Ingaba umntwana wakho unemilebe/inkalakahla evulekileyo? (Imilebe Eqhekekileyo/Inkalakahla Eqhekekileyo) - Masiqaphele oku!

Ngamafutshane, i-cleft lip kunye ne-cleft palate zizithuba ezikwimilebe engentla yomntwana okanye eluphahleni lomlomo. Ezi zithathwa njengeziphene zokuzalwa/iimeko ezingaqhelekanga zokuzalwa . Oku kuthetha ukuba ezi meko zenzeka ngelixa umntwana esesesibelekweni, okanye ngexesha lokukhula komntwana ongekazalwa, xa iindawo zobuso zidibene. Oku kwenzeka xa izicubu ezenza umlebe ongaphezulu kunye ne-left palate zingadibani kakuhle. Kodwa ungakhathazeki, zombini ezi meko zinokulungiswa kakhulu ngotyando.

Yintoni imilebe eqhekekileyo?

Imilebe yethu iqala ukwakheka phakathi kweeveki ezine ukuya kwezisixhenxe emva kokukhulelwa. Izicubu ezivela kumacala omabini entloko ziyadibana phakathi kobuso ukuze zenze imilebe nomlomo. Imilebe eqhekekileyo yenzeka xa ezi zicubu zenza imilebe zingadibani ngokupheleleyo.

Okwenzekayo kukuba kubekho umsantsa omncinci okanye omkhulu phakathi kwamacala omabini omlebe ongasentla. Lo msantsa unokuba ngumsantsa omncinci ngamanye amaxesha, okanye unokuba ngumsantsa omkhulu ofikelela empumlweni. Oku kwahluka kunokuchaphazela neentsini okanye incasa.

Yintoni iCleft Palate?

Impumlo yakho ikhula phakathi kweeveki ezintandathu ukuya kwezisithoba zokukhulelwa. Impumlo eqhekekileyo yindawo evulekileyo okanye evulekileyo eluphahleni lomlomo wakho ekhula ngeli xesha. Ingachaphazela impumlo eqinileyo ngaphambili, impumlo ethambileyo ngasemva, okanye zombini.

I-Cleft lip kunye ne-cleft palate zinokwenzeka kwelinye icala lomlomo okanye kumacala omabini. Ngenxa yokuba i-cleft lip kunye ne-palate zikhula ngokwahlukeneyo, ezi meko zilandelayo zinokwenzeka:

• Umlomo oqhekekileyo ongenalo iqakala eliqhekekileyo.
• Incakuba eqhekekileyo engenamlomo uqhekekileyo.
• Zombini imilebe eqhekekileyo kunye nencakuba eqhekekileyo - Le yeyona ixhaphakileyo.

Ixhaphake kangakanani le meko?

Enyanisweni, ezi meko zibizwa ngokuba yi-cleft lip kunye ne-cleft palate zikwabonakala naseSri Lanka. EMelika, ezi zezinye zezona ziphene zixhaphakileyo ekuzalweni.

Ngokwedatha apho (Amaziko ase-US oLawulo lweZifo kunye nokuThintela):

• Malunga nomntwana omnye kwi-1600 uzalwa enomlomo oqhekekileyo kunye nenkalakahla eqhekekileyo.
• Malunga nomntwana omnye kwi-2,800 uzalwa enomlomo oqhekekileyo kwaye engenawo umlomo oqhekekileyo.
• Malunga nomntu omnye kwabayi-1,700 abazalwayo uzalwa enencasa eqhekekileyo, kungekhona imilebe eqhekekileyo.

I-Cleft lip (enomlomo oqhekekileyo okanye ongenawo) ixhaphake kakhulu kwiintsana ezingamaduna. I-Cleft palate yodwa (engenamlomo oqhekekileyo) ixhaphake kakhulu kwiintsana ezingamantombazana.

Zithini izizathu zokuqhekeka komlomo kunye nencasa?

Kwiimeko ezininzi, kunzima ukuchonga unobangela ochanekileyo womlomo oqhekekileyo okanye intlama eqhekekileyo. Asinto abazali abanokuyithintela. Uninzi lwezazinzulu zikholelwa ukuba ibangelwa kukudibana kwezinto zemfuza kunye neemeko ezingqongileyo.Kubonakala ngathi le meko iyenzeka. Ukuba kukho umntu kusapho, oko kukuthi, umntakwenu, umzali, okanye esinye isalamane, onayo le meko, kubonakala ngathi kukho ithuba elingaphezulu kancinci lokuba nosana olusandul’ ukuzalwa nalo luza kuyihlakulela.

Zithini izinto ezibangela umngcipheko?

Ukuba usebenzisa amayeza athile ngexesha lokukhulelwa, umntwana wakho usenokuba sengozini enkulu yokuba nemilebe/inkalakahla eqhekekileyo. Umzekelo:

• Amanye amayeza anikwayo kwiimeko ezifana nesifo sokuwa (amayeza okuthintela ukuxhuzula).
• Amayeza aqulethe `(Accutane®)` okuthintela i-acne.
• I-Methotrexate liyeza elisetyenziselwa ukunyanga izifo ezifana nomhlaza, isifo samathambo kunye ne-psoriasis.

Kwakhona, ezinye izinto ezinxulumene nomama zinokuchaphazela oku:

• Ukunqongophala kwe-folic acid.
• Ukutyeba kakhulu kuthetha ukuba nobunzima obukhulu.
• Ukusetyenziswa kwecuba ngexesha lokukhulelwa.
• Ingxaki yokusebenzisa iziyobisi.
• Ukuchanabeka kwiintsholongwane okanye kwiikhemikhali ezithile ngexesha lokukhulelwa.

Ingaba oku kuyimfuza? (Ingaba i-cleft lip/cleft palate ifuzed?)

Ezinye izifundo zibonisa ukuba kukho unxibelelwano lwemfuza phakathi kwe-cleft lip kunye ne-cleft palate. Umzekelo, ukuba wena okanye iqabane lakho benine-cleft lip okanye i-cleft palate ekuzalweni, umntwana wakho unethuba eliyi-2% ukuya kwi-8% lokuba nale meko. Ukuba sele unomntwana one-cleft lip/cleft palate, umntwana wakho olandelayo unamathuba amancinci okuba nale meko.

Zithini iingxaki zale meko?

Iintsana ezizelwe zinemilebe eqhekekileyo okanye i-cleft palate zinokuba nobunzima bokutya (ezincanciswa ebhotileni nakwancanciswayo) . Zisenokuba nobunzima bokuthetha. Rhoqo, ulwelo luqokelelana emva kwe-eardrum, nto leyo ebangela ukulahlekelwa kukuva . Ezinye iintsana zikwanazo neengxaki zamazinyo .

Ungayixilonga njani imilebe eqhekekileyo kunye nencasa evulekileyo?

Ixesha elininzi, i-cleft lip inokubonwa ngexesha le-ultrasound yokukhulelwa . Oku kungenxa yokuba i-cleft lip inokubangela utshintsho ebusweni bomntwana. Nangona kunjalo, ukuba kukho i-cleft palate kuphela engenalo i-cleft lip (Isolated Cleft Palate), kunzima ngakumbi ukuyibona ngale ndlela. Yi-7% kuphela yamatyala anjalo afunyanwa kwi-ultrasound.

Ukuba oku akubonwanga kwi-ultrasound, umlomo, impumlo, kunye nencasa zingahlolwa emva kokuba umntwana ezelwe ukuze kuchongwe ukuba kukho imilebe eqhekekileyo okanye incasa eqhekekileyo.

Kwezinye iimeko, ugqirha unokucebisa uvavanyo olubizwa ngokuba yi -amniocentesis , olubandakanya ukuthatha isampuli yolwelo lwe-amniotic olujikeleze umntwana ukuze kuhlolwe ezinye izifo zemfuza.

Ngaba umlomo oqhekekileyo ungafunyanwa ngaphambi kokuba uzalwe?

Uninzi lwexesha, oogqirha baya kuyibona imilebe eqhekekileyo ngexesha le-ultrasound scan yakho yeeveki ezingama-20 (Anatomy Scan), esi siskeni esenziwa phakathi kweeveki ezili-18 nezingama-22 zokukhulelwa. Ngamanye amaxesha sinokubonwa kwangethuba kwiiveki ezili-12. Nangona kunjalo, ukubona i-cleft palate kwi-ultrasound kunzima ngakumbi.

Ziziphi iindlela zonyango zokulungisa umlomo/inkalakahla evulekileyo?

I-Cleft lip kunye/okanye i-cleft palate zinyangwa ngotyando . Iinkcukacha ezichanekileyo zolu nyango zixhomekeke kubukhulu be-cleft, ubudala bomntwana, kunye nazo naziphi na ezinye iimfuno ezikhethekileyo okanye iimeko zempilo abanazo. Umntwana wakho uza kwenziwa olu tyando esibhedlele, phantsi kwe -anesthesia jikelele , oko kuthetha ukuba ulele ngokupheleleyo.

Ukulungiswa kweMilebe eCleft

Umlebe oqhekekileyo ungadinga utyando olunye okanye ezimbini. Utyando lokuqala ludla ngokwenziwa xa umntwana wakho ephakathi kweenyanga ezi-3 nezi-6 ubudala. Olu tyando luya kulungisa luze luvale umlebe. Ukuba kufuneka utyando lwesibini, ludla ngokwenziwa xa umntwana wakho eneminyaka emalunga neenyanga ezi-6 ubudala.

Kukho iindlela ezahlukeneyo ezinokusetyenziswa ngaphambi kotyando ukuphucula iziphumo. Ezi ziindlela ezingahlaseliyo ezinokutshintsha kakhulu imo yemilebe, impumlo, kunye nomlomo womntwana wakho. Umzekelo:

• Indlela yokuthambisa imilebe inokunceda ukunciphisa umlebe womntwana oqhekekileyo.
• I-lifti yempumlo inceda ekubumbeni impumlo yomntwana ibe yimo yendalo.
• Isixhobo sokubumba iimpumlo kunye ne-Alveolar Molding (NAM) sinceda ekwakheni izicubu zomlomo ngendlela efanelekileyo xa kusenziwa utyando.

Ukulungiswa kweCleft Palate

Utyando lwe-Cleft palate ludla ngokwenziwa xa umntwana eneminyaka eli-12 ubudala. Oku kunceda ekudaleni i-palate esebenzayo kwaye kunciphise amathuba okuba ulwelo luqokeleleke kwindlebe ephakathi yomntwana. Ukuthintela oku kuqokelelana, abantwana abane-cleft palates badla ngokuba neetyhubhu ezikhethekileyo ezifakwa kwiindlebe zabo ukunceda ukukhupha ulwelo. Oogqirha babo baya kujonga ukuva kwabo malunga kanye ngonyaka.

Malunga nama-40% abantwana abaneempumlo eziqhekekileyo baya kufuna utyando olongezelelweyo ukuphucula intetho yabo . Ingcali yezifo zentetho iya kuvavanya intetho yomntwana wakho phakathi kweminyaka emi-4 ne-5. Angasebenzisa i-nasopharyngeal scope ( ikhamera efakwa ngempumlo) ukujonga intshukumo yolwimi nomqala. Ukuba umntwana wakho udinga utyando ukuphucula intetho yakhe, kudla ngokwenziwa malunga neminyaka emi-5.

Abantwana abanomngxuma ochaphazela umgca weentsini banokufuna ukufakelwa amathambo phakathi kweminyaka emi-6 neli-10. Le nkqubo izalisa umgca weentsini ophezulu, inika inkxaso yamazinyo asisigxina kwaye izinzise umhlathi ongaphezulu. Akuba amazinyo asisigxina efikile, umntwana wakho unokufuna ukuba alungiswe amazinyo akhe.Kudla ngokuba yimfuneko ukusebenzisa iibraces kunye ne-palate expander ukuze kwandiswe i-palate.

Umntwana wakho usenokudinga olunye utyando ngenxa yezi zinto zilandelayo:

• Phucula imbonakalo yemilebe nempumlo.
• Vala imingxuma ephakathi komlomo nempumlo.
• Yenza ukuphefumla kube lula.
• Zinzisa kwaye wolule umhlathi wakho.

Utyando lunokuba neengozi ezifana nokopha, usulelo, kunye nomonakalo kwimithambo-luvo, kwizicubu, okanye kwezinye izakhiwo. Nangona kunjalo, utyando lomlomo oqhekekileyo ludla ngokuphumelela kwaye lunomngcipheko omncinci. Isilonda esincinci esipinki sishiywa emva kotyando lomlomo oqhekekileyo, ekufuneka siphele kancinci njengoko umntwana ekhula.

Zithini iindlela zonyango ezingasebenzisi utyando?

Abantwana abane-cleft lip okanye i-cleft palate banokufuna unyango olungaphaya kotyando. Ezinye iindlela zonyango oogqirha babo abanokuzicebisa ziquka unyango lokuthetha kunye nonyango lwe-orthodontic .

Ngubani onyanga aba bantwana?

Ngenxa yenani leengxaki zempilo yomlomo kunye nezempilo ezinxulumene nomlomo oqhekekileyo okanye intlaka evulekileyo, iqela labanikezeli beenkonzo zonyango lenza isicwangciso sokhathalelo esibanzi. Unyango lomntwana wakho ludla ngokuqala ebuntwaneni kwaye luhlala luqhubeka de abe ngumntu omdala.

Iqela labo lezempilo lingabandakanya:

• Ugqirha wePlastiki wabantwana.
• Ugqirha wezingane.
• Ingcali ye-otolaryngologist (ingcali yendlebe, impumlo, kunye nomqala).
• Ababoneleli ngeNkxaso yokuncancisa ukuze bancede ekutyiseni umntwana kwangethuba.
• Ugqirha wamazinyo yingcali yamazinyo elungisa amazinyo aze awahambise ngendlela eyiyo.
• Ugqirha wamazinyo okanye ugqirha wamazinyo wabantwana obonelela ngonyango lwamazinyo ngokubanzi.
• Ingcali ekwenzeni amazinyo okwenziwa kunye nezixhobo zamazinyo (Prosthodontist).
• Iingcali zePathology zoLwimi lweeNtetho (ii-SLP) zivavanya iingxaki zokuthetha.
• Ingcali ye-audiologist evavanya kwaye ijonga ukuva.
• Ingcali yezentlalo/ingcali yezengqondo exhasa usapho kwaye ijonga ukuba kukho naziphi na iingxaki malunga nokulungiswa komntwana.
• Abacebisi bezofuzo abanceda abazali kunye nezigulane zabantu abadala ukuba baqonde ukuba kunokwenzeka ukuba nabantwana abane-cleft palate/lip kwixesha elizayo.

Ngaba imilebe/inkalakahla eqhekekileyo ingathintelwa?

Akukho ndlela yokuthintela ngokupheleleyo umntwana wakho ukuba abe nemilebe/inkalakahla eqhekekileyo. Nangona kunjalo, ungayinciphisa ingozi ngokuphepha icuba, utywala, kunye namayeza athile ngexesha lokukhulelwa. Thetha nogqirha wakho ukuze ufumane ulwazi oluthe kratya.

Liza kuba njani ikamva laba bantwana?

Unyango lungathatha iminyaka kwaye lunokufuna utyando oluninzi.Uninzi lwabantwana abanezi meko banobuntwana obuqhelekileyo. Ngonyango, ubunzima bokuthetha nokutya bunokuphucula. Abanye abantu banokuba novelwano malunga nokuma kwemilebe yabo okanye amanxeba. Thetha noogqirha bomntwana wakho malunga nendlela abanokuxhasa ngayo kule minyaka idlulileyo.

Ngaba umntwana onomlomo/inkalakahla evulekileyo angancanciswa?

Kunokwenzeka ukuncancisa umntwana wakho xa umlomo wakhe uqhekekile okanye umqolo wakhe uqhekekile. Nangona kunjalo, uya kufuna uncedo oluvela kwingcali yezonyango eqeqeshiweyo. Ukuncancisa ngempumelelo kuxhomekeke kwizinto ezininzi, ezinje:

• Uhlobo, ubungakanani, kunye nendawo apho kukho umfantu.
• Indawo oncancisa kuyo.
• Nokuba umntwana wakho une-syndrome enxulumene noku (enokuba nezinye iimpawu eziphazamisa ukuncancisa).
• Imfundo yokuncancisa kunye nenkxaso oyifumanayo.

Iintsana zisebenzisa ukufunxa ubisi ebeleni. Umlomo oqhekekileyo kunye/okanye incasa eqhekekileyo zinokuthintela umntwana ekusebenziseni oku kufunxa.

Uphando lubonisa ukuba ezinye iintsana ezinemilebe eqhekekileyo kuphela zinokufunxa ngokwaneleyo ukuze zincancise ngempumelelo. Kusenokwenzeka nokuba iintsana ezineemifantu ezincinci ezichaphazela kuphela inkalakahla ethambileyo zinokufumana ukufunxa okufunekayo.

Nangona kunjalo, kudla ngokuba nzima ukukhulisa amandla okubamba kwiintsana ngolu hlobo:

• Kwabantwana abanemilebe eqhekekileyo kunye nenkalakahla evulekileyo.
• Kwabantwana abaneentanda ezinkulu ezichaphazela iindawo eziqinileyo nezithambileyo zentloko.

Lo mntwana usenokuba nobunzima ekukhuliseni amandla okuncanca kuba akukho kwahlukana okufanelekileyo phakathi kwempumlo nangaphakathi komlomo.

Ukuba umntwana wakho akakwazi ukuncanca kakuhle, ukuzama ukwenza njalo kunokuba nzima kakhulu . Banokuba nokubuyela kwempumlo okanye babuyele empumlweni. Abanye abantwana basenokungafumani ubisi olwaneleyo, nto leyo enokubangela iingxaki zokutya kunye nokukhula.

Inkxaso yokuncancisa umntwana onemilebe/inkalakahla eqhekekileyo

Into yokuqala ekufuneka uyazi kukuba awuwedwa . Ezinye iintsapho ezininzi zijongene nale meko, kwaye zizibuza ukuba zingayilawula njani indlela yokuncancisa okanye ezinye iindlela.

Ngethamsanqa, abacebisi bokuncancisa kunye neengcali zokuncancisa, kuquka neengcali zokuncancisa , bakhona ukukunceda ufumane iindlela zokuncancisa umntwana wakho. Aba bantu banokukunceda nokuba awukwazi ukuncancisa. Yenza idinga lokubonana nabo ngokukhawuleza, nangona usakhulelwe. Ungafunda ngendlela yokunyamekela umntwana wakho kunye nento onokuyilindela.

Umcebisi wobisi angakunceda ngezi zinto zilandelayo:

• Qinisekisa ukuba ukuncancisa kunokwenzeka na.
• Lawula ukubonelelwa kobisi lwakho.
• Funda indlela yokukhuhla ubisi lwebele, nokuba ngesandla okanye ngepompo yebele.
• Fumana indawo yokuncancisa efanelekileyo efanela wena nomntwana wakho.
• Qinisekisa ukuba umntwana wakho ufumana ulwelo olwaneleyo.
• Hlala ujonge ukukhula nokukhula komntwana wakho.
• Ukuba kuyimfuneko, lawula ukondla umntwana okongezelelweyo (ifomula okanye izinto ezithatha indawo yobisi lwebele olunikelwa ngumxhasi).
• Nceda ngokuncancisa wena nomntwana wakho emva kotyando lomlomo/inkalakahla evulekileyo.

Inkxaso ukuba awukwazi ukuncancisa

Kubalulekile ukwazi ukuba nangona wonke umntu esenza yonke imizamo, umntwana wakho usenokungakwazi ukuncancisa ngqo ebeleni. Oku kusenokwenzeka emva kotyando. Nangona kunjalo, umcebisi wakho wokuncancisa unokukunceda ufumane ezinye iindlela zokuncancisa nokunxibelelana nomntwana wakho.

Umzekelo, ugqirha wakho angakunceda ngokukhupha ubisi lwebele . Oku kuquka ukukhupha ubisi lwebele (nokuba ngesandla okanye ngepompo) uze ulunike umntwana wakho usebenzisa icephe, ikomityi, ibhotile, okanye isirinji. Ezinye iibhotile zenzelwe ukunika umntwana wakho uncedo olongezelelweyo ngokumunca. Ugqirha wakho angakunceda ukhethe ibhotile efanelekileyo kuwe.

Ukuncancisa kunika umntwana wakho izondlo ezibalulekileyo kubisi lwakho. Ukuncancisa kunokunciphisa umngcipheko womntwana wakho wokosuleleka endlebeni , okuxhaphakileyo kwiintsana ezinemilebe/inkalakahla eqhekekileyo.

Ugqirha wakho angakukhuthaza ukuba uzame ukuncancisa umntwana wakho, nokuba umntwana wakho akafumani ubisi olwaneleyo lokumtyisa. Ukwenza njalo kunokunceda ukugcina ubisi lwakho lufumaneka. Kwakhona yindlela ebalulekileyo yokuthuthuzela nokwakha ubudlelwane nomntwana wakho.

Luluphi unyango lwamazinyo umntwana wakho aludingayo?

Ngokubanzi, abantwana abaneziqhoboshi baneemfuno ezifanayo nezabanye abantwana. Nangona kunjalo, abantwana abanemilebe nentamo eqhekekileyo banokuba namazinyo angekhoyo, utshintsho kwimo yamazinyo abo, okanye ukungalungelelani kwamazinyo abo. Nazi ezinye iingcebiso:

• Ukhathalelo Lwamazinyo Kwangoko: Umntwana wakho udinga ukutya okunempilo, ukuxukuxa ngokufanelekileyo, kunye nonyango lwe-fluoride ukugcina amazinyo akhe esempilweni. Kwangoko nje amazinyo akhe eqala ukungena, xukuxa amazinyo omntwana wakho ngebrashi yamazinyo encinci, ethambileyo. Ukuba le brashi yamazinyo ayikwazi ukucoca amazinyo akhe ngokufanelekileyo ngenxa yemilo eyahlukileyo yomlomo namazinyo akhe, ugqirha wamazinyo unokucebisa ukuba asebenzise isiponji esithambileyo kunye ne-mouthwash. Buza umntwana wakho ukuba kufuneka asele amazinyo akhe kangaphi ukuze ahlolwe amazinyo.
• Ukhathalelo lwamazinyo: Emva kokuba amazinyo asisigxina ephumile, ugqirha wamazinyo uza kuvavanya iimfuno zamazinyo zomntwana wakho zexesha elifutshane nezexesha elide. Abantwana abaninzi abane-cleft palate baya kufuna i-palatal expansion malunga neminyaka emi-6 okanye esi-7 ubudala. Emva kokuba onke amazinyo asisigxina ephumile, ugqirha wamazinyo angalungisa amazinyo nge-braces. Umntwana wakho usenokufuna nokhathalelo lwamazinyo ukulungiselela utyando lwe-orthognathic.
• Ukhathalelo lweProsthodontic: Ingcali yeprosthodontic ingatshintsha amazinyo angekhoyo ngebhuloho lamazinyo okanye yenze izixhobo ezikhethekileyo ezibizwa ngokuba zii-speech bulbs okanye ii-palatal lifts ukunceda ukuphucula intetho. Ingcali yeprosthodontist isebenza ngokubambisana nogqirha womlomo okanye weplastiki kunye nogqirha wentetho.

Ziziphi iingxaki ezinxulumene nomlomo oqhekekileyo kunye nencasa evulekileyo?

Abantwana abaneengxaki zokutya, ukungakwazi ukuva, kunye neengxaki zokuthetha . Abantwana banokuba neengxaki zamazinyo okanye ukuzithemba.

• Iingxaki zokutya: Xa kukho umngxuma okanye isithuba emlonyeni, ukutya nesiselo zinokubuya ngomlomo ngempumlo. Ezinye iintsana zinobunzima bokuncancisa okanye ukuncancisa ibhotile kuba azikwazi ukuncancisa kakuhle.
• Ukulahlekelwa Kukuva: Abantwana abane-cleft palate banamathuba amaninzi okuba ne-glue ear, nto leyo enokubangela ukulahlekelwa kukuva ukuba ayinyangwa.
• Iingxaki Zokuthetha: Abantwana abaneempundu eziqhekekileyo banokuba nobunzima bokuthetha. Amazwi abo asenokungavakali kakuhle, kwaye intetho yabo inokuba nzima ukuyiqonda. Ayingabo bonke abantwana abanezi ngxaki, kwaye zinokulungiswa ngotyando.
• Iingxaki Zamazinyo: Abantwana abaneemfanta banamathuba amaninzi okuba nemingxuma, balahlekelwe ngamazinyo, baphuhle ngendlela engafanelekanga, okanye batshintshe indawo yabo.

Banamathuba amaninzi okuba neziphene kwi -alveolar ridge, inxalenye emathanjeni yentsini ephezulu apho amazinyo akhoyo. Isiphene kule alveolar ridge sinokubangela:

• Amazinyo asisigxina anokushukuma, akhululeke, okanye ajikeleze.
• Ingathintela ukuqhuma kwamazinyo angapheliyo.
• Ukwakheka komqolo we-alveolar kungathintelwa.
• Amazinyo enja kunye namazinyo aphumayo asenokuphuma ngaphambi kwexesha.
• Iingxaki Zeemvakalelo Okanye Zentlalo: Abantwana abanee-cleaved banokuba neemvakalelo zokungajongelwa phantsi okanye iintloni ngenkangeleko yabo, nokuba besebancinci. Oku kunokukhokelela kwiingxaki zeemvakalelo, zentlalo, okanye zokuziphatha esikolweni, kwaye kunokuchaphazela ukuzithemba kwabo.

Usenokuba ufundile ngale meko ngexesha lokuhlolwa kwe-ultrasound ngelixa umntwana wakho wayesesesibelekweni, okanye emva kokuba umntwana wakho ezelwe. Nangona kunjalo, ukuba nomlomo oqhekekileyo okanye incasa evulekileyo kunokuba yimeko ebangela uxinzelelo olukhulu ekunzima ukuyichaza ngamazwi. Usenokuba ukhathazekile ngotyando oluza kudingwa ngumntwana wakho, indlela aza kuphola ngayo, kunye nokuba ubuntwana bakhe buza kuba njani. Khumbula, iqela lezonyango lomntwana wakho lilapha ukunceda usapho lwakho lonke (kuquka nawe).Ungathandabuzi ukwabelana nabo ngayo yonke imibuzo yakho kunye nezinto ezikuxhalabisayo. Emva koko uya kukwazi ukwenza isigqibo kwaye ufumane ulwazi oludingayo ukuze ujongane nohambo oluzayo.

Ezona zinto zibalulekileyo esifanele sizithathele ekhaya kweli bali (Umyalezo Wokubuyela Ekhaya)

Kuqhelekile ukuziva uxinezelekile xa ufumanisa ukuba umntwana wakho unemilebe eqhekekileyo okanye incasa eqhekekileyo. Kodwa khumbula, awuwedwa .

Into ebalulekileyo kukuba kukho unyango olusebenzayo kuzo zombini ezi meko. Ewe, kuthatha ixesha kwaye kusenokufuneka utyando oluninzi. Kodwa ngonyango olufanelekileyo kunye nothando nenkxaso yosapho lwakho, umntwana wakho angaphila ubomi obonwabisayo nobunempilo njengaye wonke umntu.

Kuya kufuneka kuqwalaselwe ngokukodwa izinto ezifana nokondla kwasekuqaleni nokuthetha kamva. Kukho inani elikhulu labantu, kuquka oogqirha kunye neengcali zokwenza intetho, ukunceda kuyo yonke loo nto.

Nangona esemncinci, umntwana wakho usenokuziva ebuhlungu kancinci ngenkangeleko yakhe. Ngelo xesha, kubaluleke kakhulu ukumqonda, ukuthetha naye ngothando, nokumthuthuzela. Xoxa ngako konke oku nogqirha wakho. Baza kukukhokela ngqo.

Ngoko ke, hlala uqinile kwaye ulandele iingcebiso zoogqirha njengoko uqhubeka nolu hambo. Umntwana wakho uza kuphila ngokukhawuleza aze abone ihlabathi ngoncumo oluhle!

Umlomo oqhekekileyo , intlama eqhekekileyo, iziphene zokuzalwa, impilo yomntwana, utyando, unyango lokuthetha, ukuncancisa