Loaʻa i kāu pēpē ke kaula alelo pū kekahi? E kamaʻilio kākou e pili ana i ke kaula alelo!

He nani loa ke ola me kahi pēpē hānau hou, ʻeā? Akā i kekahi manawa, hele pū mai nā pilikia liʻiliʻi me ia. ʻOi loa aku i ka wā e hānai ai i kāu pēpē. ʻAʻole makemake kāu pēpē e inu i ka waiū? ʻAʻole anei ʻo ia e piʻi ana ke kaumaha? A i ʻole ke ʻeha nei ʻoe i ka wā e hānai ai i ka waiū? ʻO kekahi kumu no kēia he pilikia liʻiliʻi paha me ke alelo o kāu pēpē. Ke kamaʻilio nei mākou e pili ana i kahi mea like i kēia lā.

He aha ka Tongue-Tie?

I ka ʻōlelo maʻalahi, ʻo ke kāʻei alelo , a i ʻole e like me ka kapa ʻana o nā kauka , ʻo "Ankyloglossia," he ʻano ia e kaupalena ʻia ai ka neʻe ʻana o ke alelo o ka pēpē. ʻO kēia no ka mea, ʻo kahi ʻāpana o ka ʻiʻo ma lalo o ke alelo o ka pēpē - i kapa ʻia ʻo "Lingual Frenulum" - he pōkole a ʻoi aku paha ka paʻa ma mua o ka maʻamau. E noʻonoʻo e pili ana, aia kahi ʻāpana liʻiliʻi o ka ʻiʻo ma lalo o ko kākou alelo e hoʻopili ana i ko kākou alelo i ka papahele o ko kākou waha. Loaʻa i nā pēpē kekahi mea like.

Loaʻa i kēlā me kēia pēpē kēia `(Lingual Frenulum)` ma lalo o ko lākou alelo, a he mea maʻamau ia. ʻAʻole ia e hōʻeha. Akā i kekahi manawa kū mai nā pilikia ke paʻa loa kēia, a i ʻole ke kokoke loa i ka piko o ke alelo. A laila ʻaʻole hiki i ka pēpē ke hoʻoneʻe pono i kona alelo, lilo ia i mea paʻakikī ke hāpai i luna a hoʻokuʻu i waho. ʻOi loa aku i ka wā e hānai waiū ai, ʻaʻole hiki iā ia ke hana i nā neʻe e pono ai me kona alelo me ke kūpono.

Hiki i ke alelo ke lilo i mea paʻakikī i kekahi manawa i ka wā e hānai waiū ai . Hiki i nā pēpē me ke alelo ke paʻakikī i ka hoʻopaʻa pono ʻana i ka umauma a i ʻole ka omo ʻana i ka waiū. Hiki i kēia ke pale iā lākou mai ka loaʻa ʻana o ka meaʻai a lākou e pono ai . Eia kekahi, ʻoiai ʻaʻole i hoʻopaʻa pono ka pēpē, hiki iā ʻoe ke manaʻo i ka ʻeha a me ka ʻoluʻolu ʻole i ka wā e hānai waiū ai. Manaʻo kekahi mau makuahine e hoʻōki i ka hānai waiū ma muli o kēia.

Inā ua ʻike ʻoe i kēia, mai hopohopo . I ka manawa pinepine, hiki i nā kākā'ōlelo lactation ke kōkua iā ʻoe e lanakila i kēia mau pilikia ma ka hoʻololi ʻana i kou kūlana hānai waiū a i ʻole ke ʻano o kāu pēpē e hoʻopaʻa ai i ka umauma. Inā ʻaʻole holo pono kēia mau ʻano hana, hiki i kāu pēpē ke hana i kahi ʻoki palekana a wikiwiki hoʻi i kapa ʻia he frenotomy . Pili kēia i ka ʻoki ʻana a me ka hoʻokuʻu ʻana i ka lingual frenulum. Hiki i kēia ke neʻe manuahi i ke alelo o kāu pēpē. E hana pū ana kāu kākā'ōlelo lactation a me ke kauka pediatric e ʻimi i ka hopena maikaʻi loa no ʻoe a me kāu pēpē.

Pehea ka maʻamau o kēia?

I kēia manawa, ke noʻonoʻo nei paha ʻoe, "ʻAuē, ʻo kaʻu pēpē wale nō kēia?" Mai hopohopo. Wahi a ka American Academy of Pediatrics, ma waena o 1% a me 11% o nā pēpē hānau hou i loaʻa nā hōʻailona o kēia ʻano (Ankyloglossia). ʻO ia hoʻi, he mea maʻamau loa ia. Ua ʻōlelo ʻia hoʻi he mea maʻamau iki ia i nā pēpē kāne. No laila, ʻaʻole kēia he mea āu e kū nei me ka hoʻokahi.

He aha nā hōʻailona a ka pēpē a me ka makuahine e ʻike ai?

ʻĀ, pehea lā mākou e ʻike ai inā he alelo paʻa ko mākou? Hiki ke loaʻa nā hōʻailona e hoʻopilikia i ka pēpē a me ka makuahine hānai.

Nā hōʻailona hiki ke loaʻa i kahi pēpē hānau hou:

E nānā inā loaʻa i kāu keiki liʻiliʻi kēia mau mea:

• ʻAʻole paha e hoʻopili pono ka pēpē a hoʻopili hohonu paha: ʻAʻole paha e hoʻopili iki ka pēpē, a uē paha i ka wā e hoʻāʻo ai e hoʻopili. Hiki i ka pēpē ke hana i kahi leo kaomi i ka wā e omo ai, a huki paha mai ka umauma.
• Me he mea lā ʻaʻole e iho pono ana ka waiū i ka wā e hānai waiū ana: ʻO ia paha ke kumu e piʻi pono ʻole ai ke kaumaha o ka pēpē. Ke noi pinepine nei paha lākou i ka waiū (hānai pinepine ʻana), akā i ka pau ʻana o ka inu ʻana, pōloli hou lākou. ʻAʻole paha lākou e lohe i ke kani o ka waiū e moni ʻia ana.

Nā hōʻailona hiki iā ʻoe ke ʻike i ka wā e hānai ai i ka waiū:

Ma ke ʻano he makuahine, hiki iā ʻoe ke ʻike i nā mea e like me kēia:

• Nā nipples māwae a ʻeha.
• Ke ʻeha nei au i ka wā e hānai waiū ana.
• ʻAʻole lawa ka waiū: No ka mea ʻaʻole omo pono ka pēpē, e emi iho paha ka hana ʻana o ka waiū i ka hala ʻana o ka manawa.

Akā eia kekahi mea e hoʻomanaʻo ai: ʻAʻole pili kēia mau hōʻailona i ka ʻūlū ʻana o ke alelo. Kāhea nā kauka iā lākou he mau hōʻailona 'nonspecific' . ʻO ia hoʻi, hiki ke hana ʻia e nā mea ʻē aʻe. No laila he mea nui e ʻike i ke kauka a i ʻole kekahi loea lactation i ʻike i nā pilikia hānai waiū e ʻike i ke kumu pololei. Hiki iā lākou ke kōkua iā ʻoe e ʻike i ke kumu o kāu mau hōʻailona (inā he ʻūlū ʻana o ke alelo a i ʻole kekahi mea ʻē aʻe) a kōkua iā ʻoe e loaʻa kahi hopena.

Pehea ʻoe e ʻike ai i kēia ʻōlelo wiliwili?

Hiki i ke alelo o kāu pēpē ke nānā aku me he puʻuwai lā , a i ʻole he ʻoki liʻiliʻi paha ma ka piko o ke alelo. ʻO kēia no ka mea ua pili ka frenulum lingual, aʻu i ʻōlelo ai ma mua, i ka piko o ke alelo a ua kaupalena i kona neʻe ʻana. Akā i kekahi manawa ʻaʻole ʻike nui ʻia kēia, hiki ke ʻike iki ʻia. Hoʻolohe nā kauka i kēia i ka wā o ka nānā kino ʻana o ke pēpē ma hope o ka hānau ʻana.

He aha nā kumu o ka `(Ankyloglossia)`?

He mea hānau mai ka ʻili ʻōlelo. ʻO ia hoʻi, ua hānau ʻia kahi pēpē me kēia maʻi. ʻAʻole maopopo i nā kānaka noiʻi ke kumu e ulu ai kekahi mau pēpē. Eia nō naʻe, manaʻo lākou he ʻāpana genetic paha. Manaʻo kekahi mau noiʻi hiki ke holo i loko o nā ʻohana, malia paha he ʻano hoʻoilina i hoʻopili ʻia me X.

Pehea e ʻike ai nā kauka i kēia me he ankyloglossia lā?

Nānā pinepine nā kauka pediatric i kēia i ka wā e hānau ai ka pēpē. Hana pū lākou me nā loea lactation, hiki iā lākou ke haʻi pololei iā ʻoe inā e hoʻopilikia kēia mau loli i ke alelo o ka pēpē i ka hānai waiū.

ʻO ka mea nui, ʻoiai he paʻa iki a pōkole paha ke alelo o kahi pēpē, ʻaʻole ia he manaʻo he "ʻili alelo" ko lākou a pono paha ka lāʻau lapaʻau. Hoʻomaopopo wale nā ​​kauka i kēia maʻi inā ke kāohi nei ke ʻili alelo i ka hana a ke alelo a paʻakikī ka hānai waiū.

E hana nā kauka i kēia mau mea e hoʻoholo ai inā he alelo paʻa ko kāu pēpē:

• E nīnau lākou e pili ana i kou mōʻaukala hānai waiū: Inā he mau pēpē mua kāu, pehea kou ʻike me lākou. Inā he nakinaki alelo ko kāu pēpē, ʻokoʻa paha ko lākou manaʻo ke omo ʻoe ma mua o nā pēpē ʻē aʻe. E nīnau pū lākou i ka lōʻihi o kou hānai waiū ʻana, ehia mau manawa i ka lā āu e hānai waiū ai, a inā ʻoe e pamu a hānai waiū paha.
• Ke nīnau nei i kou manaʻo i ka wā e hānai waiū ana: Inā ʻoe e ʻeha mau ana a ʻoluʻolu ʻole paha, pono ʻoe e haʻi i kāu kauka . ʻAʻole kēia manaʻo he "(Tongue-Tie)" kāu pēpē, no ka mea, he nui nā kumu ʻē aʻe no ka hānai waiū ʻeha. Akā, hiki i ka ʻoluʻolu ʻole āu e manaʻo nei ke kōkua iā lākou e ʻike i ke kumu o ka pilikia.
• E noʻonoʻo i ka mōʻaukala olakino o ka pēpē: He nui nā mea e hiki ke hoʻopilikia i ka hiki o ka pēpē ke hānai waiū, e like me nā maʻi neurological, nā maʻi puʻuwai, a me nā mea e ālai ai i ka ihu a i ʻole ke ala ea. Inā he mau pilikia ʻē aʻe, ʻaʻole e kōkua ka mālama ʻana i ka tongue-tie wale nō.
• Ka nānā kino ʻana o ka pēpē: Ma kēia, e nānā pono ke kauka lapaʻau i ke alelo o ka pēpē a me nā ʻāpana ʻē aʻe o ka waha. E nānā lākou no nā hōʻailona o ke alelo paʻa a i ʻole nā ​​​​maʻi olakino ʻē aʻe.
• Nānā pololei i ka hānai ʻana i ka waiū: E nānā ke kākā'ōlelo lactation iā ʻoe a me kāu pēpē i kou wā e hānai ana i ka waiū. E nānā lākou i nā mea e like me ke ʻano o kou paʻa ʻana i kāu pēpē (kūlana hānai) a pehea e hoʻopaʻa ai kāu pēpē i kou umauma (latch). I kekahi manawa, ʻo kahi hoʻololi iki i ke ʻano o kou paʻa ʻana a me ka latch ʻana i kāu pēpē hiki ke kōkua i kahi pēpē me ke alelo-tie e hele i ka hānai ʻana me ka ʻole o nā pilikia.

Aia kekahi mau hoʻokolohua kūikawā no ka ʻike ʻana i ke ʻano o ka alelo paʻa?

ʻAʻole pono ka pēpē i nā hoʻokolohua kūikawā no kēia. Hoʻohana kekahi mau kauka i nā ʻōnaehana māka like ʻole a i ʻole nā ​​​​mea hana loiloi e ʻike ai i ka neʻe maikaʻi ʻana o ke alelo o ka pēpē i loko o ka waha. Akā ʻo ke ala wale nō e hiki ai iā lākou ke loaʻa ka ʻike e pono ai lākou ma ka nānā ʻana i ke alelo o ka pēpē a me ka hoʻopā ʻana i ka lingual frenulum. Kōkua kēia mau ʻōnaehana māka i nā kauka e wehewehe i ke ʻano a me ka hana o ke alelo o ka pēpē. Kōkua kēlā ʻike i ka hōʻoia ʻana.

He aha nā lāʻau lapaʻau no kēia?

ʻAe, e nānā kākou i ka mea hiki ke hana ʻia e mālama ai i kēia kūlana `(Tongue-Tie)`. ʻElua mau mea nui a nā kauka e hana ai no kēia:

1. Kōkua iā ʻoe e hoʻomohala i kahi kūlana hānai a me ka latch: Kōkua kēia i nā pēpē he nui me nā latches i paʻa i ke alelo e hānai pono me ka ʻole o ka pilikia. E kākoʻo kāu kākā'ōlelo lactation iā ʻoe i kēlā me kēia ʻanuʻu o ke ala a e nānā mau i kāu holomua.

2. I kekahi mau hihia, hiki ke hana ʻia kahi ʻoki liʻiliʻi a wikiwiki hoʻi ma ke keʻena o ke kauka: ʻO kēia ka ʻoki ʻana a me ka wehe ʻana i ka "Lingual Frenulum" ma lalo o ke alelo o ka pēpē. ʻAe kēia i ke alelo o ka pēpē e neʻe manuahi.

Pono maoli anei kaʻu pēpē i kahi frenotomy?

ʻO ka hapa nui o ka manawa, ʻaʻole pono nā pēpē āpau me ke alelo paʻa e hana ʻoki. A, inā pono kāu pēpē i ka mālama ʻana, hiki iā ʻoe ke hilinaʻi ʻaʻole ia he hana ʻoki nui. ʻO ka ʻoiaʻiʻo, hiki i nā kauka ke hana i kēia kaʻina hana i kapa ʻia he frenotomy, he hana wikiwiki ia ma ke keʻena.

ʻAʻole pono ka hapa nui o nā pēpē me ke tongue-tie i kahi frenotomy. Paipai wale nā ​​​​kauka i kēia inā ʻaʻole hoʻomaikaʻi kou kūlana hānai a me ka latching i kāu mau hōʻailona.

He hana palekana loa kēia a ua manaʻo ʻia ʻo ia ke kūlana gula no ka mālama ʻana i nā pēpē me ke alelo. Ma mua o ka hana ʻana i kahi frenotomy, e kāpae nā kauka a mālama paha i nā kumu ʻē aʻe o nā pilikia hānai waiū. Inā pono ka frenotomy, ʻoi aku ka maikaʻi o ka hana ʻana i loko o ka mahina mua o ke ola o ka pēpē . E kōkua kēia i kāu pēpē e aʻo e latch pono mai ka hoʻomaka ʻana.

Aia kekahi mau hemahema i ka ʻoki ʻana i ka membrane ma lalo o ke alelo?

ʻO ka Frenotomi ma ke ʻano laulā he ʻoki palekana loa ia, a he haʻahaʻa loa ka pilikia o nā pilikia. Eia naʻe, he mea kākaʻikahi loa, hiki i kēia mau mea ke hana i kāu pēpē:

• Ke kahe ʻana o ke koko
• Maʻi
• Ka ʻeha
• ʻAʻole makemake ka pēpē e ʻai (ʻaʻole makemake ka pēpē e ʻai)
• Ka hōʻino ʻana i nā kelepa salivary (nā ala saliva) i loko o ka waha.

Hiki ke pale ʻia ka paʻa ʻana o ke alelo?

ʻAʻohe ala i ʻike ʻia e pale aku ai i ke alelo paʻa. He maʻi hānau ʻia ia, no laila he mea paʻakikī iā mākou ke kāohi iā ia. Eia nō naʻe, i nā hihia koʻikoʻi, hiki i ka ʻike mua a me ka mālama ʻana ke pale i nā pilikia me ka hānai waiū.

He aha kāu e manaʻo ai i ka wā e loaʻa ai kahi pēpē paʻa ke alelo?

ʻAʻohe mea e hopohopo ai nā niho paʻa i ke alelo. He mea maʻamau ia a hiki ke mālama pinepine ʻia me ke ʻoki ʻole ʻana. ʻO ka mea nui loa, ʻo ia ke ʻimi koke i ke kōkua .. Mai manaʻo, 'Inā wau e hana iki aʻe, e maikaʻi nō ia.' ʻAʻole na ʻoe ka hewa o nā pilikia hānai waiū, a he mea maʻamau loa ia. Pono nā makuahine akamai i kekahi manawa i ka ʻōlelo aʻoaʻo akamai e hoʻoponopono i nā pilikia.

Hoʻopilikia anei ke nakinaki alelo i ka hānai ʻana i ka ʻōmole?

ʻAʻole pinepine nā pēpē paʻa alelo i ka pilikia me ka hānai ʻana i ka ʻōmole. Hoʻohana ka pēpē i kona alelo e omo i ka waiū mai ka ʻōmole ma ke ʻano ʻokoʻa ma mua o kāna hana ʻana mai ka umauma. Inā pono, hiki i kahi loea hānai ke kōkua ma ka hoʻoponopono ʻana i ka nipple ʻōmole a i ʻole ka wikiwiki o ke kahe ʻana o ka waiū. Inā pilikia mau kāu pēpē i ka hoʻopuka ʻana i ka waiū mai loko mai o ka ʻōmole, aia paha kekahi mau kumu ʻē aʻe. E hana pū kāu loea a me ke kauka keiki e ʻimi i ke kumu.

Āhea wau e ʻike ai i ke kauka?

Inā pilikia kāu pēpē i ka latching, e ʻike pono i ke kauka a i ʻole ke kākāʻōlelo lactation . Inā paha ke kumu he tongue-tie a i ʻole, hiki iā lākou ke hāʻawi iā ʻoe i ke kākoʻo āu e pono ai. ʻO ka wikiwiki o kāu kamaʻilio ʻana e pili ana i ia mea, ʻo ka wikiwiki o ka maikaʻi ʻana o ʻoe a me kāu pēpē.

Nā mea pili ʻē aʻe

I kēia manawa, e nānā kākou i kekahi mau nīnau liʻiliʻi e pili ana i kēia.

Ke kumu nei anei ke alelo-tie i ka apnea hiamoe?

Wahi a kahi ʻōlelo kuikahi lapaʻau i paʻi ʻia i ka makahiki 2020, ʻaʻohe hōʻike i kēia manawa e hiki ai i ka tongue-tie i nā keiki ke kumu o ka sleep apnea.

Hoʻopilikia anei ke alelo paʻa i ka ʻōlelo ʻana?

Ua ʻae like nā loea ʻaʻole pinepine ka tongue-tie i ka hoʻopilikia ʻana i ka ʻōlelo a ke keiki. No laila, ʻaʻohe pono e hana i kahi frenotomy ma kahi pēpē me ka manaʻolana e pale aku i nā maʻi ʻōlelo i ka wā e hiki mai ana.

He aha ke ʻano o ka `(Posterior Tongue-Tie)`?

ʻO ka huaʻōlelo "Posterior Tongue-Tie" e pili ana i ka ʻāpana o ka "Lingual Frenulum" ma lalo o ke alelo e waiho ana ma hope o ke alelo, ma kahi kokoke i ka piko o ke alelo. Eia naʻe, he huaʻōlelo hoʻopaʻapaʻa iki kēia. Wahi a kekahi mau kauka ʻaʻole pololei kēia ma ke ʻano anatomical, a no laila ke kuhikuhi nei e wehe ʻia ka huaʻōlelo. Makemake lākou e hoʻohana i ka huaʻōlelo "Tongue-Tie", me ka nānā ʻole i kahi o ka "Lingual Frenulum".

He aha ke ʻano o ka `(Lip Tie)`?

ʻO ka `(Lip Tie)` e pili pinepine ana i ka membrane e hoʻopili ana i ka lehelehe luna o ka pēpē i ka ʻāʻī luna. ʻO kēia membrane, i kapa ʻia ʻo `(Maxillary Labial Frenulum)` , hiki ke loaʻa nā ʻano like ʻole e like me ka mea maʻamau. Inā he lehelehe i hoʻopili ʻia i ka lalo o ka ʻāʻī o ka pēpē, a i ʻole he lehelehe i ʻike ʻia he nui loa, ʻaʻole hiki ke ʻōlelo ʻia e hoʻoulu ia i nā pilikia.

Eia nō naʻe, he kumuhana hoʻopaʻapaʻa nā lehelehe paʻa i waena o nā kauka. Manaʻo kekahi e hiki i nā lehelehe paʻa ke hoʻoulu i nā pilikia hānai waiū a i ʻole nā ​​pilikia niho ma hope o ke ola. Wahi a kekahi ʻaʻole lawa nā hōʻike e hōʻoia i kēia mau loulou.

I ka wā e pili ana i ka hānai waiū ʻana, hōʻike ka noiʻi hou loa ʻaʻole pono ke ʻoki kino e mālama i ka "Lip Tie." ʻAʻohe hōʻike e hōʻike ana e hoʻomaikaʻi ka wehe ʻana i ka "Lip Tie" i ke kahe ʻana o ka waiū a hōʻemi paha i ka ʻeha o ka nipple. Eia nō naʻe, inā he mau nīnau kāu e pili ana i ke ʻano o ka hoʻopaʻa ʻana i kāu pēpē, e kamaʻilio me kahi loea lactation.

Loaʻa i nā mākua ke alelo paʻa?

Hiki i nā niho paʻa alelo ke hoʻopilikia i kekahi mau pākeke, akā ʻike pinepine ʻia a mālama ʻia i ka wā kamaliʻi. ʻO ka lingual frenulum, aia ma lalo o ke alelo, ʻo ia kekahi o nā frenulums i loko o kou waha. ʻO nā frenulums ʻē aʻe, e like me ka buccal frenulum, aia ma ka papālina, hāʻawi i ke kākoʻo i nā ʻāpana ʻē aʻe o kou waha. Ma muli o ko lākou nui a i ʻole kahi, hiki iā lākou ke paʻakikī i ka hoʻomaʻemaʻe pono ʻana i kou mau niho a me nā ʻāʻī. Hiki i kāu kauka niho ke nānā i nā ʻano āpau i loko o kou waha a haʻi iā ʻoe inā he hewa kekahi mea.

ʻO ka mahina mua o ke ola o kāu pēpē he manawa kupanaha a me ka ʻike no ʻolua ʻelua. Akā hiki nō hoʻi ke luhi a hoʻonāukiuki, ʻoiai inā ʻaʻole holo pono ka hānai ʻana e like me ka hoʻolālā. Hiki i ke alelo ke lilo i kumu o nā pilikia hānai. Akā, ʻaʻole ia wale nō. Inā pilikia kāu pēpē i ka hānai ʻana, mai kānalua e ʻike i kahi loea hānai. Hiki iā lākou ke hana pū me kāu pediatrician e ʻimi i ke kumu a loaʻa kahi hopena e kūpono i kāu mau pono.

He aha nā manaʻo nui e pono ai kākou e lawe mai kēia moʻolelo mai ka home mai?

ʻAe, eia kekahi mau mea e pono ai ʻoe e hoʻomanaʻo mai nā mea a mākou i kamaʻilio ai e pili ana i ka tongue-tie:

• He mea maʻamau nā niho paʻa alelo: ʻaʻole ia he mea kūikawā i kāu pēpē. Hiki i ka hapa nui o nā pēpē ke loaʻa iā lākou.
• ʻAʻole pono ke ʻoki kino ('frenotomy') i nā hihia a pau o ka ʻalelo paʻa: I nā manawa he nui, hiki ke hoʻoponopono ʻia kēia mau pilikia ma ka hoʻololi ʻana i ke kūlana hānai waiū a me ke ʻano o ka pēpē e paʻa ai i ka umauma.
• E makaʻala i nā hōʻailona: Inā ʻaʻole makemake kāu pēpē e hānai i ka waiū, ʻaʻole e piʻi ke kaumaha, a ʻeha paha i ka wā e hānai ana i ka waiū, e kamaʻilio me kāu kauka e pili ana i kēia.
• E kiʻi koke i ke kōkua: E ʻike i kahi kauka keiki a i ʻole ke kākāʻōlelo hānai waiū i ka wā e ʻike ai ʻoe i kahi pilikia. E kōkua kēia iā ʻoe a me kāu pēpē e loaʻa koke ka hōʻoluʻolu.
• ʻAʻole nau ia hewa: He mea maʻamau ka loaʻa ʻana o nā pilikia me ka hānai waiū. Mai manaʻo ʻino a hoʻāhewa paha iā ʻoe iho no ia mea.
• Palekana ka Frenotomy (inā pono): Inā pono ke ʻoki ʻana, he maʻalahi loa ia, wikiwiki, a palekana hoʻi. Mai makaʻu nui i ia mea.

Ma ke ʻano he makuahine, ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka a hoʻoponopono i nā kānalua āu e loaʻa ai. No ka mea, ʻo ka makuahine hauʻoli ke ʻano o ka pēpē hauʻoli!

`ʻO ke kaula alelo, Ankyloglossia, Lingual Frenulum, ka hānai ʻana i ka waiū, Pēpē, Frenotomy, Ola kino o ke keiki