Ingabe ingane yakho ine-cleft palate? (Cleft Palate) - Ake sixoxe ngakho konke!

Ngezinye izikhathi uma ubheka umntwana osanda kuzalwa, ungabona umehluko omncane ophahleni lomlomo wakhe. Kusho ukuqhekeka okuncane ophahleni lomlomo wakhe. Lokhu yilokho esikubiza ngokwezokwelapha ngokuthi `(Cleft Palate)`. Lapho bezwa la mazwi, abanye abazali bangase besabe futhi bakhathazeke kancane. "O, kwenzekeni enganeni yethu?" Ungase ucabange. Kodwa, asikho ngempela isizathu sokwesaba noma sokukhathazeka. Uma sikuqaphela lokhu, singabhekana nalesi simo ngempumelelo.

Kuyini i-Cleft Palate?

Kalula nje, igama lesiNgisi elithi 'cleft' lisho ukuqhekeka noma igebe. 'Ulimi' lubhekisela engxenyeni yophahla lomlomo wethu, uphahla lomlomo wethu. Uma ugijimisa ulimi lwakho phezu kophahla lomlomo wethu, uzozwa umthungo omncane noma ifindo phakathi, akunjalo? Yilapho, lapho usengumntwana esibelethweni sikamama wakho, izinhlangothi zangakwesokudla nesobunxele zophahla lomlomo wakho zazihlanganiswa ndawonye. Kufana nokuthunga izingubo ezimbili ndawonye.

Kodwa-ke, lapho kuzalwa ezinye izingane, lezi zingxenye ezimbili zomlomo ongaphezulu azihlangani kahle. Okusho ukuthi, umthungo awuphelele. Yilapho-ke lesi simo esibizwa ngokuthi `(Cleft Palate)` sivela khona, okungukuthi, ukuqhekeka emlonyeni ongaphezulu. Lesi yisimo sokuzalwa. Lokho kusho ukuthi kuyinto umntwana azalwa nayo.

Kungani kwenzeka i-cleft palate?

Abazali bavame ukuzibuza, "Kungani lokhu kwenzeke enganeni yethu?" "Ingabe senze into engalungile?" Eqinisweni, kunzima ukukhomba isizathu esisodwa salokhu. Kunezizathu eziningana ezingaba khona. Ake sibheke ukuthi ziyini:

• Izici zofuzo: Ngezinye izikhathi, uma othile emndenini, okungukuthi, umama, ubaba, noma othile emndenini wabo, eke waba nalesi simo ngaphambili, kunethuba elincane lokuthi umntwana naye uzoba nalesi simo. Lokho kusho ukuthi kukhona ithonya elivela kuzakhi zofuzo.
• Ezinye izici zemvelo nezinye ezithinta umama ngesikhathi sokukhulelwa:
• Imithi ethile ethathwa ngumama ngesikhathi sokukhulelwa (ikakhulukazi leyo ethathwa ngaphandle kweseluleko sikadokotela, ngokuthanda kwakhe). Isibonelo, eminye imithi enikezwa isifo sokuwa ingaba nomthelela.
• Uma umama ebhema noma esebenzisa utshwala ngesikhathi sokukhulelwa, lezi zinto zithinta ngqo ukukhula komntwana osanda kuzalwa.
• Ngesikhathi sokukhulelwa, umama angase angatholi izakhamzimba azidingayo, njenge-folic acid . Odokotela bavame ukuncoma amaphilisi e-folic acid kwabesifazane abakhulelwe ukusiza ekuvimbeleni lezi zimo.
• Ezinye izifo ezibangelwa amagciwane umama angase abe nazo ngesikhathi sokukhulelwa.
• Uma umama enezinkinga zezempilo ezingalawuleki njengesifo sikashukela .
• Uma umama ekhuluphele ngokweqile.

Kodwa isikhathi esiningi, i-cleft palate ingenzeka ngaphandle kwesizathu esibonakalayo. Okusho ukuthi, kungase kungabi khona imbangela ecacile. Ngakho-ke ungalokothi uzizwe kabi ngakho ucabanga ukuthi kuyiphutha lakho. Kungenzeka kunoma ubani.

Ingabe kukhona izinhlobo ze-cleft palate?

Yebo, lezi zimfa ezikwiso eliphezulu zingaba ngezimo nobukhulu obuhlukene. Ukuze kube sobala, kunomehluko omncane kuye ngobukhulu bomfa kanye nendawo okuyo.

• Ezinye izingane zingase zibe nesikhala esiqhekekile kuphela ekhanda lazo .
• Ezinye izingane zingase zibe nomlomo oqhekekile kanye nomlomo oqhekekile . Lokhu kusho ukuthi kukhona uqhekekile kokubili emlonyeni kanye nasemlonyeni ongaphezulu. Kungaba umlomo oqhekekile noma umlomo ongaphezulu nje.
• Isikhala singaba siphelele , okusho ukuthi isikhala singasuka phansi kwekhala size sifike ngemuva kolwanga olungaphezulu.
• Noma kungaba ukuqhekeka okungaphelele , okusho ukuthi ukuqhekeka kusengxenyeni encane yolwanga olungaphezulu.
• Olunye uhlobo olukhethekile yi -submucous cleft palate . Kulokhu, i-cleft ayibonakali ngaphandle. Nakuba isikhumba (i-mucous membrane) ngaphezulu kwe-palate engenhla sivalekile kahle, imisipha engaphansi kwaso ayihlangananga kahle. Lokhu ngezinye izikhathi kubonakala kamuva, lapho umntwana eqala ukukhuluma, njengoshintsho ezwini.

Yiziphi izinkinga ingane engaba nazo ngenxa yobuhlungu besisu?

Umlomo oqhekekile ungabangela izinkinga ezincane ezimbalwa enganeni yakho. Ake sibheke ukuthi ziyini. Ukwazi lezi zinto kubaluleke kakhulu ukusiza ingane yakho.

• Izinkinga zokudla:

Lena inkinga eyinhloko ebonakala kuqala. Cabanga nje, lapho ingane imunca ubisi, ubisi lungangena ekhaleni ngenxa yalesi sikhala esiphakathi komlomo nekhala. Khona-ke ingane iba nobunzima bokumunca ubisi kahle, kungaba nzima ukuphefumula ngenkathi imunca ubisi, ubisi lungaphuma ekhaleni, futhi ubisi lungaphindela emphinjeni. Ngenxa yalokhu, ingane ingase ingatholi ukudla okwanele futhi ingase ingakhuluphali. Ngenxa yalokhu, odokotela bayeluleka ukusebenzisa izindlela ezikhethekile zokuphakela, ngezinye izikhathi ama-nipples/amabhodlela akhethekile.

• Izinkinga zokukhuluma:

Njengoba ingane yakho ikhula futhi iqala ukukhuluma, kungase kube nomehluko ezwini layo. Ngenxa yolimi oluqhekekile, kunzima ukulawula inani lomoya ophuma ekhaleni lapho ikhuluma. Ngenxa yalokho, izwi lingase lizwakale sengathi likhulunywa ngekhala (inkulumo ye-hypernasal / izwi lekhala) . Ezinye izinhlamvu, ikakhulukazi izinhlamvu ezifana no-'প', 'ব', 'ত', 'দ', 'ক', 'গ', nazo zingase zibe nzima ukuzibiza kahle.

• Ukutheleleka kwendlebe nezinkinga zokuzwa:

Kukhona ipayipi elincane phakathi kwekhala lethu nendlebe ephakathi, elibizwa ngokuthi ipayipi i-Eustachian.Leli payipi lilawula ingcindezi ngaphakathi kwendlebe futhi likhipha uketshezi oluvela endlebeni ephakathi. Uma kukhona ukuqhekeka endlebeni engenhla, umsebenzi waleli payipi le-Eustachian ungaphazamiseka. Uketshezi lungabe seluqongelela endlebeni ephakathi, okubangela ukutheleleka njalo kwendlebe (ukutheleleka kwendlebe ephakathi / i-otitis media) , kanye nokulahlekelwa okuncane kokuzwa. Uma lokhu kuqhubeka, kungathinta nokukhula kwenkulumo yengane.

• Izinkinga zamazinyo:

Kuye ngokuthi i-cleft palate ikuphi, kungase kube nezinkinga ezincane lapho amazinyo ephuma. Amazinyo angase akhishwe, amanye amazinyo angase angabi khona, amazinyo angase avele sekwephuzile, noma kungase kudingeke kufakwe amazinyo engeziwe . Ngakho-ke, iseluleko sikadokotela wamazinyo (`(Udokotela Wamazinyo)` noma `(Udokotela Wamazinyo)`) siyadingeka njalo.

Itholakala kanjani le cleft palate?

Esikhathini esiningi, lo mfantu utholakala lapho odokotela behlola ingaphakathi lomlomo womntwana esibhedlela ngemva nje kokuzalwa komntwana. Leyo yindlela evame kakhulu.

Ngezinye izikhathi, ukuhlolwa kwe-ultrasound kwangaphambi kokubeletha okwenziwa ngesikhathi sokukhulelwa kunganikeza izinkomba zokuba khona kwalesi simo, ikakhulukazi uma kukhona izindebe eziqhekekile kanye nolwanga. Kodwa-ke, uma kukhona izindebe eziqhekekile kuphela, okungukuthi, ngaphandle kwezindebe eziqhekekile, kungaba nzima ukuyibona ku-scan.

I-submucous cleft palate engikhulume ngayo ekuqaleni ngezinye izikhathi ibonakala kuphela uma ingane isikhulile kancane, isibonelo lapho iqala ukukhuluma futhi inezinkinga zezwi, noma lapho ithola izifo zendlebe njalo.

Yiziphi izindlela zokwelapha lokhu? Ingabe kuyinto okufanele uyesabe?

Okokuqala, lesi yisimo esingelapheka ngokuphelele . Ngakho ungakhathazeki. Ngokuthuthuka kwezokwelapha zesimanje, kunezindlela zokwelapha eziphumelela kakhulu zalo mntwana.

Ukwelashwa okuyinhloko ukuvala i-cleft ngokuhlinzwa . Lokhu kubizwa ngokuthi i-palatoplasty . Lo msebenzi uhilela ukuhlanganisa izicubu ezinhlangothini zombili zolwanga nokuthunga i-cleft ndawonye. Lokhu kubuyisela isakhiwo solwanga.

Ukuhlinzwa kuzokwenziwa nini?

Lokhu kuhlinzwa kuvame ukwenziwa phakathi kweminyaka eyi-6 neyi-18 . Kodwa-ke, udokotela uzonquma isikhathi esingcono kakhulu ngokusekelwe empilweni yengane, isigaba sokukhula kwayo, kanye nesisindo sayo. Ngezinye izikhathi kungenziwa kusenesikhathi noma kamuva.

Iyini imigomo yokuhlinzwa?

• Ukwenza kube lula ukudla nokuphuza ngokususa ukuxhumana phakathi komlomo nekhala.
• Kuyasiza ukugcina imisipha yomhlathi ongaphezulu isebenza kahle futhi ikhulume ngokucacile lapho ikhuluma .
• Ibuyisela ukusebenza kwe-Eustachian tube futhi inciphise ukuvela kwezifo zendlebe .

Ithimba lezokwelapha elilaphayo

Uma welapha umntwana kanje, akusiyona nje udokotela oyedwa, kodwa yiqembu lochwepheshe (`(Ithimba Lezifundo Ezihlukahlukene)`)Basebenza ndawonye. Leli thimba livame ukufaka:

• Odokotela Abahlinzayo Abasebenzisa Ipulasitiki Nabavuselelayo : Benza ukuhlinzwa okuyinhloko.
• Ochwepheshe Bezindlebe, Impumulo Nomphimbo (Odokotela Be-ENT) : Belapha izinkinga ezihlobene nezindlebe futhi benza izivivinyo zokuzwa.
• Ochwepheshe Bezokwelapha Inkulumo Nolimi : Bayalapha futhi banikeze iseluleko ngezinkinga zokukhuluma.
• Odokotela bamazinyo kanye nodokotela bamazinyo bezingane : Banakekela izinkinga zamazinyo kanye nokukhula kwemihlathi.
• Odokotela bezingane : Gxila empilweni yonke yengane.
• Mhlawumbe odokotela bezifo zengqondo kanye nabasebenzi bezenhlalakahle bangajoyina leli qembu ukuze banikeze abazali ukwesekwa kwengqondo abakudingayo.

Bonke laba bantu basebenzisana ukudala nokusebenzisa uhlelo lokwelapha olungcono kakhulu lomntwana.

Kwenzekani ngemva kokuhlinzwa? Kunjani ukunakekelwa kwesikhathi eside?

Ngisho nangemva kokuba ukuhlinzwa sekuphumelele, umntwana uzodinga ukunakwa okukhethekile kanye nokulandelwa isikhathi esithile.

• Ukwelashwa Ngenkulumo (`(Ukwelashwa Ngenkulumo)`):

Ezinye izingane zingase zibe nobunzima bokukhuluma ngisho nangemva kokuhlinzwa. Ezimweni ezinjalo, usizo lochwepheshe wezokukhuluma lubalulekile. Yibo abafundisa ingane ukuphimisela amagama ngendlela efanele, ukukhuluma ngokucacile, nokusebenzisa imisipha yomhlathi ongaphezulu ngendlela efanele. Lokhu kungathatha isikhathi.

• Ukunakekelwa Kwamazinyo Nokunakekelwa Kwamazinyo:

Uma amazinyo efika, kufanele kunakwe kakhulu indawo amazinyo akhona. Ngakho-ke, kuhlale kungumqondo omuhle ukuvakashela udokotela wamazinyo ukuze uthole iseluleko. Uma kukhona izikhala emazinyweni, izinto ezifana nokwelashwa ngamazinyo/ama-braces zingenziwa ukuze zilungiswe lapho umntwana esekhulile kancane.

• Ukunakekelwa Kwezindlebe (`(Ukuhlolwa Kwezindlebe)`):

Ngenxa yokuthi izifo zendlebe zivame ukwenzeka, kubalulekile ukuthi uhlolwe izindlebe zakho njalo. Uma unezinkinga, ungafuna ukwelashwa ngokushesha. Udokotela wakho we-ENT angase futhi anqume ukufaka amapayipi amancane (ama-grommets / amapayipi okungenisa umoya) endlebeni yakho.

• Ingabe kuzodingeka ukuhlinzwa okwengeziwe?

Ngezinye izikhathi, ukuhlinzwa okukodwa kungase kungalungisi konke. Njengoba umntwana ekhula, kuye ngendlela akhuluma ngayo kanye nokukhula komhlathi wakhe, angadinga ukuhlinzwa okuncane okukodwa noma okubili. Isibonelo, ukuhlinzwa ukuze enze inkulumo yakhe icace, noma ukuhlinzwa ukuze kulungiswe indawo yomhlathi wakhe. Lokhu kunqunywa yithimba lezokwelapha elimphathayo.

Khumbula, lesi simo ngeke siphazamise ikusasa lomntwana nganoma iyiphi indlela. Banamandla aphelele okuya esikoleni, ukudlala, ukufunda, ukwenza abangane, nokukhula babe nomsebenzi abawuthandayo, ukushada, nokuphila impilo ephumelelayo njengabanye abantwana!

Indlela lokhu okubathinta ngayo abazali ngokwengqondo kanye nokusekelwa

Kuvamile ngabazali ukuzizwa bedabukile, bekhathazekile, besaba, futhi mhlawumbe benomuzwa wecala lapho bezwa ukuthi ingane yabo inalesi simo. Imibuzo efana nokuthi "Kungani lokhu kwenzeke kithi?" "Ingabe kukhona esikwenzile okungalungile?" ingase ifike engqondweni.

Yazi ukuthi awuwedwa ngalesi sikhathi. Khuluma ngokukhululekile nodokotela bakho nabahlengikazi ngalokhu. Bazokunikeza ulwazi lwezokwelapha oludingayo kanye nokusekelwa ngokomzwelo. Yabelana nabo yonke imibuzo yakho kanye nokwesaba kwakho.

Futhi, uma kukhona abanye abazali abake babhekana nezimo ezifanayo, kungaba yisikhuthazo esikhulu ukwabelana ngolwazi lwabo. Ezinye izibhedlela zineqembu lokusekela abazali abanjengaleli. Uma ungajoyina elinye, lingaba usizo kakhulu.

Into ebaluleke kakhulu ukucabanga ngendlela eyakhayo nokunikeza ingane yakho uthando, ukunakekelwa, kanye nesikhuthazo ayidingayo . Amandla akho angamandla ayo amakhulu.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okudingeka sizikhumbule kukho konke lokhu?

Kulungile, nazi ezinye izinto okufanele uzikhumbule kulokho esikhulume ngakho:

• I-Cleft Palate iwukuqhekeka komlomo wengane. Lesi yisimo sokuzalwa, okusho ukuthi sikhona lapho izalwa.
• Lokhu kungaba ngenxa yesizathu esisodwa noma ngaphezulu, kodwa isikhathi esiningi kunzima ukuthola imbangela ecacile. Lokhu akuyona into ebangelwa yiphutha labazali.
• Lokhu kungabangela umntwana ukuba abe nobunzima bokudla, ukukhuluma, nokuzwa.
• Ukuhlinzwa kungayelapha kakhulu lesi simo. Ukuhlinzwa okuyinhloko kuvame ukwenziwa lapho umntwana ephakathi kwezinyanga eziyi-6 neziyi-18 ubudala.
• Ukwelashwa kokukhuluma, ukunakekelwa kwamazinyo, kanye nokunakekelwa kokuzwa kungase kuqhubeke kudingeke ngemva kokuhlinzwa.
• Ngokwelashwa okufanele kanye nokulandelela ngaphansi kokuqondisa kwethimba elihlanganisa imikhakha eminingi, lo mntwana angaphila impilo enempilo, ejabulisayo, nephumelelayo njengezinye izingane.
• Awuwedwa kulolu hambo. Thola ukwesekwa nolwazi oludingayo. Ungesabi, yiba nethemba, futhi ubekezele. Ingane yakho inekusasa elihle!

Umlomo Ocwebezelayo, Impilo Yengane, Ukukhubazeka Kokuzalwa, Ukuhlinzwa, Ukwelashwa Ngenkulumo, Iseluleko Sokukhulisa Izingane