Njengomama, kumnandi kakhulu xa umntwana wakho evuza amathe, akunjalo? Oku kuqhelekile kakhulu, ingakumbi phakathi kweenyanga ezi-4 ukuya kwezili-19 ubudala. Kodwa ukuba umntwana wakho usavuza amathe kakhulu nangona sele eneminyaka emi-4 ubudala, kusenokwenzeka ukuba yinto esifanele siyixhalabele. Ngokwezonyango, le meko ibizwa ngokuba yiSialorrhea. Makhe sithethe ngale nto ngendlela elula nelula namhlanje.
Ngamafutshane, yintoni iSialorrhea?
I-Sialorrhea kukuvuza amathe okanye ukuvuza amathe kakhulu. Ngokwesiqhelo, umlomo womntwana uvelisa malunga ne-1.5 yeelitha zamathe ngosuku. Nangona kunjalo, umntwana onesi sifo unokuvelisa ukuya kuthi ga kwiilitha ezi-5 zamathe ngosuku. Ngamanye amaxesha, nangona ubungakanani bamathe obuveliswayo buqhelekile, umntwana akakwazi ukuwaginya kakuhle. Nangona kunjalo, amathe asaphuma emlonyeni.
Kukho iintlobo ezimbini eziphambili zale nto:
- I-Anterior Sialorrhea: Olu lolona hlobo luqhelekileyo lokuvuza amathe. Amathe aphuma emlonyeni aye ehla ebusweni aye empahleni. Oku kunokubangela ukubomvu nokuqhekeka kolusu olujikeleze isilevu nomlomo, kwaye kunokukhokelela kwiintsholongwane zolusu. Kunokwenza umntwana abe neentloni kancinci aze oyike ukunxulumana nabanye abantwana.
- I-Posterior Sialorrhea (ukuvuza amathe ngasemva komphimbo): Oku kuxa amathe ehla ngomphimbo, aye kwindlela yomoya , endaweni yokuphuma. Oku kuyingozi kancinci. Ukuba amathe ayaqhubeka nokuphuma emiphungeni, anokonakalisa imiphunga kwaye abangele ukuxinana kwesifuba rhoqo kunye nokukhohlela.
Amaxesha amaninzi, abantwana abanale meko babonisa iimpawu zazo zombini ezi ntlobo kunye.
Zithini izizathu zokuvuza amathe?
Kukho izizathu ezininzi eziphambili zokuba umntwana angakwazi ukuvuza amathe kakhulu. Ngokuqhelekileyo, luphawu lwenye ingxaki yempilo engabonakaliyo.
Eyona nto ibalulekileyo kukubona ugqirha uze wenze isigqibo esichanekileyo, endaweni yokuqikelela unobangela ngokwakho.
Makhe sijonge ngakumbi ezo zizathu kwitheyibhile engezantsi.
| Isizathu | Ingcaciso elula |
|---|---|
| Iingxaki zenkqubo yemithambo-luvo kunye nobuchopho | Ingqondo inobunzima bokulawula izihlunu zomlomo nomqala. Umzekelo, malunga ne-58% yabantwana abanesi sifo esibizwa ngokuba yiCerebral Palsy nabo banaso esi sifo. Sinokubangelwa kukwenzakala okanye ukubetheka kobuchopho. |
| Izinto Ezingaqhelekanga Kwi-Anatomical | Utshintsho lomzimba olubangela ukuba kube nzima ukuginya. Imizekelo: ulwimi olukhulu kunoluqhelekileyo, ukukhubazeka komhlathi okanye umphimbo, umlomo okanye incakuba eqhekekileyo, iingxaki ngokuma kwamazinyo. |
| Ukuveliswa kwamathe ngokugqithisileyo | Nangona umntwana ekwazi ukuginya, umzimba uvelisa amathe amaninzi kunokuba kuyimfuneko. Oku kungaba yimiphumo emibi yamayeza athile okanye ngenxa yezinye izifo zokuphefumla. |
| Ukuphefumla ngomlomo | Abanye abantwana baphefumla ngomlomo wabo endaweni yokuba baphefumle ngeempumlo zabo. Nangona kunjalo, umlomo uvulekile, nto leyo evumela amathe ukuba aphume. |
Zingaba yintoni iimpawu zale meko?
Iimpawu zixhomekeke ekubeni amathe ayaphuma na (ngaphambili) okanye angene emqaleni (ngasemva).
- Ukuba amathe aphuma phambili (i-Anterior Sialorrhea):
- Soloko unempahla emanzi kunye neekhabhathi zepillow.
- Ulusu olujikeleze umlomo nesilevu lubomvu, lomile, kwaye luqhekekile.
- Ngamanye amaxesha kukho ukunqongophala kwamanzi emzimbeni (ukuphelelwa ngamanzi emzimbeni kancinci).
- Ubunzima bokuthetha nokutya.
- Ukuba amathe aphuma ecaleni komqala (i-Posterior Sialorrhea): Oku kunokubangela iimpawu ezinzulu.
- Ukuphefumla kancinci rhoqo, ukukhohlela, isicaphucaphu, kunye nokuhlanza .
- Ukuxinana kwesifuba.
- Ubunzima bokuphefumla.
- Ukuphefumla: Oku kuthetha ukufunxa izinto ezifana namathe emiphungeni. Oku kuyingozi kakhulu kuba kunokubangela usulelo olukhulu njenge -pneumonia .
Uyazi njani ukuba le yimeko yezonyango?
I-anterior sialorrhea ingachongwa lula ngugqirha emva kokuxilonga umntwana wakho nokubuza iinkcukacha.
Kodwa ukuba ukrokrela ukuba umntwana wakho unengxaki yokuvuza amathe, kunokufuneka ukuba kwenziwe uvavanyo olukhethekileyo ukuqinisekisa oko. Izixhobo ezikhethekileyo zisetyenziselwa ukujonga umphimbo womntwana wakho, ukuginya, kunye nokuthetha. Umzekelo, i-X-ray ekhethekileyo ebizwa ngokuba yi -videofluoroscopy inokubonisa ngqo indlela umntwana aginya ngayo ulwelo kunye nendlela oluhamba ngayo emqaleni. Ungakhathazeki, ugqirha wakho uya kuyalela olu vavanyo kuphela ukuba kuyimfuneko ngokwenene.
Wenza ntoni njengonyango?
Eyona nto ingcono kukuba kukho iindlela ezininzi zokunyanga oku. Ngokuxhomekeke kwimeko yomntwana kunye nesizathu, ugqirha uya kukhetha unyango olufanelekileyo.
- Amayeza omlomo: Amayeza anciphisa ukuveliswa kwamathe okanye enza kube lula ukuhamba komoya anokunikwa. Nangona kunjalo, amanye ala mayeza anokubangela iziphumo ebezingalindelekanga ezifana nomlomo owomileyo kunye nokuqhina. Ngoko ke, ugqirha uya kunika la mayeza emva kokuwaqwalasela ngononophelo.
- Inaliti zeBotox: I-Botulinum Toxin (iBotox) ifakwa kwiindlala zamathe ukulawula ukuveliswa kwamathe kangangeenyanga ezi-4. Olu lunyango olukhuselekileyo ngoku ebantwaneni.
- Iinkqubo zotyando: Kwiimeko ezinzima kakhulu, kukho utyando lokususa amathe amaninzi okanye ukutshintsha ukusebenza kwawo. Ezi zinokubonelela ngesisombululo esihlala sihleli.
- Uqeqesho lokusebenzisa imithambo yomlomo: Olu lunyango olubaluleke kakhulu. Ingakumbi kubantwana abavuza amathe ngenxa yengxaki yesakhiwo emzimbeni, iingcali zonyango lokuthetha zibonelela ngoqeqesho lokubanceda baginye kakuhle kwaye balawule izihlunu zomlomo.
Nangona kunjalo, ukuba umntwana wakho unesimo esincinci nesingesibi kangako, usenokungadingi unyango oluninzi. Ungayilawula le meko ngokukhusela ulusu ngokunxiba iibhibhi kunye nokufaka ikhrimu yokuthintela esilevini .
Ufanele umnyamekele nini umntwana wakho?
Njengoko besitshilo ngaphambili, kuyinto eqhelekileyo ukuba umntwana omncinci aqunje amathe. Nangona kunjalo, ukuba uqunje amathe kakhulu kuyaqhubeka emva kweminyaka emine ubudala , kungcono ukuthetha nogqirha, kuba oko kungaba luphawu lwengxaki ethile engabonakaliyo.
Enye into ekufuneka uyiqwalasele kukuba umntwana wakho ngequbuliso uqala ukuvuza amathe kakhulu emva kwexesha elide ngaphandle kwengxaki. Oku kusenokuba kubangelwa sisifo somqala okanye umntwana eginya into ethile (njengethoyi okanye ingqekembe). Ukuba ukrokrela oku, mse umntwana wakho kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele esikufutshane ngoko nangoko .
Ukuba umntwana ngempazamo uginye ityhefu okanye enye into engamlungelanga, funa ingcebiso kagqirha ngoko nangoko.Ungafowunela neZiko loLwazi lweTyhefu leSizwe kwiSibhedlele sikaZwelonke saseColombo.
Nangona kunjalo, ukuba ukuvuza kwamanzi komntwana wakho kuphazamisa ubomi bakhe obuqhelekileyo kunye nolonwabo, qiniseka ukuba ubona ugqirha kwaye ufumane iingcebiso ezifanelekileyo kunye nonyango.
Umyalezo Wokuya Ekhaya
- Nangona ukuvuza amathe kuyinto eqhelekileyo ebuntwaneni, kubalulekile ukufuna ingcebiso kagqirha ukuba kuyaqhubeka emva kweminyaka emi-4.
- Oku kusenokubangelwa yingxaki yokulawula imithambo-luvo, utshintsho kwisakhiwo somzimba, okanye ukuveliswa kwamathe amaninzi.
- I-postterior sialorrhea kufuneka iphathwe ngononophelo kuba inokukhokelela kwiingxaki ezifana ne-pneumonia.
- Kukho unyango oluninzi oluphumelelayo koku, kuquka amayeza, i-Botox injections, utyando, kunye nonyango lokuthetha.
- Musa ukuba namathandabuzo engqondweni yakho. Thetha nogqirha wakho wosapho ngale nto nangaliphi na ixesha uze ufumane ulwalathiso olufanelekileyo.
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