Ua aʻo ʻia kāu keiki i ka hoʻohana ʻana i ka lua, akā hoʻomaʻū mau i ka moena i kekahi manawa i ka pō? He pilikia maʻamau kēia no nā mākua he nui ma ko mākou ʻāina. E kaumaha paha ʻoe no kāu keiki, a e luhi paha ʻoe a hopohopo e pili ana i ka holoi ʻana i nā pepa moe i kēlā me kēia lā. Akā, mai hopohopo. He mea maʻamau kēia. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana ʻaʻole kēia ka hewa o ke keiki, ʻaʻole hoʻi he mea āna e hana ai me ka manaʻo . E kamaʻilio kākou e pili ana i kēia me nā kikoʻī.
He aha maoli ke ʻano o ka hoʻomaʻū ʻana i ka moena i ka pō?
Ma ke ʻano lapaʻau, kapa mākou i kēia he "Nocturnal Enuresis". I ka ʻōlelo maʻalahi, ʻo ia ke kahe ʻana o ka mimi me ka makemake ʻole i ka wā e hiamoe ana. He mea maʻamau kēia i waena o nā keiki ʻōpio, ʻoiai ma hope o ko lākou aʻo ʻana i ka lua. Hoʻopau pinepine nā keiki i kēia ʻano maʻamau i ka makahiki 4 a 6.
ʻO ka hapa nui o ka manawa, ʻaʻole kēia he hōʻailona o kahi maʻi olakino. He mea kākaʻikahi loa ia, malia paha he hapa liʻiliʻi wale nō o nā hihia, e like me 1%. No laila, mai manaʻo he hōʻailona kēia o ka palaualelo, ka paʻakikī, a i ʻole ka hana kolohe ma ka ʻaoʻao o ke keiki. He hapa pinepine kēia o kahi pilikia ulu i loko o ke kino o ke keiki. I ka hala ʻana o ka manawa, e hoʻomaikaʻi ka hapa nui o nā keiki me ka ʻole o ka lāʻau lapaʻau.
Akā inā ʻaʻole kēia he kūlana koʻikoʻi, hiki i ke keiki ke hilahila a kaumaha no ia mea. I kekahi manawa, hiki nō paha ke alakaʻi i ka hoʻowalewale ʻana e pale aku i nā mea e like me ka noho ʻana ma nā hale o nā hoaaloha a i ʻole ka hele ʻana i nā huakaʻi.
ʻElua ʻano nui o kēia maʻi.
E māhele mākou i kēia kahe ʻana o ka moena i ʻelua ʻāpana nui. Ke maopopo iā ʻoe kēia, hiki iā ʻoe ke loaʻa kahi manaʻo maikaʻi aʻe o ke kūlana o kāu keiki.
| ʻAno | I ka ʻōlelo maʻalahi... |
|---|---|
| ʻEnuresis mua | ʻO kēia ke ʻano maʻamau. ʻO ke ʻano kēia, ua pulu ke keiki i ka moe i ka pō mai kona wā kamaliʻi mai. ʻAʻole loa ʻo ia i hele me ka ʻole o ka pulu ʻana i ka moe i ka pō no kekahi manawa lōʻihi (ma ka liʻiliʻi he 6 mahina). |
| ʻEnuresis Lua | ʻO ka mea e hana ʻia ma kēia hihia, ʻo ia ka noho ʻole ʻana o ke keiki ma ka moena no 6 mau mahina ma ka liʻiliʻi, a laila hoʻomaka koke e hoʻopulu hou i ka moena i ka pō. |
No ke aha e hana ai kēia i nā keiki? He aha nā kumu?
Hiki ke ʻokoʻa kēia ma muli o nā ʻano kumu ʻelua.
Nā kumu o ka Enuresis Mua
ʻO ka maʻamau, ma muli kēia o hoʻokahi a ʻoi aku paha o nā kumu ulu:
- ʻAʻole lawa ka mana o ka ʻōpū mimi: ʻAʻole paha i lawa ka ulu ʻana o ka ʻōpū mimi o ke keiki e paʻa ai i ka mimi i ka pō a pau.
- ʻAʻole ala aʻe mai ka hiamoe: Ke piha ka ʻōpū mimi, ʻaʻole paha e hiki i ke keiki ke ala aʻe i ka hōʻailona i loaʻa i ka lolo e ʻōlelo ana, "E mimi au i kēia manawa, e ala aʻe." He nui nā keiki i loaʻa i kēia pilikia.
- Ka hana ʻana i ka mimi hou aʻe i ka pō: Hoʻopuka ke kino o kekahi mau keiki i ka mimi hou aʻe ma mua o ka maʻamau i ke ahiahi a me ka pō.
- Nā ʻano maikaʻi ʻole i ke ao: Loaʻa i kekahi mau keiki ka maʻa o ka kāohi ʻana i ko lākou mimi ʻoiai lākou e pāʻani ana. Ua ʻike paha ʻoe iā lākou e keʻa ana i ko lākou mau wāwae, e hana ana i kahi helehelena ʻawaʻawa, a e hakakā ana. Ke hoʻāʻo lākou e kāohi i ko lākou mimi ʻana i ke ao, e nalowale paha ko lākou mana i ka pō.
Nā kumu o ka Enuresis Lua
Inā hoʻomaka hou ka mimi ʻana ma hope o kekahi manawa, he hōʻailona paha ia o kahi maʻi olakino a noʻonoʻo paha. Hiki i nā keiki me kēia maʻi ke loaʻa nā pilikia me ka mimi ʻana i ke ao.
| Kumu kūpono | Wehewehena |
|---|---|
| ʻO ka maʻi ʻaʻai mimi (UTI) | Hiki i ka maʻi ʻaʻai mimi ke hoʻoulu i ka pehu ʻana o ka ʻōpū mimi, ka wela i ka wā e mimi ai , a me ka mimi pinepine ʻana. |
| Maʻi diabetes | Ke piʻi aʻe ke kō koko, hana ke kino i ka mimi hou aku e wehe i kēlā kō. ʻO ka mimi pinepine kahi hōʻailona nui o ka maʻi diabetes. |
| ʻAno ʻē o ke kūkulu ʻana | Hiki ke hana ʻia kēia kūlana e kahi kīnā hānau i loko o nā ʻōpū, nā ʻiʻo, a i ʻole nā aʻalolo o ka ʻōnaehana urinary. |
| ʻAneʻane hiamoe | Inā ua hoʻopau ʻia ka hanu ʻana o ke keiki i ka wā hiamoe (snoring), ke nānā nui nei ka lolo i ka hanu ʻana ma mua o ka kaohi ʻana i ka mimi. ʻO kēia pinepine ma muli o ka hoʻonui ʻia ʻana o nā tonsils a me nā adenoids. |
| Nā pilikia o ka ʻōnaehana nerve | Hiki ke hana ʻia kēia pilikia e kahi maʻi a i ʻole ka maʻi i loko o ka ʻōnaehana nerve e kaohi ana i ka mimi. |
| Kaumaha Manaʻo | E noʻonoʻo wale, ʻo nā mea e like me ka hoʻomaka ʻana i kahi kula hou, ka loaʻa ʻana o kahi pēpē hou i loko o ka hale, ka neʻe ʻana i ka hale, a me nā hoʻopaʻapaʻa makua he mea kaumaha ia no kahi keiki ʻōpio. Hiki i kēia mau mea ke alakaʻi i ka mimi moe lua. |
He mea nui: Inā ua maikaʻi kāu keiki no kekahi manawa a laila hoʻomaka hou e pulu i ka moena, mai hoʻowahāwahā iā ia. He mea nui e ʻimi i ke kōkua lapaʻau.
Aia kekahi pilina ma waena o ADHD, autism, a me ka moe ʻana i ka wā ʻōpiopio?
ʻAe, aia kahi pilina. Ua ʻike ʻia e ka noiʻi ʻana he mea maʻamau ka mimi ʻana i ka moe ma waena o nā keiki me ka Attention Deficit Hyperactivity Disorder (ADHD). Ua manaʻo ʻia e pili ana paha ka ADHD a me ka mimi ʻana i ka moe i ka lohi o ka ulu ʻana o ka ʻōnaehana nerve waena.
ʻIke ʻia kēia ʻano ma kekahi ʻano i waena o nā keiki me ka `Autism Spectrum Disorder (ASD).` Ke hana ʻia nei nā noiʻi hou aʻe ma kēia.
He mea kēia i loaʻa mai nā hanauna mai?
ʻAe, hiki i kēia ke loaʻa ka hopena hanauna. Inā ʻoe e hoʻomaʻū i ka moena i ka pō i kou wā kamaliʻi, ʻoi aku ka nui o ka loaʻa ʻana o ke kūlana i kāu keiki. I ka hapanui o nā hihia, e ulu aʻe ke keiki ma mua o ka maʻa i ka wā e ʻelemakule ai ka makua.
Āhea mākou e ʻike ai i ke kauka?
Inā he 6-7 makahiki kāu keiki a hoʻomau mau i ka pulu ʻana i ka moena a huhū/hilahila loa no ia mea, he manaʻo maikaʻi e ʻike i ke kauka pediatric no ka ʻōlelo aʻo.
E ʻike koke i ke kauka, ʻoiai inā loaʻa iā ʻoe nā hōʻailona penei:
- Inā ʻoe e ʻoluʻolu no kekahi manawa a laila hoʻomaka hou e hoʻomaʻū i ka moena (secondary enuresis).
- Inā he ʻeha a wela paha i ka wā e mimi ai .
- Inā ʻike ʻoe i ke koko i loko o kou mimi.
- Inā ʻoe e mimi hewa ma kou mau lole i ke ao .
- Inā nui kou hanu ʻana (he maʻi apnea hiamoe paha ia).
- Inā loaʻa iā ʻoe ka paʻa paʻakikī.
He aha nā lāʻau lapaʻau a pehea e hiki ai ke mālama ʻia kēia?
ʻAʻohe hopena "kilika" wikiwiki no kēia. Pono ke ahonui, ka hoihoi mai kāu keiki a me kāu keiki, a me ka manawa.
Nā mea hiki iā ʻoe ke hana ma ka home
1. Mai hoʻāhewa i kāu keiki: ʻOiai inā huhū ʻoe i ka wā e pulu ai kāu keiki i ka moena i kēlā me kēia lā, mai hōʻike iā ia i kāu keiki. ʻAʻole ʻo ia e hana nei i kēia me ka manaʻo . ʻO ka hoʻāhewa ʻana iā ia, ka hoʻohewa ʻana iā ia, a i ʻole ka hoʻopaʻi ʻana iā ia e hōʻeha wale aku iā ia.
2. E wehewehe i ke kūlana i kāu keiki: E hoʻomaopopo iā lākou ʻaʻole na lākou kēia hewa a ke hana nei kēia i nā keiki ʻē aʻe he nui ma ka honua. Inā ua hana kēia iā ʻoe i kou wā kamaliʻi, e kaʻana like i kēlā moʻolelo me kāu keiki.
3. Mai ʻae i nā keiki ʻē aʻe e hoʻohenehene iā ʻoe: E hoʻōki i ka hoʻohenehene ʻana i nā kaikaina ʻē aʻe ma ka home e pili ana i kēia.
4. Nā ʻano moe: E hoʻohana i ka lua i ʻelua manawa ma mua o ka hiamoe ʻana. Hoʻokahi ke mākaukau ʻoe e hiamoe, a ʻo ka lua o ka manawa ma mua koke o ka hiamoe ʻana. Eia kekahi, e kaupalena i ka nui o ka wai a me nā mea inu āu e hāʻawi ai i kāu ʻīlio ma hope o ka hola 6 pm. E pale aku i nā mea inu i loaʻa ka caffeine, e like me ke kofe, ke kī, a me ka cola.
5. Ke ala ʻana i ka pō: Ma mua o kou hiamoe ʻana, 1-2 mau hola ma hope o ka hiamoe ʻana o kāu pēpē, hiki iā ʻoe ke hoʻāla iā ia a lawe iā ia i ka lua.
6. E pale i kou wahi moe: E hoʻohana i kahi uhi moena pale wai e pale ai i kou moena mai ka pulu ʻana.
7. Alarm Moe ʻŌmole: He ʻano hana holomua iki kēia. Aia kahi sensor i hoʻopili ʻia i loko o nā lole komo o ke keiki. Hoʻopuka ia i kahi leo nui i ka wā e ninini ʻia ai kahi kulu mimi. ʻOiai ʻo nā mākua ka poʻe e ala mua ana, ma hope o kekahi manawa e maʻa ke keiki i ke ala ʻana i ke kani. I ka hala ʻana o ka manawa, ua aʻo ʻia ka lolo e ala i ka wā e piha ai ka ʻōpū mimi. He ʻano hana kūleʻa kēia no nā keiki ma luna o 7 mau makahiki.
Lapaʻau lapaʻau
Inā ʻaʻole holo pono nā lāʻau lapaʻau home, hiki i kāu kauka ke kuhikuhi i ka lāʻau lapaʻau.
- Desmopressin (DDAVP): Hana kēia lāʻau lapaʻau ma ka hoʻemi ʻana i ka nui o ka mimi i hana ʻia e ke kino i ka pō.
- Nā lāʻau Anticholinergic (e.g. Oxybutynin):Hoʻomaha kēia i nā ʻiʻo o ka ʻōpū mimi a hoʻonui i kona hiki.
E hoʻomanaʻo, pono e hoʻohana ʻia kēia mau lāʻau lapaʻau ma lalo o ke aʻo ʻana a ke kauka . Eia kekahi, hiki ke hoʻi hou ke ʻano ke hoʻōki ʻoe i ka lawe ʻana iā lākou. He mau hopena manawa pōkole wale nō kēia.
Leka Lawe-Home
- He mea maʻamau ka pulu ʻana i ka moe i ka wā kamaliʻi. ʻAʻole ia he hewa na ke keiki.
- ʻO ke kumu nui o kēia, ʻo ia ka lohi o ka ulu kino o ke keiki, ʻaʻole ia he maʻi koʻikoʻi.
- Mai hoʻāhewa, hoʻopaʻi, a hoʻohilahila paha i kāu keiki no kēia. Akā, e hoʻomaopopo a kākoʻo iā lākou.
- Inā hoʻomaka hou kāu keiki e pulu i ka moena ma hope o ke ola maikaʻi ʻana no kekahi manawa, a i ʻole he mau hōʻailona ʻē aʻe e like me ke kuni ʻana a i ʻole ke kahe ʻana o ke koko i ka wā e mimi ana , e ʻike pono i ke kauka .
- He mea pono ke ahonui a me ka manawa e lanakila ai i kēia kūlana. ʻO kou aloha a me ke kākoʻo ka ikaika nui loa o ke keiki.
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