Xa ugqirha wakho ekuxelela ukuba umntwana wakho ongekazalwa okanye usana lwakho olusandul’ ukuzalwa lunemilebe eqhekekileyo okanye incasa eqhekekileyo, ungaziva wothukile kwaye uloyiko. "Kutheni oku kwenzeke kumntwana wam?", "Ingaba oku kungalungiswa?", "Ndingamtyisa njani umntwana wam?", njalo njalo. Oku kuqhelekile kakhulu. Kodwa ungakhathazeki, awuwedwa. Masiqaphele ngokupheleleyo le meko kwaye sijongane nolu hambo kunye.
Yintoni i-cleft lip kunye ne-cleft palate?
Ngamafutshane, le yimeko eyenzeka ngexesha lokuzalwa. Ngokuchanekileyo, le yimeko engaqhelekanga ezalwa nayo. Ungakhathazeki, nangona ibizwa ngokuba "sisiphene", le yinto enokulungiswa ngempumelelo ngotyando.
Cinga ngale nto, kwiiveki zokuqala zokukhula komntwana esibelekweni, iindawo zobuso bomntwana ziyadibana kumacala omabini zize zihlangane phakathi. Le yindlela ezikhiwa ngayo imilebe ephezulu kunye nencasa ephezulu yomlomo. Ukuba ngesizathu esithile ezi zicubu azihlangani kakuhle, kushiyeka umngxuma omncinci, okanye i-cleft, apho. Yiloo nto siyibiza ngokuba yi-cleft lip okanye i-cleft palate.
Yintoni imilebe eqhekekileyo?
Umlebe ongasentla ukhula phakathi kweeveki ezi-4 nezi-7 zokukhulelwa. Ukuba izicubu azihlangani kakuhle ngeli xesha, kuvela umlebe oqhekekileyo. Lo ngumngxuma kumlebe ongasentla. Kwabanye abantwana, oku kunokubonakala njengomgca omncinci. Kwabanye, kusenokuba ngumngxuma omkhulu ofikelela empumlweni. Ngamanye amaxesha, lo mngxuma uchaphazela neentsini.
Ngoko ke yintoni i-cleft palate?
Uphahla lomlomo, okanye intlaka, lukhula phakathi kweeveki ezi-6 nezi-9 zokukhulelwa. Ukuba izicubu zentlaka azihlangani kakuhle ngeli xesha, intlaka eqhekekileyo iyavela. Esi sithuba sinokuba sentlaka eqinileyo ngaphambili okanye entlaka ethambileyo ngasemva.
Into ebalulekileyo kukuba umlomo nencasa yomntwana zikhule ngamanqanaba amabini ahlukeneyo. Ngoko ke, ezi meko zinokubonwa ngeendlela ezahlukeneyo.
- Kunokwenzeka ukuba ube nomlebe oqhekekileyo kuphela ongenalo ixolo eliqhekekileyo.
- Kunokwenzeka ukuba umntu abe ne-cleft palate engenalo i-cleft lip.
- Umlomo oqhekekileyo kunye ne-cleft palate zinokwenzeka kunye (le yinto edla ngokubonwa rhoqo).
Kutheni oku kwenzeke kumntwana wam? Zithini izizathu?
Lo mbuzo usenokuba uyakukhathaza. Inyaniso kukuba, kwiimeko ezininzi, akukho sizathu sinye . Kwaye akukho nto abazali banokuyenza ukuyithintela. Ngoko ke ungakhathazeki ngayo. Izazinzulu zikholelwa ukuba le meko ibangelwa kukudibana kwezinto zemfuza kunye neemeko ezingqongileyo. Oku kuthetha ukuba ukuba umntu kusapho unale meko, kukho ithuba elincinci lokuba nomntwana naye abe nayo.
| Izinto ezinokunyusa umngcipheko | Ingcaciso elula |
|---|---|
| Amanye amayeza athathwayo ngexesha lokukhulelwa | Amayeza okuthintela ukuxhuzula, i-Accutane yokuthintela i-acne, i-Methotrexate yokuthintela umhlaza kunye nesifo samathambo, njl. (Ukuba ukhulelwe, musa ukuthatha naluphi na unyango ngaphandle kwengcebiso kagqirha). |
| Ukunqongophala kwesondlo | Ingakumbi ukungabikho kwe-folic acid. Yiyo loo nto kubalulekile ukusela i-folic acid ngaphambi kokuba ukhulelwe. |
| Iimeko zempilo kamama | Ukutyeba kakhulu, ukutshaya okanye ukusebenzisa iziyobisi ngexesha lokukhulelwa. |
| Iintsholongwane okanye iikhemikhali | Ukuchanabeka kwiintsholongwane okanye kwiikhemikhali ezithile ngexesha lokukhulelwa. |
Ngaba le meko ingafunyanwa kwangethuba?
Ewe, kwiimeko ezininzi kunokwenzeka. Oogqirha banokubona olu hlobo lokuqhekeka ebusweni bomntwana nge -anomaly scan , okanye i-ultrasound, eyenziwa malunga neeveki ezingama-20 zokukhulelwa. I-cleft lip ibonakala ngokucacileyo. Nangona kunjalo, ukuba kukho i-cleft palate kuphela engenalo i-cleft lip, kunzima ngakumbi ukuyibona nge-scan.
Nokuba iskeni ayibonakali, ngexesha lovavanyo lomzimba emva nje kokuba umntwana ezelwe, ugqirha uza kuhlola umlomo, impumlo, kunye nenkalakahla yomntwana ukuze abone ukuba le meko ikhona na.
Ziziphi ezinye iingxaki umntwana anokuba nazo?
Oku kukrazuka kunokubangela ukuba umntwana ajongane nemingeni emininzi. Ukuzazi ezi zinto kuya kukunceda kakhulu.
- Ubunzima bokutya nokusela:Ngenxa yokuba kukho umngxuma emlonyeni, ubisi lunokuphuma ngempumlo xa umntwana encanca. Kwakhona, ekubeni i-vacuum (ukufunxa) efanelekileyo ingenakwenziwa, zombini ukuncancisa kunye nokuncancisa ngebhotile kunokuba nzima.
- Iingxaki zokuva: Iintsana ezine-cleft palate zidla ngokuba nolwelo oluqokeleleneyo kwiindlebe zazo eziphakathi. Ukuba azinyangwa, oku kunokukhokelela ekulahlekelweni kukuva.
- Ubunzima bokuthetha: Ezinye iintsana zinokuba nobunzima bokubiza amagama ngokucacileyo xa zithetha kuba umlomo wazo awusebenzi kakuhle. Ilizwi lazo lisenokuvakala ngathi lisempumlweni.
- Iingxaki zamazinyo: Ukuba umngxuma uchaphazele neentsini apho amazinyo angena khona, amazinyo asenokungabikho, akhululeke, okanye angene kwiindawo ezingafanelekanga.
Kukho unyango olusebenzayo kunye nezisombululo zazo zonke ezi ngxaki. Ngoko ke ungakhathazeki. Kukho iqela elihle loogqirha lokunceda umntwana wakho.
Inyangwa njani? Ngaba le nto inganyangeka?
Ewe, ngokuqinisekileyo kunokwenzeka! Unyango oluphambili lutyando . Olu tyando lwenziwa phantsi kwe-anesthesia ukuze umntwana angaziva nto.
Ukulungiswa kweMilebe eCleft
Olu tyando ludla ngokwenziwa xa umntwana ephakathi kweenyanga ezi-3 nezi-6 ubudala . Lubandakanya ukuthunga umngxuma osemlonyeni uvaliwe. Ngamanye amaxesha, iindlela ezilula ezifana nokuthayipha imilebe zingasetyenziswa ukudibanisa imilebe ngaphambi kotyando. Inxeba elincinci elipinki liya kuhlala emva kotyando, kodwa eli liya kuphela njengoko umntwana ekhula.
Ukulungiswa kweCleft Palate
Utyando lwe-Cleft palate ludla ngokwenziwa xa usana lumalunga neenyanga ezili-12 ubudala . Olu tyando lujolise ekuvaleni i-cleft palate ukunceda ekutyeni, ekuseleni nasekuthetheni. Iityhubhu zendlebe zihlala zifakwa ngexesha lotyando ukuthintela ulwelo ukuba lungaqokeleli ezindlebeni.
Emva kolu tyando lukhulu, kunokufuneka olunye utyando njengoko umntwana ekhula.
- Ukuphuhlisa izakhono zokuthetha: Malunga neminyaka emi-5 ubudala.
- Ukulungiselela iintsini: Kunokufuneka i-bone graft xa amazinyo asisigxina eqala ukuvela, phakathi kweminyaka emi-6 neli-10.
- Ukuhlobisa imbonakalo yobuso kunye nokuma kwempumlo: Ngexesha lobutsha.
Iqela lezonyango elikuncedayo wena nomntwana wakho
Awuwedwa kolu hambo. Kukho iqela loogqirha kunye neengcali zempilo ezivela kwiinkalo ezahlukeneyo abaziingcali ekuncedeni wena nomntwana wakho.
| Ingcali | Indima yabo |
|---|---|
| Ugqirha wePlastiki wabantwana | Ugqirha oyintloko owenza utyando lomlomo nentamo yomntwana. |
| Ugqirha wabantwana | Impilo yomntwana ngokubanzi, ukukhula kwakhe, kunye nesondlo sakhe ziyajongwa. |
| Ingcali ye-Otolaryngologist/ENT | Siphanda iingxaki zokuva komntwana kunye neengxaki ezinxulumene noko. |
| Ingcali yezifo zoLwimi lweNtetho | Inceda ekuphuhliseni izakhono zokuthetha nezolwimi zomntwana. |
| Ugqirha wamazinyo | Unyango lunikezelwa ukuze kulungiswe amazinyo agobileyo kwaye kulungiswe indawo yomhlathi. |
| Ingcali ye-Audiologist | Ukuva komntwana kuhlolwa rhoqo. |
| Umcebisi weLactation | Uza kukhokelwa ukuba uncancise umntwana wakho okanye unike ubisi ngezinye iindlela. |
Ngaba ndingamncancisa umntwana wam? Umbuzo obuzwa ngoomama abaninzi.
Lo ngumbuzo obaluleke kakhulu. Ewe, ezinye iintsana zinokuncanciswa , kodwa oku kufuna inkxaso ekhethekileyo kunye nesikhokelo.
Usana lufunxa ubisi lwebele ngokwenza i-vacuum (suction) emlonyeni. Xa kukho isithuba emlonyeni, kunzima ukwenza le vacuum. Ngenxa yoko, umntwana akanakukwazi ukufunxa ubisi ngokufanelekileyo.
- Iintsana ezinomlomo oqhekekileyo kuphela zinokuncancisa ngempumelelo.
- Iintsana ezinesithuba esincinci ngasemva kwentloko nazo zinokukwazi ukwenza oku.
- Kunzima kakhulu kwiintsana ezinencasa enkulu eqhekekileyo, okanye ezinemilebe eqhekekileyo kunye nencasa eqhekekileyo, ukuncancisa.
Ngamaxesha anje, umntwana usebenza nzima kakhulu ezama ukuncancisa, kodwa akafumani ubisi olwaneleyo lokugcwalisa isisu sakhe.
Ndenza ntoni?
Ungakhathazeki. Eyona nto ingcono onokuyenza kukudibana nomcebisi wezokuncancisa esibhedlele. Uza kukunceda ngezi zinto zilandelayo:
- Fumana indawo yokuncancisa efanela umntwana wakho.
- Hlamba ubisi lwakho uze ufundise umntwana wakho ukulutyisa ngebhotile ekhethekileyo, ikomityi, icephe, okanye isirinji.
- Kukho iibhotile ezikhethekileyo ezenzelwe iintsana ezinje. Ndiza kukubonisa ukuba zeziphi.
- Jonga ukuba umntwana ufumana ubunzima ngendlela eyiyo na.
Nokuba awukwazi ukuncancisa ngqo, ukugalela ubisi lwakho nokulunika umntwana wakho kunika isondlo kunye nokhuseleko lomzimba umntwana wakho aludingayo ukuze amkhusele kwizifo. Sesinye sezipho ezixabisekileyo umntwana wakho anokuzifumana.
Umyalezo Wokuya Ekhaya
- Umlomo oqhekekileyo kunye nencasa eqhekekileyo zizinto eziqhelekileyo ezibangela ukuzalwa. Asikuko ukuba unetyala.
- Le meko ingalungiswa ngempumelelo ngotyando. Umntwana angaphila ubomi obuqhelekileyo nobusempilweni.
- Olu hambo lunokuba lude. Njengoko umntwana wakho ekhula, kuya kufuneka utyando oluninzi kunye nolunye unyango. Kodwa kukho iqela elikhulu loogqirha abanokukunceda wena nomntwana wakho.
- Nangona kunokubakho iingxaki zokuqala ekutyeni, zinokoyiswa ngengcebiso efanelekileyo kunye nenkxaso. Thetha ngokukhululekileyo ngale nto nogqirha wakho.
- Umntwana wakho usenokuba neentloni ngenkangeleko yakhe. Kubaluleke kakhulu ukuba umnike uthando, inkxaso kunye nokhuthazo.
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