Ukuhlwitha Kolwimi: Izimpawu, Izimbangela, Nokwelapha

Ukuhlwitha kolwimi yisimo lapho ingxenye encane yethishu engaphansi kolwimi lwakho iyingcosana imfishane noma iqine kakhulu kunokujwayelekile, okwenza kube nzima ukunyakaza kolwimi. Le tishu, ebizwa ngokuthi i-lingual frenulum, isebenza njengentambo engase ivinje ukunyakaza kolwimi okujwayelekile uma iqine kakhulu.

Nakuba kuzwakala kukhathazayo, ukuhlwitha kolwimi kuyinto evamile futhi kuchaphazela cishe abantwana abasha abangu-4-10%. Izindaba ezinhle ukuthi amacala amaningi azixazulula ngokwawo njengoba izingane zikhula, futhi uma ukwelashwa kudingeka, kuvame ukuba okulula futhi kuphumelela kakhulu.

Ziyini izimpawu zokuhwitha kolwimi?

Izimpawu zokuhwitha kolwimi zingase zihluke kakhulu kuye ngokuthi ukulinganiselwa kuqine kangakanani nobudala bakho. Kubantwana abasha nabasanda kuzalwa, ungase uqaphele ubunzima bokuthola ukudla, kuyilapho izingane ezindala nabantu abadala bangase babe nobunzima bokukhuluma noma ukudla.

Nawa amanye amaphuzu okuqaphela:

• Ubunzima bokuhlanza noma ukuncelisa ibhodlela - Ingane yakho ingase ibe nobunzima bokuhlanza kahle, ibonakale ikhathala ngokushesha ngesikhathi sokudla, noma ingakhuli njengoba kulindelekile
• Ukunyakaza kolwimi okubi - Ungase uqaphele ukuthi ingane yakho ayikwazi ukuphuma ngolwimi lwayo ngaphesheya kwezindebe zayo noma ukulihambisa eceleni kalula
• Ulukhuni lolwimi olufana nentliziyo - Uma ingane yakho izama ukuphuma ngolwimi lwayo, iphuzu lingase libonakale liqoshiwe noma lifana nentliziyo ngenxa yokuthi i-frenulum eqine ilidonsa
• Ubunzima bokukhuluma - Amazwi athile afana ne-“t,” “d,” “z,” “s,” “th,” “r,” ne-“l” kungase kube nzima kakhulu ukuwakhipha ngokucacile
• Ubunzima bokudla - Ubunzima bokuhlanza izindebe, ukuhlanza i-ayisikrimu, noma ukukoma ukudla okuthile okudinga ukunyakaza kolwimi

Kweminye imicimbi engavamile, ungase futhi uqaphele izikhala ezihlala zikhona phakathi kwamazinyo angaphambili angaphansi noma ubunzima bokudlala izitho zomculo zomoya. Lezi zimpawu azisho ukuthi ingane yakho izodinga ukwelashwa, kodwa kufanele uxoxe nodokotela wakho.

Ziyini izinhlobo zokuhwitha kolwimi?

Abahlinzeki bezempilo bavame ukuhlukanisa ukuhlwitha kolwimi ngokusekelwe lapho i-frenulum inamathela khona kolwimi nokuthi ivinja kangakanani ukunyakaza. Ukuqonda lezi zinhlobo kungakusiza ukuba uxoxe kangcono nesimo sakho nodokotela wakho.

Izinhlobo eziyinhloko zihlanganisa:

• Ukuhlwitha kolwimi kwangaphambili - I-frenulum inamathela eduze nephuzu lolwimi, okwenza kube uhlobo olucacile kakhulu futhi oluvame ukulinganiselwa kakhulu
• Ukuhlwitha kolwimi kwangemuva - I-frenulum inamathela ngemuva kolwimi futhi ingaba nzima noma ingabonakali, kodwa isengalima ukunyakaza kakhulu
• Ukuhlwitha kolwimi okuphelele - Isimo esingavamile lapho i-frenulum ihlala yonke indlela iye ephuzu lolwimi, ivinja kakhulu ukunyakaza konke
• Ukuhlwitha kolwimi okulinganiselwe - Uhlobo oluvamile kakhulu, lapho ukunyakaza kolwimi kungenzeka kodwa kusavinjwe ngokwanele ukubangela izimpawu

Udokotela wakho uzoqaphela hhayi nje uhlobo kodwa nokuthi ukulinganiselwa kuchaphazela kangakanani imisebenzi yansuku zonke efana nokudla, ukukhuluma, noma ukudla. Ukubaluleka kwezimpawu kubaluleke kakhulu kunohlobo oluthile uma kunqunywa ukwelashwa.

Yini ebangela ukuhlwitha kolwimi?

Ukuhlwitha kolwimi kuthuthukiswa ngesikhathi sokukhulelwa lapho i-frenulum ingaqhekeki kahle njengoba ingane yakho ikhula esizalweni. Lokhu kwenzeka ngesikhathi esithile phakathi nesonto lesi-6 nelesi-12 sokukhulelwa, futhi kuyinto ehlukahlukene ekuthuthukisweni okujwayelekile kunokuthile owakwenza noma awukwenzanga.

Isizathu esiqondile sokuthi lokhu kwenzeka asiqondwa ngokugcwele, kodwa ucwaningo lubonisa ukuthi izinto eziningi zingase zidlale indima. I-genetics ibonakala ibalulekile, njengoba ukuhlwitha kolwimi kuvame ukubaleka emindenini. Uma wena noma umlingani wakho une-tongue-tie, ingane yakho inenzuzo enkulu yokuba nayo futhi.

Ezinye izifundo zibonisa ukuthi ukuguquguquka okuthile kwe-genetic kungase kuchaphazele indlela i-connective tissues ethuthuka ngayo, okwenza ukuhlwitha kolwimi kube lula. Noma kunjalo, kwizimo eziningi, ukuhlwitha kolwimi kwenzeka ngaphandle komlando ocacile womndeni noma isizathu esiqondiwe.

Kubalulekile ukuqonda ukuthi ukuhlwitha kolwimi akubangelwa yilutho owalwenza ngesikhathi sokukhulelwa. Izinto ezifana nokudla kwakho, amazinga engcindezi, noma imisebenzi azichaphazeli ukuthi ingane yakho ithuthukisa yini lesi simo. Kuyinto nje enye yalezo zinto ezihlukahlukene zokuthuthuka ezingase zenzeke ngesikhathi sokukhula kwesilwane esisanda kuzalwa.

Nini okumele ubona udokotela ngokuhwitha kolwimi?

Kufanele ucabange ukuthintana nomhlinzeki wezempilo uma uqaphela ubunzima bokuthola ukudla kwingane yakho noma ubunzima bokukhuluma kwingane yakho endala. Ukubheka kusenesikhathi kungasiza ekuqondeni ukuthi ukuhlwitha kolwimi kuchaphazela yini ukuthuthuka kwingane yakho kanye nekhwalithi yempilo.

Kubantwana abasha, hlela i-aphoyintimenti uma ingane yakho inenkinga yokuhlanza ngesikhathi sokuncibisa, ibonakale ikhathala ngokushesha ngesikhathi sokudla, noma ayikhuli njengoba kulindelekile. Ungase futhi uqaphele imisindo yokuqhafaza ngesikhathi sokuncibisa noma ukuthi ingane yakho iyalala njalo ngesikhathi izama ukudla.

Kwizingane ezindala, cabanga ngokubonisana uma ingane yakho inenkinga yokukhuluma ehlala njalo, ikakhulukazi ngezwi elidinga ukunyakaza kolwimi. Ubunzima bokudla ukudla okuthile, izinkinga zokuhlanzeka komlomo, noma ukukhathazeka komphakathi ngokukhuluma kungase futhi kudinge ukubhekisiswa kochwepheshe.

Ungakhathazeki ngokufuna usizo ngokushesha kakhulu. Odokotela bezingane, abaqeqeshwe ngokuncibisa, nabachwepheshe bokukhuluma banolwazi lokuhlola ukuhlwitha kolwimi futhi bangakunikeza isiqondiso ngisho noma ukwelashwa kungadingeki ngokushesha. Bangakusiza futhi ukuthi uqonde ukuthi yini okumele uyibheke njengoba ingane yakho ikhula.

Ziyini izinto ezingase zikhulise amathuba okuba nokuhlwitha kolwimi?

Izinto eziningi zingase zikhulise amathuba okuba nokuhlwitha kolwimi, nakuba ukuba nalezi zinto ezingase zikhulise amathuba akukwazi ukuqinisekisa ukuthi ingane yakho izoba nalesi simo. Ukuqonda lokhu kungakusiza ukwazi ukuthi yini okumele uyibheke.

Izinto eziyinhloko ezingase zikhulise amathuba zihlanganisa:

• Umlando womndeni - Uma wena, umlingani wakho, noma amanye amalungu omndeni enokuhlwitha kolwimi, ingane yakho inenzuzo enkulu yokuba nayo futhi
• Ukuba owesilisa - Abasilisa banethuba elingaphezu kwesithathu lokuba nokuhlwitha kolwimi kunabesifazane, nakuba isizathu salokhu singaqondwa ngokugcwele
• Izimo ezithile ze-genetic - Izimo ezingavamile ezifana ne-Ehlers-Danlos syndrome noma i-Pierre Robin sequence zingase zikhulise amathuba
• Ukulinganiselwa komlomo okunye - Izingane ezine-lip-tie noma ukulinganiselwa kwezinye izicubu zomlomo zingase futhi zibe nokuhlwitha kolwimi

Ucwaningo oluthile lubonisa ukuthi ubudala obukhulu bomama bungase buhambisane namanani aphezulu kancane, kodwa lobu buxhumano abuboniswa ngokucacile. Ngokufanayo, izizwe ezithile zingase zibe namanani ahlukene okuhlwitha kolwimi, kodwa ukwahlukahluka komuntu siqu kubalulekile.

Khumbula ukuthi izingane eziningi ezinazo lezi zinto ezingase zikhulise amathuba azithuthukisi ukuhlwitha kolwimi, kuyilapho ezinye ezingenazo izinto ezingase zikhulise amathuba ezithuthukisa. Lezi zinto zisiza nje abahlinzeki bezempilo ukwazi ukuthi yini okumele bayibheke ngesikhathi sokuhlolwa okujwayelekile.

Ziyini izinkinga ezingase zenzeke ngenxa yokuhwitha kolwimi?

Nakuba abantu abaningi abane-tongue-tie ephansi baphila impilo evamile ngaphandle kokwelashwa, amacala aqine kakhulu angase abangele izinkinga ezichaphazela imisebenzi yansuku zonke kanye nokuthuthuka. Ukuqonda lezi zinkinga ezingase zenzeke kungakusiza ukwenza izinqumo ezilwemi ngokwelashwa.

Izinkinga ezivamile kakhulu ongahlangana nazo zihlanganisa:

• Izinkinga zokudla ebuntwaneni - Ukukhula okubi, isikhathi eside sokudla, nobuhlungu bomama besifuba ngesikhathi sokuncibisa
• Ukulibaziseka ekuthuthukiseni inkulumo - Ubunzima ngezwi elithile elingase lichaphazele ukuxhumana nokuthembela
• Izinselele zokuhlanzeka komlomo - Ubunzima bokuhlanza amazinyo kahle, okungase kube yimbangela yezinkinga zamagciwane noma umoya omubi
• Ukulinganiselwa kokudla - Ubunzima ngokudla okudinga ukusetshenziswa kolwimi, okungase kuchaphazele ukudla
• Ukukhathazeka komphakathi - Ukungazethembi ngokukhuluma noma ukwahluka kokudla, ikakhulukazi ezinganeni ezikhulu

Kweminye imicimbi engavamile, ukuhlwitha kolwimi okungaphathwe kungase kuhlanganyele ezinkingeni zokwahlukaniswa kwamazinyo noma izinkinga zokuthuthuka kwama-jaw. Abantu abadala abanye babika ubunzima ngemisebenzi yokuqabulana noma ukudlala izitho ezithile zomculo.

Izindaba ezinhle ukuthi lezi zinkinga zivame ukunqatshelwa noma ukwelashwa. Eziningi zixazulula ngokuphelele ngokusebenzisana okufanele, futhi ukwelashwa kusenesikhathi, imiphumela ivela kangcono.

Ukuhlwitha kolwimi kunqunywa kanjani?

Ukuqonda ukuhlwitha kolwimi kuvame ukubandakanya ukuhlolwa komzimba okulula lapho umhlinzeki wezempilo wakho ebheka ukubonakala kolwimi lwakho futhi ahlole ubunzima bakho bokuhambisa. Inqubo ishesha, ayibuhlungu, futhi ingase yenziwe ngesikhathi sokuhlolwa okujwayelekile.

Udokotela wakho uzoqala ngokuhlola ukuthi ulwimi lwakho lubukeka kanjani uma uliphethe, uhlole izimpawu ezifana nephuzu elifana nentliziyo noma ukunyakaza okulinganiselwe. Bazohlola futhi ukuthi ukwazi kangakanani ukuhambisa ulwimi lwakho eceleni, phezulu ngasemahlombe omkhulu, nokuthi ungalwandisa kangakanani ngaphesheya kwezindebe zakho.

Kubantwana abasha, umhlinzeki angase aqaphele imikhuba yokudla futhi ahlole ukuthi ingane ikwazi kangakanani ukuhlanza nokudla. Bangase futhi baphakamise ulwimi ngobumnene ukuhlola i-frenulum ngokuqondile futhi bahlole ubukhulu nokuhlanganiswa kwayo.

Kweminye imicimbi, udokotela wakho angase asebenzise ithuluzi lokulinganisa elilinganiselwe elilinganisa izici ezahlukene zomsebenzi wolwimi. Lokhu kusiza ekuqondeni ukubaluleka nokukelashwa kungaba usizo. Akukho zihloko ezikhethekile noma izithombe ezivame ukudingeka ukuze kunqunywe.

Ukuphathwa kokuhwitha kolwimi kuyini?

Ukuphathwa kokuhwitha kolwimi kuya kusuka ekuqapheleni okulula kuya ekuhlinzweni okuncane, kuye ngokuthi lesi simo sithinta kangakanani impilo yakho yansuku zonke. Izindaba ezinhle ukuthi uma ukwelashwa kudingeka, kuvame ukuba okulula ngemiphumela emihle.

Umhlinzeki wezempilo wakho angase ancomele izindlela eziningi:

• Ukulinda - Kwizimo ezilula, ikakhulukazi ezinganeni ezincane, njengoba eziningi ziyathuthuka ngokwemvelo ngokukhula nokuthuthuka
• Frenotomy - Inqubo elula lapho i-frenulum isikwa ngesikelo noma i-laser, evame ukwenziwa ehhovisi lodokotela
• Frenuloplasty - Inqubo yokwelapha eyinkimbinkimbi kakhulu ye-frenulums ezinzima ebandakanya ukususa ithishu futhi ngezinye izikhathi izintambo
• Ukwelashwa kokukhuluma - Ukuzivocavoca ukuthuthukisa ukunyakaza kolwimi nokucaceka kokukhuluma, okuvame ukusetshenziswa kanye noma ngemuva kokwelashwa okuhlinzayo

Kubantwana abasha abanezinkinga zokudla, ukwelashwa kuvame ukunconywa ngokushesha kunokubambezeleka. Lezi zinqubo zivame ukuba ishesha, i-frenotomy ithatha imizuzwana embalwa futhi ibangela ubuhlungu obuncane.

Udokotela wakho uzokusiza ukulinganisa izinzuzo nezingozi ngokusekelwe esimweni sakho esithile. Abantu abaningi baye baba nethuthukiso elikhulu lezimpawu ngemuva kokwelashwa okufanele.

Indlela yokuphatha ukuhlwitha kolwimi ekhaya?

Nakuba ukuphathwa ekhaya kungenakulula ukuhlwitha kolwimi, kunezinto eziningi ongazenza ukusiza ukunciphisa izimpawu nokusekela ukuthuthuka kwingane yakho. Lezi zindlela zisebenza kangcono uma zihlanganiswa nesiqondiso sochwepheshe ovela kumhlinzeki wezempilo wakho.

Ngezinselele zokudla kubantwana abasha, zama izikhundla ezahlukene zokuncibisa ezingase zenze kube lula ukuhlanza, njengokuhlanza ibhola noma ukuncibisa ngokukhululeka. Ungase futhi usebenze nomqeqeshi wokuncibisa ongancoma amasu athile esimweni sakho.

Ukuzivocavoca kokukhuluma kungaba usizo ezinganeni ezindala, nakuba lokhu kufanele kuqondiswe uchwepheshe wokukhuluma. Imisebenzi elula efana nokuthi ingane yakho izame ukuphuma ngolwimi lwayo, ukulihambisa eceleni, noma ukuzama ukuthinta izindebe zayo ngephuzu lolwimi lwayo ingasiza ekuthuthukiseni ukunyakaza.

Ukuhlanza kahle komlomo kuba yinto ebalulekile ngokukhethekile ngokuhlwitha kolwimi. Siza ingane yakho ukuthi ihlambulule kahle, ikhokhele ukunaka izindawo ezingase kube nzima ukuzifinyelela. Ukuhlola amazinyo okujwayelekile kungasiza ekuqapheleni noma yiziphi izinkinga ezithuthukayo kusenesikhathi.

Khumbula ukuthi ukuphathwa ekhaya kuyisisekelo sokunakekela kunokwelashwa. Uma izimpawu zichaphazela kakhulu ukudla, ukukhuluma, noma ikhwalithi yempilo, ukwelashwa kochwepheshe kuvame ukuba yisixazululo esiphumelelayo kakhulu.

Kufanele ulungiselele kanjani i-aphoyintimenti yakho nodokotela?

Ukulungiselela ukubonisana kwakho ngokuhlwitha kolwimi kungakusiza ukwenza kakhulu i-aphoyintimenti yakho futhi kuqinisekise ukuthi umhlinzeki wezempilo wakho uneyonke imininingwane abayidingayo. Ukuzilungiselela kancane kuhamba ibanga elide ekutholeni ukunakekelwa okuhle kakhulu.

Ngaphambi kokuya kwakho, bhala izimpawu noma ukukhathazeka okuqondile oqaphele. Kubantwana abasha, qaphela izindlela zokudla, ukukhula, nanoma yiziphi izinkinga ngesikhathi sokuncibisa noma ukuncelisa ibhodlela. Kwizingane ezindala, bhala izinkinga zokukhuluma, ubunzima bokudla, noma ukukhathazeka komphakathi.

Letha noma yimuphi umlando womndeni ofanele, kufaka phakathi ukuthi wena noma umlingani wakho une-tongue-tie noma ukulibaziseka kokukhuluma. Uma uzama noma yiziphi izindlela zokwelapha njengokwelashwa kokukhuluma noma amasu okudla, bhala lokho okuye wakuzama nokuthi kusebenze kangakanani.

Lungiselela imibuzo mayelana nezindlela zokwelapha, isikhathi sokuphulukisa, nokuthi yini okulindelekile uma kuqondiswa ukuhlinzwa. Ungangabazi ukubuza ngolwazi lomhlinzeki ngezinqubo zokuhwitha kolwimi kanye nemiphumela evamile.

Kubantwana abasha, zama ukuhlela i-aphoyintimenti lapho ingane yakho ingalambi kakhulu noma ikhathele, njengoba udokotela angase afune ukuqaphela ukudla noma ukuhlola umlomo lapho ingane yakho izola.

Iyini into ebaluleke kakhulu mayelana nokuhlwitha kolwimi?

Into ebaluleke kakhulu okumele uyikhumbule ngokuhlwitha kolwimi ukuthi kuyisimo esivamile, esingaphathwa esingadingi ukulinganiselwa ekuthuthukiseni ingane yakho noma ezingeni lempilo. Nakuba kungabangela izinselele zangempela ngokudla, ukukhuluma, noma ukudla, ukwelashwa okuphumelelayo kuyatholakala uma kudingeka.

Amacala amaningi okuhlwitha kolwimi alula futhi angase athuthuke ngokwemvelo njengoba izingane zikhula. Kulabo abadinga ukusebenzisana, izinqubo ezilula zingase zinikeze ukuthuthuka okukhulu ngengozi encane noma ubuhlungu.

Themba izinzwa zakho uma uqaphela ubunzima bokudla kwingane yakho encane noma ubunzima bokukhuluma kwingane yakho endala. Ukubheka kusenesikhathi nokwelashwa, uma kufanele, kuvame ukuletha imiphumela emihle kakhulu futhi kungavimbela izinkinga ezinkulu ngokuhamba kwesikhathi.

Khumbula ukuthi ukuba nokuhlwitha kolwimi akubonisi ukukhulelwa kwakho noma noma yini owenzile ngesikhathi sokukhulelwa. Kuyinto nje ehlukahlukene yethuthukiso elingaphathwa ngempumelelo ukuze kusize ingane yakho ikhule.

Imibuzo evamile ebuzwa mayelana nokuhlwitha kolwimi

M1. Ingabe ulwimi lwezingane zami luzophulukana ngokwalo?

Amacala amaningi okuhlwitha kolwimi oluphansi ayathuthuka ngokwemvelo njengoba izingane zikhula futhi imilomo yazo ithuthuka. I-frenulum ingase isikwe futhi ibe nokuqina okukhulu ngokuhamba kwesikhathi, futhi izingane zivame ukuthuthukisa ukunyakaza okuhlanganisa okuzisiza ukusebenza ngokujwayelekile. Noma kunjalo, ukulinganiselwa okukhulu kuvame ukungaxazululi ngaphandle kokwelashwa, ikakhulukazi uma kubangela ukudla noma izinkinga zokukhuluma eziqhubekayo.

M2. Ingabe ukuhlinzwa kokuhwitha kolwimi kubangela ubuhlungu kubantwana abasha?

Inqubo ye-frenotomy ngokwayo ivame ukuba ishesha kakhulu futhi ibangela ubuhlungu obuncane kubantwana abasha. Abantwana abaningi bakhala okwesikhashana ngesikhathi senqubo kodwa bahlala phansi ngokushesha ngemuva kwalokho. Ukukhathazeka okuncane usuku noma amabili kuyinto evamile, kodwa abantwana bavame ukubuyela ekudleni okujwayelekile ngaphakathi kwamahora ambalwa. Udokotela wakho angase ancome ukunciphisa ubuhlungu bezingane uma kudingeka, kodwa abantwana abaningi abadingi ukuphathwa ubuhlungu.

M3. Ingabe ukuhlwitha kolwimi kungase kuchaphazele amazinyo engane yami?

Ukuhlwitha kolwimi kungase kuhlanganyele ezinkingeni zamagciwane, ikakhulukazi izinkinga zokwahlukaniswa phakathi kwamazinyo angaphambili angaphansi. Ukunyakaza kolwimi okulinganiselwe kungase futhi kwenze kube nzima ukuhlanza amazinyo kahle, okungase kube yimbangela yokubola noma izinkinga zamagciwane. Noma kunjalo, ngokuhlanzeka komlomo okuhle nokuphathwa okufanele uma kudingeka, izinkinga eziningi zamagciwane zingavikeleka noma ziphathwe kahle.

M4. Isikhathi eside kangakanani sokuphulukisa ngemuva kokuhlinzwa kokuhwitha kolwimi?

Ukuphulukisa kusuka e-frenotomy kuvame ukuba ishesha kakhulu, ngabantu abaningi ababuyela emisebenzini yabo evamile ngaphakathi kosuku noma amabili. Kubantwana abasha, ukudla kuvame ukuthuthuka ngaphakathi kwamahora kuya ezinsukwini ngemuva kwenqubo. Ukuthuthuka kokukhuluma ezinganeni ezindala kungase kuthathe amasonto ambalwa kuya ezinyangeni, ikakhulukazi uma ukwelashwa kokukhuluma kudingeka futhi. Ukuzivocavoca okuqhubekayo kuvame ukunconywa ukuvimbela ithishu ukubopha kabusha.

M5. Ingabe abantu abadala bangase benze ukuhlinzwa kokuhwitha kolwimi?

Yebo, abantu abadala bangase benze ukuhlinzwa kokuhwitha kolwimi uma lesi simo sithinta ukukhuluma kwabo, ukudla, noma ikhwalithi yempilo. Nakuba inqubo ingase ibe yinkimbinkimbi kancane kubantu abadala ngenxa yezicubu ezinzima, isavame ukwenziwa njengenqubo yokuhlala ngaphandle kwegumbi lokuhlinzwa ngemiphumela emihle. Abantu abadala abaningi babika ukuthuthuka okukhulu ekucacekeni kokukhuluma nasekunethezekeni kokudla ngemuva kokwelashwa.