Yu pikin nɔ de gri fɔ it wit in mɔt? I kin bi bikɔs ɔf di Oral Aversion!

Yu smɔl pikin nɔ gri fɔ it wit mɔt? I kin kray, luk ɔdasay, ɔ klem in jaw we yu briŋ it ɔ bɔtul na in mɔt? I nɔmal fɔ mek pikin dɛn du dis sɔm tɛm. Bɔt if i kɔntinyu fɔ nɔ gri fɔ it wit in mɔt, i kin bi wan kɔndishɔn we dɛn kɔl ‘oral aversion’. Lɛ wi tɔk mɔ bɔt dis tide, bikɔs i kin afɛkt di it we yu pikin de it ɛn di divɛlɔpmɛnt.

Wetin na dis (Oral Aversion)? Fɔ tɔk am simpul wan...

Fɔ tɔk am simpul wan, Oral Aversion na we yu pikin want fɔ it, bɔt i nɔ gri fɔ it. Tink bɔt am lɛk se yu nɔ ebul fɔ it ivin we yu angri. di men rizin fכ dis na fכ fred we de kכmכt frכm sכm tin dεm we nכ fayn we de apin to di mכt insay di fכs de dεm na di pikin in layf. Jɔs lɛk if yu bin de fred sɔntin we yu bin smɔl, da fred de go kam bak we yu si am bak. if dεn nכ trit dis kכndyushכn kwik, di pikin kin gεt כda kכmplikεshכn dεm we de fכ it.

If yu pikin de sho ɛni wan pan dɛn sik ya, i impɔtant fɔ go to yu dɔktɔ we de mɛn pikin dɛn wantɛm wantɛm fɔ advays, bikɔs dɛn tin ya kin wɔs if dɛn nɔ mɛn am fayn.

Wetin na di sayn dɛm fɔ pikin we gɛt Oral Aversion?

If yu pikin du dɛn tin ya, i kin bi sayn fɔ se i nɔ want fɔ it am:

• We dɛn kam wit sɔntin (fud, bɔtul, mɛrɛsin) na dɛn mɔt , dɛn kin protɛst, kray, ɛn luk ɔdasay.
• We yu bring sɔntin na yu mɔt , yu de stik yu tɔng ɛn akt lɛk se yu de push am.
• As sɔntin tɔch yu lip so, yu kin lɔk yu mɔt tayt tayt wan.
• Nɔ gri fɔ lat fayn, ilɛksɛf i de gi pikin in bɛlɛ ɔ i de gi am bɔtul.
• Sɔntɛnde , i kin it it wit in finga ɛn it am in wan, bɔt if yu tray fɔ fid am, i nɔ kin gri.

I nɔmal fɔ mek pikin dɛn nɔ want fɔ it ɛn fɔ luk away frɔm it sɔntɛnde. Natin nɔ de fɔ wɔri bɔt. Bɔt pan wan kɔndishɔn we dɛn kɔl Oral Aversion, dɛn tin ya kin apin ɔltɛm ɛn ɔltɛm. If yu gɛt ɛni dawt bɔt dis, yu pikin in dɔktɔ kin no if na sɔntin we siriɔs ɔ nɔto siriɔs tin.

Wetin mek pikin dεn kin gεt dis kכndyushכn we dεn kכl (oral aversion)?

Oral aversion kin apin bikɔs pikin dɛn kin op se bad tin go apin we dɛn put sɔntin na dɛn mɔt. Dis min se dɛn dɔn lan dis frɔm di tin dɛn we dɛn kin du we dɛn nɔ kin fil fayn wit dɛn mɔt bɔku tɛm. Dɛn ɛkspiriɛns dɛn ya we nɔ kin fayn na:

• di mεdikal tritmεnt dεm we kin involv fכ yus tכb bכku tεm, if na fכ fid di pikin כ fכ εp am fכ brith (e.g., fכ it tru nos tyub, put tכb fכ brith).
• Sɔm mɛdikal kɔndishɔn dɛn we gɛt fɔ du wit it (e.g., we yu de vɔmit milk, yu trot we de at).
• Fɔ gɛt prɔblɛm wit kɔntrol pan yu mɔt ɔ fɔ swɛla.

Imajin, Niluka in pikin bin bɔn smɔl bifo tɛm. so, biכs di pikin bin gεt difεlεns fכ brith, dεn bin fכ intubat am fכ fכ de, dat na fכ kכnekt am to wan mashin we dεn kכl Mεkanikal vεntileshכn''. Dɔn, bikɔs i nɔ bin izi fɔ am fɔ drink milk, dɛn bin gɛt fɔ gi am tin fɔ it tru wan tiub. Bikɔs ɔf dɛn tin ya we kin apin to di pikin, i kin bigin fɔ fred ɛn fil bad bɔt wetin in mɔt de tɔk. Leta, we i tray fɔ gi am tin fɔ it bay mɔt, di pikin kin mɛmba dɛn ol tin dɛn de we nɔ fayn ɛn i nɔ kin gri fɔ it.

Udat de pan ay risk fɔ gɛt ɔral aversion?

Bebi dεm we gεt dεn kכndyushכn dεm ya kin gεt Oral Aversion:

• Bebi dɛm we dɔn gɛt tritmɛnt fɔ prɔblɛm wit dɛn brith. fכ egzampl: intubation, mεkanikal ventilashכn, כ tracheostomy (we dεn put tכb insay di winda paip tru wan ol na di nεk).
• Di mεdikal kכndyushכn dεm we kin mek yu gεt prכblεm wit it, lεk gastroesophageal reflux disease (GERD).
• Fɔ gɛt sɛnsitiviti (alɛji) to sɔntin we de insay mama in milk ɔ fɔmula.
• Kɔndishɔn dɛn we gɛt fɔ du wit di trot. fכ egzampl, inflameshn na di εsophagus (esophagitis), pen we yu de sכlow (odynophagia), כ i at fכ swεl (dysphagia).
• Kɔndishɔn dɛm wae kin mek yu gɛt prɔblɛm wit di mɔsul kɔntrol ɔr kɔdineshɔn, lɛk sɛribra palsi.
• Di prɔblɛm dɛn we kin apin we pɔsin gɛt jɛnɛtiks. fכ egzampl: (Dכwn sεndrכm) כ (Moebius sεndrכm).
• I nɔ kin izi fɔ no angri bikɔs yu de it fɔ lɔng tɛm na di tyub ɔ yu gɛt siriɔs sik we yu dɔn bigin fɔ liv.
• sכm nyurodivεrjεnt kכndyushכn dεm, lεk כtizm spεktrum dizכrd, kin mek pikin dεm hεvi sεnsitiv to sכm sεns dεm lεk fכ tכch.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin nɔ lɛk fɔ it?

Bebi dεm we gεt כral avershכn kin gεt kכmplikεshכn dεm lεk:

• Malnutrishɔn ɔ we nɔ de gro fayn.
• Nid fɔ enteral nyutrishɔn.
• Aspiration nyumonia kin kam bikɔs it ɔ wata kin kam insay di say we di briz de blo .

Risach dɔn sho se "window period" de fɔ pikin dɛn fɔ lan fɔ it. If dɛn nɔ lan am da tɛm de, i kin at smɔl fɔ lan leta.

Dɔn bak, we pɔsin nɔ lɛk fɔ it we i smɔl , dat kin mek i gɛt ɔda tin fɔ it ɔ gɛt prɔblɛm wit aw i de it leta na in layf. Avoidant/restrictive food intake disorder na wan pan dɛn ɛgzampul ya.

Pan ɔl we dɛn prɔblɛm ya kin siriɔs, dɛn kin trit dɛn. Dɔn bak, if yu no di sik kwik kwik wan ɛn trit yu, dat kin mek yu nɔ gɛt dɛn prɔblɛm ya.

Aw fɔ no di sik (Oral Aversion)?

Wan dɔktɔ we de mɛn pikin dɛn ɔ ɔda dɔktɔ we sabi du di wok kin no if pɔsin nɔ lɛk ɔda pɔsin in mɔt bay we i nɔ gri wit ɔda tin dɛn we kin mek i vɛks. Dis kin min fɔ du difrɛn tɛst dɛn ɛn aks kwɛstyɔn bɔt yu pikin in wɛlbɔdi istri, di say we yu de na os, ɛn aw yu pikin de it.

Fɔ dis, dɛn kin du tɛst dɛn lɛk dis:

• Monitoring ɛn evaluate di we aw dɛn de gi it.
• Labכtכri tεst dεm, fכ egzampl. blɔd tɛst, tayroyd in wok tɛst.
• Imej skan fɔ di pikin, lɛk fluoroscopy ɔ MRI.
• di diagnostik prosidכs dεm, lεk (Upper endoscopy) (εgzamin fכ di εsophagus εn bεlε wit tכb wit kεmεra) כ (Esophageal manometry) (tεst di wok we di εsophagus de du).

Aw dɛn kin trit Oral Aversion?

Fɔ trit ɔral aversion nid fɔ gɛt tim we fɔ du tin . Yu pikin in pikin dɛm dɔktɔ, wit ɔda spɛshal pipul dɛm lɛk speech language pathologist ɔ occupational therapist, go wok wit yu fɔ ɛp yu pikin fɔ pul dis fred. No wan saiz tritmɛnt plan nɔ de fɔ ɔlman. Bɔku tɛm, dɛn kin mek di tritmɛnt plan fɔ wetin yu pikin nid ɛn wetin i lɛk.

Di tritmɛnt kin inklud wan ɔ mɔ pan dɛn tin ya:

• Fɔ gi fayn fayn ɛkspiriɛns dɛn we pɔsin kin gɛt wit in mɔt: Dis kin tich di pikin se nɔto ɔl di tin dɛn we dɛn kin du fɔ mɛn di pikin we dɛn kin it na in mɔt bad. Fɔ ɛgzampul, fɔ masaj di pikin in chɛst ɛn in lip jisnɔ, ɛn tɔch di say we i de tɔk saful wan we yu de ple.
• Fɔ divɛlɔp di skil dɛm: Fɔ it bak nid fɔ gɛt kɔdineshɔn ɛn skil. If yu ɛp yu pikin fɔ lan ɛn praktis dɛn tin ya, dat go mek i izi fɔ am fɔ it. If i izi fɔ am fɔ it, i nɔ go rili et am.
• Fɔ mek yu pikin gɛt fayn fayn it dɛn: We dɔktɔ dɛn dɔn no us flawa yu pikin lɛk, dɛn kin tich yu pikin fɔ ɛnjɔy fɔ it. Sɔntɛnde, dɛn kin bigin bay we dɛn put smɔl drop pan flawa na dɛn tɔng ɛn afta dat dɛn kin put am na dɛn mɔt smɔl smɔl.
• Plan ɛn fala nyu tin dɛn we yu fɔ du: We yu mek nyu tin dɛn fɔ du, dat kin ɛp yu pikin fɔ lan bak wetin fɔ ɛkspɛkt. I impɔtant fɔ mek yu kɔntinyu fɔ gɛt kɔnsistɛns pan tin dɛn lɛk di tɛm we yu de it ɛn di say we yu de it.
• Tich yusɛf ɛn ɔda pipul dɛn we de kia fɔ yu pikin: If yu sho yu pikin aw fɔ it am di bɛst we, dat kin ɛp am fɔ lɛf dis kayn we aw i nɔ want fɔ it. I kin mek bak di tayt padi biznɛs bitwin yu ɛn yu pikin dip.

Mɛmba se i nɔmal fɔ fil bad ɛn wɔri as yu pikin de tek sɔm tɛm fɔ wɛl frɔm dis sik. Bɔt bɔku tɛm, fɔ trit pipul dɛn we nɔ lɛk dɛn mɔt kin nid tɛm ɛn difrɛn spɛshal pipul dɛn kin ɛp dɛn. Yu kin avɔyd dis sik if yu peshɛnt ɛn fala di instrɔkshɔn dɛn we di dɔktɔ gi yu.

Wetin na de luk fɔ de sik (Oral Aversion)?

Di luk fɔ ɔral aversion kin jɔs fayn, mɔ if dɛn no am ɛn trit am kwik. כl di pikin dεm kin mek dεn gεt ful rεkכvεshכn frכm dis kכndyushכn.

Yu tink se dɛn kin mek dɛn nɔ gɛt Oral Aversion?

Oral aversion nɔto tin we pɔsin kin ebul fɔ avɔyd 100%. Bɔt di wan dɛn we de kia fɔ wɛlbɔdi biznɛs kin du tin fɔ mek i nɔ apin. If tin dɛn de we kin mek yu pikin de pan denja fɔ nid spɛshal mɛrɛsin we i dɔn ol, yu kin bigin fɔ du tin fɔ mek i nɔ gɛt dis sik kwik kwik wan.

Sɔm tin dɛn de bak we yu kin du fɔ ridyus di chans fɔ mek dis apin. Yu pikin in dɔktɔ kin tɛl yu mɔ bɔt dis. Fɔ ɛgzampul, mek di tin dɛn we yu kin du wit yu mɔt (lɛk fɔ was yu pikin in fes ɛn fɔ brus in tit) fayn as yu ebul.

Yu tink se Oral Aversion na di sem tin wit Food Aversion?

Nɔ, dɛn tin ya na tu difrɛn tin dɛn. Oral Aversion na tin we rili kɔmɔn. I min se di pikin go tray fɔ tinap ɛn avɔyd ɛnitin we go kam nia dɛn mɔt, ivin fɔ it.

Bɔt, fɔ et it kin rili tɔk bɔt sɔntin. Dat min se yu pikin nɔ kin lɛk sɔm patikyula it dɛn, patikyula smel dɛn, ɔ jɔs di we aw di it tan. fכ egzampl, sכm bebi dεm kin lεk wata fכ it lεk porridge, bכt dεn nכ kin lεk sכlid it dεm.

Wi kin ɔndastand se yu kin fil bad ɛn fil bad we yu pikin nɔ gri fɔ it. Yu kin ivin tɛmpt fɔ blem yusɛf. Bɔt mɛmba se fɔ et pɔsin in mɔt na tin we kin rili apin. Infakt, risach dɔn sho se na lɛk wan pan ɔl tu pikin dɛn kin gɛt am (pan ɔl we bɔku pan dɛn nɔ kin gɛt dis sik).

If yu tink se yu pikin gɛt mɔ siriɔs kes fɔ et, fɔ tru, tɔk to yu pikin in dɔktɔ. I kin ɛksplen wetin de apin ɛn wetin yu pikin nid. I kin advays yu bak bɔt wetin yu nɔ fɔ du. Dɔn yu kin gi yu pikin di rayt tin we i nid te una ɔl tu go tru dis tranga tɛm.

Di pɔynt dɛn we impɔtant pas ɔl (Take-Home Message) .

Okay, so, frɔm wetin wi dɔn tɔk bɔt, dɛn tin ya na di impɔtant tin dɛn we yu nid fɔ mɛmba:

• Oral aversion na wan sik we pikin nɔ gri fɔ it bay mɔt ɛn sho se i de fred fɔ tin dɛn we i de it. Dis difrɛn frɔm di nɔmal tin we pɔsin nɔ lɛk fɔ it.
• Di rizin fɔ dis kin bi di tin dɛn we dɛn kin tɔk to pɔsin we nɔ fayn fɔs .
• Dɛn kin sho sayn dɛn lɛk fɔ kray, fɔ luk ɔdasay, ɛn fɔ klem dɛn jaw we dɛn kam wit sɔntin na dɛn mɔt.
• Fɔ no di sik kwik kwik wan ɛn fɔ trit am rili impɔtant, ɔdasay prɔblɛm dɛn lɛk we pɔsin nɔ de it fayn kin apin.
• Di tritmɛnt kin gɛt fɔ du wit wan tim, lɛk dɔktɔ we de mɛn pikin dɛn, dɔktɔ we de mɛn pipul dɛn we de tɔk, ɛn dɔktɔ we de mɛn pipul dɛn we gɛt wok.I kin bi se i nid fɔ bi.
• If yu peshɛnt ɛn fala di rayt we, bɔku tɛm dis sik kin chenj.
• If yu gɛt ɛni dawt bɔt dis, ɔ yu de wɔri bɔt aw yu pikin de biev, mek shɔ se yu go to dɔktɔ. Nɔto yu wan de, ɛn pipul dɛn de we sabi du di wok we go ɛp.

Mɛmba se ɔl pikin difrɛn. So, nɔ kɔmpia yusɛf to ɔda bebi dɛn. Di tin we impɔtant pas ɔl na fɔ trit yu pikin wit lɔv ɛn peshɛnt, ɛn fala di instrɔkshɔn dɛn we di dɔktɔ tɛl yu.