Koj tus menyuam puas muaj qhov ncauj tawg? (Cleft Palate) - Cia peb tham txog txhua yam!

Qee zaum thaum koj saib ib tug menyuam mos, koj tuaj yeem pom qhov sib txawv me me ntawm lub ru tsev ntawm lawv lub qhov ncauj. Nws txhais tau tias muaj qhov tawg me me ntawm lub ru tsev ntawm lawv lub qhov ncauj. Qhov no yog qhov peb hu ua '(Cleft Palate)'. Thaum hnov ​​​​​​cov lus no, qee tus niam txiv yuav ntshai thiab txhawj xeeb me ntsis. "Auj, muaj dab tsi tshwm sim rau peb tus menyuam?" Tej zaum koj yuav xav. Tab sis, tsis muaj laj thawj yuav ntshai lossis txhawj xeeb. Yog tias peb paub txog qhov no zoo, peb tuaj yeem daws qhov teeb meem no tau zoo.

Cleft Palate yog dab tsi?

Hais yooj yim xwb, lo lus Askiv 'cleft' txhais tau tias qhov tawg lossis qhov sib txawv. 'Palate' txhais tau tias ib feem ntawm lub ru tsev ntawm peb lub qhov ncauj, lub ru tsev ntawm peb lub qhov ncauj. Yog tias koj siv koj tus nplaig hla lub ru tsev ntawm peb lub qhov ncauj, koj yuav hnov ​​​​​​ib txoj xov me me lossis pob caus nyob hauv nruab nrab, puas yog? Qhov ntawd yog qhov chaw, thaum koj tseem yog menyuam mos hauv koj niam lub plab, sab xis thiab sab laug ntawm lub ru tsev ntawm koj lub qhov ncauj tau sib koom ua ke. Nws zoo li xaws ob daim khaub ncaws ua ke.

Txawm li cas los xij, thaum qee tus menyuam yug los, ob feem ntawm lub qhov ncauj sab saud no tsis sib dhos ua ke. Qhov ntawd yog, qhov sib txuas tsis tiav. Qhov ntawd yog thaum qhov mob no hu ua '(Cleft Palate)' tshwm sim, uas yog, tawg hauv lub qhov ncauj sab saud. Qhov no yog ib qho mob uas yug los. Qhov ntawd txhais tau tias nws yog ib yam dab tsi uas tus menyuam yug los nrog.

Vim li cas ho muaj ib lub qhov ncauj tawg?

Cov niam txiv feem ntau xav tias, "Vim li cas qhov no thiaj tshwm sim rau peb tus menyuam?" "Peb puas tau ua qee yam tsis raug?" Qhov tseeb, nws nyuaj rau txheeb xyuas ib qho laj thawj xwb. Muaj ntau yam ua tau. Cia peb saib seb lawv yog dab tsi:

• Tej yam caj ces: Qee zaum, yog tias ib tug neeg hauv tsev neeg, uas yog, niam, txiv, lossis ib tug neeg hauv lawv tsev neeg, tau muaj tus mob no ua ntej, muaj feem me me uas tus menyuam yuav muaj tus mob no thiab. Qhov ntawd txhais tau tias muaj kev cuam tshuam los ntawm cov noob caj ces.
• Qee yam ib puag ncig thiab lwm yam uas cuam tshuam rau leej niam thaum cev xeeb tub:
• Cov tshuaj uas leej niam noj thaum cev xeeb tub (tshwj xeeb tshaj yog cov uas noj yam tsis tau kev qhia los ntawm kws kho mob, raws li lawv xav tau). Piv txwv li, qee cov tshuaj uas muab rau kev mob qaug dab peg tuaj yeem muaj cov teebmeem.
• Yog leej niam haus luam yeeb lossis haus cawv thaum cev xeeb tub, cov no yuav cuam tshuam ncaj qha rau kev loj hlob ntawm tus menyuam hauv plab.
• Thaum cev xeeb tub, leej niam yuav tsis tau txais cov as-ham uas nws xav tau txaus, xws li folic acid . Cov kws kho mob feem ntau pom zoo kom cov poj niam cev xeeb tub noj cov tshuaj folic acid kom pab tiv thaiv cov mob no.
• Qee cov kab mob viral uas leej niam yuav kis tau thaum cev xeeb tub.
• Yog tias leej niam muaj mob uas tsis tuaj yeem tswj tau xws li ntshav qab zib mellitus .
• Yog tias niam rog dhau.

Tiam sis feem ntau, qhov mob qog ncauj tuaj yeem tshwm sim yam tsis muaj laj thawj pom tseeb. Qhov ntawd yog, tej zaum yuav tsis muaj laj thawj pom tseeb. Yog li ntawd, tsis txhob xav phem txog qhov no xav tias nws yog koj qhov txhaum. Nws tuaj yeem tshwm sim rau txhua tus.

Puas muaj hom kab mob cleft palate?

Yog, cov kab nrib pleb no nyob rau sab saud ntawm daim tawv muag tuaj yeem muaj ntau yam duab thiab qhov loj sib txawv. Yog hais kom meej, muaj qhov sib txawv me ntsis nyob ntawm qhov loj ntawm qhov kab nrib pleb thiab nws qhov chaw.

• Tej zaum yuav muaj ib qho tawg rau saum lawv lub taub hau xwb .
• Tej zaum ib txhia menyuam yaus kuj muaj daim di ncauj tawg thiab daim di ncauj tawg . Qhov no txhais tau tias muaj daim di ncauj tawg thiab daim di ncauj sab saud. Tej zaum tsuas yog daim di ncauj tawg lossis daim di ncauj sab saud xwb.
• Qhov cleft tuaj yeem ua tiav , txhais tau tias qhov cleft tuaj yeem ntev los ntawm hauv qab ntawm lub qhov ntswg mus txog rau sab nraub qaum ntawm lub palate sab saud.
• Los yog nws tuaj yeem yog ib qho cleft tsis tiav , txhais tau hais tias qhov cleft tsuas yog nyob rau hauv ib feem me me ntawm lub palate sab saud.
• Lwm hom tshwj xeeb yog qhov submucous cleft palate . Hauv qhov no, qhov cleft tsis pom los ntawm sab nraud. Txawm hais tias daim tawv nqaij (mucous membrane) hla lub palate sab saud kaw zoo, cov leeg nqaij hauv qab nws tsis tau sib koom ua ke zoo. Qhov no qee zaum paub tom qab me ntsis, thaum tus menyuam pib tham, ua qhov hloov pauv hauv lub suab.

Tus menyuam mos muaj teeb meem dab tsi vim yog qhov ncauj tawg?

Qhov ncauj tawg tuaj yeem ua rau koj tus menyuam muaj teeb meem me me. Cia peb saib seb lawv yog dab tsi. Kev paub txog cov no yog qhov tseem ceeb heev los pab koj tus menyuam.

• Kev nyuaj ntawm kev pub mis:

Qhov no yog qhov teeb meem tseem ceeb uas pom ua ntej. Xav txog seb, thaum tus menyuam haus mis, cov mis tuaj yeem nkag mus rau hauv lub qhov ntswg vim yog qhov sib txawv ntawm lub qhov ncauj thiab lub qhov ntswg. Tom qab ntawd tus menyuam muaj teeb meem haus mis kom raug, nws yuav nyuaj rau ua pa thaum haus mis, cov mis tuaj yeem tawm ntawm lub qhov ntswg, thiab cov mis feem ntau tuaj yeem rov qab mus rau caj pas. Vim li no, tus menyuam yuav tsis tau txais kev noj zaub mov txaus thiab yuav tsis hnyav dua. Rau qhov no, cov kws kho mob qhia kom siv cov txheej txheem pub mis tshwj xeeb, qee zaum tshwj xeeb lub txiv mis / lub raj mis.

• Teeb meem hais lus:

Thaum koj tus menyuam loj hlob tuaj thiab pib hais lus, tej zaum yuav muaj qhov sib txawv hauv lawv lub suab. Vim yog lub qhov ncauj tawg, nws nyuaj rau tswj qhov ntau ntawm cov pa uas tawm ntawm lub qhov ntswg thaum hais lus. Yog li ntawd, lub suab yuav zoo li nws tau hais los ntawm lub qhov ntswg (hypernasal speech / nasal voice) . Qee cov tsiaj ntawv, tshwj xeeb tshaj yog cov tsiaj ntawv xws li 'প', 'ব', 'ত', 'দ', 'ক', 'গ', kuj tseem yuav nyuaj rau hais kom raug.

• Kab mob pob ntseg thiab teeb meem hnov ​​lus:

Muaj ib lub raj me me nyob nruab nrab ntawm peb lub qhov ntswg thiab pob ntseg nruab nrab, hu ua Eustachian tube.Lub raj no tswj qhov siab hauv pob ntseg thiab ntws cov kua dej tawm ntawm pob ntseg nruab nrab. Thaum muaj qhov tawg hauv pob ntseg sab saud, qhov ua haujlwm ntawm lub raj Eustachian no tuaj yeem raug cuam tshuam. Cov kua dej tuaj yeem sib sau ua ke hauv pob ntseg nruab nrab, ua rau muaj kev kis kab mob pob ntseg ntau zaus (kev kis kab mob pob ntseg nruab nrab / otitis media) , thiab ua rau hnov ​​​​​​lus tsis zoo me ntsis. Yog tias qhov no txuas ntxiv mus, nws kuj tseem tuaj yeem cuam tshuam rau tus menyuam txoj kev hais lus.

• Teeb meem hniav:

Nyob ntawm seb qhov chaw ntawm tus hniav tawg, tej zaum yuav muaj teeb meem me me thaum cov hniav tuaj. Cov hniav yuav raug rub tawm, tej zaum yuav ploj qee cov hniav, tej zaum yuav tuaj lig, lossis tej zaum yuav xav tau cov hniav ntxiv . Yog li ntawd, kev qhia ntawm tus kws kho hniav ("Kws Kho Hniav" lossis "Kws Kho Hniav Orthodontist)") yeej ib txwm tsim nyog.

Yuav kuaj mob qhov ncauj tawg no li cas?

Feem ntau, qhov mob no feem ntau pom thaum cov kws kho mob kuaj sab hauv ntawm tus menyuam lub qhov ncauj hauv tsev kho mob tom qab tus menyuam yug los. Qhov ntawd yog txoj kev uas feem ntau pom.

Qee zaum, kev kuaj ultrasound ua ntej yug menyuam thaum cev xeeb tub tuaj yeem muab cov cim qhia txog qhov muaj tus mob no, tshwj xeeb tshaj yog tias muaj daim di ncauj tawg thiab lub qhov ncauj qhib. Txawm li cas los xij, yog tias tsuas muaj daim di ncauj tawg xwb, uas yog, tsis muaj daim di ncauj tawg, nws yuav nyuaj rau txheeb xyuas nws ntawm daim scan.

Qhov submucous cleft palate uas kuv tau hais ua ntej qee zaum tsuas pom thaum tus menyuam loj me ntsis xwb, piv txwv li thaum lawv pib hais lus thiab muaj teeb meem suab, lossis thaum lawv mob pob ntseg ntau zaus.

Yuav muaj kev kho mob dab tsi rau qhov no? Puas yog ib yam dab tsi uas yuav tsum ntshai?

Ua ntej tshaj plaws, qhov no yog ib qho mob uas kho tau tag nrho . Yog li ntawd, tsis txhob txhawj. Nrog kev nce qib ntawm cov tshuaj niaj hnub no, muaj kev kho mob zoo heev rau tus menyuam no.

Txoj kev kho mob tseem ceeb yog phais kaw qhov cleft . Qhov no hu ua palatoplasty . Kev phais no suav nrog kev sib txuas cov nqaij ntawm ob sab ntawm lub palate thiab xaws qhov cleft ua ke. Qhov no kho cov qauv ntawm lub palate.

Yuav phais mob thaum twg?

Feem ntau qhov kev phais no yog ua thaum muaj hnub nyoog 6 txog 18 lub hlis . Txawm li cas los xij, tus kws kho mob yuav txiav txim siab lub sijhawm zoo tshaj plaws raws li tus menyuam txoj kev noj qab haus huv, theem kev loj hlob, thiab qhov hnyav. Qee zaum nws tuaj yeem ua tiav ua ntej lossis tom qab.

Lub hom phiaj ntawm kev phais mob yog dab tsi?

• Ua kom yooj yim dua rau kev noj thiab haus los ntawm kev tshem tawm qhov kev sib txuas ntawm lub qhov ncauj thiab lub qhov ntswg.
• Nws pab kom cov leeg ntawm lub puab tsaig sab saud ua haujlwm tau zoo thiab hais lus meej thaum hais lus .
• Rov qab ua haujlwm ntawm Eustachian tube thiab txo qhov tshwm sim ntawm kev kis kab mob pob ntseg .

Pawg neeg kho mob uas kho

Thaum kho tus menyuam mos li no, nws tsis yog ib tus kws kho mob xwb, tab sis yog ib pab pawg kws tshwj xeeb (`(Multidisciplinary Team)`)Lawv ua haujlwm ua ke. Pab neeg no feem ntau muaj xws li:

• Cov Kws Phais Yas thiab Kho Dua Tshiab : Lawv ua qhov kev phais tseem ceeb.
• Cov Kws Tshwj Xeeb Pob Ntseg, Qhov Ntswg thiab Caj Pas (ENT Phais Mob) : Lawv kho cov teeb meem ntsig txog pob ntseg thiab ua kev kuaj pob ntseg.
• Cov Kws Kho Kev Hais Lus thiab Kev Siv Lus : Lawv kho thiab qhia txog cov teeb meem hais lus.
• Cov Kws Kho Hniav Orthodontists thiab Cov Kws Kho Hniav Rau Menyuam Yaus : Lawv saib xyuas cov teeb meem hniav thiab kev loj hlob ntawm lub puab tsaig.
• Cov Kws Kho Mob Me Nyuam : Ua tib zoo saib xyuas kev noj qab haus huv ntawm tus menyuam.
• Tej zaum cov kws kho mob hlwb thiab cov neeg ua haujlwm pabcuam zej zog tuaj yeem koom nrog pab neeg no los muab kev txhawb nqa kev puas siab puas ntsws rau cov niam txiv uas lawv xav tau.

Cov neeg no txhua tus ua haujlwm ua ke los tsim thiab siv txoj kev npaj kho mob zoo tshaj plaws rau tus menyuam.

Tom qab phais tas, yuav muaj dab tsi tshwm sim? Kev saib xyuas mus sij hawm ntev zoo li cas?

Txawm tias tom qab phais tiav lawm los, tus me nyuam yuav tsum tau kev saib xyuas thiab kev saib xyuas tshwj xeeb rau ib ntus.

• Kev Kho Mob Hais Lus (`(Kev Kho Mob Hais Lus)`):

Tej tus menyuam mos yuav muaj teeb meem hais lus txawm tias tom qab phais lawm los xij. Yog li ntawd, kev pab los ntawm tus kws kho kev hais lus yog qhov tseem ceeb heev. Lawv yog cov uas qhia tus menyuam kom hais lus raug, hais lus meej, thiab siv cov leeg ntawm lub puab tsaig sab saud kom raug. Qhov no yuav siv sijhawm me ntsis.

• Kev Kho Mob Hniav thiab Orthodontic:

Thaum cov hniav tawm los, yuav tsum tau ua tib zoo saib xyuas qhov chaw ntawm cov hniav. Yog li ntawd, nws yog ib lub tswv yim zoo mus ntsib kws kho hniav thiab tau txais kev qhia. Yog tias muaj qhov sib txawv ntawm cov hniav, tej yam xws li kev kho hniav orthodontic / braces yuav ua tau thaum tus menyuam loj me ntsis.

• Kev Saib Xyuas Kev Hnov Lus (`(Kev Kuaj Xyuas Kev Hnov Lus)`):

Vim tias muaj feem yuav muaj kab mob pob ntseg ntau dua, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj xyuas koj lub pob ntseg tsis tu ncua. Yog tias koj muaj teeb meem dab tsi, koj tuaj yeem nrhiav kev kho mob tam sim ntawd. Koj tus kws kho mob ENT kuj tseem yuav txiav txim siab ntxig cov raj me me (grommets / cov raj cua) rau hauv koj lub pob ntseg.

• Puas yuav xav tau kev phais ntxiv?

Qee zaum, ib qho kev phais yuav tsis kho txhua yam. Thaum tus menyuam loj hlob, nyob ntawm seb nws hais lus li cas thiab nws lub puab tsaig loj hlob li cas, nws yuav xav tau ib lossis ob qho kev phais me me ntxiv. Piv txwv li, kev phais kom nws hais lus meej dua, lossis kev phais kom kho qhov chaw ntawm nws lub puab tsaig. Qhov no yog txiav txim siab los ntawm pab pawg kws kho mob.

Nco ntsoov tias, qhov mob no yuav tsis cuam tshuam rau yav tom ntej ntawm tus menyuam li cas los xij. Lawv muaj peev xwm mus kawm ntawv, ua si, kawm, ua phooj ywg, thiab loj hlob kom muaj txoj haujlwm uas lawv nyiam, sib yuav, thiab ua neej vam meej ib yam li lwm tus menyuam!

Qhov no cuam tshuam li cas rau cov niam txiv lub siab thiab kev txhawb nqa

Nws yog ib qho ib txwm rau cov niam txiv yuav tu siab, txhawj xeeb, ntshai, thiab tej zaum txawm tias muaj kev txhaum thaum lawv paub tias lawv tus menyuam muaj tus mob no. Cov lus nug zoo li "Vim li cas qhov no thiaj tshwm sim rau peb?" "Peb puas tau ua qee yam tsis raug?" tej zaum yuav los rau hauv siab.

Paub tias koj tsis nyob ib leeg lub sijhawm no. Tham nrog koj cov kws kho mob thiab cov kws tu mob txog qhov no. Lawv yuav muab cov ntaub ntawv kho mob uas koj xav tau thiab kev txhawb nqa kev xav rau koj. Qhia rau lawv txog koj cov lus nug thiab kev ntshai.

Thiab, yog tias muaj lwm cov niam txiv uas tau ntsib cov xwm txheej zoo sib xws, nws tuaj yeem yog ib qho kev txhawb siab zoo los qhia lawv cov kev paub dhau los. Qee lub tsev kho mob txawm tias muaj cov pab pawg txhawb nqa rau cov niam txiv zoo li no. Yog tias koj tuaj yeem koom nrog ib qho, nws yuav muaj txiaj ntsig zoo heev.

Qhov tseem ceeb tshaj plaws yog xav txog qhov zoo thiab muab kev hlub, kev saib xyuas, thiab kev txhawb zog rau koj tus menyuam uas nws xav tau . Koj lub zog yog nws lub zog loj tshaj plaws.

Yog li ntawd, yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov ntawm txhua yam no yog dab tsi?

Zoo, ntawm no yog qee yam uas yuav tsum nco ntsoov los ntawm qhov peb tau tham txog:

• Kab mob Cleft Palate yog qhov uas tus menyuam lub qhov ncauj tawg. Qhov no yog ib qho mob uas yug los, uas txhais tau tias nws muaj thaum yug los.
• Qhov no yuav yog vim muaj ib lossis ntau yam ua rau muaj qhov teeb meem no, tab sis feem ntau nws nyuaj rau nrhiav qhov ua rau pom tseeb. Qhov no tsis yog ib yam dab tsi uas yog vim niam txiv ua txhaum.
• Qhov no yuav ua rau tus me nyuam muaj teeb meem noj mov, hais lus, thiab hnov ​​lus tsis tau.
• Kev phais mob feem ntau yuav kho tau qhov mob no. Feem ntau kev phais mob loj yog ua thaum tus menyuam muaj hnub nyoog ntawm 6 thiab 18 lub hlis.
• Kev kho kev hais lus, kev kho hniav, thiab kev kho pob ntseg yuav tseem xav tau tom qab phais mob.
• Yog tias muaj kev kho mob thiab kev saib xyuas zoo raws li kev saib xyuas ntawm pab pawg neeg sib koom tes, tus menyuam no tuaj yeem ua neej noj qab nyob zoo, zoo siab, thiab vam meej zoo li lwm tus menyuam.
• Koj tsis yog ib leeg xwb hauv txoj kev no. Nrhiav kev txhawb nqa thiab cov ntaub ntawv uas koj xav tau. Tsis txhob ntshai, ua siab zoo, thiab ua siab ntev. Koj tus menyuam muaj lub neej yav tom ntej zoo nkauj!

Cleft Palate, Kev Noj Qab Haus Huv ntawm Menyuam Mos, Cov Teeb Meem Thaum Yug Los, Kev Phais Mob, Kev Kho Mob Hais Lus, Kev Qhia Txog Kev Ua Niam Ua Txiv