Ke hoʻi hou mai nei ka meaʻai i kou puʻu ma hope o kou ʻai ʻana? E kamaʻilio kākou e pili ana i kēia Rumination Syndrome!

Ma hope o kāu ʻai ʻana, ke manaʻo nei hoʻi ʻoe e hoʻi hou mai ana ka meaʻai i loko o kou puʻu ma mua o ka ʻeli piha ʻia ʻana? Me ka ʻole o ka nausea o ka luaʻi ʻana, piʻi iki mai anei ia, a i kekahi manawa nau hou ʻoe a moni? A i ʻole e puka mai ana ia me ka ʻike ʻole ʻoe? He pilikia hoʻonāukiuki maoli kēia no kekahi poʻe. I kēia lā e kamaʻilio mākou e pili ana i kēia maʻi i kapa ʻia ʻo Rumination Syndrome. Mai makaʻu, ʻo ka mea nui loa, ʻo ia ka makaʻala i kēia.

He aha ka Rumination Syndrome?

I ka ʻōlelo maʻalahi, ʻo ka Rumination Syndrome ka wā e hoʻi hou mai ai ka meaʻai a mākou e ʻai ai mai ka ʻōpū a i loko o ka waha ma mua o ka ʻeli pono ʻia ʻana. I ka lāʻau lapaʻau, ua kapa ʻia kēia he regurgitation. Nau kekahi poʻe a moni i ka meaʻai e hoʻi hou mai ana i loko o ka puʻu, aʻo kekahi poʻe e kuha i waho. ʻO ka hapa nui o ka manawa, hana ʻia kēia ma hope koke o ka ʻai ʻana, a i ʻole i loko o kekahi mau minuke.

ʻO ka mea nui loa, i ka wā e hana ʻia ai kēia, ʻaʻole ʻoe e manaʻo i kekahi ʻeha a luaʻi paha e like me ka luaʻi ʻana e hele mai me ka ʻeha o ka ʻōpū. Manaʻo wale ia e like me ka piʻi ʻana mai o ka meaʻai me ka ʻole o ka hoʻoikaika nui. E noʻonoʻo e like me ke keiki liʻiliʻi ke loaʻa iā lākou ka waiū i loko o ko lākou puʻu.

ʻO kekahi mea ʻē aʻe, ʻo ka meaʻai e hiki mai ana i ka puʻu e like me kēia, ʻaʻohe ona ʻono ʻawaʻawa a ʻawaʻawa paha. ʻO ke kumu o kēia, ʻaʻole i hoʻomaka ka ʻai ʻana o ka meaʻai me ka waikawa o ka ʻōpū. ʻO ia hoʻi, ʻaʻole i komo piha ka meaʻai i ke kaʻina hana ʻai.

ʻO kēia regurgitation o ka meaʻai i loko o ka puʻu, i kekahi manawa i kapa ʻia ʻo "regurgitation," hiki ke lilo i hana reflex e hana koke ʻia a ʻaʻole hiki ke kāohi ʻia. Eia nō naʻe, no kekahi poʻe, i ka hala ʻana o ka manawa, hiki i kēia ke lilo i hana i manaʻo ʻia a i ʻole he maʻamau. Akā ʻo ka mea nui e hoʻomanaʻo ai, ʻaʻole kēia ma muli o ka ʻeha o ka ʻōpū, kahi maʻi e like me ka gastritis, a i ʻole kekahi maʻi ʻōpū koʻikoʻi ʻē aʻe.

ʻO wai ka mea i ʻoi aku ka paʻakikī o ka loaʻa ʻana o kēia maʻi?

Ua ʻike lōʻihi nā kauka ua loaʻa kēia ʻano, i kapa ʻia ʻo Rumination Syndrome, i nā keiki ʻōpio a me ka poʻe me nā kīnā ulu. Akā ʻo ka ʻoiaʻiʻo, hiki iā ia ke hoʻopilikia i kekahi o kēlā me kēia makahiki . ʻO ia hoʻi, hiki i nā keiki ʻōpio, nā ʻōpio makua, a me nā pākeke ke ʻike i kēia ʻano.

Ua ʻike ʻia e ka noiʻi ʻana he nui ka pilikia o nā keiki a me nā pākeke i kaumaha nui ʻia a hopohopo paha i ka loaʻa ʻana o ka maʻi rumination. No laila, ʻoi aku ka nui o kou ʻike ʻana i kēia ke kaumaha nui ʻoe, ke kaumaha, a i ʻole ka hopohopo .

He aha nā hōʻailona o kēia?

ʻAe, pehea lā e ʻike ai kākou i kēia Rumination Syndrome? He aha nā hōʻailona o kēia? E nānā kākou.

• ʻO ka hōʻailona nui ka luaʻi pinepine ʻana o ka meaʻai, a ukali ʻia e ka nau hou ʻana a i ʻole ke ale ʻana, a i ʻole ke kuha ʻana i waho. Hana pinepine ʻia kēia ma hope o kēlā me kēia ʻai ʻana.
• ʻO ka ʻeha o ka ʻōpū.Hiki ke loaʻa ka manaʻo piha, ka pehu ʻana, a i kekahi manawa ka ʻai ʻole ʻana a me ka ʻeha o ka ʻōpū.
• Nā pilikia niho. Hiki ke loaʻa ka hanu ʻino a me ka pala o nā niho no ka mea e paʻa mau ana ka meaʻai i loko o ka puʻu. ʻO kēia no ka mea aia paha kekahi waikawa i loko o ka meaʻai e puka mai ana mai ka ʻōpū.
• Ka hōʻemi kaumaha. No ka mea, ʻaʻole i komo pono ka meaʻai āu e ʻai ai i kou kino, hiki iā ʻoe ke hōʻemi i kou kaumaha i ka hala ʻana o ka manawa. Hiki i kēia ke hoʻopilikia nui i ka ulu ʻana o nā keiki.
• Nā lehelehe maloʻo a māwae.

Inā loaʻa i kāu pēpē kēia maʻi, hiki iā lākou ke hana i nā mea e like me ka squirm a me ke kūlou ʻana i ko lākou kua. (Eia nō naʻe, hiki i kēia hōʻailona ke lilo i hōʻailona o ka gastroesophageal reflux, ʻo ia ka wā e piʻi ai ka waikawa o ka ʻōpū i loko o ka puʻu, no laila he manaʻo maikaʻi e ʻike i ke kauka.) Hiki i nā pēpē ke hana i kahi leo gurgling.

No ke aha lā kēia e hana nei? He aha nā kumu?

ʻAʻole maopopo loa ke kumu kikoʻī o ka Rumination Syndrome. Eia nō naʻe, manaʻo nā kauka e hiki ke hana ʻia i ka wā e loaʻa ai i kekahi poʻe nā pilikia olakino noʻonoʻo a i ʻole nā ​​​​​​hanana kaumaha i ko lākou ola. ʻO ke ʻano kēia, pili paha ia i ke olakino noʻonoʻo .

I ka wehewehe ʻana ma ke ʻano mechanical, e like me ka mea e hana ʻia ana i loko o ko mākou kino, hiki ke like me kēia:

1. Ke ʻai kākou, hoʻonui ʻia ka ʻōpū, ʻo ia hoʻi ke ulu nui nei.

2. A laila, piʻi aʻe ke kaomi o ka ʻōpū.

3. I ka manawa like, hoʻomaha ka sphincter esophageal haʻahaʻa, ka mea e hana ana e like me ka valve kahi e pili ai ko kākou esophagus (ka paipu e lawe ana i ka meaʻai mai ka waha a i ka ʻōpū) i ka ʻōpū.

Ke hana ʻia kēia mau hanana ma ke kaʻina hana, hoʻomaka ka meaʻai i ʻeli ʻole ʻia i loko o ka ʻōpū e "regurgitate" i luna i ka esophagus, ʻo ia hoʻi, i loko o ka waha.

Pehea e ʻike ai nā kauka i kēia?

ʻAe, e nānā kākou pehea e ʻike ai ke kauka i kēia, ʻo ia hoʻi, pehea lākou e hoʻoholo ai "ʻO kēia ka Rumination Syndrome."

I ka hapanui o nā hihia, hiki ke ʻike ʻia kēia ma o ka mōʻaukala lapaʻau a me ka hoʻokolokolo kino e kāu kauka. ʻOi aku hoʻi, inā ua luaʻi ʻoe i ka meaʻai no 3 mau mahina ma ka liʻiliʻi, akā ʻaʻole i luaʻi, ua lawa nā hōʻike e hōʻike ana he Rumination Syndrome paha kāu.

Wahi a ka Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) i ʻae ʻia e ke kauka, i mea e ʻike ʻia ai kekahi me kēia maʻi, pono e hoʻokō ʻia nā pae hoʻohālikelike e like me kēia:

• Ke hoʻomau nei ka piʻi ʻana o ka meaʻai i loko o ka puʻu no hoʻokahi mahina ma ka liʻiliʻi. ʻO ka meaʻai e piʻi mai ana ua nau ʻia, moni ʻia, a hoʻokuʻu ʻia paha.
• ʻAʻole pono kēia regurgitation meaʻai e hana ʻia e kahi maʻi gastrointestinal a i ʻole kekahi maʻi olakino ʻē aʻe (no ka laʻana, nā kūlana i kapa ʻia ʻo gastroesophageal reflux a i ʻole pyloric stenosis).
• ʻAʻole hiki ke hana hoʻokahi ʻia kēia maʻi ʻai me kekahi maʻi ʻai ʻē aʻe, e like me ka anorexia nervosa, bulimia nervosa, binge eating disorder, a i ʻole ka pale ʻana/ palekana i ka ʻai ʻana i ka meaʻai.
• Inā hele pū ka maʻi ʻai me kekahi maʻi noʻonoʻo ʻē aʻe (e like me ke kīnā noʻonoʻo), pono e koʻikoʻi nā hōʻailona e pono ai ke nānā ʻia e ke kauka.

Eia kekahi, hiki i nā kauka ke hana i kekahi mau hoʻokolohua e hoʻoholo ai inā he maʻi ʻē aʻe ke kumu o kēia mau hōʻailona. Eia kekahi laʻana:

• Hoʻāʻo hoʻokahe ʻōpū: Ke ana kēia i ka lōʻihi o ka neʻe ʻana o ka meaʻai mai ka ʻōpū a i ka ʻōpū liʻiliʻi.
• ʻO ka endoscopy luna: Ma kēia kaʻina hana, hoʻokomo ke kauka i kahi ʻōmole lahilahi me kahi kāmela liʻiliʻi i kapa ʻia he endoscope i lalo o kou puʻu e nānā i kou esophagus a me ka ʻōpū. Hiki i kēia ke kōkua i ka nānā ʻana i nā ʻeha a i ʻole nā ​​​​pilikia ʻē aʻe i loko.
• Nā kukuna X: Lawe ʻia nā kiʻi o loko o ka esophagus a me ka ʻōpū.

He aha ka lāʻau lapaʻau?

ʻAe, he aha nā lāʻau lapaʻau no ka Rumination Syndrome? He mea hiki ʻole ke ho'ōla ʻia kēia? ʻAʻole.

ʻO ka lāʻau lapaʻau nui a maikaʻi loa no kēia, ʻo ia ka "behavioral therapy." I ka ʻōlelo maʻalahi, pili ia i ka hoʻololi ʻana i kāu ʻano e pale ai i ka meaʻai mai ka iho ʻana i lalo o kou puʻu. ʻO ka behavioral therapy a nā kauka e kuhikuhi pinepine ai no kēia, ʻo ia ka "diaphragmatic breathing." Ua kapa pū kekahi poʻe i kēia he "breathing ʻōpū."

He aha ka hanu diaphragmatic?

He ʻiʻo nui ke ʻano o ka diaphragm, aia ma waena o ko kākou umauma a me ka ʻōpū. ʻO ia ka ʻiʻo nui e hana i ka wā e hanu ai kākou. ʻO ka manaʻo o ka hanu diaphragmatic e hoʻomaha i kou diaphragm, e hoʻohana pono iā ia i ka wā e hanu ana, a kōkua i ka hoʻoikaika ʻana. Kōkua kēia i ka kaohi ʻana i ka meaʻai e iho ana i kou puʻu.

Eia pehea e hana ai:

1. E moe i luna ma kahi pālahalaha (e like me ka papahele) a i ʻole ma kahi moe. E kulou i kou mau kuli a kau i kahi uluna ma lalo o kou poʻo. Inā makemake ʻoe, hiki iā ʻoe ke kau i kahi uluna ma lalo o kou mau kuli e kākoʻo i kou mau wāwae.

2. E kau i kekahi lima ma kou umauma a ʻo kekahi lima ma lalo iki o kou mau iwi ʻaoʻao, ʻo ia hoʻi, ma kou ʻōpū. E kōkua kēia iā ʻoe e ʻike i kou diaphragm e neʻe ana a me kou ʻōpū e piʻi ana a e iho ana i kou hanu ʻana.

3. I kēia manawa, e hanu i loko ma kou ihu. I kou hana ʻana pēlā, pono e piʻi aʻe ka lima ma kou ʻōpū. ʻO ia hoʻi, pono e hoʻonui kou ʻōpū. E hoʻāʻo e hoʻopaʻa i ka lima ma kou umauma ma kahi hoʻokahi i ka hiki, me ka hoʻoneʻe ʻole ʻana. Ke aʻo aku nei mākou i kēia i nā kamaliʻi ʻōpio, "E hanu i loko e like me ka mea mele opera."

4. A laila, e ʻūmiʻi iki i kou mau lehelehe (e like me ka puhi ʻana i ka ʻūlili) a hanu i waho ma kou waha. I kāu hana ʻana i kēia, e hoʻopaʻa i kou mau ʻiʻo ʻōpū a hoʻokuʻu iā lākou e komo i loko. ʻO ke ʻano kēia, pono e iho i lalo ka lima ma kou ʻōpū. I kēia manawa, e hoʻopaʻa i ka lima ma kou umauma me ka hiki.

ʻEhia pinepine e pono ai iaʻu e hana i kēia hoʻomaʻamaʻa hanu?

E hana i kēia hoʻomaʻamaʻa ʻekolu a ʻehā paha manawa i ka lā, no kahi o 5 a 10 mau minuke i ka manawa. He mea paʻakikī iki paha i ka wā mua, akā e lilo ia i mea maʻalahi me ka hoʻomaʻamaʻa ʻana. Inā makemake ʻoe e hoʻoikaika iki i kēia hoʻomaʻamaʻa, hiki iā ʻoe ke hana me ka paʻa ʻana i kahi mea e like me ka puke ma kou ʻōpū.

ʻO ka mea nui loa, ʻo ia ka hoʻomaʻamaʻa ʻana i kēia 'hanu ʻōpū' ma hope o kēlā me kēia ʻai ʻana, a i ʻole i ka wā e ʻai ai i kahi meaʻai, inā pono. E kōkua nui kēia i ka pale ʻana i ka meaʻai mai ke komo ʻana i loko o kou puʻu.

He aha nā pilikia e hiki ai i kēia ke hana?

Inā ʻaʻole i mālama pono ʻia, hiki i ka Rumination Syndrome ke hōʻino i ko kākou esophagus (ka ʻōmole e lawe ana i ka meaʻai mai ka waha a i ka ʻōpū). No ka mea, i ka wā e piʻi mau ai nā mea o loko o ka ʻōpū, ʻaʻole ia he mea maikaʻi no ka esophagus.

Ma waho aʻe o kēlā, hiki ke loaʻa nā pilikia ʻē aʻe. ʻO lākou kēia:

• Hilahila, ka ʻoluʻolu ʻole o ka noho ʻana i loko o ke kaiāulu. Hiki i kēia ke hoʻopilikia i ka noʻonoʻo.
• ʻAʻohe meaʻai olakino. No ka mea, ʻaʻole omo pono ke kino i ka meaʻai.
• Ka ulu pono ʻole. Hiki i kēia ke loaʻa ka hopena nui i ka ulu ʻana o nā keiki.
• Ke kaulike ʻole o ke electrolyte i loko o ke kino. ʻO ia hoʻi, he kaulike ʻole i nā ʻano paʻakai e pono ai ke kino.
• Ka maloʻo ʻana. Ka nele o ka wai i loko o ke kino.
• Ka hanu ʻana o ka meaʻai i loko o ka ʻōpū hanu a i ʻole nā ​​māmā. He mea weliweli iki kēia no ka mea hiki ke hoʻoulu i nā maʻi māmā.
• Pōkole o ka hanu.
• Nā maʻi puʻupaʻa e like me ka maʻi pneumonia.
• I nā hihia koʻikoʻi loa a kākaʻikahi, hiki ke make. (He mea kākaʻikahi loa kēia, akā he mea maikaʻi ke makaʻala).

Aia kekahi mau ala e pale aku ai i kēia mai ka hana ʻana?

ʻOiai he paʻakikī ke ʻōlelo inā hiki ke pale loa ʻia, hiki paha ke hoʻemi ʻia ka pilikia. ʻOi aku hoʻi, ma ke aʻo ʻana i nā ala maikaʻi e hoʻoponopono ai i nā kūlana hopohopo,ʻO ke ʻano kēia, ma ka hoʻohana ʻana i nā "hoʻolālā hoʻoponopono maikaʻi", hiki ke hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka "Rumination Syndrome" i kekahi ʻano. He mea nui loa ka mālama ʻana i ke olakino noʻonoʻo maikaʻi.

Hiki iā kākou ke ola me kēia kūlana? He aha ka wā e hiki mai ana?

ʻAe, nui ka poʻe e ola olakino a maʻamau me ka Rumination Syndrome. Inā mālama ʻia a mālama pono ʻia, ʻaʻole ia he hopena nui i kāu mau hana o kēlā me kēia lā. No laila, mai hoʻonāwaliwali inā ʻike ʻoe ua loaʻa iā ʻoe.

Āhea wau e ʻike ai i ke kauka?

Inā loaʻa iā ʻoe a i ʻole kāu keiki nā hōʻailona o ka Rumination Syndrome, ʻo ia ka mea a mākou i kamaʻilio ai ma mua, ʻoiai inā e piʻi mau ana ka meaʻai i kou puʻu, e ʻike pono i kāu kauka ʻohana a i ʻole ke kauka pediatrician. ʻO ia ka mea maikaʻi loa e hana ai. Hiki iā lākou ke nānā pono iā ʻoe a aʻo iā ʻoe i ke kumu o kēia a me ka mea e hana ai.

He aha nā nīnau āu e nīnau ai i ke kauka?

Inā loaʻa iā ʻoe kēia maʻi, hiki iā ʻoe ke nīnau i nā nīnau e like me kēia ke ʻike ʻoe i ke kauka. E kōkua kēia iā ʻoe e loaʻa kahi ʻike maopopo o kēia:

• "E ke kauka, pehea ke koʻikoʻi o kēia Rumination Syndrome?"
• "He aha ke kumu maoli o kēia?"
• "He aha ka lāʻau lapaʻau kūpono iaʻu? He aha kaʻu e hana ai?"
• "Aia kekahi lāʻau lapaʻau no kēia? A i ʻole he mau hoʻomaʻamaʻa hanu wale nō?"
• "E hoʻopilikia anei kēia i koʻu ola o kēlā me kēia lā?"

ʻO ka mea hope loa, kekahi mau mea e hoʻomanaʻo ai (Leka Lawe-Home)

ʻAe, ua kamaʻilio nui mākou e pili ana i ka Rumination Syndrome. ʻO ka mea hope loa, eia kekahi mau mea nui e pono ai ʻoe e hoʻomanaʻo:

ʻO ka Rumination Syndrome kahi kūlana e hoʻi hou mai ai ka meaʻai i loko o ka puʻu ma hope koke iho o ka ʻai ʻana, ma mua o ka ʻeli ʻia ʻana. ʻAʻole kēia he luaʻi. Hiki ke loaʻa i nā kānaka o kēlā me kēia makahiki, a i kekahi manawa hiki ke pili pū me ke kaumaha.

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Inā loaʻa iā ʻoe kēia mau hōʻailona , ​​mai hilahila a makaʻu paha. E ʻike koke i ke kauka a loaʻa ka ʻōlelo aʻoaʻo. Hiki i nā lāʻau lapaʻau e like me nā hoʻomaʻamaʻa hanu diaphragmatic ke kōkua i ka kaohi ʻana i kēia i kahi nui.

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ʻO ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau kūpono a me ka mālama ʻana ke ala maikaʻi loa e hoʻokele ai i kēia maʻi. ʻAʻole ʻoe hoʻokahi, a loaʻa ke kōkua.

ʻO ka Rumination Syndrome, ka meaʻai e piʻi mai ana i loko o ka puʻu, regurgitation, ʻōnaehana hoʻoheheʻe, kaumaha, hanu diaphragmatic, behavioral therapy