Hma lub qhov ncauj nyob rau hauv ib tug me nyuam

Lub cleft palate tsim nyob rau hauv lub tsev menyuam nyob rau hauv thaum ntxov theem ntawm kev loj hlob. Nyob rau tib lub sijhawm, tus menyuam muaj qhov sib cais saum ntuj, uas yog vim li cas thiaj li muaj kev sib txuas lus ncaj qha ntawm lub qhov ncauj thiab qhov ntswg. Hauv tshuaj, xws li qhov tsis xws luag yog hu ua cheiloschisis.

Feem ntau lub cleft palate mus nrog rau lwm yam tsis xws luag - daim di ncauj cleft. Qhov ua rau thiab cov txheej txheem ntawm lawv qhov tshwm sim yog tib yam. Kev tawg ntawm cov pob txha ntawm lub palate tuaj yeem ua rau tawg ntawm cov ntaub so ntswg, nrog rau daim di ncauj thiab qhov ntswg. Yog hais tias qhov no tshwm sim, tus me nyuam muaj ob qho tib si pathologies - cleft palate thiab cleft di ncauj.

Txawm hais tias daim di ncauj cleft yuav ntau dua ntawm kev kho kom zoo nkauj thiab cuam tshuam nrog kev hais lus, cleft palate yog qhov hnyav dua. Lub cleft palate tej zaum yuav tsis pom yog tias cov ntaub so ntswg tsis cuam tshuam. Cov niam txiv saib xyuas qhov teeb meem thaum tus me nyuam tsis tuaj yeem nqus tau ib txwm, chokes, mis nyuj tawm ntawm qhov ntswg. Hauv tsev kho mob poj niam cev xeeb tub, cov menyuam mos raug kuaj xyuas kom tsis suav nrog qhov mob no, tab sis thaum yug hauv tsev, nws tuaj yeem hla.

Lub cleft palate yog ib qho ntawm kaum feem ntau congenital pathologies nyob rau hauv cov me nyuam. Cov ntxhais feem ntau yuav muaj cleft palate yam tsis muaj kev cuam tshuam rau daim di ncauj, thiab cov tub hluas feem ntau yuav muaj cleft di ncauj yam tsis muaj palate pathology.

hma qhov ncauj yog dab tsi

Thaum xub thawj, nyob rau hauv lub tsev menyuam, tus me nyuam mos tsis muaj fused pob txha taub hau nyob rau hauv daim ntawv nyob rau hauv uas nws yog customary pom thaum kawg. Qhov no yog ib feem ntawm txoj kev loj hlob. Los ntawm lub lim tiam 11th ntawm cev xeeb tub, txhua qhov tsim nyog ntawm cov pob txha ntawm pob txha taub hau thiab lub ntsej muag ntawm lub embryo yog nquag fused. Yog hais tias nyob rau hauv thaum ntxov lub sij hawm lub fetus raug cuam tshuam, ib co crevices tsis overgrow, nyob rau hauv cov ntaub ntawv no lub ntuj.

Cov menyuam yaus no tsis tuaj yeem noj ib txwm - cov txheej txheem nqus tau cuam tshuam, zaub mov nkag mus rau hauv qhov ntswg, ua rau mob. Nyob rau hauv lub neej yav tom ntej, kev hais lus kuj yog impaired, lub suab ntawm lub suab yog nyuaj, cov me nyuam "gundos". Kev txawj ntse thiab kev xav, cov menyuam yaus uas muaj lub siab cleft palate yog qhov qub, qhov teeb meem yog qhov tseeb ntawm anatomical.

Hma lub qhov ncauj yuav tsis yog qhov tsis xws luag xwb. Qee zaum nws tshwm sim ua ib feem ntawm ntau yam mob.

Ua rau cleft palate nyob rau hauv ib tug me nyuam

Raws li cov kws tshawb fawb, tsuas yog 10-15% ntawm qhov tsis xws luag yog txiav txim siab caj ces. Ntawd yog, txawm hais tias ib tug ntawm cov txheeb ze muaj hma lub qhov ncauj, qhov tshwm sim ntawm qhov tshwm sim ntawm ib tug me nyuam nce los ntawm 7%.

Cov laj thawj tseem ceeb ntawm cov kab mob pathology yog kev cuam tshuam ntawm lwm yam tseem ceeb hauv kev xeeb tub thaum ntxov. Feem ntau lub sijhawm no, tus poj niam tsis paub tias nws tab tom nqa me nyuam, thiab tseem siv tshuaj txwv tsis pub thaum cev xeeb tub, haus luam yeeb lossis haus cawv. Qhov no cuam tshuam rau kev loj hlob ntawm tus me nyuam hauv plab, cov txheej txheem ntawm cov pob txha fusion cuam tshuam.

Thaum pib cev xeeb tub, ntau tus poj niam tau txo qis kev tiv thaiv kab mob, thiab kev kis kab mob tuaj rau lub sijhawm no yog qhov txaus ntshai rau tus menyuam hauv plab.

Tsis muaj tsawg txaus ntshai yog mob plab, hluav taws xob, tsis muaj cov vitamins, kev rho menyuam ntxov, qog thiab rog. Txawm tias lub hnub nyoog ntawm leej niam thiab nws lub siab lub ntsws tuaj yeem cuam tshuam rau qhov muaj feem yuav muaj menyuam yaus nrog lub palate.

Cov tsos mob ntawm cleft palate nyob rau hauv ib tug me nyuam

Qhov loj dua lub cleft nyob rau hauv lub ntuj, qhov ntau pom tau tias muaj pathology. Nrog rau qhov tsis tiav cleft, tus me nyuam chokes thaum nqus, noj tsis zoo, mis nyuj tuaj yeem ntws los ntawm qhov ntswg. Yog tias qhov cleft dhau los, ua tiav, tus menyuam muaj kev ua pa nyuaj, hauv txoj cai nws tsis tuaj yeem nqus tau. Feem ntau, thaum yug me nyuam, cov kua amniotic nkag mus rau hauv lub ntsws ntawm cov menyuam yaus, yog li lawv xav tau kev pab thaum muaj xwm ceev.

Thaum kuaj xyuas lub qhov ncauj kab noj hniav thiab pharynx, ib lub qhov pom pom nyob rau hauv qhov chaw uas tag nrho cov palate yog ib txwm nyob. Yog hais tias qhov sib cais kuj cuam tshuam rau daim di ncauj, ces qhov kev faib ntawm daim di ncauj sab sauv rau hauv ob los yog ntau tshaj ib nrab yog pom sab nraud.

Kev kho mob ntawm cleft palate nyob rau hauv ib tug me nyuam

Hma lub qhov ncauj yog qhov txaus ntshai nrog cov teeb meem loj, yog li nws yuav tsum tau kho. Hmoov tsis, tib txoj kev daws teeb meem rau qhov teeb meem yog kev phais. Kev kho mob muaj ob peb theem, thiab thawj qhov kev ua haujlwm tuaj yeem ua tiav mus txog ib xyoos.

Ntau tus menyuam yaus uas muaj lub ntsej muag ntsej muag hnav obturator ua ntej kev phais, ib qho khoom siv uas kaw qhov qhib ntawm qhov ntswg thiab qhov ncauj. Qhov no pab tus me nyuam ua pa ib txwm, ua kom cov txheej txheem ntawm kev noj haus thiab tsim kev hais lus.

Txawm tias ua ntej kev phais, tus me nyuam raug qhia kom pub nrog ib rab diav tshwj xeeb, vim kev nqus yog nyuaj yam tsis muaj cov khoom siv ntxiv. Cov txuj ci ntawm kev noj zaub mov tshwj xeeb kuj tseem tuaj yeem siv tau tom qab kev ua haujlwm, vim tias qhov txhab mob hnyav heev thiab kev noj zaub mov tsis zoo. Tsis tas li ntawd, muaj kev pheej hmoo ntawm cov nti loj, thiab kev kho nws tus kheej yuav qeeb.

Tom qab ua haujlwm ntau, koj yuav tsum ua tib zoo saib xyuas lub qhov ncauj kab noj hniav, kho qhov txhab nrog tshuaj tua kab mob, thiab noj tshuaj tua kab mob. Ib qho tshwj xeeb zaws ntawm lub palate kuj tseem siv, uas txhim kho cov ntshav ncig thiab ua kom cov caws pliav. Thaum lub sijhawm rov qab los, koj yuav xav tau kev pab los ntawm tus kws kho hais lus, tus kws kho mob tsis zoo los tsim kom muaj kev hais lus zoo. Thiab tus kws kho hniav yuav tswj xyuas txoj kev loj hlob ntawm cov hniav thiab lub puab tsaig. Yog hais tias ib yam dab tsi mus tsis ncaj ncees lawm, lawv yuav sau ntawv kho daim hlau, staples.

Kev kho mob yog qhov nyuaj thiab ntev, tab sis vim li ntawd, yuav luag 95% ntawm cov menyuam yaus uas muaj lub siab tsis nco qab yuav tsis nco qab txog qhov teeb meem.

diagnostics

Feem ntau hais txog qhov tsis xws luag thaum cev xeeb tub, thaum ultrasound. Tab sis nws muaj peev xwm los ntsuas qhov degree ntawm kev tawg ntawm lub ntuj tsuas yog tom qab yug me nyuam. Thaum yug me nyuam, muaj qhov txaus ntshai ntawm cov kua amniotic nkag mus rau hauv txoj hlab pa los ntawm qhov sib cais, yog li nws yog qhov zoo dua rau cov kws kho mob kom paub txog cov kab mob ua ntej.

Tom qab yug me nyuam, kws kho mob tshuaj xyuas, thiab qhov cleft pom ntawm qhov muag liab qab. Tsis tas li ntawd, lawv tshawb xyuas qhov hnov ​​​​lus, hnov ​​​​tsw, kuaj ntshav kom tsis txhob kis kab mob.

Kev kho mob niaj hnub

Ua ntej kev phais, tus me nyuam tau ua tib zoo tshuaj xyuas thiab npaj seb lawv yuav daws qhov teeb meem li cas. Muaj ntau txoj hauv kev, thiab lawv raug xaiv ib tus zuj zus rau txhua tus neeg mob me. Thaum lub sij hawm npaj, lawv kuj nrog ib tug kws kho mob, otolaryngologist, neurologist, maxillofacial kws phais, hais lus kho mob, orthodontist.

Kev kho phais ntawm qhov tsis tiav cleft palate yog hu ua uranoplasty. Nws yog nqa tawm thaum muaj hnub nyoog 2 xyoos. Cov txheej txheem no yuav pab tau yog tias lub puab tsaig ntawm lub puab tsaig tsis txawv txav, thiab qhov cleft tsis loj heev. Thaum lub sij hawm ua hauj lwm, lub palate yog lengthened rau tus me nyuam, cov leeg yog kev cob cog rua. Yog tias tsis muaj cov ntaub so ntswg hauv zos txaus, cov khoom ntxiv yog siv los ntawm lub puab tsaig thiab tus nplaig.

Yog hais tias lub puab tsaig yog nqaim thiab cov hniav tsis nyob rau hauv qhov tseeb, tus me nyuam yog thawj zaug kho los ntawm tus kws kho hniav. Kev ua haujlwm yuav ntau tom qab, txwv tsis pub txoj kev loj hlob ntawm lub puab tsaig tuaj yeem raug puas tsuaj. Feem ntau uranoplasty nyob rau hauv cov ntaub ntawv no yog nqa tawm ntawm 4-6 xyoo.

Kev tiv thaiv ntawm lub palate nyob rau hauv ib tug me nyuam nyob rau hauv tsev

Nws raug nquahu kom npaj cev xeeb tub. Tom qab ntawd tus poj niam yuav cia siab rau nws thiab nyob rau theem tseem ceeb tshaj plaws thaum ntxov nws yuav tsis txhob siv tshuaj lom, haus luam yeeb, cawv. Qhov no feem ntau tshwm sim yog tias tus poj niam tseem tsis tau paub txog kev xeeb tub.

Nws yog ib qho tseem ceeb uas yuav tsum tau noj cov vitamins raws li kws kho mob gynecologist, yuav tsum tau kuaj xyuas tsis tu ncua. Zam kom tsis txhob muaj neeg coob coob thiab hnav khaub ncaws sov so, vim tias thawj lub lim tiam ntawm niam txoj kev tiv thaiv yog qhov tsis zoo.

Nrov lus nug thiab lus teb

Tus kws kho menyuam yaus - tus kws kho mob tseem ceeb - tab tom ua haujlwm los daws qhov teeb meem ntawm lub qhov ncauj qhov ntswg nrog rau cov kws phais, kws kho hniav thiab lwm tus kws kho mob tshwj xeeb. Tus kws kho mob ua kom paub tseeb tias tus menyuam noj ib txwm noj, pab txo qis kev pheej hmoo ntawm kev kis kab mob, thiab muab lus qhia txog kev saib xyuas tus menyuam. Nyeem ntxiv txog kev kho cov me nyuam nrog cleft palate yuav qhia Pediatrician Daria Schukina.