Ka lā ʻoki o kāu keiki

Hoʻonohonoho ʻia kāu keiki e ʻokiʻoki. E aʻo e pili ana i ka mea e kali ai i ka lā o ke ʻoki ʻana i mākaukau ʻoe. Inā lawa ka makua e hoʻomaopopo, hiki iā ʻoe ke kōkua iā lākou e hoʻomākaukau pū kekahi.

E hōʻike ke keʻena o ke kauka iā ʻoe i ka manawa e hiki ai ʻoe i ka lā ʻoki. Kakahiaka paha kēia.

• Inā keʻoki liʻiliʻi kāu keiki, e hoʻi kāu keiki i ka hale ma hope i ka lā like.
• Inā he ʻoki koʻikoʻi kāu keiki, e noho kāu keiki ma ka haukapila ma hope o ke kaha ʻana.

E kamaʻilio pū ka hui anesthesia a me nā ʻoki kino me ʻoe a me kāu keiki ma mua o ke kaha ʻana. Hiki paha iā ʻoe ke hui me lākou i kahi manawa i hoʻopaʻa ʻia ma mua o ka lā o ke ʻoki a i ka lā o ke ʻoki ʻana. E hōʻoia i ke olakino a maikaʻi o kāu keiki no ke ʻoki ʻana:

• E hōʻoia i ke kiʻekiʻe, kaupaona, a me nā hōʻailona nui o kāu keiki.
• E nīnau e pili ana i ke olakino o kāu keiki. Inā maʻi kāu keiki, kali paha nā kauka a ʻoi aku ka maikaʻi o kāu keiki e hana i ke ʻoki.
• E ʻike e pili ana i nā lāʻau a kāu keiki e lawe ai. E haʻi iā lākou e pili ana i nā kuhikuhi, over-the-counter (OTC), a me nā lāʻau lapaʻau.
• Hana i kahi hoʻokolohua kino i kāu keiki.

No ka hoʻomākaukau ʻana i kāu keiki no ke ʻoki ʻana,

• E noi iā ʻoe e hōʻoia i ka wahi a me ke ʻano o kāu ʻoki kino o kāu keiki. E hōʻailona ke kauka i ka pūnaewele me kahi māka kūikawā.
• E kamaʻilio me ʻoe e pili ana i ka anesthesia a lākou e hāʻawi ai i kāu keiki.
• E kiʻi i nā hoʻokolohua lab e pono ai kāu keiki. Loaʻa paha i kāu keiki i ke koko a noi ʻia paha e hāʻawi i kahi laʻana mimi.
• E pane i kāu nīnau. Lawe mai i ka pepa a me ka peni e kākau i nā memo. E nīnau e pili ana i kāu ʻoki kino o kāu keiki, ka hoʻōla ʻana, a me ka mālama ʻeha ʻana.

E kau inoa ʻoe i nā pepa ʻae a me nā palapala ʻae no kāu ʻoki poepoe a kāu keiki. Lawe mai i kēia mau mea iā ʻoe:

• Kāleka ʻinikua
• Kāleka ʻike
• ʻO nā lāʻau i nā ʻōmole kumu
• Nā hihi X a me nā hopena hōʻike

E hoʻomākaukau no ka lā.

• Kōkua i kāu keiki e palekana a palekana. Lawe mai i kahi mea pāʻani punahele, holoholona i ukuhi ʻia, a i ʻole ʻūke. E lepili i nā mea mai ka home me ka inoa o kāu keiki. E waiho i nā mea waiwai i ka home.
• E pīpī ka lā o ke kaha ʻana no kāu keiki a me ʻoe. Ke manaʻo nei e lawe ʻia kāu ʻoki a kāu keiki me ka lā holoʻokoʻa.
• Mai hana i nā hoʻolālā ʻē aʻe no ka lā o ke ʻoki ʻana.
• E hoʻonohonoho i ka mālama keiki ʻana i kāu poʻe keiki ʻē aʻe i kēlā lā.

E hōʻea i ka manawa i ke keʻena ʻoki.

E hoʻomākaukau ka kime ʻoki kino i kāu keiki no ka hana:

• Loaʻa paha i kāu keiki i kahi lāʻau lāʻau e kōkua ai i kāu keiki e hoʻomaha a hiamoe.
• E kali ʻoe me kāu keiki i kahi keʻena kali a mākaukau ke kauka maʻi no kāu keiki.
• Makemake nā kauka a me nā kahu hānai e hōʻoia i ka palekana o kāu keiki i nā manawa āpau. E hana lākou i nā loiloi palekana. E manaʻo iā lākou e nīnau iā ʻoe: ka inoa o kāu keiki, ka lā hānau, ke ʻoki a kāu keiki e hana nei, a me ka ʻāpana o ke kino e hana ʻia nei.

Mai lawe i ka meaʻai a inu paha i loko o ka wahi pre-op. ʻAʻole ʻai a inu paha nā keiki ʻokiʻoki. ʻOi aku ka maikaʻi no lākou e ʻike ʻole ai i ka meaʻai a me nā mea inu.

Hāʻawi i kāu keiki i ka ʻapo a honi. Hoʻomaopopo i kāu keiki e hiki koke ana ʻoe i laila ke ala lākou.

Inā noho ʻoe me kāu keiki i ka hoʻomaka ʻana o ka anesthesia, ʻo ʻoe:

• E hoʻokomo i nā lole lumi lumi kūikawā.
• E hele pū me ke kahu a me kāu keiki i loko o ka lumi lumi (OR).
• E hele i kahi e kali ai ma hope o ka hiamoe o kāu keiki.

I ka OR, e hanu kāu keiki i ka lāʻau hiamoe (anesthesia).

ʻO ka maʻamau, ma hope o ka hiamoe o kāu keiki, e hoʻokomo ke kauka i kahi IV. I kekahi manawa pono e hoʻokomo ʻia ka IV ma mua o ka hiamoe o kāu keiki.

Hiki iā ʻoe ke kali ma kahi e kali nei. Inā pono ʻoe e haʻalele, hāʻawi i kāu helu kelepona i nā limahana i ʻike lākou i ke ala e hiki aku ai iā ʻoe.

E ala ana mai ka anesthesia:

• Ma hope o ke kaha ʻana, hele kāu keiki i ka lumi hoʻōla. Ma laila e nānā pono ai nā kauka a me nā kahu hānai i kāu keiki. Ke pau nei ke anesthesia, e ala aʻe kāu keiki.
• ʻAe paha ʻoe e hele i loko o ka lumi hoʻōla ke hoʻomaka kāu keiki e ala. Inā ʻae ʻia kēia, e kiʻi mai ke kahu iā ʻoe.
• E ʻike he hiki i nā keiki ke ala aʻe mai ka anesthesia ke uē nui a huikau. He mea maʻamau kēia.
• Inā makemake ʻoe e paʻa i kāu keiki, e noi i nā kahu maʻi e kōkua mai iā ʻoe i kēia. Pono ʻoe i kōkua me nā lako hana a pehea e paʻa ai kāu keiki me ka ʻoluʻolu.

Ke neʻe nei i waho o ka lumi hoʻōla:

• Inā hele kāu keiki i ka hale i ka lā like, e kōkua ʻoe iā lākou e ʻaʻahu. Ke inu paha kāu keiki i nā wai, hiki paha iā ʻoe ke hoʻi i ka home. Lana ka luhi o kāu keiki. Hiamoe nui paha kāu keiki i ke koena o ka lā.
• Inā noho kāu keiki i ka haukapila, e hoʻoneʻe ʻia kāu keiki i kahi keʻena haukapila. E nānā ke kahu ma laila i nā hōʻailona koʻikoʻi o kāu keiki a me ka pae ʻeha. Inā ʻeha kāu keiki, e hāʻawi ka kahu i kāu keiki i lāʻau ʻeha a me nā lāʻau ʻē aʻe e pono ai kāu keiki. Paipai pū kekahi kahu wahine i kāu keiki e inu inā ʻae ʻia kāu keiki e loaʻa nā wai.

ʻOki kino lā like - keiki; ʻOki kino hoʻokalakupua - keiki; Ke kaʻina hana - keiki

ʻO Boles J. Ke hoʻomākaukau nei i nā keiki a me nā ʻohana no nā kaʻina hana a i ʻole ke ʻoki ʻana. Kahuna Pediatr. 2016; 42 (3): 147-149. PMID: 27468519 pubmed.ncbi.nlm.nih.gov/27468519/.

ʻO Chung DH. ʻOki kino Pediatric. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 66.

Neumayer L, Ghalyaie N. Nā loina o ke ʻoki mua a me ka hana. I: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ʻO Sabiston Textbook of Surgery: Ke kumu kumu olaola o ka hana ʻoki ʻana o kēia ao. 20 ouk. Piladelapia, PA: Elsevier; 2017: chap 10.

• Ma hope o ke kaha
• ʻO ke olakino kamaliʻi
• ʻOki kino