Lilime tayi
Tayi yamalilime ndi pomwe pansi pa lilime pamakhala pakamwa.
Izi zitha kupangitsa kuti kukhale kosavuta kuti nsonga ya lilime iziyenda momasuka.
Lilime limalumikizidwa pansi pakamwa ndi gulu lanyama lotchedwa lingual frenulum. Mwa anthu omwe ali ndi tayi yolankhula, gululi ndi lalifupi kwambiri komanso lokulirapo. Zomwe zimayambitsa kumangiriza lilime sizikudziwika. Chibadwa chanu chingathandize. Vutoli limayamba kupezeka m'mabanja ena.
Mwa mwana wakhanda kapena wakhanda, zizindikiro zakumangirira lilime ndizofanana ndi zomwe mwana amakhala ndi vuto loyamwitsa. Zizindikiro zimaphatikizapo:
- Kuchita mokwiya kapena kukangana, ngakhale mutadyetsa.
- Zovuta kupanga kapena kusunga kuyamwa pamabele. Khanda limatha kutopa mumphindi imodzi kapena ziwiri, kapena kugona musanadye mokwanira.
- Kuchepetsa kunenepa kapena kuwonda.
- Mavuto okutira panabele. Khanda limatha kungotafuna mabere m'malo mwake.
- Pakhoza kukhala zovuta pakulankhula ndi matchulidwe mwa ana okulirapo.
Mayi woyamwitsa akhoza kukhala ndi vuto la kupweteka kwa m'mawere, zotsekemera zamkaka, kapena mabere opweteka, ndipo atha kukhumudwa.
Akatswiri ambiri samalimbikitsa kuti othandizira azaumoyo azisanthula ana akhanda kuti amve kulumikizana ndi lilime pokhapokha ngati pali mavuto oyamwitsa.
Opereka ambiri amangoganiza zomangirira lilime akamachita:
- Mayi ndi mwana akhala ndi mavuto kuyambira kuyamwitsa.
- Mayi walandila chithandizo pakadali masiku awiri kapena atatu kuchokera kwa katswiri wa mawere (mkaka wa m'mawere).
Mavuto ambiri oyamwitsa amatha kuyendetsedwa mosavuta. Munthu wodziwa kuyamwitsa (mlangizi wa lactation) atha kuthandizira pazinthu zoyamwitsa.
Kuchita opaleshoni yamalilime, yotchedwa frenulotomy, sikofunikira kwenikweni. Kuchita operekaku kumakhudza kudula ndi kumasula frenulum pansi pa lilime. Nthawi zambiri zimachitika muofesi ya omwe amapereka. Kutenga kapena kutuluka magazi pambuyo pake ndizotheka, koma kawirikawiri.
Kuchita maopaleshoni azovuta kwambiri kumachitika kuchipatala. Njira yochita opaleshoni yotchedwa z-kutsekedwa kutsekedwa ingafunike kuti muchepetse minofu yotupa kuti isapangike.
Nthawi zambiri, kulumikizana lilime kumalumikizidwa ndi mavuto akukula kwa mano, kumeza, kapena kuyankhula.
Ankyloglossia
Dhar V. Zilonda zam'mimba zofewa. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 341.
Lawrence RA, Lawrence RM. Protocol 11: malangizo owunika ndi kuwunika kwa neonatal ankyloglossia ndi zovuta zake mu dyad yoyamwitsa. Mu: Lawrence RA, Lawrence RM, eds. Kuyamwitsa: Upangiri pa Ntchito Yachipatala. 8th ed. Philadelphia, PA: Elsevier; 2016: 874-878.
Newkirk GR, Newkirk MJ. Kulankhula malilime (frenotomy) kwa ankyloglossia. Mu: Fowler GC, olemba. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 169.