Rurimi rwechimiro chinhu chinowanzojairika chokuti vanenge 5% vevana vanozvarwa vanozvarwa. Apo mwana ane ruzivo rwechimiro, frenulum kana chidimbu chemiviri inobatanidza rurimi kusvika pasi pemuromo ndeyepfupi, yakasimba, kana yakaoma. Inogona kunge yakabatana pedyo nepamusoro pomuromo wekuti rurimi rudzivise rurimi kuti rwusununguke rusununguko uye kuti rurege kupfutidza maronda emwana.
Rurimi runogona kutarisa nemoyo wakafanana kana mwana achingochema kana kuedza kuchikurira kunze. Izwi rechiremba rwemirimi-tie is ankyloglossia.
Kuyamwisa Mwana Nerimi-Kusunga
Mwana ane rurimi rurimi anogona kukwanisa kunyamwisa pasina matambudziko, kana kuti angasazokwanisa kunwisa pamuviri zvachose. Zvinonyanya kubva pamucheche uye kusimba kwemirimi-tete.
Vana vanoshandisa rurimi rwavo pavanenge vachivhara kusvika pazamu . Vanotambanudza rurimi rwavo kuti vatore mutsara uye mamwe emasopera ayo akapinda mumuromo wavo. Vanoshandisawo rurimi rwavo kuti vagadzire chisimbiso chakakomberedza chikwata. Asi, mwana ane ruzivo rwemiri anogona kunge asingakwanisi kuzarura muromo wake zvakakwana kuti avhare kusvika pazamu uye avhare chitubu chakanaka. Iko kusimba kworurimi kunogonawo kuchengetedza mwana kubva pakuita kuti kufamba kudikanwe kuomesa mazamu emukaka pasi pemukomana sezvaanenge achiyamwisa. Kubatanidzwa kwechirwere chakaipa uye kunetseka kunwisa kunogona kudzivirira mwana kubva pakubudirira kubvisa mukaka wemvere kubva pachipfuva .
Kunyatsoita Mutauro Kunogona Kuita Sei Vana
Rurimi rurimi runogona kuva nemigumisiro yakawanda pamucheche. Izvi zvinongova zvishomanana:
- Kunyangadza nekuchema: Kana mwana wako aine nzara nguva dzose uye akaora mwoyo, angave ane shungu uye achichema zvikuru. Anogonawo kunetseka kurara.
- Kuramba kwebonde: Vamwe vacheche vacharamba mazamu kana zvichishungurudza mukoti uye havasi kuwana mukaka wakakwana wemukaka.
- Kushaya uremu hunobatsira: Kana mwana wako asingakwanisi kuvhara uye kunyatsonyatsoomeswa, haazowanikwi mukaka wemukaka zvakakwana kuti uwedzere uye uwane uremu pamutengo usingagumi .
- Zvimwe nyaya: Sezvo mwana anokura frenulum shomanana anogona kukonzera matambudziko nekudya, kumedza, uye kutaura.
Rurimi-Tie naamai
Rurimi rurimi runogonawo kuva nemigumisiro yakaipa pamusoro paamai.
- Nora dzepora: Kana mwana wako achangoberekwa ari kungochera mutsara wako kana kuti ari kutsva kana kugunzva muto wako sezvaanenge achiedza kumwisa, zvinogona kutungamirira kumarwadzo, zvinokanganisa, zvinokanganisa mbiru .
- Zvinetso zvepamuviri zvinorwadza: Kana mwana asingakwanisi kunwisa zvakanaka, haagoni kubvisa mazamu emukaka wemvere. Kuvakwa kwemukaka wamazamu muzvipfuva kunogona kutungamirira kumucherera engorgement , kubudiswa mukaka , uye mastitis .
- Muchero wepamusoro wepamuti unopa: Chirwere chisina kuchena uye kusabviswa kwakakwana kwemukaka wamazamu kunogona kuderera nokukurumidza mukaka waamai.
- Kushungurudzika mupfungwa: Kubata zvinetso zvinogona kukonzera kushungurudzika nekushayikwa kwekuyamwisa kuvimba. Kana mwana wacho asina kuwana mukaka wakakwana, zvinogonawo kutyisa kana kukonzera kusuruvara uye kunzwa manzwiro.
- Kutanga kusvimha misoro: Inonwisa unyoro, mukaka wakafuridza mukaka , uye kusangana nemwana akaora mwoyo, ane nzara ari kuwedzera kuonda zvishoma zvishoma zvinogona kutungamirira kurira kwokutanga.
Zvaungaita Kana Mwana Wako Ane Rurimi
Kana iwe uchifunga kuti muduku wako ane rurimi rurimi, zivisa chiremba wake pakarepo. Ikukurumidza iwe unogona kuongororwa, iwe nokukurumidza iwe unogona kuwana rubatsiro rwaunoda kuti kuyamwisa kushande zviri nani iwe nevana vako.
Iva nechokwadi chekuti nzira yako yekuyamwisa yakarurama uye dzidza nezvezvaunogona kuita. Kurukurai zvinobudirira uye zvinotyisa zvekutsvaira neboka rehutano hwemwana wenyu.
Kana ukasarudza kurwisana nehutachiona, iwe unogona kuramba uchiyamwisa asi tora mwana wako kuti aongorore kuti ave nechokwadi kuti ari kuwana kuwanda uye kuwana mukaka wakakwana wemukaka. Iwe unofanirwa kupompa uye kupa mwana wako zvawakaratidza mukaka wechipfuva muhombodo sekuwedzera kana zvichidiwa.
Kana mwana wako ari kutambudzika kuvhara, taura nachiremba wako kana mubatsiri wea lactation nezvekushandisa nhovo yenguruve . Nhovo yenguruve inogona kuva yakakosha yekushandisa yekuyamwisa vana vanoomerwa kuvhara kusvika pachipfuva. Zvisinei, kana iwe ukasarudza kushandisa nhovo yenguruve, dzidza kuti ungashandisa sei zvakanaka, shfeka hukuru hwakakodzera, uye ushande pamwe nechiremba wako. Kana iwe usingazvichengetedze sezvinorayirwa, nhovo yengwe inogona kukonzera kunyange kunyanya kukurukura.
Kana zvipembenene zvako zvakanyanyisa kuyamwisa uye iwe unoda kuzorora kuti zvirape, pombi kuchengetedza mukaka wako wepese uchipa uye kupa mwana wako nemukaka wako wakaratidza mukaka mumubhodhoro. Kana kupiwa kwako kwemukaka wamazamu kuchiderera, tora matanho ekusimbisa chigadzirwa uye kuwedzera kupiwa kwako .
Ramba uchiona chiremba nguva dzese kuti uone utano hwemwana wako uye kuwedzerwa kwekurema.
Chii Chinonzi Frenotomy?
Chirwere chinonzi frenulotomy) chirwere chiduku kana chirongwa checheche ane rurimi-tie. Icho chiri nyore chinyorwa che frenulum pasi peurimi rwemwana wako. Chiremba anogona kushandisa anesthesia yemunharaunda, asi vana vakawanda vanozvarwa vanogona kuitakura pasina chero anesthesia. Inenge isingadi ropa, uye mashizha haawanzodiwi.
Kazhinji, kubvumira kunokurumidza, nyore, uye kwakachengeteka. Zvisinei, kune zvipingamupinyi pamitemo yose. Uye, kunyange zvazvo zvisingawanzoitiki, kufara kunogona kukonzera kurwadziwa, kubuda ropa, uye utachiona. Ndicho chikonzero nei zvakakosha kuti zviitike kuburikidza nemudzidzisi wehutano hwakadzidziswa. Kana chiremba wemwana wako asingaiti izvi, anogona kukupa zita rechiremba, vanachiremba wemazino, ENT, kana chiremba wechiremba wevana vanoita. Mumwe murayiridzi wea lactation kana boka rekunwisa mahara rinogona kukupawo ruzivo pamusoro pokuti ndiani angapinda kune chirwere ichi chiduku.
Unofanira Kuva Nemwana Wako Wechibereko Here?
Kana mwana wako achangoberekwa ane rurimi rwechimiro asi asina dambudziko rekuyamwisa, zvino frenotomy haifaniri kudiwa. Uye, kana rurimi rwemwana wako ruchiita unyoro, unogona kumirira uye kuona kuti anoita sei. Zvisinei, kana mwana wako ari kutambudzika kuvhara uye iwe uri kuona kuti haunzwisisi kunyatsoyamwisa, iwe unogona kufunga kuve nekuita izvi.
Kucheka kwemafrenulum akasimba kunobvumira rurimi rwemwana wako kutamira zvakasununguka uye kururudza muromo wake zvakakwana kuitira kuti aigona kuita latch yakanaka nechisimbiso chakanaka. Iwe uchakwanisa kuisa mwana wako pachipfuva pakarepo mushure mekuita, uye tarisiro, mwana wako achakwanisa kuvhara uye kuyamwisa zvakanaka pakarepo. Kana mwana wako achangoberekwa ari kuvhara pane zviri nani, achakwanisa kuwana mukaka wakawanda wemukaka, uye kunwisa kunofanira kuva nyore uye kunyatsogadzikana iwe mose.
Kunyange zvazvo kufungidzira kungave mhinduro kune vamwe vana, hazvigadzirise matambudziko ose okuyamwisa. Saka, pane nguva dzose mukana wako kuti mwana wako acharamba achiyamwisa zvinetso kunyange mushure mekuita. Zvisinei, kune vakaberekwa vakawanda uye amai, inogona kuita kuti kunyamwa kubudirire zvikuru uye kubatsire kupfuurira kwenguva yakareba.
Sources:
Academy ye Breastfeeding Medicine Clinical Protocol Committee. ABM kliniki protocol # 11: Mazano ekuongorora nekutarisa kweNeonatal Ankyloglossia uye Matambudziko ayo mu Breastfeeding Dyad. 2004. Yakabudiswa paIndaneti. Harisvikwaniki nekuda kwekupera.
Ballard JL, Auer CE, Khoury JC. Ankyloglossia: kuongorora, mitezo, uye chiitiko chefrenuloplasty pakuyamwisa dyad. Pediatrics. 2002 Nhamba 1; 110 (5): e63-e63.
Lawrence, Ruth A., MD, Lawrence, Robert M., MD. Kuberekwa Kutungamirirwa Kwechiremba Chiremba Eightth Edition. Elsevier Health Sciences. 2015.
Riordan, J., uye Wambach, K. Breastfeeding uye Human Lactation Fourth Edition. Jones naBartlett Kudzidza. 2014.
Segal LM, Stephenson R, Dawes M, Feldman P. Kuwanda, kuongororwa, uye kurapwa kwe ankyloglossia Methodologic kudzokorora. Canadian Family Physician. 2007 Jun 1; 53 (6): 1027-33.