Ola Palekana3 ʻApelila 2026🔄 Updated: 14 Iul. 2026⏱ 17 min

Ka nānā ʻana o kāu pēpē i loko o 3-5 lā (Well-Child Visit): E makaʻala kākou i kēia!

Creator: Dr. Priya Sammani
Published: 2026-04-03T02:45:50.000Z

Dr. Priya Sammani, MBBS, PG Dip. FMMedical Verification

Hoʻomaikaʻi iā ʻoe a me kāu keiki liʻiliʻi! Pono ʻoe e paʻahana loa i kēia mau lā, a pono ʻoe e kū nei i nā ʻike hou he nui. I kekahi mau lā ma hope o ka hānau ʻana o ka pēpē, ʻo ia hoʻi, ma waena o 3 a me 5 mau lā, pono ʻoe e hōʻike i ka pēpē i ke kauka a lawe paha iā ia i ke keʻena lapaʻau. ʻO kēia ka mea a mākou e kapa nei he `( Well-Child Visit )`. He nānā koʻikoʻi loa kēia. No laila, e nānā kākou i ka mea e hana ʻia i kēia nānā ʻana, a me ka mea āu e manaʻo ai.

He aha ka mea e hana ʻia i kēia nānā ʻana?

I loko o kēia nānā mua ʻana, e nānā ke kauka a kahu maʻi paha i nā mea he nui e pili ana i kāu pēpē. He manawa kūpono kēia e nīnau ai i kāu mau nīnau a kamaʻilio e pili ana i kou manaʻo.

1. Ke ana ʻana i ka ulu ʻana o ka pēpē :

ʻO ka mea mua e hana ai, ʻo ke ana ʻana i ke kaumaha o ka pēpē, ka lōʻihi, a me ke anapuni o ke poʻo a hoʻopaʻa iā lākou ma kahi "Growth Chart." ʻAe kēia i ke kauka e ʻike inā e ulu pono ana ka pēpē.

2. Nīnau iā ʻoe i nā nīnau a hāʻawi i nā ʻōlelo aʻoaʻo:

E nīnau aku ke kauka a kahu maʻi paha iā ʻoe e pili ana i ka ʻai ʻana a kāu pēpē, ka hiamoe ʻana, ka mimi ʻana , ka ʻōpala ʻana , a me nā mea ʻē aʻe. Mai kānalua e nīnau i kāu mau nīnau, ʻaʻohe mea liʻiliʻi.

Ke ʻano hānai waiū: Pono e hānai ʻia nā pēpē hānau hou i ka waiū i ka wā e pōloli ai lākou.
Inā ʻoe e hānai waiū ana : E pōloli paha ʻoe i kēlā me kēia 1-3 hola. Hiki i kāu kauka a kahu maʻi paha ke kōkua iā ʻoe me nā pilikia ma ka nānā ʻana iā ʻoe e hānai waiū ana. Mai poina e hoʻopūpū i kāu pēpē ma hope a i ka wā o ka hānai ʻana.
Inā ʻoe e hāʻawi ana i ka waiū waiū: E pōloli paha ʻoe i kēlā me kēia 2-4 hola.
Pehea e mimi ai a e ʻō ai: Pono kahi pēpē hānau hou e loaʻa ma kahi o 6 mau diaper pulu i ka lā. Hiki ke ʻokoʻa ka nui o nā manawa e ʻō ai ka pēpē mai kēlā pēpē a i kēia pēpē, akā ʻo ka maʻamau e hele ka pēpē i ka ʻō i 3-4 mau manawa i ka lā, me ka mālie a me ka maʻalahi. Inā he mau nīnau kāu e pili ana i kēia, e kamaʻilio me kāu kauka.
Hiamoe: Hiki i kahi pēpē hānau hou ke hiamoe no kahi o 14-17 mau hola i ka lā. Eia naʻe, ʻaʻole mau kēia hiamoe, a ala pinepine lākou i ke ao a me ka pō e hānai.
ʻO ka maʻamau, ala aʻe nā pēpē i hānai ʻia me ka waiū i kēlā me kēia 1-3 hola.
Hiki i nā pēpē i hānai ʻia me ka waiū waiū ke hiamoe lōʻihi iki no ka mea ʻoi aku ka lōʻihi o ka ʻeli ʻana o ka waiū waiū, e hoʻomāʻona ai iā lākou. E ala lākou i kēlā me kēia 2-4 hola.
ʻO ka mea nui loa, ʻaʻole e hoʻokuʻu i kāu pēpē e hiamoe no nā hola he 4 ma waena o ka hānai ʻana a hiki i kona piʻi ʻana o ke kaumaha (ʻo ia hoʻi i loko o nā pule mua). Ma hope o kēlā, ua maikaʻi i kāu pēpē ke hiamoe iki aʻe.
Ka ulu ʻana a me nā hiki:I loko o ka mahina mua, pono i nā pēpē ke hōʻike i kēia mau mea:
Nānā lākou i nā helehelena a me nā mea i hoʻomālamalama ʻia ma kahi o 8-12 ʻīniha (20-30 kenimika) ka mamao.
Pane i nā leo - hiki ke mālie, ʻimo , huli ke poʻo, neʻeneʻe, a uē paha ke lohe lākou i kahi leo.
E hoʻopaʻa i kou mau lima a me kou mau wāwae i pelu ʻia.
Neʻe pū nā lālā ʻelua.
Ke kau ʻia ma luna o ka ʻōpū (pono e hana ʻia kēia ke ala ke pēpē a ke nānā nei ʻoe), e hāpai i kona poʻo no kekahi manawa.
Loaʻa i nā pēpē hānau hou nā hopena kūlohelohe (Newborn Reflexes) . He mau mea kēia e hana aunoa. Eia kekahi mau laʻana:
ʻO ke aʻa a me ka omo ʻana: Ke kau ʻia kekahi mea kokoke i ka waha, huli ke poʻo o ke pēpē i kēlā ʻaoʻao a hoʻomaka e omo (e like me ka ʻimi ʻana i ka umauma o ka makuahine a i ʻole ka nipple o ka ʻōmole).
ʻO ka Reflex Hopu: Ke kau ʻia kahi manamana lima ma ka pālima, paʻa ia a hopu.
`Fencer's Pose`: E hoʻohuli i kou poʻo i kekahi ʻaoʻao, e hohola ana i kou lima ma kēlā ʻaoʻao a e kulou ana i kou lima ma kekahi ʻaoʻao. Me he mea lā e kahakiʻi ana ʻoe i ke kakaka.
`Moro Reflex` (Pane Pūʻiwa): Ke pūʻiwa koke ʻia, hoʻolei ke kino i nā lima a me nā wāwae i waho a laila huki hou iā lākou i loko.

3. Nānā kino holoʻokoʻa:

E wehe ke kauka i nā lole a pau o ke pēpē a nānā i ke pēpē i mua ou. E komo pū ana kēia me ka nānā ʻana i nā maka o ke pēpē , ka hoʻolohe ʻana i ka puʻuwai o ke pēpē, ka nānā ʻana i ka pulse, ka nānā ʻana i ke kaula umbilical, a me ka nānā ʻana i nā iwi ʻūhā.

4. Nā hoʻokolohua kūikawā `(Nā Hoʻokolohua Nānā)`:

E nānā hou ke kauka i nā hopena o nā hoʻokolohua nānā i hana ʻia ma ka haukapila. Inā pono, hiki ke hana hou ʻia kekahi mau hoʻokolohua. Inā ʻaʻole i hana ʻia ka hoʻāʻo lohe o ka pēpē ma ka haukapila, e hana ʻia i kēia manawa.

5. Nā lāʻau pale :

He mea nui loa nā lāʻau pale e pale ai i kāu pēpē mai nā maʻi koʻikoʻi. No laila, he mea nui e hāʻawi i kāu pēpē i nā lāʻau pale i ka manawa kūpono. Hiki ke ʻokoʻa iki nā papa hana lāʻau pale ma waena o nā keʻena lapaʻau. No laila e kamaʻilio me kāu kauka e ʻike i ka mea e manaʻo ai.

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

ʻO ka manawa aʻe e lawe ai ʻoe i kāu pēpē no ka nānā ʻana ma kahi o hoʻokahi mahina. A hiki i kēlā manawa, e ʻoluʻolu e mālama i kēia mau mea.

E pili ana i ka meaʻai a me ka mea inu

E hānai i kāu pēpē i kēlā me kēia manawa e pōloli ai ʻo ia. E hoʻolohe pū i nā hōʻailona a kāu pēpē e hōʻike ai i kona wā e pōloli ai. Eia kekahi laʻana, e hoʻohuli i kona poʻo mai ka umauma a i ʻole ka ʻōmole, e uhi ana i kona waha, a pēlā aku.
Mai hāʻawi i nā meaʻai paʻa a i ʻole ka wai hua .
Inā ʻaʻole i aʻo ʻia e ke kauka,Mai hoʻokomo i ka cereal i loko o ka ʻōmole waiū o kāu pēpē.
Inā ʻoe e hānai waiū ana:
E kōkua i ke pēpē e hoʻopaʻa pono: Pono e hāmama ka waha, pono ke alelo ma lalo o ka umauma, a ʻo ka nui o ka umauma e hiki ai e lawe ʻia i loko o ka waha.
Pono ʻoe e hoʻomau i ka lawe ʻana i ka "Prenatal Vitamin" a i ʻole "Multivitamin" i kēlā me kēia lā.
E nīnau i kāu kauka e pili ana i nā kulu Vitamin D no kāu pēpē.
Mai hoʻohana i nā ʻōmole a i ʻole nā pacifier a hiki i ka wā e hoʻomaka maikaʻi ai ka hānai ʻana i ka waiū (ma kahi o hoʻokahi mahina).
Inā he makuahine hānai ʻoe:
E hāʻawi i kāu pēpē i ka waiū waiū i hoʻonui ʻia i ka hao.
E hahai pono i nā kuhikuhi ma ka ʻeke waiū pauka i ka wā e hana ai a mālama ai i nā ʻōmole.
Mai waiho i nā ʻōmole e kau ana ma luna o kekahi mea, a mai hoʻomoe i kāu pēpē me ka ʻōmole.
Inā ʻoe e hoʻololi ana i kahi ʻano hoʻohuihui, e kamaʻilio me kāu kauka.

Mālama i kēlā me kēia lā

E holoi pono i kou mau lima ma mua o ka lawelawe ʻana i kāu pēpē. E mālama i kāu pēpē mai ka poʻe maʻi.
I mea e pale ai i ka maloʻo ʻana o ke kaula umbilical, e kāʻei i ka diaper ma lalo o ka piko. ʻO ka maʻamau, hāʻule ke kaula umbilical i loko o 10-14 mau lā.
Inā he keikikāne ke pēpē i ʻoki poepoe ʻia, e hoʻopili i kahi petroleum jelly liʻiliʻi ma kona ʻōpū a i ʻole ma mua o kāna penis.
A hiki i ka wā e hāʻule ai ke kaula umbilical a ho'ōla ʻia ka ʻeha o ke ʻoki poepoe , e ʻauʻau i kāu pēpē me ka hoʻohana ʻana i ke ʻano ʻauʻau huʻahuʻa. E hoʻāʻo i ka wai ma kou pulima e hōʻoia ʻaʻole wela loa.
E hoʻohana i nā kopa a me nā lotion ʻala ʻole.
E ʻapo pinepine i kāu pēpē a mālama i ko lākou mau pono. ʻAʻole hiki iā ʻoe ke hōʻino i kahi pēpē hānau hou. ʻO ia hoʻi, ʻaʻole lākou e hōʻino ʻia no kou ʻapo ʻana iā lākou.
E hīmeni i nā mele, e kamaʻilio, a e heluhelu i nā puke i kāu pēpē. Aʻo maikaʻi nā pēpē ke launa pū lākou me nā kānaka.
He mea maʻamau no nā pēpē ke loaʻa nā wā o ka hoʻoluhi a me ka uē pinepine. Eia nō naʻe, no kekahi mau pēpē, hiki i kēia uē ke koʻikoʻi loa, e mau ana no nā hola o ka lā. Ua kapa ʻia kēia ʻo `(Colic)`. Inā loaʻa i kahi pēpē olakino maʻamau ka `(Colic)`, hoʻomaka ia ma kahi o 3 mau pule o ka makahiki.
Inā he 100.4°F (38°C) a ʻoi aku paha ka mahana o kāu pēpē ke nānā ʻoe i ko lākou kua, e kāhea koke aku i kāu kauka. Eia kekahi, inā maʻi kāu pēpē, ʻaʻole inu, ʻaʻole mimi , he ʻili melemele, a he ʻulaʻula a he pus paha a puni ke kaula umbilical a i ʻole kahi ʻoki poepoe, e kāhea aku i kāu kauka. Mai hāʻawi i kekahi lāʻau lapaʻau i kahi pēpē ma lalo o 2 mahina me ka ʻole o ke kamaʻilio mua ʻana me kāu kauka.
He mea maʻamau no nā makuahine hou ke kaumaha a me ke kaumaha i kekahi manawa. Akā inā kaumaha kēia mau manaʻo, a inā ʻoe e kaumaha, hopohopo, a hopohopo paha, e kamaʻilio me kāu kauka.
Inā ʻoe e hopohopo nei e pili ana i kou kūlana noho, e kamaʻilio me kāu kauka. Loaʻa iā ʻoe nā mea āu e pono ai e mālama i ka pēpē? Loaʻa iā ʻoe ka meaʻai lawa, kahi palekana e noho ai, a me ka ʻinikua olakino? Hiki i ke kauka ke haʻi iā ʻoe e pili ana i nā kumuwaiwai kaiāulu a i ʻole e kuhikuhi iā ʻoe i kahi mea hana kaiaulu.

E pili ana i ka palekana

No ka hōʻemi ʻana i ka pilikia o ka Sudden Infant Death Syndrome (SIDS), e hana i kēia mau mea:
E hoʻomoe mau i kāu pēpē ma kona kua (ʻaʻole ma kona ʻōpū a ʻaoʻao paha), ma luna o kahi moena paʻa a pālahalaha. Mai kau i nā pale moe, nā pākeke, nā uluna, a i ʻole nā mea pāʻani palupalu i loko o ka moe a i ʻole ka bassinet.
Inā hiki, e hānai i ka pēpē me ka waiū.
A hiki i ka piha ʻana o hoʻokahi makahiki o kāu pēpē, a i ʻole ma ka liʻiliʻi no nā mahina 6 mua, i ka wā e nui loa ai ka pilikia o SIDS, e hiamoe i loko o kahi moe keiki ma kou lumi, ma ka ʻaoʻao o kou wahi moe.
E mālama i ka mahana o ka lumi i ʻoluʻolu a pale i kāu pēpē mai ka wela loa. E ʻaʻahu i kāu pēpē i kūpono no ka mahana o ka lumi, a mai ʻaʻahu nui iā ia. Mai uhi i kona poʻo i kona wā e hiamoe ana. E nānā e ʻike inā e hou ana ʻo ia a i ʻole e wela ana.
E noʻonoʻo e hāʻawi i kāu pēpē i kahi pacifier e omo ai i kou wā e hoʻomoe ana iā ia. Mai koi iā ia e omo i kahi pacifier inā ʻaʻole makemake ʻo ia. Inā moni ʻo ia i ka pacifier i ka wā e hiamoe ana, ʻaʻole pono ʻoe e hoʻihoʻi iā ia. Inā ʻoe e hānai waiū ana, mai hāʻawi iā ia i kahi pacifier a hiki i kona maʻa pono ʻana i ka hānai waiū.
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 uluna hānai, nā moe hoʻomaha pēpē).
Mai hoʻohana i kekahi mea hana e koi ana e hōʻemi i ka pilikia o SIDS (e laʻa me nā mea hoʻonoho hiamoe, ka helu o ka puʻuwai o ka pēpē a me nā mea nānā hanu). ʻAʻohe huahana e hana maoli i kēia.
E hōʻoia i nā mea a pau āu e hoʻohana ai e hoʻomoe i kāu pēpē e kūlike me nā kūlana palekana kūpono.
Mai puhi paka, mai hoʻohana i nā e-cigarette a i ʻole vape. Mai ʻae i kekahi e puhi paka kokoke i ka pēpē.
E hoʻonoho mau i kāu pēpē ma ka noho hope, ma kahi noho kaʻa e kū pono ana i hope. Mai waiho wale i kāu pēpē i loko o ke kaʻa.
Ke ala aʻe kāu pēpē, mai waiho wale iā ia, ʻoiai ma nā wahi kiʻekiʻe a i ʻole i ka wā ʻauʻau.
Mai hoʻoluliluli i kahi pēpē! ʻO ka hana ʻana pēlā e hiki ai ke kahe koko i loko o ka lolo a hiki i ka make. Inā manaʻo ʻoe e hōʻeha paha ʻoe i kāu pēpē, e hoʻokomo i ka pēpē i loko o ka moena no kekahi mau minuke a kāhea aku i kahi hoaaloha, ʻohana, a i ʻole kāu kauka no ke kōkua.
E uhi i kāu pēpē a e mālama i ka malu i nā manawa a pau e hiki ai ke pale aku i ka lā. ʻAʻole ʻōlelo ʻia ka pale lā no nā pēpē ma lalo o 6 mahina. Eia nō naʻe, inā ʻaʻole hāʻawi ka malu a me nā lole i ka palekana kūpono, hiki i kahi pēpē ma lalo o 6 mahina ke hoʻohana i kahi liʻiliʻi o ka pale lā.

E hoʻomanaʻo, no ka pono kēia mau mea a pau iā ʻoe a me kāu pēpē. ʻAʻole ʻoe hoʻokahi, a inā he mau nīnau kāu, e nīnau i kāu kauka.

Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)

ʻAe, e hoʻomanaʻo hou kākou iā ʻoukou i kekahi o nā mea a kākou i kamaʻilio ai:

E hele i nā nānā kino i ka manawa kūpono: He mea nui loa kēia e ʻike e pili ana i ka ulu ʻana o ka pēpē a me ke olakino.
E mālama i kāu meaʻai: Inā ʻoe e hānai waiū ana, e hoʻomau i ka hana pēlā. Inā ʻoe e hānai waiū ana i ka waiū waiū, e hana pēlā e like me ke kuhikuhi a kāu kauka.
He mea nui ka palekana: E hōʻoia e hahai i nā hana palekana, ʻoiai nā mea e pale aku ai i ka SIDS. Mai hoʻoluliluli i kāu pēpē.
E nīnau i kāu mau nīnau: Mai kānalua e nīnau i kāu kauka, ʻoiai inā he mea liʻiliʻi ia.
E noʻonoʻo iā ʻoe iho: He mea maʻamau ka luhi a me ke kaumaha ma ke ʻano he makuahine hou. Akā inā nui loa ia e hiki ke hoʻomanawanui, e noi i ke kōkua.

Ke makemake nei iā ʻoe a me kāu keiki liʻiliʻi i kahi manawa olakino a hauʻoli!

👩🏽‍⚕️ Nā nīnau hou aku (FAQs)

💬 No ke aha e pono ai iaʻu e hoʻi hou no kahi nānā kino (3-5 lā kipa) 3-5 mau lā ma hope o ka hānau ʻana o ka pēpē?

He keʻena lapaʻau koʻikoʻi loa kēia! He mea nui e nānā inā he jaundice (maka melemele) ka pēpē, inā loaʻa i ka makuahine ka waiū umauma lawa, a inā maʻamau ka pohō kaumaha o ka pēpē ma hope o ka hānau ʻana.

💬 E nānā ʻia anei ke kaula piko o ka pēpē i kēia nānā ʻana?

ʻAe, e nānā pono ke kahu maʻi a kauka paha i ka ʻeha e ʻike ai inā maloʻo, kahe ke koko, a i ʻole ua maʻi ʻia, a e hāʻawi i ka makuahine i nā ʻōlelo kuhikuhi kūpono no ka hoʻomaʻemaʻe ʻana.

💬 Inā ʻaʻole lawa ka waiū o ka makuahine, e hāʻawi anei ke kauka iā ia i ka waiū waiū i kēia manawa?

I ka hapanui o nā hihia, hiki ke lohi iki ka waiū i ka hiki ʻana mai i nā lā 5 mua. E nānā mua ke kauka inā hiki i ka pēpē ke omo. ʻAʻole ʻōlelo nā kauka e hāʻawi i ka waiū formula i kēia manawa, ke ʻole he mea pono loa ia.

Nā pēpē olakino, olakino pēpē, nānā mua ʻana i ka pēpē, hānai waiū, ulu ʻana o ka pēpē, SIDS, palekana pēpē

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Ola Palekana3 ʻApelila 2026
Ka nānā ʻana o kāu pēpē i loko o 3-5 lā (Well-Child Visit): E makaʻala kākou i kēia!
Dr. Priya SammaniMedical Verification
⏱ 17 min read
📋Table of Contents
1. He aha ka mea e hana ʻia i kēia nānā ʻana?
2. E hoʻomanaʻo i kēia mau mea a hiki i kāu nānā ʻana aʻe (i loko o hoʻokahi mahina).
3. E pili ana i ka meaʻai a me ka mea inu
4. Mālama i kēlā me kēia lā
5. E pili ana i ka palekana
6. Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
7. 👩🏽‍⚕️ Nā nīnau hou aku (FAQs)
Hoʻomaikaʻi iā ʻoe a me kāu keiki liʻiliʻi! Pono ʻoe e paʻahana loa i kēia mau lā, a pono ʻoe e kū nei i nā ʻike hou he nui. I kekahi mau lā ma hope o ka hānau ʻana o ka pēpē, ʻo ia hoʻi, ma waena o 3 a me 5 mau lā, pono ʻoe e hōʻike i ka pēpē i ke kauka a lawe paha iā ia i ke keʻena lapaʻau. ʻO kēia ka mea a mākou e kapa nei he `( Well-Child Visit )`. He nānā koʻikoʻi loa kēia. No laila, e nānā kākou i ka mea e hana ʻia i kēia nānā ʻana, a me ka mea āu e manaʻo ai.
He aha ka mea e hana ʻia i kēia nānā ʻana?
I loko o kēia nānā mua ʻana, e nānā ke kauka a kahu maʻi paha i nā mea he nui e pili ana i kāu pēpē. He manawa kūpono kēia e nīnau ai i kāu mau nīnau a kamaʻilio e pili ana i kou manaʻo.
1. Ke ana ʻana i ka ulu ʻana o ka pēpē :
ʻO ka mea mua e hana ai, ʻo ke ana ʻana i ke kaumaha o ka pēpē, ka lōʻihi, a me ke anapuni o ke poʻo a hoʻopaʻa iā lākou ma kahi "Growth Chart." ʻAe kēia i ke kauka e ʻike inā e ulu pono ana ka pēpē.
2. Nīnau iā ʻoe i nā nīnau a hāʻawi i nā ʻōlelo aʻoaʻo:
E nīnau aku ke kauka a kahu maʻi paha iā ʻoe e pili ana i ka ʻai ʻana a kāu pēpē, ka hiamoe ʻana, ka mimi ʻana , ka ʻōpala ʻana , a me nā mea ʻē aʻe. Mai kānalua e nīnau i kāu mau nīnau, ʻaʻohe mea liʻiliʻi.
Ke ʻano hānai waiū: Pono e hānai ʻia nā pēpē hānau hou i ka waiū i ka wā e pōloli ai lākou.
Inā ʻoe e hānai waiū ana : E pōloli paha ʻoe i kēlā me kēia 1-3 hola. Hiki i kāu kauka a kahu maʻi paha ke kōkua iā ʻoe me nā pilikia ma ka nānā ʻana iā ʻoe e hānai waiū ana. Mai poina e hoʻopūpū i kāu pēpē ma hope a i ka wā o ka hānai ʻana.
Inā ʻoe e hāʻawi ana i ka waiū waiū: E pōloli paha ʻoe i kēlā me kēia 2-4 hola.
Pehea e mimi ai a e ʻō ai: Pono kahi pēpē hānau hou e loaʻa ma kahi o 6 mau diaper pulu i ka lā. Hiki ke ʻokoʻa ka nui o nā manawa e ʻō ai ka pēpē mai kēlā pēpē a i kēia pēpē, akā ʻo ka maʻamau e hele ka pēpē i ka ʻō i 3-4 mau manawa i ka lā, me ka mālie a me ka maʻalahi. Inā he mau nīnau kāu e pili ana i kēia, e kamaʻilio me kāu kauka.
Hiamoe: Hiki i kahi pēpē hānau hou ke hiamoe no kahi o 14-17 mau hola i ka lā. Eia naʻe, ʻaʻole mau kēia hiamoe, a ala pinepine lākou i ke ao a me ka pō e hānai.
ʻO ka maʻamau, ala aʻe nā pēpē i hānai ʻia me ka waiū i kēlā me kēia 1-3 hola.
Hiki i nā pēpē i hānai ʻia me ka waiū waiū ke hiamoe lōʻihi iki no ka mea ʻoi aku ka lōʻihi o ka ʻeli ʻana o ka waiū waiū, e hoʻomāʻona ai iā lākou. E ala lākou i kēlā me kēia 2-4 hola.
ʻO ka mea nui loa, ʻaʻole e hoʻokuʻu i kāu pēpē e hiamoe no nā hola he 4 ma waena o ka hānai ʻana a hiki i kona piʻi ʻana o ke kaumaha (ʻo ia hoʻi i loko o nā pule mua). Ma hope o kēlā, ua maikaʻi i kāu pēpē ke hiamoe iki aʻe.
Ka ulu ʻana a me nā hiki:I loko o ka mahina mua, pono i nā pēpē ke hōʻike i kēia mau mea:
Nānā lākou i nā helehelena a me nā mea i hoʻomālamalama ʻia ma kahi o 8-12 ʻīniha (20-30 kenimika) ka mamao.
Pane i nā leo - hiki ke mālie, ʻimo , huli ke poʻo, neʻeneʻe, a uē paha ke lohe lākou i kahi leo.
E hoʻopaʻa i kou mau lima a me kou mau wāwae i pelu ʻia.
Neʻe pū nā lālā ʻelua.
Ke kau ʻia ma luna o ka ʻōpū (pono e hana ʻia kēia ke ala ke pēpē a ke nānā nei ʻoe), e hāpai i kona poʻo no kekahi manawa.
Loaʻa i nā pēpē hānau hou nā hopena kūlohelohe (Newborn Reflexes) . He mau mea kēia e hana aunoa. Eia kekahi mau laʻana:
ʻO ke aʻa a me ka omo ʻana: Ke kau ʻia kekahi mea kokoke i ka waha, huli ke poʻo o ke pēpē i kēlā ʻaoʻao a hoʻomaka e omo (e like me ka ʻimi ʻana i ka umauma o ka makuahine a i ʻole ka nipple o ka ʻōmole).
ʻO ka Reflex Hopu: Ke kau ʻia kahi manamana lima ma ka pālima, paʻa ia a hopu.
`Fencer's Pose`: E hoʻohuli i kou poʻo i kekahi ʻaoʻao, e hohola ana i kou lima ma kēlā ʻaoʻao a e kulou ana i kou lima ma kekahi ʻaoʻao. Me he mea lā e kahakiʻi ana ʻoe i ke kakaka.
`Moro Reflex` (Pane Pūʻiwa): Ke pūʻiwa koke ʻia, hoʻolei ke kino i nā lima a me nā wāwae i waho a laila huki hou iā lākou i loko.
3. Nānā kino holoʻokoʻa:
E wehe ke kauka i nā lole a pau o ke pēpē a nānā i ke pēpē i mua ou. E komo pū ana kēia me ka nānā ʻana i nā maka o ke pēpē , ka hoʻolohe ʻana i ka puʻuwai o ke pēpē, ka nānā ʻana i ka pulse, ka nānā ʻana i ke kaula umbilical, a me ka nānā ʻana i nā iwi ʻūhā.
4. Nā hoʻokolohua kūikawā `(Nā Hoʻokolohua Nānā)`:
E nānā hou ke kauka i nā hopena o nā hoʻokolohua nānā i hana ʻia ma ka haukapila. Inā pono, hiki ke hana hou ʻia kekahi mau hoʻokolohua. Inā ʻaʻole i hana ʻia ka hoʻāʻo lohe o ka pēpē ma ka haukapila, e hana ʻia i kēia manawa.
5. Nā lāʻau pale :
He mea nui loa nā lāʻau pale e pale ai i kāu pēpē mai nā maʻi koʻikoʻi. No laila, he mea nui e hāʻawi i kāu pēpē i nā lāʻau pale i ka manawa kūpono. Hiki ke ʻokoʻa iki nā papa hana lāʻau pale ma waena o nā keʻena lapaʻau. No laila e kamaʻilio me kāu kauka e ʻike i ka mea e manaʻo ai.
E hoʻomanaʻo i kēia mau mea a hiki i kāu nānā ʻana aʻe (i loko o hoʻokahi mahina).
ʻO ka manawa aʻe e lawe ai ʻoe i kāu pēpē no ka nānā ʻana ma kahi o hoʻokahi mahina. A hiki i kēlā manawa, e ʻoluʻolu e mālama i kēia mau mea.
E pili ana i ka meaʻai a me ka mea inu
E hānai i kāu pēpē i kēlā me kēia manawa e pōloli ai ʻo ia. E hoʻolohe pū i nā hōʻailona a kāu pēpē e hōʻike ai i kona wā e pōloli ai. Eia kekahi laʻana, e hoʻohuli i kona poʻo mai ka umauma a i ʻole ka ʻōmole, e uhi ana i kona waha, a pēlā aku.
Mai hāʻawi i nā meaʻai paʻa a i ʻole ka wai hua .
Inā ʻaʻole i aʻo ʻia e ke kauka,Mai hoʻokomo i ka cereal i loko o ka ʻōmole waiū o kāu pēpē.
Inā ʻoe e hānai waiū ana:
E kōkua i ke pēpē e hoʻopaʻa pono: Pono e hāmama ka waha, pono ke alelo ma lalo o ka umauma, a ʻo ka nui o ka umauma e hiki ai e lawe ʻia i loko o ka waha.
Pono ʻoe e hoʻomau i ka lawe ʻana i ka "Prenatal Vitamin" a i ʻole "Multivitamin" i kēlā me kēia lā.
E nīnau i kāu kauka e pili ana i nā kulu Vitamin D no kāu pēpē.
Mai hoʻohana i nā ʻōmole a i ʻole nā pacifier a hiki i ka wā e hoʻomaka maikaʻi ai ka hānai ʻana i ka waiū (ma kahi o hoʻokahi mahina).
Inā he makuahine hānai ʻoe:
E hāʻawi i kāu pēpē i ka waiū waiū i hoʻonui ʻia i ka hao.
E hahai pono i nā kuhikuhi ma ka ʻeke waiū pauka i ka wā e hana ai a mālama ai i nā ʻōmole.
Mai waiho i nā ʻōmole e kau ana ma luna o kekahi mea, a mai hoʻomoe i kāu pēpē me ka ʻōmole.
Inā ʻoe e hoʻololi ana i kahi ʻano hoʻohuihui, e kamaʻilio me kāu kauka.
Mālama i kēlā me kēia lā
E holoi pono i kou mau lima ma mua o ka lawelawe ʻana i kāu pēpē. E mālama i kāu pēpē mai ka poʻe maʻi.
I mea e pale ai i ka maloʻo ʻana o ke kaula umbilical, e kāʻei i ka diaper ma lalo o ka piko. ʻO ka maʻamau, hāʻule ke kaula umbilical i loko o 10-14 mau lā.
Inā he keikikāne ke pēpē i ʻoki poepoe ʻia, e hoʻopili i kahi petroleum jelly liʻiliʻi ma kona ʻōpū a i ʻole ma mua o kāna penis.
A hiki i ka wā e hāʻule ai ke kaula umbilical a ho'ōla ʻia ka ʻeha o ke ʻoki poepoe , e ʻauʻau i kāu pēpē me ka hoʻohana ʻana i ke ʻano ʻauʻau huʻahuʻa. E hoʻāʻo i ka wai ma kou pulima e hōʻoia ʻaʻole wela loa.
E hoʻohana i nā kopa a me nā lotion ʻala ʻole.
E ʻapo pinepine i kāu pēpē a mālama i ko lākou mau pono. ʻAʻole hiki iā ʻoe ke hōʻino i kahi pēpē hānau hou. ʻO ia hoʻi, ʻaʻole lākou e hōʻino ʻia no kou ʻapo ʻana iā lākou.
E hīmeni i nā mele, e kamaʻilio, a e heluhelu i nā puke i kāu pēpē. Aʻo maikaʻi nā pēpē ke launa pū lākou me nā kānaka.
He mea maʻamau no nā pēpē ke loaʻa nā wā o ka hoʻoluhi a me ka uē pinepine. Eia nō naʻe, no kekahi mau pēpē, hiki i kēia uē ke koʻikoʻi loa, e mau ana no nā hola o ka lā. Ua kapa ʻia kēia ʻo `(Colic)`. Inā loaʻa i kahi pēpē olakino maʻamau ka `(Colic)`, hoʻomaka ia ma kahi o 3 mau pule o ka makahiki.
Inā he 100.4°F (38°C) a ʻoi aku paha ka mahana o kāu pēpē ke nānā ʻoe i ko lākou kua, e kāhea koke aku i kāu kauka. Eia kekahi, inā maʻi kāu pēpē, ʻaʻole inu, ʻaʻole mimi , he ʻili melemele, a he ʻulaʻula a he pus paha a puni ke kaula umbilical a i ʻole kahi ʻoki poepoe, e kāhea aku i kāu kauka. Mai hāʻawi i kekahi lāʻau lapaʻau i kahi pēpē ma lalo o 2 mahina me ka ʻole o ke kamaʻilio mua ʻana me kāu kauka.
He mea maʻamau no nā makuahine hou ke kaumaha a me ke kaumaha i kekahi manawa. Akā inā kaumaha kēia mau manaʻo, a inā ʻoe e kaumaha, hopohopo, a hopohopo paha, e kamaʻilio me kāu kauka.
Inā ʻoe e hopohopo nei e pili ana i kou kūlana noho, e kamaʻilio me kāu kauka. Loaʻa iā ʻoe nā mea āu e pono ai e mālama i ka pēpē? Loaʻa iā ʻoe ka meaʻai lawa, kahi palekana e noho ai, a me ka ʻinikua olakino? Hiki i ke kauka ke haʻi iā ʻoe e pili ana i nā kumuwaiwai kaiāulu a i ʻole e kuhikuhi iā ʻoe i kahi mea hana kaiaulu.
E pili ana i ka palekana
No ka hōʻemi ʻana i ka pilikia o ka Sudden Infant Death Syndrome (SIDS), e hana i kēia mau mea:
E hoʻomoe mau i kāu pēpē ma kona kua (ʻaʻole ma kona ʻōpū a ʻaoʻao paha), ma luna o kahi moena paʻa a pālahalaha. Mai kau i nā pale moe, nā pākeke, nā uluna, a i ʻole nā mea pāʻani palupalu i loko o ka moe a i ʻole ka bassinet.
Inā hiki, e hānai i ka pēpē me ka waiū.
A hiki i ka piha ʻana o hoʻokahi makahiki o kāu pēpē, a i ʻole ma ka liʻiliʻi no nā mahina 6 mua, i ka wā e nui loa ai ka pilikia o SIDS, e hiamoe i loko o kahi moe keiki ma kou lumi, ma ka ʻaoʻao o kou wahi moe.
E mālama i ka mahana o ka lumi i ʻoluʻolu a pale i kāu pēpē mai ka wela loa. E ʻaʻahu i kāu pēpē i kūpono no ka mahana o ka lumi, a mai ʻaʻahu nui iā ia. Mai uhi i kona poʻo i kona wā e hiamoe ana. E nānā e ʻike inā e hou ana ʻo ia a i ʻole e wela ana.
E noʻonoʻo e hāʻawi i kāu pēpē i kahi pacifier e omo ai i kou wā e hoʻomoe ana iā ia. Mai koi iā ia e omo i kahi pacifier inā ʻaʻole makemake ʻo ia. Inā moni ʻo ia i ka pacifier i ka wā e hiamoe ana, ʻaʻole pono ʻoe e hoʻihoʻi iā ia. Inā ʻoe e hānai waiū ana, mai hāʻawi iā ia i kahi pacifier a hiki i kona maʻa pono ʻana i ka hānai waiū.
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 uluna hānai, nā moe hoʻomaha pēpē).
Mai hoʻohana i kekahi mea hana e koi ana e hōʻemi i ka pilikia o SIDS (e laʻa me nā mea hoʻonoho hiamoe, ka helu o ka puʻuwai o ka pēpē a me nā mea nānā hanu). ʻAʻohe huahana e hana maoli i kēia.
E hōʻoia i nā mea a pau āu e hoʻohana ai e hoʻomoe i kāu pēpē e kūlike me nā kūlana palekana kūpono.
Mai puhi paka, mai hoʻohana i nā e-cigarette a i ʻole vape. Mai ʻae i kekahi e puhi paka kokoke i ka pēpē.
E hoʻonoho mau i kāu pēpē ma ka noho hope, ma kahi noho kaʻa e kū pono ana i hope. Mai waiho wale i kāu pēpē i loko o ke kaʻa.
Ke ala aʻe kāu pēpē, mai waiho wale iā ia, ʻoiai ma nā wahi kiʻekiʻe a i ʻole i ka wā ʻauʻau.
Mai hoʻoluliluli i kahi pēpē! ʻO ka hana ʻana pēlā e hiki ai ke kahe koko i loko o ka lolo a hiki i ka make. Inā manaʻo ʻoe e hōʻeha paha ʻoe i kāu pēpē, e hoʻokomo i ka pēpē i loko o ka moena no kekahi mau minuke a kāhea aku i kahi hoaaloha, ʻohana, a i ʻole kāu kauka no ke kōkua.
E uhi i kāu pēpē a e mālama i ka malu i nā manawa a pau e hiki ai ke pale aku i ka lā. ʻAʻole ʻōlelo ʻia ka pale lā no nā pēpē ma lalo o 6 mahina. Eia nō naʻe, inā ʻaʻole hāʻawi ka malu a me nā lole i ka palekana kūpono, hiki i kahi pēpē ma lalo o 6 mahina ke hoʻohana i kahi liʻiliʻi o ka pale lā.
E hoʻomanaʻo, no ka pono kēia mau mea a pau iā ʻoe a me kāu pēpē. ʻAʻole ʻoe hoʻokahi, a inā he mau nīnau kāu, e nīnau i kāu kauka.
Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, e hoʻomanaʻo hou kākou iā ʻoukou i kekahi o nā mea a kākou i kamaʻilio ai:
E hele i nā nānā kino i ka manawa kūpono: He mea nui loa kēia e ʻike e pili ana i ka ulu ʻana o ka pēpē a me ke olakino.
E mālama i kāu meaʻai: Inā ʻoe e hānai waiū ana, e hoʻomau i ka hana pēlā. Inā ʻoe e hānai waiū ana i ka waiū waiū, e hana pēlā e like me ke kuhikuhi a kāu kauka.
He mea nui ka palekana: E hōʻoia e hahai i nā hana palekana, ʻoiai nā mea e pale aku ai i ka SIDS. Mai hoʻoluliluli i kāu pēpē.
E nīnau i kāu mau nīnau: Mai kānalua e nīnau i kāu kauka, ʻoiai inā he mea liʻiliʻi ia.
E noʻonoʻo iā ʻoe iho: He mea maʻamau ka luhi a me ke kaumaha ma ke ʻano he makuahine hou. Akā inā nui loa ia e hiki ke hoʻomanawanui, e noi i ke kōkua.
Ke makemake nei iā ʻoe a me kāu keiki liʻiliʻi i kahi manawa olakino a hauʻoli!
👩🏽‍⚕️ Nā nīnau hou aku (FAQs)
💬 No ke aha e pono ai iaʻu e hoʻi hou no kahi nānā kino (3-5 lā kipa) 3-5 mau lā ma hope o ka hānau ʻana o ka pēpē?
He keʻena lapaʻau koʻikoʻi loa kēia! He mea nui e nānā inā he jaundice (maka melemele) ka pēpē, inā loaʻa i ka makuahine ka waiū umauma lawa, a inā maʻamau ka pohō kaumaha o ka pēpē ma hope o ka hānau ʻana.
💬 E nānā ʻia anei ke kaula piko o ka pēpē i kēia nānā ʻana?
ʻAe, e nānā pono ke kahu maʻi a kauka paha i ka ʻeha e ʻike ai inā maloʻo, kahe ke koko, a i ʻole ua maʻi ʻia, a e hāʻawi i ka makuahine i nā ʻōlelo kuhikuhi kūpono no ka hoʻomaʻemaʻe ʻana.
💬 Inā ʻaʻole lawa ka waiū o ka makuahine, e hāʻawi anei ke kauka iā ia i ka waiū waiū i kēia manawa?
I ka hapanui o nā hihia, hiki ke lohi iki ka waiū i ka hiki ʻana mai i nā lā 5 mua. E nānā mua ke kauka inā hiki i ka pēpē ke omo. ʻAʻole ʻōlelo nā kauka e hāʻawi i ka waiū formula i kēia manawa, ke ʻole he mea pono loa ia.
Nā pēpē olakino, olakino pēpē, nānā mua ʻana i ka pēpē, hānai waiū, ulu ʻana o ka pēpē, SIDS, palekana pēpē
⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.
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