Ka nānā ʻana o ka pēpē i ʻelua mahina (Well-Child Visit): Pono anei mākou e kūkākūkā i kēia mau mea me ke kauka?

Aloha! ʻElua mahina kāu keiki liʻiliʻi i kēia manawa, ʻeā? He mea kupaianaha ka holo ʻana o ka manawa! I loko o kēia mau mahina ʻelua, he mea nui loa ka nānā ʻana o kāu pēpē me ke kauka a i ʻole ka mea hānai keiki. I kēia lā, e kamaʻilio kākou e pili ana i nā mea e hana ʻia ma kēia nānā ʻana, nā mea āu e manaʻo ai, a pehea e mālama ai i kāu pēpē a hiki i ka nānā ʻana aʻe.

He aha nā mea a ke kauka e nānā ai i kēia nānā ʻana?

Ke lawe ʻoe i kāu pēpē i ke keʻena lapaʻau, e mālama ke kauka a kahu maʻi paha i kekahi mau mea. Mai hopohopo, ua hana ʻia kēia mau mea a pau no ka pono o ʻoe a me kāu pēpē.

Ke ana ʻana i ka ulu ʻana o ka pēpē

ʻO ka mea mua, ana lākou i ke kaumaha o ka pēpē, ke kiʻekiʻe, a me ke anapuni o ke poʻo a hoʻopaʻa iā lākou ma kahi pakuhi ulu . Penei e hiki ai i ke kauka ke ʻike inā kūpono ka ulu ʻana o ka pēpē i kona mau makahiki a olakino hoʻi. Ua like kēia me kahi "hōʻike holomua" no ka pēpē.

Nīnau iā ʻoe i nā nīnau, hoʻolohe i kāu mau pilikia

E nīnau aku ke kauka iā ʻoe i kekahi mau nīnau e pili ana i ka hana maʻamau o kāu pēpē i kēlā me kēia lā. Inā he mau nīnau, hopohopo, a hopohopo paha kāu, ʻo kēia ka manawa kūpono loa e nīnau ai.

• ʻAno hānai waiū: E nīnau maoli ke kauka e pili ana i ke ʻano hānai waiū o ka pēpē. ʻOi aku ka lōʻihi o ka manawa e nele ai kāu pēpē i ka waiū ma mua o ka wā ma mua. Akā i kekahi manawa loaʻa paha iā lākou nā "hānai pūʻulu" kahi a lākou e makemake ai i ka waiū i ka lālani. He mea maʻamau kēia.
• Inā hānai waiū : ʻO ka maʻamau, hānai waiū kahi pēpē i kēia makahiki ma kahi o 8 mau manawa i ka lā.
• Inā ʻoe e hānai ana i ka waiū waiū: Pono kāu pēpē ma kahi o 26-28 auneke (780-840 milliliters) o ka waiū waiū i kēlā me kēia lā.

E hoʻomanaʻo, ʻaʻole like nā pēpē a pau. E hānai e like me ka pōloli o kāu pēpē.

• Ka mimi ʻana a me ka ʻōpala: Pono kāu pēpē e hoʻomaʻū i nā diaper i nā manawa he nui i ka lā. Ua emi iki paha ka nui o nā manawa a lākou e ʻōpala ai i kēia manawa.
• Pono ka ʻōpala o nā pēpē hānai waiū he melemele ke kala, wai iki, ʻaʻohe iwi, a palupalu.
• Pono nā pēpē i hānai ʻia me ka formula e loaʻa i kahi ʻōpala paʻa iki, akā ʻaʻole paʻakikī e like me ka pōhaku. Inā loaʻa iā lākou nā hōʻailona o ka paʻa ʻana o ka ʻōpū, e haʻi i kāu kauka.

• Hiamoe: Ke hoʻomaka nei paha kāu pēpē e ala iki i ke ao a hiamoe nui i ka pō.
• Hiki i kahi pēpē i hānai ʻia me ka waiū umauma ke hiamoe no 4-5 mau hola i ka pō.
• Hiki i kahi pēpē i hānai ʻia me ka waiū waiū ke hiamoe no 5-6 mau hola pololei.
• Akā, i kēia makahiki , he mea maʻamau ke ala aʻe i hoʻokahi a ʻelua paha i ka pō e inu i ka waiū.

• Nā Kūlana Hoʻomohala: I ʻelua mahina, hoʻomaka pinepine nā pēpē e hana i kekahi mau mea. ʻO kēia nā mea a mākou e kapa nei he mau kūlana hoʻomohala .
• Ke hana nei lākou i nā leo liʻiliʻi ʻē aʻe (cooing, gurgling) ma waho aʻe o ka uē ʻana?
• Hoʻopūʻiwa paha ia a pane paha i nā leo nui?
• Ke mālie nei ʻoe ke kamaʻilio ʻoe a lawe paha i nā mea hou aku?
• Ke nānā pono nei ʻoe i kou helehelena?
• Ke haka pono nei ʻoe i kahi mea pāʻani no kekahi mau kekona wale nō?
• Ke ʻakaʻaka ʻoe, kamaʻilio, a pāʻani paha, ke ʻakaʻaka hou mai nei ʻoe? (Ua kapa ʻia kēia he ʻakaʻaka pilikanaka, he mea nani ia!)
• Ke hāpai iki nei kāu pēpē i kona poʻo i kona wā e moe ana i kona ʻōpū (manawa ʻōpū)?
• Hiki iā ʻoe ke hoʻoneʻe maikaʻi i kou mau lima a me kou mau wāwae?
• Ke hoʻopaʻa nei i kou mau lima i kahi e wehe ai ʻoe iā lākou no kekahi manawa?

Inā ʻaʻole kāu pēpē e hana ana i kekahi o kēia mau mea, a inā paha ʻoe e manaʻo nei ʻaʻole lākou e hana ana i kahi mea a lākou i hana ai ma mua, e kamaʻilio me kāu kauka e pili ana i ia mea. ʻAʻole ulu like nā pēpē a pau, akā hiki i kāu kauka ke hōʻoia i ka maikaʻi o nā mea āpau.

Hoʻokolokolo kino piha

A laila, e wehe loa ke kauka i ke kapa o ke pēpē (e hana ʻoe i kēia i mua o lākou, mai makaʻu) a nānā iā lākou. I loko o kēia:

• Nānā ʻia nā maka .
• Hoʻolohe lākou i ka puʻuwai me ka stethoscope a nānā i ka pulse.
• Nānā e ʻike inā ua kau pono ʻia nā ʻūhā.
• Hoʻolohe pū ʻia ka neʻe ʻana o ka pēpē a me ke kani ʻana o nā ʻiʻo.

Nā hoʻokolohua kūikawā (Nā hoʻokolohua nānā) inā pono

E nānā hou ke kauka i nā hopena o kekahi mau hoʻokolohua nānā i hana ʻia ma ka haukapila kahi i hānau ʻia ai ke pēpē. I kekahi manawa, inā pono, hiki ke hana hou ʻia kēlā mau hoʻokolohua.

Ke hāʻawi ʻana i nā lāʻau pale

He mea nui loa nā lāʻau pale e pale i kāu pēpē mai nā maʻi koʻikoʻi. No laila, he mea nui e hāʻawi iā lākou i nā lāʻau pale kūpono i ka manawa kūpono. ʻO ka maʻamau, aia kekahi mau lāʻau pale i hāʻawi ʻia i kēlā me kēia ʻelua mahina. Hiki ke ʻokoʻa iki ka papa hana lāʻau pale mai ke kauka a i ke kauka, no laila e kamaʻilio me kāu kauka e pili ana i ia mea.

Ka nānā ʻana i ke olakino noʻonoʻo o ka makuahine

ʻO ke kaumaha ma hope o ka hānau ʻana , kahi kūlana e ʻike ai nā makuahine ma hope o ka hānau ʻana i kahi pēpē, ʻoi aku ka maʻamau ma mua o kou manaʻo. ʻO ia ke kumu e noi aku ai kāu kauka iā ʻoe e hoʻopiha i kahi nīnau pōkole e ʻike ai e pili ana i kou kūlana noʻonoʻo. Inā ʻoe e hopohopo nei, kaumaha, a hopohopo paha, mai hūnā a haʻi i kāu kauka. ʻAʻohe mea e hilahila ai, a hiki iā ʻoe ke loaʻa ke kōkua.

E hoʻomanaʻo i kēia mau mea a hiki i kāu nānā ʻana aʻe (i loko o 4 mau mahina).

ʻAe, ua pau ka nānā ʻana o ʻelua mahina. ʻO ka nānā nui aʻe ke piha ka pēpē i ʻehā mahina. A hiki i kēlā manawa, aia kekahi mau mea e pono ai ʻoe e mālama.

E mālama kākou i ka meaʻai a me ka mea inu.

• Mai hoʻomaka i nā mea paʻa .ʻO ia hoʻi, ʻaʻohe porridge, laiki kuʻi ʻia, a wai huaʻai paha. Pono wale nō ke pēpē i ka waiū umauma a i ʻole ka waiū waiū i ʻāpono ʻia.
• E makaʻala i nā hōʻailona o ka pōloli a me ka māʻona o kāu pēpē. Mai koi aku i ka hānai ʻana.
• Inā ʻoe e hānai waiū ana:
• Inā hiki, e hāʻawi wale i ka waiū umauma no 6 mahina (ʻaʻohe meaʻai waiū ʻē aʻe, wai, a meaʻai paʻa paha e ʻōlelo ʻia i loko o kēia wā).
• Inā pono, hiki iā ʻoe ke hāʻawi i ka waiū umauma i hoʻokahe ʻia i loko o ka ʻōmole. Inā ʻoe e hana koke ana, he manawa kūpono kēia e hoʻolauna i kāu pēpē i ka ʻōmole.
• E kamaʻilio me kāu kauka e pili ana i ka hāʻawi ʻana i kāu pēpē i nā kulu wikamina D. Pono paha kekahi mau pēpē e hāʻawi ʻia i kēia me ka hoʻohui.
• E hoʻomau i ka lawe ʻana i kahi huaora prenatal a i ʻole kahi multivitamin maʻamau i kēlā me kēia lā.
• Inā hāʻawi ʻoe i ka waiū umauma: E koho i kahi waiū umauma i hoʻoikaika ʻia me ka hao .
• Inā hānai kāu pēpē i ka ʻōmole, mai hana i kēia mau mea:
• Mai ʻae i kāu pēpē e inu hoʻokahi ma ke kau ʻana i ka ʻōmole i kahi uluna a lole paha. Hiki i kēia ke kumu o ka ʻū ʻana.
• Mai hoʻomoe i kāu pēpē me ka ʻōmole i loko o kona waha. Hiki i kēia ke hōʻino i kona mau niho a hoʻoulu i ka pehu pepeiao.

Ka mālama maʻamau a me ka ulu ʻana o ka pēpē

• E holoi pono i kou mau lima me ke kopa a me ka wai ma mua o ka hoʻopā ʻana i kāu pēpē. E noi i nā poʻe ʻē aʻe e hele mai i kou hale e hana like. E mālama i kāu pēpē mai ka poʻe maʻi i ka hiki.
• E ʻapo pono i kāu pēpē a mālama i kāna mau pono. He wahaheʻe ka ʻōlelo "ua ʻino ka pēpē ke ʻapo ʻoe iā ia". He mea nui loa kou aloha a me kou mehana i kāu pēpē.
• E kamaʻilio me kāu pēpē, e hīmeni i nā mele, e heluhelu i nā puke. ʻOi aku ka maikaʻi o ke aʻo ʻana o nā pēpē ke kamaʻilio ʻoe me lākou a pāʻani pū me lākou.
• ʻOiai e ala ana kāu pēpē, e hoʻāʻo i ka "manawa ʻōpū" ma ka hoʻohuli ʻana iā ia ma kona ʻōpū no kekahi mau minuke ʻoiai ʻoe e nānā ana iā ia. E kōkua kēia i ka hoʻoikaika ʻana i nā ʻiʻo ma kona ʻāʻī a me ke kua. Akā inā ʻike ʻia ʻo ia he luhi a luhi paha, e hoʻohuli iā ia i kēlā ʻaoʻao.
• E kaupalena i ka nui o ka manawa e noho ai kāu pēpē ma kahi noho pēpē, bouncer, a i ʻole swing. ʻO ka nui o kēia ʻaʻole maikaʻi no ka ulu ʻana o kāu pēpē.
• He mea maʻamau no nā pēpē ke uē me ke kumu ʻole (nā wā hoʻoluhi). Akā, uē kekahi mau pēpē no nā hola o ka lā, me ke kāohi ʻole ʻia. Kāhea mākou i kēia he colic . Hoʻomaka pinepine kēia ma kahi o 3 pule o ka makahiki i loko o kahi pēpē olakino, piʻi aʻe ma kahi o 6 pule, a emi ma kahi o 3 mahina. Inā hānai waiū maikaʻi ka pēpē a piʻi ke kaumaha, ʻaʻole kēia he pilikia nui, akā hiki ke lilo i manawa kaumaha loa no nā makuahine.
• He mea maʻamau ka luhi, ka hopohopo, a me ke kaumaha i kekahi manawa ke lilo ʻoe i makuahine hou. Akā inā ikaika loa kēia mau manaʻo , inā ʻoe e kaumaha mau ana, huhū no nā mea āpau, hopohopo, a hopohopo paha , e kamaʻilio pono me kāu kauka a limahana olakino ʻohana paha. He kaumaha postpartum paha kēia, a aia kekahi lāʻau lapaʻau no ia mea.
• Inā he mau hopohopo kāu e pili ana i kou kūlana noho (e laʻa, ka meaʻai, ka hale noho, ka ʻinikua olakino), e kamaʻilio pū me kāu kauka e pili ana i kēlā mau mea. Hiki iā lākou ke haʻi iā ʻoe e pili ana i nā kumuwaiwai kaiāulu a kuhikuhi iā ʻoe i kahi mea hana kaiaulu inā pono.

ʻO ka palekana ka mea nui loa!

Ke loaʻa iā ʻoe kahi pēpē liʻiliʻi ma ka home, pono ʻoe e noʻonoʻo pono e pili ana i ka palekana.

• No ka hoʻopakele ʻana i kāu pēpē mai ke kūlana weliweli i ʻike ʻia ʻo Sudden Infant Death Syndrome (SIDS), e hana pono i kēia mau mea:
• E hoʻomoe mau i kāu pēpē ma ko lākou kua i loko o kahi moe pēpē a i ʻole ka bassinet ma luna o kahi moena paʻa a pālahalaha. Mai hoʻomoe i kāu pēpē ma ko lākou ʻōpū a i ʻole ka ʻaoʻao. Mai kau i nā bumpers moe pēpē, nā pākeke nui, nā uluna, a i ʻole nā ​​​​mea pāʻani palupalu a puni kāu pēpē i loko o ka moe pēpē. Hiki i kēia mau mea ke kumu i ka hanu ʻole.
• E hānai i kāu pēpē me ka waiū umauma inā hiki. Ua ʻike ʻia ka hānai ʻana i ka waiū umauma e hōʻemi i ka pilikia o SIDS .
• A hiki i ka lā hānau mua o kāu pēpē, ma ka liʻiliʻi he 6 mahina, e hiamoe i loko o kahi moe kaʻawale i loko o kou lumi, ma ka ʻaoʻao o kou wahi moe. E pale i ka kaʻana like ʻana i ka moe.
• E mālama i ka mahana o ka lumi i ʻoluʻolu a pale i kāu pēpē mai ka wela nui ʻana. E ʻaʻahu i kāu pēpē i kūpono no ka mahana o ka lumi, a mai hoʻokomo nui iā ia. Mai uhi i kona poʻo i kona wā e hiamoe ana. E nānā mau e ʻike inā e hou ana ʻo ia a wela paha i ka pā ʻana.
• Makemake paha ʻoe e hāʻawi i kāu pēpē i kahi pacifier i kona wā e hiamoe ana. Manaʻo kekahi mau noiʻi e hiki i ka omo ʻana i kahi pacifier ke hōʻemi i ka pilikia o SIDS . Akā, mai hoʻokau iā ia inā hōʻole kāu pēpē. Inā moni ʻia ka pacifier i ka wā e hiamoe ana, ʻaʻole pono ʻoe e hoʻihoʻi iā ia. Inā ʻoe e hānai waiū ana, mai hāʻawi i kahi pacifier a hiki i ka wā e hoʻokumu pono ʻia ai ka hānai waiū (ma kahi o 3-4 mau pule).
• Mai hoʻokuʻu i kāu pēpē e hiamoe ma luna o kekahi mea i hana ʻole ʻia no nā pēpē e hiamoe ai (e like me nā noho kaʻa, nā sofa, nā uluna hānai, nā moe hoʻomaha pēpē).
• Mai hoʻohana i kekahi mau mea hana kūikawā (e laʻa me nā mea hoʻonoho hiamoe, nā mea nānā home e ana i ka helu o ka puʻuwai a me ka hanu ʻana o ka pēpē) e ʻōlelo nei e hōʻemi i ka pilikia o SIDS . ʻAʻohe huahana i hōʻoia ʻia e hiki ke hana i kēia i kēia manawa.
• E hōʻoia i nā mea a pau i hoʻohana ʻia e hoʻomoe i kāu pēpē, e like me ka moena a me ka hale moe, e kūlike me nā kūlana palekana i ʻae ʻia (e laʻa, i ʻāpono ʻia e kahi keʻena e like me ka US Consumer Product Safety Commission (CPSC) ).

• Mai hoʻohana i nā mea hele wāwae pēpē. He mea weliweli loa lākou a hiki ke hōʻeha nui. ʻAʻole kōkua nā mea hele wāwae i kāu pēpē e hele, a hiki ke hoʻopaneʻe i ko lākou hiki ke hele.
• I loko o kekahi mau lā, e hoʻomaka ana kāu pēpē e hoʻopā, hoʻopā, a hoʻokomo i nā mea āpau i loko o kona waha. No laila , e mālama i nā mea liʻiliʻi (e like me nā ʻāpana kālā, nā pihi), nā lāʻau lapaʻau, a me nā mea ʻawahia e like me nā wai hoʻomaʻemaʻe mai ka hiki ʻana aku o kāu pēpē.
• E mālama i kāu pēpē mai nā mea pāʻani me nā kaula, nā uea, a i ʻole nā ​​​​loop. Hiki i kēia mau mea ke hihia a puni ka ʻāʻī.
• Mai waiho wale i kāu pēpē i kona wā e ala ana, ʻoiai ma nā wahi kiʻekiʻe (ma luna o kahi moe, sofa) a i ʻole i loko o ka ʻauʻau.
• Mai hoʻoluliluli i kāu pēpē no kekahi kumu! Hiki iā ia ke hoʻokahe i ke koko i loko o ka lolo o ka pēpē, nalowale ka ʻike, hōʻino nui i ka lolo, a hiki i ka make. Inā huhū a hopohopo paha ʻoe no kāu pēpē a hiki ʻole iā ʻoe ke lawelawe a makaʻu ʻoe e hōʻeha ʻoe i kāu pēpē, e hoʻokomo i kāu pēpē i kahi palekana (e like me kahi moe), e hoʻi i hope iki, e hanu, a e mālie. E kamaʻilio me kahi hoaaloha hilinaʻi, ʻohana, a i ʻole kāu kauka no ke kōkua.
• E hoʻonoho mau i kāu pēpē ma ka noho hope, ma kahi noho kaʻa e kū pono ana i hope, i ka wā e holo ana i loko o ke kaʻa. Mai waiho wale i kāu pēpē i loko o ke kaʻa, ʻoiai no hoʻokahi minute.
• Inā puhipaka ʻoe a i ʻole kekahi o kou ʻohana, e hoʻōki loa. Mai hoʻohana i nā cigarette uila (e-cigarettes) kokoke i kāu pēpē. ʻO ka puhipaka kokoke i kāu pēpē e hoʻonui i ka pilikia o SIDS a me nā maʻi hanu.
• E pale i kāu pēpē mai ka lā i ka hiki. E uhi pono i kāu pēpē me nā lole a e mālama iā ia i ka malu. ʻAʻole ʻōlelo ʻia ka pale lā no nā pēpē ma lalo o 6 mahina. Eia nō naʻe, inā ʻaʻole lawa ka malu a me nā lole, hiki ke hoʻopili ʻia kahi liʻiliʻi o ka pale lā i kahi pēpē ma lalo o 6 mahina (ma nā wahi liʻiliʻi i hōʻike ʻia e like me nā lima a me ka maka) me ke aʻo ʻana a ke kauka.

Hōʻuluʻulu Manaʻo: ʻO ka mea nui e hoʻomanaʻo

No laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ka nānā ʻana o kāu pēpē i ʻelua mahina a pehea e mālama ai i kāu pēpē me ke aloha a me ka palekana a hiki i ka nānā ʻana aʻe.

ʻO ka mea nui loa, ʻo ia ke kamaʻilio me kāu kauka a limahana olakino ʻohana paha inā he mau nīnau a hopohopo paha kāu. Mai noʻonoʻo, "ʻAʻole maopopo iaʻu inā he naʻaupō wau e nīnau i kēia." Loaʻa i kēlā me kēia makuahine a me kēlā me kēia makuakāne hou kēia ʻano nīnau a me nā makaʻu.

E makaʻala i ka ulu ʻana a me ke olakino o kāu pēpē. Ke hana nei ʻoe i kēia mau mea a pau no kāu pēpē. Aloha nui iā ʻoe!

Ola Kino o ka Pēpē, Nānā ʻElua Mahina, Hoʻomohala Pēpē, Nā Palekana Pēpē, Hānai Waiū, SIDS, Palekana Pēpē, Kipa Ola Kino o ke Keiki, Nā Kūlana Kiʻekiʻe o ka Pēpē, Kaumaha Ma hope o ka Hānau ʻana