Izinqubo Ezivamile Zokuhlinzeka Ukulungisa I-Cleft Lip ne-Palate
Ukulungiswa kokuhlinzwa komlomo womlomo kanye nenhlanzi kunezinzuzo zezokwelapha ngaphandle kwezimonyo. Ukulungisa umlomo womlomo kanye nenhlanhla kuyohlinzeka ingane yakho ngekhono elithuthukisiwe lokunakekela noma ukuphuza ebhodleleni ngenkathi kusiza nokusiza ukukhuluma kahle. Ukulungiswa kokuhlinzwa komlomo we-cleft ne-palate akuyona inqubo eyodwa, kodwa kunalokho uchungechunge lwezinhlinzeko zokusiza ukwandisa inzuzo yengane yakho ngenkathi unciphisa izingozi zezinkinga.
Ukunciphisa i-Lip
Ezinganeni ezizalwe ngomlomo ophelele, inqubo yokuqala yokuhlinzeka kungenzeka ibe yindlebe yokubumba. Lokhu kuhlinzekwa kokuqala okuvame ukuqhutshwa phakathi kwamasonto amabili no-4 ubudala . Inhloso yokuhlinzekwa ukuguqula umlomo ophelele wokucwenga (ububanzi obuningi obuhlangene noma obunamaphesenti angamabili) kuze kube nomlomo ongaqediwe womlomo.
Ngokwenza lolu hlelo lokusebenza manje, ithemba lokunciphisa ukuxubana komshini (into eyenzeka ngenkathi yokuphulukisa) uma ukulungiswa komlomo ukukhanda kwenziwa ngemuva kwesikhathi. Ukunciphisa ukuhlukumeza kuzonciphisa izingozi zezinkinga emva kokuhlinzwa okulandelayo.
Ukungahle kwenzeke ukuthi le nqubo iyenze kufaka phakathi izingozi ezivame ukuhlotshaniswa nanoma iyiphi inqubo yokuhlinzeka efuna ukunqunywa kwe-anesthhesia, njengokungathi i-nausea nokuhlanza, izinkinga zokuphefumula kanye nezimo ezingavamile ngisho nokufa. Ngokuphathelene nentombazane yengane yakho, ukuthuthukiswa okwengeziwe kwezicubu ezibomvu kungaphazamisa izinqubo kamuva ukuze kulungiswe umlomo, kodwa lokhu akuvamile ukuthi kwenzeke.
Ukulungiswa Kwezindebe Zokuhlanza (Cheiloplasty)
Ukulungiswa kwe-lip, noma i-cheiloplasty, kuvame ukuqhutshwa phakathi kwezinyanga ezingu-4 no-6 ubudala . Umgomo walokhu kuhlinzwa ukuqedela ukulungisa izimonyo ze-lip, nokusiza ekunakekeleni noma ekunceliseni nasekuthuthukiseni inkulumo kamuva. Udokotela wakho ohlinzayo uzama ukulungisa uhlamvu olwakhiwe kusukela ekuhlinzekeni kwangaphambilini.
Ukuze ubone ngokugcwele ukuthi ingane yakho isilungele yini ukuba nale nqubo, abanye odokotela basebenzisa isikali esibizwa ngokuthi ukubusa kwamashumi :
- ingane yakho okungenani amasonto ayishumi ubudala
- ingane yakho isisindo okungenani amapremu angu-10
- ingane yakho ine-hemoglobin okungenani amagremu ayi-10
Ukulandela ukubusa kwemashumi kungabangela ingane yakho ukuba ihluke kusukela ebangeni elijwayelekile lezinyanga ezine kuya kwezingu-6 ukuze lilungiswe ukukhishwa komlomo kodwa lizosiza ukunciphisa izinkinga kusuka enkambisweni. Ngokuya ngogqirha wakho wokuhlinza nengane yomlomo wengane yakho, kunezinqubo eziningana zokuhlinzwa ezingahle zisetshenziselwe ukulungisa ukulungisa imilomo yengane yakho, kufaka phakathi:
- I-Bardach
- I-Millard Ukuguquguquka-Ukuthuthuka (enye yamasu athandwa kakhulu)
- I-Mulliken
- UTennison-Randall
- Ukuvalwa komugqa oqondile (lokhu akuyona indlela evamile yokulungisa imilenze ye-cleft)
Abanye odokotela bazosebenzisa izinguqulo eziguquliwe zamasu abhalwe ngenhla. Izinqumo mayelana nokuthi iyiphi indlela ongayisebenzisa zinganqunywa yizintandokazi zophrothethi noma ngentambo yengane yakho yomlomo kanye nephutha. Ngamacebo ahlukahlukene, udokotela wakho ohlinzayo uzama ukudala:
- umumo womlomo we " Cupid's Bow " wemvelo
- hlela isakhiwo se-lip sokuhamba kwemvelo kusuka ekhaleni kuya lip
- i-mask ishiya ezinhlobonhlobo ezijwayelekile zomlomo
- zama ukujamisa ukulinganisa kwamakha
Ukulungisa I-Cleft Palate (i-Palatoplasty)
Isikhathi sokwenza i-palatoplasty kubalulekile ngenxa yokukhula okujwayelekile nokuthuthukiswa kwezinsana.
Ukwenza ukuhlinzwa kakhulu kusenesikhathi ngeke kuvumele ukukhula okuhle kwama-maxilla nobuso. Kodwa-ke, ukungenzi ukuhlinzekwa ngokushesha kungavimbela ukuthuthukiswa kwenkulumo. Kunconywa ukuthi ukulungiswa kwe-palate kufakwe phakathi kwezinyanga ezingu-9 no-16 ubudala . Njengokulungisa ukukhishwa kwemilomo, kunezindlela eziningi ezehlukene ukuthi udokotela wakho angakhetha ukwenza i-palatoplasty, kufaka phakathi:
- I-Bardach - yokulungisa i-palate ephelele
- I-Furlow - yokulungisa i-palate yesibili ye-cleate
- Schweckendiek
- I-VY pushback - yokukhanda kwe-palate yesibili
- UVon Langenbeck - ukulungiswa kwe-palate elula
Imigomo yokulungisa i-palate i-palate ihluke kwezinye izici kunokulungisa ukukhishwa kwendlebe.
Ukulungiswa okukhulu kwemilomo kuyisimiso semvelo, kuyilapho ukulungisa i-palate ye-cleft kugxile ekwakheni komlomo wengane yakho. Ukulungiswa kokuhlinzwa kwe-palate ye-cleft kunganciphisa ingozi yezifo zendlebe , ukubambezeleka kokuthuthukiswa kwenkulumo, nokusiza ekugcineni ukukhula okujwayelekile nokuthuthukiswa komhlaba wonke. Kumele uqaphele ukuthi njengoba ingane yakho ikhula, ukuhlinzwa okwengeziwe kungadingeka kubandakanya:
- ukuhlinzeka ngomzimba (rhinoplasty)
- ukukhanya kwephutha
- i-orthondontics
Imithombo:
I-American Society of Abahlinzayo AbaPlastiki. (2011). Ukulungiswa kwe-Lips kanye ne-Palate: Ukulungisa Ukuthuthukiswa Okungajwayelekile.
Goldenberg, D. & Goldstein, BJ (2011). I-Handbook ye-Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. I-New York City, NY: Thieme Medical Publishers, Inc.
URandall, uP. (1965). Ukufakwa kwe-Lip Liping Surgery Lip Surgery. Ukuhlinzwa Kweplastiki Nezokuvuselela. 35 (4). k. 371-376.
Salyer, KE, Rozen, SM, Genecov, ER & Genecov, DG (2005). Unilateral Cleft Lip - Indlela Nezobuchwepheshe.