Isihlobo solimi luyisimo esivamile ukuthi cishe izingane ezinama-5% zizalwa nazo. Lapho umntwana enolwazi, i-frenulum noma ucezu lwezincubu ezixhumanisa ulimi phansi komlomo lincane, luqinile noma lukhulu. Kungase ifakwe eduze kwesiqephu solimi ukuvimbela ulimi ukuba luhambe ngokukhululekile futhi lungagudluli izinsini zomntwana.
Ulimi lungase lubonakale lufana nenhliziyo lapho ingane ikhala noma izama ukuyikhipha. Igama lezokwelapha ngolimi-tie yi-ankyloglossia.
Ukuncelisa Izingane Ngolwimi-Isibopho
Ingane enezilimi zingakwazi ukuncelisa ngaphandle kwezinkinga, noma ingase ingakwazi ukubeletha kahle nhlobo. Kuncike kakhulu ekunganeni kanye nokuqina komlimi.
Izingane zisebenzisa ulimi lwazo lapho ziqhamuka ukuya ebele . Basebenzisa ulimi lwabo ukuze bathathe ingono kanye nezinye ze -areolae ezizungezile emlonyeni wazo. Basebenzisa ulimi lwabo ukwakha uphawu oluhle nxazonke. Kodwa, ingane enezilimi ezingenakukwazi ukuvula umlomo wayo ngokwanele ukuze ilandele emathunjini futhi ifake kahle i-latch kahle. Ukuqina kolimi kungase kugcine ingane ingenzi ukunyakaza okudingekayo ukuze ucindezele amathanga ebisi ngaphansi kwebele njengoba ebeletha. Ukuhlanganiswa kwe -latch empofu kanye nobunzima obusayo kungamvimbela ingane ukuba isuse ubisi lwebele ngokuphumelelayo.
Indlela Ukukhuluma Ngamagama Okungathinta Ngayo Amantombazane
Uhlobo lwezinhlamvu lungaba nemiphumela ehlukahlukene ezinganeni. Lezi ezimbalwa nje:
- Ukuthukuthela nokukhala: Uma ingane yakho ilambile njalo ikhungathekile, ingase ithukuthele futhi ikhale kakhulu. Angase abe nenkinga yokulala.
- Ukwenqaba kwesisu : Ezinye izingane zizonqabela isifuba uma ziphazamisa umhlengikazi futhi azitholi ngokwanele ubisi lwebele.
- Ukunciphisa ubunzima: Uma ingane yakho ingakwazi ukugcoba futhi ibelethe kahle, ngeke ithole ubisi lwebele olwanele ukuze ikhule futhi ithole isisindo ngesilinganiso esifanayo .
- Ezinye izinkinga: Njengoba ingane ikhula i-frenulum encane ingabangela izinkinga ngokudla, ukugwinya nokukhuluma.
Ulimi-Isibopho kanye nomama
I-tongue-tie ingabuye ibe nemiphumela emibi emama.
- Izinsipho ezinzima: Uma ingane yakho isanda kukhanda ingono yakho noma ifuna ukugaya noma igxuma ingono yakho njengoba izama ukuncelisa, ingabangela ukubola, ukuphahlazeka, izinsipho ezilimele .
- Izinkinga zesifuba ezibuhlungu: Uma ingane ingakwazi ukubeletha kahle, ayikwazi ukususa amabele ebisi lwebele. Ukwakhiwa kobisi lwebele esifubeni kungabangela ukugcoba kwebele , ukuxuba amakhekhe obisi , kanye nemastitis .
- Ubisi lwebele oluphansi lunikeza: I-latch empofu kanye nokususwa okungenakusizo ubisi lwebele kunganciphisa ngokushesha ukunikezwa ubisi lwebele.
- Ukucindezeleka ngokomzwelo: Izinkinga zokubeletha zingabangela ukukhungatheka nokuntuleka kokuncelisa ukubeletha. Uma ingane ingatholi ubisi olwanele, ingase isabe noma ibangele ukudabuka nemizwa yecala.
- Ukuqothula kokuqala: Ukuncelisa okunomuncu, ukondla ubisi oluncane lwesifuba , nokubhekana nengane ekhungathekile, elambile ekhula kancane kancane ingaholela ekuguleni kokuqala.
Okufanele Ukwenze Uma Ingane Yakho Inomlimi-Isibopho
Uma ucabanga ukuthi omncane wakho unolwazi olulwimi, azise udokotela wakhe ngaso leso sikhathi. Ngokushesha ungathola ukuxilongwa, ngokushesha ungathola usizo oludingayo ukuze ukondla isebenze kangcono wena nomntanakho.
Qinisekisa ukuthi indlela yakho yokubeletha ilungile futhi ufunde mayelana nezinketho zakho. Xoxa ngezinzuzo nezindleko ze-frenotomy nethimba lezempilo lomntanakho.
Uma uthatha isinqumo ngokumelene ne-frenotomy, ungaqhubeka nokuncelisa kodwa ukhethe ingane yakho ukuba iqiniseke ukuthi ithola isisindo futhi ithole ubisi oluncelisayo. Kungadingeka ukuthi upompe bese unikeza ingane yakho ubisi lwakho lwesifuba ebhodleleni njengesixazululo uma kunesidingo.
Uma ingane yakho inenkinga yokugodla, xoxa nodokotela wakho noma umxhumanisi we-lactation mayelana nokusebenzisa isihlangu se-ingono . Isihlangu se-ingono singaba ithuluzi elisizayo lokuncelisa izingane ezinenkinga yokugaya isifuba. Kodwa-ke, uma unquma ukusebenzisa isihlangu se-ingono, funda ukuthi ungayisebenzisa kanjani kahle, ugqoke usayizi ofanele, futhi usebenze eduze nodokotela wakho. Uma ungagqoki njengoba kuqondiswe, isihlangu se-ingono singabangela izinkinga zokuncelisa ngisho nangaphezulu.
Uma izingono zakho zinzima kakhulu ukuncelisa futhi kufanele uziphumule ukuze uphulukise, upompe ukuze ulondoloze ubisi lwebele bese unikeza ingane yakho ubisi obusisiwe obusisiwe ebhodleleni. Uma uketshezi lwakho lwebele lwebele luyancipha, thatha izinyathelo zokukhulisa ukukhiqizwa nokwandisa ukunikezwa kwakho .
Qhubeka nokubona udokotela ngezikhathi ezijwayelekile ukuqapha impilo yengane yakho nokuzuza kwesisindo.
Kuyini i-Frenotomy?
I-frenotomy (ebizwa nangokuthi i-frenulotomy) yindlela yokuhlinza encane noma inqubo yezingane ezinomlimi. Kuyinto elula ye-frenulum ngaphansi kolimi lomntanakho. Udokotela angasebenzisa i-anesthesia yasendaweni, kepha iningi lezingane ezisanda kuzalwa likwazi ukusisingatha ngaphandle kwe-anesthesia. Akuphuzi okuningi, futhi ukugxeka ngokuvamile akudingeki.
Ngokuvamile, i-frenotomy iyashesha, ilula futhi iphephile. Nokho, kunezingozi kuzo zonke izinqubo. Futhi, nakuba kungavamile, i-frenotomy ingabangela ubuhlungu, ukuphuma kwegazi, nokutheleleka. Yingakho kubaluleke kangaka ukuba kwenziwe ngayo ngumhlinzeki wezempilo oqeqeshiwe. Uma udokotela wengane yakho engenzi le nqubo, angakunikeza igama lodokotela, wamazinyo, i-ENT, noma udokotela ohlinzayo wezingane owenzayo. Umxhumanisi we-lactation noma iqembu lokuncelisa ukondla lingakunikeza ngolwazi mayelana nokuthi ubani ozoya kulolu hlelo lokuhlinzwa oluncane.
Ingabe Kufanele Ube Nesike Sase-Frenulum Yakho?
Uma ingane yakho isandale isilimi kodwa ingenayo inkinga yokuncelisa ibele, khona-ke akudingekile ukuthi i-frenotomy ayikho. Futhi, uma ulimi lomntwana wakho lube mncane, ungalinda ubone ukuthi uyakwenza kanjani. Kodwa-ke, uma ingane yakho inenkathazo yokulinda futhi uthola kungakhululekile ukubeletha, ungase uthande ukucabangela ukwenza le nqubo.
Ukusika i-frenulum eqinile kuvumela ulimi lomntanakho ukuba luhambe ngokukhululekile futhi luvulele umlomo wakhe ngokwanele ukuze akwazi ukwenza i-latch enhle nge uphawu oluhle. Uzokwazi ukubeka ingane yakho esifubeni ngokushesha ngemuva kwenkambiso, futhi ngethemba lokuthi ingane yakho izokwazi ukugaya futhi ibelethe kahle ngokushesha. Uma usana lwakho olusha luba ngcono, uzokwazi ukuthola ubisi oluningi lwebele, nokuncelisa kufanele kube lula futhi kukhululeke kakhulu kokubili.
Ngenkathi i-frenotomy ingaba yimpendulo yezinye izingane, ayixazulula zonke izinkinga zokuncelisa ingane. Ngakho-ke, kukhona ithuba lokuthi ingane yakho izobe isenenkinga yokondla ngisho nangemva kwenqubo. Kodwa-ke, kubantwana abaningi namantombazane amaningi, kungenza ukondla kuphumelele futhi kusize ukuba iqhubeke isikhathi eside.
Imithombo:
I-Academy ye-Breastfeeding Medicine Clinical Protocol Committee. I-ABM ye-clinical protocol # 11: Izinkombandlela zokuHlola nokuPhatha kwe-Ankyloglossia ye-Neonatal kanye nezinkinga zayo kwi-Breastfeeding Dyad. 2004. Ishicilelwe ku-intanethi. Ayisatholakali ngenxa yokuphela kwesikhathi.
Ballard JL, Auer CE, Khoury JC. I-Ankyloglossia: ukuhlolwa, izimo, kanye nomphumela we-frenuloplasty ekunceliseni i-dyad. Izingane zokwelapha. 2002 Nov 1; 110 (5): e63-e63.
Lawrence, uRuth A., MD, Lawrence, uRobert M., MD. Ukuncelisa Ukubeletha Umhlahlandlela Wezokwelapha Umsebenzi We-Eighth Edition. I-Elsevier Health Sciences. 2015.
Riordan, J., noWambach, K. Ukuncelisa nokuBambisana kweBantu okuBambisana. UJones noBartlett Ukufunda. 2014.
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