Inkalakahla eshubile nomlomo ocacayo: ziyini nokuthi uziphatha kanjani

-Delile

• Kungani kwenzeka udebe oluqhekezayo noma ulwanga
• Lapho ukuxilongwa kuqinisekiswa
• Kwenziwa kanjani ukuhlinzwa
• Kunjani ukuncelisa
• Ukunakekelwa kwezingane ngaphambi kokuhlinzwa

Ulwanga oluqondile luyilapho umntwana ezalwa khona nophahla lomlomo luvulekile, kwakheka lapho khona. Isikhathi esiningi, inkalakahla eklanyiwe ihambisana nodengezi lomlomo, oluhambisana nokuvuleka kwezindebe, okungafinyelela ekhaleni.

Lezi zinguquko ebusweni zingaletha ezinye izinkinga enganeni, ikakhulukazi ekondleni, futhi zingaholela ezimweni zokungondleki kahle, i-anemia, i-aspiration pneumonia kanye, nokutheleleka njalo. Ngenxa yalezi zizathu, yonke ingane ezalwe inenkalakahla noma udebe oluxegayo kufanele ihlinzwe ukuze yakhe kabusha izicubu zomlomo, ngisho nonyaka wokuqala wokuphila.

Ukuhlinzwa kuyakwazi ukuvala umlomo nophahla lomlomo, futhi ingane ilulama ngokuphelele emasontweni ambalwa ngemuva kokuhlinzwa, ngaphandle kwezinkinga ekukhuleni kwamazinyo nasekondleni.

Kungani kwenzeka udebe oluqhekezayo noma ulwanga

Kokubili i-cleft lip kanye ne-palate palate kubangelwa ukungalungi kombungu okwenzeka lapho izinhlangothi zombili zobuso zihlangana, cishe amasonto ayi-16 okukhulelwa. Izimbangela zayo azaziwa ngokugcwele kepha kuyaziwa ukuthi kunengozi enkulu lapho umama engenzi ukunakekelwa kokubeletha kahle noma lapho:

• Awuzange uthathe amaphilisi e-folic acid ngaphambi kokuzama ukukhulelwa;
• Unesifo sikashukela esingalawuleki;
• Wathatha ama-antibiotic, ama-antifungal, ama-bronchodilators noma ama-anticonvulsants ngesikhathi sokukhulelwa;
• Kudliwe izidakamizwa ezingekho emthethweni noma utshwala ngesikhathi sokukhulelwa.

Kodwa-ke, owesifazane onempilo owenze ukunakekelwa kokubeletha kahle angaba nengane enalolu hlobo lobuso ebusweni futhi yingakho izimbangela zayo zingaziwa ngokuphelele.

Lapho udokotela eqinisekisa ukuthi ingane inenkani yomlomo nolwevu, angakwazi ukuphenya ukuthi unayo yini iPatau syndrome, ngoba engxenyeni yamacala alesi sifo banalo lolu hlobo loshintsho ebusweni.Udokotela uzophinda futhi aphenye ukusebenza kwenhliziyo, ngoba nayo ingaguqulwa kanye nendlebe, okungenzeka ukuthi iqongelele uketshezi, okwandisa ubungozi bokutheleleka endlebeni.

Lapho ukuxilongwa kuqinisekiswa

Udokotela angaxilonga ukuthi ingane inesikhala somlomo kanye / noma inkalakahla ecobekile ngokusebenzisa i-morphological ultrasound ku-trimester yesibili yokukhulelwa, kusukela ngeviki le-14, futhi nange-3D ultrasound noma ngesikhathi sokuzalwa.

Ngemuva kokuzalwa, ingane idinga ukuphelezelwa ngudokotela wezingane, otorhinolaryngologist nodokotela wamazinyo ngoba ulwanga oluxegayo lungakuthikameza ukuzalwa kwamazinyo futhi udebe oluvulekile luvame ukuphazamisa ukuncelisa, yize ingane ikwazi ukuthatha ibhodlela.

Kwenziwa kanjani ukuhlinzwa

Ukwelashwa komlomo ocacile kwenziwa ngokuhlinzwa kwepulasitiki okungenziwa lapho ingane inezinyanga ezintathu ubudala noma ngemuva kwalesi sikhathi kunoma yisiphi isigaba sempilo. Endabeni yenkalakahla ehluzekile, ukuhlinzwa kuboniswa kuphela ngemuva konyaka owodwa ubudala.

Ukuhlinzwa kuyashesha futhi kulula futhi kungafinyelela imiphumela emihle. Ukuze udokotela ohlinzayo akwazi ukuyihlinza kuyadingeka ukuthi ingane ibe nezinyanga ezingaphezu kwezintathu zokuphila futhi ingenayo i-anemia, ngaphezu kokuba sempilweni enhle. Qonda ukuthi ukuhlinzwa nokunakekelwa kwenziwa kanjani ngemuva kwenqubo.

Kunjani ukuncelisa

Ukuncelisa ibele kusanconywa ngoba kuyisibopho esibalulekile phakathi kukamama nengane futhi yize kunzima ukuncelisa, ngoba i-vacuum ayakheki ngakho-ke ingane ayikwazi ukuncela ubisi, kubalulekile ukunikela isifuba cishe imizuzu eyi-15 esifubeni ngasinye, ngaphambi kokunikeza ibhodlela.

Ukwenza kube lula ukuthi ubisi luphume, umama kufanele abambe isifuba, acindezele ngemuva kwe-areola ukuze ubisi luphume lunciphise kancane. Indawo ekahle yokuthi le ngane incelise ibheke phezulu noma igobekile kancane, igweme ukushiya ingane ilele ngokuphelele engalweni noma embhedeni ukuze incelise ngoba lokhu kwandisa amathuba okuthi iklinyeke.

Uma umama engakwazi ukubeka ingane esifubeni, umama angakhombisa ubisi ngepompo elenziwe ngesandla bese elunikeza ingane ebhodleleni noma enkomishini ngoba lolu bisi lunezinzuzo eziningi kakhulu zengane kunefomula yosana, ngoba unengozi encane yokutheleleka endlebeni nobunzima bokukhuluma.

Ibhodlela alidingi ukuthi likhetheke ngoba alikho eliqondene ngqo nalolu hlobo lwenkinga yezempilo, kepha kungakuhle ukuthi ukhethe ingono yebhodlela eyindilinga, efana kakhulu nesifuba sikamama, ngoba ukulunga komlomo okungcono, kepha enye inketho ukunikela ngobisi enkomishini.

Ukunakekelwa kwezingane ngaphambi kokuhlinzwa

Ngaphambi kokuhlinzwa, abazali kufanele bathathe izinyathelo ezithile ezibalulekile ezifana noku:

• Hlala njalo umboze ikhala lengane ngenabukeni ukufudumeza umoya ophefumula ingane kancane, ngoba mancane amathuba okuba imikhuhlane nemikhuhlane ivame kakhulu kulezi zingane;
• Hlanza njalo umlomo wengane nge-inabukeni ehlanzekile emanzi nge-saline, ukususa izinsalela zobisi nokudla ngemuva kokuthi ingane isidlile. Uma kunesidingo, ungasebenzisa futhi ama-swabs okotini ukuhlanza ukuqhekeka ophahleni lomlomo wakho;
• Thatha ingane uyobonana nodokotela wamazinyo ngaphambi kwezinyanga ezine ubudala, ukuhlola impilo yomlomo nokuthi amazinyo okuqala kufanele azalwe nini;
• Qinisekisa ukuthi ingane idla kahle ukugwema ukukhuluphala noma i-anemia, okuzovimbela ukuhlinzwa ngomlomo.

Ngaphezu kwalokho, kubalulekile ukugcina ikhala lengane lihlanzekile ngaso sonke isikhathi, kusetshenziswa isikhunta sikakotini esifakwe usawoti ukuze kususwe ukungcola noketshezi okungenani kanye ngosuku.