Ma ke ʻano he makuahine a makua paha, ke kali nui nei ʻoe i ka hiki ʻana mai o kāu pēpē i ke ao nei. Akā i kekahi manawa, ʻaʻole holo nā mea e like me ka hoʻolālā. Inā hānau mua ʻia kāu pēpē a i ʻole he pilikia olakino paʻakikī i ka wā hānau, he mea maʻamau ke manaʻo i ka makaʻu a me ka hopohopo. Akā, mai hopohopo. Aia kekahi kauka i hoʻomaʻamaʻa kūikawā ʻia e mālama i kāu keiki liʻiliʻi i kēia manawa paʻakikī. Kāhea mākou i kēlā kauka he Neonatologist . I kēia lā, e kamaʻilio kākou e pili ana i kēia kauka a me kāna hana.
ʻO wai ka mea he neonatologist maoli?
I ka ʻōlelo maʻalahi, he kauka lapaʻau ka Neonatologist i loea i nā pēpē hānau hou. Akā, ʻaʻole nā pēpē hānau hou a pau. He kauka kēia e mālama i nā pēpē i hānau mua ʻia , a i ʻole ka poʻe i hānau ʻia me kahi maʻi paʻakikī, ke kīnā hānau, a i ʻole nā mea pilikia ʻē aʻe.
E noʻonoʻo ua hānau ʻia kāu pēpē ma mua o 37 mau pule. ʻAʻole paha i ulu piha kona mau ʻōpū, ʻoiai kona mau māmā a me ka puʻuwai. A i ʻole he maʻi puʻuwai paha ka pēpē i ʻike ʻia i ka wā hānau. I ia mau hihia, e mālama kahi Neonatologist i ka pēpē.
Hana pinepine kēia mau kauka i nā Neonatal Intensive Care Units (NICUs) o nā haukapila. He keʻena kēia e hāʻawi ana i ka mālama kūikawā 24-hola no nā pēpē maʻi a i ʻole nā pēpē hānau mua. I kekahi manawa, inā ʻike ʻia kahi pilikia i ka wā o nā scan ma mua o ka hānau ʻana o kāu pēpē, hiki i kahi Neonatologist ke komo i kāu hāpai ʻana mai ia manawa. Hiki nō hoʻi iā lākou ke noho ma ka lumi hānau e hāʻawi i ka mālama no kāu pēpē ma hope koke o ka hānau ʻana.
He aha ka hana nui a kahi neonatologist?
He ākea loa nā kuleana o kahi neonatologist. ʻAʻole ia e pili ana i ka hāʻawi ʻana i ka lāʻau lapaʻau i kahi pēpē. ʻO kā lākou hana nui ka hoʻonohonoho ʻana i nā mea āpau e pono ai e hoʻopakele i ke ola o kahi pēpē liʻiliʻi me kahi maʻi koʻikoʻi.
E hoʻomaopopo pono kākou iā ia mai ka papa ma lalo nei.
| Hana | He wehewehe maʻalahi |
|---|---|
| ʻIke a me ka lāʻau lapaʻau | Hoʻomaopopo pono lākou i nā maʻi, nā maʻi ahulau, a me nā pilikia ʻē aʻe i loaʻa i kahi pēpē hānau hou, a laila hoʻomaka i ka lāʻau e pono ai. |
| Ka hoʻokele mālama a me ka hoʻonohonoho ʻana | Inā pono ke ʻoki kino i ka pēpē, a inā pono ke kōkua o nā kauka ʻē aʻe, e like me ke kauka cardiologist a neurologist paha, ua hoʻonohonoho ʻia nā mea āpau e hōʻoia i ka loaʻa ʻana o ka lāʻau lapaʻau maikaʻi loa i ka pēpē. |
| Ke hana nei i nā hoʻokolohua | Ua kauoha ʻia nā hoʻokolohua e like me nā hoʻāʻo koko, nā X-ray, echocardiograms, a i ʻole nā ultrasounds e nānā i ke kūlana o ka pēpē. |
| Ka hōʻoiaʻiʻo ʻana i ka meaʻai | ʻAʻole paha hiki i kahi pēpē maʻi ke hānai pono i ka waiū umauma. No laila, ke hōʻoia nei mākou e loaʻa ana i ka pēpē ka meaʻai kūpono. Inā pono, hiki iā mākou ke hoʻohana i nā ʻōmole hānai. |
| Ke kākoʻo ʻana i nā mākua | Ua kaumaha nui nā mākua i ka wā e noho ana kā lākou pēpē i loko o ka NICU. No laila, he hana koʻikoʻi ia o kēia mau kauka e hoʻomaopopo i nā mākua e pili ana i ke kūlana o ka pēpē a me ka mālama ʻana, a e hāʻawi iā lākou i ke kākoʻo noʻonoʻo e pono ai lākou. |
I ka manawa hea e pono ai ke kōkua o kahi Neonatologist?
I ka manawa pinepine, pono koke ʻia kahi neonatologist a me ka manaʻo ʻole ʻia. Eia nō naʻe, i kekahi mau hihia, pono paha ke kōkua o ia ʻano loea i ka wā hāpai.
Eia kekahi mau hihia:
- Inā he pilikia nui kou hāpai ʻana: Inā he mau maʻi kou e like me ka maʻi diabetes a i ʻole ke koko kiʻekiʻe, hiki ke hoʻopilikia ʻia ka pēpē.
- Inā nui ka manawa e hānau mua ʻia ai ka pēpē: Inā ua ʻike mua nā kauka i kēia, hiki iā ʻoe ke ʻimi i ke kōkua o kahi neonatologist.
- Inā ua ʻike ʻia kahi maʻi hānau i loko o ka pēpē i loko o ka ʻōpū:Inā ʻike nā scan i kahi pilikia me ka puʻuwai o ka pēpē, ka lolo, a i ʻole kekahi ʻano kino, e hana kahi neonatologist i nā hoʻolālā ma mua o ka hānau ʻana o ka pēpē.
- Inā hānau ʻia ke pēpē ma mua o ka lā palena.
- Inā loaʻa i ka pēpē kekahi ʻeha (ʻeha hānau) i ka wā hānau.
- Inā hānau ʻia ke pēpē me kahi maʻi a maʻi paha.
- Inā kū mai kekahi mau pilikia i manaʻo ʻole ʻia i ka wā hānau keiki a ma hope paha.
ʻO ka mea nui loa, ʻo ia ka ʻike ʻaʻole ʻoe hoʻokahi i kēia kūlana. E hoʻomanaʻo he hui lapaʻau akamai kāu e hiki ke hāʻawi i ka mālama maikaʻi loa no kāu pēpē.
Nā kūlana maʻamau i mālama ʻia e kahi neonatologist
Hoʻomaʻamaʻa kahi neonatologist i nā ʻano maʻi like ʻole, e like me:
- Ka hānau mua ʻana: ʻO kēia ke kumu o nā pilikia me nā ʻōpū (ʻoi aku hoʻi nā māmā) ʻaʻole i hoʻomohala piha ʻia.
- Kaumaha haʻahaʻa i ka wā hānau: He pēpē i emi ke kaumaha ma mua o 2500 grams a i ʻole ka palena o ka ulu ʻana o ka ʻōpū.
- Nā maʻi hānau ʻole: Nā kūlana i loaʻa i ka wā hānau, e like me nā lua i loko o ka puʻuwai (nā kīnā septal), nā pilikia o ka ʻōnaehana nerve.
- Nā pilikia hanu: He paʻakikī i ka pēpē ke hanu iā ia iho.
- Maʻi puʻuwai: Nā kūlana e like me ka puʻuwai puʻuwai kūpono ʻole (bradycardia) a i ʻole ka hāʻule ʻana o ka puʻuwai.
- Nā pilikia lolo: Nā kūlana koʻikoʻi e like me nā hopu ʻana a i ʻole ke kahe ʻana o ke koko i loko o ka lolo.
- Haʻahaʻa ke kō koko (Hypoglycemia).
- Jaundice: He maʻi maʻamau akā i kekahi manawa koʻikoʻi i nā pēpē hānau hou.
- Nā ʻeha hānau.
He aha ka ʻokoʻa ma waena o kahi neonatologist a me kahi pediatrician?
He mea kēia e huikau ai nā kānaka he nui. I ka ʻōlelo maʻalahi, he kauka keiki mua nā Neonatologist āpau.
E noʻonoʻo penei. He kauka lapaʻau keiki kahi e mālama ai i nā maʻi āpau o ke keiki, hāʻawi iā lākou i nā lāʻau pale, a nānā i ko lākou ulu ʻana mai ka lā i hānau ʻia ai lākou a hiki i ko lākou mau makahiki he 18. ʻO ia kāu "kauka keiki."
Akā, he kauka keiki ka Neonatologist nāna i hoʻolilo i kekahi mau makahiki e loea ana i nā pēpē hānau hou, ʻoiai ka poʻe me nā maʻi koʻikoʻi. ʻO kā lākou manaʻo nui ka mālama ʻana i nā maʻi hoʻoweliweli ola e kū mai ana i nā lā mua a i ʻole nā pule o ke ola o kahi pēpē. Ke hoʻōla hou kāu pēpē a hoʻi i ka home mai ka NICU, e mālama kāu kauka keiki maʻamau i kāu pēpē.
He aha nā lāʻau lapaʻau a kahi neonatologist e hāʻawi ai?
He wahi ʻo NICU i lako me nā lako hana hou loa. Hoʻohana kahi neonatologist i kēia mau lako a me nā ʻano lāʻau like ʻole e kōkua i ka hoʻopakele ʻana i ke ola o kāu pēpē.
| ʻAno lapaʻau | He wehewehe maʻalahi |
|---|---|
| Kōkua i ka hanu ʻana | Hoʻohana ʻia nā mea hana e like me CPAP a me ka ventilator e kōkua i ka pēpē e hanu. |
| Ka hoʻomalu ʻana i ka mahana o ke kino | He paʻakikī i nā pēpē hānau mua ke hoʻoponopono i ka mahana o ko lākou kino, no laila ua hoʻokomo ʻia lākou i loko o nā mea mehana e like me nā incubators. |
| Hoʻōla kukui | Hoʻōla ʻia nā pēpē me ka jaundice ma ke kau ʻana iā lākou i kahi kukui polū kūikawā. |
| Nā lāʻau lapaʻau IV | Hāʻawi ʻia ka pēpē i nā wai, nā lāʻau antibiotic, a me nā lāʻau lapaʻau ʻē aʻe ma o ka saline. Hana ʻia nā hoʻoili koko inā pono. |
Inā pono kāu pēpē i ka lāʻau lapaʻau mai kahi neonatologist, e wehewehe ke kauka i nā mea āpau iā ʻoe e pili ana i ke kūlana o kāu pēpē, nā lāʻau lapaʻau e hāʻawi ʻia ana, a me ko lākou mau pilikia. E ʻoluʻolu e nīnau i ke kauka i nā nīnau a hopohopo paha āu e loaʻa ai. ʻO kou kuleana ia.
Leka Lawe-Home
- He kauka neonatologist ka mea i loaʻa ka hoʻomaʻamaʻa kūikawā i nā keiki hānau hou, ʻoiai ka poʻe i hānau mua ʻole ʻia a i ʻole me nā kūlana olakino paʻakikī.
- Inā pono kāu pēpē i ka mālama ʻia ma ka NICU, e mālama ʻia ke pēpē e kahi hui lapaʻau i alakaʻi ʻia e kahi Neonatologist.
- Hoʻoponopono kēia mau kauka i ka hōʻoia ʻana o ka pēpē, ka lāʻau lapaʻau, ka meaʻai, a me ka mālama holoʻokoʻa.
- E ʻoluʻolu e nīnau i kāu kauka i nā nīnau āu e pili ana i ke kūlana o kāu pēpē a i ʻole ka lāʻau lapaʻau. ʻO kou kuleana ia e loaʻa ka ʻike maopopo.
- He kanaka neonatologist ka mea i hoʻolaʻa ʻia no ka hāʻawi ʻana i kāu pēpē i ke ola olakino. No laila e hilinaʻi i ka hui lapaʻau.
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