Iindlela eziqhelekileyo zokutyalela ukulungisa i-Cleft Lip kunye ne-Palate
Ukulungiswa kokupakisha komlomo kunye neentlungu zinezibonelelo zonyango ngaphandle kwezonyamelo. Ukulungisa umlomo kunye nentlungu kuya kunika umntwana wakho amandla okuphucula okanye aphuze kwibhotile ngelixa ekuncediseni ukuthetha kakuhle. Ukulungiswa kokuvuthwa komlomo womlomo kunye nentlungu ayikho enye inkqubo, kodwa kunoko uchungechunge lweentlobo zonyango zokuncedisa ukwandisa inzuzo kumntwana wakho ngelixa unciphisa ingozi yeengxaki.
I-Lip Adhesion
Kwiintsana ezizalwe ngomlomo oqhoqhokileyo, inkqubo yokuqala yokuhlinzwa ingaba ngumlomo womlomo. Olu uphando oluphambili oluqhelekileyo lwenziwa phakathi kwee-2 nee-4 zeeveki zeminyaka . Injongo yokuhlinzwa kukuba iguqulwe umlomo ogqityiweyo womlomo (unilateral okanye i-cleateral cleft).
Ngokwenza oku kutyunjwa ngoku, ithemba likunciphisa ukuxhatshazwa kwe-incision (into eyenzeka ngexesha lokuphulukisa) xa ukulungiswa kwemilomo ye-cleft kwenziwa kamva. Ukunciphisa uxinzelelo kuya kunciphisa ingozi yeengxaki emva kokuhlinzwa okulandelayo.
Izinto ezingenakunceda ukuba le nkqubo iqhutywe zibandakanya iingozi ezichaphazelekayo kunye naluphina inqubo yokugada efuna i-anesthesia jikelele, njengentlanzi kunye nokuhlanza, iingxaki zokuphefumla kunye nakwiimeko ezingaqhelekanga kwanokufa. Ngokumalunga nomlomo womlomo wakho womntwana, ukuphuhliswa okongezelelweyo kwezicubu ezinqabileyo kunokuphazamisa iinkqubo kamva ukulungisa umlomo, nangona oku akunjalo.
Ukulungiswa kweengxaki ze-Cleft (Cheiloplasty)
Ukulungiswa kwemilomo ye-Cleft, okanye i-cheiloplasty, iqhutyelwa phakathi kweenyanga ezi-4 ne-6 . Injongo yalo msebenzi uphezulu ukugqiba ukulungiswa kwezonyango zomlomo, nokunceda ekunakekeleni okanye ekuncediseni nasekuphuculweni kwentetho kamva. Udokotela wakho ogqirha uzama ukulungisa utshintsho olwakhiwa kwii-operesheni zangaphambili.
Ukuze uchonge ngokugcwele xa umntwana wakho ekulungele ukuba nale nkqubo, abanye oogqirha basebenzisa isixa esabizwa ngumgaqo wamashumi :
- umntwana wakho ubuncinane iiveki ezili-10 ubudala
- umntwana wakho ulinganisa ubuncinane ubunzima beepounds ezili-10
- umntwana wakho une-hemoglobin ubuncinane be-10 grams
Ukulandela umgaqo wemashumi kunokubangela ukuba umntwana wakho aphunduke kwi-standard standard ye-4 kuya kwezi-6 ukulungiswa komlomo kodwa uya kunceda ukunciphisa iingxaki kwiinkqubo. Ngokuxhomekeke kwintetho yakho yokugada kunye nomlomo womntwana wakho, kukho iindlela ezininzi zokuhlinzwa ezinokusetyenziswa ukulungisa umlomo womntwana wakho, kuquka:
- Bardach
- I-Millard Rotation-Intuthuko (enye yeendlela ezithandwa kakhulu)
- I-Mulliken
- Tennison-Randall
- Ukuvalwa komgca wokugqithisa (oku akuyona indlela eqhelekileyo yokulungisa umlomo)
Abanye oogqirha baya kusebenzisa iinguqulelo eziguquliwe ezicatshulwe ngasentla. Iinqunto malunga nendlela yokusebenzisa isenokugqitywa ngophando lomdlali okanye ngohlobo lomntwana wakho womlomo kunye nentlungu. Ngokusebenzisa iindlela ezahlukeneyo, ugqirha wakho uzakuzama ukudala:
- yendalo yomlomo " Ubuncwane be-Cupid "
- ulungelelanise isakhiwo somlomo ngomgama wemvelo ukusuka ekhaleni ukuya emlonyeni
- ukukhwabanisa imaski kwizakhiwo eziqhelekileyo zomlomo
- uzame ukulungelelanisa ukulinganisa kwamacinci
Ukulungisa iPalate (Palatoplasty)
Isikhathi sokwenza i-palatoplasty kubalulekile ngenxa yokukhula okuqhelekileyo kunye nophuhliso lweintsana.
Ukwenza ukuhlinzwa ngokukhawuleza akuyi kuvumela ukukhula okufanelekileyo kwe-maxilla kunye nobuso. Nangona kunjalo, ukungenzi ukuhlinzwa ngokukhawuleza kunokunqanda ukuphuhliswa kwentetho. Kunconywa ukuba ukulungiswa kwe-palate kwenziwe phakathi kweenyanga ezili-9 ne-16 ubudala . Njengokuba ukulungiswa komlomo, kukho iindlela ezininzi ezahlukeneyo ukuba ugqirha wakho angakhetha ukwenza i-palatoplasty, kuquka:
- I-Bardach - ukulungiswa kwe-palate epheleleyo
- I-Furlow - ukulungiswa kwe-palate yesibini
- Schweckendiek
- VY pushback - ukulungiswa kwe-palate yesibini
- Von Langenbeck - ukulungiswa kwesola
Iinjongo zokulungisa i-palate zihluke kwiinkalo ezithile kunokulungisa ukulungiswa komlomo.
Ukulungiswa kwemilomo emininzi kukuqhelisa kwindalo, ngelixa ukulungiswa kwenkathazo ye-cleft igxininise ngakumbi kwisakhiwo somlomo wakho umntwana. Ukulungiswa kokuphenywa kwe-palate ye-cleft kunciphisa umngcipheko we- infection ear , ukulibaziseka ekuphuhlisweni kwentetho, kunye nokunceda ekugcineni ukukhula okuqhelekileyo kunye nophuhliso lwehlabathi. Kufuneka uqaphele ukuba njengoko umntwana wakho ekhula, ukuhlinzwa okongeziweyo kunokufuneka kubandakanye:
- utyando olusesikweni (rhinoplasty)
- ukunyuka kwamathambo
- orthondontics
Imithombo:
Umbutho waseMerika wezilwanyana zePlastiki. (2011). Ukulungiswa Kwemilenze Yokucoca kunye nePalate: Ukulungiswa koPhuhliso olungavumelekanga.
Goldenberg, D. & Goldstein, BJ (2011). I-Handbook ye-Otolaryngology - iNtloko kunye nokuPhepha kweNeck. Isixeko saseNew York, i-NY: Thieme Medical Publishers, Inc.
URandall, uP. (1965). I-Lip Adhesion Operation kwi-Cleft Lip Surgery. Uphulo lwePlastiki kunye noKhuseleko. 35 (4). iphe. 371-376.
Salyer, KE, Rozen, SM, Genecov, ER & Genecov, DG (2005). I-Unilateral Cleft Lip - Indlela kunye Nezobuchwepheshe.