Ke kuʻi nei kāu keiki liʻiliʻi i ko lākou poʻo ma kahi moe? A i ʻole e noho wale ana lākou ma kahi hoʻokahi a hoʻoluliluli i mua a i hope? Ke ʻike nei ʻoe i ko lākou poʻo e luliluli ana mai kēlā ʻaoʻao a i kēia ʻaoʻao? He mea maʻamau loa ia no kahi makuahine a makuakāne hou ke manaʻo i ka makaʻu a me ka hopohopo ke ʻike lākou i kahi mea e like me kēia. Akā e ʻae kākou, ʻo ka hapa nui o ka manawa ʻaʻohe mea e hopohopo ai. He mea maʻamau loa kēia a he mea maʻamau i waena o nā pēpē ʻōpio a me nā keiki, ʻoiai i ka wā hiamoe a i ka pō.
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He aha kēia mau neʻe ʻano mele?
Hōʻike nā pēpē a me nā kamaliʻi ʻōpio i kēia ʻano neʻe mele ma nā ʻano like ʻole. E nānā kākou i ke ʻano o lākou.
| Nā neʻe ʻana i ʻike pinepine ʻia | Nā neʻe ʻana kakaikahi |
|---|---|
| Ke kuʻi ʻana i ke poʻo: Ke kuʻi ʻana i ke poʻo i kahi mea e like me ka uluna a i ʻole ka moena. | Ke ʻōwili nei i ke kino: Ke ʻōwili nei i ke kino holoʻokoʻa i mua a i mua ma kahi moe. |
| Ke lūlū nei i ke kino: Ke lūlū nei i mua a i hope ma ka ʻaoʻao hoʻokahi. | ʻŌwili wāwae: Ke neʻe ʻana i nā wāwae i mua a i mua me ka mele. |
| Ke ʻōwili/lūlū ʻana o ke poʻo: Ke lūlū wikiwiki ʻana i ke poʻo mai kēlā ʻaoʻao a i kēia ʻaoʻao i ka wā e hiamoe ana. | Kuʻi wāwae: Ke kuʻi ʻana i nā wāwae ma luna o ka moena. |
No ke aha e hana ai nā pēpē i kēia? He aha ke kumu?
Ke hoʻāʻo nei nā kānaka noiʻi e hoʻomaopopo i ke kumu o kēia, akā aia kekahi mau manaʻo nui a ʻae ʻia.
1. Hoʻomālielie iā ʻoe iho
I ka ʻōlelo maʻalahi, ke hoʻoluliluli nei ke pēpē iā ia iho. E noʻonoʻo i ka maikaʻi a me ka hōʻoluʻolu o ka manaʻo ke paʻa a hoʻoluliluli ʻoe i kāu pēpē? Loaʻa i ke pēpē ka manaʻo like mai kēia mau neʻe ʻana. Kōkua kēia iā lākou e hoʻomaha a hiamoe .
2. ʻO ka ʻōnaehana nerve e ulu ana
ʻO kekahi manaʻo ʻē aʻe, ʻaʻole i hoʻomohala piha ʻia ka ʻōnaehana nerve o ka pēpē, no laila ʻaʻole hiki iā ia ke kaohi i kēlā mau neʻe ʻana i ka wā hiamoe a me ka wā moe. He ʻanuʻu ulu maʻamau nō hoʻi kēia.
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Check Availability →No laila, he maʻi anei kēia? He kūlana weliweli?
Eia ka mea nui loa. ʻAʻole hiki iā ʻoe ke ʻike inā maʻi kahi pēpē ma ka ʻike wale ʻana i kēia mau neʻe ʻana. Ma kahi o 60% o nā pēpē olakino a me nā keiki e hōʻike ana i kēia mau neʻe ʻana i ka 9 mahina.
Manaʻo nā kauka he maʻi kēia maʻi, i kapa ʻia ʻo 'Rhythmic Movement Disorder (RMD),' i ʻelua wale nō hihia:
1. Inā hōʻeha kēia mau neʻe ʻana i ka pēpē a i ʻole he pilikia paha o ka hōʻeha ʻia.
2. Inā hoʻomau kēia mau neʻe ʻana e hoʻopilikia i ka hiamoe o ka pēpē .
E hoʻomanaʻo, ʻaʻole kēia mau neʻe ʻana e manaʻo ua maʻi ke pēpē. ʻO ka hapa nui o ka manawa, he ʻāpana maʻamau kēia o ka ulu ʻana.
Eia nō naʻe, he mea kākaʻikahi loa, hiki ke ʻike ʻia kēia mau neʻe ʻana me nā kūlana olakino ʻē aʻe. Eia kekahi laʻana:
- ʻO ka maʻi autism spectrum
- Nā pilikia o ka nānā ʻana (Attention-deficit/hyperactivity disorder - ADHD)
- ʻAneʻane hiamoe
- ʻO ka maʻi Tourette
- ʻO ka maʻi Rett
- ʻO ka maʻi Angelman
Mai hopohopo i kēia papa inoa! ʻO ka hapa nui o ka manawa , ʻo nā pēpē e hana ana i kēia mau neʻe rhythmic ʻaʻohe pilikia ulu a noʻonoʻo paha. Inā he kānalua kāu, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me kāu pediatrician.
Pehea ka lōʻihi o kēia ʻano maʻamau?
ʻO ka hapa nui o ka manawa, nalo wale kēia mau ʻano i ka wā o 2 a 3 paha makahiki. Loaʻa paha i kekahi mau keiki a hiki i ko lākou piha ʻana i 5 mau makahiki, akā he mea kākaʻikahi loa ia. Ma kahi o 5% o nā keiki me nā maʻi ʻē aʻe ʻē aʻe e loaʻa mau ana kēia mau neʻe ma hope o 5 mau makahiki. No laila e hoʻomanaʻo he manawa pōkole wale nō kēia.
Āhea wau e ʻike ai i ke kauka?
ʻOiai ʻaʻohe mea e hopohopo ai kēia, i kekahi manawa he mea nui e ʻimi i ke aʻo lapaʻau. Inā hōʻike kāu pēpē i kekahi o nā hōʻailona ma lalo nei, e ʻike pono i kāu kauka.
| Hiʻohiʻona e hoʻolohe ai | Ka wehewehe a me nā mea e hana ai |
|---|---|
| Ke hana nei hoʻi i ka lā | Inā hoʻomau ka pēpē i kēia mau neʻe ʻana ʻaʻole wale i ka wā e hiamoe ai, akā i ka wā e pāʻani ana a i kona wā e ala ana. |
| Nā ʻeha | Inā ʻeha ka pēpē i kēia ʻano, inā he mau ʻōpala a palapū paha ma ka ʻili, a inā makaʻu nui ʻoe i ka ʻeha ʻana. |
| Ka haunaele hiamoe nui | Inā kani nui kāu pēpē, me he mea lā e pau ana ka hanu ʻana i ka wā hiamoe (sleep apnea), a ala pinepine paha ma muli o kēia. |
| Nā lohi o ka hoʻomohala ʻana | Inā ʻaʻole hiki iā ʻoe ke kāohi i kou poʻo i ke ʻano kūpono no kou mau makahiki, inā he ʻoʻoleʻa kou mau ʻiʻo, a inā pilikia ʻoe i ka ale ʻana i ka waiū a i ʻole ka meaʻai (dysphagia). |
| Nā mea ʻē aʻe ʻē aʻe | Inā loaʻa iā ʻoe nā hōʻailona e like me ka paʻakikī i ka nānā ʻana i nā maka o kekahi, ke kaumaha pinepine, ka hiamoe, ke kuni, a i ʻole ka ʻulaʻula o ka ʻili. |
| Inā kānalua ʻia kahi hopu ʻana | Inā kū ʻole kēia mau neʻe a me ka ʻūlū, hiki iā ʻoe ke kānalua i kahi hopu ʻana. |
Hiki i kāu kauka ke ʻōlelo aku i kahi noiʻi hiamoe (polysomnogram) a i ʻole EEG (Electroencephalogram) e nānā i ka hana o ka lolo o kāu pēpē, inā pono, e kāpae i nā kūlana olakino ʻē aʻe.
He aha kaʻu e hana ai e pale aku i ke pēpē mai ka hana ʻana i kēia?
Inā ʻaʻole e hōʻeha ana ka pēpē iā ʻoe, ʻaʻohe pono ʻoe e hana i kekahi mea . Mai ho'āʻo e hoʻōki iā ia. He ʻāpana maʻamau ia o kona ulu ʻana.
Eia nō naʻe, inā hopohopo ʻoe e hōʻeha paha kāu pēpē, hiki iā ʻoe ke hana i kēia mau hana palekana ma muli o ka ʻōlelo aʻoaʻo lapaʻau:
- Ke kau nei i ka moena o ke pēpē ma ka papahele.
- E mālama ana i ka lumi moe a i ʻole ka moena mai ka paia.
- I nā hihia koʻikoʻi loa, hiki i ke kauka ke ʻōlelo aku i kahi mahiole pale e ʻaʻahu ai i kou wā hiamoe.
Ma ke ʻano he makua, he mea maʻamau ka manaʻo ʻoluʻolu ʻole a me ka makaʻu ke ʻike ʻoe i kāu keiki e lulu ana i ko lākou poʻo a me ke kino. Akā e hoʻomanaʻo, ʻo ka hapa nui o ka manawa ʻaʻole ʻeha kāu pēpē, ke hana nei ʻo ia i kahi mea e hōʻoluʻolu ai iā ia iho. No laila, mai hopohopo, e makaʻala wale i nā hōʻailona hōʻike i ʻōlelo ʻia ma luna. Inā he kānalua iki a makaʻu paha kou i loko o kou manaʻo, mai kānalua e kamaʻilio me kāu kauka.
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- He mea maʻamau loa ia no nā pēpē ke kuʻi i ko lākou poʻo a me ke kīkē ʻana i ko lākou kino.
- He hana hōʻoluʻolu kēia a ke pēpē e hana pinepine ai a kōkua iā lākou e hiamoe.
- Ma ka hapa nui o nā keiki, nalo wale kēia ʻano hana iā ia iho i ka piha ʻana o 3-5 mau makahiki .
- Pono ʻoe e hopohopo no kēia inā ua ʻeha ka pēpē a inā paha e hoʻopilikia nui ia i ka hiamoe.
- Inā he kānalua kou, makaʻu, a ʻike paha i kekahi o nā mea pilikia i ʻōlelo ʻia ma luna nei, e nīnau koke aku i kāu kauka pediatric .
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