{"id":15543,"date":"2018-04-18T13:27:50","date_gmt":"2018-04-18T11:27:50","guid":{"rendered":"https:\/\/www.fente-palatine.com\/?page_id=15543"},"modified":"2019-03-19T18:00:08","modified_gmt":"2019-03-19T17:00:08","slug":"el-paladar","status":"publish","type":"page","link":"https:\/\/www.fente-palatine.com\/ca\/el-paladar\/","title":{"rendered":"El paladar"},"content":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; el_class=&#8221;box-title-top&#8221; z_index=&#8221;&#8221;][vc_column][vc_column_text]<\/p>\n<h1 style=\"text-align: center;\">El paladar<\/h1>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; z_index=&#8221;&#8221;][vc_column][vc_column_text el_class=&#8221;content-style&#8221;]El paladar consta de dues parts, una anterior, ossi, que es troba just darrere dels incisius, l&#8217;altre m\u00e9s posterior i muscular es el paladar tou, que acaba en l&#8217;\u00favula. El primer \u00e9s fix, inamovible, el segon \u00e9s m\u00f2bil i juga un paper important en la parla.<\/p>\n<p>Durant el primer examen del nad\u00f3, si hi ha una fissura palatina, es requereix una cura i atenci\u00f3. Si la fissura \u00e9s \u00e0mplia i afecta la part anterior, \u00f2ssia, posarem una placa palatina de resina. Aquesta placa es mant\u00e9 dia i nit, evitant la interposici\u00f3 de la llengua a la fissura, facilita l&#8217;alimentaci\u00f3 amb biber\u00f3, calma el nen.<\/p>\n<p>Aconsellem biberons adaptats, com el Haberman (Medela \u00ae) per ajudar el nen durant l&#8217;alimentaci\u00f3 i evitar que no durin m\u00e9s enll\u00e0 de 30 minuts. Si la fissura afecta tot el paladar no s\u2019aconsella donar el pit es inefica\u00e7, fins i tot amb una placa de resina al paladar. Per una altre banda la mare pot extreure la llet i donar-li amb biber\u00f3.<\/p>\n<p>La cirurgia del paladar \u00e9s fa entre els 4 i 6 mesos. \u00c9s necess\u00e0ria una hospitalitzaci\u00f3 de 5 dies. Un dels pares acompanya al nen i es queda amb ell durant tot aquest per\u00edode. La operaci\u00f3 dura una hora. Es realitza amb anest\u00e8sia general. El tancament sempre \u00e9s possible, tot i que la fissura sembli ample. No cal fer un empelt o pr\u00f2tesi per tancar la fissura. Tot est\u00e0 present, com en el llavi, nom\u00e9s s\u2019ha de posar al seu lloc els elements separats, no fusionats, i suturar-los.<\/p>\n<p>Durant l&#8217;operaci\u00f3 per tancar el paladar, mentre el nen est\u00e0 dormit, el cirurgi\u00e0 ot\u00f2leg controla l\u2019estat de l&#8217;o\u00efda. Si hi ha una otitis mitjana serosa, el l\u00edquid darrere del timp\u00e0, obre el timp\u00e0 (miringotomia) i col\u00b7loca un drenatge timp\u00e0nic (di\u00e0bolo, yoyo, &#8230;).<br \/>\n[\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; background_color=&#8221;#f7f7f7&#8243; css=&#8221;.vc_custom_1522169813821{margin-top: 60px !important;padding-top: 30px !important;padding-bottom: 30px !important;}&#8221; z_index=&#8221;&#8221;][vc_column][vc_row_inner row_type=&#8221;row&#8221; type=&#8221;grid&#8221; text_align=&#8221;left&#8221; css_animation=&#8221;&#8221; el_class=&#8221;row-img-legende&#8221;][vc_column_inner width=&#8221;1\/4&#8243;][vc_single_image image=&#8221;17012&#8243; img_size=&#8221;full&#8221; qode_css_animation=&#8221;&#8221;][vc_column_text]<strong>Curs de cirurgia de palau<\/strong><br \/>\nDos trapis es incisen i es crien (l\u00ednia vermella), es tornaran a portar (fletxes blaves)[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_single_image image=&#8221;17010&#8243; img_size=&#8221;full&#8221; qode_css_animation=&#8221;&#8221;][vc_column_text el_class=&#8221;box-legende-photo&#8221;]<strong>Paladar per fred abans de tancar<\/strong>[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_single_image image=&#8221;17013&#8243; img_size=&#8221;full&#8221; qode_css_animation=&#8221;&#8221;][vc_column_text]<strong>Curs de cirurgia de palau<\/strong><br \/>\nAmbdues solapes es suturen i es tornen a allargar el vel[\/vc_column_text][\/vc_column_inner][vc_column_inner width=&#8221;1\/4&#8243;][vc_single_image image=&#8221;17014&#8243; img_size=&#8221;full&#8221; qode_css_animation=&#8221;&#8221;][vc_column_text]<strong>Paladar facial al final de la cirurgia<\/strong>[\/vc_column_text][\/vc_column_inner][\/vc_row_inner][\/vc_column][\/vc_row]<\/p>\n","protected":false},"excerpt":{"rendered":"<p>[vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;full_width&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; el_class=&#8221;box-title-top&#8221; z_index=&#8221;&#8221;][vc_column][vc_column_text] El paladar [\/vc_column_text][\/vc_column][\/vc_row][vc_row css_animation=&#8221;&#8221; row_type=&#8221;row&#8221; use_row_as_full_screen_section=&#8221;no&#8221; type=&#8221;grid&#8221; angled_section=&#8221;no&#8221; text_align=&#8221;left&#8221; background_image_as_pattern=&#8221;without_pattern&#8221; z_index=&#8221;&#8221;][vc_column][vc_column_text el_class=&#8221;content-style&#8221;]El&#8230;<\/p>\n","protected":false},"author":4,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"open","ping_status":"open","template":"full_width.php","meta":{"_acf_changed":false,"footnotes":""},"class_list":["post-15543","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/www.fente-palatine.com\/ca\/wp-json\/wp\/v2\/pages\/15543","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.fente-palatine.com\/ca\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/www.fente-palatine.com\/ca\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/www.fente-palatine.com\/ca\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/www.fente-palatine.com\/ca\/wp-json\/wp\/v2\/comments?post=15543"}],"version-history":[{"count":0,"href":"https:\/\/www.fente-palatine.com\/ca\/wp-json\/wp\/v2\/pages\/15543\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.fente-palatine.com\/ca\/wp-json\/wp\/v2\/media?parent=15543"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}