Nā kūkākūkā NICU a me nā limahana kākoʻo

ʻO ka NICU kahi ʻāpana kūikawā i ka haukapila no nā pēpē i hānau ʻia ma mua o ka wanaʻao, a i ʻole he maʻi maʻi koʻikoʻi ʻē aʻe. ʻO ka hapa nui o nā pēpē i hānau mua ʻia e pono ai ka mālama kūikawā ma hope o ka hānau ʻana.

Kūkākūkā kēia ʻatikala i nā mea kūkākūkā a me nā limahana kākoʻo e pili paha i ka mālama ʻana o kāu pēpē e pili ana i nā pono olakino kikoʻī o kāu pēpē.

AUDIOLOGIST

Hoʻomaʻamaʻa ʻia kahi audiologist e hoʻāʻo i ka pepeiao o ka pēpē a hāʻawi i ka mālama ʻana i ka poʻe me nā pilikia hoʻolohe. ʻO ka hapa nui o nā keiki hānau hou ua hoʻopaʻa ʻia ko lākou lohe ma mua o ka haʻalele ʻana i ka haukapila. E hoʻoholo kāu poʻe mālama ola i kahi hōʻike hoʻolohe maikaʻi loa. Hiki ke hana ʻia nā hoʻolohe hoʻolohe ʻana ma hope o ka haʻalele ʻana i ka haukapila.

CARDIOLOGIST

He kauka kauka lāʻau lapaʻau i loaʻa ka hoʻomaʻamaʻa kūikawā i ka hōʻailona a me ka mālama ʻana i ka maʻi puʻuwai a me nā kīʻaha koko. Hoʻomaʻamaʻa ʻia nā psyatric cardiologists e hana me nā pilikia puʻuwai hānau hou. Hiki i ke kauka meaola ke nānā i ka pēpē, kauoha i nā hoʻokolohua, a heluhelu i nā hopena hōʻike. Hiki i nā hoʻāʻo ke kuhikuhi i nā ʻano puʻuwai ke komo pū:

• X-ray
• Electrocardiogram (ECG)
• ʻEchocardiogram
• ʻO ka catheterization Cardiac

Inā ʻaʻole maʻamau ke ʻano o ka puʻuwai ma muli o kahi kīnā o ka hānau ʻana, hana pū paha kahi mea maʻi puʻuwai me kahi kaukipō maʻi maʻi e hana i ka ʻoki ʻana ma ka puʻuwai.

KEKAHI CARDIOVASCULAR

ʻO ke kaukipō maʻi puʻuwai (puʻuwai) kahi kauka i hoʻomaʻamaʻa kūikawā i ka hana ʻoki ʻana e hoʻoponopono a mālama ai i nā kīnā o ka puʻuwai. Hoʻomaʻamaʻa ʻia nā kaukipō maʻi pēpē Pediatric e hana me nā pilikia puʻuwai hānau hou.

I kekahi manawa, hiki i ke kahakaha ke hoʻoponopono i kahi pilikia puʻuwai. I nā manawa ʻē aʻe, ʻaʻole hiki ke hoʻoponopono piha a hana ʻia ke kaha ʻana e hana wale ka puʻuwai e like me ka hiki. E hana pū ka mea ʻokiʻoki me ke kauka lāʻau e mālama pono i ka pēpē ma mua a ma hope o ke kaha ʻana.

DERMATOLOGIST

He kauka he dermatologist he hoʻomaʻamaʻa kūikawā i nā maʻi a me nā kūlana o ka ʻili, ka lauoho, a me nā kui. Noi paha kēlā kauka e nānā i kahi ʻeha a i ʻole ʻili lesiona ma luna o kahi pēpē i ka haukapila. I kekahi mau hihia, lawe paha ka dermatologist i kahi laʻana o ka ʻili, i kapa ʻia he biopsy. E hana pū paha ka dermatologist me ka pathologist e heluhelu i nā hopena biopsy.

PEDIATRICIAN HOU

ʻO kahi pediatrician hoʻomohala kahi kauka i hoʻomaʻamaʻa kūikawā ʻia e hōʻoia a mālama i nā pēpē i loaʻa ka pilikia i ka hana ʻana a nā keiki ʻē aʻe o kā lākou mau makahiki. Loiloi pinepine kēia ʻano kauka i nā pēpē i hoʻi i ka home mai ka NICU a e kauoha a hana paha i nā hoʻokolohua hoʻomohala. Hiki i ke kauka ke kōkua iā ʻoe e ʻike i nā kumuwaiwai e kokoke ana i kou home e hāʻawi ai i nā therapies e kōkua ai i nā pēpē a me nā keiki i ka hālāwai ʻana me nā mile holomua. Hana pili pono nā pediatricians hoʻomōhala me nā kahu hānai, nā limahana limahana, nā mea hoʻoponopono kino, a me kekahi manawa nā neurologists.

DIETITIAN

He hoʻomaʻamaʻa kūikawā kahi dietitian i ke kākoʻo meaʻai (hānai). Hiki paha i kēia ʻano mea hoʻolako ke loea i ka mālama pono pilikino pediatric (keiki). Kōkua ka poʻe Dietitians i ka hoʻoholo inā lawa ka nui o ka momona o kāu pēpē, a koi paha i kekahi mau koho o ka meaʻai hiki ke hāʻawi ʻia ma o ke koko a i ʻole kahi paipu hānai.

ENDOCRINOLOGIST

ʻO kahi endocrinologist pediatric kahi kauka me ka hoʻomaʻamaʻa kūikawā i ka ʻike a me ka mālama ʻana i nā pēpē me nā pilikia hormone. Nonoi ʻia paha nā endocrinologists e ʻike i nā pēpē i loaʻa nā pilikia me ka pae o ka paʻakai a i ʻole ke kō i ke kino, a i ʻole he mau pilikia me ka ulu ʻana o kekahi mau gland a me nā mea moekolohe.

GASTROENTEROLOGIST

He kauka gastroenterologist pediatric kahi kauka me ka hoʻomaʻamaʻa kūikawā i ka ʻike a me ka mālama ʻana i nā pēpē me nā pilikia o ka ʻōnaehana digestive (ʻōpū a me nā ʻōpū) a me ke ake. E noi ʻia paha kēia ʻano kauka e ʻike i kahi pēpē i loaʻa i ka digestive a i ʻole nā ​​pilikia ate. ʻO nā hoʻāʻo ʻana, e like me nā kukuna x, nā hoʻāʻo o ka hana ate, a i ʻole nā ​​ultrasounds ʻōpū.

GENETICIST

ʻO kahi genistist kahi kauka me ka hoʻomaʻamaʻa kūikawā i ka hōʻailona a me ka mālama ʻana i nā pēpē me nā kūlana hānau (hoʻoilina), me nā pilikia chromosomal a me nā syndrome paha. Nā hoʻokolohua, e like me ka chromosome analysis, metabolic haʻawina, a me ultrasounds, e hana ʻia paha.

HEMATOLOGIST-ONCOLOGIST

He kauka hematologist pediatric-oncologist he kauka me ka hoʻomaʻamaʻa kūikawā i ka ʻike a me ka mālama ʻana i nā keiki me nā maʻi koko a me nā ʻano maʻi ʻaʻai. E noi ʻia paha kēia ʻano kauka e ʻike i kahi kanaka no nā pilikia kahe ʻana o ke kahe ma muli o nā platelet liʻiliʻi a i ʻole nā ​​kumu paʻa ʻē aʻe. E kauoha ʻia paha nā hoʻāʻo ʻana, e like me ka helu piha ʻana o ke koko a i ʻole ke hoʻopaʻa ʻana i ke koloka.

SPECIALIST maʻi maʻi INFECTIOUS

ʻO kahi loea maʻi maʻi maʻi he kauka me ka hoʻomaʻamaʻa kūikawā i ka hōʻoia a me ka mālama ʻana i nā maʻi. Nonoi ʻia paha lākou e ʻike i kahi pēpē e hoʻomohala i nā maʻi maʻamau a koʻikoʻi ʻole paha. Hiki i nā maʻi i nā pēpē ke hoʻopili i nā maʻi o ke koko a i ʻole nā ​​maʻi o ka lolo a me ka iwi kuamoo.

MAKAHIKI MAKAHIKI MAKAHI MAKAHI

ʻO ke kauka lāʻau lapaʻau hānau makuahine (perinatologist) kahi mea hānau hānau me ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā wahine hāpai kiʻekiʻe. ʻO ka manaʻo nui kiʻekiʻe aia ka hoʻonui ʻia o ka manawa o nā pilikia. Hiki i kēia ʻano kauka ke mālama i nā wahine i loaʻa i ka hana maʻa mua, nā hana he nui (māhoe a ʻoi paha), ke koko kiʻekiʻe, a i ʻole ka maʻi diabetes.

NEONATAL NURSE PRACTITIONER (NNP)

ʻO nā mea hana kahu hānai neonatal (NNP) he kahu hana hoʻomaʻamaʻa holomua me ka ʻike hou aʻe i ka mālama ʻana o nā pēpē hānau hou ma kahi o ka hoʻopau ʻana i nā papahana aʻo pae pae a kauka paha. Hana pū ka NNP me kahi neonatologist e kuhikuhi a mālama i nā pilikia olakino i nā pēpē i ka NICU. Hana pū ka NNP i nā kaʻina hana e kōkua i ke kuhi a mālama i kekahi mau ʻano.

NEPHROLOGIST

ʻO kahi nephrologist pediatric kahi kauka me ka hoʻomaʻamaʻa kūikawā i ke kuhi a me ka mālama ʻana i nā keiki i loaʻa nā pilikia me nā puʻupaʻa a me ka ʻōnaehana urinary. E noi ʻia paha kēia ʻano kauka e ʻike i kahi pēpē i loaʻa nā pilikia i ka hoʻomohala ʻana i nā puʻupaʻa a i ʻole e kōkua i ka mālama ʻana i kahi pēpē e holo pono ʻole nā ​​puʻupaʻa. Inā pono kahi pēpē i ke kīʻaha ʻōniʻoniʻo, e hana ka nephrologist me kahi kaukipō a urologist paha.

NEUROLOGIST

He kauka neurologist pediatric kahi kauka me ka hoʻomaʻamaʻa kūikawā i ke kuhi a me ka mālama ʻana i nā keiki me nā maʻi o ka lolo, nā ʻalolo, a me nā mākala. E noi ʻia paha kēia ʻano kauka e ʻike i kahi pēpē i loaʻa i ke kuʻi a i ʻole ke kahe ʻana o ka lolo i ka lolo. Inā pono ke pēpē i kahi ʻoki no ka pilikia ma ka lolo a i ʻole ke kuamoʻo, hana paha ka neurologist me kahi neurosurgeon.

NEUROSURGEON

ʻO kahi neurosurgeon pediatric kahi kauka i hoʻomaʻamaʻa ʻia ma ke ʻano he kauka lapaʻau nāna e hana ma ka lolo o nā keiki a me nā kaula o ka iwi kuamoʻo. E noi ʻia paha kēia ʻano kauka e ʻike i kahi pēpē i loaʻa nā pilikia, e like me ka spina bifida, ka iwi poʻo, a i ʻole ka hydrocephalus.

OBSTETRICIAN

He kauka kauka hānau lapaʻau me ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana i nā wahine hāpai. Kōkua paha kēia ʻano kauka i nā wahine e hoʻāʻo nei e hāpai a hāhai i nā wahine me nā kūlana olakino, e like me ka maʻi kōkō a i ʻole hoʻemi ʻia ka ulu ʻana o ka fetal.

OPHTHALMOLOGIST

He kauka ophthalmologist pediatric kahi kauka me ka hoʻomaʻamaʻa kūikawā i ka diagnose a me ka mālama ʻana i nā pilikia o ka maka i nā keiki. E noi ʻia paha kēia ʻano kauka e ʻike i kahi pēpē i hānau ʻia he hemahema o ka maka.

E nānā kahi ophthalmologist i loko o ka maka o ka pēpē e hōʻoia i ka retinopathy o ka prematurity. I kekahi mau hihia, hana paha kēia ʻano kauka i ka laser a i ʻole kahi ʻoki hoʻoponopono ʻē aʻe i nā maka.

KEKAHI PALAPALA HOPE

ʻO ke kauka lāʻau pediatric he kauka me ka hoʻomaʻamaʻa kūikawā ʻana i ka hōʻailona a me ka mālama ʻana o nā keiki i loaʻa nā kūlana e pili ana i kā lākou iwi. E noi ʻia paha kēia ʻano kauka e ʻike i kahi pēpē i hānau ʻia nā hemahema o nā lima a me nā wāwae, dislocation hip (displasia), a haki paha o nā iwi. No ka ʻike ʻana i nā iwi, kauoha paha nā kauka lāʻau lapaʻau orthopedic i nā ultrasounds a i ʻole nā ​​kukuna x. Inā pono, hiki iā lākou ke hana i ke kaha ʻana a i ʻole ka waiho ʻana i nā pahu.

MAKAHIKI OSTOMY

ʻO kahi kahu hānai ostomy kahi kahu hānai me ka hoʻomaʻamaʻa kūikawā ʻana i ka mālama ʻana i nā ʻeha o ka ʻili a me nā puka o ka ʻōpū kahi e pau ai ka hopena o ka ʻōpū a i ʻole ka ʻōnaehana hōʻiliʻili o ka puʻupaʻa. Kapa ʻia kēlā ʻano wehe he ostomy. ʻO ka Ostomies ka hopena o ke kaha e pono ai e mālama i nā pilikia o ka ʻōpū, e like me ka enterrottrolitis necrotizing. I kekahi mau hihia, nīnau ʻia nā kahu hānai ostomy e kōkua i ka mālama ʻana i nā ʻeha paʻakikī.

OTOLARYNGOLOGIST / EAR Nose THROAT (ENT) SPECIALIST

Kāhea ʻia kahi otolaryngologist pediatric he loea, ihu, a me ka puʻu (ENT) loea. He kauka kēia me ka hoʻomaʻamaʻa kūikawā i ka hōʻailona a me ka mālama ʻana o nā keiki me nā pilikia me ka pepeiao, ka ihu, ka ʻāʻī, a me nā alaloa. E noi ʻia paha kēia ʻano kauka e ʻike i kahi pēpē i loaʻa nā pilikia me ka hanu ʻana a i ʻole ka paʻa ʻana o ka ihu.

OCCUPATIONAL / PHYSICAL / SPEECH THERAPISTS (OT / PT / ST)

ʻO nā mea hoʻoponopono ʻoihana hana a me ke kino (OT / PT) he loea me ka hoʻomaʻamaʻa holomua i ka hana ʻana me nā pēpē me nā pono ulu. Hoʻopili kēia hana i nā loiloi neurobeh behavioral (leo postural, reflexes, nā neʻe neʻe, a me nā pane i ka lawelawe ʻana). Eia hou, e kōkua nā ʻoihana ʻo OT / PT i ka mākaukau o ka ʻai ʻana o ka pēpē a me ka mākaukau haʻi waha. E kōkua pū nā mea hoʻoponopono haʻiʻōlelo me nā mākau hānai i kekahi mau kikowaena. E noi ʻia paha kēia ʻano mea hāʻawi e hāʻawi i ka ʻohana a me ke kākoʻo.

PATHOLOGIST

ʻO kahi pathologist he kauka me ka hoʻomaʻamaʻa kūikawā i ka hoʻokolohua hoʻokolohua a me ka nānā ʻana i nā kino o ke kino. Mālama lākou i ke keʻena hoʻokolohua kahi e hana ʻia ai nā hoʻokolohua olakino he nui. Nānā pū lākou i nā pūnaewele ma lalo o ka microscope i loaʻa i ka wā o ke ʻoki a me kahi autopsy.

PEDIATRICIAN

He kauka kauka lapaʻau me ka hoʻomaʻamaʻa kūikawā i ka mālama ʻana o nā pēpē a me nā keiki. E noi ʻia paha kēia ʻano kauka e ʻike i kahi pēpē i ka NICU, akā ʻo ka mea maʻamau ka mea mālama mālama mua no kahi keiki hānau olakino. Hāʻawi kekahi kahi pediatrician i ka mālama mua no ka nui o nā pēpē ma hope o ko lākou haʻalele ʻana i ka NICU.

PHLEBOTOMIST

ʻO ka phlebotomist kahi loea i aʻo ʻia i lawe i kou koko. Lawe paha kēia ʻano mea hāʻawi i ke koko mai kahi aa a i ʻole ka kuʻekuʻe wāwae o kahi pēpē.

PULMONOLOGIST

ʻO kahi pulmonologist pediatric kahi kauka me ka hoʻomaʻamaʻa kūikawā i ka hōʻoia ʻana a me ka mālama ʻana i nā keiki me nā ʻano hanu (hanu). ʻOiai mālama ka neonatologist i nā pēpē he nui me nā pilikia hanu, e noi ʻia paha ka pulmonologist e ʻike a i ʻole e kōkua i ka mālama ʻana i nā pēpē i loaʻa ʻole nā ​​ʻano maʻamau o ka lolo.

RADIOLOGIST

ʻO kahi radiologist he kauka me ka hoʻomaʻamaʻa kūikawā i ka loaʻa a me ka heluhelu ʻana i nā x-ray a me nā hoʻokolohua kiʻi ʻē aʻe, e like me barium enemas a me ultrasounds. Hoʻomaʻamaʻa hou nā radiologists Pediatric i ke kiʻi ʻana no nā keiki.

KEKAHI MEA HANA (RT)

Hoʻomaʻamaʻa nā mea hoʻōla hanu (RTs) e hāʻawi i nā mālama he nui i ka puʻuwai a me nā māmā. Pili pū ʻo RT me nā pēpē e loaʻa ana nā pilikia hanu, e like me ka syndrome respiratory respiratory a i ʻole bronchopulmonary dysplasia. Ua lilo paha kahi RT i loea oxygenation (ECMO) membrane extracorporeal me ka hoʻomaʻamaʻa hou aʻe.

NA POE HANA KUMU

He poʻe loea ka poʻe hana kaiaulu me ka hoʻonaʻauao kūikawā a me ka hoʻomaʻamaʻa e hoʻoholo ai i ka psychosocial, ka naʻau, a me nā pono kālā o nā ʻohana. Kōkua lākou i nā ʻohana e loaʻa a hoʻohui i nā kumuwaiwai i ka haukapila a me ke kaiāulu e kōkua i ka hoʻokō ʻana i kā lākou mau pono. Kōkua pū nā limahana kaiaulu me ka hoʻolālā hoʻokuʻu.

UROLOGIST

He kauka urologist pediatric kahi kauka me ka hoʻomaʻamaʻa kūikawā i ke kuhi a me ka mālama ʻana i nā kūlana e pili ana i ka ʻōnaehana urinary i nā keiki. E noi ʻia paha kēia ʻano kauka e ʻike i kahi pēpē me nā ʻano e like me hydronephrosis a i ʻole hypospadias. Me kekahi mau kūlana, e hana pū lākou me kahi nephrologist.

X-RAY KANAKA

Hoʻomaʻamaʻa ʻia kahi loea x-ray i ka lawe ʻana i nā kukuna x. Hiki i nā kukuna X i ka umauma, ʻōpū, a i ʻole pelvis. I kekahi manawa, hoʻohana ʻia nā hāʻina e maʻalahi ai ke ʻike i nā ʻāpana o ke kino, e like me nā barium enemas. Hana pinepine ʻia nā kukuna X o nā iwi i nā pēpē no nā ʻano kumu like ʻole.

Ke keʻena mālama mālama hānau hou - nā kūkākūkā a me nā limahana kākoʻo; ʻO ke keʻena mālama mālama neonatal - nā mea aʻoaʻo a me nā limahana kākoʻo

Hendricks-Muñoz KD, Prendergast CC. Mālama nui ʻia ka ʻohana a me ka hoʻomohala ʻana i ka neonatal intensive care unit. I: Polin RA, Spitzer AR, eds. Nā Hunahuna Fetal a me Neonatal. ʻEkolu huaʻōlelo. Piladelapia, PA: Elsevier Saunders; 2014: chap 4.

Kilbaugh TJ, Zwass M, Ross P. Pediatric a me ka mālama nui neonatal. I: Miller RD, ed. Miller Anesthesia. 8th ed. Piladelapia, PA: Elsevier Saunders; 2015: chap 95.

Martin RJ, Fanaroff AA, Walsh MC, hoʻoponopono. ʻO Fanaroff lāuaʻo Martin's Neonatal-Perinatal Medicine Diseases of the Fetus and Infant. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2015.