He lehelehe māwae ko kāu pēpē? E kamaʻilio kākou e pili ana i ka lehelehe māwae!

Ua ʻike paha ʻoe a lohe paha e pili ana i nā pēpē i hānau ʻia me kahi māwae liʻiliʻi ma ko lākou lehelehe luna. He mea maʻamau no nā mākua ke manaʻo i ka haʻalulu, ke kaumaha, a me ka makaʻu ke ʻike lākou i kēia. "He aha ka mea i hana ʻia i kaʻu pēpē?" "ʻAʻole hiki ke hoʻoponopono ʻia kēia?" Nui nā nīnau e hiki mai ana i ka noʻonoʻo. Akā , mai hopohopo, ʻae? ʻO kēia ʻano, i kapa ʻia he lehelehe māwae, ua ʻike ʻia ma ke ʻano lapaʻau ʻo `(Cleft Lip)`. I kēia lā, e kamaʻilio mākou e pili ana i kēia me nā kikoʻī, me ka maʻalahi loa. Ma ke ʻano e hiki ai iā ʻoe ke hoʻomaopopo, ua like ia me ke kamaʻilio ʻana me kahi hoaaloha.

He aha maoli ka lehelehe māwae?

I ka ʻōlelo maʻalahi, ʻo ka lehelehe māwae he hakahaka a he māhele paha ma ka lehelehe luna e hana ʻia ana i ka wā e ulu ana ka maka o ka pēpē i loko o ka ʻōpū. E noʻonoʻo iā ia e like me kahi hakahaka liʻiliʻi i loko o kahi lole inā ʻaʻole i kūlike pono nā lālani ʻelua o nā humuhumu . Hoʻokumu pinepine ʻia ka maka o ka pēpē i nā pule mua o ka hāpai ʻana. I loko o kēia manawa, hui pū nā lehelehe a me ka lehelehe luna o ka waha mai nā ʻaoʻao ʻelua a hui pū i waenakonu. I kekahi manawa, ʻaʻole hana piha kēia hui ʻana. ʻO ia ka manawa e hana ʻia ai ka lehelehe māwae.

Hiki i kēia māwae ke loaʻa ma kekahi ʻaoʻao wale nō (ʻo ia hoʻi, ma ka ʻaoʻao ʻākau a hema paha o ka lehelehe). A i ʻole hiki ke loaʻa ma nā ʻaoʻao ʻelua. ʻOiai i kekahi mau pēpē he mea ʻike iki ʻia kēia ma ke ʻano he māwae liʻiliʻi ma ka lehelehe, i nā pēpē ʻē aʻe hiki i kēia māwae ke hoʻolōʻihi a hiki i ka ihu. Eia kekahi, i kekahi manawa hiki ke loaʻa kahi māwae ma ka lehelehe luna o ka waha me ka lehelehe māwae . Ua kapa ʻia kēia he māwae. Hiki i kēia mau mea ʻelua ke hana pū a kaʻawale paha.

No ke aha e hiki mai ai kēia i nā kamaliʻi liʻiliʻi? He aha nā kumu?

Manaʻo ka nui o nā mākua, "ʻAʻole mākou i ʻike inā ua hana hewa mākou." Mai manaʻo ʻino no ia mea. I ka manawa pinepine, he paʻakikī ke loaʻa i kahi kumu maopopo a hoʻokahi. Akā manaʻo nā kauka hiki ke hana ʻia kēia kūlana e ka hui pū ʻana o nā kumu.

Nā Kumu Hoʻoilina

I kekahi manawa hiki ke hoʻoilina kēia. ʻO ia hoʻi, inā he lehelehe māwae ko kekahi o ka ʻohana (makuahine, makuakāne, kaikaina), ʻoi aku ka nui o ka loaʻa ʻana o kēia maʻi i ke keiki ʻē aʻe. Aia kekahi mau genes kikoʻī e hoʻopilikia ai. Akā, ʻaʻole kēia he mea maʻamau no nā kānaka a pau.

Nā Kumu Kaiapuni i ka wā Hāpai

Hiki i kekahi mau mea e hana ʻia ana i ka wā hāpai ke hoʻopilikia i ka ulu ʻana o ka pēpē.

• Kekahi mau lāʻau lapaʻau: Hiki i kekahi mau lāʻau lapaʻau i lawe ʻia i ka wā hāpai (no ka laʻana, kekahi mau lāʻau lapaʻau no ka maʻi epilepsy) ke hoʻopilikia i kēia. No laila, mai lawe i kekahi lāʻau lapaʻau i ka wā hāpai me ka ʻole o ke aʻo ʻana a ke kauka.
• Ka puhipaka a me ka hoʻohana ʻana i ka waiʻona: Inā puhipaka a inu waiʻona paha ka makuahine i ka wā hāpai, hiki ke hoʻopilikia i ka pēpē.
• Nā hemahema meaʻai: ʻoi aku ka waikawa folicʻO kekahi kumu paha, ʻaʻole paha ʻoe e loaʻa ana i ka lawa o kēia huaora i ka wā hāpai. ʻO ia ke kumu e paipai ai nā kauka he nui i nā pila waikawa folic i nā makuahine hāpai.
• ʻO kekahi mau maʻi: ʻO kekahi mau maʻi viral i loaʻa i ka makuahine i ka wā hāpai hiki ke hoʻopilikia i ka pēpē.
• ʻO ka maʻi diabetes Mellitus: ʻO ka maʻi diabetes i kāohi ʻole ʻia i ka makuahine i ka wā hāpai he mea pilikia nō hoʻi ia.

ʻO ka mea nui, i ka hapa nui o ka manawa, ʻaʻole kēia he hewa o kekahi. No laila, mai hoʻāhewa iā ʻoe iho.

He aha nā ʻano nui o ka lehelehe māwae?

E like me kā mākou i kamaʻilio ai ma mua iki, hiki i kēia mau māwae lehelehe ke hele mai i kekahi ʻano a i ʻole kekahi.

• ʻO ka lehelehe māwae hoʻokahi: ʻO kēia ka wā e puka mai ai ka māwae ma kekahi ʻaoʻao o ka lehelehe luna, ʻo ka ʻākau a i ʻole ka hema.
• Lehelehe Māwae ʻElua ʻaoʻao: Maanei, aia kahi māwae ma nā ʻaoʻao ʻelua o ka lehelehe luna. Me he mea lā ua hoʻokaʻawale ʻia kahi ʻāpana liʻiliʻi ma waenakonu.
• Lehelehe Māwae ʻAʻole i Hoʻopiha ʻia: Aia kahi māwae liʻiliʻi a ʻoki paha ma ka lehelehe. ʻAʻole i hoʻolōʻihi ka māwae a hiki i ka ihu.
• Lehelehe Māwae Piha: I kēia hihia, hoʻonui ka māwae mai ka lehelehe a i ka puka ihu.
• Lehelehe Māwae me ka Palale Māwae: He nui nā pēpē me ka lehelehe māwae he palale māwae ko lākou. Hiki i kēia ke unilateral, bilateral, piha, a i ʻole piha ʻole.

Pehea e ʻike ai nā kauka i kēia maʻi?

ʻO ka hapa nui o ka manawa, ʻike ʻia ka lehelehe māwae ma hope o ka hānau ʻana o ke pēpē, no ka mea, ua maopopo loa ia. Akā i kekahi manawa hiki ke ʻike ʻia ma mua o kēlā.

Hiki iā ʻoe ke haʻi i ka wā hāpai?

ʻAe, i kekahi mau hihia hiki nō. I ka wā o nā scan maʻamau (`(Ultrasound Scan)`) i ka wā hāpai, ʻoiai i ka wā o ka `(Anomaly Scan)`, hiki i ke kauka ke ʻike i kēia ʻano māwae ma ka maka o ka pēpē. ʻO ka ʻike ʻana i kēia ma mua e hāʻawi i nā mākua i ka manawa e noiʻi hou aku e pili ana i kēia a hoʻomākaukau iā lākou iho noʻonoʻo. Kōkua pū ia iā lākou e koho i ka haukapila kūpono a me ka hui loea no ka hānau ʻana.

Ka ʻike ʻana i ka wā hānau

I ka wā e hānau ai ke pēpē, nānā pono nā kauka i ke pēpē. Inā he lehelehe māwae, e ʻike maopopo ʻia. E wehewehe koke ke kauka a kahu maʻi paha i kēia iā ʻoe. E nānā pū lākou i ka waha e ʻike inā he lehelehe māwae.

He aha nā pilikia e hiki ai i kahi pēpē me ka lehelehe māwae ke alo?

ʻO nā pēpē i hānau ʻia me ka lehelehe māwae e kū nei i kekahi mau pilikia i ka wā mua, akā me ka mālama pono ʻana a me ka mālama ʻana, hiki ke lanakila ʻia kēia mau mea āpau.

• Nā pilikia i ka inu ʻana i ka waiū:He pilikia nui kēia. ʻOiai inā he palale māwae, he paʻakikī i ka pēpē ke hana i kahi vacuum kūpono i loko o ka waha a omo i ka waiū. ʻO ka hopena, hiki i ka waiū ke puka mai ka ihu a iho i lalo i ka puʻu i ka wā e inu ana. Pono kēia i ka hoʻohana ʻana i nā ʻōmole waiū kūikawā a me ke kūlana kūpono. E aʻo maikaʻi loa nā limahana kahu hānai a me nā kākā'ōlelo lactation ma ka haukapila iā ʻoe i kēia.
• Nā maʻi pepeiao a me nā pilikia lohe: Aia kahi ʻōmole liʻiliʻi e hoʻopili ana i ko mākou mau pepeiao i ko mākou puʻu, i kapa ʻia ʻo ka ʻōmole Eustachian . I nā pēpē me ka palate māwae, ʻaʻole hana pono kēia ʻōmole, hiki ke hoʻoulu i ka wai e hōʻiliʻili i loko o ka pepeiao waena a hoʻoulu i nā maʻi pepeiao pinepine, hiki ke alakaʻi i ka nalowale o ka lohe i ka hala ʻana o ka manawa. No laila, hiki i nā kauka ke paipai i nā hoʻokolohua pepeiao maʻamau a, inā pono, ke hoʻokomo ʻana i kahi ʻōmole liʻiliʻi (grommets) i loko o ka pepeiao.
• Nā pilikia ʻōlelo: Inā he palaka ka waha, ʻaʻole wale ma ka lehelehe, hiki iā ia ke hoʻopilikia i ka hiki o ke pēpē ke ʻōlelo. Hiki ke ʻōlelo ka waha ihu i ka wā e haʻi ai i nā huaʻōlelo. He mea nui loa ka hoʻōla ʻōlelo no kēia.
• Nā pilikia niho: Hiki i ka lehelehe māwae a me ka palale ke hoʻopilikia i ke ʻano o ka puka ʻana mai o nā niho. Hiki ke nalowale kekahi mau niho, piha, kekee, a nalowale paha. No laila, he mea nui e nānā i nā niho mai ka wā ʻōpiopio a, inā pono, e loaʻa ka lāʻau orthodontic .
• Nā hopena pili kanaka a me ka noʻonoʻo: I ka wā e ulu ai ke keiki, hiki iā ia ke hilahila iki i kona helehelena a me ke ʻano o kāna ʻōlelo ʻana. Eia naʻe, ma hope o ke ʻoki ʻana, e hoʻi hou kona helehelena i ka maʻamau. Hiki i ke aloha o nā mākua, ka hoʻoikaika ʻana, a inā pono, ke aʻo ʻana i ka noʻonoʻo ke kōkua pū i kēia manawa.

He aha nā lāʻau lapaʻau no kēia? Hiki ke ho'ōla ʻia?

ʻAe, ʻoiaʻiʻo nō! He maʻi hiki ke mālama pono ʻia a ho'ōla ʻia ka lehelehe māwae. Hoʻōla nui ʻia me ke ʻoki kino. Eia kekahi, ʻaʻole ia he mea na ke kauka hoʻokahi wale nō e hana. Pono kahi hui o nā loea like ʻole e hoʻolālā i ka lāʻau lapaʻau maikaʻi loa no ka pēpē.

ʻoki kino

• ʻO ke ʻoki hoʻoponopono lehelehe (ʻoki hoʻoponopono lehelehe / Cheiloplasty):

ʻO kēia ke ʻoki kino mua i hana ʻia. Hana pinepine ʻia kēia ʻoki kino i ka wā e piha ana ke pēpē i waena o 3 a me 6 mahina . Nānā nā kauka inā e lawa ana ke kaumaha o ke pēpē a he helu koko maikaʻi kona. Hana ʻia kēia ʻoki kino e hoʻopili pono i ka lehelehe māwae a hāʻawi i ka lehelehe i kahi ʻano maʻamau a me ka hana. E noʻonoʻo, hoʻohui nani kekahi kauka ʻoki kino akamai i nā lehelehe ʻelua, e like me ke kaha kiʻi ʻana.

• ʻO ke ʻoki hoʻoponopono lehelehe (Palatoplasty):

Inā he palale māwae ko kahi pēpē, hana pinepine ʻia ke ʻoki ʻana e hoʻoponopono iā ia ma waena o 9 a me 18 mau mahina. He mea nui loa kēia ʻoki no ka hānai waiū a me ka ʻōlelo pono ʻana.

• Nā ʻoki kino hou aʻe:

I ka ulu ʻana o kekahi mau keiki, pono paha lākou i hoʻokahi a ʻoi aku paha mau ʻoki kino hou aʻe. Eia kekahi laʻana, e hoʻoponopono i ke ʻano o ka ihu, e hoʻoponopono i ke kūlana o nā niho, a i ʻole e hoʻomaikaʻi i ka ʻōlelo.

Kākoʻo mai kahi hui multidisciplinary (Multidisciplinary Team Approach)

Ua like kēia me kahi hui kriket. Pono nā kānaka a pau i ke kākoʻo. ʻO ka maʻamau, aia i loko o kēia hui nā loea e like me:

• Kauka Pediatric: Mālama i ke olakino holoʻokoʻa o ka pēpē.
• Kauka Lapaʻau a me ka Hana Hou ʻana: Hana nui lākou i nā ʻoki lehelehe a me ka palate.
• Kauka Lapaʻau Waha a me Maxillofacial: Malia paha no nā ʻoki kino e pili ana i nā niho a me ka ʻāwae.
• Kauka niho: Mālama i nā pilikia niho a me ka ʻauwae.
• Luna hoʻōla ʻōlelo: Kōkua i ka hoʻopau ʻana i nā pilikia ʻōlelo.
• Loea Pepeiao, Ihu a me ka Puʻu (Loea ENT): Mālama i nā maʻi pepeiao a me nā pilikia lohe.
• Audiologist: Hoʻāʻo i ka lohe o ke pēpē.
• Malia paha he loea noʻonoʻo a kākāʻōlelo paha: Hāʻawi i ke kākoʻo noʻonoʻo i ke keiki a me nā mākua.

Hana pū kēia poʻe a pau e hoʻolālā i ka lāʻau lapaʻau maikaʻi loa no kāu pēpē. No laila, pono ʻoe e hilinaʻi iā lākou a hahai pono i kā lākou mau kuhikuhi.

He aha kā mākou e hiki ai ke hana ma ke ʻano he mau mākua?

He mea nui loa nō hoʻi kāu kōkua ma kēia huakaʻi.

• ʻO ke ahonui a me ke aloha ke kī. He lōʻihi paha kēia, akā ʻo kou aloha a me ke ahonui he ikaika nui ia no kāu pēpē.
• E hahai pono i nā kuhikuhi a ke kauka. E hana i nā mea a pau a ke kauka e ʻōlelo aku ai iā ʻoe, e like me ka lawe ʻana i kāu lāʻau lapaʻau i ka manawa kūpono, ka mālama ʻana i kou ʻeha ma hope o ke ʻoki ʻana, a me ka hānai waiū. E hele i kēlā me kēia keʻena lapaʻau i ka manawa kūpono.
• He mea nui e hoʻomaka i ka lāʻau lapaʻau i ka wā hikiwawe loa. ʻOi aku ka maikaʻi o nā hopena ke hoʻomaka ʻia ka lāʻau lapaʻau e pono ai me ka hoʻokaʻulua ʻole.
• E kōkua i kāu pēpē. He mea waiwai nui kāu kōkua i kāu pēpē, ʻoiai i ka wā e hānai waiū ai a me ke aʻo ʻana e kamaʻilio.
• E aʻo e pili ana i kēia. ʻO ka nui o kou ʻike e pili ana i kēia maʻi, ʻo ka nui o kāu hiki ke kōkua i kāu pēpē.
• E kamaʻilio me nā mākua ʻē aʻe. ʻO ke kamaʻilio ʻana me nā mākua ʻē aʻe i loaʻa nā ʻike like e hiki ke kōkua iā ʻoe e manaʻo ʻaʻole ʻoe hoʻokahi. Hiki iā ʻoe ke aʻo nui mai iā lākou.

ʻO ka mea hope loa, e hoʻomanaʻo i kēia (Leka Lawe-Home)

ʻAe, no laila e hoʻomanaʻo aku kākou iā ʻoe i kekahi mau mea nui mai nā mea a kākou i kamaʻilio ai.

• He mea maʻamau ka lehelehe māwae i waena o nā pēpē, akā me ke kōkua o nā kauka akamai, hiki ke mālama pono ʻia a aneane ho'ōla loa ʻia.
• Ma ka ʻike mua ʻana i kēia kūlana a me ka hāʻawi ʻana i ka lāʻau lapaʻau kūpono (ʻoi aku hoʻi ke ʻoki ʻana) i ka manawa kūpono, hiki i kāu pēpē ke ola i kahi ola olakino, ʻeleu, a hauʻoli e like me nā pēpē ʻē aʻe.
• ʻAʻole ʻoe hoʻokahi ma kēia huakaʻi. Nui nā kauka akamai a me nā limahana mālama ola e kōkua a alakaʻi iā ʻoe a me kāu pēpē.
• No laila, mai makaʻu, e hoʻoikaika (ikaika ikaika) a e noho maikaʻi. ʻO kou aloha a me kou hoʻolaʻa ʻana ka ikaika nui loa o ka pēpē.

Inā makemake ʻoe e ʻike hou aku e pili ana i kēia a i ʻole he mau nīnau kāu, mai makaʻu e nīnau i kāu kauka keiki a kauka ʻokiʻoki paha. E kōkua lākou iā ʻoe.

ʻO ka Lehelehe Māwae, Hui Lapaʻau Multidisciplinary, ʻoki kino, hānai waiū, hoʻōla ʻōlelo, ʻōlelo aʻoaʻo makua