ʻO ka moeʻuhane nui loa a kekahi makuahine,ʻo ia ke ola ola mau o kāna keiki. ʻO kaʻikeʻana i ka pōʻino o kāu pēpē,ʻo ia ka mea weliweli loa i hiki i nā makuahine aloha. ʻO ka mea pōʻino, aia nāʻohana kahi i uhiʻia ai ka hauʻoli o ka heleʻana o kahi keiki i kahi lekaleʻa o ka lono, he hōʻailona weliweli ke maʻi maʻi. Maanei, he pono ke'ōlelo e hoʻolohe nā mākua mua i kēia mau'ōlelo weliweli,ʻo kaʻoi aku o nā kūlana o ka ho'ōla hou no ka pēpē.
Ke kumu o ka pilikia
ʻO ka maʻi o nā'ōpiopio i nā keiki hou keʻano o ka hananaʻano o ka puʻuwai o ke keiki, ka loli o kona mau hale - keʻano o ka naʻau, nā kīʻaha koko. Aiaʻeluaʻano o nā hewa: blue, i ka wā he cyanotic kaʻili o ka pēpē a me nāʻano pale. ʻO ka maʻi o ka maʻi o ka'ōpiopio o nā keiki hou, kahi e hoʻomaka ai ka hoʻokumuʻana o ka pēpē i ka'ōpū. Akā,ʻo ka nānāʻana o ka wahine maʻamau,ʻaʻoleʻo ia eʻoluʻolu eʻike mua i kēiaʻike. No laila, ināʻaʻole ka'ōpū, a me ka hānau keiki, aʻaʻole hoʻi i keʻano o nā hunahuna i hoʻonāukiuki iāʻoe, akā, ua'ōlelo maikaʻi nā kauka e hana i ke kumu o ka puʻu o ke keiki hou, i mea e ola ai kona olakino.
Nā kumu a me nā hanana o ke maʻi
ʻO nā maʻi palupalu i nā keiki hou e like me keʻano a me ka paʻakikī, a me keʻano o kaʻoluʻolu o kaʻaeʻana, me kaʻole o ka hana,ʻo ka hapalua o nā keiki me kēia weheweheʻaʻole ola i ka makahiki,
ʻO ka pilikia o ka hānauʻana i kekahi pēpē maʻi, he wahine ia e hoʻohana ana i ka waiʻona i ka wā'ōpū, i nā lāʻau'aloʻolo, ola a hana paha i kahi kūlohelohe'āina. ʻO keʻano o ka maʻi maʻi i nā keiki hou e hiki ke hoʻokumuʻia e nā kumu hou:
- nā makahiki o nā mākua o ke keiki ma kahi o 35;
- i hoʻoiliʻia i ka wā o ka hāpaiʻana i nā maʻi maʻi maʻi makuahine,ʻoiai ke kaumaha o ka'ōpiopio;
- ka hoʻohanaʻana i kekahi mau lāʻau lapaʻau a kekahi wahine i ka laweʻana i ke keiki (nā lāʻau'alopelo, nā mea hōʻai'ē waha a me nā mea'ē aʻe);
- kūlohelohe.
Hiki i ka hopena i ka hana o ka puʻu o ka pēpē ke hikiʻole i nā kauka o ka halemai hānai keʻike koke a kauoha i ka makuahine me ke keiki. No ka mālama a nīnau i ke kauka, pono nā makua ke hana i ka kuhū, i ka loloa, i ka luhi koke, a i ka wā e uē ai ke kāheaʻana a me ke kāheaʻana. ʻO nā maʻi maʻi i nā keiki hānau hou he mau hōʻailona kahi eʻike ai ke kauka:
- nā leo i loko o ka puʻuwai;
- ka liʻiliʻi a iʻole ka loaʻaʻole o ka waiwai waiwai i nā pahu kuʻikuʻi;
- cyanosis, i hoʻoholoʻia e ka'ōuliuli o kaʻili i ka pēpē;
- pōkole o ka hanu;
- tachycardia.
ʻO ka hana ma keʻano he mea ola
Inā mākou e kamaʻilio e pili ana i ka hoʻomaʻamaʻaʻana i nā maʻi maʻi ma nā keiki hou, a laila, hikiʻole ke hana i kahi hanana hanaʻole me ke kauʻole. ʻOiaʻiʻo, he mea hoʻoikaika i ka manawa kūpono e hāʻawi i nā mākua i keiki olakino i ka mea e hiki mai ana i ka wā e hiki mai ana i ka hoʻoikaikaʻana mai nā hoa mai. ʻO ka hana ma ka naʻau e pono ia e kāpae,ʻo ia ke kumu e makaʻuʻole ai nā makua a me nā makua, no ka mea, ponoʻoe i kahi pēpē maikaʻi. I kekahi manawaʻaʻole i lawa ka hana hoʻokahi, a pono e hanaʻia kekahi mau hana'ē aʻe e hoʻopau loa i ka pilikia. ʻO nā lāʻau lapaʻau i'ōleloʻia e ke kauka e hiki ai ke hoʻopau i nā hopena o ka maʻi. A, no ka mea,ʻo ke keiki kūlana e pono ai kaʻoihana kūikawā: kaʻai a me kaʻai,
ʻO nā hōʻailona o ke kīnā o ke kino i kahi keiki hou, e like me ka mea i'ōlelo muaʻia aʻe nei, hiki keʻikeʻia e kekahi makua e mālama nei i kāna pēpē i ke kekona. Aʻo kona ola a me kona olakino e hilinaʻi ana i kona makaʻala. Hanaʻia ke aloha a me ke aloha e hana i nā hana mana, a me nā maʻi o ka naʻau i nā keiki hou i lalo o ka hopena o kēia mea kaua. E kōkua i ka hoʻouka kaua a me nā kauka, hiki i nā mea i loaʻa i nā lāʻau lapaʻau hou ke hoʻokō pono i ka hanaʻana i ka naʻau, e hāʻawi ana i kā mākou mau keiki i ka wā e hiki mai ana.