Hei whaea, he tino ātaahua te mimi a tāu tamaiti, āe? He mea noa tēnei, inā koa i waenga i te 4 me te 19 marama te pakeke. Engari, ki te mimi tonu tāu tamaiti ahakoa kua 4 tau te pakeke, he mea pea tēnei hei āwangawanga mā tātou. I roto i te reo hauora, ko te ingoa o tēnei mate ko te Sialorrhea. Me kōrero tātou mō tēnei i tētahi ara māmā, ngāwari hoki i tēnei rā.
He aha te Sialorrhea?
Ko te sialorrhea he nui rawa te huware, te nui rānei o te hūware. I te nuinga o te wā, e 1.5 rita te nui o te huware e puta ana i te waha o te tamaiti i ia rā. Heoi, ka taea e te tamaiti e pāngia ana e tēnei mate te whakaputa tae atu ki te 5 rita o te huware i ia rā. I ētahi wā, ahakoa he noa te nui o te huware e puta ana, kāore e taea e te tamaiti te horomi tika. Ahakoa i taua wā, ka rere tonu te huware i te waha.
E rua ngā momo matua o tēnei:
- Sialorrhea o mua: Koinei te momo hūpē tino noa. Ka rere te huware i te waha, ka heke ki te mata, ka pā ki ngā kākahu. Ka whero, ka tihore te kiri huri noa i te kauae me te waha, ā, ka pāngia hoki te tamaiti e ngā mate kiri. Ka māia hoki te tamaiti, ka mataku hoki ki te whakahoahoa ki ētahi atu tamariki.
- Sialorrhea o muri (te maturuturunga iho i te tuara o te korokoro): Koinei te wā e rere ai te huware i raro i te korokoro, ki roto i te ara manawa , kaua ki waho. He ahua morearea tēnei. Ki te haere tonu te rere o te huware ki roto i ngā pukahukahu, ka kino pea ngā pukahukahu, ka puta ai te pupuhi pinepine o te uma me te maremare.
He maha ngā wā, ka whakaatuhia ngā tohu o ngā momo e rua i ngā tamariki e pāngia ana e tēnei mate.
He aha ngā take o te hūpē?
He maha ngā take matua e nui ai te huware o te tamaiti. I te nuinga o te wā, he tohu tēnei nō tētahi atu mate hauora.
Ko te mea nui ko te toro atu ki te tākuta me te whakatau tika, kaua e whakaaro noa iho ki te take.
Kia tirohia anō aua take i roto i te ripanga i raro nei.
| Take | He whakamārama māmā |
|---|---|
| Ngā raruraru o te pūnaha io me te roro | He uaua ki te roro te whakahaere i ngā uaua o te waha me te korokoro. Hei tauira, tata ki te 58% o ngā tamariki e pāngia ana e te mate e kiia nei ko te Cerebral Palsy , e pāngia ana hoki e tēnei mate. Ka taea hoki te puta mai i ngā whara o te roro, i ngā whiu rānei. |
| Ngā Āhuatanga Hē o te Anatomi | Ngā panonitanga ā-tinana e uaua ai te horomi. Hei tauira: he arero nui atu i te mea noa, he āhua rerekē o te kauae, o te korokoro rānei, he ngutu ngatata, he waha rānei, he raruraru ki te tūranga o ngā niho. |
| Te nui rawa o te whakaputa huware | Ahakoa ka taea e te tamaiti te horomi, he nui ake te huware e whakaputaina ana e te tinana i te mea e tika ana. He pānga taha pea tēnei nō ētahi rongoā, nō ētahi atu mate manawa rānei. |
| Te manawa-waha | Ko ētahi tamariki ka manawa mā roto i ō rātou mangai i ngā wā katoa, kaua mā roto i ō rātou ihu. Ahakoa i taua wā, e tuwhera tonu ana te waha, ka puta ai te huware. |
He aha ngā tohu o tēnei mate?
Ko ngā tohu e whakawhirinaki ana ki te rere o te huware (o mua) ki roto rānei i te korokoro (o muri).
- Mena ka rere te huware ki mua (Anterior Sialorrhea):
- He mau kākahu mākū me he urunga mākū tonu.
- He whero, he maroke, he pakipaki te kiri huri noa i te waha me te kauae.
- I ētahi wā ka iti te kore wai i roto i te tinana (he matewai ngawari).
- He uaua ki te kōrero me te kai.
- Mena ka rere te huware i te taha o te korokoro (Posterior Sialorrhea): Ka puta pea ētahi tohu kino.
- Te poto o te manawa, te maremare, te whakapairuaki, me te ruaki i ngā wā katoa.
- Te pupuhi o te uma.
- Te uaua ki te manawa.
- Te manawa: Ko te tikanga o tēnei ko te ngote i ngā mea pēnei i te huware ki roto i ngā pukahukahu. He tino morearea tēnei nā te mea ka pā mai he mate kino pēnei i te niumōnia .
Me pēhea koe e mōhio ai he mate hauora tēnei?
Ka taea e te tākuta te tautuhi ngāwari i te sialorrhea o mua i muri i te tirotiro i tāu tamaiti me te pātai atu ki a koe mō ētahi atu kōrero.
Engari ki te whakapae koe kei te raru te tamaiti i te pupuhi o te wai, me whai whakamātautau motuhake pea koe hei whakaū. Ka whakamahia he taputapu motuhake hei tirotiro i te korokoro o tāu tamaiti, te horomitanga, me te kōrero. Hei tauira, ka taea e te hihi-X motuhake e kiia nei ko te ataatafluoroscopy te whakaatu tika i te horomitanga o te wai e te tamaiti me te nekehanga ki raro i te korokoro. Kaua e manukanuka, ka whakahaua e tō tākuta tēnei whakamātautau mēnā he tino tika.
He aha tāu e mahi nei hei maimoatanga?
Ko te mea pai rawa atu, he maha ngā maimoatanga mō tēnei. Mā te tākuta e whiriwhiri te maimoatanga tino tika, i runga i te āhua o te tamaiti me te take.
- Rongoā ā-waha: Ka taea te hoatu i ngā rongoā hei whakaiti i te hanga huware, hei whakangāwari rānei i te ara manawa. Heoi, ka pā mai pea ētahi o ēnei rongoā i ngā pānga taha pērā i te waha maroke me te mate kōroke. Nō reira, ka hoatu ēnei e te tākuta i muri i te whakaaroaro tupato.
- Werohanga Botox: Ka werohia te paitini Botulinum (Botox) ki roto i ngā repe huware hei whakahaere i te whakaputanga huware mō te 4 marama pea. He maimoatanga haumaru tēnei mō ngā tamariki.
- Ngā tikanga pokanga: I ngā wā tino kino, ka mahia ngā pokanga hei tango i ētahi repe huware, hei whakarerekē rānei i tā rātou mahi. Ka taea e ēnei te whakarato i tētahi otinga pumau.
- Whakangungu nekeneke ā-waha: He maimoatanga tino nui tēnei. Ina koa mō ngā tamariki e pupuhi ana te ihu nā te raruraru hanganga o te tinana, ka whakaratohia e ngā kaiwhakaora kōrero he whakangungu hei āwhina i a rātou ki te horomi tika me te whakahaere i ngā uaua o te waha.
Heoi, ki te mea he āhua ngawari, kāore i te kino te mate o tō pēpi, kāore pea e hiahiatia he maimoatanga nui. Ka taea e koe te whakahaere i tēnei mā te tiaki i te kiri mā te mau i ngā bibs me te pani i te kirīmi ārai huri noa i te kauae .
Āhea koe me tiaki i tāu tamaiti?
E ai ki tā mātou i kōrero ai i mua ake nei, he mea noa te turuturu o te tamaiti. Heoi, ki te haere tonu te turuturu nui i muri i te whā tau te pakeke , he pai ake te kōrero ki te tākuta, he tohu pea tēnei nō tētahi mate kei roto.
Ko tētahi atu mea hei whakaaroaro mēnā ka tīmata te pupuhi ohorere o tāu tamaiti i muri i te wā roa kāore he raruraru. Tērā pea nā te mate korokoro, nā te horomitanga rānei o te tamaiti i tētahi mea (pēnei i te taonga takaro, i te moni rānei). Ki te whakapae koe kei te pēnei, haria tonutia tāu tamaiti ki te Tari Ohotata (ETU) o te hōhipera tata .
Ki te horomia e te tamaiti te paitini, tetahi atu matū rānei kāore i te tika, rapua tonutia he tohutohu hauora.Ka taea hoki e koe te waea atu ki te National Poison Information Center i te Colombo National Hospital.
Heoi, ki te mea kei te whakararuraru te pupuhi o te huware o tāu tamaiti i tōna oranga me tōna harikoa noa, me toro atu koe ki te tākuta, me te tiki tohutohu me te maimoatanga tika.
Karere Tangohia ki te Kāinga
- Ahakoa he mea noa te pupuhi o te huware i te wā pēpi, he mea nui kia rapu tohutohu hauora mēnā ka mau tonu i muri i te 4 tau te pakeke.
- Tērā pea nā te raruraru o te whakahaere io, he panoni hanganga o te tinana, he nui rawa rānei te whakaputa huware.
- Me tino tupato te rongoā i te sialorrhea o muri i te mea ka ara ake pea he raruraru pēnei i te niumōnia.
- He maha ngā maimoatanga angitu mō tēnei, tae atu ki ngā rongoā, ngā werohanga Botox, te pokanga, me te whakaora kōrero.
- Kaua e ruarua i roto i tō hinengaro. Kōrero ki tō tākuta whānau mō tēnei i ngā wā katoa, kia whiwhi ai koe i te aratohu tika.
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