He nui anei ka wai kahe o kāu pēpē? He mea maʻamau anei kēia? (Sialorrhea) E makaʻala kākou!

Ma ke ʻano he makuahine, he mea nani loa ke kahe ka wai o kāu keiki liʻiliʻi, ʻeā? He mea maʻamau kēia, ʻoiai ma waena o nā makahiki 4 a me 19 mahina. Akā inā e kahe nui ana kāu keiki ma hope o ka piha ʻana o 4 makahiki, he mea paha ia e hopohopo ai kākou. Ma ke ʻano lapaʻau, ua kapa ʻia kēia maʻi ʻo Sialorrhea. E kamaʻilio kākou e pili ana i kēia ma ke ʻano maʻalahi a maʻalahi hoʻi i kēia lā.

I ka ʻōlelo maʻalahi, he aha ka Sialorrhea?

ʻO ka sialorrhea ka nui o ka salivation a i ʻole ka drooling. ʻO ka maʻamau, hana ka waha o ke keiki ma kahi o 1.5 lita o ka saliva i kēlā me kēia lā. Eia nō naʻe, hiki i kahi keiki me kēia maʻi ke hana a hiki i 5 lita o ka saliva i kēlā me kēia lā. I kekahi manawa, ʻoiai he maʻamau ka nui o ka saliva i hana ʻia, ʻaʻole hiki i ke keiki ke ale pono. ʻOiai i kēlā manawa, kahe mau ka saliva mai loko mai o ka waha.

ʻElua ʻano nui o kēia:

• ʻO ka Sialorrhea mua: ʻO kēia ke ʻano maʻamau o ka drooling. Ke kahe nei ka luhe mai ka waha a i lalo i ka maka a ma luna o nā lole. Hiki i kēia ke hana i ka ʻulaʻula a me ka ʻili ʻana o ka ʻili a puni ka ʻauwae a me ka waha, a hiki ke alakaʻi i nā maʻi ʻili. Hiki iā ia ke hoʻohilahila iki i ke keiki a makaʻu hoʻi e launa pū me nā keiki ʻē aʻe.

• ʻO ka Sialorrhea hope (ka kahe ʻana o ka wai ma ke kua o ka puʻu): ʻO kēia ka manawa e kahe ai ka lawai i lalo o ka puʻu, i loko o ke ala ea , ma kahi o ke kahe ʻana i waho. He mea weliweli iki kēia. Inā hoʻomau ka lawai i ke kahe ʻana i loko o nā māmā, hiki iā ia ke hōʻino i nā māmā a hoʻoulu i ka paʻa pinepine o ka umauma a me ka ʻū ʻana.

I ka manawa pinepine, hōʻike nā keiki me kēia maʻi i nā hōʻailona o nā ʻano ʻelua i ka hui pū.

He aha nā kumu o ka drooling?

Aia kekahi mau kumu nui e kahe nui ai ke koko o ke keiki. ʻO ka hapa pinepine, he hōʻailona ia o kekahi maʻi ʻē aʻe.

E nānā hou aku kākou i kēlā mau kumu ma ka papa ma lalo.

He aha nā hōʻailona o kēia maʻi?

Pili nā hōʻailona i ke kahe ʻana o ka lawai i waho (mua) a i loko paha o ka puʻu (posterior).

• Inā kahe ka lawai i mua (Anterior Sialorrhea):
• Loaʻa mau i nā lole pulu a me nā uhi uluna.
• ʻUlaʻula ka ʻili a puni ka waha a me ka ʻauwae, maloʻo, a ʻōniʻoniʻo.
• I kekahi manawa aia kahi nele iki o ka wai i loko o ke kino (dehydration iki).
• Kekahi mau pilikia i ka ʻōlelo ʻana a me ka ʻai ʻana.

• Inā kahe ka lawai i lalo ma ka ʻaoʻao o ka puʻu (Posterior Sialorrhea): Hiki i kēia ke hana i kekahi mau hōʻailona koʻikoʻi.
• Ka pōkole pinepine o ka hanu, ka ʻūlū, ka nausea, a me ka luaʻi ʻana .
• Paʻa ka umauma.
• Paʻakikī ka hanu ʻana.
• Ka hanu ʻana: ʻO ke ʻano kēia o ka omo ʻana i nā mea e like me ka lawai i loko o nā māmā. He mea weliweli loa kēia no ka mea hiki iā ia ke hoʻoulu i nā maʻi koʻikoʻi e like me ka niumonia .

Pehea ʻoe e ʻike ai inā he maʻi olakino kēia?

Hiki ke maʻalahi ka ʻike ʻana i ka sialorrhea anterior e ke kauka ma hope o ka nānā ʻana i kāu keiki a nīnau iā ʻoe no nā kikoʻī.

Akā inā kānalua ʻoe he pilikia ka drooling o kāu keiki, pono paha ʻoe e hana i nā hoʻokolohua kūikawā e hōʻoia i ia mea. Hoʻohana ʻia nā lako kūikawā e nānā i ka puʻu o kāu keiki, ka moni ʻana, a me ka ʻōlelo ʻana. No ka laʻana, hiki i kahi X-ray kūikawā i kapa ʻia ʻo videofluoroscopy ke hōʻike pololei i ke ʻano o ka moni ʻana o ke keiki i nā wai a pehea lākou e neʻe ai i lalo o ka puʻu. Mai hopohopo, e kauoha wale kāu kauka i kēia hoʻokolohua inā pono loa ia.

He aha kāu e hana nei ma ke ʻano he lāʻau lapaʻau?

ʻO ka mea maikaʻi loa, he nui nā lāʻau lapaʻau no kēia. Ma muli o ke kūlana o ke keiki a me ke kumu, e koho ke kauka i ka lāʻau lapaʻau kūpono loa.

• Nā lāʻau lapaʻau waha: Hiki ke hāʻawi ʻia nā lāʻau lapaʻau e hōʻemi i ka hana ʻana o ka lawai a i ʻole e maʻalahi ai ke ala ea. Eia nō naʻe, hiki i kekahi o kēia mau lāʻau lapaʻau ke hana i nā hopena ʻaoʻao e like me ka waha maloʻo a me ka paʻa ʻana o ka ʻōpū. No laila, e hāʻawi ke kauka i kēia mau mea ma hope o ka noʻonoʻo pono ʻana.

• Nā inikini Botox: Hoʻokomo ʻia ka Botulinum Toxin (Botox) i loko o nā kelepa salivary e kāohi i ka hana ʻana o ka saliva no kahi o 4 mau mahina. He lāʻau lapaʻau kēia i palekana no nā keiki.

• Nā kaʻina hana ʻoki: I nā hihia koʻikoʻi loa, aia nā ʻoki e wehe i kekahi mau kelepa salivary a hoʻololi paha i kā lākou hana. Hiki i kēia ke hāʻawi i kahi hopena mau loa.

• Hoʻomaʻamaʻa ʻana i ka neʻe waha: He lāʻau lapaʻau koʻikoʻi loa kēia. ʻOi aku hoʻi no nā keiki e kahe ana ka wai ma muli o kahi pilikia kūkulu i loko o ke kino, hāʻawi nā mea lapaʻau ʻōlelo i ke aʻo ʻana e kōkua iā lākou e ale pono a kāohi i nā ʻiʻo o ka waha.

I ka manawa hea ʻoe e mālama ai i kāu keiki?

E like me kā mākou i ʻōlelo ai ma mua, he mea maʻamau i kahi keiki liʻiliʻi ke kahe ʻana o ka wai. Eia nō naʻe, inā hoʻomau ka kahe nui ʻana o ka wai ma hope o ka piha ʻana o nā makahiki ʻehā , ʻoi aku ka maikaʻi o ke kamaʻilio ʻana me ke kauka, no ka mea, he hōʻailona paha ia o kahi maʻi ma lalo.

ʻO kekahi mea e noʻonoʻo ai, inā hoʻomaka koke kāu keiki e kahe nui ka wai ma hope o ka manawa lōʻihi me ka ʻole o nā pilikia. Hiki paha ma muli o ka maʻi ʻāʻī a i ʻole ke ale ʻana o ke keiki i kahi mea (e like me kahi mea pāʻani a i ʻole ke kālā). Inā kānalua ʻoe i kēia, e lawe koke i kāu keiki i ka ʻOihana Pilikia o ka haukapila kokoke loa (ETU) .

Inā ale hewa kekahi keiki i ka lāʻau make a i ʻole kekahi mea kūpono ʻole, e ʻimi koke i ke kōkua lapaʻau.Hiki iā ʻoe ke kelepona i ke Kikowaena ʻIke Lāʻau Lapaʻau Lahui ma ka Halemai Lahui ʻo Colombo.

Eia nō naʻe, inā ke hoʻopilikia nei ka waimaka o kāu keiki i ko lākou ola maʻamau a me ka hauʻoli, e ʻike pono i ke kauka a loaʻa i ka ʻōlelo aʻoaʻo a me ka lāʻau lapaʻau kūpono.