Ingaba umntwana wakho naye une-tongue-tie? Masithethe nge-tongue-tie!

Ubomi nosana olusandul’ ukuzalwa buhle kakhulu, akunjalo? Kodwa ngamanye amaxesha, iingxaki ezincinci ziza nazo. Ingakumbi xa kufikwa ekuncanciseni umntwana wakho. Ngaba umntwana wakho akathandi ukusela ubisi? Ngaba akatyebi? Okanye uziva iintlungu xa uncancisa? Esinye isizathu soku inokuba yingxaki encinci ngolwimi lomntwana wakho. Sithetha ngento efana naleyo namhlanje.

Yintoni iTongue-Tie?

Ngamafutshane, iqhina lolwimi , okanye njengoko oogqirha beyibiza , "i-Ankyloglossia," yimeko apho ulwimi lomntwana luthintelwa khona ekushukumeni kwalo. Oku kungenxa yokuba iqhina lezicubu phantsi kolwimi lomntwana - elibizwa ngokuba yi- "Lingual Frenulum" - lifutshane okanye liqinile kunesiqhelo. Cinga ngako, kukho iqhina elincinci lezicubu phantsi kolwimi lwethu elidibanisa ulwimi lwethu nomgangatho womlomo wethu. Iintsana nazo zinelinye elinjalo.

Umntwana ngamnye unale `(Lingual Frenulum)` phantsi kolwimi lwakhe, kwaye iqhelekile. Ayibangeli monakalo. Kodwa ngamanye amaxesha kuvela iingxaki xa oku kuqina kakhulu, okanye xa kusondele kakhulu kwincam yolwimi. Emva koko umntwana akakwazi ukuhambisa ulwimi lwakhe ngokufanelekileyo, kuba nzima ukuluphakamisa aze alukhuphe. Ingakumbi xa encancisa, akanakwenza iintshukumo ezifunekayo ngolwimi lwakhe ngokufanelekileyo.

Iqhina lolwimi ngamanye amaxesha linokuba ngumceli mngeni omkhulu xa uncancisa . Iintsana ezineqhina lolwimi zinokuba nobunzima bokubambelela kakuhle ebeleni okanye ukuncancisa ubisi. Oku kunokubathintela ekufumaneni izondlo abazidingayo . Kwakhona, ekubeni umntwana engabambeki kakuhle, ungaziva iintlungu kunye nokungakhululeki ngelixa uncancisa. Abanye oomama bade bazive befuna ukuyeka ukuncancisa ngenxa yoku.

Ukuba ukhe wadibana nale meko, ungaphelelwa lithemba . Rhoqo, abacebisi bokuncancisa banokukunceda woyise ezi ngxaki ngokutshintsha indlela oncancisa ngayo okanye indlela umntwana wakho abambelela ngayo ebeleni. Ukuba ezi ndlela azisebenzi, umntwana wakho unokwenziwa utyando olukhuselekileyo nolukhawulezayo olubizwa ngokuba yi-frenotomy . Oku kubandakanya ukusika nokukhulula i-lingual frenulum. Oku kuvumela ulwimi lomntwana wakho ukuba luhambe ngokukhululekileyo. Umcebisi wakho wokuncancisa kunye nogqirha wabantwana baya kusebenzisana ukufumana isisombululo esifanelekileyo kuwe nakumntwana wakho.

Kuqheleke kangakanani oku?

Ngoku mhlawumbi ucinga, "Owu, ingaba lo ngumntwana wam nje?" Ungakhathazeki. Ngokutsho kwe-American Academy of Pediatrics, phakathi kwe-1% kunye ne-11% yeentsana ezisandul' ukuzalwa zineempawu zesi sifo (i-Ankyloglossia). Oko kuthetha ukuba siqhelekile . Kuthiwa siqheleke kancinci kwiintsana ezingamaduna. Ngoko ke le asiyonto ojongene nayo wedwa.

Ziziphi iimpawu ezibonakaliswa ngumntwana kunye nonina?

Kaloku, sazi njani ukuba sinolwimi oluqinileyo? Kunokubakho iimpawu ezichaphazela umntwana kunye nonina oncancisayo.

Iimpawu ezinokuba nazo umntwana osandul’ ukuzalwa:

Jonga ukuba umntwana wakho omncinci unazo na ezi zinto:

• Usana lusenokungabambeki kakuhle okanye lubambe nzulu: Usana lusenokungabambeki konke konke, okanye lusenokukhala xa luzama ukubambeka. Usana lunokwenza isandi sokuklikha xa luncanca, okanye lunokutsalela kude nebele.
• Kubonakala ngathi ubisi alunciphisi kakuhle xa uncancisa: Oku kusenokuba yimbangela yokuba umntwana angatyebi kakuhle . Basenokuba bacela ubisi rhoqo (ukuncelisa rhoqo), kodwa bakugqiba ukusela, baziva belambile kwakhona. Basenokungakwazi nokuva isandi sobisi oluginywayo.

Iimpawu onokuzibona xa uncancisa:

Njengomama, unokufumana izinto ezifana nezi:

• Iingono eziqhekekileyo nezibuhlungu.
• Ndiva iintlungu ezinganyamezelekiyo xa ndincancisa.
• Ukungabikho kobisi olwaneleyo: Ngenxa yokuba umntwana akancanci kakuhle, imveliso yobisi inokuncipha ngokuhamba kwexesha.

Kodwa nantsi into ekufuneka uyikhumbule: Ezi mpawu azikho ngqo kwi-tongue-tie. Oogqirha bazibiza ngokuba ziimpawu 'ezingenangqalelo' . Oko kuthetha ukuba zinokubangelwa zezinye izinto. Yiyo loo nto kubalulekile ukubona ugqirha okanye ingcali yokuncancisa enamava kwimiba yokuncancisa ukuze ifumane unobangela ochanekileyo. Banokukunceda ufumane unobangela weempawu zakho (nokuba yi-tongue-tie okanye enye into) kwaye bakuncede ufumane isisombululo.

Uyibona njani le nto yokujika ulwimi?

Ulwimi lomntwana wakho lusenokubonakala lufana nentliziyo , okanye lunokuba nesithuba esincinci kwincam yolwimi. Oku kungenxa yokuba i-lingual frenulum, endiyikhankanyileyo ngaphambili, inamathele kwincam yolwimi kwaye iyayithintela intshukumo yalo. Kodwa ngamanye amaxesha oku akubonakali kangako, kusenokungabonakali kangako. Oogqirha banikela ingqalelo koku ngexesha lokuhlolwa komzimba komntwana emva kokuzalwa.

Zithini izizathu ze-`(Ankyloglossia)`?

Ukubopha ulwimi yinto yokuzalwa . Oku kuthetha ukuba umntwana uzalwa enale meko. Abaphandi abasazi ukuba kutheni ezinye iintsana ziyivelisa. Nangona kunjalo, bacinga ukuba kunokubakho icandelo lemfuza . Olunye uphando lubonisa ukuba inokusebenza kwiintsapho, mhlawumbi njengephethini yelifa edityaniswe no-X.

Oogqirha bayibona njani le nto njenge-ankyloglossia?

Iingcali zabantwana zihlala zijonga oku kwangoko nje ukuba umntwana uzelwe. Basebenzisana ngokusondeleyo neengcali zokuncancisa, ezinokukuxelela ngqo ukuba olu tshintsho kulwimi lomntwana luya kuyichaphazela na incanciso.

Into ebalulekileyo kukuba ngenxa yokuba ulwimi lomntwana luqinile okanye lufutshane, akuthethi ukuba "lune-tongue-tie" okanye lufuna unyango. Oogqirha bafumanisa le meko kuphela xa i-tongue tie ithintela ukusebenza kolwimi kwaye yenza kube nzima ukuncancisa.

Oogqirha baza kwenza oku kulandelayo ukuze bafumanise ukuba umntwana wakho unengxaki yolwimi:

• Baza kubuza ngembali yakho yokuncancisa: Ukuba ukhe waba nabantwana bangaphambili, amava akho ebenjani nabo. Ukuba umntwana wakho une-tongue tie, unokuziva ngendlela eyahlukileyo xa uncancisa kunabanye abantwana. Baza kubuza nokuba uncancisa ixesha elingakanani, uncancisa kangaphi ngemini, kunye nokuba umpompa okanye unika ubisi lwebele.
• Ukubuza ukuba uziva njani xa uncancisa: Ukuba uhlala uziva iintlungu okanye ukungakhululeki, kufuneka uxelele ugqirha wakho . Oku akuthethi ukuba umntwana wakho une "(Ulwimi-Iqhina)``, njengoko kunokubakho ezinye izizathu ezininzi zokuncancisa okubuhlungu. Kodwa ukungakhululeki okuvayo kunokumnceda aqonde ukuba yintoni ingxaki.
• Cinga ngembali yezonyango yomntwana: Zininzi izinto ezinokuchaphazela amandla omntwana okuncancisa, njengeengxaki zemithambo-luvo, iimeko zentliziyo, kunye nokuvaleka kwempumlo okanye komoya. Ukuba kukho ezinye iingxaki, ukunyanga nje iqhina lolwimi akuyi kunceda.
• Uvavanyo lomzimba lomntwana: Kule meko, ugqirha wezingane uza kuhlola ngononophelo ulwimi lomntwana kunye nezinye iindawo zomlomo. Baza kujonga iimpawu zokubopha ulwimi okanye ezinye iimeko zempilo.
• Ukujongwa ngokuthe ngqo kokuncancisa: Umcebisi wokwanyisa uza kukujonga wena nomntwana wakho ngelixa uncancisa. Baza kujonga izinto ezifana nendlela obamba ngayo umntwana wakho (indawo yokuncancisa) kunye nendlela umntwana wakho abambelela ngayo ebeleni lakho (i-latch). Ngamanye amaxesha, utshintsho oluncinci kwindlela obamba ngayo nobamba ngayo umntwana wakho lunokunceda umntwana onamathelisa ulwimi ukuba adlule ekuncanciseni ngaphandle kweengxaki.

Ngaba kukho iimvavanyo ezikhethekileyo zokuxilonga ukubopha kolwimi?

Usana aludingi vavanyo lukhethekileyo koku. Abanye oogqirha basebenzisa iinkqubo ezahlukeneyo zokubeka amanqaku okanye izixhobo zokuvavanya ukuze babone ukuba ulwimi losana luhamba kakuhle kangakanani emlonyeni. Kodwa indlela ekuphela kwayo abanokufumana ngayo ulwazi abaludingayo kukujonga ulwimi losana nokuva i-lingual frenulum. Ezi nkqubo zokubeka amanqaku zinceda oogqirha ukuchaza inkangeleko kunye nomsebenzi wolwimi losana. Olu lwazi lunceda ekuxilongweni.

Zithini iindlela zonyango zoku?

Kulungile, ngoku masibone ukuba yintoni enokwenziwa ukunyanga le meko `(Tongue-Tie)`. Oogqirha benza izinto ezimbini kakhulu kule meko:

1. Ukukunceda uphuhlise indlela yokuncancisa kunye nokuqhobosha: Oku kunceda iintsana ezininzi ezinee-latches ezibotshelelwe ulwimi ukuba zincancise ngempumelelo ngaphandle kobunzima. Umcebisi wakho wokuncancisa uza kukuxhasa kuyo yonke inyathelo kwaye uza kujonga rhoqo inkqubela yakho.

2. Kwezinye iimeko, utyando oluncinci nolukhawulezileyo lunokwenziwa kanye eofisini kagqirha: Oku kuquka ukusika nokususa "iLingual Frenulum" phantsi kolwimi lomntwana. Oku kuvumela ulwimi lomntwana ukuba lushukume ngokukhululekileyo.

Ngaba umntwana wam uyayidinga i-frenotomy?

Uninzi lwexesha, ayizizo zonke iintsana ezine-tongue-tie ezifuna utyando. Kwaye, nokuba umntwana wakho uyalufuna unyango, ungaqiniseka ukuba aluyi kuba lutyando olukhulu. Enyanisweni, oogqirha banokwenza olu tyando lubizwa ngokuba yi-frenotomy, oluyinkqubo ekhawulezileyo eofisini.

Uninzi lweentsana ezine-tongue-tie azidingi frenotomy konke konke. Oogqirha bacebisa oku kuphela ukuba indlela oncancisa ngayo kunye nokuxhuzula kwakho akwenzi ukuba iimpawu zakho zibe ngcono.

Le yinkqubo ekhuselekileyo kakhulu kwaye ithathwa njengomgangatho olungileyo wokunyanga iintsana ngentambo yolwimi. Ngaphambi kokuba benze i-frenotomy, oogqirha baya kuzikhupha okanye banyange ezinye izizathu ezinokubangela ubunzima bokuncancisa. Ukuba i-frenotomy iyimfuneko, kungcono ukuyenza kwinyanga yokuqala yobomi bomntwana . Oku kuya kunceda umntwana wakho afunde ukubambelela kakuhle kwasekuqaleni.

Ngaba kukho naziphi na iingxaki zokusikwa kwenwebu phantsi kolwimi?

I-Frenotomy ngokubanzi lutyando olukhuselekileyo kakhulu, kwaye umngcipheko weengxaki uphantsi kakhulu. Nangona kunjalo, kunqabile kakhulu, oku kulandelayo kunokwenzeka kumntwana wakho:

• Ukopha
• Usulelo
• Amanxeba
• Ukungafuni ukutya (umntwana akafuni kutya)
• Ukonakala kwamathe (imijelo yamathe) emlonyeni.

Ngaba ukuqhoboshelana kolwimi kungathintelwa?

Akukho ndlela eyaziwayo yokuthintela ukubopha ulwimi. Yimeko yokuzalwa, ngoko ke kunzima kuthi ukuyilawula. Nangona kunjalo, kwiimeko ezinzima, ukuxilongwa kwangoko kunye nonyango kunokuthintela iingxaki zokuncancisa.

Yintoni onokuyilindela xa unesana elinolwimi?

Amazinyo aboshwe lulwimi aqhelekanga ukuba angakhathazeki ngawo . Aqhelekile kwaye anokulawulwa ngaphandle kotyando. Eyona nto ibalulekileyo kukufuna uncedo kwangethuba .. Musa ukucinga ukuba, 'Ukuba ndisebenza nzima kancinci, kuza kulunga.' Ubunzima bokuncancisa asilotyala lakho, kwaye buqhelekile kakhulu. Kwanomama abanamava ngamanye amaxesha bafuna ingcebiso yeengcali ukuze basombulule iingxaki.

Ngaba ukubopha ulwimi kuchaphazela ukuncancisa ngebhotile?

Iintsana ezibotshelelwe lulwimi azinangxaki xa zincancisa ngebhotile. Umntwana usebenzisa ulwimi lwakhe ukuncancisa ubisi oluvela ebhotileni ngendlela eyahlukileyo kunaleyo alusebenzisa ebeleni. Ukuba kuyimfuneko, umcebisi wokuncancisa angakunceda ngokulungisa i-nipple yebhotile okanye isantya sokuhamba kobisi. Ukuba umntwana wakho usenengxaki yokukhupha ubisi ebhotileni, kunokubakho ezinye izizathu. Umcebisi wakho kunye nogqirha wabantwana baya kusebenzisana ukufumana unobangela.

Ndifanele ndimbone nini ugqirha?

Ukuba umntwana wakho unengxaki yokuncancisa, qiniseka ukuba ubona ugqirha okanye ingcali yokuncancisa . Nokuba imbangela kukunamathela kolwimi okanye akunjalo, banokukunika inkxaso oyifunayo. Okukhona uthetha ngayo ngokukhawuleza, kokukhona wena nomntwana wakho niza kuziva ngcono ngokukhawuleza.

Eminye imiba enxulumene noko

Ngoku makhe sijonge eminye imibuzo emincinci enxulumene noku.

Ngaba ukubopha ulwimi kubangela i-sleep apnea?

Ngokwengxelo yemvumelwano yeklinikhi eyapapashwa ngo-2020, okwangoku akukho bungqina bokuba ukubopha ulwimi ebantwaneni kubangela i-sleep apnea.

Ngaba ukubopha ulwimi kuyayichaphazela indlela othetha ngayo?

Iingcali ziyavuma ukuba ukubopha ulwimi akudli ngokuba nefuthe kwintetho yomntwana. Ngoko ke, akukho mfuneko yokwenza i-frenotomy kumntwana ngethemba lokuthintela iingxaki zokuthetha kwixesha elizayo.

Yintoni `(Intambo yolwimi yangasemva)`?

Igama elithi ``Posterior Tongue-Tie'' libhekisa kwinxalenye ye ``Lingual Frenulum'' engaphantsi kolwimi ekwicala elingasemva kolwimi, endaweni yokuba kufutshane nencam yolwimi. Nangona kunjalo, eli ligama eliphikisanayo. Abanye oogqirha bathi oku akuchanekanga ngokwendalo, ngoko ke bacebisa ukuba eli gama lisuswe. Bakhetha ukusebenzisa igama elithi ``Tongue-Tie'', nokuba iphi na i ``Lingual Frenulum''.

Yintoni i-`(Lip Tie)`?

`(I-Lip Tie)` idla ngokubhekisa kwi-membrane edibanisa umlebe ongaphezulu womntwana nentsini ephezulu. Le membrane, ebizwa ngokuba yi-`(Maxillary Labial Frenulum)` , inokuba neenguqu ezininzi njengesiqhelo. Nokuba ngumlebe onamathele ezantsi kwentsini yomntwana, okanye umlebe obonakala mkhulu kakhulu, akunakutshiwo ukuba uza kubangela iingxaki.

Nangona kunjalo, ii-lip ties ziyinto ephikisanayo phakathi koogqirha. Abanye bakholelwa ukuba ii-lip ties zinokubangela iingxaki zokuncancisa okanye iingxaki zamazinyo kamva ebomini. Abanye bathi akukho bungqina baneleyo bokungqina ezi link.

Xa kufikwa ekuncanciseni, uphando lwamva nje lubonisa ukuba utyando aluyomfuneko ukunyanga "iLip Tie." Akukho bungqina bubonisa ukuba ukususa "iLip Tie" kuphucula ukuhamba kobisi okanye kunciphisa iintlungu zengono. Nangona kunjalo, ukuba unemibuzo malunga nendlela yokuncancisa umntwana wakho, thetha nomcebisi woncanciso.

Ngaba nabantu abadala nabo banayo intambo yolwimi?

Amazinyo aboshwe lulwimi anokuchaphazela abanye abantu abadala, kodwa adla ngokuchongwa aze anyangwe ebuntwaneni. I-lingual frenulum, efumaneka phantsi kolwimi, yenye nje yee-frenulums ezingaphakathi emlonyeni wakho. Ezinye ii-frenulum, ezifana ne -buccal frenulum, ezikwisidlele, zibonelela ngenkxaso kwezinye iindawo zomlomo wakho. Ngokuxhomekeke kubukhulu bazo okanye indawo ezikuyo, zinokwenza kube nzima ukucoca amazinyo neentsini zakho ngokufanelekileyo. Ugqirha wakho wamazinyo unokuhlola zonke izakhiwo ezingaphakathi emlonyeni wakho aze akuxelele ukuba kukho into engalunganga.

Inyanga yokuqala yobomi bomntwana wakho lixesha lokumangaliswa nokufumanisa izinto ezintsha kuni nobabini. Kodwa inokuba yinto edinisayo necaphukisayo, ingakumbi ukuba ukuncancisa akuhambi njengoko bekucwangcisiwe. Ukubopha ulwimi kunokuba yenye yezizathu zobunzima bokuncancisa. Kodwa ayikuphela kwayo. Ukuba umntwana wakho unengxaki yokuncancisa, ungathandabuzi ukubona umcebisi wokuncancisa. Bangasebenzisana nogqirha wakho wezingane ukuze bafumane unobangela baze beze nesisombululo esifanela iimfuno zakho.

Zeziphi iingongoma ezibalulekileyo esifanele sizithathele ekhaya kweli bali?

Kulungile, nazi izinto ekufuneka uzikhumbule kwinto esithethe ngayo malunga nokubopha ulwimi:

• Amazinyo aboshwe lulwimi aqhelekile: akayonto ingaqhelekanga kumntwana wakho. Uninzi lwabantwana lunokuba nawo.
• Ayizizo zonke iimeko zokubopha ulwimi ezifuna utyando (`frenotomy`): Kwiimeko ezininzi, ezi ngxaki zinokusonjululwa ngokutshintsha indlela yokuncancisa kunye nendlela umntwana abambelela ngayo ebeleni.
• Lumka ngeempawu: Ukuba umntwana wakho akafuni ukuncancisa, akatyebi, okanye unentlungu xa encancisa, thetha nogqirha wakho ngale nto.
• Fumana uncedo kwangethuba: Bona ugqirha wabantwana okanye umcebisi wokuncancisa ngokukhawuleza nje ukuba uqaphela ingxaki. Oku kuya kukunceda wena nomntwana wakho nifumane isiqabu ngokukhawuleza.
• Asikuko ukuba unetyala: Kuqhelekile ukuba neengxaki zokuncancisa. Musa ukuziva kakubi ngaloo nto okanye uzibeke ityala.
• Utyando lweFrenotomy lukhuselekile (ukuba kuyimfuneko): Ukuba utyando luyimfuneko, ludla ngokuba lula kakhulu, lukhawuleza, kwaye lukhuselekile. Musa ukuyoyika kakhulu loo nto.

Njengomama, kungcono ukuthetha nogqirha uze ulungise naziphi na iintandabuzo onokuba nazo. Kuba umama onoyolo uthetha umntwana onoyolo!

"Iqhina lolwimi, i-Ankyloglossia, i-Lingual Frenulum, ukuncancisa, usana, i-Frenotomy, impilo yomntwana