Ingaba umntwana wakho une-cleft palate? (Cleft Palate) - Masithethe ngayo yonke loo nto!

Ngamanye amaxesha xa ujonge umntwana osandul’ ukuzalwa, ungabona umahluko omncinci eluphahleni lomlomo wakhe. Oku kuthetha ukuqhekeka okuncinci eluphahleni lomlomo wakhe. Oku sikubiza ngokwezonyango ngokuthi `(Cleft Palate)`. Xa besiva la mazwi, abanye abazali banokuba noloyiko nokukhathazeka kancinci. "Owu, kwenzeke ntoni kumntwana wethu?" Unokucinga. Kodwa, akukho sizathu sokoyika okanye sokukhathazeka. Ukuba siyayazi kakuhle le nto, sinokujamelana nale meko ngempumelelo.

Yintoni iCleft Palate?

Ngamafutshane, igama lesiNgesi elithi 'cleft' lithetha umngxuma okanye isithuba. 'Inkalakahla' ibhekisa kwinxalenye yophahla lomlomo wethu, uphahla lomlomo wethu. Ukuba uhambisa ulwimi lwakho phezu kophahla lomlomo wethu, uya kuva umthungo omncinci okanye iqhina phakathi, akunjalo? Kulapho, xa wawungumntwana esibelekweni sikamama wakho, amacala angasekunene nangasekhohlo ophahla lomlomo wakho ayedibene khona. Kufana nokuthunga iimpahla ezimbini kunye.

Nangona kunjalo, xa kuzalwa abantwana abathile, la macandelo mabini entlaka engasentla awadibani kakuhle. Oko kukuthi, umthungo awuphelelanga. Kulapho ke kuvela khona le meko ebizwa ngokuba yi-`(Cleft Palate)`, oko kukuthi, ukuqhekeka kwentlaka engasentla. Le yimeko yokuzalwa. Oko kuthetha ukuba yinto umntwana azalwa nayo.

Kutheni kukho i-cleft palate?

Abazali badla ngokuzibuza, "Kutheni oku kwenzeke kumntwana wethu?" "Ngaba senze into engalunganga?" Enyanisweni, kunzima ukukhomba isizathu esinye kuphela. Kukho izizathu ezininzi ezinokwenzeka. Makhe sijonge ukuba zeziphi:

• Izinto ezibangela ufuzo: Ngamanye amaxesha, ukuba kukho umntu kusapho, oko kukuthi, umama, utata, okanye umntu kusapho lwabo, okhe waba nale meko ngaphambili, kukho ithuba elincinci lokuba nomntwana naye abe nale meko. Oko kuthetha ukuba kukho impembelelo evela kwiijini.
• Ezinye izinto ezichaphazela imeko-bume kunye nezinye izinto ezichaphazela umama ngexesha lokukhulelwa:
• Amayeza athile athathwa ngumama ngexesha lokukhulelwa (ingakumbi lawo athathwa ngaphandle kwengcebiso kagqirha, ngokuthanda kwakhe). Umzekelo, amanye amayeza anikwa isifo sokuwa anokuba nefuthe.
• Ukuba umama utshaya okanye usebenzisa utywala ngexesha lokukhulelwa, ezi zinto zichaphazela ngqo uphuhliso lomntwana ongekazalwa.
• Ngexesha lokukhulelwa, umama usenokungafumani izakhamzimba ezaneleyo, ezifana ne-folic acid . Oogqirha badla ngokucebisa abafazi abakhulelweyo ukuba basebenzise iipilisi ze-folic acid ukunceda ukuthintela ezi meko.
• Ezinye iintsholongwane ezinokuthi zivele kumama ngexesha lokukhulelwa.
• Ukuba umama uneengxaki zempilo ezingalawulekiyo ezifana neDiabetes Mellitus .
• Ukuba umama utyebile kakhulu.

Kodwa uninzi lwexesha, i-cleft palate inokwenzeka ngaphandle kwesizathu esicacileyo. Oko kukuthi, kusenokungabikho sizathu sicacileyo. Ngoko ke ungaze uzive kakubi ngaloo nto ucinga ukuba yimpazamo yakho. Inokwenzeka nakubani na.

Ngaba kukho iintlobo ze-cleft palate?

Ewe, la maqhekeza akwi-eyelid ephezulu anokuba neemilo ezahlukeneyo kunye nobukhulu obahlukeneyo. Ukuchaneka, kukho umahluko omncinci ngokuxhomekeke kubukhulu be-crack kunye nendawo ekuyo.

• Abanye abantwana basenokuba nesithuba esivulekileyo kuphela entlokweni yabo .
• Abanye abantwana banokuba nomlomo oqhekekileyo kunye nencasa eqhekekileyo . Oku kuthetha ukuba kukho umngxuma kwincasa nakwincasa ephezulu. Isenokuba ngumlomo oqhekekileyo okanye incasa ephezulu.
• I-cleft ingaba epheleleyo , oko kuthetha ukuba i-cleft ingasuka ezantsi kwempumlo iye ngasemva kwenkalakahla engentla.
• Okanye ingaba yi-cleft engaphelelanga , oko kuthetha ukuba i-cleft ikwinxalenye encinci ye-palate ephezulu.
• Olunye uhlobo olukhethekileyo yi -submucous cleft palate . Kule meko, i-cleft ayibonakali ngaphandle. Nangona ulusu (i-mucous membrane) ngaphezulu kwe-palate ephezulu luvaliwe kakuhle, izihlunu ezingaphantsi kwayo azidibananga kakuhle. Oku ngamanye amaxesha kuqatshelwa kamva, xa umntwana eqala ukuthetha, njengotshintsho kwilizwi.

Zeziphi iingxaki umntwana anokuba nazo ngenxa yentlungu eqhekekileyo?

I-cleft palate inokubangela iingxaki ezincinci kumntwana wakho. Makhe sijonge ukuba ziyintoni na. Ukwazi ezi zinto kubaluleke kakhulu ukunceda umntwana wakho.

• Ubunzima bokutya:

Le yingxaki ephambili ebonwa kuqala. Khawucinge nje, xa umntwana encanca ubisi, ubisi lunokungena empumlweni ngenxa yesi sithuba siphakathi komlomo nempumlo. Emva koko umntwana unobunzima bokuncanca ubisi ngokufanelekileyo, kunokuba nzima ukuphefumla ngelixa encanca ubisi, ubisi lunokuphuma empumlweni, kwaye ubisi lunokubuyela emphinjeni rhoqo. Ngenxa yesi sizathu, umntwana usenokungafumani isondlo esaneleyo kwaye usenokungatyebi. Ngenxa yesi sizathu, oogqirha bacebisa ukuba kusetyenziswe iindlela ezikhethekileyo zokutyisa, ngamanye amaxesha iingono/iibhotile ezikhethekileyo.

• Iingxaki zokuthetha:

Njengoko umntwana wakho ekhula aze aqale ukuthetha, kunokubakho umahluko kwilizwi lakhe. Ngenxa ye-cleft palate, kunzima ukulawula ubungakanani bomoya ophuma empumlweni xa ethetha. Ngenxa yoko, ilizwi lisenokuvakala ngathi lithethwa ngempumlo (intetho ye-hypernasal / ilizwi lempumlo) . Ezinye iileta, ingakumbi oonobumba abanjengo-'প', 'ব', 'ত', 'দ', 'ক', 'গ', nazo zinokuba nzima ukuzibiza ngokuchanekileyo.

• Iingxaki zokuva kunye nosulelo lwendlebe:

Kukho umbhobho omncinci phakathi kwempumlo yethu kunye nendlebe ephakathi, obizwa ngokuba yi-Eustachian tube.Le tube ilawula uxinzelelo ngaphakathi kwendlebe kwaye ikhuphe ulwelo oluvela kwindlebe ephakathi. Xa kukho umngxuma kwindlebe ephezulu, umsebenzi wale tube ye-Eustachian unokuphazamiseka. Ulwelo lunokuqokelelwa kwindlebe ephakathi, nto leyo ebangela usulelo oluqhelekileyo lwendlebe (usulelo lwendlebe ephakathi / i-otitis media) , kunye nokulahlekelwa kancinci kukuva. Ukuba oku kuyaqhubeka, kunokuchaphazela nophuhliso lwentetho yomntwana.

• Iingxaki zamazinyo:

Ngokuxhomekeke kwindawo ekuyo i-cleft palate, iingxaki ezincinci zinokubakho xa amazinyo ephuma. Amazinyo anokukhutshelwa ngaphandle, amanye amazinyo asenokungabikho, amazinyo anokuvela emva kwexesha, okanye kufuneka kufakwe amazinyo angaphezulu . Ke ngoko, ingcebiso kagqirha wamazinyo (`(uGqirha wamazinyo)` okanye `(uGqirha wamazinyo)`) isoloko iyimfuneko.

Ifunyanwa njani le cleft palate?

Ixesha elininzi, olu qhekeko lufunyanwa xa oogqirha behlola ingaphakathi lomlomo womntwana esibhedlele emva nje kokuba umntwana ezelwe. Leyo yindlela eqhelekileyo.

Ngamanye amaxesha, ii-ultrasound scans zangaphambi kokukhulelwa ezenziwa ngexesha lokukhulelwa zinokubonisa ukuba kukho le meko, ingakumbi ukuba kukho i-cleft lip kunye ne-palate. Nangona kunjalo, ukuba kukho i-cleft palate kuphela, oko kukuthi, ngaphandle kwe-cleft lip, kunokuba nzima ukuyibona kwi-scan.

I-submucous cleft palate endikhankanyileyo ngaphambili ngamanye amaxesha ibonakala kuphela xa usana lukhulile kancinci, umzekelo xa luqala ukuthetha kwaye luneengxaki zelizwi, okanye xa lufumana izifo zendlebe rhoqo.

Zithini iindlela zokunyanga oku? Ngaba yinto ekufuneka uyoyike?

Okokuqala, le yimeko enyangekayo ngokupheleleyo . Ngoko ke ungakhathazeki. Ngokuhambela phambili kwezonyango zanamhlanje, kukho unyango olusebenzayo kakhulu kulo mntwana.

Unyango oluphambili kukuvala i-cleft ngotyando . Oku kubizwa ngokuba yi -palatoplasty . Olu tyando lubandakanya ukudibanisa izicubu kumacala omabini e-palate kunye nokuthunga i-cleft kunye. Oku kubuyisela ulwakhiwo lwe-palate.

Luza kwenziwa nini utyando?

Olu tyando ludla ngokwenziwa phakathi kweenyanga ezi-6 nezili-18 ubudala . Nangona kunjalo, ugqirha uya kugqiba ixesha elifanelekileyo ngokusekwe kwimpilo yomntwana, inqanaba lokukhula kwakhe, kunye nobunzima bakhe. Ngamanye amaxesha oku kungenziwa kwangethuba okanye kamva.

Zithini iinjongo zolu tyando?

• Ukwenza kube lula ukutya nokusela ngokuphelisa unxibelelwano phakathi komlomo nempumlo.
• Inceda ukugcina izihlunu zomhlathi ongasentla zisebenza kakuhle kwaye ithetha ngokucacileyo xa ithetha .
• Ibuyisela umsebenzi we-Eustachian tube kwaye inciphisa ukwenzeka kwezifo zendlebe .

Iqela lezonyango elinyangayo

Xa kunyangwa umntwana ngolu hlobo, akusiyo nje ugqirha omnye, kodwa liqela leengcali (`(Iqela leengcali ezininzi)`)Basebenza kunye. Eli qela lidla ngokuquka:

• Oogqirha bePlastiki nabaHlaziyiweyo : Benza utyando oluphambili.
• Iingcali zeNdlebe, Impumlo kunye noMqala (Oogqirha be-ENT) : Banyanga iingxaki ezinxulumene nendlebe kwaye benza uvavanyo lokuva.
• Iingcali zokunyanga intetho nolwimi : Ziyanyanga kwaye zinike iingcebiso ngeengxaki zokuthetha.
• Iingcali zamazinyo kunye neengcali zamazinyo zabantwana : Zijongana neengxaki zamazinyo kunye nophuhliso lwemihlathi.
• Iingcali zabantwana : Gxila kwimpilo iyonke yomntwana.
• Mhlawumbi oogqirha bengqondo kunye nabasebenzi bezentlalo bangajoyina eli qela ukuze banike abazali inkxaso yengqondo abayidingayo.

Bonke aba bantu basebenzisana ukudala nokusebenzisa isicwangciso sonyango esingcono kakhulu somntwana.

Kwenzeka ntoni emva kotyando? Injani imeko yokhathalelo lwexesha elide?

Kwanasemva kokuba utyando luphumelele, umntwana uya kufuna ingqalelo ekhethekileyo kunye nokulandelwa okwethutyana.

• Unyango Lokuthetha (`(Unyango Lokuthetha)`):

Abanye abantwana banokuba nobunzima bokuthetha nasemva kotyando. Kwiimeko ezinjalo, uncedo lwengcali yokuthetha lubalulekile. Ngabo bafundisa umntwana ukubiza amagama ngokuchanekileyo, ukuthetha ngokucacileyo, nokusebenzisa izihlunu zomhlathi ongaphezulu ngokufanelekileyo. Oku kungathatha ixesha.

• Ukhathalelo lwamazinyo kunye nonyango lwamazinyo:

Xa amazinyo ephuma, kufuneka kuqwalaselwe ngokukodwa indawo amazinyo ahlala kuyo. Ngoko ke, kusoloko kuyinto entle ukuya kugqirha wamazinyo ukuze ufumane ingcebiso. Ukuba kukho izikhewu emazinyweni, izinto ezifana nonyango lwe-orthodontic / ii-braces zingenziwa ukuze zilungiswe xa umntwana emdala kancinci.

• Ukhathalelo lokuva (`(Ukuhlolwa kokuva)`):

Ngenxa yokuba usulelo lwendlebe lunokwenzeka kakhulu, kubalulekile ukuba uhlolwe ukuva kwakho rhoqo. Ukuba uneengxaki, ungafuna unyango ngoko nangoko. Ugqirha wakho we-ENT unokugqiba ekubeni afake iityhubhu ezincinci (ii-grommets / iityhubhu zomoya) endlebeni yakho.

• Ngaba kuza kufuneka utyando olongezelelekileyo?

Ngamanye amaxesha, utyando olunye lusenokungalungisi yonke into. Njengoko umntwana ekhula, kuxhomekeke kwindlela athetha ngayo kunye nokukhula komhlathi wakhe, usenokufuna olunye utyando oluncinci olunye okanye ezimbini. Umzekelo, utyando lokwenza intetho yakhe icace ngakumbi, okanye utyando lokulungisa indawo yomhlathi wakhe. Oku kugqitywa liqela lezonyango elinyangayo.

Khumbula, le meko ayizukuphazamisa ikamva lomntwana nangayiphi na indlela. Banamandla okuya esikolweni, badlale, bafunde, benze abahlobo, baze bakhule babe nomsebenzi abawuthandayo, batshate, baze baphile ubomi obuphumelelayo njengabanye abantwana!

Indlela oku okubachaphazela ngayo abazali ngokwengqondo kunye nenkxaso

Kuqhelekile ukuba abazali bazive belusizi, bekhathazekile, besoyika, mhlawumbi benetyala xa befumanisa ukuba umntwana wabo unale meko. Imibuzo efana nokuthi "Kutheni oku kwenzeke kuthi?" "Ngaba senze into engalunganga?" isenokufika engqondweni.

Yazi ukuba awuwedwa ngeli xesha. Thetha ngokukhululekileyo noogqirha bakho kunye nabongikazi ngale nto. Baza kukunika ulwazi lwezonyango olufunayo kunye nenkxaso yeemvakalelo. Yabelana nabo ngayo yonke imibuzo yakho kunye noloyiko lwakho.

Kwakhona, ukuba kukho abanye abazali abaye bajongana neemeko ezifanayo, kunokuba lukhuthazo olukhulu ukwabelana ngamava abo. Ezinye izibhedlele zide zibe namaqela enkxaso kubazali abanjengala. Ukuba ungajoyina elinye, liya kuba luncedo kakhulu.

Eyona nto ibalulekileyo kucinga kakuhle kwaye unike umntwana wakho uthando, inkathalo, kunye nenkuthazo ayidingayo . Amandla akho ngawona mandla akhe abalaseleyo.

Ngoko ke, zeziphi izinto ezibalulekileyo ekufuneka sizikhumbule kuzo zonke ezi zinto?

Kulungile, nazi izinto ekufuneka uzikhumbule koko sithethe ngako:

• I-Cleft Palate kukwahlukana komlomo womntwana. Le yimeko yokuzalwa, oko kuthetha ukuba ikhona xa ezalwa.
• Oku kusenokuba ngenxa yesizathu esinye okanye ezingaphezulu, kodwa uninzi lwexesha kunzima ukufumana isizathu esicacileyo. Oku akubangelwanga yimpazamo yabazali.
• Oku kunokubangela ukuba umntwana abe nobunzima bokutya, ukuthetha, nokuva.
• Utyando lunokuphelisa esi sifo kakhulu. Utyando oluphambili ludla ngokwenziwa xa umntwana ephakathi kweenyanga ezi-6 nezili-18 ubudala.
• Unyango lokuthetha, unyango lwamazinyo, kunye nonyango lokuva lusenokuqhubeka lufuneka emva kotyando.
• Ngonyango olufanelekileyo kunye nokulandelelana phantsi kweliso leqela elinamacandelo amaninzi, olu sana lunokuphila ubomi obusempilweni, obonwabisayo, nobunempumelelo njengabanye abantwana.
• Awuwedwa kolu hambo. Fumana inkxaso nolwazi oludingayo. Musa ukoyika, yiba nethemba, kwaye ube nomonde. Umntwana wakho unekamva elihle!

I- Cleft Palate, Impilo yosana, Iziphene zokuzalwa, Utyando, Unyango lokuthetha, Ingcebiso yobuzali