Kukonza Opaleshoni ya Cleft Lip ndi Palate

Ndondomeko Zodzipangira Zochita Zowonongeka Kutsekemera Koyera Lip ndi Palate

Kukonza opaleshoni ya mkamwa ndi m'kamwa kumapindula kwambiri ndi mankhwala. Kukonza mkamwa ndi m'kamwa kumapatsa mwana wanu khwimayi kukhala ndi luso loyamwitsa kapena kumwa mu botolo ndikuthandizanso kuti azitha kulankhula bwino. Kukonza opaleshoni ya mkamwa ndi mkamwa si njira imodzi yokha, koma mowonjezera ma opaleshoni kuthandiza opindulitsa mwana wanu panthawi yochepetsera mavuto.

Mwamwayi

Kwa makanda obadwa ndi mitsempha yowonongeka, njira yoyamba yopaleshoni ingakhale yothandizira pakamwa. Uku ndi opaleshoni yoyamba imene imachitika pakati pa masabata awiri ndi 4 . Cholinga cha opaleshoni ndikutembenuza mkamwa wathunthu (kumbali imodzi kapena kumbali zonse) kumalomo osakwanira.

Mwa kuchita opaleshoniyi tsopano, chiyembekezo ndi kuchepetsa kuthamanga kwa incision (chinachake chomwe chimapezeka panthawi ya machiritso) pamene kukonzanso mkodzo kumachitika patapita nthawi. Kuchepetsa mavuto kungachepetse mavuto omwe angadzachitike pambuyo pa opaleshoni yotsatira.

Zowonongeka zomwe zingakhalepo kuti izi zitheke zikuphatikizapo zoopsa zomwe zimagwirizanitsidwa ndi njira iliyonse yopaleshoni yomwe imafuna kuti munthu azichita bwino kwambiri, monga kunyoza ndi kusanza, mavuto opuma komanso nthawi zina ngakhale imfa. Malingana ndi milomo ya mwana wanu, kupititsa patsogolo kwa minofu kumapangitsa kuti pakhale njira zothetsera pakamwa, komabe izi sizili choncho.

Kukonza Mitsuko Yokonza (Cheiloplasty)

Kukonza misozi, kapena cheiloplasty, kumachitika pakati pa miyezi 4 ndi 6 miyezi . Cholinga cha opaleshoni imeneyi ndi kukonzanso kukonzanso zokongoletsera za mlomo, ndikuthandizira kuyamwitsa kapena kudyetsa komanso kulengeza mawu pambuyo pake. Dokotala wanu adzayesera kusintha mtundu wofiira umene unapangidwa kuchokera ku opaleshoni zapitazo.

Kuti mudziwe nthawi yomwe mwana wanu ali wokonzeka kuchita izi, madokotala ena amagwiritsa ntchito mlingo wotchedwa ulamuliro wa makumi khumi :

• mwana wanu ali osachepera masabata khumi
• mwana wanu amalemera mapaundi 10
• mwana wanu ali ndi hemoglobin ya magalamu khumi

Potsatira lamulo la makumi khumi zingapangitse mwana wanu kuti apatuke pa miyeso ya miyezi 4 mpaka 6 kuti athe kukonza mkamwa koma athandizidwe kuchepetsa vutoli. Malingana ndi dokotala wanu opaleshoni ndi milomo ya mwana wanu, pali njira zingapo zopangira opaleshoni zomwe zingagwiritsidwe ntchito pokonzekera kukonza mkamwa kwa mwana wanu, kuphatikizapo:

• Bardach
• Kupititsa patsogolo kwa Millard-Kupita patsogolo (njira imodzi yotchuka kwambiri)
• Mulliken
• Tennison-Randall
• Kutseka kwachindunji pamzere (ichi si njira yamba yothetsera kukonza mkamwa)

Madokotala ena amagwiritsa ntchito njira zomwe zasinthidwa pamwambapa. Zosankha pa njira yomwe mungagwiritsire ntchito zingasankhidwe ndi opaleshoni ya opaleshoni kapena malingaliro a mwana wanu. Kupyolera mu njira zosiyanasiyana, dokotala wanu adzayesa kupanga:

• Chikho cha " Cupid Bow " cha mlomo
• Sinthani mapangidwe a milomo kwa mtunda wautali kuchokera kumphuno mpaka ku lipomo
• chigoba chowombera m'zinthu zachilendo za mlomo
• yesetsani kuonetsetsa kuti maseŵerawa akuyendera bwino

Kukonzekera kwa Palitoplasty (Cleft Palate)

Nthawi yokhala ndi palatoplasty ndi yofunika chifukwa cha kukula komanso kukula kwa ana.

Kuchita opaleshoni mofulumira sikudzalola kukula kwa maxilla ndi nkhope. Komabe, kusachita opaleshoni mwamsanga kungalepheretse chitukuko. Ndikofunika kuti kukonza kwa pirate kumachitidwe pakati pa miyezi 9 ndi 16 . Mofanana ndi kukonza mkodzo, pali njira zosiyanasiyana zomwe dokotala angasankhe kuchita palatoplasty, kuphatikizapo:

• Bardach - pomaliza kukonza makina a palate
• Kutsika - kwachiwiri kukonza makina a palate
• Schweckendiek
• VY kukankhira - chifukwa chachiwiri chokonza makina a palate
• Von Langenbeck - mapulaneti ofewa

Zolinga zowonongeka kwa palate ndizosiyana m'zinthu zina kusiyana ndi kukonza mkaka.

Kukonzekera kwamakono kumakhala kokongola, pamene kukonzanso chingwecho kumayang'ana kwambiri kamvekedwe ka mwana wanu. Kukonza opaleshoni ya palate yachitsulo kungachepetse chiopsezo cha matenda a khutu , kuchedwa kwakulankhulana kwa mawu, ndikuthandizira kuti mukhale ndi kukula kwachilengedwe komanso chitukuko cha dziko lonse lapansi. Muyeneranso kuzindikira kuti pamene mwana wanu akukula, opaleshoni yowonjezera ingafunike monga:

• opaleshoni yamkati (rhinoplasty)
• palati kutsitsimula
• orthondontics

_Zotsatira:

_{American Society of Surgery Opaleshoni. (2011). Kukonzekera kwa Lipenga ndi Palate: Konzani Chitukuko Chosawonongeka.}

_{Goldenberg, D. & Goldstein, BJ (2011). Buku Lopatulika la Otolaryngology - Kumutu ndi Opaleshoni Yamphongo. New York City, NY: Thieme Medical Publishers, Inc.}

_{Randall, P. (1965). Kulumikiza Mlomo Kugwira Ntchito mu Cleft Lip Surgery Surgery. Kuchita Opaleshoni Yapulasitiki ndi Kukonzanso. 35 (4). pp. 371-376.}

_{Salyer, KE, Rozen, SM, Genecov, ER & Genecov, DG (2005). Unilateral Cleft Lip - Njira ndi Njira.}