I-pathology, emva kwegama elithi "umlomo wempiliso" lichanekile, lifumaneka rhoqo kubantwana abasandul 'ukuzalwa. Ngesibhakabhaka esahlukileyo, zonke iintsana eziliwaka zizalwa namhlanje. Umlomo wempisi awuyiyo isifo, kodwa isifo esingenasifo esilungileyo, apho i-fissure yenziwa kwintlungu elula kunye nenzima ebusweni lomama. Ukongeza, i-pathology ingaba sisifo se-Stickler, i-Van der Wood okanye i-Loyce-Dits.
Umlomo wempisi ukhangeleka njengomqhopho omkhulu owakhiwa phakathi komlomo ophezulu uhlukaniswe ngamacandelo amabini. Akukho mda phakathi kweengcango zomlomo kunye nezomlomo, ngoko umntwana akanako ukuphefumla, ukugwinya nokutshiza. Isilwanyana sibonakalisa kwisinye sezifom ezine:
- ukwahlula kwesilwanyana esithambileyo;
- ukucoceka kokucoca okuncincileyo kunye nesikhokelo sentlungu elukhuni;
- Ukwahlula komgca omnye komlenze onzima kunye onobuhle;
- ukuhlukana kwamacala amabini.
Isiphoso sikhulu se-maxillofacial sisona siqhelekileyo, kodwa umntu angayilahla.
Izizathu zokungasebenzi
Isizathu esibalulekileyo salo siphene maxillofacial ishintsho lomzimba. Amagqabi amathambo omntwana asungulwa ngeenyanga ezimbini zokuqala zokukhulelwa. Ukuba kwinkqubo yokuphuhliswa komntwana, le nkqubo inempembelelo yimiba emininzi, ngoko u-coalescence weenkqubo zethambo zesigxina esiphezulu kunye nethambo elincinci kwisiseko se-gawula (isantya) asikho. Ngenxa yesi sizathu, izihlunu azihambelananga ngokufanelekileyo, ezikhokelela ekwakheni igebe esibhakabhakeni esithambileyo. Kule meko, ubulili bomntwana abukhathazeki, kwaye ukuphuhliswa kwamakhono engqondo nangokwenyama yomlomo wesilumko akuchaphazelekayo.
Izizathu zokubunjwa komlomo wempisi nazo zingaphandle. Ngoko, umngcipheko wale ntsholongwane emntwaneni uyanda ukuba umfazi okhulelwe ngaphambi kokukhulelwe kwaye ngexesha le-trimester yokuqala wayesebenzisa utywala okanye iziyobisi, utshaya , unobungozi obuthakathaka okanye ubunzima obukhulu (ukukhuluphala kwama-2-3 degrees). Ubume bendalo, ubudala (iminyaka engama-35 nangaphezulu), kunye nokuzala, kunye nokuphazamiseka kwengqondo ngexesha lokukhulelwa, kunokuba nefuthe elibi.
Unyango kunye nokugxekwa
Ukubona ukuba inyaniso yobungqina bemfuyo yomlomo ingaba kwi-ultrasound ekuqaleni kweveki ye-14 yokukhulelwa, kodwa uhlobo lokucoca kunye nokuxilongwa ngokuchanekileyo kuya kusekwa kuphela emva kokuzalwa. Inkqubo yokubeletha ivame ukuba nzima, ngenxa yokwahlukana kwengane iguqula i-amniotic fluid, ngezinye iikhokelela ekuphuhlisweni kwefuthe lepneumonia. Ukongezelela, abantwana abane-malformation yokubeleka kunzima ukuphefumula ngokwabo, kwaye ukunyusa nokugwinya kuyimfuneko ukusebenzisa izibhengezo ezikhethekileyo zokuvala umtsalane. Ngenxa yesi sizathu, bafumana ubunzima obunzima ngaphezu koontanga babo, kwaye izifo zokuphefumula zidla rhoqo. Kodwa ngaphezu kwazo zonke, umgangatho wentetho unzima. Nangona utyando kunye nomlomo wesilwanyana awuqinisekisi ukuba intetho iya kuchaneka. Kodwa ukusebenza, kwaye kungekhona yedwa, kufuneka!
Unyango lomlomo wempisi uqala ngeenyanga ezisibhozo. Okokuqala, oogqirha beeplastiki balungisa iziphoso kwi-palate.
Ukufumana iziphumo eziphambili, utyando lwe-plastiki ezimbini ukuya kwisixhenxe lunokuba luyimfuneko. Ukongezelela kubagqirha, ii-orthodontists, i-ENTs, izazinyo zamazinyo, iingqondo zengqondo kunye neengcali zentetho kufuneka zancedise isiguli esincinane. Ukuba uncedo lwezonyango nolwengqondo ludibaniswe nemisebenzi ekhaya, emva kweeminyaka ezintandathu okanye ezisixhenxe, umntwana akayi kuba yinto eyahlukileyo kwiontanga zakhe, unokuhlala ngokugcwele, ukudlala imidlalo kunye nokufunda kwisikolo esiqhelekileyo.