Uma udokotela wakho ekutshela ukuthi ingane yakho engakazalwa noma usana lwakho lunezindebe eziqhekekile noma ulwanga, ungase uzizwe ushaqekile futhi wesaba. "Kungani lokhu kwenzeke enganeni yami?", "Ingabe lokhu kungalungiswa?", "Ngingayipha kanjani ingane yami?", njalo njalo. Lokhu kujwayelekile kakhulu. Kodwa ungakhathazeki, awuwedwa. Masiqaphele ngokugcwele lesi simo futhi sibhekane nalolu hambo ndawonye.
Kuyini i-cleft lip kanye ne-cleft palate?
Kalula nje, lesi yisimo esenzeka ngesikhathi sokuzalwa. Uma sikhuluma iqiniso, lokhu kuyisimo esingavamile esizalwa naso. Ungakhathazeki, noma ngabe kuthiwa "yisici", lokhu kuyinto engalungiswa ngempumelelo ngokuhlinzwa.
Cabanga ngakho, phakathi namasonto ambalwa okuqala okukhula komntwana esibelethweni, izingxenye zobuso bomntwana ziyahlangana kusukela ezinhlangothini zombili bese zihlangana phakathi. Yile ndlela udebe oluphezulu nolwanga oluphezulu lomlomo okwakheka ngayo. Uma ngesizathu esithile lezi zicubu zingahlangani kahle, kusala isikhala esincane, noma ukuqhekeka, lapho. Yilokho esikubiza ngokuthi i-cleft lip noma i-cleft palate.
Iyini i-cleft lip?
Udebe olungaphezulu lukhula phakathi kwamasonto ama-4 kuya kwayi-7 okukhulelwa. Uma izicubu zingahlangani kahle ngalesi sikhathi, kuvela udebe oluqhekekile. Lokhu kuyisikhala endebeni ephezulu. Kwabanye abantwana, lokhu kungase kubukeke njengomugqa omncane. Kwabanye, kungaba isikhala esikhulu esifinyelela ekhaleni. Ngezinye izikhathi, lokhu kuqhekeka kuthinta nezinsini.
Ngakho-ke kuyini i-cleft palate?
Uphahla lomlomo, noma ulwanga, lukhula phakathi kwamasonto ayi-6 kuya kwayi-9 okukhulelwa. Uma izicubu zolwanga zingahlangani kahle phakathi nalesi sikhathi, kuvela ulwanga oluqhekekile. Lesi sikhala singaba solwanga oluqinile ngaphambili noma olwanga oluthambile ngemuva.
Into ebalulekile ukuthi udebe lomlomo nolwanga lwengane oluqhekekile lukhule ngezigaba ezimbili ezihlukene. Ngakho-ke, lezi zimo zingabonakala ngezindlela eziningana.
- Kungenzeka ukuthi ube nomlomo oqhekekile kuphela ongenalo ulwanga oluqhekekile.
- Kungenzeka ukuthi u-cleft palate ungenalo udebe oluqhekekile.
- Umlomo oqhekekile kanye nomlomo oqhekekile kungenziwa ndawonye (yilokhu okuvame ukubonwa).
Kungani lokhu kwenzeke enganeni yami? Yiziphi izizathu?
Lo mbuzo ungase ukukhathaze. Uma ngikhuluma iqiniso, ezimweni eziningi, akukho imbangela eyodwa . Futhi akukho abazali abangakwenza ukuze bakuvimbele. Ngakho ungakhathazeki ngakho. Ososayensi bakholelwa ukuthi lesi simo sibangelwa yinhlanganisela yezici zofuzo kanye nezemvelo. Lokhu kusho ukuthi uma othile emndenini enalesi simo, kunethuba elincane lokuthi nomntwana uzoba naso.
| Izinto ezingase zandise ingozi | Incazelo elula |
|---|---|
| Eminye imithi ethathwa ngesikhathi sokukhulelwa | Imithi yokwelapha ukuqunjelwa, i-Accutane ye-acne, i-Methotrexate yomdlavuza kanye ne-arthritis, njll. (Uma ukhulelwe, ungathathi noma yimuphi umuthi ngaphandle kweseluleko sikadokotela). |
| Ukuntuleka kokudla okunempilo | Ikakhulukazi ukuntuleka kwe-folic acid. Yingakho kubalulekile ukuthatha i-folic acid ngaphambi kokukhulelwa. |
| Izimo zempilo zikamama | Ukukhuluphala ngokweqile, ukubhema noma ukusebenzisa izidakamizwa ngesikhathi sokukhulelwa. |
| Amagciwane noma amakhemikhali | Ukuchayeka kumagciwane athile noma amakhemikhali ngesikhathi sokukhulelwa. |
Ingabe lesi simo singatholakala kusenesikhathi?
Yebo, ezimweni eziningi kungenzeka. Odokotela bangathola lolu hlobo lokuqhekeka ebusweni bomntwana nge -anomaly scan , noma i-ultrasound, eyenziwa cishe emavikini angama-20 okukhulelwa. I-cleft lip ibonakala kahle. Kodwa-ke, uma kukhona i-cleft palate kuphela engenalo i-cleft lip, kunzima kakhulu ukuyithola nge-scan.
Ngisho noma ukuhlolwa kungaluboni, ngesikhathi sokuhlolwa ngokomzimba ngokushesha ngemva kokuzalwa komntwana, udokotela uzohlola umlomo, ikhala, kanye nolwanga lomntwana ukuze athole ukuthi lesi simo sikhona yini.
Yiziphi ezinye izinkinga ingane engaba nazo?
Lokhu kudabukisa kungabangela ingane ukuthi ibhekane nezinselele eziningana. Ukwazi lokhu kuzokusiza kakhulu.
- Ubunzima bokudla nokuphuza:Ngenxa yokuthi kukhona isikhala emlonyeni, ubisi lungaphuma ngekhala lapho umntwana emunca. Futhi, njengoba kungenzeki ukuhlanza kahle (ukumunca) umntwana, kokubili ukuncelisa nokumunca ibhodlela kungaba nzima.
- Izinkinga zokuzwa: Izingane ezine-cleft palate zingase zibe noketshezi oluqongelelekayo ezindlebeni zazo eziphakathi. Uma zingalashwa, lokhu kungaholela ekulahlekelweni ukuzwa.
- Ubunzima bokukhuluma: Ezinye izingane zingase zibe nobunzima bokuphimisela amagama ngokucacile lapho zikhuluma ngoba ulwanga lwazo alusebenzi kahle. Izwi lazo lingase lizwakale likhala.
- Izinkinga zamazinyo: Uma ukuqhekeka kuthinte nezinsini lapho amazinyo angena khona, amazinyo angase angabi khona, akhululeke, noma aphume ezindaweni ezingafanele.
Kukhona izindlela zokwelapha ezisebenzayo nezixazululo zazo zonke lezi zinkinga. Ngakho ungakhathazeki. Kukhona ithimba elihle lodokotela abazosiza ingane yakho.
Ilashwa kanjani? Ingabe lokhu kungelapheka?
Yebo, kungenzeka ngempela! Ukwelashwa okuyinhloko ukuhlinzwa . Lokhu kuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile ukuze umntwana angezwa lutho.
Ukulungiswa Kwezindebe Ezicwebezelayo
Lokhu kuhlinzwa kuvame ukwenziwa lapho umntwana ephakathi kwezinyanga ezintathu neziyisithupha ubudala . Kuhilela ukuthunga isikhala endebeni sivalwe. Ngezinye izikhathi, izindlela ezilula ezifana nokunamathisela izindebe zingasetshenziswa ukuhlanganisa izindebe ngaphambi kokuhlinzwa. Isibazi esincane esipinki sizosala ngemva kokuhlinzwa, kodwa lokhu kuzonyamalala njengoba umntwana ekhula.
Ukulungiswa Kwe-Cleft Palate
Ukuhlinzwa kwe-Cleft palate kuvame ukwenziwa lapho umntwana esenezinyanga ezingu-12 ubudala . Ukuhlinzwa kuhlose ukuvala i-cleft palate ukuze kusize ngokudla, ukuphuza, nokukhuluma. Amapayipi endlebe avame ukufakwa ngesikhathi sokuhlinzwa ukuze kuvinjelwe uketshezi ukuthi lungaqongelelani ezindlebeni.
Ngemva kwalokhu kuhlinzwa okukhulu, kungase kudingeke ukuhlinzwa okwengeziwe njengoba umntwana ekhula.
- Ukuthuthukisa amakhono okukhuluma: Cishe uneminyaka emi-5 ubudala.
- Ukulungisa izinsini: Kungadingeka i-bone graft lapho amazinyo ahlala njalo eqala ukuvela, phakathi kweminyaka engu-6 nengu-10.
- Ukuhlobisa ukubukeka kobuso nesimo sekhala: Ngesikhathi sobusha.
Ithimba lezokwelapha elikusiza wena nomntwana wakho
Awuwedwa kulolu hambo. Kukhona ithimba lodokotela kanye nochwepheshe bezempilo abavela emikhakheni eyahlukene abangochwepheshe ekusizeni wena nomntwana wakho.
| Uchwepheshe | Indima yabo |
|---|---|
| Udokotela Ohlinzayo Wepulasitiki Wezingane | Udokotela oyinhloko owenza ukuhlinzwa komlomo nomlomo wengane. |
| Udokotela wezingane | Impilo yengane iyonke, ukukhula kwayo, kanye nokudla kwayo kuyaqashwa. |
| Udokotela Wezinso/I-ENT | Siphenya ngokuzwa komntwana nezinkinga ezihlobene nakho. |
| Isazi Sezifo Zolimi Lwenkulumo | Kusiza ekuthuthukiseni amakhono okukhuluma nolimi lwengane. |
| Udokotela Wamazinyo | Ukwelashwa kunikezwa ukuze kulungiswe amazinyo agobile futhi kulungiswe indawo yomhlathi. |
| Udokotela Wezindlebe | Ukuzwa kwengane kuhlolwa njalo. |
| Umeluleki Wokuncelisa | Uzoqondiswa ukuthi uncelise ingane yakho noma unikeze ubisi ngezinye izindlela. |
Ngingamncelisa yini umntwana wami ibele? Umbuzo ovame ukubuzwa ngomama abaningi.
Lona umbuzo obaluleke kakhulu. Yebo, ezinye izingane zinganceliswa , kodwa kudinga ukwesekwa okukhethekile kanye nesiqondiso.
Ingane imunca ubisi lwebele ngokudala i-vacuum (i-suction) emlonyeni. Uma kukhona isikhala emlonyeni, kunzima ukudala le vacuum. Ngakho-ke, ingane ayikwazi ukumunca ubisi kahle.
- Izingane ezinezindebe eziqhekekile kuphela zingancelisa ngempumelelo.
- Izingane ezinesikhala esincane ngemuva kwekhanda nazo zingakwazi ukwenza lokhu.
- Kunzima kakhulu ezinganeni ezine-cleft palate enkulu, noma ezine-cleft lip kanye ne-cleft palate, ukuncelisa.
Ngezikhathi ezinjengalezi, umntwana usebenza kanzima ezama ukuncela, kodwa akatholi ubisi olwanele ukugcwalisa isisu sakhe.
Ngenzani?
Ungakhathazeki. Into engcono kakhulu ongayenza ukuhlangana nomeluleki wezokuncelisa esibhedlela. Uzokusiza ngalezi zinto:
- Thola indawo yokuncelisa efanele ingane yakho.
- Hlanza ubisi lwakho bese ufundisa ingane yakho ukuluncelisa ngebhodlela elikhethekile, inkomishi, isipuni, noma isirinji.
- Kukhona amabhodlela akhethekile enzelwe izingane ezinjengalawa. Ngizokukhombisa ukuthi ayini.
- Qaphela ukuthi ingane ithola isisindo ngendlela efanele yini.
Ngisho noma ungakwazi ukuncelisa ngqo, ukukha ubisi lwakho nokulunika ingane yakho kunikeza umsoco kanye nokuvikeleka ingane yakho ekudingayo ukuze imvikele ezifweni. Kungenye yezipho eziyigugu kakhulu ingane yakho engazithola.
Umlayezo Wokuya Nawe Ekhaya
- Umlomo oqhekekile kanye nolwanga kuyizinkinga ezivamile zokuzalwa. Akulona iphutha lakho.
- Lesi simo singalungiswa ngempumelelo ngokuhlinzwa. Ingane ingaphila impilo evamile nenempilo.
- Lolu hambo lungaba lude. Njengoba ingane yakho ikhula, uzodinga ukuhlinzwa okuningana kanye nokwelashwa okunye. Kodwa kunethimba elihle lodokotela abazokusiza wena kanye nengane yakho.
- Nakuba kungase kube nezinselele zokuqala ngokudla, zinganqotshwa ngeseluleko nokusekelwa okufanele. Khuluma ngokukhululekile ngalokhu nodokotela wakho.
- Ingane yakho ingase ibe namahloni ngokubukeka kwayo. Kubaluleke kakhulu ukuyinika uthando, ukwesekwa kanye nesikhuthazo.
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