Ding Ma said
From time to time, I will see the news, [cleft lip baby boy abandoned in the bush] [cleft lip baby girl abandoned in the umbilical cord has not yet fallen off]…
In fact, there are many children with cleft lip and palate, but the most famous ones are definitely Li Yan and the “Yan Ran Angel Fund” specially set up for children with cleft lip and palate.
It is said that there is a legend in South America that cleft lip and palate babies are the gods who came to this world.
Today let’s talk about cleft lip and palate.
My mother is Faye Wong, and my father is Li Yapeng. After she was six years old, her parents divorced and received great attention at the beginning of her birth because of cleft lip (cleft lip and palate). Although her parents divorced and were disabled, Li Yan still grew up to be a lovely, cheerful and beautiful girl.
However, the rescue and efforts during this period, It is beyond the imagination of ordinary people, Go to the United States for treatment, set up a Yan Ran Foundation, and protect children’s self-esteem from an early age… It is really beyond the reach of ordinary families. No matter who it is, No one wants to share this kind of thing. We ordinary people can only know the way to prevent it as much as possible. If we meet with it, don’t give up. After all, it is not a fatal disease. Through early and active treatment, children can return to normal life as much as possible.
The cleft lip is not just ugly
The appearance will definitely be affected. Just imagine: the upper cleft lip is open and the nose collapses. If it is accompanied by cleft palate, you can see the upper cleft lip is open by opening your mouth.
In addition to appearance, cleft lip or (and) cleft palate may also affect tooth arrangement, language development, and may cause repeated middle ear infections. More importantly, it can cause a series of feeding problems that lead to baby stunting.
According to the 2012 China Report on the Prevention and Treatment of Birth Defects, cleft lip or (and) cleft palate is one of the top ten perinatal malformations in China, with a global incidence rate of about one in 1,000. Cleft lip and cleft palate are two kinds of birth defects. As the name implies, the former affects the lip while the latter is the upper jaw.
The lip is formed between 4 and 7 weeks of the fetus, During development, The direction of formation is from both sides to the middle, In the process, If the two sides do not merge, Then a gap will be formed. This is a cleft lip, Cleft lip is commonly known in folk as “cleft lip”. The degree of cleft lip varies, Some children with cleft lip have only a small gap, while some children’s gap will be from lip to nose. The upper jaw is formed between 6 and 9 weeks of fetus. The formation reason is similar, and the degree is quite different. Some children with cleft palate may only have part of cleft palate, and some are completely cleft palate. Cleft palate can occur alone or at the same time as cleft lip.
Who is to blame for the baby’s cleft lip?
The etiology of the vast majority of cleft lip and cleft palate is not clear, but the current view is that the occurrence of cleft lip and cleft palate is not caused by a single factor, but is the result of the joint influence of heredity and other factors. In a word, many factors appear together, but no one can say who is the mastermind.
Possible influencing factors include: genetic factors, diabetes mellitus of pregnant mothers, smoking of pregnant mothers, and taking certain drugs.
Prenatal check-up can find out part of …
B-ultrasound is a very important item in prenatal examination. At about 13 weeks of pregnancy, doctors can judge whether cleft lip or (and) cleft palate occurs through B-ultrasound.
But don’t be happy too early, B-ultrasound is not omnipotent, may not be able to find out. Because there are too many factors that affect the results of B-ultrasound, such as the physical condition of the pregnant woman herself, the position and state of the fetus in the uterus at that time, the performance of B-ultrasound instruments, the personal ability of doctors, etc.
According to < < Guidelines for Prenatal Ultrasound Examination of Super-born Doctors Branch of Chinese Medical Association > >, the total detection rate of fetal cleft lip and palate by prenatal ultrasound is 26.6% ~ 92.5%. The prenatal ultrasound detection rate of simple cleft palate is 0 ~ 1.4%. It is really impossible to achieve 100%. Cleft palate is basically found out without hope because it is in the oral cavity.
However, no matter how, can’t deny the value of prenatal examination during pregnancy, after all, the fetus may have too many abnormalities, even if this cannot be found out, it is also possible to find out other abnormalities. Anyway, these abnormalities, parents-to-be are all don’t want to get into trouble.
Is there any way to prevent it?
In early pregnancy, especially before 12 weeks, the following preventive measures may be effective:
- Pay attention to reasonable intake of nutrients during pregnancy and supplement various vitamins and minerals such as folic acid. Avoid contact with excessive X-rays and direct microwave irradiation. Avoid overwork and trauma; Quit smoking and drinking; Try to avoid infection including influenza, hepatitis and other viral diseases, as well as gastrointestinal tract, skin and mucosa and other viral infections; Drugs that may cause fetal malformation are prohibited after illness.
These are all preventive measures that can be tried, which may not be able to completely avoid cleft lip, but are beneficial to the whole gestation process.
When did what start treatment?
For children with cleft lip or (and) cleft palate, the primary goal of treatment is to restore their normal three basic abilities of eating, listening and speaking as much as possible, and to restore their face to normal. Special attention should be paid to the emotions such as inferiority complex and unwillingness to communicate with others that may occur during the baby’s development, and more attention should be paid.
At present, the main treatment method is sequential treatment, that is, according to different stages, different specialists participate in the treatment, including maxillofacial surgery, plastic surgery, otolaryngology, orthodontics, prosthesis, pediatrics, psychology, etc. This is a long process.
Cleft lip surgery is recommended to be performed within 12 months after the child is born, while cleft palate surgery is recommended to be performed within 18 months after the child is born.
Note: There are some free programs in China. If you want to receive free treatment, you can try to contact the Civil Affairs Department or pay attention to the information on the Internet.
Children’s Emotions Should Pay Attention to
Because this disease will affect appearance and language expression, and may cause other people’s strange eyes, so if the child unfortunately suffers from cleft lip, parents should remember the following four points:
1. Do not blame yourself too much. Medical help should be provided as soon as possible. You can also seek help from relevant public welfare organizations.
2. Face up to your emotions. Negative emotions are normal, but they must not sink into them.
3. Don’t pay too much attention to the child’s upper lip defect;
4. On weekdays, children should be encouraged to communicate more, give them a sense of security, let them feel the unconditional love of their parents, and let them build self-confidence. If children are laughed at or bullied, they should be comforted in time.