Ua maʻi anei kāu pēpē? I ka manawa hea a ma hea ʻoe e ʻimi ai i ke aʻo lapaʻau? (Alakaʻi Mālama Lapaʻau)

Ma ke ʻano he makuahine a makua paha, i kekahi manawa e noʻonoʻo paha ʻoe iā ʻoe iho, "Auē kuʻu akua, pono anei iaʻu e lawe i kaʻu keiki liʻiliʻi i ke kauka i kēia manawa? A i ʻole hiki iaʻu ke kali iki?" He mea maʻamau ka hopohopo iki i nā manawa e like me ia. Akā, he mea nui e ʻike i ka manawa a me kahi e ʻimi ai i ka ʻōlelo aʻo lapaʻau me ka hopohopo ʻole. E kamaʻilio kākou e pili ana i kēia i kēia lā, ʻae?

Āhea mākou e kāhea koke aku ai no ka Suwaseriya 1990?

Aia kekahi mau kūlana, he mea koʻikoʻi maoli nō ia, a ʻaʻole maikaʻi ke hoʻowahāwahā iā lākou me ka manaʻo he mea liʻiliʻi ia. I kēlā kūlana, ma kahi o ka holo wikiwiki ʻana mai ka home i ke kauka me kāu keiki i loko o ke kaʻa, ʻoi aku ka maikaʻi no ke ola o ke keiki e hele i ka haukapila me ke kōkua o nā limahana lapaʻau i aʻo ʻia a me nā pono e pono ai. Ma Sri Lanka, loaʻa iā mākou kahi helu hiki iā mākou ke kāhea aku no ke kōkua me ka hoʻopaneʻe ʻole i kahi kekona i loko o ia pilikia, a ʻo ia ka 1990 Suwaseriya Ambulance Service . He mea nui loa ia e "mālama" i kēia helu i kāu kelepona. No ka mea, inā ʻoe e wikiwiki e ʻimi i ka helu i ka wā pilikia, hiki iā ʻoe ke hoʻonele i ka manawa. I kēia manawa e nānā kākou i nā hihia hea e pono ai mākou e kāhea koke iā 1990 :

• Inā ʻaʻole hanu kāu pēpē, me he mea lā ke paʻakikī nei ke hanu, a i ʻole ke ʻano nei e polū ana , he kūlana weliweli loa kēia.
• Inā hāʻule ke pēpē a nalowale ka ʻike , hiki ke hana inā kuʻi lākou i ko lākou poʻo i ka wā e pāʻani ana.
• Inā loaʻa koke i kahi pēpē kahi maʻi ʻōʻili , ʻo ia hoʻi ke haʻalulu nei ko lākou kino, ke neʻe nei ko lākou mau lālā, a hiki paha iā lākou ke nalowale ka ʻike.
• Inā loaʻa iā ʻoe kahi hopena maʻi koʻikoʻi , e like me kekahi mau meaʻai, nā lāʻau lapaʻau, a i ʻole nā ​​​​​​ʻā pepeke, hiki iā ʻoe ke ʻike i nā hōʻailona e like me ka paʻakikī o ka hanu ʻana, nā hives, a me ka pehu ʻana o ka waha a me nā lehelehe.
• Inā haki kahi iwi a me he mea lā e puka ana i waho o ka ʻili , he ʻeha nui loa nō hoʻi kēia.
• Inā ua lawe nui ke pēpē i kekahi ʻano lāʻau lapaʻau, kahi mea i ʻike ʻole ʻia, a i kēia manawa ua paʻakikī ke hoʻāla iā ia ʻoiai inā ʻoe e kamaʻilio me ia .
• Inā he mea i paʻa i loko o ka puʻu o ke pēpē a pilikia ʻo ia i ka hanu ʻana .
• Inā ʻaʻole hiki iā ʻoe ke hoʻōki i ke kahe ʻana o ke koko mai kahi ʻeha nui .

I ke kūlana e like me kēia, mai hopohopo. E kelepona koke iā 1990. E hele koke mai lākou iā ʻoe, e hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo maʻamau āu e pono ai.

Āhea mākou e lawe pololei ai i ka pēpē i ka Emergency Treatment Unit (ETU) o ka haukapila?

ʻO kahi lumi pilikia o ka haukapila, i ʻike ʻia hoʻi ʻo ER (Emergency Room), a i ʻole ED (Emergency Department), he wahi ia e hiki ai iā ʻoe ke mālama koke i nā maʻi koʻikoʻi a me nā ulia. Loaʻa lākou i nā hola 24 o ke ao, i ke ao a i ka pō paha, e hana i nā kūlana e hoʻoweliweli ana i ke ola.I kēia mau hihia, ʻoi aku ka maikaʻi o ka lawe pololei ʻana i kāu pēpē i ka lumi pilikia o ka haukapila:

• Inā pilikia ʻoe i ka hanu ʻana (akā ʻaʻohe hoʻoweliweli koke e kāhea iā 1990, akā me he mea lā koʻikoʻi ke kūlana).
• Inā hiamoe loa ke pēpē, a i ʻole ke kamaʻilio ʻana a i ʻole ke ʻano ʻē, ua kapa ʻia ia he '(huikau)'.
• Inā loaʻa iā ʻoe ke kuni me ka ʻāʻī ʻoʻoleʻa e paʻakikī ai ke hoʻohuli i kou ʻāʻī i kekahi ʻaoʻao , hiki i kēia ke hōʻailona o kahi maʻi ʻoi aku ka koʻikoʻi, e like me ke kuni o ka lolo.
• Inā manaʻo kou puʻuwai e kuʻi mau ana me ka leo nui .
• Inā manaʻo ʻoe ua inu ʻoe i kahi mea ʻawahia, kahi lāʻau lapaʻau i ʻike ʻole ʻia, a i ʻole kekahi mea ʻē aʻe kūpono ʻole .
• Inā ʻoe e kuʻi i kou poʻo a luaʻi i ka manawa like , he hōʻailona kēia ua hana ʻia kekahi mea i loko o kou poʻo.
• Inā ua ʻeha nui ka maka . He ʻāpana koʻikoʻi loa ka maka.
• Inā he ʻeha nui ka lapalapa ahi .

E hoʻomanaʻo, ʻo ka hana wikiwiki ʻana i ka manawa e like me kēia e hiki ai ke hoʻopakele i ke ola o ke keiki a pale paha i nā pilikia olakino lōʻihi.

No laila, i ka manawa hea e kāhea aku ai mākou i kā mākou kauka ʻohana?

Inā he pilikia olakino liʻiliʻi kāu me kāu keiki, a inā makemake ʻoe e ʻike e pili ana i kahi mea i like ʻole me he pilikia nui lā, akā he kānalua a makaʻu paha kou, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka maʻamau a kahu maʻi paha i ʻike maikaʻi i kāu keiki. Hiki iā ia ke ʻōlelo iā ʻoe, "E hana kākou i kēia," "E nānā kākou i kēia," a i ʻole "ʻAʻole, pono kākou e nānā i kēia, e hoʻi koke mai." E noʻonoʻo, inā hele mau ʻoe i ke kauka hoʻokahi, e ʻike ʻo ia i nā maʻi o kāu keiki, nā lāʻau lapaʻau i hāʻawi ʻia iā ia ma mua, a me kona mōʻaukala olakino maikaʻi loa. I ka lāʻau lapaʻau, kapa mākou i kēia 'hoʻomau ʻana o ka mālama.' ʻO ia hoʻi ka hoʻomau ʻana i ka loaʻa ʻana o ka lāʻau lapaʻau mai kahi mea i ʻike maikaʻi iā ʻoe a me kāu keiki. He mea nui loa kēia, no ka mea, a laila e pale ʻia nā hoʻāʻo pono ʻole a me nā lāʻau lapaʻau pono ʻole, a ʻoi aku ka holomua o ka lāʻau lapaʻau. Eia kekahi mau kūlana maʻamau, akā hopohopo, e kamaʻilio me kāu kauka e pili ana:

• Inā he kuni (ʻoi aku hoʻi i nā pēpē ʻōpio, pono ʻoe e makaʻala e pili ana i ke kuni).
• Inā ʻeha kou pepeiao .
• ʻO ka ʻāʻī ʻeha .
• ʻEha ʻōpū .
• Inā loaʻa iā ʻoe ka luaʻi a i ʻole ka maʻi pākī .
• Inā ʻoe e hōʻike ana i nā hōʻailona o ka make wai (waha maloʻo, emi ʻana o ka mimi, nā maka i piholo).
• Inā he ʻulaʻula kou ma kou kino.
• Inā ʻoe e hana i kahi leo wheezing i kou hanu ʻana (wheezing) .
• Inā ua loaʻa ka ʻū no kekahi mau lā.

I nā manawa e like me kēia, ke kaukaHe mea naʻauao ke kamaʻilio a me ka ʻimi ʻana i ka ʻōlelo aʻo.

Inā ʻaʻole hiki iā mākou ke ʻike i kā mākou kauka, hiki iā mākou ke hele i kahi kikowaena mālama wikiwiki?

E noʻonoʻo ʻaʻole hiki iā ʻoe ke hele i kāu kauka, ua pani ʻia kāna keʻena lapaʻau, a i ʻole ke lōʻihi nei ka manawa e loaʻa ai kahi manawa, akā ke paʻakikī nei kāu pēpē. He aha kāu e hana ai? I kēlā kūlana, hiki iā mākou ke noʻonoʻo i kahi 'Urgent Care Center' . ʻO kēia nā ʻano keʻena lapaʻau like a kāu kauka maʻamau e ʻike ai, akā he ʻoi aku ka nui o nā pono hana. No ka laʻana, hiki i kekahi mau wahi ke hana i nā mea e like me nā X-ray , nā humuhumu no nā ʻeha liʻiliʻi, a me nā splints no nā lālā haʻihaʻi. ʻAʻole nui a kūikawā kēia mau mea e like me ka ʻoihana pilikia (ER) o kahi haukapila lehulehu nui. Akā he wahi maikaʻi lākou e loaʻa ai nā pono hana a me nā lawelawe ma mua o kahi 'keʻena lapaʻau' maʻamau, ʻoi aku hoʻi no nā pilikia ʻaʻole pono e kali lōʻihi akā ʻaʻole hoʻoweliweli i ke ola. Loaʻa i kekahi mau haukapila pilikino ma Sri Lanka nā keʻena outpatient 24-hola (OPD) a i ʻole nā ​​​​​​ʻāpana lapaʻau pilikia liʻiliʻi (ETU) . Eia kekahi mau mea hiki iā ʻoe ke hele i kahi Urgent Care Center:

• Nā haki maʻalahi (nā mea i haki ʻole ma o ka ʻili).
• Nā kuni liʻiliʻi .
• Nā ʻoki (ʻaʻole nui loa, hiki ke kaohi i ke kahe ʻana o ke koko).
• E wehe i nā mea ʻoi e like me nā kākalaioa ke paʻa lākou .
• ʻO nā ʻeha a me nā ʻeha liʻiliʻi ʻē aʻe e pili ana i nā haʻuki.
• Nā ʻeha liʻiliʻi o ke nahu ʻana o nā holoholona (ʻoi aku hoʻi mai nā ʻīlio a me nā pōpoki).
• Nā mea e like me ke kuni, ka ʻeha o ka ʻōpū, ka luaʻi, ka maʻi kahe, a me nā mea ʻē aʻe, ke hiki ʻole iā ʻoe ke hele i kāu kauka.

ʻAʻole hiki iā ʻoe ke kamaʻilio me ke kauka ma ke kelepona a loaʻa ka lāʻau lapaʻau? (E aʻo kākou e pili ana i ka Telehealth)

ʻO kekahi pono nui a mākou i loaʻa i kēia manawa me ka ʻenehana ʻo ia ka 'Telehealth' . Kāhea pū kekahi poʻe i kēia ʻo 'Telemedicine' . I ka ʻōlelo maʻalahi, he ala kēia no ʻoe e kamaʻilio ai me ke kauka mai kou home, me ka hoʻohana ʻana i kāu kelepona a i ʻole 'kamepiula', malia paha ma o kahi kelepona wikiō, e hōʻike i kāu keiki, e wehewehe i nā hōʻailona, ​​a loaʻa i ka ʻōlelo aʻoaʻo lapaʻau. He mea pono loa kēia no nā maʻi liʻiliʻi e like me nā ʻeha liʻiliʻi, ke anu, a me ke kuni i kāu keiki, a i ʻole i ka wā paʻakikī ke hele i ke kauka. Akā e hoʻomanaʻo, ʻaʻole hana kēia no nā kūlana koʻikoʻi . Hiki iā ʻoe ke nānā inā hāʻawi ke kauka āu e hele mau ai a i ʻole ka ʻōnaehana haukapila kahi āu e loaʻa nei i ka mālama ʻana i nā lawelawe '(Telemedicine)'. Hiki paha iā ʻoe ke loaʻa i kēia lawelawe ma kā lākou 'pūnaewele' a i ʻole ma o kahi 'app'. ʻO kekahi mau kūlana e hiki ke mālama ʻia ma o 'Telemedicine':

• ʻEczema a me nā ʻulaʻula ma ke kino.
• LiʻiliʻiNā ʻoki a i ʻole nā ​​kuni.
• ʻO ka maʻi maka (pinkeye / conjunctivitis) .
• Anuanu .
• Kuni (ke ʻole e hele pū me nā hōʻailona koʻikoʻi ʻē aʻe).
• Nā hopena alerika ʻoluʻolu .
• Ka luaʻi ʻana, ka maʻi pākī (ke ʻole ka maloʻo ʻana).

No laila, e hoʻomanaʻo kākou iā kākou iho i ka mea a kākou i kamaʻilio ai?

ʻAʻole anei he mea nui loa ka ʻike i ka mea e hana koke ai a me kahi e hele ai i ka wā e maʻi ai kāu pēpē, me ka hopohopo ʻole?

Inā he kānalua kāu, inā hopohopo ʻoe no ka 'ʻAʻole au i ʻike i ke ʻano o kēia, pono anei au e ʻike i ke kauka a i ʻole', ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke ʻimi i ka ʻōlelo aʻo lapaʻau. Ua ʻōlelo ʻia i ka wā e pili ana i nā maʻi o nā keiki ʻōpio, ua maikaʻi ke akahele nui.

Eia kekahi, inā ʻoe e lawe i kāu keiki i ka ER, Urgent Care, a i ʻole ma o telemedicine, e hōʻoia e hahai me kāu kauka ʻohana ma hope. Hiki iā ia ke hōʻano hou i ka ʻike olakino o kāu keiki a hāʻawi i ka lāʻau lapaʻau hou a i ʻole ka nānā ʻana inā pono. Ma kēia ala, hiki iā ʻoe ke hāʻawi i ka mālama olakino maikaʻi loa no kāu keiki.