Ina pupuri tuatahi koe i tāu tamaiti i roto i ō ringaringa, ā, ka mirimiri aroha koe i tōna māhunga, ka kite koe i tētahi wāhi ngohengohe, rite ki te kapua i runga i tōna māhunga, tika? Ka mataku ētahi mātua hou ina kite rātou i tēnei. "He aha tēnei? He raru kei te pēpi? Ka kikī rawa taku ringa?" E whakaaro ana rātou. Engari kaua e manukanuka. He mea noa, he mea tika hoki tēnei wāhi ngohengohe i runga i te māhunga o te pēpi. Me kōrero taipitopito tātou mō ēnei mea katoa i tēnei rā.
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He aha tēnei 'wāhi ngohengohe', te fontanelle rānei?
Ki te kī ngāwari, ina whānau mai he pēpi, kāore ngā wheua o roto i tōna angaanga e honoa katoatia ana. He iti noa ngā āputa i waenganui i aua wheua. Ko ēnei āputa e kiia nei e tātou he 'ngā ira ngohengohe', arā, he fontanelles i roto i te reo hauora.
E rua ngā take matua mō tēnei:
1. Whakangāwari ake i te whānautanga: Ina whānau mai te pēpi ki tēnei ao, ka āwhina ēnei āputa i a ia kia puta ngāwari mai i roto i te awa whānau o te whaea. Ka paku whakarerekē tēnei i te āhua o te angaanga, ka māmā ake te whānautanga me te kore e nui te kino ki te whaea, ki te pēpi rānei.
2. Tukua kia whanake te roro: Ka tino tere te whanake o te roro o te pēpi i te tau tuatahi o te oranga. He mea tino nui ēnei āputa hei whakarato i te wāhi e tika ana mō tēnei tipu tere.
E rua ngā wāhi ngohengohe matua o te māhunga o te pēpi.
- Ko te mea nui kei te tihi o mua: Koinei te fontanel nui rawa atu, me te mea tino kitea e te nuinga o te tangata.
- Te mea iti kei muri o te upoko : He iti noa iho tēnei, nō reira, kāore pea koe e rongo.
Ko te mea nui kia kaua e pā atu, e pēhi rānei i ēnei wāhi ngohengohe kia kaha rawa. Nā te mea kei raro ko te roro tairongo o te pēpi. Kāore he take e wehi ai koe ki te mirimiri i tōna mahunga, ki te kaukau i a ia, ki te heru rānei i ōna makawe pērā i ngā wā katoa.
He aha te āhua o tēnei? Āhea ka kati ai?
Ina kite koe i tēnei wāhi ataahua, ka kitea e koe ngā mea ririki. He mea noa iho.
- Ina tangi te pēpi , ina maremare rānei, tera pea ka ahua pupuhi tēnei wāhi. Ina marino te pēpi, ka hoki anō ki tōna āhua noa.
- I ētahi wā, te āhua nei kei te piki haere, kei te heke haere te manawa o te pēpi, me te mea he pā. He mea noa anō hoki tēnei.
- Ka taea hoki e koe te kite i tana nekehanga i runga i te manawataki o te ngote a te pēpi i a ia e whāngai ū ana.
Āhea ēnei ka kati?
Kāore ēnei āputa e tuturu. I te tipu haere o te pēpi, ka whanake ngā wheua o te angaanga.Kei te kati ēnei āputa.
- Te mea iti kei te tuara: Ka taka tēnei i te nuinga o te wā i muri i te 3 marama pea.
- Ko te mea nui kei mua: Ka roa te wā e kati ai tēnei. I te nuinga o te wā ka kati katoa i roto i te 18 marama (1 1/2 tau) .
Ina haria e koe tāu pēpi ki te whare hauora, ka tirohia tonutia tēnei fontanel e te tākuta . Pērā ai, ka taea e koe te mōhio mēnā kei te tika te kati, kei te tika hoki mō te tau o te pēpi.
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Ahakoa he mea noa tēnei i te nuinga o te wā, i ētahi wā he tohu pea tēnei mō tētahi raruraru hauora nui, nō reira he mea nui kia mataara tonu ki tēnei.
| Āhuatanga hei aro atu | He aha te tikanga o tēnei, me te aha hoki me mahi e koe |
|---|---|
| Punawai Pōturi | He tohu nui pea tēnei mō te matewai o tō pēpi. Kia tino tupato mēnā he mate korere, he ruaki rānei tō pēpi. Kia tūpato ki te nui o te miraka e inuhia ana e tō pēpi. Tirohia tonutia tō tākuta. |
| Te pūwero o te mata | Ki te pupuhi tonu te fontanel ahakoa kei te marino te pēpi, kāore hoki e tangi, he tohu pea tēnei kua piki ake te pēhanga, kua pupuhi rānei te roro. Tērā pea ka puta tēnei nā te whara o te upoko, nā te mate rānei. He āhuatanga ohorere tēnei. Tirohia tonutia te tākuta, haere rānei ki te Tari Ohorere o te hōhipera (ETU). |
Hei tāpiritanga, ka taea e ētahi āhuatanga hauora te whakanui ake i te rahi o te fontanelle i te mea noa. Hei tauira:
- Te mate Down
- Te kohi wai i roto i te roro (hydrocephalus)
- Whānautanga wawe
Ka mōhio tō tākuta ki ēnei momo āhuatanga, ā, ka hoatu ki a koe ngā tohutohu e tika ana.
Āhua onge: Craniosynostosis
He kupu uaua tēnei. Ki te whakarāpopototanga, ko te craniosynostosis te wā e kati wawe ai ngā āputa i waenganui i ngā wheua o te angaanga o te pēpi, ka honoa ngā wheua. Ka kore pea he wāhi mō te roro ki te whanake. Ka taea hoki e ia te hanga i te āhua rerekē o te mahunga o te pēpi.
He maha ngā momo o tēnei āhuatanga.
| Momo | Me pēhea te hurihanga o te āhua o te upoko? |
|---|---|
| Te hononga o te sagittal | Ka kati wawe te āputa waenga e rere ana mai i mua ki muri. Ka roa, ka whaiti te āhua o te upoko. |
| Te hononga o te koronari | Ka kati te āputa i tētahi taha, e rere ana mai i te taringa ki te tihi o te māhunga. Ka papatahi te āhua o taua taha o te rae. |
| Te hononga rua-koroni | Ka kati ngā āputa e rua e rere ana mai i ngā taringa ki te tihi o te māhunga. Ka whānui, ka poto te āhua o te angaanga. |
| Te hononga o te rembdoid | Ka kati te āputa e rere ana i te tuarā o te upoko. Ka papatahi te āhua o te tuarā o te upoko. |
| Te hononga o te metopika | Ka kati te āputa i waenganui o te rae, e rere ana mai i te ihu ki te tihi o te māhunga. Ka huri te āhua o te rae hei tapatoru. |
Ahakoa he mate onge tēnei, ki te mea he ruarua koe mō te āhua o te māhunga o tō pēpi, he pai ake te kōrero ki tō tākuta mō tēnei.
Karere Tangohia ki te Kāinga
- He mea noa, he mea tika hoki te wāhi ngohengohe o te māhunga o tō pēpi, arā, te fontanelle. Kaua e manukanuka nui ki tēnei mea.
- I te wā e pā ana ki te māhunga o te pēpi , kaua e pēhi kaha, engari kia mārie .
- Ki te mea kua totohu te fontanel (kua maroke te wai) , kei te pupuhi tonu rānei ahakoa kua marino te pēpi (kei te pēhia te roro) , he tohu whakatūpato tēnā.
- Ki te mea he ruarua, he āwangawanga rānei āu, kaua e whakapae noa , engari me toro atu ki tō tākuta tamariki tonu. Ko te rapu tohutohu i te wā wawe te mea tino haumaru.
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