ʻAʻohe mea ʻoi aku ka ʻoluʻolu ma mua o ka hānai ʻana i kahi pēpē hānau hou. Akā i kekahi manawa ʻaʻole ia he mea maʻalahi e like me kou manaʻo. ʻEha anei kou mau nipples i kou wā e hānai ai i ka waiū? ʻAʻole anei e omo pono kāu pēpē a paʻakikī iā ia ke hoʻopaʻa i kou umauma? ʻAʻole anei e piʻi ke kaumaha o kāu pēpē ma hope o ka inu ʻana i ka waiū? Inā pēlā, ʻo ke kumu o kēia he ʻāpana liʻiliʻi paha o ka ʻili ma lalo o ke alelo o kāu pēpē. Kāhea mākou i kēia ʻo 'tongue-tie'. Mai hopohopo, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī.
He aha ka ʻAnkyloglossia?
I ka ʻōlelo maʻalahi, ʻo ia ka manawa e pōkole a mānoanoa ai ka membrane liʻiliʻi e hoʻopili ana i ka ʻaoʻao lalo o ke alelo o ka pēpē i lalo o ka waha. Ma nā ʻōlelo lapaʻau, ua kapa ʻia kēia membrane ʻo ka lingual frenulum . Ke pōkole kēia, lilo ia i mea paʻakikī i ka pēpē ke hoʻoneʻe i ko lākou alelo me ka manuahi a hāpai i luna.
E noʻonoʻo wale, i ka wā e hānai waiū ai, pono ke pēpē e hoʻohana i kona alelo e omo i ka waiū me ka paʻa ʻana i ka umauma i loko o kona waha. Ke paʻa ke alelo, ʻaʻole hiki ke hana pono ʻia kēia kaʻina hana. ʻO ia ke kumu e kū mai ai nā pilikia, e like me nā ʻūpā ʻeha no ka makuahine a me ka hiki ʻole i ka pēpē ke omo pono i ka waiū.
Akā e hoʻomanaʻo, ʻaʻole nā pēpē a pau me kēia membrane ma lalo o ke alelo e loaʻa i kēia mau pilikia. No laila, ʻaʻole pono ka lāʻau lapaʻau i nā mea a pau me ia.
No laila he aha kēia lāʻau i kapa ʻia ʻo Frenotomy?
ʻO ka Frenotomy (i kapa ʻia hoʻi ʻo Frenectomy, akā ua like nā mea ʻelua) he lāʻau maʻalahi a wikiwiki hoʻi no ka nakinaki ʻana o ke alelo. Ma kēia, ʻoki ke kauka i ka membrane pōkole (frenulum) me kahi ʻoki liʻiliʻi a hoʻokuʻu iā ia. He maʻalahi ia e like me ka ʻoki ʻana i kou mau kui. Ma hope o kēia, hiki i ka pēpē ke hoʻoneʻe i ko lākou alelo me ka manuahi.
ʻO ka maʻamau, ʻōlelo nā kauka he mea maikaʻi ke hana ʻia kēia i loko o ka mahina mua o ka hānau ʻana o kāu pēpē. Na kāu kauka keiki a me ke kauka lactation e hoʻoholo inā e hana a ʻaʻole paha i kēia ma hope o ka nānā pono ʻana iā ʻoe a me kāu pēpē.
He aha ka mea e hana ʻia ma mua o kēia lāʻau lapaʻau?
ʻAʻole hana ke kauka i kēia i ka manawa hoʻokahi. ʻO ka mea mua, nānā pono lākou i ka pēpē. No ka mea, aia paha kekahi mau kumu ʻē aʻe e pilikia ai ka pēpē i ka hānai waiū.
- He maʻi ko ka pēpē e hoʻopilikia ana i ko lākou ʻōnaehana nerve?
- Aia kekahi pilikia ʻē aʻe me ke ʻano o ke poʻo a i ʻole ka waha o ka pēpē?
E nānā mua ʻia kēia mau mea, no ka mea, inā he pilikia ia, ʻaʻole e kōkua ka hana wale ʻana i ka frenotomy.
A laila, e kōkua aku kekahi loea lactation iā ʻoe. Pono paha ʻoe e hoʻololi i kou kūlana hānai waiū.ʻIke ʻia hiki ke hoʻoponopono ʻia ka pilikia ma ka hoʻomaikaʻi iki ʻana i ka latch. Inā loaʻa mau iā ʻoe nā pilikia ma hope o ka hana ʻana i kēia mau mea a pau, e wehewehe ke kauka i ka mālama ʻana iā Frenotomy iā ʻoe, kona mau pono a me nā pilikia, a e lawe i kāu ʻae ma mua o ka hoʻoholo ʻana e hana.
Pehea e hana ʻia ai ka Frenotomi a me nā mea e pono ai ʻoe e ʻike
He mea maʻamau ke manaʻo iki i ka makaʻu ke lohe ʻoe e pili ana i kēia lāʻau lapaʻau. Akā, he mea maʻalahi loa ia. E nānā kākou i ka mea e hana ʻia ma kēia.
| ʻoiaʻiʻo | Wehewehena |
|---|---|
| Kauka | Hana pinepine ʻia kēia e kekahi i hoʻomaʻamaʻa ʻia no kēia kumu, e like me ke kauka pediatric a i ʻole ke kauka pepeiao, ihu a me ka ʻāʻī (ENT). |
| ʻAno hana | Hoʻohana pinepine ʻia nā ʻūpā kūikawā. ʻO kēia ke kūlana gula. I kekahi manawa hoʻohana ʻia ka ʻenehana laser. |
| ʻAnestesia | ʻAʻole pono nā pēpē hānau hou i ka anesthesia no kēia. I kekahi manawa, hāʻawi ʻia kekahi mea e like me ka wai kō (sucrose waha) i ka pēpē e hōʻoluʻolu ʻole ai. |
| Ka manawa i hoʻolilo ʻia | Inā ʻoe e hana ia me ka ʻokiʻoki, he manawa pōkole loa ia, ma kahi o hoʻokahi minute . |
| Ma hope o ka mālama ʻana | Paipai nā kauka e hānai ʻoe i kāu pēpē i ka waiū ke pau ka lāʻau. E kōkua kēia i ka hōʻoluʻolu i ka pēpē, a inā he kahe koko, hiki ke hoʻōki. |
Lohe a me ka ʻoiaʻiʻo: Inā ʻaʻole ʻoe e hana i kēia, ʻaʻole anei e hiki i ka pēpē ke ʻōlelo?
He nīnau kēia a nā mākua he nui e nīnau ai. "Auē, e ke kauka, inā ʻaʻole au e hana i kēia, e ʻōʻō anei kaʻu pēpē ke kamaʻilio wau me ia i ka wā e hiki mai ana? E lilo anei kāna mau ʻōlelo i mea maopopo ʻole?"
ʻO ka ʻoiaʻiʻo, ʻaʻohe noiʻi i hōʻoia i ka pilina ma waena o ke alelo a me nā maʻi ʻōlelo e hiki mai ana. ʻO ia ke kumu ʻaʻole mākou e hana i ka frenotomy ma nā pēpē e pale aku i nā pilikia ʻōlelo e hiki mai ana. ʻAʻole ia e holo pono. ʻO ka hoʻōla ʻōlelo ka lāʻau lapaʻau no nā pilikia ʻōlelo i nā keiki makua, ʻaʻole kēia ʻoki kino.
He aha nā pono a me nā pilikia kakaikahi loa?
ʻElua mau pono nui:
- E hiki i ka pēpē ke omo i ka waiū umauma me ka ʻoi aku ka maikaʻi .
- E hoʻemi ʻia ka ʻeha a me ke kaumaha āu e ʻike ai i ka wā e hānai waiū ana .
ʻIke koke kekahi mau makuahine i kēia loli ma hope o ka mālama ʻana, aʻo kekahi poʻe e ʻike i ka hoʻomaikaʻi mālie ʻana i hoʻokahi a ʻelua paha pule.
He haʻahaʻa loa nā pilikia, akā he mea maikaʻi ke makaʻala iā lākou. Eia kekahi o nā mea kakaikahi loa e hiki ke hana:
- Ke kahe koko iki
- Maʻi
- Ka ʻeha
- Ka hōʻino ʻana i nā kelepa salivary (nā ala saliva) i loko o ka waha
He mea kākaʻikahi loa kēia. E wehewehe pū ke kauka i kēia iā ʻoe.
Makemake ʻoe e ʻike hou i ke kauka?
ʻAe. Ma hope o ka lāʻau lapaʻau, e hāʻawi ke kauka iā ʻoe i kahi lā e hoʻi mai ai. Ma kēlā hana hahai ʻana,
- Nānā no kekahi mau pilikia.
- Nīnau lākou pehea ke ʻano o ka hānai waiū ʻana i kēia manawa a inā he mau pilikia nō.
- E hāʻawi ʻia aku nā ʻōlelo aʻoaʻo hou aku inā pono.
Wahi a kekahi poʻe e lomilomi ʻoe i ka ʻeha ma hope o ka mālama ʻana, akā ʻaʻohe hōʻike i kēia manawa e kōkua ana i ka ho'ōla ʻana. No laila e hahai wale i ka ʻōlelo a kāu kauka.
Inā loaʻa iā ʻoe ka ʻeha i ka wā e hānai ai i ka waiū, inā manaʻo ʻoe ua pilikia kāu pēpē i ka latching, a inā e kahe ana ke koko o kāu pēpē mai ko lākou waha ma hope o ka mālama ʻana, a inā hōʻike lākou i nā hōʻailona o ka maʻi, e kāhea koke aku i kāu kauka.
Leka Lawe-Home
- He lāʻau maʻalahi loa ka Frenotomi, wikiwiki, a palekana hoʻi no nā pilikia o ka hānai waiū i hoʻokumu ʻia e ke alelo paʻa o ka pēpē.
- ʻAʻole pono kēia no kēlā me kēia pēpē me ke alelo paʻa. Paipai wale nā kauka i kēia inā pono loa ma hope o ka hoʻāʻo ʻana i nā ʻano hana ʻē aʻe.
- Ua ʻōlelo ʻia kēia lāʻau lapaʻau e pale aku i nā pilikia ʻōlelo i ka wā e hiki mai ana.ʻAʻohe hōʻike ʻepekema.
- Mai makaʻu i ka lāʻau lapaʻau. Hana ʻia ia me ka ʻole o ka anesthesia no ka pēpē a he hoʻokahi minute ka lōʻihi.
- Inā he mau hopohopo kāu e pili ana i ka hānai waiū, mai ʻeha wale, mai makaʻu e kamaʻilio me kāu kauka pediatric a kauka paha.
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