Kei te āwangawanga koe kei te mimi tonu tāu tamaiti i te moenga i te pō, ahakoa kua mōhio ia ki te whakamahi i te wharepaku? Tērā pea ka whakama koe, ka riri, ka kore rānei e āwhina i a koe mō tēnei mea. Kaua e manukanuka, he raruraru tino noa tēnei e pā ana ki te tini o ngā mātua, ehara i te mea i Sri Lanka anake, engari puta noa i te ao. Ko te mea nui ko te mārama ehara tēnei i te he o te tamaiti, ehara hoki i tōu he . Me kōrero taipitopito tātou mō tēnei.
He aha rawa te tikanga o te mimi i te moenga?
Ki te whakarapopoto, ko te mimi i te moenga, e mōhiotia whānuitia ana rānei ko te "Nocturnal Enuresis", ko te turuturu o te mimi i te pō, kāore e taea te whakahaere. He mea tino noa tēnei i waenga i ngā tamariki nohinohi.
Whakaarohia, he maha ngā tamariki ka taea tonu te mimi i te moenga i te pō i muri i te whakangungu ki te wharepaku, tae noa ki te 4, 5, 6 rānei tau te pakeke. He wāhanga tēnei o te whanaketanga o ō rātou tinana. Nā te mea kāore anō kia tino whanake te whakawhitiwhiti kōrero i waenga i tō rātou pūkahukahu me te roro.
Heoi, i te nuinga o te wā ka tīmata te tākuta ki te whakaaro he raruraru tēnei mēnā ka haere tonu te mimi i te moenga neke atu i te rua i te wiki i muri i te 7 tau te pakeke o te tamaiti .
Ehara tēnei i te mate kino. Heoi, ka pā mai he ahotea hinengaro ki te tamaiti me te whānau. Tērā pea ka whakama, ka hara te tamaiti i mua i ngā pakeke. I ētahi wā, ka karo pea rātou i ngā mea pēnei i te noho ki ngā whare o ngā hoa, i te haereere rānei, nā te wehi kei "Me aha ahau mēnā me mimi ahau i te pō?"
Ko te mea nui kia mārama koe ehara tēnei i te take o te hoha, o te kore rānei e pai ki te whakamahi i te wharepaku. He maha ngā take mō tēnei.
E rua ngā momo matua o te mīti i te moenga.
E rua ngā huarahi matua e taea ai e tātou te titiro ki tēnei āhuatanga. Mā te mārama ki tēnei ka āwhina i a koe kia mārama ake ai ki te āhuatanga o tāu tamaiti.
| Momo | Te tikanga noa iho |
|---|---|
| Te Enuresis Pō Tuatahi | Ko te tikanga o tēnei, kāore te tamaiti i noho mīti i te moenga i te pō mō te iti rawa o te ono marama mai i tōna whānautanga. Ko te tikanga o tēnei kei te haere tonu te whanonga. |
| Te Enuresis Tuarua o te Pō | Koinei te wā kāore te tamaiti e mimi ana i te moenga mō te iti rawa o te ono marama, kātahi ka tīmata anō te mimi i te moenga. Ko te tikanga he take hauora, he take hinengaro rānei tēnei. |
He aha tēnei ka pā ki ngā tamariki (me ētahi pakeke)?
Kāore he take kotahi mō tēnei. Ka rerekē pea ngā take i ia tamaiti, i ia tamaiti, ā, i runga anō i te tau.
He aha tēnei ka pā ki ngā tamariki nohinohi?
I te nuinga o te wā, ko te take matua mō te mimi i roto i te moenga o ngā tamariki nohinohi kāore anō kia tino whanake te mana whakahaere o te pūkahukahu. He mea noa tēnei. Heoi, i ētahi wā, inā koa kua pakeke ake te tamaiti, ā, kei te mimi tonu i te moenga, tera pea he mate kei raro.
- Matepukupuku o te Ara Mimi (UTI): Ka puta te mimi pinepine i ngā matepukupuku o te ara mimi, ā, ka uaua ki te whakahaere i taua mimi.
- Te kōroke: Ina kore te tūtae e tika te haere, ā, ka whakakī i te pūkahukahu, ka pēhia te pūkahukahu. Ka kore pea e nui te wāhi o te pūkahukahu hei whakakī katoa, ka ngaro rānei te mana whakahaere.
- Mate huka: He tohu tōmua pea tēnei o te mate huka. Ina piki ake te taumata huka o te tinana, ka nui ake te mimi ka puta.
- Ngā raruraru pēnei i te ngongoro (Obstructive Sleep Apnea): Ko ngā tamariki e uaua ana ki te manawa i te wā e moe ana, tera pea ka rerekē te mahi a ētahi homoni i roto i te roro, ka nui ake te mimi e whakaputaina ana e rātou i te pō.
- Ngā raruraru io: Mena he ngoikore kei roto i ngā io e kawe ana i ngā karere mai i te pūkahukahu ki te roro.
- Ngā āhuatanga pēnei i te ADHD: He mea noa anō hoki tēnei āhuatanga i roto i ngā tamariki he raruraru aro me te mahi.
Ngā take e pā ana ki ngā pakeke me ngā tamariki nohinohi
Mena kei te pāngia tētahi kaumātua e tēnei mate, tērā pea nā ēnei take e whai ake nei.
- Ira: Mena i pāngia tō whaea, tō pāpā rānei e tēnei raruraru i a ia e tamariki ana, he nui ake te tūponotanga ka pāngia anō hoki tō tamaiti.
- Ngā Hōmona: He hōmona kei roto i tō tātou tinana e whakaiti ana i te whakaputanga mimi i te pō. Ko te ingoa o tēnei hōmona ko '(Vasopressin)'. Kāore e nui te whakaputanga o tēnei hōmona e te tinana o ētahi tāngata i te pō. Kātahi ka whakaputa mimi i te pō me te awatea, ā, ka tere te kī o te pūkahukahu.
- Te iti o te kaha o te tōngāmimi: I tēnei wā, he noa te rahi o te tōngāmimi, ahakoa he paku kī tonu, ka tukuna he tohu hē ki te roro, e mea ana "Kua kī tonu, me mimi ahau."
- Te moe hōhonu (Te kore e ara ake):He tino hohonu te moe o ētahi tamariki (me ngā pakeke) ahakoa kī tonu ā rātou pūkahukahu, ā, ka tukuna ngā tohu ki te roro, e kore tonu rātou e ara ake.
- Ngā raruraru hinengaro: Whakaarohia, ko ngā mea pēnei i te matenga o tētahi mema o te whānau, te neke ki tētahi kura hou, ngā raruraru mātua, te ahotea whakamātautau rānei ka meinga te tamaiti kua pai tana mahi mō ngā marama kia tīmata anō ki te mimi i te moenga.
Āhea tātou me toro atu ki te tākuta?
Ahakoa he mea noa te mimi i te moenga, he mea nui i ētahi wā kia rapu tohutohu hauora. Ka taea hoki e ia te āwhina ki te whakamama i ō mataku me ō ruarua.
| Mena kei a koe ēnei tohu... | Me aha? |
|---|---|
| Mena kua neke atu i te 7 tau te pakeke o te tamaiti, ā, kei te mimi tonu i te moenga i ngā wā katoa. | Me tino toro atu ki te tākuta me te tiki tohutohu. |
| Mena kāore koe i whakamakuku i te moenga mō ngā marama e ono, neke atu rānei, ā, ka tīmata anō te mimi (Secondary Enuresis). | He tohu pea tēnei nō tētahi atu mate huna. Me toro atu ki te tākuta tonu. |
| Ki te mimi koe i ō kākahu, ehara i te mea i te pō anake, engari i te awatea anō hoki . | He āhuatanga tino tika tēnei me tirotirohia. |
| Ki te mea koe he mamae ina mimi koe, ki te mea rānei koe he matewai tonu koe. | He tohu pea ēnei o ngā mate pēnei i te mate mimi, te mate huka rānei. Kōrero atu ki tō tākuta. |
| Mena he mate kōroke koe, he ngongoro rānei i a koe e moe ana. | Ka taea hoki e te mīti i te moenga te puta mō ēnei take, nō reira me whakamōhio atu ki tō tākuta. |
Me pēhea te whakahaere me te rongoā?
Ko te mea pai rawa atu, he tino whai hua ngā maimoatanga me ngā kōwhiringa whakahaere mō tēnei. Ka tirotirohia e tō tākuta tāu tamaiti, ka pātai atu ki a koe mō ō tohumate, ā, ki te tika, ka whakahaerehia he whakamātautau mimi, hei whakatau i te maimoatanga pai rawa atu mō tāu tamaiti.
1. Ngā Huringa Whanoke
He maha ngā wā ka whakamātauhia tuatahitia ēnei tikanga. Ka āwhina i te whakaoti rapanga me te kore e whakamahi rongoā.
- Whakaitihia te inu wai i mua i te moe: Kati te hoatu wai, miraka, me ngā inu ngohengohe i te rua hāora i mua i te moe. Heoi anō, me hoatu e koe he nui o ngā wai ki tāu tamaiti i te awatea.
- Kia tino haere ki te wharepaku i mua i te moenga: Ahakoa te kī a tāu tamaiti kāore he mate mimi i a ia, me haere ki te wharepaku ka whakawātea katoa i tana pūkahukahu i mua i te moenga.
- Whakatūpato Enuresis: He taputapu iti tēnei. Ka tāpirihia he pūoko ki roto i ngā kākahu o roto o te tamaiti. Ina tukuna he pata mimi , ka kitea e te pūoko, ā, ka whakahohehia he whakaoho (oro, wiri rānei). Mā tēnei ka ara ake te tamaiti. I roto i te wā, ka taunga te roro ki te ara ake i te wā e kī ana te pūkahukahu. He tikanga tino whai hua tēnei.
- Te Whakaora i te Pūngāwerewere: I te awatea, ina hiahia te tamaiti ki te mimi , ka akona rātou ki te pupuri mō ētahi meneti. Ka whakanuia haeretia tēnei wā. Mā tēnei ka whakangungua te pūngāwerewere ki te pupuri i te nui o te mimi. Me mahi tēnei i raro i te tohutohu a te tākuta.
2. Ngā rongoā
Mena kāore ngā tikanga o runga ake nei e whai hua, he take hauora rānei kei reira, ka tohua pea e tō tākuta he rongoā.
- Desmopressin: He rongoā hangai tēnei e rite ana ki te homoni `(Vasopressin)` i kōrerotia i mua ake nei. Mā te whakaiti i te nui o te mimi e puta ana i te pō ka mahi.
- Oxybutynin, Tolterodine rānei: Ka āwhina ēnei rongoā ki te whakaiti i te whakahekenga o te pūkahukahu mēnā he nui rawa te mahi a tō pūkahukahu.
He mea tino nui: Me hoatu noa ēnei rongoā i runga i te taunakitanga a te tākuta. Kaua rawa e hoatu ēnei rongoā ki tāu tamaiti i runga i ngā kōrero i rongohia, i te whare rongoā rānei.
Ko te mea nui ko te hanga i te hinengaro o te tamaiti.
He mea nui ake i te maimoatanga, ā, he mea nui ake pea, ko te whakarato tautoko kare ā-roto ki te tamaiti. Ka pā nui tēnei ki te whakapono ki a ia anō.
- Kaua rawa e riria tāu tamaiti: Kaua e riria, e whiu, e whakama rānei tāu tamaiti i mua i te aroaro o ētahi atu mō te mākū i te moenga. Ka nui ake te kino o tēnei.
- Whakamāramahia ehara tēnei i tana he:Me kī atu ki tāu tamaiti me te aroha, "Ehara tēnei i te he nāu, e tama/e tamāhine. Ka pai ake tēnei i a koe e tipu ake ana. Me whakatau tahi tāua i tēnei."
- Whakauruhia tāu tamaiti ki te whakawhiti i ngā whāriki moenga: Kaua e whakamahia tēnei hei whiu, engari hei kawenga, me te kī, "Me mahi tahi tāua."
- Whakanuia ngā "Pō Maroke": Hoatu he koha iti ki tāu tamaiti mō ngā rā kāore ia e mimi ana i te moenga i te pō, tāpirihia rānei he whetu ki te maramataka. He mea whakatenatena nui ēnei mea iti ki tāu tamaiti.
Karere Tangohia ki te Kāinga
- He tino noa te mīti i te moenga i waenga i ngā tamariki nohinohi. Ehara i te mate, engari he wāhanga pea o te whanaketanga o te tamaiti.
- Ehara tēnei i te he o te tamaiti, ehara hoki i te mangere. Nō reira, kaua e whiua, e whakama rānei te tamaiti.
- Whakamātauria ngā huringa whanonga māmā i te tuatahi, pērā i te whakawhāiti i te inu wai e rua hāora i mua i te moe, me te haere ki te wharepaku i mua i te moe.
- Mena kua neke atu i te 7 tau te pakeke o tāu tamaiti, kei te mākū tonu ōna kākahu i te awatea, kua tīmata rānei te mahi pērā anō i muri i tētahi wā , me toro atu koe ki tō tākuta.
- Kaua e hoatu he rongoā ki tāu tamaiti me te kore he tohutohu a te tākuta.
- Ko tō manawanui, tō aroha, me tō tautoko te rongoā pai rawa atu mā tāu tamaiti kia wikitoria i tēnei āhuatanga.











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