No ke aha e hoʻolei aku nei kaʻu pēpē i ka wā ʻaʻohe o lākou maʻi fiva?
Anter
- Vomit a kuha paha?
- Nā kumu kūpono o ka luaʻi me ka ʻole o ke kuni
- Pīʻai hānai
- ʻO ka maʻi maʻi ʻōpū
- Reflux pēpē
- Anuanu a me ka maʻi palū
- Maʻi maʻi pepeiao
- Hoʻonā wela
- Maʻi maʻi
- Ka hoʻomanawanui ʻole ʻana i ka waiū
- ʻO stenosis Pyloric
- Intussusception
- Ka wā e ʻike ai i ke kauka
- ʻO ka lawe lawe ʻana
Mai ka minuke loa āu e hui ai, e pīpī ana kāu pēpē - a pīhoihoi - ʻo ʻoe. Hiki iā ia ke manaʻo e like me ka nui o ka hopohopo. A ʻo ka luaʻi pēpē kekahi kumu maʻamau o ka hopohopo i waena o nā mākua hou - ʻo wai ka mea i ʻike i ka hiki ʻana mai o kahi pēpē liʻiliʻi i ka nui a me ka hoʻolei ʻana o ka projectile?
Minamina, pono paha ʻoe e hoʻomaʻamaʻa i kēia i kekahi ʻano. Nui hiki i nā maʻi pēpē a me nā wā kamaliʻi ke kumu i ka luaʻi. Hiki i kēia ke hana inā ʻaʻole he kuni ko kāu pēpē a i ʻole nā hōʻailona ʻē aʻe.
Akā ma ka ʻaoʻao maikaʻi, ʻo ka hapa nui o nā kumu o ka luaʻi o ka pēpē e hele aku ma o lākou iho. ʻAʻole paha makemake kāu pēpē i ka lāʻau lapaʻau - koe wale no ka ʻauʻau, ka loli o nā lole, a me kahi cuddling koʻikoʻi. ʻO nā mea ʻē aʻe, ʻoi aku ka liʻiliʻi, nā kumu o ka luaʻi e pono ai i kahi kipa i kāu pēpē maʻi pēpē.
Vomit a kuha paha?
Hiki ke paʻakikī ke haʻi aku i ka ʻokoʻa ma waena o ka luaʻi a me ka kuha. ʻIke like paha nā mea ʻelua mai ka wā o kāu pēpē e kū nei i kahi papa o ka papaʻai o ka waiū a me nā kumuhana. ʻO ka ʻokoʻa nui i ko lākou puka ʻana i waho.
Hana pinepine ka kuha i mua a ma hope paha o kahi burp a ʻike pinepine ʻia i nā pēpē ma lalo o ka makahiki 1. E kahe maʻalahi ka kuha mai ka waha o kāu pēpē - aneane like me ke keʻokeʻo, milky drool.
Puka ikaika ʻo Vomit (inā he pēpē a makua paha ʻoe). ʻO kēia no ka ulu ʻana o ka luaʻi ke hoʻonā ʻia nā mākala a puni ka ʻōpū e ka "luaʻi luaʻi" o ka lolo e omo iā ia. Kikoʻi kēia i nā mea āpau i loko o ka ʻōpū e kiola ʻia i waho.
I ka hihia o kahi pēpē, e like paha ka luaʻi me ka waiū o ka waiū akā ʻoi aku ka maopopo o nā wai ʻōpū i hoʻohui ʻia i loko. E like paha me ka waiū i hū ʻia no kekahi manawa iki - kapa ʻia kēia ʻo "cheesing." ʻAe, kani ke kani. Akā ʻaʻole paha e hoʻopilikia ke ʻano iā ʻoe ke ʻike ʻoe - e ʻoi aku kou hopohopo me ka olakino pēpē.
Hiki pū paha kāu pēpē a hana i nā leo liʻiliʻi hou ma mua o ko lākou luaʻi. ʻO kēia paha ka ʻōlelo aʻoaʻo wale nō āu e lālau ai i ke kāwele, ka bākeke, ka lole ʻāpā, lole wili, kou kāmaʻa - hey, kekahi mea.
Hoʻohui, maʻamau ka kuha a hiki ke hana i kēlā me kēia manawa. E luaʻi wale kāu pēpē inā aia kahi pilikia o ka digestive a i ʻole he maʻi hou ko lākou.
Nā kumu kūpono o ka luaʻi me ka ʻole o ke kuni
Pīʻai hānai
Pono nā pēpē e aʻo i nā mea āpau mai ka wili, me ka hānai ʻana a me ka mālama ʻana i ka waiū i lalo. Me ke kuha ʻana, e luaʻi paha kāu pēpē i kekahi manawa ma hope o ka hānai ʻia ʻana. ʻO ka mea maʻamau kēia i ka malama mua o ke ola.
Hana ʻia ia no ka mea maʻa mau ka ʻōpū o kāu pēpē i ka hoʻoulu ʻana i ka meaʻai. Pono pū lākou e aʻo e ʻaʻole ʻai i ka waiū i ka wikiwiki a i ʻole ka hānai nui ʻana.
Kū ka lūlū ma hope o ka hānai ʻana ma hope o ka mahina mua. E hāʻawi pinepine i kāu pēpē, nā hānai liʻiliʻi e kōkua ai e hōʻoki i ka luaʻi.
Akā e hoʻomaopopo i kāu kauka lāʻau inā e luaʻi pinepine kāu pēpē a i ʻole he mau luaʻi ikaika loa. I kekahi mau hihia, he hōʻailona paha ia o kekahi mea ʻē aʻe ma mua o ka hānai ʻana i ka paʻakikī.
ʻO ka maʻi maʻi ʻōpū
ʻIke ʻia hoʻi ʻo ka ʻōpū a i ʻole ka "flu flu," ʻo ka gastroenteritis kahi kumu maʻamau o ka luaʻi i nā pēpē a me nā keiki. Hiki paha i kāu pēpē ke holo i ka luaʻi e hele mai a hele ma kahi o 24 mau hola.
ʻO nā ʻōuli ʻē aʻe i nā pēpē e noho paha no 4 mau lā a ʻoi paha.
- wai, runny poop a i ʻole diarrhea akahai
- huhū a uē paha
- ʻai ʻilihune
- ʻōpū ka ʻōpū a me ka ʻeha
Hiki i ka ʻōpū tummy ke kumu i ke kuni, akā ʻoi aku ka liʻiliʻi o kēia i nā pēpē.
ʻOi aku ka maikaʻi o ka Gastroenteritis ma mua o ka (mahalo!). Hoʻokumu pinepine ʻia e kahi maʻi e hele wale iā ia ma kahi o hoʻokahi pule.
I nā pēpē, hiki i ka gastroenteritis koʻikoʻi ke alakaʻi i ka make wai. Kāhea koke i kāu pediatrician inā he hōʻailona ko kāu pēpē o ka make wai:
- ʻili maloʻo, waha, a maka paha
- hiamoe ʻole
- ʻaʻohe diapers pulu no 8 a 12 mau hola
- uē nāwaliwali
- uē me ka waimaka ʻole
Reflux pēpē
Ma kekahi ʻano, ʻano like nā pēpē me nā mākua liʻiliʻi. E like me ka hiki i nā mākua o nā makahiki ke loaʻa ka reflux acid a i ʻole GERD, loaʻa i kekahi mau pēpē ka reflux pēpē. Hiki i kēia ke alakaʻi i ka luaʻi o ka pēpē i nā pule mua a i ʻole mau mahina o kou ola pēpē.
ʻO ka luaʻi mai ka reflux waikawa ke hoʻomaha loa nā mākala ma ka piko o ka ʻōpū. Hoʻopuka kēia i ka luaʻi o ka pēpē ma hope koke o ka hānai ʻana.
I ka hapanui o nā hihia, hoʻoikaika nā ʻōpū o ka ʻōpū, a hele aku ka luaʻi o kāu pēpē iā ia iho. I kēia manawa, hiki iā ʻoe ke kōkua i ka hoʻolōʻihi i ka luaʻi e:
- pale i ka hānai nui ʻana
- ke hāʻawi nei i nā hānai liʻiliʻi, ʻoi aku ka pinepine
- ke kanu pinepine nei i kāu pēpē
- ke kākoʻo nei i kāu pēpē i kahi kū i luna ma kahi o 30 mau minuke ma hope o ka hānai ʻana
Hiki iā ʻoe ke mānoanoa i ka waiū a i ʻole ka papa hana me nā mea hou aʻe a i ʻole kahi ʻāpana o ka palaʻai pēpē. Caveat: e hōʻoia me kāu kaukuna ma mua o kou hoʻāʻo ʻana i kēia. ʻAʻole kūpono paha ia no nā pēpē āpau.
Anuanu a me ka maʻi palū
Māmā nā pēpē i ke anu a lele maʻalahi no ka mea he ʻōlinolino nā ʻōnaehana pale hou e hoʻomohala mau nei. ʻAʻole kōkua inā aia lākou i ka mālama mālama lā me nā keiki ʻoniʻoni ʻē aʻe, a i ʻole a puni lākou i nā mākua hiki ʻole ke pale aku i ka honi ʻana i ko lākou alo liʻiliʻi. Loaʻa paha i kāu pēpē i ʻehiku anuanu i ko lākou makahiki mua wale nō.
Hiki i ke anuanu a me ka maʻi palū ke hana i nā ʻōuli like ʻole i nā pēpē. Me ka ihu ihu, he luaʻi paha kāu pēpē me ka ʻole o ke kuni.
ʻO ka nui loa o ka mucus i ka ihu (congestion) hiki ke alakaʻi i ka ihu ihu i ka ʻāʻī. Hiki i kēia ke hoʻonāukiuki i ka huehue ikaika i kekahi manawa ke kumu i ka luaʻi i nā pēpē a me nā keiki.
E like me ka poʻe mākua, ʻo ke anuanu a me ka maʻi flu i nā pēpē ke viral a hele aku ma hope o hoʻokahi pule. I kekahi mau hihia, hiki i ka sinus sinus ke hoʻohuli i maʻi. Pono kāu pēpē i nā lāʻau antibiotic e mālama i nā bacteria - ʻaʻole viral - maʻi maʻi.
Maʻi maʻi pepeiao
ʻO nā maʻi pepeiao kekahi maʻi maʻamau i nā pēpē a me nā keiki. ʻO kēia no ka mea he ākea ko lākou mau pepeiao pepeiao ma mua o ke kū i luna e like me ka poʻe mākua.
Inā loaʻa ka maʻi pepeiao i kāu mea liʻiliʻi, loaʻa paha iā lākou ka paupauaho a me ka luaʻi me ka ʻole o ke kuni. Hana ʻia kēia no ka mea hiki i kahi maʻi pepeiao ke hoʻoluhi a lilo i ke kaulike. ʻO nā ʻōuli ʻē aʻe o nā maʻi pepeiao i nā pēpē pū:
- ʻeha ma ka pepeiao ʻelua a ʻelua paha
- huki a ʻili ʻana paha ma o a kokoke paha i nā pepeiao
- hoʻolohe hoʻolohe
- pāhoehoe
ʻO ka hapa nui o nā maʻi pepeiao i nā pēpē a me nā keiki e hele me ka ʻole o ka lāʻau. Eia nō naʻe, he mea nui e ʻike i ke kauka pediatric inā pono kāu pēpē i nā antibiotic e hoʻomaʻemaʻe i ka maʻi. I nā hihia maʻamau, hiki i kahi maʻi pepeiao koʻikoʻi ke hōʻino i nā pepeiao palupalu o ka pēpē.
Hoʻonā wela
Ma mua o ke kāʻei ʻana i kāu pēpē a i ʻole hoʻokomo iā lākou i loko o kēlā kapa bunny fluffy maikaʻi, e nānā i ka mahana ma waho a i kou home.
ʻOiai he ʻoiaʻiʻo he pumehana a ʻoluʻolu ka ʻōpū, hiki i nā pēpē ke wela koke i ka wā wela a i loko o kahi hale mehana a kaʻa paha. ʻO kēia no ka mea hiki ʻole i ko lākou kino ʻino ke hili i ka wela. Hoʻokumu paha ka overheating i ka luaʻi a me ka make wai.
Hiki i ka wela ke alakaʻi i ka luhi wela a i ʻole nā hihia ʻoi aku ka nui, heatstroke. E nānā i nā ʻōuli ʻē aʻe e like me:
- ʻulaʻula, ʻili ʻōpala
- huhū a me ka uē ʻana
- hiamoe a palupalu paha
Wehe koke i ka lole a mālama i kāu pēpē mai ka lā a mai ka wela. E hoʻāʻo e hānai (a hāʻawi i ka wai o kāu pēpē inā 6 mau mahina a ʻoi paha lākou). E kiʻi i ka lāʻau lapaʻau koʻikoʻi inā ʻaʻole pēpē kā lākou pēpē maʻamau.
Maʻi maʻi
ʻO nā pēpē ma lalo o ka makahiki 2 mau makahiki ʻaʻole loaʻa ka neʻe a kaʻa kaʻa paha, akā maʻi paha kekahi mau pēpē ma hope o ke kaʻa kaʻa a wili ʻia paha - keu hoʻi inā ʻai wale lākou.
Hiki i ka maʻi neʻe ke hoʻoluhi a pēpē hoʻi i kāu pēpē, e alakaʻi ana i ka luaʻi. ʻOi aku paha ka hopena inā he pēpē huhū kāu pēpē mai ka momona, ka ʻaila, a i ʻole ka constipation.
Hiki i nā pilau a me nā makani a me nā ala huʻupuʻu paha ke hoʻoluhi i kāu pēpē. Hoʻāla ʻo Nusea i ka lawaiwai hou, no laila ʻike paha ʻoe i kahi dribble hou ma mua o ka luaʻi o kāu pēpē.
Hiki iā ʻoe ke kōkua i ka pale ʻana i ka maʻi neʻe ma ka hele ʻana ke mākaukau kāu pēpē e hiamoe. (He hana maikaʻi inā makemake kāu pēpē e hiamoe i loko o ke kaʻa!) ʻAʻole hiki i ka pēpē hiamoe ke ʻano luhi.
Mālama maikaʻi i ko lākou poʻo i ka noho kaʻa i mea e neʻe ʻole ai a nui. Eia kekahi, e hōʻalo i ka hele ʻana i kahi hoʻokele ma hope pono o ka hāʻawi ʻana i kāu pēpē i kahi hānai piha - makemake ʻoe i kāu pēpē e ʻeli i ka waiū, mai hōʻaʻahu.
Ka hoʻomanawanui ʻole ʻana i ka waiū
A kākaʻikahi kapa ʻia ke ʻano o ka hoʻomanawanui ʻole i ka waiū he galactosemia. Hana ʻia ia ke hānau ʻia nā pēpē me ka ʻole o kekahi enzyme e pono ai e wāwahi i nā kō i ka waiū. ʻO kekahi pēpē me kēia ʻano ʻano maʻalahi i ka waiū umauma.
Hiki iā ia ke hana i ka nausea a me ka luaʻi ma hope o ka inu ʻana i ka waiū a i ʻole nā ʻano like ʻole o nā huahana waiū. Hiki i ka Galactosemia ke hana i ka ʻili a me ka ʻili i nā pēpē a me nā mākua.
Inā hānai ʻia kāu pēpē, nānā i nā mea hana no kēlā me kēia hale waiū, me nā protein waiū.
ʻO ka hapa nui o nā keiki hānau hou e nānā ʻia i ka wā hānau no kēia ʻano maʻamau a me nā maʻi ʻē aʻe. Hana pinepine ʻia kēia me kahi kuʻekuʻe koko kuʻekuʻe wāwae a i ʻole ka hoʻāʻo mimi.
I ka hanana laha ʻole i loaʻa i kāu pēpē kēia, e ʻike mua ʻoe ia. Hōʻalo pono i kāu pēpē e hōʻalo loa i ka waiū e kōkua ai i ka hōʻoki ʻana i ka luaʻi a me nā ʻōuli ʻē aʻe.
ʻO stenosis Pyloric
ʻO ka Pyloric stenosis kahi ʻano laha ʻole e hiki ke hana ʻia ke ākea ma waena o ka ʻōpū a me nā ʻōpū a paʻa a ololi loa paha. Hiki iā ia ke alakaʻi i ka luaʻi ikaika ma hope o ka hānai ʻana.
Inā loaʻa i kāu pēpē stenosis pyloric, pōloli lākou i nā manawa āpau. ʻO nā ʻōuli ʻē aʻe e like me:
- hoʻomake wai
- Kaumaha emi
- ʻākoakoa ʻōpū like nalu
- kōpaʻa
- ʻemi iki o ka ʻōpū
- ʻemi liʻiliʻi o nā diapele pulu
Hiki ke mālama ʻia kēia ʻano laha ʻole me ke ʻoki kino. E haʻi koke i kāu pediatrician inā loaʻa i kāu pēpē kekahi o nā ʻōuli o ka pyloric stenosis.
Intussusception
ʻO ka Intussusception kahi ʻano ʻōpū laha ʻole. Hoʻopili ia i 1 i kēlā me kēia pēpē 1,200 a hana pinepine ʻia i ka makahiki 3 a ʻoi paha. Hiki i ka Intussusception ke kumu i ka luaʻi me ka ʻole o ke kuni.
Hana ʻia kēia ʻano ke hōʻino ʻia nā ʻōpū e ka maʻi virus a i ʻole nā ʻano olakino ʻē aʻe. Holo ka ʻōpū ʻinoʻino - "teleskopope" - i kekahi ʻāpana o ka ʻōpū.
Me ka luaʻi ʻana, loaʻa paha i kahi pēpē nā ʻōpū ʻōpū nui e kū ma kahi o 15 mau minuke. Hiki i kaʻeha ke hoʻonāukiuki i kekahi mau pēpē i ko lākou mau kuli i ko lākou umauma.
ʻO nā ʻōuli ʻē aʻe o kēia ʻano ʻōpū e:
- luhi a luhi hoʻi
- nausea
- ke koko a i ʻole ka mucus i ka neʻe ʻana o ka ʻōpū
Inā loaʻa i kāu pēpē ka intussusception, hiki i ka lāʻau ke paʻi i ka ʻōpū i kona wahi. Hoʻopau kēia i ka luaʻi, ʻeha, a me nā ʻōuli ʻē aʻe. Hoʻopili me ka hoʻohana ʻana i ka ea i loko o nā ʻōpū e neʻe mālie i nā ʻōpū. Inā ʻaʻole e holo pono kēlā, e hoʻōla ke kī ʻana i ka keyhole (laparoscopic) i kēia ʻano.
Ka wā e ʻike ai i ke kauka
E ʻike i kāu pēpē pēpē inā he luaʻi kāu pēpē ma mua o 12 mau hola. Hiki i nā pēpē ke make koke i ka wai inā lākou e luaʻi ana.
E kiʻi koke i ka lāʻau lapaʻau inā e luaʻi ana kāu pēpē a loaʻa nā ʻōuli ʻē aʻe a me nā hōʻailona e like me:
- pāhoehoe
- ʻeha a hōʻoluʻolu ʻole paha
- batukū paʻa mau a ikaika paha
- ʻaʻohe ona diaper pulu no 3 a 6 mau hola
- hōʻole ʻana e hānai
- nā lehelehe maloʻo a alelo paha
- kakaikahi a ʻaʻohe paha waimaka ke uē
- keu luhi a hiamoe paha
- nāwaliwali a palupalu paha
- ʻakaʻaka ʻole
- pehu a ʻōpū paha i ka ʻōpū
- koko i ka palahī
ʻO ka lawe lawe ʻana
ʻO ka luaʻi pēpē me ka ʻole o ke kuni ke hiki mai ma muli o nā maʻi maʻamau. E loaʻa paha i kāu pēpē kekahi a ʻoi aku paha o kēia mau manawa i ka makahiki mua. ʻO ka hapa nui o kēia mau kumu e hele i kā lākou iho, a e hoʻōki kāu keiki liʻiliʻi i ka luaʻi ʻana me ka ʻole o kahi lāʻau.
Akā ʻo ka nui o ka luaʻi ʻana e hiki ai i ka make wai. E hōʻoia no nā hōʻailona o ka make wai a kāhea i kāu kauka lāʻau inā ʻaʻole ʻoe maopopo.
ʻOi aku ke koʻikoʻi o kekahi mau kumu o ka luaʻi o ka pēpē, akā kākaʻikahi kēia mau mea. Pono kāu pēpē i ka mālama olakino no kēia ʻano olakino. E ʻike i nā hōʻailona a hoʻomanaʻo e mālama i ka helu a ke kauka i loko o kāu kelepona - a hanu nui. Loaʻa iā ʻoe a me pēpē kēia.