Aloha! Ua ʻike mākou e hoʻāʻo mau ana ʻoe e hāʻawi i ka mea maikaʻi loa i kāu keiki liʻiliʻi. I kekahi manawa manaʻo mākou he nui nā pono o kahi mea kūlohelohe e like me ka meli no nā pēpē. Akā, ua ʻike anei ʻoe he mea weliweli ka hāʻawi ʻana i ka meli i nā pēpē ma lalo o hoʻokahi makahiki? I kēia lā, e kamaʻilio mākou e pili ana i ke kumu o kēia hana, a me nā mea e pono ai mākou e ʻike e pili ana i kēia.
He aha ka "Infant Botulism"?
I ka ʻōlelo maʻalahi,
he maʻi laha ʻole akā weliweli loa ka botulism pēpē e hiki ke hoʻopilikia i nā pēpē ma lalo o hoʻokahi makahiki. Hoʻokumu ʻia ia e kahi bacteria i kapa ʻia ʻo Clostridium botulinum. Hiki ke loaʻa nā ʻāpana liʻiliʻi e like me ka hua o kēia bacteria, i kapa ʻia
he spores , i loko o ka meli. He liʻiliʻi loa kēia mau spores a ʻike ʻole ʻia e ka maka ʻōlohelohe. Loaʻa lākou i ke kaiapuni a me ka lepo. Ke hōʻiliʻili nā pi i ka nectar, hiki ke hoʻohui ʻia kēia mau spores i ka meli.
Ua ulu maikaʻi ka ʻōnaehana hoʻoheheʻe o kahi pākeke a i ʻole ke keiki ma luna o hoʻokahi makahiki e hana me kēia mau spores. No laila, ʻaʻohe o lākou pilikia me ka meli. Eia naʻe,
ʻaʻole i ulu piha ka ʻōnaehana ʻōpū o kahi pēpē ma lalo o hoʻokahi makahiki. No laila, ke komo kēia mau spores bacteria Clostridium i loko o ka ʻōpū o ka pēpē, ulu lākou a hoʻomaka e hana i kahi toxin. Hoʻopilikia kēlā toxin i ka ʻōnaehana nerve o ka pēpē, hoʻonāwaliwali i nā ʻiʻo, a hoʻoulu i kēia maʻi i kapa ʻia ʻo Infant Botulism.
He aha nā hōʻailona e kū mai inā hāʻawi ʻia ka meli i kahi pēpē liʻiliʻi?
I kēia manawa, ke noʻonoʻo nei paha ʻoe, "Pehea ʻoe e ʻike ai inā hana ʻia kekahi mea e like me ia?" Inā loaʻa i kahi pēpē kahi maʻi i kapa ʻia ʻo infant botulism ma hope o ka hāʻawi ʻia ʻana o ka meli, ʻike pinepine ʻia nā hōʻailona ma lalo nei i loko o kekahi mau lā (i kekahi manawa he 12 mau hola, a i ʻole ʻelua pule). ʻO lākou:
- Paʻakikī omo: Ua kānalua loa ka pēpē e omo mai ka ʻōmole a i ʻole e omo mai ka makuahine. ʻAʻole ʻo ia e omo maikaʻi, a nāwaliwali kāna omo ʻana.
- Uē nāwaliwali: Ua nāwaliwali loa a make ke uē o ka pēpē. ʻO kahi pēpē i uē nui ma mua ua hoʻomaka koke e uē mālie.
- Paʻa ʻōpū : ʻAʻole paha e neʻe ka ʻōpū o kāu pēpē no kekahi mau lā. Inā paha e neʻe lākou, e paʻakikī loa ia a e lohi. ʻO kēia paha kekahi o nā hōʻailona mua o kēia maʻi.
- Palupalu: Manaʻo ka kino o ke pēpē he palupalu ke hoʻopā ʻia. Hiki ke palupalu nā lālā, e like me ka pēpē ʻōpala. He mea paʻakikī paha ke hoʻopaʻa pololei i ke poʻo.
- Paʻakikī ka hanu ʻana :He hōʻailona weliweli loa kēia. Lohi ka hanu ʻana, a i ʻole me he mea lā e hanu ana ʻoe me ka paʻakikī.
- Ka emi ʻana o ka helehelena: E nalowale paha ka ikaika a me ka minoʻaka o ka maka o ke pēpē, a e ʻike ʻia hoʻi he luhi.
- Paʻakikī ke ale ʻana i ka meaʻai: Me he mea lā ua lilo i mea paʻakikī ke ale i ka waiū, a ke liki nei paha ka lawai.
He mea nui: Inā hōʻike kāu pēpē i hoʻokahi a ʻoi aku paha o kēia mau hōʻailona, ʻoi aku hoʻi i loko o kekahi mau lā o ka hāʻawi ʻana i ka meli , pono ʻoe e ʻike koke i ke kauka. He pilikia paha kēia.
No ke aha he palekana ka meli no nā keiki ma luna o hoʻokahi makahiki a me nā pākeke?
He mea nui nō hoʻi kēia. Ma hope o hoʻokahi makahiki, ua ulu maikaʻi
ka ʻōnaehana hoʻoheheʻe o nā keiki. Kiʻekiʻe nō hoʻi ka nui o
nā bacteria maikaʻi/flora ʻōpū i loko o ko lākou ʻōpū. Hoʻēmi kēia mau bacteria maikaʻi i ka manawa kūpono o kēlā mau spores Clostridium e ulu ana i loko o ka ʻōpū a hana i nā mea ʻawahia. Eia kekahi, kiʻekiʻe ka wikiwiki o ka neʻe ʻana o ka meaʻai. No laila, ua hoʻopau ʻia kēlā mau spores mai ke kino ma mua o ko lākou hana ʻana i nā mea ʻawahia. Pēlā nō hoʻi no nā pākeke. ʻO ia ke kumu e ʻōlelo ai mākou
ʻaʻohe pilikia i ka hāʻawi ʻana i ka meli i nā pēpē ma hope o hoʻokahi makahiki . Eia naʻe, e like me nā mea āpau, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i ka meli me ke kaulike.
He meli wale nō anei? Pono anei kākou e makaʻala i nā meaʻai ʻē aʻe?
Ke kamaʻilio nui nei mākou e pili ana i kēia pilikia e pili ana i ka meli. Eia nō naʻe,
hiki i kekahi mau meaʻai i hana ʻia ke loaʻa pū ka meli. Eia kekahi laʻana:
- Nā ʻano piskiki i hana ʻia me ka meli (e.g. nā crackers meli graham)
- ʻO kekahi mau huahana berena (e like me nā keke, muffins)
- ʻO kekahi mau ʻano yogurt momona
- Kekahi mau meaʻai palaoa
- Kekahi mau mea ʻono
No laila, inā ʻoe e hāʻawi ana i kāu pēpē (ma lalo o 1 makahiki) i kekahi mea mai ka hale kūʻai,
e heluhelu pono i ka papa inoa o nā mea hoʻohui e ʻike ai inā he meli. ʻO kekahi mea ʻē aʻe ʻo ia ka
"corn syrup" . Aia kekahi kānalua e loaʻa paha i kekahi mau syrups kulina māmā a ʻeleʻele nā spores Clostridium. Eia naʻe, ʻaʻole i hōʻoia maopopo ʻia kēia e like me ka meli. Eia nō naʻe,
no nā kumu palekana, he mea naʻauao ke hāʻawi ʻole i ka syrup kulina i nā pēpē ma lalo o 1 makahiki me ka ʻole o ke aʻo ʻana a ke kauka. Pehea e hiki ai iā ʻoe ke pale i kāu pēpē mai ka pilikia o ka infant botulism?
He mea maʻalahi loa kēia.
- ʻO ka mea nui: Mai hāʻawi i kāu pēpē i ka meli ma kekahi ʻano a hiki i kona makahiki hoʻokahi. ʻAʻole iki iki. No ka sopa (ʻO ke wili ʻana i loko o ka pacifier , ke kāwili ʻana i loko o ka lāʻau lapaʻau, ka hoʻohui ʻana i ka meaʻai - ʻaʻole loa.
- Mai hāʻawi i ka meli, ʻoiai inā ua kapa ʻia ʻo "kūlohelohe" a "maka" paha, no ka mea, ʻaʻole lawa ka pasteurization maʻamau e pepehi i kēia mau spores bacteria .
- E heluhelu pono i ka lepili o nā meaʻai ma nā meaʻai i hoʻomākaukau ʻia āu e hāʻawi ai i kāu pēpē.
- E hōʻoia e wehewehe pono i kēia i kou ʻohana a me ka poʻe mālama i ke pēpē. I kekahi manawa, ʻoiai no ka naʻaupō, hiki ke hana hewa, ʻeā?
He aha kāu e hana ai inā hāʻawi hewa ʻoe i kāu pēpē i ka meli?
E noʻonoʻo ʻoe ua hāʻawi ʻoe i kāu pēpē i ka meli me ka ʻike ʻole a ma hope ua ʻike ʻoe ua hāʻawi kekahi o kou ʻohana iā ʻoe. Inā hana ʻia kēlā, mai hopohopo. 1.
ʻO ka mea mua, e ʻike pono i ka nui a me ka manawa i hāʻawi ʻia ai. 2.
E nānā pono i kāu pēpē no nā lā e hiki mai ana (ma kahi o 2 pule). E nānā inā loaʻa kekahi o nā hōʻailona i ʻōlelo ʻia ma mua (e like me ka makemake ʻole e omo, ka luhi, ka paʻa ʻana o ka ʻōpū, ka loli o ka uē ʻana). 3.
Inā he kānalua iki kou a ʻike paha i kekahi mau hōʻailona, e ʻike koke i ke kauka. E haʻi pū i ke kauka ua loaʻa i kāu pēpē ka meli. ʻO ka hapa nui o ka manawa, ʻaʻole nā pēpē a pau e loaʻa i kēia maʻi no ka mea ua loaʻa iā lākou kahi liʻiliʻi. Akā, ʻaʻole ia he manaʻo maikaʻi e hoʻāʻo, ʻeā?
No laila, he aha kāu e hāʻawi ai i kāu pēpē ma kahi o ka meli e ʻono ai?
ʻO kaʻoiaʻiʻo, ʻaʻole pono nā pēpē ma lalo o hoʻokahi makahiki i nā mea ʻono i hoʻohui ʻia. Loaʻa maoli i ka waiū umauma a me ka waiū waiū ka ʻono a lākou e pono ai. Ma hope o 6 mahina, i ka wā e hoʻolauna ʻia ai nā meaʻai paʻa, hāʻawi nā hua i kuʻi ʻia (e like me ka maiʻa, avocado, mango) i kahi ʻono maoli. ʻOi aku ka maikaʻi no nā pēpē ʻōpio e hōʻemi i ke kō i hoʻohui ʻia i ka hiki.
ʻO ka mea hope loa, ʻo ka mea nui loa e hoʻomanaʻo!
ʻAe, no laila mai kā mākou i kūkākūkā ai, pono e maopopo iā ʻoe ke kumu ʻaʻole maikaʻi ka hāʻawi ʻana i ka meli i nā pēpē ma lalo o hoʻokahi makahiki. I ka hōʻuluʻulu manaʻo:
- Mai hāʻawi i ka meli i kāu pēpē a hiki i kona makahiki hoʻokahi. ʻO kēia ka mea nui loa.
- Hana mākou i kēia e pale aku iā lākou mai kahi maʻi weliweli akā hiki ke pale ʻia i kapa ʻia ʻo Infant Botulism.
- Ma hope o hoʻokahi makahiki o kāu pēpē, hiki iā ʻoe ke hoʻolauna mālie i ka meli i kāu pēpē.
- Inā he mau nīnau a kānalua paha kāu e pili ana i ke olakino a i ʻole ka ʻai a kāu pēpē , mai hilahila a makaʻu paha e nīnau i kāu kauka ʻohana a kauka keiki paha.
Ke lana nei ko mākou manaʻo a pau e olakino a hauʻoli kāu keiki liʻiliʻi!
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