Opaleshoni ya Frenulotomy kukonza Malirime

Frenulotomy ndi njira yopaleshoni yomwe imagwiritsidwa ntchito pofuna kukonza chibadwa chomwe chimaphatikizapo frenulum (gawo lomwe limagwirizanitsa pansi pakamwa ndi pansi pa lilime) ndi lalifupi kwambiri, ndipo limayambitsa kayendedwe ka lilime (ankyloglossia). Matendawa amatchulidwa kuti lilime-tie . Pafupifupi ana atatu mpaka asanu pa ana 100 aliwonse ali ndi chilankhulo cha anthu omwe ali ndi vutoli, koma sikuti aliyense amafunikira frenulotomy.

Frenulotomy ingalimbikitsidwe ngati mwana wanu ali ndi chilankhulo:

• kuvutika kudya ndi kulemera kolemera
• mavuto olankhula
• zovuta kumeza
• Kulephera kunyinyirika ndi ayisikilimu cone kapena sucker
• zovuta kusuntha lilime (mbali, kumangiriza, kugwira padenga la pakamwa)
• mavuto aakulu a mano

Mmene Frenulotomy Imapangidwira

Frenulotomy ingakhoze kuchitidwa ku ofesi ya dokotala popanda kusowa kwa anesthesia kwa khanda losapitirira zaka 6. Kwa ana okalamba kuposa amenewa, kaŵirikaŵiri amachitika pansi pa anesthesia wamba mu chipatala cha tsiku lomwelo. Pokonzekera njirayi, khanda lanu lidzakhala ndi mkati ndi kunja kwa pakamwa pawo kutsukidwa ndi mankhwala oyambitsa matenda otchedwa chlorhexidine. Pakamwa pakachepetsa kuchepa.

Pakamwa pakatsukidwa, phokoso lamagetsi lidzagwiritsidwa ntchito ku chinenero cha frenulum (pansi pa lilime) ndi lilime kuti lizitha kumalo.

Phalala lidzakhala ngati chisakanizo cha 2.5% lidocaine ndi 2.5% prilocaine. Mutha kukhala ndi mphindi zisanu ndikudikirira kuti minofu ikhale yogwira.

Pomwe mankhwala akugwiritsira ntchito, mwana wanu adzafunika kulepheretsedwa ku frenulotomy kuchepetsa chiopsezo cha mavuto alionse. Njira zitatu zikuluzikulu zimagwiritsidwa ntchito poonetsetsa kuti mwana wanu ali woyenera.

Angasankhe kuti: swaddle, gwiritsani ntchito bolodi (mapulogalamu okhala ndi mapiko 6 omwe akukulunga kuti awononge mwana wanu), kapena burrito kapena "kapepala kakang'ono" (njira yokumbatira ndi kuletsa mikono ya mwana wanu ndi pepala ).

Mukakakamizidwa, wothandizira adzakweza ana anu kumutu pomwe dokotala akukweza lirime la mwana wanu ndi forceps kapena ali ndi zala ziwiri kuchokera m'manja awo omwe sali opambana. Pomwe lilime lilipo bwino kuti dokotala akhoze kuwona bwino, adzalula chinenero cha frenulum pafupi ndi lilime. Chifukwa chomwe amachepetsa pafupi ndi lilime kuposa pansi pakamwa ndi chifukwa cha mitsempha ndi ma-submandibular ducts (zokhudzana ndi kutsekedwa kwa mpeni) zili pafupi ndi malo omwewo. Mdulidwe umapangidwa mofanana ndi lilime ndipo palibe sutures ndizofunika kuti machiritsidwe. Potsatira ndondomekoyi, kuchepa pang'ono ndi gauze kumagwiritsidwa ntchito kuchepetsa kuthamanga kulikonse kapena kuthamanga. Kusuta sikukhala kawirikawiri ndi vuto la frenulotomy.

Ubwino

Chimodzi mwa zifukwa zomwe zimachititsa kuti frenulotomy ikhale yovuta chifukwa cha vuto la kuyamwitsa. Mwana wanu adzayambiranso kumwa botolo kapena kuyamwa mwamsanga pamene opaleshoni yatha. Komabe, mwana wanu akhoza kukhala ndi vuto poyamwitsa poyamba.

Ana makumi asanu ndi awiri mwa ana makumi asanu ndi awiri ndi awiri (77) alionse amachita bwino poyamwitsa m'masabata awiri atakhala ndi frenulotomy. Ana amasonyezanso kusintha kwa kupindula chifukwa cha mphamvu yowonjezera. Ngati ndondomekoyi ikuchitika pakapita nthawi m'moyo wa mwana wanu ndi malankhulidwe ake, kulimbikitsa kulankhula kungakhale kotheka kuthetsa vuto la kulankhula.

Ngozi

Mavuto chifukwa cha opaleshoniyi ndi osowa ndipo mwana wanu sangakhale ndi vuto lililonse. Mavuto ndi awa:

• magazi
• matenda
• njira yamakono yowonongeka

Ngati mwanayo akuvutika kulankhula pamaso pa opaleshoniyo, angafunike chithandizo chamankhwala pambuyo pake kuti athetse vuto lolankhula.

Zosankha Zina

• Frenulectomy - opaleshoni yochotsa chinenero cha frenulum
• Frenuloplasty kapena "Z-plasty" - mapulasitiki opanga opaleshoni amagwiritsidwa ntchito ngati frenulotomy siinapambane

_Zotsatira:

_{American Academy of Otolaryngology - Mutu ndi Opaleshoni Yamakhwa. Mapepala Owona: Mtundu Wosakaniza.}

_{Isaacson, GC (2016). Ankyloglossia (lilime-tie) m'mabanja ndi ana.}

_{Junqueira, MA, CUNHA, Costa e Silva, LL, Araujo, LB, Moretti, LBS, Couto Filho, CEG & Sakai, VT (2014). Njira zopangira opaleshoni ya ankyloglossia kwa ana: mndandanda wa zochitika. J Appl Ndemanga Sci. 22 (3): 241-248. lembani: 10.1590 / 1678-775720130629}

_{Miranda, BH & Milroy, CJ (2010). Kuwombera mwamsanga - Kuphunzira za zotsatira za chilankhulo cha kunja kwa chilankhulo ndi kusamwitsa. Journal of Plastic. Kukonzekera & Kuchita Opaleshoni. 63 (9): e683-e685.}

_{Sethi, N., Smith, D., Kortequee, S., Ward, VMM & Clarke, S. (2013). Ubwino wa frenulotomy kwa makanda omwe ali ndi ankyloglossia. International Journal of Medical Otorhinolaryngology, 77 (5): 762-765}