Waha Wolf i ke keiki

Hoʻomaka ka ʻāʻī o ka ʻōpū i ka wā mua o ka ulu ʻana. I ka manawa like, loaʻa i ka pēpē kahi māwae i ka lewa, ʻo ia ke kumu e kamaʻilio pololei ai ma waena o ka waha a me ka ihu. I ka lāʻau lapaʻau, kapa ʻia kēlā ʻano kīnā ʻo cheiloschisis.

I ka manawa pinepine, hele pū ka ʻāʻī me kekahi hemahema - ka lehelehe māwae. ʻO ke kumu a me ke ʻano o kā lākou hanana ʻana like. ʻO ka ʻāʻī o nā iwi iwi o ka palale hiki ke alakaʻi i ka māhele ʻana o nā ʻiʻo palupalu, me ka lehelehe a me ka ihu. Inā loaʻa kēia, a laila loaʻa i ke keiki nā maʻi ʻelua - ka ʻāʻī a me ka lehelehe.

ʻOiai ʻoi aku ka maikaʻi o ka lehelehe māwae a keakea i ka ʻōlelo, ʻoi aku ka koʻikoʻi o ka pala. Hiki ke ʻike ʻole ʻia ka ʻāʻī ʻāʻī inā ʻaʻole pili ka ʻiʻo palupalu. Hoʻolohe nā mākua i ka pilikia inā ʻaʻole hiki i ka pēpē ke omo maʻamau, ʻokiʻoki, puka ka waiū mai ka ihu. Ma nā hale hānai hānai, nānā ʻia nā pēpē e kāpae i kēia maʻi, akā i ka hihia o ka hānau home, hiki ke hoʻokuʻu ʻia.

ʻO ka māwae ʻāʻī kekahi o nā maʻi maʻamau maʻamau o nā keiki. ʻOi aku ka maʻi o nā kaikamāhine me ka ʻole o ka lehelehe, a ʻoi aku ka maʻi o nā keikikāne me ka ʻole o ka palate pathology.

He aha ka waha ʻīlio hae

I ka wā mua, i loko o ka ʻōpū, ʻaʻohe iwi iwi iwi poʻo i hoʻohui ʻia i ke ʻano maʻamau e ʻike i ka hopena. He ʻāpana kēia o ka hoʻomohala ʻana. Ma ka pule 11 o ka hāpai ʻana, hoʻohui mau ʻia nā ʻāpana pono a pau o nā iwi o ka iwi poʻo a me ka maka o ka embryo. Inā i ka wā mua i hoʻopilikia ʻia ka fetus, ʻaʻole e ulu nui kekahi mau crevices, i kēia hihia ka lani.

ʻAʻole hiki i ia mau keiki ke ʻai maʻamau - hoʻopilikia ʻia ke kaʻina o ka omo ʻana, komo ka meaʻai i loko o ka ihu, e hoʻoulu ai i ka mumū. I ka wā e hiki mai ana, pilikia ka ʻōlelo, paʻakikī ka haʻi ʻana i nā leo, ʻo nā keiki "gundos". Ma ka noʻonoʻo a me ka naʻau, he mea maʻamau nā keiki me ka palate maʻa, ʻo ka pilikia he anatomical.

ʻAʻole paha ʻo ka waha ʻīlio hae wale nō ka hemahema. I kekahi manawa, loaʻa ia ma ke ʻano he ʻāpana o nā syndromes like ʻole.

Nā kumu o ka ʻāʻī o ke keiki

Wahi a ka poʻe ʻepekema, ʻo 10-15% wale nō o ka hemahema i hoʻoholo ʻia. ʻO ia hoʻi, inā he waha ʻīlio hae kekahi o nā ʻohana, ʻo ka nui o ke ʻano o ke ʻano o ke keiki e piʻi aʻe ma 7% wale nō.

ʻO nā kumu nui o ka pathology ka hopena o nā kumu o waho i ka wā mua o ka hāpai ʻana. ʻO ka manawa pinepine i kēia manawa, ʻaʻole ʻike ka wahine e hāpai ana ʻo ia i kahi keiki, a hoʻomau i ka lawe ʻana i nā lāʻau i pāpā ʻia i ka wā hāpai, puhi a inu ʻona paha. Hoʻopilikia kēia i ka ulu ʻana o ka fetus, hoʻopau ʻia ke kaʻina hana o ka hui iwi.

I ka hoʻomaka ʻana o ka hāpai ʻana, nui nā wahine i hōʻemi i ka pale ʻana, a ʻo nā maʻi i ʻohi ʻia i kēia manawa he mea pōʻino no ka pēpē.

ʻAʻole i emi iki ka pōʻino o ka ʻeha o ka ʻōpū, ka radiation, ka nele o nā huaora, ka hoʻomake mua ʻana, nā ʻōpū a me ka momona. ʻO ka makahiki o ka makuahine a me kona kūlana noʻonoʻo hiki ke hoʻopilikia i ka loaʻa ʻana o kahi keiki me ka ʻāʻī.

Nā hōʻailona o ka ʻāʻī o ke keiki

ʻO ka ʻoi aku ka nui o ka ʻāʻī i ka lewa, ʻoi aku ka ʻike ʻana o ka pathology. Me kahi māwae piha ʻole, ʻoki ke keiki i ka omo ʻana, ʻai maikaʻi ʻole, hiki ke kahe ka waiū mai ka ihu. Inā pau ka māwae, paʻakikī, pilikia ka hanu ʻana o ka pēpē, ʻaʻole hiki iā ia ke omo. ʻO ka manawa pinepine, i ka wā hānau maoli, komo ka wai amniotic i ka ʻōpū hanu o ia mau keiki, no laila pono lākou i ke kōkua pilikia.

I ka nānā ʻana i ka lua waha a me ka pharynx, ʻike ʻia kahi puka ma kahi e kū mau ai ka palale palupalu holoʻokoʻa. Inā pili pū ka māhele ʻana i ka lehelehe, a laila ʻike ʻia ka māhele ʻana o ka lehelehe luna i ʻelua a ʻoi aku paha i waho.

Ka lapaʻau ʻana i ka ʻāʻī o ke keiki

He pōʻino ka waha o ka ʻīlio hae me nā pilikia koʻikoʻi, no laila pono e mālama ʻia. ʻO ka mea pōʻino, ʻo ka ʻoki wale nō ka hopena o ka pilikia. ʻO ka hoʻomaʻamaʻa ʻana he mau pae, a hiki ke hana ʻia ka hana mua a hiki i hoʻokahi makahiki.

He nui nā keiki me ka ʻāʻī ʻāʻī e ʻaʻahu i ka obturator ma mua o ke ʻoki ʻana, kahi prosthesis e pani ai i ka wehe ma waena o ka ihu a me ka waha. Kōkua kēia i ka hanu maʻamau o ka pēpē, hoʻomaʻamaʻa i ke kaʻina o ka meaʻai a me ka hoʻokumu ʻana i ka ʻōlelo.

ʻOiai ma mua o ka hana ʻana, ua aʻo ʻia ke keiki e hānai me kahi puna kūikawā, no ka mea paʻakikī ka ʻai ʻana me ka ʻole o nā mea hana hou. ʻO ke akamai o ia ʻano meaʻai kūikawā e hiki mai ana ma hope o ka hana ʻana, no ka mea he ʻeha loa ka ʻeha a ʻaʻole hiki ke ʻai. Eia kekahi, aia ka pilikia o nā ʻōpala nui, a e lohi ka ho'ōla.

Ma hope o kekahi mau hana, pono ʻoe e mālama pono i ka waha waha, mālama i nā ʻeha me nā antiseptics, a lawe i nā lāʻau antibiotic. Hoʻohana pū ʻia kahi lomilomi kūikawā o ka palate palupalu, kahi e hoʻomaikaʻi ai i ke kahe koko a hoʻoheheʻe i nā ʻōpala. I ka wā o ka hoʻihoʻi ʻana, pono ʻoe i ke kōkua o ka ʻōlelo lapaʻau, defectologist e hoʻokumu i ka ʻōlelo maʻamau. A e hoʻomalu ka orthodontist i ka ulu kūpono o nā niho a me ka ulu ʻana o ka iwi ā. Inā hewa kekahi mea, e kākau lākou i nā papa hoʻoponopono, staples.

He paʻakikī a lōʻihi ka hoʻomaʻamaʻa ʻana, akā ʻo ka hopena, kokoke i ka 95% o nā keiki me ka palate cleft e poina mau loa i ka pilikia.

lapaʻau '

Hōʻike pinepine i kahi kīnā i ka wā hāpai, i ka wā ultrasound. Akā hiki ke loiloi i ke kiʻekiʻe o ka māhele ʻana o ka lani ma hope o ka hānau ʻana o ke pēpē. I ka wā o ka hānau ʻana, aia ka pilikia o ka wai amniotic e komo i ka ʻōpū hanu ma o ka ʻāʻī, no laila ʻoi aku ka maikaʻi o nā kauka e ʻike mua i ka pathology.

Ma hope o ka hānau ʻana o ke keiki, nānā nā kauka, a ʻike ʻia ka ʻāʻī i ka maka. Eia kekahi, nānā lākou i ka lohe, honi, lawe i nā ho'āʻo koko e pale aku i nā maʻi.

Nā lāʻau lapaʻau hou

Ma mua o ka ʻoki ʻana, nānā pono ʻia ka pēpē a hoʻolālā i ke ʻano o ka hoʻoponopono ʻana i ka pilikia. Aia nā ʻano hana like ʻole, a koho ʻia lākou i kēlā me kēia maʻi liʻiliʻi. I ka wā o ka hoʻolālā ʻana, kūkākūkā pū lākou me ka pediatrician, otolaryngologist, neurologist, maxillofacial surgeon, speech therapist, orthodontist.

Ua kapa ʻia ʻo uranoplasty ka hoʻoponopono ʻana i ka palate ʻaʻole piha. Hana ʻia ia ma kahi o 2 mau makahiki. E kōkua ana kēia ʻenehana inā ʻaʻole ʻokoʻa ke ʻano o ka ʻauwae, a ʻaʻole nui loa ka māwae. I ka wā o ka hana, hoʻolōʻihi ʻia ka palale palupalu no ka pēpē, pili nā ʻiʻo. Inā ʻaʻole lawa nā ʻiʻo kūloko, hoʻohana ʻia nā mea hou mai nā papalina a me ke alelo.

Inā ʻokiʻoki ka ʻāʻī a ʻaʻole hoʻonohonoho pono ʻia nā niho, e mālama mua ʻia ke keiki e ke kanaka orthodontist. Ma hope loa ka hana ʻana, inā ʻaʻole e hoʻopilikia ʻia ka ulu ʻana o ka iwi āpau. ʻO ka uranoplasty maʻamau i kēia hihia ke lawe ʻia ma 4-6 mau makahiki.

Ka pale ʻana i ka ʻāʻī o ke keiki ma ka home

Pono e hoʻolālā i ka hāpai ʻana. A laila e manaʻo ka wahine a i ka wā mua nui loa e pale ʻole ʻo ia i ka lawe ʻana i nā lāʻau ʻawaʻawa, ka paka, ka waiʻona. Hana pinepine kēia inā ʻaʻole ʻike ka wahine i ka hāpai ʻana.

He mea nui e lawe i nā huaora i kuhikuhi ʻia e ka gynecologist, e nānā mau ʻia. E hōʻalo i ka lehulehu a ʻaʻahu me ka mahana, no ka mea, i nā pule mua, he palupalu loa ka pale ʻana o ka makuahine.

Nā nīnau a me nā pane kaulana

Ke hana nei ka pediatrician - ke poʻo pediatrician - i ka hoʻoponopono ʻana i ka pilikia o ka ʻāʻī ʻāʻī me nā mea lapaʻau, nā orthodontists a me nā loea ʻē aʻe. Hoʻomaopopo ka pediatrician i ka ʻai maʻamau o ke keiki, kōkua i ka hōʻemi ʻana i ka pilikia o nā maʻi, a hāʻawi i ka ʻōlelo aʻo no ka mālama ʻana i ke pēpē. E heluhelu hou aʻe e pili ana i ka mālama ʻana i nā keiki me ka ʻāʻī keiki keiki ʻo Daria Schukina.