Ke hōʻole nei kāu pēpē i ka ʻai ʻana ma ka waha? Hiki paha ma muli o ka Oral Aversion!

Ke hōʻole nei kāu keiki liʻiliʻi i ka ʻai ʻana ma ka waha? Ke uē nei ʻo ia, ke nānā aku, a i ʻole ke ʻūmiʻi nei i kona ʻauwae ke lawe mai ʻoe i kahi meaʻai a i ʻole ka ʻōmole i kona waha? He mea maʻamau no nā pēpē ke hana i kēia i kekahi manawa. Eia nō naʻe, inā hoʻomau ʻo ia i ka hōʻole ʻana e ʻai ma ka waha, hiki ke lilo i kūlana i kapa ʻia ʻo 'oral aversion'. E kamaʻilio kākou e pili ana i kēia i kēia lā, no ka mea hiki ke hoʻopilikia i ka meaʻai a me ka ulu ʻana o kāu pēpē.

He aha kēia (Oral Aversion)? I ka ʻōlelo maʻalahi...

I ka ʻōlelo maʻalahi, ʻo ka Oral Aversion ka wā e makemake ai kāu pēpē e ʻai, akā hōʻole ʻo ia e ʻai. E noʻonoʻo e like me ka hiki ʻole ke ʻai ʻoiai ke pōloli ʻoe. ʻO ke kumu nui o kēia he makaʻu e kū mai ana mai kekahi mau ʻike maikaʻi ʻole e pili ana i ka waha i nā lā mua o ke ola o ka pēpē. E like me kou makaʻu ʻana i kekahi mea i kou wā kamaliʻi, e hoʻi mai kēlā makaʻu ke ʻike hou ʻoe. Inā ʻaʻole e mālama koke ʻia kēia ʻano, hiki i ka pēpē ke loaʻa nā pilikia hou aʻe e pili ana i ka hānai ʻana.

Inā hōʻike kāu pēpē i kekahi o kēia mau hōʻailona, ​​​​he mea nui e ʻike koke i kāu pediatrician no ka ʻōlelo aʻo, no ka mea, hiki i kēia mau mea ke lilo i mea ʻino inā ʻaʻole mālama pono ʻia.

He aha nā hōʻailona o kahi pēpē me ka Oral Aversion?

Inā hana kāu pēpē i kēia mau mea, he hōʻailona paha ia o ka hoʻowahāwahā waha:

• Ke lawe ʻia mai kekahi mea (meaʻai, ʻōmole, lāʻau lapaʻau) i ko lākou waha , kūʻē lākou, uē, a nānā aku i kahi ʻē.
• Ke lawe mai ʻoe i kahi mea i kou waha , hoʻopuka ʻoe i kou alelo a hana e like me kāu e koi nei.
• I ka wā e pā ai kekahi mea i kou mau lehelehe, e pani pono ʻoe i kou waha.
• Hōʻole e hoʻopaʻa pono i ka pēpē, inā e hānai waiū ana a i ʻole e hānai ʻia me ka ʻōmole.
• I kekahi manawa ʻai ʻo ia i ka meaʻai me kona mau manamana lima a ʻai wale ia mea, akā inā ʻoe e hoʻāʻo e hānai iā ia, hōʻole ʻo ia.

He mea maʻamau no nā pēpē ke kānalua e ʻai a e nānā aku i ka meaʻai i kekahi manawa. ʻAʻohe mea e hopohopo ai. Eia nō naʻe, i loko o ke kūlana i kapa ʻia ʻo Oral Aversion, hana mau kēia mau mea. Inā he kānalua kou e pili ana i kēia, hiki i ke kauka o kāu pēpē ke hoʻoholo inā he mea koʻikoʻi a ʻaʻole paha.

No ke aha i loaʻa ai i nā pēpē kēia ʻano i kapa ʻia ʻo (oral aversion)?

ʻO ka hoʻowahāwahā waha ka mea e manaʻo ai nā pēpē e hana ʻia kahi mea ʻino ke hoʻokomo lākou i kahi mea i loko o ko lākou waha. ʻO ke ʻano kēia ua aʻo lākou i kēia mai nā ʻike ʻoluʻolu ʻole i hana pinepine ʻia me ko lākou waha. ʻO kēia mau ʻike ʻoluʻolu ʻole:

• Nā lāʻau lapaʻau e pili pinepine ana i ka hoʻohana ʻana i nā ʻōmole, inā paha e hānai i ka pēpē a i ʻole e kōkua iā ia e hanu (e like me ka hānai ʻana ma o ka ʻōmole ihu, ke hoʻokomo ʻana i kahi ʻōmole hanu).
• ʻO kekahi mau kūlana olakino e pili ana i ka ʻai ʻana (e.g., ka luaʻi ʻana i ka waiū, ka ʻeha o ka puʻu).
• Loaʻa nā pilikia me ka kaohi ʻana i ka waha a i ʻole ka moni ʻana.

E noʻonoʻo, ua hānau mua ʻia ke pēpē a Niluka. No laila, no ka mea, ua paʻakikī ka pēpē i ka hanu ʻana, pono ʻo ia e hoʻokomo ʻia i loko o ka ʻōpū no kekahi mau lā, ʻo ia hoʻi, ua hoʻopili ʻia i kahi mīkini i kapa ʻia ʻo "Mechanical ventilation". A laila, no ka mea, ua paʻakikī iā ia ke inu waiū, pono ʻo ia e hānai ʻia ma o kahi ʻōmole. Ma muli o nā ʻike e like me kēia, hiki i ka pēpē ke loaʻa ka makaʻu a me ka manaʻo ʻoluʻolu ʻole e pili ana i ka mea a kona waha e ʻōlelo ai. Ma hope mai, i ka wā e hoʻāʻo ai ʻo ia e hānai iā ia ma ka waha, hiki i ka pēpē ke hoʻomanaʻo i kēlā mau ʻike kahiko ʻoluʻolu ʻole a hōʻole e ʻai.

ʻO wai ka mea i ʻoi aku ka pilikia no ka hoʻomohala ʻana i ka hoʻowahāwahā waha?

ʻOi aku ka nui o ka loaʻa ʻana o ka Oral Aversion i nā pēpē me nā kūlana ma lalo nei:

• Nā pēpē i loaʻa i ka lāʻau lapaʻau no nā pilikia hanu. Eia kekahi laʻana: intubation, mechanical ventilation, a i ʻole tracheostomy (hoʻokomo ʻana i kahi paipu i loko o ka windpipe ma o kahi lua ma ka ʻāʻī).
• Nā kūlana olakino e hoʻoulu ai i nā pilikia me ka ʻai ʻana, e like me ka maʻi reflux gastroesophageal (GERD).
• Loaʻa ka maʻi ʻaleka (allergy) i kekahi mea i loko o ka waiū umauma a i ʻole ka waiū waiū.
• Nā kūlana e pili ana i ka ʻāʻī. No ka laʻana, ka mumū o ka esophagus (esophagitis), ka ʻeha i ka wā e moni ai (odynophagia), a i ʻole ka paʻakikī i ka moni ʻana (dysphagia).
• Nā kūlana e hoʻopilikia ai i ka kaohi ʻana a i ʻole ka hoʻonohonoho ʻana o nā ʻiʻo, e like me ka cerebral palsy.
• Nā maʻi hoʻoilina. Eia kekahi laʻana: (Down syndrome) a i ʻole (Moebius syndrome).
• Ka paʻakikī i ka ʻike ʻana i ka pōloli ma muli o ka hānai ʻana i ka paipu no ka manawa lōʻihi a i ʻole ka maʻi nui i ka wā ʻōpiopio o ke ola.
• ʻO kekahi mau kūlana neurodivergent, e like me ka autism spectrum disorder, hiki ke hoʻolilo i nā pēpē i hypersensitive i kekahi mau manaʻo, e like me ka hoʻopā.

He aha nā pilikia e hiki mai ana o ka Oral Aversion?

ʻOi aku ka nui o nā pēpē me ka hoʻowahāwahā waha e loaʻa i nā pilikia e like me:

• Ka ʻai pono ʻole a i ʻole ka ulu ʻole ʻana.
• ʻO ka pono no ka meaʻai enteral.
• Hoʻokumu ʻia ka niumonia aspiration e ka meaʻai a i ʻole nā ​​​​wai e komo ana i ke alaloa .

Ua hōʻike ʻia e ka noiʻi aia kahi "wā puka makani" no nā pēpē e aʻo ai i ka ʻai. Inā ʻaʻole lākou e aʻo iā ia i loko o ia manawa, hiki ke paʻakikī iki ke aʻo ma hope.

Eia kekahi, ʻo ka loaʻa ʻana o ka hoʻowahāwahā waha i ka wā kamaliʻi hiki ke hoʻonui i ka pilikia o ka loaʻa ʻana o nā maʻi meaʻai ʻē aʻe a i ʻole nā ​​​​maʻi ʻai ma hope o ke ola. ʻO ka maʻi pale/kaohi i ka ʻai ʻana i ka meaʻai kekahi o ia mau laʻana.

ʻOiai he koʻikoʻi kēia mau pilikia, hiki ke mālama ʻia. Eia kekahi, hiki i ka ʻike mua ʻana a me ka mālama ʻana ke hōʻemi i ka pilikia o kēia mau pilikia.

Pehea e ʻike ai i ke kūlana (Oral Aversion)?

Hiki i ke kauka pediatric a i ʻole kekahi kauka kūpono ʻē aʻe ke ʻike i ka hoʻowahāwahā waha ma ka kāpae ʻana i nā kumu ʻē aʻe. Hiki i kēia ke pili i ka hana ʻana i nā hoʻokolohua like ʻole a me ka nīnau ʻana i nā nīnau e pili ana i ka mōʻaukala olakino o kāu pēpē, kou wahi noho home, a me nā ʻano ʻai a kāu pēpē.

No kēia, hiki ke hana ʻia nā hoʻokolohua e like me kēia:

• Ka nānā ʻana a me ka loiloi ʻana i ke ʻano o ka lawelawe ʻana i ka meaʻai.
• Nā hoʻokolohua keʻena hoʻokolohua, e.g. nā hoʻokolohua koko, nā hoʻokolohua hana thyroid.
• Nā kiʻi kiʻi o ke pēpē, e like me ka fluoroscopy a i ʻole MRI.
• Nā kaʻina hana hōʻoia, e like me (Upper endoscopy) (ka nānā ʻana i ka esophagus a me ka ʻōpū me kahi paipu me ke kāmela) a i ʻole (Esophageal manometry) (ka hoʻāʻo ʻana i ka hana o ka esophagus).

Pehea e mālama ʻia ai ka Oral Aversion?

Pono kahi hui e hana no ka mālama ʻana i ka hoʻowahāwahā waha. E hana pū ke kauka pediatric o kāu keiki, me nā loea ʻē aʻe e like me ke kauka ʻōlelo a i ʻole ka mea lapaʻau hana, me ʻoe e kōkua i kāu keiki e lanakila ma luna o kēia makaʻu. ʻAʻohe hoʻolālā lapaʻau hoʻokahi e kūpono i nā mea āpau. Hoʻopilikino pinepine ʻia nā hoʻolālā lapaʻau i nā pono a me nā makemake o kāu keiki.

Hiki i ka lāʻau lapaʻau ke komo pū me hoʻokahi a ʻoi aku paha o kēia mau mea:

• Ke hāʻawi ʻana i nā ʻike waha maikaʻi: Ke aʻo nei kēia i ka pēpē ʻaʻole maikaʻi ʻole nā ​​​​mea lapaʻau waha āpau. Eia kekahi laʻana, e lomilomi mālie i nā papālina a me nā lehelehe o ka pēpē, a e hoʻopā mālie i ka ʻāpana waha i ka wā e pāʻani ana.
• Ke hoʻomohala ʻana i nā mākau: Pono pū ka ʻai ʻana i ka hoʻonohonoho ʻana a me ke akamai. ʻO ke kōkua ʻana i kāu pēpē e aʻo a hoʻomaʻamaʻa i kēia mau mākau e maʻalahi ai ka ʻai ʻana nona. Inā maʻalahi ka ʻai ʻana nona, ʻaʻole paha ʻo ia e hoʻonāukiuki i ia mea.
• Ke hōʻike ʻana i kāu pēpē i nā meaʻai ʻono: Ke hoʻoholo nā kauka i nā ʻono a kāu pēpē e makemake ai, hiki iā lākou ke aʻo i kāu pēpē e hauʻoli i ka ʻai ʻana. I kekahi manawa, hoʻomaka lākou ma ke kau ʻana i kahi kulu liʻiliʻi o ka mea ʻono ma ko lākou alelo a laila e ʻai mālie.
• E hoʻolālā a hahai i nā hana maʻamau hou: ʻO ka hana ʻana i nā hana maʻamau hou e kōkua i kāu pēpē e aʻo hou i nā mea e manaʻo ai. He mea nui e mālama i ke kūlike i nā mea e like me nā manawa hānai a me nā wahi hānai.
• Ke aʻo ʻana iā ʻoe iho a me nā mea mālama ʻē aʻe: ʻO ka hōʻike ʻana i kāu pēpē pehea e hānai maikaʻi ai iā ia hiki ke kōkua iā ia e lanakila ma luna o kēia hoʻokaʻulua. Hiki iā ia ke hoʻoikaika i ka pilina ma waena ou a me kāu pēpē.

E hoʻomanaʻo, he mea maʻamau ka manaʻo hoʻonāukiuki a me ka hopohopo no ka mea e lōʻihi ka manawa e hoʻōla ai kāu pēpē mai kēia maʻi. Eia nō naʻe, ʻo ka mālama ʻana i ka hoʻowahāwahā waha e pono pinepine ai ka manawa a me ke kōkua o nā loea like ʻole. Hiki ke pale ʻia kēia maʻi ma ke ahonui a me ka hahai ʻana i nā ʻōlelo aʻoaʻo i hāʻawi ʻia e ke kauka.

He aha ka nānā ʻana no ke kūlana (Oral Aversion)?

Ma ke ʻano laulā, maikaʻi ka nānā ʻana no ka hoʻowahāwahā waha, ʻoiai inā ua ʻike ʻia a mālama ʻia i ka wā mua. Hiki i ka hapa nui o nā pēpē ke ho'ōla piha mai kēia maʻi.

Hiki ke pale ʻia ka Oral Aversion?

ʻAʻole hiki ke pale ʻia 100% ka hoʻowahāwahā waha. Eia nō naʻe, hiki i nā mea lawelawe olakino ke hana i nā hana e pale aku ai. Inā he mau mea pilikia e hoʻoweliweli ai i kāu pēpē no ka pono o ka mālama olakino kūikawā i ka wā ʻōpiopio o ke ola, hiki ke hoʻomaka ʻia nā hana pale i ka wā mua.

Aia kekahi mau mea hiki iā ʻoe ke hana e hōʻemi i ka manawa kūpono o kēia. Hiki i ke kauka o kāu pēpē ke haʻi hou aku iā ʻoe e pili ana i kēia. No ka laʻana, e hoʻolilo i nā hana waha (e like me ka holoi ʻana i ka maka o kāu pēpē a me ka palaki ʻana i ko lākou mau niho) i mea leʻaleʻa e like me ka hiki.

Ua like anei ka Oral Aversion me ka Food Aversion?

ʻAʻole, he ʻelua mau mea ʻokoʻa kēia. He mea maʻamau loa ka Oral Aversion. ʻO ia hoʻi, e hoʻāʻo ka pēpē e kūʻē a pale i nā mea a pau e kokoke mai ana i ko lākou waha, me ka ʻai ʻana.

Eia nō naʻe, hiki ke kikoʻī loa ka hoʻowahāwahā ʻana i ka meaʻai. ʻO ia hoʻi, makemake ʻole paha kāu pēpē i nā meaʻai kikoʻī, nā ʻala kikoʻī, a i ʻole ke ʻano o ka meaʻai. No ka laʻana, makemake paha kekahi mau pēpē i nā meaʻai wai e like me ka porridge, akā ʻaʻole makemake paha i nā meaʻai paʻa.

He mea maopopo ke kaumaha a hoʻonāukiuki paha ʻoe ke hōʻole kāu pēpē e ʻai. Hiki paha iā ʻoe ke hoʻowalewale iā ʻoe iho. Akā e hoʻomanaʻo, he maʻi maʻamau ka hoʻowahāwahā waha. ʻO ka ʻoiaʻiʻo, ua hōʻike ʻia e ka noiʻi e pili ana i hoʻokahi o nā pēpē ʻelua e ʻike nei iā ia (ʻoiai he akahai ka hapa nui o lākou).

Inā manaʻo ʻoe he ʻoi aku ka koʻikoʻi o ka hoʻowahāwahā ʻana o kāu pēpē, e kamaʻilio pono me ke kauka o kāu pēpē. Hiki iā ia ke wehewehe i ka mea e hana nei a me nā mea e pono ai kāu pēpē. Hiki iā ia ke aʻo iā ʻoe i nā mea āu e hana ʻole ai. A laila hiki iā ʻoe ke hāʻawi i kāu pēpē i ka mea pono a hiki i ka wā e hala ai ʻolua i kēia manawa paʻakikī.

Nā mea nui loa (Leka Lawe-Home)

ʻAe, no laila, mai nā mea a mākou i kamaʻilio ai, eia nā mea nui loa e pono ai ʻoe e hoʻomanaʻo:

• ʻO ka hoʻowahāwahā waha kahi kūlana e hōʻole ai kahi pēpē e ʻai ma ka waha a hōʻike i ka makaʻu i nā mea waha. He ʻokoʻa kēia mai ka hoʻowahāwahā meaʻai maʻamau.
• ʻO ke kumu o kēia paha he mau ʻike waha maikaʻi ʻole mua .
• Hiki iā lākou ke hōʻike i nā hōʻailona e like me ka uē ʻana, ka nānā ʻana aku, a me ke ʻū ʻana i ko lākou ʻauwae ke lawe ʻia mai kekahi mea i ko lākou waha.
• He mea nui ka ʻike mua ʻana a me ka mālama ʻana, a i ʻole hiki ke loaʻa nā pilikia e like me ka ʻai ʻole ʻana.
• ʻO ka mālama ʻana e pili ana i ke kōkua o kahi hui, e like me ke kauka pediatric, ka mea hoʻoponopono ʻōlelo, a me ka mea hoʻoponopono hana.He mea pono paha.
• Me ke ahonui a me ka hahai ʻana i nā ʻano kūpono, hiki ke hoʻohuli pinepine ʻia kēia kūlana.
• Inā he kānalua kou e pili ana i kēia, a i ʻole e hopohopo ana no ke ʻano o kāu pēpē, e ʻoluʻolu e nīnau i ke kauka. ʻAʻole ʻoe hoʻokahi, a aia nā poʻe loea e hiki ke kōkua.

E hoʻomanaʻo, he ʻokoʻa kēlā me kēia pēpē. No laila, mai hoʻohālikelike iā ʻoe iho me nā pēpē ʻē aʻe. ʻO ka mea nui loa, ʻo ia ke mālama i kāu pēpē me ke aloha a me ke ahonui, a e hahai i nā ʻōlelo a ke kauka.

ʻAʻole makemake ka pēpē e ʻai, ka hōʻole ʻana e ʻai ma ka waha, nā pilikia hānai pēpē, ka makaʻu i ka ʻai ʻana, ʻaʻole makemake ka pēpē e inu i ka waiū, Nā pilikia hānai i nā pēpē