He lehelehe māwae/palale māwae ko kāu pēpē? (Lehelehe Māwae/Pale Māwae) - E makaʻala kākou i kēia!

I ka ʻōlelo maʻalahi, ʻo ka lehelehe māwae a me ka lehelehe māwae he mau puka i loko o ka lehelehe luna o ka pēpē a i ʻole ke kaupaku o ka waha. Ua manaʻo ʻia kēia he mau kīnā hānau/nā ʻano ʻē i hānau ʻia . ʻO ia hoʻi, hiki kēia mau kūlana i ka wā e noho ana ke pēpē i loko o ka ʻōpū, a i ʻole i ka wā o ka ulu ʻana o ka fetal, i ka wā e pili ai nā ʻāpana maka. Hana ʻia kēia i ka wā e hui pono ʻole ai nā ʻiʻo e hana ana i ka lehelehe luna a me ka lehelehe luna. Akā, mai hopohopo, hiki ke hoʻoponopono ʻia kēia mau kūlana ʻelua i ka nui ma o ke ʻoki kino.

He aha ka lehelehe māwae?

Hoʻomaka ko kākou mau lehelehe e hana ma waena o ʻehā a me ʻehiku pule ma hope o ka hāpai ʻana. Hui pū nā ʻiʻo mai nā ʻaoʻao ʻelua o ke poʻo ma waenakonu o ka maka e hana i nā lehelehe a me ka waha. Hana ʻia ka lehelehe māwae i ka wā e hui pū ʻole ai kēia mau ʻiʻo e hana ana i nā lehelehe.

ʻO ka mea e hana ʻia, ʻo ia ka hana ʻana o kahi hakahaka liʻiliʻi a nui paha ma waena o nā ʻaoʻao ʻelua o ka lehelehe luna. I kekahi manawa, hiki i kēia māwae ke lilo i māwae liʻiliʻi, a i ʻole he hakahaka nui e hohola ana a hiki i ka ihu. Hiki i kēia kaʻawale ke hoʻopilikia i nā ʻāʻī a i ʻole ka lehelehe.

He aha ka Cleft Palate?

Hoʻomohala ʻia kou leo ​​​​ma waena o ʻeono a me ʻeiwa pule o ka hāpai ʻana. ʻO ka leo māwae he māhele a puka paha ma ke kaupaku o kou waha e ulu ana i kēia manawa. Hiki iā ia ke hoʻopilikia i ka leo paʻakikī ma ke alo, ka leo palupalu ma ke kua, a i ʻole nā ​​​​mea ʻelua.

Hiki ke loaʻa ka lehelehe māwae a me ka palale ma kekahi ʻaoʻao o ka waha a i ʻole ma nā ʻaoʻao ʻelua. Ma muli o ka ulu ʻokoʻa ʻana o ka lehelehe māwae a me ka palale, hiki ke loaʻa nā kūlana penei:

• Lehelehe māwae me ka ʻole o ka lehelehe māwae.
• Lehelehe māwae me ka lehelehe māwae ʻole.
• ʻO ka lehelehe māwae a me ka lehelehe māwae - ʻO kēia ka mea maʻamau.

Pehea ka maʻamau o kēia ʻano?

ʻO kaʻoiaʻiʻo, ʻike ʻia kēia mau kūlana i kapa ʻia he lehelehe māwae a me ka palate māwae ma Sri Lanka. Ma ʻAmelika, ʻo ia kekahi o nā kīnā hānau maʻamau.

Wahi a ka ʻikepili ma laila (US Centers for Disease Control and Prevention):

• Ma kahi o hoʻokahi i loko o 1,600 pēpē i hānau ʻia me ka lehelehe māwae a me ka lehelehe kīkoʻo.
• Ma kahi o hoʻokahi i loko o 2,800 pēpē i hānau ʻia me ka lehelehe māwae a ʻaʻole ka lehelehe māwae.
• Ma kahi o hoʻokahi i loko o 1,700 mau hānau ʻana i hānau ʻia me ka lehelehe māwae, ʻaʻole ka lehelehe māwae.

ʻOi aku ka maʻamau o ka lehelehe māwae (me ka lehelehe māwae a ʻaʻohe paha) i nā pēpē kāne. ʻOi aku ka maʻamau o ka lehelehe māwae wale nō (me ka ʻole o ka lehelehe māwae) i nā pēpē wahine.

He aha nā kumu o ka lehelehe māwae a me ka palale?

I ka hapanui o nā hihia, he paʻakikī ke kuhikuhi pono i ke kumu o ka lehelehe māwae a i ʻole ka palale. ʻAʻole ia he mea hiki i nā mākua ke pale aku. Manaʻo ka hapa nui o nā kānaka ʻepekema ua hana ʻia ia e ka hui pū ʻana o nā kumu genetic a me ke kaiapuni.Me he mea lā e kū mai ana kēia maʻi. Inā loaʻa kēia maʻi i kekahi o ka ʻohana, ʻo ia hoʻi, he kaikaina, he makua, a he hoahānau paha, me he mea lā he kiʻekiʻe iki ka manawa e loaʻa pū ai i ka pēpē hānau hou.

He aha nā kumu pilikia?

Inā ʻoe e hoʻohana i kekahi mau lāʻau lapaʻau i ka wā hāpai, ʻoi aku ka nui o ka pilikia o kāu pēpē i ka loaʻa ʻana o kahi lehelehe māwae/palale. Eia kekahi laʻana:

• ʻO kekahi mau lāʻau i hāʻawi ʻia no nā kūlana e like me ka epilepsy (nā lāʻau antiseizure).
• Lāʻau lapaʻau i loaʻa ka `(Accutane®)` no ka ʻākena.
• He lāʻau lapaʻau ʻo Methotrexate i hoʻohana ʻia e mālama i nā maʻi e like me ke kanesa, ka ʻāʻī, a me ka psoriasis.

Eia kekahi, hiki i nā mea ʻē aʻe e pili ana i ka makuahine ke hoʻopilikia i kēia:

• Ka nele o ka waikawa Folic.
• ʻO ke ʻano momona o ka momona ke kaumaha.
• Ka hoʻohana ʻana i ka paka i ka wā hāpai.
• Ka maʻi hoʻohana ʻona.
• Ka ʻike ʻia ʻana i kekahi mau maʻi a i ʻole nā ​​​​kemika i ka wā hāpai.

He ʻano hoʻoilina anei kēia? (He ʻano hoʻoilina anei kēia?)

Hōʻike kekahi mau noiʻi aia kahi pilina genetic ma waena o ka lehelehe māwae a me ka lehelehe māwae. No ka laʻana, inā he lehelehe māwae a he lehelehe māwae paha kou a i ʻole kāu hoa i ka wā hānau, he 2% a 8% ka manawa e loaʻa ai i kāu pēpē ke ʻano. Inā he keiki kāu me ka lehelehe māwae/lehelehe māwae, ʻoi aku ka nui o ka loaʻa ʻana o ke ʻano i kāu keiki aʻe.

He aha nā pilikia o kēia maʻi?

ʻO nā pēpē i hānau ʻia me ka lehelehe māwae a i ʻole ka palale māwae paha e paʻakikī i ka hānai ʻana (hānai ʻia me ka ʻōmole a me ka waiū umauma) . Hiki nō hoʻi iā lākou ke paʻakikī i ka ʻōlelo ʻana. I ka manawa pinepine, hōʻiliʻili ka wai ma hope o ka eardrum, e hoʻolilo ana i ka lohe . Loaʻa pū kekahi mau pēpē i nā pilikia niho .

Pehea e ʻike ai i ka lehelehe māwae a me ka palale?

I ka hapa nui o ka manawa, hiki ke ʻike ʻia ka lehelehe māwae i ka wā o ka ultrasound prenatal . ʻO kēia no ka mea hiki i ka lehelehe māwae ke hoʻololi i ke kino o ka pēpē. Eia nō naʻe, inā he lehelehe māwae wale nō me ka ʻole o ka lehelehe māwae (Isolated Cleft Palate), ʻoi aku ka paʻakikī o ka ʻike ʻana i kēia ala. ʻO 7% wale nō o ia mau hihia i ʻike ʻia ma ka ultrasound.

Inā ʻaʻole i ʻike ʻia kēia ma ka ultrasound, hiki ke nānā ʻia ka waha, ka ihu, a me ka lehelehe ma hope o ka hānau ʻana o ke pēpē e hoʻoholo ai inā he lehelehe māwae a lehelehe paha.

I kekahi mau hihia, hiki i ke kauka ke ʻōlelo aku i kahi hoʻokolohua i kapa ʻia ʻo amniocentesis , ʻo ia hoʻi ka lawe ʻana i kahi laʻana o ka wai amniotic e hoʻopuni ana i ka pēpē e nānā i nā kūlana genetic ʻē aʻe.

Hiki ke ʻike ʻia kahi lehelehe māwae ma mua o ka hānau ʻana?

ʻO ka hapa nui o ka manawa, e ʻike nā kauka i kahi lehelehe māwae i kāu scan ultrasound 20-pule (Anatomy Scan), ʻo ia ke scan i hana ʻia ma waena o 18 a me 22 mau pule o ka hāpai ʻana. I kekahi manawa hiki ke ʻike ʻia i ka wā mua o 12 mau pule. Eia nō naʻe, ʻoi aku ka paʻakikī o ka ʻike ʻana i kahi lehelehe māwae ma kahi ultrasound.

He aha nā lāʻau lapaʻau no ka lehelehe māwae/palale?

Hoʻōla ʻia ka lehelehe māwae a me/a i ʻole ka palale māwae me ke ʻoki kino . ʻO nā kikoʻī kikoʻī o kēia lāʻau lapaʻau e pili ana i ka nui o ka māwae, ka makahiki o ke keiki, a me nā pono kūikawā ʻē aʻe a i ʻole nā ​​​​kūlana olakino i loaʻa iā lākou. E hana ʻia kēia ʻoki kino i kāu keiki ma ka haukapila, ma lalo o ka anesthesia laulā , ʻo ia hoʻi ua hiamoe loa lākou.

Hoʻoponopono Lehelehe Māwae

Pono paha kahi ʻoki lehelehe māwae i hoʻokahi a ʻelua paha ʻoki. Hana pinepine ʻia ke ʻoki mua i ka wā he 3 a me 6 mahina kāu pēpē. E hoʻoponopono a pani kēia ʻoki i ka lehelehe. Inā pono kahi ʻoki lua, hana pinepine ʻia i ka wā he 6 mahina kāu pēpē.

Aia kekahi mau ʻano hana e hiki ke hoʻohana ʻia ma mua o ke ʻoki ʻana e hoʻomaikaʻi i nā hopena. He mau ʻano hana ʻaʻole invasive kēia e hiki ke hoʻololi nui i ke ʻano o nā lehelehe, ka ihu, a me ka waha o kāu pēpē. Eia kekahi laʻana:

• Hiki i ke kaʻina hana e hoʻopili i nā lehelehe ke kōkua i ka hoʻohaiki ʻana i ka lehelehe māwae o kahi pēpē.
• Kōkua ka nasal elevator i ke hoʻohālikelike ʻana i ka ihu o ke pēpē i kahi ʻano maoli.
• Kōkua kahi hāmeʻa Nasal-Alveolar Molding (NAM) i ke ʻano o ka ʻiʻo lehelehe i mea kūpono no ke ʻoki ʻana.

Hoʻoponopono ʻana i ka palale māwae

Hana pinepine ʻia ke ʻoki ʻana i ka waha ʻāʻī ke piha ka pēpē i ka 12 mahina. Kōkua kēia i ka hana ʻana i kahi waha ʻāʻī e hana ana a hōʻemi i ka manawa e hōʻiliʻili ai ka wai i loko o ka pepeiao waena o ka pēpē. I mea e pale aku ai i kēia hōʻiliʻili ʻana, hoʻokomo pinepine nā keiki me nā waha ʻāʻī i nā ʻōmole kūikawā i loko o ko lākou mau pahu pepeiao e kōkua i ka hoʻokahe ʻana i ka wai. E nānā kā lākou mau kauka i ko lākou lohe ma kahi o hoʻokahi manawa i ka makahiki.

Ma kahi o 40% o nā keiki me nā palate māwae e pono ai ke ʻoki hou ʻana e hoʻomaikaʻi i kā lākou ʻōlelo . E loiloi kahi kauka ʻōlelo i ka ʻōlelo a kāu keiki ma waena o 4 a me 5 mau makahiki. Hiki iā ia ke hoʻohana i kahi nasopharyngeal scope ( kahi kāmela i hoʻokomo ʻia ma ka ihu) e nānā i ka neʻe ʻana o ke alelo a me ka puʻu. Inā pono kāu keiki i ke ʻoki ʻana e hoʻomaikaʻi i kā lākou ʻōlelo, hana pinepine ʻia ia ma kahi o 5 mau makahiki.

ʻO nā keiki i loaʻa kahi māwae e hoʻopilikia ai i ka laina ʻāʻī e pono paha i kahi hoʻopili iwi ma waena o nā makahiki 6 a me 10. Hoʻopiha kēia kaʻina hana i ka laina ʻāʻī o luna, e hāʻawi ana i ke kākoʻo no nā niho mau loa a hoʻopaʻa i ka ʻāʻī o luna. Ke komo mai nā niho mau loa, pono paha kāu keiki e hoʻopololei i ko lākou mau niho.Pono pinepine ʻia e hoʻohana i nā pale a me kahi mea hoʻonui palate e hoʻonui i ka palate.

Pono paha kāu keiki i ke ʻoki kino hou no:

• Hoʻomaikaʻi i ke ʻano o nā lehelehe a me ka ihu.
• E pani i nā puka ma waena o kou waha a me kou ihu.
• E maʻalahi ka hanu ʻana.
• E hoʻopaʻa a hoʻopololei i kou ʻāwae.

Hiki i ke ʻoki kino ke lawe mai i nā pilikia e like me ke kahe ʻana o ke koko, ka maʻi, a me ka hōʻino ʻana i nā aʻalolo, nā ʻiʻo, a i ʻole nā ​​​​​​hale ʻē aʻe. Eia nō naʻe, ʻo ke ʻoki ʻana i ka lehelehe māwae a me ka palate ka mea maʻamau e holomua a he haʻahaʻa ka pilikia. Ua waiho ʻia kahi ʻeha poni liʻiliʻi ma hope o ke ʻoki ʻana i ka lehelehe māwae, kahi mea e mae mālie ai i ka ulu ʻana o ke keiki.

He aha nā lāʻau lapaʻau ʻoki ʻole?

Pono paha nā keiki me ka lehelehe māwae a i ʻole ka palate māwae i ka lāʻau lapaʻau ma waho o ke ʻoki ʻana. ʻO nā lāʻau lapaʻau ʻē aʻe a kā lākou mau kauka e ʻōlelo ai, ʻo ia ka hoʻōla ʻōlelo a me ka lāʻau orthodontic .

ʻO wai ka mea e mālama nei i kēia mau keiki?

Ma muli o ka nui o nā pilikia olakino waha a me nā pilikia olakino e pili ana i ka lehelehe māwae a i ʻole ka palale, ua hoʻomohala ʻia kahi hoʻolālā mālama piha e kahi hui o nā mea lawelawe mālama ola . Hoʻomaka pinepine ka mālama ʻana o kāu keiki i ka wā kamaliʻi a hoʻomau pinepine a hiki i ka wā ʻōpio.

Hiki i kā lākou hui mālama ola ke komo pū me:

• He Kauka Lapaʻau Palaki no nā Keiki.
• He kauka keiki.
• He loea otolaryngologist (loea pepeiao, ihu, a me ka puʻu).
• Nā mea kōkua no ka hānai ʻana i ka wā kamaliʻi e kōkua i ka hānai ʻana.
• He loea niho ka orthodontist nāna e hoʻopololei a hoʻoneʻe i nā niho i ke kūlana kūpono.
• He kauka niho a kauka niho keiki paha e hāʻawi ana i ka mālama niho maʻamau.
• He loea i ka hana ʻana i nā niho hana a me nā mea hana niho (Prosthodontist).
• Loiloi nā Kauka ʻŌlelo-ʻŌlelo (SLP) i nā pilikia ʻōlelo.
• He loea lohe pepeiao nāna e hoʻāʻo a nānā i ka lohe.
• He limahana hana kaiaulu/psychologist nāna e kākoʻo i ka ʻohana a nānā inā he mau pilikia me ka hoʻomaʻamaʻa ʻana o ke keiki.
• Nā kākā'ōlelo genetic e kōkua ana i nā mākua a me nā poʻe maʻi makua e hoʻomaopopo i ka hiki ke loaʻa nā keiki me ka palate/lehelehe māwae i ka wā e hiki mai ana.

Hiki ke pale ʻia ka lehelehe māwae/palale?

ʻAʻohe ala e pale loa ai i kāu pēpē mai ka loaʻa ʻana o ka lehelehe māwae/palale. Eia nō naʻe, hiki iā ʻoe ke hōʻemi i ka pilikia ma ka pale ʻana i nā cigarettes, ka waiʻona, a me kekahi mau lāʻau lapaʻau i ka wā hāpai. E kamaʻilio me kāu kauka no ka ʻike hou aku.

Pehea lā ka wā e hiki mai ana o kēia mau keiki?

Hiki ke hala nā makahiki i ka mālama ʻana a pono paha i kekahi mau ʻoki kino. AkāHe maʻamau ko ka wā kamaliʻi o ka hapa nui o nā keiki me kēia mau maʻi. Me ka mālama ʻana, hiki ke hoʻomaikaʻi ʻia nā pilikia o ka ʻōlelo a me ka ʻai ʻana. Hiki i kekahi poʻe ke hopohopo iki e pili ana i ke ʻano o ko lākou mau lehelehe a i ʻole nā ​​​​​​palapala. E kamaʻilio me nā kauka o kāu keiki e pili ana i ke ʻano e hiki ai iā lākou ke kākoʻo iā ʻoe i nā makahiki.

Hiki ke hānai ʻia i ka waiū i kahi pēpē me ka lehelehe māwae/palale?

Hiki ke hānai i kāu pēpē me ka lehelehe māwae a/a i ʻole ka palale. Eia nō naʻe, pono ʻoe i ke kōkua mai kahi loea lapaʻau i aʻo ʻia. ʻO ka hānai waiū kūleʻa e pili ana i kekahi mau kumu, e like me:

• ʻO ke ʻano, ka nui, a me ka wahi o ka māwae.
• Ke kūlana āu e hānai ana i ka waiū.
• Inā he maʻi pili kāu pēpē i kēia (hiki ke loaʻa nā hōʻailona ʻē aʻe e hoʻopilikia ai i ka hānai waiū).
• ʻO ka hoʻonaʻauao a me ke kākoʻo hānai āu e loaʻa ai.

Hoʻohana nā pēpē i ka omo ʻana e omo i ka waiū mai ka umauma. Hiki i ka lehelehe māwae a/a i ʻole ka waha māwae ke pale aku i ka pēpē mai ka hoʻohana ʻana i kēia omo.

Ua hōʻike ʻia nā noiʻi hiki i kekahi mau pēpē me ka lehelehe māwae wale nō ke hoʻomohala i ka lawa ʻana o ka omo ʻana e hānai pono ai i ka waiū. He hiki nō hoʻi i nā pēpē me nā māwae liʻiliʻi e hoʻopilikia wale ana i ka leo palupalu ke hoʻomohala i ka omo e pono ai.

Eia nō naʻe, he mea paʻakikī ke hoʻomohala i ka mana hopu i nā pēpē e like me kēia:

• No nā pēpē me ka lehelehe māwae a me ka lehelehe māwae.
• No nā pēpē me nā māwae nui e hoʻopilikia ana i nā ʻāpana paʻakikī a/a i ʻole palupalu o ke poʻo.

Hiki i kēia pēpē ke pilikia i ka hoʻomohala ʻana i ka hiki ke omo no ka mea ʻaʻohe kaʻawale kūpono ma waena o loko o ka ihu a me loko o ka waha.

Inā ʻaʻole hiki i kāu pēpē ke latch maikaʻi, hiki ke luhi loa ka hoʻāʻo ʻana e hana pēlā. Hiki iā lākou ke loaʻa i ka regurgitation ihu a i ʻole reflux. ʻAʻole loaʻa i kekahi mau pēpē ka waiū lawa, hiki ke hoʻoulu i nā pilikia hānai a me ka ulu ʻana.

Kākoʻo no ka hānai waiū ʻana i kahi pēpē me ka lehelehe māwae/palale

ʻO ka mea mua e ʻike ai, ʻaʻole ʻoe hoʻokahi . Nui nā ʻohana ʻē aʻe e kū nei i kēia kūlana, a ke noʻonoʻo nei hoʻi lākou pehea e hoʻokele ai i ka hānai waiū a i ʻole nā ​​​​koho ʻē aʻe.

ʻO ka mea pōmaikaʻi, loaʻa nā loea lactation a me nā loea hānai waiū, me nā loea hānai waiū , e kōkua iā ʻoe e ʻimi i nā ala e hānai ai i kāu pēpē. Hiki i kēia poʻe ke kōkua iā ʻoe ʻoiai inā ʻaʻole hiki iā ʻoe ke hānai waiū. E hoʻonohonoho i kahi manawa e ʻike ai iā lākou i ka hikiwawe loa, ʻoiai ʻoe e hāpai ana. Hiki iā ʻoe ke aʻo e pili ana i ke ʻano o ka mālama ʻana i kāu pēpē a me nā mea e manaʻo ai.

Hiki i ke kākā'ōlelo lactation ke kōkua iā ʻoe me kēia mau mea:

• E hoʻoholo inā hiki ke hānai waiū.
• E hoʻokele i kāu lako waiū.
• E aʻo pehea e hoʻopuka ai i ka waiū umauma, ma ka lima a i ʻole me ka pamu umauma.
• E ʻimi i ke kūlana hānai waiū maikaʻi loa e kūpono iā ʻoe a me kāu pēpē.
• E hōʻoia i ka loaʻa ʻana o nā wai kūpono i kāu pēpē.
• E makaʻala i ka piʻi ʻana o ke kaumaha a me ka ulu ʻana o kāu pēpē.
• Inā pono, e hoʻolako i nā hānai hou aʻe (ka waiū waiū waiū a i ʻole nā ​​​​​​mea pani waiū umauma mea hāʻawi).
• Kōkua me ka hānai waiū nou a me kāu pēpē ma hope o ke ʻoki lehelehe māwae/palale.

Kākoʻo inā ʻaʻole hiki iā ʻoe ke hānai waiū

He mea nui e ʻike ʻoiai ke hoʻoikaika nei nā mea a pau, ʻaʻole paha e hiki i kāu pēpē ke hānai pololei mai ka umauma mai. Hiki nō paha kēia ke ʻano ma hope o ke ʻoki ʻana. Eia nō naʻe, hiki i kāu kākāʻōlelo lactation ke kōkua iā ʻoe e ʻimi i nā ala ʻē aʻe e hānai ai a hoʻopaʻa me kāu pēpē.

Eia kekahi laʻana, hiki i kāu kauka ke kōkua iā ʻoe me ka hoʻopuka ʻana i ka waiū umauma . Pili kēia i ka hoʻopuka ʻana i ka waiū umauma (ma ka lima a i ʻole me ka pamu) a hāʻawi iā ia i kāu pēpē me ka hoʻohana ʻana i ka puna, ke kīʻaha, ka ʻōmole, a i ʻole ka syringe. Ua hoʻolālā ʻia kekahi mau ʻōmole e hāʻawi i kāu pēpē i kahi kōkua hou me ka omo ʻana. Hiki i kāu kauka ke kōkua iā ʻoe e koho i ka ʻōmole kūpono nāu.

Hāʻawi ka hānai waiū i kāu pēpē i nā meaolaola koʻikoʻi i loko o kāu waiū. Hiki i ka hānai waiū ke hōʻemi i ka pilikia o kāu pēpē i nā maʻi pepeiao , kahi mea maʻamau i nā pēpē me ka lehelehe māwae/palale.

Hiki i kāu kauka ke paipai iā ʻoe e hoʻāʻo e hānai i kāu pēpē i ka waiū, ʻoiai inā ʻaʻole lawa ka waiū o kāu pēpē e hānai ai. ʻO ka hana ʻana pēlā e kōkua i ka mālama ʻana i kāu lako waiū. He ala koʻikoʻi nō hoʻi ia e hōʻoluʻolu a hoʻopaʻa pū me kāu pēpē.

He aha ka mālama niho e pono ai kāu keiki?

Ma keʻano laulā, loaʻa i nā keiki me nā māwae nā pono niho like me nā keiki ʻē aʻe. Eia nō naʻe, hiki i nā keiki me nā lehelehe māwae a me ka palale ke nalowale nā ​​niho, kahi loli i ke ʻano o ko lākou mau niho, a i ʻole kahi kūpono ʻole o ko lākou mau niho. Eia kekahi mau ʻōlelo aʻoaʻo:

• Mālama Niho Mua: Pono kāu keiki i ka meaʻai maikaʻi, ka palaki kūpono, a me ka mālama ʻana i ka fluoride e mālama i ko lākou mau niho i ke olakino. I ka hoʻomaka ʻana o ko lākou mau niho e ulu, e palaki i nā niho o kāu keiki me kahi palaki niho liʻiliʻi a palupalu. Inā ʻaʻole hiki i kēia palaki niho ke hoʻomaʻemaʻe pono i ko lākou mau niho ma muli o ke ʻano ʻokoʻa o ko lākou waha a me nā niho, hiki i ke kauka niho ke ʻōlelo aku e hoʻohana i kahi huʻahuʻa palupalu me ka holoi waha. E nīnau i kāu keiki i ka pinepine o ka lawe ʻana i ko lākou mau niho no ka nānā ʻana i nā niho.
• Mālama Orthodontic: Ma hope o ka puka ʻana mai o nā niho paʻa, e loiloi ke kauka niho i nā pono niho pōkole a me ka wā lōʻihi o kāu keiki. Pono nā keiki he nui me ka palate māwae i ka hoʻonui palatal ma kahi o 6 a 7 paha makahiki. Ma hope o ka puka ʻana mai o nā niho paʻa a pau, hiki i ke kauka niho ke hoʻopololei i nā niho me nā braces. Pono paha kāu keiki i ka mālama orthodontic e hoʻomākaukau ai no ke ʻoki orthognathic.
• Mālama Prosthodontic: Hiki i ke kauka prosthodontist ke pani i nā niho nalowale me kahi alahaka niho a hana paha i nā mea kūikawā i kapa ʻia he mau ʻōpuʻu ʻōlelo a i ʻole nā ​​​​​​mea hāpai palatal e kōkua i ka hoʻomaikaʻi ʻana i ka ʻōlelo. Hana pū ke kauka prosthodontist me ke kauka ʻoki waha a i ʻole ka plastic a me kahi mea lapaʻau ʻōlelo.

He aha nā pilikia e pili ana me ka lehelehe māwae a me ka palale?

Loaʻa pinepine i nā keiki me nā māwae nā pilikia ʻai, ka nalowale o ka lohe, a me nā pilikia ʻōlelo . Loaʻa paha i nā keiki nā pilikia niho a i ʻole nā ​​pilikia hilinaʻi iā lākou iho.

• Nā Pilikia ʻAi: Ke loaʻa kahi māwae a puka paha ma ka lehelehe, hiki i ka meaʻai a me ka mea inu ke piʻi hou mai ka waha ma o ka ihu. Loaʻa i kekahi mau pēpē ka paʻakikī i ka hānai waiū a i ʻole ka hānai ʻana i ka ʻōmole no ka mea ʻaʻole hiki iā lākou ke omo pono.
• Poho o ka Lohe: ʻOi aku ka nui o ka lohe ʻana o nā keiki me ka palale māwae i ka loaʻa ʻana o ka pepeiao pipili, kahi e hiki ai ke nalowale ka lohe inā ʻaʻole mālama ʻia.
• Nā Pilikia ʻŌlelo: Hiki i nā keiki me nā lehelehe māwae ke loaʻa ka paʻakikī i ka ʻōlelo ʻana. ʻAʻole paha e lohe pono ʻia ko lākou leo, a paʻakikī paha ke hoʻomaopopo i kā lākou ʻōlelo. ʻAʻole loaʻa i nā keiki āpau kēia mau pilikia, a hiki ke hoʻoponopono ʻia me ke ʻoki kino.
• Nā pilikia niho: ʻOi aku ka nui o ka loaʻa ʻana o nā lua i nā keiki me nā māwae, nalowale nā ​​​​niho, ulu hewa, a i ʻole e hoʻololi i ko lākou kūlana.

ʻOi aku ka nui o ka hiki iā lākou ke loaʻa nā hemahema ma ke kualono alveolar, ʻo ia ka ʻāpana iwi o ka ʻāʻī luna kahi i loaʻa ai nā niho. Hiki i kahi hemahema ma kēia kualono alveolar ke hana i:

• Hiki i nā niho paʻa ke neʻe, wehe, a wili paha.
• Hiki iā ia ke pale i ka puka ʻana mai o nā niho mau loa.
• Hiki ke pale ʻia ke kūkulu ʻia ʻana o ke kualono alveolar.
• ʻO nā niho ʻīlio a me nā niho ʻoki e kupu mai ana e hāʻule paha i ka wā ʻōpiopio.
• Nā Pilikia Manaʻo a Pilikanaka paha: Hiki i nā keiki me nā māwae ke ʻike i nā manaʻo haʻahaʻa a hilahila paha e pili ana i ko lākou helehelena, ʻoiai i ka wā ʻōpiopio. Hiki i kēia ke alakaʻi i nā pilikia manaʻo, pilikanaka, a i ʻole ke ʻano ma ke kula, a hiki ke hoʻopilikia i ko lākou manaʻo ponoʻī.

Ua lohe paha ʻoe e pili ana i kēia kūlana i ka wā o kahi scan ultrasound ʻoiai kāu pēpē i loko o ka ʻōpū, a i ʻole ma hope o ka hānau ʻana o kāu pēpē. Eia nō naʻe, ʻo ka loaʻa ʻana o kahi lehelehe māwae a palale paha he kūlana kaumaha loa ia e paʻakikī ke haʻi ʻia i nā huaʻōlelo. E hopohopo paha ʻoe no nā ʻoki kino e pono ai kāu pēpē, pehea e hoʻōla ai ʻo ia, a pehea kona wā kamaliʻi. E hoʻomanaʻo, aia ka hui lapaʻau o kāu pēpē ma aneʻi e kōkua i kou ʻohana holoʻokoʻa (me ʻoe pū kekahi).Mai kānalua e kaʻana like i kāu mau nīnau a me kou mau hopohopo me lākou. A laila hiki iā ʻoe ke hoʻoholo a loaʻa ka ʻike e pono ai ʻoe e kū i ka huakaʻi e hiki mai ana.

ʻO nā mea nui loa a kākou e lawe ai i ka home mai kēia moʻolelo (Leka Lawe-Home)

He mea maʻamau ke kaumaha ke ʻike ʻoe he lehelehe māwae a palale paha ko kāu pēpē. Akā e hoʻomanaʻo, ʻaʻole ʻoe hoʻokahi .

ʻO ka mea nui, aia nā lāʻau lapaʻau kūpono no kēia mau kūlana ʻelua. ʻAe, he manawa ka manawa a pono paha e hana i nā ʻoki kino he nui. Akā me ka mālama olakino kūpono a me ke aloha a me ke kākoʻo o kou ʻohana, hiki i kāu keiki ke ola i kahi ola hauʻoli a olakino e like me nā mea ʻē aʻe.

Pono e hāʻawi ʻia ka nānā kūikawā i nā mea e like me ka hānai ʻana i nā wā mua a me ke kamaʻilio ʻana ma hope. Nui ka poʻe, me nā kauka a me nā mea hoʻōla ʻōlelo, e kōkua i kēlā mau mea āpau.

ʻOiai i ka wā ʻōpiopio, hiki i kāu pēpē ke kaumaha iki i kona helehelena. I kēlā manawa, he mea nui loa ia e hoʻomaopopo iā ia, e kamaʻilio me ke aloha, a e hōʻoluʻolu iā ia. E kūkākūkā i kēia mau mea a pau me kāu kauka. Na lākou e alakaʻi pololei iā ʻoe.

No laila, e noho ikaika a e hahai i nā ʻōlelo aʻo a nā kauka i kou hele ʻana ma kēia huakaʻi. E ola koke ana kāu pēpē a ʻike i ke ao nei me ka minoʻaka nani!

Lehelehe māwae, lehelehe māwae, kīnā hānau, olakino pēpē, ʻoki kino, hoʻōla ʻōlelo, hānai waiū