Ingabe ingane yakho inomlomo oqhekekile? Ake sixoxe ngomlomo oqhekekile!

Cishe uke wabona noma wezwa ngezingane ezizalwa zinesikhala esincane endebeni yazo engenhla. Kuvamile ngabazali ukuzizwa bethukile, bedabukile, futhi besaba lapho bebona lokhu. "Kwenzekeni enganeni yami?" "Akunakulungiswa lokhu?" Imibuzo eminingi ingase ifike engqondweni. Kodwa ungakhathazeki, kulungile? Lesi simo, esibizwa ngokuthi isikhala, saziwa ngokwezokwelapha ngokuthi `(Cleft Lip)`. Namuhla, sizoxoxa ngalokhu ngokuningiliziwe, kalula kakhulu. Ngendlela ongayiqonda, kufana nokukhuluma nomngane.

Iyini ngempela i-cleft lip?

Kalula nje, i-cleft lip iyisikhala noma ukuhlukana kodebe olungaphezulu okwenzeka lapho ubuso bomntwana bukhula esibelethweni. Cabanga ngakho njengesikhala esincane engutsheni uma imigqa emibili yezithungo ingalingani kahle . Ubuso bomntwana buvame ukwakheka phakathi namasonto ambalwa okuqala okukhulelwa. Phakathi nalesi sikhathi, izindebe nomlomo ongaphezulu kuyahlangana kusuka ezinhlangothini zombili bese kuhlangana phakathi. Ngezinye izikhathi lokhu kuhlangana akwenzeki ngokuphelele. Yilapho-ke kwenzeka khona i-cleft lip.

Lo mfantu ungaba sohlangothini olulodwa kuphela (okungukuthi, ohlangothini lwesokudla noma lwesobunxele lodebe). Noma ungaba kuzo zombili izinhlangothi. Nakuba kwezinye izingane lokhu kungabonakali kalula njengokuqhekeka okuncane kodebe, kwezinye izingane lo mfantu unganwebeka uze ufike ekhaleni. Futhi, ngezinye izikhathi umfantu ongaphezulu komlomo ungavela kanye nodebe oluqhekekile . Lokhu kubizwa ngokuthi i-cleft palate. Zombili lezi zingenzeka ndawonye noma ngokwehlukana.

Kungani lokhu kwenzeka ezinganeni ezincane? Yiziphi izizathu?

Abazali abaningi bacabanga ukuthi, "Asazi ukuthi senze into engalungile yini." Ungazizwa kabi ngakho. Ngokuvamile, kunzima ukuthola imbangela ecacile neyodwa. Kodwa odokotela bakholelwa ukuthi lesi simo singabangelwa yinhlanganisela yezici.

Izici Zofuzo

Ngezinye izikhathi lokhu kungaba yifa. Okusho ukuthi, uma othile emndenini (umama, ubaba, umfowabo) enomlomo oqhekekile, omunye umntwana cishe unamathuba amaningi okuba nalesi simo. Kunezakhi zofuzo ezithile ezisithintayo. Kodwa lokhu akuvamile kuwo wonke umuntu.

Izici Zemvelo Ngesikhathi Sokukhulelwa

Ezinye izinto ezenzeka ngesikhathi sokukhulelwa zingathinta ukukhula komntwana.

• Imithi ethile: Eminye imithi ethathwa ngesikhathi sokukhulelwa (isibonelo, eminye imithi yesifo sokuwa) ingathinta lokhu. Ngakho-ke, ungathathi noma yimuphi umuthi ngesikhathi sokukhulelwa ngaphandle kweseluleko sikadokotela.
• Ukubhema nokusebenzisa utshwala: Uma umama ebhema noma ephuza utshwala ngesikhathi sokukhulelwa, kungathinta ingane.
• Ukuntuleka kokudla okunempilo: ikakhulukazi i-folic acidEsinye isizathu esingenzeka ukuthi ungase ungatholi ngokwanele leli vithamini ekuqaleni kokukhulelwa. Yingakho odokotela abaningi batusa amaphilisi e-folic acid komama abakhulelwe.
• Ezinye izifo: Ezinye izifo ezibangelwa amagciwane umama azithola ngesikhathi sokukhulelwa nazo zingathinta ingane.
• Isifo Sikashukela: Isifo sikashukela esingalawulwa kumama ngesikhathi sokukhulelwa naso siyingozi.

Into ebalulekile ukuthi, isikhathi esiningi, lokhu akulona iphutha lomuntu. Ngakho ungazibeki icala.

Yiziphi izinhlobo eziyinhloko ze-cleft lip?

Njengoba sikhulume ngakho ngaphambili, lokhu kuqhekeka kwezindebe kungafika ngendlela ethile noma enye.

• Umlomo Oqhekekile Ohlangothini Olulodwa: Lokhu kwenzeka lapho ukuqhekeka kwenzeka ohlangothini olulodwa kuphela lomlomo ongaphezulu, kungaba ohlangothini lwesokudla noma lwesobunxele.
• Umlomo Oqhekekile Wezinhlangothi Zombili: Lapha, kukhona ukuqhekeka ezinhlangothini zombili zomlomo ophezulu. Ingxenye encane phakathi ingase ibonakale sengathi ihlukene.
• Umlomo Ongaphelele Oqhekekile: Kukhona ukuqhekeka okuncane noma ukunqunywa komlomo. Ukuqhekeka akweluleli kuze kufike ekhaleni.
• Umlomo Ophelele Oqhekekile: Kulesi simo, uqhekeko luqala kusukela endebeni luye ekhaleni.
• Umlomo Oqhekekile Onomlomo Oqhekekile: Inani elikhulu lezingane ezinezindebe eziqhekekile nazo zinezindebe eziqhekekile. Lokhu kungaba uhlangothi olulodwa, uhlangothi olulodwa, oluphelele, noma olungaphelele.

Odokotela bakuthola kanjani lokhu?

Esikhathini esiningi, udebe oluqhekekile lutholakala kuphela ngemva kokuzalwa komntwana, ngoba lusobala kakhulu. Kodwa ngezinye izikhathi lungatholakala ngisho nangaphambi kwalokho.

Ungakwazi yini ukubona ngesikhathi sokukhulelwa?

Yebo, kwezinye izimo kungenzeka. Ngesikhathi sokuskena okuvamile (`(Ultrasound Scan)`) ngesikhathi sokukhulelwa, ikakhulukazi ngesikhathi sokuskena okungajwayelekile, udokotela angabona lolu hlobo lokuqhekeka ebusweni bomntwana. Ukwazi lokhu kusengaphambili kunikeza abazali isikhathi sokucwaninga kabanzi ngalokhu nokuzilungiselela ngokwengqondo. Kuphinde kubasize bakhethe isibhedlela esifanele kanye nethimba lochwepheshe lokubeletha.

Ukuhlonza ngesikhathi sokuzalwa

Lapho nje umntwana ezelwe, odokotela bamhlola ngokucophelela umntwana. Uma kukhona udebe oluqhekekile, luzobonakala kahle. Udokotela noma umhlengikazi uzokuchazela lokhu ngokushesha. Bazohlola nomlomo ukuze babone ukuthi kukhona yini ulwelwe oluqhekekile.

Yiziphi izinselele ingane enomlomo oqhekekile engabhekana nazo?

Izingane ezizalwa zinomlomo oqhekekile zibhekana nezinselele eziningana ezigabeni zokuqala, kodwa ngokuphathwa nokwelashwa okufanele, zonke lezi zinto zinganqotshwa.

• Ubunzima bokuphuza ubisi:Lokhu kuyinselele enkulu. Ikakhulukazi uma kukhona ulwanga oluqhekekile, kunzima ukuthi ingane idale i-vacuum efanele emlonyeni futhi imunce ubisi. Ngenxa yalokho, ubisi lungaphuma ekhaleni bese luwela emphinjeni ngenkathi luphuza. Lokhu kudinga ukusetshenziswa kwamabhodlela obisi akhethekile kanye nokubekwa endaweni efanele. Abasebenzi abahlengikazi kanye nabeluleki bokuncelisa esibhedlela bazokufundisa kahle lokhu.
• Ukutheleleka kwendlebe nezinkinga zokuzwa: Kukhona ithubhu elincane elixhumanisa izindlebe zethu nomphimbo wethu, elibizwa ngokuthi i-Eustachian Tube . Ezinganeni ezine-cleft palate, le thubhu ayisebenzi kahle, okungabangela uketshezi oluqongelelekayo endlebeni ephakathi futhi kubangele ukutheleleka kwendlebe njalo, okungaholela ekulahlekelweni kokuzwa ngokuhamba kwesikhathi. Ngakho-ke, odokotela bangase batuse ukuhlolwa kwendlebe njalo, futhi uma kudingeka, ukufakwa kwethubhu elincane (ama-grommet) endlebeni.
• Ubunzima bokukhuluma: Uma kukhona ulwanga oluqhekekile, hhayi nje ezindebeni, lungathinta nekhono lomntwana lokukhuluma. Inkulumo yamakhala ingase ivele lapho kukhulunywa amagama. Ukwelashwa ngenkulumo kubaluleke kakhulu kulokhu.
• Izinkinga zamazinyo: Umlomo oqhekekile kanye nolwanga kungathinta nendlela amazinyo angena ngayo. Amanye amazinyo angase angabi khona, aminyene, agobile, noma angabi khona. Ngakho-ke, kubalulekile ukuhlolwa kwamazinyo kusukela esemncane futhi, uma kudingeka, uthole ukwelashwa kwamazinyo .
• Imiphumela yezenhlalo neyengqondo: Njengoba ingane ikhula, ingase izizwe ikhathazekile kancane ngokubukeka kwayo nendlela ekhuluma ngayo. Kodwa-ke, ngemva kokuhlinzwa, ukubukeka kwayo kuzobuyela esimweni sayo esijwayelekile. Uthando lwabazali, isikhuthazo, kanye nokwelulekwa kwengqondo, uma kudingeka, nakho kungasiza ngalesi sikhathi.

Yiziphi izindlela zokwelapha lokhu? Ingabe kungelapheka?

Yebo, impela! I-Cleft lip yisimo esingelashwa futhi silapheke ngempumelelo. Siphathwa kakhulu ngokuhlinzwa. Futhi, akuyona into eyenziwa udokotela oyedwa kuphela. Kudinga ithimba lochwepheshe abahlukene ukuhlela ukwelashwa okungcono kakhulu kwengane.

Ukuhlinzwa

• Ukuhlinzwa kokulungisa izindebe (ukuhlinzwa kokulungisa izindebe / i-Cheiloplasty):

Lokhu ukuhlinzwa kokuqala okwenziwayo. Lokhu kuhlinzwa kuvame ukwenziwa lapho umntwana ephakathi kwezinyanga ezi-3 nezi-6 ubudala . Odokotela bahlola ukuthi ingane ithola isisindo esanele yini nokuthi inegazi eliningi. Lokhu kuhlinzwa kwenzelwa ukuxhuma kahle udebe oluqhekekile futhi kunikeze udebe ukubukeka nokusebenza okuvamile. Cabanga nje, udokotela ohlinzayo onekhono uhlanganisa kahle izindebe ezimbili, njengokudweba isithombe.

• Ukuhlinzwa kokulungisa ulwelwesi (i-Palatoplasty):

Uma umntwana ene-cleft palate, ukuhlinzwa kokulungisa lokhu kuvame ukwenziwa phakathi kwezinyanga ezingu-9 nezingu-18. Lokhu kuhlinzwa kubaluleke kakhulu kokubili ekunceliseni nasekukhulumeni kahle.

• Ukuhlinzwa okwengeziwe:

Njengoba ezinye izingane zikhula, zingadinga ukuhlinzwa okukodwa noma ngaphezulu. Isibonelo, ukulungisa ukuma kwekhala, ukulungisa ukuma kwamazinyo, noma ukuthuthukisa ukukhuluma.

Ukusekelwa okuvela eqenjini elihlanganisa imikhakha eminingi (Indlela Yethimba Elihlanganisa Imikhakha Ehlukahlukene)

Lokhu kufana neqembu lekhilikithi. Wonke umuntu udinga ukwesekwa. Leli qembu livame ukuba nochwepheshe abafana nalaba:

• Udokotela Wezingane: Unakekela impilo yonke yengane.
• Udokotela Ohlinzayo Osebenzisa Ipulasitiki Nokwakha Kabusha: Ngokuyinhloko benza ukuhlinzwa kwezindebe nolwanga.
• Udokotela Ohlinzayo Womlomo Nobuso: Mhlawumbe ukuhlinzwa okuhlobene namazinyo nomhlathi.
• Udokotela Wamazinyo: Welapha izinkinga zamazinyo nemihlathi.
• Umeluleki wezokukhuluma: Usiza ekunqobeni ubunzima bokukhuluma.
• Uchwepheshe Wezindlebe, Impumulo Nomphimbo (Uchwepheshe We-ENT): Welapha izifo zendlebe nezinkinga zokuzwa.
• Udokotela Wezindlebe: Uhlola ukuzwa kwengane.
• Mhlawumbe isazi sokusebenza kwengqondo noma umeluleki: Uhlinzeka ngokusekelwa kwengqondo enganeni nakubazali.

Bonke laba bantu basebenzisana ukuhlela ukwelashwa okungcono kakhulu kwengane yakho. Ngakho-ke kufanele ubathembe futhi ulandele imiyalelo yabo ngokucophelela.

Yini esingayenza njengabazali?

Umnikelo wakho ubaluleke kakhulu kulolu hambo.

• Ukubekezela nothando kuyisihluthulelo. Lokhu kungathatha isikhathi, kodwa uthando lwakho nokubekezela kwakho kungamandla amakhulu enganeni yakho.
• Landela imiyalelo kadokotela ngqo. Yenza konke udokotela akutshela kona, njengokuthatha imithi yakho ngesikhathi, ukunakekela inxeba lakho ngemva kokuhlinzwa, nokuncelisa. Yiya kuyo yonke imitholampilo ngesikhathi.
• Kubalulekile ukuqala ukwelashwa ngokushesha okukhulu. Imiphumela iba ngcono kakhulu uma ukwelashwa okudingekayo kuqalwa ngaphandle kokulibala.
• Siza ingane yakho. Usizo lwakho lubaluleke kakhulu enganeni yakho, ikakhulukazi lapho incelisa futhi ifunda ukukhuluma.
• Funda ngalokhu. Uma wazi okwengeziwe ngalesi simo, kulapho ungasiza khona ingane yakho.
• Khuluma nabanye abazali. Ukukhuluma nabanye abazali abake baba nokuhlangenwe nakho okufanayo kungakusiza uzizwe sengathi awuwedwa. Ungafunda okuningi kubo.

Okokugcina, khumbula lokhu (Umyalezo Wokuya Ekhaya)

Kulungile, ake sikukhumbuze izinto ezimbalwa ezibalulekile kulokho esikhulume ngakho.

• I-Cleft lip yisimo esivame kakhulu ezinganeni, kodwa ngosizo lodokotela abanekhono, ingelashwa ngempumelelo futhi cishe ilapheke ngokuphelele.
• Ngokubona lesi simo kusenesikhathi nokuhlinzeka ngokwelashwa okufanele (ikakhulukazi ukuhlinzwa) ngesikhathi esifanele, ingane yakho ingaphila impilo enempilo, esebenzayo, nejabulisayo njengazo zonke ezinye izingane.
• Awuwedwa kulolu hambo. Kukhona odokotela abaningi abanekhono nabanesihawu kanye nabasebenzi bezempilo abazokusiza futhi bakuqondise wena nomntwana wakho.
• Ngakho-ke ungesabi, yiba nesibindi (amandla aqinile) futhi uhlale unethemba. Uthando lwakho nokuzinikela kwakho kungamandla amakhulu engane.

Uma ufuna ukwazi okwengeziwe ngalokhu noma unemibuzo, ungesabi ukubuza udokotela wezingane noma udokotela ohlinzayo we-plastic. Bazokusiza.

I- Cleft Lip, Ithimba Lezokwelapha Elihlukahlukene, Ukuhlinzwa, Ukuncelisa, Ukwelapha Ngenkulumo, Iseluleko Sokukhulisa Abantwana