Ua maʻi anei kāu keiki? I ka manawa hea a pehea ʻoe e ʻike ai i ke kauka? (Alakaʻi Mālama Lapaʻau no ke Keiki)

Ma ke ʻano he makuahine a makua kāne paha, ʻo kekahi o nā hopohopo nui loa iā ʻoe, ʻo ia ka mea e hana ai ke maʻi koke kāu keiki liʻiliʻi, loaʻa i ke kuni, ke anu, a i ʻole kahi ʻeha liʻiliʻi, a me ka manawa e lawe ai iā ia i ke kauka. ʻAʻole anei? I kekahi manawa, ʻaʻole hiki iā ʻoe ke noʻonoʻo inā he mea kēia hiki iā ʻoe ke mālama ma ka home a i ʻole he kūlana e pono ai ka hoʻokipa koke ʻia. ʻO wai ke kauka āu e hele ai? Pono ʻoe e hele i kahi haukapila nui? A i ʻole he kauka ma kou kauhale? He miliona mau nīnau e like me kēia e hiki mai ana i ka noʻonoʻo. Mai makaʻu, mai hopohopo. I kēia lā, e kamaʻilio kākou e pili ana i kekahi o nā mea nui loa āu e pono ai e makaʻala i ka manawa e like me kēia. A laila hiki iā ʻoe ke hana i ka hoʻoholo kūpono me ka ʻole o ka hopohopo.

Āhea ʻoe e kāhea aku ai i kahi lawelawe ambulance ulia pōpilikia (e like me ka Emergency Ambulance Service - 1990)?

ʻO ka mea mua, e nānā kākou i ka mea e hana ai i kahi pilikia maoli, kahi kūlana hoʻoweliweli ola . I loko o ia kūlana, ʻo ka mea maikaʻi loa e hana me ka hoʻokaʻulua ʻole i hoʻokahi kekona, ʻo ia ke kāhea ʻana i kahi lawelawe ambulance ulia pōpilikia e like me 1990 (ma Sri Lanka). ʻIke anei ʻoe i ke kumu? No ka mea, a laila, e hele mai ka ambulance me nā limahana lapaʻau i aʻo ʻia i ka hale a i ʻole kahi o ke keiki a hāʻawi i ke keiki i ka lāʻau lapaʻau maʻamau e pono ai a hiki i ka lawe ʻia ʻana i ka haukapila. ʻAʻole wale kēia e mālama i ka manawa waiwai nui, akā kōkua pū kekahi i ka hoʻopakele ʻana i ke ola o ke keiki. E noʻonoʻo i ka palekana o ka hele ʻana i ka haukapila me nā pono lapaʻau i loko o kahi ambulance ma mua o ka hoʻokomo ʻana i ke keiki i loko o ke kaʻa a holo i ka haukapila.

I nā hihia koʻikoʻi e like me kēia, pono ʻoe e kāhea i kahi ambulance:

• Inā ʻaʻole hanu kāu keiki a paʻakikī paha ka hanu ʻana a ʻike ʻia ko lākou helehelena a me nā lehelehe he polū .
• Inā ua hāʻule ʻoe mai kahi kiʻekiʻe mai, e kuʻi i kou poʻo a nalowale ka ʻike , a i ʻole inā ʻaʻole ʻoe e pane mai i nā kelepona.
• Inā loaʻa iā ʻoe kahi hopu ʻana , ʻo ia hoʻi ke hōʻike koke nei ʻoe i nā hōʻailona e like me ka ʻūlū ʻana o ke kino a me ka nalowale o ka ʻike.
• Inā loaʻa iā ʻoe kahi maʻi ʻaleka koʻikoʻi. Eia kekahi laʻana, inā ʻoe e ʻai i kahi mea, lawe i ka lāʻau lapaʻau, a i ʻole e nahu ʻia e kahi pepeke, e ulu koke nā hives ma kou kino a paʻakikī ke hanu.
• Inā ua haki kahi iwi, e like me ka lima a i ʻole ka wāwae, a ke puka mai nei ka iwi haki mai ka ʻili .
• Inā ua lawe nui ke keiki i kekahi ʻano lāʻau lapaʻau a pila paha, me ka ʻike a me ka ʻike ʻole paha, a ua hiamoe loa ʻo ia a hiki ʻole ke hoʻāla i ke keiki, me he mea lā ua nalowale kona ʻike .
• Inā ua paʻa kekahi mea i loko o kou puʻu a ke pilikia nei ʻoe e hanu .
• Inā ʻaʻole hiki iā ʻoe ke hoʻōki i ke kahe ʻana o ke koko mai kahi ʻeha nui a ʻoki paha.

I ka manawa e like me kēia, ʻoi aku ka naʻauao o ke kāhea ʻana i kahi ambulance ma mua o ka hopohopo a me ka hoʻāʻo ʻana e hana i nā mea hoʻokahi.

Āhea ʻoe e hele ai i ka ʻOihana Pōpilikia (ER)?

ʻO kahi keʻena pilikia, a i ʻole "Emergency Department - ED" ma kahi haukapila nui, a i ʻole "ER" e like me kā mākou e ʻike nei, "Emergency Room", he wahi ia i mākaukau e mālama i nā maʻi koʻikoʻi a me nā ulia pōpilikia. Hiki iā ʻoe ke loaʻa ka lawelawe ma laila i 24 mau hola o ke ao, ke ao a i ʻole ka pō. ʻOiai inā ʻaʻole wikiwiki loa ke kāhea ʻana i kahi ambulance, e like me ka mea i ʻōlelo ʻia ma mua, i nā kūlana koʻikoʻi e pono ai ke kōkua koke ʻana o ke kauka, ʻoi aku ka maikaʻi o ka lawe ʻana i kāu keiki i kahi "ER".

E lawe i kāu keiki i ka ER i kēia mau kūlana:

• Inā pilikia ka hanu ʻana (no ka laʻana, inā e hanu ana lākou, inā ʻōlelo lākou ua paʻa ko lākou umauma, a inā paha e kani ana ka umauma o kahi pēpē liʻiliʻi i nā leo hakahaka i ko lākou hanu ʻana).
• Inā hiamoe nui ke keiki a huikau paha . ʻO ia hoʻi, inā me he mea lā ua make ke keiki a ʻaʻole maopopo iā ia ka mea e ʻōlelo ʻia nei.
• Inā he kuni kou me ka ʻāʻī ʻoʻoleʻa (hiki i kēia ke hōʻailona o kekahi mau maʻi weliweli).
• Inā paʻi wikiwiki ka puʻuwai me ka ʻole o ka pau ʻana, a inā ʻōlelo ke keiki ua nui loa ke kuʻi ʻana o ka umauma.
• Inā ua ʻai (inu, ʻai, a hanu paha ke keiki i kahi lāʻau make, lāʻau lapaʻau i ʻike ʻole ʻia, kemika, a i ʻole kekahi mea ʻē aʻe i ʻike ʻole ʻia .
• Inā he ʻeha nui kou poʻo a hoʻomau i ka luaʻi a i ʻole ua loli kou ʻike.
• Inā ua loaʻa i ka maka kahi ʻeha nui (e.g., ua pa kekahi mea i ka maka, ua ʻū ʻia, a i ʻole ua pīpī ʻia kahi kemika i loko o ka maka).
• Inā he kuni nui kou (ʻoi aku hoʻi inā uhi ia i kahi ʻāpana nui a hohonu paha).

Āhea e kāhea aku ai i kāu kauka ʻohana?

ʻAe, e kamaʻilio kākou e pili ana i nā maʻi maʻamau i loaʻa i nā keiki i kēlā me kēia lā. Inā loaʻa i kāu keiki kahi maʻi maʻamau, a i ʻole kahi pilikia olakino ʻaʻole koʻikoʻi, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio mua me kāu kauka ʻohana, ke kauka e ʻike mau ana i kāu keiki a ua kamaʻāina i ka mōʻaukala olakino o kāu keiki a me nā maʻi ʻaleka. A laila hiki i ke kauka ke haʻi iā ʻoe i ka mea e hana ai ma hope, inā paha he mea hiki iā ʻoe ke hana ma ka home, a inā pono ʻoe e hele mai e ʻike iā ia.

E kamaʻilio me kāu kauka e pili ana i kēia mau mea:

• Kuni : Hiki ke hoʻemi ʻia ke kuni iki ma ka home ma ka hāʻawi ʻana i kahi paracetamol liʻiliʻi a holoi i ke kino me kahi lole pulu. Eia nō naʻe, inā ʻaʻole e emi ke kuni ma hope o ʻelua a ʻekolu paha lā, a inā ʻoluʻolu ʻole ke keiki i ke kuni, a ʻaʻole paha e ʻai a inu paha, pono ʻoe e ʻike i ke kauka.
• ʻEha pepeiao : Inā ʻōhumu ke keiki i ka ʻeha pepeiao, a inā e uē ana kahi pēpē liʻiliʻi i ka wā e hamo ana i ko lākou pepeiao.
• ʻEha ka ʻāʻī : Inā pilikia ʻoe i ka ale ʻana i ka meaʻai, loaʻa iā ʻoe ka ʻeha o ka ʻāʻī.
• ʻeha ka ʻōpūE nānā e ʻike inā he ʻeha ʻōpū maʻamau a i ʻole he ʻeha ʻōpū koʻikoʻi. Inā hoʻomau ia, a inā paha e hele pū me ka luaʻi ʻana, e haʻi i kāu kauka .
• Ka luaʻi ʻana a i ʻole ka maʻi pākī : Inā hoʻomau ia, a inā hōʻole ke keiki e ʻai a inu paha, ʻoi aku ka maikaʻi o ka haʻi ʻana i ke kauka.
• He ʻeha poʻo e mau ana .
• Inā he mau hōʻailona o ka "Possible Dehydration", ʻo ia hoʻi, ua maloʻo ka waha, ua ʻike ʻia ua piholo nā maka, ua like ke keiki me he mea lā ua make, ua emi ka nui o ka mimi, a he melemele ʻeleʻele ka mimi.
• He ʻōhū ʻili .
• Inā ʻoe e hana i kahi leo hū i ka wā e hanu ana (Wheezing) .
• ʻO ka ʻū mau , ʻoi aku hoʻi ka mea e ʻoi aku ka ʻino i ka pō.

ʻIke ʻoe, ke loaʻa iā ʻoe ka lāʻau lapaʻau mai ke kauka hoʻokahi e ʻike mau ana i kāu keiki a ʻike maikaʻi i ka ʻike olakino o kāu keiki, kapa mākou ia he 'hoʻomau o ka mālama' . ʻO ia hoʻi, no ka mea ua ʻike ke kauka i nā mea āpau e pili ana i nā maʻi o kāu keiki ma mua, nā lāʻau lapaʻau, a me nā maʻi ʻaleka, hiki iā ia ke hāʻawi i ka lāʻau lapaʻau maikaʻi loa e kūpono i kāu keiki. ʻAʻole ulu kēia pilina ke hele ʻoe i nā kauka hou. No laila, e hoʻāʻo e ʻike i ke kauka ʻohana o kāu keiki i nā manawa āpau e hiki ai.

I loko o nā kūlana hea e hiki ai iā ʻoe ke hele i kahi kikowaena mālama koke?

E noʻonoʻo ʻaʻole hiki iā ʻoe ke hele i kāu kauka ʻohana, ua pani ʻia kā lākou keʻena, a i ʻole ua pō a i ʻole i ka hopena pule. I kēlā hihia, inā pono kāu keiki i ka mālama wikiwiki, akā ʻaʻole lawa ka koʻikoʻi e hele ai i ka ER, hiki iā ʻoe ke hele i kahi Urgent Care Center. ʻO kēia nā wahi a mākou e ʻike ai i kekahi manawa ma waho aʻe o nā 'channel centers' a i ʻole i hoʻopili ʻia i kekahi mau hale kūʻai lāʻau lapaʻau.

Ma kēia mau kikowaena, hiki iā ʻoe ke loaʻa nā lawelawe like me kāu e loaʻa ai mai kāu kauka ʻohana. Akā e hoʻomanaʻo, ʻaʻole kēia nā wahi me nā pono like me kahi `ER`.

Eia kekahi laʻana, ʻo nā mea e like me ke kiʻi ʻana i nā kukuna X, ka humuhumu ʻana i nā ʻeha liʻiliʻi, a me ke kāʻei ʻana i nā lālā haʻihaʻi a ʻūmiʻi paha e hana pinepine ʻia ma kēia mau wahi.

Hiki ke mālama ʻia nā mea ʻē aʻe e like me kēia ma kahi "Urgent Care Center":

• Nā haki maʻalahi, maʻalahi ʻole.
• Nā kuni liʻiliʻi .
• Nā ʻoki maʻamau.
• Ke wehe ʻana i nā mea e like me nā nila a me nā ʻāpana aniani ke paʻa.
• ʻO nā ʻeha a me nā ʻeha liʻiliʻi ʻē aʻe e pili ana i nā haʻuki.
• Nā ʻōpala liʻiliʻi a me nā nahu liʻiliʻi mai nā holoholona (akā inā nahu ka ʻīlio iā ʻoe a 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 (ke ʻole ka maloʻo ʻana).

He aha ka telehealth? He pōmaikaʻi anei ia no kākou?

I kēia mau lā, me ka holomua o ka ʻenehana, aia kekahi ala maʻalahi a kūpono hoʻi e mālama ai i nā ʻeha liʻiliʻi a me nā maʻi i nā keiki.ʻO Telehealth a i ʻole Telemedicine kahi ʻano hana e hāʻawi ai i ka mālama olakino i ke kauka mai ka ʻoluʻolu o kou home ponoʻī, inā paha ma o kāu kelepona a kamepiula paha. Hiki iā ʻoe ke hoʻohana i kahi polokalamu kūikawā ma kāu kelepona e kamaʻilio me ke kauka he alo a he alo, a hiki i ke kauka ke ʻike iā ʻoe a me kāu keiki a nīnau i nā nīnau.

I nā hihia he nui, hiki i kāu kauka ʻohana a i ʻole ka ʻōnaehana haukapila kahi āu e loaʻa nei ka lāʻau lapaʻau ke hāʻawi i kēia mau lawelawe "Telemedicine". E nānā iā lākou. He nui nā pono o kēia. ʻAʻole pono ʻoe e hele i waho me kāu keiki, ʻaʻole pono ʻoe e noho i ke kaʻa, a ʻaʻole pono ʻoe e hele i nā wahi piha kanaka a hoʻolaha i nā maʻi hou aku.

Hiki iā ʻoe ke noʻonoʻo i ka `(Telehealth)` no nā kūlana liʻiliʻi ʻaʻole pilikia e like me kēia:

• Nā ʻōpala ʻili ( hiki iā ʻoe ke hōʻike i kahi kiʻi i ke kauka no ka ʻōlelo aʻo).
• Nā ʻoki a i ʻole nā ​​kuni liʻiliʻi .
• ʻO ka maʻi maka , ʻo ia hoʻi nā maka ʻulaʻula, e like me ka maneʻo (Pinkeye / Conjunctivitis).
• Anuanu, nā maʻi e like me ka maʻi palū, e like me ka ʻāʻī ʻeha .
• Kuni (akā ma hope o ke kamaʻilio ʻana me kāu kauka a me ka lawe ʻana i kāna ʻōlelo aʻo, ke ʻole he mau hōʻailona koʻikoʻi ʻē aʻe).
• Nā hopena alerika ʻoluʻolu .
• Ka luaʻi ʻana (ke ʻole he koʻikoʻi).
• Ka maʻi kahe (ke ʻole koʻikoʻi).

Akā e hoʻomanaʻo, ʻaʻole maikaʻi ke "Telehealth" no nā maʻi āpau. Inā pono ke kauka e nānā pono i kāu keiki, a inā paha he ʻano koʻikoʻi ke kūlana, e noi ke kauka iā ʻoe e lawe mai i kāu keiki e ʻike iā ia.

ʻO ka mea nui loa e hoʻomanaʻo!

I kēia manawa ua ʻike ʻoe i ka manawa a me kahi e ʻimi ai i ke aʻo lapaʻau no kāu keiki. Akā, aia kekahi mea ʻoi aku ka nui ma mua o kēia mau mea a pau.

ʻO ia hoʻi, inā paha e mālama ʻia kāu keiki ma kahi lumi pilikia (ETU) , kahi kikowaena mālama wikiwiki, a i ʻole ma o ka telemedicine, pono ʻoe e ʻike i kāu kauka ʻohana, ke kauka e ʻike mau ana i kāu keiki, i loko o kekahi mau lā, e wehewehe i ka mea i hana ʻia, a e hōʻike hou i kāu keiki .

Ua kapa ʻia kēia ʻo 'mālama hahai' .

No ke aha he mea nui kēlā?

• ʻO ke ʻano kēia e loaʻa i kāu kauka ʻohana ka ʻike hou loa e pili ana i ke kūlana olakino o kāu keiki a me nā kikoʻī e pili ana i nā lāʻau lapaʻau i loaʻa.
• A laila hiki iā ia ke hoʻomau i ka mālama hou ʻana inā pono, a i ʻole e ʻike inā e holo pono ana ka hoʻōla ʻana o ke keiki.
• I kekahi manawa aia kekahi mau mea ʻē aʻe e pono e hana ʻia ma hope o ka mālama ʻana i ka pilikia. Hiki ke hana ʻia kēlā mau mea ma o kāu kauka ʻohana wale nō.
• Hōʻoia pū kēia i ka 'hoʻomau ʻana o ka mālama' i ʻōlelo ʻia ma mua.

No laila, ke lana nei koʻu manaʻo ma ka hoʻomanaʻo ʻana i kēia mau manaʻo, e loaʻa iā ʻoe kahi ʻike maopopo i ka mea e hana ai ke maʻi kāu keiki me ka ʻole o ka hopohopo. E hoʻomanaʻo mau, inā he kānalua iki a makaʻu paha ʻoe no ka maʻi o kāu keiki, mai kānalua e kāhea i ke kauka a ʻimi i ka ʻōlelo aʻo. ʻO ke olakino o kāu keiki ka mea waiwai nui loa!

Mālama olakino no nā keiki, nā pilikia, nā pediatrics, kauka ʻohana, telehealth, keʻena pilikia, Mālama Urgent, olakino o nā keiki