Reflexes pēpē
ʻO kahi reflex kahi hopena muscle e hana aunoa i ka pane i ka hoʻonāukiuki. Hoʻokumu kekahi mau manaʻo a i ʻole neʻe i kahi pane i nā mākala kikoʻī.
ʻO ke kū a me ka ikaika o kahi reflex kahi hōʻailona nui o ka hoʻomohala ʻana a me ka hana o nā ʻōnaehana.
Nalo nā keiki reflexes he nui ke hele a makua ke keiki, ʻoiai mau kekahi ma o ka makua. Aia kahi reflex i kēia manawa ma hope o ka makahiki ke nalowale maʻamau hiki ke lilo i hōʻailona o ka lolo a i ʻole nā ʻōnaehana nerve.
ʻO nā reflexes pēpē nā pane maʻamau i nā pēpē, akā maʻamau i nā hui makahiki ʻē aʻe. Pākuʻi ʻia kēia mau mea:
- Moro reflex
- Sucking reflex (ʻai ke hoʻopā ka wahi a puni ka waha)
- E hoʻomaka i ka reflex (e huki ana i nā lima a me nā wāwae ma hope o ka lohe ʻana i kahi walaʻau nui)
- Paʻalima reflex (hehi i ka neʻe ke pili ka wāwae o ka wāwae i ka paʻakikī)
ʻO nā reflexes pēpē ʻē aʻe e:
TONIC NOLA REFLEX
Kū kēia reflex ke neʻe ke poʻo o kahi keiki e hoʻomaha a moe ke alo i ka ʻaoʻao. ʻO ka lima ma ka ʻaoʻao kahi ke alo e kū pono ai i ke kino a hāmama hapa ka lima. Hoʻololi ka lima ma ka ʻaoʻao mai ka alo a paʻa ka lima i ka lima. Ke hoʻohuli nei i ka maka o ka pēpē i kahi ʻaoʻao ʻē aʻe e hoʻohuli i ke kūlana. ʻO ke kūlana o ka ʻāʻī tonic e wehewehe pinepine ʻia e like me ke kūlana o ka fencer no ka mea e like me ke kū ʻana o ka fencer.
TRUNCAL INCURVATION OR GALANT REFLEX
Hana ʻia kēia reflex ke paʻi ʻia ka ʻaoʻao o ka iwi kuamoʻo o ke pēpē a i ʻole ke kāʻei ʻia ʻoiai e moe ana ka pēpē ma ka ʻōpū. E wili ka pēpē i ko lākou pūhaka i ka hoʻopā ʻana i kahi neʻe hulahula.
GRASP REFLEX
Kūpono kēia reflex inā kau ʻoe i kahi manamana lima ma ka poho lima o ka pēpē. E pani ka lima a puni ka manamana lima. Ke hoʻāʻo nei e hemo i ka manamana lima ke kumu o ka paʻa ʻana o ka paʻa. Loaʻa i nā keiki pēpē hou nā paʻa ikaika a ʻaneʻane hiki ke hāpai ʻia inā pili nā lima ʻelua i kou mau manamana lima.
ʻO ROOTING REFLEX
Kū kēia reflex ke paʻi ʻia ka pāpālina o ka pēpē. E huli aʻe ke pēpē i ka ʻaoʻao i hahau ʻia a hoʻomaka e hana i nā neʻe omo.
REPLEXA PAKELA
Kū kēia reflex i nā pēpē liʻiliʻi i ka wā e kū pololei ai ke keiki a huli koke ke kino o ka pēpē i mua ke alo (e like me ka hāʻule ʻana). E kīloi ka pēpē i kona mau lima i mua me he mea lā e haki i kahi hāʻule, ʻoiai ke kū nei kēia reflex ma mua o ka hele ʻana o ka pēpē.
ʻO nā laʻana o nā reflex i hala i ke ʻano makua:
- Hoʻohuli ʻālohilohi: ʻālohilohi i nā maka ke hoʻopā ʻia a i ʻole ke ʻike ʻia ke kukui ʻōlinolino
- Hoʻoikaika Cough: kahe ʻana ke hoʻonāukiuki ʻia ke ala ākea
- ʻO ref refag: gagging ke hoʻoulu ʻia ka ʻāʻī a i hope paha o ka waha
- Sneeze reflex: honi ke hoʻonāukiuki ʻia nā ala ihu
- ʻO Yawn reflex: ke kaniʻuhū ke pono ka oxygen i ke kino
Hiki i nā reflexes pēpē ke hana i nā mākua i:
- Poino lolo
- Hahau
E ʻike pinepine ka mea mālama ola i nā reflexes pēpē maʻamau i ka wā o kahi hoʻokolohua i hana ʻia no kekahi kumu ʻē aʻe. ʻO nā reflex i koe ʻoi aku ka lōʻihi ma mua o ka mea pono he hōʻailona o ka pilikia ʻōnaehana.
Pono nā mākua e kamaʻilio me ka mea hāʻawi i kā lākou keiki inā:
- Nui ko lākou hopohopo e pili ana i ka ulu ʻana o kā lākou keiki.
- ʻIke lākou i ka hoʻomau ʻana o nā reflexes pēpē i kā lākou keiki ma hope o ka pau pono ʻana.
E hana ka mea hāʻawi i kahi hoʻokolohua kino a nīnau e pili ana i ka mōʻaukala o ke keiki.
Hiki i nā nīnau ke komo pū me:
- He aha nā reflexes i loaʻa i ka pēpē?
- I ka makahiki hea i nalowale kēlā me kēia reflex pēpē?
- He aha nā ʻōuli ʻē aʻe e kū nei (e laʻa me ka hōʻemi ʻana i ka makaʻala a i ʻole ka hopu ʻana)?
Nā reflexes primitive; Hoʻololi i nā pēpē; Reflex'ā'ī Tonic; Reflex Galant; Ka hoʻōla Truncal; Rooting reflex; Reflex parachute; Hopu reflex
- Nā hana hou Infantile
- Moro reflex
Feldman HM, Chaves-Gnecco D. Pediatrics hoʻomohala / lawena. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. ʻO Zitelli lāua ʻo Davis 'Atlas o ka Pediatric Physical Diagnosis. ʻEpekema 7 Piladelapia, PA: Elsevier; 2018: chap 3.
ʻO Schor NF. Loiloi Neurological. 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 608.
Walker RWH. ʻŌnaehana nervous. I: Glynn M, Drake WM, eds. Nā Hana Lapaʻau ʻo Hutchison. 24th ed. Piladelapia, PA: Elsevier; 2018: chap 16.