ʻLelo ʻlelo

ʻO ka paʻa o ka ʻōlelo ke pili ka lalo o ke alelo i ka papahele o ka waha.

He mea paʻakikī paha kēia no ka piko o ke alelo e neʻe manuahi.

Pili ka elelo i ka lalo o ka waha e kahi kaula o ke kiko i kapa ʻia ʻo lingual frenulum. I ka poʻe me nā nakinaki alelo, pōkole a mānoanoa kēia hui. ʻAʻole ʻike ʻia ke kumu kūpono o ka hoʻopaʻa ʻana i ke alelo. He kuleana paha kāu genes. Kū pinepine ka pilikia i kekahi mau ʻohana.

I loko o kahi keiki hānau a pēpē paha, like nā ʻōuli o ke kāʻei alelo i nā ʻōuli i kahi keiki e loaʻa ana nā pilikia me ka hānai ʻana i ka waiū. Pākuʻi ʻia paha nā ʻōuli:

• Hoʻonāukiuki a i ʻole fussy, ʻoiai ma hope o ka hānai ʻana.
• Hana paʻakikī a mālama ʻana paha i ka omo ma ka piko. Luhi paha ke pēpē i 1 a i ʻole 2 mau minuke, a hiamoe paha ma mua o ka lawa ʻana o ka ʻai.
• ʻO ka loaʻa ʻole o ke kaumaha a me ka pohō kaumaha.
• Hoʻopili nā pilikia i ka nipple. E nau wale paha ka pēpē ma ka piko.
• Loaʻa paha nā pilikia ʻōlelo a me ka puana ʻana i nā keiki makua.

He pilikia paha ka makuahine hānai me ka ʻeha o ka umauma, nā waiū waiū i hoʻopili ʻia, a i ʻole nā ​​umauma ʻeha, a huhū paha.

ʻAʻole koi ka hapa nui o nā loea i nā mea mālama ola e nānā i nā keiki hānau hou no ka nākiʻi ʻana o ka alelo ke ʻole nā ​​pilikia hānai waiū.

Manaʻo ka hapanui o nā mea hoʻolako i ka nakinaki alelo ke:

• Ua loaʻa nā pilikia i ka makuahine a me nā pēpē e hoʻomaka ana i ka hānai ʻana i ka waiū.
• Ua loaʻa i ka makuahine ma kahi o 2 a 3 mau lā ke kākoʻo mai kahi loea hānai (lactation) loea.

ʻO ka hapa nui o nā pilikia hānai hiki ke hoʻokele maʻalahi. ʻO ke kanaka loea i ka hānai ʻana i ka waiū (consultant lactation) hiki ke kōkua me nā pilikia hānai.

Kākaʻikahi ka ʻoki lelo, i kapa ʻia ʻo frenulotomy, ʻaʻole makemake iki ʻia. Hoʻopili ke kīpoki i ka ʻoki a hoʻokuʻu ʻana i ka frenulum i hoʻopaʻa ʻia ma lalo o ke alelo. Hana pinepine ʻia ia i ke keʻena o ka mea hāʻawi. ʻO ka maʻi a me ke kahe ʻana ma hope he hiki, akā kākaʻikahi loa.

Hana ʻia ka hana ʻoki kino no nā hihia ʻoi aku ka hewa i loko o kahi lumi lumi hoʻokipa. Pono ʻia kahi kaʻina hana e kapa ʻia kahi pani pani z-plasty i mea e pale ʻole ai i nāʻiʻo o nā makaʻu.

I nā hanana maʻamau, pili ka pili o ka alelo i nā pilikia me ka ulu ʻana o ka niho, ka ale ʻana a i ʻole ka ʻōlelo.

Ankyloglossia

Dhar V. Nā liona maʻamau o nā nāʻa palupalu waha. I: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. ʻO Puka Textbook of Pediatrics ʻo Nelson. 21st ed. Piladelapia, PA: Elsevier; 2020: chap 341.

Lawrence RA, Lawrence RM. Pūnaewele 11: nā kulekele no ka loiloi a me ka hoʻokele o neonatal ankyloglossia a me kāna mau pilikia i ka dyad hānai. I: Lawrence RA, Lawrence RM, eds. Hānai hānai: Kahi Alakaʻi no ka ʻOihana Lapaʻau. 8th ed. Piladelapia, PA: Elsevier; 2016: 874-878.

Newkirk GR, Newkirk MJ. ʻIppinglelo ʻelelo ʻelelo (frenotomy) no ankyloglossia. I: Fowler GC, nā ʻaoʻao. ʻO Pfenninger a me Fowler's Procedures no ka mālama mua. ʻEhā ed. Piladelapia, PA: Elsevier; 2020: chap 169.