

Health Library
October 10, 2025
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Hana nā maʻi keʻokeʻo koko o nā keiki i ka wā e hana pono ʻole ai nā cell kaua maʻi o ke keiki a i ʻole he nui ʻole. Hoʻopili kēia mau kūlana i ka maikaʻi o ka pale ʻana o ke kino o kāu keiki mai nā germs a me nā maʻi.
ʻO nā keʻokeʻo koko e like me ka pūʻali koa pilikino o kāu keiki e kūʻē i ka maʻi. I ka wā e liʻiliʻi loa ai kēia mau cell, nui loa, a i ʻole hana pono ʻole, hiki ke waiho i kāu keiki liʻiliʻi i ka pilikia nui i nā maʻi a i ʻole e hoʻokumu i nā pilikia olakino ʻē aʻe e pono ai ka nānā ʻana o ke kauka.
ʻO nā maʻi keʻokeʻo koko o nā keiki nā kūlana kahi e loaʻa ai i nā keiki nā pilikia me kā lākou mau keʻokeʻo koko, ʻo ia ka pale nui o ke kino e kūʻē i nā maʻi. Hiki i kēia mau maʻi ke komo pū me ka liʻiliʻi o nā keʻokeʻo koko, nui loa, a i ʻole nā cell e hana pono ʻole.
Hoʻopuka ka iwi ʻōiwi o kāu keiki i kēia mau cell nui i kēlā me kēia lā. I ka wā e hoʻopilikia ai kekahi mea i kēia kaʻina hana a i ʻole e hoʻopilikia i ka hana ʻana o nā cell, hana ia i ka maʻi keʻokeʻo koko e hiki ke hoʻopilikia i ke olakino o kāu keiki a me ka hiki ke kaua i nā maʻi.
Hiki ke loaʻa kēia mau kūlana mai ka hānau ʻana a i ʻole e ulu i ka wā kamaliʻi. Loaʻa kekahi mau mea manawa pōkole a maʻalahi hoʻi ke mālama ʻia, ʻoiai ʻē aʻe paha e pono ai ka mālama olakino mau a me ka nānā ʻana e mālama i kāu keiki i ke olakino a me ka ulu ʻana.
Hoʻopili pinepine nā hōʻailona o nā maʻi keʻokeʻo koko i nā keiki i ka hiki ʻole o ko lākou kino ke kaua i nā maʻi a i ʻole ke mālama i ka mumū. Malia paha e ʻike ʻoe i kāu keiki e maʻi pinepine ana a i ʻole e lōʻihi ka hoʻōla ʻana mai nā maʻi maʻamau.
Eia nā hōʻailona maʻamau i ʻike ʻia e nā mākua:
Hiki i kekahi mau keiki ke loaʻa pū kekahi mau pilikia ʻōpū, makemake ʻole i ka ʻai, a i ʻole e ʻike ʻia he maʻi ma mua o nā keiki ʻē aʻe o ko lākou makahiki. Hiki i kēia mau hōʻailona ke ulu mālie a i ʻole e ʻike koke ʻia, ma muli o ka maʻi kūikawā.
He nui nā ʻano o nā maʻi keʻokeʻo koko e hiki ke hoʻopili i nā keiki, ʻo kēlā me kēia e pili ana i nā pilikia like ʻole me ke ʻano o ka hoʻomohala ʻana a i ʻole ka hana ʻana o kēia mau pūnaewele pale. ʻO ka hoʻomaopopo ʻana i ke ʻano kūikawā e kōkua i nā kauka e hana i ka papahana lapaʻau maikaʻi loa no kāu keiki.
ʻO nā māhele nui e komo pū ana i nā maʻi kahi i haʻahaʻa loa ai ka helu o nā keʻokeʻo koko, nui loa, a i ʻole kahi e hana pono ʻole ai nā pūnaewele ʻoiai inā kūpono nā helu.
ʻO Neutropenia ke ʻano he liʻiliʻi loa nā neutrophils o kāu keiki, ʻo ia nā keʻokeʻo koko e hakakā i nā maʻi bacterial. Hana kēia kūlana i nā keiki i ʻoi aku ka maʻalahi e loaʻa i nā maʻi bacterial koʻikoʻi, ʻoi aku hoʻi i loko o ko lākou waha, ʻāʻī, a me ka ʻōnaehana digestive.
Ua hānau ʻia kekahi mau keiki me ka neutropenia, ʻoiai kekahi e loaʻa ia ma muli o nā lāʻau lapaʻau, nā maʻi, a i ʻole nā kūlana olakino ʻē aʻe. Hiki i ka nui ke hele mai ka māmā a i ka koʻikoʻi, e pili ana i ka mālama pono ʻana i ke olakino o kāu keiki.
Ke loaʻa i kāu keiki ka nui o nā keʻena koko keʻokeʻo e holo ana i loko o ko lākou koko, ʻo ia ka leukocytosis. Hana pinepine ʻia kēia ma ke ʻano he pane i ka maʻi, ka mumū, a i ʻole ke kaumaha, akā hiki nō hoʻi ke hōʻike i nā kūlana ʻoi aku ka nui.
ʻOiai paha ke ʻano he palekana ka loaʻa ʻana o nā keʻena koko keʻokeʻo keu, hiki i ka nui loa ke hoʻopilikia i ke kahe koko maʻamau a me ka hana o nā loko. Makemake kāu kauka e ʻimi a mālama i ke kumu kumu.
He mau kūlana genetic kēia kahi i ulu ʻole ai nā keʻena koko keʻokeʻo a hana pono ʻole paha mai ka hānau ʻana mai. Loaʻa pinepine i nā keiki me kēia mau maʻi nā maʻi hou, koʻikoʻi e pane maikaʻi ʻole i nā lāʻau lapaʻau maʻamau.
He nui nā ʻano like ʻole o nā immunodeficiencies kumu, kēlā me kēia e hoʻopilikia ana i nā ʻāpana like ʻole o ka ʻōnaehana pale. He māmā kekahi a hiki ke mālama ʻia, ʻoiai kekahi e pono ai ka mālama lapaʻau nui a me nā lāʻau lapaʻau kūikawā.
ʻO ka leukemia kahi ʻano o ka maʻi kanesa koko kahi e hoʻonui wikiwiki ai nā keʻena koko keʻokeʻo kūpono ʻole a hoʻopiha i nā keʻena koko olakino. ʻOiai ke kani nui nei kēia, pane maikaʻi loa nā leukemia o nā keiki he nui i ka lāʻau lapaʻau ke hopu ʻia i ka wā mua.
Loaʻa pinepine i nā keiki me ka leukemia nā hōʻailona e like me ka luhi mau, nā maʻi pinepine, ka ʻeha maʻalahi, a me ka ʻeha iwi. Ua hoʻomaikaʻi nā lāʻau lapaʻau hou i ka leukemia o nā keiki ma mua o ka wā ma mua.
Hiki i nā maʻi keʻena koko keʻokeʻo i nā keiki ke ulu mai nā kumu like ʻole, mai nā kumu genetic i loaʻa i ka hānau ʻana a i nā kūlana i loaʻa i ka manawa. Ke hoʻomaopopo ʻia ka mea e hiki ke hoʻokumu i kēia mau maʻi, kōkua ia i nā kauka e hoʻoholo i ke ala maikaʻi loa e mālama ai.
ʻO nā kumu maʻamau e komo i nā māhele e pili ana i nā genetics, nā maʻi, nā lāʻau lapaʻau, a me nā kūlana lapaʻau ʻē aʻe e hoʻopilikia ana i ka hana ʻana o ka iwi iwi a i ʻole pehea e hoʻohana ai ke kino i nā keʻena koko keʻokeʻo.
Ua hānau ʻia kekahi mau keiki me nā loli genetic e hoʻopilikia ana i ke ʻano o ka ulu ʻana a i ʻole ka hana ʻana o kā lākou mau keʻena koko keʻokeʻo. Hiki ke hoʻoili ʻia kēia mau kūlana hoʻoilina mai nā mākua a i ʻole e kū mai ma ke ʻano he mau loli genetic hou i ke keiki.
ʻO nā kūlana e like me ka neutropenia congenital koʻikoʻi a i ʻole nā maʻi immunodeficiency mua loa pinepine loa he mau kumu genetic. ʻIke pinepine ʻia kēia mau mea i ka wā kamaliʻi a i ʻole ka wā kamaliʻi i ka wā e loaʻa ai i nā keiki nā maʻi pinepine a i ʻole nā maʻi koʻikoʻi.
Hiki i nā maʻi viral, bacterial, a i ʻole nā maʻi ʻē aʻe ke hoʻopilikia i ka helu o nā keʻena koko keʻokeʻo. Hiki i kekahi mau virus ke kāohi i ka hana o ka iwi kuamoʻo, e alakaʻi ana i ka hana ʻana o nā keʻena koko keʻokeʻo haʻahaʻa no nā pule a i ʻole nā mahina.
Hiki i kekahi mau maʻi ke hoʻohana koke i nā keʻena koko keʻokeʻo ma mua o ka hiki ke pani ʻia. Hoʻoponopono ʻia ka hapa nui o nā loli pili i ka maʻi i nā keʻena koko keʻokeʻo ma hope o ka mālama ʻia ʻana o ka maʻi.
Hiki i kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka hana ʻana a i ʻole ka hana ʻana o nā keʻena koko keʻokeʻo ma ke ʻano he hopena ʻaoʻao. ʻIke ʻia nā lāʻau chemotherapy, kekahi mau antibiotics, a me kekahi mau lāʻau lapaʻau no ka hoʻopaʻa ʻana i ka manaʻo e hoʻopilikia i nā keʻena koko keʻokeʻo.
Hiki i ka radiation therapy ke hoʻopilikia i ka hiki o ka iwi kuamoʻo ke hana i nā keʻena koko keʻokeʻo olakino. E nānā pono kāu kauka i nā helu koko inā pono kāu keiki i nā lapaʻau e hiki ke hoʻopilikia i kēia mau keʻena.
I kekahi manawa, e hoʻouka hewa ka ʻōnaehana pale o ke keiki i kā lākou mau keʻena koko keʻokeʻo ponoʻī, e alakaʻi ana i nā helu haʻahaʻa a i ʻole ka hana maikaʻi ʻole o nā keʻena. Hiki kēia i nā kūlana e like me ka autoimmune neutropenia a i ʻole ma ke ʻano he ʻāpana o nā maʻi autoimmune ākea.
Hoʻomohala pinepine ʻia kēia mau kūlana i ka wā e huikau ai ka ʻōnaehana pale a mālama i nā keʻena olakino ma ke ʻano he mea weliweli. ʻO ka mālama ʻana, ʻo ka mea maʻamau, ka hoʻomaha ʻana i ka pane pale ʻana ʻoiai e pale aku i nā maʻi.
ʻAʻole pinepine, hiki i nā maʻi o nā keʻokeʻo koko ke loaʻa mai nā maʻi o ka iwi kuamoʻo, kekahi mau kanesa, ka nele nui o ka meaʻai, a i ʻole ka hōʻike ʻia i nā mea ʻino. He liʻiliʻi loa kēia mau kumu akā pono lākou i ka mālama lapaʻau kūikawā.
Loaʻa pū kekahi mau maʻi kino maʻamau i nā ʻano maʻi o nā keʻokeʻo koko ma ke ʻano he pilikia olakino. Pono mau kēia mau kūlana paʻakikī i ka mālama ʻana mai nā loea he nui e hana pū ana.
Pono ʻoe e hoʻokaʻaʻike i ke kauka o kāu keiki inā ʻike ʻoe e loaʻa pinepine ana iā lākou nā maʻi ma mua o ka maʻamau a i ʻole inā ʻoi aku ka nui o nā maʻi maʻamau a lōʻihi paha ma mua o ka manaʻo. E hilinaʻi i kou manaʻo ma ke ʻano he mākua ke ʻokoʻa kekahi mea e pili ana i ke olakino o kāu keiki.
Pono kekahi mau hōʻailona hoʻomaopopo i ka mālama lapaʻau koke a ʻaʻole pono e kali no kahi manawa kūpono. ʻO kēia mau mea e komo pū ana i ka wela kiʻekiʻe ʻaʻole pane i ka lāʻau lapaʻau, nā hōʻailona o ka maʻi koʻikoʻi, a i ʻole kekahi mau hōʻailona e hopohopo nui ai ʻoe.
Eia nā kūlana kikoʻī e pono ai ka loiloi lapaʻau koke:
Inā ua ʻike ʻia kāu keiki me ka maʻi o nā keʻokeʻo koko, e hahai i nā kuhikuhi kikoʻī a kāu kauka e pili ana i ka wā e kāhea ai. Makemake paha lākou iā ʻoe e hoʻokaʻaʻike iā lākou no kekahi wela a i ʻole nā hōʻailona o ka maʻi, ʻoiai inā me he mea liʻiliʻi lākou.
He mau kumu e hiki ai ke hoʻonui i ka nui o ka ulu ʻana o nā maʻi keʻokeʻo koko i ke keiki, ʻoiai ʻaʻole e ulu nā maʻi like ʻole i nā keiki he nui me nā kumu pilikia. Ke hoʻomaopopo ʻia nā kumu pilikia, kōkua ia i nā mākua e ʻike i nā mea e nānā ai a me ka wā e ʻimi ai i ka ʻōlelo aʻo lapaʻau.
ʻO nā kumu pilikia e komo pū ai nā mea hiki ʻole ke hoʻololi ʻia, e like me ka mōʻaukala ʻohana, a me nā kumu kūlohelohe e hiki ke hoʻololi ʻia me ka mālama lapaʻau kūpono a me nā koho nohona.
Eia nā kumu pilikia nui e makaʻala ai:
ʻAʻole ʻo ia hoʻi ke loaʻa i kāu keiki nā kumu pilikia, e ulu ana ka maʻi keʻokeʻo koko. Nui nā keiki me kēia mau kumu pilikia e ola maikaʻi ana, ʻoiai kekahi mau keiki me nā kumu pilikia ʻike ʻole ʻia e ulu ana kēia mau kūlana.
Inā loaʻa i kāu keiki nā kumu pilikia he nui, hiki i kāu kauka ke ʻōlelo aku i nā nānā pinepine a i ʻole nā hoʻokolohua koko e nānā i kā lākou helu keʻokeʻo koko a me ka hana pale kino holoʻokoʻa.
ʻO nā pilikia mai nā maʻi keʻokeʻo koko e pili nui ana i ka nui o ka maʻi a me nā pilikia olakino e pili ana. I ka wā e hiki ʻole ai i nā keʻokeʻo koko ke pale pono i ke kino, hiki i nā germs maʻamau ke hoʻokumu i ka maʻi koʻikoʻi.
ʻO ka nui o nā pilikia e pili pinepine ana i ka maʻi kikoʻī, pehea ka maikaʻi o ka mālama ʻana, a me ka wikiwiki o ka ʻike ʻana a me ka mālama ʻana i nā pilikia. Me ka mālama lapaʻau kūpono, hiki ke pale a hoʻemi ʻia nā pilikia he nui.
ʻO nā pilikia maʻamau e pono ai nā mākua e makaʻala e pili ana i:
Hiki ke loaʻa nā pilikia koʻikoʻi hou aku me kekahi mau ʻano o nā maʻi. Hiki i kēia ke komo pū me ka hōʻino ʻana o nā kino mai nā maʻi koʻikoʻi, nā pilikia coagulation koko, a i ʻole nā pilikia mai nā lāʻau lapaʻau ikaika.
ʻO ka ʻoiaʻiʻo maikaʻi, me ka ʻike mua ʻana a me ka mālama kūpono, hiki i ka hapa nui o nā keiki me nā maʻi keʻokeʻo koko ke ola i ke ola olakino, ikaika me nā pilikia liʻiliʻi.
I nā hihia kakaikahi, hiki i kekahi mau maʻi keʻokeʻo koko ke alakaʻi i nā pilikia koʻikoʻi hou aku e pono ai ka mālama ola kino koke. ʻO kēia mau mea e komo pū ana i nā maʻi nui e hoʻopilikia ana i nā kino he nui a i ʻole nā pilikia koko nui.
Hiki i kekahi mau keiki ke loaʻa nā kanesa lua a i ʻole nā hopena autoimmune koʻikoʻi. ʻOiai he mea maʻamau ʻole kēia mau pilikia, hōʻike lākou i ke koʻikoʻi o ka nānā ola kino maʻamau a me ka hahai pono ʻana i nā hoʻolālā mālama.
ʻAʻole hiki ke pale ʻia nā maʻi keʻokeʻo koko he nui no ka mea ua loaʻa mai lākou mai nā kumu genetic a i ʻole nā lāʻau lapaʻau hiki ʻole ke pale ʻia. Eia naʻe, aia nā ʻanuʻu hiki iā ʻoe ke lawe e kākoʻo i ka ʻōnaehana pale o kāu keiki a hoʻemi i ko lākou pilikia o nā pilikia.
ʻO ka pale ʻana e kau nui ana i ka mālama ʻana i ke olakino maikaʻi holoʻokoʻa, ka pale ʻana i nā hōʻike pono ʻole e hiki ke hōʻino i nā keʻokeʻo koko, a me ka mālama ʻana i nā kūlana olakino e hiki ke hoʻopilikia i ka hana pale.
Eia nā hana pale maʻamau:
Inā he mōʻaukala ʻohana kāu keiki i nā maʻi pale ʻole, hiki i ka ʻōlelo aʻo genetic ke kōkua iā ʻoe e hoʻomaopopo i ko lākou pilikia a me ka nānā ʻana e kūpono paha. ʻO ka ʻike mua pinepine ka hopena maikaʻi.
No nā keiki i ʻike mua ʻia me nā maʻi keʻokeʻo koko keʻokeʻo, ʻo ka pale ʻana e pili ana i ka pale ʻana i nā maʻi a me nā pilikia ma o ka nānā pono ʻana, nā lāʻau prophylactic ke pono, a me ka mālama ʻana i ke olakino holoʻokoʻa.
ʻO ka ʻike ʻana i nā maʻi keʻokeʻo koko e hoʻomaka pinepine me nā hoʻokolohua koko e helu ana i nā ʻano like ʻole o nā keʻokeʻo koko a e nānā ana i ka hana maikaʻi ʻana o lākou. E kauoha aku kāu kauka i kēia mau hoʻokolohua inā loaʻa i kāu keiki nā hōʻailona a i ʻole nā kumu pilikia e hōʻike ana i ka maʻi hiki.
ʻO ke kaʻina hana diagnostic pinepine e komo pū ana i nā ʻanuʻu he nui a hiki ke lōʻihi ka pau ʻana. Makemake kāu kauka e hoʻopau pono e hōʻoia i ka loaʻa ʻana o ka ʻike pololei loa a me ka mālama kūpono i kāu keiki.
ʻO ka helu koko piha (CBC) me ka ʻokoʻa ka hoʻokolohua mua e hana ʻia. Ke ana nei kēia hoʻokolohua koko i ka nui o nā keʻokeʻo koko a e hoʻokaʻawale i nā helu o nā ʻano like ʻole o nā keʻokeʻo koko.
E hoʻohālikelike kāu kauka i nā hopena o kāu keiki i nā laulā maʻamau no ko lākou makahiki, ʻoiai ke loli mau nei nā helu keʻokeʻo koko ke ulu a ulu nā keiki. ʻO nā hopena maʻamau pinepine e hoʻonāukiuki i ka hoʻokolohua hou aku.
Inā hōʻike nā hoʻokolohua mua i kahi pilikia, hiki i kāu kauka ke kauoha i nā hoʻokolohua kūikawā hou aku e hoʻomaopopo i ke kumu o ka maʻi. Hiki i kēia ke komo i nā hoʻokolohua o ka hana paleʻea, hoʻokolohua gene, a i ʻole ka nānā ʻana i nā keʻokeʻo koko ma lalo o ka microscope.
Pono paha kekahi mau keiki i kahi biopsy iwi kuamoʻo, kahi e lawe ai nā kauka i kahi ʻāpana liʻiliʻi o ka iwi kuamoʻo e nānā i ke ʻano o ka hana ʻana o nā keʻokeʻo koko. Hana ʻia kēia kaʻina hana me ka mālama ʻeha kūpono a me ka sedation.
Hiki i kāu kauka ke ʻōlelo aku i nā haʻawina kiʻi e like me nā CT scan a i ʻole nā ultrasounds e nānā i nā lymph nodes nui a i ʻole nā hōʻailona ʻē aʻe o nā pilikia o ka ʻōnaehana paleʻea. Kōkua kēia mau hoʻokolohua e hana i kahi kiʻi piha o ke kūlana o kāu keiki.
I kekahi manawa, pono nā kauka e hana hou i nā hoʻokolohua ma ka manawa e ʻike ai i ke ʻano o ka loli ʻana o ka helu keʻokeʻo koko a i ʻole e nānā i ka pane i ka lāʻau lapaʻau. He ʻāpana koʻikoʻi kēia nānā mau ʻana i ka mālama ʻana i kēia mau kūlana.
ʻO ka lāʻau lapaʻau no nā maʻi keʻokeʻo koko o nā keiki e hilinaʻi ana i ke ʻano kūikawā o ka maʻi, kona koʻikoʻi, a me kona hopena i ke olakino o kāu keiki. ʻO ka pahuhopu mau loa ka kōkua ʻana i ka ʻōnaehana paleʻea o kāu keiki e hana maikaʻi loa i ka wā e pale aku ai i nā pilikia.
Nui nā lāʻau lapaʻau e kaulele ana i ke kākoʻo ʻana i ka ʻōnaehana paleʻea, pale ʻana i nā maʻi, a me ka hoʻoponopono ʻana i ke kumu o ka maʻi ke hiki. E hoʻopilikino ʻia ka papahana lāʻau lapaʻau o kāu keiki e kūpono i kā lākou pono a me ke kūlana.
No nā keiki me ka helu keʻokeʻo koko haʻahaʻa, ʻo ka pale ʻana i nā maʻi pinepine ka ʻāpana nui loa o ka lāʻau lapaʻau. Hiki paha kēia ke komo i nā lāʻau lapaʻau prophylactic, nā lāʻau lapaʻau antifungal, a i ʻole nā lāʻau lapaʻau pale ʻē aʻe.
Ke loaʻa mai nā maʻi ʻino, ua mālama ʻia lākou me ka ikaika nui ma mua o nā keiki olakino. Hiki i kāu kauka ke kuhikuhi i nā lāʻau antibiotic ikaika a i ʻole ke kauoha aku i ka hoʻokipa ʻana no nā maʻi e mālama ʻia ma ka home.
Loaʻa i kekahi mau keiki ka pono mai nā lāʻau i kapa ʻia ʻo nā mea hoʻoulu ulu e hoʻoulu i ka iwi ʻiwi e hana i nā keena keʻokeʻo hou aʻe. Hāʻawi ʻia kēia mau lāʻau lapaʻau ma ke ʻano he inikini a hiki ke kōkua i ka hoʻokiʻekiʻe ʻana i ka helu o nā keena keʻokeʻo i nā pae palekana.
Hiki ke hoʻohana ʻia nā lāʻau lapaʻau ʻē aʻe e hoʻomaikaʻi i ka hana o nā keena keʻokeʻo a i ʻole e mālama i nā kūlana kumu e hoʻopilikia ana i ka hana ʻana o nā keena keʻokeʻo. E nānā pono kāu kauka i ka pane o kāu keiki i kēia mau lāʻau lapaʻau.
Hiki i nā keiki me kekahi mau maʻi immunodeficiency ke loaʻa nā infusions maʻamau o nā immunoglobulins (antibodies) e kōkua i kā lākou ʻōnaehana pale e hakakā i nā maʻi. Hāʻawi pinepine ʻia kēia mau lāʻau lapaʻau i kēlā me kēia mahina a hiki ke hoʻemi nui i ka pilikia o ka maʻi.
Hāʻawi kēia lāʻau lapaʻau i kāu keiki i nā antibodies mai nā mea hāʻawi olakino, ʻo ia hoʻi ke hāʻawi aku iā lākou i ka pale ʻana i ka wā e nāwaliwali a i ʻole ʻaʻole e hana pono kā lākou ʻōnaehana pale ponoʻī.
No nā maʻi koʻikoʻi ʻaʻole pane i nā lāʻau lapaʻau ʻē aʻe, hiki ke noʻonoʻo ʻia nā koho ikaika hou aku. Hiki i kēia ke komo pū me ka hoʻololi ʻana i ka iwi ʻiwi, ka gene therapy, a i ʻole nā lāʻau lapaʻau hoʻokolohua i loaʻa ma o nā hoʻokolohua klinika.
Mālama ʻia kēia mau lāʻau lapaʻau kiʻekiʻe no nā kūlana koʻikoʻi loa a hana ʻia ma nā kikowaena pediatric kūikawā me ka ʻike nui i ka mālama ʻana i kēia mau maʻi paʻakikī.
Loaʻa i nā keiki a pau me nā maʻi keena keʻokeʻo ka pono mai ka mālama kākoʻo maikaʻi loa, me ka meaʻai kūpono, nā lāʻau pale kūpono no ko lākou kūlana, a me ka nānā pono ʻana i nā pilikia.
E hana pū kāu kahu ola me ʻoe e hoʻomohala i kahi hoʻolālā mālama ākea e hoʻoponopono i nā ʻaoʻao a pau o ke olakino o kāu keiki a kōkua iā lākou e mālama i ka maikaʻi o ke ola maikaʻi loa.
ʻO ka mālama ʻana i kahi keiki me ka maʻi keʻokeʻo koko ma ka home, ʻo ia ka hana ʻana i kahi wahi palekana e hoʻemi ai i ka pilikia o ka maʻi ʻaʻai, ʻoiai e mālama ana i kahi wā kamaliʻi maʻamau e like me ka hiki. E komo pū kāu hana i kēlā me kēia lā i kekahi mau palekana kūikawā, akā hiki i ka hapa nui o nā keiki ke hauʻoli mau i nā hana maʻamau he nui.
ʻO ke kī, ʻo ia ka loaʻa ʻana o ke kaulike kūpono ma waena o ka makaʻala kūpono a me ka ʻae ʻana i kāu keiki e ola i kahi ola piha a hauʻoli. E hāʻawi kāu kahu ola i nā kuhikuhi kikoʻī ma muli o ke kūlana a me nā pono o kāu keiki.
E lilo ka hoʻomaʻemaʻe maikaʻi i mea nui aʻe i ka wā e loaʻa ai i kāu keiki ka maʻi keʻokeʻo koko. E hōʻoia i ka holoi pinepine ʻana o nā mea a pau i loko o ka hale i ko lākou mau lima, ʻoi aku ma mua o ka ʻai ʻana a ma hope o ka hoʻohana ʻana i ka lumipaku.
E mālama i kou home i ka maʻemaʻe akā mai lilo i mea obsessive e pili ana iā ia. ʻO ka hoʻomaʻemaʻe maʻamau me nā huahana hale maʻamau ka mea lawa pinepine. E kau i ka manaʻo i nā ʻili i hoʻopā pinepine ʻia e like me nā pihi puka, nā kī ʻālohilohi, a me nā mana mamao.
E aʻo i kāu keiki e pale i ka hoʻopā ʻana i ko lākou maka, ʻoi aku hoʻi ko lākou waha, ihu, a me nā maka, ʻo ia nā wahi komo maʻamau no nā germs. E hoʻolilo i ka holoi lima i mea leʻaleʻa me nā mele a i ʻole nā pāʻani e hoʻoikaika ai i ka hoʻokō.
Pono ʻoe e makaʻala hou aku e pili ana i ka hōʻike ʻana i kāu keiki i nā poʻe maʻi. ʻAʻole kēia manaʻo he kaʻawale piha, akā ʻo ia hoʻi ke noʻonoʻo pono ʻana i nā kūlana pilikanaka a me nā hana.
E noho ma ka home mai ke kula, ke kula mālama keiki, a i ʻole nā hana i ka wā e ʻoluʻolu ʻole ai kāu keiki, ʻoiai me nā hōʻailona liʻiliʻi. E mālama pū iā lākou ma ka home i ka wā e loaʻa ai nā maʻi maʻi ma kēia mau wahi.
I ka wā o ka anu a me ka maʻi flu, pono paha ʻoe e makaʻala nui i nā wahi piha a i ʻole nā hanana. Hiki i kāu kauka ke kōkua iā ʻoe e hoʻoholo i ke kiʻekiʻe o ka palekana kūpono no ke kūlana kikoʻī o kāu keiki.
He mea nui ka mālama ʻana i ka ʻai maikaʻi no ke kākoʻo ʻana i ka ʻōnaehana pale o kāu keiki. E nānā i ka hāʻawi ʻana i ka ʻai kaulike me ka nui o nā hua, nā huaʻai, nā huaola holoʻokoʻa, a me nā protein liʻiliʻi.
Pono kekahi mau keiki me nā maʻi keʻokeʻo koko e pale aku i kekahi mau meaʻai e hiki ke lawe mai i nā pilikia kiʻekiʻe o ka maʻi, e like me nā ʻiʻo maka a i ʻole nā mea ʻai ʻole i kuke ʻia, nā huahana waiū ʻole i hoʻomaʻemaʻe ʻia, a i ʻole nā huaʻai a me nā huaʻai maka ʻole i holoi ʻia.
E hōʻoia i ka loaʻa ʻana o ka hiamoe lawa o kāu keiki a noho ikaika kino i loko o nā palena i ʻōlelo ʻia e kā lākou hui mālama ola. ʻO ka hiamoe a me ka hoʻoikaika kino ʻelua he mea nui no ka hana pale.
E aʻo e ʻike i nā hōʻailona mua o ka maʻi i loko o kāu keiki a ʻike i ka wā e hoʻokaʻaʻike ai i kāu mea lawelawe ola. E mālama i ka thermometer ma ka lima a e nānā i ka mahana o kāu keiki inā ʻano maʻi lākou.
E hāʻawi mai kāu kauka iā ʻoe i nā ʻōlelo aʻoaʻo kikoʻī e pili ana i ka wā e kāhea ai, akā ma ke ʻano nui, ʻo kēlā me kēia kuni a i ʻole nā hōʻailona o ka maʻi e hoʻoikaika koke i ka hoʻokaʻaʻike ʻana me ka hui mālama ola.
E mālama i ka papa inoa o nā lāʻau lapaʻau o kāu keiki, nā hopena hoʻokolohua hou, a me ka ʻike pilikia pilikia maʻalahi ke loaʻa. E kōkua kēia ʻike inā pono ʻoe e ʻimi i ka mālama ola wikiwiki.
Ke hoʻomākaukau nei no nā kūkā kauka o kāu keiki e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka mea nui loa mai kēlā me kēia kipa a ʻaʻole poina i nā nīnau koʻikoʻi a i ʻole nā manaʻo. Ke kōkua pū nei ka hoʻomākaukau maikaʻi i kāu hui mālama ola e hāʻawi i ka mālama maikaʻi loa.
E hele mai i nā kūkā me kahi kiʻi maopopo o ke ʻano o ke ʻano o kāu keiki a me ka hana ʻana mai ka kipa hope loa. E kōkua kēia ʻike i kāu kauka e hahai i ka holomua a hoʻoponopono i nā papahana mālama e like me ka pono.
E kākau i kekahi mau hōʻailona, maʻi, a i ʻole nā pilikia olakino āu i ʻike ai mai ka manawa hope loa āu i hele mai ai. E hoʻokomo i nā kikoʻī e pili ana i ka manawa i hoʻomaka ai nā hōʻailona, pehea ka nui o ko lākou ʻino, a me ka lōʻihi o ko lākou mau lā.
E hoʻomākaukau i ka papa inoa o nā lāʻau āpau a kāu keiki e lawe nei, me nā nui a me ka pinepine o ka hāʻawi ʻana. E hoʻomaopopo pū i nā mea hoʻohui a i ʻole nā lāʻau lapaʻau ʻole i kūʻai ʻia āu i hoʻohana ai.
E hōʻiliʻili i nā moʻolelo mai nā mea mālama olakino ʻē aʻe, e like me nā kipa lumi ulia, nā kūkā kūikawā, a i ʻole nā hana hoʻokolohua i hana ʻia ma nā wahi ʻē aʻe. Pono kāu kauka i kahi kiʻi piha o ka mālama olakino hou o kāu keiki.
E kākau i kāu mau nīnau ma mua i ʻole ʻoe e poina iā lākou i ka wā o ka hālāwai. E nānā i nā pilikia nui loa iā ʻoe a me ke ola o kēlā me kēia lā o kāu keiki.
E nīnau e pili ana i nā loli i ke kūlana o kāu keiki, inā ke hana nei nā lāʻau lapaʻau i kēia manawa e like me ka manaʻo, a me nā mea e nānā ai i ka hoʻomaikaʻi ʻana a i ʻole ka ʻino. ʻO ka hoʻomaopopo ʻana i ka manawa a me nā manaʻolana e kōkua i ka hoʻemi ʻana i ka hopohopo.
Mai kānalua e noi i ka wehewehe inā ʻaʻole ʻoe i maopopo i kekahi mea. Makemake kāu kauka e ʻike ʻoe i ka hilinaʻi e pili ana i ka mālama ʻana o kāu keiki a me kāu kuleana i ka hoʻokele ʻana i ko lākou kūlana.
E lawe mai i kāu mau kāleka ʻinikua, kahi papa inoa o nā lāʻau lapaʻau i kēia manawa, a me nā moʻolelo olakino a i ʻole nā hualoaʻa hoʻokolohua āu i loaʻa ai mai ka manawa hope loa āu i hele mai ai. E lawe mai pū i kahi puke a i ʻole kahi hāmeʻa e kākau ai i nā memo i ka wā o ka hālāwai.
Inā ua lawa ka nui o kāu keiki e komo i ke kūkākūkā, e paipai iā lākou e noʻonoʻo i nā nīnau ā lākou e loaʻa ai e pili ana i ko lākou kūlana a i ʻole ka lāʻau lapaʻau. Kūkulu kēia iā lākou e ʻike ʻia lākou i ko lākou mālama ponoʻī.
ʻO ka mea nui loa e hoʻomanaʻo ai, ʻo ia ka hiki ke mālama ʻia nā maʻi keʻokeʻo koko o nā keiki, a he mau kūlana ia e pili ana i nā keiki he nui e ola maikaʻi ana a ola maʻamau. ʻOiai e pono ai kēia mau maʻi i ka nānā ʻana o nā kauka mau loa, ua hoʻomaikaʻi nā holomua i ka mālama ʻana i nā hopena ma mua o ka wā ma mua.
He mea nui loa ka ʻike mua ʻana a me ka mālama kūpono i ka wānana o kāu keiki. Inā ʻike ʻoe i nā hōʻailona e hiki ai i kāu keiki ke loaʻa nā pilikia o ka ʻōnaehana pale, mai kānalua e kūkākūkā i kou mau hopohopo me kāu kauka lapaʻau keiki.
Me ka mālama kūpono o nā kauka, hiki i ka hapa nui o nā keiki me nā maʻi keʻokeʻo koko ke hele i ke kula, komo i nā hana, a hauʻoli i nā ʻike o ke kamaliʻi. ʻO ke kī, ʻo ia ka hana pili loa me kāu hui olakino e hoʻomohala i kahi hoʻolālā hoʻokele e kūpono i kou ʻohana.
E hoʻomanaʻo ʻaʻole ʻoe wale nō ma kēia huakaʻi. He nui nā kumuwaiwai e kōkua ana i nā ʻohana e hoʻokele i kēia mau kūlana, me nā hui kākoʻo, nā mea hoʻonaʻauao, a me nā hui olakino kūikawā me ka ʻike nui i nā maʻi pale keiki.
Hiki i ka hapa nui o nā keiki me nā maʻi keʻokeʻo koko ke hele i ke kula me nā palekana kūpono. E hana pū kāu kauka me ʻoe a me ke kula e hoʻomohala i kahi hoʻolālā e mālama i ka palekana o kāu keiki ʻoiai e ʻae ana iā lākou e komo i nā hana hoʻonaʻauao.
Pono paha kekahi mau keiki e noho ma ka home i ka wā o nā maʻi maʻi contagious a i ʻole i ka wā e haʻahaʻa loa ai kā lākou helu keʻokeʻo koko. Pono e hoʻomaopopo ʻia ka nānā kula a me nā kumu i ke kūlana o kāu keiki a me nā pono kūikawā āpau āpau paha.
ʻAʻole pilikia maʻi ke koko keʻokeʻo iā lākou iho, ʻaʻole hiki ke pālahalaha mai ke keiki i ke keiki ʻē aʻe. Akā naʻe, ʻoi aku ka maʻalahi o nā keiki me kēia mau maʻi e loaʻa i nā maʻi mai nā poʻe ʻē aʻe.
ʻO ka hopohopo maʻamau, ʻo ia ka pale ʻana i kāu keiki mai nā maʻi, ʻaʻole ka hopohopo e pili ana i ka hoʻolaha ʻana o ko lākou kūlana i nā poʻe ʻē aʻe. ʻAʻohe pilikia o kāu keiki i kā lākou mau kaikaina, mau hoa papa, a i ʻole mau hoaaloha.
Ke hilinaʻi nei ka lōʻihi o ka lāʻau lapaʻau i ke ʻano kikoʻī o ka maʻi ke koko keʻokeʻo a kāu keiki. Loaʻa kekahi mau kūlana i ka manawa pōkole a hoʻonā ʻia me ka lāʻau lapaʻau, ʻoiai kekahi mau mea e pono ai ka mālama ʻana i ke ola holoʻokoʻa.
He nui nā keiki me nā kūlana genetic e pono ai ka nānā mau ʻana a me ka lāʻau lapaʻau, akā ʻaʻole kēia manaʻo he lāʻau lapaʻau i kēlā me kēia lā a i ʻole nā kipa pinepine i ka haukapila. E kōkua kāu kauka iā ʻoe e hoʻomaopopo i ka mea e manaʻo ai no ke kūlana kikoʻī o kāu keiki.
ʻO ka hapa nui o nā keiki me nā maʻi ke koko keʻokeʻo i mālama maikaʻi ʻia e ulu a hoʻomohala maʻamau. Akā naʻe, hiki i nā maʻi pinepine a i ʻole kekahi mau lāʻau lapaʻau ke hoʻopilikia i ka ulu a i ʻole nā hōʻailona hoʻomohala.
E nānā pono kāu hui olakino i ka ulu a me ka hoʻomohala ʻana o kāu keiki a e hoʻoponopono koke i nā hopohopo. Me ka mālama kūpono, hiki i ka hapa nui o nā keiki ke hiki i ko lākou hiki piha no ka ulu a me ka hoʻomohala ʻana.
ʻO nā maʻi ke koko keʻokeʻo manawa pōkole pinepine ka hopena o nā maʻi, nā lāʻau lapaʻau, a i ʻole nā kūlana ʻē aʻe i hiki ke mālama ʻia a hoʻonā ʻia maʻamau ke hoʻoponopono ʻia ke kumu kumu. Hiki i kēia mau mea ke lōʻihi i nā hebedoma a i nā mahina paha, akā e hoʻi hou i ka maʻamau.
ʻO nā maʻi mau loa pinepine he mea hoʻoilina mai a i ʻole mai nā kūlana e hōʻino mau ana i ka ʻōnaehana pale. ʻOiai e pono ai ka mālama mau ʻana i kēia mau mea, hiki ke kaohi maikaʻi ʻia ka nui o lākou me ka lāʻau lapaʻau, e hiki ai i nā keiki ke ola ola maikaʻi.
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