Ke hoʻopaneʻe nei kāu keiki liʻiliʻi i ko lākou ulu ʻana? E kamaʻilio kākou e pili ana i kēia (Growth Faltering)!

Ke kānalua nei paha ʻoe a hopohopo paha e pili ana i ka ulu ʻana o kāu keiki liʻiliʻi? Malia paha ke manaʻo nei ʻoe ʻaʻole e piʻi pono ana ke kaumaha o kāu pēpē, a i ʻole e ulu lohi ana paha lākou. He pilikia maoli kēia i loaʻa i nā mākua he nui. No laila i kēia lā e kamaʻilio mākou e pili ana i kēia kūlana i kapa ʻia ʻo "failure to thrive," a i ʻole e like me ka mea i kapa ʻia ma mua. I kēia manawa ua kapa ʻia ʻo "growth faltering."

He aha kēia "Ka Hoʻohaʻahaʻa ʻana o ka Ulu ʻana"?

I ka ʻōlelo maʻalahi, ʻo ka palupalu o ka ulu ʻana ke piʻi ʻole ke kaumaha a i ʻole ke kiʻekiʻe o kāu keiki e like me ko lākou mau makahiki. ʻO ke kumu nui o kēia, ʻo ia ka ʻai ʻole, ʻo ia hoʻi, ʻaʻole i loaʻa i ke keiki nā meaʻai lawa, ʻoiai nā calorie. Hiki ke loaʻa kēia ʻano i nā pēpē e hānai ʻia ana i ka waiū umauma, a me nā keiki makua, ʻoiai nā keiki he mau makahiki.

Ua kapa ʻia kēia ma mua ʻo "Hāʻule ʻole e ulu". Hiki i ka lohe ʻana i kēlā mau ʻōlelo ke lilo i mea hoʻohoka a me ke kumu o ke kaumaha. Manaʻo paha ʻoe, "Ua hewa anei kekahi mea iaʻu?" Akā, he nui nā mea e hiki ke hoʻopilikia i ka ulu ʻana o ke keiki, ʻo ka hapa nui o ia mau mea ʻaʻole hiki iā mākou ke kāohi. ʻO ia ke kumu e hoʻohana ai nā kauka i ka huaʻōlelo "Growth Faltering" ma kahi o "Failure to Thrive". Pili kēia i kahi pilikia me ka ulu ʻana, ʻaʻole ʻo ʻoe a i ʻole kāu keiki e "hāʻule ana." Ua kapa ʻia hoʻi i kekahi manawa ʻo "Weight Faltering", ʻo ia hoʻi ka pohō kaumaha.

E hoʻoholo kāu kauka pediatric i ke kumu a hoʻomaka i ka lāʻau lapaʻau no kāu keiki. Pono paha ʻoe e hana i kekahi mau hoʻololi i ka ʻai a kāu keiki. No ka laʻana, inā ʻoe e hānai waiū ana, pono paha ʻoe e hāʻawi i kāu keiki i ka waiū waiū, a i ʻole pono paha ʻoe e hoʻohui i nā mea hoʻohui meaʻai i ka waiū waiū a kāu pēpē, a i ʻole pono paha ʻoe e hoʻohui i kahi ʻai calorie kiʻekiʻe. Eia kekahi, inā he maʻi lapaʻau e hoʻopilikia nei i ka ulu ʻana o kāu keiki, e mālama pū lākou i kēlā.

He aha ke kumu nui o ka ulu ʻole ʻana o ka mea kanu?

ʻO ka pinepine, ʻo ke kumu nui o ka ulu ʻole o ke keiki, ʻo ia ka loaʻa ʻole o ka nui o nā calorie i makemake ʻia. Ua kapa pū nā kauka i kēia he "ʻAi ʻole i ka calorie". Nui nā kumu i loaʻa ʻole ai i ke keiki ka nui o nā calorie i makemake ʻia. ʻOkoʻa nō hoʻi kēia mau kumu ma muli o ka makahiki o ke keiki.

ʻO nā kumu e emi ai ka calorie o nā pēpē hānai waiū:

• Ka emi ʻana o ka waiū i loko o kahi makuahine hānai.
• He pilikia ka pēpē i ka latch, ʻo ia hoʻi, ʻaʻole hiki i ke pēpē ke omo i ka nui o ka waiū e like me ka mea e pono ai.
• ʻAʻole i hoʻomākaukau pono ʻia ke ʻano i hāʻawi ʻia.
• ʻAʻole lawa ka waiū o ke keiki i ka lā a pau.

ʻO nā kumu e emi ai ka calorie o nā keiki makua:

• Nā maʻi ʻai e like me ka `(Avoidant/Restrictive Food Intake Disorder)`. I ka ʻōlelo maʻalahi, nā mea e like me ka makemake ʻole e ʻai i kekahi mau meaʻai, ka hōʻole ʻana e ʻai.
• Nā maʻi ʻai ʻē aʻe.

ʻO kekahi mea e hoʻopilikia ai i nā keiki o nā makahiki āpau, ʻo ia ka palekana ʻole o ka meaʻai . ʻO ia hoʻi, ka paʻakikī i ka loaʻa ʻana o ka meaʻai momona. Hiki i kēia kūlana ke kumu i ka loaʻa ʻole o nā calorie e pono ai ke keiki a hoʻopaʻa i ko lākou ulu ʻana.

Aia kekahi mau kumu ʻē aʻe no ka ulu ʻole o ka ulu ʻana?

Ma waho aʻe o ka loaʻa ʻole o nā calorie lawa (ʻo kēia ke kumu maʻamau), aia kekahi mau kumu ʻē aʻe e lohi ai ka ulu ʻana o nā keiki:

• ʻAʻole lawa ka omo ʻana o nā meaʻai: ʻO ia hoʻi, ʻoiai ke ʻai nei ke keiki i ka meaʻai, ʻaʻole i omo pono ʻia nā meaʻai i loko o ia meaʻai e ke kino o ke keiki. No laila, ʻaʻole ka nui o nā calorie i ʻai ʻia ka pilikia, akā pehea e lawe ʻia ai kēlā mau calorie a hoʻohana ʻia no ka ulu ʻana.
• ʻO kekahi o nā kūlana e pili ana i kēia:
• Maʻi Celiac
• Nā kūlana e hoʻopilikia ai i ke ʻano o ka ʻōnaehana hoʻoheheʻe, e like me ka biliary atresia, pyloric stenosis, a me ka tracheoesophageal fistula
• ʻO ka fibrosis cystic
• Maʻi ʻōpū mumū
• ʻAleʻaleʻa i ka protein waiū

• Hoʻonui ʻia ke koi metabolic: ʻO ia hoʻi, pono ke kino o ke keiki i nā calorie hou aʻe ma mua o ka mea i manaʻo ʻia no ka hana maʻamau.
• Eia kekahi mau laʻana o kēia:
• Ka maʻi ʻaʻai
• Maʻi puʻuwai hānau
• Nā maʻi māmā hānau
• ka maʻi HIV
• Hyperthyroidism
• Nā hewa hānau o ka metabolism
• Maʻi puʻupaʻa
• ʻO ka maʻi puʻupuʻu

He aha nā hōʻailona o ka lohi o ka ulu ʻana?

ʻO kekahi o nā hōʻailona āu e ʻike ai i kāu keiki e komo pū paha:

• ʻAʻole e piʻi ke kaumaha e like me ka mea i manaʻo ʻia.
• ʻAʻole e kiʻekiʻe a i ʻole ʻaʻole e lōʻihi.
• E uē ana ma mua o ka mea i manaʻo ʻia.
• ʻOi aku ka hiamoe ma mua o ka mea i manaʻo ʻia, i kekahi manawa ʻoiai e hānai ana i ka waiū.
• ʻAʻole launa pū me nā poʻe ʻē aʻe ma ke ʻano kūpono i ke kahua ulu o ke keiki (no ka laʻana, ʻaʻole e hoʻohālike i kou mau helehelena).

ʻAʻole paha ʻoe e ʻike koke he mau hōʻailona kēia o ka lohi o ka ulu ʻana, akā manaʻo paha ʻoe, "Ua hewa kekahi mea." Inā he hopohopo kou e pili ana i kāu keiki, ʻoiai inā paʻakikī lākou e ala aʻe, e ʻike koke i kāu pediatrician.

I kekahi manawa, ʻaʻole paha ʻoe e ʻike i kekahi loli i kāu keiki. ʻIke wale nā ​​kauka i kēia kūlana ke ana lākou i ke kaumaha a me ke kiʻekiʻe o ke keiki ma nā keʻena lapaʻau maʻamau.

He aha nā pilikia e hiki mai ana inā ʻaʻole mālama ʻia kēia maʻi?

Inā ʻaʻole mālama ʻia ka lohi o ka ulu ʻana o kahi pēpē, hiki ke kū mai nā kūlana aʻe:

• Nā maʻi pinepine.
• Ua hoʻopilikia ʻia ka ulu ʻana o ka lolo a hiki ke loaʻa ke kīnā noʻonoʻo.
• I ko kākou mau makahiki, hiki iā kākou ke loaʻa i nā maʻi mau loa , e like me ka maʻi cardiovascular a me ka metabolic syndrome.
• I kou wā ʻelemakule, ʻoi aku paha ka pōkole o kou kiʻekiʻe ma mua o ka mea i manaʻo ʻia.

Ua hōʻike ʻia e ka noiʻi he mea nui loa ka mālama ʻana i kēia lohi o ka ulu ʻana i loko o nā makahiki ʻelua mua o ke ola o kahi keiki e pale aku ai i nā pilikia i ka wā e hiki mai ana.

Pehea e ʻike ai nā kauka i ka lohi o ka ulu ʻana?

Hoʻoholo nā kauka inā he lohi ka ulu ʻana o ke keiki ma ke ana ʻana i ko lākou kaumaha a me ke kiʻekiʻe/lōʻihi a me ka hoʻohālikelike ʻana i kēlā mau waiwai i nā pakuhi ulu maʻamau. Hōʻike kēia mau pakuhi ulu i nā helu ulu i manaʻo ʻia no nā keiki ma nā makahiki like ʻole. Hoʻoponopono pū kekahi mau pakuhi no nā mea kūikawā, e like me ka hānau mua ʻana a i ʻole nā ​​​​keiki me kekahi mau kūlana genetic.

Inā lohi ka ulu ʻana o kāu keiki ma mua o ka mea i manaʻo ʻia, e kamaʻilio kāu kauka keiki me ʻoe e pili ana i nā kumu hiki. Pono ʻo ia e kiʻi i kekahi ʻike mai iā ʻoe e hoʻomaopopo i nā mea e hoʻopilikia nei i ka ulu ʻana o kāu keiki. Akā e hoʻomanaʻo, ʻaʻole ka pahuhopu o ke kauka ke hoʻāhewa iā ʻoe a hoʻohewa paha iā ʻoe, akā, e kōkua i kāu keiki a kākoʻo i kou ʻohana. ʻO ka nui o ka ʻike āu e kaʻana like ai, ʻoi aku ka kōkua o ke kauka.

Eia kekahi mau mea hiki iā ʻoe ke kamaʻilio e pili ana (ʻaʻole paha pili kekahi ma muli o ka makahiki o ke keiki):

• Pehea ke ʻano o ka hānai waiū ʻana , a he mau pilikia paha kāu?
• He aha ke ʻano o ke ʻano hana āu e hoʻohana ai, a pehea ʻoe e hana ai?
• Ua hoʻomaka anei ka pēpē e ʻai i nā meaʻai paʻa , a pehea ka pane ʻana o ka pēpē i ia mea?
• Nā hōʻailona āu e ʻike ai i ka wā e ʻai ai kāu keiki (e like me ke kuʻi ʻana, ka luaʻi ʻana, ke hilinaʻi ʻana i hope).
• Nā ʻano ʻai a me nā makemake o ke keiki, me nā meaʻai māmā a me nā mea makemake ʻole.
• Pehea e lawelawe ʻia ai nā meaʻai? ʻO wai ka mea me ke keiki i kāna ʻai ʻana?
• Nā hana moʻomeheu a kou ʻohana e pili ana i ka meaʻai.
• Pehea e hiki ai i kou ʻohana ke loaʻa i ka meaʻai momona ?

E nānā hou kāu kauka pediatric i nā moʻolelo lapaʻau o kāu keiki a nīnau e pili ana i ka mōʻaukala lapaʻau o kou ʻohana. ʻO kēia no ka mea he "genetic" kekahi mau maʻi, ʻo ia hoʻi ua hoʻopilikia paha ʻoe i kāu keiki me ka ʻike ʻole i ka wā mua. ʻO ka hana ʻana i kahi papa inoa o nā maʻi āu i ʻike ai he mau hoahānau koko o kāu keiki hiki ke kōkua i ke kauka e loaʻa i ke kiʻi piha.

Hoʻokolohua kino

E hana kāu kauka pediatric i kahi hoʻokolohua kino piha e loiloi i ka ulu ʻana o kāu keiki a nānā i nā hōʻailona o nā kūlana olakino. E hāʻawi kēia hoʻokolohua i ka ʻike e pili ana i kāu keiki:

• Nā hōʻailona koʻikoʻi - e like me ka pulse a me ke koko.
• Ka nui o nā ʻiʻo a me ka hoʻolaha ʻana o ka momona.
• Ola kino o ka lauoho.
• Ke kūlana olakino o ka ʻili.
• Ka puni o ke poʻo.

Hoʻāʻo ʻana

Hiki i nā kauka ke ʻike pinepine i ke kumu o ka hāʻule ʻana o ka ulu ʻana me ka ʻole o nā hoʻokolohua. Eia nō naʻe, no ka hoʻoholo ʻana inā he kūlana olakino ma lalo, hiki iā lākou ke kauoha i nā hoʻokolohua e like me:

• Nā hoʻāʻo koko.
• Nā hoʻāʻo mimi.
• Nā hoʻāʻo ʻana o ka noho.
• Nā hoʻāʻo e ʻike i nā kūlana olakino kūikawā, no ka laʻana, kahi hoʻāʻo hou no ka cystic fibrosis.

He aha nā lāʻau lapaʻau no kēia?

Ke kālele nei ka lāʻau lapaʻau i ka hāʻawi ʻana i kāu keiki i nā meaʻai kūpono e kākoʻo ai i ko lākou ulu ʻana. Hiki i kāu pediatrician ke ʻōlelo aʻe i kēia mau mea:

• Inā loaʻa iā ʻoe nā pilikia hānai waiū, e ʻimi i ke kōkua o kahi loea lactation.
• ʻO ka hāʻawi ʻana i ka waiū umauma me ka waiū umauma. E wehewehe ke kauka i ke ʻano o ka waiū umauma e hāʻawi ai a pehea e hāʻawi ai.
• Ka hoʻolālā ʻana i kahi papaʻai kaulike e komo pū ana me nā meaolaola a pau e pono ai kāu keiki.

Inā loaʻa i kāu keiki kahi maʻi olakino ma lalo, e ʻōlelo aku kāu hui lapaʻau i ka lāʻau kūpono no kēlā ʻano. Hiki ke ʻokoʻa loa kēia ma muli o ka hōʻailona. E haʻi aku ka hui lapaʻau o kāu keiki iā ʻoe i nā mea hou aʻe e pili ana i ka mea e manaʻo ai.

Hiki i kāu kauka pediatric ke kuhikuhi iā ʻoe i nā loea ʻē aʻe - no ka laʻana, he meaʻai meaʻai, he limahana hana kaiaulu, a he kauka noʻonoʻo keiki paha - e kākoʻo i nā pono o kou ʻohana. Hiki iā lākou ke kōkua iā ʻoe e ʻimi i nā papahana kaiāulu e hiki ke kōkua inā ʻaʻole ʻoe palekana i ka meaʻai a i ʻole he mau kumuwaiwai ʻē aʻe kāu. Inā he mau hopohopo kāu e pili ana i ke olakino o kāu keiki, mai kānalua e haʻi i kāu kauka.

Hoʻōla ʻia ka hapa nui o nā keiki me nā hoʻololi āu e hana ai ma ka home, me ke kākoʻo o nā kauka o kāu keiki (a me nā kipa hahai maʻamau). Akā, pono paha kekahi mau keiki e hoʻokomo ʻia i ka haukapila no ka ulu ʻole ʻana o ka ulu ʻana. ʻAe kēia i nā kauka e nānā i ka ʻai ʻana o ke keiki i ka calorie a hoʻoholo i ke kumu pololei o ka ulu ʻole ʻana o ka ulu ʻana.

Ka hoʻokipa ʻia ʻana ma ka haukapila ma muli o ka ulu ʻole ʻana o ka ulu ʻana

Hiki ke kōkua ka hoʻokipa ʻana i ke keiki i ka haukapila ma nā hihia aʻe:

• Inā ʻaʻole kōkua nā lāʻau lapaʻau ma ka home.
• Inā pono nā kauka e ana pololei i nā ʻano a me nā nui o ka meaʻai e loaʻa ana i ke keiki.
• No ke keikiInā he maʻi koʻikoʻi kou.
• Inā nele loa ke keiki i ka meaʻai a i ʻole ua maloʻo loa .
• Inā pilikia ʻoe i ka mālama ʻana i ke kūlana o kāu keiki ma ka home.
• Inā he wahi palekana ka haukapila no ke keiki ma muli o kekahi mau kūlana ma ka home.

Inā he lohi ka ulu ʻana o kaʻu pēpē, he aha kaʻu e manaʻo ai?

Pono ʻoe e hele i nā keʻena hoʻomaʻamaʻa maʻamau e nānā i ka ulu ʻana o kāu keiki. Hiki ke hana pinepine ʻia kēia i hoʻokahi manawa i ka pule, akā e loli kēia ma muli o nā pono o ke keiki.

Hiki i ke keiki ke hala i ʻehā a ʻeiwa mahina e hiki ai i ka nui o ka ulu ʻana i makemake ʻia. E haʻi aku kāu kauka lapaʻau iā ʻoe i ka wā i hiki ai i kāu keiki ke kaumaha a me ke kiʻekiʻe/lōʻihi kūpono. Ke hiki i kēlā pae, ʻaʻole e emi hou ke keiki, a laila hiki i ke keiki ke ulu maʻamau.

Akā, ʻaʻole like nā keiki a pau. Hiki i kekahi mau keiki ke loaʻa hou i nā maʻi. Aia kēia i ke kumu o ka ulu ʻole ʻana o ka ulu ʻana a inā ua mālama pono ʻia ke kumu. E nānā pono kāu kauka pediatric i ke kūlana a hāʻawi i ka lāʻau hou aku inā pono.

Hiki ke pale ʻia kēia kūlana?

ʻAʻole hiki ke pale ʻia ka ulu ʻole ʻana o ka ʻōpū. Nui nā kumu e lohi ai ka ulu ʻana o kāu keiki ma mua o nā keiki ʻē aʻe. Akā, nui nā mea hiki iā ʻoe ke hana e kākoʻo i ka ulu ʻana a me ka ulu ʻana o kāu keiki - ʻoiai ma mua o ko lākou hānau ʻia ʻana:

• E hele i nā keʻena lapaʻau āpau i kou wā hāpai a e hahai i nā ʻōlelo a kāu kauka no ka mālama ʻana iā ʻoe iho i ka wā hāpai.
• E hōʻoia e lawe i kāu keiki i nā kipa olakino a pau.
• E aʻo e pili ana i nā pono meaʻai a kāu pēpē i ko lākou makahiki mua a ma hope aku , a e nīnau i kāu kauka inā he mau nīnau kāu.
• Inā ʻike ʻoe i kekahi mau hōʻailona ʻē i kāu keiki, a inā he mau hopohopo ʻē aʻe kāu e pili ana i ke olakino o kāu keiki, e haʻi i kāu kauka.
• Inā pilikia kou ʻohana i ka palekana meaʻai, e hoʻomaopopo i kāu kauka. ʻIke pinepine lākou i nā kumuwaiwai pae kaiāulu e hiki ke kōkua i ka hōʻoia ʻana e loaʻa i nā keiki ka meaʻai a lākou e pono ai.

Āhea wau e ʻike ai i ke kauka?

Inā he mau hopohopo kāu e pili ana i ka ulu ʻana o kāu keiki a i ʻole kekahi ʻano ʻē aʻe o ko lākou ulu ʻana, e ʻike koke i kāu kauka keiki. ʻAʻole hōʻike mau ka ulu ʻole ʻana i nā hōʻailona maopopo. No laila he mea nui e lawe i kāu keiki i kēlā me kēia keʻena lapaʻau maʻamau a ʻae i ke kauka e nānā i ka ulu ʻana o kāu keiki.

Inā he lohi ka ulu ʻana o kāu keiki, e haʻi aku kāu kauka iā ʻoe i ka pinepine o kou hele ʻana mai no nā keʻena hoʻomaʻamaʻa. He mea nui loa kēia mau keʻena e nānā i ka ulu ʻana o kāu keiki a hoʻoponopono i ka hoʻolālā lapaʻau e like me ka mea e pono ai.

Ua hele paha ʻoe i ke keʻena o ke kauka no ka nānā ʻana i kēlā me kēia lā. Akā, ua haʻi ʻia iā ʻoe he lohi ka ulu ʻana o kāu keiki. I ka manawa koke, ua nui nā nīnau i hiki mai i kou manaʻo. "Pehea lā i hana ʻia ai kēia? Ke hahai nei anei kaʻu keiki i nā poʻe ʻē aʻe? Ua hana hewa anei au?"

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Mai hopohopo. ʻO ka hapa nui o ka manawa, ʻo ka hemahema o ka ulu ʻana ma muli o nā kumu hiki ʻole iā ʻoe ke kaohi. Pono kekahi mau keiki i ke kōkua hou aku e ulu i ka wikiwiki kūpono no ko lākou mau makahiki. ʻAʻole like nā kumuwaiwai o kēlā me kēia ʻohana. Ua ʻike nā kauka i kēia, a ua mākaukau lākou e kōkua.

E hana pū kāu kauka pediatric me ʻoe a me kou ʻohana e ʻike i nā mea āu e pono ai a me kāu keiki e kākoʻo i ka ulu ʻana o kāu keiki. He mau mahina paha ia, akā e hopu kāu keiki a laila e ulu e like me ka mea i manaʻo ʻia i ka wā kamaliʻi. Inā makemake ʻoe i kekahi mea i kēia huakaʻi, mai kānalua e haʻi i kāu kauka.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia.

No laila, ua maopopo paha iā ʻoe ke ʻano o ka `(Growth Faltering)` a i ʻole ka ulu ʻana o ke keiki, kona mau kumu, nā hōʻailona a me nā lāʻau lapaʻau. ʻO ka mea nui loa, ʻo ia ka hoʻomaopopo ʻana ʻaʻole kēia kou hewa. ʻO ka hapa nui o ka manawa, kū mai kēia mau kūlana no nā kumu ma waho o ko mākou mana. Inā ʻaʻole ʻoe e hopohopo, e kiʻi i ka ʻōlelo aʻoaʻo lapaʻau kūpono, a hana i ka mea a ke kauka e ʻōlelo ai, hiki iā ʻoe ke hāʻawi i kāu keiki liʻiliʻi i ke kākoʻo e pono ai iā ia e ulu olakino a maikaʻi. E kamaʻilio me ke kauka e pili ana i nā nīnau a kānalua paha āu. Aia lākou ma laila e kōkua iā ʻoe.

ʻO ka holomua ʻole o ka ulu ʻana, ka holomua ʻole, ka meaʻai a ke keiki, ka ʻai ʻole ʻana i ka meaʻai, ka ulu ʻana o ke keiki, nā calorie, ke olakino o ke keiki