Ma waena o 4 a me 7 mahina, hoʻomaka ka pēpē e puka mai i hoʻokahi a ʻoi aku paha niho. ʻOi aku ka ʻeha a i ʻole ke kuleana no nā maʻi liʻiliʻi, hele lākou me ka ʻike ʻole ʻia i kekahi akā he ʻeha loa i kekahi. E ʻike i ka puka ʻana a me ka ulu ʻana o nā niho o kāu keiki.

Ma ka awelika, aia ma kahi o 6 mau mahina e ʻike ʻia ka niho mua. Akā, hānau ʻia kekahi mau pēpē me hoʻokahi a ʻelua mau niho mai ka ʻōpeʻapeʻa (ʻoiai he mea kakaʻikahi), a ʻo kekahi poʻe e kali a hiki i ka makahiki hoʻokahi e ʻike i ka niho pēpē mua a i ʻole ka niho mua. He ʻokoʻa kēlā me kēia keiki, no laila ʻaʻohe pono e hopohopo mua.

ʻO ka hapa nui o nā ʻōpio, no laila mai ko lākou 6 mahina o ke ola e ʻike ʻia kekahi mau hōʻailona hōʻailona. No ke kōkua ʻana iā ʻoe e ʻike i kēia mau hōʻailona, ​​eia nā makahiki awelika o ka hoʻomaka ʻana o nā niho pēpē like ʻole:

• Ma waena o 6 a me 12 mahina, ʻike ʻia nā ʻokiʻoki haʻahaʻa, a laila ʻike ʻia nā mea o luna;
• Ma waena o 9 a me 13 mahina, ʻo ia nā ʻāpana ʻaoʻao;
• Mai 13 mahina (a hiki i 18 mahina) ʻike ʻia nā mola ʻeha;
• Ma kahi o ka 16 o ka malama a hiki i ka 2 makahiki o ke keiki e hiki mai ai na ilio;
• ʻO ka hope, ma waena o nā makahiki 2 a me 3 o ka pēpē, ʻo ia ka manawa o ka puka ʻana o nā niho hope loa: ʻo ka lua o nā mola (ʻo ia ma hope o ka waha).

Ma kahi o 3 makahiki o ke keiki, no laila, he 20 mau niho kumu ike ia ('a'ohe ona premolars, he mea ma'amau loa keia), a ma loko, 'o ia ka 32 mau niho mau e ulu ana. E ʻike ʻia lākou ma waena o 6 a me 16 mau makahiki a e hoʻololi mālie i nā niho o ka pēpē e hāʻule ana kekahi ma hope o kekahi.

Hoʻopili pinepine ʻia kēia mau niho me nā maʻi liʻiliʻi i kekahi manawa naʻauao, akā i kekahi manawa ʻeha loa e like me nā pēpē. ʻO ka mua, hoʻokahe nui ka pēpē a kau i kona mau manamana lima, lima a i ʻole kekahi mea pāʻani i loko o kona waha e ʻai ai. He huhū, luhi, a uē nui me ke kumu ʻike ʻole. He ʻulaʻula a emi ʻole kona mau papalina e pili ana i ka lā a ʻai ʻo ia a ʻoi aku ka hiamoe ma mua o ka mea maʻamau. I kekahi manawa inā nānā ʻoe i ko lākou ʻāʻī e ʻike ʻoe ua pehu lākou, paʻa a ʻulaʻula a i ʻole ma ke ʻano he pimple ʻulaʻula, i kapa ʻia ʻo "rash cyst" (he ʻano huʻihuʻi kēia e hōʻike ana i ka hiki koke ʻana o kahi niho).

ʻAʻohe pilikia ʻē aʻe e hele pū me ka puka ʻana mai o ka niho, akā hiki pinepine ke ʻano o ke kuni a i ʻole ka maʻi maʻi e pili ana i ka ʻulaʻula i ka manawa like me ka hiki ʻana mai o nā niho. He mau hanana maʻamau kēia, akā inā kānalua, e kamaʻilio me kāu pediatrician me ka kali ʻole.

Me nā ʻāʻī maka a pehu loa i kekahi manawa, hoʻāʻo ka pēpē e nahu a nahu i kekahi mea pāʻani. No ka hoʻomaha ʻana, mai kānalua e waiho i kahi apo niho anu ma hope o ka waiho ʻana i loko o ka friji no kekahi mau hola (ʻaʻole loa i loko o ka pahu hau). ʻAe kēia i ka wahi ʻeha e hoʻomaʻemaʻe iki.

E hoʻomanaʻo hoʻi e hōʻoluʻolu a hoʻopaʻa iā ia. ʻAʻole mākaukau maoli nā pēpē no ka ʻeha a pono ko lākou mau mākua e kōkua iā lākou e hoʻokō i kēia mau manawa ʻeha. Me ka nui o nā pūliki, e maʻalahi ka manawa o kāu keiki hōʻoluʻolu i kēia manawa. Hiki nō hoʻi iā ʻoe ke lomilomi māmā i kona mau ʻāʻī me kahi lole anu a pulu i kāʻei ʻia i kou manamana lima (e koho mau i kahi lole maʻemaʻe a holoi maikaʻi i kou mau lima).

Ma muli o ka waiwai o kona mau niho (me nā niho mua), he mea maikaʻi ia e hoʻomaʻamaʻa i kāu pēpē i ka palaki ʻana mai ka wā ʻōpiopio. No laila hiki iā ʻoe ke hoʻomaka i ka hamo ʻana i kona ʻāʻī me kahi lole holoi ma mua o ka hiki ʻana mai o ka mea mua. A laila e maʻalahi iā ʻoe ke hoʻomaʻamaʻa i ka pulumu maʻamau.

No ka hana ʻana i kēia, e hoʻoneʻe mau ʻia mai ka ʻāʻī a hiki i nā niho a hoʻokuʻu i ke keiki e holoi i kona waha a kuha i waho inā ua ʻelemakule ʻo ia. E hoʻolilo i kēia manawa o ka hoʻomaʻemaʻe niho i mea hui maoli no ke keiki liʻiliʻi, ma ke kāhili pū ʻana i kou mau niho i mea e paipai ai iā ia a hoʻolaha i ke ʻano o ka hoʻohālike.

A mai poina i ka mālama ʻana i nā niho maikaʻi, pono kāu keiki e kaupalena i ke kō, ʻoi aku ka nui o nā keiki liʻiliʻi.