Kutungamirirwa kwakanaka kwekugadzirisa kwekwenya yemwana wako kunokosha zvikuru kudzivirira kukanganisa kunzvimbo yekuvhiya. Chero zvinetso zvinogona kutungamirira kune kuwedzerwa kwekucheka, kwenguva refu yekuporesa, uye kunyange kuwedzera mikana yokuti mwana wako achada kuvhiyiwa. Nyaya ino ichajekesa kuti unganyatsotarisira sei mwana wako mushure mekunyatsogadzirisa miromo, asi nokuti zvose zviitiko zvakasiyana, ndapota tevera mirayiridzo yachiremba wako kana yakasiyana nedhidziso iyi.
Kudyisa Mwana Wako
Mushure mekuvhiyiwa kwevana venyu, vachagara muchipatara kusvikira vachikwanisa kutsigirwa zvine chikafu, marwadzo avo anorongedzerwa zvakanaka, uye apedza nemishonga inobatwa nemishonga kana kukwanisa kutora mishonga iyi nemuromo. Kudya mushure mekuvhiyiwa uku kunogona kuva chimwe chezvipingamupinyi zvikurusa zvaunoda kukurira kuitira kutora mwana wako kumba.
Unogona kuona kuti pane mhirizhonga yakawanda pamusoro pekunge iwe uchifanira kunwisa, kuisa-bundu, kana kapu-kudyisa mwana wako munguva iyo nguva ichangobva kuvhiyiwa (nguva yekuzorora). Nzira iyo yaunosarudza ichatarisana nemamiriro ehupenyu hwemwana wako uyewo zvaunoda iwe pachako uye zvinodiwa nemhuri yako. Dare rako rezvechiremba, kusanganisira chiremba wako chiremba uye mutauro wemutauro wekutaura, rinogona kukubatsira iwe kusarudza nzira yakanakisisa yekudyisa yemamiriro ako. Aya maitiro anogonawo kukubatsira pakuwana zvakakodzera izvo zvaungada; somuenzaniso, kana ukasarudza kubhadhara mwana wako, unofanira kushandisa mbanje yakagamuchirwa nebhokisi.
Pasinei nedzimwe nzira yaunosarudza kupa nayo mwana wako, kuchengetedzwa kwekudzivirira (ronda) nzvimbo inodikanwa kuti mwana wako apore. Zvinodzwa mwoyo kuti uve nechimwe chinhu chakaoma mumuromo wemwana wako kusvikira mushure mokunge maitiro ekuvhiya apora. Kana iwe uri gorosi-kudya, unofanirwa kuve nechokwadi kuti uri kushandisa rutivi rwepuni yekudya.
Usashandise mahwisi kana zvimwe zvishandiso, sezvo zvinogona kukuvadza incision. Mushure mokunge mumwe nomumwe achidya, vashandi vakawanda vehutano vanokurudzira mwana wenyu kunwa pamusoro pe5-15 milliliters emvura. Kushandisa mvura "kuchachenesa" nzvimbo yacho uye kubetsera kubvisa zvokudya zvinogona kutungamirira kune utachiona.
Kuchengetedza Nzvimbo Yako Yokutsvakira Yevana Vako
Mushure mekuvhiyiwa, unogona kuona kuti chiremba wako akashandisa chimwe chinhu chakafanana neLogan's Bow (metal bar) kana Steri-Strips kuti vabatsire kuchengetedza kuiswa. Izvi zvicharamba zviripo kusvikira chiremba wako achibvisa kubviswa kwebhari pakusangana mushure mokunge mwana wako asunungurwa kubva kuchipatara (kazhinji inenge vhiki imwe mushure mekunge mwana wako apera zuva). Paunenge uchibata mwana wako, kuvashambadzira kunofanirwa kuvadzivisa kuti vasazora miromo yavo nemhino mufudzi rako kusvikira vapora zvakakwana. Pavanenge vavete pasi, iva nechokwadi chokuti unovachengetedza kubva mudumbu pamwe chete nokuzvichengeta mune rumwe rutivi kana kuti shure-kureva. Pacifiers haafaniriwo kushandiswa sezvavanokonzera kukanganisa kwakanyanya pane nzvimbo yekuvhiya.
Mushure mekuvhiyiwa, mwana wako achava neruoko rwakanyoroka kana kuti zvigadziro zvigaro kuti abatsire kudzivisa kana kushambadza nekunzwa kwavo. Kazhinji, zvidzidzo zvinoda kushandiswa kwemavhiki maviri kusvika ku3.
Munguva ino, zvakakosha kuti vafukidze zvidzora zvakanyanya. Paunenge uchivatungamirira, zvakanaka kuti ubvise zvidzidzo kakawanda pazuva; zvisinei, iwe unoda kuve nechokwadi chekuti usava neavo vachizora miromo yavo nemhino kana kunyamwa pamagunwe avo.
Paunenge uchibvisa zvinodzivisa, zvinowanzokurudzirwa kuti ubvise chete kudzivisa kamwechete panguva. Tora nguva ino kutamisa maoko kumativi ese kuti udzivise kurasikirwa kwekufamba uye chengetedza kuti uone kuti hapana nzvimbo dzakasvibiswa pamaoko apo kudziviswa kwave kuripo.
Kuchengetedza Utachiona
Utachiona ihwohwo hunogona kunge huri kukonzerwa nekuvhiyiwa chero kupi zvako.
Zvichienderana nechinangwa chechiremba wako, iye anogona kupa chirongwa chemishonga inorwisa mabhakitiriya kuti udzivirire utachiona mushure mekugadzirisa, kana mwana wako angagamuchira nguva imwechete inonzi antibiotic panguva yekuvhiyiwa. Kana chiremba wako akaraira mishonga inorwisa mabhakitiriya kuti inotorwa mushure mekunyatsogadzirisa muromo, iva nechokwadi chokuti iwe unopa mishonga kumwana wako panguva, sezvinorayirwa, uye kusvikira bhodhi rapera zvachose.
Kuchengetedza kubatwa kwomwana wako uye sutures zvakachena zvakakosha zvikuru pakudzivirira utachiona. Vamwe vanachiremba vanoita kuti iwe uchenese kuvhara nguva dzose, asi vamwe vangasarudza kuti iwe usiye kuvhara uye kuoma uye usabata. Vanachiremba vakawanda vanokurudzira kuchenesa nehuwandu hwe saline kana sese yakanyoro nemvura. Vamwe vanachiremba vanokurudzira kuchenesa kusanganisa nehafu-simba hydrogen peroxide, kunyanya kana pane zvakawanda zvakagadzirwa zvakapoteredza incision uye sutures. Kana ukashandisa hafu-simba re hydrogen peroxide, iva nechokwadi chekunatsa nemvura yakachena kana saline mushure mezvo, sezvo hydrogen peroxide inogona kuuraya masero ane hutano pamwe nemishonga uye inogumbura mwana weganda rako kana isisina kunatswa.
Kana chiremba wako achida kuti iwe uchenese tsvina, uchawana mirayiridzo yaunofanira kutevera. Chirongwa chinowanzoitwa ndechekushandisa nzira yekuchenesa nekotoni swab mukufamba kwechiyero pasina kushandiswa kudzvinyirira zvakananga pamusoro pekudzivirira. Chiremba wako anogonawo kukurudzira mafuta ekurapa mabhakitiriya, zvakadai saBacitracin kana Neosporin, iyo yaunoshandisa kuvhara kwevana vako mushure mekuchenesa ganda uye wakabvumira nguva yakakwana kuti nzvimbo yacho iome. Izvi zvinoshandiswa kubatsira kuchengetedza kubviswa kubva kumvura yakasviba nekugadzira chigadziro pakati pemvura uye ganda, pamwe nekudzivisa kukura kwezvirwere. Izvi zvinonyanya kukosha kubva pakusungirwa kwekanyoro-kugadzirisa muromo kunoswedera pedyo nemhuno nemuromo, iyo inonyanya kuchena. Mishonga inorwisa mabhakitiriya inogonawo kubatsira nokuti inodzivisa kuumbwa kweganda-sechando chakafanana nekukanganiswa, izvo dzimwe nguva kunorwadzisa. Kazhinji, chiremba wako anokurudzira iwe kushandisa mafuta anowanikwa katatu pazuva kwemazuva maviri, asi zvakare, mamiriro ose ega akasiyana.
Kutarisira Njodzi
Mwana wako achava nemarwadzo mushure mekugadzirisa miromo yavo, iyo ichachengetedzwa kuburikidza nemishonga inorwadza. Kamwe mushure mekuvhiyiwa, izvi zvinenge zvichive mishonga yemarwadzo anonyadzisa anopiwa kuburikidza nevana vako IV. Sezvo mwana wako achidzoka, achange achida mushonga unorwadza zvakanyanya. Panguva iyo mwana wako akasunungurwa kubva kuchipatara, kurwadziwa kwavo kunofanira kunge kwakachengetedzwa zvakanaka. Chiremba wako anogona kukuendesa kumusha pamwe chete nemishonga-mushonga wemishonga kana kushandisa mazano ekurapa mishonga, saAcetaminoph en (Tylenol). Iwe haufaniri kushandisa ibuprofen (Advil) pasina mvumo yechiremba wako uye aspirin haina kukurudzirwa kuvana sezvo ichigona kukonzera Reye's syndrome .
Iwe haufaniri kunetseka pamusoro pemwana wako kuve akapindwa muropa nemishonga yemarwadzo anonyadzisira. Kudzora kurwadziwa kunobatsira mwana wako kuti apore nekukurumidza nokuti vachazorora zvakanyanya. Nhamo inogonawo kumutsa mwoyo wemunhu uye kuwedzerwa kweropa uye inogona kukonzera kusunungurwa kwehomoni inonzi cortisol, iyo inogona chaizvo kudzivisa maitiro ezvirwere zvemuviri.
Iwe unofanirwawo kuziva kuti kurwadziwa kusinganzwisisiki kunogona kuva chiratidzo chokuti kune chirwere chinopurirwa chinoda kurapwa. Usashamisika kana acetaminophen mwana wako wese aine kudzora marwadzo avo - vana vakawanda vanoda zvishoma zvinyorwa zvinorwadza marwadzo. Zvisinei, mwana wese akasiyana uye chinhu chinonyanya kukosha ndechekuti mwana wako anonzwa akasununguka mushure mekunyatsogadzirisa.
Kunze kwemishonga, kana mwana wako ari kunyunyuta, kutora matanho akafanana nekubata uye kubvongodza, kutaura zvinyararire kwavari, uye kunyanya chipi nechipi chaunogona kuita kuratidza rudo uye kunyaradza mwana wako chinogona kubatsira. Kushungurudzwa nemusangano weTV unodiwa kana mimhanzi inogonawo kubatsira. Kana mwana wako asina kushaya marwadzo pasinei nekuedza kwako kwose, unofanira kudana chiremba wako. Uyezve, kana iwe uchinzwa kuti mwana wako haasi kuita zvakanaka, dana chiremba wako. Iwe unoziva mwana wako zvakanakisisa uye semubereki, iwe uchava munhu wokutanga kuona dambudziko. Iwe haufaniri kunetseka ne "kunetsa" chiremba. Zvinogara zvakanakisisa kuunza zvinetso kune chiremba wako nekukurumidza nokukurumidza.
> Sources:
> Intermountain Healthcare. (2009). Ngatitaure nezve ... Cleft Lip uye Palate. https://intermountainhealthcare.org/ext/Dcmnt?ncid=520408176
> Medline Plus. (2012). Cleft lip uye palate kugadzirisa - kubuda. http://www.nlm.nih.gov.ezproxy.lib.utah.edu/medlineplus/ency/ patientinstructions / 000004.htm
> Nagy, K. & Mommaerts, MY (2011). Postoperative Wound Management Pashure Pekuchenesa Lip Surgery. Cleft Palate-Craniofacial Journal. Vol. 48 Nha.
> Pearson Dzidzo Yepamusoro. (nd) Urongwa hwekuchengetedza vakwegura: Mucheche ane chirwere cheCleft uye / kana Palate. http://wps.prenhall.com/wps/media/ zvinhu / 354/362846 / Mwana% 20-% 20Cleft% 20Palate.pdf
> Yunivhesiti yeMichigan Health Systems - Department of Surgery. (2012). Cleft Lip Repair (Cheiloplasty) Post-Operative. http://surgery.med.umich.edu/plastic/patient/ped_procedures/cleftlp/ cheilo_postop.shtml