Mphuno yotchedwa Cleft lip ndi vuto lalikulu la maxillofacial, limene limapangidwira mwanayo pa siteji ya kukula kwa intrauterine. Mlomo wa Hare umakhala ndi ziphuphu zopanda nzeru zomwe zimapezeka pamlomo, chifukwa zimakhala zovuta. Pachifukwa ichi, chizindikiro chachikulu cha matendawa ndi chiwongolero chakutsogolera ku mphuno, zomwe zimawonekera chifukwa cha kusowa kwachisakanizo cha mthunzi wamphongo ndi nsagwada.
Kodi ndi liti loopsa la akakhaya?
Matendawa samakhudza thupi ndi maganizo a munthu aliyense. Komabe, mkaka wa kalulu umapangitsa kuti munthu asamangokhalira kugonana bwino chifukwa chakuti ali ndi vuto lovuta kulumikizana ndi ena, amayesera njira iliyonse yothetsera kulankhulana. Koma kuwonjezera apo, wodwalayo akukumana ndi mavuto poyankhula, kudya, iye amatha kuzizira kwambiri. Monga lamulo, vuto ili lichotsedweratu miyezi yoyamba itatha kubadwa. Kukonza matendawa kwa akuluakulu kungakhale kovuta kwambiri.
Zifukwa za Hare Lip
Kupanga kachilomboka kumachitika pa 1 trimester yoyamba ya mimba ndipo kumagwirizana ndi kusowa kwa ziphuphu zofunika kuti apange mlomo wapamwamba. Amayi omwe ali ndi zaka 35 ali ndi chiopsezo chachikulu chotenga matendawa, ndi okalamba amayi, ndipamwamba kwambiri. Komanso kumawonjezera chiopsezo chifukwa chosowa chakudya chabwino komanso osatsatira malangizo a dokotala.
Izi ziyenera kuzindikiridwa kuti chilakolako cholandira cholowa chimachokera. Choncho, ngati mmodzi wa makolo ali ndi vutoli, ndiye kuti chiopsezo cha mwanayo chimawonjezeka ndi 7%. Matendawa amavumbulutsidwa kumapeto kwa chiwerewere ndi ultrasound. Makolo omwe mwana wawo ali ndi chidziwitso asanayambe kukonzekera kutenga mimba nthawi zonse ayenera kuyesedwa.
Matenda opatsiranawo amatha kuvulaza kwambiri ziwalo zamtsogolo. Vuto ndi rubella, toxoplasmosis, herpes, matenda opatsirana pogonana, komanso matenda osiyanasiyana. Zovuta pa nthawi ya mimba ndi zovuta zachilengedwe zimakhudzanso chiopsezo cha kupangika kwa chirema.
Kuyankha funso, chifukwa chiyani kalulu ikukwera, ndipo zimayambitsa ndi zifukwa ziti za chitukuko chake, ndikofunikira kuzindikira kuti amayi alephera kutsatira malangizo a dokotala. Kuloledwa kwa mankhwala osokoneza bongo, kugwiritsira ntchito mankhwala mu mankhwala a acne , matenda oopsa, kumwa mowa, kusowa kwa zakudya m'thupi, kusuta ndi kudalira mankhwala kungayambitse matenda aakulu mu chitukuko cha mwanayo.
Komanso, kugwirizana ndi poizoni ndi mankhwala, kuphatikizapo zomwe zimagwiritsidwa ntchito mu ulimi, zimakhudza zochitika za matenda. Kuyanjana ndi chitsogozo ndi sodium kumakhudza kwambiri thanzi la mayi.
Chithandizo cha kalulu wa hare
Njira zothandizira kuthetsa matendawa ndi zothandiza kwambiri moti ambiri achikulire sangayerekeze kuti nthawi ina amadwala matendawa.
Kuchita opaleshoni yapulasitiki ya anthu okhala ndi hare lip (cheyloplasty) imachitika mwachidziwitso cha anesthesia .
Nthawi zina, kuti ukadali mwana uchitidwa opaleshoni, zilonda zikhoza kuwonekera, zomwe zimatsalira ngakhale patatha zaka zingapo. Njira zamakono za opaleshoni ya pulasitiki zimapangitsa kuti zilondazo zisamaoneke, zomwe zingakuthandizeni kuti musakumbukirenso vuto lanu. Imodzi mwa njira zatsopano zothetseratu zipsera ndizomwe zimayambitsanso laser, momwe khungu limatulutsira ndi kukonzanso kwake. Nthawi yobwezeretsa pambuyo poti ndondomekoyi sichitha kuposa mwezi umodzi.