Peran Uvula bifida terhadap pertumbuhan dan perkembangan bicara anak
DOI:
https://doi.org/10.30649/htmj.v22i1.613Kata Kunci:
uvula bifida, children, growth and speech developmentAbstrak
Latar belakang: uvula bifida adalah kelainan bawaan rongga mulut yang berpotensi menyebabkan gangguan pada proses menelan dan gangguan bicara.
Kasus: anak laki-laki usia 4 tahun BB 11kg datang dengan keluhan utama BB sulit naik sejak usia 1 tahun dan bicara kurang jelas. Riwayat sering tersedak dan sulit menghabiskan porsi makanannya. Penyakit yang sering ditemukan batuk pilek. Sudah dilakukan pemeriksaan evaluasi kemungkinan TBC dan ISK dan hasil negative. Pemeriksaan fisik ditemukan uvula bifida derajat 1 dan pemeriksaan lain dalam batas normal. Tatalaksana konservatif berupa edukasi cara pemberian makan sedikit tapi sering, mengunyah perlahan-lahan, konsistensi makanan cair dan menghindari makanan pedas. Hindari bicara saat makan dan suplementasi Fe, Zinc dan multivitamin. Orang tua diharapkan selalu mengkoreksi bicara yang tidak jelas, mengatur pernafasan saat bicara dan menghilangkan kebiasaan yang membuat anak takut misalnya suara mengeras, memarahi. Pada kunjungan selanjutnya didapatkan perbaikan yang cukup bermakna dalam BB dan kemampuan bicara anak.
Kesimpulan: pada kasus malnutrisi perlu dicari masalah pemasukan dan pengeluaran makanan salah satunya yang sering terlewatkan adalah kelainan rongga mulut misalnya uvula bifida. Terapi konservatif dilakukan pada uvula bifida grade 1.
Referensi
Achalli, S., Bhat, S., Shetty, S. R., Babu, S. G., & Suvarna, R. (2012). Deformities of the Uvula in the Oral Cavity-A Case Series. In Iranian Red Crescent Medical Journal Iran Red Crescent Med J (Vol. 14, Issue 10). www.ircmj.com
Daisy, L., Surraj, S., Mrudula, C., & Sushma, P. R. (2021). Architecture of the Musculus Uvulae- A Review. JOURNAL OF CLINICAL AND DIAGNOSTIC RESEARCH. https://doi.org/10.7860/jcdr/2021/50027.15105
Grootens-Wiegers, P., Hein, I. M., van den Broek, J. M., & de Vries, M. C. (2017). Medical decision-making in children and adolescents: Developmental and neuroscientific aspects. In BMC Pediatrics (Vol. 17, Issue 1). BioMed Central Ltd. https://doi.org/10.1186/s12887-017-0869-x
Hanny, K. H., de Vries, I. A. C., Haverkamp, S. J., Oomen, K. P. Q., Penris, W. M., Eijkemans, M. J. C., Kon, M., Mink van der Molen, A. B., & Breugem, C. C. (2016). Late detection of cleft palate. European Journal of Pediatrics, 175(1), 71–80. https://doi.org/10.1007/s00431-015-2590-9
Helwany, M., & Rathee, M. (n.d.). Anatomy, Head and Neck, Palate.
Hernandez, M., George, A., & Ganti, L. (2021). A rare case of a bifurcated uvula in a 20-year-old. In BMJ Case Reports (Vol. 14, Issue 3). BMJ Publishing Group. https://doi.org/10.1136/bcr-2020-239617
John, C. C., Black, M. M., & Nelson, C. A. (2017). Neurodevelopment: The impact of nutrition and inflammation during early to middle childhood in low-resource settings. In Pediatrics (Vol. 139, pp. S59–S71). American Academy of Pediatrics. https://doi.org/10.1542/peds.2016-2828H
Khasbage, S. (2017). Bifid Uvula in three members of a family. International Journal of Oral and Craniofacial Science, 3(2), 017–019. https://doi.org/10.17352/2455-4634.000027
Kinnebrew, M. C., & Mctigue, D. J. (n.d.). Submucous (:left palate: review and two clinical reports Diagnosis of Submucous Cleft Palate: Historical and Clinical Factors.
Martelli, D. R. B., Machado, R. A., Swerts, M. S. O., Rodrigues, L. A. M., de Aquino, S. N., & Martelli Júnior, H. (2012). Non sindromic cleft lip and palate: Relationship between sex and clinical extension. Brazilian Journal of Otorhinolaryngology, 78(5), 116–120. https://doi.org/10.5935/1808-8694.20120018
Matsuo, K., & Palmer, J. B. (2008a). Anatomy and Physiology of Feeding and Swallowing: Normal and Abnormal. In Physical Medicine and Rehabilitation Clinics of North America (Vol. 19, Issue 4, pp. 691–707). https://doi.org/10.1016/j.pmr.2008.06.001
Matsuo, K., & Palmer, J. B. (2008b). Anatomy and Physiology of Feeding and Swallowing: Normal and Abnormal. In Physical Medicine and Rehabilitation Clinics of North America (Vol. 19, Issue 4, pp. 691–707). https://doi.org/10.1016/j.pmr.2008.06.001
Prasad, P., Khalil, E., Desai, V. B., Varma, S. R., Gunasekaran, L., Kumar, K., & Pradeep, S. (2023). Bifid uvula-An enigma. Journal of Pharmacy and Bioallied Sciences, 15(5), S806–S809. https://doi.org/10.4103/jpbs.jpbs_464_22
Raut, M. S., & Maheshwari, A. (2013). Abnormal CVP waveform. In Saudi Journal of Anaesthesia (Vol. 7, Issue 4, p. 482). https://doi.org/10.4103/1658-354X.121060
Roberts, J. E., Rosenfeld, R. M., & Zeisel, S. A. (2004). Otitis media and speech and language: a meta-analysis of prospective studies. Pediatrics, 113(3 Pt 1). https://doi.org/10.1542/peds.113.3.e238
Sales, S. A. G., Santos, M. L., Machado, R. A., Dias, V. O., Nascimento, J. E., Swerts, M. S. O., Júnior, H. M., & Martelli, D. R. B. (2018). Incidence of bifid uvula and its relationship to submucous cleft palate and a family history of oral cleft in the Brazilian population. Brazilian Journal of Otorhinolaryngology, 84(6), 687–690. https://doi.org/10.1016/j.bjorl.2017.08.004
Wilujeng, A. P., Indriani, N., Trianita, D., Munif, B., Yanuar, A., Putri, N. S., & Mawarni, E. E. (2022). Determinants of Infant Growth and Development Based on the Health Promotion Model. Open Access Macedonian Journal of Medical Sciences, 10(G), 325–329. https://doi.org/10.3889/oamjms.2022.7508
Zang, W. (2023). 329 Zang W. The Uvula and Palatine Tonsil: Structure, Function, and Clinical Implications. Review Int J Anat Var, 16(6), 329–330. https://doi.org/10.37532/1308-4038.16(6).277
