Ma ke ʻano he makua, he mea maʻamau iā ʻoe ke manaʻo nui i ka hopohopo a me ka makaʻu ke ʻike ʻoe i kahi māwae liʻiliʻi ma ka lehelehe luna o kāu keiki hānau hou a i ʻole kahi māwae ma luna o ka waha. Akā, mai hopohopo, he ʻano kēia e hiki ke hoʻoponopono pinepine ʻia me ka holomua. I loko o ka ʻepekema lapaʻau, ua kapa ʻia kēia he `(Congenital disorder)`, ʻo ia hoʻi, hana ia i ka wā e noho ana ke pēpē i loko o ka ʻōpū o ka makuahine. I kēia lā, e kamaʻilio mākou e pili ana i nā mea āpau ma nā ʻōlelo maʻalahi.
I ka ʻōlelo maʻalahi, he aha ka lehelehe māwae a me ka lehelehe māwae?
No ka hoʻomaopopo pono ʻana i kēia, e nānā kākou i kēia mau mea ʻelua ma ke kaʻawale.
- Lehelehe Māwae: E noʻonoʻo, hiki mai kēia ʻano ke pili pono ʻole nā ʻāpana ʻelua e pono ai ke hana i ka lehelehe luna i ka wā e ulu ana ke pēpē i loko o ka ʻōpū. Ua like ia me kahi māwae liʻiliʻi ma ka lehelehe luna. I kekahi manawa hiki ke liʻiliʻi kēia māwae, i kekahi manawa hiki ke pālahalaha i nā ʻāʻī, a hiki i ka puka ihu.
- ʻAla Māwae: He hakahaka kēia ma ka ʻaoʻao luna o ka waha o ke pēpē, ʻo ia ka mea a mākou e kapa nei ʻo "palate." Hiki i kēia ma ka ʻaoʻao paʻakikī o ka waha ma ke alo (palate paʻakikī) a i ʻole ka ʻāpana palupalu ma ke kua (palate palupalu).
ʻO ka hapa pinepine, loaʻa pū nā maʻi ʻelua, akā he lehelehe māwae wale nō paha ko kekahi mau pēpē a he lehelehe māwae paha.
He aha ka mea e hana maoli ana me kēia mau ʻoki kino?
ʻO ka pahuhopu nui o nā ʻoki kino ʻelua, ʻo ia ka hoʻihoʻi ʻana i ka hana a me ke ʻano o nā lehelehe a me ka waha o ke pēpē, ʻoiai hiki i kēia mau māwae ke hana i kekahi mau pilikia olakino.
Kōkua nui kēia mau ʻoki kino i ka hiki i ka pēpē ke ʻai, inu, hanu, lohe, a ʻōlelo.
E wehewehe ana kāu kauka i kēia mau ʻoki kino ʻelua iā ʻoe.
- Hoʻoponopono Lehelehe Māwae: Maanei, hana ke kauka lapaʻau i nā ʻoki liʻiliʻi ma nā ʻaoʻao ʻelua o ka māwae, hoʻopili hou i nā ʻiʻo a me ka ʻili o ka lehelehe luna, a humuhumu iā lākou. Hoʻoponopono kēia i ke ʻano o ka lehelehe a me ka puka ihu.
- Hoʻoponopono ʻana i ka ʻīpuka palaka: ʻO kēia ke ʻano hou ʻana i ke kino ma nā ʻaoʻao ʻelua o ka ʻīpuka palaka, e lawe mai ana i waenakonu e pani i ka ʻīpuka palaka, a e humuhumu pū iā ia.
I ka makahiki hea e hana ʻia ai kēia ʻoki kino ma kahi pēpē?
He mea nui loa ka manawa e hana ai i kēia ʻoki kino.
- ʻO ke ʻoki lehelehe māwae: Hana pinepine ʻia kēia ʻoki ke piha ka pēpē i 3 a me 6 mahina . I kekahi manawa, hiki ke hoʻohana ʻia ke kāpili lehelehe a i ʻole ka nasoalveolar molding (NAM) e kōkua i ke kau ʻana i ke ʻano o ka lehelehe a me ka palate ma mua o ke ʻoki ʻana.
- ʻO ke ʻoki ʻana i ka laula māwae: Hana ʻia kēia ma mua o ka hoʻomaka ʻana o ke pēpē e ʻōlelo, ʻo ia hoʻi ma kahi o 12 mau mahina.Inā he lehelehe māwae ko ka pēpē, ʻo ia ʻoki kino ka mea mua e hana ʻia. I kekahi manawa, pono paha ma mua o hoʻokahi ʻoki kino e hoʻoponopono piha i ka lehelehe māwae. Hiki ke hoʻopanee ʻia ke ʻoki kino e pili ana i nā ʻāʻī a i ʻole ka ʻāwae a hiki i ka piha ʻana o ka pēpē i 10 mau makahiki.
He aha kāu e pono ai e ʻike ma mua o ke ʻoki kino?
ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. Aia kahi hui o nā kauka ʻokiʻoki, nā kauka ʻōlelo, nā kauka otolaryngology, a me nā kauka niho e kōkua i kāu pēpē.
Ma kahi o hoʻokahi pule ma mua o ke ʻoki kino, e nānā kāu kauka lapaʻau i kāu pēpē e hōʻoia i kona olakino maikaʻi no ke ʻoki kino. Hiki paha iā ia ke noi iā ʻoe e hoʻōki i ka lawe ʻana i kekahi mau lāʻau lapaʻau ma mua o ke ʻoki kino.
ʻO ka mea nui loa, ʻo ia ka hakahaka o ka ʻōpū o ka pēpē i ka lā o ke ʻoki kino. No ka anesthesia kēlā. E hahai pono i nā kuhikuhi a ke kauka. Eia kekahi o nā kuhikuhi i hāʻawi pinepine ʻia.
| ʻAno meaʻai/mea inu | Ka manawa liʻiliʻi loa e hoʻōki ai ma mua o ke ʻoki kino |
|---|---|
| Nā meaʻai paʻa, ka waiū waiū, ka waiū bipi | E hoʻōki i 6 mau hola ma mua o ke ʻoki kino. |
| Waiū umauma | ʻAe ʻia a hiki i 4 mau hola ma mua o ke ʻoki ʻana. |
| nā wai moakāka (wai, wai ʻāpala) | Hāʻawi ʻia ka ʻae a hiki i 3 mau hola ma mua o ke ʻoki ʻana. |
E kamaʻilio me ke kauka e pili ana i kekahi mau nīnau a hopohopo paha āu e loaʻa ai a e hoʻopau i kou mau kānalua.
He aha kaʻu e kū ai ma hope o ke ʻoki kino?
He mea maʻamau i ka pēpē ke maʻi iki a huhū ma hope o ke ʻoki ʻana.
Ma hope o ke ʻoki ʻana i ka lehelehe māwae
Ma hope o ke ʻoki ʻana, e hāʻawi ʻia ka pēpē i nā ʻāpana palupalu e pale aku iā ia mai ke kau ʻana i kona mau lima i loko o kona waha. Hiki ke lilo i mea ʻoluʻolu ʻole no ka pēpē. E hiki i ka pēpē ke hoʻomaka e hānai waiū ma hope o kekahi manawa. Eia nō naʻe, he mea paʻakikī paha i ka wā mua, no laila e hāʻawi ʻia nā wai ma o ka saline `(IV)`.
Ma hope o ke ʻoki ʻana i ka palate cleft
Pono ke pēpē e noho i ka haukapila no hoʻokahi a ʻelua paha lā. Ma hope o ke ʻoki ʻana, hiki ke hāʻawi ʻia i ka pēpē nā wai mai ke kīʻaha wale nō. Mai hoʻohana i nā puna a i ʻole nā ʻōpala no kekahi kumu. E mau ana nā humuhumu ma ka waha no kekahi mau pule, akā ʻo ia ke ʻano e heheʻe ai. He mea maʻamau ka kahe koko iki a me ka pehu ʻana mai ka waha a me ka ihu.
Pehea e mālama ai i ke keiki ma hope o kou hoʻi ʻana i ka home?
He mea nui loa kou nānā ʻana ma hope o kou hoʻi ʻana i ka home. E hahai pono i nā ʻōlelo a ke kauka.
| Nā ʻōlelo aʻoaʻo no ka mālama ʻana i kāu pēpē ma ka home | |
|---|---|
| Ma hope o ke ʻoki ʻana i ka lehelehe māwae | |
| Meaʻai a me ka mea inu | E hāʻawi i ka meaʻai pēpē i hoʻoheheʻe ʻia me ka wai mai ke kīʻaha. Mai hoʻohana i nā ʻōpala. Pono paha ʻoe i kahi ʻōmole kūikawā a i ʻole syringe e hāʻawi i ka waiū. E nīnau i kāu kauka e pili ana i ka hānai ʻana i ka puna. |
| Mālama ʻeha | E hoʻomaʻemaʻe i ka wahi a puni ka ʻoki me ka wai mahana a mālama iā ia i maloʻo. E hoʻoheheʻe ʻia nā humuhumu i loko o 1-2 mau pule. Ma hope o kēlā, e waiho ʻia kahi ʻōpala poni/ʻulaʻula. E hoʻopili i kahi kirīmi i ʻōlelo ʻia e kāu kauka. E hoʻopili i ka sunscreen ma ka ʻōpala i kēlā me kēia manawa āu e hele ai i waho i ka lā. |
| Ma hope o ke ʻoki ʻana o ka palate Cleft | |
| Meaʻai a me ka mea inu | No kekahi mau pule, e hāʻawi wale i nā wai mai ke kīʻaha . Mai hāʻawi i kekahi mea paʻa a nau paha. E hāʻawi i nā meaʻai palupalu i kuʻi ʻia. E nīnau pū i kāu kauka e pili ana i ka hānai ʻana i ka puna. |
| ʻEha a me ka ho'ōla ʻana | E hāʻawi ʻia ʻoe i nā lāʻau ʻeha a me kahi lāʻau antibiotic e pale aku i ka maʻi. Hiki ke pehu ka waha o kāu pēpē no kekahi mau pule, a hiki ke loaʻa iā ʻoe ka ihu wai a me ka ʻūhā. He mea maʻamau kēia. |
Ma lalo o nā kūlana hea e pono ai ʻoe e ʻike koke i ke kauka?
Inā ʻike ʻoe i kekahi o nā hōʻailona ma lalo nei, e kāhea koke aku i kāu kauka.
- He kuni ma luna o 101.4 degere Fahrenheit (38.55 Celsius) ʻaʻole i hoʻemi ʻia e ka lāʻau lapaʻau.
- Paʻakikī ka hanu ʻana a i ʻole ka ʻili polū/māʻeleʻele.
- Ke kahe nui ʻana o ke koko mai ka waha a i ʻole ka ihu (he mea maʻamau ka mucus poni a i ʻole ka lawai).
- Nā hōʻailona o ka maʻi , e like me ka pus e kahe ana mai ka ʻeha.
- Nā hōʻailona o ka make wai - ka nalowale o nā waimaka i ka wā e uē ana, nā maka i piholo, ka waha maloʻo, ʻaʻole mimi no ka liʻiliʻi he 6 mau hola.
- ʻUlaʻula nui a i ʻole ka pehu ʻana a puni ka ʻoki.
- Inā ua wehe ʻia nā humuhumu a ua wehe paha ka ʻoki.
Inā pono ʻoe e hele i ka haukapila ma kēia kūlana, e lawe i ke pēpē i ka Emergency Treatment Unit (ETU) o ka haukapila kokoke loa.
Hiki ke hala ma kahi o 4 mau pule e ho'ōla piha ai mai ke ʻoki kino. He mea nui loa kou aloha a me kou ʻoluʻolu i kāu pēpē i kēia manawa.
Leka Lawe-Home
- ʻO ka lehelehe māwae a me ka lehelehe māwae nā maʻi maʻamau i ʻike ʻia i nā pēpē. Mai hopohopo no kēia.
- Ua holomua loa nā ʻoki ʻana e hoʻoponopono ai i kēia kūlana.
- He mea nui no ka ho'ōla hou ʻana o ka pēpē e hahai pono i nā ʻōlelo a ke kauka ma mua a ma hope o ke ʻoki ʻana.
- ʻO kou aloha, kou mālama, a me ke ahonui he kumu ikaika nui ia no ka pēpē i kēia manawa.
- Ma hope o kēia mau ʻoki kino, ola ka hapa nui o nā keiki i nā ola olakino a maʻamau me ka ʻole o nā pilikia lōʻihi.
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