Ingabe ingane yakho encane inomlomo/umlomo oqhekekile? (Umlomo Oqhekekile/Umlomo Oqhekekile) – Ake sixoxe ngokuncelisa!

O, ingabe ingane yakho encane yazalwa inomlomo oqhekekile noma ulwanga oluqhekekile? Njengomama, cishe unemicabango eminingi lapho kwenzeka into efana nale. Kodwa ungakhathazeki, izingane eziningi zizalwa nalezi zinto. Into ebaluleke kakhulu ukunikeza ingane ubisi olufanele ukuze ikhuluphale kahle futhi ingaphelelwa amanzi emzimbeni. Ngezinye izikhathi lezi zingane zidinga usizo olukhethekile ukuze ziphuze ubisi.

Ungamncelisa kanjani umntwana onezindebe eziqhekekile?

Ezimweni eziningi, izingane ezizalwa zinomlomo oqhekekile futhi zingenazo izinkinga zomlomo zingancelisa kahle ngaphandle kwemishini ekhethekile. Zingancelisa ngendlela evamile noma zisebenzise ibhodlela elivamile. Ngezinye izikhathi okudingeka kwenziwe nje ukulungisa i-latch kancane ukuze ingane ikwazi ukuncela kahle . Uma uncelisa, zama ukushintsha indawo yengane yakho ukuze ibele lakho ligcwalise isikhala phakathi kwamabele akho. Lokhu kuzosiza ingane yakho ukuthi incele kalula.

Yiziphi izinselele zokuncelisa umntwana one-cleft palate?

Kodwa-ke, izingane ezizalwa zinomlomo oqhekekile noma ulwanga, kungakhathaliseki ukuthi zinomlomo oqhekekile noma azinawo, zinobunzima bokumunca ngqo ebeleni. Isizathu salokhu ukuthi azikwazi ukudala ingcindezi ngaphakathi kwemilomo yazo ukuze zikhiphe ubisi engonweni. Cabanga ngakho njengokuthi uma siphuza okuthile ngotshani, sidinga ukudala i-vacuum ngaphakathi kwemilomo yethu. Yingakho kunzima ngalaba bantwana ukwenza into efana naleyo ngenxa yolwanga oluqhekekile. Uma uzama ukuncelisa umntwana onjalo, kungakhathaliseki ukuthi uzama ukumnika ibhodlela elivamile, angase angatholi ubisi olwanele futhi angase angakhuluphali (ukwehluleka ukukhula) . Lokho kusho ukuthi umntwana angase angakhuli kahle. Yiziphi ezinye izinkinga ezingavela?

• Uma ingane iphuza ubisi , ubisi lungaphuma ekhaleni . Lokhu sikubiza nangokuthi "i-Nasal Regurgitation". Kungaba yinto esabekayo komama ukubona lokhu, kodwa kuyinto okufanele ilindelwe kulesi simo.
• Ingane ingagwinya umoya omningi kunomntwana ovamile ngesikhathi incelisa, okungabangela ukungakhululeki esiswini.
• Ngezinye izikhathi, uma ingane inesinye "isifo" esihambisana naso, okungukuthi, iqoqo lezimpawu ezihlobene naso, kungase kube nezinye izinkinga zokuncelisa, njengezinkinga zokugaya ukudla.

Hlobo luni lwebhodlela okufanele lusetshenziswe ukupha umntwana one-cleft palate?

Ukuze wondle ingane ene-cleft palate , udinga ukusebenzisa uhlelo olukhethekile lwamabhodlela . Lawa mabhodlela aklanyelwe ukunikeza ingane inani elifanele lokudla okunomsoco ngaphandle kokucindezela kakhulu ingane ukuthi imunce. Lawa awafani namabhodlela avamile. Kunezinhlobo eziningana zezinhlelo zamabhodlela okuncelisa i-cleft. Ake sibheke ukuthi ziyini, ukuze kube lula kuwe ukuqonda:

Uhlelo Lokudla Olukhethekile LukaDkt. Brown

Lolu hlelo lwamabhodlela lunevalvu yokondla eyindlela eyodwa evumela ubisi ukuthi lugeleze ohlangothini olulodwa kuphela.Lokhu kuvimbela ubisi ukuthi lubuyele ebhodleleni. Lokhu kusho ukuthi ingane akudingeki imunce, futhi ingamunca ubisi ngokuluma noma ngokucindezela ingono . Kunezinhlobo ezahlukene zezingono ezinamazinga okugeleza ahlukene kuye ngeminyaka yengane (kusukela ezinganeni ezincane kakhulu (preemie) kuya ezingeni lesi-3). Leli bhodlela livame ukuba lula kubazali nabanakekeli ukulisebenzisa . Ngenxa yokuthi ingane yenza umsebenzi, umama akudingeki acindezele ibhodlela noma alibambe endaweni ekhethekile.

Isiphakeli Sejuba

Lolu hlelo lwamabhodlela luphinde lube ne-'valve' evimbela ubisi ukuthi lubuyele ebhodleleni. I-'nipple' enqunywe ngo-Y (okungukuthi, i-'nipple' enqunywe ngesimo sencwadi u-Y) inohlangothi oluncane nohlangothi olujiyile kancane kolunye uhlangothi.

• Uhlangothi olujiyile kufanele lubekwe eceleni komugqa wezinsini womhlathi ongaphezulu womntwana.
• Uhlangothi oluncane kufanele luvele phezu kolimi lomntwana.
• Isikhala esincane ngaphansi komphetho wengono kufanele sibekwe ngaphansi kwekhala lomntwana. Lokhu kuzokusiza ukuthi uhlole ukuthi ingono isemlonyeni kahle yini.

Le ngono iza ngobukhulu obubili. Ungalungisa futhi izinga lokugeleza kwegazi ngokuqinisa noma ukukhulula ingono. Lokhu kudinga isikhathi ukujwayela.

I-Medela Special Needs feeder (Haberman) `(I-Medela SpecialNeeds feeder (Haberman))`

Lokhu kubizwa nangokuthi 'i-Haberman Feeder' ngabanye. Lolu hlelo lwebhodlela luphinde lube 'ne-valve eyodwa' yokugcina ubisi ngaphakathi 'kwe-nipple'. Ezinye izingane zingaphuza ubisi ngokucindezela 'i-nipple' ezinsinini zazo. Kodwa isikhathi esiningi, umnakekeli kufanele acindezele ibhodlela ukuze lihambisane nesigqi sokuncela nokugwinya kwengane :

• Lapho nje umntwana eqala ukuncela, cindezela ibhodlela ngokuqinile bese uphumula .
• Lokhu kufanele kwenziwe kuphela ngesikhathi umntwana encela. Lalela ngokucophelela umsindo womntwana egwinya ubisi .
• Uma ingane iyeka ukuphefumula isikhashana, kufanele uyeke nokucindezela ibhodlela.

Kudinga ukuzijwayeza ukuze uthole isikhathi esifanele . Lokho kusho ukuthi udinga ukuzijwayeza ukucindezela lapho ingane yakho imunca bese uyeka lapho ima. Imigqa emithathu ebhodleleni ikhombisa izinga lokugeleza kobisi oluphuma engonweni. Ungalungisa izinga lokugeleza ngokushintshanisa ibhodlela ukuze omunye wemigqa ube ngaphansi kwempumulo yengane yakho.

U-Enfamil Mead Johnson Umhlengikazi Wezindebe/Umlomo Ocwebezelayo

Leli bhodlela alinawo 'i-valve yendlela eyodwa' . Njengohlelo lwebhodlela lwe-'Haberman', umnakekeli kumele acindezele ibhodlela futhi alungise isivinini ngokwephethini yokuncela kwengane . Lokhu kudinga nokuzijwayeza okuncane.

Khumbula, ngalinye lala mabhodlela lenzelwe ukwenza lolu hambo lube lula kuwe nakumntanakho. Ngezinye izikhathi ibhodlela elilodwa alisebenzi, futhi kufanele uzame elinye. Ithimba lakho lezokwelapha lizokusiza ngalokhu, likhethe elifanela kahle ingane yakho.

Yimaphi amanye amathiphu angasiza?

Kulungile, njengoba sesikhulume ngamabhodlela, kunezinto ezimbalwa ezingakusiza ngale nqubo yokuncelisa. Uma uzilandela kahle lezi zinto, kuzoba lula nakakhulu enganeni yakho.

• Ukuncelisa kufanele kuqedwe ngaphansi kwemizuzu engama-30 . Uma kuthatha isikhathi eside kunalokho, kungasho ukuthi ingane inenkinga yokuthola ubisi, noma ingono ingase ingasheshi ngokwanele. Uma kunjalo, zama ukusebenzisa ingono ekhipha ubisi ngokushesha.
• Siza ingane yakho ukuthi ibhodle njalo . Cishe njalo ngemizuzu emi-5 ngenkathi incelisa. Lokhu kungenxa yokuthi izingane zigwinya umoya omningi, ngakho-ke kuwumqondo omuhle ukwenza kanjalo. Lokhu kuzosiza ekunciphiseni ukucasuka kwesisu nokuhlanza.
• Gcina ingane yakho iqonde ngesikhathi incelisa futhi imizuzu engama-20-30 ngemva kokuncelisa. Lokhu kungasiza ekunciphiseni ukuvuza kwempumulo.
• Uma ubisi luphuma ekhaleni lomntwana wakho, lusule ngendwangu ehlanzekile . Asikho isidingo sokusebenzisa isibani sokumunca ukuze ukhiphe ubisi. Ukwenza kanjalo kungaba yinto engakhululekile enganeni yakho.
• Nakuba izingane ezine -cleft palate zingakwazi ukuncelisa ngqo, omama bangakhipha ubisi lwebele lwabo bese belunika ingane yabo ngebhodlela elikhethekile . Lokhu kuyigugu kakhulu, njengoba ingane ithola izakhamzimba kanye nesivikelo ezifweni ezisebisini lwebele.
• Futhi, ukuze uqinise ubuhlobo nomntwana wakho, ungamvumela ukuthi amunce ibele ngendlela engeyona eyondlayo . Lokhu kusho ukuthi umntwana umane amuncela ibele ukuze athole induduzo, hhayi ubisi. Lokhu kuqinisa nemisipha yokumunca yengane. Kodwa ungamvumeli ukuba akwenze lokhu isikhathi esingaphezu kwemizuzu eyi-10 ngesikhathi.

Ngingazi kanjani ukuthi ingane yami ayincelisi kahle?

Ngenxa yalezi zinselele ekunceliseni, izingane ezine-cleft palate zisengozini yokwehluleka ukukhula . Ngakho-ke, udokotela wengane yakho, noma ithimba le-cleft, ithimba lochwepheshe abaphatha lezi zimo ze-cleft, bazohlola njalo isisindo sengane yakho ukuqinisekisa ukuthi ithola isisindo esanele. Lokhu kubaluleke kakhulu. Ngezinye izikhathi, ngisho nangezinhlelo ezikhethekile zamabhodlela, izingane zingaba nezinkinga zokudla kanye nezinkinga zokukhula kwesisindo. Zingase zingakhululeki lapho zincelisa, futhi zingase zingatholi ubisi olwanele. Kufanele unake kakhulu lezi zimpawu :

• Uma ukhala ngesikhathi uncelisa noma ngemva kokuncelisa.
• Uma uzizwa sengathi uyaminyana, kusho ukuthi "uyaminyana" .
• Uma izinyembezi ziphuma emehlweni , kusuke "kungathi amehlo anamanzi " .
• Amashiya avuleka (lokhu kubonisa ukuthi umntwana akakhululekile).
• Uma ugoba umzimba wakho emuva ngenkathi uncelisa, kubizwa ngokuthi "ukugoba emuva" .

Uma ubona noma yiziphi zalezi zimpawu enganeni yakho, kusho ukuthi inenkinga yokuncelisa. Kufanele uzame ukwenza ushintsho oluncane endleleni yakho yokuncelisa.

Ngokwesibonelo:

• Nciphisa inani lobisi ingane yakho eluthatha ngesikhathi esisodwa, bese uzama ukusebenzisa ingono enesivinini sokugeleza kancane .
• Phumula kaningi ngesikhathi uncelisa. Nika ingane yakho isikhathi sokuphefumula bese uvumela ubisi lwehle.
• Ngemva kokuphuza ubisi oluncane, thambekisa ibhodlela kancane eceleni bese umisa ukugeleza kobisi isikhashana.

Uma unemibuzo noma ukukhathazeka mayelana nokuncelisa kwengane yakho, khuluma nethimba lakho le-cleft kanye ne-craniofacial ngokushesha . Udokotela wokondla noma umhlengikazi kulelo qembu uzohlola ingane yakho ngenkathi uncelisa. Bangase batuse izinguquko endleleni yakho yokuncelisa noma olunye ukuhlolwa. Ungalokothi ube wedwa.

Abazali bangasiza kanjani?

Ukuncelisa ingane enezindebe/umlomo oqhekekile kungaba yinselele ekuqaleni. Kodwa awuwedwa, kukhona usizo oluningi . Ithimba lakho le-cleft, ithimba lochwepheshe, lingakunikeza ukwesekwa nolwazi oludingayo. Banolwazi ekusebenzeni nezingane ezinalesi simo. Kunezinhlobo eziningi zamaqembu e-cleft anikeza ukubonisana ngaphambi kokubeletha uma ingane itholakala ine-cleft ngesikhathi se-ultrasound. Abazali bangahlangana nethimba ukuze baxoxe nganoma yimiphi imibuzo abanayo mayelana nokuncelisa. Bangakha uhlelo lokuncelisa ngaphambi kokuba ingane izalwe. Lokhu kungaba impumuzo enkulu. Ake sithi ngokuzumayo uthole ukuthi une-cleft ngemuva kokuzalwa kwengane. Abasebenzi abalaliswe esibhedlela bazosiza abazali ukuthola uhlelo lwebhodlela olusebenza kahle kakhulu enganeni yabo . Udokotela wengane angathumela abazali eqenjini le-cleft. Ithimba le-cleft livame ukuhlangana nabazali kanye nomntwana phakathi nesonto lokuqala noma amabili ngemva kokuzalwa kwengane. Bazohlola ukuthi ukuncelisa kuhamba kanjani futhi baphendule noma yimiphi imibuzo ongase ube nayo. Ungathola nolwazi ngalokhu ku-inthanethi. Isibonelo:

• I-American Cleft Palate-Craniofacial Association (ACPA) - Kunolwazi oluningi oluwusizo kumawebhusayithi ezinhlangano ezinjengalezi.

Ngakho-ke, yiziphi izinto ezibaluleke kakhulu okufanele sizithathe ekhaya kule ndaba?

Kulungile, sesikhulume kakhulu manje, akunjalo? Uma ingane yakho encane ine-"(Cleft Lip)`` noma `(Cleft Palate)``, ukuncelisa kungase kuhluke kancane. Kodwa khumbula lezi zinto:

• Izingane ezinezindebe eziqhekekile zivame ukuncelisa ngendlela evamile. Kungadingeka zenze izinguquko ezincane endaweni yazo .
• Izingane ezine-cleft palate zidinga amabhodlela akhethekile ngoba zinobunzima bokudala ingcindezi edingekayo ukuze zincele futhi zithole ubisi.
• Kukhona amabhodlela akhethekile afana no-'Dr. Brown's', `Pigeon', `Medela SpecialNeeds (Haberman)', kanye no-'Enfamil'. Khuluma nethimba lakho lezokwelapha bese ukhetha elisebenza kahle kakhulu enganeni yakho. Ungesabi ukuzama elinye uma ibhodlela elilodwa lingasebenzi kahle.
• Bamba ingane yakho ime iqonde ngenkathi uncelisa, msize ukuthi abhodle njalo, futhi unciphise ukuncelisa kube yimizuzu engama-30. Lezi zinto ezincane zingenza umehluko omkhulu.
• Uma ingane yakho ibonisa izimpawu zokuminyana noma ukuminyana, kungaba yinkinga yokuncelisa. Funa iseluleko sikadokotela ngokushesha.
• Awuwedwa! "Ithimba le-Cleft" lizokusiza ngakho konke. Ungesabi ukubabuza imibuzo, cela usizo. Bakhona ukukusiza.

Into ebaluleke kakhulu ukuncelisa ingane yakho ngesineke, ngothando, nangezindlela ezifanele . Ngisho noma lokhu kungase kubonakale njengohambo olunzima ekuqaleni, ungakwenza lokhu. Khona-ke ingane yakho izokhula iphilile futhi ijabule. Ngikufisela konke okuhle kulolu hambo!

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Izindebe Ezicwebezelayo, Umlomo Ocwebezelayo, Ukuncelisa, Amabhodlela Akhethekile, Izinselele Zokuncelisa, Iseluleko Sezokwelapha, Ukudla Okunempilo Kwezinsana