He aha te Arero-Here? Tohutohu, Take, me te Maimoatanga

Ko te arero-here tētahi āhuatanga kei te poto ake te wahi angiangi o raro i tō arero, kāore rānei e taea te neke atu i te tikanga. Ko tēnei kiko, e kiia nei ko te lingual frenulum, he mea rite ki te here ka taea te ārai i te nekehanga arero noa ina tino ārai.

Ahakoa e rangona ana he āwangawanga, he mea noa te arero-here, ā, e pā ana ki te 4-10% o ngā pēpi hou. Ko te rongo pai, he maha ngā take e ora ana i a rātou ano i te tipu o ngā tamariki, ā, ina hiahiatia te maimoatanga, he mea ngāwari, ā, he tino whai hua.

He aha ngā tohu o te arero-here?

Ka rerekē ngā tohu o te arero-here, kei te nui rawa te ārai, ā, tō tau. I ngā pēpi hou me ngā pēpi iti, ka kite pea koe i ngā raruraru kai, i te wā ka kitea e ngā tamariki pakeke me ngā pakeke ngā wero kōrero, kai rānei.

Ko ēnei ngā tohu tino noa hei titiro:

• Uaua ki te whāngai u, ki te whāngai ipu rānei - Ka uaua pea tō pēpi ki te pupuri tika, ka ngenge pea i te whāngai, kāore rānei e piki te taumaha penei i te tumanako
• Te kore o te nekehanga arero - Ka kite pea koe kāore tō tamaiti e taea te turaki i tōna arero ki tua atu i ōna ngutu, kāore rānei e neke atu i te taha ki te taha
• Te pito arero ā-ngākau - Ina ngana tō tamaiti ki te turaki i tōna arero, ka kitea pea te pito i te kōwhiti, ā-ngākau rānei, nā te frenulum pōturi e toia ana
• Ngā raruraru kōrero - Ka uaua pea etahi oro penei i te “t,” “d,” “z,” “s,” “th,” “r,” me te “l” ki te whakahua mārama
• Ngā wero kai - Uaua ki te miramira i ngā ngutu, ki te miramira i te aisikurimi, ki te ngau i ētahi kai e hiahia ana ki te nekehanga arero

I ētahi take onge, ka kite pea koe i ngā mokowhiti tonu i waenganui i ngā niho o mua o raro, te uaua rānei ki te takaro i ngā taputapu hau. Kāore ēnei tohu e whakaatu ana ka hiahia tō tamaiti ki te maimoatanga, engari he mea tika kia kōrero ki tō kaiwhakarato hauora.

He aha ngā momo arero-here?

Ka whakarōpūtia e ngā kaiwhakarato hauora te arero-here i runga i te wāhi e hono ana te frenulum ki te arero, ā, te nui o te ārai i te nekehanga. Ka āwhina te mārama ki ēnei momo ki te kōrero pai ake i tō āhuatanga ki tō tākuta.

Ko ēnei ngā momo matua:

• Te arero-here o mua - Ka hono te frenulum tata ki te pito o te arero, ka meinga hei momo tino kitea, ā, te tino ārai
• Te arero-here o muri - Ka hono te frenulum ki muri atu i te arero, ā, ka mātotoru ake, kāore rānei e kitea, engari ka taea tonu te ārai nui i te nekehanga
• Te arero-here katoa - He āhuatanga onge kei te horapa te frenulum ki te pito o te arero, ka ārai nui ki ngā nekehanga katoa
• Te arero-here wāhanga - Ko te momo tino noa, kei reira te nekehanga arero, engari kei te ārai tonu kia nui te whakaoho i ngā tohu

Ka aromatawai tō tākuta, ehara i te momo anake, engari te nui o te ārai e pā ana ki ngā mahi o ia rā penei i te whāngai, te kōrero, te kai rānei. Ko te nui o ngā tohu te mea nui atu i te momo motuhake ina whakatau i te maimoatanga.

He aha ngā take o te arero-here?

Ka whanake te arero-here i te wā hapu ina kore te frenulum e wehe tika i te tipu o tō pēpi i roto i te kopu. Ka puta tēnei i waenga i te wiki 6 me te 12 o te hapu, ā, he rerekētanga noa i te whanaketanga noa, kāore i te mea i mahi koe, kāore rānei i mahi.

Kāore i tino mōhiotia te take pono o tēnei, engari e whakaatu ana ngā rangahau he maha ngā take ka pā. E whakaatu ana te ira ki te mea nui, i te mea ka rere te arero-here i roto i ngā whānau. Ki te mea kei a koe, kei tō hoa rānei te arero-here, he nui ake te tūponotanga o tō tamaiti ki te whiwhi.

E whakaatu ana etahi rangahau pea he maha ngā rerekētanga ira ka pā ki te whanaketanga o ngā kiko hono, ka meinga ai te arero-here kia nui ake te tūponotanga. Heoi, i ngā take maha, ka puta te arero-here kahore he hītori whānau mārama, kāore rānei he take e taea te tautuhi.

He mea nui kia mārama kāore te arero-here i puta mai i tetahi mea i mahi koe i te wā hapu. Kāore ngā take penei i tō kai, ngā taumata ahotea, ngā mahi rānei e pā ana ki te whanaketanga o tō pēpi i tēnei āhuatanga. Heoi anō tētahi o aua rerekētanga whanaketanga ka taea te puta i te tipu o te peepi.

Nōhea te kite i te tākuta mō te arero-here?

Me whakaaro koe ki te kite i te kaiwhakarato hauora ki te kite koe i ngā raruraru whāngai i tō pēpi hou, i ngā wero kōrero rānei i tō tamaiti pakeke. Ka āwhina te aromatawai wawe ki te whakatau mehemea kei te pā te arero-here ki te whanaketanga o tō tamaiti, ki te kounga o te ora rānei.

Mō ngā pēpi, whakaritea he hui ki te uaua tō pēpi ki te pupuri i te wā e whāngai ana i te u, ka ngenge pea i te whāngai, kāore rānei e piki te taumaha penei i te tumanako. Ka kite pea koe i ngā oro pāwhiri i te wā e whāngai ana, kei te moe pea tō pēpi i te wā e ngana ana ki te kai.

Mō ngā tamariki pakeke, whakaarohia he kōrero ki te uaua tonu tō tamaiti ki te kōrero, ina koa ki ngā oro e hiahia ana ki te nekehanga pito arero. Ka taea hoki te aromatawai ngaio te uaua ki te kai i ētahi kai, ngā raruraru ki te horoi waha, ngā āwangawanga pāpori rānei mō te kōrero.

Kaua e manukanuka ki te rapu awhina i te wawe. Kei te wheako ngā tākuta tamariki, ngā kaitohutohu whāngai u, ngā kaiwhakaako kōrero hoki ki te aromatawai i te arero-here, ā, ka taea te awhina ahakoa kāore he maimoatanga e hiahiatia ana. Ka taea hoki e rātou te āwhina ki a koe ki te mārama ki te aha hei titiro i te tipu o tō tamaiti.

He aha ngā take tūponotanga mō te arero-here?

He maha ngā take ka piki ake te tūponotanga o te arero-here, ahakoa te whiwhi i ēnei take tūponotanga kāore e whakamana ana ka whanake tō tamaiti i te āhuatanga. Ka āwhina te mārama ki ēnei ki te mohio ki te aha hei titiro.

Ko ēnei ngā take tūponotanga tino nui:

• Te hītori whānau - Ki te mea kei a koe, kei tō hoa, kei ētahi atu mema whānau rānei te arero-here, he nui ake te tūponotanga o tō tamaiti ki te whiwhi
• Ko te tane - E toru te whakawhānui o te tūponotanga o ngā tama ki te whiwhi i te arero-here atu i ngā kōhine, ahakoa kāore i tino mōhiotia te take o tēnei
• Ētahi āhuatanga ira motuhake - Ka piki pea te tūponotanga o ngā āhuatanga onge penei i te mate Ehlers-Danlos, te raupapa Pierre Robin rānei
• Ētahi atu ārai waha - Ka taea hoki e ngā tamariki he here ngutu, he ārai kiko waha rānei te whiwhi arero-here

E whakaatu ana etahi rangahau pea he hononga te tau pakeke o te whaea ki ngā reiti teitei, engari kāore i tino whakamanahia tēnei hononga. Pēnei anō, ka rerekē pea ngā reiti o te arero-here i ētahi papori iwi, engari he nui te rerekētanga takitahi.

Kia mahara he maha ngā tamariki he take tūponotanga kei a rātou kāore e whanake i te arero-here, i te wā ka mahi ētahi atu kāore he take tūponotanga e kitea ana. Ka āwhina noa ēnei take i ngā kaiwhakarato hauora ki te titiro i ngā whakamātautau noa.

He aha ngā raruraru pea o te arero-here?

Ahakoa he maha ngā tāngata he arero-here ngawari e ora ana i te ora noa, kaore he maimoatanga, ka taea e ngā take nui ake te arahi ki ngā raruraru e pā ana ki ngā mahi o ia rā, ki te whanaketanga rānei. Ka āwhina te mārama ki ēnei take pea ki te whakatau whakamārama mō te maimoatanga.

Ko ēnei ngā raruraru tino noa ka tūtaki koe:

• Ngā raruraru whāngai i te wā pēpi - Te kore o te piki o te taumaha, ngā wā whāngai roa, te mamae o te u o te whaea i te wā e whāngai ana
• Ngā whakaroa whanaketanga kōrero - Uaua ki ētahi oro ka pā pea ki te whakawhitiwhiti kōrero me te whakawhirinaki
• Ngā wero horoi waha - Uaua ki te horoi tika i ngā niho, ka arahi pea ki ngā raruraru niho, ki te manawa kino rānei
• Ngā whakatau kai - Uaua ki ngā kai e hiahia ana ki te whakahaere arero, ka pā pea ki te kai
• Ngā āwangawanga pāpori - Te whakama mō te kōrero, te rerekētanga kai rānei, ina koa i ngā tamariki kura

I ētahi take onge, ka taea e te arero-here kore-maimoatanga te whakauru ki ngā take wāhi niho, ki ngā raruraru whanaketanga kauae rānei. E whakaatu ana etahi pakeke te uaua ki ngā mahi tata, ki te takaro i ētahi taputapu puoro rānei.

Ko te rongo pai, he maha ngā raruraru ka taea te aukati, te maimoatanga rānei. He maha ngā mea e ora ana me te whakauru tika, ā, ko te wawe o te maimoatanga, ko te pai ake o ngā hua.

Me pēhea te whakatau i te arero-here?

Ko te whakatau i te arero-here te tikanga he tirohanga tinana ngāwari kei reira tō kaiwhakarato hauora e titiro ana ki te ahua o tō arero, ā, e whakamātautau ana i tō whānuitanga nekehanga. He tere te tukanga, kāore e mamae, ā, ka taea te mahi i te wā o te tirotiro noa.

Ka tirohia tuatahi e tō tākuta te ahua o tō arero ina turaki koe i waho, te tirotiro hoki i ngā tohu penei i te pito ā-ngākau, te nekehanga ārai rānei. Ka aromatawai hoki e rātou te pai o tō nekehanga arero i te taha ki te taha, ki runga ki te tuanui o tō waha, ā, te tawhiti ka taea e koe te turaki atu i ō ngutu.

Mō ngā pēpi, ka tirotiro pea te kaiwhakarato i ngā whāinga whāngai, ā, ka tirotiro me pehea te pupuri, te ngau o te pēpi. Ka taea hoki e rātou te whakaara ngawari i te arero ki te tirotiro tika i te frenulum, ki te aromatawai i tōna mātotorutanga me te wāhi hono.

I ētahi take, ka whakamahi pea tō tākuta i te taputapu aromatawai paerewa e tohu ana i ngā āhuatanga rerekē o te mahi arero. Ka āwhina tēnei ki te whakatau i te nui, mehemea he pai te maimoatanga. Kāore he whakamātautau motuhake, he whakaahua rānei e hiahiatia ana mō te whakatau.

He aha te maimoatanga mō te arero-here?

Ko te maimoatanga mō te arero-here he rerekē mai i te tirotiro ngāwari ki ngā mahi pokanga iti, kei te nui o te pā o te āhuatanga ki tō oranga o ia rā. Ko te rongo pai, ina hiahiatia te maimoatanga, he mea ngāwari, ā, he hua pai.

Ka tūtohu pea tō kaiwhakarato hauora i ētahi huarahi:

• Te tatari mataara - Mō ngā take ngawari, ina koa i ngā tamariki, i te mea he maha ngā mea e pai ake ana i te tipu me te whanaketanga
• Frenotomy - He tukanga ngāwari kei reira te frenulum e tapahia ana ki te kōwhiti, ki te rāere rānei, e mahitia ana i te tari o te tākuta
• Frenuloplasty - He tukanga pokanga uaua ake mō ngā frenulums mātotoru ake e whakauru ana ki te tango i te kiko, i ngā kopiko rānei
• Te whakaora kōrero - Ngā whakamātautau hei whakapai ake i te nekehanga arero me te mārama kōrero, e whakamahia ana i te taha, i muri rānei i te maimoatanga pokanga

Mō ngā pēpi he raruraru whāngai, ka tūtohuhia te maimoatanga i te wawe atu i te muri. He tere te nuinga o ngā tukanga, me te frenotomy e torutoru noa te hēkona, ā, ka iti te āwangawanga.

Ka āwhina tō tākuta ki a koe ki te taumaha i ngā painga me ngā tūponotanga i runga i tō āhuatanga motuhake. He maha ngā tāngata e kite ana i te whakapaitanga nui i ngā tohu i muri i te maimoatanga tika.

Me pēhea te whakahaere i te arero-here i te kāinga?

Ahakoa kaore te whakahaere kāinga e taea te whakaora i te arero-here, he maha ngā mea ka taea e koe te mahi hei whakaiti i ngā tohu, hei tautoko hoki i te whanaketanga o tō tamaiti. Ka pai ake te mahi o ēnei huarahi ina whakakotahitia ki te aratohu ngaio mai i tō kaiwhakarato hauora.

Mō ngā take whāngai i ngā pēpi, whakamātau i ngā tūnga whāngai u rerekē ka ngāwari ake pea te pupuri, penei i te pupuri pōro, te whāngai takoto rānei. Ka taea hoki e koe te mahi tahi me te kaitohutohu whāngai u ka taea te whakaaro ki ngā tikanga motuhake mō tō āhuatanga.

Ka taea te awhina ngā whakamātautau kōrero mō ngā tamariki pakeke, ahakoa me aratohu ēnei e te kaiwhakaako kōrero. Ka taea te awhina ngā mahi ngāwari penei i te whakamātautau a tō tamaiti ki te turaki i tōna arero, ki te neke atu i te taha ki te taha, ki te ngana rānei ki te pa ki tōna ihu ki te pito o tōna arero hei whakapai ake i te nekehanga.

Ka nui ake te hiranga o te pupuri i te horoi waha pai me te arero-here. Āwhina i tō tamaiti ki te horoi tika, kia aro nui ki ngā wāhi ka uaua pea te tae atu. Ka taea e ngā tirotiro niho noa te awhina ki te hopu i ngā raruraru e whanake ana i te wawe.

Kia mahara ko te whakahaere kāinga he tautoko whakahaere, ehara i te maimoatanga. Ki te pā nui ngā tohu ki te whāngai, te kōrero, te kounga o te ora rānei, ko te maimoatanga ngaio te otinga tino whai hua.

Me pēhea te whakarite mō tō hui tākuta?

Ka taea e te whakarite mō tō kōrero arero-here te awhina i a koe ki te whakamahi pai i tō hui, kia whai kōrero katoa hoki tō kaiwhakarato hauora. He roa te ara o te whakarite iti ki te whiwhi i te tiaki pai.

I mua i tō haerenga, tuhia ngā tohu motuhake, ngā āwangawanga rānei i kite koe. Mō ngā pēpi, tuhia ngā tauira whāngai, te piki o te taumaha, ngā raruraru rānei i te wā e whāngai ana i te u, i te ipu rānei. Mō ngā tamariki pakeke, tuhia ngā wero kōrero, ngā raruraru kai, ngā āwangawanga pāpori rānei.

Kawe mai i tetahi hītori whānau e tika ana, tae atu ki te mea kei a koe, kei tō hoa rānei te arero-here, i ngā whakaroa kōrero rānei. Ki te mea kua whakamātau koe i ētahi whakauru penei i te whakaora kōrero, i ngā tikanga whāngai rānei, tuhia te mea kua whakamātau koe, me te pai o te mahi.

Whakaritea ngā pātai mō ngā kōwhiringa maimoatanga, te wā ora, me te aha hei tumanako ki te tūtohuhia te pokanga. Kaua e whakaroa ki te ui mō te wheako o te kaiwhakarato ki ngā tukanga arero-here me ngā hua noa.

Mō ngā pēpi, ngana ki te whakarite i te hui i te wā kāore tō pēpi e tino hiakai, e ngenge rānei, i te mea ka hiahia pea te tākuta ki te tirotiro i te whāngai, ki te tirotiro rānei i te waha ina ata noho tō pēpi.

He aha te mea nui mō te arero-here?

Ko te mea nui rawa hei mahara mō te arero-here ko te āhuatanga noa, te āhuatanga e taea te maimoatanga, kāore hoki e ārai ki te whanaketanga o tō tamaiti, ki te kounga o te ora rānei. Ahakoa ka taea te whakaoho i ngā wero pono ki te whāngai, ki te kōrero, ki te kai rānei, kei reira ngā maimoatanga whai hua ina hiahiatia.

He maha ngā take o te arero-here he ngawari, ā, ka pai ake pea i te tipu o ngā tamariki. Mō te hunga e hiahia ana ki te whakauru, ka taea e ngā tukanga ngāwari te whakarato i ngā whakapaitanga nui me te iti o te tūponotanga, te āwangawanga rānei.

Whakawhirinaki ki ō tūmanako ki te kite koe i ngā raruraru whāngai i tō pēpi hou, i ngā wero kōrero rānei i tō tamaiti pakeke. Ko te aromatawai wawe me te maimoatanga, ina tika, te nuinga o ngā hua pai, ā, ka taea te aukati i ngā raruraru nui ake i raro i te ara.

Kia mahara ko te whiwhi arero-here kāore e whakaatu ki tō mātauranga, ki tetahi mea rānei i mahi koe i te wā hapu. He rerekētanga whanaketanga noa tēnei, me te tiaki tika, ka taea te whakahaere pai hei awhina i tō tamaiti ki te ora.

Ngā pātai noa e uihia ana mō te arero-here

P1. Ka pai ake rānei te arero-here o taku pēpi i a ia ano?

He maha ngā take o te arero-here ngawari e pai ake ana i te tipu o ngā tamariki, ā, ka whanake ō rātou waha. Ka taea te totoro te frenulum, ka ngāwari ake i te wā, ā, ka whanake pea ngā nekehanga utu e āwhina ana i a rātou ki te mahi noa. Heoi, kāore te nuinga o ngā ārai nui e ora ana kahore he maimoatanga, ina koa ki te whakaoho i ngā raruraru whāngai, kōrero rānei.

P2. He mamae rānei te pokanga arero-here mō ngā pēpi?

Ko te tukanga frenotomy anō he tere rawa, ā, ka iti te āwangawanga mō ngā pēpi. Ko te nuinga o ngā pēpi e tangi poto ana i te wā o te tukanga, engari ka ata noho wawe i muri mai. He mea noa te whakaoho mō te rā, rua rānei, engari ko te nuinga o ngā pēpi e whakahoki ana ki te whāngai noa i roto i ngā haora. Ka taea e tō tākuta te tūtohu i te whakaora mamae pēpi ki te hiahiatia, engari he maha ngā pēpi e hiahia ana ki te iti, kāore rānei he whakahaere mamae.

P3. Ka pā rānei te arero-here ki ngā niho o taku tamaiti?

Ka taea e te arero-here te whakauru ki ngā take niho, ina koa ngā raruraru wāhi i waenganui i ngā niho o mua o raro. Ka taea hoki e te nekehanga arero ārai te uaua ki te horoi tika i ngā niho, ka arahi pea ki te pirau, ki ngā raruraru raima rānei. Heoi, me te horoi waha pai me te maimoatanga tika ina hiahiatia, ka taea te aukati, te whakahaere pai rānei i te nuinga o ngā raruraru niho.

P4. E hia te roa o te ora i muri i te pokanga arero-here?

He tere rawa te ora mai i te frenotomy, me te nuinga o ngā tāngata e whakahoki ana ki ngā mahi noa i roto i te rā, rua rānei. Mō ngā pēpi, ka pai ake te whāngai i roto i ngā haora ki ngā rā i muri i te tukanga. Ka taea te torutoru wiki ki ngā marama te whakapaitanga kōrero i ngā tamariki pakeke, ina koa ki te hiahiatia te whakaora kōrero. Ka tūtohuhia ngā whakamātautau whai muri hei aukati i te hono anō o te kiko.

P5. Ka taea e ngā pakeke te whiwhi pokanga arero-here?

Ae, ka taea e ngā pakeke te whiwhi pokanga arero-here ki te pā te āhuatanga ki tō rātou kōrero, kai, te kounga o te ora rānei. Ahakoa pea he uaua ake te tukanga i ngā pakeke nā te kiko mātotoru, he mea noa tonu te mahi hei mahi manawanui me ngā reiti angitu pai. He maha ngā pakeke e whakaatu ana i ngā whakapaitanga nui i te mārama kōrero me te ngāwari kai i muri i te maimoatanga.