Ingaba umntwana wakho omncinci unemilebe/inkalakahla eqhekekileyo? (Imilebe Eqhekekileyo/Inkalakahla Eqhekekileyo) – Masithethe ngokuncancisa!

Owu, ingaba umntwana wakho omncinci wazalwa enomlomo oqhekekileyo okanye incasa eqhekekileyo? Njengomama, mhlawumbi uneengcinga ezininzi xa kwenzeka into efana nale. Kodwa ungakhathazeki, abantwana abaninzi bazalwa benezi zinto. Eyona nto ibalulekileyo kukunika umntwana ubisi olufanelekileyo ukuze atyebe kakuhle kwaye angaphelelwa ngamanzi emzimbeni. Ngamanye amaxesha aba bantwana bafuna uncedo olukhethekileyo lokusela ubisi.

Ungamncancisa njani umntwana onomlomo oqhekekileyo?

Kwiimeko ezininzi, abantwana abazalwa benomlebe oqhekekileyo kwaye bengenazo iingxaki zenkalaka banokuncancisa kakuhle ngaphandle kwezixhobo ezikhethekileyo. Banokuncancisa ngokuqhelekileyo okanye basebenzise ibhotile eqhelekileyo. Ngamanye amaxesha okufuneka kwenziwe kukulungisa i-latch kancinci ukuze umntwana akwazi ukuncancisa ngokufanelekileyo . Ukuba uncancisa, zama ukutshintsha indawo yomntwana wakho ukuze ibele lakho lizalise umsantsa phakathi kwamabele akho. Oku kuya kunceda umntwana wakho ancancise ngokulula.

Ziziphi iingxaki zokuncancisa umntwana onencasa eqhekekileyo?

Nangona kunjalo, abantwana abazalwa benomlomo oqhekekileyo okanye incasa, nokuba banayo okanye abanayo incasa, banengxaki yokumunca ngqo ebeleni. Isizathu soku kukuba abakwazi ukudala uxinzelelo ngaphakathi emilonyeni yabo ukuze bakhuphe ubisi kwingono. Cinga nje ngokuba xa sisela into ngengca, kufuneka senze i-vacuum ngaphakathi emilonyeni yethu. Yiyo loo nto kunzima kwaba bantwana ukwenza into enjalo ngenxa yencasa eqhekekileyo. Ukuba uzama ukuncancisa umntwana onjalo, nokuba uzama ukumondla ngebhotile eqhelekileyo, usenokungafumani ubisi olwaneleyo kwaye usenokungatyebi (ukungaphumeleli ukukhula) . Oko kuthetha ukuba umntwana usenokungakhuli kakuhle. Ziziphi ezinye iingxaki ezinokuvela?

• Xa umntwana esela ubisi , ubisi lunokuphuma empumlweni . Oku sikubiza ngokuba yi-"Nasal Regurgitation". Kunokuba yinto eyoyikisayo koomama ukukubona oku, kodwa yinto elindelekileyo kule meko.
• Usana lusenokuginya umoya omninzi kunomntwana oqhelekileyo xa luncancisa, nto leyo enokubangela ukungakhululeki esiswini.
• Ngamanye amaxesha, ukuba umntwana unesinye "isini" esingaqhelekanga, oko kukuthi, ingqokelela yeempawu ezinxulumene noko, ezinye iingxaki zokuncancisa, ezifana neengxaki zokugaya ukutya, zinokubakho.

Luhlobo luni lwebhotile olufanele lusetyenziswe ukondla umntwana onencasa eqhekekileyo?

Ukuze wondle umntwana one-cleft palate , kufuneka usebenzise inkqubo yebhotile ekhethekileyo . Ezi bhotile zenzelwe ukunika umntwana isixa esifanelekileyo sesondlo ngaphandle kokubeka uxinzelelo olukhulu kumntwana ukuze ancancise. Ezi azifani neebhotile eziqhelekileyo. Kukho iintlobo ezahlukeneyo zeenkqubo zebhotile zokutyisa i-cleft. Makhe sijonge ukuba zeziphi, ukuze kube lula kuwe ukuqonda:

Inkqubo Yokondla Ekhethekileyo KaGqr. Brown

Le nkqubo yebhotile inevalvu yokondla evumela ubisi ukuba luhambe kwicala elinye kuphela.Oku kuthintela ubisi ukuba lungabuyeli ebhotileni. Oku kuthetha ukuba umntwana akufuneki aluncance, kwaye angaluncanca ubisi ngokuluma okanye ngokucinezela ingono . Kukho iintlobo ezahlukeneyo zeengono ezinamazinga ahlukeneyo okuhamba kwegazi ngokuxhomekeke kubudala bomntwana (ukusuka kwiintsana ezincinci kakhulu (preemie) ukuya kwinqanaba lesi-3). Le bhotile idla ngokuba lula kubazali nakubanakekeli ukuyisebenzisa . Ngenxa yokuba umntwana wenza umsebenzi, umama akufuneki ayicinezele ibhotile okanye ayibambe kwindawo ekhethekileyo.

I-Pigeon feeder

Le nkqubo yebhotile ikwanayo ne-'valve enendlela enye' ethintela ubisi ukuba lungabuyeli ebhotileni. I-'nipple' esikiweyo ngu-Y (oko kukuthi, i-'nipple' enesiqwenga esimile njengonobumba u-Y) inecala elincinci necala elityebileyo kancinci kwelinye icala.

• Icala elingqindilili lifanele libekwe ecaleni komgca weentsini zomhlathi ongaphezulu womntwana.
• Icala elincinci lifanele livele phezu kolwimi lomntwana.
• Isithuba esincinci esingaphantsi komphetho wengono kufuneka sibekwe phantsi kwempumlo yomntwana. Oku kuya kukunceda ujonge ukuba ingono isemlonyeni kakuhle na.

Le ngcongconi iza ngobukhulu obubini. Ungalungisa nesantya sokuhamba kwayo ngokuqinisa okanye ukukhulula ingcongconi. Oku kufuna ixesha elithile ukuze uyiqhele.

Isixhobo Sokondla Iimfuno Ezikhethekileyo zeMedela (Haberman) `(Isixhobo Sokondla Iimfuno Ezikhethekileyo zeMedela (Haberman))`

Oku kukwabizwa ngokuba yi-'Haberman Feeder' ngabanye. Le nkqubo yebhotile ikwanayo ne-'one-way valve' yokugcina ubisi ngaphakathi kwe-'nipple'. Abanye abantwana banokuthatha ubisi ngokucinezela i-'nipple' kwiintsini zabo. Kodwa uninzi lwexesha, umnakekeli kufuneka acinezele ibhotile ukuze ihambelane nesigqi somntwana sokuncanca nokuginya :

• Kwangoko nje umntwana eqala ukuncanca, cinezela ibhotile kakuhle uze uphumle .
• Oku kufanele kwenziwe kuphela ngelixa umntwana encanca. Mamela ngononophelo isandi somntwana eginya ubisi .
• Ukuba umntwana uyeka ukuphefumla okomzuzwana, kufuneka uyeke nokucinezela ibhotile.

Kuthatha ixesha elithile ukuziqhelanisa ukuze ufumane ixesha elifanelekileyo . Oko kuthetha ukuba kufuneka uziqhelise ukucinezela xa umntwana wakho encanca uze uyeke xa eyeka. Imigca emithathu ecaleni kwebhotile ibonisa izinga lokuhamba kobisi oluphuma kwingono. Ungalungisa izinga lokuhamba kobisi ngokujikelezisa ibhotile ukuze enye yemigca ibe phantsi kwempumlo yomntwana wakho.

U-Enfamil Mead Johnson Umhlengikazi weLip/Palate Cleft

Le bhotile ayinayo `ivalvu yendlela enye` . Njengenkqubo yebhotile ye`Haberman`, umnakekeli kufuneka ayicinezele ibhotile aze alungise isantya sayo ukuze ihambelane nendlela umntwana ancanca ngayo . Oku kufuna ukuziqhelanisa kancinci.

Khumbula, ibhotile nganye kwezi yenzelwe ukwenza olu hambo lube lula kuwe nakumntwana wakho. Ngamanye amaxesha ibhotile enye ayisebenzi, kwaye kufuneka uzame enye. Iqela lakho lezonyango liza kukunceda ngale nto, likhethe leyo ifanele umntwana wakho.

Ngawaphi amanye amacebiso anokunceda?

Kulungile, ngoku ekubeni sithethe ngeebhotile, kukho ezinye izinto ezimbalwa ezinokukunceda kule nkqubo yokuncancisa. Ukuba uzilandela ngokuchanekileyo ezi zinto, kuya kuba lula nangakumbi kumntwana wakho.

• Ukuncancisa kufuneka kugqitywe ngaphantsi kwemizuzu engama-30 . Ukuba kuthatha ixesha elide ngaphezu koko, oko kuthetha ukuba umntwana unengxaki yokufumana ubisi, okanye ingono isenokungakhawulezi ngokwaneleyo. Ukuba kunjalo, zama ukusebenzisa ingono ekhupha ubisi ngokukhawuleza.
• Nceda umntwana wakho ukuba abhodle rhoqo . Malunga nemizuzu emi-5 ngelixa encancisa. Oku kungenxa yokuba iintsana ziginya umoya omninzi, ngoko ke licebo elihle ukwenza njalo. Oku kuya kunceda ekunciphiseni ukudumba kwesisu nokuhlanza.
• Gcina umntwana wakho eme nkqo ngexesha lokumtyisa kwaye imizuzu engama-20-30 emva kokumtyisa. Oku kunokunceda ekunciphiseni ukurhawuzelela kwempumlo.
• Ukuba ubisi luphuma empumlweni yomntwana wakho, lusule ngelaphu elicocekileyo . Akukho mfuneko yokusebenzisa i-suction bulb ukufunxa ubisi. Ukwenza njalo kunokuba buhlungu kumntwana wakho.
• Nangona abantwana abane- cleft palate bengenakuncelisa ngqo, oomama banokukhupha ubisi lwebele lwabo baze balunike umntwana wabo ngebhotile ekhethekileyo . Oku kuxabiseke kakhulu, njengoko umntwana efumana izondlo kunye nokhuseleko kwizifo ezikubisi lwebele.
• Kwakhona, ukuze uqinise ubudlelwane nomntwana wakho, ungamvumela ukuba ancancise ngaphandle kokutya . Oku kuthetha ukuba umntwana uncancisa nje ibele ukuze akhululeke, angaseli ubisi. Oku kuqinisa nezihlunu zomntwana ezincancisayo. Kodwa ungamvumeli ukuba akwenze oku ngaphezu kwemizuzu eli-10 ngexesha.

Ndingazi njani ukuba umntwana wam akancancisi kakuhle?

Ngenxa yezi ngxaki zokuncancisa, iintsana ezine-cleft palate zisengozini yokungaphumeleli ukukhula kakuhle . Ngoko ke, ugqirha womntwana wakho, okanye iqela le-cleft, iqela leengcali ezinyanga ezi ngxaki ze-cleft, ziya kujonga ubunzima bomntwana wakho rhoqo ukuqinisekisa ukuba ufumana ubunzima obaneleyo. Oku kubaluleke kakhulu. Ngamanye amaxesha, nokuba kukho iinkqubo ezikhethekileyo zeebhotile, iintsana zinokuba neengxaki zokutya kunye neengxaki zokufumana ubunzima. Zisenokungakhululeki xa zincancisa, kwaye zisenokungafumani ubisi olwaneleyo. Kufuneka uqwalasele ezi mpawu :

• Ukuba uyalila ngelixa uncancisa okanye emva kokuncancisa.
• Ukuba uziva ngathi uyakrwitshwa, ``kukukrwitshwa'' .
• Ukuba iinyembezi ziphuma emehlweni , `` amehlo anamanzi '' .
• Amashiya aqhekekayo (oku kubonisa ukuba umntwana akakhululekanga).
• Ukuba ugoba umzimba wakho ngasemva ngelixa uncancisa, oku kubizwa ngokuba yi-"back arching" .

Ukuba ubona nayiphi na kwezi mpawu kumntwana wakho, oko kuthetha ukuba unobunzima bokuncancisa. Emva koko kufuneka uzame ukwenza utshintsho oluncinci kwindlela yakho yokumtyisa.

Umzekelo:

• Nciphisa ubungakanani bobisi umntwana wakho aluthathayo ngexesha elinye, uze uzame ukusebenzisa ingono enesantya esiphantsi sokuphuma kwamanzi .
• Phumla rhoqo xa uncancisa. Nika umntwana wakho ixesha lokuphefumla kwaye uvumele ubisi lwehle.
• Emva kokusela ubisi oluncinci, jika ibhotile kancinci uye ecaleni uze uyeke ukuhamba kobisi okwethutyana.

Ukuba unemibuzo okanye unenkxalabo malunga nokuncancisa komntwana wakho, thetha neqela lakho le-cleft kunye ne-craniofacial ngoko nangoko . Ingcali yokondla okanye umongikazi okwiqela elo uza kuhlola umntwana wakho ngelixa uncancisa. Banokucebisa utshintsho kwindlela yakho yokuncancisa okanye olunye uvavanyo. Ungaze ube wedwa.

Abazali banokunceda njani?

Ukuncancisa umntwana onemilebe/incam eqhekekileyo kunokuba nzima ekuqaleni. Kodwa awuwedwa, kukho uncedo oluninzi . Iqela lakho le-cleft, iqela leengcali, linokukunika inkxaso nolwazi olufunayo. Banamava ekusebenzeni neentsana ezinale meko. Kukho amaqela amaninzi e-cleft anikezela ngengcebiso yokukhulelwa ukuba umntwana ufunyaniswe ene-cleft ngexesha le-ultrasound. Abazali banokudibana neqela ukuze baxoxe ngayo nayiphi na imibuzo abanayo malunga nokuncancisa. Banokwenza isicwangciso sokondla ngaphambi kokuba umntwana azalwe. Oku kunokuba luncedo olukhulu. Masithi ngequbuliso ufumanise ukuba une-cleft emva kokuba umntwana ezelwe . Abasebenzi abakwizigulana baya kunceda abazali bafumane inkqubo yebhotile esebenza kakuhle kumntwana wabo . Ugqirha womntwana angathumela abazali kwiqela le-cleft. Iqela le-cleft lidla ngokudibana nabazali kunye nomntwana kwiveki yokuqala okanye ezimbini emva kokuba umntwana ezelwe. Baza kujonga ukuba ukuncancisa kuhamba njani baze baphendule nayiphi na imibuzo onokuba nayo. Ungafumana nolwazi malunga noku kwi-intanethi. Umzekelo:

• I-American Cleft Palate-Craniofacial Association (ACPA) - Kukho ulwazi oluninzi oluluncedo kwiwebhusayithi zemibutho efana nale.

Ngoko ke, zeziphi izinto ezibalulekileyo esifanele sizithathele ekhaya kweli bali?

Kulungile, sithethe kakhulu ngoku, akunjalo? Ukuba umntwana wakho omncinci une-``(Cleft Lip)`` okanye ``(Cleft Palate)``, ukuncancisa kusenokuhluka kancinci. Kodwa khumbula ezi zinto:

• Iintsana ezinemilebe eqhekekileyo zinokuncancisa ngokuqhelekileyo. Kusenokufuneka zenze utshintsho oluncinci kwindawo yazo .
• Iintsana ezine-cleft palate zifuna iibhotile ezikhethekileyo kuba zinobunzima bokwenza uxinzelelo olufunekayo ukuze zincance kwaye zifumane ubisi.
• Kukho iibhotile ezikhethekileyo ezifana ne-'Dr. Brown's', 'Pigeon', 'Medela SpecialNeeds (Haberman)', kunye ne-'Enfamil'. Thetha neqela lakho lezonyango kwaye ukhethe elungele umntwana wakho. Musa ukoyika ukuzama enye ukuba ibhotile enye ayisebenzi kakuhle.
• Bamba umntwana wakho ame nkqo ngelixa uncancisa, mncede abhodle rhoqo, kwaye unciphise ukumnika ukutya ukuya kwimizuzu engama-30. Ezi zinto zincinci zingenza umahluko omkhulu.
• Ukuba umntwana wakho ubonakalisa iimpawu zokuminxeka okanye ukuminxeka, isenokuba yingxaki yokuncancisa. Funa ingcebiso kagqirha ngoko nangoko.
• Awuwedwa! "Iqela leCleft" liza kukunceda ngayo yonke into. Ungoyiki ukubabuza imibuzo, cela uncedo. Bakho ukuze bakuncede.

Eyona nto ibalulekileyo kukuncancisa umntwana wakho ngomonde, uthando, nangeendlela ezifanelekileyo . Nangona oku kungabonakala ngathi luhambo olunzima ekuqaleni, ungakwenza oku. Emva koko umntwana wakho uya kukhula esempilweni kwaye onwabile. Ndikunqwenelela okuhle kodwa kolu hambo!

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Imilebe Eqhekekileyo, Intlama Eqhekekileyo, Ukuncancisa, Iibhotile Ezikhethekileyo, Imingeni Yokuncancisa, Iingcebiso Zonyango, Isondlo Seentsana