Frenulotomy ndiyo nzira yekuvhiya inoshandiswa kugadzirisa mamiriro ekuberekwa umo inowirirana frenulum (chikamu chinobatanidza pasi pemuromo kusvika pasi pechirurimi) chiri pfupi kwazvo, zvichiita kuti kushandura rurimi rwusingaregi (ankyloglossia). Ichi chiitiko chinowanzonzi rurimi-tie . Inenge 3 kusvika ku5 pavana 100 vacheche vanoberekwa vane rurimi-chikwata chevanhu vane chirwere ichi, asi havasi vose vanoda frenulotomy.
Frenulotomy inogona kukurudzirwa kana mwana wako ane rurimi-tie ane:
- kunetseka kudyisa uye kushaya uremu hwekuwana
- kutaura matambudziko
- kuoma kunomedza
- kusakwanisa kunyorera ice cream cone kana sucker
- kunetseka kutamisa rurimi (kurutivi rworutivi, kurinhira, kubata padenga remuromo)
- matambudziko makuru emeno
Nzira yeFrenulotomy Inoitwa Sei
A frenulotomy inogona kuitwa muhofisi yechiremba kunze kwekudiwa kweanesthesia kumucheche ari pasi pemwedzi mitanhatu. Kune vana vakwegura kudarika izvozvo, inowanzoitwa pasi peanesthesia yakawanda mune rimwe zuva rekuvhiyiwa. Mukugadzirisa nzira yacho, mwana wako achawana mukati nekunze kwemiromo yavo akacheneswa neine antiseptic inonzi chlorhexidine. Mucherechedzo wakadzika pasi unoshandiswa mumuromo kuti uderedze kutsamwa.
Kana imwe nguva muromo warinatswa, kushandiswa kwekunyorera kunoshandiswa kumutauro wefrenulum (pasi pomururimi) uye rurimi runoputika munzvimbo yacho.
Paka iyi inenge yakasanganiswa ne 2.5% lidocaine uye 2.5% prilocaine. Iwe uchange uine maminitsi mashanu ekumirira kuti antichetic anesthetic inoshanda.
Kana imwe nguva yekushongedza kushanda, mwana wako achada kudziviswa kuti frenulotomy kuderedze njodzi yezvimwe zvipingamupinyi. Nzira nhatu dzinokosha dzinoshandiswa kuita kuti mwana wako akwanise kumira.
Vanogona kusarudza kune: swaddle, shandisa papoose bhodhi (bhodhi rine mapapiro matanhatu anogadzirisa kuti aite zvachose mwana wako), kana burrito kana "superhero cape" (nzira yokuvhara nekudzivirira maoko emwana wako nemushonga ).
Kana wangozvidzora, mubatsiri achabata vana vako vachiri musoro kana chiremba wako achisimudza rurimi rwemwana wako ne forceps kana neminwe 2 kubva mumaoko avo asina simba. Kana imwe rurimi rwakamira zvakakodzera kuitira kuti chiremba wako aone zviri pachena, ivo vachachera rurimi rwefrenulum pedyo nerurimi. Chikonzero chavanozochera pedyo nerurimi pane pasi pasi pemuromo ndeyekuti mitsipa uye submandibular ducts (yakabatana nokuvhara saliva) iri pedyo nenzvimbo imwe chete. Iyo yakatemwa inoitwa zvakafanana nerurimi uye hapana sutures inofanirwa kuporesa. Kutevera nzira, zvishoma zvekumanikidza ne gauze zvinoshandiswa kuderedza chero kubuda ropa kana kuvhara. Kusveta hakuwanzovi nehana ne frenulotomy.
Batsirwa
Chimwe chezvikonzero zvinozivikanwa pakuita frenulotomy inokonzerwa nekuoma nekuyamwisa. Mwana wako achakwanisa zvakare kutora bhodhoro kana kunwisa nguva pfupi chirwere ichi chapera. Zvisinei, mwana wako angave ane dambudziko nekuyamwisa pakutanga.
77 muzana yevana vanoita zvakanaka nekuyamwisa mukati memavhiki maviri eine frenulotomy yakaitwa. Vacheche vanoratidzirawo kubudirira muhutano hunoita semugumisiro wekuvandudza mano ekuyamwisa. Kana izvi zvichiitwa mushure mehupenyu hwemwana wako uye matambudziko ekutaura aripo, chirongwa chekutaura chinogona kuve chichidikanwa kugadzirisa chirwere chekutaura.
Ngozi
Matambudziko sechikonzero chekuvhiya uku haatomboitiki uye mwana wako angangodaro asina kuoma. Ngozi dzinosanganisira:
- kubuda ropa
- utachiona
- submandibular duct damage
Kana mwana wacho akaomerwa kutaura pamberi pekuvhiyiwa, angave achida chirwere chekutaura mushure mekugadzirisa dambudziko rekutaura.
Alternate Options
- Frenulectomy - kubvisa chirwere chinonzi frenulum
- Frenuloplasty kana kuti "Z-plasty" - plastiki yekugadzira kushandiswa yakashandiswa kana frenulotomy isingabudiriri
Sources:
American Academy of Otolaryngology - Musoro uye Neck Surgery. Chikwangwani cheChechokwadi: Chengetedza Tie.
Isaacson, GC (2016). Ankyloglossia (rurimi-tie) mucheche nevana.
Junqueira, MA, CUNHA, Costa e Silva, LL, Araujo, LB, Moretti, LBS, Couto Filho, CEG & Sakai, VT (2014). Matanho okuvhiya okurapa ankyloglossia muvana: nyaya dzenyaya. J Appl Oral Sci. 22 (3): 241-248. doi: 10.1590 / 1678-775720130629
Miranda, BH & Milroy, CJ (2010). Kukurumidza kukurumidza - Kuongorora kwehutano hwekubuda kunze kwechimiro mutauro kuyanana neonatal kukura nekuyamwisa. Journal of Plastic. Kuvandudza nekugadzirwa kweAesthetic Surgery. 63 (9): e683-e685.
Sethi, N., Smith, D., Kortequee, S., Ward, VMM & Clarke, S. (2013). Batsiro refrenulotomy mucheche ane ankyloglossia. International Journal of Pediatric Otorhinolaryngology, 77 (5): 762-765