Make ʻana o nā pēpē: E kamaʻilio kākou e pili ana i kēia kumuhana koʻikoʻi

ʻO ke keiki ka waiwai nui loa o ka ʻohana. Eia nō naʻe, i kekahi manawa hiki mai nā pōʻino i manaʻo ʻole ʻia. ʻAʻohe ʻeha nui aʻe ma mua o ka nalowale ʻana o kahi keiki liʻiliʻi ma mua o ko lākou hoʻolauleʻa ʻana i ko lākou lā hānau mua. He ʻike kēia i hiki ʻole ke wehewehe ʻia me nā huaʻōlelo, he mea hoʻopūʻiwa i ka naʻau. I kēia lā e kamaʻilio mākou e pili ana i kēia kumuhana koʻikoʻi loa, ʻo ia hoʻi, ' Ka Make ʻana o nā Pēpē '. ʻAʻole kēia he helu helu wale nō, aia kahi moʻolelo waimaka ma hope o kēlā me kēia helu. Ke kamaʻilio nei mākou e pili ana i kēia ʻaʻole wale no ka makaʻu a i ʻole ke kaumaha, akā, no ka hoʻomaopopo ʻana i nā kumu e alakaʻi ai i ia mau mea a no ka ʻike ʻana i ka mea hiki iā mākou ke hana e pale aku ai i ia mau pōʻino i ka wā e hiki mai ana.

I ka ʻōlelo maʻalahi, he aha ka make ʻana o nā pēpē?

Ma nā ʻōlelo lapaʻau, ʻo ka make ʻana o nā pēpē e pili ana i ka make ʻana o kahi pēpē i loko o ka makahiki mua o ke ola, ʻo ia hoʻi, ma mua o 12 mau mahina. Aia kekahi huaʻōlelo e hele pū me kēia , ʻo ka make ʻana o nā keiki hānau hou . Pili ia i ka make ʻana o kahi pēpē i loko o nā lā 28 mua o ke ola.

Hoʻohana nā kauka a me nā mea noiʻi i kēia mau huaʻōlelo e ʻimi i nā kumu o ka make ʻana o nā pēpē a kamaʻilio e pili ana i nā ala e pale aku ai iā lākou. Akā no ka makuahine a makua paha i nalowale ke keiki, ʻaʻole kēia he huaʻōlelo lapaʻau wale nō. ʻO ia ka nalowale ʻana o kahi ʻāpana o lākou iho. He ʻeha nui ia e hiki ʻole ai iā ʻoe ke noʻonoʻo pehea e neʻe ai i mua.

ʻAʻole maoli kēia he mea maikaʻi e hana ʻia. Pono e hānau olakino kēlā me kēia pēpē a loaʻa iā ia ka pōmaikaʻi e hoʻolauleʻa ʻaʻole wale i ko lākou lā hānau mua a me ka lua, akā, he nui aku. Akā, ehia mau mea e hiki ke hoʻopilikia i ke olakino o kahi pēpē a me kahi ʻohana? I kekahi manawa aia nā mea hiki ʻole iā kākou ke kāohi. No laila he mea nui loa ka makaʻala i kēia a hana pololei i nā mea hiki iā kākou ke kāohi.

He aha nā kumu nui o ka make ʻana o nā pēpē?

ʻOkoʻa nā kumu o ka make ʻana o nā pēpē i kēia lā mai nā mea o ka wā ma mua. Me ka holomua o ka ʻepekema lapaʻau, ua hiki ke kāohi ʻia nā mea he nui. I kēia mau lā, ʻoi aku hoʻi ma nā ʻāina i hoʻomohala ʻia, aia kekahi mau kumu nui e hoʻopilikia ai i ka make ʻana o nā pēpē.

Pehea ke kūlana o ka wā ma mua?

Ma mua loa o kēia lā, ma kahi o 100 mau makahiki i hala aku nei, ʻo nā maʻi lele ke kumu nui o ka make ʻana o nā pēpē. E noʻonoʻo i ka nui o nā pēpē i make i nā maʻi e like me ka maʻi diarrhea, ka maʻi ʻōpala, ka ʻūhū, a me ka niumonia i kēlā manawa?

Akā me ka hoʻomohala ʻana o nā lawelawe olakino lehulehu, ua loli loa kēia kūlana.

• Ka hoʻolako ʻana i ka wai inu maʻemaʻe .
• Ka hoʻomaʻemaʻe ʻana i ka waiū.
• Ka hoʻokō pono ʻana o nā papahana pale ʻana .

Ma muli o ia mau mea, ua hiki ke hōʻemi nui i ka make ʻana o nā pēpē mai nā maʻi lele. ʻO ko mākou Sri Lanka kekahi ʻāina i hoʻokō pono i kēia mau papahana pale ʻana. Ma muli o ke kipa ʻana o nā luna lawelawe olakino ʻohana (Midwives) ma ko mākou ʻāina i nā home a nānā i kēia, ua haʻahaʻa loa ka nui o ka make ʻana o nā pēpē ma ko mākou ʻāina ke hoʻohālikelike ʻia me nā ʻāina ʻē aʻe ma Asia Hema. He hoʻokō nui kēlā no mākou.

He aha ka mea i ana ʻia e ka IMR (Infant Mortality Rate)?

Ua lohe paha ʻoe i kēia huaʻōlelo ma mua. ʻO IMR ke kū nei no ka Infant Mortality Rate . I ka ʻōlelo maʻalahi, ana ia i ka helu o nā pēpē e make ma mua o ka hiki ʻana i hoʻokahi makahiki o kēlā me kēia 1,000 hānau ola ma kahi wahi a ʻāina paha.

Hoʻohana nā kānaka noiʻi i kēia ʻikepili e ʻike ai i nā wahi a me nā heluna kanaka e pono ai ka mālama ola kino nui loa, a e hoʻolālā i nā kulekele a me nā papahana olakino e hiki mai ana.

ʻOkoʻa loa ka IMR ma waena o nā ʻāina o ka honua. Ma nā ʻāina e like me Iapana a me Singapore, haʻahaʻa loa ka helu (ma kahi o 2 no 1,000 pēpē). Eia nō naʻe, ma kekahi mau ʻāina ʻilihune ma ʻApelika, kiʻekiʻe loa ka helu (ʻoi aku ma mua o 70 no 1,000 pēpē). Hōʻike kēia i ka nui o ka loli o ke ola o kahi pēpē ma muli o kahi i hānau ʻia ai a me nā kumuwaiwai i loaʻa iā lākou.

Hiki iā kākou ke pale aku i kēia mau make ʻana o nā pēpē?

ʻO kēia ka nīnau koʻikoʻi loa. ʻO ka pane, ʻae, hiki nō. ʻAʻole hiki ke pale ʻia nā make pēpē āpau. ʻO kekahi mau pilikia hānau ma waho o ko mākou mana. Akā he nui nā mea hiki iā mākou ke hana e hōʻemi i ka pilikia. Hiki iā mākou ke hana i kēia mau mea e hoʻonui i ko mākou manawa kūpono e loaʻa ai kahi hāpai olakino a me kahi pēpē olakino.

1. Ma mua o ka hāpai ʻana

• E ʻike i ke kauka: Inā ʻoe e hoʻolālā ana e loaʻa kahi pēpē, e ʻike i ke kauka e nānā i kou olakino ma mua o kou hāpai ʻana. Inā loaʻa iā ʻoe kekahi mau maʻi olakino, e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, he mea nui e hoʻomalu iā lākou ma mua o kou hāpai ʻana.
• E hoʻomaka i ka lawe ʻana i ka waikawa folic: ʻO ka lawe ʻana i nā pila waikawa folic ma ka liʻiliʻi he 3 mau mahina ma mua o ka hāpai ʻana i kahi pēpē hiki ke kōkua i ka pale ʻana i nā kīnā neural tube i loko o ka ʻōnaehana nerve o ka pēpē.

2. I ka wā hāpai

• Mai hōʻalo i ke keʻena lapaʻau no kekahi kumu: He ikaika loa ka ʻōnaehana o nā keʻena lapaʻau antenatal ma ko mākou ʻāina. E hele i nā keʻena lapaʻau i nā lā i hoʻonohonoho ʻia e like me nā kuhikuhi i hāʻawi ʻia e kāu kahu hānai kūloko a me ke kauka. Ma kēlā ala, hiki iā ʻoe ke makaʻala mau i kou olakino a me ke olakino o kāu pēpē.
• E ʻai i ka meaʻai olakino: E ʻai i ka meaʻai momona a kaulike. E hoʻōki loa i ka puhipaka a me ka inu ʻana i ka waiʻona. Mai lawe i kekahi lāʻau lapaʻau me ka ʻole o ke kūkākūkā ʻana me kāu kauka.
• E makaʻala i nā hōʻailona pōpilikia: Inā manaʻo ʻoe e lohi ana ka neʻe ʻana o kāu pēpē, inā he koko a wai paha mai ka ʻōpū, inā he ʻeha poʻo nui kou a he ʻike pohihihi paha, e hele koke i ka haukapila. He mau hōʻailona paha kēia o kahi maʻi weliweli.

3. Ma hope o ka hānau ʻana

• Hiamoe Palekana: ʻO kēia ka mea nui loa e pale aku ai i ka SIDS .
• E hoʻomoe mau i kāu pēpē ma kona kua. Mai hoʻomoe ma kona ʻaoʻao a i ʻole ka ʻōpū.
• E waiho hakahaka i kahi moe o ka pēpē (kahi moe a i ʻole kahi moe). E kau wale i kahi kapa moe mānoanoa ma luna o ka moena. Mai kau i nā uluna, nā kapa moe, a i ʻole nā ​​mea pāʻani palupalu. Hiki i kēia ke hoʻomake i ka pēpē.
• Mai hoʻokuʻu i kāu pēpē e wela loa. E mālama i ka lumi i kahi mahana ʻoluʻolu.
• ʻOi aku ka palekana o ka hoʻomoe ʻana i kāu pēpē i loko o ka lumi like me ʻoe, akā ma kahi ʻokoʻa a palekana hoʻi (kahi moe hoa a i ʻole kahi moe pēpē).
• Ka hānai waiū: Inā hiki, e hānai waiū i kāu pēpē no nā mahina 6 mua wale nō. Hoʻoikaika ka hānai waiū i ka ʻōnaehana pale o ka pēpē a pale aku i nā maʻi.
• Nā lāʻau pale i ka manawa kūpono: Wahi a ka National Immunization Program, e hāʻawi i nā lāʻau pale a pau e pono ai kāu pēpē i ka manawa kūpono.
• Palekana i ka wā o nā huakaʻi kaʻa: I kēlā me kēia manawa āu e lawe ai i kāu pēpē i loko o ke kaʻa, e hoʻohana i kahi noho kaʻa e kūpono i kāu pēpē. E hoʻokomo pono. He mea weliweli loa ka hāpai ʻana i kahi pēpē ma kou ʻūhā.

Inā ʻike ʻoe i kekahi e ʻeha nei i ka nalowale ʻana o kahi keiki, ma kahi o ka hoʻāhewa ʻana iā lākou, e lilo i hoaaloha maikaʻi e hoʻolohe iā lākou a kaʻana like i ko lākou ʻeha. Eia kekahi, inā he makuahine hāpai ʻoe a i ʻole e manaʻo ana i kahi pēpē, mai kānalua i kekahi mea. E nīnau i kāu kauka a limahana olakino ʻohana paha e pili ana i nā nīnau a hopohopo paha āu e loaʻa ai. Aia lākou ma laila e kōkua iā ʻoe.