ʻO kēia mau keiki hōʻole e hele i ka lua i ke kula

Kula: i ka hele ʻana i ka lumi ʻauʻau e lilo i mea hoʻomāinoino no nā keiki

Kauka Averous : Ua kapu mau ke kumuhana. Eia nō naʻe, pono e ʻike ʻaʻole lawa nā haumāna he nui i ka lua i ka lā. Hoʻokomo pinepine ʻia i ka nele o ka pilikino a i ʻole ka maʻemaʻe i kekahi mau hale hoʻomaʻemaʻe kula. Aia kekahi poʻe makemake e pāʻani ma ka pā, a poina i ka hele ʻana i ka lua i ka wā hoʻomaha. Wahi a Dr Michel Averous, ka urologist pediatric a me ka loea i ka pilikia, he pilikia maoli kēia o ke olakino lehulehu, e pili ana i nā keiki he nui.

Pehea e wehewehe ai i ka makemake ole o kekahi mau keiki e hele i ka lua ma ke kula?

Kauka Averous : Nui nā kumu. O ka mea mua loa, nele i ka pilikino, ʻoi aku hoʻi ma ke kula kindergarten. I kekahi manawa ʻaʻole pani nā puka. I ka hui ʻana o nā halepaku, i kekahi manawa hoʻonāukiuki nā keikikāne i nā kaikamahine, a i ʻole. ʻAʻole ʻae kekahi mau keiki i kēia hemahema o ka pilikino, ʻoiai ke maʻa lākou i ka pani ʻana i ka puka ma ka home. Wahi a kekahi: "ʻuʻuku lākou". Akā, i nā makahiki 3, hiki i nā keiki ke haʻahaʻa loa.

Aia kekahi pilikia o papa manawa kula, ʻoiai inā ʻoi aku ka ʻae ʻana o nā pākeke ma ke kula kindergarten. Ua koi ʻia nā keiki e hele i ka lua ma manawa pololei, i ka wā hoʻomaha. A paʻakikī ka hoʻololi ʻana iā CP. Makemake kekahi mau haumāna e pāʻani, kūkākūkā a paʻa ma hope. ʻAʻole makemake ka poʻe e hele i kēia manawa, akā ke makemake lākou e hele, ua lohi! Ma kekahi mau kauhale, ua mamao loa ka halepaku mai ka lumi papa, a i ole i wela ole, he mea lealea no na keiki i ka hooilo.

I kekahi manawa aia kahi pilikia maʻemaʻe…

Kauka Averous : ʻAe, ʻoiaʻiʻo. He lepo ka halepaku i kekahi manawa, a ʻōlelo kekahi mau mākua i kā lākou keiki ʻaʻole e kau i ka ʻāʻī ma luna o ka noho. Hana wau me ka Quotygiène Laboratory nāna i hana i nā uhi noho i hiki ke hoʻokomo ʻia i loko o nā ʻeke keiki. He hopena paha kēia.

He pono maoli anei? ʻAʻole ʻoi aku ka nui o ka loaʻa ʻana o nā maʻi e like me kēia?

Kauka Averous : No ka hōʻoiaʻiʻo ʻana iā mākou iho e ʻōlelo mākou pēlā. Ma kekahi ʻaoʻao, ʻae wau, ʻaʻole pono ke keiki e noho ma kahi lua lepo. Akā, no ka noho ʻana o kekahi i mua o kākou, ʻaʻole ia e loaʻa iā kākou nā maʻi. A laila, koi au, he mea nui ka noho maikaʻi e mimi. ʻOiai e kū ana i ka hapalua o ke ala, koi ʻia nā kaikamahine a me nā wahine e paʻi a paʻa ko lākou papahele perineal. Ma ka hoʻoikaika ʻana, pipi lākou i nā manawa he nui a ʻaʻole e hoʻokahe pono i kā lākou ʻōpū. ʻO ia ka puka e wehe ai i nā maʻi.

ʻO ka pololei, he aha nā pilikia e hiki mai ana i loko o kēia mau keiki e ʻauʻa pinepine?

Kauka Averous : ʻO ka mua, ke hoʻomau nā keiki, e ʻoi aku ka ikaika o kā lākou mimi. Akā, ma luna o nā mea a pau, hiki i kēia ʻano maʻamau ke alakaʻi i nā maʻi maʻi urinary, a me nā maʻi hoʻoheheʻe ʻana mai ka hele ʻana o nā sphincters ʻelua i ka manawa like. Kapa ʻia kēia ʻo ka synergy perineal ma waena o ka sphincter mimi a me ka anus. Hoʻokumu kēia i ke kūkulu ʻana i nā mea i loko o ke kolamu. A laila, loaʻa nā keiki i ka ʻeha o ka ʻōpū, constipation a i ʻole ka ʻōpū. Pono e hoʻohui ʻia he ʻoi aku ka maʻalahi o nā kaikamahine liʻiliʻi ma mua o nā keikikāne.

No ke aha ia ?

Kauka Averous : No ka mea ma ke anatomically, ʻoi aku ka pōkole o ka urethra. Pono ke kaikamahine liʻiliʻi e ʻomi nui ma mua o ke keikikāne e pale aku i ka leak, a e pee iā ia. He kuleana ko ka lole. I ka hoʻoilo, hoʻokomo nā mākua i nā pālule ma luna o nā keiki, a ma luna o nā pālule. E like me kaʻu i ʻike ai ma ke kūkākūkā ʻana, ʻaʻole e hoʻohaʻahaʻa mau nā keiki i ko lākou pume ma lalo o ke kuli. A i ka wā e pili ana i kahi kaikamahine liʻiliʻi, ʻaʻole hiki iā ia ke hohola i kona mau wāwae e like me ia. ʻAʻole ʻoluʻolu ʻo ia i ka mimi pono.

He nui nā keiki āu e hahai nei ma ke kūkākūkā e hālāwai me kēia ʻano pilikia ma ke kula?

Kauka Averous : ʻOiaʻiʻo. He mea maʻamau loa. A pono ʻoe e ʻike ʻo kēia mau maʻi maʻi o ke ao (nā maʻi urinary tract, ʻeha ʻōpū, a me nā mea ʻē aʻe) hiki ke alakaʻi i ka pulu moe ke loaʻa ka hiamoe pāpaʻu o ke keiki. Eia naʻe, no ka pulu ʻana o kahi keiki i ka moena ʻaʻole ia he manaʻo ʻaʻole ʻo ia e hele i ka lumi ʻauʻau i ka lā. Akā, inā pili kēia mau maʻi, ʻaʻole hiki i nā mākua ke hoʻonā i ka pipi pō a hiki i ka mālama ʻia ʻana o nā maʻi o ke ao.

Pono nā mākua e makaʻala a hōʻoia i ka hele mau ʻana o kā lākou keiki i ka halepaku?

Kauka Averous : Ke ʻike nā mākua i kahi pilikia, ua lohi pinepine. ʻO kaʻoiaʻiʻo, ponoʻoe e aʻo i nā mea a pau mai ka hoʻomaka. E haʻi i nā keiki e pipi mau a puni ka lā, i ka wā hoʻomaha, inā makemake lākou a ʻaʻole paha! ʻOiai, ʻoi aku ka nui o ke keiki, ʻoi aku ka maikaʻi o ka mālama ʻana i kāna mau sphincters, ʻaʻole hiki iā ia ke hele i ʻekolu mau hola me ka ʻole o ka hoʻokahe ʻana i kāna ʻōpū. Maikaʻi nō hoʻi e ʻōlelo iā lākou e inu i ke aniani wai ma hope o ka hoʻohana ʻana i ka lua. Ma ka inu ʻana, hoʻokahe mau ʻoe i kou ʻōpū a hoʻemi i ka pilikia o nā pilikia. A ʻaʻohe pipi kū hapa no nā kaikamahine liʻiliʻi!

A ma ka ʻaoʻao o ka poʻe ʻoihana a me nā kaona e hoʻokele nei i nā hoʻokumu?

Kauka Averous : Pono mākou e hele mua i nā kauka kula a me nā kumu. A ʻoi aku ka maikaʻi o ka hoʻoponopono ʻana i kēia pilikia o ka hoʻonaʻauao hui ʻana i loko o ka hale lua ma ka hoʻokaʻawale ʻana i nā kaikamahine mai nā keikikāne. Kūkākūkā ʻia ke kumuhana, akā pono e hoʻomanaʻo i nā maʻamau maikaʻi. Hiki iaʻu ke ʻike i kekahi holomua, ʻoi aku ka nui o nā kindergarten. Ua ʻike iki ʻia lākou akā ke hoʻomau nei ka holomua…