Ma ke ʻano he makuahine a makua paha, i kekahi manawa ʻaʻole hiki iā mākou ke noʻonoʻo i ka mea e hana ai ke maʻi a ʻeha paha kā mākou keiki. Hopohopo mākou. Pono koke anei ke keiki i ke kōkua lapaʻau, a i ʻole hiki iā mākou ke kali iki? Inā makemake mākou i kēlā kōkua, pono anei mākou e hele i ka `ER`, a i ʻole e ʻike i kā mākou kauka ʻohana, a i ʻole ke kikowaena `Urgent Care`? Loaʻa paha iā ʻoe kēia mau nīnau. ʻAe, e kamaʻilio maopopo kākou e pili ana i kēia, i hiki iā ʻoe ke hoʻomaopopo i ka mea e hana ai i nā kūlana hea.
Āhea ʻoe e kāhea aku ai i kahi lawelawe ambulance ulia pōpilikia (e like me 1990)?
I ka ʻōlelo maʻalahi,
inā loaʻa kahi pilikia koʻikoʻi e hoʻoweliweli paha i ke ola, pono ʻoe e kāhea aku i kahi lawelawe ambulance ulia pōpilikia e like me 1990. No ka mea, i kekahi manawa, pono paha ke keiki i ke kōkua o nā limahana lapaʻau i aʻo ʻia a hiki i ka haukapila. I kēlā mau hihia, ʻo ka loaʻa ʻana o kēlā kōkua ma ka ambulance hiki ke lilo i mea kōkua nui i ka hoʻopakele ʻana i ke ola o ke keiki. E noʻonoʻo inā hana ʻia kekahi mea e like me kēia, mai hoʻokaʻulua no kekona:
- Inā ʻaʻole hanu kāu pēpē a polū paha ... Auē kuʻu Akua, he mea weliweli loa kēia.
- Inā hāʻule ʻoe i kekahi wahi a nalowale ka ʻike , inā paha ua kuʻi ʻoe i kou poʻo a i ʻole ma kahi ʻē aʻe, e hana koke.
- Inā loaʻa i ke keiki ka ʻōpū, ʻo ia hoʻi he maʻi ʻōpū .
- Inā loaʻa iā ʻoe kahi maʻi ʻaleka koʻikoʻi , i kekahi manawa hiki ke hana i kahi mea āu e ʻai ai a i ʻole kahi nahu pepeke. Hiki ke paʻakikī ke hanu, loaʻa paha iā ʻoe kahi ʻulaʻula ma kou kino holoʻokoʻa, a pehu paha kou mau lehelehe. He mea weliweli kēia.
- Inā ua haki kahi iwi a ke puka mai nei ma loko o ka ʻili, ua kapa ʻia ia he "Open Fracture " . He ʻeha koʻikoʻi loa nō hoʻi kēia.
- Inā ua lawe nui kāu keiki i kahi lāʻau lapaʻau a kemika paha i ʻike ʻole ʻia a ke pilikia nei ʻo ia i ka hoʻāla ʻana iā ia , i kekahi manawa hiki i nā kamaliʻi ke hoʻokomo i nā mea hiki iā lākou ke loaʻa i ko lākou mau lima i loko o ko lākou waha.
- ʻO ke ʻū ʻana ke paʻa kekahi mea i loko o ka puʻu . Hiki ke lilo i ʻāpana meaʻai a i ʻole kahi ʻāpana liʻiliʻi o kahi mea pāʻani.
- Inā he ʻoki nui kou a ʻaʻole hiki ke hoʻōki i ke kahe ʻana o ke koko .
I loko o ia kūlana, mai hopohopo, e kelepona koke i ka 1990 a wehewehe i ke kūlana. E hāʻawi lākou iā ʻoe i nā kuhikuhi e pono ai a hoʻouna koke aku i kahi ambulance.
Āhea mākou e hele ai i kahi `ETU` (Emergency Treatment Unit)?
Hiki i kahi lumi pilikia, i ʻike ʻia hoʻi he ER, ke mālama i nā maʻi koʻikoʻi a me nā ʻeha. Loaʻa lākou i nā hola 24 o ka lā, 7 mau lā o ka pule e lawelawe i kekahi pilikia. ʻOi aku ka maikaʻi o ka lawe ʻana i kāu keiki i kahi ER ma nā kūlana aʻe:
- Inā pilikia ʻoe i ka hanu ʻana . ʻO ke ʻano kēia ua manaʻo ʻoe e like me ʻoe e hanu ana , a inā paha e like kou umauma me he mea lā e komo ana i loko o kou mau māmā ke hanu ʻoe.
- Inā he hiamoe kūpono ʻole a i ʻole he loli o ke kūlana noʻonoʻo, hiki ke loli nā mea a ke keiki e ʻōlelo ai.
- Inā loaʻa iā ʻoe ke kuni me ka ʻeha ʻāʻī , hiki i kēia ke hōʻailona o kahi maʻi ʻoi aku ka koʻikoʻi, e like me ke kuni lolo .
- Inā paʻi wikiwiki ka puʻuwai , ua kapa ʻia ia he "Tachycardia" .
- Inā kānalua ʻoe a manaʻoʻiʻo paha ua ʻai ke keiki i kahi mea ʻawahia , lāʻau lapaʻau, a i ʻole kahi mea i ʻike ʻole ʻia .
- Inā loaʻa iā ʻoe kahi ʻeha poʻo a hoʻomau i ka luaʻi ʻana , ua maikaʻi ke luaʻi ʻana i hoʻokahi a ʻelua paha ma hope o ka ʻeha poʻo, akā inā hoʻomau ia, pono ʻoe e makaʻala.
- Inā loaʻa iā ʻoe kahi ʻeha nui o kou maka , e like me ka hou ʻana a i ʻole ka hahau ʻana, e hele koke i ka ER.
- Inā he kuni nui kou, inā paha mai ka wai wela a i ʻole ke ahi, pono ʻoe i ke aʻo lapaʻau kūikawā inā he kuni nui ia.
Āhea mākou e kāhea aku ai i kā mākou kauka ʻohana?
Hiki iā ʻoe ke kamaʻilio me kāu kauka ʻohana (Primary Care Provider) e pili ana i kekahi pilikia
olakino ʻaʻole i wikiwiki pinepine, akā āu e hopohopo nei. Hiki iā ia ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo a haʻi iā ʻoe i ka mea e hana ai. E kamaʻilio me kāu kauka e pili ana i nā mea e like me:
- Inā loaʻa iā ʻoe ke kuni (ʻoi aku hoʻi ka mea e mau ana ma mua o ʻelua a ʻekolu paha mau lā).
- Inā ʻeha kou pepeiao .
- Inā he ʻeha kou puʻu .
- Inā ʻeha kou ʻōpū .
- Inā he luaʻi a he maʻi pākī paha (hiki ke lilo i mea weliweli loa kēia no nā pēpē liʻiliʻi).
- ʻO ke poʻo ʻeha mau .
- Inā ʻoe e ʻike nei i nā hōʻailona o ka make wai (waha maloʻo, maka i lalo, emi ʻana o ka mimi ).
- Inā he ʻulaʻula ma ke kino .
- Inā lohe ʻoe i ke kani ʻūlū i ka wā e hanu ana .
- ʻO ka ʻū mau .
ʻO ke kamaʻilio ʻana me ke kauka maʻamau o kāu keiki i nā manawa e like me kēia e kōkua i ka hōʻoia ʻana i ka "hoʻomau ʻana o ka mālama." ʻO ia hoʻi ka hoʻomau ʻana i ka loaʻa ʻana o ka mālama mai ke kauka i ʻike maikaʻi iā ʻoe a me kāu keiki. E loaʻa iā ia kahi ʻike maikaʻi i ka mōʻaukala olakino o kāu keiki.
He aha nā ʻano mea e hiki ke mālama ʻia ma kahi Urgent Care Center?
E noʻonoʻo ʻoe ʻaʻole hiki iā ʻoe ke ʻike i kāu kauka ʻohana, a i ʻole ua pani ʻia ke keʻena o kāu kauka. I kēlā hihia, hiki iā ʻoe ke ʻimi i ke kōkua lapaʻau mai kahi `Urgent Care Center`. Hiki i kēia `Urgent Care Center` ke mālama i nā maʻi like me kāu kauka ʻohana e mālama ai. Hiki iā lākou ke hāʻawi i nā lawelawe e like me `X-rays`, `Stitches`, a me `Splints` no nā sprains. ʻO nā mea ʻē aʻe e hiki iā lākou ke mālama:
- Nā haki liʻiliʻi : ʻAʻole he haki nui, ʻoi aku ka like me kahi māwae liʻiliʻi.
- Nā kuni liʻiliʻi .
- Nā ʻoki maʻamau .
- Inā paʻa ʻoe i kahi mea e like me ke kākalaioa, e wehe iā ia (Splinter Removal) .
- ʻO nā ʻeha a me nā ʻeha ʻē aʻe e pili ana i nā haʻuki .
- Nā ʻōpala liʻiliʻi a me nā nahu mai nā holoholona . Akā inā ua nahu ikaika kahi ʻīlio a pōpoki paha iā ʻoe a ua hōʻeha nui, ʻoi aku ka maikaʻi o ka hele ʻana i ka ER.
- Kuni .
- ʻeha ka ʻōpū .
- Ka luaʻi ʻana a i ʻole ka maʻi pākī .
He aha ka 'Telehealth' (lawelawe lapaʻau mamao)? Hiki iā ia ke kōkua?
I kēia mau lā, aia kekahi ala e "hoʻopili" ai me ke kauka no nā ʻeha liʻiliʻi a me nā maʻi mai kāu kelepona a kamepiula paha. Ua kapa ʻia kēia ʻo 'Telehealth' a i ʻole 'Telemedicine' (lawelawe lapaʻau mamao). Ma o kahi 'App' ma kāu kelepona, hiki iā ʻoe ke kamaʻilio me ke kauka he alo a he alo -
a hiki i ke kauka ke ʻike iā ʻoe a me kāu keiki. Hiki i kāu kauka ʻohana a i ʻole ka ʻōnaehana haukapila kahi āu e loaʻa nei ka lāʻau lapaʻau ke hāʻawi i kēia lawelawe 'Telemedicine'. E noʻonoʻo e pili ana i ka 'Telemedicine' i nā kūlana e like me kēia:
- Nā ʻōhūhū .
- Nā ʻoki a i ʻole nā kuni liʻiliʻi .
- ʻUlaʻula nā maka, me he mea lā he maʻi maka (conjunctivitis) .
- Anuanu maʻamau .
- Kuni (akā inā he kuni kiʻekiʻe, me nā hōʻailona ʻē aʻe, ʻoi aku ka maikaʻi o ke ʻike ʻana i ke kauka).
- Nā hopena alerika ʻoluʻolu .
- Luaʻi .
- Ka maʻi kahe .
ʻO ka mea nui loa, inā loaʻa kāu keiki i ka lāʻau lapaʻau ma kahi ER, kahi kikowaena mālama wikiwiki, a i ʻole ma o ka telemedicine, e hōʻoia e hahai me kāu kauka ʻohana ma hope. Ma kēlā ala, hiki i ke kauka ke hōʻano hou i ka ʻike olakino o kāu keiki a hoʻomau i nā lāʻau lapaʻau e pono ai.
Nā mea nui e hoʻomanaʻo (Leka Lawe-Home)
ʻAe, mai nā mea a kākou i kamaʻilio ai, ke lana nei koʻu manaʻo ua maopopo iā ʻoe i ka manawa a pehea e ʻimi ai i ke kōkua lapaʻau no kahi keiki.
- Inā loaʻa kahi pilikia e hoʻoweliweli ana i ke ola (e like me ka hanu pōkole, ka nalowale o ka ʻike, a i ʻole ke kahe koko nui) , e kāhea koke i ka 1990 .
- I loko o kahi pilikia koʻikoʻi ʻaʻole pono ka lāʻau lapaʻau (kahi haki nui, ʻāʻī ʻoʻoleʻa me ke kuni nui, paʻakikī ke hanu) , e hele i ka ER kokoke loa .
- No nā kūlana olakino maʻamau a me nā pilikia o kēlā me kēia lā, e kamaʻilio me kāu kauka ʻohana . ʻIke maikaʻi ʻo ia iā ʻoe a me kāu keiki.
- Hiki i kahi 'Urgent Care Center' ke lilo i mea pono no nā pilikia liʻiliʻi (e like me ke kiʻi ʻana i kahi 'X-ray' a i ʻole ke kiʻi ʻana i kahi humuhumu liʻiliʻi) ke hiki ʻole iā ʻoe ke hoʻokaʻaʻike aku i kāu kauka ʻohana .
- No nā maʻi liʻiliʻi loa, aia i kēia manawa kahi lawelawe 'Telehealth' e hiki ai iā ʻoe ke loaʻa ka ʻōlelo aʻoaʻo mai ka home .
ʻO ka mea nui loa, inā he kānalua a makaʻu paha kāu e pili ana i kāu keiki, mai kānalua e ʻimi i ke aʻo lapaʻau. I kekahi manawa, ʻoiai inā he mea liʻiliʻi ia, hiki ke lilo i hoʻomaka o kahi mea koʻikoʻi. ʻO ka hoʻolohe ʻana i nā manaʻo o kou makuahine a makua paha ke ala maikaʻi loa e hele ai.
He mea maʻamau ka hopohopo ke maʻi kāu keiki. Akā me kēia ʻike i ka noʻonoʻo, hiki iā ʻoe ke hana koke i nā hoʻoholo kūpono a hāʻawi i ka mālama maikaʻi loa no kāu keiki. Pono nā kānaka a pau e olakino!
Mālama Pilikia, Ola Kino o nā Keiki, ʻŌlelo Aʻo Lapaʻau, ER, Mālama Urgent, Telehealth, Sri Lanka
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo