Ke kuha nei - mālama iā ʻoe iho

ʻO ka kuha ʻana ka mea maʻamau me nā pēpē. E kuha paha nā pēpē i ka wā e ʻai ai a i ʻole me kā lākou drool. ʻAʻole pono ke kuha i kāu pēpē i nā pilikia. ʻO ka hapanui o nā pēpē e hōʻoki i ka kuha ʻana ma kahi o 7 a 12 mau makahiki paha.

Ke kuha nei kāu pēpē no ka mea:

• ʻAʻole hiki ke hoʻomohala piha ʻia ka mākala ma ka piko o kou ʻōpū. No laila ʻaʻole hiki i ka ʻōpū o ke pēpē ke hoʻopaʻa i ka waiū.
• Pīpī paha ka pahu i lalo o ka ʻōpū. No laila piha ka ʻōpū a puka ka waiū.
• E inu wikiwiki paha kāu pēpē i ka waiū, a lawe i ka nui o ka ea i ke kaʻina. Hoʻopiha kēia mau hua lewa i ka ʻōpū a puka ka waiū.
• ʻO ke kumu hānai nui ke kumu e hoʻopiha ai kāu pēpē, no laila e piʻi mai ka waiū.

ʻO ka kuha pinepine ʻana ma muli o ka mālama pono ʻole i ka haʻina a i ʻole ka maʻi āpau i kekahi mea i ka papaʻai o ka makuahine hānai.

Inā olakino kāu pēpē, hauʻoli, a ke ulu maikaʻi nei, ʻaʻole pono ʻoe e hopohopo. ʻO nā pēpē e ulu maikaʻi nei e loaʻa pinepine iā 6 auneke (170 gram) i kēlā me kēia pule a he pulu pulu ma ka liʻiliʻi ma kēlā me kēia 6 hola.

I mea e hōʻemi ai i ka kuha ʻana iā ʻoe hiki:

• Burp i kāu pēpē i nā manawa he nui i ka manawa a ma hope o ka hānai ʻana. Noho pēlā i ka pēpē me kou lima e kākoʻo ana i ke poʻo. E hoʻokuʻu iki i ka pēpē, e kūlou ma ka pūhaka. Pākuʻi mālie i ke kua o kāu pēpē. (ʻO ke kau ʻana i kāu pēpē ma luna o kou poʻohiwi e hoʻokau i ka ʻōpū. ʻOi aku paha kēia i ke kuha ʻana.)
• E hoʻāʻo e hānai me hoʻokahi umauma wale nō ma ka hānai ʻana i ka wā e hānai ana.
• E hānai pinepine i ka nui o nā haʻilula. Hōʻalo i nā nui i ka manawa hoʻokahi. E nānā pono ʻaʻole nui ka lua o ka nipple i ka hānai ʻana o ka ʻōmole.
• E kū pololei i kāu pēpē no 15 a 30 mau minuke ma hope o ka hānai ʻana.
• Hōʻalo i kahi neʻe nui i ka wā a ma hope koke o ka hānai ʻana.
• E hoʻokiʻekiʻe iki i ke poʻo o nā pēpē pēpē i hiki i nā pēpē ke hiamoe me ko lākou mau poʻo i luna iki.
• E kamaʻilio me kāu pēpē mālama olakino e pili ana i ka hoʻāʻo ʻana i kahi ʻano ʻokoʻa a i ʻole ka wehe ʻana i kekahi mau meaʻai mai kaʻai a ka makuahine (ka waiū o ka bipi pinepine).

Inā ikaika ka kuha o kāu pēpē, kāhea i ka mea hāʻawi i kāu pēpē. Makemake ʻoe e hōʻoia i ka loaʻa ʻole o kāu pēpē stenosis pyloric, kahi pilikia kahi paʻa loa ka pahu i lalo o ka ʻōpū a pono e hoʻoponopono.

E kāhea pū i kāu mea hāʻawi inā e uē pinepine kāu pēpē i ka wā a ma hope paha o ka hānai ʻana a i ʻole pinepine ʻole e hoʻomaha ʻia ma hope o ka hānai ʻana.

• Ke kuha nei
• ʻO ke kūlana burping pēpē
• Kuha ana ka pēpē

ʻO Hibbs AM. ʻO ka reflux Gastrointestinal a me ka motility i ka neonate. I: Martin RJ, Fanaroff AA, Walsh MC, hua. ʻO Fanaroff lāua ʻo Martin's Neonatal-Perinatal Medicine. 11th hua. Piladelapia, PA: Elsevier; 2020: chap 82.

Maqbool A, Liacouras CA. Nā phenomena o ka digestive maʻamau. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 331.

Noel RJ. ʻO ka luaʻi a me ka regurgitation. I: Kliegman RM, Lye SP, Bordini BJ, Toth H, Basel D, nā hua. ʻO Diagnosis Hōʻike Hōʻikeʻike Pediatric Nelson. Piladelapia, PA: Elsevier; 2018: chap 12.

• Reflux i nā pēpē