Kodi mwana wanu nayenso amakankha lilime? (Kukankha lilime) - Tiyeni tikambirane izi!

Kodi munayamba mwaonapo mwana wanu akupereka lilime lake panja akamalankhula, akameza chakudya, kapena atakhala pansi? Nthawi zina, lilime lake limatha kutuluka pakati pa mano ake. Izi ndi zomwe timangotcha kukankha lilime , kapena "Kukankha Lilime". Ngakhale zingawoneke ngati zazing'ono poyamba, ngati izi zipitirira, zingayambitse mavuto osiyanasiyana kwa mwana. Chifukwa chake, palibe chodetsa nkhawa nacho, tiyeni tikambirane za izi mwatsatanetsatane lero.

Kodi kugwedeza lilime kumeneku n’chiyani?

Mwachidule, kukankha lilime ndi chizolowezi chokankhira lilime patsogolo kumbuyo kwa mano. Izi zitha kuchitika mukulankhula, kumeza, kapena ngakhale pakamwa potseguka. Ndikofala kwambiri pakati pa ana aang'ono. Komabe, ngati sichikuthandizidwa bwino, chizolowezichi chingakhalepo mpaka paubwana ndipo mwina mpaka munthu wamkulu.

Ngati muwona mwana wanu atulutsa lilime lake motere, ndikofunikira kuti dokotala amufufuze. Pakapita nthawi, kukankha lilime kumeneku kungayambitse mavuto olankhula , mano osakhazikika bwino , kapena molondola, malocclusion kapena "kuluma moyipa." Nkhani yabwino ndi yakuti pali mankhwala omwe angathandize mwana wanu kusiya chizolowezi chokankha lilime.

Kodi zizindikiro za kukankha lilime ndi ziti?

Si ana onse omwe angakumane ndi izi mwanjira yofanana. Komabe, pali zizindikiro zina zomwe mungayang'anire. Yang'anirani zizindikiro izi kuti muwone ngati mwana wanu ali ndi chizolowezi ichi:

• Lilime limatuluka kunja likamalankhula kapena kumeza chakudya. Limaoneka ngati njoka yaying'ono.
• Chakudya chimakhala chovuta kuchimeza, ndipo chimagwa mosavuta kuchokera mkamwa. Mungathe kuona china chake chomwe mwanayo akudya chikutuluka mkamwa pamene mukuyang'ana.
• Nthawi zambiri umaluma lilime kapena tsaya. Ngati nthawi zambiri umanena kuti, "Amayi, ndaluma lilime langa," dandaula pang'ono.
• Kawirikawiri, m'malo mopuma kudzera m'mphuno, mumapuma kudzera m'kamwa (kupuma pakamwa). Ichi ndi chizindikironso.
• Mawu ena amavuta kuwatchula bwino polankhula. Makamaka potchula zilembo monga "ஸ", "ஶ", "ச", "ஜ", ndi zina zotero, amasokonezeka ndipo amakhala ndi mawu osiyana. Mwachitsanzo, akamanena kuti "ஸமன்", angamveke ngati "தமன்".

Mavuto a mano

Mukapitiriza kukankha mano anu ndi lilime lanu kwa nthawi yayitali, mavuto osiyanasiyana angabuke m'mano anu. Tangoganizirani zomwe zingachitike ngati mupitiliza kugogoda pa chinthu chomwe chilipo. Umu ndi momwe zilili ndi izi.

• Malocclusion: Vuto lofala kwambiri ndi kuluma kotseguka, komwe mano apamwamba ndi apansi sakumana bwino pakamwa potsekedwa. Izi zikutanthauza kuti mano apamwamba ndi apansi sakumana bwino pakamwa potsekedwa, zomwe zimasiya mpata pakati. Izi zitha kuchitikanso chifukwa mano apamwamba amakhala patsogolo kwambiri (overbite) kapena mano apansi kukhala patsogolo kwambiri (underbite).Zingakhale bwino.
• Mipata pakati pa mano: Mpata uwu umapezeka kwambiri pakati pa mano awiri akutsogolo.
• Kupweteka kwa nsagwada: Ngati mwana wanu akudandaula nthawi zonse kuti nsagwada yake ikupweteka, mwina chifukwa mafupa kapena mano ake a nsagwada sali bwino. Pakapita nthawi, kukankha lilime kumeneku kumatha kukhala matenda a temporomandibular joint (TMJ) .

Zizindikiro za kukankha lilime mwa akuluakulu ndi zofanana ndi za ana. Komabe, monga akuluakulu, zotsatira za kukankha lilime kwa nthawi yayitali, monga kukoka mano ndi kupweteka kwa nsagwada, zimatha kukhala zoopsa kwambiri.

Kodi zifukwa zokankhira lilime ndi ziti?

Pakhoza kukhala zifukwa zingapo za izi. Tiyeni tiwone zazikulu.

Ana athanzi amabadwa ndi mphamvu yotulutsa lilime lawo (extrusion reflex) . Izi zimathandiza kupewa kutsamwa akamayamwitsa kapena kumwa kuchokera m'botolo. Chizolowezi chobadwa nachochi chimatha pang'onopang'ono ali ndi miyezi 6, pamene ana amayamba kudya zakudya zolimba.

Komabe, kwa makanda ena, chizolowezi chachibadwachi chingakhale njira yogwiritsira ntchito lilime lawo mwanjira imeneyi. Pali zifukwa zambiri zomwe zimapangitsa izi:

• Kugwiritsa ntchito zopumira ndi makapu opumira mpaka atakwanitsa zaka zitatu. Tangoganizirani, pamene chopumira kapena chikho chopumira chili mkamwa, nsagwada ndi lilime la mwana zimangoyenda pansi ndi patsogolo. Kenako, lilime limakhala chizolowezi chokankhidwira patsogolo ndi kayendedwe koyamwa.
• Matenda omwe amachititsa kuti pakamwa pazipuma. Zinthu monga ziwengo, chifuwa chosatha, kapena kutupa kwa matoni kapena adenoids zingapangitse kuti mwana asamapume mpweya kudzera m'mphuno mwake. Kenako, kuti apeze mpweya wokwanira, amakankhira nsagwada zawo (ndi lilime) pansi ndi patsogolo pamene akupuma kudzera mkamwa mwake.
• Mavuto ena a thupi. Ana omwe ali ndi nsagwada zopapatiza zakumtunda kapena mano odzaza amakhala ndi malo ochepa pakamwa kuti agwire ndikusuntha lilime lawo bwino. Izi zingayambitsenso chizolowezi chokhudza lilime. Komanso, makanda omwe ali ndi zomangira zomangira ayenera kukhudza lilime lawo kuti amenye chakudya.
• Matenda a mitsempha. Kukankha lilime kungayambitsidwenso ndi matenda omwe amakhudza momwe mwana amagwiritsira ntchito minofu yomwe imagwiritsidwa ntchito polankhula ndi kumeza. Zitsanzo zake ndi monga matenda a ubongo , matenda a Down syndrome, ndi matenda a autism spectrum disorder (ASD) .

Kukankhira lilime ndi kupsinjika maganizo mwa akuluakulu

Kukankha lilime nthawi zina kumagwirizanitsidwa ndi kupsinjika maganizo ndi nkhawa mwa akuluakulu. Nkhawa yokha siimayambitsa kukankha lilime, koma mukapanikizika, mumakhala ndi mwayi wokankha lilime lanu patsogolo mosazindikira, kuphatikizapo:

• Kupukuta mano (Bruxism)
• Kupuma pakamwa
• Kugwira nsagwada

Kodi mungazindikire bwanji kugwedezeka kwa lilime?

Madokotala amazindikira vutoli poona ngati mwana wanu amatulutsa lilime lake kapena amatulutsa pamene akulankhula kapena kumeza. Angapemphe mwana wanu kuti anene mawu enaake. Mwachitsanzo, ngati mwana wanu atulutsa lilime lake, angatchule mawu akuti "six" ngati "thay."

Dokotala wa mwana wanu adzafufuza mano a mwana wanu kuti awone ngati ali ndi vuto loluma. Adzafunsanso ngati mwana wanu akumwa makapu onyowa kapena akuyamwa chala chake chachikulu. Ngati mwana wanu ndi wamkulu, angafunsenso nthawi yomwe anasiya kugwiritsa ntchito zizolowezi zimenezi.

Kodi kuponda pa lilime kumachiritsidwa bwanji?

Njira zochiritsira mwana wanu zimadalira zaka zake komanso ngati ali ndi vuto lililonse la mano. Mwachitsanzo, ana ena amasiya kugwedeza lilime lawokha akafika zaka 4 kapena 5. Ngati kugwedeza lilime sikukupweteka kwambiri, dokotala wanu angasankhe kuchedwetsa chithandizo mpaka mwana wanu atakhala ndi mwayi wosiya yekha.

Ana ambiri omwe amalandira chithandizo chokhudza lilime ali pakati pa zaka 8 ndi 12. Chithandizo chimaphatikizapo kusiya chizolowezicho ndikukonza mavuto monga mano opindika. Nazi njira zina zochiritsira:

• Chithandizo cha kulankhula: Katswiri wa matenda a chilankhulo (SLP) angaphunzitse mwana wanu kulimbitsa ndi kuyika lilime lake bwino. Izi zimuthandiza kusiya kukankhira lilime lake. Angaphunzitsidwenso masewera olimbitsa thupi apadera omwe amagwiritsa ntchito lilime, masaya, ndi milomo. Maphunziro amtunduwu amatchedwanso chithandizo cha myofunctional .
• Chitseko cha Lilime: Dokotala wa mano akhoza kuyika chipangizochi kumbuyo kwa mano a mwana wanu. Izi zimapangitsa kuti mwanayo asamakankhire lilime lake patsogolo ndikugunda mano ake. Ana ambiri amafunika kuvala chipangizochi kwa miyezi 6 mpaka chaka kuti awathandize kuchita masewera olimbitsa lilime lawo.
• Ma Braces ndi Aligners: Ngati dokotala wa mano wa mwana wanu waluma kwambiri, angafunike kuyika ma braces kapena aligners kuti akonze.

Nanga chimachitika ndi chiyani ngati mwana wanga ali ndi chizolowezi chokhudza lilime lake?

Nthawi zambiri, zomwe zimayambitsa kukanda lilime zimatha kuchiritsidwa bwino. Ngakhale kuti njira zonse zochiritsira kulankhula ndi zomangira zimagwiritsidwa ntchito, pakapita nthawi, ana ambiri (ndi akuluakulu omwe amapezeka mochedwa) amatha kusiya kukankha lilime. Mankhwalawa amathanso kukonza mavuto monga kuwola kwa mano ndi mavuto olankhula omwe amayamba chifukwa chokanda lilime kwa nthawi yayitali. Ndiye musadandaule, chabwino?

Kodi kukankhana lilime kungalepheretsedwe?

Inde, n'zosatheka kupewa zinthu zonse zomwe zimayambitsa kukankhana lilime. Komabe, mutha kupewa zizolowezi zina zoipa zomwe zimasokoneza kukhazikika bwino kwa mano ndi nsagwada zanu. Mwachitsanzo:

• Yeretsani mwana wanu kusiya kumwa zakumwa zoziziritsa kukhosi ndi zakumwa zoziziritsa kukhosi akakwanitsa zaka zitatu.Ngakhale kuti zipangizozi n’zothandiza komanso zotonthoza makanda, zimatha kuvulaza ana akakula.
• Muletse mwana wanu kuyamwa chala chake chachikulu.

Kodi ndiyenera kupita kwa dokotala liti?

Ngati mwana wanu ali ndi zaka 4 kapena kuposerapo ndipo akadali kutulutsa lilime lake, pangani nthawi yokumana ndi dokotala wa ana kapena wa mano. Pofika msinkhu uwu, ana ambiri amakhala atataya kwathunthu mphamvu yogwiritsa ntchito lilime yomwe imawathandiza kuti asatsamwitsidwe ali makanda. Ngati chizolowezichi chipitirira pambuyo pa msinkhu uwu, chikhoza kukhala chizolowezi chovuta kusiya ndipo chingayambitse mavuto a mano ndi kulankhula kwawo mtsogolo.

Mafunso oti mufunse dokotala

Mukapita kwa dokotala, musaiwale kufunsa mafunso awa:

• N’chiyani chimachititsa kuti mwana wanga atulutse lilime lake?
• Kodi adzafunika chithandizo?
• Kodi chithandizo chiyenera kuyamba liti?
• Kodi tiyenera kuwona madokotala amtundu wanji? (monga katswiri wa kulankhula, dokotala wa mano)
• Kodi zimatenga nthawi yayitali bwanji kuphunzitsa mwana kugwiritsa ntchito lilime lake bwino?

Chidule (Uthenga Wopita Nawo Kunyumba)

N'zovuta kuganiza kuti chizolowezi chachilengedwe chomwe chimateteza mwana wamng'ono kuti asatsamwitsidwe chingakhale chizolowezi choipa akamakula, sichoncho? Koma pamene tikukula, zosowa zathu zimasintha, ndipo momwe matupi athu amagwirira ntchito zimasintha.

Pakapita nthawi, ana ambiri amaphunzira kugwira lilime lawo bwino, kudya, kumeza, ndi kulankhula. Koma ngati mwana wanu akufunika thandizo pang'ono, palibe cholakwika ndi zimenezo. Kukankha lilime ndi vuto lochiritsika. Mukachita khama pang'ono, inu, mwana wanu, ndi gulu lomwe limamuthandiza mungathe kusiya chizolowezichi. Chifukwa chake, musadandaule, tiyeni tichite zomwe zikufunika, chabwino?

Kukankha Lilime , Mano a Ana, Matenda Olankhula, Chithandizo cha Myofunctional, Mavuto a Mano, Thanzi la Mkamwa