Ukucoca imilebe kunye nenkalakahla

Ukucoca imilebe nokucoca inkalakahla kukwenza utyando ukulungisa iziphene zomlomo ophezulu kunye nenkalakahla (uphahla lomlomo).

Umlomo ocacileyo sisiphene sokuzalwa:

• Umlebe ocacileyo unokuba yinotshi encinci emilebeni. Inokuba kukwahlulwa okupheleleyo kumlomo ohamba yonke indlela ukuya kwisiseko sempumlo.
• Inkalakahla ecandekileyo inokuba kwicala elinye okanye kumacala omabini ophahla lomlomo. Inokuhamba ubude obupheleleyo bebala.
• Umntwana wakho unokufumana enye okanye zombini kwezi meko ekuzalweni.

Amaxesha amaninzi, ukulungiswa kwemilebe yomlomo kwenziwa xa umntwana enenyanga ezi-3 ukuya kwezi-6 ubudala.

Ukuhlinzwa ngomlomo, umntwana wakho uya kuba ne-anesthesia jikelele (elele kwaye engaziva intlungu). Ugqirha uya kusika izicwili kwaye athunge umlomo kunye. Izititshi ziya kuba zincinci kakhulu ukuze isibazi sincinci kangangoko. Uninzi lwemithungo luya kufakwa kwinyama njengoko isikhumba siphilisa, ke akuyi kubakho mfuneko yokuba sisuswe kamva.

Amaxesha amaninzi, ukulungiswa kwenkalakahla kwenziwa xa umntwana emdala, phakathi kweenyanga ezili-9 nonyaka omnye. Oku kuvumela inkalakahla ukuba itshintshe njengoko umntwana ekhula. Ukulungiswa xa umntwana ekule minyaka kuya kunceda ekuthinteleni iingxaki zokuthetha ngakumbi njengoko umntwana ekhula.

Xa kulungiswa inkalakahla, umntwana wakho uya kuba ne-anesthesia ngokubanzi (elele kwaye engeva zintlungu). Izicubu ezivela eluphahleni lomlomo zingahanjiswa ngaphezulu ukogquma inkalakahla ethambileyo. Ngamanye amaxesha umntwana uya kufuna utyando olungaphezulu kwesinye ukuvala inkalakahla.

Ngexesha lale nkqubo, ugqirha wotyando kusenokufuneka alungise incam yempumlo yomntwana wakho. Olu tyando lubizwa ngokuba yi-rhinoplasty.

Olu hlobo lotyando lwenziwa ukulungisa isiphako somzimba esibangelwa kukucandeka kwemilebe okanye inkalakahla ecandekileyo. Kubalulekile ukulungisa le meko njengoko inokubangela iingxaki zokonga, ukondla, okanye intetho.

Iingozi ezivela kulo naluphi na utyando zibandakanya:

• Iingxaki zokuphefumla
• Impendulo kumayeza
• Ukopha
• Usulelo
• Imfuneko yokuhlinzwa ngakumbi

Iingxaki ezi zinto zinokubangelwa zezi:

• Amathambo embindini wobuso anokungakhuli ngokuchanekileyo.
• Unxibelelwano phakathi komlomo nempumlo alunakuba yinto yesiqhelo.

Uya kudibana nengcali yezentetho okanye yokondla i-Therapist kwangoko emva kokuba umntwana wakho ezelwe. Umgqirha uya kukunceda ufumane eyona ndlela yokondla umntwana wakho ngaphambi kotyando. Umntwana wakho kufuneka atyebe kwaye abe sempilweni ngaphambi kotyando.

Umboneleli wezempilo womntwana wakho unoku:

• Vavanya igazi lomntwana wakho (yenza ubalo lwegazi olupheleleyo kunye "nohlobo kunye nokuwela" ukujonga uhlobo lwegazi lomntwana wakho)
• Thatha imbali epheleleyo yezonyango yomntwana wakho
• Yenza uvavanyo lomzimba olupheleleyo lomntwana wakho

Soloko uxelela umboneleli womntwana wakho:

• Ngawaphi amayeza onika umntwana wakho. Faka amayeza, amayeza kunye neevithamini ozithengileyo ngaphandle kommiselo.

Ngexesha leentsuku ngaphambi kotyando:

• Malunga neentsuku ezili-10 ngaphambi kotyando, uyakucelwa ukuba uyeke ukunika umntwana wakho iasprini, ibuprofen (Advil, Motrin), warfarin (Coumadin), kunye nezinye iziyobisi ezenza kube nzima kwigazi lomntwana wakho ukuba lijiye.
• Buza ukuba zeziphi iziyobisi umntwana afanele ukuzithatha ngosuku lotyando.

Ngomhla wotyando:

Amaxesha amaninzi, umntwana wakho akazokwazi ukusela okanye atye nantoni na iiyure ezininzi ngaphambi kotyando.

• Nika umntwana wakho intwana yokuphuza amanzi nangazo naziphi na iziyobisi ugqirha akuxelele ukuba uzinike umntwana wakho.
• Uya kuxelelwa ukuba uza kufika nini kotyando.
• Umboneleli uya kuqinisekisa ukuba umntwana wakho usempilweni ngaphambi kotyando. Ukuba umntwana wakho uyagula, utyando lunokulibaziseka.

Umntwana wakho uya kuba esibhedlele iintsuku ezi-5 ukuya kwezi-7 kanye emva kotyando. Ukubuyiselwa ngokupheleleyo kungathatha iiveki ezi-4.

Inxeba lotyando kufuneka ligcinwe licocekile njengoko linyanga. Akufuneki yolulwe okanye kubekwe uxinzelelo kuyo iiveki ezi-3 ukuya kwezi-4. Umongikazi womntwana wakho kufuneka akubonise indlela yokunyamekela inxeba. Kuya kufuneka uyicoce ngesepha namanzi okanye ulwelo olukhethekileyo lokucoca, kwaye uligcine lifumile ngeoli.

Kude kube kuphola inxeba, umntwana wakho uya kuba kukutya okungamanzi. Umntwana wakho kuya kufuneka enxibe izikhonkwane zengalo okanye iziqwenga zokuthintela ukuvuna enxebeni. Kubalulekile ukuba umntwana wakho angabeki zandla okanye iithoyi emlonyeni wakhe.

Uninzi lweentsana luyaphilisa ngaphandle kwengxaki. Indlela umntwana wakho aza kujonga ngayo ukunyanga ihlala ixhomekeke ekubeni isisiphene sasinzulu kangakanani. Umntwana wakho unokufuna olunye utyando ukulungisa inxeba kwilonda lotyando.

Umntwana oye walungiswa ngenkalakahla kungafuneka abone ugqirha wamazinyo okanye ugqirha wamazinyo. Amazinyo anokufuna ukulungiswa njengoko angena.

Iingxaki zokuva zixhaphakile kubantwana abanomlebe oqhekezayo okanye inkalakahla ecandekileyo. Umntwana wakho kufuneka kuvavanywe ukuva kwasekuqaleni, kwaye kufuneka kuphindwe ngokuhamba kwexesha.

Umntwana wakho usenokuba neengxaki ngentetho emva kotyando. Oku kubangelwa yingxaki yezihlunu enkalakahleni. Unyango lwentetho luya kunceda umntwana wakho.

Ukuqhekeka kwamalungu; Ukulungiswa kwesiphene sokuzalwa; Cheiloplasty; Rhinoplasty ocacileyo; Palatoplasty; Ingcebiso rhinoplasty

• Ukucoca imilebe kunye nenkalakahla - ukukhupha

• Ukulungiswa kwemilebe yokucoceka - uthotho

UAllen GC. Umlomo ococekileyo kunye nenkalakahla. Ku: Scholes MA, Ramakrishnan VR, ii-eds. Iimfihlo ze-ENT. Ngomhla we-4. IPhiladelphia, PA: Elsevier; 2016: isahl 51.

ICostello BJ, iRuiz RL. Ulawulo olugqibeleleyo lwemifinya yobuso. Ku: Fonseca RJ, ed. Utyando lomlomo kunye neMaxillofacial. Ngomhla wesi-3. IPhiladelphia, PA: Elsevier; I-2018: isahluko 28.

I-Wang TD, iMilczuk HA. Umlomo ococekileyo kunye nenkalakahla. Ku: Flint PW, Haughey BH, Lund V, et al, ii-eds. I-Cummings Otolaryngology: Utyando lweNtloko kunye neNtamo. Umhla wesi-6. IPhiladelphia, PA: Elsevier Saunders; 2015: isahl. 187.