As mama, i kin rili fayn we yu smɔl pikin de drɔl, nɔto so? Dis na tin we rili nɔmal, mɔ we yu ol bitwin 4 ɛn 19 mɔnt. Bɔt if yu pikin stil de drɔl pasmak ivin afta i dɔn ol 4 ia, dat kin bi sɔntin we wi fɔ wɔri bɔt. Fɔ tɔk bɔt mɛrɛsin, dɛn kɔl dis sik Sialorrhea. Lɛ wi tɔk bɔt dis simpul ɛn izi we tide.
Fɔ tɔk am simpul wan, wetin na Sialorrhea?
Sialorrhea na we yu de saliva pasmak ɔ yu de drɔl. Nɔmal wan, pikin in mɔt kin mek lɛk 1.5 lita saliva ɛvride. Bɔt pikin we gɛt dis sik kin mek 5 lita saliva ɛvride. Sɔntɛnde, pan ɔl we di smɔl smɔl saliva we de kɔmɔt na di bɔdi na nɔmal tin, di pikin nɔ kin ebul fɔ swɛla am fayn. Ivin da tɛm de, saliva stil de kɔmɔt na di mɔt.
Tu men kayn dis de:
- Anterior Sialorrhea: Dis na di kayn we aw pɔsin kin drɔl pas ɔl. Saliva de kɔmɔt na di mɔt ɛn dɔŋ di fes ɛn go pan klos. Dis kin mek di skin rɛd ɛn pul di skin rawnd di chin ɛn mɔt, ɛn i kin mek di skin gɛt infɛkshɔn. I kin mek bak di pikin shem smɔl ɛn fred fɔ spɛn tɛm wit ɔda pikin dɛn.
- Posita Sialorrhea (drכl dכn di bak pat na di trot): Dis na we di saliva de fכlכ dכn di trot, insay di aywe , insted fכ fכlכ kכmכt. Dis na tin we denja smɔl. If di saliva kɔntinyu fɔ flɔ insay di lכng, i kin pwεl di lכng dεm εn mek di chεst kכnjεshכn εn kכf bכku tεm.
Bɔrku tɛm, pikin dɛm wae gɛt dis sik kin sho ɔl tu kayn sik dɛm togɛda.
Wetin na di tin dɛn we kin mek pɔsin drɔl?
Bɔku men rizin dɛn de we kin mek pikin de drɔl pasmak. Bɔrku tɛm, na sayn fɔ ɔda ɔndalayn mɛdikal kɔndishɔn.
Di tin we impɔtant pas ɔl na fɔ go to dɔktɔ ɛn disayd fɔ du di rayt tin , pas fɔ gɛs di rizin yusɛf.
Lɛ wi luk mɔ pan dɛn rizin dɛn de na di tebul we de dɔŋ ya.
| Rizin | Simpul ɛksplen |
|---|---|
| Nɛvɔ sistɛm ɛn bren prɔblɛm | I nɔ kin izi fɔ mek di bren kɔntrol di mɔsul dɛn na di mɔt ɛn di trot. fכ egzampl, lεk 58% pan di pikin dεm we gεt wan kכndyushכn we dεn kכl Sεribral Palsi dεn tu gεt dis kכndyushכn. I kin kam bak bikɔs yu gɛt injury na yu bren ɔ yu gɛt strok. |
| Anatomical Abnɔmal tin dɛn we de apin | Di chenj dɛn we de apin na di bɔdi we kin mek i nɔ izi fɔ swɛla. εgzampl: di tכng we big pas nכmal, di jaw כ trot de fכm, di lip כ di palata we kכl, prכblεm wit di posishכn we di tit dεm de. |
| Fɔ mek saliva bɔku pasmak | Pan ɔl we di pikin ebul fɔ swɛla, di bɔdi de mek mɔ saliva pas aw i nid. Dis kin bi wan sayd ɛfɛkt fɔ sɔm mɛrɛsin ɔ bikɔs ɔf ɔda sik dɛn we de mek pɔsin nɔ ebul fɔ blo fayn. |
| We yu de blo wit yu mɔt | Sɔm pikin dɛn kin blo tru dɛn mɔt instead fɔ blo tru dɛn nos. Ivin da tɛm de, di mɔt kin opin, ɛn dis kin mek di saliva kɔmɔt. |
Wetin kin bi di sayn dɛm fɔ dis sik?
di simptom dεm dipכnt pan if di saliva de fכlכ kכmכt (anterior) כ insay di trot (posterior).
- If saliva de flɔ fɔ go bifo (Anterior Sialorrhea):
- Ɔltɛm fɔ gɛt wet klos ɛn pilo kes.
- Di skin we de rawnd di mɔt ɛn di chin kin rɛd, dray, ɛn i kin flay.
- Sɔntɛnde, wata kin de na di bɔdi smɔl (mild dehydration).
- Sɔm i nɔ kin izi fɔ tɔk ɛn it.
- If saliva de flɔ dɔŋ di sayd na di trot (Posterior Sialorrhea): Dis kin mek sɔm siriɔs sayn dɛn.
- I nɔ kin blo bɛtɛ ɔltɛm, i kin kɔf, i kin gɛt nɔys, ɛn i kin vɔmit .
- Chɛst we kin ful-ɔp.
- I nɔ kin izi fɔ yu fɔ blo.
- Aspiration: Dis min se yu fɔ sok tin dɛn lɛk saliva insay di lɔng. Dis kin rili denja bikɔs i kin mek yu gɛt siriɔs infɛkshɔn lɛk nyumonia .
Aw yu go no if dis na mεdikal kכndyushכn?
Anterior sialorrhea kin izi fɔ mek dɔktɔ no afta i dɔn chɛk yu pikin ɛn aks yu fɔ di ditel dɛn.
Bɔt if yu tink se yu pikin gɛt prɔblɛm wit drɔl, yu go nid fɔ mek dɛn du spɛshal tɛst fɔ no if i gɛt prɔblɛm. Dɛn kin yuz spɛshal tin dɛn fɔ chɛk yu pikin in trot, aw i de swɛla, ɛn aw i de tɔk. Fɔ ɛgzampul, wan spɛshal ɛkstrem rayt we dɛn kɔl vidiofluoroscopy kin sho di rayt we aw di pikin de swɛla wata ɛn aw dɛn de muv dɔŋ di trot. Nɔ wɔri, yu dɔktɔ go jɔs ɔda dis tɛst if i rili nid fɔ du am.
Wetin yu de du as tritmɛnt?
Di bɛst tin na dat, bɔku tritmɛnt dɛn de fɔ dis. Di dɔktɔ go pik di tritmɛnt we go fayn fɔ di pikin, i go dipen pan di pikin in kɔndishɔn ɛn wetin mek i gɛt am.
- Mεdikeshכn dεm we dεn kin tek fכ it: dεn kin gi dεm mεdikeshכn dεm we de ridyus saliva prodakshכn כ mek di aywe izi. Bɔt sɔm pan dɛn mɛrɛsin ya kin mek yu gɛt sayd ɛfɛkt lɛk we yu mɔt dray ɛn we yu gɛt bɛlɛ. So, di dɔktɔ go gi dɛn tin ya afta we i dɔn tek tɛm tink bɔt am.
- Botox injεkshכn: dεn injεkt Botulinum Toxin (Botox) insay di saliva gland dεm fכ kכntrכl saliva prodakshכn fכ lεk 4 mכnt. Dis na tritmɛnt we nɔ bad naw fɔ pikin dɛn.
- Di we aw dɛn kin du ɔpreshɔn: If i rili siriɔs, dɛn kin du ɔpreshɔn fɔ pul sɔm saliva gland dɛn ɔ chenj di we aw dɛn de wok. Dɛn tin ya kin gi wan sɔlv we go de sote go.
- Oral motor training: Dis na tritmɛnt we rili impɔtant. Ɛspɛshali fɔ pikin dɛn we de drɔl bikɔs ɔf wan strɔkchɔral prɔblɛm na di bɔdi, di wan dɛn we de mɛn pipul dɛn we de tɔk kin gi dɛn trenin fɔ ɛp dɛn fɔ swɛla fayn ɛn kɔntrol di mɔsul dɛn na dɛn mɔt.
Bɔt if yu pikin gɛt wan sik we nɔ kin rili bad, i nɔ go nid fɔ gɛt bɔku tritmɛnt. Yu kin ebul fɔ kɔntrol dis bay we yu de protɛkt di skin bay we yu wɛr bib ɛn put barɛri krim rawnd di chin .
Ustɛm yu fɔ kia fɔ yu pikin?
As wi bin dɔn tɔk, na nɔmal tin fɔ lɛ yɔŋ pikin drɔl. Bɔt if yu kɔntinyu fɔ drɔl pasmak afta yu dɔn ol 4 ia , i go fayn fɔ mek yu tɔk to dɔktɔ, bikɔs i kin bi sayn fɔ wan sik we de ɔnda yu.
Wan ɔda tin we yu fɔ tink bɔt na if yu pikin bigin fɔ drɔl pasmak wantɛm wantɛm afta lɔng tɛm we i nɔ gɛt ɛni prɔblɛm. I kin bi bikɔs ɔf infekshɔn na in trot ɔ di pikin swɛla sɔntin (lɛk tɔys ɔ kɔyn). If yu tink se dis, kɛr yu pikin go na di ɔspitul we de nia yu in Imejɛnsi Dipatmɛnt (ETU) wantɛm wantɛm .
If pikin aksidɛntli swɛla pɔyzin ɔ ɔda tin we nɔ fayn, go to dɔktɔ wantɛm wantɛm.Yu kin kɔl bak di Nashɔnal Pɔyzin Infɔmeshɔn Sɛnta na di Kɔlɔmbɔ Nashɔnal Ospital.
Bɔt if yu pikin in drɔl de ambɔg in nɔmal layf ɛn gladi at, mek shɔ se yu go to dɔktɔ ɛn gɛt di rayt advays ɛn tritmɛnt.
Mɛsej we dɛn kin kɛr go na os
- Pan ɔl we fɔ drɔl na nɔmal tin we i smɔl, i impɔtant fɔ go to dɔktɔ if i kɔntinyu fɔ de afta i ol 4 ia.
- Dis kin bi bikɔs ɔf prɔblɛm wit di nerve control, wan strɔkchɔral chenj na di bɔdi, ɔr di saliva prodyuz pasmak.
- Dɛn fɔ tek tɛm trit di posita sialorrhea bikɔs i kin mek i gɛt prɔblɛm dɛn lɛk nyumonia.
- Bɔku tritmɛnt dɛn de we kin wok fayn fɔ dis, lɛk mɛrɛsin, Botox injɛkshɔn, ɔpreshɔn, ɛn tɛrapi fɔ tɔk.
- Nɔ kip ɛni dawt na yu maynd. Tɔk to yu famili dɔktɔ bɔt dis ɛnitɛm ɛn gɛt di rayt gayd.
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