Njengomama, kuyathandeka kakhulu lapho ingane yakho ikhipha amathe, akunjalo? Lokhu kuvamile kakhulu, ikakhulukazi phakathi kwezinyanga ezi-4 nezingu-19. Kodwa uma ingane yakho isakhipha amathe ngokweqile ngisho nangemva kweminyaka emi-4, kungaba yinto okufanele sikhathazeke ngayo. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-Sialrhea. Ake sixoxe ngalokhu ngendlela elula nelula namuhla.
Kalula nje, iyini i-Sialorrhea?
I-Sialorrhea ukuvuza amathe noma ukuvuza amathe ngokweqile. Ngokuvamile, umlomo wengane ukhiqiza amalitha angaba ngu-1.5 amathe ngosuku. Kodwa-ke, ingane enalesi simo ingakhiqiza amalitha afinyelela ku-5 amathe ngosuku. Ngezinye izikhathi, noma ngabe inani lamathe akhiqizwayo livamile, ingane ayikwazi ukuwagwinya kahle. Noma kunjalo, amathe asaphuma emlonyeni.
Kunezinhlobo ezimbili eziyinhloko zalokhu:
- I-Anterior Sialorrhea: Lolu uhlobo oluvame kakhulu lokuvuza amathe. Amathe aphuma emlonyeni ehle ebusweni aye ezingutsheni. Lokhu kungabangela ukubomvu nokuqhekeka kwesikhumba esizungeze isilevu nomlomo, futhi kungaholela ezifweni zesikhumba. Kungenza futhi ingane izizwe inamahloni futhi yesaba ukuhlangana nezinye izingane.
- I-Posterior Sialorrhea (ukuvuza amathe ngemuva komphimbo): Lokhu kwenzeka lapho amathe ehla emphinjeni, engena emgudwini womoya , esikhundleni sokuphuma. Lokhu kuyingozi kancane. Uma amathe eqhubeka nokugeleza emaphashini, angalimaza amaphaphu futhi abangele ukuminyana kwesifuba njalo nokukhwehlela.
Ngokuvamile, izingane ezinalesi simo zibonisa izimpawu zazo zombili izinhlobo ndawonye.
Yiziphi izimbangela zokuvuza amathe?
Kunezizathu eziningana eziyinhloko zokuthi kungani ingane ingase ikhiphe amathe ngokweqile. Ngokuvamile, kuba uphawu lwesinye isimo sezempilo esiyisisekelo.
Into ebaluleke kakhulu ukubona udokotela bese wenza isinqumo esinembile, kunokuba uqagele imbangela ngokwakho.
Ake sibheke kabanzi lezo zizathu kuthebula elingezansi.
| Isizathu | Incazelo elula |
|---|---|
| Izinkinga zesimiso sezinzwa kanye nobuchopho | Ubuchopho bunobunzima bokulawula imisipha yomlomo nomphimbo. Isibonelo, cishe ama-58% ezingane ezinesimo esibizwa ngokuthi i-Cerebral Palsy nazo zinalesi simo. Singabangelwa futhi ukulimala kobuchopho noma ukushaywa yisifo sohlangothi. |
| Ukukhubazeka Kwesimo Semvelo | Izinguquko zomzimba ezenza kube nzima ukugwinya. Izibonelo: ulimi olukhulu kunolujwayelekile, ukukhubazeka komhlathi noma umphimbo, udebe noma ulwanga oluqhekekile, izinkinga ngokuma kwamazinyo. |
| Ukukhiqizwa kwamathe ngokweqile | Ngisho noma ingane ikwazi ukugwinya, umzimba ukhiqiza amathe amaningi kunalokho okudingekayo. Lokhu kungaba umphumela wemithi ethile noma ngenxa yezinye izifo zokuphefumula. |
| Ukuphefumula ngomlomo | Abanye abantwana baphefumula ngemilomo yabo ngaso sonke isikhathi, esikhundleni sokuphefumula ngamakhala abo. Ngisho nalapho, umlomo uvulekile, okungabangela ukuthi amathe aphume. |
Yiziphi izimpawu zalesi simo?
Izimpawu zincike ekutheni amathe ayaphuma (ngaphambili) noma emphinjeni (ngemuva).
- Uma amathe egeleza phambili (i-Anterior Sialorrhea):
- Njalo ube nezingubo ezimanzi kanye nama-pillowcases.
- Isikhumba esizungeze umlomo nesilevu sibomvu, somile, futhi sinamaqhubu.
- Ngezinye izikhathi kuba nokuntuleka kwamanzi kancane emzimbeni (ukuphelelwa amanzi emzimbeni okuncane).
- Ubunzima bokukhuluma nokudla.
- Uma amathe egeleza eceleni komphimbo (i-Posterior Sialorrhea): Lokhu kungabangela izimpawu ezithile ezimbi.
- Ukuphefumula okunzima, ukukhwehlela, isicanucanu, nokuhlanza .
- Ukuminyana kwesifuba.
- Ubunzima bokuphefumula.
- Ukuphefumula: Lokhu kusho ukumunca izinto ezifana namathe emaphashini. Lokhu kuyingozi kakhulu ngoba kungabangela izifo ezinkulu njenge -pneumonia .
Wazi kanjani ukuthi lokhu kuyisimo sezokwelapha?
I-anterior sialorrhea ingahlolwa kalula udokotela ngemva kokuhlola ingane yakho nokubuza imininingwane.
Kodwa uma usola ukuthi ingane yakho inenkinga yokuvuza amathe, kungadingeka ukuthi kwenziwe izivivinyo ezikhethekile ukuze kuqinisekiswe lokho. Kusetshenziswa imishini ekhethekile ukuhlola umphimbo wengane yakho, ukugwinya, kanye nokukhuluma. Isibonelo, i-X-ray ekhethekile ebizwa ngokuthi i-videofluoroscopy ingabonisa ngqo ukuthi ingane igwinya kanjani uketshezi nokuthi luhamba kanjani emphinjeni. Ungakhathazeki, udokotela wakho uzoyala lokhu kuhlolwa kuphela uma kudingeka ngempela.
Wenzani njengokwelashwa?
Into engcono kakhulu ukuthi kunezindlela eziningi zokwelapha lokhu. Kuye ngesimo sengane kanye nembangela, udokotela uzokhetha indlela yokwelapha efanele kakhulu.
- Imithi yomlomo: Imithi enciphisa ukukhiqizwa kwamathe noma eyenza kube lula umgudu womoya inganikezwa. Kodwa-ke, eminye yale mithi ingabangela imiphumela emibi njengomlomo owomile kanye nokuqunjelwa. Ngakho-ke, udokotela uzoyinikeza ngemva kokuyicabangela ngokucophelela.
- Imijovo yeBotox: I-Botulinum Toxin (i-Botox) ifakwa ezindlaleni zamathe ukulawula ukukhiqizwa kwamathe cishe izinyanga ezine. Lokhu ukwelashwa okuphephile manje ezinganeni.
- Izinqubo zokuhlinzwa: Ezimweni ezinzima kakhulu, kuba nokuhlinzwa kokususa izindlala eziningana zamathe noma ukushintsha ukusebenza kwazo. Lokhu kunganikeza ikhambi elihlala njalo.
- Ukuqeqeshwa kwemisipha yomlomo: Lokhu kuyindlela yokwelapha ebaluleke kakhulu. Ikakhulukazi ezinganeni ezikhipha amathe ngenxa yenkinga yesakhiwo emzimbeni, abelaphi bezinkulumo banikeza ukuqeqeshwa ukuze kubasize bagwinye kahle futhi balawule imisipha yomlomo.
Kodwa-ke, uma ingane yakho inesimo esingesibi kangako, singase singadingi ukwelashwa okuningi. Ungakulawula lokhu ngokuvikela isikhumba ngokugqoka ama-bibs nokufaka ukhilimu ovimbelayo esilevini .
Kufanele uyinakekele nini ingane yakho?
Njengoba sishilo ekuqaleni, kuyinto evamile ngengane encane ukuvuza amathe. Kodwa-ke, uma ukuvuza amathe ngokweqile kuqhubeka ngemva kweminyaka emine , kungcono ukukhuluma nodokotela, njengoba kungaba uphawu lwesimo esingaphansi.
Enye into okufanele uyicabangele uma ingane yakho iqala ukuvuza amathe ngokweqile ngemva kwesikhathi eside ngaphandle kwezinkinga. Kungaba ngenxa yokutheleleka komphimbo noma ingane igwinya okuthile (njengethoyizi noma uhlamvu lwemali). Uma usola lokhu, yisa ingane yakho eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha .
Uma ingane igwinya ubuthi ngengozi noma okunye okungamlungele, funa iseluleko sezokwelapha ngokushesha.Ungashayela futhi iNational Poison Information Center eColombo National Hospital.
Kodwa-ke, uma ukuvuza kwamathe kwengane yakho kuphazamisa impilo yayo evamile kanye nenjabulo, qiniseka ukuthi ubona udokotela futhi uthole iseluleko esifanele kanye nokwelashwa.
Umlayezo Wokuya Nawe Ekhaya
- Nakuba ukuvuza amathe kuyinto evamile ebuntwaneni, kubalulekile ukufuna iseluleko sikadokotela uma kuqhubeka ngemva kweminyaka engu-4.
- Lokhu kungase kube ngenxa yenkinga yokulawula izinzwa, ushintsho lwesakhiwo emzimbeni, noma ukukhiqizwa kwamathe ngokweqile.
- I-postterior sialorrhea kufanele iphathwe ngokucophelela ngoba ingaholela ezinkingeni ezifana ne-pneumonia.
- Kunezindlela eziningi zokwelapha eziphumelelayo zalokhu, okuhlanganisa imithi, imijovo ye-Botox, ukuhlinzwa, kanye nokwelashwa kokukhuluma.
- Ungabi nokungabaza engqondweni yakho. Khuluma nodokotela womndeni wakho ngalokhu nganoma yisiphi isikhathi bese uthola isiqondiso esifanele.
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