Ke haʻi aku kāu kauka iā ʻoe he lehelehe māwae a palale paha ko kāu pēpē i hānau ʻole ʻia, hiki iā ʻoe ke manaʻo i ka haʻalulu a me ka makaʻu. "No ke aha i hana ʻia ai kēia i kaʻu pēpē?", "Hiki ke hoʻoponopono ʻia kēia?", "Pehea e hiki ai iaʻu ke hānai i kaʻu pēpē?", a pēlā aku. He mea maʻamau loa kēia. Akā, mai hopohopo, ʻaʻole ʻoe hoʻokahi. E makaʻala piha kākou i kēia kūlana a e kū pū i kēia huakaʻi.
He aha ka lehelehe māwae a me ka lehelehe māwae?
I ka ʻōlelo maʻalahi, he kūlana kēia e kū mai ana i ka wā hānau. I ka pololei, he ʻano ʻē kēia mai ka hānau ʻana mai. Mai hopohopo, ʻoiai ua kapa ʻia ʻo ia he "kīnā", he mea kēia e hiki ke hoʻoponopono pono ʻia ma o ke ʻoki kino.
E noʻonoʻo e pili ana i ia mea, i loko o nā pule mua o ka ulu ʻana o kahi pēpē i loko o ka ʻōpū, hui pū nā ʻāpana o ke alo o ka pēpē mai nā ʻaoʻao ʻelua a hui pū ma waena. Penei ke ʻano o ka hana ʻia ʻana o ka lehelehe luna a me ka lehelehe luna o ka waha. Inā no kekahi kumu ʻaʻole i hui pono kēia mau ʻiʻo, waiho ʻia kahi hakahaka liʻiliʻi, a i ʻole ka māwae, ma laila. ʻO ia ka mea a mākou e kapa nei he lehelehe māwae a i ʻole ka lehelehe māwae.
He aha ka lehelehe māwae?
Hoʻomohala ʻia ka lehelehe luna ma waena o 4 a me 7 mau pule o ka hāpai ʻana. Inā ʻaʻole hui pono ka ʻiʻo i kēia manawa, e ulu ana kahi lehelehe māwae. He hakahaka kēia ma ka lehelehe luna. No kekahi mau pēpē, e like paha kēia me kahi laina liʻiliʻi. No kekahi poʻe, he hakahaka nui paha ia e hohola ana a hiki i ka ihu. I kekahi manawa, hoʻopilikia pū kēia māwae i nā ʻāʻī.
No laila he aha ka palale cleft?
Hoʻomohala ʻia ke kaupaku o ka waha, a i ʻole ka lehelehe, ma waena o 6 a me 9 mau pule o ka hāpai ʻana. Inā ʻaʻole hui pono nā ʻiʻo o ka lehelehe i kēia manawa, e kū mai kahi māwae lehelehe. Hiki i kēia hakahaka ke waiho ma ka lehelehe paʻakikī ma ke alo a i ʻole ka lehelehe palupalu ma ke kua.
ʻO ka mea nui, ʻo ka ulu ʻana o ka lehelehe māwae a me ka palale o kahi pēpē i ʻelua mau pae like ʻole. No laila, hiki ke ʻike ʻia kēia mau kūlana ma nā ʻano he nui.
- Hiki ke loaʻa ka lehelehe māwae wale nō me ka ʻole o ka lehelehe māwae.
- Hiki ke loaʻa kahi lehelehe māwae me ka ʻole o kahi lehelehe māwae.
- Hiki ke hui pū ʻia ka lehelehe māwae a me ka palale māwae (ʻo ia ka mea i ʻike pinepine ʻia).
No ke aha i hana ʻia ai kēia i kaʻu pēpē? He aha nā kumu?
Ke hopohopo nei paha kēia nīnau iā ʻoe. ʻO kaʻoiaʻiʻo, i ka hapa nui o nā hihia, ʻaʻohe kumu hoʻokahi . ʻAʻohe mea hiki i nā mākua ke hana e pale aku ai. No laila, mai hopohopo no ia mea. Manaʻo nā kānaka ʻepekema ua hoʻokumu ʻia kēia maʻi e ka hui pū ʻana o nā kumu genetic a me ke kaiapuni. ʻO ke ʻano kēia inā loaʻa i kekahi o ka ʻohana kēia maʻi, aia kahi manawa liʻiliʻi e loaʻa pū i ka pēpē.
| Nā mea e hoʻonui ai i ka pilikia | He wehewehe maʻalahi |
|---|---|
| ʻO kekahi mau lāʻau lapaʻau i lawe ʻia i ka wā hāpai | Nā lāʻau lapaʻau antiseizure, Accutane no ka ʻākena, Methotrexate no ke kanesa a me ka rumatika, a pēlā aku. (Inā hāpai ʻoe, mai lawe i kekahi lāʻau lapaʻau me ka ʻole o ke aʻo ʻana a ke kauka). |
| Nā hemahema meaʻai | ʻOi aku ka hemahema o ka waikawa folic. ʻO ia ke kumu he mea nui e lawe i ka waikawa folic ma mua o ka hāpai ʻana. |
| Nā kūlana olakino o ka makuahine | Ka momona, ka puhipaka a i ʻole ka hoʻohana ʻana i nā lāʻau lapaʻau i ka wā hāpai. |
| Nā virus a i ʻole nā kemika | Ka ʻike ʻia ʻana i kekahi mau maʻi a i ʻole nā kemika i ka wā hāpai. |
Hiki ke ʻike ʻia kēia maʻi i ka wā mua?
ʻAe, i ka hapanui o nā hihia hiki nō. Hiki i nā kauka ke ʻike i kēia ʻano māwae ma ka maka o ka pēpē me kahi scan anomaly , a i ʻole ultrasound, i hana ʻia ma kahi o 20 mau pule o ka hāpai ʻana. ʻIke maopopo ʻia kahi lehelehe māwae. Eia nō naʻe, inā he lehelehe māwae wale nō me ka ʻole o ka lehelehe māwae, ʻoi aku ka paʻakikī o ka ʻike ʻana me kahi scan.
ʻOiai inā ʻaʻole ʻike ʻia ke kiʻi, i ka wā o ka hoʻokolokolo kino ma hope koke iho o ka hānau ʻana o ka pēpē, e nānā ke kauka i ka waha, ka ihu, a me ka lehelehe o ka pēpē e hoʻoholo ai inā loaʻa kēia maʻi.
He aha nā pilikia ʻē aʻe e hiki ai i ke pēpē?
Hiki i kēia haehae ke hoʻopilikia i ka pēpē i kekahi mau pilikia. ʻO ka ʻike ʻana i kēia mau mea he kōkua nui ia iā ʻoe.
- Ka paʻakikī o ka ʻai ʻana a me ka inu ʻana:Ma muli o ka hakahaka ma ka leo, hiki i ka waiū ke piʻi mai ma ka ihu ke omo ka pēpē. Eia kekahi, ʻoiai ʻaʻole hiki ke hana i kahi vacuum kūpono (omo), hiki ke paʻakikī ka hānai waiū a me ka hānai ʻana i ka ʻōmole.
- Nā pilikia lohe: ʻO nā pēpē me ka palale māwae, pinepine paha e hōʻiliʻili ka wai i loko o ko lākou pepeiao waena. Inā ʻaʻole mālama ʻia, hiki i kēia ke alakaʻi i ka nalowale o ka lohe.
- Nā pilikia ʻōlelo: Loaʻa paha i kekahi mau pēpē ka pilikia i ka haʻi maopopo ʻana i nā huaʻōlelo i ka wā e ʻōlelo ana no ka mea ʻaʻole hana pono ko lākou leo. Hiki ke kani ihu ko lākou leo.
- Nā pilikia niho: Inā ua hoʻopilikia ka māwae i nā ʻāʻī kahi e komo ai nā niho, e nalowale paha nā niho, e wehe, a i ʻole e hele mai i nā wahi kūpono ʻole.
Aia nā lāʻau lapaʻau a me nā hoʻonā kūpono no kēia mau pilikia āpau. No laila, mai hopohopo. Aia kahi hui kauka maikaʻi e kōkua i kāu pēpē.
Pehea e mālama ʻia ai? Hiki ke ho'ōla ʻia kēia?
ʻAe, hiki nō ia! ʻO ke ʻoki kino ka lāʻau lapaʻau nui. Hana ʻia kēia ʻoki kino ma lalo o ka anesthesia laulā i ʻole e manaʻo ka pēpē i kekahi mea.
Hoʻoponopono Lehelehe Māwae
Hana pinepine ʻia kēia ʻoki kino i ka wā ma waena o 3 a me 6 mahina o ke pēpē. Pili ia i ka humuhumu ʻana i ka hakahaka ma ka lehelehe i pani ʻia. I kekahi manawa, hiki ke hoʻohana ʻia nā ʻano maʻalahi e like me ke kāpili ʻana i ka lehelehe e hoʻohui i nā lehelehe ma mua o ke ʻoki kino. E waiho ʻia kahi ʻeha poni liʻiliʻi ma hope o ke ʻoki kino, akā e mae kēia i ka ulu ʻana o ke pēpē.
Hoʻoponopono ʻana i ka palale māwae
Hana pinepine ʻia ke ʻoki ʻana i ka waha māwae i ka wā he 12 mahina ka pēpē. ʻO ka pahuhopu o ke ʻoki ʻana e pani i ka waha māwae e kōkua i ka ʻai ʻana, ka inu ʻana, a me ka ʻōlelo ʻana. Hoʻokomo pinepine ʻia nā ʻōmole pepeiao i ka wā o ke ʻoki ʻana e pale ai i ka hōʻiliʻili ʻana o ka wai i loko o nā pepeiao.
Ma hope o kēia mau ʻoki kino nui, pono paha nā ʻoki kino hou aʻe i ka ulu ʻana o ke pēpē.
- No ka hoʻomohala ʻana i nā mākau ʻōlelo: Ma kahi o 5 mau makahiki.
- No ka hoʻomākaukau ʻana i nā ʻāʻī: Pono paha kahi hoʻopili iwi ke hoʻomaka ka puka ʻana o nā niho paʻa, ma waena o nā makahiki 6 a me 10.
- No ka hoʻonani ʻana i ke ʻano o ka maka a me ke ʻano o ka ihu: I ka wā ʻōpiopio.
ʻO ka hui lapaʻau e kōkua iā ʻoe a me kāu pēpē
ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. Aia kahi hui o nā kauka a me nā loea olakino mai nā ʻano hana like ʻole i akamai i ke kōkua ʻana iā ʻoe a me kāu pēpē.
| Luna Hoʻomalu | Ko lākou kuleana |
|---|---|
| Kauka Lapaʻau Hoʻopilikino no nā Keiki | ʻO ke kauka nui e hana i ke ʻoki ʻana i ka lehelehe māwae a me ka lehelehe o ke pēpē. |
| Kauka keiki | Ke nānā ʻia nei ke olakino laulā o ka pēpē, kona ulu ʻana, a me kāna meaʻai. |
| Kauka lapaʻau pepeiao/ENT | Ke noiʻi nei mākou i ka lohe o ke pēpē a me nā pilikia e pili ana. |
| Kauka ʻŌlelo-ʻŌlelo | Kōkua i ka hoʻomohala ʻana i nā mākau ʻōlelo a me nā mākau ʻōlelo a ke keiki. |
| Kauka niho ʻokiʻoki | Hāʻawi ʻia ka lāʻau lapaʻau e hoʻoponopono i nā niho kekee a hoʻoponopono i ke kūlana o ka ʻā. |
| Kauka Hoʻolohe | Nānā pinepine ʻia ka lohe o ke pēpē. |
| Kākā'ōlelo Lactation | E alakaʻi ʻia ʻoe e hānai i kāu pēpē a i ʻole e hāʻawi i ka waiū ma o nā ʻano hana ʻē aʻe. |
Hiki iaʻu ke hānai i kaʻu pēpē me ka waiū? He nīnau a nā makuahine he nui.
He nīnau koʻikoʻi loa kēia. ʻAe, hiki ke hānai ʻia kekahi mau pēpē i ka waiū umauma , akā pono ke kākoʻo kūikawā a me ke alakaʻi.
Hoʻomoʻo ka pēpē i ka waiū umauma ma ka hana ʻana i kahi vacuum (suction) i loko o ka waha. Ke loaʻa kahi hakahaka ma ka lehelehe, he paʻakikī ke hana i kēia vacuum. No laila, ʻaʻole hiki i ka pēpē ke omo pono i ka waiū.
- Hiki i nā pēpē me ka lehelehe māwae wale nō ke hānai waiū me ka holomua.
- Hiki paha i nā pēpē me kahi hakahaka liʻiliʻi ma hope o ke kua o ke poʻo ke hana i kēia.
- He mea paʻakikī loa i nā pēpē me ka lehelehe māwae nui, a i ʻole me ka lehelehe māwae a me ka lehelehe, ke hānai waiū.
I nā manawa e like me kēia, hana nui ke pēpē i ka hoʻāʻo ʻana e omo, akā, ʻaʻole lawa ka waiū e hoʻopiha ai i kona ʻōpū.
He aha kaʻu e hana nei?
Mai hopohopo. ʻO ka mea maikaʻi loa hiki iā ʻoe ke hana, ʻo ia ke hālāwai me kahi loea lactation ma ka haukapila. E kōkua ʻo ia iā ʻoe me kēia mau mea:
- E huli i ke kūlana hānai waiū e kūpono loa i kāu pēpē.
- E hoʻopuka i kāu waiū a aʻo aku i kāu pēpē e hānai iā ia me kahi ʻōmole kūikawā, kīʻaha, puna, a i ʻole syringe.
- Aia nā ʻōmole kūikawā i hana ʻia no nā pēpē e like me kēia. E hōʻike aku wau iā ʻoe i ke ʻano o lākou.
- E nānā inā e piʻi pono ana ke kaumaha o ke pēpē.
ʻOiai inā ʻaʻole hiki iā ʻoe ke hānai pololei i ka waiū, ʻo ka hoʻokahe ʻana i kāu waiū a me ka hāʻawi ʻana i kāu pēpē e hāʻawi i ka meaʻai a me ka palekana e pono ai kāu pēpē e pale aku iā ia mai ka maʻi. ʻO ia kekahi o nā makana makamae loa hiki i kāu pēpē ke loaʻa.
Leka Lawe-Home
- He mau kīnā hānau maʻamau ka lehelehe māwae a me ke kīloi māwae. ʻAʻole na ʻoe ia hewa.
- Hiki ke hoʻoponopono pono ʻia kēia kūlana ma o ke ʻoki ʻana. Hiki i ka pēpē ke ola i kahi ola maʻamau a olakino.
- Hiki ke lōʻihi kēia huakaʻi. I ka ulu ʻana o kāu pēpē, pono ʻoe i kekahi mau ʻoki kino a me nā lāʻau lapaʻau ʻē aʻe. Akā aia kahi hui kauka maikaʻi e kōkua iā ʻoe a me kāu pēpē.
- ʻOiai paha he mau pilikia mua me ka ʻai ʻana, hiki ke lanakila ʻia me ka ʻōlelo aʻoaʻo kūpono a me ke kākoʻo. E kamaʻilio ākea e pili ana i kēia me kāu kauka.
- E hilahila paha kāu keiki i ko lākou helehelena. He mea nui loa ke hāʻawi iā lākou i ke aloha, ke kākoʻo, a me ka hoʻoikaika.
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