He lehelehe māwae/palale māwae anei ko kāu keiki liʻiliʻi? (Lehelehe Māwae/Pale Māwae) – E kamaʻilio kākou e pili ana i ka hānai waiū!

ʻAuē, ua hānau ʻia kāu keiki liʻiliʻi me ka lehelehe māwae a i ʻole ka palale? Ma ke ʻano he makuahine, nui paha kou mau manaʻo i ka wā e hana ʻia ai kekahi mea e like me kēia. Akā, mai hopohopo, ua hānau ʻia ka nui o nā pēpē me kēia mau mea. ʻO ka mea nui loa, ʻo ia ka hāʻawi ʻana i ka pēpē i ka nui kūpono o ka waiū i mea e loaʻa ai kona kaumaha a ʻaʻole e maloʻo. I kekahi manawa, pono kēia mau pēpē i kahi kōkua kūikawā e inu i ka waiū.

Pehea e hānai ai i ka waiū o kahi pēpē me ka lehelehe māwae?

I ka hapanui o nā hihia, hiki i nā pēpē i hānau ʻia me ka lehelehe māwae a me ka ʻole o nā pilikia palate ke hānai waiū maikaʻi me ka ʻole o nā lako kūikawā. Hiki iā lākou ke hānai waiū maʻamau a hoʻohana paha i ka ʻōmole maʻamau. I kekahi manawa ʻo ka mea wale nō e pono ai ke hana ʻia, ʻo ia ke hoʻoponopono iki i ka latch i hiki i ka pēpē ke latch pono . Inā ʻoe e hānai waiū ana, e hoʻāʻo e hoʻololi i ke kūlana o kāu pēpē i hiki i kou umauma ke hoʻopiha i ka hakahaka ma waena o kou mau umauma. E kōkua kēia i kāu pēpē e omo maʻalahi.

He aha nā pilikia o ka hānai ʻana i kahi pēpē me ka palale māwae?

Eia nō naʻe, ʻo nā pēpē i hānau ʻia me ka lehelehe māwae a i ʻole ka lehelehe māwae paha, inā me ka lehelehe māwae a i ʻole, he paʻakikī ke omo pololei mai ka umauma. ʻO ke kumu o kēia, ʻaʻole hiki iā lākou ke hana i ke kaomi i loko o ko lākou waha e unuhi i ka waiū mai ka nipple. E noʻonoʻo e like me ka wā e inu ai mākou i kahi mea ma o ka ʻōpala, pono mākou e hana i kahi vacuum i loko o ko mākou waha. ʻO ia ke kumu he paʻakikī i kēia mau pēpē ke hana i kekahi mea e like me ia ma muli o ka māwae. Inā hoʻāʻo ʻoe e hānai i kēlā pēpē, inā ʻoe e hoʻāʻo e hānai iā ia me ka ʻōmole maʻamau, ʻaʻole paha e loaʻa iā ia ka waiū lawa a ʻaʻole paha e loaʻa ke kaumaha (ʻaʻole e ulu pono) . ʻO ia hoʻi, ʻaʻole paha e ulu pono ka pēpē. He aha nā pilikia ʻē aʻe e hiki mai ana?

• Ke inu ka pēpē i ka waiū , hiki ke puka mai ka waiū mai ka ihu . Kāhea pū mākou i kēia he "Nasal Regurgitation". Hiki ke hopohopo i nā makuahine ke ʻike i kēia, akā he mea ia e manaʻo ʻia ma kēia kūlana.
• Hiki i kahi pēpē ke moni i ka ea ma mua o ka pēpē maʻamau i ka wā e hānai waiū ana, a hiki ke hoʻonāwaliwali i ka ʻōpū.
• I kekahi manawa, inā loaʻa i kahi pēpē kekahi "syndrome" ʻē aʻe, kahi hōʻiliʻili o nā hōʻailona pili, hiki ke loaʻa nā pilikia hānai waiū ʻē aʻe, e like me nā pilikia ʻōpū.

He aha ke ʻano o ka ʻōmole e hoʻohana ʻia e hānai i kahi pēpē me ka waha māwae?

No ka hānai ʻana i kahi pēpē me ka palale māwae , pono ʻoe e hoʻohana i kahi ʻōnaehana ʻōmole kūikawā . Ua hoʻolālā ʻia kēia mau ʻōmole e hāʻawi i ka pēpē i ka nui kūpono o ka meaʻai me ka ʻole o ke kau ʻana i ke kaomi nui ma luna o ka pēpē e omo. ʻAʻole like kēia me nā ʻōmole maʻamau. Aia kekahi mau ʻano ʻōnaehana ʻōmole hānai māwae. E nānā kākou i ke ʻano o lākou, i maʻalahi iā ʻoe ke hoʻomaopopo:

ʻŌnaehana Hānai Kūikawā a Kauka Brown

Loaʻa i kēia ʻōnaehana ʻōmole kahi kiwikā hānai ala hoʻokahi e hiki ai i ka waiū ke kahe ma hoʻokahi wale nō ʻaoʻao.. Hoʻōki kēia i ke kahe ʻana o ka waiū i loko o ka ʻōmole. ʻO ke ʻano kēia, ʻaʻole pono ka pēpē e omo, a hiki iā ia ke omo i ka waiū ma ke nahu ʻana a i ʻole ke ʻomi ʻana i ka nipple . Aia nā ʻano nipples like ʻole me nā ʻano kahe like ʻole ma muli o ka makahiki o ka pēpē (mai nā pēpē ʻōpiopio loa (preemie) a hiki i ka pae 3). ʻOi aku ka maʻalahi o ka hoʻohana ʻana i kēia ʻōmole no nā mākua a me nā mea mālama . No ka mea, hana ka pēpē i ka hana, ʻaʻole pono ka makuahine e ʻomi i ka ʻōmole a paʻa paha iā ia i kahi kūlana kūikawā.

Mea Hānai Manu Manu

Loaʻa i kēia ʻōnaehana ʻōmole kahi `kiwikā ala hoʻokahi` e pale ai i ka waiū mai ke kahe hou ʻana i loko o ka ʻōmole. ʻO ka `nipple ʻoki-Y` (ʻo ia hoʻi, he `nipple` me kahi ʻoki i ke ʻano o ka leka Y) he ʻaoʻao lahilahi a he ʻaoʻao mānoanoa iki ma kekahi ʻaoʻao.

• Pono e kau ʻia ka ʻaoʻao mānoanoa ma ka laina ʻāʻī o ka ʻāwae luna o ke pēpē.
• Pono e piʻi aʻe ka ʻaoʻao lahilahi ma luna o ke alelo o ke pēpē.
• Pono e kau ʻia ka ʻoki liʻiliʻi ma lalo o ka lihi o ka nipple ma lalo o ka ihu o ke pēpē. E kōkua kēia iā ʻoe e nānā inā ua komo pono ka nipple i loko o ka waha.

Loaʻa kēia nipple i ʻelua nui. Hiki iā ʻoe ke hoʻoponopono i ka nui o ke kahe ma ka hoʻopaʻa ʻana a i ʻole ka wehe ʻana i ka nipple. Pono kēia i kekahi manawa e maʻa ai.

Mea Hānai Pono Kūikawā ʻo Medela (Haberman) `(Medela SpecialNeeds Feeder (Haberman))`

Ua kapa ʻia kēia he 'Haberman Feeder' e kekahi poʻe. Loaʻa i kēia ʻōnaehana ʻōmole kahi 'one-way valve' e mālama i ka waiū i loko o ka 'nipple'. Hiki i kekahi mau pēpē ke lawe i ka waiū ma ke kaomi ʻana i ka 'nipple' i ko lākou ʻāʻī. Akā i ka hapa nui o ka manawa, pono ka mea mālama e ʻomi i ka ʻōmole e kūlike me ke ʻano o ka omo ʻana a me ke ale ʻana o ka pēpē :

• I ka hoʻomaka ʻana o ke pēpē e omo, e ʻomi pono i ka ʻōmole a laila e hoʻomaha .
• Pono e hana ʻia kēia i ka wā e omo ana ka pēpē. E hoʻolohe pono i ke kani o ka pēpē e moni ana i ka waiū .
• Inā pau ka hanu ʻana o ka pēpē no kekahi manawa, pono ʻoe e hoʻōki i ke kaomi ʻana i ka ʻōmole.

Pono kekahi hoʻomaʻamaʻa e loaʻa ai ka manawa kūpono . ʻO ia hoʻi, pono ʻoe e hoʻomaʻamaʻa i ke kaomi ʻana i ka wā e omo ai kāu pēpē a hoʻōki i ka wā e oki ai lākou. Hōʻike nā laina ʻekolu ma ka ʻōmole i ka nui o ke kahe ʻana o ka waiū e puka mai ana mai ka nipple. Hiki iā ʻoe ke hoʻoponopono i ka nui o ke kahe ma ka hoʻohuli ʻana i ka ʻōmole i hiki ai kekahi o nā laina ma lalo o ka ihu o kāu pēpē.

ʻO Enfamil Mead Johnson Cleft Lip/Palate Nurser

ʻAʻohe `kiwikā ala hoʻokahi` o kēia ʻōmole. E like me ka ʻōnaehana ʻōmole `Haberman`, pono ka mea mālama e ʻomi i ka ʻōmole a hoʻoponopono i ka wikiwiki i ke ʻano o ka omo ʻana o ka pēpē . Pono nō hoʻi kēia i kahi hoʻomaʻamaʻa iki.

E hoʻomanaʻo, ua hoʻolālā ʻia kēlā me kēia o kēia mau ʻōmole e maʻalahi iki kēia huakaʻi no ʻoe a me kāu pēpē. I kekahi manawa, ʻaʻole holo pono kekahi ʻōmole, a pono ʻoe e hoʻāʻo i kekahi. E kōkua kāu hui lapaʻau iā ʻoe me kēia, e koho ana i ka mea kūpono loa i kāu pēpē.

He aha nā ʻōlelo aʻoaʻo ʻē aʻe e hiki ke kōkua?

ʻAe, i kēia manawa ua kamaʻilio mākou e pili ana i nā ʻōmole, aia kekahi mau mea ʻē aʻe e hiki ke kōkua iā ʻoe me kēia kaʻina hana hānai waiū. Inā ʻoe e hahai pololei i kēia mau mea, e maʻalahi loa ia no kāu pēpē.

• Pono e hoʻopau ʻia ka hānai ʻana ma lalo o 30 mau minuke . Inā ʻoi aku ka lōʻihi ma mua o kēlā, hiki ke hōʻike ʻia ua pilikia ka pēpē i ka loaʻa ʻana o ka waiū, a ʻaʻole paha e pamu wikiwiki ka nipple. Inā pēlā, e hoʻāʻo e hoʻohana i kahi nipple e hoʻokuʻu i ka waiū i waho me ka wikiwiki iki.
• E kōkua i kāu pēpē e ʻū pinepine . Ma kahi o kēlā me kēia 5 mau minuke i ka wā e hānai waiū ana. ʻO kēia no ka mea e ale nui nā pēpē i ka ea, no laila he manaʻo maikaʻi ia e hana pēlā. E kōkua kēia i ka hōʻemi ʻana i ka ʻōpū ʻeha a me ka luaʻi ʻana.
• E hoʻopaʻa i kāu pēpē i kahi kūlana pololei i ka wā e hānai ana a no 20-30 mau minuke ma hope o ka hānai ʻana. Hiki i kēia ke kōkua i ka hōʻemi ʻana i ka lua ʻana o ka ihu.
• Inā puka mai ka waiū mai ka ihu o kāu pēpē, e holoi me kahi lole maʻemaʻe . ʻAʻohe pono e hoʻohana i kahi ʻōmole omo e omo ai i ka waiū. ʻO ka hana ʻana pēlā he mea ʻoluʻolu ʻole ia no kāu pēpē.
• ʻOiai ʻaʻole hiki i nā pēpē me ka waha māwae ke hānai pololei i ka waiū umauma, hiki i nā makuahine ke hoʻopuka i ko lākou waiū umauma a hānai iā ia i kā lākou pēpē mai kahi ʻōmole kūikawā . He mea waiwai nui kēia, no ka mea, loaʻa i ka pēpē nā meaʻai a me ka pale mai nā maʻi i loko o ka waiū umauma.
• Eia kekahi, no ka hoʻoikaika hou ʻana i ka pilina me kāu pēpē, hiki iā ʻoe ke ʻae iā ia e hana i ka omo ʻana me ka ʻole o ka meaʻai . ʻO ke ʻano kēia, ke omo wale nei ka pēpē i ka umauma no ka ʻoluʻolu, ʻaʻole e inu i ka waiū. Hoʻoikaika pū kēia i nā ʻiʻo omo o ka pēpē. Akā, mai ʻae iā ia e hana i kēia no nā minuke he 10 a ʻoi aku i ka manawa.

Pehea e ʻike ai inā ʻaʻole e hānai pono ana kaʻu pēpē i ka waiū umauma?

Ma muli o kēia mau pilikia i ka hānai waiū ʻana, ua pilikia nā pēpē me ka palale māwae i ka hiki ʻole ke ulu pono . No laila, ʻo ke kauka o kāu pēpē, a i ʻole ka hui māwae, he hui o nā loea e mālama i kēia mau kūlana māwae, e nānā mau i ke kaumaha o kāu pēpē e hōʻoia i ka loaʻa ʻana o ke kaumaha kūpono. He mea nui loa kēia. I kekahi manawa, ʻoiai me nā ʻōnaehana ʻōmole kūikawā, hiki i nā pēpē ke loaʻa nā pilikia hānai a me nā pilikia piʻi kaumaha. Hiki iā lākou ke ʻoluʻolu ʻole i ka wā e hānai waiū ana lākou, a ʻaʻole paha lākou e loaʻa ka waiū lawa. Pono ʻoe e makaʻala pono i kēia mau hōʻailona :

• Inā ʻoe e uē ana i ka wā e hānai waiū ana a ma hope paha o ka hānai ʻana.
• Inā manaʻo ʻoe e ʻū ana ʻoe, he "ʻū ana" ia .
• Inā puka mai nā waimaka mai nā maka mai , he " maka waimaka " ia .
• Nā kuʻemaka ʻūlū (hōʻike kēia ua ʻoluʻolu ʻole ka pēpē).
• Inā kūlou ʻoe i kou kino i hope i ka wā e hānai waiū ana, ua kapa ʻia ia he "back arching" .

Inā ʻike ʻoe i kekahi o kēia mau hōʻailona i kāu pēpē, ʻo ia hoʻi ke pilikia nei ʻo ia i ka hānai ʻana i ka waiū. A laila pono ʻoe e hoʻāʻo e hana i kahi hoʻololi liʻiliʻi i kāu papa hana hānai.

ʻo kahi laʻana:

• E kaupalena i ka nui o ka waiū e lawe ai kāu pēpē i hoʻokahi manawa, a e hoʻāʻo e hoʻohana i kahi nipple i emi iki ka holo ʻana o ka waiū .
• E hoʻomaha pinepine i ka wā hānai. E hāʻawi i kāu pēpē i ka manawa e hanu ai a e hoʻokuʻu i ka waiū e iho i lalo.
• Ma hope o ka lawe ʻana i kekahi mau ʻōmole waiū, e hoʻohuli iki i ka ʻōmole i ka ʻaoʻao a hoʻōki i ke kahe ʻana o ka waiū no kekahi manawa.

Inā he mau hopohopo a nīnau paha kāu e pili ana i ka hānai waiū ʻana o kāu pēpē, e kamaʻilio koke me kāu hui cleft a me craniofacial . E nānā kahi mea lapaʻau hānai a kahu maʻi paha ma kēlā hui i kāu pēpē i kou wā e hānai waiū ana. Hiki iā lākou ke ʻōlelo aku i nā hoʻololi i kāu ʻano hānai waiū a i ʻole nā ​​​​hoʻāʻo ʻē aʻe. Mai noho hoʻokahi.

Pehea e hiki ai i nā mākua ke kōkua?

ʻO ka hānai waiū ʻana i kahi pēpē me ka lehelehe māwae/palate hiki ke lilo i mea paʻakikī i ka wā mua. Akā , ʻaʻole ʻoe hoʻokahi, nui ke kōkua . Hiki i kāu hui māwae, kahi hui o nā loea, ke hāʻawi iā ʻoe i ke kākoʻo a me ka ʻike āu e pono ai. He ʻike lākou i ka hana ʻana me nā pēpē me kēia maʻi. Nui nā hui māwae e hāʻawi ana i nā kūkākūkā prenatal inā ʻike ʻia ka pēpē me ka māwae i ka wā o ka ultrasound. A laila hiki i nā mākua ke hālāwai me ka hui e kūkākūkā i nā nīnau a lākou e pili ana i ka hānai waiū. A laila hiki iā lākou ke hana i kahi hoʻolālā hānai ma mua o ka hānau ʻana o ka pēpē . Hiki i kēia ke lilo i mea hōʻoluʻolu nui. E ʻōlelo kākou ua ʻike koke ʻoe he māwae kou ma hope o ka hānau ʻana o ka pēpē. A laila e kōkua nā limahana inpatient i nā mākua e ʻimi i kahi ʻōnaehana ʻōmole e hana maikaʻi loa no kā lākou pēpē . Hiki i ke kauka o ka pēpē ke kuhikuhi i nā mākua i kahi hui māwae. ʻO ka hui māwae e hālāwai pinepine me nā mākua a me ka pēpē i loko o ka pule mua a ʻelua paha ma hope o ka hānau ʻana o ka pēpē. E nānā lākou i ke ʻano o ka hānai waiū a pane i nā nīnau āu e loaʻa ai. Hiki iā ʻoe ke loaʻa ka ʻike e pili ana i kēia ma ka pūnaewele. No ka laʻana:

• ʻAhahui ʻAmelika no ka Cleft Palate-Craniofacial (ACPA) - Nui ka ʻike pono ma nā pūnaewele o nā hui e like me kēia.

No laila, he aha nā mea nui loa e pono ai kākou e lawe i ka home mai kēia moʻolelo?

ʻAe, ua nui kā kākou kamaʻilio ʻana i kēia manawa, ʻeā? Inā he ``(Cleft Lip)`` a i ʻole ``(Cleft Palate)`` ko kāu keiki liʻiliʻi, ʻokoʻa iki paha ka hānai ʻana i ka waiū. Akā e hoʻomanaʻo i kēia mau mea:

• Hiki i nā pēpē me ka lehelehe māwae ke hānai waiū maʻamau. Pono paha lākou e hana i nā hoʻololi liʻiliʻi i ko lākou kūlana .
• Pono nā pēpē me ka waha māwae i nā ʻōmole kūikawā no ka mea he pilikia iā lākou ke hana i ke kaomi e pono ai e omo a loaʻa ka waiū.
• Aia nā ʻōmole kūikawā e like me 'Dr. Brown's', 'Pigeon', 'Medela SpecialNeeds (Haberman)', a me 'Enfamil'. E kamaʻilio me kāu hui lapaʻau a koho i ka mea kūpono loa no kāu pēpē. Mai makaʻu e hoʻāʻo i kekahi inā ʻaʻole holo pono kekahi ʻōmole.
• E hoʻopaʻa pololei i kāu pēpē i ka wā e hānai waiū ana, e kōkua iā ia e ʻū pinepine, a e kaupalena i ka hānai ʻana i 30 mau minuke. Hiki i kēia mau mea liʻiliʻi ke hana i kahi ʻokoʻa nui.
• Inā hōʻike kāu pēpē i nā hōʻailona o ka ʻū ʻana a i ʻole ka ʻū ʻana, he pilikia paha ia no ka hānai waiū. E ʻimi koke i ke kōkua lapaʻau.
• ʻAʻole ʻoe hoʻokahi! E kōkua ka "hui Cleft" iā ʻoe me nā mea āpau. Mai makaʻu e nīnau iā lākou, e noi i ke kōkua. Aia lākou ma laila e kōkua iā ʻoe.

ʻO ka mea nui loa, ʻo ia ka hānai ʻana i kāu pēpē me ke ahonui, ke aloha, a me nā ʻano kūpono . ʻOiai paha he huakaʻi paʻakikī kēia i ka wā mua, hiki iā ʻoe ke hana i kēia. A laila e ulu olakino a hauʻoli kāu pēpē. Makemake wau iā ʻoe i nā mea maikaʻi loa a pau ma kēia huakaʻi!

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Lehelehe Māwae, Lehelehe Māwae, Hānai Waiū, Nā ʻŌmole Kūikawā, Nā Pilikia Hānai Waiū, ʻŌlelo Aʻo Lapaʻau, ʻAi ʻAi Pēpē