Cleft or notch is a gap or fission in the upper lip or roof of the mouth (palate), or the two together in some cases. It happens when they do not coalesce into separate areas of the face with each other properly when created by the child during the pregnancy period.
It is known that the face and upper lip Atakleghan during the fifth to the ninth week of pregnancy. It can most facial crevices problems examination revealed graphic routine in the twentieth week or immediately after birth. However, the slit or facial cleft disappeared submucosa, may not be detected for months or even years, because the notch disappears into the roof of the mouth lining.
It can lead to problems notch in nutrition, speech and hearing, and to ear infections, tooth decay, problems with jaw growth, and to the psychological and social problems.
It can lead to problems notch in nutrition, speech and hearing, and to ear infections, tooth decay, problems with jaw growth, and to the psychological and social problems.
What causes cleft lip and cleft palate
Still the exact cause of the cracks or Filouh facial is not known, although the evidence suggests that it was caused by a combination of genetics and environmental factors, such as smoking and drinking alcohol at an early stage of pregnancy, lack of folic acid in the diet of the mother. Lip Fissure
Can occur cleft lip (cleft lip) and cleft palate without other abnormalities, can also be part of a wide range of birth defects (syndrome) sometimes.
Who suffers from this condition
The cleft lip and cleft palate the most common congenital defect in the face in some countries; In Angeltra for example, generates one out of every 700 children in this situation. But, it can vary the type and severity notch widely among children.
It generates nearly half of children with this condition cleft lip and palate, and a third Bhnk slotted only, and ten percent of them cleft lip or just hard-submucosa.
Cleft lip be (palate) or cleft lip and cleft palate together are more common in boys; but cleft palate itself is more common in girls.
And the consequences of treatment
Surgery is the usual treatment for cleft lip and cleft palate, with good results. After treatment, most children have a natural look and talk normally, with minimal scarring. Treatment
To be a long-term care plan usually carried out by a team of specialists cracks facial to help children who are born with it. This requires ongoing treatment often, or follow-up may last for up to 20 years.
Symptoms of cleft lip and cleft palate
There are two types of cleft lip: cleft lip and palate Dome
Single slit side, where an incision in one side of the lip happen.
Dual-slot side, where the incision on both sides of the lip occurs.
Could be the appearance of cleft lip uneven, ranging from a small notch in the lip (cleft incomplete) to the existence of a wide gap extends for up to one nostrils (cleft lip full).
The appearance of cleft palate may range from a hole in the back of the soft palate to the throat, and even complete separation almost to the roof of the mouth.
In addition to the impact of cleft lip and cleft palate in appearance, it can cause symptoms associated with them as well, and that's what we'll show it later.
Palate cleft palate in Alkhvishq
You see a cleft lip and cleft palate at birth. But, there is a kind of so-called cleft palate cleft palate submucosa, it can be hidden under the roof of the mouth lining.
Therefore, you should check with your doctor when you have the following symptoms:
Milk out of the nose often when the baby's nutrition. Inability to sucking by sucking or hood.
Tune my nose to talk (twang).
These symptoms may indicate submucosal cleft palate.
The causes of cleft lip and cleft palate
Cleft lip or cleft palate occurs when the structures that form the palate, or the upper lip in the docking with each other properly fail, during create the embryo in the womb of the mother.
The exact cause is not known in most cases, but it is believed that a combination of genetic factors (internal) and environmental factors (external).
Inherited genes
Research indicates that the genes inherited by a child from his parents make him more susceptible to cleft lip or cleft palate. It has been possible to identify a number of genes that may be responsible for it.
In some cases, there is a family history of facial fractures, despite the fact that most of the children of parents do not get it.
Environmental risk factors
You could identify a number of factors that may increase the likelihood that a child born cleft lip or palate; They are as follows:
Lack of folic acid during pregnancy
All pregnant women are advised to take a daily complement of folic acid during the first four months of pregnancy; folic acid helps to reduce the risk of birth defects from occurring. One study found that the risk of having a child with cleft lip or palate was higher by more than four times if the mothers did not deal with folic acid in the first three months of pregnancy.
Smoking
A mother who smoked during pregnancy are more likely to give birth to her child infected hard my face. But the risks from passive smoking are not well known; however, it is useful to avoid breathing the presence of high levels of secondhand smoke.
- Alcohol
Some studies have shown an association between maternal consumption of alcohol during pregnancy and the emergence of cleft lip or cleft palate in children.
- Obesity and Nutrition
Mothers who suffer from obesity have more likely to give birth to children with facial Bhqouk. Malnutrition during pregnancy can increase the risk.
- Medicines during pregnancy
It has been suggested that some of the drugs taken during pregnancy may increase the risk of cleft lip and cleft palate. These medications include:
Methotrexate, a drug used to treat cancer, arthritis and psoriasis.
Isotretinoin, a drug used to treat acne (acne).
Antiepileptic medicines.
Therefore, women should talk to her doctor or midwife if you feel concerned about take any medication during pregnancy.
Pierre Robin Syndrome
Pierre Robin syndrome is a rare case where a child is born unzip a small basement abnormally, leading to a rebound of the tongue to the back of the throat (glossoptosis). This is what can lead to blockage and breathing difficulties.
In most children with Pierre Robin syndrome, there is a palate as well.
It can be repaired with surgery incision usually, although treatment can be delayed if there are continuing problems with airway obstruction; Valvk bottom could regain some growth later in the habit, and can help orthodontic treatment more correct occlusion of teeth.
Diagnosis of cleft lip and cleft palate
It can detect cracks in embryos before birth examination routine ultrasound before the twentieth week of childbirth often.
If the cleft lip and did not reveal cleft palate during the imaging examination, they are diagnosed with the immediately after birth almost always. However, some cracks - such as cleft palate may not reveal the submucosa, where the notch disappears into the roof of the mouth lining - for several months or even years, and that's when the problems appear to speak.
Bhqouk facial specialist team
Once the diagnosis is being slit, the mother and her child is referred to a specialist team cracks facial. It could also being arranged with a nurse specialist had the aim of helping to feed and to answer any questions you have. You will nurse specialized in coordination with other professionals involved in health care to child care.
Treatment of cleft lip and cleft palate
The term cleft or notch here refers to a cleft lip or cleft palate or cleft lip and cleft palate together. But, it referred to as certain types of facial cracks on its behalf when necessary.
Team Alamaaljhalaj prosthetic device to divide lip and palate
Treat part of the professionals in the health care team of different specialist backgrounds consists working closely together. And this team includes:
Nurse Specialist in the cracks provide initial advice on nutrition, is like to be the first point of communication.
Surgeon who will face cracks reform notch.
Pediatrician, a doctor who specializes in treating children.
Audiologist and surgeon ear, nose and throat, which will evaluate and treat hearing problems.
Specialist speech therapy, which evaluates the speech problems and treatment.
Children's dentist, who will help to prevent tooth decay.
Specialist orthodontist, a specialist in the emergence of the teeth and jaw, and the orthodontic brackets.
Specialist restorative dentistry, a specialist in missing teeth compensation.
psychiatrist.
The timetable for the plan of care
Most of the children, who suffer from facial cracks receives, the same kind of care designed in particular plan to meet their individual needs. What follows is a description of a typical schedule of a plan of care:
From birth to 6 weeks: Advice for parents and hearing test and evaluation of nutrition.
3 months: surgery to repair the cleft lip (cleft lip).
6-12 months: surgery to repair the cleft palate.
18 months: Evaluation of pronunciation.
3 years: evaluation of pronunciation.
5 years: evaluation of pronunciation.
8-11 years: bone graft incision in the gum area.
11-15 years: addressing calendar and monitor the growth of the jaw.
18 years and beyond: If necessary, jaw surgery, and surgery of the nose and the modified lip, and a final compensation for any missing teeth.
Once you have a primary care plan, there will be scheduling a visit periodically to the child, so that they can monitor his condition closely; it can deal with any problems as well.
We must monitor the results of treatment with the passage of time, in the basic stages of growth in the age of ten and fifteen and twenty years.
nutrition
If a child's incision, you'll need to assess the nutrition, so that they can solve their problems; many children with cleft Balhnk have problems with breastfeeding because of the gap in the roof of the mouth.
If the child is having difficulty feeding, it can nurse Almokhtssh provide advice on nutrition and alternative solutions. Some children and responds to some alternative methods of nutrition are better than others.
A good solution, for some women, the era of breast milk, and the use of a flexible bottle made especially for feed.
Restoration of lip surgery
Lip repair surgery is usually performed when the child is three months old; where it is undergoing general anesthesia (be unconscious), and being repaired cleft lip carefully, including the muscles of the hand. The formation of the nose also be at the same time usually.
The process usually takes about an hour, although it can take longer if the incision is severe. The surgery left a scar is usually simple, but the surgeon is trying to make the scar harmonious natural lines of the lip with less visible to make it.
Palate repair surgery
Palate repair surgery is usually performed when the child is six months old. And re-arranging the muscles lining the throat, with no need for additional tissue to complete the process normally.
The process takes about an hour and a half normally, and be under general anesthesia.
Additional surgery
In some cases, there may be a need for additional surgery to improve the appearance and function of the lips and mouth; For example, if there is an incision in the gum, the surgeon will perform a bone grafting process when the child is 9-12 years old. If the jaws did not sleep evenly, it can be corrected by orthodontics and jaw surgery at the end of the period of growth, which is almost 18 years old.
Hearing
Children with cleft Balhnk be more susceptible to a condition called glue ear (secretory otitis media). Therefore, if the hearing decreased significantly, the ear, nose and throat surgeon recommends the introduction of a small plastic tube called a grommet (ventilation tube) in the eardrum. This allows the exit of sticky secretions, and allows air to enter. In some cases, it may be recommended Bmqoaat hearing.
The audiologist evaluates the child heard at birth, as the hearing is being evaluated again after the child undergo reconstructive surgery; then he heard the child being evaluated regularly during subsequent appointments in outpatient clinics.
Speech therapy and speech
Repairing cleft palate leads to a significant reduction in the likelihood of future problems in pronunciation. However, nearly half of the children who underwent repair of cleft palate remain in need of some form of speech therapy. There may be a need for further surgery corrective small number of children who have an increased flow of air through their noses when they speak.
The specialist speech therapy to conduct a preliminary assessment after surgery, followed by another assessment of when a child becomes three years old. If the evaluation showed problems in the child's pronunciation and use of the language, the specialist speech therapy is to teach him to pronounce exercises to help its development. It can also be a number of specialist individual exercises with the child only. Children do not need, who are born only a cracked lip, further treatment usually.
Specialist speech therapy works with the child as long as he needed to help. Not be needed treatment after the age of seven normally, despite the fact that surveys specialist may be necessary.
Dental care
When notch includes gum area, it is common to be slanted teeth in one or both sides of the incision beyond the place. In many cases, it may be a missing tooth, or there may be excessive age. Therefore, the children's dentist to monitor the health of baby teeth, and recommend treatment when necessary. It is also important that their parents register the child when the family dentist.
There may also be a need for orthodontic treatment, which helps to improve the harmonization and alignment and the emergence of teeth. The treatment can include the use of braces or other devices to the teeth to help orthodontics. Orthodontic treatment also monitors the development of the jaws and occlusion during growth.
Children who suffer from cleft me they are more prone to tooth decay, so it is important to encourage them to Alaanina oral hygiene.
Problems related to cleft lip and cleft palate
It could be the birth of a child with hard my face profound psychological effect on both the parent and the child.
It is common for parents to feel guilty or angry or trauma, disability or disappointment.
Therefore, it is important to realize that - in most cases - can not prevent a notch, and can not blame the parents. Some parents may worry that they will not be able to strengthen the link with the child who has a slit my face, but there is no evidence that this will happen.
Care team will cracks facial support parents through the difficult times that can follow the birth of a child and hard-Haa. Therefore, we must seize the parents the opportunity to express any worries or concerns they may have, and to ask the questions that comes to their mind.
Some parents find that learning what can be learned about the situation helps them to deal with the situation better. Therefore, talk to other parents with similar circumstances can also help to reduce feelings of anxiety and isolation.
The psychological impact on children
It can also be to divide the psychological impact on the child, particularly with adulthood and start mixing with other children.
Therefore, experts advise to explain the situation to the child when he grows up and becomes able to understand; with dealing with this situation as a topic for discussion naturally. The clinical psychiatrist in the team will be able to provide more support in this matter.
It is better to be realistic about the expected duration of the treatment, which may require the child, and potential consequences; the cure of this lasts for up to 20 years, usually for most children with facial cracks. Although this can be troublesome, but give the child false hope and expectations illogical can be more damaging in the long term.
Parents could help to enhance the independence of the child as well, by involving them in decision-making about the handling and life in general process.
If parents are concerned about the social and psychological development of the child, you can talk to a specialist nurse. It can be arranged for evaluation and any necessary advice or support.
Feeding problems
Children who suffer from cleft my face may face, problems in feeding, especially if the incision includes the palate, as the child may not be capable of sucking enough. However, you can quickly help consolidate nutrition Typically, using a special bottle sometimes.
Hearing
Often appears in children with cleft Balhnk condition called glue ear (secretory otitis media), where they accumulate viscous fluids in the middle ear behind the eardrum. This may reduce the level of hearing, and can cause ear infections sometimes. Therefore, it is important to follow up all children with cleft Balhnk in terms of checking their ears and hearing regularly by audiologist.
Problems with speech and language
The roof of the mouth (palate) an important role in helping the child to form sounds of speech. If you have not been repairing cleft palate surgery, it will lead to problems in speech when a child grows up in a lifetime. In doing so, we must reform cleft palate thoroughly before the start of the evolution of speech; in many cases, to speak at a normal child becomes.
About half of children with cleft Balhnk needs treatment to repair the pronunciation; and a few of them may need further surgery. And watching specialist speech therapy and language development of the child with the words of the passage of time.
Teeth health
It can cause cleft lip (cleft lip) and cleft palate changes in the structure of the mouth, and lead to the emergence of problems in the teeth, which makes children more prone to tooth decay. Therefore, it is important that the child is subject to the examination of his teeth regularly.
- tooth decay
The children who suffer from facial cracks more prone to tooth decay. This is partly due to the confluence of the teeth, making it more difficult to keep clean. Subsequent tips may help reduce the risk of injury to a child tooth decay.
The child should be subject to the examination of dental visits at least once every six months.
You should encourage the child to clean his teeth after every main meal. And when he is in school, it can be a small tube of brush and toothpaste put in his food bag.
The use of fluoride mouthwash once a day on the child's teeth from decay protection.
You must limit the amount of sweets and sticky foods and drinks consumed by the baby, especially between meals; these foods increase tooth decay.
It should limit the amount of starchy foods eaten by your child, such as potato chips, white bread, biscuits, especially between meals, to reduce the risk of tooth decay.
Prevention of cleft lip and cleft palate
In many cases, can not be the prevention of cleft lip and cleft palate. However, pregnant women can reduce the risk of injury to children born cleft lip and cleft palate, and following the subsequent tips.
Avoid smoking and alcohol during pregnancy
You must maintain a healthy lifestyle, avoid smoking and drinking alcohol during pregnancy; health Pregnancy help reduce the child's risk of facial cracks.
Taking folic acid supplements
The Ministry of Health recommends all women to take daily supplements of folic acid (0.4 mg) before conception and during the first twelve weeks of pregnancy, during create the backbone of the child.
It is well known that taking folic acid detract from other birth defects occur, and there is growing evidence that taking folic acid in early pregnancy reduces the risk of cleft lip and cleft palate in the newborn; I found one study, in 2012, 11,000 children were born in Ireland that the danger was more than four times the mothers who did not take folic acid in the first three months of pregnancy
Still the exact cause of the cracks or Filouh facial is not known, although the evidence suggests that it was caused by a combination of genetics and environmental factors, such as smoking and drinking alcohol at an early stage of pregnancy, lack of folic acid in the diet of the mother. Lip Fissure
Can occur cleft lip (cleft lip) and cleft palate without other abnormalities, can also be part of a wide range of birth defects (syndrome) sometimes.
Who suffers from this condition
The cleft lip and cleft palate the most common congenital defect in the face in some countries; In Angeltra for example, generates one out of every 700 children in this situation. But, it can vary the type and severity notch widely among children.
It generates nearly half of children with this condition cleft lip and palate, and a third Bhnk slotted only, and ten percent of them cleft lip or just hard-submucosa.
Cleft lip be (palate) or cleft lip and cleft palate together are more common in boys; but cleft palate itself is more common in girls.
And the consequences of treatment
Surgery is the usual treatment for cleft lip and cleft palate, with good results. After treatment, most children have a natural look and talk normally, with minimal scarring. Treatment
To be a long-term care plan usually carried out by a team of specialists cracks facial to help children who are born with it. This requires ongoing treatment often, or follow-up may last for up to 20 years.
Symptoms of cleft lip and cleft palate
There are two types of cleft lip: cleft lip and palate Dome
Single slit side, where an incision in one side of the lip happen.
Dual-slot side, where the incision on both sides of the lip occurs.
Could be the appearance of cleft lip uneven, ranging from a small notch in the lip (cleft incomplete) to the existence of a wide gap extends for up to one nostrils (cleft lip full).
The appearance of cleft palate may range from a hole in the back of the soft palate to the throat, and even complete separation almost to the roof of the mouth.
In addition to the impact of cleft lip and cleft palate in appearance, it can cause symptoms associated with them as well, and that's what we'll show it later.
Palate cleft palate in Alkhvishq
You see a cleft lip and cleft palate at birth. But, there is a kind of so-called cleft palate cleft palate submucosa, it can be hidden under the roof of the mouth lining.
Therefore, you should check with your doctor when you have the following symptoms:
Milk out of the nose often when the baby's nutrition. Inability to sucking by sucking or hood.
Tune my nose to talk (twang).
These symptoms may indicate submucosal cleft palate.
The causes of cleft lip and cleft palate
Cleft lip or cleft palate occurs when the structures that form the palate, or the upper lip in the docking with each other properly fail, during create the embryo in the womb of the mother.
The exact cause is not known in most cases, but it is believed that a combination of genetic factors (internal) and environmental factors (external).
Inherited genes
Research indicates that the genes inherited by a child from his parents make him more susceptible to cleft lip or cleft palate. It has been possible to identify a number of genes that may be responsible for it.
In some cases, there is a family history of facial fractures, despite the fact that most of the children of parents do not get it.
Environmental risk factors
You could identify a number of factors that may increase the likelihood that a child born cleft lip or palate; They are as follows:
Lack of folic acid during pregnancy
All pregnant women are advised to take a daily complement of folic acid during the first four months of pregnancy; folic acid helps to reduce the risk of birth defects from occurring. One study found that the risk of having a child with cleft lip or palate was higher by more than four times if the mothers did not deal with folic acid in the first three months of pregnancy.
Smoking
A mother who smoked during pregnancy are more likely to give birth to her child infected hard my face. But the risks from passive smoking are not well known; however, it is useful to avoid breathing the presence of high levels of secondhand smoke.
- Alcohol
Some studies have shown an association between maternal consumption of alcohol during pregnancy and the emergence of cleft lip or cleft palate in children.
- Obesity and Nutrition
Mothers who suffer from obesity have more likely to give birth to children with facial Bhqouk. Malnutrition during pregnancy can increase the risk.
- Medicines during pregnancy
It has been suggested that some of the drugs taken during pregnancy may increase the risk of cleft lip and cleft palate. These medications include:
Methotrexate, a drug used to treat cancer, arthritis and psoriasis.
Isotretinoin, a drug used to treat acne (acne).
Antiepileptic medicines.
Therefore, women should talk to her doctor or midwife if you feel concerned about take any medication during pregnancy.
Pierre Robin Syndrome
Pierre Robin syndrome is a rare case where a child is born unzip a small basement abnormally, leading to a rebound of the tongue to the back of the throat (glossoptosis). This is what can lead to blockage and breathing difficulties.
In most children with Pierre Robin syndrome, there is a palate as well.
It can be repaired with surgery incision usually, although treatment can be delayed if there are continuing problems with airway obstruction; Valvk bottom could regain some growth later in the habit, and can help orthodontic treatment more correct occlusion of teeth.
Diagnosis of cleft lip and cleft palate
It can detect cracks in embryos before birth examination routine ultrasound before the twentieth week of childbirth often.
If the cleft lip and did not reveal cleft palate during the imaging examination, they are diagnosed with the immediately after birth almost always. However, some cracks - such as cleft palate may not reveal the submucosa, where the notch disappears into the roof of the mouth lining - for several months or even years, and that's when the problems appear to speak.
Bhqouk facial specialist team
Once the diagnosis is being slit, the mother and her child is referred to a specialist team cracks facial. It could also being arranged with a nurse specialist had the aim of helping to feed and to answer any questions you have. You will nurse specialized in coordination with other professionals involved in health care to child care.
Treatment of cleft lip and cleft palate
The term cleft or notch here refers to a cleft lip or cleft palate or cleft lip and cleft palate together. But, it referred to as certain types of facial cracks on its behalf when necessary.
Team Alamaaljhalaj prosthetic device to divide lip and palate
Treat part of the professionals in the health care team of different specialist backgrounds consists working closely together. And this team includes:
Nurse Specialist in the cracks provide initial advice on nutrition, is like to be the first point of communication.
Surgeon who will face cracks reform notch.
Pediatrician, a doctor who specializes in treating children.
Audiologist and surgeon ear, nose and throat, which will evaluate and treat hearing problems.
Specialist speech therapy, which evaluates the speech problems and treatment.
Children's dentist, who will help to prevent tooth decay.
Specialist orthodontist, a specialist in the emergence of the teeth and jaw, and the orthodontic brackets.
Specialist restorative dentistry, a specialist in missing teeth compensation.
psychiatrist.
The timetable for the plan of care
Most of the children, who suffer from facial cracks receives, the same kind of care designed in particular plan to meet their individual needs. What follows is a description of a typical schedule of a plan of care:
From birth to 6 weeks: Advice for parents and hearing test and evaluation of nutrition.
3 months: surgery to repair the cleft lip (cleft lip).
6-12 months: surgery to repair the cleft palate.
18 months: Evaluation of pronunciation.
3 years: evaluation of pronunciation.
5 years: evaluation of pronunciation.
8-11 years: bone graft incision in the gum area.
11-15 years: addressing calendar and monitor the growth of the jaw.
18 years and beyond: If necessary, jaw surgery, and surgery of the nose and the modified lip, and a final compensation for any missing teeth.
Once you have a primary care plan, there will be scheduling a visit periodically to the child, so that they can monitor his condition closely; it can deal with any problems as well.
We must monitor the results of treatment with the passage of time, in the basic stages of growth in the age of ten and fifteen and twenty years.
If a child's incision, you'll need to assess the nutrition, so that they can solve their problems; many children with cleft Balhnk have problems with breastfeeding because of the gap in the roof of the mouth.
If the child is having difficulty feeding, it can nurse Almokhtssh provide advice on nutrition and alternative solutions. Some children and responds to some alternative methods of nutrition are better than others.
A good solution, for some women, the era of breast milk, and the use of a flexible bottle made especially for feed.
Restoration of lip surgery
Lip repair surgery is usually performed when the child is three months old; where it is undergoing general anesthesia (be unconscious), and being repaired cleft lip carefully, including the muscles of the hand. The formation of the nose also be at the same time usually.
The process usually takes about an hour, although it can take longer if the incision is severe. The surgery left a scar is usually simple, but the surgeon is trying to make the scar harmonious natural lines of the lip with less visible to make it.
Palate repair surgery
Palate repair surgery is usually performed when the child is six months old. And re-arranging the muscles lining the throat, with no need for additional tissue to complete the process normally.
The process takes about an hour and a half normally, and be under general anesthesia.
Additional surgery
In some cases, there may be a need for additional surgery to improve the appearance and function of the lips and mouth; For example, if there is an incision in the gum, the surgeon will perform a bone grafting process when the child is 9-12 years old. If the jaws did not sleep evenly, it can be corrected by orthodontics and jaw surgery at the end of the period of growth, which is almost 18 years old.
Hearing
Children with cleft Balhnk be more susceptible to a condition called glue ear (secretory otitis media). Therefore, if the hearing decreased significantly, the ear, nose and throat surgeon recommends the introduction of a small plastic tube called a grommet (ventilation tube) in the eardrum. This allows the exit of sticky secretions, and allows air to enter. In some cases, it may be recommended Bmqoaat hearing.
The audiologist evaluates the child heard at birth, as the hearing is being evaluated again after the child undergo reconstructive surgery; then he heard the child being evaluated regularly during subsequent appointments in outpatient clinics.
Speech therapy and speech
Repairing cleft palate leads to a significant reduction in the likelihood of future problems in pronunciation. However, nearly half of the children who underwent repair of cleft palate remain in need of some form of speech therapy. There may be a need for further surgery corrective small number of children who have an increased flow of air through their noses when they speak.
The specialist speech therapy to conduct a preliminary assessment after surgery, followed by another assessment of when a child becomes three years old. If the evaluation showed problems in the child's pronunciation and use of the language, the specialist speech therapy is to teach him to pronounce exercises to help its development. It can also be a number of specialist individual exercises with the child only. Children do not need, who are born only a cracked lip, further treatment usually.
Specialist speech therapy works with the child as long as he needed to help. Not be needed treatment after the age of seven normally, despite the fact that surveys specialist may be necessary.
Dental care
When notch includes gum area, it is common to be slanted teeth in one or both sides of the incision beyond the place. In many cases, it may be a missing tooth, or there may be excessive age. Therefore, the children's dentist to monitor the health of baby teeth, and recommend treatment when necessary. It is also important that their parents register the child when the family dentist.
There may also be a need for orthodontic treatment, which helps to improve the harmonization and alignment and the emergence of teeth. The treatment can include the use of braces or other devices to the teeth to help orthodontics. Orthodontic treatment also monitors the development of the jaws and occlusion during growth.
Children who suffer from cleft me they are more prone to tooth decay, so it is important to encourage them to Alaanina oral hygiene.
Problems related to cleft lip and cleft palate
It could be the birth of a child with hard my face profound psychological effect on both the parent and the child.
It is common for parents to feel guilty or angry or trauma, disability or disappointment.
Therefore, it is important to realize that - in most cases - can not prevent a notch, and can not blame the parents. Some parents may worry that they will not be able to strengthen the link with the child who has a slit my face, but there is no evidence that this will happen.
Care team will cracks facial support parents through the difficult times that can follow the birth of a child and hard-Haa. Therefore, we must seize the parents the opportunity to express any worries or concerns they may have, and to ask the questions that comes to their mind.
Some parents find that learning what can be learned about the situation helps them to deal with the situation better. Therefore, talk to other parents with similar circumstances can also help to reduce feelings of anxiety and isolation.
It can also be to divide the psychological impact on the child, particularly with adulthood and start mixing with other children.
Therefore, experts advise to explain the situation to the child when he grows up and becomes able to understand; with dealing with this situation as a topic for discussion naturally. The clinical psychiatrist in the team will be able to provide more support in this matter.
It is better to be realistic about the expected duration of the treatment, which may require the child, and potential consequences; the cure of this lasts for up to 20 years, usually for most children with facial cracks. Although this can be troublesome, but give the child false hope and expectations illogical can be more damaging in the long term.
Parents could help to enhance the independence of the child as well, by involving them in decision-making about the handling and life in general process.
If parents are concerned about the social and psychological development of the child, you can talk to a specialist nurse. It can be arranged for evaluation and any necessary advice or support.
Feeding problems
Children who suffer from cleft my face may face, problems in feeding, especially if the incision includes the palate, as the child may not be capable of sucking enough. However, you can quickly help consolidate nutrition Typically, using a special bottle sometimes.
Hearing
Often appears in children with cleft Balhnk condition called glue ear (secretory otitis media), where they accumulate viscous fluids in the middle ear behind the eardrum. This may reduce the level of hearing, and can cause ear infections sometimes. Therefore, it is important to follow up all children with cleft Balhnk in terms of checking their ears and hearing regularly by audiologist.
Problems with speech and language
The roof of the mouth (palate) an important role in helping the child to form sounds of speech. If you have not been repairing cleft palate surgery, it will lead to problems in speech when a child grows up in a lifetime. In doing so, we must reform cleft palate thoroughly before the start of the evolution of speech; in many cases, to speak at a normal child becomes.
About half of children with cleft Balhnk needs treatment to repair the pronunciation; and a few of them may need further surgery. And watching specialist speech therapy and language development of the child with the words of the passage of time.
Teeth health
It can cause cleft lip (cleft lip) and cleft palate changes in the structure of the mouth, and lead to the emergence of problems in the teeth, which makes children more prone to tooth decay. Therefore, it is important that the child is subject to the examination of his teeth regularly.
- tooth decay
The children who suffer from facial cracks more prone to tooth decay. This is partly due to the confluence of the teeth, making it more difficult to keep clean. Subsequent tips may help reduce the risk of injury to a child tooth decay.
The child should be subject to the examination of dental visits at least once every six months.
You should encourage the child to clean his teeth after every main meal. And when he is in school, it can be a small tube of brush and toothpaste put in his food bag.
The use of fluoride mouthwash once a day on the child's teeth from decay protection.
You must limit the amount of sweets and sticky foods and drinks consumed by the baby, especially between meals; these foods increase tooth decay.
It should limit the amount of starchy foods eaten by your child, such as potato chips, white bread, biscuits, especially between meals, to reduce the risk of tooth decay.
Prevention of cleft lip and cleft palate
In many cases, can not be the prevention of cleft lip and cleft palate. However, pregnant women can reduce the risk of injury to children born cleft lip and cleft palate, and following the subsequent tips.
Avoid smoking and alcohol during pregnancy
You must maintain a healthy lifestyle, avoid smoking and drinking alcohol during pregnancy; health Pregnancy help reduce the child's risk of facial cracks.
Taking folic acid supplements
The Ministry of Health recommends all women to take daily supplements of folic acid (0.4 mg) before conception and during the first twelve weeks of pregnancy, during create the backbone of the child.
It is well known that taking folic acid detract from other birth defects occur, and there is growing evidence that taking folic acid in early pregnancy reduces the risk of cleft lip and cleft palate in the newborn; I found one study, in 2012, 11,000 children were born in Ireland that the danger was more than four times the mothers who did not take folic acid in the first three months of pregnancy
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