Ulawulo olufanelekileyo lwesilungiso somlomo womntwana wakho lubaluleke kakhulu ukukhusela umonakalo kwisiza sokuhlinzwa. Naziphi na iingxaki ezinokubangela ukonakala okongeziweyo, ixesha elide lokuphilisa, kwaye kwanokwandisa ukuba umntwana wakho uya kufuna ukuhlinzwa okongeziweyo. Eli nqaku liza kucacisa indlela yokunyamekela ngayo umntwana wakho emva kokulungiswa komlomo, kodwa ngenxa yokuba zonke iimeko zihlukile, nceda landela imiyalelo yakho ugqirha ukuba iyahluke kweli xwebhu.
Ukutya Umntwana Wakho
Emva kokuhlinzwa komntwana wakho, baya kuhlala esibhedlele baze bakwazi ukuxhaswa ngokutya, iintlungu zabo zilawulwa kakuhle, kwaye zigqityiwe kunye neyeza ezifunekayo okanye zikwazi ukuthabatha la mayeza ngomlomo. Ukutya emva kwalolu vavanyo lunokuba yinto ebalulekileyo ekufuneka uyinqobe ukuze uthathe umntwana wakho ekhaya.
Unokufumanisa ukuba kukho impikiswano eninzi malunga nokuba ufanele uncelise, ukunyusa iibhotile, okanye ukondla umntwana wakho ngexesha lexesha elilandelayo emva kokuhlinzwa (ixesha lokugqibela). Indlela oyikhethayo iya kuxhomekeka kwiimeko ezithile zomntwana kunye nezikhetho zakho kunye neentswelo zeentsapho zakho. Iqela lakho lezonyango, kubandakanya ugqirha wezilwanyana kunye nolwimi lwenzululwazi yolwimi, lunokukunceda ukhethe indlela efanelekileyo yokutya kwimeko yakho. Ezi zengcali nazo zinokukunceda ekufumaneni iimpahla ezifanelekileyo onokuzifuna; umzekelo, ukuba ukhetha ukunyusa umfuyo umntwana wakho, kufuneka usebenzise ingxowa evunyiweyo nebhotile.
Kungakhathaliseki indlela okhetha ukuyondla ngayo umntwana wakho, ukukhuselwa kwesiza (inxeba) kuyimfuneko ukuba umntwana wakho aphilise. Kudikibala ukuba kunzima nantoni na emlonyeni womntwana de emva kokugqitywa kwezigulane. Ukuba ukondla i-spoon, kufuneka uqinisekise ukuba usebenzisa icala lepuni ngokutya.
Ungasebenzisi iifoloko okanye ezinye izinto, njengoko zingonakalisa ukukhangela. Emva kwesondlo ngasinye, abaninzi abaqeqeshi bempilo bayincoma ukuba umntwana atywala malunga ne-5-15 milliliters zamanzi. Ukusebenzisa amanzi kuya ku "hlambulula" indawo kunye nokunceda ukususa ukutya okunokubangela ukuba suleleke.
Ukukhusela isayithi lakho lokutyikitya lomntwana
Emva kokuhlinzwa, unokufumana ukuba ugqirha wakho usetyenzise into efana ne-Logan's Bow (i-bar bar) okanye i-Steri-Strips ukukunceda ukukhusela i-incision. Oku kuya kuhlala kude kube ngunyango wakho ugqirha ukususwa kwebhar e-aphoyintimenti yokulandela emva kokuba umntwana wakho ukhutshwe esibhedlele (ngokuqhelekileyo malunga neveki emva komhla wokukhutshwa komntwana wakho). Xa ubamba umntanakho, ukulungelelanisa kukhethwa ukuba ubenqume ukukhupha umlomo wabo kunye neempumlo kwihlombe lakho baze baphilise ngokupheleleyo. Xa belele phantsi, qiniseka ukuba ubagcine besisu sabo ngokuzigcina ngecala okanye ecaleni. I-Pacifiers ayifanele isetyenziswe njengoko iya kubangela ukuxhatshazwa okongezelelweyo kwisiza sokugqeba.
Emva kokuhlinzwa, umntwana wakho uya kuba neengalo ezithambileyo okanye izithintelo ze-elbow ukwenzela ukuba abathintele ukuxubha okanye ukuhlambalaza ngokuchithwa kwabo. Ngokuqhelekileyo, izithintelo ziya ku funeka zisetyenziswe malunga neeveki ezi-2 ukuya kwezi-3.
Ngeli xesha, kubalulekile ukuba banxibe izibambiso kangangoko kunokwenzeka. Ngelixa uwayongamela, kulungile ukususa izithintelo eziliqela ngamaxesha; Nangona kunjalo, uya kufuna ukuqiniseka ukuba ugweba ukuba ugibe umlomo kunye neempumlo okanye ususe kwisithupha.
Xa ususa izihlomelo, ngokuqhelekileyo kucetyiswa ukuba ususe kuphela isithintelo esinye ngexesha. Thatha ngeli xesha ukuhambisa iingalo zonke malunga nokukhusela ukulahleka kokuhamba kwaye uhlolisise ukuqinisekisa ukuba ayikho indawo ebomvu kwiingalo apho izihlomelo zenziwe khona.
Ukuthintela ukuthintela
Usulelo luyinkxalabo enokwenzeka kuyo nayiphi na intando.
Ngokuxhomekeka kukhetho lwakho logqirha, unokumisela ikhosi ye-antibiotics ukukhusela intsholongwane emva kwenkqubo, okanye umntwana wakho unokufumana ixesha elilodwa le-IV le-antibiotics ngexesha lokuhlinzwa. Ukuba ugqirha wakho ubeke i-antibiotics ukuba ithathwe emva kokulungiswa komlomo, qiniseka ukuba unikezela unyango kumntwana wakho ngexesha, njengoko kulandiswe, kwaye ibhatile iphelile.
Ukugcina ukukhutshwa komntwana wakho kunye ne-sutures ecocekileyo kubaluleke kakhulu ekukhuseleni intsholongwane. Abanye oogqirha baya kuhlambulula ngokutsha rhoqo, ngelixa abanye banokukhetha ukuba ushiye isicatshulwa esicocekileyo kwaye esomileyo kwaye ungayichukumisi. Oogqirha abaninzi bancoma ukucoca kunye ne-saline evamile okanye isepha kunye namanzi. Abanye oogqirha batusa ukucoca i-incision nge-half-strength-hydrogen peroxide, ingakumbi ukuba kukho ukubunjwa okuninzi okujikeleza ukutyunjwa kunye ne-sutures. Ukuba usebenzisa i-hydrogen peroxide yamandla, qiniseka ukuba uhlambulule ngamanzi acacileyo okanye i-saline emva koko, njengoko i-hydrogen peroxide inokubulala amaseli enempilo kwakunye neentsholongwane kwaye uphazamise isikhumba somntwana ukuba ungahlanjululwa.
Ukuba ugqirha wakho ufuna ukuba uhlambulule ukukhangela, uya kufumana imiyalelo ecacileyo omele ulandele ngokufutshane. Isiphakamiso esifanayo kukusebenzisa isicombululo sokucoca nge-cotton swab kwisinyithi sesetyhula ngaphandle kokufaka uxinzelelo ngqo kwi-incision. Ugqirha wakho unokuphinda ucebise i-antibiotic ointment, njenge-bacitracin okanye i-Neosporin, oyisebenzisayo kwisicatshulwa somntwana emva kokuba uhlambulule isikhumba kwaye wavumela ixesha elaneleyo ukuba isayithi lime. Oku kusetyenziselwa ukukhusela ukuxutywa emanzini ngamanzi ngokudala umqobo phakathi kwamanzi kunye nesikhumba, kunye nokuvimbela ukukhula kweentsholongwane. Oku kubaluleke ngakumbi kuba ukulungiswa kwento yokulungisa imilomo kukufuphi kwipumlo nomlomo, indawo engcolileyo. I-antibotic ointment ingasiluncedo kuba inqanda ukubunjwa kwe-scab-like crust kwi-incision, ngezinye iimeko ezinokubangela ubuhlungu. Ngokuqhelekileyo, ugqirha wakho uya kukucebisa ukuba usebenzise amafutha athile ngokumalunga namaxesha amathathu ngosuku, kodwa kwakhona, icala ngalinye lihlukile.
Ukulawula Ubunzima
Umntwana wakho uya kuba neentlungu emva kokulungiswa komlomo, okuza kulawulwa ngokusebenzisa imithi yeentlungu. Kanye emva kokuhlinzwa, oku kuya kuba yinkxwaleko yeentlungu zonyango ezinikezwa nge-IV yakho yengane. Njengoko umntwana wakho abuyele, baya kufuna unyango oluthile oluncinane. Ngethuba ixesha umntwana wakho ukhutshwa esibhedlele, intlungu yabo kufuneka ilawulwe kakuhle. Ugqirha wakho angakuthumela ekhaya kunye nemithi yokugulisa isigunyaziso okanye unokwenza iziphakamiso zonyango ezongezelelekileyo, njenge- acetaminoph en (Tylenol). Akufanele usebenzise ibuprofen (Advil) ngaphandle kwemvume yakho ugqirha kunye ne-aspirin ayinconywanga kubantwana njengoko kungabangela isifo sikaReye .
Akufanele ukhathazeke malunga nomntwana wakho ukuba abe ngumlutha kwizonyango zentlungu. Ukulawula intlungu kuya kunceda umntwana wakho aphilise ngokukhawuleza kuba baya kulala ngokuphumla. Ubuhlungu buyakwazi ukuphakamisa izinga lentliziyo yomntu kunye noxinzelelo lwegazi kwaye kungabangela ukukhululwa kwehomoni ebizwa ngokuba yi-cortisol, enokuthi inqande ukukhusela isistim somzimba.
Kufuneka uqaphele ukuba iintlungu ezingenakunceda zingabonakalisa ukuba kukho inkcenkceshe yokuhlinzwa efuna ukuphathwa. Ungamangaliswa ukuba i-acetaminophen yonke into yakho imele ikwazi ukulawula intlungu yabo - abaninzi abantwana bafuna imithi emincinci kakhulu yeentlungu. Nangona kunjalo, ngamnye umntwana uhlukile kwaye into ebalulekileyo kukuba umntwana wakho ukhululekile emva kokulungiswa komlomo.
Ngaphandle kwemichiza, ukuba umntwana wakho uhlasele, ukunyaniseka okunjengokubamba nokugungqa, ukuthetha ngokulula kubo, kwaye nantoni na into ongayenza ukubonisa uthando kunye nokuthuthuzela umntwana wakho unokuba luncedo. Ukuphazamiseka nomboniso ozithandayo weTV okanye umculo unokunceda. Ukuba umntwana wakho akayi kuxoxwa yintlungu naphezu kwemizamo yakho engcono, kufuneka ubize ugqirha wakho. Kwakhona, ukuba unomuvo wokuthi umntwana wakho akwenzi kakuhle, biza ugqirha wakho. Uyazi kakuhle umntwana wakho kwaye njengomzali, uya kuba ngumntu wokuqala ukuphawula ingxaki. Akufanele ukhathazeke "ngokukhathaza" ugqirha. Kukulungele ukuzisa iinkxalabo zogqirha wakho ngokukhawuleza.
> Imithombo:
> I-Intermountain Healthcare. (2009). Makhe Masithethe Nge ... I-Cleft Lip nePalate. https://intermountainhealthcare.org/ext/Dcmnt?ncid=520408176
> Medline Plus. (2012). Ukulungiswa komlomo kunye nokulungiswa kwentlungu - ukukhutshwa. http://www.nlm.nih.gov.ezproxy.lib.utah.edu/medlineplus/ency/ izigulane / 000004.htm
> Nagy, K. & Mommaerts, YAM (2011). Ulawulo lwezilonda emva kweCleft Lip Surgery. I-Cleft Palate-Craniofacial Journal. Vol. 48 No. 5.
> Imfundo ePhakamileyo ePearson. (nd) UCwangciso loNonophelo loNyango: Insaneni eneCleft Lip kunye / okanye iPalate. http://wps.prenhall.com/wps/media/ izinto / 354/362846 / abantwana% 20-% 20Cleft% 20Palate.pdf
> IiNkqubo zeeMpilo zeYunivesithi yaseMichigan - ISebe loPhando. (2012). Ukulungiswa kweengqondo ze-Cleft (Cheiloplasty) emva kwe-Operative. http://surgery.med.umich.edu/plastic/patient/ped_procedures/cleftlp/ cheilo_postop.shtml