Ingabe ingane yakho inomlomo oqhekekile/umlomo oqhekekile? (Umlomo oqhekekile/Umlomo oqhekekile) - Masiqaphele lokhu!

Kalula nje, i-cleft lip kanye ne-cleft palate kuyizikhala ezisendebeni eliphezulu lomntwana noma ophahleni lomlomo. Lokhu kubhekwa njengokukhubazeka kokuzalwa/ukukhubazeka kokuzalwa . Lokhu kusho ukuthi lezi zimo zenzeka ngesikhathi umntwana esesesibelethweni, noma kunalokho ngesikhathi sokukhula kombungu, lapho izingxenye zobuso zixhumene. Lokhu kwenzeka lapho izicubu ezakha udebe oluphezulu kanye nodebeni oluphezulu zingahlangani kahle. Kodwa ungakhathazeki, zombili lezi zimo zingalungiswa ngezinga elikhulu ngokuhlinzwa.

Iyini i-cleft lip?

Izindebe zethu ziqala ukwakheka phakathi kwamasonto amane kuya kwayisikhombisa ngemva kokukhulelwa. Izicubu ezivela ezinhlangothini zombili zekhanda zihlangana phakathi kobuso ukuze zakhe izindebe nomlomo. Umlomo oqhekekile uvela lapho lezi zicubu ezakha izindebe zingahlangani ngokugcwele.

Okwenzekayo ukuthi kwakheka isikhala esincane noma esikhulu phakathi kwezinhlangothi ezimbili zodebe olungaphezulu. Lokhu kuqhekeka kungaba umfantu omncane ngezinye izikhathi, noma kungaba isikhala esikhulu esifinyelela ekhaleni. Lokhu kuhlukana kungathinta nezinsini noma ulwanga.

Kuyini i-Cleft Palate?

Ulwanga lwakho lukhula phakathi kwamasonto ayisithupha kuya kwayisishiyagalolunye okukhulelwa. Ulwanga oluqhekekile luwukuqhekeka noma ukuvuleka ophahleni lomlomo wakho okwenzeka phakathi nalesi sikhathi. Kungathinta ulwanga oluqinile ngaphambili, ulwanga oluthambile ngemuva, noma kokubili.

I-Cleft lip kanye ne-cleft palate kungenzeka ohlangothini olulodwa lomlomo noma kuzo zombili izinhlangothi. Ngenxa yokuthi i-cleft lip kanye ne-palate zikhula ngokwehlukana, izimo ezilandelayo zingase zenzeke:

• Umlomo oqhekekile ongenalo ulwanga oluqhekekile.
• Umlomo oqhekekile ongenalo udebe oluqhekekile.
• Kokubili i-cleft lip kanye ne-cleft palate - lokhu kuvamile kakhulu.

Sivame kangakanani lesi simo?

Eqinisweni, lezi zimo ezibizwa ngokuthi i-cleft lip kanye ne-cleft palate nazo ziyabonakala eSri Lanka. EMelika, lezi zingenye yeziphambeko ezivame kakhulu zokuzalwa.

Ngokusho kwedatha lapho (Izikhungo Zokulawula Nokuvimbela Izifo zase-US):

• Cishe ingane eyodwa kwezingu-1,600 izalwa inomlomo oqhekekile kanye nolwanga oluqhekekile.
• Cishe ingane eyodwa kwezingu-2,800 izalwa inomlomo oqhekekile hhayi umlomo oqhekekile.
• Cishe oyedwa kwabangu-1,700 ozalwayo uzalwa enomlomo oqhekekile, hhayi udebe oluqhekekile.

Umlomo oqhekekile (one-cleft palate noma ongenawo) uvame kakhulu ezinganeni zesilisa. Umlomo oqhekekile wodwa (ongenawo umlomo oqhekekile) uvame kakhulu ezinganeni zesifazane.

Ziyini izimbangela zomlomo oqhekekile kanye nolwanga?

Ezimweni eziningi, kunzima ukukhomba imbangela eqondile yomlomo oqhekekile noma ulwanga. Akuyona into abazali abangayivimbela. Ososayensi abaningi bakholelwa ukuthi ibangelwa yinhlanganisela yezici zofuzo kanye nezemvelo.Kubonakala sengathi lesi simo siyenzeka. Uma othile emndenini, okungukuthi, umfowabo, umzali, noma esinye isihlobo, enalesi simo, kubonakala sengathi kunethuba eliphakeme kancane lokuthi umntwana osanda kuzalwa naye uzosithola.

Yiziphi izinto ezibangela ingozi?

Uma usebenzisa imithi ethile ngesikhathi sokukhulelwa, ingane yakho ingaba sengozini enkulu yokuba nomlomo oqhekekile/umlomo oqhekekile. Isibonelo:

• Eminye imithi enikezwa izimo ezifana nesifo sokuwa (imithi yokuvimbela ukuquleka).
• Imithi equkethe `(Accutane®)` ye-acne.
• I-Methotrexate umuthi osetshenziselwa ukwelapha izifo ezifana nomdlavuza, isifo samathambo kanye ne-psoriasis.

Futhi, ezinye izici ezihlobene nomama zingathinta lokhu:

• Ukuntuleka kwe-folic acid.
• Ukukhuluphala ngokweqile kusho ukukhuluphala ngokweqile.
• Ukusetshenziswa kukagwayi ngesikhathi sokukhulelwa.
• Inkinga yokusebenzisa izidakamizwa.
• Ukuchayeka kumagciwane athile noma amakhemikhali ngesikhathi sokukhulelwa.

Ingabe lokhu kuyizakhi zofuzo? (Ingabe i-cleft lip/cleft palate ifuzo?)

Ezinye izifundo ziphakamisa ukuthi kukhona ukuxhumana kwezakhi zofuzo phakathi kwe-cleft lip kanye ne-cleft palate. Isibonelo, uma wena noma umlingani wakho nibe ne-cleft lip noma i-cleft palate ngesikhathi nizalwa, ingane yakho inethuba elingu-2% kuya ku-8% lokuba nalesi simo. Uma usuvele unengane ene-cleft lip/cleft palate, ingane yakho elandelayo inamathuba amancane okuba nalesi simo.

Yiziphi izinkinga zalesi simo?

Izingane ezizalwa zinezindebe eziqhekekile noma i-cleft palate zingase zibe nobunzima bokuncelisa (kokubili ezinceliswa ebhodleleni kanye nebele) . Zingase zibe nobunzima bokukhuluma. Ngokuvamile, uketshezi luqoqana ngemuva kwe-eardrum, okubangela ukulahlekelwa ukuzwa . Ezinye izingane nazo zinezinkinga zamazinyo .

Ungayithola kanjani i-cleft lip kanye ne-palate?

Esikhathini esiningi, i-cleft lip ingatholakala ngesikhathi se -ultrasound yokukhulelwa . Lokhu kungenxa yokuthi i-cleft lip ingabangela izinguquko zomzimba ebusweni bomntwana. Kodwa-ke, uma kukhona i-cleft palate kuphela engenalo i-cleft lip (Isolated Cleft Palate), kunzima kakhulu ukuyithola ngale ndlela. Amaphesenti angu-7 kuphela anjalo atholakala nge-ultrasound.

Uma lokhu kungatholakali nge-ultrasound, umlomo, impumulo, kanye nolwanga kungahlolwa ngemva kokuzalwa komntwana ukuze kutholakale ukuthi kukhona yini udebe oluqhekekile noma ulwanga oluqhekekile.

Kwezinye izimo, udokotela angase atuse ukuhlolwa okubizwa ngokuthi i-amniocentesis , okuhilela ukuthatha isampula yoketshezi lwe-amniotic oluzungeze umntwana ukuze kuhlolwe ezinye izimo zofuzo.

Ingabe udebe oluqhekekile lungatholakala ngaphambi kokuzalwa?

Esikhathini esiningi, odokotela bazobona izindebe eziqhekekile ngesikhathi sokuhlolwa kwe-ultrasound kwamasonto angama-20 (i-Anatomy Scan), okuyi-scan eyenziwa phakathi kwamasonto ayi-18 nama-22 okukhulelwa. Ngezinye izikhathi ingatholakala kusenesikhathi emavikini ayi-12. Kodwa-ke, ukuthola i-cleft palate nge-ultrasound kuyinselele kakhulu.

Yiziphi izindlela zokwelapha izindebe eziqhekekile/umlomo ogobile?

I-Cleft lip kanye/noma i-cleft palate zelashwa ngokuhlinzwa . Imininingwane eqondile yalokhu kwelashwa incike kubukhulu be-cleft, iminyaka yengane, kanye nanoma yiziphi ezinye izidingo ezikhethekile noma izimo zempilo enazo. Ingane yakho izokwenza lokhu kuhlinzwa esibhedlela, ngaphansi kwe-anesthesia ejwayelekile , okusho ukuthi ilele ngokuphelele.

Ukulungiswa Kwezindebe Ezicwebezelayo

Umlomo oqhekekile ungadinga ukuhlinzwa okukodwa noma okubili. Ukuhlinzwa kokuqala kuvame ukwenziwa lapho ingane yakho ineminyaka ephakathi kwezinyanga ezintathu neziyisithupha ubudala. Lokhu kuhlinzwa kuzolungisa futhi kuvale umlomo. Uma kudingeka ukuhlinzwa kwesibili, kuvame ukwenziwa lapho ingane yakho ineminyaka engaba yizinyanga eziyisithupha ubudala.

Kunezindlela eziningana ezingasetshenziswa ngaphambi kokuhlinzwa ukuthuthukisa imiphumela. Lezi yizindlela ezingahlaseli ezingashintsha kakhulu isimo sezindebe, ikhala, nomlomo wengane yakho. Isibonelo:

• Indlela yokufaka izindebe ezithambile ingasiza ekunciphiseni udebe lomntwana oluqhekekile.
• I-lifti yamakhala iyasiza ekwakheni ikhala lomntwana libe nesimo semvelo.
• Idivayisi yokubumba izindebe ngekhala (i-NAM) isiza ekwakheni izicubu zezindebe ngendlela engcono kakhulu yokuhlinzwa.

Ukulungiswa Kwe-Cleft Palate

Ukuhlinzwa kwe-Cleft palate kuvame ukwenziwa lapho umntwana esenezinyanga ezingaba ngu-12 ubudala. Lokhu kusiza ekwakheni i-palate esebenzayo futhi kunciphise amathuba okuthi uketshezi luqongelelane endlebeni ephakathi yomntwana. Ukuze kuvinjelwe lokhu kuqongelelana, izingane ezine-cleft palates zivame ukuba namapayipi akhethekile afakwa ezindlebeni zazo ukuze zisize ukukhipha uketshezi. Odokotela bazo bazohlola ukuzwa kwazo cishe kanye ngonyaka.

Cishe u-40% wezingane ezine-cleft palates zizodinga ukuhlinzwa okwengeziwe ukuze kuthuthukiswe inkulumo yazo . Udokotela wezifo zokukhuluma uzohlola inkulumo yengane yakho eneminyaka ephakathi kuka-4 no-5. Angasebenzisa i-nasopharyngeal scope ( ikhamera efakwa ngekhala) ukuze abheke ukunyakaza kolimi nomphimbo. Uma ingane yakho idinga ukuhlinzwa ukuze kuthuthukiswe inkulumo yayo, ngokuvamile kwenziwa cishe eminyakeni engu-5.

Izingane ezine-cleft ethinta umugqa wezinsini nazo zingadinga ukufakelwa amathambo phakathi kweminyaka engu-6 nengu-10. Le nqubo igcwalisa umugqa wezinsini ongaphezulu, inikeze ukusekelwa kwamazinyo ahlala njalo futhi iqinise umhlathi ongaphezulu. Uma amazinyo ahlala njalo esefikile, ingane yakho ingadinga ukuqondisa amazinyo ayo.Ngokuvamile kuyadingeka ukusebenzisa ama-braces kanye ne-palate expander ukuze kwandiswe ulwanga.

Ingane yakho ingadinga ukuhlinzwa okwengeziwe ngenxa yalokhu okulandelayo:

• Thuthukisa ukubukeka kwezindebe nekhala.
• Vala izikhala eziphakathi komlomo wakho nekhala.
• Yenza ukuphefumula kube lula.
• Qinisa futhi uqondise umhlathi wakho.

Ukuhlinzwa kungaba nezingozi ezifana nokopha, ukutheleleka, kanye nokulimala kwemizwa, izicubu, noma ezinye izakhiwo. Kodwa-ke, ukuhlinzwa komlomo nomlomo oqhekekile kuvame ukuphumelela futhi kunengozi encane. Isibazi esincane esipinki sishiywa ngemva kokuhlinzwa komlomo oqhekekile, okufanele sinyamalale kancane kancane njengoba ingane ikhula.

Kuyini ukwelashwa okungadingi ukuhlinzwa?

Izingane ezine-cleft lip noma i-cleft palate zingadinga ukwelashwa ngale kokuhlinzwa. Ezinye izindlela zokwelapha odokotela bazo abangazincoma zifaka phakathi ukwelashwa kokukhuluma kanye nokwelashwa ngamazinyo .

Ubani olapha laba bantwana?

Ngenxa yenani lezinkinga zempilo yomlomo kanye nezokwelapha ezihambisana nomlomo oqhekekile noma ulwanga, ithimba labahlinzeki bezempilo lenza uhlelo lokunakekelwa oluphelele. Ukwelashwa kwengane yakho kuvame ukuqala ebuntwaneni futhi kuvame ukuqhubeka kuze kube yilapho isikhulile.

Ithimba labo lezokunakekelwa kwempilo lingafaka:

• Udokotela Ohlinzayo Wepulasitiki Wezingane.
• Udokotela wezingane.
• Udokotela we-otolaryngologist (uchwepheshe wezindlebe, impumulo kanye nomphimbo).
• Abahlinzeki Bokusekela Ukuncelisa ukuze basize ngokuncelisa kusenesikhathi.
• Udokotela wamazinyo unguchwepheshe wamazinyo oqondisa futhi ahambise amazinyo endaweni efanele.
• Udokotela wamazinyo noma udokotela wamazinyo wezingane ohlinzeka ngokunakekelwa kwamazinyo okuvamile.
• Uchwepheshe ekwenzeni amazinyo okwenziwa kanye nezinto zikagesi zamazinyo (Prosthodontist).
• Izazi Zezifo Zolimi Lwenkulumo (SLPs) zihlola izinkinga zokukhuluma.
• Udokotela wezindlebe ohlola futhi aqaphe ukuzwa.
• Isisebenzi sezenhlalakahle/isazi sezengqondo esisekela umndeni futhi sihlole ukuthi kukhona yini izinkinga ngokujwayela kwengane.
• Abeluleki bezakhi zofuzo abasiza abazali neziguli ezindala ukuqonda ukuthi kungenzeka yini ukuba nezingane ezine-cleft palate/lip esikhathini esizayo.

Ingabe ulwelwesi/umlomo oqhekekile ungavinjelwa?

Ayikho indlela yokuvimbela ngokuphelele ingane yakho ukuba ibe nomlomo oqhekekile/umlomo oqhekekile. Kodwa-ke, unganciphisa ingozi ngokugwema ugwayi, utshwala, kanye nemithi ethile ngesikhathi sokukhulelwa. Khuluma nodokotela wakho ukuze uthole ulwazi olwengeziwe.

Lizoba njani ikusasa lalaba bantwana?

Ukwelashwa kungathatha iminyaka futhi kungadinga ukuhlinzwa okuningana.Iningi lezingane ezinalezi zimo likhula kahle. Ngokwelashwa, ubunzima bokukhuluma nokudla bungathuthuka. Abanye bangase babe nomuzwa ojulile ngesimo sezindebe zabo noma izibazi. Khuluma nodokotela bengane yakho ngokuthi bangakusekela kanjani eminyakeni edlule.

Ingabe ingane enomlomo/umlomo oqhekekile inganceliswa?

Kungenzeka ukuncelisa ingane yakho uma udebe oluqhekekile kanye/noma ulwanga luphukile. Kodwa-ke, uzodinga usizo kuchwepheshe wezokwelapha oqeqeshiwe. Ukuncelisa ngempumelelo kuncike ezintweni eziningana, njenge:

• Uhlobo, usayizi, kanye nendawo yoqhekeko.
• Indlela oncelisa ngayo.
• Ukuthi ingane yakho inesifo esihlobene nalokhu (esingase sibe nezinye izimpawu eziphazamisa ukuncelisa).
• Imfundo yokuncelisa kanye nokusekelwa okutholayo.

Izingane zisebenzisa ukumunca ubisi ebeleni. Umlomo oqhekekile kanye/noma ulwelwesi oluqhekekile kungavimbela umntwana ekusebenziseni lokhu kumunca.

Ucwaningo lubonisa ukuthi ezinye izingane ezinezindebe eziqhekekile kuphela zingaba nokumunca okwanele ukuze zincelise ngempumelelo. Kungenzeka ukuthi izingane ezinezimbobo ezincane ezithinta ulwanga oluthambile zingaba nokumunca okudingekayo.

Nokho, ngokuvamile kunzima ukuthuthukisa amandla okubamba ezinganeni kanje:

• Kwabantwana abanezindebe eziqhekekile kanye nolwanga oluqhekekile.
• Kwabantwana abanemifantu emikhulu ethinta izingxenye eziqinile kanye/noma ezithambile zekhanda.

Lo mntwana angase abe nobunzima bokukwazi ukumunca ngoba akukho ukuhlukana okufanele phakathi kwengaphakathi lekhala nengaphakathi lomlomo.

Uma ingane yakho ingakwazi ukuncela kahle, ukuzama ukwenza kanjalo kungaba yinto ekhathazayo kakhulu . Ingase ibe nokuvuvukala kwamakhala noma i-reflux. Ezinye izingane zingase zingatholi ubisi olwanele, okungabangela izinkinga zokudla kanye nokukhula.

Ukusekelwa kokuncelisa ingane enomlomo/umlomo oqhekekile

Into yokuqala okufanele uyazi ukuthi awuwedwa . Imindeni eminingi ibhekene nalesi simo, futhi izibuza ukuthi ingakuphatha kanjani ukuncelisa noma ezinye izinketho.

Ngenhlanhla, abeluleki bokuncelisa kanye nochwepheshe bokuncelisa, okuhlanganisa nochwepheshe bokuncelisa , bayatholakala ukukusiza ukuthola izindlela zokuncelisa ingane yakho. Laba bantu bangakusiza noma ungakwazi ukuncelisa. Hlela isikhathi sokubonana nabo ngokushesha okukhulu, noma usakhulelwe. Ungafunda ngendlela yokunakekela ingane yakho nokuthi yini ongayilindela.

Umeluleki wokubeletha angakusiza ngalezi zinto:

• Thola ukuthi kungenzeka yini ukuncelisa ingane.
• Phatha ubisi lwakho.
• Funda indlela yokukhama ubisi lwebele, kungaba ngesandla noma ngephampu yebele.
• Thola indawo yokuncelisa engcono kakhulu efanela wena nomntwana wakho.
• Qiniseka ukuthi ingane yakho ithola uketshezi olwanele.
• Qaphela ukukhula kwesisindo nokukhula kwengane yakho.
• Uma kudingeka, phatha ukudla okwengeziwe (ifomula noma okunye okungathatha indawo yobisi lwebele olunikezwayo).
• Usizo ngokuncelisa wena nomntwana wakho ngemva kokuhlinzwa komlomo/umlomo oqhekekile.

Ukusekela uma ungakwazi ukuncelisa

Kubalulekile ukwazi ukuthi naphezu kwemizamo emihle yawo wonke umuntu, ingane yakho ingase ingakwazi ukuncelisa ngqo ebeleni. Lokhu kungase kube njalo ngemva kokuhlinzwa. Kodwa-ke, umeluleki wakho wokuncelisa angakusiza ukuthola ezinye izindlela zokuncelisa nokubopha ingane yakho.

Isibonelo, udokotela wakho angakusiza ngokukhipha ubisi lwebele . Lokhu kuhilela ukukhipha ubisi lwebele (kungaba ngesandla noma ngepompo) bese ulunika ingane yakho usebenzisa isipuni, inkomishi, ibhodlela, noma isirinji. Amanye amabhodlela enzelwe ukunikeza ingane yakho usizo olwengeziwe ngokumunca. Udokotela wakho angakusiza ukhethe ibhodlela elikufanele.

Ukuncelisa ingane yakho kunikeza ingane yakho izakhamzimba ezibalulekile ebisini lakho. Ukuncelisa ingane kungase futhi kunciphise ingozi yengane yakho yokuthola izifo zendlebe , ezivame kakhulu ezinganeni ezinezindebe eziqhekekile/umlomo onamabala.

Udokotela wakho angase futhi akukhuthaze ukuthi uzame ukuncelisa ingane yakho, noma ngabe ingane yakho ayitholi ubisi olwanele lokuyondla. Ukwenza kanjalo kungasiza ekugcineni ubisi lwakho lukhona. Kuyindlela ebalulekile yokududuza nokubopha ingane yakho.

Yiluphi ukunakekelwa kwamazinyo ingane yakho edingayo?

Ngokuvamile, izingane ezinezimbobo zinezidingo ezifanayo zamazinyo njengezinye izingane. Kodwa-ke, izingane ezinezindebe ezimbobo kanye nolwanga oluqhekekile zingase zibe namazinyo angekho, ushintsho esimweni samazinyo azo, noma ukungalungi kahle kwamazinyo azo. Nazi ezinye izincomo:

• Ukunakekelwa Kwamazinyo Kwasekuqaleni: Ingane yakho idinga ukudla okunempilo, ukuxubha kahle, kanye nokwelashwa nge-fluoride ukuze igcine amazinyo ayo ephilile. Lapho nje amazinyo ayo eqala ukungena, xubha amazinyo engane yakho ngebhulashi lamazinyo elincane, elithambile. Uma leli bhulashi lamazinyo lingakwazi ukuhlanza amazinyo ayo kahle ngenxa yokuma komlomo namazinyo alo okuhlukile, udokotela wamazinyo angancoma ukusebenzisa isiponji esithambile esinomshini wokuhlanza umlomo. Buza ingane yakho ukuthi kufanele iwathathe kangaki amazinyo ayo ayohlolwa amazinyo.
• Ukunakekelwa Kwamazinyo: Ngemva kokungena kwamazinyo ahlala njalo, udokotela wamazinyo uzohlola izidingo zamazinyo zengane yakho zesikhathi esifushane nezesikhathi eside. Izingane eziningi ezine-cleft palate zizodinga ukunwetshwa kwe-palatal cishe eminyakeni engu-6 noma engu-7. Ngemva kokuba wonke amazinyo ahlala njalo esengenile, udokotela wamazinyo angaqondisa amazinyo ngezinsimbi zokubopha. Ingane yakho ingadinga nokunakekelwa kwamazinyo ukuze ilungiselele ukuhlinzwa kwe-orthognathic.
• Ukunakekelwa Kwezitho Zokuhlinza: Udokotela we-prosthodontist angafaka esikhundleni samazinyo alahlekile ngebhuloho lamazinyo noma adale amadivayisi akhethekile abizwa ngokuthi ama-speech bulbs noma ama-palatal lifts ukusiza ukuthuthukisa ukukhuluma. Udokotela we-prosthodontist usebenza ngokubambisana nodokotela ohlinzayo womlomo noma we-plastic kanye nodokotela wezokukhuluma.

Yiziphi izinkinga ezihlobene nomlomo oqhekekile kanye nolwanga?

Izingane ezinezinsila zivame ukuba nezinkinga zokudla, ukulahlekelwa ukuzwa, kanye nezinkinga zokukhuluma . Izingane zingase zibe nezinkinga zamazinyo noma zokuzethemba.

• Izinkinga Zokudla: Uma kunomfantu noma imbobo emlonyeni, ukudla nokuphuza kungabuya emlonyeni ngekhala. Ezinye izingane zinobunzima bokuncelisa noma ukuncelisa ibhodlela ngoba azikwazi ukuncelisa kahle.
• Ukulahlekelwa Yizindlebe: Izingane ezine-cleft palate zinamathuba amaningi okuba ne-glue ear, okungaholela ekulahlekelweni yizindlebe uma zingelashwa.
• Izinkinga Zokukhuluma: Izingane ezinezinhlungu zomlomo ezingase zibe nobunzima bokukhuluma. Amazwi azo angase angezwakali kahle, futhi inkulumo yazo ingaba nzima ukuyiqonda. Akuzona zonke izingane ezinalezi zinkinga, futhi zingalungiswa ngokuhlinzwa.
• Izinkinga Zamazinyo: Izingane ezinezimbobo zinamathuba amaningi okukhula imigodi, ukulahlekelwa amazinyo, ukukhula ngendlela engafanele, noma ukushintshashintsha izindawo zazo.

Kungenzeka kakhulu ukuthi bahlume amaphutha e -alveolar ridge, ingxenye esematheni yensini engenhla lapho amazinyo atholakala khona. Iphutha kule alveolar ridge lingabangela:

• Amazinyo ahlala njalo anganyakaza, akhululeke, noma aze ajikeleze.
• Kungavimbela ukuqhuma kwamazinyo ahlala njalo.
• Ukwakheka komugqa we-alveolar kungavinjelwa.
• Amazinyo ezinja kanye namazinyo amazinyo aqalayo angase aphume ngaphambi kwesikhathi.
• Izinkinga Zemizwa Noma Zezenhlalo: Izingane ezinezimfa zingase zibe nemizwa yokuzenyeza noma yamahloni ngokubukeka kwazo, ngisho noma zisencane. Lokhu kungaholela ezinkingeni zemizwa, zenhlalo, noma zokuziphatha esikoleni, futhi kungathinta ukuzethemba kwazo.

Kungenzeka ukuthi uke wafunda ngalesi simo ngesikhathi sokuhlolwa kwe-ultrasound ngesikhathi ingane yakho isesesibelethweni, noma ngemva kokuzalwa kwengane yakho. Kodwa-ke, ukuba nomlomo oqhekekile noma ulwanga kungaba yisimo esicindezelayo kakhulu okunzima ukusichaza ngamazwi. Ungase ukhathazeke ngokuhlinzwa ingane yakho ezodinga, ukuthi izolulama kanjani, nokuthi ubuntwana bayo buzoba njani. Khumbula, ithimba lezokwelapha lengane yakho lilapha ukusiza wonke umndeni wakho (kufaka phakathi nawe).Ungangabazi ukwabelana nabo ngayo yonke imibuzo yakho kanye nokukhathazeka kwakho. Khona-ke uzokwazi ukwenza isinqumo sakho futhi uthole ulwazi oludingayo ukuze ubhekane nohambo oluzayo.

Izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba (Umyalezo Wokuya Ekhaya)

Kuvamile ukuzizwa ukhungathekile uma uthola ukuthi ingane yakho inomlomo oqhekekile noma ulwanga oluqhekekile. Kodwa khumbula, awuwedwa .

Into ebalulekile ukuthi kunezindlela zokwelapha ezisebenzayo zombili lezi zimo. Yebo, kuthatha isikhathi futhi kungadinga ukuhlinzwa okuningi. Kodwa ngokunakekelwa okufanele kwezokwelapha kanye nothando nokusekelwa komndeni wakho, ingane yakho ingaphila impilo ejabulisayo nenempilo njengawo wonke umuntu.

Kuzodingeka kuqashelwe ngokukhethekile izinto ezifana nokondla ezigabeni zokuqala kanye nokukhuluma kamuva. Kunabantu abaningi, okuhlanganisa odokotela kanye nabelaphi bezenkulumo, abazosiza ngakho konke lokho.

Ngisho noma ingane yakho isencane, ingase izizwe idangele kancane ngokubukeka kwayo. Ngaleso sikhathi, kubaluleke kakhulu ukuyiqonda, ukukhuluma nayo ngothando, nokuyiduduza. Xoxa ngakho konke lokhu nodokotela wakho. Bazokuqondisa ngqo.

Ngakho-ke, hlala uqinile futhi ulandele iseluleko sodokotela njengoba uqhubeka nalolu hambo. Ingane yakho izolulama ngokushesha futhi ibone umhlaba ngokumomotheka okuhle!

Umlomo oqhekekile , ulwelwesi oluqhekekile, ukukhubazeka kokuzalwa, impilo yengane, ukuhlinzwa, ukwelashwa kokukhuluma, ukuncelisa ibele