He maha ngā wā ka manawa tō tamaiti mā roto i tōna waha? He nui te ngongoro i te pō? He maha rānei ōna mamae taringa, ōna makariri rānei? Ko te take o ēnei raruraru he mea kāore pea koe e whakaaro. Koia tēnei ko te pupuhi me te whakanui i ngā "adenoids" o te tamaiti. Kaua e manukanuka, he mea noa tēnei mō ngā tamariki nohinohi. Me kōrero tātou mō ngā mea katoa i roto i ngā kupu māmā i tēnei rā.
He aha tonu ngā adenoids?
He whakarāpopototanga noa iho, ko ngā adenoids he puranga kiko iti e rua kei muri i tō tātou ihu, kei te tihi o tō tātou korokoro. He rite ki ngā tonsils. Kāore e kitea ina whakatuwherahia tō waha, nā te mea kei runga ake i te tuanui o tō waha, kei roto i tō ihu.
He wāhanga nui ēnei adenoids o te pūnaha ārai mate o te tamaiti . He rite rātou ki ngā kaitiaki o te whare. Ka āwhina rātou ki te hopu i ngā iroriki, pērā i ngā huaketo me ngā huakita, e uru mai ana i te wā e manawa ana te tamaiti, ā, ka ārai i a rātou kei uru ki te tinana.
Engari ko te mea whakamiharo, i te pakeketanga o te tamaiti, i te nuinga o te wā i te 13 tau te pakeke, ka mimiti ēnei adenoids, ka ngaro atu i a rātou anō . Kāore e kitea i roto i te tinana o ngā pakeke.
Nā, ki te mea he mea pai, he aha ai me tango atu?
He pātai pai. Ahakoa he pai ngā adenoids, ka raru pea i ētahi wā. Mā ngā mate pāwera me ngā mate pāwera e pupuhi ai, e nui haere ai hoki ēnei adenoids. Ka whānau mai ētahi tamariki me ngā adenoids nui atu i te mea noa.
Ka ahatia ina nui haere? Ka tīmata te ara manawa, arā, te ara hau i muri i te ihu, ki te āraihia e ēnei adenoids kua nui haere. He rite ki tētahi mea e mau ana i roto i te paipa wai. Koinā te wā ka puta ai ngā raruraru.
| Ngā raruraru e pā ana ki te whakanui ake i ngā adenoids | He aha te pānga o tēnā ki te tamaiti? |
|---|---|
| Te uaua ki te manawa | He maha ngā wā ka manawa te tamaiti mā roto i tōna waha. Ina moe ia i te pō, ka mutu tana manawa mō tētahi wā, kātahi ka tīmata anō. Ka kiia tēnei ko te (Sleep Apnea) . He mate kino rawa tēnei. |
| Ngā raruraru moe | He nui tā rātou ngongoro i te pō nā te mea kāore e taea e rātou te manawa tika. Kāore rātou e moe pai i te pō. Nō reira, ka tino pukuriri rātou, ka noho pōrearea, ā, ka kore e aro nui i te awatea. |
| Ngā mate taringa auau | He ngongo iti tēnei e hono ana i tō tātou taringa waenga ki tō tātou korokoro. Ina nui haere ngā adenoids, ka āraia tēnei ngongo, ka kohikohi te wai rite ki te hūpē ki roto i te taringa, ka mamae tonu te taringa. Tērā pea ka paku ngoikore te whakarongo. |
| Ngā Mate Puku o te Sinus | Ka purua tonutia te ihu, ā, he nui te hūpē e rere ana. Ka puta pinepine pea ngā raruraru o te sinus. |
Mena kei te raru tonu tāu tamaiti i ēnei raruraru, ka tūtohu pea tō tākuta kia tangohia te adenoid. Ko te tikanga ka mahia tēnei pokanga ki ngā tamariki i waenga i te 1 me te 7 tau te pakeke , nā te mea ka mimiti haere rātou i muri i tēnā.
E te tākuta, me pēhea koe e mōhio ai he aha tēnei?
Ina haria e koe tāu tamaiti ki te tākuta, ka pātai tuatahi ia ki a koe mō ngā tohu o tāu tamaiti. Kātahi ka whakamātauria e rātou te āhua o ngā adenoids. E rua ngā huarahi hei mahi i tēnei.
1. X-ray: Mā te X-ray o te taha o te kaki ka kitea te rahi o ngā adenoids me te nui o te aukati i te ara manawa.
2. Te tirotiro mā te kāmera: I ētahi wā, ka whakauruhia he kāmera iti mā te ihu, ā, ka tirohia tika ngā adenoids. Mā tēnei ka taea te tiro mārama ki te āhua.
I muri i ēnei whakamātautau, ina whakaritea ki ngā tohu o te tamaiti, ka taea e te tākuta te whakatau mēnā he mea tika te pokanga.
He mahi tino noa, he mahi haumaru hoki te tango i ngā adenoids e mahia ana ki ngā tamariki nohinohi puta noa i te ao, nō reira kaua e wehi ki te mahi.
Me ako tātou mō te pokanga (Adenoidectomy)
He pokanga tino māmā tēnei, e 30 meneti pea te roa. Mā te tohunga taringa, ihu, me te korokoro (Taonga ENT) e mahi.
Me pēhea taku whakarite i mua i te pokanga?
Ka hoatu e tō tākuta he huinga tohutohu ki a koe i mua i te pokanga.
- Mō te rongoā:I mua i te pokanga, ka matapakihia e te tākuta ngā rongoā pai me ngā rongoā kino mō tāu tamaiti. Hei tauira, ka tonoa pea koe kia mutu te tango i ngā rongoā whakaiti toto pēnei i te aspirin me te ibuprofen.
- Nohopuku: Ka tonoa koe kia kaua e kai, e inu rānei i tetahi mea mō ētahi haora i mua i te pokanga. Me whai i ngā tohutohu kia tika. He mea nui te puku kau mō te rongoā whakamoe.
- Ngā mate: Ki te pāngia tō tamaiti e te makariri, te kirika rānei i te wā e tata ana ki te pokanga, me kōrero ki te tākuta. Me whakaroa pea te pokanga mō ētahi rā.
He aha ngā mea ka tupu i te wā o te mahi?
- Tuatahi, ka hoatu he rongoā whakamoe whānui ki te tamaiti. Ko te tikanga o tēnei ka moe pai te tamaiti tae noa ki te mutunga o te pokanga. Kāore te tamaiti e mamae .
- Kia moe te tamaiti, ka whakatuwherahia e te taote pokanga te waha o te tamaiti, ā, ka tangohia ngā adenoids mā roto. Nō reira , kāore he tapahi, he tuitui rānei e kitea ana i te tinana .
- Hei whakamutu i te toto mai i te wāhi i tangohia ai te repe, ka whakamahia he taputapu wera i ētahi wā. Ka kiia tēnei tikanga ko te electrocauterization .
- I ētahi wā, mēnā kei te pupuhi hoki ngā tonsil o te tamaiti, ā, kei te raru pea, ka tangohia anō hoki i te wā kotahi e pokangahia ana. Ka kiia tēnei he tango tonsillectomy . He mea tino noa te mahi ngātahi i ēnei pokanga e rua.
He aha ngā mea ka tupu i muri i te pokanga?
I muri i te pokanga, ka haria te tamaiti ki te rūma whakaora. I reira, ka tiakina pai te tamaiti e ngā kaimahi hauora tae noa ki tōna oho ake i te rongoā whakamoe. Kia taea e te tamaiti te manawa, te maremare, me te horomi pai, ka whakaaetia koe kia kite i te tamaiti.
I te nuinga o te wā , ka taea e koe te hoki ki te kāinga i taua ahiahi tonu i te wā o te pokanga . Heoi anō, me noho pea koe ki te hōhipera i te pō mēnā ki te whakaaro te tākuta me tirotirohia te tamaiti mō tētahi wā roa ake.
He aha ngā painga o tēnei?
Mā te tango i ngā adenoids ka māmā ake te oranga o te tamaiti.
- Ka taea e koe te moe pai i te pō, me te kore e ngongoro.
- Kati te manawa mā roto i tō waha, ka tīmata te manawa ataahua mā roto i tō ihu.
- Ka ngaro te mamae taringa me te makariri.
- Ka ora te tamaiti, ka harikoa hoki i te awatea.
Tērā pea kei te whakaaro koe, "Āe, ki te tangohia e tātou tētahi mea nui hei ārai i te mate, ka heke te ātete o tā tātou tamaiti ki te mate?" Kāore tēnā i te pono . He mīharo te pūnaha ārai mate o tō tātou tinana. Ka whakakapia taua ngoikoretanga i ētahi atu huarahi. Inaa, he pai ake mō te hauora o te tamaiti te korenga o ngā adenoids i te whai i tētahi puranga adenoids e pupuhi tonu ana, e pangia ana.
Me pēhea te tiaki i tāu tamaiti i muri i tō taenga ki te kāinga?
I muri i te pokangaKa ora katoa te tamaiti i roto i te wiki, i ngā wiki e rua rānei. I tēnei wā, tera pea ka pāngia koe e ētahi o ēnei tohu. He mea noa ēnei, kaua e manukanuka.
- Te ruaki, te whakapairuaki rānei i roto i ngā haora 24 tuatahi.
- Te wera o te tinana me te kirika i te rā tuatahi, i ngā rā e rua rānei.
- Te manawa kino (tērā pea ka roa mō ētahi wiki).
- Te uaua ki te horomi, te mamae o te korokoro.
- Te manawa nui i te wā e moe ana.
- Mamae kaki.
- Te mamae o te taringa.
Hei whakahaere i tēnei mamae, ka tohua e te tākuta he wai hei rongoā whakamamae mamae. He māmā noa iho ēnei ki te tamaiti te horomi.
| Ngā mea hei whakaaroaro i te wā whakaora |
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Hoatu he kai me he inu pai ki tāu tamaiti:
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Ngā kai me ngā inu kāore e pai mō te tamaiti:
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Ngā mea me mahi:
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I te nuinga o te wā, i muri i te wiki e okioki ana i te kāinga, ka taea e tāu tamaiti te hoki ki te kura. Me whakapā atu ki tō tākuta kia tino mōhio ai koe.
Āhea koe me waea atu ki te tākuta tonu?
Kia mataara tonu ki tāu tamaiti i muri i tō taenga ki te kāinga. Ki te kite koe i tētahi o ēnei tohu, waea atu ki tō tākuta tonu.
- Mena he uaua ki a koe te horomi i te kai, i te inu rānei .
- Ki te ruaki tonu koe, ā, kāore he mea hei kai, hei inu rānei i roto i tō puku.
- Mena kei te mau tonu te kirika i ngā rā e toru i muri i te pokanga.
- Ki te maremare koe me te toto totoka, ki te ruaki rānei i te puehu kawhe (he tino onge tēnei, engari he mea nui kia mōhio koe).
I roto i tēnei āhuatanga, kaua e mangere ki te kawe i te tamaiti ki te Wāhanga Maimoatanga Ohotata (ETU) o te hōhipera.
Karere Tangohia ki te Kāinga
- He mate noa te pupuhi o ngā adenoids i roto i ngā tamariki nohinohi. Ka raru pea te manawa, te moe, me te taringa.
- He maimoatanga tino haumaru, tino whai hua hoki te tango i te adenoidectomy.
- Kāore tēnei pokanga e pā kino ki te pūnaha ārai mate o te tamaiti. Ina hoki, kua tino pai ake te kounga o te oranga o te tamaiti.
- Ka ora katoa te tamaiti i roto i te kotahi ki te rua wiki i muri i te pokanga. He mea tino nui te okiokinga me te kai tika mō tēnei.
- Mena he pātai āu mō tēnei, kaua e wehi ki te pātai atu ki tō tākuta.
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