ʻEhā mahina anei kāu pēpē? He aha ka mea e hana ʻia ma ka nānā ʻana o ke kauka (Well-Child Visit: 4 mahina)? E kamaʻilio kākou!

ʻEhā mahina kāu keiki liʻiliʻi i kēia manawa, ʻeā? ʻAʻole hiki i nā huaʻōlelo ke hōʻike i ka hauʻoli āu e manaʻo ai i ka ulu ʻana o kāu pēpē a me ke aʻo ʻana i nā mea hou. He mea nui e ʻike i kāu kauka a kahu maʻi paha i kēia manawa e aʻo ai e pili ana i ke olakino a me ka ulu ʻana o kāu pēpē. E nānā kākou i ka mea e hana ʻia ma kēia nānā ʻana he 4 mahina a me nā mea āu e pono ai e ʻike.

He aha ka mea e hana ʻia ke hele ʻoe e ʻike i ke kauka i kēia manawa?

Ke hālāwai ʻoe me ke kauka a kahu maʻi paha, e nānā lākou i nā mea he nui e pili ana i kāu pēpē a nīnau iā ʻoe. Mai hopohopo, ke hana nei lākou a pau i kēia no ka pono o ka pēpē.

Pehea e nānā ai i ka ulu ʻana o kāu pēpē

ʻO ka mea mua, e ana ke kauka a kahu maʻi paha i ke kaumaha o ka pēpē, ke kiʻekiʻe (ka lōʻihi), a me ke anapuni o ke poʻo . A laila, e kahakiʻi lākou i kēia mau ana ma kahi pakuhi kūikawā i kapa ʻia he "papa kuhikuhi ulu." Penei lākou e ʻike ai inā e ulu pono ana ka pēpē . ʻO ia hoʻi, inā e ulu ana a e ulu ana ka pēpē i ka wikiwiki kūpono no kona mau makahiki, e ulu ana ke poʻo o ka pēpē.

Nā nīnau a ke kauka e nīnau ai a me nā ʻōlelo aʻoaʻo hiki iā ʻoe ke hāʻawi

A laila, e nīnau ke kauka iā ʻoe e pili ana i kāu pēpē. Hiki iā ʻoe ke nīnau i nā nīnau a hopohopo paha āu i loaʻa ai i kēia manawa. E hāʻawi pū lākou iā ʻoe i nā ʻōlelo aʻoaʻo waiwai nui.

E pili ana i ka meaʻai a me ka mea inu

I kēia manawa, pono nō kāu pēpē i ka waiū umauma a i ʻole ka waiū waiū . Ma ka maʻamau, ua mākaukau nā pēpē e hoʻomaka i ka ʻai ʻana i nā meaʻai paʻa ma kahi o 6 mahina. ʻO ia hoʻi nā mea e like me nā cereals i hoʻoikaika ʻia me ka hao a me nā ʻiʻo i hoʻomoʻa ʻia. Eia nō naʻe, ma mua o ka hoʻomaka ʻana i kekahi meaʻai paʻa, pono ʻoe e kamaʻilio me kāu kauka . ʻO ia ka mea e haʻi iā ʻoe inā ua mākaukau kāu pēpē no nā meaʻai paʻa a me nā mea e hāʻawi aku ai iā lākou.

E pili ana i ke ʻano o ka mimi a me ka defecate

Pono nā pēpē o kēia makahiki e mimi i nā manawa he nui i ka lā, ʻo ia hoʻi, pono lākou e hoʻomaʻū i kekahi mau diaper. Pono nō hoʻi lākou e ʻō i nā manawa a pau. ʻO kekahi mau pēpē e ʻō i kēlā me kēia lā, aʻo kekahi e ʻō i kēlā me kēia ʻelua a ʻekolu lā. Inā palupalu ka ʻō, he mea maʻamau ia . Akā inā maloʻo ka ʻō, paʻakikī e like me ka pōhaku, a i ʻole he paʻakikī ke hele ʻana, pono ʻoe e haʻi i kāu kauka e pili ana i ia mea.

E pili ana i ka hiamoe

Moe nā pēpē i kēia makahiki ma waena o 12 a me 16 mau hola i ka lā. Hoʻokomo pū kēia i ka hiamoe ʻana i ke ao. Moe ka hapa nui o nā pēpē no kahi o 5 a 6 mau hola i ka pō. Eia nō naʻe, ʻo nā pēpē, ʻoi aku ka poʻe i hānai ʻia i ka waiū umauma , e ala pinepine paha . He mea maʻamau kēia.

E pili ana i ka ulu ʻana o ka pēpē (nā hanana hoʻomohala)

I ka 4 mahina, e hoʻomaka ana kāu pēpē e hana i nā mea hou he nui. E nānā inā e hana ana kāu pēpē i kēia mau mea:

• Ke hoʻohuli nei ʻoe i kou poʻo i kou ʻaoʻao ke kamaʻilio ʻoe?
• E like me 'Uu', 'Aaah'Ke hana nei lākou i nā leo e like me nā manu (e kani ana)?
• Ke pane mai nei ʻo ia ma ka hana ʻana i kekahi walaʻau ke kamaʻilio ʻoe me ia?
• Ke ʻakaʻaka iki nei ʻoe, ke ʻakaʻaka nei ʻoe? (ʻAʻole kēia he ʻakaʻaka nui i kēia manawa)
• Ke ʻike lākou iā ʻoe, neʻe anei lākou a walaʻau paha e kiʻi i kou manaʻo?
• Ke nānā nei ʻoe i kou mau lima ponoʻī me ka hoihoi?
• E hopu anei ʻoe i kahi mea pāʻani ke hāʻawi aku ʻoe iā ʻoe?
• Ke hoʻopololei nei ʻoe i kou poʻo i kou paʻa ʻana?
• Ke paʻi nei lākou i luna ma luna o ko lākou mau kuʻekuʻe lima/lima lima me ka moe ʻana ma ko lākou ʻōpū?
• Ke hoʻohana nei ʻoe i kou mau lima e pāʻani me nā mea pāʻani?

E noʻonoʻo wale, ke hōʻike mai nei kēia mau mea liʻiliʻi iā mākou i ke ʻano o ka ulu ʻana o ka lolo o kāu pēpē.

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Eia nō naʻe, inā ʻaʻole kāu keiki e hana ana i kekahi a ʻoi aku paha o kēia mau mea, a inā paha e hana ana lākou i kahi mea a lākou i hana ai ma mua, a laila e kamaʻilio pono me kāu kauka e pili ana i ia mea . ʻAʻohe mea e hopohopo ai, akā he mea maikaʻi ke makaʻala.

Nānā kino holoʻokoʻa

ʻO ka mea aʻe, e wehe ke kauka i nā lole a pau o ke pēpē i mua ou a hana i kahi hoʻokolokolo kino piha . E komo pū ana kēia me ka nānā ʻana i nā maka o ke pēpē, ka hoʻolohe ʻana i ka puʻuwai, ka nānā ʻana i ka pulse, ka nānā ʻana i nā iwi ʻūhā, a me ka hoʻolohe ʻana i nā neʻe ʻana o ke pēpē.

Pono nō hoʻi ʻoe e hoʻomanaʻo e pili ana i nā lāʻau pale.

He mea nui loa nā lāʻau pale no ka pale ʻana 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 ka papa hana lāʻau pale mai kekahi keʻena lapaʻau a i kekahi. No laila, e noi i kāu kauka e ʻike i nā lāʻau pale e hāʻawi ʻia nei i kēia manawa a me nā mea e hāʻawi ʻia aʻe.

He mea nui nō hoʻi ka maikaʻi o ka noʻonoʻo o ka makuahine (Postpartum Depression)

ʻIke ʻoe, he mea maʻamau no nā makuahine ke kaumaha a me ke kaumaha ma hope o ka hānau ʻana o kahi pēpē. Ua kapa ʻia kēia he kaumaha postpartum . He mea kēia e hiki i nā makuahine he nui ke ʻike. No laila, e nīnau paha ke kauka o kāu pēpē iā ʻoe e pili ana i kou hauʻoli a me kou kūlana noʻonoʻo. Hiki paha iā lākou ke hoʻopiha iā ʻoe i kahi nīnau pōkole. ʻO kēia ke kōkua iā ʻoe, ʻaʻole no kekahi mea ʻē aʻe.

Pono anei mākou e hoʻomanaʻo i kēia mau mea a hiki i ka nānā hou ʻana (i loko o 6 mau mahina)?

ʻAe, e nānā kākou i nā mea ʻē aʻe e pono ai ʻoe e mālama i kāu pēpē a hiki i ka nānā ʻana o 6 mahina e hiki mai ana.

Nā mea hou aʻe e pili ana i ka meaʻai a me ka mea inu

• E like me ka mea i ʻōlelo ʻia ma mua,ʻO ka waiū umauma a i ʻole ka waiū waiū wale nō ka mea e pono ai ke pēpē.
• Ua mākaukau ka hapa nui o nā pēpē e hoʻomaka i ka ʻai ʻana i nā meaʻai paʻa ma kahi o 6 mahina. Akā, ua mākaukau paha kekahi mau pēpē ma mua iki. Inā haʻi aku kāu kauka iā ʻoe e hoʻomaka i nā meaʻai paʻa , e hoʻomanaʻo i kēia mau mea:
• Inā loaʻa i kekahi o kou ʻohana nā maʻi allergies meaʻai, e haʻi i kāu kauka e pili ana i ia mea .
• E hoʻomaka me kahi liʻiliʻi o ka cereal palaoa hoʻokahi i hoʻonui ʻia i ka hao i hui pū ʻia me ka waiū umauma a i ʻole ka waiū waiū . A i ʻole, hiki iā ʻoe ke hoʻomaka me kahi meaʻai ʻē aʻe i waiwai i ka hao, e like me ka ʻiʻo i puree ʻia .
• E hoʻohana i kahi puna liʻiliʻi i hana kūikawā ʻia no nā pēpē (puna pēpē) e hānai ai. Mai hāʻawi i ka cereal i loko o ka ʻōmole waiū.
• Inā ʻike ʻia kāu pēpē e hoʻokuke nui ana i ka meaʻai i waho me kona alelo, ʻaʻole paha ʻo ia i mākaukau no nā meaʻai paʻa. E hoʻāʻo hou i loko o hoʻokahi pule.
• Mai hāʻawi i kāu pēpē i nā meaʻai paʻa ʻē aʻe a hiki i kona maʻa ʻana i ka ʻai ʻana i ka cereal mai ka puna.
• E hoʻolauna i hoʻokahi meaʻai hou i ka manawa . E kali i kekahi mau lā ma mua o ka hoʻolauna ʻana i ka meaʻai hou aʻe e ʻike inā he hopena alerika.
• Inā ʻoe e hānai waiū ana, e hoʻomau i ka hāʻawi ʻana i nā mea hoʻohui huaora D. Pono paha nā pēpē hānai waiū i nā mea hoʻohui hao a hiki i ka loaʻa ʻana o ka hao lawa mai nā meaʻai a lākou e ʻai ai. E kamaʻilio me kāu kauka e pili ana i kēia.
• E hoʻolohe i nā hōʻailona a kāu pēpē e hāʻawi ai i kona wā pōloli a me kona wā māʻona .
• Mai hāʻawi i ka wai hua a hiki i ka piha ʻana o nā mahina he 12.
• Mai kau i nā ʻōmole waiū ma luna o kekahi mea a mai hoʻomoe i kāu pēpē me ka ʻōmole i loko o kona waha.

He mea nui hoʻi kēia mau mea i ka mālama ʻana i kahi ʻīlio liʻiliʻi (mālama i kēlā me kēia lā)

• Hoʻomaka ka hapa nui o nā pēpē e niho ma kahi o 4 mau mahina . Hiki ke ʻeha iki kēia. I mea e hōʻoluʻolu ai i ka ʻeha, e hāʻawi i kāu pēpē i kahi lole holoi maʻemaʻe a pulu a i ʻole kahi mea pāʻani niho (teether). E nīnau i kāu kauka inā hiki iā ʻoe ke hāʻawi iā ia i ka acetaminophen (e.g. Panadol) no ka ʻeha.
• E hoʻomaʻemaʻe i nā ʻāʻī o kāu pēpē ma ka holoi mālie ʻana iā lākou me kahi lole maʻemaʻe a pulupulu a i ʻole kahi palaki niho palupalu loa .
• E hīmeni i nā mele, e kamaʻilio, e heluhelu i nā puke, e pāʻani me kāu pēpē. Aʻo maikaʻi nā pēpē ke launa pū lākou me nā kānaka.
• ʻAʻole maikaʻi ka manawa pale e like me ke TV, nā wikiō, a me nā kelepona no nā pēpē o kēia makahiki. Eia nō naʻe, ua maikaʻi ke kamaʻilio me kekahi mea mamao ma o kahi kelepona wikiō.
• Ke ala aʻe kāu pēpē, e pāʻani me ia ma kona ʻōpū ma lalo o kou nānā ʻana (manawa ʻōpū).E kōkua kēia i ka hoʻoikaika ʻana i nā ʻiʻo ma kona ʻāʻī a me ke kua. E hoʻolako i kahi palekana no ke pēpē e kolo a ʻōwili ai.
• E kaupalena i ka manawa e noho ai kāu pēpē ma nā noho pēpē, nā bouncers, a me nā swings .
• He mea maʻamau ka luhi a me ke kaumaha i kekahi manawa ke lilo ʻoe i makuahine hou. Akā inā ikaika loa kēia mau manaʻo, a inā paha ʻoe e kaumaha, huhū, a hopohopo paha, e kamaʻilio me kāu kauka .
• Inā he mau nīnau 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 paha iā ʻoe i kahi mea hana kaiaulu.

ʻO ka palekana o ke pēpē ka mea mua!

He mea nui loa ka noʻonoʻo ʻana i ka palekana i kēia manawa, ʻoiai e hoʻomaka ana ka pēpē e ʻōwili a hoʻolei i kona mau lālā.

Pehea e pale aku ai i ka sudden infant death syndrome (SIDS)?

He mea a kākou a pau e makaʻu nei i ka Sudden Infant Death Syndrome (SIDS) . Eia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka pilikia:

• I ka wā e hoʻomoe ai i kāu pēpē, e kau mau iā lākou ma ko lākou kua , ma luna o kahi moena paʻa a pālahalaha . Mai kau iā lākou ma ko lākou ʻōpū a ʻaoʻao paha. E hoʻomoe iā lākou i loko o kahi moe pēpē a i ʻole kahi bassinet. Mai kau i nā bumpers moe pēpē, nā pākeke, nā uluna, a i ʻole nā ​​​​mea pāʻani palupalu i loko o ka moe pēpē.
• Inā hiki, e hānai i kāu pēpē i ka waiū umauma .
• A hiki i ka lā hānau mua o kāu pēpē, a i ʻole a hiki i ko lākou piha ʻana i 6 mahina (ʻoi aku ka nui o ka pilikia o SIDS i kēia manawa), e hiamoe i loko o kahi moe kaʻawale i loko o kou lumi, ma ka ʻaoʻao o kou wahi moe . Mai hoʻokuʻu i kāu pēpē e hiamoe ma kou wahi moe (bed-sharing).
• E mālama i ka mahana o ka lumi i ʻoluʻolu a pale i ka pēpē mai ka wela nui . E ʻaʻahu i ka pēpē i kūpono no ka mahana o ka lumi. Mai ʻaʻahu nui . Mai uhi i ke poʻo i ka wā e hiamoe ana. E nānā i ka hou a me ka wela o ke kino.
• Inā hiki, e hoʻokuʻu i kāu pēpē e hiamoe me kahi pacifier . Inā ʻaʻole makemake kāu pēpē i ka pacifier, mai hoʻokau iā ia. Inā moni ʻia ka pacifier i ka wā e hiamoe ana, mai hoʻihoʻi i loko. Inā ʻoe e hānai waiū ana, e hāʻawi i ka pacifier ma hope o ka maʻa ʻana o kāu pēpē i ka hānai waiū.
• Mai hoʻokuʻu i kāu pēpē e hiamoe i loko o nā lako i hana ʻole ʻia no ka hiamoe ʻana (e.g., nā noho kaʻa, nā uluna hānai, nā moe hoʻomaha pēpē, a pēlā aku).
• Mai hoʻohana i kekahi mea hana (e laʻa me nā mea hoʻonoho hiamoe, nā mea nānā i ka helu o ka puʻuwai) e koi ana e hōʻemi i ka pilikia o SIDS . ʻAʻohe huahana e hana maoli i kēia.
• E hōʻoia i nā mea āpau āu e hoʻohana ai e hoʻomoe i kāu pēpē e kūlike me nā kūlana palekana i ʻāpono ʻia e kahi ʻoihana kaulana, e like me ka U.S. Consumer Product Safety Commission (CPSC) .

Nā ʻōlelo aʻoaʻo palekana koʻikoʻi ʻē aʻe

• Mai hoʻohana i nā mea hele wāwae pēpē. He mea weliweli loa lākou a hiki ke hōʻeha nui. ʻAʻole hoʻi e paipai nā mea hele wāwae i ka hele wāwae a hiki ke hoʻopaneʻe iā ia.
• E hoʻomaka koke ana kāu pēpē e hōʻea a hopu i nā mea a hoʻokomo iā lākou i loko o kona waha . No laila, mai waiho i nā mea liʻiliʻi a i ʻole nā ​​​​mea make i kahi e hiki ai iā ia ke loaʻa. Mai waiho i nā mea pāʻani me nā uea, nā kaula, a i ʻole nā ​​​​loop kokoke.
• Mai waiho wale i kāu pēpē i kona wā e ala ana, ʻoiai ma nā wahi kiʻekiʻe (nā moena, nā sofa) a i loko paha o ka ʻauʻau .
• Mai hoʻoluliluli i kāu pēpē - hiki iā ia ke hoʻoulu i ke kahe koko o ka lolo a me ka make. Inā huhū ʻoe a hopohopo paha e hōʻeha paha ʻoe i kāu pēpē, e hoʻokomo i kāu pēpē i kahi palekana (i loko o ka moena moe) a hele i waho no kekahi mau minuke. Kāhea aku i kahi hoaaloha, ʻohana, a i ʻole kāu kauka no ke kōkua.
• E hele mau me kāu pēpē ma ka noho hope o ke kaʻa, ma kahi noho kaʻa e kū pono ana i hope . Mai waiho wale i kāu pēpē i loko o ke kaʻa.
• Mai puhi paka, hoʻohana i nā e-cigarette, a i ʻole vape . Mai ʻae i kekahi e hana pēlā kokoke i kāu pēpē.
• E pale i kāu pēpē mai ka lā i ka hiki. E uhi i kāu pēpē me nā lole a e mālama iā lākou i ka malu. ʻAʻole ʻōlelo ʻia ka pale lā no nā pēpē ma lalo o 6 mahina . Eia nō naʻe, inā ʻaʻole lawa ka pale ʻana mai ka malu a me nā lole, hiki ke hoʻopili ʻia kahi liʻiliʻi o ka pale lā i kahi pēpē ma lalo o 6 mahina (e nīnau i kāu kauka e pili ana i kēia).

ʻO ka mea hope loa, pono wau e ʻōlelo... (Leka Lawe-Home)

No laila, ke lana nei koʻu manaʻo ua loaʻa iā ʻoe kahi manaʻo maikaʻi e pili ana i ka nānā ʻana o kāu pēpē 4 mahina. Hana ʻia kēia mau mea a pau no kou olakino a me ke olakino o kāu pēpē . E hoʻomanaʻo, inā he mau nīnau a kānalua paha kāu, mai makaʻu e nīnau i ke kauka a i ʻole ke kahu maʻi. Aia lākou ma laila e kōkua iā ʻoe.

Ke makemake nei au iā ʻoe a me kāu pēpē i nā mea maikaʻi loa no ke ola hauʻoli a olakino hoʻi!

`Ola kino o ka pēpē, nānā ʻana i ka pēpē no 4 mahina, ulu ʻana o ka pēpē, ulu ʻana o ka pēpē, nā meaʻai paʻa, palekana o ka pēpē, SIDS, nā lāʻau pale, kaumaha ma hope o ka hānau ʻana