I-Frenulotomy yinkqubo yokucwangcisa isetyenziselwa ukulungisa imeko yokuzalwa yesibindi apho i-frenulum yesiqhelo (inxalenye edibanisa umlomo emlonyeni ongaphantsi kweelwimi) imfutshane kakhulu, ibangela ukunyuswa kolwimi olukhuselekile (ankyloglossia). Le meko ibizwa ngokuqhelekileyo njengeelwimi-tie . Phantse kwi-3 ukuya kwezi-5 kwabantwana abayi-100 bazalwa ngohlobo lweelwimi lwabantu banalo mqathango, kodwa akusiwo wonke umntu ofuna i-frenulotomy.
I-Frenulotomy inokucetyiswa ukuba umntwana wakho ngeelwimi-tie:
- Ukutya okunzima nokufumana ubunzima bokunciphisa umzimba
- ubunzima bokuthetha
- ubunzima bokugwinya
- ukukwazi ukukhawula i-ice cream okanye i-sucker
- ubunzima bokuhambisa ulwimi (ecaleni, ukulukhupha, ukuthinta uphahla lomlomo)
- iingxaki ezibalulekileyo zamazinyo
Indlela iFrenulotomy eyenziwa ngayo
I-frenulotomy ingenziwa kwiofisi yegqirha ngaphandle kwesidingo se-aneshesia yintsana engaphantsi kweenyanga ezi-6. Kubantwana abakhulu kunaloo nto, ngokuqhelekileyo kwenziwa phantsi kwe-aneshesia jikelele kwisibonelelo sosuku olufanayo. Ukulungiselela inkqubo, umntwana wakho uya kuba ne-inside and outside of their mouth ahlambuluke nge-antiseptic ebizwa ngokuthi i-chlorhexidine. Ingcamango ephantsi kakhulu isetyenziswe emlonyeni ukunciphisa ukucasuka.
Emva kokuba umlomo uhlambuluke, unamathelisi o-anesthetic uya kufakwa kwiilwimi ze-frenulum (phantsi kweelwimi) kunye nolwimi ukuze unxweme.
I-paste iya kuba yinto enjengomxube we-2.5% we-lidocaine kunye ne-2.5% ye-prilocaine. Uya kuba ne-5 yemizuzu yokulinda i-anesthetic ye-topical to work.
Emva kokuba i-anesthetic isebenza, umntwana wakho uya kufuna ukukhunjulwa kwi-frenulotomy ukunciphisa ingozi kuyo nayiphi na ingxaki. Izindlela ezintathu eziphambili zisetyenziselwa ukuqinisekisa ukuba umntwana wakho ufanelekile.
Bangakhetha ukuba: i-swaddle, sebenzisa ibhodi yepapoose (ibhodi eneamaphiko angama-6 ayingqamngca umntwana wakho), okanye i-burrito okanye "i-superhero cape" (indlela yokugubungela nokukhusela iingalo zomntwana wakho ngephepha lomsila ).
Emva kokuvalelwa, umncedisi uya kubamba iintloko zakho iintsana ngelixa ugqirha wakho ephakamisa ulwimi lomntwana wakho nge-forceps okanye ngeminwe emibili kwisandla sakhe esingaqhelekanga. Xa ulwimi lubekwe ngokufanelekileyo ukuze ugqirha wakho abone ngokucacileyo, baya kunqumla ulwimi lwe-frenulum kufuphi nolwimi. Isizathu sokuba bazonqumla kufuphi nolwimi kunomgangatho womlomo ngenxa yamathambo kunye namadaka e-submandibular (anxulumene nokuvalwa kwemali) asondele kuloo ndawo. Ukunqunyulwa kwenziwa ngokufana nolwimi kwaye akukho sutures ayimfuneko yokuphilisa. Ukulandela inkqubo, uxinzelelo oluncinane nge gauze lusetyenziselwa ukunciphisa nawaphi na ukuphuma kwamanzi okanye ukuphuma. Ukuhlanjululwa akunakuqhathaniswa nomba kunye ne-frenulotomy.
Izinzuzo
Esinye sezizathu eziqhelekileyo zokwenza i-frenulotomy ngenxa yobunzima bokuncelisa. Usana lwakho luya kukwazi ukuqhubeka nokuthatha ibhotile okanye ukuncelisa ngokukhawuleza xa unyango luphelile. Nangona kunjalo, umntwana wakho unokufumana ubunzima bokuncelisa.
Iipesenti ezingama-77 zeintsana zilungele ukuncelisa iintsasa kwiiveki ezi-2 zokuba ne-frenulotomy eyenziwe. Iintsana nazo zibonisa ukuphucula kwindleko yesisindo ngenxa yokuphucula amandla okuncela. Ukuba le nqubo yenziwa kamva kwimpilo yengane kunye neengxaki zentetho, kukho unyango lwentetho olusenokufuneka ukuba lungise ingxaki yokuthetha.
Mngcipheko
Iingxaki ezinokubangelwa ngulo msebenzi ziyingqabile kwaye umntwana wakho akayi kuba neentlungu. Iingozi ziquka:
- kuphuma
- sulelo
- umonakalo weengcingo ze-submandibular
Ukuba umntwana wayenzima ukuthetha phambi kokuhlinzwa, unokufuna unyango lwentetho emva koko ukulungisa isithintelo senkulumo.
Ezinye iindlela
- I-Frenulectomy - ukukhanda ngokugqithisileyo ulwimi lwe-frenulum
- Frenuloplasty okanye "Z-plasty" - ukulungiswa kokupakisha kwiplastiki kusetyenziswe ukuba i-frenulotomy ayiphumelelanga
Imithombo:
I-American Academy ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck. Iphepha leNkcazo: I-Tie Tie.
Isaacson, GC (2016). Ankyloglossia (ulwimi-tie) kwiintsana nabantwana.
Junqueira, MA, CUNHA, Costa e Silva, LL, Araujo, LB, Moretti, LBS, Couto Filho, CEG & Sakai, VT (2014). Iindlela zokuphanda zokunyanga i-ankyloglossia kubantwana: ityala leetyala. J Appl yomlomo. 22 (3): 241-248. I-doi: 10.1590 / 1678-775720130629
Miranda, BH & Milroy, CJ (2010). Ukukhawuleza ngokukhawuleza - Uphononongo lwefuthe lokukhululwa kolwimi lwangaphandle ekukhululeni i-natalatal and breastfeeding. Umbhalo wePlastiki. Ukulungiswa kwakhona kunye noKugqithwa kwe-Aesthetic. 63 (9): e683-e685.
Sethi, N., Smith, D., Kortequee, S., Ward, VMM & Clarke, S. (2013). Iinzuzo ze-frenulotomy kwiintsana ezine-ankyloglossia. I-International Journal ye-Otorhinolaryngology, i-77 (5): 762-765