Ingaba umntwana wakho omncinci unencasa eqhekekileyo? (Incasa Eqhekekileyo Engaphantsi) - Masithethe ngale nto!

Ngaba umntwana wakho ngamanye amaxesha uphuma ubisi empumlweni xa encancisa? Okanye udla ngokuba neentlungu zendlebe? Ngaba ufumana kunzima ukubiza amagama athile? Nangona ezi zizinto ngamanye amaxesha esingazinaki kangako, ngamanye amaxesha oku kusenokubangelwa yimeko ebizwa ngokuba yi -Submucous Cleft Palate (SMCP) . Musani ukukhathazeka, mama nootata, siza kuthetha ngale nto ngokulula, ngendlela eninokuyiqonda.

Yintoni i-Submucous Cleft Palate (SMCP)?

Ngamafutshane, i-Submucous Cleft Palate (SMCP) yi-cleft eluphahleni lomlomo. Kodwa ayifani ne-cleft palate eqhelekileyo. Igama elithi "submucous" lithetha "phantsi kwe-mucous membrane." Uphahla lomlomo wakho, olubizwa ngokuba yi-palate , lwenziwe ngamacandelo amabini. I-palate eqinileyo ngaphambili kunye ne-palate ethambileyo ngasemva. Kwi-SMCP, izihlunu ze-palate ethambileyo, ezifumaneka phantsi kwe-membrane encinci phezu kophahla, azihlangani kakuhle. Oku kwenzeka ngexesha lokukhula komntwana ongekazalwa ngelixa umntwana esesibelekweni.

Cinga ngento egqunywe ngelaphu, kodwa kukho into engancamathiselwanga kakuhle phantsi kwelaphu. Yiyo loo nto ingabonakali kwangoko ngaphandle. Ayingabo bonke abantu ababonisa iimpawu zoku. Nangona kunjalo, le meko inokubangela ukuba umntwana wakho abe neengxaki zokuthetha , izifo zendlebe rhoqo, kunye nobunzima bokutya eselusana.

Ixhaphake kangakanani le meko?

I-Submucous Cleft Palate yimeko engaqhelekanga . Ichaphazela ipesenti encinci kakhulu yeentsana ezizalwayo. Nangona kunjalo, ezinye iintsana azibonisi zimpawu zicacileyo, ngoko ke inani langempela leentsana ezinale meko linokuba phezulu kancinci. Oku kungenxa yokuba akukho mpawu ibonakalayo yangaphandle, ngoko ke ngamanye amaxesha inokubonwa kade kakhulu.

Ndingayazi njani ukuba umntwana wam unale meko?

Ifihliwe phantsi kwe-membrane, ngoko ke kunzima ukuyibona kwangoko. Kodwa, khangela ukuba ukhe waphawula na kwezi zinto malunga nomntwana wakho:

• Ngaba ubunengxaki yokuncancisa usengumntwana? (umz., ubisi oluphuma empumlweni, kuthatha ixesha elide ukugqiba ukuncancisa)
• Ngaba uhlala uneentlungu zendlebe okanye usulelo lwendlebe?
• Ngaba uvakalelwa kukuba unengxaki yokubiza amagama noonobumba abathile?

Ukuba ubona into efana nale, xelela ugqirha wezingane womntwana wakho ukuze akwazi ukuhlola inkalakahla yomntwana wakho ngononophelo.

Zithini iimpawu ze-Submucous Cleft Palate?

Kukho iimpawu eziphambili ezininzi ezinokubonwa kumntwana onesi sifo.

Iimpawu onokuzibona kumntwana wakho:

• Ubunzima bokuncancisa: Ingakumbi ebuntwaneni, xa uncancisa ibhotile okanye uncancisa, umntwana wakho unokuba nobunzima bokuncancisa. Kungathatha ixesha elide kunomntwana oqhelekileyo ukugqiba ukuncancisa. Ngamanye amaxesha , ubisi okanye ifomyula inokuphuma empumlweni.Kunokwenzeka. Khawucinge nje, xa uncancisa umntwana wakho, ubisi oluncinci ludla ngokuphuma empumlweni yakho. Ukuba oku akwenzeki kube kanye okanye kabini, kodwa rhoqo, kufuneka ukhathazeke.
• Usulelo lwendlebe oluqhelekileyo: Aba bantwana banokufumana usulelo lwendlebe oluqhelekileyo, olufana neentlungu zendlebe kunye nokuphuma kolwelo endlebeni.
• Ubunzima bokuthetha: Ezinye iileta namagama kusenokuba nzima ukuwabiza ngokucacileyo.
• Intetho yempumlo: Xa uthetha, kusenokuvakala ngathi amazwi aphuma empumlweni yakho , njengomntu onomkhuhlane ombi.
• Umoya ophuma empumlweni xa ethetha: Kusenokuvakala ngathi umoya uphuma empumlweni xa umntwana ethetha.

Iimpawu ezinokuthi zibonwe ngugqirha xa ehlola umlomo womntwana ziquka:

Xa ugqirha ehlola ingaphakathi lomlomo womntwana, unokubona izinto ezifana nezi:

• I-Bifid Uvula: Inxalenye encinci efana nolwimi (uvula) exhonywe ngasemva komqala wethu isenokubonakala ngathi yahlulwe kubini.
• Inkangeleko eluhlaza okwesibhakabhaka/ngwevu embindini wenkalakahla ethambileyo (`(Zona Pellucida)`) : Umbala oluhlaza okwesibhakabhaka okanye ongwevu unokubonwa phantsi kwenwebu embindini wenkalakahla ethambileyo.
• Umsele omile okwe-'V' kwinkalakahla eqinileyo : Ungabona umsele omncinci omile okwe-'V' ngasemva kwenkalakahla eqinileyo ngaphambili kwenkalakahla ephezulu.

Ukurhona kwempumlo nomoya ophuma empumlweni ngelixa uthetha kubangelwa yimeko ebizwa ngokuba yiVelopharyngeal Dysfunction (VPD) . Ngamafutshane, oku kwenzeka xa umva wempumlo ethambileyo ungavali kakuhle xa uthetha. Emva koko, isandi nomoya omele uphume emlonyeni uphuma ngempumlo. Ayinguye wonke umntu oneSubmucous Cleft Palate onayo le meko, kodwa le yeyona ngxaki iphambili echaphazela ukuthetha.

Zithini izizathu ze-Submucous Cleft Palate?

Kusenokuba nezizathu ezahlukeneyo zoku. Ngokuyintloko:

• Izinto ezibangela imfuza (`(imfuza)`): Le meko inokubangelwa ziimpembelelo zemfuza ezizuzwe kubazali.
• Izinto ezibangela imeko-bume: Oku kunokubangelwa kukuchatshazelwa ngumama zizinto ezithile ngelixa umntwana esesibelekweni (umz., amayeza athile, icuba, utywala, iikhemikhali ezinobungozi).

Ungayixilonga njani i-Submucous Cleft Palate?

Ugqirha wezingane womntwana wakho uza kuqala ahlole umlomo womntwana wakho. Ukuba urhanela ukuba une-SMCP, uza kuthumela umntwana wakho kwingcali yokuthetha , kwingcali yamehlo okanye kwingcali ye-ENT, okanye kwingcali yotyando olugxile kwi-cleft palates. I-SMCP inokuba nzima ukuyifumanisa kuba ayibonakali lula kwaye isenokungabangeli naziphi na iimpawu ezinzulu.

Eli qela loogqirha abaziingcali liyadibana ukuze lifumanise uhlobo lwengxaki kunye nohlobo lonyango olufanelekileyo.

Ukuqinisekisa ngakumbi le meko, ungenza olu vavanyo lulandelayo:

• I-Nasopharyngoscopy: Oku kuquka ukufaka ityhubhu encinci efakwe ikhamera ngempumlo nokuhlola umva nasemacaleni omphimbo . Ezinye zezilonda zinokubonakala ngokucacileyo xa zijongwa ngale ndlela.
• I-Videofluoroscopy: Oku kufana novavanyo lwe-X-ray . Ikuvumela ukuba ubukele intshukumo yenkalakahla njengoko umntwana ethetha okanye eginya into ethile, ngokungathi ukwividiyo.

Iphathwa njani i-Submucous Cleft Palate?

Unyango luxhomekeke kuhlobo lweengxaki umntwana wakho anazo ngesi sifo. Abanye abantwana banobunzima bokuthetha okanye ukosuleleka ezindlebeni, ngelixa abanye bengenazo iimpawu kwaphela.

• Ukuba akukho zimpawu: Ukuba umntwana akaziva engonwabanga okanye enengxaki yokuthetha, unyango alusoloko luyimfuneko. Nangona kunjalo, oogqirha baya kuqhubeka bemjonga umntwana.
• Ukuba uneengxaki zokuthetha (iVelopharyngeal Dysfunction): Ukuba uneempawu ezifana nokurhona empumlweni, njengokurhona empumlweni okukhankanyiweyo ngaphambili, okanye umoya ophuma empumlweni yakho ngelixa uthetha, kunokufuneka wenze utyando (`(Palatoplasty)`) . Olu tyando lubandakanya ukulungisa indawo ethambileyo yempumlo nokuvala umngxuma. Emva koko, xa uthetha, iimpumlo ivala kakuhle, ithintela umoya nesandi ukuba singaphumi empumlweni yakho.
• Unyango Lokuthetha: Kwiimeko ezininzi, umntwana uya kufuna unyango lokuthetha ukuze afunde ukubiza izandi ezithile ngokuchanekileyo. Ngamanye amaxesha utyando lodwa lunokulungisa imeko, kwaye unyango lokuthetha alufuneki.
• Kwizifo zendlebe: Ukuba unezifo zendlebe ezihlala zikhona, ungafakelwa iityhubhu ezincinci ezindlebeni zakho ukuze uzithintele, ugcine ukuva kakuhle, kwaye uncede ekuphuhliseni intetho.

Kubalulekile: Izifundo zibonise ukuba abantwana abane -Submucous Cleft Palate akufuneki batyandwe i-adenoidectomy , njengoko olu tyando lunokwenza iingxaki zokuthetha zibe mandundu okanye lubangele ukungasebenzi kakuhle kwe-velopharyngeal .

Ngaba umntwana wam uza kufuna utyando?

Utyando alunyanzelekanga ukuba lwenziwe. Ukuba umntwana akanangxaki yokuthetha, utyando alukhuthazwa. Endaweni yoko, oogqirha baya kumjonga umntwana iminyaka eliqela ukuze babone ukuba kukho naziphi na iingxaki ezikhulayo.

Ngaba umntwana wam uya kufuna unyango lokuthetha?

Ewe, kwiimeko ezininzi umntwana uya kufuna unyango lokuthetha.Ingcali yezifo zentetho iza kuxilonga umntwana wakho ukuze ifumanise ukuba zeziphi iingxaki zentetho ezibangelwa yi-cleft palate. Ezinye iingxaki zibangelwa zizizathu zomzimba (oko kukuthi, utshintsho kwisakhiwo se-palate). Ezi zinokulungiswa ngotyando. Nangona kunjalo, ezinye iingxaki zentetho zibangelwa yimikhwa emibi umntwana ayiphuhlisileyo. Unyango lwentetho lubalulekile ukutshintsha loo mikhwa nokumfundisa ukubiza amagama ngokuchanekileyo.

Ngaba i-Submucous Cleft Palate ingathintelwa?

Le ntlungu yokuqhekeka yimeko yokuzalwa . Kungoko ke, kunzima ukuyithintela ngokupheleleyo. Nangona kunjalo, njengoko bekutshiwo ngaphambili, izinto ezingqongileyo nazo zinokuchaphazela oku, ngoko ke njengomama, ukuphepha ukusebenzisa amayeza athile, iziyobisi, utywala, kunye nezinye iikhemikhali ezinobungozi ngexesha lokukhulelwa kunokunciphisa umngcipheko wokuba umntwana afumane le meko ukuya kuthi ga kwinqanaba elithile.

Yeyiphi imibuzo omele uyibuze ugqirha womntwana wakho?

Emva kokuba umntwana wakho efunyaniswe ukuba une- Submucous Cleft Palate , kuyinto eqhelekileyo ukuba nemibuzo emininzi yokubuza ugqirha wakho. Nazi ezinye zemibuzo onokuthi uzibuze zona:

• Yintoni isizathu soku?
• Ngaba umntwana wam uza kufuna utyando?
• Ngaba umntwana wam uya kufuna unyango lokuthetha?
• Ingaba le meko ichaphazele ukuva komntwana wam?
• Unyango luthatha ixesha elingakanani?
• Ngaba kukho izinto endinokuzenza ekhaya ukunceda umntwana wam?

Ngoko ke, ukuba umntwana wakho uneengxaki zokuthetha, iintlungu zendlebe rhoqo, okanye wayenengxaki yokuncancisa okanye ukuncancisa ibhotile eselusana, usenokuba ne- submucous cleft palate . Kunokuba nzima ukuyixilonga, kodwa abanye abantwana banokuba neempawu. Thetha nogqirha wezingane womntwana wakho kwaye uhlole umlomo nomqala womntwana wakho. Kwiimeko ezininzi, imeko inokulungiswa ngokupheleleyo ngonyango lokuthetha okanye utyando.

Ezona zinto zibalulekileyo ekufuneka sizifunde koku (Umyalezo Wokuya Ekhaya)

• I-Submucous Cleft Palate yimfanta ekwindla ephezulu, efihliweyo, phantsi kwenwebu encinci.
• Ukuba umntwana wakho uphuma ubisi empumlweni xa esela, ukuba uneendlebe ezibuhlungu rhoqo, ukuba intetho yakhe ayicacanga, okanye ukuba wenza isandi sempumlo , kubaluleke kakhulu ukuba ahlolwe ngugqirha.
• Le meko inokuba nzima ukuyifumanisa , kodwa xa sele ifunyenwe ngokuchanekileyo, kukho iindlela zonyango.
• Asinguye wonke umntwana ofuna utyando. Kwabanye abantwana, unyango lokuthetha lodwa lunokwanela.
• Ungakhathazeki. Ingcebiso efanelekileyo yezonyango kunye nonyango lunokunceda umntwana wakho. Thetha nogqirha wakho ngale nto ngokukhululekileyo.

Khumbula, awuwedwa. Kukho abanye abazali abajongene neemeko ezifanayo. Ngolwazi olufanelekileyo kunye nenkxaso yezonyango, ungamnika umntwana wakho iziphumo ezilungileyo kangangoko.

"Intlama eqhekekileyo, intlama eqhekekileyo engaphantsi komlomo, iingxaki zokuthetha, ubunzima bokuncancisa, usulelo lwendlebe, i-palatoplasty, impilo yomntwana