ʻO ka hānai waiū ʻana i kahi pēpē hānau hou ka moeʻuhane o kēlā me kēia makuahine, a he ʻike kupaianaha ia. Akā i kekahi manawa, ke ʻole e omo pono kāu pēpē, ʻaʻole e piʻi ke kaumaha ma hope o ka inu ʻana i ka waiū, a ʻike pū ʻoe i ka ʻeha i ka wā e hānai waiū ana, hiki ke kaumaha loa a weliweli hoʻi, ʻeā? Manaʻo paha ʻoe, "Ma hea wau i hewa ai?" Mai hopohopo, ʻaʻole paha ʻo ʻoe ke kumu. ʻO kahi kūlana liʻiliʻi i loko o ka waha o ka pēpē, ʻo ia hoʻi, he 'Lip Tie', ʻo ia paha ke kumu o kēia mau mea a pau. E kamaʻilio maʻalahi kākou e pili ana i kēia.
I ka ʻōlelo maʻalahi, he aha kēia Lip Tie?
He mea maʻalahi loa ke kāpili ʻana i ka lehelehe. Aia kahi ʻāpana liʻiliʻi o ka ʻiʻo ma loko o ka lehelehe luna o kāu pēpē e pili ana i ka ʻāʻī. Hiki i kēia ʻiʻo (ma nā huaʻōlelo lapaʻau, kapa mākou ia he 'frenulum' ) ke pōkole iki, mānoanoa, a paʻa paha i kekahi mau pēpē.
E noʻonoʻo, no ka mea, ua paʻa kēia membrane, ʻaʻole hiki i ka pēpē ke hāpai maikaʻi i kona lehelehe luna, pelu i waho, a hāmama nui i kona waha . No ka inu ʻana i ka waiū umauma, pono ka pēpē e lawe i ka ʻāpana ʻeleʻele a puni ka nipple (areola) i loko o kona waha. No kēlā, pono iā ia ke hāpai maikaʻi i kona lehelehe luna. Ke loaʻa iā ʻoe kahi nakinaki lehelehe, ʻaʻole hiki iā ʻoe ke hana pono i kēia.
ʻOiai ʻaʻole i loaʻa ke kumu kikoʻī o kēia, manaʻoʻiʻo kekahi mau kauka inā holo ia i loko o nā ʻohana, hiki ke hoʻoilina .
Pehea ʻoe e ʻike ai inā he lip tie kou?
Inā kānalua ʻoe he ʻūmiʻi lehelehe ko kāu pēpē, e makaʻala i nā hōʻailona ma lalo nei. Hiki i kēia ke hoʻopilikia i kāu pēpē a me ʻoe ma ke ʻano he makuahine hānai.
| Nā Hōʻailona i loko o ka Pēpē | Nā hōʻailona no ka makuahine |
|---|---|
| Latch maikaʻi ʻole: Omo me ka nipple wale nō i loko o ka waha. Ua pelu ʻia nā lehelehe i loko ma mua o waho. | ʻEha nui: ʻEha nui, ʻūlū, a i ʻole ke kuni ʻana o nā nipples i ka wā e hānai waiū ai. |
| Ke hana nei i kahi leo 'kaomi': I ka wā e omo ai i ka waiū, hana ke alelo i kahi leo 'kaomi, kaomi'. ʻO ke ʻano kēia ua nalowale ka mea omo i ka hapalua o ka manawa. | ʻEha nā nipple: Nā nipples māwae, ʻeha, kahe ke koko, a i ʻole kahi loli i ke ʻano o ka nipple (e like me ka lipstick) ma hope o ka hānai ʻana i ka waiū. |
| Hānai Pūʻulu: E hoʻomau ka pēpē i ka hānai waiū no nā hola i ka manawa no ka mea ʻaʻole lākou i māʻona. | Nā pilikia o ka umauma: Pehu ʻana o ka umauma (engorgement), ālai ʻia nā ala waiū, a i ʻole ka maʻi umauma (mastitis). |
| ʻAʻole e piʻi ke kaumaha: ʻOiai inā inu ka pēpē i ka waiū he nui, ʻaʻole e piʻi pono kona kaumaha. | Nā pilikia me ka lako waiū: Haʻahaʻa ka lako waiū a i ʻole kekahi manawa nui ka hōʻiliʻili ʻana o ka waiū. |
| Jaundice: Hiki i kekahi mau pēpē ke hoʻomau i ka jaundice ma muli o ka loaʻa ʻole o ka waiū lawa. | Ka luhi o ka noʻonoʻo a me ka nele i ka hānai waiū. |
Inā loaʻa iā ʻoe a i ʻole kāu pēpē kekahi a ʻoi aku paha o kēia mau hōʻailona, mai hopohopo a e ʻike mua i kāu kauka ʻohana a kauka keiki paha. E nānā pono lākou i ke kūlana a hāʻawi iā ʻoe i nā ʻōlelo aʻoaʻo e pono ai.
Pehea e nānā ai ke kauka i kēia?
Hiki i ke kauka ke nānā maʻalahi i kēia. E nīnau ʻo ia iā ʻoe e pili ana i kāu mau hana hānai waiū, nā pilikia āu e loaʻa ai, a nānā i kāu pēpē e omo ana. A laila, e hāpai lākou i ka lehelehe luna o kāu pēpē a nānā i ke kūlana o kēlā frenulum aʻu i ʻōlelo ai ma mua.
Aia he 4 mau pae nui o ke koʻikoʻi o kēia maʻi:
- Pae 1 - Mucosal (pae maʻamau a me ka liʻiliʻi loa o ka hopena)
- Pae 2 - Gingival (ua pili ka membrane i ka laina ʻāʻī)
- Pae 3 - Papil LAR y (ua pili ka membrane i ka ʻāʻī)
- Pae 4 - Ke komo ʻana o Papilla (ʻo ka hihia koʻikoʻi loa, e pālahalaha ka membrane ma o nā ʻāʻī a hiki i ka palale)
Hoʻoholo ke kauka inā pono ka lāʻau lapaʻau a ʻaʻole paha ma muli o kēia pae.
E loaʻa anei nā pilikia ma hope aku inā ʻaʻole mālama ʻia?
Hiki i kekahi mau maʻi paʻa lehelehe ke hoʻopau iā lākou iho i ka wā e ulu ana ke pēpē. Eia nō naʻe, ʻo ka paʻa lehelehe koʻikoʻi, ʻoiai ka mea e hoʻopilikia ai i ka hānai waiū, hiki ke hana i nā pilikia i ka wā e hiki mai ana inā ʻaʻole mālama ʻia .
- Palaho Niho: Hiki i ka waiū a me ka meaʻai ke paʻa i loko o kahi liʻiliʻi ma waena o ka lehelehe luna a me nā niho mua, e paʻakikī ai ka hoʻomaʻemaʻe pono ʻana. ʻOi aku ka maʻalahi o ka palaho ʻana o nā niho o luna, ʻoiai nā niho ʻelua o mua.
- Ka hakahaka ma waena o nā niho: ʻO kahi paʻa lehelehe nui hiki ke hana i kahi hakahaka nui ma waena o nā niho mua ʻelua.
- Paʻakikī i ka ʻai ʻana i nā meaʻai paʻa : Ke ulu aʻe kāu pēpē a hoʻomaka e ʻai i nā meaʻai paʻa, ʻaʻole paha lākou e hiki ke hoʻohana pono i ko lākou mau lehelehe e ʻohi i ka meaʻai mai ka puna a hoʻoneʻe paha i loko o ko lākou waha. Manaʻo paha kekahi mau mākua he "picky eater" kā lākou pēpē, akā ʻo ia paha ke kumu.
ʻO ke ʻoki liʻiliʻi no ke kāʻei lehelehe - Frenectomy
Inā paʻakikī loa ka pēpē e hānai i ka waiū me ka lip tie, hiki i nā kauka ke ʻōlelo aku i kahi ʻoki liʻiliʻi. Ua kapa ʻia kēia he 'Frenectomy.' Mai makaʻu i ka lohe ʻana i ka inoa, he hana maʻalahi a palekana hoʻi ia e lawe wale i kekahi mau minuke.
Hana pinepine ʻia kēia ʻoki kino e kekahi kauka niho i hoʻomaʻamaʻa ʻia no kēia kumu.
1. ʻO ka mea mua, ua hoʻopili ʻia kahi wai hoʻomāʻū i nā ʻāʻī i ʻole e ʻeha ka pēpē.
2. A laila, me ka hoʻohana ʻana i kahi kukuna laser kūikawā a i ʻole nā ʻūpā lapaʻau liʻiliʻi, ʻoki iki ʻia ka membrane i paʻa a hoʻokuʻu ʻia.
3. He manawa pōkole loa kēia, ma kahi o 1-2 mau minuke.
Ke pau koke ke ʻoki ʻana, hiki iā ʻoe ke kiʻi i kāu pēpē a hānai i ka waiū ma laila inā makemake ʻoe. E ʻū koke kekahi mau pēpē me ka maʻalahi a me ka hohonu. Pono paha kekahi i hoʻokahi a ʻelua paha lā e maʻa ai i ke ʻano hou o ka hānai ʻana.
ʻO ka mea nui loa: Ma hope o ke ʻoki ʻana, e hāʻawi ke kauka iā ʻoe i kekahi mau hoʻoikaika kino kūikawā (nā kīkoʻo). ʻO ke ʻano kēia o ka hāpai ʻana i ka lehelehe luna o ke pēpē i nā manawa he nui i ka lā a me ka lomilomi ʻana i ka ʻeha me kahi manamana lima maʻemaʻe. He mea nui kēia, no ka mea, inā ʻaʻole ʻoe e hana pēlā, e pipili hou paha ka membrane ʻoki.
Leka Lawe-Home
- He maʻi maʻamau ka nakinaki lehelehe i ʻike ʻia i nā pēpē. Mai hopohopo no ia mea.
- Inā loaʻa iā ʻoe ka ʻeha i ka wā e hānai waiū ana, ʻaʻole e piʻi ana ke kaumaha o kāu pēpē, a i ʻole ke pilikia nei ʻoe i ka loaʻa ʻana o ka waiū, mai hoʻowahāwahā iā ia. E ʻike pono i kāu kauka.
- Hiki ke ʻike ʻia kahi lip tie me kahi hoʻāʻo maʻalahi loa. Aia nā kauka loea no kēlā.
- Inā pono ka lāʻau lapaʻau, wikiwiki loa ke ʻoki ʻana o Frenectomy, maʻalahi, a palekana hoʻi.
- Ma hope o ke ʻoki ʻana, he mea nui loa ia e hahai i nā ʻōlelo a ke kauka, ʻoiai hoʻi nā 'stretches', i mea e ola maikaʻi ai ka ʻeha a hoʻoponopono loa ʻia ka pilikia.
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