Njengomzali, ungaziva wothukile kwaye ulusizi xa ubona umntwana wakho osandul’ ukuzalwa enesithuba esincinci emlonyeni wakhe ongasentla okanye esivulekileyo eluphahleni lomlomo wakhe. Usenokuzibuza, "Kutheni oku kwenzeke kumntwana wam?" Kodwa ungakhathazeki. Oku akuyonto imbi njengoko ucinga, kwaye kunokunyangeka ngokupheleleyo ngotyando. Masithethe ngayo yonke into ngokulula nangokucacileyo.
Yintoni imilebe eqhekekileyo kunye nenkalakahla?
Ngamafutshane, oku kuqhekeka okanye ukwahlulwahlulwa komlomo womntwana ongaphezulu kunye nophahla lomlomo. Le yingxaki yokuzalwa , oko kuthetha ukuba yenzeka ngelixa umntwana esesesibelekweni. Le qhekeka yenzeka xa izicubu zomlomo kunye nophahla lomlomo zingadibani kakuhle njengoko iimpawu zobuso bomntwana zikhula.
- I-Cleft Lip: Kulapho amacala omabini omlomo ongaphezulu womntwana engadibani, nto leyo eshiya umsantsa omncinci. Lo msantsa unokuba mncinci njengomgca omncinci, okanye ungaba ngumsantsa omkhulu oya empumlweni. Ngamanye amaxesha uchaphazela neentsini.
- I-Cleft Palate : Oku kwenzeka kwinxalenye ephezulu yomlomo, ebizwa ngokuba yi-palate. Oku kungaba kwi-palate eqinileyo ngaphambili okanye kwi-palate ethambileyo ngasemva.
Amaxesha amaninzi, zombini ezi meko zenzeka kunye, kodwa abanye abantwana banokuba nomlomo oqhekekileyo okanye intlama eqhekekileyo kuphela.
Zithini iingenelo zolu tyando?
Olu tyando alwenziwa nje kuphela ukuze imilebe nomlomo womntwana zibukeke zintle. Kukho izinto ezibaluleke kakhulu kunoko. Olu qhekeko lunokubangela iingxaki zempilo kumntwana, njengeengxaki zokuva, iingxaki zamazinyo, kunye nobunzima bokuthetha .
Ngoko ke, olu tyando lunceda kakhulu umntwana ukuba aphuhlise ezi zakhono:
- Ukutya nokusela: Xa kukho umngxuma, kunzima kumntwana ukuncancisa nokusela ebhotileni. Oku kuphazamiseka kuya kuphela emva kotyando.
- Ukuphefumla : Ngamanye amaxesha, ukuba kukho umngxuma empumlweni , kukho ubunzima bokuphefumla . Utyando lunokulungisa oku.
- Ukuva: Intlungu evulekileyo inokubangela ukosuleleka rhoqo endlebeni kunye nokulahlekelwa kukuva. Utyando lunokunciphisa le ngozi.
- Ukuthetha: Inkalakahla idlala indima ebaluleke kakhulu xa sithetha. Umntwana onenkalakahla eqhekekileyo unobunzima bokubiza amagama ngokucacileyo. Emva kotyandoLe meko ingalungiswa ngokupheleleyo ngonyango lokuthetha .
Umntwana utyandwa eneminyaka emingaphi?
Olu tyando lubini aluqhelekanga ukwenziwa ngaxeshanye.
Utyando lweMilomo eCleft
Olu tyando ludla ngokwenziwa xa umntwana ephakathi kweenyanga ezi-3 nezi-6 ubudala . Ngamanye amaxesha, ngaphambi kotyando, kwenziwa unyango oluncinci emva kokuba umntwana ezelwe ukulungiselela izicubu zomlomo ukuze zisetyenziswe. Umzekelo, ukuthamba komlomo okanye isixhobo esikhethekileyo esibizwa ngokuba yi-nasoalveolar molding (NAM) sisetyenziselwa ukubumba impumlo neentsini. Abanye abantwana banokufuna utyando olongezelelweyo kamva ukuze kulungiswe ngakumbi imilebe nempumlo.
Utyando lweCleft Palate
Olu tyando ludla ngokwenziwa xa umntwana eneminyaka eli-12 ubudala . Oko kukuthi, ngaphambi kokuba umntwana aqale ukuthetha. Ukuba umntwana unemilebe eqhekekileyo kunye ne-cleft palate, utyando lwe-cleft lip ludla ngokwenziwa kuqala . Kungathatha utyando oluphindwe kabini okanye ngaphezulu ukulungisa ngokupheleleyo i-cleft palate. Utyando kwiintsini okanye emhlathini ludla ngokwenziwa emva kokuba umntwana eneminyaka eli-10 ubudala.
Kwenzeka ntoni ngaphambi kotyando? Sifanele sizilungiselele njani?
Le ayiyonto eyenziwa ngugqirha omnye. Iqela loogqirha lisebenza kumntwana wakho. Elo qela liquka oogqirha botyando, iingcali zokunyanga ukuthetha , iingcali zamehlo, kunye noogqirha bamazinyo.
Ngaphambi kotyando, ugqirha uza kudibana nawe aze ahlole umntwana wakho ukuze agqibe ukuba loluphi uhlobo lotyando olungcono. Malunga neveki ngaphambi kotyando, ugqirha wezingane womntwana wakho uza kumhlola umntwana wakho ukuqinisekisa ukuba usempilweni ngokwaneleyo ukuba atyando. Ufanele uxelele ugqirha ngazo naziphi na izinto ezibangela ukuba umntwana wakho angabi naso isifo kunye namayeza awasebenzisayo.
Isisu somntwana kufuneka singabi nanto kuba kusetyenziswa i-anesthesia xa kusenziwa utyando. Ngoko ke, imiyalelo kagqirha malunga nokutya nokusela kufuneka ilandelwe ngokuchanekileyo.
| Imiyalelo yokutya ngaphambi kotyando (ngokubanzi) | |
|---|---|
| Ubisi (ubisi oluyimpuphu/ubisi lwenkomo) | Ubuncinane utyandoKufuneka imiswe ngaphambi kweeyure ezi-6 . |
| Ubisi lwebele | Ngamanye amaxesha kuvunyelwe ukuya kuthi ga kwiiyure ezi-4 ngaphambi kotyando. |
| Izinto ezicocekileyo (amanzi, ijusi yeapile) | Kuvumelekile ukuba inikwe ukuya kuthi ga kwiiyure ezi-3 ngaphambi kotyando. |
| Ukutya okuqinileyo / ukutya komntwana | Kufuneka kuphetshwe emva kobusuku bobusuku ngomhla wotyando. |
Buza ugqirha wakho ngayo nayiphi na imibuzo okanye iinkxalabo onokuba nazo. Oku kuya kukunika ukuqonda okucacileyo ngento eza kwenzeka ngomhla wotyando.
Kwenzeka ntoni ngexesha lotyando?
Zombini ezi ndlela zotyando zenziwa phantsi kwe-anesthesia jikelele . Oku kuthetha ukuba umntwana ulele ngokupheleleyo. Umntwana akaziva ntlungu.
Utyando lomlomo oluqhekekileyo
Eyona njongo iphambili yoku kukuvala umsantsa emilebeni aze anike umsantsa ophezulu kunye nempumlo imo entle, yendalo. Ugqirha wenza imingxunya emincinci eluswini kumacala omabini omsantsa, adibanise iindawo zolusu, aze azithunge ngee-stitches ezinyibilikayo. Olu tyando ludla ngokuthatha ngaphantsi kweeyure ezimbini.
Utyando lwe-Cleft palate
Oku kuneenjongo ezahlukeneyo: ukuvala i-cleft palate, ukwenza i-palate evumela umntwana ukuba athethe ngendlela eqhelekileyo, kunye nokuthintela ukutya nokusela ukuba kungaphumi empumlweni. Olu tyando luyinkimbinkimbi kancinci. Ugqirha ulungisa izicwili kumacala omabini e-palate, avale i-cleft, aze ayithunge ngezititshi ezinyibilikayo. Olu tyando luthatha malunga neeyure ezimbini ukuya kwezintathu.
Yintoni onokuyilindela emva kotyando?
Emva kotyando, umntwana usenokugula kancinci aze axhalabe. Oku kuqhelekile.
Emva kotyando lomlomo oqhekekileyo:
Izandla zomntwana zifakwa ii-splints ezithambileyo ukuze zingafaki izandla zakhe emlonyeni wakhe kwaye zikrazule imithungo. Oku kunokuba yinto engathandekiyo kumntwana. Umntwana angancanciswa emva nje kotyando. Nangona kunjalo, kunokuba nzima kancinci ekuqaleni. De umntwana akwazi ukusela yedwa, ulwelo lunikwa nge -catheter ye-intravenous (IV) . Umntwana uhlala esibhedlele ubusuku bonke.
Emva kotyando lwe-cleft palate:
Umntwana kuya kufuneka ahlale esibhedlele usuku olunye okanye ezimbini. Emva kotyando, ulwelo luya kuvunyelwa ukuba luselwe kwikomityi kuphela. Izipuni kunye neestraw azivumelekanga. Kuqhelekile ukuba nokuvuvukala emlonyeni kunye negazi elincinci ematheni. Izititshi emlonyeni ziya kunyibilika kwiiveki ezimbalwa. Xa ubuyela ekhaya, uya kunikwa amayeza okudambisa iintlungu kunye nee-antibiotics ukuthintela usulelo.
Unyamekela njani umntwana emva kokuba ufikile ekhaya?
Ugqirha uza kukunika imiyalelo ecacileyo yendlela yokunyamekela umntwana wakho emva kokuba ufikile ekhaya. Kubaluleke kakhulu ukulandela loo miyalelo ngokuchanekileyo.
| Indawo exhalabisayo | Imiyalelo |
|---|---|
| Emva kotyando lwe-Cleft Lip | |
| Ukutya neziselo | Unganika umntwana ukutya okuxutywe namanzi amancinci. Mnike ngekomityi. Kuya kufuneka usebenzise ibhotile okanye isirinji ekhethekileyo. Ukuba umtyisa ngecephe, buza ugqirha wakho. |
| Ukunyamekela indlela yokusika | Indawo ejikeleze umlomo iya kuvuvukala kwaye ibe luhlaza okwesibhakabhaka kangangeentsuku ezimbalwa. Coca indawo ekrwitshiweyo ngamanzi afudumeleyo kwaye uyigcine yomile. Izititshi ziya kunyibilika kwiveki okanye ezimbini. Emva koko, kuya kuhlala kukho inxeba elipinki. Faka amafutha acetyiswa ngugqirha. Qiniseka ukuba unxiba i-sunscreen xa uphuma elangeni. |
| Emva kotyando lweCleft Palate | |
| Ukutya neziselo | Kangangeeveki ezimbalwa, ulwelo kufuneka lunikwe ngekomityi kuphela. Musa ukusebenzisa iistraw. Nika kuphela ukutya okuthambileyo nokucoliweyo. Buza ugqirha wakho malunga nokutya okuchanekileyo. |
| Ukunyamekela ingaphakathi lomlomo | Izititshi ziza kuhlala endaweni yazo kangangenyanga. Kuqhelekile ukuba negazi elincinci kumathe akho. Umlomo wakho uza kudumba kangangeveki. Kusenokubakho ukuphuma kwamanzi empumlweni, kwaye usenokuva isandi sokurhona. |
| Intlungu | Intlungu ingathatha iiveki ezimbini. Oku kunokuchaphazela ukutya, ukusela kunye nokulala komntwana. Nika amayeza okudambisa iintlungu achazwe ngugqirha ngexesha elifanelekileyo. |
Ngaba kukho naziphi na iingozi ngolu tyando?
Njengakwezinye iintlobo zotyando, kukho iingozi ezithile ezibandakanyekayo. Nangona kunjalo, olu tyando luhlala lukhuselekile kakhulu. Iingozi eziphambili ezinokwenzeka zezi:
- Ukopha
- Iintsholongwane
- Iimpendulo ezingalunganga kwi-anesthesia
- Ubunzima bokuphefumla
- Olu tyando lusenokungaphumeleli ngokupheleleyo okanye kusenokufuneka utyando olungaphezulu.
Ugqirha wakho uza kukuxelela okungakumbi ngale mingcipheko.
Sifanele siye nini kugqirha ngoko nangoko?
Ugqirha uza kucwangcisa utyelelo lokubona umntwana wakho malunga neveki okanye ezimbini emva kotyando. Nangona kunjalo, ukuba ubona naziphi na iimpawu ezingezantsi, kufuneka ufowunele ugqirha wakho ngoko nangoko.
| Ingxamiseko - funa ingcebiso yezonyango ngoko nangoko | |
|---|---|
| Ifiva | Ukuba ubushushu buphezulu kune-101.4°F (38.55°C), okanye ukuba umkhuhlane awunciphi nangona amayeza esetyenziswa. |
| Ubunzima bokuphefumla | Ukuba ulusu lomntwana lujika lube luhlaza okwesibhakabhaka/lube mthubi. |
| Ukopha | Ukuba uphuma igazi elininzi empumlweni okanye emlonyeni (igazi elipinki ematheni liqhelekile). |
| Iimpawu zosulelo | Ukuba inxeba liphuma ubomvu okanye igazi, okanye ukuba libomvu kakhulu kwaye lidumbile. |
| Iimpawu zokuphelelwa ngamanzi emzimbeni | Ukuba umntwana wakho akakhali, unamehlo atshonileyo, umlomo owomileyo, okanye akachami ubuncinane kanye kwiiyure ezi-6. |
| Iingxaki ngeemithungo | Ukuba izititshi zikhululekile, khululeka, okanye inxeba libonakala livulekile. |
Umyalezo Wokuya Ekhaya
- Imilebe eqhekekileyo kunye nencasa evulekileyo ziimeko ezenzeka ngelixa umntwana esesesibelekweni, kodwa zinokunyangwa ngempumelelo ngotyando.
- Eyona nto ingcono onokuyenza njengomzali kukugcina umntwana wakho ezolile kwaye ulandele imiyalelo kagqirha emva kotyando ngokuchanekileyo.
- Awuwedwa kolu hambo. Iqela elikhulu loogqirha, abahlengikazi, kunye nabanye oochwephesha bakhona ukunceda umntwana wakho.
- Musa ukoyika ukubuza ugqirha wakho nayiphi na imibuzo okanye amathandabuzo onokuba nawo.
- Ngonyango olufanelekileyo, aba bantwana banokuphila ubomi obusempilweni nobonwabisayo ngaphandle kweengxaki zexesha elide, njengaye nawuphi na umntwana.
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