Kei te ngongoro tō tamaiti i a ia e moe ana? Kei te āhua nei kei te whakamomori ia? Me kōrero tātou mō te Ārai i te Moe Ārai!

Kei te moe pai tāu tamaiti i te pō? I ētahi wā, tera pea ētahi raruraru ka whakararuraru i te moe a ngā tamariki i ngā huarahi kāore e whakaarohia ana e tātou. Ko tētahi āhuatanga kāore i te mōhiotia e te nuinga o ngā mātua, engari ka pā ki te whanaketanga hauora o ā rātou tamariki, ko te '(Obstructive Sleep Apnea)'. He māmā noa iho, he āhuatanga tēnei e mutu ai te manawa mō tētahi wā i te wā e moe ana. Me kōrero taipitopito tātou mō tēnei i tēnei rā, nā te mea ki te kite wawe koe i tēnei, ka taea e koe te āwhina i tāu tamaiti.

He aha te Apnea Moe Ārai?

Ki te kī ngāwari, ko te `(Obstructive Sleep Apnea)` he wā e mutu ai te manawa o te tangata mō tētahi wā i a ia e moe ana. Ko te take o tēnei he mea kei roto i te ara manawa, arā, i te korokoro, e aukati ana i te rere o te hau. Ko te tikanga o te "Obstructive" he aukati. Ko te tikanga o te "Apnea" he mutu te manawa mō tētahi wā. Nō reira, ina honoa ēnei e rua, ka kiia tēnei āhuatanga ko te `(Obstructive Sleep Apnea)`, `(OSA)` rānei. Ina mutu te manawa pēnei i te wā e moe ana, ka heke te taumata hāora i roto i te tinana, ka piki ake hoki te taumata hauhā waro . Ka ārai tēnei i te tamaiti kia moe pai i te pō. Ki te kore e rongoatia tika, ka pāngia te ako, te whanonga, me te whanaketanga tinana o te tamaiti e tēnei āhuatanga `(OSA)`, engari ka pāngia hoki te ngākau e ngā raruraru. Nō reira, he mea nui kia tiakina tēnei.

He aha tēnei ka pā ki ngā tamariki nohinohi? He aha ngā take?

Ina moe tātou, ka whakangāwari ngā uaua katoa o te tinana. Waihoki, ka whakangāwari hoki ngā uaua kei muri o te korokoro, e āwhina ana ki te pupuri i te ara manawa kia tuwhera. Mō te tangata e pāngia ana e te Obstructive Sleep Apnea, ka tino whakangāwari ēnei uaua, ā, ka ārai i te ara manawa. Nā tēnei ka uaua te manawa. Ina koa mō ngā tamariki, mēnā he nui ngā tonsil i roto i te korokoro, ngā adenoid rānei i muri i te ihu , he nui te tūponotanga ka āraihia te ara manawa i te wā e moe ana. Ko te take matua e pāngia ai ngā tamariki nohinohi e te OSA ko ēnei tonsil me ngā adenoid kua nui haere. Haunga tēnei, he maha atu anō ngā āhuatanga ka pā ki te whanaketanga o te OSA i roto i te tamaiti:

• Mena he mate OSA tō tetahi o te whānau: I ētahi wā ka taea tēnei te tuku iho.
• Momonatanga : Ka whaiti pea te ara manawa i te nui rawa o te kiko ngako huri noa i te kaki o ngā tamariki momona.
• Ētahi āhuatanga hauora: Hei tauira, he nui ake te mōrearea o ngā tamariki e pāngia ana e ngā āhuatanga pēnei i te " Down syndrome " me te "cerebral palsy".
• Ētahi raruraru ki te waha, ki te kauae, ki te korokoro rānei: Ka taea hoki te puta mai i ētahi rerekētanga whānau mai i te whaiti o te ara manawa.
• Te tūnga nui o te arero: He nui ake te arero o ētahi tamariki i te mea noa, ka hinga whakamuri rātou i te wā e moe ana, ka aukati hoki i te ara manawa.

He aha ngā tohu o te `(Obstructive Sleep Apnea)`? Me pēhea te tautuhi i tōna mate?

Ina mutu te manawa, ka heke te taumata hāora o te tinana, ka piki ake hoki te taumata hauhā waro. Ina tupu tēnei, ka tukuna he tohu e tō tātou roro e mea ana, "Āe, e ara, e manawa." I te nuinga o te wā, ka tere rawa te tupu o tēnei, ā, ka moe anō tātou, kāore anō kia mahara ki te ara ake. Engari ko te tangata he Obstructive Sleep Apnea ka tū tonu, ka ara ake i te pō katoa. Nā tēnei, kāore rātou e moe hohonu, e moe marino ana. Anei ētahi tohu ka kitea pea e te tamaiti nohinohi he OSA:

• Te ngongoro i te moe: Ehara i te mea he ngongoro noa iho tēnei. He maha ngā wā ka ngongoro nui te tangata, kātahi ka mutu ohorere, ka puta he tangi "hhhh" he tangi ihu rānei me te mea kei te uaua ki te manawa, kātahi ka tīmata anō te manawa. I ētahi wā, ka puta he tangi wheezing ina manawa.
• Te āhua nei kei te uaua koe ki te manawa i a koe e moe ana.
• Te moe pōuri rawa: te hurihuri me te takahuri i runga i te moenga, te moe i ngā tūranga rerekē.
• Te mīti i te moenga: He mea nui rawa tēnei kia whakaarohia mēnā ka tīmata anō te mīti o te tamaiti kāore i mīti i te moenga i te pō i mua.
• Te hiamoe i te awatea, ngā raruraru whanonga/ako rānei: Te ngenge i te awatea, me te uaua ki te arotahi nā te kore e nui te moe i te pō.
• Te hikoi moe, te wehi pō rānei.

Nā te kore e nui te moe i te pō, ka pāngia pea ēnei tamariki e ēnei mea e whai ake nei:

• He tino uaua te ara ake i te ata.
• He tino ngenge ahau i te awatea, ā, i ētahi wā ka moe ahau i te kura.
• Te uaua ki te arotahi, te kaha rānei ki te mahi.

Nā tēnei, ka pā nui te mate moe ārai ki te mahi a te tamaiti i te kura. I ētahi wā ka whakaaro pea ngā kaiako, ētahi atu rānei, he mate ako tō te tamaiti pērā i te ADHD (Attention Deficit Hyperactivity Disorder).

Whakaarohia, me pēhea te whai huatanga o te tamaiti e raru ana ki te manawa tika i te pō katoa i te ata i muri mai? Me pēhea tana maumahara ki tāna i ako ai? Koia te mea nui kia mōhio ki tēnei.

Me pēhea te tautuhi i tēnei mate?

Mena kei tō tamaiti tētahi o ēnei tohu, he pai ake te kōrero ki te tākuta:

• Mena he maha ngā wā ka ngongoro koe i a koe e moe ana.
• Ki te tino pōuriuri tō moe, ki te mea kei te hurihuri koe.
• Mena kei te hiamoe tonu koe i te awatea.
• Mena kei a koe ētahi atu tohu o te apnea moe.

Tērā pea ka tukuna koe e tō tākuta whānau ki tētahi tohunga moe, ka tūtohu rānei i tētahi rangahau moe. Rangahau moe ``(polysomnogram)``He whakamātautau tēnei e āwhina ana i ngā tākuta ki te tautuhi i te mate moe pōrearea me ētahi atu āhuatanga e pā ana ki te moe. Kāore he mamae, ā, kāore he mōrearea. Heoi, me noho te tamaiti i te hōhipera, i te pokapū moe rānei mō te pō. Kaua e manukanuka, kua hangaia kia ngāwari te mahi mā te tamaiti. I roto i tēnei whakamātautau moe (polysomnogram), ka tirohia e ngā tākuta ngā mea e whai ake nei:

• Te ara e neke ai ngā kanohi
• Te tere o te manawa
• Te āhua o te manawa (te wā e mutu ai te manawa, me te roa o te wā)
• Ngā ngaru roro (akohia ngā wāhanga rerekē o te moe)
• Taumata hāora toto
• Te taumata o te hauhā waro i roto i te toto
• Te ngongoro me ētahi atu haruru moe
• Te nekehanga tinana me ngā tūranga moe

Mā te kohikohi i ēnei raraunga katoa ka taea e ngā tākuta te whakatau tika mēnā he OSA tō te tamaiti, me tōna kaha hoki.

He aha te rongoā mō tēnei?

Mena kāore te āhua i te kino rawa, arā, he ngawari, ka aroturukihia e ngā tākuta te moe o te tamaiti mō tētahi wā i mua i te tīmatanga o te maimoatanga kia kite ai mēnā ka pai ake ngā tohu i a rātou anō. Ka taea e ētahi tamariki te whakahaere i te OSA ngawari mā te whakamahi i ngā rehu ihu, i ētahi atu rongoā rānei. Heoi, mena ko ngā tonsils kua nui te take o te uaua ki te manawa , ka tukuna koe e tō tākuta ki tētahi tākuta taringa, ihu, me te korokoro (tākuta ENT). Ka tūtohu pea te tākuta ENT i te pokanga pēnei i:

• Te tango i ngā tonsil ( tonsillectomy )
• Te tango i ngā adenoids kua whakanuia (adenoidectomy)
• Te tango i ngā mea e rua i te wā kotahi (adenotonsillectomy)

He tino angitu tēnei pokanga hei rongoā mō te Obstructive Sleep Apnea. Whai muri i te pokanga, ka pai ake te manawa o tāu tamaiti, ka pai ake hoki te moe. Mena he mate kē atu te take o te OSA (hei tauira, he raruraru kauae), ka tūtohu pea tō tākuta i te CPAP (Continuous Positive Airway Pressure) . Ko te CPAP he mau i tētahi kopare ki te mata o tāu tamaiti i a rātou e moe ana. Ka taea e tēnei kopare te kapi i te ihu anake, i te ihu me te waha rānei. Ka honoa ki tētahi mīhini iti e tuku tonu ana i te pēhanga hau kia tuwhera tonu ai te ara manawa. Tērā pea he ahua rerekē i te tīmatanga, engari ka tere te taunga o ngā tamariki ki tēnei. Mena he taumaha o te tamaiti te take o te OSA,Me mahi tahi koe me te tākuta ki te whakawhanake i tētahi mahere whakaheke taumaha haumaru, pērā i te kai me te whakakori tinana. Heoi anō, me whakamahi pea koe i tētahi mīhini CPAP hei āwhina i a koe ki te manawa tika i a koe e moe ana.

Hei whakamutunga, ngā mea hei maumahara

Nō reira, he nui ā mātou kōrero mō te `(Obstructive Sleep Apnea)`. Ehara tēnei i te mea onge pērā i tāu e whakaaro nei, ā, he mate ka taea te rongoā angitu mēnā ka kitea wawe.

Ko te mea nui ko te toro atu ki te tākuta mēnā kei te ngongoro tō tamaiti i te pō, te āhua nei kei te uaua ki te manawa, kei te hiamoe rānei i te awatea, kaua e whakahē noa i te mea "koia tonu te āhua o ngā tamariki".

Kāore pea i te tino kino. Engari, ki te mea he "(OSA)", he pai te tīmatanga wawe o te maimoatanga mō te oranga katoa o te tamaiti. He kawenga mā te katoa te āwhina i tāu tamaiti kia moe hauora, kia moe marino. Kaua e manukanuka, kei reira ngā tākuta hei āwhina i a koe.

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Te moe pōrearea, te moe a ngā tamariki, te ngongoro, ngā tonsil, ngā adenoids, CPAP, polysomnogram