Frenulotomy wata hanya ce da ake amfani da ita don gyara yanayin da yanayin da yake ciki wanda ya haɗu da ƙashin bakin bakin zuwa harshen ƙananan harshe) yayi takaitacciya, yana haifar da ƙuntataccen motsi (ankyloglossia). Wannan yanayin ana kiran shi ƙirar harshe . Kimanin 3 zuwa 5 daga 100 jarirai an haife su da harshen harshe na yawan mutane yana da wannan yanayin, amma ba kowa yana buƙatar frenulotomy ba.
Frenulotomy za a iya bada shawara idan yaron da ke da harshe yana da:
- wahalar ciyarwa da wadataccen nauyi
- matsalolin maganganu
- wahala a haɗiye
- rashin iya yin amfani da ƙuƙwalwar maɓuɓɓugar kofa
- wahala ta motsa harshen (gefe zuwa gefe, mai lakabi, ta rufin bakin)
- manyan matsaloli na hakori
Yaya An Yi Frenulotomy
Za a iya yin furuci a ofishin likita ba tare da buƙatar maganin rigakafi ga jariri a cikin shekaru 6 ba. Ga yara mafi girma daga wannan, an yi shi ne a kullum a cikin asibiti a cikin wani aikin aikin tiyata guda ɗaya. A shirye-shiryen hanya, jariri zai kasance cikin ciki da kuma waje da bakinsu da tsabtace tare da antiseptic da ake kira chlorhexidine. Ana amfani da ƙaddamarwa mai zurfi a cikin bakin don rage haushi.
Da zarar an tsabtace baki, za a yi amfani da manya na ƙwayar cuta a cikin harshen harshe (a ƙarƙashin harshen) da harshe don lalata yankin.
A manna zai zama abu kamar cakuda 2.5% lidocaine da 2.5% prilocaine. Bayan haka za ku sami jiragen mintina 5 don jin dadi na wucin gadi don aiki.
Da zarar rashin lafiyar yana aiki, yaro zai buƙata a kulle shi don rage haɗari ga kowane rikitarwa. Ana amfani da hanyoyi guda uku don tabbatar da yaronka yana da rauni sosai.
Za su iya zabar ko dai: swaddle, yi amfani da jirgi mai launi (jirgi tare da fuka-fuka shida da ke kunshe don yasa yaronka gaba ɗaya), ko burrito ko "superhero cape" (hanyar kunyewa da kuma kare hannayen yaro da takalma ).
Da zarar an hana shi, mai taimakawa zai rike da jariran ku har yanzu yayin da likitanku ya kwantar da harshen yaro tare da karfi ko da yatsunsu 2 daga hannunsu marasa rinjaye. Da zarar harshe ya dace da kyau don likitanku zai iya gani a sarari, za su yanke harshen da ke kusa da harshen. Dalilin da zasu sa su kusa da harshe fiye da kasa na bakinsu ne saboda jijiyoyin da jijiyoyin da ke ƙarƙashin gine-gizen da suka shafi kwakwalwa suna kusa da wannan wurin. An yanke katutu a layi daya zuwa harshen kuma babu sutures wajibi ne don warkaswa. Bayan bin hanya, an yi amfani da ɗan ƙaramin matsa lamba tare da gauze don rage girman zubar da zub da jini. Gurasar ba shi da wata ma'ana tare da frenulotomy.
Amfanin
Ɗaya daga cikin dalilai na yau da kullum don yin frenulotomy shine wahala da nono. Yarinka zai iya ci gaba da shan kwalban ko nono a yayin da ya gama aikin. Duk da haka, yaronka yana da matsala tare da nono a farko.
77 bisa dari na jarirai na da kyau tare da nono a cikin makonni 2 na yin frenulotomy. Har ila yau, jariran suna nuna darajar karuwar samun karuwar sakamakon karfin da zasu iya sha. Idan wannan aikin ya faru a baya a rayuwar ɗanku da maganganun maganganu, maganganun maganganu na iya zama wajibi don gyara maganganun maganganu.
Risks
Matsalolin sakamakon wannan aikin ba abu ne mai wuya ba, kuma yaronka bazai da wata damuwa. Risks sun hada da:
- zub da jini
- kamuwa da cuta
- ƙananan lalacewar ƙaddamarwa
Idan yaron yana da wuyar magana a gaban tiyata, tana iya buƙatar maganganun maganganun bayanan ya gyara maganganun maganganu.
Zaɓuka madadin
- Frenulectomy - musa cire harshe harshen
- Frenuloplasty ko "Z-plasty" - gyaran gyare-gyaren filastik idan an yi amfani da frenulotomy
Sources:
Cibiyar Nazarin Harkokin Otolaryngology ta Amirka - Hoto da Hoto. Fact Sheet: Tounge Tie.
Isaacson, GC (2016). Ankyloglossia (ƙugiya-harshe) a jarirai da yara.
Junqueira, MA, CUNHA, Costa e Silva, LL, Araujo, LB, Moretti, LBS, Couto Filho, CEG & Sakai, VT (2014). Hanyoyi na m don lura da ankyloglossia a cikin yara: jerin jinsin. J Magana Sci. 22 (3): 241-248. Doi: 10.1590 / 1678-775720130629
Miranda, BH & Milroy, CJ (2010). Kyakkyawan maciji - Nazarin tasiri game da tasiri na ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa a kan girma da kuma nono. Journal of Plastic. Reconstructive & Tsarin Jiki. 63 (9): e683-e685.
Sethi, N., Smith, D., Kortequee, S., Ward, VMM & Clarke, S. (2013). Amfanin frenulotomy a jarirai da ankyloglossia. Littafin Labaran Duniya na Pediatric Otorhinolaryngology, 77 (5): 762-765