Uhlobo lweelwimi luyimeko eqhelekileyo ukuba malunga ne-5% yabantwana abatsha bazalwa. Xa umntwana eselulwimi, i-frenulum okanye isiqwenga seesisundu esixhuma ulwimi phantsi komlomo sifutshane, sisinyanise, okanye sisinyanisekile. Inokuthi iqhotyoshelwe ecaleni kwintsimi yolwimi ekuthintela ulwimi ukuba luhambe ngokukhululekile kwaye lukhuphe ngaphandle kwezinsini zomntwana.
Ulwimi lunokuba lukhangeleke njengentliziyo xa umntwana ekhala okanye ezama ukuyikhupha. Ixesha lezonyango ngolwimi-lue yi-ankyloglossia.
Ukuncelisa umntwana ngeLwimi-Intambo
Umntwana onomlenze weelwimi unokukwazi ukuncelisa ngaphandle kweengxaki, okanye akanako ukubeletha kakuhle. Kuxhomekeke kunene umntwana kunye nobunzima beelwimi.
Abantwana basebenzise ulwimi lwabo xa bekhwela kwibele . Bendlulisela ulwimi lwabo ukuze bathabathe ingxowa kunye nezinye ze -areolae ezijikelezayo emlonyeni wazo. Basebenzisa ulwimi lwabo ukwenza uphawu olungqinekileyo malunga nelo latch. Kodwa, usana olunezilwimi lungenakukwazi ukuvula umlomo wakhe ngokubanzi ukwenzela ukuba angene kwibele kwaye atyikitye kakuhle i-latch. Ubunzima beelwimi lunokugcina umntwana ukuba enze ukuhamba okuyimfuneko ukucoca ubisi lwamasi ngaphantsi kweengono njengoko encelisayo. Ukudibanisa i-latch ephosakeleyo kunye nobunzima bokuyinyana kunokuthintela umntwana ukuba asuse ngokufanelekileyo ubisi lwebele ukusuka kwifuba .
Indlela Iilwimi-Isibophelelo esinokuchaphazela ngayo iintsana
Ulwimi olunokuthi lube neelwimi lunokuthi lube nemiphumo eyahlukileyo kwiintsana. Ezi zimbalwa nje:
- Ukutshatyalaliswa nokukhala: Ukuba umntwana wakho ulambile kwaye udidekile, unokucatshukiswa kwaye akhale. Unokuba neengxaki zokulala.
- Ukunqana kwesisu: Ezinye iintsana ziya kunqanda isifuba xa kuphazamisekile kumntwana kwaye abafumani ngokwaneleyo ubisi lwebele.
- Ukufumana ubunzima obubi: Ukuba umntwana wakho akakwazi ukugaya kwaye uncelise kakuhle, akayi kufumana ubisi lwebele olwaneleyo ukuze akhule kwaye azuze ubunzima kwizinga elilinganayo .
- Eminye imiba: Njengoko umntwana ukhula i-frenulum emfutshane kunokubangela iingxaki zokutya, ukugwinya nokuthetha.
Ulwimi-Uhlobo kunye noomama
Ulwimi olunokuthi lube nolwimi olunokuthi lube nemiphumo emibi kumama.
- Iingxobo ezibuhlungu: Ukuba umntwana wakho osandul 'ukuzalwa uvale kuphela ingono yakho okanye ufuna ukutshiza okanye ukugubha ingono yakho njengoko ezama ukunyanga, kunokukhokelela ekukhathazeni, ukuphazamiseka, ukubola .
- Iingxaki zesifuba ezibuhlungu: Xa umntwana engakwazi ukuncelisa kakuhle, akanako ukukrazula amabele ebisi lwebele. Ukwakhiwa kwebisi lwebele kumabele kungakhokelela kwisithukuthezi sebele , utywala ubisi kunye ne- mastitis .
- Ukunikezelwa ngobisi oluphantsi lwebele: I-latch ephosakeleyo kunye nokususwa ngokungafanelekileyo kobisi lwebele kunokunciphisa ngokukhawuleza ubisi lwebele.
- Ukuxinezeleka ngokomzwelo: Ubunzima bokuncelisa umzimba kunokubangela ukukhungatheka kunye nokungabikho kokuzithemba. Ukuba umntwana akafumani ubisi obaneleyo, kunokusongela okanye kubangela ukudakumba kunye neemvakalelo zecala.
- Ukuqhawula kwangaphambili: Ukunyamezela ubuhlungu, ukunikezelwa ngobisi oluncinci , kunye nokujongana nomntwana okhungathekileyo, olambileyo ozuza isisindo ngokukhawuleza, unokukhokelela ekulileni.
Yintoni enokuyenza xa umntwana wakho eneLwimi-Intambo
Ukuba ucinga ukuba omncinci wakho unolwimi, xelela udokotela wakhe ngokukhawuleza. Ngokukhawuleza unokufumana ukuxilongwa, ngokukhawuleza unokufumana uncedo olufunekayo ukwenzela ukuba unyamezelo lusebenzele kangcono wena nomntwana wakho.
Qinisekisa ukuba inkqubo yakho yokuncelisa ichanekile kwaye ufunde malunga neenketho zakho. Xoxa ngeengxaki kunye neengxaki ze-frenotomy kunye neqela lezempilo lolutsha lwakho.
Ukuba uthatha isigqibo ngokumelene ne-frenotomy, unako ukuqhubeka uncelise kodwa unakekele umntwana wakho ukuba uqiniseke ukuba uzuza ubunzima kwaye unele ubisi lwebele. Ufanele uphume kwaye unike umntwana wakho ubonise ubisi lwebele ebhotile njengencediso xa kuyimfuneko.
Ukuba umntwana wakho unenkathazo yokulinda, xela ugqirha wakho okanye umcebisi we-lactation malunga nokusebenzisa ingxowa yengxowa . Ingxowa yesikhusela ingaba sisixhobo esincelisayo sokuncelisa abantwana abasenokuba nzima ukukhwela kwibele. Nangona kunjalo, ukuba wenza isigqibo sokusebenzisa i-shield ye-ingwe, funda indlela yokuyisebenzisa ngokufanelekileyo, wugqoke ubukhulu obufanelekileyo, kwaye usebenze ngokusondeleyo kunye nogqirha wakho. Ukuba awuyikugqoka njengoko iyalathwayo, ukhuseleko lweengono lunokubangela ukuba kubekho imiba yokuncelisa.
Ukuba iinkophe zakho zibuhlungu kakhulu ukuba uncelise kwaye kufuneka uziphumle ukuze uphilise, upompe ukuze ulondoloze ubisi lwakho lwebele kwaye unikeze umntwana wakho ngobisi lwakho lobisi lwebhotile. Ukuba ukunikezela kobisi lwebele kunciphisa, thatha amanyathelo okukhulisa umveliso kwaye ukwandise ukubonelelwa kwakho .
Qhubeka ubona ugqirha kwixesha eliqhelekileyo ukujonga impilo yengane yakho nokufumana ubunzima.
Yintoni iFrenotomy?
I-frenotomy (ebizwa ngokuba yi-frenulotomy) yindlela yokuhlinzwa encinane okanye inkqubo yentsana eneelwimi. Yinto elula ye-frenulum phantsi kolwimi lomntwana wakho. Ugqirha unokusebenzisa i-aneshesia yendawo, kodwa ininzi intsha ingayiphatha ngaphandle kwe-anesthesia. Akuyikuba negazi kakhulu, kwaye izibonda ayidingi.
Ngokubanzi, i-frenotomy iyashesha, ilula, kwaye ikhuselekile. Nangona kunjalo, kukho iingozi kuzo zonke iinkqubo. Kwaye, nangona kunqabile, i-frenotomy ingabangela intlungu, ukuphuma kwegazi kunye nosulelo. Yingakho kubaluleke kakhulu ukuba kwenziwe ngumboneleli wezempilo oqeqeshiwe. Ukuba ugqirha wengane yakho ayenzi le nkqubo, unokukunika igama logqirha, wamazinyo, i-ENT, okanye ugqirha wezilwanyana owenzayo. Umcebisi weqhinga okanye iqela lokuncelisa ilanga linokukunika ngolwazi malunga nokuba ngubani oya kulolu hlelo lokusebenza oluncinci.
Ngaba Ufanele Ube Nesiqhwa Se-Frenulum Yakho?
Ukuba umntwana wakho osandul 'uzalwa unelulwimi kodwa engenayo inkathazo yokuncelisa, ke akukho frenotomy ayimfuneko. Kwaye, ukuba ulwimi lwakho lolwimi lunomnene, ungalinda uze ubone indlela akwenza ngayo. Nangona kunjalo, ukuba umntwana wakho unenkathazo yokulinda kwaye ufumanisa kakhulu ukuba uncelise, unokufuna ukuqwalasela ukuba nenkqubo.
Ukusikwa kwe-frenulum eqinile kuvumela ulwimi lomntwana wakho ukuba luhambe ngokukhululekile kwaye lukhuphe umlomo wakhe ngokwaneleyo ukuze akwazi ukwenza i-latch entle ngesitywina esihle. Uyakwazi ukubeka umntwana wakho kwibele emva kwenkqubo, kwaye ngethemba lokuba, umntwana wakho uya kukwazi ukukhusela kunye nokunyamezela ngokukhawuleza. Emva kokuba umntwana wakho osandul 'ukuzalwa ulunge ngakumbi, uya kukwazi ukufumana ubisi oluninzi, kunye nokuncelisa kufuneka kube lula kwaye kukhululeke ngakumbi kokubili.
Nangona i-frenotomy ingaba yimpendulo kwabanye abantwana, ayinakuyicombulula zonke iingxaki zokuncelisa. Ngako oko, kukho ithuba lokuba umntwana wakho uya kuba nobunzima bokuncelisa ngethuba nangemva kwenkqubo. Nangona kunjalo, kwiintsana ezininzi ezisanda kuzalwa kunye nomama, kunokuncedisa ukunyamezela ngakumbi kwaye kukunceda ukuba uqhubeke ixesha elide.
Imithombo:
I-Academy yeKomidi yeeNyango zeNyango yeeNtsholongwane. I-ABM yekliniki yomgaqo-nkqubo # 11: Izikhokelo zoVavanyo kunye noLawulo lwe-Anonloglossia ye-Neonatal kunye neengxaki zalo kwi-Dyad Breastfeeding. 2004. Ipapashwe ngekhompyutha. Ayifumanekanga ngenxa yokuphelelwa yisikhathi.
UBallard JL, i-Auer CE, iKhoury JC. I-Ankyloglossia: uvavanyo, iziganeko kunye nomphumo we-frenuloplasty kwi-dyad yokuncelisa. Pediatrics. 2002 Novemba 1; 110 (5): e63-e63.
Lawrence, uRuth A., MD, Lawrence, uRobert M., MD. Ukusondeza isiKhokelo seNgcaciso yezoPhicongo. Elsevier Health Sciences. 2015.
Riordan, J., kunye neWambach, K. Ukuncelisa kunye nokuLungiswa koLuntu lweNguqulelo yesine. UJones noBartlett Learning. 2014.
Segal LM, Stephenson R, Dawes M, Feldman P. Ubuninzi, ukuxilongwa, kunye nokunyangwa kwe-ankyloglossia Ukuhlaziywa kwe-Methodologic. Ugqirha wezeKhaya waseKhanada 2007 Juni 1; 53 (6): 1027-33.