He aha te Pakaru o te Pare Ventricular? Tohutohu, Take, me te Maimoatanga

Ko te pakaru o te pare ventricular (VSD) he rua kei te pakitara e wehe ana i nga ruma e rua o raro o tou ngakau. Ko tenei pakitara, e kiia ana ko te septum, e pupuri ana i te toto e nui ana te oxygen kia kaua e ranea ki te toto iti te oxygen. Ki te mea he rua kei tenei pakitara, ka taea e te toto te rere i tetahi taha ki tetahi taha, ka nui ake te mahi a tou ngakau i te mea tika.

Ko nga VSD te momo mate ngakau whanau noa rawa, arā, kei reira mai i te whanautanga. He maha nga rua iti e kati ana i a ratau ano i te tipu haere o nga tamariki, engari ko etahi atu nui ake pea ka hiahia ki te tiaki hauora. Ko te rongo pai, ma te tiaki tika, ka ora te nuinga o te hunga e pangia ana e nga VSD, he ora hauora, he ora kaha.

He aha nga tohu o te pakaru o te pare ventricular?

Ko nga VSD iti e kore e tino puta he tohu, ina koa ki nga pepeha me nga tamariki. Ka taea e to tamaiti te tipu me te whanake i te kore e mohio koe kei reira tetahi mate ngakau. Ka kitea te maha o nga rua iti i nga tirotiro noa ina rongo nga taote i te ngunguru o te ngakau.

Ina puta mai nga tohu, ka hono atu ki te mahi nui o te ngakau ki te pupuhi toto. Koinei nga tohu ka kitea e koe, ina koa ki nga pepeha me nga tamariki:

• Uaua ki te whangai, me nga pepeha e ngenge haere ana i te whangai
• Te iti o te taumaha, te iti ranei o te tipu i te whakataurite ki etahi atu tamariki
• Te tere o te manawa, te poto ranei o te manawa, ahakoa i te okiokinga
• Te maha o nga mate manawa penei i te mate huhu, te bronchitis ranei
• Te ngenge, te ngenge ranei i te wa e takaro ana, i nga mahi noa ranei
• Te tae kikorangi o nga ngutu, nga maihao, te kiri ranei (e kiia ana ko te cyanosis)
• Te wera nui, ina koa i te wa e whangai ana, i te mahi tinana ranei

I etahi wā, inā nui rawa te VSD, ka kite pea koe ka hiahia tō tamaiti ki te okioki atu i te mea noa, kāore rānei e kaha penei i ētahi tamariki o tōna tau. Ka puta ēnei tohu nā te mahi nui o te ngākau hei whakakapi i te rere toto nui atu.

Ko ngā tāngata pakeke he VSD kei a rātou, kāore i whakatikahia i te wā tamariki, ka raru pea ki te mamae o te uma, te ngākau kore-pēnei, te manawa poto rānei i te wā e whakakino ana. Heoi, he iti rawa te tūponotanga o tēnei, nā te kitea me te whakaora i te nuinga o ngā VSD nui i te wā tamariki.

He aha ngā momo o te ngoikoretanga o te pakitara o ngā ruma o raro?

Ka whakarōpūhia ngā VSD i runga i te wāhi o te rua i roto i te pakitara, me tōna rahi. Ko te mōhiotanga ki ēnei momo ka āwhina i ngā tākua ki te whakatau i te huarahi whakaora pai mō ia tangata.

I runga i te wāhi, e whā ngā momo matua:

• Ngā VSD Perimembranous: Ka puta ēnei tata atu ki te pūnaha hiko o te ngākau, ā, koinei te momo tino noa, e 80% pea o ngā VSD katoa.
• Ngā VSD Uaua: Kei te wāhanga uaua o te pakitara ēnei rua, ā, ka mutu pea ake i a rātou ano i te tipu o te uaua.
• Ngā VSD Inlet: Kei ngā pereti tomokanga o te ngākau ēnei, ā, he iti ake te noa, engari pea ka hiahia ki te aro nui atu.
• Ngā VSD Outlet: Ka puta ēnei tata atu ki ngā oko e kawe ana i te toto i waho o te ngākau, ā, ka pā pea ki ngā pereti tata atu.

I runga i te rahi, ka whakarōpūhia ngā VSD e ngā tākua hei iti, noa, nui rānei. Ko ngā VSD iti ka kiia he "whakawhāiti" nā te mea ka whakawhāititia e rātou te nui o te toto e taea te rere atu. Ko ngā VSD nui he "kāore-whakawhāiti", e tuku ana i te rere toto nui i waenga i ngā ruma.

Ko te rahi me te wāhi o tō VSD ka pā tika ki te hiahia rānei koe ki te whakaora, me te momo tiaki ka pai rawa. Hei tauira, ko ngā VSD uaua iti, he nui rawa te tūponotanga o te mutu ake i te wā.

He aha ngā take o te ngoikoretanga o te pakitara o ngā ruma o raro?

Ka whānuitia ngā VSD i roto i ngā waru wiki tuatahi o te hapu, i te wā e hangaia ana te ngākau o tō pēpi. E kore e mārama tonu te take, engari ka puta mai ina kore e tupu katoa te septum i roto i tēnei wā nui.

I te nuinga o ngā wā, ka puta ngā VSD me te kore he take motuhake, kāore hoki he take e taea te aukati. Āta, pea he wāhi ngā ira a tō whānau, i te mea ka taea e ngā hapa o te ngākau te rere i roto i ngā whānau. Heoi, ehara te whakaaro he pūtake o tō whānau i te whakamana i tō tamaiti kia whiwhi VSD.

He maha ngā take i te wā hapu ka piki ake te tūponotanga, ahakoa kaore e tino pā te VSD:

• Ngā āhuatanga ira motuhake pēnei i te mate Down rānei te mate DiGeorge
• Te mate huka o te whaea kāore i te pai te whakahaere i te wā hapu
• Te tango i ētahi rongoā i te wā hapu o mua, inā te nuinga o ngā rongoā mo te hopu
• Ngā mate huaketo i te wā hapu, pēnei i te rubella
• Te inu waipiro nui i te wā hapu
• Te whakaū ki ētahi matū rānei pokanoa

He mea nui kia mōhio koe, ki te pēnei tō tamaiti i te VSD, ehara i te mea he he nāu, kāore hoki e taea te aukati. He uaua te whanaketanga o te ngākau, ā, ka puta ngā hapa nei ahakoa kua oti katoa ngā mea tika i te wā hapu.

I ētahi wā, ka taea e ngā VSD te whānuitia i muri mai i te ora nā ngā mate ngākau rānei te pakaru, engari ko te nuinga kei te noho mai i te whānau. I ētahi wā ka puta ngā VSD me ētahi atu hapa ngākau hei wāhanga o ngā āhuatanga ngākau whānau uaua ake.

Nōhea te haere ki te taote mō te ngoikoretanga o te septal ventricular?

Me whakapiri atu koe ki te taote o tō tamaiti ki te kite koe i ētahi tohu e whakaatu ana pea kei te mahi uaua atu tōna ngākau i te noa. Ka taea e te kite wawe me te aroturuki te whakarereke nui i ngā hua.

Waea atu ki tō tākuta tamariki inaianei ki te whakaatu mai tō pēpi i ēnei tohu awangawanga:

• Te uaua ki te whāngai, te roa atu i te tikanga, te whakakahore rānei i te kai
• Te manawa e ātaahua ana, e uaua ana, e rerekē ana rānei i te tikanga
• Te iti o te pikinga taumaha, te heke rānei i muri i ngā tohu whanaketanga
• Te ngangau rerekē, te ātaahua rānei atu i ngā pepeha noa
• Te tae kikorangi i te waha, ngutu, me ngā maihao

Mō ngā tamariki pakeke ake, tirohia ngā tohu penei i te ngenge nui i te wā e takaro ana, te uaua ki te whai i ngā hoa i ngā mahi tinana, te amuamu rānei mō te mamae o te uma. Ko ngā mate manawa maha e ātaahua ana i te tikanga ka taea hoki te tohu i te raruraru o te ngakau.

Rapua te awhina hauora tūturu mena ka puta he uaua nui ki te manawa i tō tamaiti, ka pango, ka ngaro te wairua, ka whakaatu rānei i ngā tohu o te pouri nui. Ka taea e ēnei te tohu i ngā raruraru nui e hiahia ana ki te tiaki tere.

Ahakoa ngā tohu ngāwari, he mea tika te kōrero i ngā āwangawanga ki tō tākuta. Ko te nuinga o ngā VSD ka kitea tuatahi i ngā tirotiro noa ina rongo ngā tākuta i ngā ngākau ngākau, no reira he mea nui te pupuri i ngā haerenga hauora tamariki noa.

He aha ngā take morearea mō te ngoikoretanga o te septal ventricular?

Ko te nuinga o ngā VSD ka puta noa iho, engari ka taea e ētahi take te whakapiki ake i te tūponotanga o te whānau mai o te pēpi me tēnei ngoikoretanga o te ngakau. Ka taea e te mārama ki ēnei take morearea te awhina i ngā whānau kia whai mōhio, ahakoa te kore o ngā take morearea, ehara i te tikanga ka puta he VSD.

He tino mahi ngā take ira i etahi wā:

• Te hītori whānau o ngā ngoikoretanga o te ngakau whānau, ina koa i ngā mātua, i ngā teina rānei
• Ngā āhuatanga karōme penei i te mate Down, te mate Turner, te mate DiGeorge rānei
• Ngā atu mate ira e pā ana ki te whanaketanga o te ngakau
• Te whānau mai ki ngā mātua he ngoikoretanga o te ngakau whānau

Ka taea hoki e ngā āhuatanga hauora o te whaea me ngā take haputanga te awe i te morearea:

• Te kore e ārai pai te huka i mua rānei i te wā hapu
• Ngā mate pukupuku i te wā hapu, tērā pea ko te rubella, ko te cytomegalovirus rānei
• Te inu i ētahi rongoā motuhake i te wā hapu, tae atu ki ētahi rongoā anti-seizure
• Te inu waipiro i te wā hapu, ā, ko te inu nui rawa atu
• Te pakeketanga o te whaea, ahakoa ka puta ngā VSD i ngā tau katoa
• Te whakaū ki ētahi pokanoa taiao, ki ētahi matū rānei

Ki te whai koe i tetahi, i te maha rānei o ngā take morearea, ehara tena i te tikanga ka tino pā te VSD ki tō pēpi. He maha ngā pēpi e whai ana i ngā take morearea maha ka whānau mai me ngā ngākau tino noa, ā, ko ētahi atu kaore he take morearea ka whānau mai me ngā hapa o te ngākau. He uaua te whanaketanga o te ngākau, ā, ehara i te mea e taea te whakatau tika.

Ki te whai koe i ngā take morearea, ka tūtohu pea tō tākuta kia tirotirohia atu koe i te wā hapu, tae atu ki ngā whakaahua ultrasound motuhake hei tirotiro i te whanaketanga o te ngākau o tō pēpi. Ka taea ai te whakarite me te whakarite i mua ki te kitea he hapa o te ngākau.

He aha ngā raruraru pea o te ngoikoretanga o te septal ventricular?

Kaore ngā VSD iti e tino pāngia ana, ā, ka mutu ake rātou ake kaore he pānga roa. Heoi, ko ngā VSD nui ake kaore i te rongoā ka āhei te arahi ki ngā raruraru nui i te wā e mahi nui ana te ngākau ki te pupuri i te toto.

Ko ngā raruraru tino noa ka tupu haere haere mai, ā, e pā ana ki te nui haere o te toto ki ngā pūkahukahu:

• Te toto teitei o ngā pūhau: Teitei te toto i roto i ngā āti o te pūhau nā te nui o te rere o te toto, ā, ka taea e tēnei te whakarawe i ēnei oko mō ake tonu atu
• Te korenga o te ngākau: Ka nui haere te ngākau, ka ngoikore hoki i te mahi nui rawa atu ki te pupuhi i te toto atu
• Ngā mate pūhau maha: Ka nui ake te rere o te toto ki ngā pūhau, ka nui ake te mate o te ngakau me ētahi atu mate manawa
• Ngā raruraru tipu: Ka kore pea e tika te taumaha o ngā tamariki, kāore rānei e tipu rite ki te tumanako nā te mahi nui o tō rātou ngākau
• Ngā arrhythmias: Ka taea te whanake i ngā āwangawanga o te ngākau i te nui haere o ngā ruma o te ngākau

I etahi wā, ka taea te whanake i te raruraru kino e kiia nei ko te mate a Eisenmenger. Ka puta mai tenei ina ka nui te pehanga i roto i ngā āti o te pūhau, ka puta te toto ki muri i te VSD, ka tukuna te toto kore-hākari ki te tinana. Ka hangaia tēnei i te tae kikorangi o te kiri, ā, ka mate pea.

Kei te tūpono etahi tangata e whai VSD ana ki te whanake i te endocarditis, he mate o te papanga o roto o te ngākau. Koia te take i tūtohu ai ngā tākuta i ētahi wā i ngā rongoā antibiotic i mua i ngā mahi niho, i ngā mahi rongoa rānei, ahakoa ehara tenei i te mea e hiahiatia ana e te katoa e whai VSD ana.

Ko te rongo pai ko te nuinga o ngā raruraru ka taea te aukati me te tirotiro tika me te maimoatanga wa tika. Ko te tiaki whai muri tonu te awhina i ngā tākuta ki te hopu i ngā raruraru pea i te tīmatanga, ina tino taea te whakaora.

Me pēhea te aukati i te ngoikoretanga o te pakitara o te whekau?

Kaore e taea te aukati i te nuinga o ngā VSD nā te mea ka puta mai rātou i te wa o te whanaketanga o te ngākau i te timatanga o te haputanga. Heoi, he maha ngā mahi ka taea e koe i te wa haputanga ki te tautoko i te hauora o te ngākau o tō pēpi me te whakaiti i ētahi take morearea.

I mua i te haputanga, me te wa haputanga, ka awhina pea ēnei mahi ki te whakaiti i te morearea o ngā ngoikoretanga o te ngākau whānau:

• Tangohia ngā taapiri waikawa fōrikī rite tonu ki te whakahau, ā, tino pai kia tīmata i mua i te whakahaputanga
• Kia pai te whakahaere i te mate huka mēnā kei a koe tēnei mate
• Kaua rawa e inu waipiro, kaua hoki e whakamahi i ngā rongoā whakangahau i te wā e hapu ana
• Kia hou tonu ngā inopere, ina koa te rumuera, i mua i te haputanga
• mahi tahi me tō tākuta ki te whakahaere i ngā āhuatanga hauora roa
• Kaua e whakaeke ki ngā matū kino me ngā poizon i te wā e taea ai
• Kaua e whakakā, ā, kaua e whakaeke ki te paowa tuarua

Mēnā kei te inu koe i ngā rongoā mō ngā āhuatanga penei i te mate urupare, mahi tata atu ki ō ngā tākuta ki te kimi i ngā kōwhiringa tino haumaru i te wā e hapu ana. Kaua rawa e mutu te inu i ngā rongoā kua tohua e te taote me te kore kaiārahi hauora, i te mea ka taea hoki e ngā āhuatanga kore-whakahaere te whakaputa i ngā tūponotanga.

Ka āwhina pea te tohutohu ira mo te whānau mēnā kei a koe te hītori whānau o ngā hapa o te ngākau, o ngā āhuatanga ira. Ka taea e te kaiārahi te āwhina i a koe ki te mārama ki ō tūponotanga motuhake, ā, te kōrero mō ngā kōwhiringa whakamātautau e wātea ana.

He mea nui te tiaki whānau i ia wā mō te tirotiro i te whanaketanga o tō pēpi. Ka taea e ngā whakaahua ultrasound ngākau motuhake te kite i ngā VSD i mua i te whānautanga, ā, ka taea ai e tō rōpū hauora te whakarite mō te tiaki e hiahiatia ana i muri i te whānautanga.

Pehea te whakamārama i te ngoikoretanga o te pakitara o te whekau?

Ko te nuinga o ngā VSD ka kitea tuatahi ina rongo ngā tākuta i te ngākau ngākau i ngā tirotiro noa. He oro taapiri te ngākau ngākau e puta mai ana i te toto e rere ana i roto i te rua i te pakitara. Kāore katoa ngā ngākau ngākau e tohu ana i ngā raruraru, engari ka whakaohooho ratou i ngā tākuta ki te rapu atu.

Ka tīmata tō tākuta me te whakamātautau tinana, me te whakarongo marie ki te ngākau me ngā pūkahukahu o tō tamaiti. Ka ui ratou mō ngā tohu penei i ngā raruraru kai, ngā raruraru manawa, te ngenge rānei. Ka āwhina tēnei aromatawai tuatahi ki te whakatau he aha ngā whakamātautau pea e hiahiatia ana.

He maha ngā whakamātautau ka taea te whakau i te whakamārama VSD, ā, te whakarato i ngā korero taipitopito:

• Whakaahua o te ngakau (Echocardiogram): Ka whakaatu mai tēnei whakaahua oro o te ngakau i te rahi o te rua, tōna wāhi, me te nui o te toto e rere ana i roto.
• X-ray o te uma: Ka taea e tēnei te whakakite mena kua nui rawa te ngakau, mena rānei he nui atu te rere o te toto ki ngā pūkahukahu.
• Electrocardiogram (ECG): Ka tuhi tēnei whakamātautau i te mahi hiko o te ngakau, ā, ka taea te kite i ngā raruraru i te rere o te ngakau, i te mamae rānei o te ngakau.
• Pulse oximetry: He whakamātautau ngāwari e ine ana i ngā taumata o te hāora i roto i te toto mā te whakamahi i te pūoko iti kei runga i te matihao.

I etahi wā, ka hiahia ngā tākua ki ētahi atu whakamātautau pēnei i te catheterization o te ngakau, kei reira te whakauruhia he pūtau angiangi ki roto i ngā oko toto hei tiki i ngā mōhiohio taipitopito atu mō ngā pēhanga i roto i te ngakau me ngā pūkahukahu. He tikanga tēnei mō ngā take uaua, i te whakaarohia rānei te pokanga.

I etahi wā, ka kitea ngā VSD i mua i te whānau i ngā whakaahua oro i mua i te whānau. Ka taea ai e ngā tākua te whakarite mō te tiaki motuhake i muri tonu i te whānau mena ka hiahiatia. Heoi, ehara pea ngā VSD iti i te kitea i ngā tirotiro i mua i te whānau, ā, ka kitea muri mai i te tiaki tamariki noa.

He aha te rongoā mō te ngoikoretanga o te pakitara o ngā ruma o te ngakau?

Ko te rongoā mō ngā VSD e whakahaeretia ana e te rahi o te rua, ōu tohu, me te āhua o te ngoikoretanga ki te mahi o tō ngakau. E kore e hiahiatia te rongoā i ngā VSD iti, engari ko te tirotiro noa, ā, ko ngā mea nui ake pea ka hiahia ki te whakatikatika pokanga.

Mō ngā VSD iti kahore he tohu, ka tūtohutia e ngā tākua te whakaaro "tūmanako me te tirotiro". Ko te tikanga tēnei he tirotiro noa hei aroturuki i te rua me te kite mena ka kati ake. E 80% pea o ngā VSD uaua iti ka kati a-motu i te tau 10, ā, he tokomaha hoki ngā VSD perimembranous ka iti ake te rahi, kāti rānei katoa.

Ina hiahiatia te rongoā, he maha ngā kōwhiringa e wātea ana:

• Rongoā: Ka taea e ēnei te whakahaere i ngā tohu pēnei i te ngoikore o te ngākau, i ngā āwangawanga o te ihu, i te wā e tatari ana mō te pokanga, i te kati pūmau rānei
• Te tautoko kai: Ka taea e ngā pūhui kaha-calorie motuhake, i ngā tikanga whāngai rānei te awhina i ngā pēpi kia piki te taumaha tika
• Te whakatikatika pokanga: Te pokanga ngākau tuwhera hei whakakapi i te rua mā te whakamahi i ngā tuitui, i te kapi rānei i hangaia mai i ō kōpū ake, i te rauemi hangai rānei
• Te kati taputapu: He tukanga iti te whakaheke i te waahi ka whakanohoia he taputapu iti mā te catheter hei hiri i ētahi momo VSD

Ka tūtohutia te pokanga mō ngā VSD nui ake e pā ana ki ngā tohu, e ārai ana i te tipu noa, i ngā raruraru rānei pēnei i te toto-pūhau. Ko te wā o te pokanga e whakahaeretia ana e tō āhuatanga motuhake, engari ka mahia i waenga i ngā tau 6 marama ki te 2 tau mō ngā hua pai.

He tino angitu te nuinga o ngā whakatikatika VSD, me te neke atu i te 95% o ngā pokanga e whai hua pai ana i te roa. I muri i te whakatikatika angitu, ka taea e te tini o te iwi te whakauru ki ngā mahi noa katoa kahore he ārai, ahakoa pea ka hiahia etahi ki te tiaki whai muri i te wā katoa o o rātou oranga.

Me pēhea te whakahaere i te ngoikoretanga o te septal ventricle i te kāinga?

Mēnā kei tō tamaiti he VSD, he maha ngā mea ka taea e koe te mahi i te kāinga hei tautoko i tōna hauora me tōna whanaketanga. Ka taea e te nuinga o ngā tamariki he VSD iti te noho ora noa katoa me ētahi whakaaro atu.

Mō te whāngai me te kai, ina koa i ngā pēpi, pea ka hiahia koe ki te mahi i ētahi whakarerekētanga:

• Tuku kai iti ake, maha atu, ki te ngawari te ngenge o tō pēpi
• Whakamahia te pūhui kaha-calorie teitei ake, i ngā kai whakakahangia rānei mō te miraka u, ki te tūtohuhia e tō tākuta
• Kia mārama, kia ata noho te wā whāngai hei whakaiti i te ahotea ki tō pēpi
• Aroturukihia te pikinga o te taumaha me te pupuri i ngā tauira whāngai
• Whakaarohia te whakamahi i te nipple tere-rerenga mena kei te mahi nui rawa atu tō pēpi ki te kai

Mō ngā mahi o ia rā me te whanaketanga, ka taea e te nuinga o ngā tamariki te whakauru noa ki ngā mahi e tika ana mō tō rātou tau. Heoi, me ata titiro pea koe ki ngā tohu kei te nui ake te ngenge o tō tamaiti i te mea noa, ā, kia tukua ai te okioki atu ina hiahiatia.

He mea nui rawa te aukati i ngā mate, nā te mea ka nui ake te kino o ngā mate o ngā pūha o te manawa ki ngā tamariki e pangia ana e ngā hapa o te ngakau. Kia mau tonu tō tamaiti ki ngā whakakakahu katoa, horoia ngā ringa i te wā katoa, ā, kaua e whakaaturia ki ngā tāngata mate ina taea.

Kia mau tonu ki ngā whakatau whai muri me te kaitātari ngakau o tō tamaiti, ahakoa ka tīmata rātou ki te ora pai. Ka āwhina ēnei haerenga ki ngā tākuta ki te tirotiro i te VSD me te hopu i ngā huringa i te wā wawe. Kaua e whakaroa ki te karanga atu ki tō tākuta ki te kite koe i ētahi tohu hou, ki te whai whakaaro rānei koe mō te hauora o tō tamaiti.

Me pēhea te whakarite mō tō hui ki te tākuta?

Ka taea e te whakarite mō tō hui te āwhina i a koe ki te whakamahi pai i tō wā me te tākuta, ā, kia whakarite ai ngā āwangawanga katoa. Ka ārahi te kawe mai i ngā mōhiohio tika me ngā pūrongo ki te tiaki pai ake me te rangimarie o te ngākau.

I mua i tō hui, kohikohia ngā mōhiohio nui mō te hauora o tō tamaiti:

• Tuhia ētahi tohu kua kite koe, tae atu ki te wā e puta ai rātou me te maha o ngā wā
• Kia mau he rārangi kai mō ngā pēpi, mā te tohu i te nui o te kai me te roa o te whakakai
• Aroturukihia te tipu o tō tamaiti, tae atu ki ngā ine taumaha me te teitei
• Rārangihia ngā rongoā me ngā taapiri katoa e inu ana tō tamaiti
• Kawe mai ngā rēkōta mai i ngā whakamātautau ngakau o mua, i ngā hui rānei me ētahi atu tākuta
• Tātaihia tetahi hītori whānau o ngā raruraru ngakau, i ngā āhuatanga ira rānei

Whakaritea ngā pūrongo hei ui ki tō tākuta. Ko ētahi o ngā mea whai hua pea ko:

• E hā te rahi o te VSD, ā, kei hea tonu te wāhi o te VSD?
• He aha te tūponotanga ka kati a ia ano?
• He take ārai mahi rānei mō taku tamaiti?
• He aha ngā tohu e whai take ai au ki te karanga atu ki a koutou tonu?
• E hia te wā ka hiahiatia e tātou ngā whakatau whai muri?
• Nō hea pea ka hiahiatia te pokanga, ā, he aha ngā mea ka uru ki reira?

Whakaarohia te kawe mai i tētahi mema whānau, i tētahi hoa rānei ki te whakaritenga, inā koa kei te manukanuka koe, kei te ngākau pouri rānei. Ka taea e rātou te āwhina i a koe ki te maumahara ki ngā mōhiohio nui, ā, ka whakawhiwhia te tautoko ngākau i ngā kōrero mō te āhuatanga o tō tamaiti.

He aha te mea nui e pā ana ki te ngoikoretanga o te pakitara o ngā ruma o te ngakau?

Ko te mea nui rawa atu hei mārama ki ngā VSD, he tino noa rātou, ā, he maha ngā wā ka taea te whakahaere. Ahakoa te whakarongo kua pangia tō tamaiti e te ngoikoretanga o te ngakau, ka tupu te nuinga o ngā tamariki me ngā VSD hei oranga noa, hauora.

Ka kati ngā VSD iti i a rātou ano, ā, kāore e tino pāngia. Āe rawa ngā VSD nui ake e hiahia ana ki te rongoā ka taea te whakatika pai me ngā hua pai mo te wā roa. He tino whakamua, ā, he haumaru ngā hangarau pokanga ngakau hou, me ngā reiti angitu neke atu i te 95%.

Ko te tiaki whai muri auau te kī hei aroturuki i te āhuatanga o tō tamaiti, ā, hei hopu i ngā huringa i te tīmatanga. Ka arataki tō rōpū hauora i a koe i ia kaupae, mai i te tautuhi tuatahi tae atu ki te rongoā e hiahiatia ana, me te tiaki mo te wā roa.

Kia mahara he motuhake te āhuatanga o ia tamaiti. Ko te mea nui rawa atu ko te mahi tata atu ki ō kaiwhakarato hauora, te noho mohio ki te āhuatanga motuhake o tō tamaiti, me te pupuri i te tumanako. Me te tiaki tika, me te aroturuki, ka tupu pai ngā tamariki me ngā VSD, ā, ka taea te whakauru katoa ki ngā mahi katoa e pai ana rātou.

Ngā pātai e ui pinepinetia ana e pā ana ki te ngoikoretanga o te pakitara o ngā ruma o te ngakau

Ka taea e taku tamaiti te takaro hākinakina me te ngoikoretanga o te pakitara o ngā ruma o te ngakau?

Ko te nuinga o ngā tamariki e whai VSD iti ana ka taea te whakauru ki ngā hākinakina katoa me ngā mahi tinana kahore he whakatau ārai. Ka aromatawaihia e tō kairongo hauora te tūāhua motuhake o tō tamaiti ka homai he aratohu e whakaū ana ki te rahi o te hapa me te pai o te mahi a tō rātou ngākau. Ko ngā tamariki e whai VSD nui ana, kei te whai rongoā rātou, pea ka hiahiatia etahi whakarerekētanga mahi, engari he tokomaha tonu ka taea te pai ki ngā hākinakina me te whakamana hauora tika.

Me mahi rongoā rānei tō tamaiti ki te whai VSD iti?

Ko te nuinga o ngā tamariki e whai VSD iti ana kaore rawa e hiahia ki te rongoā. E 80% te tata o ngā VSD uaua iti ka kati aunoa i te tau 10, a he maha atu ngā momo e iti haere ana, kāti rānei katoa i te wā. Ko te rongoā ka tūtohutia noa mō ngā VSD nui e pā ana ki ngā tohu, te pānga ki te tipu, kei te arahi ki ngā raruraru pērā i te toto teitei o te pūkahukahu.

He whakapapa rānei te VSD, ā, ka whai rānei aku tamariki atu i tēnei?

Ahakoa ka taea e te ira te whai wāhi ki ngā VSD, ko te nuinga ka puta noa mai kahore he tauira whakapapa mārama. Ko te whai tamaiti kotahi e whai VSD ana ka piki ake te tūponotanga mō ngā tamariki kei te heke mai, engari he iti tonu te tūponotanga whānui. Ki te whai whakaaro koe mō ngā take ira, kōrero ki tō tākuta, ki te whakaaro rānei ki te tohutohu ira mō ngā mōhiohio whaiaro atu.

E hia te roa o te rongoā VSD, me pēhea te ora whakaora?

Ko te rongoā whakatikatika VSD ka roa pea i te 2-4 haora, e whakawhirinaki ana ki te uaua o te hapa. Ko te nuinga o ngā tamariki ka noho i te whare hauora mō te 3-7 rā i muri i te rongoā. Ko te ora whakaora tuatahi i te kāinga ka roa pea i te 2-4 wiki, i te wā e piki haere ana ngā mahi. Ko te nuinga o ngā tamariki ka taea te hoki ki ngā mahi noa i roto i te 6-8 wiki, ahakoa ka homai e tō taote ngā aratohu motuhake e whakaū ana ki te tūāhua o tō tamaiti.

Me hiahia rānei tō tamaiti ki te rongoā ngākau ora tonu i muri i te whakatikatika VSD?

Ko te nuinga o ngā tamariki e kore e hiahia ana ki ngā rongoā ngākau roa i muri i te whakaoranga angitu o te VSD. Pea pea ka hiahia etahi ki ngā rongoā wā poto i te wā e ora ana, engari, kia ora te ngākau i te pokanga, ka mutu te inu rongoā. Heoi, he mea tūturu te whakahau kia whai wāhi tonu ki te taote ngākau hei tirotiro i te whakaoranga me te hauora o te ngākau katoa, ahakoa kaore he rongoā e hiahiatia.