ʻO kēlā mehana a me ke ʻala o kāu pēpē hānau hou... He manaʻo ia i hiki ʻole ke wehewehe ʻia ma nā huaʻōlelo, ʻeā? I kēia lā, e kamaʻilio mākou e pili ana i kahi ala maʻalahi a aloha hoʻi no ka makuahine a makua paha e hoʻoikaika i kēlā pilina me kā lāua keiki, a e lawe mai i nā pono kupaianaha i ke olakino o ke keiki. Kāhea mākou i kēia "mālama kangaroo."
He aha maoli ka Kangaroo Care?
I ka ʻōlelo maʻalahi, ʻo ka mālama kangaroo kahi ala kūikawā e hoʻopaʻa ai i kāu pēpē kokoke i kou umauma. Pili ia i ka hoʻopaʻa ʻana i kāu pēpē, me ke komo ʻana i kahi diaper wale nō (a me ka pāpale a me nā socks paha no ka mehana), ma kou umauma ʻōlohelohe. ʻAe kēia i ka hoʻopili pololei ʻana o ka ʻili i ka ʻili ma waena o kāu pēpē a me kou ʻili .
E noʻonoʻo i ke ʻano o ka hāpai ʻana o kahi kangaroo makuahine i kāna pēpē i loko o kāna ʻeke. ʻO ia ke ʻano o ka palekana, ka mehana, a me ke aloha e loaʻa ai i ka pēpē ma o kēia ʻano hana. He ʻike kūikawā loa ia e hoʻoikaika ai i ka pilina ma waena ou a me kāu pēpē. Loaʻa iā ia nā pono lapaʻau kupaianaha. He mea waiwai nui kēia ʻano hana no nā pēpē i hānau ʻia me ke kaumaha hānau haʻahaʻa a me nā pēpē hānau mua .
Hiki iā ʻoe ke hana i kēia mālama kangaroo ma ka home a i ʻole ma ka haukapila. Hiki i nā pēpē ma ka Neonatal Intensive Care Unit (NICU) ke hana i kēia me ke alakaʻi ʻana o nā limahana lapaʻau. Hiki iā ʻoe ke kamaʻilio me kāu kauka e ʻike ai inā hiki ke hana ʻia kēia ʻoiai inā aia kāu pēpē ma kahi IV a i ʻole nā lako lapaʻau ʻē aʻe.
Ua kapa ʻia hoʻi kēia ʻo "Mālama makuahine Kangaroo" no ka mea ua ʻike ʻia nā haʻawina he nui i nā pono o nā makuahine e hāʻawi ana i kēia mālama. Akā, ʻaʻole i kaupalena ʻia i nā makuahine. Hiki i nā makuakāne, nā ʻohana ʻē aʻe, a me nā kūpuna ke hāʻawi i kēia mālama aloha i kā lākou mau pēpē.
He aha ka pilina ʻili-i-ka-ʻili?
I ka manawa pinepine, hoʻohana like ʻia nā huaʻōlelo mālama kangaroo a me ka pili ʻili-i-ʻili. ʻO ka pili ʻili-i-ʻili ke kau ʻia ʻana o ka pēpē ma ka umauma o ka makuahine, ʻoiai i ka hola mua ma hope o ka hānau ʻana, i ʻike ʻia ʻo "golden hour." E holoi nā limahana lapaʻau i ka pēpē, e kau i ka pāpale ma kona poʻo, a e kāʻei iā ia i loko o kahi kapa moe mahana, a laila e kau iā ia ma kou umauma.
ʻO nā hola mua o ka ʻapo ʻana i kāu pēpē ma hope koke o ka hānau ʻana he manawa makamae ia no ʻoe a me kāu pēpē e ʻike ai kekahi i kekahi. He nui nā pono olakino no kāu pēpē. Ua hōʻike ʻia e ka noiʻi he kōkua nui kēia ʻano hana no kāu pēpē e hoʻomaka i ka hānai waiū a hoʻomau i ka hānai waiū .
Pehea e mālama pono ai i nā kangaroo ma ka home?
Ma ka haukapila, e hōʻike nā limahana kahu maʻi iā ʻoe pehea e hana ai i kēia. Ke hana ʻoe i kēia ma ka home, hiki iā ʻoe ke hahai i kēia mau ʻanuʻu maʻalahi. He mea maʻalahi loa ia.
ʻO ka mea nui loa, ʻo ia ka noho mālie a me ka ʻoluʻolu o kāu pēpē. Mai hopohopo. ʻO kēia kou manawa e noho pū ai.
| Nā ʻanuʻu | He maʻalahi ka mea e hana ai. |
|---|---|
| 1. E ʻaʻahu me ka ʻoluʻolu. | E ʻaʻahu i kahi mea ʻoluʻolu. ʻOi aku ka maikaʻi o ke ʻaʻahu ʻana i kahi mea me nā pihi ma ke alo a hiki ke wehe maʻalahi i nā pihi. Makemake ʻoe e paʻa pololei i ke pēpē i kou umauma. Inā ʻoe e ʻaʻahu ana i kahi pale umauma, pono ʻoe e wehe pū. |
| 2. E hoʻopaʻa i ke pēpē ma ka umauma. | E paʻa i ke pēpē i ke kūlana pololei ma waena o kou umauma. E hoʻohuli i ke poʻo o ke pēpē i kekahi ʻaoʻao. E maʻalahi kēia i ka pēpē ke hanu. E hoʻokomo i ke pēpē i kahi diaper, kahi pāpale, a me ʻelua mau socks wale nō. |
| 3. E uhi pono i ka pēpē. | Ke ʻoluʻolu ʻoe a me kāu pēpē, e kau i kahi kapa moe mahana a māmā paha ma luna o ke kua o kāu pēpē. E kōkua kēia i ka mālama ʻana i ka mehana o kāu pēpē. Inā pono, hiki iā ʻoe ke kāʻei i kāu pēpē me kahi lole me ka paʻa ʻana iā ia a kokoke iā ʻoe. |
| 4. E noho mālie ʻolua a ʻelua. | I kēia manawa, pono ʻoe e ʻapo i ka pēpē a hoʻomaha. E hanu maʻamau. I kēia manawa, e hoʻokuʻu i ka pēpē e hiamoe. Mai hoʻohenehene i ka pēpē a hele paha e pāʻani. ʻO ka mea nui loa, no ka palekana o ka pēpē, ʻaʻole pono ʻoe e hiamoe i kēia manawa. Pono ʻoe e ala. |
He nui nā pono o ka hoʻolilo ʻana i ka manawa me kāu pēpē e like me ka hiki. E koho i kahi manawa kūpono nou a me kāu pēpē. ʻO ke kakahiaka nui a i ʻole ma hope o ka ʻauʻau ʻana o kāu pēpē he manawa kūpono ia no kēia.
Mai haʻi i kēia mau mea i ka wā e mālama ai i ka kangaroo!
I mea e palekana ai a ʻoluʻolu hoʻi kēia mālama aloha no kāu pēpē, pono ʻoe e mālama i kēia mau mea pū kekahi.
| Nā mea e pale aku ai i ka mālama ʻana iā kangaroo | |
|---|---|
| Nā kelepona a me nā polokalamu ʻē aʻe | E waiho i kāu kelepona a me ka papapihi i ka ʻaoʻao i kēia manawa. Hiki i kēia mau mea ke hoʻohuli iā ʻoe mai kāu pēpē. He mea nui ia no ka palekana o kāu pēpē a no ke kūkulu ʻana i kahi pilina ma waena o ʻolua, akā he mea nui hoʻi no kāu pēpē ke loaʻa iā ʻoe kou manaʻo piha. |
| Ka hoʻomaʻemaʻe ʻili | E hōʻoia i ka maʻemaʻe o kou ʻili ma mua o kou ʻapo ʻana i kāu pēpē. Mai hoʻopili i nā mea ʻala a i ʻole nā lotion. Mai hana i kēia lāʻau lapaʻau inā loaʻa iā ʻoe kekahi maʻi ʻili e like me nā pehu, nā ʻeha, a i ʻole nā ʻeha anu. |
| Puhipaka | E pale loa i ka puhipaka ma mua a i ʻole i ka wā o ka mālama ʻana iā kangaroo. He mea ʻino loa ka uahi o ka cigarette i ke olakino o ka pēpē. |
| Inā maʻi ʻoe. | Ma kahi o 2-3 mau mahina e ulu piha ai ka ʻōnaehana pale o ka pēpē. No laila, he mea nui e pale i kāu pēpē mai nā germs i kēia manawa. ʻOi aku ka maikaʻi o ka pale ʻana i kēia lāʻau lapaʻau inā loaʻa iā ʻoe ke anu a i ʻole ka maʻi flu. Ke ʻole kāu kauka e haʻi iā ʻoe e ʻaʻahu i ka pale maka. |
| Inā luhi a hiamoe paha ʻoe | He mea nui loa kēia. Mai hana i kēia lāʻau lapaʻau inā luhi loa ʻoe a hiamoe paha. Hiki i kēia ke lilo i mea weliweli no ka pēpē inā hiamoe ʻoe. Ua kapa ʻia kēia ʻo Sudden Infant Death Syndrome (SIDS).Hiki iā ia ke hoʻonui i kou pilikia. No laila, inā luhi ʻoe, e noi i kāu hoa a i ʻole kekahi lālā ʻohana e mālama i ka pēpē i hiki iā ʻoe ke hoʻomaha. |
He aha nā pono kupaianaha o ka mālama kangaroo?
ʻAʻole hiki ke helu ʻia nā pono o kēia ʻano hana maʻalahi no ʻoe a me kāu pēpē. ʻOi aku hoʻi no nā pēpē hānau mua a me nā pēpē kaumaha haʻahaʻa, hiki ke lilo i ʻokoʻa ma waena o ke ola a me ka make.
Nā pono no ka pēpē
- Ka hoʻopaʻa ʻana o ka helu o ka puʻuwai: Noho paʻa ka helu o ka puʻuwai o ka pēpē ʻoiai e lohe ʻia ana ka mehana a me ka puʻuwai o ka umauma o mama a makuakāne paha.
- Lilo ka hanu ʻana i mea maʻamau: Lilo ka hanu ʻana o ka pēpē i mea maʻamau.
- Ka hiamoe maikaʻi: Loaʻa i ka pēpē ka hiamoe ʻoluʻolu a hohonu. He mea nui loa kēia no ka ulu ʻana o ka lolo o ka pēpē.
- Ke kākoʻo ʻana i ka ulu olakino: Ua ʻike ʻia e ka noiʻi ʻana e loaʻa maikaʻi ana ke kaumaha o nā pēpē e loaʻa ana i kēia mālama.
- Hoʻomaha ʻeha: I ka wā e hana ʻia ai nā hoʻokolohua ʻeha, e like me ka hoʻāʻo kuʻekuʻe wāwae, ʻo ka paʻa ʻana i ka pēpē ma kēia ʻano e hōʻemi ai i ka ʻeha.
- Ka kaohi ʻana i ka mahana o ke kino: Hāʻule ka mahana o ke kino o ke pēpē, e hōʻemi ana i ka pilikia o ka hypothermia.
- Hoʻemi ʻia ka pilikia o ka maʻi a me ka make: Ua kōkua nui kēia ʻano hana maʻalahi i ka hōʻemi ʻana i ka pilikia o ka maʻi koʻikoʻi a me ka make, ʻoi aku hoʻi ma nā ʻāina me nā pono lapaʻau palena ʻole.
Nā pono no ka makuahine/pāpā
- Ke hoʻoikaika nei i ka pilina me kāu pēpē: Ke paʻa ʻoe i kāu pēpē i ka ʻili a i ka ʻili, hoʻokuʻu ʻia ka "hormone aloha" i kapa ʻia ʻo oxytocin. Hoʻoikaika nui kēia i ka pilina ma waena ou a me kāu pēpē.
- ʻOi aku ka maʻalahi o ka hānai ʻana i ka waiū a me ka hoʻonui ʻana i ka lako waiū: Kōkua nui kēia ʻano hana i ka hānai ʻana i ka waiū maikaʻi. Hoʻoulu pū ia i ka hormone prolactin, e hoʻonui ana i ka hana ʻana o ka waiū umauma.
- Hoʻonui i ka hilinaʻi iā ʻoe iho i ka mālama ʻana i kāu pēpē: E loaʻa iā ʻoe ka hilinaʻi nui aʻe i kou hiki ke ʻike a pane i nā pono o kāu pēpē. E kōkua pū kēia i ka hōʻemi ʻana i ke kaumaha postpartum.
Pehea i hoʻomaka ai kēia "mālama kangaroo"?
ʻO ke kāohi ʻana i kāu pēpē kokoke i kou umauma he hana ia no nā makuahine ma ka mōʻaukala. Akā, ʻaʻole a hiki i ka hopena o nā makahiki 1970, i ka wā i kapa ʻia ai ʻo "kangaroo care," i hoʻomaka ai e hoʻomohala ʻia ma ke ʻano he hana lapaʻau ma ke kūlanakauhale ʻo Bogotá, Colombia. I kēlā manawa, ua kiʻekiʻe loa ka nui o ka make ʻana o nā pēpē i ka wā ʻōpiopio.
ʻOiai ʻo nā kauka ʻo Edgar Rey lāua ʻo Hector Martinez e ʻimi nei i kahi hopena no kēia pilikia, ua loaʻa iā lāua ka manawa kūpono e kamaʻilio me kahi kahu hānai mai kekahi kauhale mai. Ua wehewehe ʻo ia i ke ʻano o kāna mālama ʻana i kāna mau pēpē hānau hou i ʻōwili paʻa ʻia i nā lole a kau iā lākou ma luna o kona umauma. Ua ʻōlelo ʻo ia ua hoʻomaikaʻi kēia i ke olakino a me ka ulu ʻana o nā pēpē.
Ma muli o kēia manaʻo, ua hoʻokolohua nā kauka ʻelua i kēia mālama ʻili-a-ʻili ma luna o nā makuahine a me nā pēpē ma ko lākou haukapila. Ua kapa lākou i ke ʻano hana ʻo "mālama makuahine kangaroo" no ka mea ua like ia me ke ʻano o ka ulu ʻana o kahi pēpē kangaroo i loko o ka ʻeke o kona makuahine.
Ua ʻoi aku ka holomua o kēia hana ma mua o ka mea i manaʻo ʻia. Ua hiki iā lākou ke hōʻemi i ka make ʻana o nā pēpē ma mua o ka manawa ma mua o 70% i loko o ka makahiki mua .
I kēia manawa, ua noiʻi pū nā kānaka noiʻi ma ʻAmelika Hui Pū ʻIa i nā pono o kēia pili ʻili-a-ʻili. Ua ʻike lākou ʻo nā minuke a me nā hola mua ma hope o ka hānau ʻana o kahi pēpē ka manawa koʻikoʻi loa no nā mākua e hoʻopili ai me kā lākou pēpē.
I kēia lā, ua ʻike nā kānaka noiʻi i nā pono ʻē aʻe he nui o ka mālama kangaroo. Kōkua ia i nā pēpē e hiamoe a hanu mālie, e ʻoi aku ka holomua o ka hānai waiū, a kōkua i ka hoʻokumu ʻana i kahi pilina olakino ma waena o nā mākua a me ka pēpē.
Ke hoʻomaka nei kāu keiki liʻiliʻi e ʻike i ke ao nei a hoʻomaopopo iā ʻoe. Inā he makua no ka manawa mua ʻoe, e manaʻo hou nā mea āpau iā ʻoe. ʻO ka mālama ʻana iā Kangaroo kahi ala no ʻolua e aʻo pū ai. No laila, mai hopohopo nui e pili ana i nā hola, "Ke hana pololei nei au i kēia?" E hana ia ma ke ʻano e ʻoluʻolu ai iā ʻoe, a manaʻo kūpono iā ʻoe. E hoʻohana pono i kēia manawa āu.
Leka Lawe-Home
- ʻO ka mālama ʻana iā Kangaroo ke hāpai ʻoe i kāu pēpē ma kou umauma, me ka ʻole o ka diaper, a me kou mau lole i wehe ʻia. He mea maikaʻi loa kēia pili ʻana o ka ʻili i ka ʻili no ʻoe a me kāu pēpē.
- ʻOiai he mea nui kēia no nā pēpē hānau mua a me nā pēpē kaumaha haʻahaʻa, hiki ke hāʻawi ʻia kēia mālama i kekahi pēpē olakino.
- ʻAʻole wale ka makuahine, akā, ʻo ka makuakāne, ke kupuna wahine, a me ke ʻanakala hoʻi ke hiki ke hāʻawi i kēia mālama aloha i ka pēpē.
- Kōkua kēia i ka hoʻoponopono ʻana i ka puʻuwai o ka pēpē, ka hanu ʻana, a me ka mahana o ke kino. Kōkua pū ia i ka hoʻokō ʻana i ka hānai waiū a hoʻoikaika i ka pilina ma waena o nā mākua a me ka pēpē.
- ʻO ka palekana mua! Mai hiamoe i ka wā e mālama ana i ka pēpē. Inā luhi ʻoe, e mālama kekahi i ka pēpē a hoʻomaha.
- Inā he mau pilikia olakino ko kāu pēpē a i ʻole he mau nīnau kāu e pili ana i kēia, e ʻoluʻolu e nīnau i kāu kauka a kahu maʻi paha.
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