ʻAʻole hiki ke hōʻike ʻia ka hauʻoli o ka makuahine a makua paha i ka wā e loaʻa ai kahi pēpē hou, ʻeā? I ka manawa like, hiki i nā mea liʻiliʻi loa ke hoʻoulu i ka makaʻu nui. E makaʻu kekahi inā ʻike lākou he melemele iki ke kino o kā lākou keiki liʻiliʻi a me nā keʻokeʻo o ko lākou mau maka. Kāhea mākou i kēia ʻo 'Jaundice'. He mea maʻamau kēia ʻano i waena o nā pēpē i hānai ʻia me ka waiū umauma wale nō. No laila, i kēia lā, e kamaʻilio kākou e pili ana i kēia jaundice e kū mai ana i ka wā e hānai waiū ana , ʻo ia hoʻi, 'Breast Milk Jaundice' .
He aha maoli ka jaundice?
I ka ʻōlelo maʻalahi, ʻaʻole he maʻi ka jaundice, he hōʻailona ia o kahi maʻi. Hiki mai kēia ʻano ke piʻi ka nui o ka pigment melemele i kapa ʻia ʻo bilirubin i loko o ko kākou koko.
E noʻonoʻo e pili ana i ia mea, he ola ko nā hunaola koko ʻulaʻula i loko o ko kākou kino. Ke make kēia mau hunaola, ke wāwahi lākou, hana ʻia kahi mea i kapa ʻia ʻo bilirubin. He hana maʻamau kēia. A laila lawe ko kākou ake i kēia bilirubin a hana iā ia ma ke ʻano e hiki ai ke hoʻokuʻu ʻia mai ke kino. A laila haʻalele ia i ke kino me nā ʻōpala.
Akā, ʻaʻole i ulu piha ke akepaʻa o kahi pēpē hānau hou. No laila, i kekahi manawa, ʻaʻole hiki ke hana koke ʻia kēia bilirubin a lawe ʻia mai ke kino. A laila, hōʻiliʻili kēlā bilirubin melemele i loko o ke koko a waiho ʻia ma nā wahi e like me ka ʻili o ka pēpē a me nā keʻokeʻo o nā maka. ʻO ia ka mea a mākou e kapa nei he jaundice.
He mea maʻamau no kahi 6 a 8 o 10 mau pēpē hānau hou ke loaʻa i kekahi kekelē o ka jaundice. Ua kapa ʻia kēia ʻo 'Physiologic Jaundice'. E emi iho ia i loko o kekahi mau lā.
ʻO ka mea nui loa, ʻaʻole e hoʻōki i ka hānai ʻana i kāu pēpē no ka mea he jaundice kona. ʻO ka meaʻai a me ka hydration i hāʻawi ʻia e ka waiū umauma e kōkua nui i kāu pēpē e hoʻōla mai kēia maʻi.
He aha nā kumu o ka Jaundice o ka waiū umauma?
ʻAʻole ʻike ʻia ke kumu kikoʻī o kēia, akā manaʻoʻiʻo nā kauka he mea i loko o ka waiū o ka makuahine e hoʻolohi i ka hiki o ke pēpē ke wāwahi i ka bilirubin. He mea hoʻoilina paha ia, ʻo ia hoʻi, ua hoʻoili ʻia ma o nā hanauna.
Pono kākou e makaʻala i ʻelua ʻano jaundice e loaʻa ana i nā pēpē hānai waiū.
| ʻAno o ka jaundice | Wehewehena |
|---|---|
| ʻO ka jaundice hānai waiū (ma muli o ka lawa ʻole o ka waiū umauma) | Hana ʻia kēia ke loaʻa ʻole i ka pēpē ka waiū umauma lawa, ʻoiai i nā lā mua. Ke emi ka waiū, emi ka neʻe ʻana o ka ʻōpū o ka pēpē. A laila hoʻihoʻi ʻia ka bilirubin i loko o ke koko ma kahi o ka hoʻokuʻu ʻia ʻana. Hana pinepine ʻia kēia i loko o ka pule mua ma hope o ka hānau ʻana. |
| ʻO ka Jaundice o ka waiū umauma (ma muli o kahi ʻāpana o ka waiū umauma) | Hana ʻia kēia i ka wā e hoʻolohi ai kahi mea i loko o ka waiū umauma i ka haki ʻana o ka bilirubin. Hoʻomaka pinepine kēia ma kahi o hoʻokahi pule ma hope o ka hānau ʻana o ka pēpē, a hiki ke mau no 3 a 4 mau pule, a i ʻole 2 a 3 mau mahina . ʻAʻole kēia he kūlana weliweli. |
ʻO nā kumu ʻē aʻe e hoʻonui ai i ka pilikia o ka jaundice
- Hānau mua ʻole: ʻO nā pēpē i hānau mua ʻia he emi ka hiki ke wehe i ka bilirubin no ka mea ʻaʻole i ulu maikaʻi ko lākou ake.
- ʻO ke kūlike ʻole o ke ʻano koko ma waena o ka makuahine a me ka pēpē: Inā ʻo ke ʻano koko o ka makuahine ʻo O a ʻo ke ʻano koko o ka pēpē ʻo A a i ʻole B, a inā he Rh maikaʻi ʻole ka makuahine (-) a he Rh maikaʻi (+) ka pēpē, hiki i nā antibodies i hana ʻia i loko o ke kino o ka makuahine ke luku i nā hunaola koko ʻulaʻula o ka pēpē. Hiki i kēia ke hoʻonui i nā pae bilirubin.
- Hoʻonui ʻia ka helu o nā hunaola koko ʻulaʻula i ka wā hānau: ʻO ka nui o nā hunaola koko ʻulaʻula, ʻoi aku ka nui o ka bilirubin i hana ʻia ke wāwahi ʻia.
- Nā pilikia hoʻoilina: ʻO kekahi mau kūlana hoʻoilina e hiki ai i nā hunaola koko ʻulaʻula ke haki maʻalahi (fragile).
He aha nā hōʻailona o kēia? Pehea ʻoe e ʻike ai?
ʻO ka hōʻailona nui a maopopo loa, ʻo ia ka melemele o ka ʻili a me ke keʻokeʻo o nā maka. Hoʻomaka kēia melemele ma ka maka a laila hiki ke laha i ka umauma , ka ʻōpū, a ma hope loa i nā wāwae.
Ke piʻi aʻe ka nui o ka bilirubin, hiki ke ʻike ʻia nā hōʻailona ʻē aʻe:
- Ke hōʻike nei i ka hiamoe nui aʻe ma mua o ka maʻamau.
- Ka paʻakikī a i ʻole ka makemake ʻole e inu i ka waiū.
- Uē pinepine a hana paha me ka huhū .
- Manaʻo palaka.
Penei ke ʻano e ʻike ai inā he jaundice ka pēpē.
I kekahi manawa he mea paʻakikī iki ke ʻike i ke kala melemele o kahi pēpē me ka ʻili ʻeleʻele. I kēlā mau hihia, e hoʻāʻo i kēia: Ma kahi i hoʻomālamalama maikaʻi ʻia, e hoʻopā i ka ʻili o kāu pēpē me kou manamana lima.E hoʻāʻo e kaomi i kou lima ma kou lae a i ʻole kou ihu. Inā e melemele ka ʻāpana ma kahi o ka lilo ʻana i keʻokeʻo a hoʻi i kona kala maʻamau ke hoʻopā ʻoe iā ia, he jaundice paha ia .
Pono ʻoe e ʻike i ke kauka?
ʻO ka maʻamau, e hoʻōla wale ʻia ka jaundice o ka waiū umauma. Eia nō naʻe, i kekahi mau hihia, pono e ʻimi i ke aʻo lapaʻau. Inā he kānalua iki kou, mai kānalua e ʻike i ke kauka.
E hōʻoia e hoʻomaopopo i ke kauka i nā hihia aʻe:
- Inā ʻaʻole hānai maikaʻi ka pēpē i ka waiū.
- Inā maʻi ke ʻano a hana paha o ke pēpē.
- Inā ʻoe e hiamoe nui ana ma mua o ka maʻamau.
- Inā ʻike ʻia ka ʻino o ka melemele (no ka laʻana, inā e pālahalaha ana i nā wāwae).
- Inā he keʻokeʻo ka ʻōpala o ke pēpē a he melemele ʻeleʻele/ʻeleʻele paha ka mimi.
E nānā ke kauka i ka pēpē a, inā pono, e kauoha paha i kahi hoʻāʻo koko e nānā i ka pae bilirubin i loko o ke koko. I kekahi manawa, hiki ke hoʻohana ʻia kahi mīkini kukui e ana i nā pae bilirubin ma ka hoʻomālamalama ʻana i kahi kukui kūikawā ma ka ʻili.
Pehea e mālama ʻia ai?
E like me kaʻu i ʻōlelo ai ma mua, hoʻopau pinepine ʻia ka Jaundice o ka waiū umauma me ka ʻole o ka lāʻau lapaʻau. Pono wale nō ka lāʻau lapaʻau inā ʻoi aku ka kiʻekiʻe o nā pae bilirubin o ka pēpē ma mua o nā pae palekana i ʻōlelo ʻia e nā kauka.
Hoʻoholo ʻia ka lāʻau lapaʻau ma muli o nā kumu e like me:
- Ka makahiki o ka pēpē.
- Ua hānau mua ʻia anei ke pēpē?
- ʻO ka wikiwiki e piʻi ai nā pae bilirubin.
- ʻO ke ʻano o ka hānai waiū ʻana o ka pēpē a me ke kūlana olakino.
Inā kiʻekiʻe loa ka bilirubin, hoʻohana ʻia nā lāʻau lapaʻau penei:
- Phototherapy: ʻO kēia ke ʻano hana i hoʻohana pinepine ʻia. Maanei, ua hōʻike ʻia ke pēpē i kahi kukui polū kūikawā, me nā maka wale nō i uhi ʻia. Hiki i kēia kukui ke hoʻololi i ke ʻano o nā molekole bilirubin, e ʻae ana iā lākou e maʻalahi ke hoʻokuʻu ʻia mai ke kino ma ka mimi a me ka ʻōpala.
- Ka noho ʻana i ka wai maikaʻi (Nā Wai): ʻO ka hānai waiū maikaʻi ʻana i kāu pēpē a i ʻole ka hāʻawi ʻana iā ia i nā wai ʻē aʻe e like me ke kuhikuhi a kāu kauka, inā pono, e kōkua i ka wikiwiki o ka wehe ʻana o ka bilirubin mai ke kino.
- Intravenous Immunoglobulin (IVIG): Hāʻawi ʻia kēia i nā pēpē i loaʻa i ka jaundice ma muli o ke kūlike ʻole o ke ʻano koko ma waena o ka makuahine a me ke pēpē. He pana kēia i hāʻawi ʻia ma o kahi aʻa koko.
- Hoʻololi Koko: He hana kakaikahi loa kēia. Inā piʻi nui ka pae bilirubin no ka hoʻomalu ʻia, e wehe mālie ʻia ke koko o ka pēpē a hoʻololi ʻia me ke koko kūpono. Hana ʻia kēia e pale aku i ka hōʻino ʻana o ka lolo i ka wā pilikia.
Mai hopohopo ke haʻi aku kekahi iā ʻoe he jaundice kāu pēpē. He mea maʻamau loa ia i nā pēpē hānau hou. Me ka mālama pono ʻana a me ka nānā ʻana o ke kauka, hiki ke ho'ōla loa ʻia. ʻO ka mea nui loa, ʻo ia ka hilinaʻi i kāu kauka a hahai i kāna mau kuhikuhi.
Leka Lawe-Home
- ʻO ka jaundice o ka waiū umauma he ʻano maʻamau, a ʻaʻole ia he mea weliweli, hiki ke loaʻa i nā pēpē hānai waiū.
- ʻO ke kumu o kēia ma muli o kahi ʻāpana i loko o ka waiū umauma, ʻaʻole ma ka ʻoiaʻiʻo he "maikaʻi ʻole" ka waiū umauma. Mai ho'ōki i ka hānai waiū no kekahi kumu me ka ʻole o ke aʻo lapaʻau.
- Inā piʻi aʻe ka jaundice o kāu pēpē, lilo i palaualelo, a emi paha ka lawe ʻana i ka waiū, e kāhea koke aku i kāu kauka.
- I ka manawa pinepine, nalo aku kēia maʻi i loko o kekahi mau pule a i ʻole mau mahina me ka ʻole o ka lāʻau lapaʻau.
- Inā he kānalua a makaʻu paha kou, mai kānalua e kūkākūkā me kāu kauka.
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