma ka home. Inā hōʻike kēlā ʻano hoʻāʻo ua loaʻa i kāu keiki ka COVID-19, e kāhea koke aku i kāu kauka pediatric . E haʻi aku ʻo ia iā ʻoe i ka mea e hana ai ma hope.
Pehea e mālama ai nā kauka i nā keiki me COVID-19?
Hoʻōla nā kauka i kēlā me kēia keiki ma muli o ko lākou kūlana a me nā pono. Hoʻoikaika nui lākou i ka hōʻemi ʻana i nā hōʻailona a, i kekahi mau hihia, ka pale ʻana a i ʻole ka hoʻokele ʻana i nā pilikia .
Loaʻa i ka hapa nui o nā keiki ʻōpio nā hōʻailona iki a waena paha . Hoʻomaikaʻi pinepine lākou me ka mālama home. E hāʻawi kāu pediatrician iā ʻoe i nā ʻōlelo aʻoaʻo no ka mālama ʻana i kāu keiki. Ma keʻano laulā, hiki iā ʻoe ke hana i kēia mau mea:
- E hāʻawi i kāu keiki i nā wai he nui e inu ai . E kōkua kēia i ka pale ʻana i ka maloʻo ʻana o ka wai. He maikaʻi nā sopa mehana a me ka porridge.
- E kāohi i ke kuni o kāu keiki . E nīnau i kāu kauka ma mua o ka hāʻawi ʻana i ka lāʻau hoʻohaʻahaʻa kuni.
- E hōʻoia i ka loaʻa ʻana o ka hoʻomaha nui i kāu keiki . E hoʻōki i ka holo ʻana a me ka pāʻani no kekahi manawa.
- Inā paʻa ka ihu o kāu keiki, e kau i kahi mea hoʻohaʻahaʻa i ka ea i loko o ko lākou lumi e kōkua iā lākou e hanu maʻalahi.
Inā pilikia nui kāu keiki i ka loaʻa ʻana o ka COVID-19 koʻikoʻi, hiki i kāu kauka ke kuhikuhi i nā lāʻau antiviral. Hāʻawi wale ʻia kēia mau mea i nā hihia kūikawā loa, inā manaʻo ke kauka he mea pono ia.
Inā lilo nā hōʻailona i mea koʻikoʻi a i ʻole e ulu aʻe nā pilikia, pono paha kāu keiki e lawe ʻia i ka haukapila . Pono paha kekahi mau keiki e mālama ʻia ma ka ʻāpana mālama koʻikoʻi (ICU). Inā hana ʻia kēia, e haʻi aku kāu kauka iā ʻoe i ka mea e manaʻo ai. ʻO ka mālama kākoʻo e loaʻa paha i kāu keiki ma ka haukapila:
- Nā lāʻau lapaʻau
- Nā wai intravenous (IV) - nā mea e like me ka saline
- Okikene hoʻohui
Pehea ka lōʻihi e hiki ai i nā keiki liʻiliʻi ke loaʻa i ka COVID-19?
Hoʻōla ka hapa nui o nā keiki i loko o hoʻokahi a ʻelua paha pule . Eia nō naʻe, ʻoi aku ka lōʻihi o ka hoʻōla ʻana o nā keiki me nā pilikia. Hiki i kāu pediatrician ke haʻi hou aku iā ʻoe e pili ana i kēia.
Āhea e hiki ai iaʻu ke hoʻihoʻi i kaʻu keiki i ke kula?
E pili ana i ka hoʻihoʻi ʻana i kāu keiki i ke kula a i ʻole ke kula hānaiE hahai i nā ʻōlelo aʻoaʻo a kāu kauka. Eia kekahi, e nīnau i kāu kula. He nui nā kula a me nā kikowaena mālama keiki i loaʻa iā lākou nā lula ponoʻī e pili ana i ka hoʻi ʻana ma hope o ka maʻi.
He aha ka wā e hiki mai ana no ka poʻe ʻōpio i loaʻa i ka COVID-19?
Hoʻōla piha ka nui o nā ʻōpio a ke ola maikaʻi nei ma hope o COVID-19. Eia nō naʻe, hiki i kekahi mau keiki ke loaʻa i nā 'kūlana post-COVID' . Ua kapa ʻia hoʻi kēia ʻo 'Long COVID' . He hōʻiliʻili kēia o nā hōʻailona e ʻike ai ke kanaka i loko o ʻekolu mahina o ka loaʻa mua ʻana o nā hōʻailona COVID-19. Eia nō naʻe, ʻoi aku ka liʻiliʻi o ka 'Long COVID' i nā ʻōpio ma mua o nā pākeke.
ʻO nā hōʻailona maʻamau i ʻike ʻia i nā keiki me ka `Long COVID`:
- Luhi
- ʻEha poʻo
- ʻAʻole hiki ke hiamoe
- Paʻakikī i ka noʻonoʻo ʻana
- ʻEha ʻiʻo a me nā hono
- Kuke
Inā hoʻomau kāu keiki i nā hōʻailona o COVID-19 a i ʻole e loaʻa nā hōʻailona hou, e haʻi i kāu pediatrician .
Pehea e hiki ai iaʻu ke pale aku i kaʻu keiki mai ka loaʻa ʻana o COVID-19?
ʻAʻole paha hiki ke pale piha i kāu keiki mai nā maʻi maʻamau e like me COVID-19 i nā manawa a pau. Eia nō naʻe, aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia a mālama i ke olakino o nā mea a pau i loko o kou home:
- E hoʻomaʻemaʻe i nā ʻili i hoʻopā pinepine ʻia . E heluhelu i ka lepili ma nā mea hoʻomaʻemaʻe hale a hahai i nā kuhikuhi e hoʻomaʻemaʻe. E pepehi kēia i nā maʻi a me nā germs ʻē aʻe ma nā ʻili e like me nā pākaukau a me nā ʻūpā puka.
- E holoi pono i kou mau lima . He mea nui e holoi i kou mau lima ma mua a ma hope o ka ʻai ʻana, ka hoʻomākaukau ʻana i ka meaʻai, a ma hope o ka hoʻohana ʻana i ka lua. He manaʻo maikaʻi e makaʻala loa e pili ana i ka holoi lima i ka wā hanu. No ka laʻana, e holoi i kou mau lima me ke kopa a me ka wai ma hope o ke kipa ʻana i kahi wahi lehulehu a i ʻole ka mālama ʻana i kahi mea maʻi. E mālama i kahi mea hoʻomaʻemaʻe lima no ka hoʻohana ʻana i ka wā ʻaʻole loaʻa ke kopa a me ka wai.
- E aʻo i kāu mau keiki i ke ʻano o ke kuni ʻana . ʻO ke ʻano kēia o ka uhi ʻana i kou kuni me kahi pepa a i ʻole kou kuʻekuʻe lima, a me ka pale ʻana i ke kuni ʻana ma waho. E hana like, a e paipai i kāu mau keiki e hana like.
- E kaupalena i ka hoʻolaha ʻana . Inā he keiki kāu a i ʻole kekahi mea ʻē aʻe i loko o kou home e pilikia nui ana no COVID-19, e noʻonoʻo i nā hanana a me nā hana āu e hiki ai ke pale aku, ʻoiai i ka wā o ka maʻi hanu kiʻekiʻe. Malia paha e hōʻole i kahi kono i kahi hanana nui i loko, a i ʻole e hoʻolālā e pāʻani ma waho ma kahi o loko i ka wā e hui pū ai kāu keiki a me kāna mau hoaaloha. E nīnau i kāu kauka keiki inā he manaʻo maikaʻi ia no kāu keiki e ʻaʻahu i ka pale maka ma ke kula a me nā wahi ʻē aʻe.
- E akahele i ka mālama ʻana i kahi lālā maʻi o ka ʻohana.Inā ʻoe e mālama ana i kāu keiki a i ʻole kekahi mea ʻē aʻe i loaʻa iā COVID-19, e ʻaʻahu i kahi uhi maka kūpono ke kokoke ʻoe iā lākou. Eia kekahi, inā ʻoi aku ka nui o ka mea maʻi ma mua o 2 mau makahiki a hiki iā ia ke ʻaʻahu i hoʻokahi, pono lākou e ʻaʻahu i kahi uhi maka. Inā hiki, e koho iā ʻoe iho a i ʻole kekahi mea ʻē aʻe ma ke ʻano he mea mālama mua e kaupalena i ka nui o ka poʻe i hōʻike ʻia. ʻOi aku ka maikaʻi o ka mālama ʻana i ka mea me COVID-19 i loko o hoʻokahi lumi a i ʻole kekahi ʻāpana o ka home a pale i ka launa pū ʻana me nā poʻe ʻē aʻe.
Pono anei e hoʻopili ʻia kaʻu keiki no ke COVID-19?
Paipai nā kauka e loaʻa i nā keiki āpau he 6 mahina a ʻoi aku ka nui o ka lāʻau pale COVID-19 . Hoʻomaʻamaʻa ka lāʻau pale i ka ʻōnaehana pale o kāu keiki e hakakā i ka maʻi. Ma muli o ka makahiki o kāu keiki a me nā kumu ʻē aʻe, pono paha kekahi a ʻoi aku paha o ka lāʻau pale. ʻO nā pono o ka hāʻawi ʻana i ka lāʻau pale COVID-19 i nā keiki ʻōpio:
- Hiki i ka lāʻau pale ke pale aku i kāu keiki mai ka loaʻa ʻana o COVID-19.
- ʻOiai inā maʻi kāu keiki, hoʻemi nui ka lāʻau pale i ka pilikia o ko lākou maʻi nui ʻana a me ka hoʻokomo ʻia ʻana i ka haukapila .
- Kōkua pū ka lāʻau pale i ka hōʻemi ʻana i ka pilikia o ka hoʻomohala ʻana i ka `MIS-C` (multisystem inflammatory syndrome i nā keiki), kahi pilikia koʻikoʻi o ka maʻi COVID-19.
- ʻAʻole paha e hoʻolaha kāu keiki i ka COVID-19 i nā ʻohana ʻē aʻe, ʻoiai ka poʻe i maʻi nui aʻe.
E like me nā lāʻau lapaʻau āpau, pono ʻoe e kamaʻilio me kāu kauka pediatric no ka ʻōlelo aʻoaʻo i kūpono i nā pono o kāu keiki. E haʻi aku ʻo ia iā ʻoe i nā lāʻau pale e pono ai kāu keiki e loaʻa ai ka pale maikaʻi loa e kūʻē iā COVID-19. E hōʻoia pū ʻo ia ua hāʻawi pololei ʻia nā lāʻau pale maʻamau ʻē aʻe.
E hoʻomanaʻo i kēia mau mea:
- Pono paha nā mahele hou o ka lāʻau pale COVID-19 inā nāwaliwali ka ʻōnaehana pale o kāu keiki a i ʻole inā puka mai nā ʻano hou o ka maʻi.
- Inā loaʻa kāu keiki i ka COVID-19, pono paha ʻoe e hoʻopaneʻe i kahi mahele o ka lāʻau pale. No ka laʻana, ʻōlelo pinepine nā kauka e hoʻopaneʻe i ka lāʻau pale ma kahi o ʻekolu mahina inā ua maʻi koke kāu keiki me COVID-19. Eia nō naʻe, pono nō lākou e loaʻa ka lāʻau pale e loaʻa ai ka palekana ikaika a mau loa mai ka maʻi.
He palekana anei ka lāʻau pale Covid (COVID-19) no nā kamaliʻi liʻiliʻi?
Ua hōʻike ʻia nā noiʻi he palekana loa ka lāʻau pale COVID-19 no nā keiki ʻōpio. Ua hoʻokomo ʻia nā keiki i nā hoʻokolohua lapaʻau, a ke hoʻomau nei nā loea i ka nānā ʻana i ka palekana o ka lāʻau pale.
Hopohopo kekahi mau mākua e loaʻa i kā lākou keiki liʻiliʻi ka myocarditis (ka mumū o ka ʻiʻo puʻuwai). He maʻi laha ʻole kēia. ʻO nā maʻi viral e like me COVID-19 a me ka maʻi palū ke kumu o ka myocarditis ma mua o nā lāʻau pale. ʻO ia ke kumu e hoʻoikaika ai nā kauka ʻoi aku ka nui o nā pono o ka loaʻa ʻana o ka lāʻau pale ma mua o nā pilikia hiki .
He aha nā hopena ʻaoʻao e loaʻa paha i kaʻu keiki mai ka lāʻau pale COVID-19?
ʻAʻole paha e ʻike kekahi mau keiki i nā hopena ʻaoʻao. Hiki i kekahi poʻe ke ʻike i nā hopena ʻaoʻao liʻiliʻi i loko o 12 mau hola ma hope o ka loaʻa ʻana o ka lāʻau pale. ʻO kēia mau mea:
- ʻEha, ʻulaʻula, a/a i ʻole ka pehu ʻana ma kahi i inikini ʻia.
- Luhi.
- Kuni.
- ʻEha poʻo.
- Manaʻo e like me ʻoe e anu ana (Chills).
- ʻEha nā ʻiʻo a me ke kino.
ʻO ka maʻamau, nalo kēia mau hopena ʻaoʻao i loko o 24 mau hola o ka loaʻa ʻana o ka lāʻau lapaʻau.
Āhea wau e kāhea aku ai i kahi pediatrician?
E kamaʻilio me kāu pediatrician i kēia mau manawa:
- Inā loaʻa i kāu keiki nā hōʻailona o COVID-19.
- Inā ʻaʻole e hoʻomaikaʻi nā hōʻailona o kāu keiki a i ʻole e ʻoi aku ka ʻino.
- Inā ua loaʻa kāu keiki i ka COVID-19 a ua pilikia nui ʻo ia i ka maʻi nui.
- Inā he mau nīnau kāu e pili ana i ka wā e hiki ai iā ʻoe ke hoʻihoʻi i kāu keiki i ka mālama keiki a i ʻole ke kula.
- Inā makemake ʻoe e kūkākūkā i ka papa hana hoʻopili kūpono no kāu keiki.
Āhea wau e lawe ai i kaʻu keiki i ka lumi pilikia (ER)?
Inā loaʻa i kāu keiki kekahi o kēia mau hōʻailona , e kāhea koke i ka 911 a lawe paha i kāu keiki i ka lumi pilikia :
- Inā pilikia ʻoe i ka hanu ʻana .
- Inā he ʻeha mau a he kaomi paha kou i loko o kou umauma.
- Inā paha ua huikau koke ʻoe.
- Inā ʻaʻole hiki iā ʻoe ke ala aʻe mai ka hiamoe a ʻaʻole hiki ke ala mau.
- Inā ʻike ʻoe i kahi waihoʻoluʻu polū ma kou mau lehelehe a i ʻole kou maka.
ʻO ka mea hope loa, pono wau e ʻōlelo... (Leka Lawe-Home)
Ua noho pū ka maʻi SARS-CoV-2 me mākou no kekahi manawa i kēia manawa. Mahalo i nā lāʻau pale, ʻaʻole ia he hoʻoweliweli nui e like me ka wā ma mua. Akā hiki i kahi akahele iki ke hele lōʻihi . ʻOiai ʻaʻole hiki iā ʻoe ke pale mau i kāu keiki mai ka maʻi ʻana, hiki iā ʻoe ke hana i nā hana e pale aku iā lākou mai ka maʻi nui ʻana.
ʻO ka hana mua, ʻo ia ke kamaʻilio me kāu kauka keiki e pili ana i nā lāʻau pale . ʻO ka hoʻopili ʻana i kāu keiki i ka lāʻau pale kekahi o nā mea nui loa āu e hiki ai ke hana e hōʻemi i ka pilikia o ko lākou maʻi nui ʻana a i ʻole ka lawe ʻia ʻana i ka haukapila.
Hiki iā ʻoe ke hana i nā hana i kou ola o kēlā me kēia lā e mālama i ke olakino o kāu poʻe aloha. ʻOiai ʻaʻole paha e hōʻike nā keiki ʻōpio i nā hōʻailona, he manaʻo maikaʻi ia e mālama i nā hana palekana (e like me ka hoʻāʻo ʻia ʻana, e ʻaʻahu ana iā lākou i nā masks kokoke) ke kipa aku ʻoe i nā poʻe i ʻoi aku ka nui o ka maʻi nui (no ka laʻana, nā kūpuna). E hoʻomanaʻo, ʻo ka ʻike a me ka mālama ʻana ko mākou ikaika nui loa i ka manawa e like me kēia.
Covid , olakino o ke keiki, coronavirus, lāʻau pale, nā hōʻailona, lāʻau lapaʻau, pale ʻana











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