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Its actually possible to train your child to "p**p" at home in the morning before they go to school.Hata akiskia kuenda ...
24/07/2025

Its actually possible to train your child to "p**p" at home in the morning before they go to school.
Hata akiskia kuenda haja kubwa shule it will be once in a while.
Ensure there is a warm bevearage k**a vile kachai or warm milk & diet yake ibalance na vyakula viko na fiber( mboga mboga, matunda )effective for stimulating bowel movements.

Just after they take their breakfast tell them to sit on the potty if still small, or squat in the toilet for a few minutes if a big child.
If there is anything in the re**um itatoka tu.

You see the brain & spinal cord work together to send signals to the re**um na p**p k**a iko itakuja.

After sometime watazoea & it will be like a routine hata while still taking the breakfast they might tell you they need to p**p.

Its just a communication between the brain, spinal cord & the re**um.

Me; "Habari zenu, mgonjwa wenu ana shida gani?"One of the Relatives; "Salama, Sasa sisi ndio tumemleta hospitali tujue s...
24/07/2025

Me; "Habari zenu, mgonjwa wenu ana shida gani?"

One of the Relatives; "Salama, Sasa sisi ndio tumemleta hospitali tujue shida yake."

Me; "Naomba kujua hili kwa haraka ili nijue kitanda nitakacho mueka na pia apate huduma zingine zinazomfaa kwa urahisi."

The same relative; "Sasa wewe ndio daktari na unatuuliza sisi mgonjwa ana nini."

I get this response very often from relatives wanaoleta mgonjwa ambaye hawezi jieleza.

Ni vizuri kujua kwamba kuelezea historia ya mgonjwa wako asiyeweza kujieleza ni jukumu lako k**a msimamizi wake wakati ule.

Kuna yule mgonjwa tu unaeza ona huyu ana shida ya kupumua utampokea tu na kujua huyu unamueka kwa kitanda kile kilicho karibu to the nursing station for close monitoring na yule mpaka ujue historia yake.

Hakuna anayeweza kuangalia mgonjwa wako ajue alikua ameconvulse some hours before getting to the hospital.
Hakuna anayeweza kuangalia mgonjwa wako ajue amekua akilalamika kuumwa na kichwa for the last one week.
Pia ni vigumu kujua mgonjwa wenu amekua akilalamika kuumwa na tumbo au sehemu nyingine yoyote ya mwili endapo yeye mwenyewe hawezi jieleza na nyinyi pia msiposema.

Kile daktari anaweza ona kwa mgonjwa wenu ni how his/her situation is at the moment through a physical examination , lab tests/investigations however the history you give is very crucial cz it helps the doctor to know the exact management of your patient.

Vitu vilivyotokea juzi nyumbani daktari hawezi jua usiposema.

Ni vizuri kupeana maelezo kamili juu ya mgonjwa wako pindi yanapohitajika ili kuwezesha mgonjwa yule kupata tiba bora.

Ata mgonjwa aliyepata ajali sometimes could be conscious now lakini anaweza kuwa hakumbuki alipoteza fahamu at the accident scene, waliomleta ndio wanaweza wakamsaidia kujibu hili.

If sufferring from Chronic illnesses such as Diabetes kindly its good you carry a Medical alert card everywhere you go.T...
24/07/2025

If sufferring from Chronic illnesses such as Diabetes kindly its good you carry a Medical alert card everywhere you go.

This card can be worn even on a necklace to ensure the first responders & medical personnel can quickly identify a person's diabetic condition in case of an emergency.

Kuna siku tuliletewa kijana around 22 years akiwa unconscious by a good samaritan.

Among the first vital signs for an unconscious patient whose history is unknown lazima utakimbilia kupima blood sugar level na blood pressure.

Blood sugar level for our patient was unrecordable low so we started the relevant management.

His good samaritan however wanted to leave as he had some other issues to attend to but before he went alitwambia the young man had been lying at the spot he found him for several hours kila mtu anamuangalia wakipita thinking alikua mkora maybe amepigwa na watu.

He had also seen him there akienda place alikua anaenda & now on finding him again at the same spot several hours later akaona acha amlete hosii.

On waking up the young man actually confirmed he is a known Type 1 Diabetic patient on daily insulin injection.

I meet a colleague in town.Colleague; MamboMe; PoaColleague; Kumbe hivi ndo wewe uko ukitoa uniform.To anyone aspiring ...
23/07/2025

I meet a colleague in town.

Colleague; Mambo

Me; Poa

Colleague; Kumbe hivi ndo wewe uko ukitoa uniform.

To anyone aspiring to be a nurse;

Uniform ya nurse ni a combination of navy blue+ white colours.
Nurse managers plain navy blue top & bottom.
Reccommended material inaitwa 'crater' for ladies.
Male ata cotton wanavaa.

Kuna 'mshono' specific wa hiyo shirt ya ladies siku moja tawaonyesha.

Viatu inafaa kuwa either black or brown & must be covered shoes.

No heels while on duty, skirt should not be too long ndio upate urahisi wa kukimbia incase of an emergency.
Lakini isiwe above the knees.

Nywele must be tied & pulled back kwenda juu not hanging, hiyo extension yangu kidoogo imechoma hapo. Vipuli vifupi not long.
This is for infection prevention purposes.

Kwa kina kaka kueka ndevu is a no.

No "shouting make up"

A ready smile is also part of the grooming🤗😍

Sometimes its not easy to identify the male nurses in uniform though cz yao shirt ni plain white na chini trouser navy blue.

However, the nurses in departments like ICU na Thearte put on 'scrubs' not this uniform.
Some private institutions have different uniforms for their nurses too.

When found on the contrary you are answerable for not adhering to these aspects of proffesionalism taught to you back in college/campus.

23/07/2025

Adenoid Hypertrophy

Kwa kawaida kuna vijinyama ndani ya mapua.

Inapotokea shida vijinyama hivi vikawa vimefura basi unaeza pata mtoto anapumua sana kupitia mdomo.

Pia anaweza kuwa anaacha mdomo wazi mara nyingi, snoring akilala na kifua chake kubana dalili kwamba havuti hewa vizuri.

Hali hii inapozidi sometimes ukiangalia kifua chake especially k**a amelala unaeza ona nik**a anaacha kupumua kabisa kwa muda fulani then anavuta hewa tena lakini kwa taabu.

Mpeleke mtoto huyu kwa ENT(Ear, nose & throat) specialist apate usaidizi.

Kuna mtoto wa dadangu alikua akiniita "'gogo" yaani ufupisho wa "mama mdogo"Saa hizi yuko na miaka tisa but kuna maonge...
23/07/2025

Kuna mtoto wa dadangu alikua akiniita "'gogo" yaani ufupisho wa "mama mdogo"

Saa hizi yuko na miaka tisa but kuna maongezi yake akiwa mdogo hunijia akilini kila ninapomuona.

She was 2 years by then na nilikua nimeingia bafu naoga.

My little girl came & knocked on the door; ngo ngo ngo
"Gogo!"

Me;Naam

Her; Oga?

Me;Eeh

Her; Buni?

Me;Eeh!

Her; Chawa.

Mostly by the time your baby is 6 months they will be bubbling their first syllables ba ba ba,
Ma ma ma, tha tha tha etc

Kuna wale huanza mapema at around 4 months .

At this time utapata ukiongea naye yule mtoto anakuangalia sana mdomo wako.
Yes they read your lips & practice how you are making your sounds while talking.

Engaging in conversations na hawa watoto through hizi sauti tu wanatoa inasaidia sana in stimulating language development.

By 8 months k**a mtoto hajaanza kububble hizi syllables huenda akawa na shida although kuna watoto pia huchelewa na mambo mengine na bado wakacatch up huko mbelembele.

Its good to take the baby to a paediatrician for assessment na usaidizi pia.

Lakini sometimes unaeza shangaa ile jina mtoto anatamka ata ndio ngumu kuliko vile inafaa kuwa pronounced.

Leo kuna jirani amekuja nikaskia mtoto anamuita "Dhambi"

Chumvi inaleta ladha kwenye chakula lakini haifai kutumika nyingi.High salt intake makes your body to retain more water ...
23/07/2025

Chumvi inaleta ladha kwenye chakula lakini haifai kutumika nyingi.

High salt intake makes your body to retain more water so that it can balance the excess salt.
Maji yanapobaki mengi kwenye mwili nayo the blood volume increases.
When the blood volume increases mostly sasa utapata mishipa ya damu inaconstrict hence leading to high blood pressure.

Unaona vile sometimes mnaeza kula chakula same na mwenzako na wewe uskie chumvi imetosha na yeye anaongeza, na hata unaeza mwambia hiyo chumvi iko kwa chakula imetosha na still aongeze!
You are responsible for what you feed your body.

Je unajua kwamba kati ya haki za mgonjwa pale hospitali, kukataa matibabu pia ni mojawapo?Yes a patient has a right to r...
21/07/2025

Je unajua kwamba kati ya haki za mgonjwa pale hospitali, kukataa matibabu pia ni mojawapo?
Yes a patient has a right to refuse treatment.

Umeleta mgonjwa na aonekane hali yake si nzuri ni wa kulazwa kwa ward na mkatae basi haifai kulazimisha mgonjwa alazwe.

But the healthcare personnel ambao wako kazi saa ile basi watajaribu kufanyia mgonjwa yule/'relative counselling on why ni muhimu kupata ile huduma.
Ataanza yule nurse na daktari at hand na watatafuta the senior staff in the department or the hospital pia ajaribu kuongea na mgonjwa yule.
Endapo bado hataridhia yale matibabu basi atapewa karatasi hiyo hapo kwa picha inayoitwa "Discharge against medical advise" kwa ufupi; DAMA.

Form hizi zitajazwa mbili na anayeshuhudia atasign could be a nurse or any other healthcare personnel, mgonjwa or relative pia atasign na daktari mkubwa pia atasign.

Mgonjwa atapewa 1 copy na 1 copy itabaki pale hospitali ili endapo siku moja mgonjwa ama relative wake wataleta complains kwamba mgonjwa alitelekezwa ama hakuhudumiwa inavyofaa basi form hii itakua ni kidhibitisho cha yaliyojiri.

If you need your feet to breathe"Just like my returning client here from Kisii land kuja inbox
21/07/2025

If you need your feet to breathe"
Just like my returning client here from Kisii land kuja inbox

Pale Inbox."Nurse mimi nna shida hii na hii imenisumbua kwa mda mrefu."Me; Ushawahi tafuta tiba ya shida hii hospitali?...
21/07/2025

Pale Inbox.

"Nurse mimi nna shida hii na hii imenisumbua kwa mda mrefu."

Me; Ushawahi tafuta tiba ya shida hii hospitali?

"Hapana, lakini si wewe ni daktari niambie tu dawa nikanunue chemist nitumie.

Ni muhimu kutibiwa na daktari physically pale hospitali unapokua na matatizo yaani 'live live'
Kutafuta tiba kupitia simu sio njia mwafaka however convinient it might sound.
Yes hakuna kupanga line & saves time but haifai kuwa hivyo.

Kwanza unapofika tu hospitali kuna vipimo lazima ufanyiwe k**a vile Mapigo ya moyo, respiration, blood pressure, temperature na hata mara zingine pia unaeza pimwa kiwango cha sukari mwilini.

Kupitia jambo hili kuna watu wengi sana ambao wamepatikana na shida zingine kupitia hivi vipimo na maybe mgonjwa hajui.g
Umeenda hospitali ns shida ya ngozi unapatikana kumbe pia blood pressure iko juu na haukua unajua.

Pia kuna the psychological part.

Yes, tiba sio ya mwili pekee, akili yako pia jamani inamhusu yule daktari na kuna wakati mwingine mgonjwa analetwa akipimwa kila kitu kiko sawa but daktari anotice yule mgonjwa ni k**a ana shida psychologically atalink huyu mgonjwa na psychologist.

Mwisho ukihitajika kufanya vipimo k**a vile vya damu ama mkojo au Choo huwezi pimwa apo online.

Nashauri tuwe na mazoea tu ya kutembelea kituo cha afya kilicho karibu nawe unapokumbwa na shida mwilini

20/07/2025

It has been a very busy week.

Feel free to share any post you find valuable here.

K**a una any querry/question on your health njoo inbox will advise accordingly.

My uniform@Florence Mbogo-facebook Jus Carols

Ile sindano mama hudungwa especially hapo kwa paja just after kujifungua mtoto ni ya kucontrol bleeding.Hiyo pia ndio h...
18/07/2025

Ile sindano mama hudungwa especially hapo kwa paja just after kujifungua mtoto ni ya kucontrol bleeding.
Hiyo pia ndio hutengenezewa "maji ya uchungu"

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