He aha te Apnea moe tamariki? Tohutohu, Take, me te Maimoatanga

Ko te apnea moe tamariki te āhuatanga ka mutu anō te manawa o tō tamaiti, ka tīmata anō hoki i te wa e moe ana. Kāore i rite ki te ngunguru noa i whakaatuhia e te tini o ngā tamariki, ko te apnea moe he whakamutunga tonu o te manawa ka roa pea etahi hēkona, ka puta pea te tekau mano i te po katoa.

Ko te āhuatanga nei e pā ana ki te 1-5% o ngā tamariki, ko te nuinga o ngā take kei waenganui i ngā tau 2-8. Ko te rongo pai ko te apnea moe tamariki ka taea te whakaora, ā, ko te hopu wawe ka taea te aukati i ngā raruraru, ā, ka āwhina i tō tamaiti ki te whiwhi moe whakahāora e hiahiatia ana mō te tipu hauora me te whanaketanga.

He aha te apnea moe tamariki?

Ka puta te apnea moe tamariki ina ngāwari rawa ngā uaua i te korokoro o tō tamaiti i te wa e moe ana, ka mutu rānei te ara o te manawa. I te wā e puta mai ana, ka oho pototia tō tamaiti e tōna roro kia tīmata anō te manawa, ahakoa kāore rātou e mahara ki ēnei oho.

E rua ngā momo apnea moe nui i ngā tamariki. Ko te apnea moe ārai te momo tino noa, kei reira tetahi mea e ārai ana i te ara o te manawa. Ko te apnea moe pokapū he iti rawa te nui, ā, ka puta ina kore te roro e tuku i ngā tohu tika ki ngā uaua manawa.

Ko ngā whakakorenga maha ki te moe ka ārai i tō tamaiti ki te tae atu ki ngā kaupae moe hohonu, whakaora e hiahia ana rātou. Ka pā pea tenei ki te katoa, mai i tō rātou ngākau me te whāinga tae atu ki tō rātou kaha ki te ako me te tipu tika.

He aha ngā tohu o te apnea moe tamariki?

Ko te mohio ki ngā tohu apnea moe i ngā tamariki ka uaua pea, nā te mea ka rerekē pea i ngā tohu pakeke. Ko te nuinga o ngā mātua ka kite tuatahi i ngā huringa i te whāinga o tō rātou tamaiti, i ngā tauira moe rānei, kāore i ngā raruraru manawa marama.

Ko ēnei ngā tohu po tino noa hei titiro:

• Te ngunguru nui, te maha o te ngunguru e kore e pai ake ahakoa ka whakarereke te moenga o tō tamaiti
• He whakamutunga o te manawa e whai ake ana te pupuhi, te whakakī rānei
• Te moe kore ata noho me te maha o te hurihuri me te hurihuri
• Te moe i roto i ngā tūnga rerekē, pēnei i te whakawhāiti o te kaki, te noho rānei
• Te maha o te ara i te pō, te uaua rānei ki te moe tonu
• Te mimi i te moenga i ngā tamariki i maroke ake i te pō
• Te wera o te moe, te manawa rānei i te waha i te moe

Ka rite te whakaatu o ngā tohu o te rā, ā, he maha ngā pānga ki te oranga o ia rā o tō tamaiti. Ka kite pea koe i ngā huringa whāinga e kore e rite ki te moe, engari e hono ana ki te kounga o te moe.

Ko ngā tohu o te rā e kitea ana ko:

• Te moe nui i te awatea, te uaua rānei ki te ara i te ata
• Ngā raruraru ki te aro, te aro turuki, te hyperactivity rānei
• Te riri, te huringa ngākau, te whāinga whakahē rānei
• Te uaua ki te kura, te heke rānei o te mahi ako
• Ngā mamae o te mahunga i te ata, te ngenge rānei i te rā katoa
• Te heke o te tipu, te taumaha rānei i te whakataurite ki ētahi atu

Ka pā pea ki ētahi tamariki ngā tohu kaore i te noa. Ka uru atu ki ēnei te manawa i te waha i te rā, te maha o ngā mate manawa, te rerekē rānei o te kounga o tōna reo. He mea tika kia mōhio kei te kore katoa ngā tamariki e pangia ana e te apnea moe ka whai i ngā tohu katoa, ā, ka taea e ētahi tohu te ngāwari.

He aha ngā momo apnea moe pēpi?

Ko te apnea moe aukati te momo tino noa i roto i ngā tamariki, e 90% pea o ngā keehi. Ka puta mai tēnei ina aukati ngā kiko i roto i te korokoro, te arero, te adenoids rānei i te ara hau i te moe, ka uaua, ka kore rānei te rere o te hau.

Ka taea te whakakapi i te aukatinga, e puta ai te ngunguru nui me te iti o te hau e rere ana, te kapi rānei, i te wā ka mutu te manawa mo etahi hēkona. Ko ngā tamariki e pangia ana e te apnea moe whakakapi, he nui tonu ō rātou tonsils, adenoids rānei, koinei ngā take tino nui i ngā take pēpi.

He iti rawa te apnea moe pokapū i ngā tamariki, ā, ka puta mai ina kore te roro e tuku i ngā tohu tika hei whakahaere i ngā uaua manawa. He tino pāngia ngā pēpi, ngā tamariki rānei e pangia ana e etahi āhuatanga hauora e pā ana ki te pūnaha io.

Ka whakakotahi te apnea moe whakakotahi i ngā āhuatanga whakakapi me ngā āhuatanga pokapū, ahakoa he onge tenei i ngā tamariki. Ka raru pea etahi tamariki ki ngā mate manawa e pā ana ki te moe, kāore e tutuki ki ngā paerewa mō te apnea moe, engari ka mutu tonu te moe me ngā tohu.

He aha ngā take o te apnea moe pēpi?

Ko te take tino nui o te apnea moe pēpi ko te nui o ngā tonsils me ngā adenoids. Ko ēnei kiko, kei muri o te korokoro, kei muri o te ihu, ka taea te nui ki te aukati i te ara hau o tō tamaiti i te moe ina ngāwari ngā uaua korokoro.

Kāore i rite ki ngā pakeke, i te wā he mea nui te taumaha nui, ko te nuinga o ngā tamariki e pangia ana e te apnea moe he taumaha noa. Heoi, ko te āhua me te rahi o ngā āhuatanga kanohi me ngā ara hau o tō tamaiti ka taea te whai wāhi nui ki tō rātou tūponotanga.

He maha ngā take tinana ka taea te whai wāhi ki te apnea moe i ngā tamariki:

• Ngā tonsils nui, adenoids rānei e aukati ana i ngā ara manawa
• Te kauae iti, te kauae hoki e pēnei ana e whakakiki ana i te ara hau
• Te arero nui e pā ana ki te rahi o te waha
• Ngā ara ihu pōturi, te septum rānei e peka ana
• Te tuanui o te waha, te palate ngawari rānei he āhua ke

Ka taea hoki e ētahi āhuatanga hauora te whakapiki i te tūponotanga o tō tamaiti ki te whanake i te apnea moe. Ka pā pea ēnei āhuatanga ki te uaua o te uaua, te hanganga kanohi, te whakahaere rānei i ngā tikanga manawa.

Ko ngā āhuatanga hauora ka taea te whai wāhi ko:

• Te āhua o Down, e āhua nei te iti o ngā ara hau me te nui o te arero
• Te pararutiki o te roro, te mate roro rānei, e pā ana ki te mana whakahaere o ngā uaua
• Te āhua o Prader-Willi, e taea ai te ngoikore o ngā uaua
• Ngā mate pāwera rānei, te mate huango rānei e pā ana ki te mumura o ngā ara hau
• Te mate reflux gastroesophageal (GERD) e taea ai te pupū o te korokoro

I etahi wā, ka puta mai te apnea moe o te pokapū mai i ngā āhuatanga e pā ana ki ngā pokapū whakahaere manawa o te roro. Ā, ko ēnei pea ngā whara o te roro, ngā mate pāwera, ngā āhuatanga ira rānei e pā ana ki te kaha o te pūnaha io ki te whakahaere i te manawa i te moe.

Nōhea te toro atu ki te taote mō te apnea moe tamariki?

Me whakapiri atu koe ki te taote tamariki o tō tamaiti mēnā ka kite koe i te ngunguru nui tonu, ina koa ka whakakotahitia ki ētahi atu tohu penei i te moe i te awatea, te huringa whāinga rānei. Ahakoa he mea noa te ngunguru i etahi wā, ko te ngunguru i ia pō kāohore e pai ake ki te huri i te tūnga e hiahiatia ana te tiaki hauora.

Whakaritea he whakatau i te wa tika mēnā ka kite koe kei te mutu te manawa o tō tamaiti i te moe, ahakoa he poto te roa. He āwangawanga ēnei wāhanga, ā, ka tohu pea kei te kore e whiwhi hau pai tō tamaiti i te moe.

Ko ētahi atu āhuatanga e karanga ana mō te aromatawai hauora ko ngā huringa ohorere i ngā tauira moe o tō tamaiti, te tīmatanga hou o te mimi i te moenga i te tamaiti kua maroke i mua, te huringa whāinga nui rānei penei i te nui haere o te mahi kaha, te uaua rānei ki te aro i te kura.

Rapua te tiaki hauora i te wa tika mēnā ka pā te mate manawa nui ki tō tamaiti, ka whero te kikorangi te ngutu, te mata rānei i te moe, te mutu rānei o te manawa e roa atu i te 10-15 hēkona. Ka tohu pea ēnei tohu i te mate manawa nui ake e hiahia ana ki te tiaki tere.

He aha ngā take morearea mō te apnea moe tamariki?

He tino whakaatu te pakeke i te tūponotanga o te apnea moe tamariki, ā, ko te nuinga o ngā keehi kei waenga i ngā tau 2-8. E rite ana tēnei wā ki te wā e tino nui ana ngā tonsils me ngā adenoids ki te rahi o te ara hau o tō tamaiti.

Ka taea e te hītori whānau te whakapiki ake i te tūponotanga o tō tamaiti ki te whanake i te apnea moe. Ki te pēhea rānei koutou, koutou rānei, he apnea moe, kei te pēhea rānei he hītori whānau o ngā raruraru manawa i te moe, ka nui ake pea te tūponotanga o tō tamaiti.

He maha ngā take tinana me ngā take hauora ka taea te whakapiki ake i te tūponotanga o te apnea moe:

• Te whānau wawe, ka pā pea ki te whanaketanga o te ara hau
• He hītori whānau o te apnea moe, o ngā mate manawa rānei
• Te kōpū ihu roa mai i ngā mate pāwera, i ngā mate maha rānei
• Ngā rerekētanga o te anga o te mata e pā ana ki te kauae, ki te hanganga o te ara hau rānei
• Ngā āhuatanga neuromusculoskeletal e pā ana ki te uaua o te uaua
• Te taumaha, ahakoa he iti ake tēnei i ngā tamariki i ngā pakeke

Ka taea hoki e ngā take taiao te whakauru ki te tūponotanga o tō tamaiti. Ka taea e te whakaū ki te paowa tuarua te whakapiki ake i te mumura o te ara hau, me te whakapiki ake i ngā raruraru manawa. Ko te noho ki ngā wāhi he nui te hau paru, he mate pāwera rānei ka taea te whakaiti i ngā raruraru manawa.

He nui ake te tūponotanga o ngā tamariki he mate pūngao motuhake na te ahua o te mata, te rerekētanga o te uaua rānei. Heoi, he mea nui kia mahara kei te whakaatu ngā take tūponotanga kaore tō tamaiti e whanake i te apnea moe, a he maha ngā tamariki kaore he tohu tūponotanga e taea tonu te pānga.

He aha ngā raruraru pea o te apnea moe tamariki?

Ka taea e te apnea moe tamariki kore i te rongoā te pā ki ngā āhuatanga maha o te hauora me te whanaketanga o tō tamaiti. Ko ngā whakaroa moe e kore e taea e tō tamaiti te whiwhi i te moe hohonu, te moe whakaora e tino nui ana mō te tipu tika me te whanaketanga o te roro.

Ko ngā raruraru ā-whāinga me ngā raruraru hinengaro te nuinga o ngā mea tuatahi ka kitea e ngā mātua. Ka pā kino te kounga moe kino ki te kaha o tō tamaiti ki te ako, ki te aro, me te whakahaere i ōna kare-a-roto i te rā katoa.

Ko ngā raruraru ā-whāinga me ngā raruraru ako e tino kitea ana ko:

• Ngā tohu o te ngoikore o te aro me te hyperactivity ka raru pea te whakatau hei ADHD
• Te uaua ki te mahara, ki te ako, me te mahi ako
• Ngā huringa ngākau, te riri, me ngā raruraru whakahaere kare-a-roto
• Ngā raruraru whānau na ngā take ā-whāinga, te moe nui rānei
• Te piki o te tūpono o ngā aituā na te ngenge o te rā

Ka taea te whanake i ngā raruraru hauora tinana i te roa o te wā ki te kore e rongoā te apnea moe. Ko te heke tonu o ngā taumata o te hāora me te oho pinepine ka whakapā te pūnaha ngākau o tō tamaiti e whanake ana.

Ko ngā raruraru hauora tinana pea ko:

• Te toto teitei, ahakoa he iti ake te noho o tēnei i ngā tamariki i ngā pakeke
• Te puhoi o te tipu me te piki o te taumaha na te pakaru o te tukunga o te homoni tipu
• Te piki o te ngoikore ki ngā mate na te ngoikore o te mahi ā-mate
• Ngā raru o te au o te ngakau i ngā take kino
• Te ātete o te insulin me ngā huringa metabolic

I etahi wā, ka arahi te apnea moe kaore i rongoātia ki ngā raruraru nui ake penei i ngā raruraru ngakau, te roa rānei o te whakaroa o te whanaketanga. Heoi, mā te whakatau tika me te rongoā, ka taea e te nuinga o ngā tamariki e pangia ana e te apnea moe te karo i ēnei raruraru katoa, ka hoki ki ngā tauira moe hauora noa.

Me pēhea te aukati i te apnea moe tamariki?

Ahakoa kaore e taea e koe te aukati i ngā take katoa o te apnea moe tamariki, ina koa ko ngā mea e puta mai ana i ngā take tinana, ngā āhuatanga ira rānei, he taahiraa kei a koe hei whakaiti i te tūpono o tō tamaiti me te whakapiki i te manawa moe hauora.

Ko te pupuri i te hauora pai o te ihu me te manawa tētahi o ngā huarahi whakaora pai rawa atu. Ko te pupuri i ngā ara o te ihu o tō tamaiti kia mārama, me te whakaiti i te mumura, ka āwhina i te aukatinga o te manawa i te wā e moe ana.

Ko ēnei ngā mahi hei tautoko i te hauora o te manawa o tō tamaiti:

• Whakahaeretia ngā mate pāwera tonu me te rongoā tika hei whakaiti i te kōpū o te ihu
• Pupuritia tō kāinga kia kore ai he paowa, he kakara kaha, me ētahi atu mea whakakīkī
• Whakamahia he whakamakuku i ngā āhuarangi maroke hei ārai i te whakakīkī o ngā ara o te manawa
• Whakatenatena te horoi waha pai hei ārai i ngā mate ka pāngia ai te pupū o te korokoro
• Pupurihia te taumaha hauora mō tō tamaiti mā te kai tōtika me te mahi auau

Ko te hanga i te taiao moe pai ka āwhina hoki i te aukatinga o ngā raruraru o te manawa. Kia whakarite kē tō rūma moe o tō tamaiti kia pai te hau, i te pāmahana māhorahora, me te kore o ngā mea whakakīkī ka pāngia ai te kōpū o te ihu.

He mea nui ngā tirotiro tamariki auau mō te kite wawe me te whakaora. Ka taea e tō tākuta tamariki te aroturuki i ngā tauira tipu o tō tamaiti, te tirotiro i ngā tonsils nui rānei, ngā adenoids rānei, me te whakautu i ētahi āwangawanga mō te moe, te manawa rānei i mua i te riro mai hei raruraru nui.

Me pēhea te whakamārama i te apnea moe tamariki?

Ko te whakamārama i te apnea moe tamariki e tīmata ana i te kōrero tino pai mō ngā tauira moe o tō tamaiti, ngā tohu, me te hītori hauora. Ka hiahia tō tākuta tamariki ki te mohio ki te auau o te ngunguru, ngā wā okioki o te manawa i kitea, me ētahi huringa whānau i te rā i kitea e koe.

Ko te whakamātautau tinana e arotahi ana ki ngā wāhi ka āwhina pea i te aukatinga o te manawa. Ka tirotiro tika tō tākuta i te korokoro, i te ihu, i te kaki, me te hanganga kanohi o tō tamaiti hei rapu i ngā take pea o te aukatinga o te ara o te manawa.

I te wā o te whakamātautau tinana, ka tirotirohia e tō tākuta:

• Te rahi o ngā tonsils me ngā adenoids o tō tamaiti
• Ngā ara ihu mō ngā ārai, me ngā rerekētanga hanganga
• Tūnga kauae me te hanganga kanohi
• Ngā āhuatanga whānui o te tipu me te whanaketanga
• Te mahi o te ngākau me ngā pūkahukahu

Mēnā kei te whakapaehia te moe moe, ka taea e tō tākuta te tūtohutia he rangahau moe, e kiia ana hoki ko te polysomnography. Ko tēnei whakamātautau po te paerewa koura mō te whakatau i te moe moe, ā, e ine ana i ngā āhuatanga maha o te moe me te manawa o tō tamaiti.

Ka aroturuki te rangahau moe i ngā mahi tinana maha i te po katoa, tae atu ki ngā ngaru roro, ngā nekehanga kanohi, te mahi uaua, te tere o te ngākau, te kaha o te manawa, te rere o te hau, me ngā taumata o te hāora. Ko te nuinga o ngā pokapū moe tamariki kua hoahoatia kia pai ki ngā tamariki, me ngā ruma whakamarie me ngā kaimahi whai wheako ki te mahi tahi me ngā tamariki.

I ētahi wā, ka taea e tō tākuta te tūtohutia te whakamātautau moe kāinga, ahakoa he iti ake te noho o tēnei i ngā tamariki i ngā pakeke. Ko ngā whakamātautau kāinga ka tiakina noa mō ngā take ngāwari, ā, ka kore pea e hopu i ngā mōhiohio katoa e hiahiatia ana mō te whakatau tino i ngā turoro tamariki.

He aha te rongoā mō te moe moe tamariki?

Ko te rongoā mō te moe moe tamariki e whakawhirinaki ana ki te take taketake, te kaha o ngā tohu, me te tau me te hauora whānui o tō tamaiti. Ko te whāinga kia whakarite kia taea e tō tamaiti te manawa noa i te moe, me te whiwhi i te okioki whakaora e hiahia ana rātou.

Mō ngā tamariki he nui ngā tonsils me ngā adenoids e pā ana ki te moe moe, ko te tango whakaora te rongoā tino whai hua. He teitei te rereketanga o te adenotonsillectomy i te moe moe tamariki, ā, ko te nuinga o ngā tamariki e kite ana i te whakapainga nui ki ō rātou tohu.

Ko te mahi whakaora e whakauru ana i te tango i ngā tonsils me ngā adenoids i raro i te mate moe whānui. Ko te ora ake e noho ana i te 1-2 wiki, i reira ka hiahia tō tamaiti ki te okioki me te whai i ngā aratohu kai motuhake hei whakapiki i te ora me te aukati i ngā raruraru.

Mō ngā tamariki kāhore e tika ana te pokanga mō rātou, kāore rānei i ngāwari ngā tohu i muri i te pokanga, ka taea te tūtohutia te rongoā pēhanga hau pai tonu (CPAP). Ko te CPAP e whakamahi ana i te peihana i te wa e moe ana, e tuku ana i te pēhanga hau ngawari kia tuwhera tonu ngā ara hau.

Ko ētahi atu whiringa rongoā pea ko:

• Nga whakapiri corticosteroid ihu hei whakaiti i te mumura i roto i ngā keehi ngawari
• Ngā maimoatanga orthodontic hei whakatika i ngā take tūnga kauae
• Te whakahaere taumaha mena kei te whakauru te momona ki te āhuatanga
• Te maimoatanga o ngā āhuatanga taketake penei i ngā mate pāwera, i ngā mate whakaheke
• Te rongoā tūnga hei tautoko i te moe i ētahi tūnga

I roto i ngā keehi onge e pā ana ki te apnea moe pokapū, ka aro te maimoatanga ki te whakatika i te āhuatanga neurological taketake. Pea ka uru mai ētahi rongoā hei whakaohooho i te manawa, i ētahi atu whakawhānga motuhake hoki, kei runga i te take motuhake.

Ka whakaritea te mahere maimoatanga mō tō tamaiti ki ōna hiahia motuhake, ā, ka āwhina ngā hui whakarite kia mau tonu te maimoatanga i whiriwhiria e mahi pai ana, ā, kei te moe pai tō tamaiti.

Me pēhea te whakahaere i te apnea moe tamariki i te kāinga?

Ahakoa he mea nui te maimoatanga hauora ngaio mō te apnea moe tamariki, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i te manawa o tō tamaiti me te kounga o te moe. Ka pai te mahi o ēnei rautaki whakahaere kāinga i te taha o te maimoatanga hauora tika, ehara i te wāhi o te maimoatanga hauora tika.

Ko te hanga i te taiao moe pai tētahi o ngā mahi nui rawa atu ka taea e koe te mahi. Me whakapiki te ruma moe o tō tamaiti i te manawa ngāwari me te moe māori i te po katoa.

Ko ēnei ngā whakarerekētanga taiao nui hei whakaaro:

• Whakaarahia te upoko o tō tamaiti ki runga ake ki tetahi urunga hei āwhina i te pupuri i ngā ara hau e tuwhera ana
• Whakamahia he humidifier hei tāpiri i te makuku ki te hau maroke ka raru pea te manawa
• Pupuri i te pāmahana o te ruma moe kia makariri, kia pai ai te moe
• Tangohia ngā mea whakapataritari penei i ngā nakahi puehu, te huruhuru kararehe, me te pōrene i te wāhi moe
• Whakaritea te hau pai kia kore ai e puta he hau makariri

Ka taea te whakapai ake nui o te manawa o tō tamaiti i te wā e moe ana mā te whakahaere i te pupū ihu. Ka taea e ngā tikanga ngāwari te āwhina i te pupuri i ngā ara ihu kia mārama, ā, kia whakaitihia te tūponotanga o te manawa i te waha.

Ko te whakahaere pai o te pupū ihu e whakauru ana i te whakamahinga o ngā horoi ihu saline i mua i te moe, te whakahaere i ngā mate pāwera me ngā rongoā e tika ana e tohutohuhia ana e tō tākuta, me te karo i te whakamahinga o ngā mea whakapataritari penei i te paowa, te kakara kaha rānei, ina koa i te ahiahi.

Ko te whakatū i ngā mahi moe mau tonu ka taea hoki te whakapai ake i te kounga o te moe o tō tamaiti. Ko ngā wā moe mau tonu me ngā mahi whakahāwea i mua i te moe ka tohu ki te tinana o tō tamaiti kua tae ki te wā moe, ka āhei pea te whakapai ake o te moe ahakoa he raru te manawa.

Me pēhea te whakarite mō tō hui ki te tākuta?

Ko te whakarite pai mō te hui a tō tamaiti ki te tākuta ka taea te āwhina i te whakarite kia whiwhi koe i te taunakitanga whakamātautau tika me ngā tohutohu rongoā e tika ana. Ko te kawe mai i ngā kōrero taipitopito mō ngā tohu o tō tamaiti me ngā tauira moe ka hoatu ki tō tākuta ngā whakaaro nui.

Tīmata mā te pupuri i te puka rā o te moe mo te kotahi wiki iti rawa i mua i tō hui. Tuhia te wā moe o tō tamaiti, te wā ara, te maha o ngā wā e ara ake ai rātou i te pō, me ētahi raru manawa ka kite koe.

Ko ngā kōrero nui hei tuhi e whakauru ana ki:

• Te tūpato me te nui o te ngunguru
• Ngā whakamātautau o te manawa kua kitea, me te roa o aua whakamātautau
• Ngā tū moe e pai ai tō tamaiti
• Te ngākau me te taumata kaha i te ata
• Ngā moe o te rā me te roa o aua moe
• Ngā huringa hou i te whāinga, i te mahi kura rānei

Whakapaia he rārangi o ngā rongoā katoa e inu ana tō tamaiti, tae atu ki ngā rongoā kore-tūtohu, ngā huaora, me ngā rongoā mate pāwera. Huihuia hoki ngā kōrero mō te hītori hauora o tō whānau,inā te hunga mate moe, ngā raruraru manawa, ngā āhuatanga e pā ana rānei.

Whakaarohia te kawea mai i tētahi mema o te whānau e whakawhirinaki ana, i tētahi hoa rānei ki te whakatau,inā kei te manukanuka tō tamaiti ki ngā haerenga hauora. Ka āhei te tautoko kia āwhina i a koe ki te maumahara ki ngā kōrero nui me ngā pātai e hiahia ana koe ki te kōrero ki te taote.

Tuhituhia ō pātai i mua kia kaua e wareware i te whakatau. Ngā pātai noa pea ko ngā whiringa whakaora, te wā e tumanakohia ana mō te whakapai, me ngā mea hei titiro atu i te kāinga i te wā e tatari ana mō te whakaora kia kaha.

He aha te mea nui e tangohia ana e pā ana ki te apnea moe tamariki?

He āhuatanga whakaora te apnea moe tamariki, ā, ki te whakatauhia tika me te whakahaere, ka rāreka te whakaeke i ngā raruraru roa mō ngā tamariki. Ko te mea nui rawa kia mahara ko te mohiotanga me te whakaora i te wā e taea ai te aukati i ngā raruraru me te āwhina i tō tamaiti kia hoki ki te moe hauora, te okioki.

Ka whakautu pai rawa te nuinga o ngā tamariki me te apnea moe ki te whakaora, ahakoa mā te pokanga, mā te rongoā CPAP, mā ētahi atu whakawhāinga rānei. Ka kite te nuinga o ngā whānau i ngā whakapaitanga nui ki te kounga o te moe o tō rātou tamaiti, te whāinga, me te oranga katoa i roto i ngā wiki i te tīmatanga o te whakaora tika.

Whakaarohia ō pūmanawa hei mātua. Ki te kite koe i te ngunguru tonu, ngā raruraru o te manawa i te moe, te rerekētanga rānei i te whāinga o tō tamaiti i te awatea, kaua e whakaroa ki te kōrero ki tō tākuta tamariki. Ko te whakauru wawe te matua hei aukati i ngā raruraru me te whakarite kia whiwhi tō tamaiti i te moe kounga e hiahia ana rātou mō te whanaketanga hauora.

Kia mahara ko te apnea moe a te tamariki he rerekē i te apnea moe a te pakeke, ā, ka pai ake te whakautu o ngā tamariki ki te rongoā me ngā hua hauora roa iti ake. Mā te tiaki hauora tika me tō tautoko i te kāinga, ka taea e tō tamaiti te wikitoria i te apnea moe me te pai ki ngā painga o te moe hauora, whakahoki ora.

Pātai nāu i ngā patai mō te apnea moe a te tamariki

Ka taea e taku tamaiti te tupu ake i te apnea moe?

Ka kite pea etahi tamariki i te whakapainga o ō rātou tohu apnea moe i a rātou e tipu haere ana, inā ko ngā tonsils me ngā adenoids nui te take matua. I te wā e pakeke haere ana ngā tamariki, ka nui haere ō rātou ara hau i te rahi o ō rātou tonsils, ka taea te whakaiti i te aukatinga. Heoi, kaua e tatari me te tumanako ki te whakapainga taiao, i te mea ka pā te apnea moe kore rongoā ki te whanaketanga o tō tamaiti me te kounga o te ora i waenganui.

He mea tika te pokanga mō te apnea moe a te tamariki?

Kāo te pokanga e hiahiatia ana i nga wā katoa, ahakoa ko te rongoā tino noa me te whai hua ina ko ngā tonsils me ngā adenoids nui te take o te raruraru. Ka whakaaro tō tākuta ki te kaha o ngā tohu, te tau o tō tamaiti, ngā āhuatanga hauora o raro, me ētahi atu mea i mua i te tūtohutanga i te pokanga. Ka taea e etahi tamariki te whai hua mai i ngā rongoā iti ake penei i ngā whakamahana ihu mō ngā take ngawari, te rongoā CPAP rānei ki te kore e tika te pokanga.

E hia te roa o te kitenga i te whakapainga i muri i te rongoā?

Ko te nuinga o ngā tamariki ka kite i te whakapai ake nui i roto i ngā wiki 2-4 i muri i te tīmatanga o te maimoatanga angitu. Ki te whakahaerehia he pokanga mō tō tamaiti, ka taea e koe te kite i te moe pai ake me te iti haukū i roto i te wiki tuatahi o te ora ake, ahakoa ka roa ngā wiki kia ora katoa. Mō ētahi atu maimoatanga pēnei i te rongoā CPAP, ka puta mai ngā whakapainga i te kounga o te moe me ngā tohu o te rā i roto i ngā pō tuatahi o te whakamahinga pumau.

Me whakamahi tonu rānei taku tamaiti i te CPAP?

Ko te rongoā CPAP i ngā tamariki he mea tūāwhiti te nuinga, inā koa ka whakamahia i te wā e tatari ana mō te pokanga, i te wā rānei e ora ake ana i ētahi atu maimoatanga. He maha ngā tamariki ka hiahia ki te CPAP mo te wā roa ki te pēhea he āhuatanga hauora tonu kei a rātou, ki te kore rānei ētahi atu maimoatanga e tino whai hua. Heoi, ka taea e te nuinga o ngā tamariki te mutu i te whakamahing i te CPAP i te wā ka oti te whakaora i tō rātou āhuatanga taketake, i te wā rānei e tipu haere ana rātou, ā, ka whanake ake ngā ara hau.

Ka pā rānei te apnea moe ki te tipu me te whanaketanga o taku tamaiti?

Āe, ka pā te apnea moe kaore i te whakaora ki te tipu me te whanaketanga o tō tamaiti, nā te mea ko te homoni tipu ka tukuna nui i ngā wāhanga moe hohonu. Ka raru pea ngā tamariki e pangia ana e te apnea moe ki te iti o te taumaha, te whakaroa o te tipu, me ngā raruraru ki te ako me te mahara. Ko te rongo pai, i te wā ka whakaorahia angitu te apnea moe, ka taea e te nuinga o ngā tamariki te hopu i tō rātou tipu me te whanaketanga, ā, ka pai ake te mahi hinengaro.