Koj tus me nyuam puas muaj qhov ncauj qhib? (Submucous Cleft Palate) - Cia peb tham txog qhov no!

Puas muaj tej lub sij hawm koj tus me nyuam muaj mis tawm ntawm nws lub qhov ntswg thaum nws pub niam mis? Los yog nws puas mob pob ntseg tas li? Puas yog nws nyuaj rau hais tej lo lus? Txawm hais tias cov no yog tej yam uas peb tsis tshua ua tib zoo mloog, tej lub sij hawm qhov no yuav yog vim muaj ib qho mob hu ua Submucous Cleft Palate (SMCP) . Tsis txhob txhawj, cov niam thiab cov txiv, peb yuav tham txog qhov no yooj yim, hauv txoj kev uas koj nkag siab tau.

Submucous Cleft Palate (SMCP) yog dab tsi?

Hais yooj yim xwb, Submucous Cleft Palate (SMCP) yog ib qho tawg hauv lub ru tsev ntawm lub qhov ncauj. Tab sis nws tsis zoo li ib qho tawg hauv lub ru tsev ib txwm muaj. Lo lus "submucous" txhais tau tias "nyob rau hauv daim nyias nyias." Lub ru tsev ntawm koj lub qhov ncauj, hu ua lub ru tsev , yog ua los ntawm ob ntu. Lub ru tsev tawv nyob rau pem hauv ntej thiab lub ru tsev mos nyob rau tom qab. Hauv SMCP, cov leeg ntawm lub ru tsev mos, uas nyob hauv qab daim nyias nyias nyob rau saum lub ru tsev, tsis sib sau ua ke zoo. Qhov no tshwm sim thaum lub sijhawm cev xeeb tub thaum tus menyuam tseem nyob hauv plab.

Xav txog nws zoo li muaj ib yam dab tsi raug npog nrog daim ntaub, tab sis muaj ib yam dab tsi tsis tau lo rau hauv qab daim ntaub. Yog vim li cas nws thiaj li tsis pom tam sim ntawd los ntawm sab nraud. Tsis yog txhua tus neeg qhia cov tsos mob ntawm qhov no. Txawm li cas los xij, qhov mob no tuaj yeem ua rau koj tus menyuam muaj feem yuav muaj teeb meem hais lus , mob pob ntseg ntau zaus, thiab nyuaj rau noj mov thaum nws tseem yog menyuam yaus.

Tus mob no feem ntau tshwm sim li cas?

Kab mob Submucous Cleft Palate yog ib yam mob uas tsis tshua muaj . Nws cuam tshuam rau feem pua ​​me me ntawm cov menyuam mos uas yug los. Txawm li cas los xij, qee tus menyuam mos tsis muaj cov tsos mob pom tseeb, yog li tus lej tiag tiag ntawm cov menyuam mos uas muaj tus mob no yuav siab dua me ntsis. Qhov no yog vim tsis muaj cov cim qhia pom tseeb, yog li nws qee zaum tuaj yeem kuaj pom lig dhau lawm.

Kuv yuav paub li cas yog tias kuv tus menyuam muaj tus mob no?

Nws zais rau hauv qab daim nyias nyias, yog li nws nyuaj rau pom tam sim ntawd. Tab sis, saib seb koj puas tau pom ib qho ntawm cov no txog koj tus menyuam:

• Koj puas muaj teeb meem pub niam mis thaum koj tseem yog menyuam mos? (piv txwv li, mis tawm ntawm lub qhov ntswg, siv sijhawm ntev heev kom pub niam mis tiav)
• Koj puas feem ntau mob pob ntseg lossis mob pob ntseg?
• Koj puas xav tias nws muaj teeb meem hais qee cov lus thiab cov ntawv?

Yog koj pom ib yam dab tsi zoo li no, qhia rau koj tus menyuam tus kws kho mob menyuam yaus kom nws thiaj li kuaj xyuas koj tus menyuam lub qhov ncauj kom zoo.

Cov tsos mob ntawm Submucous Cleft Palate yog dab tsi?

Muaj ntau yam tsos mob tseem ceeb uas pom tau rau hauv ib tug menyuam uas muaj tus mob no.

Cov tsos mob uas koj yuav pom hauv koj tus menyuam:

• Teeb meem pub niam mis: Tshwj xeeb tshaj yog thaum tseem yog menyuam yaus, thaum pub mis rau hauv lub raj mis lossis pub niam mis rau menyuam, koj tus menyuam yuav muaj teeb meem nqos. Nws yuav siv sijhawm ntev dua li tus menyuam ib txwm kom noj tag. Qee zaum , mis lossis mis mos yuav tawm ntawm lub qhov ntswg.Tej zaum yuav muaj li ntawd. Xav txog seb, thaum koj pub mis rau koj tus menyuam, feem ntau yuav muaj mis me ntsis tawm ntawm koj lub qhov ntswg. Yog tias qhov no tsis yog ib lossis ob zaug xwb, tab sis tsis tu ncua, koj yuav tsum txhawj xeeb.
• Kab mob pob ntseg ntau zaus: Cov menyuam no yuav muaj kab mob pob ntseg ntau zaus, xws li mob pob ntseg thiab muaj kua tawm hauv pob ntseg.
• Teeb meem hais lus: Qee cov ntawv thiab cov lus yuav nyuaj rau hais kom meej.
• Kev hais lus ntawm qhov ntswg: Thaum koj hais lus, nws yuav zoo li cov lus los ntawm koj lub qhov ntswg , zoo li ib tug neeg mob khaub thuas hnyav.
• Cua tawm ntawm lub qhov ntswg thaum hais lus: Tej zaum yuav zoo li cua tawm ntawm lub qhov ntswg thaum tus menyuam hais lus.

Cov tsos mob uas tus kws kho mob yuav pom thaum kuaj xyuas tus menyuam lub qhov ncauj muaj xws li:

Thaum tus kws kho mob kuaj sab hauv ntawm tus menyuam lub qhov ncauj, lawv yuav pom tej yam zoo li no:

• Bifid Uvula: Qhov me me zoo li tus nplaig (uvula) uas dai tom qab peb lub caj pas yuav zoo li raug faib ua ob.
• Xim xiav/grey tshwm sim hauv nruab nrab ntawm lub qhov ncauj mos ('(Zona Pellucida)') : Koj tuaj yeem pom xim xiav lossis grey hauv qab daim nyias nyias hauv nruab nrab ntawm lub qhov ncauj mos.
• Ib qho zawj zoo li 'V' ntawm lub qhov ncauj tawv : Koj tuaj yeem pom ib qho zawj me me zoo li 'V' nyob tom qab ntawm lub qhov ncauj tawv nyob rau pem hauv ntej ntawm lub qhov ncauj sab saud.

Qhov ntswg ua pa nrov thiab cua tawm ntawm lub qhov ntswg thaum hais lus yog tshwm sim los ntawm ib qho mob hu ua Velopharyngeal Dysfunction (VPD) . Hais yooj yim xwb, qhov no tshwm sim thaum sab nraub qaum ntawm lub qhov ncauj mos mos tsis kaw zoo thaum hais lus. Tom qab ntawd, lub suab thiab cua uas yuav tsum tawm ntawm lub qhov ncauj tawm los ntawm lub qhov ntswg. Tsis yog txhua tus neeg uas muaj Submucous Cleft Palate muaj qhov mob no, tab sis qhov no yog qhov teeb meem tseem ceeb uas cuam tshuam rau kev hais lus.

Dab tsi yog cov ua rau muaj Submucous Cleft Palate?

Tej zaum yuav muaj ntau yam ua rau qhov no. Feem ntau:

• Cov yam ntxwv caj ces (`(Genetics)`): Tus mob no tuaj yeem tshwm sim los ntawm cov kev cuam tshuam caj ces uas tau txais los ntawm niam txiv.
• Tej yam ib puag ncig: Qhov no kuj tuaj yeem tshwm sim los ntawm leej niam raug rau qee yam thaum tus menyuam tseem nyob hauv plab (piv txwv li, qee yam tshuaj, luam yeeb, cawv, tshuaj lom).

Yuav kuaj mob Submucous Cleft Palate li cas?

Koj tus menyuam tus kws kho mob menyuam yuav kuaj koj tus menyuam lub qhov ncauj ua ntej. Yog tias nws xav tias muaj SMCP, lawv yuav xa koj tus menyuam mus rau tus kws kho kev hais lus , tus kws kho pob ntseg lossis tus kws kho mob ENT, lossis tus kws phais mob uas tshwj xeeb hauv kev kho mob cleft palates. SMCP tuaj yeem nyuaj rau kuaj mob vim tias nws tsis yooj yim pom thiab tej zaum yuav tsis ua rau muaj cov tsos mob hnyav.

Cov kws kho mob tshwj xeeb no tuaj ua ke los txiav txim siab qhov teeb meem thiab hom kev kho mob twg zoo tshaj plaws.

Yuav kom paub meej ntxiv txog qhov xwm txheej no, koj tuaj yeem ua cov kev ntsuam xyuas hauv qab no:

• Nasopharyngoscopy: Qhov no suav nrog kev ntxig ib lub raj me me uas muaj lub koob yees duab los ntawm lub qhov ntswg thiab kuaj xyuas sab nraub qaum thiab sab ntawm lub caj pas . Qee qhov mob tuaj yeem pom tseeb thaum saib li no.
• Kev kuaj mob los ntawm videofluoroscopy: Qhov no zoo li kev kuaj mob X-ray . Nws tso cai rau koj saib kev txav ntawm lub qhov ncauj thaum tus menyuam hais lus lossis nqos ib yam dab tsi, zoo li nyob hauv video.

Yuav kho tus kab mob Submucous Cleft Palate li cas?

Kev kho mob nyob ntawm seb koj tus menyuam muaj teeb meem dab tsi nrog tus mob no. Ib txhia menyuam muaj teeb meem hais lus lossis mob pob ntseg, thaum lwm tus tsis muaj tsos mob li.

• Yog tias tsis muaj tsos mob: Yog tias tus me nyuam tsis muaj kev tsis xis nyob lossis muaj teeb meem hais lus, feem ntau tsis tas yuav kho mob. Txawm li cas los xij, cov kws kho mob yuav txuas ntxiv saib xyuas tus me nyuam.
• Yog tias koj muaj teeb meem hais lus (Velopharyngeal Dysfunction): Yog tias koj muaj cov tsos mob xws li lub qhov ntswg ua pa nrov nrov, xws li lub qhov ntswg ua pa nrov nrov, lossis cua tawm ntawm koj lub qhov ntswg thaum hais lus, koj yuav tsum tau phais ('(Palatoplasty)') . Qhov kev phais no suav nrog kev kho qhov mos mos ntawm lub qhov ncauj thiab kaw qhov qhib. Tom qab ntawd, thaum koj hais lus, lub qhov ncauj kaw kom zoo, tiv thaiv cua thiab suab los ntawm kev tawm ntawm koj lub qhov ntswg.
• Kev Kho Mob Hais Lus: Feem ntau, ib tug me nyuam yuav xav tau kev kho mob hais lus kom paub hais qee lub suab kom raug. Qee zaum kev phais ib leeg tuaj yeem kho qhov mob, thiab kev kho mob hais lus tsis tas yuav tsum muaj.
• Rau kev mob pob ntseg: Yog tias koj muaj kev mob pob ntseg ntau zaus, koj tuaj yeem muab cov raj me me ntxig rau hauv koj pob ntseg kom tiv thaiv lawv, ua kom hnov ​​​​lus zoo, thiab pab txhim kho kev hais lus.

Tseem Ceeb: Cov kev tshawb fawb tau qhia tias cov menyuam yaus uas muaj Submucous Cleft Palate yuav tsum tsis txhob phais adenoidectomy , vim tias qhov kev phais no yuav ua rau cov teeb meem hais lus hnyav dua lossis ua rau muaj kev ua haujlwm tsis zoo ntawm velopharyngeal tshiab.

Puas yog kuv tus menyuam yuav tsum tau phais?

Tsis tas yuav tsum phais. Yog tias tus menyuam tsis muaj teeb meem hais lus, feem ntau tsis pom zoo kom phais. Hloov chaw, cov kws kho mob yuav saib xyuas tus menyuam ob peb xyoos kom pom tias puas muaj teeb meem tshwm sim.

Puas yog kuv tus menyuam yuav tsum tau kev kho mob hais lus?

Yog, feem ntau tus menyuam yuav xav tau kev kho kev hais lus.Ib tug kws kho mob hais lus yuav kuaj koj tus menyuam kom paub seb qhov teeb meem hais lus twg yog los ntawm qhov tawg ntawm lub qhov ncauj. Qee qhov teeb meem yog los ntawm lub cev (piv txwv li, kev hloov pauv ntawm cov qauv ntawm lub qhov ncauj). Cov no tuaj yeem kho tau los ntawm kev phais. Txawm li cas los xij, qee qhov teeb meem hais lus yog los ntawm tus cwj pwm tsis zoo uas tus menyuam tau tsim. Kev kho mob hais lus yog qhov tseem ceeb los hloov cov cwj pwm ntawd thiab qhia lawv kom hais cov lus kom raug.

Puas tiv thaiv tau qhov Submucous Cleft Palate?

Qhov mob caj pas tawg no yog ib yam mob uas muaj txij thaum yug los . Yog li ntawd, nws nyuaj rau tiv thaiv nws kom tag nrho. Txawm li cas los xij, raws li tau hais ua ntej lawm, tej yam ib puag ncig kuj tuaj yeem cuam tshuam rau qhov no, yog li ua ib leej niam, kev zam kev siv qee yam tshuaj, tshuaj yeeb, cawv, thiab lwm yam tshuaj lom thaum cev xeeb tub tuaj yeem txo qhov kev pheej hmoo ntawm tus menyuam uas muaj tus mob no rau qee qhov.

Koj yuav tsum nug koj tus menyuam tus kws kho mob li cas?

Tom qab koj tus menyuam raug kuaj pom tias muaj Submucous Cleft Palate , nws yog ib qho ib txwm muaj ntau cov lus nug los nug koj tus kws kho mob. Nov yog qee cov lus nug uas koj xav nug:

• Vim li cas ho ua li no?
• Puas yog kuv tus menyuam yuav tsum tau phais?
• Puas yog kuv tus menyuam yuav tsum tau kev kho mob hais lus?
• Qhov mob no puas cuam tshuam rau kuv tus menyuam lub pob ntseg?
• Kev kho mob yuav siv sijhawm ntev npaum li cas?
• Puas muaj tej yam uas kuv ua tau hauv tsev los pab kuv tus menyuam?

Yog li ntawd, yog tias koj tus menyuam muaj teeb meem hais lus, mob pob ntseg ntau zaus, lossis muaj teeb meem haus dej lossis pub mis rau hauv lub raj mis thaum nws tseem yog menyuam yaus, nws yuav muaj qhov chaw nqaim hauv qab ntawm lub qhov ncauj . Nws yuav nyuaj rau kuaj mob, tab sis qee tus menyuam yuav muaj cov tsos mob. Tham nrog koj tus menyuam tus kws kho mob menyuam yaus thiab kom koj tus menyuam lub qhov ncauj thiab caj pas kuaj xyuas. Feem ntau, qhov mob tuaj yeem kho tau tag nrho nrog kev kho mob hais lus lossis phais.

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum kawm los ntawm qhov no (Cov Lus Coj Mus Tsev)

• Submucous Cleft Palate yog ib qho cleft nyob rau hauv lub palate sab saud, zais tsis pom, nyob rau hauv qab daim nyias nyias.
• Yog tias koj tus menyuam muaj mis nyuj tawm ntawm nws lub qhov ntswg thaum nws haus dej, yog tias nws mob pob ntseg ntau zaus, yog tias nws hais lus tsis meej, lossis yog tias nws ua suab ntswg , nws yog ib qho tseem ceeb heev uas yuav tsum coj nws mus ntsib kws kho mob.
• Tus mob no yuav nyuaj me ntsis rau kev kuaj mob , tab sis thaum kuaj tau zoo lawm, ces muaj kev kho mob.
• Tsis yog txhua tus menyuam yuav tsum tau phais. Rau qee tus menyuam, kev kho kev hais lus ib leeg xwb tej zaum yuav txaus lawm.
• Tsis txhob txhawj. Kev qhia thiab kev kho mob kom zoo yuav pab tau koj tus menyuam. Tham nrog koj tus kws kho mob txog qhov no yam tsis qhia leej twg paub.

Nco ntsoov tias, koj tsis yog tib tug xwb. Muaj lwm cov niam txiv uas ntsib cov teeb meem zoo sib xws. Yog koj paub zoo thiab muaj kev pab kho mob zoo, koj yuav muab tau qhov zoo tshaj plaws rau koj tus menyuam.

`Qaij qab nthab, qaij qab nthab hauv qab cov kua tsib, teeb meem hais lus, teeb meem pub niam mis, kab mob pob ntseg, phais lub puab tsaig, kev noj qab haus huv ntawm menyuam yaus