Ingaba umntwana wakho unemilebe eqhekekileyo? Masithethe ngemilebe eqhekekileyo!

Mhlawumbi ukhe wabona okanye weva ngeentsana ezizalwa zinomngxuma omncinci emlonyeni wazo ongasentla. Kuqhelekile ukuba abazali bazive bothukile, belusizi, kwaye besoyika xa bebona oku. "Kwenzeke ntoni kumntwana wam?" "Ayinakulungiswa le nto?" Imibuzo emininzi inokuvela engqondweni. Kodwa ungakhathazeki, kulungile? Le meko, ebizwa ngokuba yi-cleft lip, yaziwa ngokwezonyango njenge-`(Cleft Lip)`. Namhlanje, siza kuthetha ngale nto ngokweenkcukacha, ngokulula. Ngendlela onokuyiqonda, kufana nokuthetha nomhlobo.

Yintoni kanye kanye i-cleft lip?

Ngamafutshane, i-cleft lip ngumngxuma okanye ukwahlulwa komlomo ophezulu okwenzeka xa ubuso bomntwana bukhula esibelekweni. Cinga ngayo njengomngxuma omncinci kwisambatho ukuba imiqolo emibini yezithungo ayihambelani kakuhle . Ubuso bomntwana buhlala bubumbeka kwiiveki zokuqala ezimbalwa zokukhulelwa. Ngeli xesha, imilebe kunye nencasa ephezulu yomlomo ziyadibana kumacala omabini kwaye zihlangane embindini. Ngamanye amaxesha olu manyano aluze lwenzeke ngokupheleleyo. Kulapho ke kwenzeka khona i-cleft lip.

Olu qhekeko lunokuba kwicala elinye kuphela (oko kukuthi, kwicala lasekunene okanye lasekhohlo lomlebe). Okanye lunokuba macala omabini. Nangona kwabanye abantwana oku kungabonakali kangako njengekroba elincinci emlebeni, kwabanye abantwana olu qhekeko lunokufikelela empumlweni. Kwakhona, ngamanye amaxesha ukukroba emlonyeni ophezulu kunokwenzeka kunye nomlebe okrobayo . Oku kubizwa ngokuba yikroba. Zombini ezi zinto zinokwenzeka kunye okanye ngokwahlukeneyo.

Kutheni oku kusenzeka kubantwana abancinci? Zithini izizathu?

Abazali abaninzi bacinga ukuba, "Asazi ukuba senze into engalunganga na." Musa ukuziva kakubi ngaloo nto. Kudla ngokuba nzima ukufumana unobangela ocacileyo nowodwa. Kodwa oogqirha bakholelwa ukuba le meko inokubangelwa zizinto ezahlukeneyo.

Izinto ezibangela i-genetic

Ngamanye amaxesha oku kunokuba yinto yelifa. Oko kukuthi, ukuba umntu kusapho (umama, utata, umntakwenu) unomlomo oqhekekileyo, omnye umntwana unokuba nale meko. Kukho ii-genes ezithile ezichaphazela le meko. Kodwa oku akuqhelekanga kuwo wonke umntu.

Izinto Ezichaphazela Indalo Ngexesha Lokukhulelwa

Ezinye izinto ezenzekayo ngexesha lokukhulelwa zinokuchaphazela ukukhula komntwana.

• Amayeza athile: Amanye amayeza athathwa ngexesha lokukhulelwa (umzekelo, amanye amayeza esifo sokuwa) anokuchaphazela oku. Ngoko ke, musa ukuthatha naluphi na unyango ngexesha lokukhulelwa ngaphandle kwengcebiso kagqirha.
• Ukutshaya nokusebenzisa utywala: Ukuba umama utshaya okanye usela utywala ngexesha lokukhulelwa, oko kunokuchaphazela umntwana.
• Ukunqongophala kokutya: ingakumbi i-folic acidEsinye isizathu esinokwenzeka kukuba usenokungafumani ngokwaneleyo le vithamini kwasekuqaleni kokukhulelwa. Yiyo loo nto oogqirha abaninzi becebisa oomama abakhulelweyo ukuba basebenzise iipilisi ze-folic acid.
• Ezinye izifo: Ezinye izifo ezibangelwa yintsholongwane ezifunyanwa ngumama ngexesha lokukhulelwa zinokuchaphazela nomntwana.
• Isifo seswekile: Isifo seswekile esingalawulekiyo kumama ngexesha lokukhulelwa sikwangumngcipheko.

Eyona nto ibalulekileyo kukuba, uninzi lwexesha, oku akulotyala lomntu. Ngoko ke ungazibeki tyala.

Ziziphi iintlobo eziphambili ze-cleft lip?

Njengoko besikhe sathetha ngaphambili, ezi milebe ziqhekeka zinokuvela ngeendlela ezahlukeneyo.

• Umlebe Oqhekekileyo Ongamacala Ahlukeneyo: Oku kuxa umlebe uqhekeka kwicala elinye kuphela lomlebe ongaphezulu, nokuba licala lasekunene okanye lasekhohlo.
• Umlebe Oqhekekileyo Ngamacala Ahlukeneyo: Apha, kukho umngxuma kumacala omabini omlebe ophezulu. Inxalenye encinci embindini inokubonakala ngathi yahlulwe.
• Umlebe Ongagqibekanga: Kukho umngxuma omncinci okanye isikhewu emlebeni. Umngxuma awude uye empumlweni.
• Umlomo Opheleleyo Oqhekekileyo: Kule meko, uqhekeko luqala emlonyeni luye empumlweni.
• Umlomo Oqhekekileyo Onencasa Eqhekekileyo: Inani elikhulu leentsana ezinencasa eqhekekileyo nazo zinencasa eqhekekileyo. Oku kungaba kwicala elinye, kwicala elinye, kuphelele, okanye kungaphelelanga.

Oogqirha bayixilonga njani le meko?

Ixesha elininzi, umlebe oqhekekileyo ufunyanwa kuphela emva kokuba umntwana ezelwe, kuba ubonakala ngokucacileyo. Kodwa ngamanye amaxesha unokubonwa nangaphambi koko.

Ngaba ungayibona ngexesha lokukhulelwa?

Ewe, kwezinye iimeko kunokwenzeka. Ngexesha le-scan eqhelekileyo (`(Ultrasound Scan)`) ngexesha lokukhulelwa, ingakumbi ngexesha le-`(Anomaly Scan)`, ugqirha unokubona olu hlobo lokuqhekeka ebusweni bomntwana. Ukwazi oku kwangaphambili kunika abazali ixesha lokuphanda ngakumbi ngale nto kwaye bazilungiselele ngengqondo. Kwakhona kubanceda bakhethe isibhedlele esifanelekileyo kunye neqela leengcali zokubeleka.

Ukuchongwa ngexesha lokuzalwa

Kwangoko nje umntwana ezelwe, oogqirha bayamhlola umntwana ngononophelo. Ukuba kukho umlebe oqhekekileyo, uya kubonakala ngokucacileyo. Ugqirha okanye umongikazi uza kukuchazela oku ngoko nangoko. Baza kuhlola nomlomo ukuze babone ukuba kukho umlebe oqhekekileyo na.

Zeziphi iingxaki umntwana onomlomo oqhekekileyo anokujongana nazo?

Iintsana ezizelwe zinomlebe oqhekekileyo zijongene nemingeni emininzi kwisigaba sokuqala, kodwa ngokuphathwa kakuhle nonyango, zonke ezi zinto zinokoyiswa.

• Ubunzima bokusela ubisi:Lo ngumceli mngeni omkhulu. Ingakumbi ukuba kukho i-cleft palate, kunzima kumntwana ukuba enze i-vacuum efanelekileyo emlonyeni aze ancele ubisi. Ngenxa yoko, ubisi lunokuphuma empumlweni luze luye emphinjeni ngelixa esela. Oku kufuna ukusetyenziswa kweebhotile zobisi ezikhethekileyo kunye nokubekwa kwindawo efanelekileyo. Abasebenzi bomongikazi kunye neengcali zokuncancisa esibhedlele baya kukufundisa oku kakuhle.
• Usulelo lwendlebe kunye neengxaki zokuva: Kukho ityhubhu encinci edibanisa iindlebe zethu nomphimbo wethu, ebizwa ngokuba yi-Eustachian Tube . Kwiintsana ezine-cleft palate, le tyhubhu ayisebenzi kakuhle, nto leyo enokubangela ulwelo oluqokelelene kwindlebe ephakathi kwaye ibangele usulelo lwendlebe rhoqo, nto leyo enokubangela ukulahlekelwa kukuva ngokuhamba kwexesha. Ke ngoko, oogqirha banokucebisa ukuvavanywa rhoqo kwendlebe kwaye, ukuba kuyimfuneko, ukufakwa kwetyhubhu encinci (iigrommets) endlebeni.
• Ubunzima bokuthetha: Ukuba kukho incakuba eqhekekileyo, kungekuphela nje emlonyeni, inokuchaphazela nokukwazi komntwana ukuthetha. Intetho yempumlo inokwenzeka xa kubizwa amagama. Unyango lokuthetha lubaluleke kakhulu koku.
• Iingxaki zamazinyo: Umlomo oqhekekileyo kunye nencasa eqhekekileyo nazo zinokuchaphazela indlela amazinyo angena ngayo. Amanye amazinyo asenokuba angekho, axinene, agobile, okanye angabikho. Ngoko ke, kubalulekile ukuba uhlolwe amazinyo usemncinci kwaye, ukuba kuyimfuneko, ufumane unyango lwe-orthodontic .
• Imiphumo yentlalo neyengqondo: Njengoko umntwana ekhula, unokuziva ekhathazekile kancinci ngenkangeleko yakhe nendlela athetha ngayo. Nangona kunjalo, emva kotyando, inkangeleko yakhe iya kubuyela esiqhelweni. Uthando lwabazali, inkuthazo, kwaye, ukuba kuyimfuneko, iingcebiso zengqondo nazo zinokunceda ngeli xesha.

Zithini iindlela zokunyanga oku? Ngaba kunokunyangwa?

Ewe, ngokuqinisekileyo! I-Cleft lip yimeko enokunyangeka ngempumelelo kwaye inyangeke. Inyangwa ikakhulu ngotyando. Kwakhona, ayisiyonto eyenziwa ngugqirha omnye kuphela. Kuthatha iqela leengcali ezahlukeneyo ukucwangcisa unyango olungcono lomntwana.

Utyando

• Utyando lokulungisa imilebe (utyando lokulungisa imilebe / iCheiloplasty):

Olu lutyando lokuqala olwenziwayo. Olu tyando ludla ngokwenziwa xa umntwana ephakathi kweenyanga ezi-3 nezi-6 ubudala . Oogqirha bajonga ukuba umntwana ufumana ubunzima obaneleyo na kwaye unegazi elilungileyo. Olu tyando lwenziwa ukuze kudityaniswe kakuhle imilebe eqhekekileyo kwaye kunikwe imilebe imbonakalo eqhelekileyo kunye nokusebenza kwayo. Khawuthelekelele, ugqirha onamava udibanisa imilebe emibini kakuhle, njengokuba ezoba umfanekiso.

• Utyando lokulungisa intlama (iPalatoplasty):

Ukuba umntwana une-cleft palate, utyando lokulungisa i-cleft palate ludla ngokwenziwa phakathi kweenyanga ezili-9 neli-18 ubudala. Olu tyando lubaluleke kakhulu ekuncanciseni nasekuthetheni kakuhle.

• Utyando olongezelelweyo:

Njengoko abanye abantwana bekhula, banokufuna utyando olunye okanye ngaphezulu. Umzekelo, ukulungisa imilo yempumlo, ukulungisa indawo yamazinyo, okanye ukuphucula indlela abathetha ngayo.

Inkxaso evela kwiqela elinamacandelo amaninzi (Indlela yeQela elinamacandelo amaninzi)

Oku kufana neqela lekhilikithi. Wonke umntu udinga inkxaso. Eli qela lidla ngokuquka iingcali ezifana nezi:

• Ugqirha wabantwana: Unyamekela impilo yomntwana iyonke.
• Ugqirha Otyanda Iplastiki Nokwakha Kabutsha: Ngokuyintloko benza utyando lomlomo nenkalakahla.
• Ugqirha womlomo nowe-Maxillofacial: Mhlawumbi utyando olunxulumene namazinyo nomhlathi.
• Ugqirha wamazinyo: Unyanga iingxaki zamazinyo nemihlathi.
• Ingcali yokuthetha: Inceda ukoyisa ubunzima bokuthetha.
• Ingcali yeNdlebe, Impumlo kunye noMqala (Ingcali ye-ENT): Inyanga izifo zendlebe kunye neengxaki zokuva.
• Ingcali ye-Audiologist: Uvavanya ukuva komntwana.
• Mhlawumbi ingcali yezengqondo okanye umcebisi: Unika inkxaso yengqondo kumntwana nakubazali.

Bonke aba bantu basebenzisana ukucwangcisa unyango olungcono lomntwana wakho. Ngoko ke kufuneka ubathembe kwaye ulandele imiyalelo yabo ngononophelo.

Singenza ntoni njengabazali?

Igalelo lakho libaluleke kakhulu kolu hambo.

• Umonde nothando zezona zinto zibalulekileyo. Oku kungathatha ixesha, kodwa uthando lwakho nomonde wakho zizinto eziluncedo kakhulu kumntwana wakho.
• Landela imiyalelo kagqirha ngokuchanekileyo. Yenza yonke into ugqirha akuxelele yona, njengokuthatha amayeza akho ngexesha, ukunyamekela inxeba lakho emva kotyando, kunye nokuncancisa. Yiya kuyo yonke ikliniki ngexesha.
• Kubalulekile ukuqala unyango ngokukhawuleza. Iziphumo ziba ngcono kakhulu xa unyango olufunekayo luqaliswa ngaphandle kokulibazisa.
• Nceda umntwana wakho. Uncedo lwakho lubaluleke kakhulu kumntwana wakho, ingakumbi xa encancisa kwaye efunda ukuthetha.
• Funda ngale nto. Okukhona usazi ngakumbi ngale meko, kokukhona unokumnceda umntwana wakho.
• Thetha nabanye abazali. Ukuthetha nabanye abazali abaye baba namava afanayo kunokukunceda uzive ngathi awuwedwa. Ungafunda lukhulu kubo.

Okokugqibela, khumbula oku (Umyalezo Wokuya Ekhaya)

Kulungile, masikukhumbuze izinto ezimbalwa ezibalulekileyo koko sithethe ngako.

• I-Cleft lip yimeko eqhelekileyo kwiintsana, kodwa ngoncedo loogqirha abanobuchule, inokunyangeka ngempumelelo kwaye iphiliswe phantse ngokupheleleyo.
• Ngokubona le meko kwangethuba nokubonelela ngonyango olufanelekileyo (ingakumbi utyando) ngexesha elifanelekileyo, umntwana wakho unokuphila ubomi obusempilweni, obusebenzayo, nobonwabisayo njengaye nawuphi na umntwana.
• Awuwedwa kolu hambo. Kukho oogqirha abaninzi abanezakhono, abanovelwano kunye nabasebenzi bezempilo abanokukunceda nokukukhokela wena nomntwana wakho.
• Ngoko ke ungoyiki, yiba nesibindi (amandla aqinileyo) kwaye uhlale unethemba. Uthando lwakho nokuzinikela kwakho zezona zinto zinamandla amakhulu omntwana.

Ukuba ufuna ukwazi okungakumbi ngale nto okanye unemibuzo, ungoyiki ukubuza ugqirha wakho wabantwana okanye ugqirha wotyando lokulungisa izinto. Baza kukunceda.

I- Cleft Lip, Iqela lezonyango elinamacandelo amaninzi, Utyando, Ukuncancisa, Unyango lokuthetha, Ingcebiso yobuzali