Ke kuha nei kāu keiki liʻiliʻi ma hope o ka inu ʻana i ka waiū? Ke makaʻu nei ʻoe i ka wā e like ai ka waiū e puka mai ana me ka waiū ʻūlū? He mea maʻamau loa ia no ka makuahine a makua kāne hou ke hopohopo ke ʻike lākou i kahi mea e like me kēia. Akā, mai hopohopo. Inā e piʻi maikaʻi ana ke kaumaha o kahi pēpē, e pāʻani hauʻoli ana, a ʻaʻohe hōʻailona ʻē aʻe o ka maʻi, ʻo ka kuha ʻana i ka waiū e like me kēia, ʻaʻohe mea e hopohopo ai. E ʻike kākou i nā mea hou aʻe e pili ana i kēia i kēia lā.
He aha kēia pēpē e kuha nei? (Baby Spit-up)
ʻO ka "Spit-up" ka wā e hoʻi hou mai ai nā mea o loko o ka ʻōpū o ka pēpē i loko o ka puʻu i nā mahina mua o ke ola. ʻOiai ʻo ka meaʻai nui a nā pēpē ka waiū umauma a i ʻole ka waiū waiū, he keʻokeʻo kēia kuha. Akā i kekahi manawa ua like ia me ka waiū ʻūlū.
Aia kekahi kumu kūpono no kēia. E noʻonoʻo, inā e kuha ana kahi pēpē i ka waiū ma hope koke o ka inu ʻana, ua like ia me ka waiū maʻamau. Akā inā ʻoe e kuha i waho i kekahi manawa ma hope o ka inu ʻana, a laila ua hui pū ka waiū me ka waikawa o ka ʻōpū o ka pēpē. E like me ka wā e hoʻokomo ai mākou i kekahi mau ʻalani i loko o ka waiū, e hū ka waiū, e hoʻohū ka waikawa o ka ʻōpū i ka waiū. No laila, ʻaʻole ia he mea e makaʻu ai inā e puka mai ia e like me ka waiū hū, ʻo ia hoʻi ua noho ka waiū i loko o ka ʻōpū no kekahi manawa.
ʻO ka mea nui loa, ʻo ia ka ʻike i ka ʻokoʻa ma waena o ke "kuha ʻana" a me ka " luaʻi ʻana ." He hana lohi a akahai ka kuha ʻana. Hāʻule ia i ka papahele kokoke i ke kino o ka pēpē. Akā, he hana ikaika a hou ka luaʻi ʻana . Hiki ke lilo i hōʻailona o ka maʻi. Inā e luaʻi ana kāu pēpē, e ʻike koke i ke kauka.
No ke aha e luaʻi ai nā pēpē liʻiliʻi i ka waiū e like me kēia?
ʻO ke kumu nui o kēia, ʻaʻole i hoʻomohala piha ʻia nā ʻōnaehana hoʻoheheʻe o nā pēpē. I ka ʻōlelo maʻalahi, aia kahi apo ʻiʻo e hana ana e like me ka puka ma waena o kā mākou paipu meaʻai (esophagus) a me ko mākou ʻōpū (ʻōpū). Kāhea mākou i kēia ʻo 'lower esophageal sphincter (LES).' I nā pākeke, ua pani paʻa ʻia kēia puka, no laila ʻaʻole e hoʻi hou mai nā mea o loko o ka ʻōpū.
Akā, ʻaʻole i lawa ka ikaika o ka ʻiʻo LES i nā pēpē ʻōpio. No laila, ke piha ka ʻōpū ma hope o ka inu ʻana i ka waiū, ʻaʻole paha e pani pono kēia puka a hiki ke piʻi hou mai kekahi waiū. Eia kekahi, he liʻiliʻi loa nā ʻōpū o nā pēpē a piha koke.
I ka hapanui o ka manawa, manaʻo nā mākua ua hiki i ke keiki keUa ʻōlelo ʻia ua ninini nui ʻia ka waiū. Ke ʻike ʻoe i kahi waiū liʻiliʻi i ninini ʻia ma ka papahele a i ʻole kahi ʻōpala waiū ma kou lole, he nui ke ʻano. Akā, he liʻiliʻi loa ka nui e puka mai ana. E noʻonoʻo, inā ʻoe e ninini i kahi punetune wai ma luna o ka papa ʻaina, pehea ka nui o kona ʻano ke pālahalaha ʻia. Pēlā nō ia me kēia.
Nā ala e hōʻemi ai i ka kuha ʻana o ke pēpē
Inā e luaʻi mau ana kāu pēpē i ka waiū a makemake ʻoe e hoʻēmi iā ia, hiki iā ʻoe ke hoʻāʻo i kekahi o kēia mau mea:
- Kūlana hānai waiū: I ka wā e hānai waiū ai, e hānai i kāu pēpē i ke kūlana pololei me kona poʻo i luna iki aʻe ma mua o kona kino.
- E hānai mālie: Ma kahi o ka hānai ʻana i ka nui i ka manawa hoʻokahi, e hānai pinepine i nā mea liʻiliʻi.
- ʻO ke kuʻi ʻana : Ma hope a i ka wā o ka hānai ʻana, e paʻa i kāu pēpē ma kou poʻohiwi a pā mālie i ko lākou kua e hoʻāʻo ai e kuʻi. Hiki i kēia ke kōkua i ka hoʻokuʻu ʻana i kekahi o ka ea keu i loko o ka ʻōpū o ka pēpē a hōʻemi i ka hoʻokuʻu ʻia ʻana o ka waiū. Eia nō naʻe, ua hōʻike kekahi mau noiʻi hiki i ka kuʻi ʻana ke hoʻonui i ka hoʻokuʻu ʻia ʻana o ka waiū i kekahi mau pēpē. No laila, e hana i ka mea e pono ai no kāu pēpē.
- Inā ʻoe e hānai ana i kāu pēpē me ka waiū waiū: Inā ʻoe e hānai ana i kāu pēpē me ka waiū waiū, hiki ke hoʻomaikaʻi ʻia kēia kūlana ke hoʻololi ʻoe i kahi waiū waiū ʻē aʻe. Akā e kamaʻilio me kāu kauka ma mua o ka hana ʻana pēlā.
- Inā ʻoe e hānai waiū ana: Inā he makuahine hānai waiū ʻoe, e akahele iki i kāu mea e ʻai ai. Ua ʻike kekahi mau makuahine i ka wā e hoʻopau ai lākou i ka waiū a me nā huahana waiū mai kā lākou meaʻai, e emi ana ka hana waiū o kā lākou pēpē. E kamaʻilio pū me kāu kauka e pili ana i kēia.
He mea nui loa: Inā haʻi aku kekahi iā ʻoe e hoʻohuli i kāu pēpē e hiamoe ma ko lākou ʻōpū no ka mea e piʻi mai ana ka waiū, mai hahai i kēlā ʻōlelo aʻoaʻo. He mea nui ka hoʻomoe mau ʻana i nā pēpē ma ko lākou kua e pale aku iā lākou mai ke kūlana weliweli i ʻike ʻia ʻo Sudden Infant Death Syndrome (SIDS).
Āhea ʻoe e ʻike ai i ke kauka?
I ka hapa nui o ka manawa, he mea maʻamau ka kuha ʻana o ke pēpē. Eia nō naʻe, i kekahi mau hihia, hiki ke lilo i hōʻailona o kahi maʻi koʻikoʻi. No laila, e makaʻala i nā hōʻailona ma lalo nei. Inā ʻike ʻoe i kekahi o kēia mau mea, e ʻike koke i ke kauka.
Hiki i kekahi mau pēpē ke loaʻa i kahi maʻi i kapa ʻia ʻo ka maʻi reflux gastroesophageal (GERD). He ʻoi aku ka koʻikoʻi o kēia ma mua o ka reflux maʻamau. Inā ʻaʻole mālama ʻia, hiki iā ia ke alakaʻi i nā pilikia.
| Nā hōʻailona hōʻike e makaʻala ai a e ʻimi i ke aʻo lapaʻau | |
|---|---|
| ʻAno | Wehewehena |
| Ke kala o ka luaʻi | Inā he koko i loko o ka waiū āu e kahe nei, a inā he ʻōmaʻomaʻo a melemele paha ke ʻano. |
| ʻAno o ka luaʻi | Inā like ka luaʻi me ka ʻōpala kope . |
| Ka hōʻole ʻana i ka meaʻai | Inā hōʻole loa ka pēpē e inu i ka waiū. |
| ʻAʻole e piʻi ke kaumaha | Inā ʻaʻole e piʻi pono ana ke kaumaha o ka pēpē a i ʻole e emi ana ke kaumaha. |
| Nā hiʻohiʻona ʻē aʻe | Inā loaʻa i ka pēpē ka ʻū mau a i ʻole ka paʻakikī o ka hanu ʻana . Inā palaualelo a hiamoe mau ka pēpē. |
| Nā hoʻololi ʻē aʻe | Inā hoʻomaka koke kāu pēpē e luaʻi i ka waiū ma hope o 6 mahina, inā he koko i loko o kā lākou ʻōpala , a inā paha e emi koke ana ka nui o nā diapers pulu i kēlā me kēia lā. |
Inā ʻike ʻoe i kekahi o kēia mau hōʻailona, mai manaʻo he mea maʻamau ia. Pono paha ʻoe e lawe i kāu pēpē i ka Emergency Treatment Unit (ETU) o ka haukapila. No laila e ʻimi koke i ke kōkua lapaʻau.
Leka Lawe-Home
- He mea maʻamau loa ia no ka hapa nui o nā pēpē olakino ke kuha iki ma hope o ka hānai ʻana.
- ʻIke ʻia ka waiū e puka mai ana he "wai" no ka mea ua hui pū ʻia me nā waikawa i loko o ka ʻōpū. ʻAʻohe mea e hopohopo ai.
- E hoʻomaopopo i ka ʻokoʻa ma waena o ka "kuha" lohi a me ka "luaʻi" ikaika. E ʻimi i ke kōkua lapaʻau inā luaʻi.
- E hoʻomoe mau i kāu pēpē ma ko lākou kua. He mea nui kēia e hōʻemi i ka pilikia o ka Sudden Infant Death Syndrome (SIDS).
- Inā ʻike ʻoe i kekahi mau hōʻailona e like me ke koko i loko o kou luaʻi, nā ʻōpala ʻōmaʻomaʻo/melemele, ka pohō kaumaha, a i ʻole ka paʻakikī o ka hanu ʻana, e ʻike koke i kāu kauka me ka hoʻokaʻulua ʻole.
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