yu pikin geht cleft lip/palate? (Cleft Lip/Cleft Palate) - Lɛ wi no bɔt dis!

Fɔ tɔk am simpul wan, klif lip ɛn cleft palata na say dɛn we de opin na di pikin in ɔp lip ɔ di ruf na in mɔt. Dɛn kin tek dɛn tin ya as tin we nɔ fayn we dɛn bɔn pikin/abnɔmal tin dɛn we dɛn bɔn wit . dis min se dεn kכndyushכn dεm ya kin apin we di pikin stil de na di bεlε, כ fכ tru we di pikin de divεlכp, we di pat dεm na di fes kכnεkt. dis kin apin we di tisu dεm we mek di כp lip εn di כp palata nכ de kam togεda fayn fayn wan. Bɔt nɔ wɔri, dɛn kin kɔrɛkt dɛn tu tin ya to bɔku bɔku wan tru ɔpreshɔn.

Wetin na lip we klin?

wi lip dεm kin bigin fכ fכm bitwin fכ εn sεvin wik afta wi bכn. di tisu dεm we de kכmכt na di tu say dεm na di ed de kam tכgeda na di midul fכ di fes fכ mek di lip dεm εn di mכt. di lip we kכlכs kin apin we dεn tisu dεm we mek di lip dεm nכ fulכp togeda.

wetin kin apin na we sכm כ big gap de fכm bitwin di tu say dεm na di כp lip. Sɔntɛnde dis klif kin bi smɔl krak, ɔ i kin bi big gap we de go ɔlsay te to di nos. Dis separeshɔn kin afɛkt di gam ɔ di palata bak.

Wetin na Klɛft Palate?

yu palata de divεlכp bitwin siks εn nayn wiks we yu bεlε. Kleft palata na we split ɔ opin na di ruf na yu mɔt we de divɛlɔp insay dis tɛm. I kin afɛkt di had palata na di fɔs pat, di saf palata na di bak, ɔ ɔl tu.

Klɛf lip ɛn palata kin apin na wan say na di mɔt ɔ na ɔl tu di say dɛn. Bikɔs klif lip ɛn palata de divɛlɔp difrɛn wan, dɛn tin ya kin apin:

• Kleft lip we nɔ gɛt cleft palata.
• Klɛft palata we nɔ gɛt klif lip.
• כl tu di lip we kכl εn di palata we kכl - Dis na di wan we kכmכn pas כl.

Aw dis sik kin kɔmɔn?

Infakt, dɛn kin si dɛn tin ya we dɛn kɔl cleft lip ɛn cleft palate bak na Sri Lanka. Insay Amɛrika, dɛn tin ya na wan pan di prɔblɛm dɛn we dɛn kin bɔn we dɛn bɔn pikin dɛn.

Frɔm di data we de de (US Sɛntral fɔ Kɔntrol ɛn Prɛvenshɔn fɔ Sik):

• Na lɛk wan pan ɛvri 1,600 pikin dɛn kin bɔn wit ɔl tu di lip ɛn palata we skata.
• Na lɛk wan pan ɛvri 2,800 pikin dɛn kin bɔn wit lip we skata ɛn nɔto swɛt palata.
• Na lɛk wan pan ɛvri 1,700 pikin dɛn we dɛn bɔn, dɛn kin bɔn wit in palata we skata, nɔto lip we skata.

di lip we kכl (we gεt כ we nכ gεt klef palata) de kכmכn mכr pan man pikin dεm. klif palata nכmכ (we nכ klif lip) de kכmכn mכr pan uman bebi dεm.

Wetin na di tin dɛn we kin mek yu lip ɛn yu palata skata?

Bɔku tɛm, i nɔ kin izi fɔ no di rayt tin we kin mek pɔsin in lip ɔ in palata skata. I nɔto sɔntin we mama ɛn papa dɛn go ebul fɔ stɔp. Bɔku sayɛnsman dɛn biliv se na bikɔs ɔf di tin dɛn we de apin na di bɔdi ɛn di tin dɛn we de arawnd wi.I tan lɛk se dis sik kin apin. If pɔsin na di famili, dat na in brɔda ɛn sista, in mama ɔ papa, ɔ ɔda fambul, gɛt dis sik, i tan lɛk se chans de smɔl fɔ mek di pikin we dɛn jɔs bɔn sɛf gɛt dis sik.

Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

If yu yuz sɔm mɛrɛsin dɛn we yu gɛt bɛlɛ, yu pikin kin gɛt smɔl risk fɔ mek i gɛt cleft lip/palate. Fɔ ɛgzampul:

• Sɔm mɛrɛsin dɛm wae dɛn kin gi fɔ sik dɛm lɛk ɛpilepsi (Antiseizure medications).
• Mɛrɛsin we gɛt `(Accutane®)` fɔ akni.
• Methotrexate na wan mɛrɛsin wae dɛn kin yuse fɔ trit sik dɛm lɛk kansa, at at sik, ɛn psoriasis.

Dɔn bak, ɔda tin dɛn we gɛt fɔ du wit di mama kin afɛkt dis:

• Fɔlik asid we nɔ de.
• If pɔsin fat, dat min se i fɔ fat pasmak.
• Yuz tabak we yu gɛt bɛlɛ.
• Disɔda fɔ yuz sɔbstans.
• We yu gɛt sɔm vayrɔs ɔ kemikal dɛn we yu gɛt bɛlɛ.

Dis na jenɛtiks? (Na cleft lip/cleft palate na jenɛtik?)

Sɔm stɔdi dɛn sho se wan jɛnɛtik link de bitwin klif lip ɛn cleft palata. fכ egzampl, if yu כ yu patna bin gεt cleft lip כ cleft palate we dεn bכn yu pikin, yu pikin gεt 2% to 8% chans fכ gεt di kכndyushכn. If yu dɔn gɛt pikin we gɛt cleft lip/cleft palate, yu nɛks pikin go gɛt dis sik smɔl.

Wetin na de prɔblɛm wae kin kam wit dis sik?

di pikin dεm we dεn bכn wit kכlכp lip כ kכlכs palata kin gεt difrεnt fכ it (dεn kin gi dεm bכtul fכ it εn dεn kin gi dεm bεlε) . Sɔntɛm i nɔ kin izi fɔ dɛn bak fɔ tɔk. Bɔku tɛm, wata kin gɛda biɛn di ia drɔm, ɛn dis kin mek i nɔ de yɛri igen . Sɔm bebi dɛn kin gɛt prɔblɛm wit dɛn tit bak .

Aw fɔ no di lip ɛn palata we klif?

Bɔku tɛm, dɛn kin no se di lip skata we dɛn de du ɔltrasɔund bifo dɛn bɔn pikin . Dis na bikɔs di lip we skata kin mek di pikin in fes chenj. Bɔt if na klif palata nɔmɔ de we nɔ gɛt klif lip (Isolated Cleft Palate), i kin at smɔl fɔ no dis we. Na 7% pan dɛn kayn kes ya nɔmɔ dɛn kin no pan ɔltra saund.

If dɛn nɔ no dis pan ɔltra saund, dɛn kin chɛk di mɔt, nos, ɛn palata afta dɛn bɔn di pikin fɔ no if lip ɔ palata skata.

Sɔntɛnde, di dɔktɔ kin tɛl yu fɔ du tɛst we dɛn kɔl amniocentesis , we kin min fɔ tek wan sɛmpul pan di amniotic fluid we de rawnd di pikin fɔ chɛk fɔ ɔda tin dɛn we de na di bɔdi.

Yu tink se dɛn kin no if pɔsin in lip skata bifo dɛn bɔn am?

Bɔku tɛm, dɔktɔ dɛn go no se yu lip skata we yu de 20 wik ɔltra saund skan (Anatomy Scan), we na di skan we dɛn kin du bitwin 18 ɛn 22 wiks we yu gɛt bɛlɛ. Sɔmtɛm dɛn kin no am as ali as 12 wiks. Bɔt fɔ no if pɔsin in palata skata pan ɔltra saund, i nɔ kin izi smɔl.

Wetin na di tritmɛnt fɔ cleft lip/palate?

Dɛn kin trit di lip we klin ɛn/ɔ di palata we kliya wit ɔpreshɔn . Di rayt tin bɔt dis tritmɛnt dipen pan di sayz we di cleft gɛt, di pikin in ej, ɛn ɛni ɔda spɛshal nid ɔ wɛlbɔdi prɔblɛm we dɛn gɛt. Yu pikin go gɛt dis ɔpreshɔn na ɔspitul, ɔnda jenɛral anestezi , we min se dɛn dɔn slip ɔl.

Klɛft Lip Ripair

If yu lip skata, yu go nid fɔ du yu ɔpreshɔn wan ɔ tu tɛm. di fכs כpεrayshכn kin bi we yu pikin ol bitwin 3 εn 6 mכnt. Dis ɔpreshɔn go mek di lip fayn ɛn lɔk am. If yu nid fɔ du sɛkɔn ɔpreshɔn, dɛn kin du am we yu pikin dɔn ol lɛk 6 mɔnt.

Bɔku we dɛn de we dɛn kin yuz bifo dɛn du di ɔpreshɔn fɔ mek di tin dɛn we kin kɔmɔt fayn. Dis na we dɛn we nɔ de ambɔg yu pikin we kin chenj di shep fɔ yu pikin in lip, in nos, ɛn mɔt bad bad wan. Fɔ ɛgzampul:

• lip-taping regimen kin ɛp fɔ mek di pikin in lip we skata smɔl.
• Nasal elevator de ɛp fɔ shep di pikin in nos fɔ mek i gɛt mɔ natura shep.
• Wan Nasal-Alveolar Molding (NAM) divays de ɛp fɔ shep di lip tisu fayn fayn wan fɔ ɔpreshɔn.

Klɛft Palate Ripair

Dɛn kin du ɔpreshɔn pan di klif palata we di pikin ol lɛk 12 mɔnt. dis de εp fכ mek di palata we de wok fayn εn rεdכks di chans fכ wata we de kכmכt na di pikin in midul yes. Fɔ mek dis nɔ gɛda, pikin dɛn we gɛt cleft palate kin gɛt spɛshal tiub dɛn we dɛn kin put na dɛn ia drɔm fɔ ɛp fɔ pul di wata. Dɛn dɔktɔ dɛn go chɛk aw dɛn de yɛri lɛk wan tɛm insay di ia.

Na lɛk 40% pan di pikin dɛn we gɛt cleft palate go nid fɔ gɛt ɔda ɔpreshɔn fɔ mek dɛn ebul fɔ tɔk fayn . Wan dɔktɔ we de stɔdi bɔt aw pɔsin de tɔk go chɛk aw yu pikin de tɔk bitwin 4 ɛn 5. I kin yuz wan nasopharyngeal scope ( wan kamɛra we dɛn kin put tru di nos) fɔ luk aw in tɔŋ ɛn in trot de muv. If yu pikin nid ɔpreshɔn fɔ mek i ebul fɔ tɔk fayn, dɛn kin du am arawnd 5 ia.

Pikin dεm we gεt cleft we de afekt di gכm layn kin nid bak fכ gεt bon graft bitwin 6 εn 10. Dis prosidכs de fulכp di כp gכm layn, we de gi sכpכt fכ di pεrmanεnt tit dεm εn mek di כp jaw stebul. We di tit dɛn we go de sote go kam insay, yu pikin go nid fɔ mek dɛn tit dɛn stret.Bɔku tɛm i kin nid fɔ yuz bres ɛn wan tin we de mek di palata big fɔ mek di palata big.

Yu pikin kin nid fɔ gɛt ɔda ɔpreshɔn fɔ:

• Mek di lip ɛn nos luk fayn.
• Klos di say dɛn we opin bitwin yu mɔt ɛn yu nos.
• Mek i izi fɔ blo.
• Stabiliz ɛn stret yu jaw.

Ɔpreshɔn kin gɛt prɔblɛm dɛn lɛk fɔ blɔd, infɛkshɔn, ɛn fɔ pwɛl di nerv dɛn, tisu dɛn, ɔ ɔda tin dɛn. Bɔt bɔku tɛm, di ɔpreshɔn we dɛn kin du fɔ mek dɛn lip ɛn palata we gɛt klef kin wok fayn ɛn i nɔ kin gɛt bɔku prɔblɛm. Dɛn kin lɛf wan smɔl pink ska afta dɛn dɔn ɔpreshɔn di lip we skata, we fɔ dɔn smɔl smɔl as di pikin de gro.

Wetin na tritmɛnt dɛn we nɔto ɔpreshɔn?

Pikin dɛn we gɛt klip na dɛn lip ɔ dɛn palata we kliya kin nid tritmɛnt pas ɔpreshɔn. Ɔda tritmɛnt dɛn we dɛn dɔktɔ dɛn kin tɛl dɛn fɔ du na fɔ mɛn pipul dɛn we dɛn de tɔk ɛn fɔ mek dɛn gɛt ɔtdɔnt .

Udat de trit dɛn pikin ya?

Bikɔs ɔf di nɔmba fɔ di ɔral wɛlbɔdi prɔblɛm ɛn mɛrɛsin prɔblɛm dɛn we kin apin we pɔsin in lip ɔ in palata skata, na wan tim we de kia fɔ wɛlbɔdi biznɛs kin mek wan kɔmprɛhnsiv kia plan . Yu pikin in tritmɛnt kin bigin we i smɔl ɛn bɔku tɛm i kin kɔntinyu te i yɔŋ.

Dɛn wɛlbɔdi tim kin gɛt:

• Wan dɔktɔ we de mɛn pikin dɛn we gɛt plastic.
• Wan dɔktɔ we de mɛn pikin dɛn.
• Wan otolaryngologist (spɛshal pɔsin we de mɛn yu yes, nos, ɛn trot).
• Laktashɔn Sɔpɔt Prɔvayda dɛn fɔ ɛp fɔ gi pikin it kwik kwik wan.
• Ɔtodɔntist na pɔsin we sabi bɔt dɛnt we de stret ɛn muv di tit dɛn na di rayt say.
• Dɛntist ɔ pikin dɛntist we de gi jenɛral dɛnt kia.
• Wan spɛshal pɔsin we de mek atifishal tit ɛn tin dɛn fɔ mɛn dɛn tit (Prosthodontist).
• Speech-Language Pathologists (SLP) de asɛs di prɔblɛm dɛn we de wit di we aw pɔsin de tɔk.
• Wan ɔdiɔlɔjis we de tɛst ɛn wach aw pɔsin de yɛri.
• Soshal woka/saykolojist we de sɔpɔt di famili ɛn chɛk fɔ si if ɛni prɔblɛm de wit di pikin in ajɔstmɛnt.
• Jɛnɛtik kɔstɔma dɛn we de ɛp mama ɛn papa ɛn big pipul dɛn we sik fɔ ɔndastand di pɔsibul fɔ bɔn pikin dɛn we gɛt cleft palate/lip tumara bambay.

Yu tink se dɛn kin mek di lip/palate nɔ klin?

no we nכ de fכ mek yu pikin nכ gεt klif lip/palate kכmplit wan . Bɔt yu kin ridyus di prɔblɛm if yu nɔ drink sigrɛt, rɔm, ɛn sɔm mɛrɛsin dɛn we yu gɛt bɛlɛ. Tɔk to yu dɔktɔ fɔ no mɔ.

Aw di pikin dɛn ya tumara bambay go tan lɛk?

Di tritmɛnt kin tek sɔm ia ɛn dɛn kin nid fɔ ɔpreshɔn bɔku tɛm. BɔtBɔrku pikin dɛm wae gɛt dis sik kin gɛt nɔrmal pikin dɛm. If yu gɛt tritmɛnt, di prɔblɛm fɔ tɔk ɛn it kin bɛtɛ. Sɔm pipul kin fil smɔl bɔt aw dɛn lip shep ɔr di skata. Tɔk to yu pikin in dɔktɔ bɔt aw dɛn go sɔpɔt yu fɔ lɔng tɛm.

yu kin gi pikin we in lip/palate cleft?

i posibul fכ gi yu pikin in bεlε wit in lip εn/כ palata we kכlכs. Bɔt yu go nid ɛp frɔm dɔktɔ we tren. Fɔ mek yu gi pikin in bɛlɛ fayn fayn wan dipen pan bɔku tin dɛn lɛk:

• Di kayn krak krak, di sayz, ɛn usay i de.
• Di pozishɔn we yu de gi pikin in bɛlɛ.
• If yu pikin gɛt wan sik we gɛt fɔ du wit dis (we kin gɛt ɔda sayn dɛn we kin ambɔg di pikin we i de gi in bɛlɛ).
• Di edyukeshɔn ɛn sɔpɔt we yu de gɛt fɔ gi pikin bɔbi.

di pikin dεm de yuz sכkshכn f כ sכk milk frכm di brεst. di lip we kכlכs εn/כ di palata we kכlכs kin mek di pikin nכ yuz dis sכkshכn.

Risach dɔn sho se sɔm pikin dɛn we na lip nɔmɔ skata kin gɛt inof sɔkshɔn fɔ mek dɛn ebul fɔ gi dɛn bɛlɛ fayn fayn wan. i posibul bak se pikin dεm we gεt sכm sכm sכm sכm sכm sכft dεm we nכmכ de afekt di sכft palata kin divεlכp di sכkshכn we nid fכ sכk.

Bɔt i nɔ kin izi fɔ mek pikin dɛn gɛt pawa fɔ ol lɛk dis:

• Fɔ bebi dɛn we gɛt ɔl tu kleft lip ɛn palata.
• fכ bebi dεm we gεt big krak krak we de afekt di had εn/כ sכft pat dεm na di sכkul.

dis pikin kin gεt difεlεnt fכ divεlכp di abiliti fכ sכk biכs nכ de fכ separeshכn fayn fayn wan bitwin di insay pat na di nos εn di insay pat na di mכt.

If yu pikin nɔ ebul fɔ lat fayn, fɔ tray fɔ du dat kin mek yu taya bad bad wan . Dɛn kin gɛt nasal regurgitation ɔ reflux. Sɔm pikin dɛn nɔ kin gɛt bɛtɛ milk, we kin mek dɛn gɛt prɔblɛm wit dɛn it ɛn gro.

sכpכt fכ gi pikin bεlε we gεt klif lip/palate

Di fɔs tin we yu fɔ no na dat nɔto yu wan de . Bɔku ɔda famili dɛn de gɛt dis prɔblɛm, ɛn dɛn de wɔnda bak aw fɔ kɔntrol aw fɔ gi pikin dɛn bɛlɛ ɔ ɔda tin dɛn we dɛn kin du.

Laki se, di wan dɛn we de kɔnsult fɔ gi pikin in bɛlɛ ɛn di wan dɛn we sabi bɔt aw fɔ gi pikin in bɛlɛ, inklud di wan dɛn we sabi bɔt aw fɔ gi pikin in bɛlɛ , de fɔ ɛp yu fɔ fɛn we fɔ gi yu pikin in bɛlɛ. Dɛn pipul ya kin ɛp yu ivin if yu nɔ ebul fɔ gi yu mama in bɛlɛ. Mek apɔntinmɛnt fɔ si dɛn kwik kwik wan, ivin we yu stil gɛt bɛlɛ. Yu kin lan bɔt aw fɔ kia fɔ yu pikin ɛn wetin fɔ ɛkspɛkt.

Laktashɔn kɔnsult kin ɛp yu wit dɛn tin ya:

• Fɔ no if i pɔsibul fɔ gi pikin in bɛlɛ.
• Manej yu milk saplai.
• Lan aw fɔ ɛksprɛs mama in milk, ilɛksɛf na an ɔ wit brɔst pɔmp.
• Fɛn di bɛst pozishɔn fɔ gi pikin in bɛlɛ we go fayn fɔ yu ɛn yu pikin.
• Mek shɔ se yu pikin de gɛt inof wata.
• Kip yu yay pan yu pikin in wet ɛn gro.
• if nid de, mεnεj כda it dεm (fכmula כ dכna bכbi milk sכbstityuyt dεm).
• Ɛp fɔ gi yu pikin in bɛlɛ fɔ yu ɛn yu pikin afta dɛn dɔn ɔpreshɔn yu lip/palate we dɔn kliya.

Sɔpɔt if yu nɔ ebul fɔ gi pikin in bɛlɛ

i impɔtant fɔ no se pan ɔl we ɔlman de tray tranga wan, yu pikin nɔ go ebul fɔ gi in mama in bɛlɛ dairekt frɔm di bɔdi. Dis kin stil bi afta dɛn dɔn du di ɔpreshɔn. Bɔt yu laktashɔn kɔnsult kin ɛp yu fɔ fɛn ɔda we fɔ it ɛn gɛt tayt padi biznɛs wit yu pikin.

Fɔ ɛgzampul, yu dɔktɔ kin ɛp yu fɔ pul yu mama in milk . Dis min se yu fɔ ɛksprɛs yu mama in milk (we yu yuz an ɔ wit pɔmp) ɛn gi am to yu pikin yuz spun, kɔp, bɔtul, ɔ sirinj. Dɛn mek sɔm bɔtul dɛn fɔ gi yu pikin smɔl ɛkstra ɛp fɔ sok. Yu dɔktɔ kin ɛp yu fɔ pik di rayt bɔtul fɔ yu.

We yu de gi yu pikin in mama in bɛlɛ di impɔtant tin dɛn we de insay yu milk. We yu gi yu pikin in mama in bɛlɛ, dat kin mek i nɔ gɛt infɛkshɔn na yu yes bak , we kin apin to pikin dɛn we gɛt lip/palate we skata.

Yu dɔktɔ kin ɛnkɔrej yu bak fɔ tray fɔ gi yu pikin in bɛlɛ, ivin if yu pikin nɔ de gɛt inof milk fɔ gi am. If yu du dat, dat kin ɛp fɔ mek yu kɔntinyu fɔ gɛt milk. Na impɔtant we bak fɔ kɔrej yu pikin ɛn gɛt tayt padi biznɛs wit yu.

Us tit kia yu pikin nid?

Jɛnɛral wan, pikin dɛn we gɛt cleft kin gɛt di sem tin dɛn we dɛn nid fɔ gɛt dɛn tit lɛk ɔda pikin dɛn. Bɔt pikin dɛn we dɛn lip ɛn palata skata kin gɛt tit we nɔ de, chenj di shep we dɛn tit gɛt, ɔ dɛn tit nɔ kin alaynɛd ​​fayn. Na sɔm advays dɛn ya:

• Fɔ Kia fɔ In tit kwik: Yu pikin nid fɔ it gud it, fɔ brus am fayn, ɛn fɔ gɛt tritmɛnt wit fluoride fɔ mek in tit dɛn gɛt wɛlbɔdi. As dɛn tit bigin fɔ kam insay so, brus yu pikin in tit wit smɔl tut brɔsh we gɛt saf brist. If dis tut brɔsh nɔ ebul fɔ klin dɛn tit fayn bikɔs ɔf di difrɛn shep we dɛn mɔt ɛn dɛn tit gɛt, dɛntist kin se yu fɔ yuz sɔft spɔnj wit mɔt was. Aks yu pikin aw ɔltɛm i fɔ tek in tit fɔ chɛk in tit.
• Ɔtodɔnt Keya: Afta di pɔrmanent tit dɛn kam insay, ɔtodɔntist go asɛs yu pikin in tit nid fɔ shɔt tɛm ɛn fɔ lɔng tɛm. Bɔku pikin dɛn we gɛt cleft palata go nid fɔ mek dɛn palata ɛkspɛnshɔn arawnd di ej we dɛn ol 6 ɔ 7. Afta ɔl di pɔrmɛnt tit dɛn dɔn kam insay, ɔtodɔntist kin stret di tit dɛn wit bres. Yu pikin kin nid bak fɔ kia fɔ ɔtdɔnt fɔ rɛdi fɔ ɔtdɔnt ɔpreshɔn.
• Prosthodontic Care: Prosthodontist kin riples di tit dɛm we nɔ de wit dɛnt brij ɔ mek spɛshal tin dɛm we dɛn kɔl speech bulb ɔ palatal lifts fɔ ɛp fɔ mek yu tɔk fayn. Di prɔstɔdɔntist de wok togɛda wit wan ɔral ɔ plastic sajin ɛn wan pɔsin we de mɛn pipul dɛn we de tɔk.

Wetin na di prɔblɛm dɛn we kin apin we pɔsin in lip ɛn in palata kin klin?

Bɔku tɛm, pikin dɛn we gɛt cleft kin gɛt prɔblɛm wit dɛn it, dɛn nɔ kin yɛri fayn, ɛn dɛn nɔ kin ebul fɔ tɔk . Pikin dɛn kin gɛt prɔblɛm wit dɛn tit bak ɔ dɛn kin gɛt prɔblɛm wit dɛnsɛf.

• Prɔblɛm fɔ it: We cleft ɔ opin de na di palata, it ɛn drink kin kam bak ɔp frɔm di mɔt tru di nos. Sɔm pikin dɛn kin gɛt prɔblɛm fɔ gi dɛn bɛlɛ ɔ fɔ gi dɛn bɛlɛ na bɔtul bikɔs dɛn nɔ kin ebul fɔ gi pikin dɛn bɛlɛ fayn fayn wan.
• Yu nɔ de yɛri: Pikin dɛn we gɛt cleft palate kin gɛt glu yes, we kin mek dɛn nɔ yɛri fayn if dɛn nɔ trit dɛn.
• Prɔblɛm fɔ tɔk: Pikin dɛn we gɛt cleft palate kin gɛt prɔblɛm fɔ tɔk. Sɔntɛm dɛn nɔ go yɛri dɛn vɔys fayn, ɛn i nɔ go izi fɔ ɔndastand aw dɛn de tɔk. Nɔto ɔl pikin dɛn kin gɛt dɛn prɔblɛm ya, ɛn dɛn kin kɔrɛkt dɛn if dɛn du ɔpreshɔn pan dɛn.
• Prɔblɛm dɛn we kin apin to dɛn tit: Pikin dɛn we gɛt skel kin gɛt kaviti, dɛn kin lɔs dɛn tit, dɛn kin gɛt di rayt we, ɔ dɛn kin chenj dɛn pozishɔn.

dεn kin gεt difεkt dεm na di alveolar ridge, di bon pat na di כp gכm usay di tit dεm de. wan difεkt na dis alveolar rij kin mek:

• Tit dɛn we go de sote go kin muf, lɔs, ɔ ivin rɔta.
• I kin mek di tit dɛn we go de sote go kɔmɔt.
• di fכmeshכn fכ di alveolar rig kin bכku.
• di kanin tit dεm εn di insays tit dεm we de kכmכt kin fכl aut bifo tεm.
• Prɔblɛm dɛn we dɛn kin gɛt pan aw dɛn de fil ɔ na di soshal say dɛn: Pikin dɛn we gɛt swɛlin kin fil se dɛn nɔ impɔtant ɔ dɛn kin shem fɔ di we aw dɛn luk, ivin we dɛn yɔŋ. Dis kin mek dɛn gɛt prɔblɛm wit dɛn filin, soshal, ɔ bihayvya na skul, ɛn i kin afɛkt di we aw dɛn de fil bɔt dɛnsɛf.

Yu kin dɔn lan bɔt dis sik we dɛn bin de du ɔltra saund skan we yu pikin bin stil de na di bɛlɛ, ɔ afta dɛn bɔn yu pikin. Bɔt if yu gɛt lip ɔ yu palata we skata, dat kin rili strɛs ɛn i nɔ kin izi fɔ tɔk bɔt. Yu kin wɔri bɔt di ɔpreshɔn dɛn we yu pikin go nid, aw i go wɛl, ɛn aw in pikin go tan lɛk. Mɛmba se yu pikin in mɛdikal tim de ya fɔ ɛp yu ɔl famili (insay yu).Nɔ shek fɔ tɛl dɛn ɔl yu kwɛstyɔn ɛn tin dɛn we de mɔna yu. Dɔn yu go ebul fɔ mek yu maynd ɛn gɛt di infɔmeshɔn we yu nid fɔ fes di waka we de bifo.

Di impɔtant tin dɛn we wi fɔ kɛr go na os frɔm dis stori (Take-Home Message)

I nɔmal fɔ fil bad we yu kam fɔ no se yu pikin in lip ɔ in palata skata. Bɔt mɛmba se nɔto yu wangren de .

Di impɔtant tin na dat, fayn tritmɛnt dɛn de fɔ dɛn tu sik ya. Yɛs, i kin tek tɛm ɛn i kin nid fɔ du bɔku ɔpreshɔn. Bɔt if yu kia fɔ yu pikin fayn fayn wan ɛn yu famili lɛk am ɛn sɔpɔt am, i go ebul fɔ liv gladi ɛn wɛlbɔdi layf lɛk ɔlman.

Dɛn go nid fɔ pe spɛshal atɛnshɔn to tin dɛn lɛk fɔ it tin dɛn we yu bigin fɔ it ɛn fɔ tɔk leta. Bɔku pipul dɛn de, lɛk dɔktɔ dɛn ɛn pipul dɛn we de mɛn pipul dɛn we de tɔk, fɔ ɛp fɔ du ɔl dat.

Ivin we yu pikin yɔŋ, i kin fil bad smɔl fɔ di we aw i luk. Da tɛm de, i rili impɔtant fɔ ɔndastand am, tɔk to am wit lɔv, ɛn kɔrej am. Tɔk bɔt ɔl dis wit yu dɔktɔ. Dɛn go gayd yu di rayt we.

So, stay strong ɛn fala di dɔktɔ dɛn advays as yu de go tru dis joyn. Yu pikin go wɛl kwik kwik wan ɛn si di wɔl wit fayn fayn smayl!

` Klif lip, cleft palata, bכn difεkt, pikin hεlth, כpεrayshכn, tכk tεrapi, bεlε