Kusamalira bwino kayendedwe ka mkamwa kwa mwana wanu ndikofunika kwambiri kuti muteteze malo opaleshoni. Zovuta zilizonse zingayambitse kupweteka kwina, nthawi ya machiritso, komanso kuwonjezera kuti mwina mwana wanu amafunikira opaleshoni yowonjezereka. Nkhaniyi ikufotokoza momwe mungasamalirire mwana wanu mukamaliza kukonza mkamwa, koma chifukwa chakuti milandu yonseyo ndi yapadera, chonde tsatirani malangizo a dokotala ngati akusiyana ndi chikalata ichi.
Kudyetsa Mwana Wanu
Pambuyo pa opaleshoni ya mwana wanu, iwo adzalandira chipatala mpaka athandizidwe moyenera, kupweteka kwawo kumayang'aniridwa bwino, ndipo amatsiriza ndi mankhwala oyenera omwe amatha kugwiritsa ntchito mankhwalawa. Kudyetsa pambuyo pa opaleshoni iyi kungakhale chimodzi mwazitsitsimutso zazikulu zomwe muyenera kuzigonjetsa kuti mutenge mwana wanu kunyumba.
Mungapeze kuti pali kutsutsana kwakukulu pazimene muyenera kuyamwa, chakudya cha botolo, kapena supuni-kudyetsa mwana wanu nthawi yomweyo pakapita opaleshoni (nthawi yotsatila). Njira yomwe mumasankha idzadalira zochitika za mwana wanu komanso zofuna zanu komanso zosowa za banja lanu. Gulu lanu la zamankhwala, kuphatikizapo dokotala wanu wa opaleshoni ndi wolankhula chinenero, lingakuthandizeni kusankha njira yabwino yoperekera chakudya chanu. Othandizirawa angakuthandizeninso kupeza zofunika zomwe mungafunike; Mwachitsanzo, ngati mumasankha mwana wanu kuti adye chakudya, muyenera kugwiritsa ntchito kansalu kovomerezeka ndi botolo.
Mosasamala kanthu ka njira yomwe mumasankhira kudyetsa mwana wanu, chitetezo cha malo osokoneza (chilonda) m'derali n'chofunika kuti mwana wanu achiritse. Zimakhumudwitsidwa kuti mukhale ndi vuto lililonse m'kamwa mwa mwana wanu mpaka mutatha kuchipatala. Ngati muli ndi spoon-feeding, muyenera kuonetsetsa kuti mukugwiritsa ntchito mbali ya supuni ndikudyetsa.
Musagwiritse ntchito mafoloko kapena ziwiya zina, chifukwa zingasokoneze incision. Pambuyo popereka chakudya, akatswiri ambiri a zaumoyo amalangiza mwana wanu kumwa madzi oposa 5-15 milliliters. Kugwiritsa ntchito madzi "kumatsuka" dera ndikuthandizira kuchotsa chakudya chomwe chingayambitse matenda.
Kuteteza Malo Opaleshoni a Ana Anu
Pambuyo pa opaleshoni, mungaone kuti dotolo wanu wagwiritsira ntchito chinthu monga Logan's Bow (Stainre's bar) kapena Steri-Strips kuti ateteze incision. Izi zidzakhalabebe mpaka dokotala wanu atasiya kuchotsa barolo pamsonkhano wotsatila mwana wanu atatulutsidwa kuchipatala (kawirikawiri patatha sabata imodzi pambuyo pa tsiku lomaliza la mwana wanu). Pamene mukugwirizira mwana wanu, amawakakamiza kuti asawapezere milomo ndi mphuno m'mapewa anu mpaka atachiritsidwa. Pamene agona, onetsetsani kuwasunga m'mimba mwakuwasunga pambali kapena kumbuyo. Pacifiers sayenera kugwiritsidwanso ntchito chifukwa idzapangitsa kuti pakhale opaleshoni.
Pambuyo pa opaleshoni, mwana wanu adzakhala ndi dzanja lofewa kapena zolepheretsa kuti ateteze kusakaniza kapena kusokoneza. Kawirikawiri, zoletsazo ziyenera kugwiritsidwa ntchito kwa milungu iwiri kapena itatu.
Panthawiyi, ndi kofunikira kuti avale zoletsa momwe angathere. Pamene mukuwatsogolera, ndibwino kuchotsa zoletsedwa kangapo patsiku; Komabe, mungafune kuonetsetsa kuti musamawapsere pamlomo ndi mphuno kapena kuyamwa pamapazi awo.
Pochotsa zoletsedwa, kawirikawiri zimalimbikitsidwa kuti muchotse vuto limodzi panthawi imodzi. Tengani nthawiyi kuti musunthire mikono yonse kuti musathenso kuyenda komanso fufuzani kuti muwonetsetse kuti palibenso malo obwezeretsedwa pazitsulo zomwe zidazo zakhalapo.
Kupewa Kuteteza
Kugonjera ndi vuto lalikulu la opaleshoni iliyonse.
Malingana ndi zomwe adokotala akufuna, iye angapereke mankhwala omwe amachititsa kuti asatenge kachilombo kaye katatha, kapena mwana wanu angalandire mankhwala a anti-antibiotic nthawi imodzi panthawi ya opaleshoni yawo. Ngati adokotala atumizira mankhwala opha tizilombo kuti atenge mkodzo, yambani kupereka mankhwala kwa mwana wanu nthawi, monga momwe adalangizira, mpaka botolo litatha.
Kusunga chida cha mwana wanu ndi sutures kuyeretsa ndikofunika kwambiri popewera matenda. Ochita opaleshoni ena amakuyeretsani nthawi zonse, pamene ena angakonde kuti muzisiye choyera ndi chouma ndipo musachikhudze. Madokotala ambiri amalimbikitsa kuyeretsa ndi saline wamba kapena sopo wochepa ndi madzi. Ochita opaleshoni ena amalimbikitsa kuyeretsa chombocho ndi mphamvu ya hakosi ya hydrogen peroxide, makamaka ngati pali mapangidwe ambirimbiri opangidwa ndi incision ndi sutures. Ngati mumagwiritsa ntchito hafu ya hydrogen peroxide, onetsetsani kuti muyeretseni ndi madzi kapena saline pambuyo pake, monga hydrogen peroxide ikhoza kupha maselo a thanzi komanso majeremusi ndikukwiyitsa khungu la mwana wanu ngati sichiyeretsedwe.
Ngati dokotala akufuna kuti muyeretse incision, mudzalandira malangizo omwe mukufuna kutsatira. Malangizo omwe anthu ambiri amagwiritsa ntchito ndi kugwiritsa ntchito njira yoyeretsera ndi swaboni ya thonje. Udokotala wanu angalimbikitsenso mankhwala opha majeremusi, monga bacitracin kapena Neosporin, omwe mumagwiritsa ntchito mankhwala a mwana wanu mutatha kutsuka khungu ndikulola nthawi yokwanira kuti malowa aume. Izi zimagwiritsidwa ntchito kuteteza kutengeka kwa madzi m'madzi pogwiritsa ntchito chingwe pakati pa madzi ndi khungu, komanso kulepheretsa kukula kwa majeremusi. Izi ndizofunikira kwambiri chifukwa chokonzekera kukonza milomo ndi pafupi ndi mphuno ndi pakamwa, komwe kumakhala malo odetsedwa kwambiri. Mankhwala oletsa antibiotic angathandizenso chifukwa amalephera kupanga kapangidwe ka nkhanambo pa incision, yomwe nthawi zina imakhala yopweteka. Kawirikawiri, dokotala wanu akukulimbikitsani kuti mugwiritse ntchito mafutawa katatu patsiku kwa masiku awiri, koma kachiwiri, vuto lililonse ndilosiyana.
Kusamalira Mavuto
Mwana wanu amatha kupwetekedwa mukakonza minofu, yomwe idzalamuliridwa ndi mankhwala opweteka. Pambuyo pa opaleshoni, izi zikhoza kukhala mankhwala ozunguza bongo omwe amaperekedwa kudzera mwa IV. Pamene mwana wanu akuchira, amafunika mankhwala ochepetsa kupweteka kwambiri. Pamene mwana wanu atulutsidwa m'chipatala, ululu wawo uyenera kuyendetsedwa bwino. Dokotala wanu angakutumizireni kunyumba ndi mankhwala ena olimbitsa thupi kapena kupangira mankhwala othandizira mankhwala, monga acetaminoph en (Tylenol). Musagwiritse ntchito ibuprofen (Advil) popanda chilolezo cha dokotala wanu ndi aspirin sichivomerezedwa kwa ana chifukwa zingayambitse matenda a Reye .
Musadandaule kuti mwana wanu amayamba kumwa mankhwala osokoneza bongo. Kudula ululu kumathandiza mwana wanu kuti azichiritsidwa mofulumira chifukwa adzagona mokwanira. Ululu ukhozanso kukweza mtima wa munthu komanso kuthamanga kwa magazi ndipo ukhoza kutulutsa hormone yotchedwa cortisol, yomwe ingalepheretse chitetezo cha mthupi.
Muyeneranso kudziŵa kuti ululu wosadziŵika bwino ungakhale chizindikiro chakuti pali vuto lopaleshoni limene liyenera kuchitidwa. Musadabwe ngati acetaminophen ndi mwana wanu wonse akufunikira kuchepetsa ululu wawo - ana ambiri amafuna mankhwala ochepa kwambiri a mankhwala osokoneza bongo. Komabe, mwana aliyense ali wosiyana ndipo chinthu chofunikira kwambiri ndi chakuti mwana wanu amamva bwino atatha kukonza mkamwa.
Kuwonjezera pa mankhwala, ngati mwana wanu ali ndi vuto, amatsitsimula monga kugwira ndi kugwedeza, kuyankhula mofatsa, ndipo makamaka zomwe mungachite kuti muwonetse chikondi ndi kutonthoza mwana wanu zingakhale zothandiza. Kusokonezedwa ndi masewero omwe mumawakonda pa TV kapena nyimbo zingathandizenso. Ngati mwana wanu akuvutika ndi ululu ngakhale mutayesetsa kwambiri, muyenera kutchula dokotala wanu. Komanso, ngati mukuona kuti mwana wanu sakuchita bwino, pitani dokotala wanu. Mukudziwa bwino mwana wanu komanso monga kholo, ndiye kuti ndinu munthu woyamba kuona vuto. Musadandaule za "kudetsa" dokotala. Nthawi zonse ndi bwino kubweretsera dokotala nkhawa iliyonse mwamsanga.
> Zotsatira:
> Chipatala Chakumudzi. (2009). Tiyeni Tiyankhule za ... Lipenga lopaka ndi Palate. https://intermountainhealthcare.org/ext/Dcmnt?ncid=520408176
> Medline Plus. (2012). Kukonza mkamwa ndi pakamwa pakamwa - kutaya. http://www.nlm.nih.gov.ezproxy.lib.utah.edu/medlineplus/ency/ patientinstructions / 000004.htm
> Nagy, K. & Mommaerts, MY (2011). Mankhwala Osokoneza Bongo pambuyo pa Cleft Lip Surgery. Buku la Cleft Palate-Craniofacial Journal. Vol. 48 No. 5.
> Maphunziro Apamwamba a Pearson. (nd) Mapulani a Kusamalira Achikulire: Mwana Wopanda ndi Lipoti la Cleft ndi / kapena Palate. http://wps.prenhall.com/wps/media/ zinthu / 354/362846 / Mwana% 20-% 20Cleft% 20Palate.pdf
> University of Michigan Health Systems - Dipatimenti Yopaleshoni. (2012). Kukonza Mapulo Odzola (Cheiloplasty) Pambuyo Ntchito. http://surgery.med.umich.edu/plastic/patient/ped_procedures/cleftlp/ cheilo_postop.shtml