Ulwimi tie

Ulwimi lweqhina kuxa amazantsi olwimi eqhotyoshelwe kumgangatho womlomo.

Oku kunokuba nzima ukuba incam yolwimi ihambe ngokukhululekileyo.

Ulwimi ludityaniswe emazantsi omlomo yibhanti yethishu ebizwa ngokuba yi-lingren frenulum. Kubantu abanolwimi olubophayo, eli bhanti lifutshane kakhulu kwaye lishinyene. Isizathu ngqo sokubopha ulwimi asaziwa. Imfuza yakho inokudlala indima. Ingxaki ihlala ibaleka kwezinye iintsapho.

Kusana olusandul 'ukuzalwa okanye usana, iimpawu zolwimi zibopha ziyafana neempawu zomntwana onengxaki yokuncancisa. Iimpawu zingabandakanya:

• Ukwenza into ecaphukisayo okanye enomsindo, nasemva kokondla.
• Kunzima ukwenza okanye ukugcina ukutsala kwingono. Usana lunokudinwa kwimizuzu emi-1 okanye emi-2, okanye lubiwe bubuthongo ngaphambi kokutya ngokwaneleyo.
• Ukutyeba ubunzima okanye ukunciphisa umzimba.
• Iingxaki zokubambelela kwingono. Usana lunokuhlafuna ingono endaweni yoko.
• Kunokubakho ubunzima bokuthetha kunye nokubiza amagama kubantwana abadala.

Umama oncelisayo unokuba neengxaki zentlungu yesifuba, iiplagi zobisi ezixhunyiwe, okanye amabele abuhlungu, kwaye unokuziva ekhathazekile.

Uninzi lweengcali azicebisi ukuba ababoneleli ngezempilo bavavanye iintsana ezisanda kuzalwa ukuba zibone ulwimi ngaphandle kokuba kukho iingxaki zokuncancisa.

Uninzi lwababoneleli bajonga kuphela ukubopha ulwimi xa:

• Umama nosana baneengxaki zokuqala ukuncancisa.
• Umama ufumene inkxaso kwiintsuku ezimbini ukuya kwezi-3 zenkxaso kwingcali yokuncancisa (ukuncancisa).

Uninzi lweengxaki zokuncancisa zinokulawulwa ngokulula. Umntu ogxile ekuncanciseni (umcebisi wezokuncancisa) unokunceda kwimicimbi yokuncancisa.

Utyando lolwimi, olubizwa ngokuba yi-frenulotomy, alufane lufuneke. Olu tyando lubandakanya ukusika kunye nokukhupha i-frenulum exineneyo phantsi kolwimi. Ngokuqhelekileyo kwenziwa kwiofisi yomboneleli. Usulelo okanye ukopha emva koko kunokwenzeka, kodwa kunqabile.

Utyando lwamatyala amandundu lwenziwa kwigumbi lokusebenza esibhedlele. Inkqubo yotyando ebizwa ngokuba yi-z-plasty ukuvalwa kunokufuneka ukuthintela izicwili ezinqabileyo ekubeni zenziwe.

Ngamaxesha anqabileyo, iqhina lolwimi linxulunyaniswe neengxaki ngokukhula kwamazinyo, ukugwinya, okanye intetho.

Ankyloglossia

UDhar V. Izilonda eziqhelekileyo zezicubu zomlomo ezithambileyo. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahl. 341.

ULawrence RA, uLawrence RM. IProtokholi 11: izikhokelo zovavanyo kunye nolawulo lwe-neonatal ankyloglossia kunye neengxaki zayo kwi-dyad yokuncancisa. Ku: Lawrence RA, Lawrence RM, ii-eds. Ukuncancisa: Isikhokelo soPhando lwezeMpilo. Ngomhla we-8. IPhiladelphia, PA: Elsevier; Ngo-2016: 874-878.

INewkirk GR, iNewkirk MJ. Ulwimi olubophayo (frenotomy) lwe-ankyloglossia. Ku: Fowler GC, ii-eds. Iinkqubo zikaPfenninger kunye neFowler zoKhathalelo oluSisiseko. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2020: isahluko 169.