Pōʻahā. Hōʻike nā noiʻi ʻo ka mālama pale ʻana me ka hoʻonā kōpaʻa ʻo ia ka mea e pono ai lākou i ka lāʻau lapaʻau pipiʻi i ka liʻiliʻi pinepine. Hōʻike nā noiʻi ʻo ka mālama pale ʻana me ka hoʻonā kōpaʻa ʻo ia ka mea e pono ai lākou i ka lāʻau lapaʻau pipiʻi i ka liʻiliʻi pinepine, hoʻohālikelike ka ʻōnaehana i nā ʻano o kēlā kanaka me nā ʻano i hoʻopaʻa ʻia. ʻAʻole naʻe i maʻalahi kēia e komo i ka haukapila ʻo Isala ma Zwolle. ʻO ka Pediatrician ʻo Jolita Bekhof a me ka luna ʻo Sido Lublink e kamaʻilio e pili ana i kā lākou mau manaʻo kūʻē.

He holomua ka ʻenehana a hiki ke hoʻokō ʻia ka manaʻo ma ke kumu kūʻai haʻahaʻa: He holomua ka ʻenehana a hiki ke hoʻokō ʻia ka manaʻo ma ke kumu kūʻai haʻahaʻa

a me ZonMw, a me ZonMw, a me ZonMw. ʻO kahi hoʻokolohua lapaʻau i hoʻolālā maikaʻi ʻia, paʻi ʻia ma ʻO ka Lancet, e huki i ka manaʻo hoʻopono ʻo ka mālama ʻana me kahi hopena kō ma ke ʻano he gel hiki ke pale i nā keiki mai ka hoʻomohala ʻana i ke kō koko haʻahaʻa. A ʻo ka hopena, pono lākou i ka infusion glucose i emi pinepine.

"He hopena ʻoi aku ka liʻiliʻi me ke kaumaha liʻiliʻi no nā maʻi ʻōpio", i ka heluhelu ʻana o ka pediatrician ʻo Jolita Bekhof, makemake ʻo ia e hoʻomaka koke.

Ua kūpono pū me ka hoʻolālā a Isala: alakai mau ka mai, pono e loaʻa iā lākou ka mālama maikaʻi loa ma ke kumukūʻai maikaʻi loa. A ʻo ka hoʻoikaika ʻana e hoʻolauna i kēia lapaʻau hou, hiki ke nānā hou ʻia: pili ia i ka helu palena o nā maʻi i kēlā me kēia makahiki. "He hopena kō i hiki ke pale i ka lāʻau invasive". He mea waiwai nui kēlā. ", wahi a Sido Lublink, luna ʻo Isala Woman-Child Center a me ka luna o Bekhof. "I ka manawa like, he hui paʻakikī ka haukapila i hoʻolālā ʻia ʻelua, pela no ka poe pediatric. He naʻau nui ko lākou no ka maikaʻi, no ke ʻano o ka mālama ʻana. Nā hualoaʻa kiʻekiʻe ma ka haʻawe haʻahaʻa. ʻAʻohe kūkākūkā e pili ana i kēlā.

'Ōleloʻo Bekhof e pili ana i ka moʻomeheu ma ka halemai Isala: “Ua komo ikaika mākou i loko lāʻau hōʻikeʻike, aia i loko o kā mākou pūnaewele. Hoʻokaʻawale mākou i ka manawa a me ka nānā ʻana e nīnau i nā nīnau, koʻikoʻi loa i kā mākou hana, e nana mau ana: pololei anei kā mākou hana ʻana, Paʻa loa mākou i nā hana maʻamau?"No ka laʻana, loaʻa i ka haukapila nā hui hoʻomaikaʻi, nāna e hāʻawi i nā manaʻo no nā mea hou. No laila, he hui hoʻonaʻauao maoli ʻo Isala: nānā koʻikoʻi, e kamaʻilio kekahi i kekahi a e wehe i ka loli. Hoʻomaopopo koke nā pediatricians i ka hopena maopopo o ka noiʻi a ua hoʻoponopono ʻo Bekhof i ka protocol. "Ua hele mākou i ka hoʻokele me kēlā. Ma laila kēlā − pono pela − ʻaʻole hauʻoli pau. Loaʻa iā mākou ka leka: makemake mākou iā ʻoe e kākau i kahi hihia ʻoihana ma mua o ka hoʻokō ʻana i kēia ʻano hana olakino, i loaʻa iā mākou kahi manaʻo maikaʻi o ka nalowale o ka loaʻa kālā a me nā mea pili ʻē aʻe, e like me ka 'kamaʻilio ma loko a ma waho', 'o ka laau lapaau (maikaʻi loa ) loaʻa 'a me ka' ana 'ana i ka pilikia."

Ke hoʻomau nei ʻo Lublink: "Hoʻopau nā hana hoʻohiki me ka papa kuleana. E pili ana i nā mea a pau, ʻaʻohe lāʻau lapaʻau, e hui pū me ʻoe i ka poʻe i komo i ka haukapila, hele ʻoe ma nā ʻanuʻu i wehewehe ʻia. No laila ke hele mai ʻo Bekhof iā ia me ka manaʻo, Nīnau ʻo Lublink i nā nīnau e nānā inā ua noʻonoʻo ʻia nā mea āpau. "E pili ana kēia mau nīnau, no ka laʻana, ke kamaʻilio me nā mākua a me ka pilina me nā lāʻau lapaʻau ʻē aʻe. Aia kekahi ʻaoʻao kālā (koina a me na pomaikai). ʻAʻole makemake paha kekahi mau kauka, akā he ʻāpana ia o kaʻu hana. No laila, hehi iki au i ke kaʻa.

Me he mea la he hoihoi waiwai ko ka halemai, Ma hope o nā mea a pau, loaʻa hou ke kālā ke loaʻa nā keiki hou i ka mālama ʻana me ka infusion glucose, ma mua o ka hiki iā lākou ke noho me ka makuahine i ka hale hānai. ʻO ia ke kumu e loaʻa mua ai kahi hihia ʻoihana no ka lapaʻau hou. He ino ia no Bekhof: "Pehea ʻoe e kākau ai i kahi hihia ʻoihana inā makemake ʻoe emi mai mālama?!"A ʻaʻole wau i ʻae ʻia e hoʻokō i ka protocol a hiki i ka ʻae ʻia. Ua makemake nui au i kēlā. ʻO kaʻu pane iā Sido: "No laila makemake ʻoe iaʻu e kau i ka IV i nā keiki, no ka mea, hana mākou i ke kālā me ia, ʻaʻole no ka mea he mea pono ke olakino.'” Lublink: "A ʻōlelo wau: 'Ja Jolita, Pono wau e uku i kēlā kahu, kou hoa hana. ʻAʻole hiki ke loaʻa inā loaʻa iā mākou ka liʻiliʻi loa o ka loaʻa kālā a me ka nānā ʻana i nā hopena ʻē aʻe a pau.' Akā ʻo ka mea nui ʻaʻole makemake ka haukapila e loaʻa hou aku., makemake mākou e hoʻomau e kamaʻilio me nā mea hoʻolako e pili ana i ka uku no ka hoʻomaikaʻi maikaʻi ʻana o ka mālama ʻana i ka mea maʻi. He mea ia e pili ana i ka hoihoi like o na kauka, mea hoʻokele a me ka hoʻokele.

Bekhof, ka mea e hana ana ma ke ano he kauka malalo o ka hoohiki lapaau, hōʻuluʻulu i kona kūlana: "ʻO ka hana ʻana i nā lāʻau lapaʻau pono ʻole a i ʻole ka hoʻopanee ʻana i nā lāʻau lapaʻau ʻoi aku ka maikaʻi ma waho o ka hoihoi kālā no ka haukapila ʻaʻole hiki ke ʻāpono ʻia.. ʻAʻole hiki iaʻu ke wehewehe i nā mākua i mua oʻu ma ke keʻena kūkākūkā. ʻO ia ke ʻano ʻē aʻe: ʻoi aku ka maikaʻi a me ka ʻike olakino. A ʻo ia ke kahua o ke kauka a me ka mea maʻi, ʻoi aku ka maikaʻi o ka mālama ʻana i ka noʻonoʻo a me ka mālama kālā. Pono mākou e ʻimi i nā hopena no nā hopena kālā, akā, ʻaʻole pono kēia mau mea i mua. ʻO ia ka hemahema o ka ʻōnaehana o kēia manawa. "

Kūkākūkā ka hoʻokele i ka hoʻomaka ʻana a me nā hopena kālā me ka mea hoʻolako nui o ka haukapila, Kea kala. "He manawa mau ia. Hiki iā mākou ke hoʻonohonoho wikiwiki inā ua hoʻonohonoho mākou i kā mākou mau lā. I ka hopena, ua ʻae wau a hiki iā mākou ke hoʻomaka., haʻi iā Lublink. Ma o kahi ala ʻē aʻe, ua hiki iā Bekhof a me kona mau hoa kauka ke hoʻomaka koke i ka lāʻau hou.