ʻO ka Halemai Pediatric maikaʻi loa ma India | ʻO ka Halemai Kiʻekiʻe no ka Mālama Keiki - Apollo Hospitals

He mea koʻikoʻi nā lā mua o ke ola no ke olakino a me ka ulu ʻana o ka pēpē. Hāʻawi kā mākou hui pediatric, me ka laulima ʻana me nā loea neonatal, i ka mālama akamai no nā pēpē hānau hou e kū nei i nā pilikia olakino. Hoʻokele mākou i nā kūlana e like me ka neonatal jaundice, ka respiratory distress syndrome (RDS), nā maʻi neonatal, nā pilikia hānai, a me nā pilikia e pili ana i ka hānau mua ʻana. Pono pinepine nā pēpē i hānau mua ʻia e nānā kūikawā a me ke kākoʻo ma muli o nā ʻōpū i ulu ʻole.

ʻO kā mākou mālama piha e komo pū ana me:

• Keʻena Mālama Koʻikoʻi Neonatal Kiʻekiʻe (NICU)
• Phototherapy no ka jaundice hānau hou
• Kākoʻo ea a me ka hanu
• Ka nānā ʻana i nā keiki hānau hou no nā maʻi genetic a me nā maʻi metabolic

Me ka nānā ʻana i ka hola a puni a me ka mālama ʻana i ka ʻohana, ke hoʻoikaika nei mākou e hōʻoia i ka hoʻomaka maikaʻi loa no kēlā me kēia keiki hānau hou.

He mea maʻamau nā maʻi hanu i nā keiki a hiki ke ʻano mai ka maʻalahi a i ka koʻikoʻi. ʻO nā kūlana e like me ka hānō, ka bronchiolitis, ka croup, a me ka pneumonia hiki ke hana i nā hōʻailona e like me ke kuni, ka wheezing, ka paʻakikī o ka hanu ʻana, a i ʻole ke kuni. Hoʻoulu pinepine ʻia kēia mau kūlana e nā maʻi viral, nā kumu kaiapuni, a i ʻole nā ​​​​​​allergies a pono paha ke kōkua koke i ke kauka i kekahi mau hihia. ʻO ka ʻike mua a me ka mālama kūpono e kōkua i ka pale ʻana i nā pilikia a me nā pilikia hanu lōʻihi.

ʻO kā mākou mālama piha e komo pū ana me:

• Hoʻāʻo hana pulmonary
• X-ray a me ke kiʻi ʻana o ka umauma
• ʻO ka lāʻau lapaʻau oxygen a me ka nebulisation
• Loiloi allergies kahi i hōʻike ʻia

Ke nānā aku nei kā mākou poʻe loea pediatric i ka hoʻokele lōʻihi, ka kaohi ʻana i nā hōʻailona, ​​a me ka pale ʻana i nā hanana hou.

He mea maʻalahi loa nā keiki i nā maʻi ma muli o ka ulu ʻana o nā ʻōnaehana pale. ʻO nā maʻi maʻamau e komo pū me ka maʻi palū, nā maʻi pepeiao, nā maʻi ʻāʻī, ka maʻi viral gastroenteritis, ka maʻi lima-wāwae-waha, a me nā maʻi urinary tract (UTIs). Hiki ke ʻokoʻa nā hōʻailona, ​​​​akā ʻike pinepine ʻia ke kuni, ka luhi, ka huhū, a me ka makemake ʻole. ʻO ka ʻike ʻana i ke kumu kumu—viral, bacteria, fungal, a parasitic paha—he mea nui ia no ka mālama pono ʻana.

ʻO kā mākou mālama piha e komo pū ana me:

• Helu koko piha (CBC) a me nā māka maʻi
• Nā moʻomeheu koko a me nā hoʻāʻo microbiological
• Ka nānā ʻana o ka mimi a me ka ʻōpala
• Nā hōʻailona holomua e like me nā hoʻokolohua serological a me PCR
• Nā lawelawe pale ʻana a me ka pale ʻana
• Ka hoʻokipa ʻana i ka haukapila a me ka mālama koʻikoʻi inā pono

Hoʻoikaika mākou i ka ʻike ʻana i ka manawa kūpono a me ka mālama kūpono e hōʻemi i nā pilikia a pale i ka hoʻi hou ʻana.

ulu kēlā me kēia keiki ma ko lākou wikiwiki ponoʻī, akā pono e loiloi mua ʻia nā lohi nui i ka ʻōlelo, ka neʻe ʻana, ke aʻo ʻana, a i ʻole ke ʻano. Hiki i nā hopohopo ulu ke komo pū me ka lohi o ka ʻōlelo a me ka ʻōlelo, ka lohi o ke akamai motor, nā maʻi autism spectrum, ka maʻi attention-deficit/hyperactivity (ADHD), a me nā kūlana neurodevelopmental ʻē aʻe. He mea nui ka ʻike mua ʻana a me ke komo ʻana i ka hoʻomaikaʻi ʻana i nā hopena lōʻihi.

ʻO kā mākou mālama piha e komo pū ana me:

• Nā loiloi hoʻomohala a me nā ʻano hana
• ʻŌlelo, hana, a me ka hoʻōla kino
• Nā loiloi neurodevelopmental
• Ka hoʻāʻo ʻana i ka noʻonoʻo a me ke ʻano
• Ke aʻo ʻana a me ka hoʻōla ʻana i ka hana
• Nā hōʻailona holomua e like me ka neuroimaging a i ʻole ka hoʻāʻo genetic i ka wā e pono ai

Hoʻokumu kā mākou hui multidisciplinary i nā hoʻolālā mālama pilikino e kākoʻo i nā pono ulu kū hoʻokahi o kēlā me kēia keiki.

ʻAʻole wale ka ulu ʻana a me ka ulu ʻana o ke keiki ma ka nui o kā lākou ʻai ʻana, akā, ma ka maikaʻi o kā lākou meaʻai. ʻO nā hemahema meaʻai e like me ka anemia nele i ka hao, ka nele o ka wikamina D (rickets), a me ka ʻai ʻole ʻana i ka meaʻai hiki ke hoʻopilikia i ka ulu kino, nā pae ikehu, a me ke olakino o ka iwi. He mea nui ka ʻike mua ʻana a me ka hoʻoponopono ʻana no ka ulu olakino.

ʻO kā mākou mālama piha e komo pū ana me:

• Nā hoʻāʻo koko e loiloi i ka hao, ka calcium, a me nā pae huaora
• ʻŌlelo aʻoaʻo meaʻai a me ka hoʻolālā ʻana i ka meaʻai
• Ka nānā ʻana i ka ulu ʻana a me ka hoʻomohala ʻana
• Ka hoʻopihapiha a me ka mālama ʻana ma hope
• Ka loiloi olakino iwi i ka wā i hōʻike ʻia

Hana pū kā mākou hui pediatric me nā ʻohana e hōʻoia i ka loaʻa ʻana o nā keiki i ka meaʻai kaulike no ka ulu pono ʻana.

Ke piʻi nei ka maʻamau o nā maʻi allergies i nā keiki a hiki ke hōʻike ʻia e like me nā ʻulaʻula ʻili, ka maneʻo, ka ʻūhā, ka ihu wai, nā maka waimaka, ka paʻakikī o ka hanu ʻana, a i ʻole nā ​​hōʻailona hānō. Hiki ke hoʻoulu ʻia kēia mau mea e nā meaʻai, nā mea hoʻonāukiuki o ke kaiapuni, a i ʻole nā ​​​​​​mea ʻē aʻe i hōʻike ʻia. He mea nui ka ʻike kūpono a me ka hoʻokele lōʻihi e pale aku i nā hopena koʻikoʻi a hoʻomaikaʻi i ke ʻano o ke ola o kēlā me kēia lā.

ʻO kā mākou mālama piha e komo pū ana me:

• Hoʻāʻo ʻili allergy
• Nā hoʻāʻo koko no nā allergens kikoʻī
• ʻO ka Immunotherapy (nā pana allergies) inā kūpono
• Nā hoʻolālā hoʻokele hānō a me nā maʻi allergy pilikino

Ke nānā aku nei kā mākou poʻe loea allergy pediatric i ka ʻike ʻana i nā mea hoʻoulu, ka kaohi ʻana i nā hōʻailona, ​​a me ka hāʻawi ʻana i ka hoʻomaha lōʻihi ma o ka mālama pilikino.

Pono nā kūlana neurological i nā keiki i ka loiloi manawa kūpono a me ka mālama kūikawā e kākoʻo i ka ulu ʻana o ka lolo olakino. ʻO nā kūlana e like me ka maʻi epilepsy, nā kuʻi febrile, ka nāwaliwali neuromuscular, a me nā lohi o ka ulu ʻana e hōʻike pū me nā hōʻailona e like me nā kuʻi hou ʻana, ka kaohi ʻana o nā ʻiʻo maikaʻi ʻole, nā milestones lohi, a i ʻole nā ​​​​loli ʻano. He mea nui ka ʻike mua a me ke komo ʻana e hōʻemi i nā pilikia lōʻihi a hoʻomaikaʻi i ke ʻano o ke ola.

ʻO kā mākou mālama piha e komo pū ana me:

• ʻO ka Electroencephalogram (EEG) no ka loiloi ʻana i ka hopu ʻana
• Nā kiʻi kiʻekiʻe e like me MRI a me CT scans
• Nā loiloi hoʻomohala a me nā neurological
• Nā lāʻau lapaʻau anti-seizure a me nā lāʻau lapaʻau kākoʻo

Hāʻawi kā mākou mau kauka neurologist pediatric akamai i ka mālama aloha a me ka mālama ʻana i nā hōʻike i hana ʻia no nā pono neurological o kēlā me kēia keiki.

He mea maʻamau nā pilikia ʻōpū i nā keiki a hiki ke hoʻopilikia nui i ka meaʻai, ka ulu ʻana, a me ke olakino holoʻokoʻa. ʻO nā kūlana e like me ka constipation, gastroesophageal reflux, ka ʻai ʻana o ke kino haole, a me ka intussusception hiki ke hana i nā hōʻailona e like me ka ʻeha o ka ʻōpū, ka luaʻi ʻana, ka hānai maikaʻi ʻole, a i ʻole ka pehu ʻana. Kōkua ka mālama lapaʻau mua i ka pale ʻana i nā pilikia e like me ka dehydration, nā hemahema meaʻai, a i ʻole ke ālai ʻana o ka ʻōpū.

ʻO kā mākou mālama piha e komo pū ana me:

• Nā haʻawina kiʻi e like me ke ultrasound, X-ray, CT, a i ʻole MRI
• Loiloi Endoscopic no nā kūlana i koho ʻia
• Ka loiloi ʻai a me ke aʻoaʻo ʻana i ka meaʻai
• Nā lāʻau lapaʻau no ka kaohi ʻana i nā hōʻailona a me ka ho'ōla ʻana

Lawe kā mākou poʻe loea pediatric i kahi ala holoʻokoʻa no ka hoʻihoʻi ʻana a me ka mālama ʻana i ke olakino ʻōnaehana hoʻoheheʻe o kāu keiki.

ʻO nā ʻano ʻē o ka hānau ʻana he mau kūlana kūkulu a hana paha i loaʻa i ka wā hānau e hiki ke hoʻopilikia i ka ulu ʻana o ke keiki, ka ulu ʻana, a i ʻole ka hana o ke kino. ʻO kēia mau mea e komo pū ana me ka lehelehe māwae a me ka palate, nā kīnā puʻuwai hānau, nā kīnā neural tube, a me nā kūlana ʻē aʻe e pili ana i ka hānau ʻana. Pono ka nui o kēia mau mea i ka mālama i hoʻonohonoho ʻia e pili ana i nā ʻoihana kūikawā he nui, a i kekahi mau hihia, ka mālama ʻoki kino a i ʻole ka mālama ʻana.

ʻO kā mākou mālama piha e komo pū ana me:

• Nā loiloi ultrasound prenatal a me neonatal
• ʻO ka Echocardiography no nā maʻi puʻuwai hānau
• Nā koho lapaʻau ʻoki kino a me nā koho hana komo inā pono
• Ka mālama piha ma hope o ke ʻoki ʻana a me ka mālama lōʻihi

Hana pū kā mākou mau hui multidisciplinary e hōʻoia i ka hoʻomau ʻana o ka mālama ʻana mai ka hōʻoia ʻana a hiki i ka hoʻōla ʻana a me ka hoʻokele lōʻihi.

He mea maʻamau nā maʻi ʻili i ka wā kamaliʻi a hiki ke hoʻoulu i ka ʻoluʻolu ʻole, ka huhū, a i ʻole nā ​​maʻi hou inā ʻaʻole mālama ʻia. ʻO nā kūlana e like me ka diaper rash, ka wela, ka eczema, nā warts, psoriasis, impetigo, a me nā maʻi fungal e like me ka ringworm e hoʻopilikia paha i ka ʻoluʻolu o ke keiki a me nā hana o kēlā me kēia lā. ʻO ka ʻike koke ʻana a me ka mālama kūpono e kōkua i ka hōʻoluʻolu ʻana i nā hōʻailona a pale i nā pilikia.

ʻO kā mākou mālama piha e komo pū ana me:

• ʻO ka maʻi ʻili a me ka hoʻāʻo ʻana i ka ʻili ke hōʻike ʻia
• Nā lāʻau lapaʻau topical a me nā poni lāʻau lapaʻau
• ʻO ka lāʻau antibiotic a antifungal paha no nā maʻi
• Nā alakaʻi no ke ʻano o ka nohona a me ka mālama ʻana i ka ʻili no nā maʻi maʻi

Ke nānā aku nei kā mākou hui dermatology pediatric i ka mālama mālie a pono e mālama i ka ʻili o kāu keiki i ke olakino a me ka ʻoluʻolu.

He mea nui ka ʻike maka olakino no ke aʻo ʻana o ke keiki, ka ulu ʻana, a me nā hana o kēlā me kēia lā. ʻO nā hōʻailona e like me ka ʻūmiʻi ʻana, ka noho kokoke loa i nā pale, ka hamo pinepine ʻana i ka maka, a i ʻole ka paʻakikī i ka heluhelu ʻana e hōʻike paha i nā pilikia ʻike. ʻO nā maʻi maka maʻamau o ka wā kamaliʻi e komo pū me nā hewa refractive (myopia a me hyperopia), amblyopia (maka palaualelo), ʻūmiʻi, maka ʻili hāʻule (ptosis), nā ʻano ʻē o ka maka hānau ʻia, a me nā maʻi kakaikahi e like me retinoblastoma.

He mea nui nā hoʻokolohua maka piha no ka ʻike mua ʻana a me ka mālama pono ʻana.

ʻO kā mākou mālama piha e komo pū ana me:

• Nā hoʻokolohua maka kikoʻī a me ka nānā ʻana i ka ʻike
• Ke kauoha ʻana o nā aniani hoʻoponopono
• Ka lāʻau lapaʻau no ka amblyopia
• ʻO ka lāʻau lapaʻau ʻike e hoʻomaikaʻi i ka hoʻonohonoho ʻana o ka ʻike
• Hoʻokele ʻoki kino no nā kūlana i koho ʻia
• Ka nānā mau ʻana a me ka nānā ʻana

Hoʻomaopopo pono kā mākou poʻe loea ophthalmology i ka ʻike a me ke olakino o kāu keiki i kēlā me kēia pae o ka ulu ʻana.

ʻO ka momona o nā kamaliʻi he mea hopohopo olakino e ulu nei e hiki ke hoʻopilikia i ke olakino kino a me ka naʻau. ʻO nā keiki e piʻi koke ke kaumaha, luhi maʻalahi, ʻeha nā hono, a i ʻole he mau pilikia pili i ka hiamoe, aia paha lākou i ka pilikia. Ua wehewehe ʻia ka momona o nā kamaliʻi e kahi helu helu kino (BMI) ma a i ʻole ma luna o ka 95th percentile no ka makahiki a me ke kāne a hiki ke hopena mai nā ʻano ʻai maikaʻi ʻole, ka hana kino palena ʻia, a me nā kumu genetic a i ʻole ke kaiapuni. Inā waiho ʻole ʻia, hiki iā ia ke hoʻonui i ka pilikia o nā maʻi e like me ka maʻi diabetes type 2, ke koko kiʻekiʻe, a me ka apnea hiamoe.

ʻO kā mākou mālama piha e komo pū ana me:

• Ka nānā mau ʻana i ka BMI a me nā ʻano ulu
• Ka loiloi meaʻai a me ke aʻoaʻo ʻana i ka meaʻai pilikino
• Alakaʻi hana kino a me ka hoʻololi ʻana i ke ʻano o ka nohona
• Nā hana komo ʻana ma muli o ka ʻohana a me ke ʻano
• Kuhikuhi i nā loea no ka hoʻokele ʻana i nā kūlana pili

Ua kūpaʻa kā mākou hui pediatric i ka hāʻawi ʻana i ke kākoʻo holoʻokoʻa a lōʻihi hoʻi e kōkua i nā keiki e hoʻokō a mālama i ke kaumaha olakino, e paipai ana i ke olakino maikaʻi no ke ola holoʻokoʻa.

He mea nui nā hoʻāʻo koko a me ka mimi no ka ʻike ʻana i nā maʻi, nā hemahema meaʻai, nā hana ʻino o ke kino, a me nā pilikia olakino ʻē aʻe i kāu keiki. Kōkua kēia mau hoʻāʻo i ka hoʻokumu ʻana i kahi kahua no ke olakino o kāu keiki.

Pehea e hana ʻia ai:

• Hoʻāʻo koko: Hoʻohana ʻia kahi nila e huki ai i ke koko, mai ka lima mai. No nā pēpē, hiki ke hana ʻia kahi kuʻi kuʻekuʻe wāwae.
• Hōʻike mimi: Ua hoʻolako ʻia kahi pahu sterile no ka hōʻiliʻili ʻana i ka mimi. No nā keiki ʻōpio a i ʻole nā ​​​​pēpē, hiki ke hoʻohana ʻia kahi ʻeke hōʻiliʻili kūikawā.

Nā mea a nā mākua e manaʻo ai:

• He kui iki i ka wā o ka hōʻiliʻili koko, he mau kekona wale nō ia.
• E paipai i kāu keiki e noho mālie; hiki i nā ʻano hana hoʻowalewale e like me nā mea pāʻani a i ʻole nā ​​​​mele ke kōkua.
• Loaʻa pinepine nā hopena hoʻāʻo i loko o 24-48 mau hola.

Hāʻawi nā hoʻokolohua kiʻi e like me nā X-ray, nā ultrasound, a me nā MRI i nā ʻike kikoʻī o nā iwi, nā ʻōpū, a me nā ʻiʻo. He mea nui kēia no ka ʻike ʻana i nā haki, nā ʻano ulu ʻole, a i ʻole nā ​​​​kūlana kūloko o kāu keiki.

Pehea e hana ʻia ai:

• X-Ray: E hoʻonoho ʻia kāu keiki ma luna o kahi papa ʻaina ʻoiai ke loea e hoʻohana ana i ka mīkini e hopu i nā kiʻi o nā iwi a i ʻole ka umauma. He wikiwiki a ʻeha ʻole ke kaʻina hana.
• 'Ohanahana: Hoʻoneʻe ʻia kahi mea paʻa lima (transducer) ma luna o ka ʻili me kahi gel i hoʻopili ʻia e hoʻomaikaʻi i ka maikaʻi o ke kiʻi.
• ʻIke CT/MRI: Pono paha kāu keiki e moe mālie i loko o kahi mīkini nui ʻoiai ke kiʻi ʻana o nā kiʻi kiʻekiʻe e hopu i nā kiʻi kikoʻī o loko. Hiki i kēia mau mīkini ke walaʻau nui a hoʻoweliweli no laila e hāʻawi ʻia paha i kāu keiki nā headphone me ke mele e hoʻopau i ka walaʻau a i ʻole ka hoʻomaha inā pono.

Nā mea a nā mākua e manaʻo ai:

• E wehewehe i ke kaʻina hana i kāu keiki ma mua e hoʻomaha ai i ka hopohopo.
• ʻAʻole komo ke kiʻi ʻana akā pono paha i kāu keiki e noho mālie no kekahi mau minuke.
• E kaʻana like ʻia nā hopena e ke kauka pediatric, e hōʻike ana i nā ʻano ʻē.

He mea nui nā nānā kino maʻamau no ka nānā ʻana i nā hanana koʻikoʻi o kāu keiki ma ke kino, ka naʻau, a me ka ulu ʻana.

Pehea e hana ʻia ai:

• Ke ana ʻana o ke kiʻekiʻe, ke kaumaha, a me ke anapuni o ke poʻo e hoʻopaʻa ai i ka ulu ʻana.
• He hoʻokolokolo kino piha, me ka nānā ʻana i ka puʻuwai, nā māmā, a me ka ʻōpū.
• He pūʻulu o nā hoʻāʻo koko, mimi a me nā kiʻi e nānā i nā ʻāpana āpau o kāu keiki.
• Kūkākūkā e pili ana i ka hiamoe, ka meaʻai, a me ka holomua o ka ulu ʻana.

Nā mea a nā mākua e manaʻo ai:

• He hālāwai hoʻomaha a pānaʻi hoʻi i hoʻolālā ʻia e hoʻomaha i kāu keiki.
• E hoʻoponopono i nā hopohopo a nā mākua e pili ana i ka ʻai, ke ʻano, a i ʻole nā ​​​​​​hanana koʻikoʻi.
• Nā ʻōlelo aʻoaʻo pilikino no ka mālama ʻana i kahi nohona olakino.

ʻO nā lāʻau pale he kihi o ka mālama ola kino pale, e pale ana i kāu keiki mai nā maʻi lele e like me ka maʻi ʻōpala, ka polio, a me ka maʻi hepatitis. He mea nui nā lāʻau pale i ka palekana no ke ola holoʻokoʻa e kūʻē i nā maʻi ʻino he nui.

Pehea e hana ʻia ai:

• Hoʻohana ʻia kahi nila liʻiliʻi e hoʻokomo i ka lāʻau pale, maʻamau i loko o ka lima a i ʻole ka ʻūhā.
• Hoʻokumu ʻia kahi papa hana lāʻau pale ma muli o ka makahiki o kāu keiki a me ka mōʻaukala olakino.

Nā mea a nā mākua e manaʻo ai:

• ʻO ka ʻeha iki ma kahi i inikini ʻia, i kekahi manawa e hele pū ʻia me ke kuni haʻahaʻa.
• E hoʻolako i ka nui o nā wai a me kahi wahi hōʻoluʻolu ma hope o ka hoʻopili ʻana.
• Nā moʻolelo kikoʻī o ka mōʻaukala pale ʻana o kāu keiki no ka ʻike e hiki mai ana.

ʻO ka ʻike mua ʻana i nā pilikia o ka lohe a i ʻole ka ʻike maka e hōʻoiaʻiʻo ai i ke komo ʻana i ka manawa kūpono, e paipai ana i ka ʻōlelo maʻamau a me ka ulu ʻana o ka noʻonoʻo.

Pehea e hana ʻia ai:

• Nā hoʻokolohua hoʻolohe: Hiki ke hoʻokomo pū ʻia me nā hoʻokolohua otoacoustic emissions (OAE) a i ʻole nā ​​​​hoʻokolohua auditory brainstem response (ABR), kahi e hoʻokani ʻia ai nā leo, a hoʻopaʻa ʻia nā pane.
• Nā hoʻāʻo ʻike: E hoʻokomo i nā hoʻokolohua ʻike maka me ka hoʻohana ʻana i ka pakuhi maka a me nā loiloi no nā hewa refractive a i ʻole ke kaulike ʻana o nā maka.

Nā mea a nā mākua e manaʻo ai:

• Nā kaʻina hana ʻeha ʻole a ʻaʻohe pilikia i hana ʻia i loko o kahi lumi mālie.
• Kūkākūkā koke ʻia nā hopena, a inā pono, hāʻawi ʻia nā kuhikuhi i nā loea.

ʻIke ka hoʻāʻo ʻana i ka maʻi allergies i nā mea hoʻonāukiuki e like me ka pollen, ka meaʻai, a i ʻole ka lepo paha e hiki ai ke hoʻoulu i nā hopena allergies i kāu keiki.

Pehea e hana ʻia ai:

• Hoʻāʻo ʻIli: Hoʻokomo ʻia nā ʻāpana liʻiliʻi o nā mea hoʻonāukiuki i loko o ka ʻili me ka hoʻohana ʻana i kahi nila liʻiliʻi. Ma muli o ke kiʻekiʻe o ka hopena i kekahi o nā mea hoʻonāukiuki, hiki i ke kauka pediatric o kāu keiki ke ʻōlelo aku i ka lāʻau anti-histamine me nā loli o ke ʻano o ka nohona.
• Hoʻāʻo koko: Lawe ʻia kahi hāpana koko e ana i nā antibodies allergen kikoʻī.

Nā mea a nā mākua e manaʻo ai:

• Hiki i ka hoʻāʻo ʻili ke hana i ka maneʻo iki a i ʻole ka ʻulaʻula, kahi e hoʻoholo koke ʻia.
• He liʻiliʻi ka invasive o nā hoʻāʻo koko me nā hopena e loaʻa i loko o kekahi mau lā.
• E hāʻawi ke kauka pediatric o kāu keiki i kahi hoʻolālā piha e mālama ai i nā maʻi allergies.

heluhelu hou

Ke loiloi nei kēia mau hoʻokolohua i ka ulu ʻana o ke kino a me ka noʻonoʻo o kāu keiki e hōʻoia i ka hoʻokō ʻana i nā pae kūpono i kona makahiki.

Pehea e hana ʻia ai:

• Nā loiloi o nā mākau neʻe, ka ʻōlelo, a me nā hiki ke hoʻoponopono pilikia.
• Nā ana kino a me kahi loiloi o ka mōʻaukala ulu.
• I kekahi mau hihia, hiki ke ʻōlelo ʻia nā hoʻokolohua lab hou a i ʻole ke kiʻi ʻana.

Nā mea a nā mākua e manaʻo ai:

• He wahi ʻoluʻolu a pānaʻi hoʻi kahi e hiki ai i kāu keiki ke hana i nā hana e like me ke kaha kiʻi ʻana a i ʻole nā ​​​​puʻupuʻu.
• Nā ʻike i nā wahi e pono ai ke kākoʻo, me nā kuhikuhi ʻana i nā loea inā pono.
• Nā ʻōlelo aʻoaʻo pilikino no ka hoʻoulu ʻana i ka ulu ʻana a me ke aʻo ʻana ma ka home.
• ʻŌlelo aʻoaʻo no nā ʻano hana hoʻoponopono ʻano no nā mākua o nā keiki ʻōpiopio loa no ka hoʻoponopono ʻano noʻonoʻo

ʻO ke keʻena ʻoki kino Pediatric Cardiothoracic ma Apollo Institute of Pediatrics kahi kikowaena maikaʻi loa no ka mālama ʻana i nā maʻi puʻuwai a me nā māmā hānau ʻia a loaʻa i nā keiki. ʻO kā mākou hui o nā kauka ʻoki cardiothoracic pediatric akamai loa, i kākoʻo ʻia e nā anesthesiologists cardiac kūikawā, nā intensivists, a me nā kahu maʻi, hāʻawi i ka mālama piha no nā maʻi cardiac a me thoracic paʻakikī loa.

ʻO nā ʻāpana koʻikoʻi o ka ʻike he:

1. Nā kīnā puʻuwai hānau

• Nā pilikia me ke ʻano o ka puʻuwai i loaʻa i ka wā hānau, mai ka liʻiliʻi a hiki i ka hoʻoweliweli i ke ola.
• Hoʻoponopono ʻoki kino i nā kūlana e like me nā kīnā septal atrial a me ventricular, Tetralogy of Fallot, a me ka transposition o nā aʻa nui, a pēlā aku.

2. ʻO ke ʻoki puʻuwai hānau hou

• Nā ʻoki kino kūikawā no nā pēpē hānau hou maʻi koʻikoʻi me nā kīnā puʻuwai hānau.

3. Hoʻoponopono a me ke pani ʻana o ka valve puʻuwai

• Hōʻike ʻia no kahi kiwikā i ālai ʻia/hāiki ʻia i loko o ka puʻuwai o kāu keiki a i ʻole kekahi e hana ʻole nei ma ke ʻano maʻamau.
• Nā kaʻina hana e hoʻoponopono ai i ka hana hewa o ka valve me ka mālama ʻana i ka hana o ka puʻuwai.

4. Ke kūkulu hou ʻana o ke kīkoʻo aortic

• ʻO ka coarctation (ka hoʻohaiki ʻana) o ka aorta (ke aʻa nui loa o ke kino) he kīnā puʻuwai hānau ia e kū mai ana ke hana pono ʻole ʻia ka aorta o kahi pēpē i ka wā hāpai, kahi i hoʻoponopono ʻia e ke ʻoki ʻana.
• Lapaʻau ʻoki kino no ka hoʻohaiki ʻana o ka aorta a me nā kīnā ʻē aʻe o ke kīkoʻo.

5. Ka mālama ʻana i nā cardiomyopathies

• He maʻi puʻuwai laha ʻole e hoʻopilikia ai i nā ʻiʻo puʻuwai i nā keiki.
• Nā koho ʻoki kino no nā maʻi ʻiʻo puʻuwai i pane ʻole i ka lāʻau lapaʻau.

6. Nā ʻano ʻino o ka māmā a me ka paia umauma

• ʻO kēia mau mea e pili ana i nā ʻano ʻē o ke kūkulu ʻana o ka umauma, nā kūlana e pili ana i nā māmā a me ka lua o ka umauma, a pēlā aku
• ʻIke loea i ka ʻoki ʻana i nā māmā, ka hoʻoponopono ʻana i nā paia o ka umauma, a me ka mālama ʻana i nā ʻōpuʻu thoracic.

Ua kaulana ka ʻike loea Pediatric Cardiology o ka Apollo Institute of Pediatrics ma India holoʻokoʻa no ka mālama maikaʻi ʻana i nā mea maʻi a me nā hopena lapaʻau. Mai ka wā kamaliʻi a hiki i ka wā makua, ua hoʻolaʻa wale ʻia kā mākou hui o Cardiologists, Cardiac Surgeons, nā kahu maʻi a me nā loea ʻē aʻe i ka hāʻawi ʻana i kahi laulā piha o nā lawelawe cardiac no nā poʻe maʻi me nā maʻi puʻuwai hānau a me nā maʻi puʻuwai kakaʻikahi ʻē aʻe. I kēlā me kēia makahiki, mālama kā mākou Cardiologists i nā keiki a me nā pākeke he 10,000 a ʻoi me nā kīnā puʻuwai hānau a loaʻa, me nā hihia kakaʻikahi a paʻakikī loa ma ka honua. Hoʻololi kēia pae o ka ʻike i nā hopena maikaʻi aʻe. Kūleʻa kā mākou Cardiologists i nā wahi like ʻole o Cardiology me ka Catheter intervention, Fetal Cardiology, Three Dimensional Echocardiography, Pulmonary hypertension, Heart failure & Pediatric Heart and Lung Transplantation.

Papahana ECHOCARDIOGRAPHY A ME FOETAL CARDIOLOGY
He loea mākou i ka Echocardiography no nā maʻi puʻuwai Congenital a me Structural. Hana ʻia nā haʻawina echocardiographic Transthoracic a me Transesophageal Three Dimensional me nā mīkini loea. Loaʻa nā pono echocardiography lawe lima ma ka lab Catheterisations, ka lumi hana Cardiac, Cardiothoracic ICU a me ka mālama koʻikoʻi Pediatric. Hana mākou i ka echocardiography fetal a hāʻawi i nā lawelawe aʻoaʻo antenatal no nā hāpai keiki kiʻekiʻe. Loaʻa i kā mākou hui ka ʻike loea i ka mālama puʻuwai ulia pōpilikia Neonatal, nā hana Neonatal a hāʻawi i nā manaʻo ma mua a ma hope o nā ʻoki puʻuwai.

Nā Hana Hoʻopili Catheter o ka Puʻuwai
Loaʻa iā mākou kahi hui o nā Kauka Cardiologist Interventional e hana i nā hana hoʻoponopono paʻakikī e pili ana i nā hana neonatal, nā hana hoʻoponopono hānau makua a me nā kaʻina hana Hybrid. Hana mākou ma kahi o 500 mau hana catheter i kēlā me kēia makahiki, ma kā mākou keʻena hoʻokolohua catheterization kiʻekiʻe loa.

Nā Keʻena Lapaʻau no ka Pōʻino o ka Puʻuwai / Pulmonary Hypertension a me ka Papahana Hoʻoili
Mālama mākou i kahi waihona ʻikepili o nā poʻe maʻi me ka hāʻule ʻana o ka puʻuwai a me nā maʻi hypertension pulmonary. Hana ʻia nā loiloi lapaʻau kikoʻī no kēia mau maʻi ma nā keʻena lapaʻau Heart failure a me Pulmonary hypertension i mālama ʻia i ʻelua manawa i ka pule.

NA MALAMALAMAOLAHA KOA
Ua ʻae ʻia ka 'Oihana no nā papahana Fellowship o ka Papa Hoʻokolokolo Lahui (NBE). Kākoʻo mākou i ka hoʻomohala ʻana o nā alakaʻi e hiki mai ana i ka mālama Pediatric Cardiac. Ke hoʻokipa nei mākou i nā hoa papa aupuni, nā hoa honua a me nā hoa ma ke kaʻina hana mai Pediatrics a me Adult Cardiology. Loaʻa i nā hoa ke aʻo lima ma ka Echocardiography a me nā kaʻina hana Cardiac Catheterisation. Hāʻawi mākou i kahi papahana hoʻonaʻauao me nā kūkākūkā hihia lapaʻau maʻamau, nā hui puke pai, nā seminar a me nā loiloi formative. Hōʻike pinepine ʻia nā pepa ma nā ʻaha kūkā Lahui a me nā ʻaha kūkā honua.

heluhelu hou

ʻO ka 'Oihana Urology Pediatric Hāʻawi mākou i ka mālama kula kiʻekiʻe piha a multidisciplinary no nā keiki me nā pilikia Urological / abnormalities like ʻole. Hāʻawi mākou i kahi lāʻau lapaʻau kūikawā a kālele nui ʻia no nā pilikia Urology. Hana kā mākou mau kauka Urology Pediatric akamai i nā ʻokiʻoki kikoʻī i hoʻoikaika ʻia e ka loaʻa ʻana o nā lako hana hou loa a me ke kākoʻo kākoʻo o nā limahana i aʻo ʻia ma ke kahua o nā ʻokiʻoki Key hole, nā ʻokiʻoki Laparoscopic, nā ʻokiʻoki Robotic a me Endourology.

Nā kūlana i mālama ʻia a me nā lawelawe i hāʻawi ʻia:

• He loea mākou i nā kaʻina hana no:
  • ʻO ka Hydronephrosis - kahi maʻi e pili ana i ka pehu ʻana o ka puʻupaʻa ma muli o ka hōʻiliʻili ʻana o ka mimi
  • ʻO ka pale ʻana o ka pelvic ureteric junction - kahi pale ʻana o ka hui ʻana kahi e hui ai ka puʻupaʻa me ka ureter
  • ʻŌnaehana VUR / Duplex

ʻO ka reflux Vesicoureteral [VUR] ke kahe hope ka mimi mai ka ʻōpū mimi a i nā puʻupaʻa, e hoʻonui ana i ka pilikia o nā maʻi puʻupaʻa a me ka hōʻino. ʻO ka ʻōnaehana Duplex kahi maʻi hānau kahi i loaʻa ai i ka puʻupaʻa ʻelua mau ʻōnaehana hōʻiliʻili kaʻawale ma kahi o kahi ʻōnaehana hoʻokahi maʻamau. Hāʻawi mākou i kahi ākea piha o nā koho lapaʻau, mai ka hoʻokele conservative me nā antibiotics a hiki i ka hoʻoponopono ʻoki kino minimally invasive, e like me ka ureteral reimplantation a i ʻole nā ​​​​inikini endoscopic.

• Ke aʻo ʻana ma mua o ka hānau ʻana no nā kūlana urological o ka pēpē.
• Nā pilikia pēpē hānau hou, nā ʻano ʻē i ʻike ʻia ma ka wā hāpai, ka nui o ka ʻōpū, urosepsis, ka paʻa ʻana o ka mimi, nā nui o ka scrotal, nā ʻano genitalia waho ʻē, a pēlā aku.
• Nā kūlana hānau hou: Nā anomalies renal, nā tumors, exstrophy complex, ambiguous genitalia, posterior urethral valve, scrotal anomalies, etc.
• Mālama multidisciplinary no nā keiki me nā ʻano ʻē o ka ʻōpū mimi a me ka iwi kuamoʻo, kahi e hui pū ai ka mālama loea o nā Paediatricians, Nephrologists, Pediatric Urologists, Neurosurgeons, Endocrinologists a me Developmental Physicians.
• Nā kaʻina hana Endourological like ʻole e like me:
  • PUV fulgration: kahi hana minimally invasive e mālama ai i ka Posterior urethral valve, kahi kūlana e hoʻopilikia ai i ka urethra kāne.
  • Ka wehe ʻana i ka uhi o ka ureterocele: kahi hana e mālama ai i ka ureterocele, kahi pehu ma ka hopena o ka ureter
  • Hoʻokomo ʻia ʻo Deux ma lalo o ka ureter no ka reflux Vesicoureteral, me ka hoʻohana ʻana i ka hoʻokomo ʻana o kahi mea hoʻonui i kapa ʻia ʻo Deux kokoke i ke kiko komo o ka ureter.
  • ʻO ka inikini endoscopic o 'Botox' no ka ʻōpū mimi Neurogenic, kahi i hoʻopilikia ʻia ai ka ʻōpū mimi e ka hōʻino ʻana o nā aʻalolo.
  • Hoʻokele ʻia nā pōhaku ʻōpū a me nā pōhaku ureteric e ka Laser Lithotripsy, kahi i haki ai nā pōhaku e ka ikehu laser.
  • ʻO PCNL (Percutaneous Nephrolithotripsy) no nā pōhaku puʻupaʻa me ka hoʻohana ʻana i nā ʻoki liʻiliʻi. ʻO Apollo kekahi o nā kikowaena liʻiliʻi ma India e hana ana i kēia kaʻina hana i ka hui makahiki pediatric.
• urology hana hou

ʻO kēia nā kaʻina hana e like me ka Bladder Augmentation.

• Hoʻokele i nā ʻano ʻino o ka Penile Pediatric: penile torsion, chordee, penis huna, nā ʻokiʻoki intersex, a me Hypospadias. He ʻano hānau ʻo Hypospadias i nā kāne kahi i loaʻa ai ka puka urethral ma lalo o ka penis ma kahi o ka wēlau. ʻO mākou kekahi o nā kikowaena nui ma India kahi i hoʻoponopono ʻia ai nā ʻano Hypospadias āpau ma ke ʻano he kaʻina hana hoʻokahi me nā hopena e like me ka mea maikaʻi loa ma ka honua.
• Ka mālama ʻana i nā hana ʻino o ka ʻōpū mimi, ka wikiwiki o ka mimi, ka incontinence o ka makemake, ka wai ʻole i ka hana pono ʻole, ka ʻōpū neurogenic, ka enuresis nocturnal, a pēlā aku me ka loaʻa ʻana o nā haʻawina urometry/Urodynamic pediatric e kōkua i ka mālama ʻana.

Ua hoʻolaʻa ʻia ka ʻoihana Pediatric Neurology ma Apollo Institute of Pediatrics no ka ʻike ʻana a me ka mālama ʻana i nā ʻano maʻi neurological like ʻole i nā keiki, mai ka wā kamaliʻi a hiki i ka wā ʻōpio. Hana pū kā mākou hui o nā neurologists pediatric akamai me nā loea ʻē aʻe e hāʻawi i ka mālama piha no nā kūlana neurological paʻakikī.

Loaʻa iā mākou kahi keʻena hoʻokolohua Neurophysiology i hoʻolako pono ʻia no nā hoʻokolohua āpau e pono ai.

Loaʻa nā pono no nā noiʻi keʻena hoʻokolohua a me ka radiology (me ka MRI). Loaʻa pū nā pono hoʻāʻo neurophysiological ʻē aʻe a me nā wikiō-EEG telemetry ma kahi e kūpono ai nā keiki.

ʻO nā ʻāpana koʻikoʻi e pili ana:

1. Hoʻokele ʻana i ka maʻi ʻepilepsy

• ʻO ka mālama lapaʻau lōʻihi o ka maʻi epilepsy, kahi maʻi lolo e hoʻoulu ai i ka poʻe i nā hanana pōkole o ka neʻe ʻole i kapa ʻia he seizures.
• Nā hōʻailona holomua, me ka nānā ʻana i ke wikiō EEG a me ka neuroimaging.
• ʻO ka loiloi no ke ʻoki ʻana i ka epilepsy a me ka lāʻau lapaʻau ketogenic no nā hihia pale lāʻau.

2. Nā maʻi neurodevelopmental

• ʻO nā maʻi neurodevelopmental kahi hui o nā kūlana e hoʻopilikia ai i ka lolo a me ka ʻōnaehana nerve i ka wā o ka ulu ʻana, a hiki ke hoʻopilikia i ka ʻike, ke kamaʻilio ʻana, ke ʻano, a me/a i ʻole nā ​​​​mākau neʻe.
• ʻO ka ʻike mua ʻana a me ke komo ʻana no nā maʻi e like me nā maʻi autism spectrum disorders (ASD), ka maʻi attention deficit hyperactivity disorder (ADHD), a pēlā aku.
• Nā hoʻolālā hoʻōla multidisciplinary, e pili ana i ka hoʻōla ʻana i ka hana, ka ʻōlelo, a me ka hoʻōla ʻoihana.
• Ka mālama ʻana i nā maʻi neurodevelopmental me nā loea psychiatric keiki

3. Nā maʻi neuromuscular

• ʻO kēia kahi hoʻonohonoho o nā kūlana kahi e hoʻopilikia ʻia ai ka ʻōnaehana neuromuscular, me nā aʻalolo e kaohi ana i nā ʻiʻo a me nā ʻiʻo ponoʻī.
• ʻIke loea i ka hoʻokele ʻana i nā kūlana e like me ka muscular dystrophy (nāwaliwali o nā ʻiʻo a me ka degeneration), myopathies (nā pilikia ʻiʻo iwi), a me Guillain-Barré syndrome (maʻi neurological e kū mai ana i ka wā e hoʻouka ai ka ʻōnaehana pale o ke kino i ka ʻōnaehana nerve peripheral).
• Nā hoʻāʻo genetic holomua a me nā lāʻau lapaʻau hoʻoponopono hou.

4. Ka mālama ʻana i ka ʻeha poʻo a me ka migraine

• Nā ʻano poʻo ʻeha like ʻole e like me ka migraines, nā poʻo ʻeha ʻeha, nā poʻo ʻeha sinus, etc.
• Nā hoʻolālā lapaʻau pilikino e pili ana i ka lāʻau lapaʻau, nā hoʻoponopono nohona, a me ke aʻo ʻana.

5. Nā maʻi neʻe

• Nā kūlana neurological e hoʻopilikia ai i ka hiki o kāu keiki ke neʻe maʻamau a me ka kaohi.
• Ka ʻike ʻana a me ka mālama ʻana i nā kūlana e like me ka cerebral palsy, dystonia, a me nā tics.
• Nā lawelawe lapaʻau toxin botulinum a me ka hoʻoponopono kino.

6. Nā kūlana neuroimmunological

• Nā kūlana e kū mai ana i ka wā e hoʻouka ai ka ʻōnaehana pale o ke kino iā ia iho, e hōʻino ana i ka lolo, nā aʻalolo, a me nā ʻiʻo ʻē aʻe.
• ʻIke loea i ka mālama ʻana i ka sclerosis lehulehu o nā keiki, ka encephalomyelitis disseminated acute (ADEM), a me ka encephalitis autoimmune.

ʻO ka ʻoihana Pediatric Orthopedics ma Apollo Institute of Pediatrics he loea i ka ʻike ʻana, ka mālama ʻana, a me ka hoʻokele ʻana i nā kūlana musculoskeletal i nā keiki a me nā ʻōpio. Hāʻawi kā mākou hui o nā kauka ʻokiʻoki orthopedic pediatric akamai a me nā loea i ka mālama piha no nā ʻano pilikia orthopedic like ʻole, mai nā ʻeha maʻamau a hiki i nā kīnā hānau paʻakikī.

ʻO nā ʻāpana koʻikoʻi o ka ʻike he:

1. Nā haki a me nā ʻeha haʻuki

• Nā ʻeha maʻalahi a paʻakikī paha i nā iwi, nā ʻiʻo, nā ligaments a me nā tendons o kāu keiki ma muli o ka hāʻule ʻana a i ʻole kahi hanana e pili ana i ka haʻuki.
• Mālama koke no nā haki iwi a me nā sprains, e hoʻoikaika ana i ka mālama ʻana i ka papa ulu.
• ʻO ka hoʻoponopono hou ʻana no nā ʻeha haʻuki e hoʻihoʻi i ka ikaika a me ka neʻe ʻana.

2. ʻO ka dysplasia hip hoʻomohala

• He kūlana kahi i ulu pono ʻole ai ke ami ʻūhā i nā pēpē a me nā kamaliʻi.
• Ka ʻike mua ʻana me ka hoʻohana ʻana i nā ʻano hana kiʻi holomua.
• Nā lāʻau lapaʻau ʻoki kino ʻole (harness, bracing) a me ke ʻoki kino (osteotomies) i hana ʻia no ka makahiki o kāu keiki.

3. Nā ʻano kīnā o nā lālā a me nā ʻokoʻa o ka lōʻihi

• Nā ʻano ʻē i ka ulu ʻana a me ka hoʻomohala ʻana o ko lākou mau lima a i ʻole nā ​​​​wāwae.
• Hoʻoponopono ʻana i nā wāwae kūlou, nā kuli kūlou, a me nā ʻokoʻa o ka lōʻihi o nā lālā me ka hoʻohana ʻana i nā ʻano hana ʻoki kino minimally invasive a holomua paha.

4. Scoliosis a me nā ʻano ʻē aʻe o ka iwi kuamoʻo

• Nā mea ʻē aʻe i ka lōʻihi a me ke kūlou ʻana o ka iwi kuamoʻo o kāu keiki.
• Mālama piha no ka scoliosis (ke kūlou ʻaoʻao o ka iwi kuamoʻo), kyphosis (ke kūlou i hope o ka iwi kuamoʻo), a me nā pilikia ʻē aʻe o ke iwi kuamoʻo, me ke kākoʻo ʻana a me ke ʻoki ʻana i ka hui ʻana o ka iwi kuamoʻo i ka wā e pono ai.

5. Ka wāwae kalapu a me nā kīnā wāwae ʻē aʻe

• ʻO nā maʻi hānau ʻole e like me ka wāwae kalapu, ka wāwae pālahalaha, ka hui ʻana o ka tarsal, a pēlā aku.
• ʻIke loea i ke ʻano Ponseti o ka hoʻohana ʻana i nā ʻōmole i hoʻoheheʻe ʻia e hoʻoponopono i ke kūlana maikaʻi a me nā hoʻoponopono ʻokiʻoki no nā hihia kūʻē.

6. Ka mālama ʻana i nā maʻi iwi a me nā hono

• Ka ʻike koke a me ka mālama ʻana e pale i nā pilikia lōʻihi.

He loea ka ʻoihana Pediatrics Hoʻomohala ma Apollo Institute of Pediatrics i ka loiloi, ka ʻike ʻana, a me ka mālama ʻana i nā keiki me nā lohi a me nā maʻi ulu. Hana pū kā mākou hui o nā pediatricians hoʻomohala, nā psychologists, nā therapists ʻōlelo, nā therapists hana, a me nā loea ʻē aʻe e hāʻawi i ka mālama piha no nā keiki me nā ʻano hopohopo ulu like ʻole.

ʻO nā ʻāpana koʻikoʻi e pili ana:

1. Nā lohi a me nā maʻi hoʻomohala

• ʻO ka loiloi piha a me nā hana i hana kūikawā ʻia no nā maʻi autism spectrum, ADHD, nā pilikia aʻo, a me nā lohi o ka neʻe ʻana.
• Nā hana komo ʻana o ka hana
• Ka'ōlelo a me ka hoʻomeheu'ōlelo
• ʻO kaʻoihana ola
• ʻO ke olakino
• Nā hana hoʻonaʻauao
• Ka mālama ʻana i nā lāʻau lapaʻau i ka wā kūpono

2. ʻŌlelo a me ka ʻōlelo

• Ka ʻike a me ka lāʻau lapaʻau no nā keiki me ka lohi o ka ʻōlelo, ka haʻi ʻōlelo a i ʻole nā ​​​​pilikia o ka hoʻopuka ʻana.

3. Nā pilikia o ke ʻano

• Ke hoʻoponopono nei i nā hopohopo e like me ka huhū, ka hopohopo, a me nā pilikia o ka nānā ʻana ma o ke aʻoaʻo ʻana a me ka hoʻoponopono ʻana i ka hana.
• Ka mālama ʻana i ka lāʻau lapaʻau inā pono.

ʻO ka ʻoihana Pediatric Endocrinology ma Apollo Institute of Pediatrics he loea i ka ʻike a me ka mālama ʻana i nā maʻi hormonal i nā keiki a me nā ʻōpio. ʻO ka ʻōnaehana endocrine kahi pūnaewele paʻakikī o nā glands a me nā ʻōpū, e hoʻohana ana i nā hormones e kāohi a hoʻonohonoho i ka metabolism o kāu keiki, ka pae ikehu, ka hānau hou ʻana, ka ulu ʻana a me ka ulu ʻana. Hāʻawi kā mākou hui o nā endocrinologists pediatric akamai i ka mālama piha no nā ʻano maʻi endocrine like ʻole e hoʻopilikia i ka ulu ʻana, ka ulu ʻana, ka metabolism, a me ke olakino hānau hou.

ʻO nā ʻāpana koʻikoʻi o ka ʻike he:

1. Nā maʻi ulu

• Nā maʻi i hoʻokumu ʻia e ka nele a i ʻole ka nui o nā hormones ulu i kāu keiki.
• Ka mālama ʻana i ke kino pōkole a me nā hemahema a i ʻole keu o ka hormone ulu.

2. Nā maʻi thyroid

• He maʻi endocrine maʻamau e hoʻopilikia ana i ka hana ʻana o ka hormone thyroid i hana ʻia i loko o ka thyroid gland.
• Ka mālama ʻana no ka hypothyroidism, hyperthyroidism, a me nā maʻi thyroid congenital i nā keiki.

3. Maʻi diabetes (ʻAno 1 a me ʻAno 2)

• He maʻi mau loa ia e kū mai ana i ka wā e hana ʻole ai ke kino o kāu keiki i ka insulin lawa a i ʻole hiki ʻole ke hoʻohana pono iā ia, a laila e hoʻonui ai i ka glucose i loko o ke kino.
• ʻO ka maʻi diabetes type 1 kahi maʻi autoimmune kahi e hoʻouka ai ka ʻōnaehana pale o kāu keiki i nā hunaola pancreatic e hana ana i ka insulin, ʻoiai ʻo ka maʻi diabetes type 2 kahi maʻi e pili ana i ke ʻano o ka nohona e hui pū ʻia me ka momona a me ke ʻano maikaʻi ʻole.
• ʻO ka mālama piha, me ka lāʻau lapaʻau insulin a me ka nānā ʻana i ka glucose no ka maʻi diabetes Type 1 a me Type 2, a me ke aʻoaʻo ʻana i ke ʻano o ka nohona no ka maʻi diabetes type 2.

4. Nā maʻi ʻōpio

• ʻO nā hemahema hormonal i kāu keiki, e hopena ana i ka hana nui ʻana a i ʻole ka hana ʻole ʻana o nā hormones hānau.
• ʻO ka hana nui ʻana o nā hormones hānau hou hiki ke alakaʻi i ka wā ʻōpiopio mua (ʻōpiopio mua), ʻoiai ʻo ka hana ʻole ʻana a i ʻole ka lohi o ka hana ʻana o nā hormones hānau hou hiki ke alakaʻi i ka lohi o ka ʻōpio.
• Ka mālama ʻana i ka wā ʻōpiopio mua a lohi paha.

5. Nā maʻi kalikima a me ka iwi

• Hiki ke hoʻoulu ʻia nā maʻi iwi e nā kumu he nui, me nā kūlana genetic a me nā hemahema meaʻai.
• Lapaʻau no nā rickets, osteogenesis imperfecta, osteoporosis, a me nā kūlana iwi metabolic ʻē aʻe i kāu keiki.

6. Ka momona a me ka maʻi metabolic

• Pili pū me ke kū'ē'ē o ka insulin, ka mumū ʻōnaehana, a me ka hana pono ʻole o ke kelepona.
• Nā hana o ke ola a me ka mālama ʻana i nā lāʻau lapaʻau e pale aku i nā pilikia.

ʻO ka ʻoihana Pediatric Gastroenterology & Hepatology ma Apollo Institute of Pediatrics he loea i ka ʻike a me ka mālama ʻana i nā maʻi o ka ʻōnaehana hoʻoheheʻe, ke akepaʻa, a me ka pancreas i nā pēpē, nā keiki, a me nā ʻōpio. Hāʻawi kā mākou hui o nā pediatric gastroenterologists a me nā hepatologists akamai i ka mālama piha no nā ʻano maʻi gastrointestinal a me ke akepaʻa.

ʻO nā ʻāpana koʻikoʻi o ka ʻike he:

1. Maʻi ʻōpū mumū

• ʻO ke kūlana mumū mau loa o ke ala ʻōpū, e like me ka maʻi ʻo Crohn a me ka ulcerative colitis, e hōʻeha pinepine ai i ka ʻōpū, ka maʻi pākī, a me ka pohō kaumaha.
• ʻO ka hoʻokele piha e komo pū ana me ke aʻo ʻana i ka meaʻai a me ka lāʻau lapaʻau.

2. Ka maʻi reflux Gastroesophageal (GERD)

• ʻAno kahi e kahe pinepine ai ka waikawa o ka ʻōpū i loko o ka esophagus, e alakaʻi ana i nā hōʻailona e like me ka ʻeha puʻuwai, ka luaʻi ʻana, a i ʻole ka pilikia i ka hānai ʻana.
• Nā hoʻololi ʻana i ke ʻano o ka nohona, nā hoʻoponopono ʻana i ka meaʻai, nā lāʻau lapaʻau e hōʻemi i ka hana ʻakika, a i nā hihia kakaikahi, ke komo ʻana o ke ʻoki kino.

3. Maʻi Celiac

• He maʻi autoimmune i hoʻoulu ʻia e ka gluten, e hopena ana i ka hōʻino ʻana i ka ʻōpū liʻiliʻi.
• Ke aʻo ʻana a me ke kākoʻo meaʻai e hoʻoponopono ai i nā hemahema.

4. Nā maʻi neʻe

• Nā maʻi e hoʻopilikia ana i ka neʻe ʻana o ka meaʻai ma o ke ala ʻai o kāu keiki, me ka paʻa mau ʻana o ka ʻōpū a i ʻole ka lohi o ka hoʻokahe ʻana o ka ʻōpū.
• Nā hoʻolālā lapaʻau i hana ʻia me nā loli i ka ʻai, nā lāʻau lapaʻau e hoʻomaikaʻi ai i ka neʻe ʻana, a me ka lāʻau biofeedback inā pono.

5. Nā maʻi akepaʻa

• ʻO nā kūlana e like me ka hepatitis, ka momona o ke akepaʻa, a i ʻole nā ​​​​maʻi metabolic o ke akepaʻa e hiki ke hoʻopilikia i ka hana ate o kāu keiki a me ke olakino holoʻokoʻa.
• ʻO ka ʻike mua ʻana ma o nā hoʻokolohua kiʻi holomua a me nā hoʻokolohua koko, nā lāʻau lapaʻau e hoʻokele ai i ka mumū o ke akepaʻa, a me ka mālama kūikawā no nā kūlana paʻakikī e like me nā hoʻoili ʻana.

6. Nā maʻi pancreatic

• ʻO nā maʻi e like me ka pancreatitis a i ʻole nā ​​​​hemahema enzyme e hoʻopilikia ana i ke kaʻina hana hoʻoheheʻe o kāu keiki a me ka omo ʻana o nā meaʻai.
• ʻO ka hoʻoponopono hoʻololi enzyme a me nā hoʻololi ʻana i ka meaʻai e kākoʻo i ka ʻai ʻana.

7. Nā maʻi ʻai

• Nā pilikia e like me ka ʻai ʻole ʻana, ka hiki ʻole ke ulu pono, a i ʻole ka momona e hoʻopilikia i ka ulu ʻana a me ka ulu ʻana o kāu keiki.
• Nā loiloi meaʻai piha, nā hoʻolālā ʻai pilikino, a me ka nānā mau ʻana e hōʻoia i ka ulu olakino.

Loaʻa i kā mākou lawelawe: 

• Nā kūkākūkā piha, loiloi a me ka hōʻailona ʻana, nā hoʻolālā hoʻokele maopopo e komo pū ana me ke kākoʻo meaʻai
• Nā kaʻina hana endoscopic Diagnostic a me Therapeutic, e like me:
  • ʻO ka endoscopy GI kiʻekiʻe
  • ʻO ka endoscopy GI haʻahaʻa (Colonoscopy)
  • Kāpena endoscopy
  • Manometry (Esophageal a me Anorectal)
  • Nā haʻawina Impedance / pH
• Nā kaʻina hana o ke akepaʻa, e like me:
  • Biopsy o ke ake
  • Ka Hoʻokele
  • Hoʻopaʻa ʻana o nā varices
  • Sclerotherapy
  • Hoʻonui ʻia ke koʻikoʻi o ka esophagus
• Ka wehe ʻana i nā kino ʻē, Percutaneous Endoscopic Gastrostomy (PEG), ERCP.
• Mālama hoʻoili akepaʻa: Loiloi ma mua o ke hoʻoili ʻana a me ka mālama perioperative me ka hui hoʻoili akepaʻa

Ua kūpaʻa ka ʻoihana Pediatric Oncology ma ka Apollo Institute of Pediatrics i ka hāʻawi ʻana i ka mālama aloha a me ka mālama kiʻekiʻe no nā keiki i loaʻa i ka maʻi kanesa. 

ʻO ka mālama ʻana i nā keiki me nā maʻi koko e like me ka anemia a me nā pilikia kahe koko e like me ka hemophilia. ʻO nā wahi alakaʻi o ka lawelawe e pili ana i ka mālama ʻana i nā keiki me ka thalassemia major, sickle cell anemia a me nā keiki me nā maʻi hou i manaʻo ʻia he mau maʻi pale mua. ʻIke ʻia kēia mau keiki ma kā mākou keʻena lapaʻau kūikawā a hāʻawi ʻia i nā lawelawe diagnostic e pili ana i ka hana molecular a me ka mālama piha ʻana me ka hoʻoili ʻana i ka iwi iwi curative ma lalo o hoʻokahi hale.

Hana mākou ma ke ʻano he hui me nā lawelawe diagnostics a loaʻa iā mākou ke komo ʻana i ka PET CT a me nā Histopathologists loea, Haematopathologists, Pediatric Intensivists, Pediatric Oncosurgeons a me nā radiation oncologists e hāʻawi i ka mālama kūpono no nā keiki me ka maʻi kanesa.

ʻO ka hoʻoili ʻana o ka iwi iwi ke ala wale nō e ola ai no nā maʻi me nā maʻi ʻaʻai koko paʻakikī, ka immunodeficiency mua a me ka thalassemia nui. Hana ka hui HOPE ma kahi o 80 mau hoʻoili keiki i kēlā me kēia makahiki a ʻo ia ke kikowaena hoʻoili iwi iwi pediatric nui loa ma ka ʻāina.

Nā Māhele Koʻikoʻi o ka ʻIke:

1. Leukemia a me nā Lymphomas

• ʻO nā maʻi kanesa o ke koko a me ka ʻōnaehana lymphatic, e like me ka leukemia lymphoblastic acute (ALL) a me ka lymphoma Hodgkin, ʻo ia kekahi o nā maʻi kanesa maʻamau o nā kamaliʻi.
• ʻO ka mālama piha e komo pū ana me ka chemotherapy, nā lāʻau lapaʻau i hoʻolālā ʻia, a me ka hoʻoili ʻana i nā cell stem no nā hihia pilikia kiʻekiʻe.

2. Nā ʻōpū lolo a me ke kikowaena o ka ʻōnaehana nerve

• ʻO nā puʻupuʻu i loko o ka lolo a i ʻole ke kaula kuamoʻo, e like me medulloblastomas a me gliomas, hiki ke hoʻopilikia i ka hana neurological a me ka ulu ʻana.
• ʻO nā hana ʻokiʻoki holomua, ka radiation therapy me ka hoʻohana ʻana i nā ʻano hana pololei, a me ka chemotherapy i hana ʻia i ke ʻano o ka puʻupuʻu.

3. Nā Sarcomas o ka iwi a me nā ʻiʻo palupalu

• ʻO nā maʻi kanesa e like me ka osteosarcoma a me ka Ewing sarcoma e hoʻopilikia ana i nā iwi a i ʻole nā ​​​​ʻiʻo a puni, e hōʻike pinepine ana me ka ʻeha kūloko a i ʻole ka pehu ʻana.
• He hui pū ʻana o ke ʻoki kino, chemotherapy, a me ka radiotherapy, me nā ʻano hana ʻoki kino e mālama ai i nā lālā i nā manawa hiki.

4. Neuroblastoma

• ʻO ke kanesa i hoʻomaka mai i loko o nā pūnaewele aʻalolo ʻōpiopio, i loaʻa pinepine i loko o nā kelepa adrenal, e hoʻopilikia ana i nā pēpē a me nā keiki ʻōpio.
• ʻO ke ʻano hana multidisciplinary e pili ana i ke ʻoki kino, chemotherapy, radiotherapy, a, i nā hihia koʻikoʻi, immunotherapy a i ʻole ka hoʻoili ʻana i nā cell stem.

5. ʻO ka puʻupuʻu o Wilms

• ʻO ka maʻi ʻaʻai puʻupaʻa e hoʻopilikia nui ana i nā keiki ma lalo o 5 mau makahiki, e hōʻike pinepine ana i ke ʻano o ka puʻu ʻōpū me ka ʻeha ʻole.
• ʻO ka wehe ʻana i ka puʻupuʻu ma ke ʻoki kino, a ukali ʻia e ka chemotherapy a, i kekahi mau hihia, radiotherapy e hōʻoia i ka hoʻopau piha ʻana.

6. Retinoblastoma

• He maʻi ʻaʻai maka laha ʻole e hoʻopilikia ana i nā keiki ʻōpio, ʻike pinepine ʻia ma o nā ʻōuli maka ʻē aʻe a i ʻole nā ​​​​pilikia ʻike.
• ʻO nā lāʻau lapaʻau e pili ana i ka chemotherapy, ka laser therapy, cryotherapy, a, i nā hihia koʻikoʻi, ka enucleation (ka wehe ʻana i ka maka) e mālama i ke ola.

ʻO ke Keʻena ʻoki kino robotic pediatric he ʻāpana ia o ka Pediatric Urology a me ke Keʻena ʻoki kino pediatric. Ua kōkua nui kēia Keʻena paionia i ka ʻimi ʻana i ka hoʻohana ʻana i ka robotics no ke ʻoki kino i nā keiki. ʻO ke keiki muli loa i hana ʻia i ke ʻoki kino me ka hoʻohana ʻana i ka robot he 2 mahina wale nō a he 4 kg ke kaumaha.

ʻO ke ʻoki kino Robotic he ʻoki kino laparoscopic i hoʻololi ʻia. Ma o nā lua ʻekolu a ʻehā paha, hoʻokomo ʻia nā mea hana i loko o ke kino a hoʻoponopono ʻia e ʻoki a humuhumu. Loaʻa i nā mea hana ma ke ʻoki kino Robotic nā wēlau liʻiliʻi e neʻe, wili a huli e like me ka lima kanaka. Me kēia, hāʻawi ke kāmela robotic i kahi hiʻohiʻona ʻekolu-dimensional o nā ʻōpū o loko me nā kikoʻī kupaianaha. ʻO ka hohonu o ka ʻike i hāʻawi ʻia e ka robot e hiki ai ke hana ʻoki kino akahai loa me ka liʻiliʻi o ka maʻi. ʻO ke ʻano kēia, ʻo ka ʻōpū maʻi wale nō ka mea e mālama ʻia a ʻaʻohe haunaele i hana ʻia i nā ʻano pili.

ʻAʻole e like me ke ʻoki laparoscopic, pololei nā neʻe robotic, e hōʻoia ana e hoʻopau ʻia ke kaʻina hana i ka manawa pōkole loa. Hoʻemi ʻia ka lōʻihi o ka anesthesia a wikiwiki loa ka hoʻōla ʻana ma hope o ke ʻoki ʻana. I ka hapa nui o nā hihia, hiki ke hoʻomaka ka hānai waha i loko o kekahi mau hola a hoʻokuʻu ʻia ke keiki i loko o hoʻokahi a ʻelua paha lā. ʻO ka hoʻokipa pōkole ʻana i ka haukapila e hōʻoiaʻiʻo ana ʻaʻole e hoʻopilikia nui ʻia nā mākua hana.

ʻO ka Paediatric Intensive Care Unit (PICU) o Apollo Institute of Pediatrics ka hale lapaʻau holomua loa o kona ʻano, e hāʻawi ana i ke kiʻekiʻe kiʻekiʻe o ka mālama no nā keiki maʻi koʻikoʻi a me nā ʻeha. Nui nā keiki maʻi koʻikoʻi me nā kūlana paʻakikī i kuhikuhi ʻia mai nā wahi a puni o India, a ma ka honua holoʻokoʻa hoʻi. 

Hāʻawi ka hui PICU i ka lāʻau lapaʻau e kū nei i kēia manawa, i hoʻokumu ʻia i nā hōʻike a pili pono i nā hana maikaʻi loa o ka honua. Hoʻolako ʻia ka ʻāpana e nā kauka mālama koʻikoʻi Pediatric i hoʻomaʻamaʻa ʻia ma ka honua holoʻokoʻa a hoʻopaʻa nui ʻia a hāʻawi i ka mālama koʻikoʻi no 24 mau hola o ka lā, 7 mau lā o ka pule. Hoʻopili pinepine lākou me nā loea lapaʻau a me nā ʻokiʻoki pediatric e pili ana i ka hoʻonohonoho ʻana o ka mālama, ka hoʻokuʻu ʻana a me ka hahai ʻana. Eia kekahi, hoʻokō nā kahu maʻi mālama koʻikoʻi i hoʻomaʻamaʻa kūikawā ʻia i ka mālama PICU.

Hāʻawi ʻo Apollo i ka hoʻomaʻamaʻa Pediatric Intensive Care Fellowship a ua alakaʻi i nā noiʻi koʻikoʻi i paʻi ʻia ma nā puke pai kaulana o ke aupuni a me ka honua.

MĀLAMA KŪIKAWĀ

• Mālama trauma multi-system
• Kākoʻo maʻi lele e kōkua ana i ka lāʻau lapaʻau i kuhikuhi ʻia no nā maʻi kūʻē a paʻakikī
• Ke Keʻena Kaohi Maʻi Koʻikoʻi e nānā pono ana i ka pale ʻana i ka maʻi a hōʻemi i nā maʻi i loaʻa i ka haukapila.
• Mālama Kūikawā no ke kuni ʻana
• Mālama Koʻikoʻi o ka Naʻau ma hope o ke ʻoki ʻana no ka maʻi puʻuwai hānau
• Mālama PICU ma hope o ke ʻoki ʻana o ka ʻōpū a me ka thoracic paʻakikī, ke ʻoki ʻana o ka neurosurgical a me ke craniofacial a me ke kuamoʻo
• Mālama ʻOncological / Haematological
• Kaʻina Hana Hoʻomaha
• Nā kaʻina hana hōʻoia invasive / non-invasive ma ka ʻaoʻao o ka moena (e like me Bronchoscopy, bedside EEG, ECG a me ka echocardiography)
• Hoʻoponopono wikiwiki i ka lāʻau lapaʻau no nā ʻano paʻakikī o ka haʻalulu circulatory me ka hoʻohana ʻana i ka "Point of care" Cardiac, Lung and Abdomen Ultrasound
• Ka nānā ʻana i ke kaomi intracranial (ICP)
• Ka Nānā ʻana i nā Multimodal no ka nānā ʻana i ka hoʻopuka Cardiac - USCOM, PiCCO
• Ke kau ʻana i ke komo ʻana o ke koko waena i alakaʻi ʻia e ka ultrasound e hoʻomaikaʻi ai i ka pololei
• Nā mīkini ana kinoea koko
• Pūnaehana kiaʻi kikowaena
• Nā algorithms a me nā lako hana paʻakikī no ke ala ea
• ʻO ke olakino'ōpiopio
• ʻO ka lāʻau lapaʻau oxygen kiʻekiʻe haʻahaʻa
• Hoʻoulu ea ʻaʻole komo i loko o ka ʻōnaehana - BiPAP/CPAP
• ʻO ka lāʻau lapaʻau nitric oxide
• Mea hoʻoulu uila alapine kiʻekiʻe
• Nā mea nānā CO2 hope-kai
• Hemofiltration / dialysis/SLED/ Peritoneal dialysis
• ʻO ka oxygenation membrane extra-corporeal (ECMO)

Aia ka wahi ECMO kūikawā a kū hoʻokahi o ke kiʻekiʻe loa i loko o ka paʻakikī PICU. Me ka ea i kāohi ʻia i ke kaomi maikaʻi a me nā ʻili anti-microbial, loaʻa i ka ʻāpana ECMO nā kūlana kaohi maʻi paʻa e kūlike me nā mea ma ka Hale Hana. Hiki i ka hui multi-disciplinary akamai ke hoʻonohonoho i ka ECMO ma lalo o hoʻokahi hola no ka hāʻule ʻana o ka hanu a i ʻole ka cardio-respiratory i hāʻule i ka lāʻau lapaʻau maʻamau. Ua holomua ka nui o nā keiki maʻi koʻikoʻi i hāʻule i nā lāʻau lapaʻau maʻamau i ka VV-ECMO (no ka hāʻule ʻana o ka hanu refractory) a me VA-ECMO (no ka haʻalulu refractory).

Ua hoʻolaʻa wale ʻia ka lawelawe ulia pōpilikia Pediatric a Apollo no nā keiki a hiki i ka 18 mau makahiki, i hoʻolālā ʻia me kahi lewa aloha, kūpono, a hōʻoluʻolu hoʻi. Ua aʻo ʻia nā limahana ma ke kikowaena ʻaʻole wale i ka mālama ʻana i nā pono olakino o nā keiki akā no ko lākou mau pono naʻau. ʻO ka Pediatric Emergency ma Apollo Children's kahi hale hana hou loa i hoʻolaʻa ʻia no ka mālama ʻana i kāu keiki. Hāʻawi mākou i ka mālama ʻoki kino i ka wā pilikia a ua koi ʻia e loiloi a mālama ʻia nā keiki āpau e nā loea pediatric i aʻo ʻia.

Nā lawelawe pilikia 24/7
Ua hoʻomaʻamaʻa ʻia kā mākou poʻe loea e lawelawe i nā kūlana koʻikoʻi e pono ai ke kākoʻo lapaʻau a ʻokiʻoki paha:

• Hoʻopilikia hanu
• Nā pilikia neurological e like me ka maʻi epilepsy, nā kuʻi febrile (nā kuʻi i hoʻokumu ʻia e nā kuni kiʻekiʻe)
• ʻO ka trauma a me nā ʻeha
• ʻO Burns
• Nā nahu, nā ʻāʻī, ka nui o ka lāʻau lapaʻau, ka lāʻau make, ka ʻai ʻana
• Nā pilikia puʻuwai

ʻO ka Pediatric Intensive Care Unit (PICU), High Dependency Unit (HDU), a me Extracorporeal Membrane Oxygenation (ECMO) ma Apollo Institute of Pediatrics e hāʻawi i ka mālama koʻikoʻi kiʻekiʻe no nā keiki me nā maʻi e hoʻoweliweli ana i ke ola. ʻO kā mākou mau hale hana kiʻekiʻe loa a me ka hui akamai loa e hōʻoia i ka mālama ʻana i nā poʻe maʻi pediatric paʻakikī a maʻi nui loa.

Aia nāʻano nui ma:

1. Mālama Koʻikoʻi no nā Keiki (PICU)

ʻO nā lawelawe i hāʻawi ʻia ma kā mākou PICU e komo pū me:

• ʻŌnaehana Nānā Kikowaena
• Ka Hoʻomaʻau ʻana
• ʻO ka Therapy Oxygen Holo Kiʻekiʻe
• Hoʻoulu ʻana i ka ea ʻaʻole komo-BiPAP/CPAP
• Hoʻomau ka Ventilator Alapine Kiʻekiʻe
• ʻO Veno-venous CRRT / Hemofiltration / Dialysis / SLED
• Mālama PICU Ma hope o ke ʻoki ʻōpū paʻakikī a me ka ʻōpū
• ʻO ke ʻoki kino Craniofacial a me ka ʻoki kino spinal

Key Features

• Nā lako hana nānā holomua no ka loiloi mau ʻana i nā hana koʻikoʻi
• Kākoʻo ventilator no ka hāʻule ʻana o ka hanu
• Ka mālama ʻana i ka hana ʻino o nā ʻano he nui
• Mālama kūikawā no nā maʻi puʻuwai ma hope o ke ʻoki ʻana
• Ka nānā ʻana a me ka hoʻokele ʻana i ka neurological 
  
   

2. Keʻena Hilinaʻi Kiʻekiʻe (HDU)

Hāʻawi ka Pediatric High Dependency Unit ma Apollo i ka mālama kūikawā no nā keiki e pono ai ka nānā pono ʻana a me ka mālama ʻana ma mua o ka mea i loaʻa ma nā keʻena maʻamau, akā ʻaʻole pono ka mālama koʻikoʻi. 

Aia nāʻano nui ma:

• Keʻena moe 4 me nā lako nānā holomua
• He hui hoʻolaʻa o nā loea pediatric a me nā kahu maʻi
• Ka mālama hoʻololi no nā maʻi e haʻalele ana mai PICU
• Ka nānā mau ʻana a me ka mālama hānai kūikawā mālama pae waena no nā maʻi e pono ai ka nānā pono ʻana
• Keʻena hoʻohaʻahaʻa no nā maʻi e neʻe ana mai PICU i nā keʻena maʻamau
• Ka mālama ʻana i nā maʻi me ka hana ʻino o hoʻokahi kino

3. ʻOkikene ʻana o ka membrane extracorporeal (ECMO)

Hāʻawi ka Halemai Kamaliʻi ʻo Apollo i ka ʻenehana ECMO hou loa no nā poʻe maʻi pediatric maʻi koʻikoʻi:

• Lapaʻau hoʻōla ola no ka hāʻule nui o ka puʻuwai a i ʻole ka māmā
• Wahi ECMO i hoʻolaʻa ʻia i loko o ka paʻakikī PICU
• Loaʻa ka hui multidisciplinary akamai i nā manawa a pau 24/7
• Ka hiki ke hoʻomaka i ka ECMO i loko o hoʻokahi hola
• Hāʻawi iā VV-ECMO (no ka hāʻule ʻana o ka hanu) a me VA-ECMO (no ka hāʻule ʻana o ka puʻuwai)
• Kākoʻo i nā maʻi no nā lā a i nā pule, e hāʻawi ana i ka manawa no ka ho'ōla hou ʻana
• Ka moʻolelo i hōʻoia ʻia i ka mālama ʻana i nā ʻano maʻi pediatric like ʻole

heluhelu hou

4. Mālama Koʻikoʻi no ka Neonatal (NICU)

ʻO ka Neonatal Intensive Care Unit ma Apollo Children's kahi keʻena mālama koʻikoʻi kūikawā e hāʻawi ana i ka mālama kiʻekiʻe kaulana o ka honua no nā pēpē hānau hou. Hoʻokele ʻia kā mākou NICU e nā neonatologists akamai i aʻo maikaʻi ʻia e loea i ka mālama ʻana i nā pēpē hānau mua loa a me nā pēpē hānau hou me nā ʻano pilikia ʻoki kino paʻakikī a me ka puʻuwai. Loaʻa i kā mākou NICU nā kahu maʻi i aʻo akamai ʻia, nā physiotherapists, nā therapists ʻōlelo, nā kauka lāʻau lapaʻau, a me nā dieticians hiki ke hoʻokō i nā hopena maikaʻi loa.

ʻO nā lawelawe i hāʻawi ʻia ma kā mākou NICU:

• Ka mālama ʻana i nā pēpē kaumaha hānau haʻahaʻa loa (nā pēpē hānau mua ʻole)
• Ka hoʻoulu ʻana i ka ea maʻamau a me ke alapine kiʻekiʻe
• ʻO ka nitric oxide no nā pēpē i pilikia i ka hanu ʻana
• ʻO ka Phototherapy no nā pēpē me ka jaundice
• ʻO ka paipu gastrostomy 

5. Mālama Kūikawā no nā Keiki

No ka hāʻawi ʻana i ka mālama piha no nā keiki, loaʻa iā mākou kahi hui o nā loea pediatric e hāʻawi ana i ka mālama pediatric kūikawā ma lalo o hoʻokahi hale. Kākoʻo ʻia kā mākou mau loea Pediatric e nā lako a me nā pono hana honua e like me nā keʻena cath, nā lumi endoscopy, nā keʻena EEG a me ka hiamoe, nā keʻena dialysis, a pēlā aku.

6. Ke ʻoki kino robotic pediatric

ʻO ke ʻoki ʻana i nā keiki ma Apollo Institute of Pediatrics kahi holomua koʻikoʻi i nā kaʻina hana minimally invasive no nā keiki. Hiki i kēia ʻenehana i nā kauka lapaʻau ke hana i nā hana paʻakikī me ka pololei a me ka kaohi i hoʻonui ʻia. Aia ka ʻōnaehana robotic i kahi console kahi e noho ai ke kauka lapaʻau, kahi kaʻa ʻaoʻao o ka mea maʻi me nā lima robotic, a me kahi ʻōnaehana ʻike 3D wehewehe kiʻekiʻe.

I nā noi pediatric, he mea pono loa ke ʻoki robotic no nā kaʻina hana ma nā wahi paʻa, e like me ka umauma a i ʻole ka pelvis. Hoʻohana ʻia ia i nā ʻano hana kūikawā like ʻole e like me ka urology, ke ʻoki kino laulā, a me ke ʻoki kino thoracic.

Loaʻa nā mea maikaʻi i:

• Hoʻonui ʻia ka pololei a me ka dexterity, e ʻae ana i ka lawelawe ʻana i nā ʻiʻo ʻoi aku ka pololei
• Nā ʻoki liʻiliʻi, e hopena ana i ka emi ʻana o ka ʻeha a me ka hoʻōla wikiwiki ʻana no nā poʻe maʻi ʻōpio
• Hoʻomaikaʻi ʻia ka ʻike maka ʻana me nā hiʻohiʻona wehewehe kiʻekiʻe 3D o ke kahua ʻoki kino
• Hoʻemi ʻia ke kahe koko a me ka emi ʻana o ka maʻi
• ʻO ka noho pōkole ʻana ma ka haukapila, e hiki ai i nā keiki ke hoʻi koke i ka home
• Ka hiki ke loaʻa nā hopena hoʻonani maikaʻi ma muli o nā ʻeha liʻiliʻi

ʻO ka hoʻohui ʻana o ke ʻoki robotic ma Apollo e hōʻike ana i ko lākou kūpaʻa i ka hāʻawi ʻana i nā koho ʻoi loa, minimally invasive no nā maʻi pediatric, e hoʻomaikaʻi ana i nā hopena ʻoki a me ka ʻike holoʻokoʻa o ka mea maʻi.

7. ʻO ka Audiometry Pane Hoʻoulu ʻia o ka Brainstem - BERA 

ʻO BERA, a i ʻole Brainstem Evoked Response Audiometry, he mea hana loiloi akamai i hoʻohana ʻia ma Apollo Institute of Pediatrics e loiloi i ka hana lohe a me ke kūpaʻa o ke ala lohe. He mea waiwai nui kēia hoʻāʻo non-invasive no ka loiloi ʻana i ka lohe ʻana i nā pēpē, nā kamaliʻi ʻōpio, a me nā poʻe maʻi i hiki ʻole ke komo i nā hoʻokolohua lohe kuʻuna.

I ka wā o ka hoʻāʻo BERA, kau ʻia nā electrodes ma ke poʻo o ka mea maʻi e hoʻopaʻa i ka hana nalu lolo e pane ana i nā leo hoʻonāukiuki. Ana ka hoʻāʻo i ke ʻano o ka pane ʻana o ke aʻalolo auditory a me ka brainstem i kēia mau leo, e hāʻawi ana i ka ʻike koʻikoʻi e pili ana i ka ʻike lohe a me ka hana neural.

Loaʻa nā mea maikaʻi i:

• Ka loiloi kūpaʻa o ka lohe ʻana, ʻaʻole koi i ka komo ʻana o ka mea maʻi
• Ka hiki ke hoʻāʻo i nā pēpē hānau hou a me nā pēpē, e hiki ai ke ʻike mua i nā pilikia lohe
• He mea pono i ka ʻike ʻana i ka neuropathy auditory a me nā maʻi lohe ʻē aʻe
• Kōkua i ka hoʻoholo ʻana i ke ʻano a me ke ʻano o ka nalowale o ka lohe
• ʻAʻole komo a ʻeha ʻole, e kūpono ai no ka hoʻāʻo hou ʻana
• He mea waiwai nui i ka nānā ʻana i ka lohe ʻana i nā keiki me nā lohi o ka ulu ʻana a i ʻole nā ​​​​maʻi neurological

Ma Apollo, he ʻāpana koʻikoʻi ʻo BERA i kā lākou lawelawe audiology pediatric piha, e hōʻoia ana i ka ʻike mua a me ke komo ʻana no nā pilikia pili i ka lohe i nā keiki o nā makahiki āpau.

8. Nā Hale Hoʻopaʻa Catheterization Cardiac

Ua haʻaheo ʻo Apollo Institute of Pediatrics i nā hale hana catheterization cardiac pediatric hou loa, i hoʻolālā kūikawā ʻia no ka ʻike a me ka mālama ʻana i nā maʻi puʻuwai i nā keiki. Ua lako kēia mau lumi kūikawā me nā ʻenehana kiʻi kiʻi holomua a ua lawelawe ʻia e nā kauka cardiologists pediatric interventional akamai.

Hiki i nā hale hana ke hana i nā ʻano hana diagnostic a me nā hana interventions like ʻole, mai ka loiloi ʻana i nā kīnā puʻuwai hānau paʻakikī a hiki i ka hana ʻana i nā lāʻau lapaʻau minimally invasive. Hoʻohui ʻia nā keʻena hoʻokolohua catheterization me nā ʻano hana kiʻi cardiac holomua ʻē aʻe, me ka 4D echocardiography a me ka cardiac MRI, no ka mālama piha ʻana i ka puʻuwai.

Loaʻa nā mea maikaʻi i:

• Ka hiki ke hana i nā kaʻina hana diagnostic a me therapeutic i hoʻokahi kau
• ʻO ke ala hoʻokokoke minimally invasive, e hōʻemi ana i ka pono no ke ʻoki puʻuwai hāmama i kekahi mau hihia
• Nā kiʻi kiʻekiʻe no ka ʻike pololei a me ka hoʻolālā lapaʻau
• Ka hiki ke mālama i nā ʻano kīnā puʻuwai congenital like ʻole
• Ua hoʻemi ʻia ka ʻike ʻia ʻana o ka radiation ma o nā protocols kiʻi i hoʻomaikaʻi ʻia
• Nā lako hana kūikawā a me nā protocols no nā keiki hānau hou a me nā keiki liʻiliʻi
• Hoʻohui pū me nā lawelawe puʻuwai ʻē aʻe no ka mālama maʻalahi a piha hoʻi

Ke hōʻike nei kēia mau hale i hoʻolaʻa ʻia i ka hoʻokō ʻana o Apollo i ka hāʻawi ʻana i ka mālama puʻuwai honua no nā keiki, mai ka ʻike ʻana i ka wā hānau mua a hiki i nā hana komo paʻakikī a me ka hoʻokele lōʻihi.

Hoʻomaka ka huakaʻi mālama ola o kāu keiki me kahi loiloi piha e kōkua iā mākou e hoʻomaopopo i kā lākou mau pono olakino a hoʻomohala i ka hoʻolālā maikaʻi loa. I loko o kēia kipa ʻana, hiki iā ʻoe ke manaʻo:

• Loiloi o ka Mōʻaukala Lapaʻau: E nānā ke kauka lapaʻau i nā pilikia olakino o kāu keiki i hala, ka mōʻaukala ʻohana, a me nā hōʻailona a lākou i ʻike ai.
• Nānā kino: He nānā kino piha e loiloi i ke olakino o kāu keiki.
• ʻO ka hoʻāʻo diagnostic: Hiki i nā hoʻokolohua mua ke komo pū me ka hana koko, nā haʻawina kiʻi, a i ʻole nā ​​​​hoʻokolohua ʻē aʻe e hoʻomaopopo ai i ke kūlana olakino o kāu keiki.
• Ka Hopena Loiloi: Ma muli o ka mōʻaukala olakino a me nā hopena o nā hoʻokolohua, loiloi mākou i nā pilikia olakino o kāu keiki.
• Hoʻolālā Lapaʻau: Ma hope o ka loiloi ʻana i nā hualoaʻa, e kūkākūkā ke kauka i nā koho lapaʻau kūpono a pane i nā nīnau, e kōkua iā ʻoe e hoʻomaopopo i nā hana aʻe.

I ka wā e mālama ʻia ai kāu keiki, inā paha e hana ʻia ana kahi hana a i ʻole ke ʻoki kino, aia kā mākou hui ma ʻaneʻi e hōʻoia i kou ʻike, ʻoluʻolu, a mālama pono ʻia. Aia i loko o kēia pae:

• ʻIke kikoʻī e pili ana i nā kaʻina hana: Ke wehewehe nei mākou i ka mea e manaʻo ai mai kekahi lāʻau lapaʻau a kaʻina hana paha i hiki iā ʻoe a me kāu keiki ke mākaukau piha.
• Alakaʻi Hoʻomākaukau: Ma mua o kekahi kaʻina hana, e loaʻa iā ʻoe nā ʻōlelo aʻoaʻo e kōkua iā ʻoe e hoʻomākaukau i kāu keiki a hilinaʻi hoʻi.
• Nā Mea Hou i ka wā e noho ana ma ka haukapila: ʻOiai kāu keiki ma ka haukapila, hoʻomaopopo mākou iā ʻoe i ko lākou holomua i kēlā me kēia lā.
• Nā Pōʻai Kauka i kēlā me kēia lā: Ke kipa aku nei kāu kauka i kāu keiki i kēlā me kēia lā e nānā i ko lākou ho'ōla hou ʻana a hana i nā hoʻololi e pono ai i ka lāʻau.
• Hui Mālama Kākoʻo: Hana pū kā mākou mau kahu hānai pediatric, nā loea, a me nā limahana kākoʻo e hōʻoia i ka loaʻa ʻana o kāu keiki i ka mālama kiʻekiʻe loa.

Ma hope o ka mālama ʻana, ke kālele nei mākou i ke kōkua ʻana i kāu keiki e ho'ōla a loaʻa hou ka ikaika ma o kahi papahana hoʻōla pilikino:

• Nā Hoʻolālā Hoʻoponopono Hou: Hoʻokumu mākou i kahi hoʻolālā no kāu keiki wale nō, me nā hoʻoikaika kino a me nā hana kūpono i ka makahiki e kūkulu hou i ka ikaika a me ke olakino.
• Hoʻonaʻauao Physical: Alakaʻi kā mākou poʻe hoʻoponopono kino pediatric i kāu keiki ma o nā hoʻomaʻamaʻa e hoʻomaikaʻi ai i ka neʻe ʻana a me ka ikaika i ko lākou wikiwiki ponoʻī.
• Hana Hana: Inā pono, kōkua nā mea hoʻoponopono i kāu keiki e hoʻololi i nā loli, e hiki ai iā lākou ke hana me ka hilinaʻi i nā hana o kēlā me kēia lā.
• Kākoʻo noʻonoʻo: Hāʻawi mākou i ke kākoʻo naʻau e kōkua i kāu keiki a me kou ʻohana e hoʻoponopono i nā hopohopo a pau, e hōʻoiaʻiʻo ana i kahi noʻonoʻo maikaʻi i ka wā o ka hoʻōla hou ʻana.
• Alakaʻi Nutritional: Ke aʻo aku nei kā mākou mau kauka meaʻai keiki i nā meaʻai olakino e kākoʻo i ka ho'ōla lōʻihi a me ke olakino maikaʻi.

Makemake mākou i kēlā me kēia mea maʻi a me ka ʻohana e mākaukau a ʻoluʻolu hoʻi. ʻO ka hahai ʻana i kekahi mau ʻanuʻu ma mua o kou manawa i hoʻonohonoho ʻia ai e hiki ke kōkua iā mākou e hāʻawi i ka mālama maikaʻi loa no kāu keiki.

Ma mua o kāu manawa i koho ʻia
E ʻoluʻolu e lawe pū me ʻoe i nā palapala a me nā moʻolelo ma lalo nei:

• Moʻolelo Lapaʻau: He hōʻuluʻulu manaʻo o ka mōʻaukala olakino o kāu keiki, me nā maʻi a i ʻole nā ​​​​ʻoki kino i hala.
• Nā Hualoaʻa Hoʻāʻo Ma mua: Nā hopena hoʻāʻo mua, e like me nā hoʻāʻo koko a i ʻole nā ​​​​scan kiʻi.
• Papa Inoa Lāʻau Lapaʻau: He papa inoa piha o nā lāʻau lapaʻau a kāu keiki e lawe nei.
• ʻIkepili Inikua: Nā kikoʻī e pili ana i kāu uhi ʻinikua olakino.
• Nā palapala hōʻike: Ka hōʻoia o ka mea maʻi a me ka palapala hānau.
• Nā nīnau a hopohopo paha: E kākau i lalo i nā nīnau āu e makemake ai e nīnau i ke kauka.
• Nā Moʻolelo Lapaʻau: Inā loaʻa, e lawe mai i nā palapala olakino pili, e like me:
  • Nā hōʻike mai nā kaʻina hana ma mua
  • Nā hualoaʻa keʻena hana hou
  • Nā haʻawina kiʻi (e like me nā scans) ma CD a i ʻole DVD
  • Nā leka kuhikuhi mai nā kauka ʻē aʻe
  • Nā moʻolelo pale ʻana
  • Nā palapala olakino ʻē aʻe e kōkua iā mākou e hoʻomaopopo i nā pono o kāu keiki

ʻO kāu kūkākūkā mua ʻana e komo pū me:

• Kūkākūkā me kāu Kauka Pediatric: E kamaʻilio ʻoe me ke kauka e pili ana i ka mōʻaukala olakino o kāu keiki, nā hōʻailona, ​​​​a me nā hopohopo.
• Nānā kino: He nānā pono ʻana e loiloi i ke olakino o kāu keiki.
• Loiloi o nā Moʻolelo Lapaʻau: E nānā ke kauka i nā palapala a i ʻole nā ​​​​hopena hoʻāʻo āu i lawe mai ai.
• Hoʻoponopono Diagnostic: Inā pono, hiki ke hana ʻia kekahi mau hoʻokolohua i ka wā o ka hālāwai e loaʻa ai kahi kiʻi maopopo o ke kūlana o kāu keiki.
• Ke Hoʻomohala nei i kahi Hoʻolālā Lapaʻau: E wehewehe ke kauka i nā koho lapaʻau maikaʻi loa a e pane i nā nīnau āu e loaʻa ai, i ʻoluʻolu ʻoe a ʻike maikaʻi hoʻi e pili ana i ka mālama ʻana i kāu keiki.

Ma mua o kou hōʻea ʻana, kōkua mākou iā ʻoe e hoʻomākaukau no kāu kipa:

• Loiloi Palapala Lapaʻau: Nānā pono kā mākou hui i nā moʻolelo lapaʻau a kāu keiki e hoʻomaopopo i kā lākou mau pono a hana i kahi hoʻolālā lapaʻau kūpono.
• Hoʻolālā Lapaʻau: Hoʻolālā mākou i kahi hoʻolālā mālama pilikino i kūpono i ke kūlana kūikawā o kāu keiki.
• Kuhikuhi: Hāʻawi mākou i nā kuhi kumukūʻai moakāka e kōkua iā ʻoe e hoʻolālā kālā.
• Kokua Visa: Kōkua mākou me nā koi visa a hāʻawi i nā palapala e pono ai e kākoʻo i kāu huakaʻi lapaʻau.

ʻOiai mākou ma Apollo Institute of Pediatrics, ke hōʻoiaʻiʻo nei mākou iā ʻoe a me kou ʻohana e kākoʻo piha ʻia:

• Nā Luna Hoʻonohonoho i Hoʻolaʻa ʻia: E loaʻa iā ʻoe kahi luna hoʻonohonoho mālama pilikino e alakaʻi iā ʻoe ma kēlā me kēia ʻanuʻu o kou noho ʻana.
• Kōkua'Ōlelo: Loaʻa nā unuhi ʻōlelo i aʻo ʻia e kōkua iā ʻoe e kamaʻilio maopopo me ka hui mālama ola o kāu keiki ma ka ʻōlelo āu e makemake ai.
• Nānā moʻomeheu: Hoʻohanohano mākou i nā pono moʻomeheu a hāʻawi i nā lawelawe e kūlike me kāu mau makemake.
• Kahi Noho ʻOhana: Kōkua mākou i ka loaʻa ʻana o nā wahi noho ʻoluʻolu no kou ʻohana.
• Nā mea hou mau: Hāʻawi kā mākou hui i nā mea hou e pili ana i ka mālama ʻana a me ka hoʻōla ʻana o kāu keiki i mea e hoʻomaopopo ai iā ʻoe a me kou ʻohana.

Ma hope o ka mālama ʻia ʻana o kāu keiki, ke hoʻomau nei mākou i ke kākoʻo iā ʻoe e hōʻoia i ka hoʻōla maikaʻi ʻana:

• Hoʻolālā Hoʻomau: Hoʻonohonoho mākou i nā manawa hoʻopaʻa a me nā kūkākūkā e nānā i ka ho'ōla hou ʻana o kāu keiki.
• Nā Koho Telemedicine: Hiki iā ʻoe ke pili mau me kā mākou mau kauka pediatric ma o nā kūkākūkā virtual.
• Hoʻonohonoho ʻana me nā Kauka Lapaʻau o ka ʻĀina: Hana pū mākou me kāu kauka kūloko e hōʻoia i ka loaʻa ʻana o kāu keiki i ka mālama mau.
• Nā Moʻolelo Ola Kino Kikohoʻe: E komo i nā moʻolelo lapaʻau a kāu keiki ma ka pūnaewele no ka maʻalahi o ka kaʻana like ʻana a me nā pono mālama i ka wā e hiki mai ana.