Ingabe ingane yakho encane inomlomo oqhekekile? (Umlomo oqhekekile ongaphansi) - Ake sixoxe ngalokhu!

Ingabe ingane yakho ngezinye izikhathi ikhipha ubisi ekhaleni layo uma incelisa? Noma ingabe ivame ukuba nezindlebe ezibuhlungu? Ingabe ikuthola kunzima ukubiza amagama athile? Nakuba lezi yizinto ngezinye izikhathi esingazinaki kakhulu, ngezinye izikhathi lokhu kungaba ngenxa yesimo esibizwa ngokuthi i-Submucous Cleft Palate (SMCP) . Ningakhathazeki, bomama nobaba, sizoxoxa ngalokhu kalula, ngendlela eningayiqonda.

Kuyini i-Submucous Cleft Palate (SMCP)?

Kalula nje, i-Submucous Cleft Palate (SMCP) iyisicaba ophahleni lomlomo. Kodwa akufani ne-cleft palate evamile. Igama elithi "submucous" lisho "ngaphansi kwe-mucous membrane." Uphahla lomlomo wakho, olubizwa ngokuthi i-palate , lwakhiwe izingxenye ezimbili. I-hard palate ngaphambili kanye ne-soft palate ngemuva. Ku-SMCP, imisipha ye-soft palate, etholakala ngaphansi kwe-membrane encane phezu kophahla, ayihlangani kahle. Lokhu kwenzeka ngesikhathi sokukhula komntwana ngesikhathi umntwana esesibelethweni.

Cabanga ngakho njengokungathi kukhona okumbozwa ngendwangu, kodwa kukhona okunganamathiselwe kahle ngaphansi kwendwangu. Yingakho kungabonakali ngokushesha ngaphandle. Akuwona wonke umuntu obonisa izimpawu zalokhu. Kodwa-ke, lesi simo singenza ingane yakho ibe nezinkinga zokukhuluma , izifo zendlebe ezivame ukwenzeka, kanye nobunzima bokudla njengengane.

Sivame kangakanani lesi simo?

I-Submucous Cleft Palate yisimo esingavamile kakhulu. Sithinta iphesenti elincane kakhulu lezingane ezizalwayo. Kodwa-ke, ezinye izingane azibonisi zimpawu ezisobala, ngakho-ke inani langempela lezingane ezinalesi simo lingase libe phezulu kancane. Lokhu kungenxa yokuthi akukho sibonakaliso sangaphandle esibonakalayo, ngakho ngezinye izikhathi singabonakala sekwephuzile kakhulu.

Ngingazi kanjani ukuthi ingane yami inalesi simo?

Ifihliwe ngaphansi kwe-membrane, ngakho kunzima ukuyibona ngokushesha. Kodwa, bona ukuthi uke waqaphela yini noma yiziphi zalezi zinto ngomntwana wakho:

• Ingabe ube nobunzima bokuncelisa usengumntwana? (isib., ubisi oluphuma ekhaleni, kuthatha isikhathi eside ukuqeda ukuncelisa)
• Ingabe uvame ukuba nobuhlungu bendlebe noma izifo zendlebe?
• Uzizwa sengathi unenkinga yokuphimisela amagama nezinhlamvu ezithile?

Uma ubona into efana nale, tshela udokotela wezingane wengane yakho ukuze akwazi ukuhlola ulwanga lwengane yakho ngokucophelela.

Yiziphi izimpawu ze-Submucous Cleft Palate?

Kunezimpawu eziningana eziyinhloko ezingabonakala enganeni enalesi simo.

Izimpawu ongase uzibone enganeni yakho:

• Ubunzima bokuncelisa: Ikakhulukazi ebuntwaneni, lapho uncelisa ibhodlela noma uncelisa, ingane yakho ingase ibe nobunzima bokuncelisa. Kungathatha isikhathi eside kunengane evamile ukuqeda ukuncelisa. Ngezinye izikhathi , ubisi noma ifomula ingaphuma ekhaleni.Kungenzeka. Cabanga nje, uma uncelisa ingane yakho, ubisi oluncane luvame ukuphuma ekhaleni lakho. Uma lokhu kungenzeki kanye noma kabili kuphela, kodwa njalo, kufanele ukhathazeke.
• Ukutheleleka kwendlebe okuvamile: Laba bantwana bangase babe nokutheleleka kwendlebe okuvamile, njengobuhlungu bendlebe nokuphuma koketshezi ezindlebeni.
• Ubunzima bokukhuluma: Ezinye izinhlamvu namagama kungase kube nzima ukuwabiza ngokucacile.
• Inkulumo yamakhala: Uma ukhuluma, kungase kuzwakale sengathi amagama aphuma ekhaleni lakho , njengomuntu onomkhuhlane omubi.
• Umoya ophuma ekhaleni lapho ukhuluma: Kungase kuzwakale sengathi umoya uphuma ekhaleni lapho ingane ikhuluma.

Izimpawu udokotela angase azibone lapho ehlola umlomo wengane zifaka:

Uma udokotela ehlola ingaphakathi lomlomo wengane, angase abone izinto ezinjengalezi:

• I-Bifid Uvula: Ingxenye encane efana nolimi (uvula) elenga ngemuva komphimbo wethu ingase ibonakale ihlukene kabili.
• Ukubonakala okuluhlaza okwesibhakabhaka/okumpunga phakathi kolwanga oluthambile (`(Zona Pellucida)`) : Umbala oluhlaza okwesibhakabhaka noma ompunga ungabonakala ngaphansi kolwelwesi phakathi kolwanga oluthambile.
• Umsele omise okwe-'V' emlonyeni oqinile : Ungabona umsele omncane omise okwe-'V' ngemuva emlonyeni oqinile ngaphambili emlonyeni ongaphezulu.

Ukukhonkotha kwamakhala nomoya ophuma ekhaleni ngesikhathi ukhuluma kubangelwa yisimo esibizwa ngokuthi i-Velopharyngeal Dysfunction (VPD) . Kalula nje, lokhu kwenzeka lapho ingemuva lomlomo othambile lingavali kahle lapho ukhuluma. Bese kuthi, umsindo nomoya okufanele uphume emlonyeni uphume ngekhala. Akuwona wonke umuntu one-Submucous Cleft Palate onalesi simo, kodwa lena yinkinga eyinhloko ethinta ukukhuluma.

Yiziphi izimbangela ze-Submucous Cleft Palate?

Kungase kube nezizathu eziningana zalokhu. Ngokuyinhloko:

• Izici zofuzo (`(Izakhi zofuzo)`): Lesi simo singabangelwa amathonya ezakhi zofuzo azuzwe kubazali.
• Izici zemvelo: Lokhu kungabangelwa futhi ukuchayeka kukamama ezintweni ezithile ngesikhathi umntwana esesibelethweni (isib. imithi ethile, ugwayi, utshwala, amakhemikhali anobuthi).

Ungayithola kanjani i-Submucous Cleft Palate?

Udokotela wezingane wengane yakho uzoqala ahlole umlomo wengane yakho. Uma esola i-SMCP, uzodlulisela ingane yakho kudokotela wezifo zokukhuluma , udokotela wezifo zamehlo noma we-ENT, noma udokotela ohlinzayo ochwepheshe bezifo eziqhekekile. I-SMCP ingaba nzima ukuyixilonga ngoba ayibonakali kalula futhi ingase ingabangeli izimpawu ezinkulu.

Leli thimba lodokotela abangochwepheshe liyahlangana ukuze linqume uhlobo lwenkinga nokuthi hlobo luni lokwelashwa olufanele kakhulu.

Ukuze uqinisekise lesi simo ngokwengeziwe, ungenza futhi izivivinyo ezilandelayo:

• I-Nasopharyngoscopy: Lokhu kuhilela ukufaka ithubhu elincane elifakwe ikhamera ngekhala bese kuhlolwa umhlane nezinhlangothi zomphimbo . Ezinye zezilonda zingabonakala kahle uma zibhekwa ngale ndlela.
• I-Videofluoroscopy: Lokhu kufana nokuhlolwa kwe-X-ray . Kukuvumela ukuthi ubuke ukunyakaza kolwanga njengoba ingane ikhuluma futhi igwinya okuthile, njengokungathi kuvidiyo.

Iphathwa Kanjani I-Submucous Cleft Palate?

Ukwelashwa kuncike ohlotsheni lwezinkinga ingane yakho enazo ngalesi simo. Ezinye izingane zinobunzima bokukhuluma noma ukutheleleka kwezindlebe, kanti ezinye azinazo nhlobo izimpawu.

• Uma kungekho zimpawu: Uma ingane ingazizwa kahle noma inenkinga yokukhuluma, ukwelashwa ngokuvamile akudingeki. Kodwa-ke, odokotela bazoqhubeka nokuqapha ingane.
• Uma unezinkinga zokukhuluma (Ukungasebenzi Kahle Kwe-Velopharyngeal): Uma unezimpawu ezifana nokuhona kwamakhala, njengokuhona kwamakhala okukhulunywe ngakho ngenhla, noma umoya ophuma ekhaleni lakho ngenkathi ukhuluma, kungadingeka ukuthi uhlinzwe (`(Palatoplasty)`) . Lokhu kuhlinzwa kuhilela ukulungisa ingxenye ethambile yolwanga nokuvala imbobo. Ngemuva kwalokho, uma ukhuluma, ulwanga luvala kahle, kuvimbele umoya nomsindo ukuthi ungaphumi ekhaleni lakho.
• Ukwelashwa Ngenkulumo: Ezimweni eziningi, ingane izodinga ukwelashwa ngenkulumo ukuze ifunde ukuphimisela imisindo ethile ngendlela efanele. Ngezinye izikhathi ukuhlinzwa kuphela kungalungisa isimo, futhi ukwelashwa ngenkulumo akudingeki.
• Ngokutheleleka kwendlebe: Uma unesifo sendlebe esivame ukwenzeka, ungafakwa amapayipi amancane ezindlebeni zakho ukuze uwavimbele, ugcine ukuzwa kahle, futhi usize ekuthuthukisweni kwenkulumo.

Okubalulekile: Izifundo zikhombisile ukuthi izingane ezine -Submucous Cleft Palate akufanele zihlinzwe i-adenoidectomy , njengoba lokhu kuhlinzwa kungenza izinkinga zokukhuluma zibe zimbi kakhulu noma kubangele ukungasebenzi kahle kwe-velopharyngeal .

Ingabe ingane yami izodinga ukuhlinzwa?

Ukuhlinzwa akudingekile ngempela. Uma ingane ingenazo izinkinga zokukhuluma, ukuhlinzwa ngokuvamile akukhuthazwa. Kunalokho, odokotela bazoyiqapha ingane iminyaka eminingana ukuze babone ukuthi ikhona yini inkinga eyenzeka.

Ingabe ingane yami izodinga ukwelashwa kokukhuluma?

Yebo, ezimweni eziningi ingane izodinga ukwelashwa kokukhuluma.Udokotela wezifo zokukhuluma uzohlola ingane yakho ukuze athole ukuthi yiziphi izinkinga zokukhuluma ezibangelwa yi-cleft palate. Ezinye izinkinga zibangelwa yizimbangela zomzimba (okungukuthi, izinguquko esakhiweni somlomo). Lezi zingalungiswa ngokuhlinzwa. Kodwa-ke, ezinye izinkinga zokukhuluma zibangelwa yimikhuba emibi ingane eye yakha. Ukwelashwa kokukhuluma kubalulekile ukushintsha leyo mikhuba nokuyifundisa ukuphimisela amagama ngendlela efanele.

Ingabe i-Submucous Cleft Palate ingavinjelwa?

Lesi sifo esiqhekekile siyinkinga yokuzalwa nayo . Ngakho-ke, kunzima ukusivimbela ngokuphelele. Kodwa-ke, njengoba kushiwo ngaphambili, izici zemvelo nazo zingathinta lokhu, ngakho-ke njengomama, ukugwema ukusebenzisa imithi ethile, izidakamizwa, utshwala, namanye amakhemikhali anobuthi ngesikhathi sokukhulelwa kunganciphisa ingozi yokuba ingane ibe nalesi simo ngezinga elithile.

Yimiphi imibuzo okufanele uyibuze udokotela wengane yakho?

Ngemva kokuba ingane yakho itholakale ine- Submucous Cleft Palate , kuvamile ukuba nemibuzo eminingi okufanele uyibuze udokotela wakho. Nansi eminye imibuzo ongase ufune ukuyibuza:

• Iyini imbangela yalokhu?
• Ingabe ingane yami izodinga ukuhlinzwa?
• Ingabe ingane yami izodinga ukwelashwa kokukhuluma?
• Ingabe lesi simo sithinte ukuzwa kwengane yami?
• Kuthatha isikhathi esingakanani ukwelashwa?
• Ingabe kukhona izinto engingazenza ekhaya ukusiza ingane yami?

Ngakho-ke, uma ingane yakho inezinkinga zokukhuluma, izinhlungu zendlebe ezivame ukwenzeka, noma inenkinga yokumunca noma yokuncelisa ibhodlela iseyingane, ingase ibe nomlomo oqhekekile ongaphansi kwesikhumba . Kungaba nzima ukuyixilonga, kodwa ezinye izingane zingase zibe nezimpawu. Khuluma nodokotela wezingane wengane yakho bese uhlola umlomo nomphimbo wengane yakho. Ezimweni eziningi, lesi simo singalungiswa ngokuphelele ngokwelashwa kokukhuluma noma ngokuhlinzwa.

Izinto ezibaluleke kakhulu okudingeka sizifunde kulokhu (Umyalezo Ohamba Nawo Ekhaya)

• I-Submucous Cleft Palate iyisicaba esiselulwelweni olungaphezulu, esifihliwe ekubonweni, ngaphansi kwe-membrane encane.
• Uma ingane yakho iphuma ubisi ekhaleni layo uma iphuza, uma inezindlebe ezibuhlungu njalo, uma ingakhulumi kahle, noma uma yenza umsindo wekhala , kubaluleke kakhulu ukuyihlola kudokotela.
• Lesi simo singaba nzima ukusithola , kodwa uma sesitholakale kahle, kunezindlela zokwelapha.
• Akuwona wonke umntwana odinga ukuhlinzwa. Kwabanye abantwana, ukwelashwa kokukhuluma kuphela kunganele.
• Ungakhathazeki. Iseluleko esifanele sezokwelapha kanye nokwelashwa kunganikeza ingane yakho impumuzo. Khuluma nodokotela wakho ngalokhu ngokukhululekile.

Khumbula, awuwedwa. Kunabanye abazali ababhekene nezimo ezifanayo. Ngokwazi okufanele kanye nokusekelwa kwezokwelapha, unganikeza ingane yakho umphumela omuhle kakhulu.

'Ulwanga oluqhekekile, ulwanga oluqhekekile olungaphansi komucu, izinkinga zokukhuluma, ubunzima bokuncelisa, izifo zendlebe, i-palatoplasty, impilo yengane