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Tap chi KHOA HQC DHSP TPHCM Hodng Vdn QuySn vd tgk XAY DUNG PHAC DO OIEU TRI AM NGU" TRI LIEU CHO TRE BI KHE H d MOI, VOM MIENG VA HIEU QUA ITNG DUNG TAI BENH VIEN NHI DONG I NAM 2014 H O A N G V A N[.]
Tap chi KHOA HQC DHSP TPHCM Hodng Vdn QuySn vd tgk XAY D U N G PHAC D O OIEU TRI A M NGU" TRI LIEU C H O TRE BI KHE H d MOI, V O M MIENG VA HIEU QUA ITNG DUNG TAI BENH VIEN NHI DONG I NAM 2014 H O A N G V A N QUVeN', T R A THANH T A M ' , CAO PHUONG ANH" TOM TAT Qua qud trinh can thiep am ngit tri lieu cho 79 ca (tit 01-01-2014 den 11-2014) dira tren nguyen tac lay benh nhdn lam trung tdm, chiing toi nhdn thdy cdn cung cdp dich vu xuyen suot, tic tu vdn tien sdn din can thiep bu - nuot, va cdn co chuong trinh hudn luyen Ngon ngit - Chinh dm O moi giai dogn qud trinh can thiep, cdn co muc tieu va ke hogeh cu the Tir ket qud nghien cdu, chung toi cho rdng: de co dugc kit qud toi uu dieu tri cho tre co khe hd moi - vom mieng, tre cdn dugc chdm soc can thiep bdi dgi ngii lam viec da nganh: bdc sT rdng-hdm-mgt, bac si nhi khoa, dieu duang, chuyen vien dm n tri lieu, gido vien vdphu huynh Tir khda: khe hd mdi vdm mieng, phac dieu tri khe hd mdi vom mieng, am ngiJ tri li6u tre bi khe hd moi vdm mieng, hieu qua cua viec ung dung ABSTRACT Developing speech therapy protocolfor children with cleftpalate and effects of application at children's hospital in 2014 Through the speech therapy process for 79 cases (from January 1, 2014 to November 2014) based on the principle of Child-centered, the researchers realize that it is necessary to provide constant servicesfromprenatal counseling to intervention for sucking, feeding, and the Speech Therapy training programs need to be provided For each stage of the intervention process, goals and specific plans should be set Based on the results of this research, it is concluded that in order to get the best results for children with Cleft LipPalate, children should be cared and intervened by a multidisciplinary team including Dentist, Pediatrics, Nurses, Speech Therapists, Teachers and Parents Keywords: Cleft palate; protocol for cleft palate; speech therapy for cleft palate; effects of application D^t van de I.L Tre bf khe hd mdi, vdm migng Khe hd mdi va vom mieng la mot nhung di tat b4m sinh thudng gap nh4t d tre so sinh Di tat sir gian doan ve mat cau tnic giai phlu cua mdi va vdm h^u Viet Nam, t4n su4t khoang 1/700 tre ddi [12], a Nhat 1/600 [7] Tre bi khe hd mdi vdm mieng se gap nguy ca cao va khd khan vh cac v4n de nhu: an udng, rang mieng, thinh luc, rdi loan am ldi ndi, giao ti6p, cham phat triin ngdn ngu Am ngiJ tri lieu cung cap s\r hd trp, tri lieu va thdng tin canh bao cho phu huynh 'CN B0nhvi$n Nhi 06ng1, TPHCM " KTV, B0nh vi^n Nhi D6ng 1, TPHCM 75 Tap chi KHOA HQC DHSP TPHCM SS 65 nam 2014 vl phat triln an udng, giao tilp va ldi ndi cua tre,theo ddi tien trinh phat trien cua tre vdi muc dich khuyin khich phat trien giao tiep binh thudng, ngan ngira va can thiep scirni mpt each phii hop cac van de nguy ca 1.2 Khdm lam sang v&i cdc npi dung a) Ghi nhdn Hinh dang mat ben ngoai, sy can xirng giiia hai ben mat va cac nep nhan Dae dilm khe hd: hd mpt ben/hai ben/mpt phin moi, hd vdm hoan toan hojc khong hoan toan, hd dudi niem mac b) Luang gid Van ddng mieng va chuc nang mang hau qua quan sat luc nghi, luc cit dpng cua moi, ludi rang, vdm mem, ludi ga, hau, amidan; quan sat khe hd hoac Id dd ciia ngac ciing, ngac mem KT nang an uong va dau hieu sac bao gdm: quan sat liic an, thdi gian an, each cho an (bii me, binh, mudng, li), tu the an; can nang liic sinh va Men tai; tinh trang thirc an trao len mQi, ndn, sac c) Bdnh gid Sy cpng hudng ciia ldi ndi, bao gdm: sy thoat hoi miii, tinh chat am mui Sy phat am cimg cac dae tinh am ldi ndi ve vi tri phat am: cit dpng ludi khong chinh xac, phat am bii trir, thay the am mui, thieu phu am, sau hda, ngac hda; phuang phap phat am: tinh chat am miii, thoat hoi mui - phy am yeu Chat lupng gipng: gipng khan, am lupng thap, nghe ro ca tieng thd, gipng cang, dp cao thap thay ddi bat thudng, gipng dlu dlu Tinh d§ hilu ldi ndi cua tie theo thang dilm tit 1-5 (McLeod, S., Harrison, L J., &McCormack,J (2011) [4] KT nang ngdn ngO hilu va tinh dS hilu bing each liy thdng tin tit cha me, ngudi chSm sdc, phan hdi cua giao vien (nlu cd) Ddng thdi quan sat tre vl kha nang hilu, kha nang diln dat thdng qua cil chi, sit dung tir loai, cau 1.3 Nhirng khd khan md Ire bj lihe hd mdi - vom mieng gap phai a Doi vdi tre sa sinh can can thiep vl bu Hien dien khe hd vdm hoan toan hoac khdng hoan toan; Bii m? khdng hieu qua; Sira len mui hoac dau hieu sac; Biia an keo dai, lupng sira khong dii b Ddi vdi tre nhd chua phlu thuat Cd van de ve chat luang bOa an, nhu: tu thi nim ngua dl an, khdng chuyin dli dupe thiic an theo tudi, thitc an len miii, ho sac an; Cham phat triln ngon ngu diln dat, ngon ngir hilu c Ddi vdi tre sau phlu thuat Cd van de ve chat lupng biia an; 76 Tap chi KHOA HOC OHSP TPHCM Hoang Van Quyen va tgk Cham phat trien ngon ngir dien dat, ngon ngir hilu; Tinh de hieu ciia ldi ndi thap; Chat luang gipng: khan, am lupng thap, thoat hai mui, gipng miii; Rdi loan am ldi ndi: ldi mat phu am diu ([tao]—>[ao]), mui hda ([xiic xich]—>[nhiic nhi'ch]) Bdng phdn logt quoc te vi Chirc ndng Thiiu ndng vd Sire khde (ICF) Tl e CO Idle her inoi- vdin inieiig Cau true bat toan cau tnic giai phlu hoc moi va viim hau Chilrc nang tham ml, bu nuSt, an, nghe, r&ig, loi noi ± Hoat dong Tham gia Tham gia hoi •-• Dl mua sam, tJi tiec thoai, 7U1 choi, v6i gia dinh, sinh hoat doi nhim, bieu hoc tap ka ban, diln van ngh§ thieu cahSt nhi, da lich voi gia dinh Giadinh, ngudi