He aha te pokanga o te tuarā o te kaki o ngā tamariki? Te Whāinga, te Hātepe & te Oranga

Ko te pokanga o te tuarā o te kaki o ngā tamariki he mahi motuhake e mahia ana ki te wāhi kaki o ngā tuarā o ngā tamariki i te wā e kore e taea te rongoā i ngā raruraru nui mā ētahi atu tikanga. Ko tēnei momo pokanga e arotahi ana ki ngā wheua iti e whitu kei te kaki o tāu tamaiti, e kīia ana ko ngā vertebrae cervical, e tiaki ana i te taurakira me te tautoko i te upoko.

Inā he raruraru nui ngā tamariki i tō rātou wāhi kaki, tērā pea ko te pokanga te huarahi pai ki te ārai i te kino atu me te āwhina i a rātou kia noho pai ake. Ahakoa te ahua whakamataku, ka mahia ēnei hātepe e ngā tākuta pokanga tuarā tamariki kua tino whakangungua, e tohunga ana ki te rongoā i ngā tamariki.

He aha te pokanga o te tuarā o te kaki o ngā tamariki?

Ko te pokanga o te tuarā o te kaki o ngā tamariki e whai ana i te mahi i te wāhi kaki o te tuarā o te tamaiti ki te whakatika i ngā raruraru hanganga, te tango i te pēhanga mai i te taurakira, me te whakapumau i ngā wheua kāore i te pūmau. Ko te tuarā o te kaki e whai ana i ngā vertebrae e whitu i tapaina ko C1 ki C7, ka tīmata mai i te pūtake o te angaanga.

He rerekē rawa tēnei pokanga i te pokanga tuarā pakeke nā te mea kei te tipu tonu, kei te whanake tonu ngā tuarā o ngā tamariki. He ngawari ake ngā wheua, he ngawari ake ngā uaua, ā, he rerekē ngā ōwehenga ki ngā pakeke. Ka whiwhi ngā tākuta pokanga tuarā tamariki i te whakangungu motuhake ki te mārama ki ēnei āhuatanga ahurei.

Tērā pea ka uru te pokanga ki te whakakotahi i ngā wheua, te tango i te kiko kua pakaru, te whakauru rānei i ngā taputapu motuhake pēnei i ngā tīwiri me ngā rākau hei whakarato i te pūmautanga. Ko ia hātepe e āta whakamaherehia ana i runga i te āhuatanga motuhake me te tau o tāu tamaiti.

He aha te take e mahia ai te pokanga o te tuarā o te kaki o ngā tamariki?

E tūtohu ana ngā tākuta i te pokanga tuarā o te kaki mō ngā tamariki i te wā kāore i whai hua ngā rongoā kāore i te pokanga, ā, ka tūpono te āhuatanga ki ngā tūponotanga nui ki te hauora, ki te whanaketanga rānei o tāu tamaiti. Ko te whāinga i ngā wā katoa ko te whakamātau i ngā rongoā whai whakaaro i te tuatahi, engari i ētahi wā ka whai mana te pokanga ki te ārai i te kino tūturu.

He maha ngā āhuatanga ka hiahia i tēnei momo pokanga, ā, mā te māramatanga ki ēnei āhuatanga ka āwhina koe ki te whai wāhi atu ki ngā kōrero ki te rōpū hauora o tāu tamaiti.

Ko ngā āhuatanga whānau he raruraru i whānau mai ai tāu tamaiti. Kei roto i tēnei ko te kore pūmau o te atlantoaxial, kāore i te hono tika ngā wheua tuatahi e rua o te kaki, me te mate Klippel-Feil, e honoa ana ētahi wheua o te kaki mai i te whānautanga. Ko te hē o Chiari, e toro atu ana te kiko roro ki roto i te awa o te tuaiwi, ka hiahia hoki pea i te pokanga.

Ko ngā wharanga whara mai i ngā aituā, ngā hinganga, rānei ngā hākinakina ka whara i te tuaiwi o te kaki. Kei roto i tēnei ko ngā whati, ngā tūnga hē, rānei te whara ki ngā uaua e pupuri ana i ngā wheua o te tuaiwi. Ahakoa ngā wharanga iti nei te ahua, ka nui te kino ki ngā tamariki nā te mea he rerekē te hanganga o tō rātou kaki i ngā pakeke.

Ko ngā puku me ngā mate pāwera i te wāhi o te tuaiwi o te kaki, ahakoa he onge, ka hiahia i te rongoā pokanga. Ko ngā puku pea he pai (kāore i te mate pukupuku) rānei he kino (mate pukupuku), ā, ko ngā mate pāwera pēnei i te osteomyelitis ka whara i te wheua me te kiko e tata ana.

Ko ngā āhuatanga whakaheke he iti noa iho i ngā tamariki engari ka puta. Kei roto i tēnei ko te mumura o ngā hononga i te wā tuatahi, rānei ngā raruraru kōpae e pā ana ki te kore pūmau, rānei te pēhanga ki te tuaiwi.

He aha te tikanga mō te pokanga tuaiwi o te kaki o ngā tamariki?

He rerekē te tikanga pokanga i runga i te āhuatanga motuhake o tāu tamaiti, engari e whai ana ngā pokanga tuaiwi o te kaki o ngā tamariki i ngā tikanga haumaru. Ka noho tāu tamaiti i raro i te rongoā whānui i te wā o te pokanga, ko te tikanga ka moe rātou, ā, kāore rātou e rongo i tētahi mea.

I mua i te tīmatanga o te pokanga, ka tū tika tāu tamaiti ki runga i te tēpu pokanga. Ko ngā taputapu motuhake e aroturuki ana i tō rātou tere o te ngākau, te pēhanga toto, me te mahi neurological i te wā o te tikanga. Kei roto i te rōpū pokanga ngā tākuta pokanga tuaiwi o ngā tamariki, ngā tākuta rongoā, me ngā nēhi motuhake.

Ko te tākuta e tapahi ana i te wāhi o mua o te kaki (te huarahi o mua) rānei i te wāhi o muri o te kaki (te huarahi o muri). Ka whakawhirinaki te whiriwhiri ki te wāhi kei reira te raruraru me te momo whakatikatika e hiahiatia ana. Ko ngā huarahi o mua e whakamahia ana mō te tango i ngā kōpae kua pakaru, i ngā koiwi rānei, i te wā e whakamahia ana ngā huarahi o muri mō ngā whakakotahitanga me te whakapūmautanga.

I te wā o te pokanga, ka tango pea te tākuta i ngā kiko kua pakaru, ka whakatika anō i ngā koiwi, ka whakauru rānei i ngā taputapu pēnei i ngā tīwiri, ngā rākau, ngā pereti hei whakapūmau. Ki te hiahiatia he whakakotahitanga, ka āwhina te rauemi whakawhitinga koiwi i ngā wheua o te tūāwhiwhi kia tipu tahi tonu. Ka roa pea te katoa o te tikanga mai i te rua ki te waru haora, i runga i te uaua.

Ko ngā hangarau matatau pēnei i te aroturuki i te wā o te pokanga e āwhina ana ki te tiaki i te taurakira o tō tamaiti i te wā o te pokanga. Kei roto i tēnei te whakatakoto i ngā pūoko motuhake e aroturuki tonu ana i te mahi o ngā io, e āhei ai te rōpū pokanga ki te whakatika i te mea e tika ana.

Me pēhea te whakarite mō te pokanga o te taurakira o te kaki o tō tamaiti?

Ko te whakarite mō te pokanga o tō tamaiti e whai ana i ngā mahi whaihua me te whakarite aronganui mō tō whānau. Ka hoatu e tō rōpū pokanga ngā tohutohu motuhake, engari ko te māramatanga ki ngā mea e tūmanakohia ana ka āwhina i te whakaiti i te āwangawanga mō koe me tō tamaiti.

Ka tīmata te whakarite rongoā i ngā wiki e hiahiatia ana i mua i te pokanga. Ka hiahiatia e tō tamaiti ngā whakamātautau rerekē tae atu ki te mahi toto, ngā rangahau whakaahua pēnei i te MRI, i te CT rānei, me te haerenga pea ki te tākuta ngākau tamariki kia mōhio ai he hauora tō rātou ngākau mō te pokanga.

Ka whiwhi koe i ngā tohutohu taipitopito mō te kai me te inu i mua i te pokanga. I te nuinga o te wā, kāore e taea e tō tamaiti te kai, te inu rānei i tētahi mea i muri i te pō waenganui i te pō i mua i te pokanga. He mea nui tēnei mō tō rātou haumaru i te wā o te anethesia. Ki te tango tō tamaiti i ngā rongoā auau, pātai ki te rōpū pokanga ko ēhea hei haere tonu me ēhea hei whakamutu.

He mea nui hoki te whakarite i te ngākau. Whakamāramahia te pokanga ki tō tamaiti i roto i ngā kupu e tika ana ki tōna pakeke, me te arotahi ki te āwhina i a rātou kia pai ake te tū. He maha ngā hōhipera e tuku ana i ngā haerenga i mua i te pokanga, ka taea e ngā tamariki te kite i te rūma whakahaere me te tūtaki ki ētahi o ngā kaimahi.

Ko ngā whakaritenga whaihua ko te whakarite i te wā mai i te mahi, te whakarite i te manaaki tamariki mō ngā tēina, me te whakarite i tō kāinga mō te whakaora. Ka hiahia tō tamaiti ki tētahi wāhi marino, ātaahua hoki e taea ai e rātou te okioki me te uru ngāwari ki ngā wharepaku me ngā wāhi whānau.

Me pēhea te pānui i ngā hua pokanga o tō tamaiti?

Ko te māramatanga ki ngā hua pokanga o tō tamaiti ko te mōhio ki te aha i tutuki i te tākuta pokanga me te aha e whakaatu ana i ngā whakaahua whai muri. Ka whakamārama te tākuta pokanga i ngā kōrero motuhake o te aha i mahia i te wā o te tikanga me te aha te tikanga o tēnei mō te whakaora o tō tamaiti.

Ko ngā hua pokanga tonu e arotahi ana ki te mōhio kua tutuki ngā whāinga. Mēnā i tū te pokanga ki te whakapūmau i ngā vertebrae kāore i te pūmau, ka whakapūmau te tākuta pokanga kua whakahokia te rārangi tika me te whakanoho tika i ngā taputapu. Mō ngā pokanga whakaheke, ka whakamāramahia e rātou te nui o te pēhanga i whakawāteahia mai i te taurakira, i ngā io rānei.

Ko ngā rangahau whakaahua whai muri pēnei i ngā hihi-X, ngā karapa CT, rānei, ngā MRI rānei, ka whakaatu i te pai o te whakaora o te wāhi pokanga. I ngā pokanga whakakotahi, ka aroturukihia e ēnei whakaahua te tipu tahi o ngā wheua, he tukanga haere tōmua tēnei e hia rānei marama hei whakaoti.

He mea nui hoki ngā hua whaihua, ka whanake i te wā. Ka aroturukihia te mahi neurological o tō tamaiti, tae atu ki te kaha, te rongo, me te ruruku. Ko ngā whakapainga i ēnei wāhi ka haere tonu mō ngā marama i muri i te pokanga i te wā e heke ana te pūhihi me te haere tonu o te whakaora.

Ka whakamahi tō rōpū hauora i ngā tauine paerewa hei ine i te ahunga whakamua o tō tamaiti i runga i te whāinga. Ko ēnei pea ko ngā aromatawai i ngā taumata mamae, ngā here mahi, me ngā whakapainga o te kounga o te ora.

Me pēhea te tautoko i te whakaora o tō tamaiti mai i te pokanga taurakira kaki?

Ko te tautoko i te whakaora o tō tamaiti e hāngai ana ki te whai i ngā tohutohu rongoā mā te āta, me te whakarato i te tautoko aronganui i tēnei wā uaua. Ko te whakaora i te pokanga i te tuarā o te kaki he mahi haere haere tonu, e hiahia ana i te manawanui mai i te whānau katoa.

Ko te whakahaere i te mamae te mea matua i muri i te pokanga. Ka whiwhi tō tamaiti i ngā rongoā mamae i te hōhipera, ā, ka whiwhi koe i ngā tohutohu motuhake mō te haere tonu i te whakamaimoa mamae i te kāinga. Kaua e whakaroa ki te hoatu i ngā rongoā i te mea i whakaritea - ko te pupuri i te mamae i raro i te mana ka āwhina i te whakaora.

He mea nui te aukati i ngā mahi mō te whakaora tika. Tērā pea ka hiahia tō tamaiti ki te mau i te karae kaki, i te taiapa rānei mō ētahi wiki, marama rānei. Ka whai rātou i ngā here motuhake mō te hiki, te piko, me ngā mahi tinana. Tērā pea ka raru ēnei here, engari he mea nui mō te tiaki i te wāhi pokanga.

He maha ngā wā ka tīmata te rongoā tinana i te hōhipera, ka haere tonu i te kāinga, i te wāhi tūroro waho rānei. Ka whakaako te kaiwhakaora i tō tamaiti i ngā huarahi haumaru ki te neke, me ngā whakakōkiri mō te pupuri i te kaha me te ngawari. Ko te whai i te hōtaka rongoā ka āwhina i te whakatika i ngā hua i te wā roa.

Ko te tiaki i te patunga e hāngai ana ki te pupuri i te tapahi kia mā, kia maroke, te mātakitaki i ngā tohu o te mate, me te whai i te rōpū pokanga i te wā i whakaritea. Ka taea e te nuinga o ngā tamariki te hoki ki te kura i roto i ētahi wiki, ahakoa ka hiahia rātou ki ngā whakaritenga mō ngā here tinana.

He aha ngā hua pai rawa atu mō te pokanga i te tuarā o te kaki o ngā tamariki?

Ko ngā hua pai rawa atu mō te pokanga i te tuarā o te kaki o ngā tamariki e hāngai ana ki ētahi mea, tae atu ki te āhuatanga taketake, te tau o tō tamaiti, me te pai o te whai i ngā tohutohu i muri i te pokanga. Ko te nuinga o ngā tamariki e pokangatia ana i tēnei pokanga ka kite i ngā whakapainga nui i ō rātou tohu me te kounga o te oranga.

Ko te pokanga angitu te tikanga ka puta he rarangi tuaiwi pumau, te whakaiti i te pēhanga ki runga i te taurakira, i ngā uaua rānei, me te aukati i te kino haere. He maha ngā wā ka iti ake te mamae o ngā tamariki, ka pai ake te mahi neurological, me te pai ake o te kaha ki te whai wāhi ki ngā mahi e tika ana ki te pakeke.

Ka whanganga te angitu mo te wā roa mā te kaha o tō tamaiti ki te tipu me te whakawhanake noa i te wā e mau tonu ana ngā painga o te pokanga. I roto i ngā pokanga whakakotahi, ko te whāinga kia ora ngā kōiwi katoa, kia hangaia he hanganga mārō, pumau ka roa i te roanga o te oranga o tō tamaiti.

Ko ngā hua pai rawa atu ka puta i te wā e mahi tahi ana ngā whānau me te rōpū hauora, e whai ana i ngā tohutohu katoa, me te pupuri i ngā tūhono whai-whai tonu. Ko ngā tamariki e pokangahia ana i ngā whare rongoā tamariki motuhake me ngā tākuta pokanga mōhiotia, he pai ake te hua i te katoa.

He aha ngā āhuatanga tūpono mō ngā raruraru i roto i te pokanga tuaiwi kaki tamariki?

Ko te māramatanga ki ngā āhuatanga tūpono ka āwhina i a koe me tō rōpū hauora ki te mahi i ngā mahi hei whakaiti i ngā raruraru ka puta. Ahakoa he onge ngā raruraru nui, ko te mōhio ki ngā āhuatanga tūpono ka āhei ai te whakarite me te aroturuki pai ake.

He nui te pānga o ngā āhuatanga e pā ana ki te pakeke ki ngā tūponotanga pokanga. He nui ake ngā tūponotanga o ngā tamariki tino pōti (kei raro iho i te 2 tau) nā te iti o te rahi me te hanganga e tipu ana. He rerekē pea ngā tauira whakaora o ngā taiohi e tata ana ki te pakeketanga o te angaanga i ngā tamariki pōti.

Ka taea e ngā āhuatanga hauora o mua te whakanui i ngā tūponotanga pokanga. Kei roto i ēnei ko ngā raruraru o te ngākau, ngā mate pūkahukahu, ngā mate toto, ngā āhuatanga rānei e pā ana ki te whakaora pēnei i te mate huka, i ngā mate pūnaha ārai mate rānei. Ka āta arotakehia ēnei āhuatanga e tō rōpū hauora i te wā e whakamahere ana i te pokanga.

Ko te uaua me te wāhi o te pokanga ka pā hoki ki ngā taumata tūpono. Ko ngā pokanga e pā ana ki te maha o ngā vertebrae, ngā tikanga whakahou, i ngā mahi rānei e tata ana ki ngā hanganga nui pēnei i ngā oko toto nui, he nui ake ngā tūponotanga i ngā tikanga māmā.

Ka pānga te tūnga kai ki te kaha whakaora. Ko ngā tamariki he tino iti te taumaha, he nui rānei te taumaha, ka piki ake pea te tūponotanga o ngā raruraru. Ka tūtohu pea tō rōpū hauora i te whakapai ake i te kai i mua i te pokanga, ki te hiahiatia.

He aha ngā raruraru ka puta i te pokanga o te tuarā o te kaki o ngā tamariki?

Ahakoa he onge ngā raruraru, he mea nui kia mārama ki ngā raruraru ka puta pea, kia mōhio ai koe ki ngā tohu whakatūpato, me te rapu awhina wawe. Ko te nuinga o ngā raruraru, ki te puta, ka taea te rongoā ina kitea wawe.

Ko te mate huakita tētahi o ngā raruraru tino noa, engari ka puta i roto i te iti iho i te 5% o ngā tūāhua. Ko ngā tohu ko te kirika, te piki o te mamae, te whero, te rerenga wai rānei mai i te tapahi, me te whānui o te kore pai. Ka hiahiatia pea e ngā mate hōhonu he pokanga anō, i te mea ka aro mai ngā mate pāpaku ki ngā paturopi.

He onge ngā raruraru neurological, engari he nui te kino. Ka uru pea ēnei ki te ngoikore rangitahi, tū tonu rānei, te ngaro o te mōrearea, te huringa rānei o te mōrearea. Ka rerekē te tūponotanga i runga i te wāhi me te uaua o te pokanga, engari he maha ngā whakatūpato a ngā tākuta pokanga tuarā tamariki mō te whakaiti i ēnei tūponotanga.

Ka puta ngā raruraru e pā ana ki ngā taputapu ina whakamahia ngā tīwiri, ngā rākau, ngā pereti rānei. Ka uru pea ēnei ki te wetewete o ngā taputapu, te whati, te hekenga rānei. Ko te nuinga o ngā raruraru taputapu kāore e puta ngā tohu, kāore hoki e hiahiatia he pokanga anō, engari ka hiahiatia pea e ētahi he whakatikatika pokanga.

E pā ana ngā raruraru e pā ana ki te whakakotahitanga ki ngā pokanga e whakaaro ana kia tipu ngātahi ngā kōiwi. I ētahi wā kāore te whakakotahitanga e puta katoa (ka kīia ko te pseudoarthrosis), e hiahiatia ana pea he pokanga anō. Ka puta pea ngā raruraru i ngā taumata tata, i te wā e puta ana ngā raruraru ki ngā vertebrae i te taha o te whakakotahitanga, ka puta pea i ngā tau i muri mai, engari he onge i ngā tamariki.

Ko ngā raruraru ōkawa engari he nui te kino ko te pūpū toto, ngā urupare ki te rongoā whakamoe, te whara rānei ki ngā hanganga tata pēnei i ngā oko toto, te kōpū rānei. E aroturuki ana tō rōpū tākuta i ēnei raruraru i te wā o te pokanga, i muri hoki.

Āhea au e whakapā atu ai ki te tākuta i muri i te pokanga o te tuarā o te kaki o tāku tamaiti?

Mā te mōhio ki te wā hei whakapā atu ki te rōpū hauora o tāu tamaiti ka āwhina i te whakatika tere i ngā raruraru. Kaua rawa koe e ruarua ki te waea atu mēnā e māharahara ana koe mō te āhua o tāu tamaiti - e tūmanako ana te rōpū hauora, ā, e manaaki ana i ēnei waea.

Whakapā atu ki te tākuta tonu mēnā ka piki te kirika o tāu tamaiti ki runga ake i te 101°F (38.3°C), ina koa ki te haere tahi me te wiri, te āhua rānei o te kore pai. He tohu pea ēnei o te mate e hiahia ana kia tere te rongoā.

Ko ngā huringa i roto i te mahi neurological e hiahia ana kia aro tonu. Waea tonu mēnā ka pā te ngoikore hou, te ngongo, te ngāwari, te huringa rānei o te rongo ki ō rātou ringa, ki ō rātou ringaringa rānei. Me pūrongo hoki ngā huringa i roto i te ruruku, te uaua rānei ki ngā pūkenga motika pai.

E hiahia ana ngā raruraru patunga ki te arotake hauora. Whakapā atu ki te tākuta mēnā ka kite koe i te whero haere, te mahana, te pūhi, te rerenga rānei mai i te tapahi. Me pai haere te āhua o te tapahi i te wā, kaua e kino ake.

Me pūrongo te mamae nui, te mamae rānei e kino haere ana, kāore e urupare ana ki ngā rongoā kua whakaritea. Ahakoa he mea noa te mamae i muri i te pokanga, me pai haere i te wā. Ko te mamae e kino ohorere ana, he tohu pea i te raruraru.

Ko ngā huringa i roto i te āhua hinengaro o tāu tamaiti, pēnei i te raruraru rerekē, te riri nui, te uaua rānei ki te noho mataara, e hiahia ana kia aro tonu te hauora. He tohu pea ēnei o ngā raruraru nui e hiahia ana kia tere te rongoā.

Ngā pātai auau mō te pokanga tuarā o te kaki o ngā tamariki

Q.1 He haumaru te pokanga tuarā o te kaki o ngā tamariki mō ngā tamariki nohinohi?

He pai te haumaru o te pokanga i te tuarā o te tamaiti ina mahia e ngā tākuta tuarā tamariki mātanga i ngā whare rongoā motuhake. Kei te whakawhirinaki te haumaru ki ngā āhuatanga maha tae atu ki te pakeke o tō tamaiti, te hauora whānui, me te āhua motuhake e rongoatia ana.

He mea motuhake ngā tamariki nohinohi e hāngai ana ki te uaua ake o te pokanga. Ko ō rātou rahi iti, te whanaketanga o te tinana, me ngā momo rongoā rerekē e hiahia ana ki te mātanga motuhake. Heoi, ka whiwhi ngā tākuta tuarā tamariki i te whakangungu whānui mō ēnei wero.

Ka whakatauhia te whakatau ki te haere tonu ki te pokanga ina nui ake ngā painga i ngā tūponotanga. Ka kōrero tō rōpū pokanga i ngā tūponotanga me ngā painga katoa e hāngai ana ki te āhuatanga o tō tamaiti i mua i te tūtohu i te pokanga.

Q.2 Ka pā te pokanga i te tuarā o te kaki ki te tipu o taku tamaiti?

Ka pā te pokanga i te tuarā o te kaki ki te tipu, engari kei te whakawhirinaki te pānga ki te momo pokanga me te pakeke o tō tamaiti. Ko ngā pokanga whakakotahi e hono ana i ngā wheua o te tuarā ka aukati i te tipu i aua taumata motuhake, engari he uaua tēnei ki te pā i ngā raruraru nui i te wāhi o te kaki.

He kaha rawa ngā tamariki ki te utu mō ngā wāhi whakakotahi iti. Ko ngā wāhi kāore i whakakotahi o te tuarā ka mau tonu te ngawari me te mahi noa. Ka whakaaro tō tākuta i te kaha tipu i te wā e whakamahere ana i te pokanga me te ngana ki te whakaiti i ngā pānga kino.

I ētahi wā, ka āwhina te pokanga ki te tiaki i te tipu noa mā te whakatika i ngā hē, te aukati rānei i te kino atu. Ka aroturuki tō rōpū pokanga i te tipu me te whanaketanga o tō tamaiti i ngā haerenga whai muri.

Q.3 Kia pēhea te roa o te whakaora i muri i te pokanga i te tuarā o te kaki o te tamaiti?

He rerekē te wā whakaora i runga i te momo pokanga me te tukanga whakaora takitahi o tō tamaiti. Ka taea e te nuinga o ngā tamariki te hoki ki te kura i roto i te 2-4 wiki, ahakoa ka hiahia rātou ki te aukati i ngā mahi mō ētahi marama.

Ko te whakaora tuatahi o te wāhi pokanga e 2-3 wiki te roa. I tēnei wā, me whakawhāiti ngā mahi a tāu tamaiti, ā, tērā pea ka mau i a ia he karaehi kaki, he taiapa rānei. Ko te mamae me te raruraru ka pai ake i ngā wiki tuatahi.

Ko te whakaora katoa, ina koa mō ngā pokanga whakakotahi, he maha ngā marama te roa. He tukanga haere te whakakotahitanga o te wheua, e haere tonu ana mō te 3-6 marama, i ētahi wā roa ake. Ka whai wāhi tonu tāu tamaiti ki ngā tūponotanga whai muri hei arotake i te ahunga whakamua o te whakaora.

Q.4 Me pokanga anō taku tamaiti ā muri ake nei?

Ko te hiahia mō ētahi atu pokanga e whakawhirinaki ana ki te āhua tuatahi me te momo pokanga i mahia. He maha ngā tamariki e hiahia ana kia kotahi anake te pokanga, ā, he tino pai ngā hua i te wā roa, kāore he hiahia ki ētahi atu mahi.

Ko ētahi āhuatanga, ina koa ko ngā mea e pā ana ki te taputapu e tipu ana, ki ngā hē ngāwari rānei, tērā pea ka hiahia pokanga anō i te wā e tipu ana tāu tamaiti. Ka kōrero tō rōpū pokanga i tēnei tūponotanga i te wā o te kōrero tuatahi mēnā e pā ana ki te āhuatanga o tāu tamaiti.

Ko ngā pokanga anō kāore i te whakamaherehia he iti noa iho, engari tērā pea ka hiahiatia mēnā ka puta ngā raruraru, mēnā rānei ka haere tonu te raruraru tuatahi. Ko ngā tūponotanga whai muri i ngā wā katoa ka āwhina i te kite wawe i ngā take, i te wā e ngāwari ana te rongoā.

Q.5 Ka taea e taku tamaiti te whai wāhi ki ngā hākinakina i muri i te pokanga tuarā kaki?

Ko te whai wāhi ki ngā hākinakina i muri i te pokanga tuarā kaki e whakawhirinaki ana ki te momo pokanga i mahia me te āhuatanga motuhake o tāu tamaiti. He maha ngā tamariki ka taea te hoki ki ngā mahi hākinakina, engari he rerekē te wā me ngā here.

Ko ngā hākinakina whakapā pēnei i te whutupaoro, te hōkī, te rōpū rānei, he nui ake ngā here i ngā mahi kāore i te whakapā pēnei i te kauhoe, i te ara rānei. Ka whakarato tō tākuta pokanga i ngā aratohu motuhake i runga i te pokanga a tāu tamaiti me te ahunga whakamua o te whakaora.

Ka whakatauhia te whakatau mō te whai wāhi ki ngā hākinakina i te wā e ora ana tō tamaiti, ā, e whakaatu ana i te mahi tūāwhiwhi e pūmau ana. Ka mahi tahi tō rōpū hauora me koe ki te kimi i ngā mahi e tika ana hei āwhina i tō tamaiti kia noho kaha i te wā e tiaki ana i ngā hua o tā rātou pokanga.