I naute hian a ka ei duh lo em ni? Oral Aversion vang pawh a ni thei!

I naupang tê hian kâin a ei duh lo em ni? A hmuiah chaw emaw, bottle emaw i rawn ken hian a tap em, a hawi sawn em, a hmui a ti nghet em? Naute hian a chang chuan hetiang hi an tih hi thil pangngai a ni. Mahse, a hmui a ei duh loh chhunzawm zel chuan ‘oral aversion’ an tih natna a ni thei. Hemi chungchang hi vawiinah hian chipchiar zawkin sawi ila, a chhan chu i naute ei leh in leh thanlenna a nghawng thei a ni.

Hei hi eng nge ni (Oral Aversion)? A awlsam zawngin...

A awlsam zawngin, Oral Aversion chu i naute hian ei a duh a, mahse a ei duh loh chuan a ni. I riltam lai pawha ei theih loh ang maiin ngaihtuah rawh. Hei hi a chhan ber chu naute dam tirh laia kâ nena inzawm thil duhawm lo ṭhenkhat aṭanga lo chhuak hlauhna a ni. Naupan laia thil pakhat i hlauh a nih chuan chu hlauhna chu i hmuh leh hunah a lo let leh ang. He natna hi enkawl vat a nih loh chuan naute hian chaw pekna nena inzawm harsatna dang a nei thei a ni.

I naute hian heng symptoms te hi a lantir a nih chuan naupang doctor pan nghal a pawimawh a, heng thilte hi uluk taka enkawl loh chuan a na zual thei a ni.

Oral Aversion nei naute hian eng symptoms nge a neih?

I naute hian heng thilte hi a tih chuan, oral aversion chhinchhiahna a ni thei:

• Thil (ei tur, bottle, damdawi) an hmuiah an rawn luh chuan , an dodal a, an tap a, an hawi kual a ni.
• When you bring something to your mouth , i lei i chhuah a, i nawr ang maiin i che thin.
• Eng thilin i hmui a khawih veleh i hmui kha i khar nghet sauh sauh a.
• Nu hnute pek emaw, bottle-a pek emaw pawh nise, latch on dik duh lo.
• A chang chuan a kut zungtang hmangin chaw a ei a, amah chauhin a ei a, chawm i tum chuan a duh lo.

Naute hian chaw ei an hreh a, a chang chuan ei tur lam hawi lo hi thil pangngai tak a ni. Ngaihtuah buai tur a ni lo. Mahse, Oral Aversion an tih dinhmunah chuan heng thilte hi a thleng fo va, a kal zel a ni. Hemi chungchangah hian rinhlelhna i neih chuan i naute doctor-in thil pawi tak a nih leh nih loh a hre thei ang.

Engvangin nge naute hian he Oral Aversion an tih hi an neih?

Oral aversion hi naute hian an kâa thil an dah hian thil ṭha lo a thlen an beisei vang a ni. Hei hian an kâ hmanga thil duhawm lo tak tak an tawn nawn fo aṭangin an zir chhuak tihna a ni. Chûng thil tawn nuam lo tak takte chu:

• Damdawi lam enkawlna, naute chaw pek emaw, thawk chhuahna tur emaw pawh ni se, tube hman fo thin (e.g., hnar tube hmanga chaw pek, thawkna tube dah).
• Ei leh in nena inzawm damdawi lam thil thenkhat (e.g., bawnghnute riltam, rilru na).
• Kawng emaw ei leh in control lama harsatna nei .

Ngaihtuah teh, Niluka naute hi a pian hma deuh a ni. Chuvangin, naute hian thawk a harsat avangin ni engemaw zat intubate a ngai a, chu chu ``Mechanical ventilation'' tih machine nen a inzawm tir a ni. Tichuan, bawnghnute in a harsat avangin tube hmanga chawm a ngai ta a ni. Hetiang thil tawn avang hian naute chuan a kâin a sawi chu hlauhna leh rilru nuam lo tak a nei thei a ni. A hnuah, a hmui hmanga chaw pek a tum chuan, naute chuan chu thil tawn hlui nuam lo tak takte chu a hre reng a, ei pawh a duh lo mai thei.

Tute nge oral aversion nei thei tura hlauhawm zawk?

Naute a hnuaia natna nei te hian Oral Aversion an nei tam zawk:

• Nausen thawk lama harsatna nei tawhte. Entirnan: intubation, mechanical ventilation, emaw tracheostomy (tube chu thlipui chhungah kawngkhar khur atanga dah) emaw a ni.
• Damdawi lam dinhmun, ei leh in lama harsatna thlen thei, gastroesophageal reflux disease (GERD) ang chi te.
• Nu hnute tui emaw formula emaw a thil awm sensitivity (allergy) neih.
• Throat nena inzawm natna. Entirnan, chaw kawng a inflammation (esophagitis), ei laiin natna (odynophagia), emaw ei harsa (dysphagia).
• Muscle control emaw coordination emaw lama harsatna thlen thei dinhmun, cerebral palsy ang chi.
• Genetic lama harsatna (genetic disorder) a awm. Entirnan: `(Down syndrome)` emaw `(Moebius syndrome)` emaw a ni thei.
• Hun rei tak tube feeding emaw, naupan laia natna khirh tak emaw avanga mahni riltam hriat harsa.
• Neurodivergent condition thenkhat, autism spectrum disorder te hian naute chu khawih ang chi sensation thenkhatah hypersensitive a siam thei a ni.

Oral Aversion avanga harsatna awm thei te chu engte nge ni?

Naute oral aversion nei te hian harsatna an nei tam zawk a, chungte chu:

• Malnutrition emaw, than chak lohna emaw.
• Enteral nutrition mamawhna a ni.
• Aspiration pneumonia hi ei leh in emaw tui emaw thawkna kawng chhunga lut vang a ni .

Research atanga a lan dan chuan naute hian ei leh in an zir theih nan "window period" a awm a . Chumi hun chhunga an zir loh chuan nakinah zir a harsa deuh thei a ni.

Tin, nausen laia oral aversion neih hian naupan laiin ei leh in dang emaw, ei leh in lama harsatna emaw a neih theihna a tipung thei bawk. Avoidant/restrictive food intake disorder hi chutiang entirnan pakhat a ni.

Heng harsatnate hi pawi hle mah se, enkawl theih a ni. Tin, a hmaa hriatchhuah leh enkawl hian heng harsatnate hi a ti tlem thei bawk.

Engtin nge a dinhmun (Oral Aversion) hi kan hriat theih ang?

Naupang enkawltu doctor emaw, doctor thiam dang emaw chuan oral aversion chu a chhan dang paih chhuakin a hre thei a ni. Hei hian test hrang hrang tih a huam thei a, i naute hriselna chanchin te, i in chhung boruak te, leh i naute ei leh in dan te zawhna zawh a huam thei bawk.

Chumi atan chuan hetiang test hi tih theih a ni:

• Chaw pek dan enfiah leh endik.
• Laboratory-a test, e.g. thisen test te, thyroid function test te a ni.
• Naute imaging scan, fluoroscopy emaw MRI emaw ang chi te.
• Diagnostic procedure, `(Upper endoscopy)` (camera hmanga tube hmanga chaw kawng leh pum enfiah) emaw `(Esophageal manometry)` (Esophagus hnathawh dan test) emaw ang chi te.

Engtin nge Oral Aversion hi enkawl a nih?

Oral aversion enkawl nan hian team approach a ngai a ni . I fa naupang enkawltu doctor chuan specialist dang speech language pathologist emaw occupational therapist emaw te nen i fate chu he hlauhna hi a hneh theih nan a pui ang che. Enkawlna tur ruahmanna pakhat chauh a awm lo. Treatment plan hi i fa mamawh leh duh dan ang zela siam a ni tlangpui .

Enkawlnaah hian a hnuaia mi pakhat emaw a aia tam emaw a tel thei a ni:

• Oral experience tha tak pek: Hei hian naute chu oral medical thil zawng zawng hi a tha lo vek lo tih a zirtir a ni. Entirnan, naute hmui leh hmui zawi zawia massage te, inkhelh laiin hmui hmun zawi zawia khawih te.
• Thiamna tihhmasawn: Ei leh in pawh hian inremna leh thiamna a mamawh a ni. I naute chu heng thiamnate zir leh tihhmasawn pui hian a tan ei leh in a awlsam phah ang. Chaw ei chu a tan a awlsam a nih chuan a huatna a nei tlem zawk.
• I naute chu chaw tui tak tak ei tir: Doctor-te chuan i naute duhzawng flavour an hriat chian hnuah, i naute chu ei nuam ti turin an zirtir thei ang. A châng chuan, an leiah flavoring tlemte dahin an ṭan a, chutah chuan zawi zawiin an hmuiah an luhtir ṭhin.
• Thil tih dan thar ruahman la, zawm rawh: Thil tih dan thar siam hian i naute chu a beisei tur a zir thar leh theih nan a pui a ni. Chaw pek hun leh chaw pekna hmun ang chi thila inmilna neih a pawimawh.
• Nangmah leh enkawltu dangte zirtir: I naute chu a chawm dan tur tha ber entir hian he duh lohna hi a hneh thei a ni. I naute leh i inzawmna chu a ti thuk zawk thei bawk.

I naute hian he natna atanga a dam leh theih nan hun rei tak a mamawh avangin lungngaihna leh lungkhamna i neih hi thil pangngai a ni tih hre reng ang che. Mahse, oral aversion enkawlnaah hian hun leh specialist hrang hrangte puihna a ngai fo thin. Hetiang dinhmun hi dawhthei taka awm a, doctor-in a pek dan zawm a nih chuan pumpelh theih a ni.

He natna (Oral Aversion) hi eng nge a nih?

Oral aversion thlirna hi a tlangpuiin a tha a, a bik takin a hmaa hmuhchhuah leh enkawl a nih chuan a tha hle. Naute tam zawk chuan he natna atang hian an dam kim thei a ni.

Oral Aversion hi ven theih a ni em?

Oral aversion hi 100% a ven theih a ni lo. Amaherawhchu, healthcare provider ten a ven nan hma an la thei a ni. I naute chu a naupan lai aṭanga damdawi lam enkawlna bik mamawhna hlauhawma dah thei thil a awm a nih chuan, a hmaa invenna tur ruahmanna siam ṭan theih a ni.

Hetiang thil a thlen theihna tur tihtlem nan thil i tih theih te pawh a awm bawk. Hemi chungchang hi i naute doctor-in a hrilh belh thei che a ni. Entirnan, hmui hmanga thil tih (naute hmai sil leh ha sil ang chi) chu a nuam thei ang bera siam rawh.

Oral Aversion leh Food Aversion hi a inang em?

Ni lo, hengte hi thil chi hrang hrang pahnih a ni. Oral Aversion hi a tam hle mai. Chumi awmzia chu naute chuan an ka bula thil lo thleng apiang, ei leh in pawh tiamin, dodal leh pumpelh a tum ang tihna a ni.

Mahse, ei leh in duh lohna hi a chiang hle thei. Chu chu, i naute chuan ei tûr bîk, rim bîk, a nih loh leh chaw chi hrang hrang a duh lo mai thei tihna a ni. Entirnan, naute thenkhat chuan chaw tui tak, porridge ang chi an duh mai thei a, mahse solid food an duh lo mai thei.

I naute hian ei a duh loh chuan i lungngai a, i lungngai mai thei tih hi hriatthiam theih a ni. Nangmah leh nangmah mawhpuh turin thlemna pawh i tawk mai thei. Mahse , oral aversion hi a awm fo thin tih hre reng ang che. Dik tak chuan zirchianna atanga a lan dan chuan naute pahnih zinga pakhat velin an tawng thin (a tam zawk chu a na lo hle nachungin).

I naute hian aversion case na zawk a nei nia i ngaih chuan i naute doctor nen inbia ngei ang che. Eng thil nge thleng tih leh i naute mamawh chu a hrilhfiah thei a ni. I tih loh tur chungchangah pawh thurawn a pe thei che a ni. Tichuan, in pahnih hian he hun harsa tak hi in paltlang hma loh chuan i naute mamawh ang chiah chu i pe thei ang.

Thu pawimawh ber berte (Take-Home Message) .

Okay, chuvangin, kan sawi tawh atang chuan hengte hi i hriat reng tur pawimawh ber berte chu an ni:

• Oral aversion chu nautein a ei duh loh a, oral object hlauhna a lantir thinna a ni. Hei hi ei leh in duh lohna pangngai nen a danglam a ni.
• Hei hi a hmaa tawngkam nuam lo tak tak tawn vang pawh a ni thei .
• An kâa thil an rawn luh chuan ṭap, hawisan, leh an hmui hrual ang chi chhinchhiahna an lantîr thei a ni.
• A hmaa hriatchhuah leh enkawl hi a pawimawh hle a, chuti lo chuan malnutrition ang chi harsatna a awm thei a ni.
• Enkawlnaah hian team pakhat, naupang doctor, speech therapist, leh occupational therapist te puihna a tel a ni.A tul mai thei.
• Dawhtheihna leh hmanraw dik zawm chuan he dinhmun hi tihdanglam theih a ni fo.
• Hemi chungchangah hian rinhlelhna i neih chuan, emaw, i naute nungchang i ngaihtuah a nih chuan doctor rawn hmasa phawt ang che. Nangmah chauh i ni lo va, pui thei tur professional an awm bawk.

Nausen tin hi an danglam vek tih hre reng ang che. Chuvangin, naute dang nen tehkhin suh. A pawimawh ber chu i naute hi hmangaihna leh dawhthei taka enkawl a, doctor thupek zawm tur a ni.

` Oral Aversion, nausen chuan a ei lovang, kâa ei duh loh, nausen chaw pek harsatna, ei hlauh, naute chuan bawnghnute a in lo, Naute chaw pek harsatna