Ke ulu pono nei kāu keiki liʻiliʻi? E kamaʻilio kākou e pili ana i kēia mau pakuhi ulu!

Aloha! Ke hopohopo iki nei paha ʻoe no ka ulu ʻana o kāu keiki liʻiliʻi , inā paha e ulu pono ana ʻo ia, ʻeā? Ma ke ʻano he makuahine a he makuakāne paha, he mea maʻamau loa ia. No laila, i kēia lā e kamaʻilio mākou e pili ana i kahi mea hana koʻikoʻi loa a nā kauka e hoʻohana ai e ana i ka ulu ʻana o kāu pēpē. ʻO ia hoʻi nā pakuhi ulu, a i ʻole e like me kā mākou e ʻōlelo nei ma ka ʻōlelo Pelekania, `(Growth Charts)`.

He aha kēia mau pakuhi ulu?

I ka ʻōlelo maʻalahi, ʻo kēia mau pakuhi ulu he mau ana i hoʻohana ʻia e nā kauka e ʻike ai i ke kiʻekiʻe a me ke kaumaha o kāu pēpē e hoʻohālikelike ʻia me nā keiki olakino ʻē aʻe o kona mau makahiki. E hoʻomanaʻo, ʻaʻole like ka ulu ʻana o nā keiki a pau. He momona iki kekahi mau keiki, he wiwi kekahi. He kiʻekiʻe kekahi, he pōkole kekahi. He mea maʻamau loa kēia. Nui nā kumu e hoʻopilikia ai i ka ulu ʻana o ke keiki:

• ʻIke Hoʻoilina: He mau mea kēia i hoʻoili ʻia mai nā mākua mai. Inā pōkole iki nā kānaka a pau o ka ʻohana, ua like paha ke pēpē.
• Kāne: Aia kekahi mau ʻokoʻa iki i ke ʻano o ka ulu ʻana o nā keikikāne a me nā kaikamahine.
• ʻAi: He mea nui loa ka ʻai kūpono. ʻO ka hāʻawi ʻia ʻana o ka ʻai kaulike e pili pono ana i ka ulu ʻana o ka pēpē.
• Hana kino: ʻO ka holo ʻana, ka lele ʻana, a me ka pāʻani ʻana he kōkua pū kekahi i ka ulu ʻana.
• Nā kūlana olakino: Hiki i kekahi mau kūlana olakino ke hoʻopilikia i ka ulu ʻana.
• Kaiapuni: He hopena ko ke kaiapuni āu e noho nei i kekahi ʻano.
• Nā Hormones : Hoʻomalu pū nā hormones i loko o ke kino i ka ulu ʻana.

No laila, pehea lā e ʻike pono ai ke kauka inā paha ke kiʻekiʻe a me ke kaumaha o kāu pēpē ma kahi pae "olakino", inā paha e ulu pono ana ʻo ia, a inā paha he pilikia olakino e hoʻopilikia ana i kona ulu ʻana? Kōkua nā pakuhi ulu i ka pane ʻana i kēlā mau nīnau.

No ke aha e hoʻohana ai nā kauka i kēia mau pakuhi ulu?

ʻAʻole kēia he ʻāpana pepa wale nō. Hoʻohana nā kauka i kēia mau memo i kēlā me kēia manawa āu e lawe ai i kāu pēpē i ke keʻena lapaʻau. Aia kekahi mau kumu no kēia:

• E hana i kahi hoʻohālikelike: Hiki iā ʻoe ke ʻike i ke ʻano o ka ulu ʻana o kāu pēpē i ka hoʻohālikelike ʻia me nā keiki ʻē aʻe o kona mau makahiki a me ke kāne like (ʻo ia hoʻi, kāne inā kāne, wahine inā wahine).
• E ʻIke i ke ʻAno Ulu: Hōʻike kēia pakuhi i ke ʻano o ka piʻi ʻana o ke kiʻekiʻe a me ke kaumaha o kāu pēpē i ka hala ʻana o ka manawa, ʻo ia hoʻi, ko lākou ʻano ulu. Hiki iā ʻoe ke ʻike inā e ulu mau ana lākou ma ke ʻano like, a i ʻole he loli koke.
• E nānā no ka ulu kūpono: Hiki i kēia ke hāʻawi iā ʻoe i kahi manaʻo inā he kaumaha kou e kūpono i kou kiʻekiʻe, a i ʻole he kiʻekiʻe kou e kūpono i kou kaumaha.

E noʻonoʻo i kēia: Ua ulu like kāu pēpē no ʻelua mau makahiki, ʻo ia hoʻi, ua piʻi aʻe kona piʻo ulu ma ke ala like. Akā, i nā mahina e hiki mai ana, ua lohi loa kona ulu ʻana ma mua o nā keiki ʻē aʻe, a ʻike maopopo ke kauka i kēia ʻokoʻa ke nānā ʻo ia i kēia pakuhi ulu. A laila, he kōkua nui ia e ʻike ai inā he pilikia olakino.

Loaʻa i kēlā me kēia kanaka ka pakuhi ulu like?

ʻAʻole. ʻAʻole hoʻohana ʻia ka memo like no nā mea āpau.

• Aia nā memo ʻokoʻa no nā kaikamahine a me nā keikikāne no ka mea ulu lākou i nā ʻano a me nā wikiwiki like ʻole.
• He ʻokoʻa nō hoʻi ia ma muli o ka hui makahiki:
• Hoʻokahi set no nā pēpē mai ka hānau ʻana a hiki i 36 mahina (3 makahiki).
• ʻO kekahi set no nā keiki a me nā ʻōpio mai 2 mau makahiki a 20 mau makahiki.
• Nā memo kūikawā no nā keiki me nā pono kūikawā: I kekahi manawa, hoʻohana ʻia nā memo ulu kūikawā no nā keiki me nā kūlana kūikawā, e like me Down syndrome , a i ʻole nā ​​​​pēpē hānau mua .

He aha nā ana no kēia mau memo?

ʻOkoʻa iki nā mea a nā kauka e ana ai ma muli o ka makahiki o ke pēpē.

• Nā pēpē a hiki i 36 mahina (3 makahiki):
• Kaumaha
• Ka lōʻihi (i ana ʻia ka lōʻihi no ka mea ʻaʻole hiki iā ʻoe ke kū)
• Ka Pōʻai o ke Poʻo ( ka ana a puni ka ʻāpana nui loa o ke poʻo)
• No nā keiki makua (2 a 20 mau makahiki):
• Kaumaha
• Kiʻekiʻe (kū i ana ʻia)
• ʻImi Kumu Nui o ke Kino ( BMI ): He helu kūikawā kēia e nānā ai inā he kaumaha olakino kou no kou kiʻekiʻe.

Lawe ʻia kēia mau ana a pau a hōʻailona ʻia ma ka pakuhi e pili ana i ka makahiki a me ke kāne o ka pēpē. ʻO ka mea nui loa, ʻo ia ke nānā i nā ana kaumaha a me ke kiʻekiʻe a hoʻohālikelike iā lāua kekahi i kekahi. A laila wale nō hiki iā ʻoe ke loaʻa kahi kiʻi piha o ka ulu ʻana o ka pēpē.

No ke aha e ana ʻia ai ke anapuni o ke poʻo o nā pēpē liʻiliʻi?

He mea nui loa kēia, ʻoi aku hoʻi no nā pēpē ʻōpio, no ka mea, hiki i ke anapuni o ke poʻo ke hāʻawi i kahi manaʻo o ka ulu ʻana o ko lākou lolo .

• Inā ʻoi aku ka nui a i ʻole ka liʻiliʻi o ke poʻo o ka pēpē ma mua o nā pēpē ʻē aʻe,
• A i ʻole inā e pau koke ke poʻo i ka ulu ʻana, a inā paha e ulu ana ia i ka wikiwiki i hiki ʻole ke noʻonoʻo ʻia,

E noʻonoʻo paha ʻoe inā he pilikia me kēia mau mea.

Eia kekahi laʻana, inā nui loa ke poʻo o kahi pēpē, he hōʻailona paha ia o kahi maʻi i kapa ʻia ʻo "Hydrocephalus." I ka ʻōlelo maʻalahi, ʻo ia hoʻiHe hōʻiliʻili ʻana o ka wai e like me ka wai i loko o ka lolo . Eia kekahi, inā ʻoi aku ka liʻiliʻi o ke poʻo ma mua o ka maʻamau, hiki ke hōʻike ʻia ʻaʻole e ulu pono ana ka lolo, a i ʻole ua oki kona ulu ʻana. ʻO ia ke kumu e lawe mau ʻia ai kēia ana a hiki i 36 mau mahina.

He aha kēia mau percentile?

Ke hele ʻoe i ke kauka, ua lohe paha ʻoe i nā kānaka e ʻōlelo ana i nā mea e like me, "Aia kāu pēpē ma ka 50th percentile" a i ʻole "Aia ʻo ia ma ka 10th percentile." He aha ka "percentile"? I ka ʻōlelo maʻalahi, ʻo ka percentile kahi ana o kahi e hoʻohālikelike ʻia ai kāu pēpē me 100 mau keiki ʻē aʻe o ka makahiki like a me ke kāne. Hōʻike ʻia kēia mau percentile e nā laina piʻo ma ka pakuhi ulu. Ke ana ke kauka i ke kiʻekiʻe a me ke kaumaha o kāu pēpē a kaha iā lākou ma ka pakuhi, hiki iā ia ke ʻike i ka laina percentile e hāʻule ai kēlā mau māka.

• ʻO ke kiʻekiʻe o ka helu percentile, ʻo ka nui aʻe ia, ʻo ia hoʻi, ʻoi aku ka nui o kāu pēpē (i ke kiʻekiʻe a i ke kaumaha) ma mua o nā keiki ʻē aʻe o kona mau makahiki a me kona kāne.
• ʻO ka haʻahaʻa o ka helu percentile, ʻo ka liʻiliʻi o kāu pēpē i hoʻohālikelike ʻia me nā keiki ʻē aʻe.

E nānā kākou i kahi laʻana: E noʻonoʻo i ke kaumaha o kahi keikikāne 4 makahiki ma ka 10th percentile. ʻO ia hoʻi, mai loko mai o 100 mau keikikāne o kona mau makahiki, he 10 (10%) ka emi o ke kaumaha, a ʻo ke koena 90 (90%) ka ʻoi aku ke kaumaha. Akā eia kahi mea nui: ʻO ke kau ʻana ma kahi percentile kiʻekiʻe a haʻahaʻa paha , ʻaʻole ia he manaʻo he maikaʻi ʻole ke keiki, a i ʻole he pilikia ulu a kaumaha paha kona. Pehea inā aia ke keikikāne 4 makahiki ma ka laʻana ma mua ma ka 10th percentile no ke kaumaha, akā aia nō hoʻi ma ka 10th percentile no ke kiʻekiʻe? ʻO ia hoʻi, he 10% o nā keiki o kona mau makahiki he ʻoi aku ka pōkole a me ka māmā ma mua ona. ʻO ke koena 90% he ʻoi aku ke kiʻekiʻe a me ke kaumaha ma mua ona. ʻO ia hoʻi, he ʻuʻuku iki ʻo ia ma mua o ka awelika. Inā like ka nui o kona mau mākua, inā pāʻani maikaʻi ʻo ia, a olakino hoʻi, e hoʻoholo paha nā kauka ʻaʻohe mea e hopohopo ai.

No laila he aha ka percentile kūpono no kaʻu pēpē?

He nīnau kēia a nā makuahine he nui e nīnau ai. ʻO ka ʻoiaʻiʻo, ʻaʻohe helu hoʻokahi e ʻōlelo ana "ʻo kēia ka percentile maikaʻi loa." Loaʻa nā pēpē olakino i nā nui a me nā ʻano like ʻole. Hiki i kahi pēpē ma ka percentile 5 ke olakino like me kahi pēpē ma ka percentile 95.

ʻO ka mea nui loa , ʻo ia ka hahai ʻana o kēlā me kēia keiki i ko lākou ʻano ulu ponoʻī i ka hala ʻana o ka manawa.ʻO ia hoʻi, ulu like ke kiʻekiʻe a me ke kaumaha, ma ke ʻano e kūlike kekahi i kekahi. ʻO ke ʻano maʻamau o kēia, ke hoʻomau nei ke keiki i ka neʻe ʻana ma kahi laina percentile ma ka pakuhi ulu. No laila, inā ʻo ke keiki 4 makahiki i ʻōlelo ʻia ma mua, aia ma ka percentile 10, ua noho ma kēlā laina percentile 10 mai kona wā kamaliʻi, hōʻike kēlā e ulu maikaʻi ana ʻo ia e like me kāna ʻano ponoʻī. He hōʻailona maikaʻi kēlā.

Āhea kākou e akahele iki ai?

Aia kekahi mau ʻano pakuhi ulu e makemake paha ke kauka e nānā pono aku, no ka mea, i kekahi manawa hiki iā lākou ke lilo i hōʻailona o kahi pilikia olakino. Eia kekahi mau laʻana: 1. Inā hāʻule koke kāu keiki a piʻi paha ma luna o kahi laina percentile kiʻekiʻe a kaumaha paha a lākou i hahai ai no kekahi manawa:

• E noʻonoʻo inā aia kāu keiki ma ka 60th percentile no ke kiʻekiʻe a me ke kaumaha a hiki i ko lākou 5 mau makahiki, a laila hāʻule koke i ka 30th percentile i ka makahiki 6. Hiki i kēia ke hoʻāla i nā kānalua no kahi pilikia ulu no ka mea ʻaʻole ke keiki e hahai ana i kā lākou ʻano ulu maʻamau.
• Akā e hoʻomanaʻo, ʻaʻole ia he pilikia mau me nā percentiles. He mea maʻamau ka ʻike ʻana i nā loli i nā percentiles i kekahi mau manawa i ka ulu ʻana o nā keiki he nui, ʻoiai i ka wā kamaliʻi a me ka wā ʻōpiopio , no ka mea, hiki ke ʻokoʻa nā helu ulu mai kekahi keiki a i kekahi keiki.

2. Inā ʻaʻole e piʻi ke kaumaha o ke keiki ma ka wikiwiki like me ka piʻi ʻana o kona kiʻekiʻe (a i ʻole ka ʻaoʻao ʻē aʻe):

• Eia kekahi laʻana, inā aia ke kiʻekiʻe o ke keikikāne ma ka 40th percentile, akā aia kona kaumaha ma ka 85th percentile. ʻO ke ʻano kēia, ʻoi aku kona kiʻekiʻe ma mua o 40% o nā keiki o kona mau makahiki, akā ʻoi aku kona kaumaha ma mua o 85%. Hiki i kēia ke lilo i pilikia i kekahi manawa (ʻoi aku kona kaumaha ma mua o kona kiʻekiʻe).
• Ma ka ʻaoʻao ʻē aʻe, e noʻonoʻo kākou aia ke kiʻekiʻe a me ke kaumaha o ke keiki ma ka 85th percentile, a ua hōʻike like ʻia ke ʻano no ka manawa lōʻihi. I kēlā hihia, hiki ke ʻōlelo ʻia he keiki olakino ʻo ia, akā ʻoi aku ka nui o kona kino ma mua o ka awelika. ʻAʻole ia he pilikia.

Inā he mau nīnau a hopohopo paha kāu e pili ana i ka ulu ʻana o kāu keiki, a i ʻole e pili ana i kēia mau pakuhi ulu, ʻo ka mea maikaʻi loa e hana ai, ʻo ia ke kamaʻilio me kāu kauka. Ua ʻike ʻo ia i ka mōʻaukala olakino o kāu keiki a hiki iā ia ke hāʻawi iā ʻoe i ka ʻōlelo aʻoaʻo pololei loa.

No laila, ka leka lawe home hope loa:

ʻAe, ua kamaʻilio nui mākou e pili ana i kēia mau memo hoʻonui i kēia manawa. ʻO ka mea hope loa, eia kekahi mau mea e hoʻomanaʻo ai:

• He mea hana wale nō nā pakuhi ulu no nā kauka: ʻOiai hiki iā lākou ke hāʻawi i kahi manaʻo maikaʻi o ka ulu ʻana o ke keiki , ʻaʻole lākou e hoʻoholo inā he maʻi ko ke keiki ma muli o kēia wale nō. E noʻonoʻo ke kauka i nā kumu ʻē aʻe he nui.
• Mai nānā wale i hoʻokahi ana:ʻO ka mea nui, ʻo ia ke ʻano ulu holoʻokoʻa o ke keiki i ka hala ʻana o ka manawa. Mai hopohopo inā kiʻekiʻe loa a haʻahaʻa paha kekahi ana i kekahi lā.
• He ʻokoʻa kēlā me kēia keiki: Mai hoʻohālikelike i kāu keiki me nā keiki ʻē aʻe. He ʻokoʻa ka wikiwiki o ka ulu ʻana o kēlā me kēia kanaka a me kona ʻano hoʻoilina .
• E hoʻomanaʻo: ʻAʻole hōʻike nā pakeneka ma kēia mau memo i ka "māka" / "holo" o ke keiki.
• ʻO ka mea nui loa: Inā he kānalua a nīnau paha kāu e pili ana i ka ulu ʻana o kāu keiki, mai ʻimi i ka pūnaewele a hoʻolohe paha i nā lono, akā e kamaʻilio pololei me kāu kauka ʻohana a kauka keiki paha. ʻO lākou ka poʻe maikaʻi loa e hāʻawi iā ʻoe a me kāu pēpē i ka ʻōlelo aʻo kūpono.

Ke makemake nei iā ʻoe a me kāu keiki liʻiliʻi i ke olakino maikaʻi!