He aha te whākīwai? Ngā tohu, ngā take, me te rongoā

Ko te whākīwai, e kiia ana hoki ko te enuresis o te pō, ko te mea tēnei ka mimi kē te tangata i te wā e moe ana. Ka puta tēnei nā te mea kaore anō te tinana i ako ki te ara i te wā e kī rawa ana te pūngāwerewere, kāore rānei te pūngāwerewere e whakaputa nui atu i te mimi i te mea ka taea e ia te pupuri i te pō.

He mea noa iho tēnei mō ngā tamariki, ā, he maha atu i tō whakaaro pea. Ko te nuinga o ngā tamariki ka mutu te whākīwai i a rātou e whānuitia ana, ahakoa pea he iti te tautoko atu e hiahiatia ana e ētahi i te huarahi.

He aha ngā tohu o te whākīwai?

Ko te tohu matua ko te ara ake noa iho i roto i ngā papanga mimi, kāore rānei i ngā kakahu moe. Mō te nuinga o ngā tamariki, ka puta tēnei me te kore e mōhiotia i te wā e moe ana.

Ka kite pea koe i te moe hohonu rawa atu o tō tamaiti, ā, kaore e ara ahakoa kī rawa ana tōna pūngāwerewere. Ka raru pea ētahi tamariki ki te haere atu ki te wharepaku i te awatea, kāore rānei e rite te rahi o te pūngāwerewere ki ētahi atu o tō rātou tau.

I te kōrero atu, ki te tīmata te whākīwai i muri i ngā marama o ngā pō maroke, kāore rānei e puta mai me ētahi atu tohu penei i te mamae, te kirika, te matewai nui rānei, he mea tika kia tirohia e tō tākuta kia kore ai e puta mai ētahi take kei raro.

He aha ngā momo whākīwai?

Ko te whākīwai matua ko te tikanga kaore te tamaiti i whai pō maroke tonu i neke atu i te ono marama. Koinei te momo tino noa, ā, ko te tikanga ka puta nā te mea kei te whānuitia tonu te mana whakahaere o te pūngāwerewere o te tamaiti.

Ka puta te whākīwai tuarua ina tīmata anō te tamaiti ki te whākīwai i muri i te maroke mo te ono marama neke atu. He iti te noa o tēnei momo, ā, ka tohu pea i tētahi āhuatanga hauora, te ahotea hinengaro, kāore rānei i ngā huringa ora e hiahia ana ki te aro.

He aha ngā take o te whākīwai?

Ko te tikanga ka puta te whākīwai nā te mea kei te ako tonu te tinana o tō tamaiti ki te whakahaere i ētahi tukanga uaua i te pō. Whakaarohia he wāhi rerekē o te pūnaha e hiahia ana ki te wā ki te mahi tahi.

Koinei ngā take tino noa kei muri i te whākīwai:

• Te whanaketanga o te pūngāwerewere kua whakaroa: Kaore pea te pūngāwerewere i te nui ki te pupuri i te mimi i te pō katoa
• Ngā tauira moe hohonu: Ko ētahi tamariki e moe hohonu rawa ana, kaore e rongo i te tohu kei te kī rawa ana tō rātou pūngāwerewere
• Te whakaputa horomona: Kaore pea te tinana i te whakaputa nui i te horomona antidiuretic (ADH) hei whakaiti i te whakaputa mimi o te pō
• Te hītori whānau: Ki te whai ngā mātua i ngā take whākīwai, ka nui ake te tūpono o ngā tamariki ki te wheako i tēnei
• Te kōpū kī: Ka taea e te kōpū kī te pēhi ki te pūngāwerewere, ā, ka whakaiti i tōna kaha

He iti te noa, ka hono pea te whākīwai ki ngā āhuatanga hauora penei i ngā mate huaketo o te ara mimi, te mate huka, kāore rānei i ngā mate moe. Ka taea hoki e te ahotea hinengaro mai i ngā huringa ora nui te whakaoho i ngā wāhanga whākīwai wā poto.

Ko te mea nui kia mahara ko te whākīwai kaore e tino hara o tetahi. Ko te nuinga o ngā tamariki e hiahia ana noa ki te wā atu mō ō rātou tinana ki te whānuitia, ki te whakahaere rānei i ēnei tukanga o te pō.

Nōhea te haere ki te tākuta mō te whākīwai?

Me whakaaro koe ki te kōrero ki te tākuta o tō tamaiti ki te haere tonu te whākīwai i muri i te tau 7, kāore rānei e tīmata te tamaiti ki te whākīwai i muri i te maroke tonu. Ka taea te whai hua i ēnei āhuatanga mai i te aratohu, te aromatawai rānei a te tohunga.

He wā hoki tēnei ki te whakapā atu ki te puta mai te whākīwai me ētahi atu tohu āwangawanga. Ko ngā tohu whero ko te mamae i te wā e mimi ana, te toto i te mimi, te matewai nui, te kirika, kāore rānei i ngā huringa ohorere i ngā tikanga wharepaku i te awatea.

I tua atu, ki te pāngia te whākīwai e te ahotea hinengaro nui mō tō tamaiti, kāore rānei e pā ki tōna hiahia ki te whai wā i ngā moe, i ngā haerenga kura rānei, ka taea e te kaiwhakarato hauora te tuku i ngā rautaki me te tautoko hei awhina i te katoa kia nui ake te whakapono.

He aha ngā take tūpono mō te whākīwai?

He maha ngā take ka taea te whakaputa i te whākīwai, ahakoa te whai i ēnei take tūpono kaore e tikanga ka wheakohia e tō tamaiti. Ka taea e te mārama ki a rātou te awhina i a koe ki te whakatūpato i te āhuatanga me ngā tumanakohanga pono.

Ko ngā take tūpono noa ko:

• Te tau me te ira tangata: E rua te tūpono o ngā tamaiti ki te whākīwai i ngā kōtiro, ā, ko te tino noa i waenga i ngā tau 4-6
• Te hītori whānau: Ki te whai tetahi mātua i ngā take whākīwai, he 40% te tūpono o tō rātou tamaiti ki te whai hoki
• Te moe hohonu: Kaore pea ngā tamariki e moe hohonu rawa ana e ara i te wā e tuku ana ō rātou pūngāwerewere i ngā tohu
• Ngā whakaroa whanaketanga: Ka roa pea ngā tamariki e whai rerekētanga whanaketanga, kāore rānei i ngā rerekētanga ako ki te whiwhi i te maroke o te pō
• Te ahotea hinengaro: Ka taea e ngā huringa ora nui penei i te neke, ngā teina hou, kāore rānei i te tīmatanga o te kura te whakaoho i te whākīwai wā poto

Ka taea hoki e ngā āhuatanga hauora penei i te kōpū kī, ngā mate huaketo o te ara mimi, kāore rānei i te mate morearea hyperactivity (ADHD) te whakapiki ake i te tūpono o te whākīwai. Heoi, ko te nuinga o ngā tamariki e whai ana i ēnei take tūpono ka mutu tonu te whākīwai i a rātou e whānuitia ana.

He aha ngā raruraru pea o te whākīwai?

Ko ngā raruraru tinana o te whākīwai ko te tikanga he iti, he taea te whakahaere. Ko te āwangawanga matua ko te tikanga te mamae o te kiri mai i te hononga roa ki ngā kakahu mimi, kāore rānei i ngā moenga.

Heoi, ka taea te nui ake te pānga hinengaro ki te kore e whakahaeretia me te tiaki. Ka whanake pea ngā tamariki i ngā ngākau whakama, whakama, kāore rānei i te iti o te whakaaro nui, ina koa ki te whakakatakatahia rātou e ngā teina, e ngā hoa rānei.

Koinei ngā raruraru pea kia mōhiotia:

• Ngā raruraru kiri: Ngā pupuhi, kāore rānei i te mamae mai i ngā kakahu moe mimi, i ngā moenga rānei
• Te whakaroa moe: Ka taea e te ara ake mimi te whakaroa i te kounga moe mō te whānau katoa
• Te awangawanga pāpori: Ko te wehi ki te whākīwai ka taea te karo i ngā moe, i ngā haerenga po rānei
• Te ahotea whānau: Ka taea e te horoi nui me ngā whakaroa o te pō te whakaputa i te ahotea o te whare
• Ngā take whakaaro nui: Ka rongo pea ngā tamariki he rerekē rātou i ō rātou hoa, kāore rānei e whakahe ki a rātou anō

Ko te rongo pai ko te whakahaere tika, me te whakahaere tika, ka taea te aukati katoa i ēnei raruraru. Ko te whakaputa i tētahi taiao kore whakama, me te aro ki ngā otinga mahi ka awhina i ngā tamariki ki te pupuri i tō rātou whakapono i te wā e whānuitia ana ō rātou tinana.

Me pēhea te aukati i te whākīwai?

Ahakoa kaore e taea e koe te aukati katoa i te whākīwai, nā te mea he whanaketanga nui tēnei, ka taea e ētahi rautaki te tautoko i te whakahaere o tō tamaiti ki ngā pō maroke. Ko ēnei whakawhitinga e aro ana ki te whakaputa i ngā āhuatanga pai rawa atu mō te whānuitanga taiao.

Koinei ngā rautaki aukati whai hua:

• Te whakaputa i ngā tikanga wharepaku: Te whakatenatena i ngā wehenga wharepaku i te awatea, me te whakamahi tonu i te wharepaku i mua i te moe
• Te tirotiro i te inu wai: Te whakaiti i ngā inu 1-2 haora i mua i te moe, engari kia tino makona te inu wai i te rā katoa
• Te whakahaere i te kōpū kī: Ko te kai e whai hua ana i te muka me te inu wai e tika ana ka awhina i te aukati i ngā take kōpū e pā ana ki te kaha o te pūngāwerewere
• Te whakaputa i ngā wā moe: Ko ngā kaupapa moe noa ka tautoko i te whanaketanga hauora o te pūngāwerewere
• Te whakamahi i te tiaki o te pō: Ko ngā kāpeka moenga wai-kore me ngā kakahu moe ngongo ka whakaiti i te ahotea me te horoi

Kia mahara ko te aukati kaore e pā ana ki te tere o te tukanga, engari ki te tautoko i te whanaketanga taiao o tō tamaiti. Ka whiwhi ētahi tamariki i ngā pō maroke i mua atu i ētahi atu, ā, he mea noa tēnei.

Me pēhea te whakatau i te whākīwai?

Ko te whakatau i te whākīwai ko te tikanga he mea ngāwari, ā, e hāngai ana ki te hītori o tō tamaiti me ngā tohu. Ka ui tō tākuta mō te auau o ngā pō mimi, te hītori whānau, me ētahi atu tohu pea e wheakohia ana e tō tamaiti.

Ka hiahia pea te kaiwhakarato hauora ki te mohio ki te wā i tīmata ai te whākīwai, ki te whai wā maroke tonu te tamaiti, me te whai tauira pea kua kite koe. Ka ui hoki rātou mō ngā tikanga wharepaku i te awatea me te whanaketanga katoa.

I te nuinga o ngā take, kaore e hiahiatia ngā whakamātautau motuhake. Heoi, ka tūtohu pea tō tākuta i te whakamātautau mimi ngāwari hei tirotiro i ngā mate huaketo, i ētahi atu take rānei, ina koa ki te tīmata ohorere te whākīwai, kāore rānei e puta mai me ētahi atu tohu penei i te mamae, te kirika rānei.

I etahi wā, ko te pupuri i te puka wharepaku mo etahi wiki ka taea te awhina i te tautuhi i ngā tauira. Ko te tikanga tenei te whai i te inu wai, ngā haerenga wharepaku, me ngā pō mimi, kāore rānei kia hoatu ki tō tākuta he whakaahua marama ake o te mea kei te puta.

He aha te rongoā mō te whākīwai?

Ko te rongoā mō te whākīwai ko te tikanga ka tīmata me te manawanui me ngā rautaki tautoko, nā te mea ko te nuinga o ngā tamariki ka mutu tonu tēnei. Ko te whakawhitinga e hāngai ana ki te tau o tō tamaiti, te auau o te whākīwai, me te pānga pea ki tōna oranga.

Mō te maha o ngā whānau, ko ngā whakarerekētanga noho noa me te whakatenatena ka nui. Heoi, ki te haere tonu te whākīwai i muri i te tau 7, kāore rānei e pā nui ki te kounga o te oranga o tō tamaiti, ka taea e ngā rongoā atu te awhina.

Koinei ngā kōwhiringa rongoā matua:

• Ngā whakawhitinga whanonga: Ngā pūnaha utu, te whakarite wā wharepaku, me ngā whakangungu pūngāwerewere
• Ngā karaka makuku: Ngā pūoko motuhake e whakaara ana i te tamaiti ina kitea te makuku, hei awhina i te whakangungu i te roro ki te whakautu ki ngā tohu pūngāwerewere
• Ngā rongoā: I etahi wā, ka taea e ngā tākuta te whakahau i ngā rongoā e whakaiti ana i te whakaputa mimi o te pō, kāore rānei e awhina i te pūngāwerewere ki te pupuri atu
• Te whakangungu pūngāwerewere: Ngā whakangungu hei whakapiki haere i te kaha o te pūngāwerewere i ngā haora o te awatea

Ko ngā rongoā tino whai hua e whakakotahi ana i ngā rautaki mahi me te tautoko hinengaro. Kia mahara, ko te whiu, kāore rānei i te whakama kaore e awhina, ā, ka taea te whakaiti i te whākīwai mā te whakapiki ake i te ahotea me te awangawanga.

Me pēhea te whakahaere i te whākīwai i te kāinga?

Ko te whakahaere i te whākīwai i te kāinga e aro ana ki te whakaputa i tētahi taiao tautoko i te wā e whakaiti ana i te whakaroa mō te katoa. Ko te matua ko te whakawhanake i ngā tikanga mahi e ngāwari ai te horoi, ā, e awhina ana i tō tamaiti kia whakapono.

Tīmatahia me ngā whakamaramatanga tiaki e whakaiti ana i te pānga o ngā pō mimi. Ko ngā kāpeka moenga wai-kore, ngā papanga moenga ngongo, me ngā kakahu moe hiki-ake ka taea te awhina i te katoa ki te moe pai ake mā te mōhio ka taea te whakahaere te horoi.

Koinei ngā rautaki whakahaere kāinga whai hua:

• Te whakarite i te ruma moe: Te whakamahi i ngā tiaki moenga wai-kore me te pupuri i ngā papanga me ngā kakahu moe atu e tata ana mō ngā huringa tere
• Te whakaputa i ngā tikanga horoi ngāwari: Te whakauru i tō tamaiti ki te horoi e tika ana mō tōna tau me te kore e whakaaro he whiu tēnei
• Te pupuri i te kōrero pai: Te whakatenatena i tō tamaiti he mea noa te whākīwai, ā, ehara i tōna hara
• Te whakaputa i ngā tikanga wharepaku: Ngā wehenga wharepaku i te awatea, me te whakamahi tonu i te wharepaku i mua i te moe
• Te whakaaro ki ngā hua ngongo: Ko ngā kakahu moe po, kāore rānei i ngā kakahu moe ngongo ka taea te whakarato i te haumaru mō ngā moe, mō ngā haerenga whānau rānei

Kia mahara ko te pumau me te manawanui ko ōu taputapu pai rawa atu. Te whakanui i ngā pō maroke me te kore e whakatūpato ki tō tamaiti, me te whakahaere i ngā pō mimi me te kore e whakaaro he mea nui tēnei i te wā e ako tonu ana tōna tinana.

Me pēhea te whakarite mō tō hui tākuta?

Ko te whakarite mō tō haerenga ki te tākuta ka awhina i te whakarite ka whiwhi koe i te aratohu tino whai hua mō te āhuatanga whākīwai o tō tamaiti. Ko te kohikohi i ngā mōhiohio i mua ka taea e tō kaiwhakarato hauora te mārama pai ake ki te tauira motuhake o tō tamaiti me ngā hiahia.

Tīmatahia mā te pupuri i ngā tikanga wharepaku o tō tamaiti mo te kotahi wiki iti rawa i mua i te hui. Tuhia ngā pō mimi, kāore rānei, ngā tauira inu wai, me ētahi atu tohu kua kite koe.

Koinei ngā mea hei kawea me te kōrero:

• Puka wharepaku: Tuhinga o ngā pō mimi, kāore rānei, ngā aituā i te awatea, me ngā tauira inu wai
• Te hītori whānau: Mōhiohio mō te whākīwai i ngā mātua, i ngā teina rānei
• Ngā tohu o nāianei: Te mamae, te kirika, te matewai nui, kāore rānei i ngā huringa o ngā tikanga wharepaku
• Ngā rongoā o mua: Ngā mea kua whakamātau koe me te whakautu o tō tamaiti
• Te aromatawai pānga: Me pēhea te pānga o te whākīwai ki ngā ngākau o tō tamaiti, ki te moe, ki ngā mahi pāpori rānei

Kaua e whakaroa ki te ui i ngā pātai mō ngā kōwhiringa rongoā, ngā wā e tumanakohia ana, kāore rānei i ngā rautaki mō te whakahaere i ngā āhuatanga pāpori. Ka taea e tō tākuta te tuku aratohu motuhake e hāngai ana ki te āhuatanga motuhake o tō tamaiti me te wā whanaketanga.

He aha te mea nui mō te whākīwai?

Ko te whākīwai he wāhanga noa o te whanaketanga tamariki e mutu ana te nuinga o ngā tamariki i a rātou e whānuitia ana. Ehara i te tohu o te mangere, o ngā raruraru whanonga, kāore rānei i te matua kino, engari ko te tikanga noa iho e hiahia ana tō tamaiti ki te wā atu ki te whakahaere i te mana whakahaere o te pūngāwerewere o te pō.

Ko te mea nui rawa atu ka taea e koe ko te whakatūpato i te whākīwai me te manawanui, te mārama, me ngā otinga mahi. Ko te whakaputa i tētahi taiao tautoko ka awhina i tō tamaiti ki te pupuri i te whakapono i te wā e whānuitia ana ōna tinana i ēnei tukanga uaua o te pō.

I te wā e tatari ana mō te otinga taiao, aro ki te whakahaere i ngā āhuatanga mahi me te tiaki i te oranga hinengaro o tō tamaiti. Ko te nuinga o ngā tamariki ka whiwhi i ngā pō maroke tonu i te tau 7, ahakoa pea he iti te roa atu, ā, he pai tēnei.

Kia mahara ko te tautoko whai hua e whakakotahi ana i ngā rautaki mahi me te whakatenatena hinengaro. Me te whakawhitinga tika, ka waiho te whākīwai hei wāhanga taea te whakahaere e taea ai e tō whānau te haere tahi me te whakapono me te tiaki.

Ngā pātai noa e uihia ana mō te whākīwai

P1: I tehea tau me manukanuka ahau mō te whākīwai?

Ko te nuinga o ngā tamariki ka mutu te whākīwai i waenga i ngā tau 3-5, engari he mea noa tonu tae noa ki te tau 7. Me whakaaro koe ki te kōrero ki te tākuta o tō tamaiti ki te haere tonu te whākīwai i muri i te tau 7, kāore rānei e tīmata te tamaiti ki te whākīwai i muri i te maroke tonu mo etahi marama.

P2: Ka mutu te whākīwai mā te whakaiti i ngā wai i mua i te moe?

Ko te whakaiti i ngā wai 1-2 haora i mua i te moe ka taea te awhina i te whakaiti i te nui o te mimi e whakaputahia ana i te pō, engari kaore e mutu katoa te whākīwai i te nuinga o ngā take. Ko te matua ko te whakarite kia makona te inu wai o tō tamaiti i te rā katoa i te wā e nui ake te whakaaro ki te inu wai o te ahiahi. Kaua rawa e whakaiti i ngā wai kia matewai rawa tō tamaiti.

P3: He mahi ngā karaka whākīwai?

Ka taea e ngā karaka makuku te tino whai hua, me ngā reiti angitu o te 60-70% ina whakamahia tonu mo etahi marama. Ka awhina ēnei taputapu ki te whakangungu i te roro o tō tamaiti ki te mohio ki ngā tohu pūngāwerewere i te moe. Heoi, e hiahia ana ki te manawanui me te pumau, ā, he pai te mahi mō ngā tamariki e hiahia ana ki te whiwhi i ngā pō maroke, ā, ka taea te ara ki te karaka.

P4: He mea whakatūpato te whākīwai?

Ae, ko te whākīwai ko te tikanga ka rere i roto i ngā whānau. Ki te wheako tetahi mātua i te whākīwai i te wā he tamariki, he 40% te tūpono o tō rātou tamaiti ki te whai hoki. Ki te whai ngā mātua e rua i ngā take whākīwai, ka piki te tūpono ki te 75%. Ka awhina tēnei wāhanga ira ki te whakamārama he aha i roa ai ētahi tamariki ki te whiwhi i te maroke o te pō atu i ētahi atu.

P5: Me whakaara ahau i taku tamaiti i te pō ki te whakamahi i te wharepaku?

Ko te whakaara, kāore rānei i te whakaara i tō tamaiti mō ngā haerenga wharepaku ka taea te awhina i te pupuri i te moenga maroke i te wā poto, engari kaore e ako i tōna tinana ki te mohio ki ngā tohu pūngāwerewere motuhake. Ki te whiriwhiri koe i tēnei whakawhitinga, kia tino ara tō tamaiti, ā, kia whakamahi tonu ia i te wharepaku. Heoi, ko te nuinga o ngā tohunga e tūtohu ana ki te aro ki te whanaketanga taiao i te wā e whakarite ana i ngā whakaara o te pō.