I-Frenulotomy yindlela yokuhlinzwa esetshenziselwa ukulungisa isimo sokubeletha lapho i-frenulum engamagama (ingxenye ehlanganisela phansi komlomo kuya ngaphansi komlomo) ifushane kakhulu, ebangela ukunyakaza kolimi olulinganiselwe (i-ankyloglossia). Lesi simo ngokuvamile sibizwa ngokuthi ulimi-tie . Cishe izingane eziyisi-3 kuya kwazingu-5 kwabangu-100 zizalwa ngezilimi-abantu abanesi simo, kodwa akuwona wonke umuntu odinga i-frenulotomy.
I-Frenulotomy inganconywa uma ingane yakho enezilimi zikhona:
- kunzima ukudla kanye nokunciphisa umzimba
- izinkinga zokukhuluma
- ubunzima bokugwinya
- ukuhluleka ukukhokha i-ayisikhilimu ye-ayisikhilimu noma i-sucker
- kunzima ukuhambisa ulimi (eceleni kolunye uhlangothi, uluthinte, ukuthinta uphahla lomlomo)
- izinkinga ezibalulekile zamazinyo
Indlela iFrenulotomy eyenziwa ngayo
I-frenulotomy ingenziwa ehhovisi likadokotela ngaphandle kwesidingo se-anesthesia yintsana engaphansi kwezinyanga eziyisithupha. Kubantwana abadala kunalokho, kuvame ukuqhutshwa ngaphansi kwe-anesthesia ejwayelekile endaweni yokuhlinzwa yosuku olufanayo. Lapho ulungiselela le nqubo, ingane yakho izoba ngaphakathi nangaphandle komlomo wayo ihlanzwe nge-antiseptic ebizwa ngokuthi i-chlorhexidine. Umgudu ophansi kakhulu usetshenziswa emlonyeni ukunciphisa ukucasuka.
Uma umlomo uhlanzwa, ukunamathiswa komzimba wokusebenzisa izinzwa kuzosetshenziselwa ulimi lwe-frenulum (ngaphansi kolimi) nolimi ukuze lube yingxenye yendawo.
I-paste iyoba into enjenge-2.5% ye-lidocaine ne-2.5% prilocaine. Khona-ke uzobe unemizuzu emihlanu ukulinda ukuhlinzekwa kwama-topical topial ukusebenza.
Uma isifo sokubulala umzimba sisasebenza, ingane yakho izodinga ukuvimbela i-frenulotomy ukunciphisa ingozi nganoma yiziphi izinkinga. Izindlela ezintathu eziyinhloko zisetshenziselwa ukuqinisekisa ukuthi ingane yakho ihlelekile kahle.
Bangakhetha ukuthi: i-swaddle, sebenzisa ibhodi le-papoose (ibhodi enezinhlangothi ezingu-6 ezimboza ngokuphelele ingane yakho), noma i-burrito noma "i-superhero cape" (indlela yokumboza nokuvimbela izingalo zomntwana wakho ngephepha lomcamelo ).
Uma uvinjelwe, umsizi uzobamba izinhloko zezingane zakho ngenkathi udokotela wakho ephakamisa ulimi lomntanakho nge-forceps noma ngeminwe emibili esandleni sakhe esingenamandla. Uma ulimi lubekwe ngendlela efanele ukuze udokotela wakho abone ngokucacile, bayonquma ulimi lwe-frenulum eduze nolimi. Isizathu sokuthi bayodlula eduze kolimi kunokuba phansi komlomo kungenxa yemivimbo nemigodi ye-submandibular (ehlobene nokwehliswa kwamathe) aseduze nendawo efanayo. I-cut is made parallel to the tongue futhi akukho sutures ayadingeka ekuphulukiseni. Ukulandela inqubo, ukucindezelwa okuncane nge gauze kusetshenziselwa ukunciphisa noma yikuphi ukuphuma kwegazi noma ukuphuma. Ukukhipha isisu akuvamile ukuthi kube ne-frenulotomy.
Izinzuzo
Esinye sezizathu ezivamile zokwenza i-frenulotomy ngenxa yobunzima bokuncelisa. Ingane yakho izokwazi ukuqhubeka nokuthatha ibhodlela noma ukuncelisa ngokushesha nje lapho ukuhlinzwa sekuphelile. Kodwa-ke, ingane yakho ingase ibe nezinkinga ngokubeletha ekuqaleni.
Amaphesenti angu-77 wezingane enza kahle ngokuncelisa ingane engakapheli amasonto amabili ukuba enze i-frenulotomy. Amantombazane abonisa nokuthuthukiswa kokuncipha kwesisindo ngenxa yokuthuthukisa ikhono lokuncelisa. Uma le nqubo yenziwa ngokuhamba kwesikhathi ezinkingeni zempilo yengane yakho nenkulumo, ukuphilisa izinkulumo kungase kudingekile ukulungisa isifo senkulumo.
Izingozi
Izinkinga ngenxa yalokhu kuhlinzeka zingavamile futhi ingane yakho cishe ngeke ibe nenkinga. Izingozi zifaka:
- ukuphuma
- ukutheleleka
- umonakalo we-submandibular
Uma ingane ilukhuni ukukhuluma ngaphambi kokuhlinzwa, ingase ifune ukwelashwa kokukhuluma kamuva ukulungisa ukuvimbela inkulumo.
Okukhethwa kukho okunye
- I-Frenulectomy - isusa ngokuhlinzwa i-frenulum linguae
- I-Frenuloplasty noma "i-Z-plasty" - ukukhanda kwepulasitiki okusetshenziselwa ukusetshenziswa uma i-frenulotomy ingaphumelelanga
Imithombo:
I-American Academy of Otolaryngology - Inhloko Nokuhlinzwa Kwezinyosi. I-Fact Sheet: Isibopho se-Tounge.
Isaacson, GC (2016). Ankyloglossia (ulimi-tie) ezinsaneni nezingane.
Junqueira, MA, CUNHA, Costa e Silva, LL, Araujo, LB, Moretti, LBS, Couto Filho, CEG & Sakai, VT (2014). Izindlela zokuhlinza zokwelapha i-ankyloglossia ezinganeni: uchungechunge lwamacala. J Appl Oral Sci. 22 (3): 241-248. i-doi: 10.1590 / 1678-775720130629
Miranda, BH & Milroy, CJ (2010). I-snip esheshayo - Ukutadisha umthelela wokukhululwa kwezilimi eziphuthumayo ekukhuleni kokubeletha nokuncelisa. Journal of Plastic. Ukwakhiwa kabusha nokuhlinza ngobuhle. 63 (9): e683-e685.
Sethi, N., Smith, D., Kortequee, S., Ward, VMM & Clarke, S. (2013). Izinzuzo ze-frenulotomy ezinsaneni ezine-ankyloglossia. I-International Journal of Pediatric Otorhinolaryngology, 77 (5): 762-765