Inā pono e hoʻokomo ʻia kāu pēpē hou i kahi keʻena mālama kūikawā ma muli o kekahi pilikia olakino a i ʻole no ka mea ua hānau mua ʻia ʻo ia, he mea paʻakikī ke haʻi aku i ka makaʻu a me ka hopohopo āu e manaʻo ai ma ke ʻano he makua. "He aha ka mea e hiki mai ana i kaʻu pēpē?" "E maikaʻi anei ʻo ia?" He mau tausani nīnau e hiki mai ana i ka noʻonoʻo. No laila, i kēia lā, ke kamaʻilio nei mākou e pili ana i kahi e hāʻawi ai i ke ola i nā keiki liʻiliʻi, e like me kahi luakini o kēia au no nā pēpē. ʻO ia ka NICU (Neonatal Intensive Care Unit) , kahi a mākou e kapa nei ma Sinhala ʻo Neonatal Intensive Care Unit .
No laila, he aha kēia NICU?
I ka ʻōlelo maʻalahi, he keʻena kūikawā kahi NICU i loko o kahi haukapila e hāʻawi ana i ka mālama koʻikoʻi 24-hola i nā pēpē hānau hou me nā kūlana olakino paʻakikī, ke kaumaha hānau haʻahaʻa, a me ka hānau mua ʻana, me ka hoʻohana ʻana i nā kauka i aʻo kūikawā ʻia, nā kahu maʻi, a me nā lako kūikawā.
E noʻonoʻo, ua like kēia me kahi palekana i hoʻolaʻa ʻia no nā pēpē liʻiliʻi, i lako me ka ʻenehana a me ka ʻike loea hou loa. Maanei, ua nānā ʻia nā mea āpau mai ka puʻuwai o ka pēpē, nā pae oxygen, a me ka mahana o ke kino i kēlā me kēia kekona. Eia kekahi, hāʻawi ʻia ka pēpē i ka meaʻai a me nā lāʻau lapaʻau e pono ai. Hana ʻia kēia mau mea a pau e kahi hui o nā kauka a me nā kahu maʻi i loaʻa ka ʻike loea i ke olakino o nā pēpē.
He aha nā kumu e koi ai i kahi keiki e lawe ʻia i kahi NICU?
Aia kekahi mau kumu nui no ke komo ʻana o kahi pēpē i ka NICU. I kekahi manawa he kumu hoʻokahi paha, i kekahi manawa he hui pū ʻana paha o kekahi mau kumu.
| Kumu | He wehewehe maʻalahi |
|---|---|
| Ka hānau mua ʻana | Pono nā pēpē i hānau ʻia ma mua o 37 mau pule o ka hāpai ʻana i ka mālama kūikawā no ka mea, ʻaʻole i hoʻomohala piha ʻia ko lākou mau kino, e like me nā māmā a me ka puʻuwai. |
| Kaumaha Hānau Haʻahaʻa | Inā emi ke kaumaha o ke pēpē ma lalo o 2.5 kilokani, pono lākou i ke kōkua me nā mea e like me ka kaohi ʻana i ka mahana o ke kino a me ka loaʻa ʻana o ka meaʻai. |
| Nā pilikia hanu | Loaʻa i kekahi mau pēpē ka pilikia o ka hanu pono ʻana ma hope o ka hānau ʻana. Hiki ke kumu kēia ma muli o ka ulu ʻole ʻana o nā māmā a i ʻole nā kumu ʻē aʻe. |
| Nā maʻi | No ka mea, he haʻahaʻa loa ka palekana o nā pēpē hānau hou, hiki iā lākou ke lilo i mea maʻalahi i nā maʻi ʻino (e like me ka sepsis). |
| Nā pilikia i ka wā hānau | ʻO nā pilikia e like me ka loaʻa ʻole o ka oxygen lawa i ka pēpē i ka wā hānau hiki ke hōʻino i ka lolo a i ʻole nā kiko ʻē aʻe. |
| Nā Kūlana Hānau | ʻO nā kūlana e like me ka maʻi puʻuwai hānau, nā pilikia ʻōpū, a me nā pilikia hormonal e pono ai ka mālama koke ʻana a i kekahi manawa ʻoki ʻana. |
Nā moʻolelo o nā koa liʻiliʻi i ho'ōla hou ʻia mai ka NICU
Ke lohe ʻoe e pili ana i kēia mau koa liʻiliʻi i ola ma hope o ka loaʻa ʻana o ka lāʻau lapaʻau ma kahi keʻena mālama koʻikoʻi, e manaʻo nui nō hoʻi ʻoe i ka manaʻolana. I kēia mau lā aku nei, ua mālama ʻia kahi ʻaha hoʻomana nani loa ma kahi haukapila ma ʻAmelika. ʻO ia ka lā i hele mai ai nā pēpē i hoʻōla ʻia mai ka mālama ʻana ma NICU ma ia haukapila a hoʻi i ka home, a me nā kauka a me nā kahu maʻi nāna lākou i mālama, e ʻike iā Nonala.
Ua hele pū mai ma mua o 90 o kēia mau koa liʻiliʻi me ko lākou mau mākua. ʻEhiku mahina wale nō kekahi, ʻelua makahiki paha kekahi. Ua paʻa iā lākou kahi kiʻi liʻiliʻi a lākou i lawe ai i ko lākou wā ma NICU, e hōʻike ana i ko lākou nui i kēia manawa, a me ko lākou hauʻoli e ʻoniʻoni ana a puni.
Ka moʻolelo o Harmony lāua ʻo Kade
I waena o lākou, ʻo ke kaikamahine ʻo Harmony, ua noho ʻo ia no 4 mau pule ma ka NICU ma muli o ka Congenital Adrenal Hyperplasia (CAH) , kahi maʻi e hoʻopilikia ai i nā kelepa adrenal. Akā i kēia lā, he kaikamahine pāʻani loa ʻo ia, e holo ana a e pāʻani ana me kona mau kaikuahine.
Ua hānau ʻia ke keiki kāne, ʻo Kade, ma o ka ʻoki ʻoki Caesarean ulia pōpilikia. Loaʻa iā ia ka meconium ileus.Ua loaʻa iā ia kahi ʻōpū paʻa koʻikoʻi. Ua noho ʻo ia no 3 mau mahina ma ka NICU. Akā i kēia lā, he pēpē olakino a hauʻoli ʻo Kade e hīmeni ana, hula ana, a pāʻani pū me kona kaikunāne.
Hōʻike mai kēia mau moʻolelo iā mākou i ke kumukūʻai nui o ka lawelawe ʻana ma kahi NICU, a me ka ikaika o ka manaʻolana.
Pehea kou manaʻo ma ke ʻano he makua
Ke noho kāu keiki liʻiliʻi i loko o ka NICU, manaʻo ʻoe i kahi puahiohio o nā manaʻo . Ma kekahi ʻaoʻao, makaʻu, ma kekahi ʻaoʻao, manaʻolana. I kekahi manawa ke noʻonoʻo nei ʻoe inā ua hana hewa ʻoe. He mea maʻamau kēia a pau. E hoʻomanaʻo ʻaʻole ʻoe hoʻokahi.
ʻAʻohe makua e makemake i kā lākou keiki e noho i loko o kahi keʻena mālama koʻikoʻi. Akā, ʻaʻohe ou mea e makaʻu ai. No ka mea, ʻo kahi haukapila me ka NICU ka poʻe loea kiʻekiʻe ma kēia kahua. Hiki iā ʻoe ke maopopo e hāʻawi lākou i ka lāʻau lapaʻau maikaʻi loa no kāu keiki.
E kamaʻilio me kāu kauka a me nā kahu hānai. E nīnau e pili ana i ke kūlana o kāu pēpē, ka lāʻau lapaʻau, a me nā mea hiki iā ʻoe ke hana. I kekahi manawa e hāʻawi ke kauka iā ʻoe i ka manawa kūpono e hoʻopā i ka pēpē, kamaʻilio me ia, a inā hiki, e hānai iā ia i ka waiū. He mea nui loa kēia mau mea no ka pono o ka pēpē, a no kou pono noʻonoʻo.
Leka Lawe-Home
- ʻO ka NICU (Neonatal Intensive Care Unit ) kahi wahi palekana i lako me nā limahana ʻenehana kiʻekiʻe a me nā limahana loea e hāʻawi ana i ka mālama kūikawā i nā pēpē i hānau mua ʻole ʻia a i ʻole me nā maʻi olakino paʻakikī.
- Mai hopohopo inā pono kāu pēpē i ka mālama NICU. ʻO ia hoʻi, e loaʻa iā ia ka mālama olakino maikaʻi loa.
- He mau tausani keiki e like me Harmony lāua ʻo Kade, ʻoiai ma hope o nā kūlana koʻikoʻi, ua ho'ōla piha ʻia me ka mālama ʻana iā NICU, e ola ana i nā ola olakino a hauʻoli. Mai hoʻokuʻu i ka manaʻolana.
- Mai makaʻu e kamaʻilio me kāu kauka e pili ana i ke kūlana o kāu keiki a me nā nīnau āu e loaʻa ai. E hāʻawi lākou iā ʻoe i ka ʻike a me ke kākoʻo āpau āu e pono ai.
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