Kua mōhio kē tāu tamaiti ki te whakamahi i te wharepaku, engari kei te mimi tonu i te moenga i ētahi wā i te pō? He raruraru noa tēnei mō te nuinga o ngā mātua i tō tātou whenua. Tērā pea ka pouri koe mō tāu tamaiti, ā, ka tino ngenge koe, ka āwangawanga hoki mō te horoi i ngā whāriki moenga i ia rā. Kaua e manukanuka. He mea noa tēnei. Ko te mea nui ko te mārama ehara tēnei i te he o te tamaiti, ehara hoki i te mea e mahia ana e ia . Me kōrero taipitopito tātou mō tēnei.
He aha rawa te tikanga o te whakamakuku i te moenga i te pō?
I roto i te rongoā, ka kiia tēnei ko te "Nocturnal Enuresis". He kupu ngāwari noa iho, koinei te putanga mimi korekore i te wā e moe ana. He mea tino noa tēnei i waenga i ngā tamariki nohinohi, ahakoa kua mōhio rātou ki te whakamahi i te wharepaku. Ko te tikanga ka mutu tēnei whanonga i waenga i ngā tamariki 4 ki te 6 tau te pakeke.
I te nuinga o te wā, ehara tēnei i te tohu o tētahi mate hauora. He tino onge te puta, he iti noa iho pea te ōrau o ngā take, pērā i te 1%. Nō reira, kaua rawa e whakaaro he tohu tēnei nō te mangere, te pakeke, te whanoke rānei o te tamaiti. He wāhanga tēnei o tētahi raruraru whanaketanga i roto i te tinana o te tamaiti. I roto i te wā, ka pai ake te nuinga o ngā tamariki me te kore he maimoatanga.
Ahakoa ehara tēnei i te āhuatanga nui, ka whakama pea te tamaiti, ka pouri hoki mōna. I ētahi wā, ka arahi pea tēnei ki te whakamatautauranga kia karo i ngā mea pēnei i te noho ki ngā whare o ngā hoa, te haereere rānei.
E rua ngā momo matua o tēnei mate.
Ka wehewehea tēnei mimi moe kia rua ngā wāhanga matua. Kia mārama koe ki tēnei, ka taea e koe te mārama ake ki te āhua o tāu tamaiti.
| Momo | Hei whakarāpopototanga... |
|---|---|
| Enuresis Tuatahi | Koinei te momo tino noa. Ko te tikanga kua mākū te tamaiti i te moenga i te pō mai anō i tōna tamarikitanga. Kāore anō ia kia kore e mākū i te moenga i te pō mō te wā roa (neke atu i te 6 marama). |
| Enuresis Tuarua | Ko te mea ka tupu i tēnei take, kua ono marama te iti rawa o te tamaiti e kore ana e mimi i te moenga, kātahi ka tīmata anō te mimi i te moenga i te pō. |
He aha tēnei ka pā ki ngā tamariki? He aha ngā take?
Ka rerekē pea tēnei i runga i ngā momo take e rua.
Ngā Take o te Enuresis Tuatahi
Ko te tikanga ka puta mai tēnei i tētahi, i ētahi atu rānei o ngā āhuatanga whanaketanga:
- Kāore i te rawaka te kaha o te pūkahukahu: Kāore anō pea te pūkahukahu o te tamaiti kia tino whanake hei pupuri mimi i te pō katoa.
- Te kore e ara ake i te moe: Ina kī tonu te pūkahukahu, kāore pea te tamaiti e ara ake ki te tohu e whiwhi ana te roro e mea ana, "Ka mimi ahau inaianei, whakatika." He maha ngā tamariki e pāngia ana e tēnei raruraru.
- Te whakaputa mimi nui ake i te pō: Ko ētahi tinana o ētahi tamariki he nui ake i te mimi noa i te ahiahi me te pō.
- Ngā whanonga kino i te awatea: He whanonga tō ētahi tamariki ki te pupuri i ō rātou mimi ahakoa kei te tākaro rātou. Tērā pea kua kite koe i a rātou e whakawhiti ana i ō rātou waewae, e hanga ana i te kanohi kawa, e tohe ana. Ina ngana rātou ki te whakahaere i tā rātou mimi i te awatea, ka ngaro pea tā rātou mana whakahaere i te pō.
Ngā Take o te Enuresis Tuarua
Ki te tīmata anō te mimi i te moenga i muri i tētahi wā, he tohu pea tēnei mō tētahi mate hauora, mate hinengaro rānei. Tērā pea ka raru anō hoki ngā tamariki e pāngia ana e tēnei mate ki te mimi i te awatea.
| Take pea | Whakaahuatanga |
|---|---|
| Mate pāwera o te ara mimi (UTI) | Ka taea e te mate mimi te pupuhi i te pūkahukahu, te wera i te wā e mimi ana , me te mimi pinepine. |
| Mate huka | Ina piki ake te taumata o te huka toto, ka nui ake te mimi e whakaputaina ana e te tinana hei tango i taua huka. Ko te mimi pinepine tetahi o ngā tohu matua o te mate huka. |
| Te Āhuatanga Hanga | Ka puta pea tēnei āhuatanga i te whānautanga mai o tētahi hapa i roto i ngā whekau, ngā uaua, ngā io rānei o te pūnaha mimi. |
| Te moe pōrearea | Ki te haukotihia te manawa o te tamaiti i te wā e moe ana (e ngongoro ana), kei te aro nui te roro ki te manawa i te whakahaere i te mimi. He maha ngā wā ka puta tēnei nā te nui haere o ngā tonsil me ngā adenoids. |
| Ngā raruraru o te pūnaha io | Ka puta pea tēnei raruraru i tētahi mate, i tētahi mate rānei i roto i te pūnaha io e whakahaere ana i te mimi. |
| Te ahotea ā-hinengaro | Whakaarohia, ko ngā mea pēnei i te whakatū kura hou, te whānautanga o tētahi pēpi hou i roto i te whare, te neke whare, me ngā tautohe a ngā mātua he mea taumaha katoa mō te tamaiti nohinohi. Ka taea hoki e ēnei mea te arahi ki te mimi moenga tuarua. |
He mea nui: Ki te mea kua roa te ora o tāu tamaiti, kātahi ka tīmata anō te mimi i te moenga, kaua e warewaretia. He mea nui kia rapu tohutohu hauora.
He hononga kei waenganui i te ADHD, te autism, me te mimi i te moenga?
Āe, he hononga tērā. Kua kitea e ngā rangahau he nui ake te mimi i roto i ngā tamariki e pāngia ana e te Attention Deficit Hyperactivity Disorder (ADHD). E whakaarohia ana ko te ADHD me te mimi i roto i ngā moenga he hononga pea ki te whakaroa i te whanaketanga o te pūnaha io matua.
Kei te kitea anō hoki tēnei āhuatanga i roto i ngā tamariki e pāngia ana e te `Autism Spectrum Disorder (ASD).` Kei te whakahaerehia ētahi atu rangahau mō tēnei.
He mea tēnei nō ngā whakatipuranga?
Āe, ka pā tēnei ki ngā whakatupuranga. Mēnā ka moe koe i te moenga i te pō i a koe e tamariki ana, ka nui ake te tūponotanga ka pāngia tō tamaiti e te mate. I te nuinga o te wā, ka mutu te whanonga o te tamaiti i te pakeketanga o te mātua.
Āhea tātou me toro atu ki te tākuta?
Mena kei te 6-7 tau te pakeke o tāu tamaiti, ā, kei te mimi tonu ia i te moenga, ā, e tino pōuri ana/e whakama ana hoki mōna, he mea pai kia toro atu koe ki tētahi tākuta tamariki mō ētahi tohutohu.
Me toro atu ki te tākuta tonu, ina koa mēnā kei a koe ēnei tohu e whai ake nei:
- Ki te pai ake tō āhua mō tētahi wā, kātahi ka tīmata anō te mākū i te moenga (enuresis tuarua).
- Mena he wera, he mamae rānei i te wā e mimi ana .
- Ki te kite koe i te toto i roto i tō mimi.
- Ki te mimi koe i ō kākahu i te awatea .
- Ki te nui tō ngongoro (tērā pea he mate moe pōrearea).
- Mena he nui tō mate kōroke .
He aha ngā maimoatanga, ā, me pēhea te whakahaere i tēnei?
Kāore he otinga "makutu" tere mō tēnei. E hiahiatia ana te manawanui, te aro o tāu tamaiti me tāu tamaiti, me te wā hoki.
Ngā mea ka taea e koe te mahi i te kāinga
1. Kaua e whakapae i tāu tamaiti: Ahakoa kei te riri koe ina mimi tāu tamaiti i te moenga i ia rā, kaua e whakaatu ki tāu tamaiti. Kāore ia e mahi ana i tēnei i runga i te whakaaro . Mā te whakapae i a ia, te riri i a ia, te whiu rānei i a ia ka nui ake tōna mamae.
2. Whakamāramahia te āhuatanga ki tāu tamaiti: Me whakamārama atu ki a rātou ehara i te mea nā rātou tēnei he, ā, he maha atu anō ngā tamariki o te ao e pā ana ki tēnei āhuatanga. Mēnā i pā tēnei ki a koe i a koe e tamariki ana, kōrerotia taua kōrero ki tāu tamaiti.
3. Kaua e tukua ētahi atu tamariki kia tawai i a koe: Kati te tawai i ētahi atu tuākana/teina i te kāinga mō tēnei mea.
4. Ngā tikanga moe: Whakamahia te wharepaku kia rua ngā wā i mua i te moe. Kotahi te wā ina rite koe ki te moe, ā, ko te tuarua i mua tata tonu i te moe. Me whakawhāiti hoki te nui o te wai me ngā inu e hoatu ana e koe ki tāu kurī i muri i te 6 i te ahiahi. Āta karohia ngā inu kei roto te kawheine, pērā i te kawhe, te tī, me te cola.
5. Te ara ake i te pō: I mua i tō haerenga ki te moe, 1-2 hāora i muri i te moe o tō pēpi, ka taea e koe te whakaara i a ia ka kawe i a ia ki te wharepaku.
6. Tiakina tō moenga: Whakamahia he taupoki moenga ātete wai hei ārai i te mākū o tō moenga.
7. Whakaoho Mō te Mīti Moenga: He tikanga matatau ake tēnei. He pūoko kei roto i te kākahu o roto o te tamaiti. Ka puta he haruru nui ina maringi he pata mimi. Ahakoa ko ngā mātua te hunga e ara ake ana i te tīmatanga, i muri i tētahi wā ka taunga te tamaiti ki te ara ake i te tangi. I roto i te wā, ka whakangungua te roro ki te ara ake ina kī ana te pūkahukahu. He tikanga angitu tēnei mō ngā tamariki neke atu i te 7 tau te pakeke.
Te maimoatanga hauora
Ki te kore e whai hua ngā rongoā kāinga, ka tohua pea e tō tākuta he rongoā.
- Desmopressin (DDAVP): Ka whakaitihia te nui o te mimi e whakaputaina ana e te tinana i te pō e tēnei rongoā.
- Ngā rongoā ārai-kōrini (hei tauira, Oxybutynin):Ka whakangāwari ēnei i ngā uaua o te tōngāmimi, ka whakanui hoki i tōna kaha.
Kia maumahara, me whakamahi noa i ēnei rongoā i raro i te tohutohu a te taote . Waihoki, ka hoki mai pea te mate ina mutu te tango. He otinga rangitahi noa iho ēnei.
Karere Tangohia ki te Kāinga
- He mea tino noa te mimi i te moenga i te tamarikitanga. Ehara i te he o te tamaiti.
- Ko te take matua mō tēnei he whakaroa i te whanaketanga tinana o te tamaiti, ehara i te mate kino.
- Kaua rawa e whakapae, e whiu, e whakama rānei i tāu tamaiti mō tēnei. Engari, kia mārama, kia tautoko hoki i a ia.
- Ki te tīmata anō tāu tamaiti ki te mākū i te moenga i muri i te oranga mō tētahi wā, ki te pāngia rānei e ētahi atu tohu pēnei i te wera, te toto rānei i te wā e mimi ana , me toro atu koe ki te tākuta .
- E hiahiatia ana te manawanui me te wā hei wikitoria i tēnei āhuatanga. Ko tō aroha me tō tautoko te kaha nui rawa atu mō te tamaiti.
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