8/2/2019 ENF-IN-022 Cuidado del paciente con paladar hendido

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Ymrta9k2 ?

D]ANLE LMH ZNDAMK\M DEK D9lace2 MKI ' AK 'ZNHNLN_ MKLALE :??Fetza|nh i''''''''''''''|''''''''''a {{2r{

Tag9k Oehaynr 'U'U{{U+022000000'MKIM_GM_AN

\NOHN LMDEK\MKALE

> + Eobm|aye

? + Yedno}hnrae

4 + Lmtnrrehhe

MHNOE_92 _MYATE2

MkimrgmranIMDFN2Ladamgorm lm ?:>> Ladamgorm lm ?:>> Ladamgorm lm ?:>>

Zncakn > lm 3

8/2/2019 ENF-IN-022 Cuidado del paciente con paladar hendido

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Ymrta9k2 ?

D]ANLE LMH ZNDAMK\M DEK D9lace2 MKI ' AK 'ZNHNLN_ MKLALE :??Fetza|nh

Tag9k Oehaynr MKIM_GM_AN

>+:OBM\AYELmtdraoar mh D}alnle lm Mkimrgmran nh kmekn|m ~}m kndm dek hnoan qznhnlnr fmklale

?+YEDNO]HN_AEKe nzhamn4+LMTN__EHHE

Het zndamk|mt dek mt|n gnhiergnda9k rm~}amrmk lm }k d}alnle deerlaknle~}m mky}mhym g}h|azhmt latdazhaknt lmtlm mh kndagamk|e fnt|n hnnlehmtdmkdan+Hn Mkimrgmrn b}mcn }k reh ya|nh mk indaha|nr mh d}alnle znrn mt|et kakmt~}amkmt }t}nhgmk|m |amkmk g}h|azhmt zreohmgnt lm tnh}l( |nhmt dege2zreohmgnt znrn nhagmk|nrtm( lmt9rlmkmt mk mh fnohn( akimddaekmt dr9kadnt lmehle q zreohmgnt lmk|nhmtHet kakmt dek mt|m znlmdagamk|e |ngoamk lmom mkirmk|nrtm n crnklmtzreohmgnt mgedaeknhmt |nhmt dege2 latr}zda9k lmh nzmce gn|mrkn q zn|mrke(lat|erta9k lm hn agncmk derzernh q zreohmgnt lm tedanhanda9k+Znrn het znlrmt( mh kndagamk|e lm }k fabe : fabn dek hnoae q%e znhnlnr fmklalemt }k crnk dfe~}m mgedaeknh( hn ak|mrndda9k q mh nzmce mk|rm hn gnlrm q mhkmekn|m tm ym degzregm|aln lmoale n hn laiad}h|nl mk hn nhagmk|nda9k q hettmk|agamk|et gn|mrket lm d}hzn+Hnt gm|nt lmh |rn|ngamk|e lmh kake dek hnoan q%e znhnlnr fmklale tek2 rmznrnrmh lmimd|e( hecrnr }k hmkc}nbm q fnohn kergnhmt( nth dege }kn n}lada9knlmd}nln+ Hecrnr }kn o}mkn tnh}l lmk|nh( ez|aganr het rmt}h|nletztadetedanhmt q lm lmtnrrehhe q indaha|nr mh d}alnle lmh omom n hn ingahan+Z_EOHMGNT MTZMDANHMT2 Het gnqermt zreohmgnt ~}m nirek|nk mt|etkakmt tek het rmhndaeknlet n hn iergn lm nhagmk|nrtm( mkimrgmlnlmt lmhdnknh n}la|aym( zreohmgnt dek mh lmtnrrehhe lmh hmkc}nbm nth dege zreohmgntlmk|nhmt

Zncakn ? lm 3

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Ymrta9k2 ?

D]ANLE LMH ZNDAMK\M DEK D9lace2 MKI ' AK 'ZNHNLN_ MKLALE :??Fetza|nh

Tag9k Oehaynr MKIM_GM_AN

Nhagmk|nda9k2 Het omomt dek hnoae fmklale }t}nhgmk|m ke |amkmk gnqermtzreohmgnt znrn nhagmk|nrtm( n}k~}m n~}mhhet dek hnoan fmklale q znhnlnrfmklale nhc}knt ymdmt |amkmk akdekymkamk|mt+ ]kn iat}rn mk mh |mdfe lm hnoedn |rnm dege rmt}h|nle ~}m het omomt tmnk akdnzndmt lm cmkmrnr hnt}iadamk|m t}dda9k dege znrn mv|rnmr hn hmdfm lmh tmke : mh oaomr9k+ Nhc}ketomomt rmc}rca|nk hn hmdfm q tnhm zer hn knra+ Znrn ~}m hn nhagmk|nda9k tmngnt indah( nhc}ket gmladet rmdegamklnk mh }te lm }k eo|}rnler ~}m mtdehednle mk mh |mdfe lm hn oedn q ohe~}mn t} nzmr|}rn l}rnk|m hn t}dda9k(n}k~}m t} }te mt dek|reymrtanh+Zreohmgnt N}la|ayet2 Het omomt dek znhnlnr fmklale mt|nk mk ramtce lmdek|rnmr e|a|at gmlan lmoale n hn zeorm i}kda9k ymk|ahn|eran lm het |}oet lmM}t|n~}ae dege rmt}h|nle lm hnt nkergnhalnlmt mk hn mt|r}d|}rn q i}kda9k lmhn g}td}hn|}rn |}onh+ Mt|n zeorm narmnda9k lm hn g}detn lmh ehle gmlae |rnmdege rmt}h|nle akihngnda9k lm hn g}detn q mi}ta9k lm ih}alet dek hndektmd}mk|m akimdda9k+ Nzrevagnlngmk|m mh =:- lm het kakmt dek znhnlnrfmklale |amkmk mkimrgmlnlmt rmd}rrmk|mt lmh ehle gmlae n}k d}nkle fnqnktale ezmrnlet |mgzrnkngmk|m+Zreohmgnt mk mh lmtnrrehhe lmh Hmkc}nbm2 Het kakmt dek znhnlnr fmklaleirmd}mk|mgmk|m |amkmk zreohmgnt mk mh lmtnrrehhe lmh hmkc}nbm n}k d}nkle mhlmimd|e tmn rmznrnle+ Mk|rm het ind|ermt ~}m dek|rao}qmk n hn zmrtat|mkdanlmh zreohmgnt tm mkd}mk|rnk hnt nkergnhalnlmt mt|r}d|}rnhmt |nhmt degeiat|}hnt erekntnhmt q zreohmgnt n}la|ayet+

Z_EDMLAGAMK\EAkiergm n het znlrmt( Tmn mkin|ade ~}m mt|m zreohmgn ke mt }knngmknn znrn hn t}zmryaymkdan lmh omom q ~}m mt derrmcaohm zerDar}can+Ynherm nh _mdamk kndale( o}tdnkle e|rnt nkergnhalnlmt( Tm fneotmrynle }kn nh|n akdalmkdan lm mkimrgmlnlmt dnrlandnt q rmknhmtdek~mka|nt_mnhadm ak|mrdekt}h|nt nh het tmryadaet lm dar}can zhnt|adn( cmkm|adn(ieken}laehecan( |mrnzan lmh hmkc}nbm( |rnonbe tedanh q ztadehecanLatd}|n lm|mkalngmk|m dek het znlrmt mh zhnk lm |rn|ngamk|e( hetznlrmt lmomk tmr akiergnlet ndmrdn lm het ramtcet( omkmiadaet qnh|mrkn|aynt+ Eo|mkcn mh dektmk|agamk|e akiergnleZreymn tezer|m mgedaeknh n hn gnlrm

Zncakn T lm 3

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D]ANLE LMH ZNDAMK\M DEK D9lace2 MKI ' AK 'ZNHNLN_ MKLALE :??Fetza|nh

Tag9k Oehaynr MKIM_GM_AN Ymrta9k2 ?

_mnhadm ndegznkngamk|e m akdmk|aym mh yakd}he lm nzmce2>+ Akdmk|aym n het znlrmt n nhnr mh omom( ta > : lmtmnk?+ Ta hn gnlrm ke lmtmn ymr nh omom mk mtm gegmk|e( ke hn i}mrdm4+ Zred}rm ~}m hn gnlrm |mkcn derkznrahn( d}nkle tm ndmr~}m nymr mhomom zer zragmrn ym:+ Nhdm }t|ml nh omom q ke rmnhadm cmt|et lm lmtncrnle : |mger>>+ Nkagm n hn gnlrm n |egnr }k reh nd|aye mk mh d}alnle lmh omom>?+Nkagm n hn gnlrm n |ednr q n nhnr nh omom |nk|e dege mhhn > : lmtmm+>4+Ta hn gnlrm mt|n tehn almk|aia~}m n }k ngace : n }k gamgore lmhm~}aze ~}m Am lm nzeqe mgedaeknh>=+Ta mt zetaohm( g}mt|rmhmt n het znlrmt ie|ecrniant lm kakmt dek hnnkergnhalnl qn derrmcaln+

Nq}lm n het znlrmt n gnkmbnr het tmk|agamk|et lm d}hzn q zmrlaln+_md}mrlm ~}m nhc}knt gnlrmt ndmz|nk n t}t omomt akgmlan|ngmk|m(zmre znrn e|rnt z}mlm tmr kmdmtnrae lnrhmt |amgzeMA kndagamk|e lm }k fabe dek nhc}kn gn||errkndhek mt }kn mvzmramkdan|rn}gn|adn znrn het znlrmt+ Lnr m|'nh( AAngnk nh gegmk|eakgmlan|ngmk|m zet|mraer nh kndagamk|e lm }k omom dek hnoae q%eznhnlnr fmklale /gegmk|e lm tmymrn dratat mgedaeknh/+ Mt|m n|mk|n nhnt kmdmtalnlmt lm akiergndaek q nzeqe ztadetedanh lm het znlrmtMvzha~}m n hn gnlrm ~}m > : gnt agzer|nk|m mk mt|m gegmk|e mtnhagmk|nr nh omom znrn hecrnr hn cnknkdan lm zmte kmdmtnran fnt|n ~}mhn dar}can tmn rmnhanlnTa mh omom |amkm hnoae fmklale( zmre mh znhnlnr mt|n ak|nd|e( ak|mk|m dekhn gnlrm hnd|nkdan gn|mrkn

Zncakn < lm 3

8/2/2019 ENF-IN-022 Cuidado del paciente con paladar hendido

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D]ANLE LMH ZNDAMK\M DEK D9lace2 MKI ' AK 'ZNHNLN_ MKLALE :??Fetza|nh

Tag9k Oehaynr MKIM_GM_AN Ymrta9k2 ?

Ta mh omom ke z}mlm tmr ngngnk|nle lmoale n hn iat}rn( mktmram n hngnlrm n nhagmk|nrhe dek rkm|elet nh|mrkn|ayet+ Mktmkm n hn gnlrm hniergn lm mv|rnmrtm hn hmdfm+\mdkadn lm mv|rndda9k gnk}nh lm hn hmdfm2n+ Eo|mkcn }k rmdazamk|m hagzae znrn dehmd|nr q c}nrlnr hn hmdfmf+ Hnynle mt|rad|e lm gnketd+ Tamk|mtm lm |nh iergn ~}m tm tamk|n derkeln q dehe~}m mh rmdazamk|mlmonbe lm mh tmkml+ Mv|rnacn hn hmdfm>+ Nkagm n hn gnlrm n mv|rnmrtm hn hmdfm zer > : gmket 6 ymdmt mk ?< fernt?+ Ynherm hn dnzndalnl lmh omom znrn nhagmk|nrtm mk dnln |}rke4+ Mhabn dekb}k|ngmk|m dek hn gnlrm( mh rkm|ele lm nharkmk|ndaek gntnzrezanle2 d}dfnrn( dezn } e|re mhmgmk|e_mnhadm mk dekb}k|e dek hn gnlrm( mh zhnk lm nhagmk|ndaek lmh omom( zreymndektmbmran mk hnd|nkdan q lm akt|r}ddaekmt mtzmdaiadnt lm nhhgmk|ndaek+ Zermbmgzhe( dege fndmr ~}m mh omom mhagakm cntmt nlmd}nlngmk|m : hnzetadaek nk|arrmih}be( m|d+

Hn Mkimrgmrn b}mcn }k reh zragerlanh znrn nq}lnr n het znlrmtn lmtnrrehhnr q gnk|mkmr rkm|elet nlmd}nlet lm nhhrkmk|ndaek+Geka|eradm lanrangmk|m hn cnknkdan lm zmte q mh nzmcegn|mrkn q zn|mrke+Ta eotmryn nhc}kn nkergnhalnl ak|mrymkcn( ntat|n nh omoml}rnk|m hn n}gmk|ndhek2

>+ Nhagmk|m hmk|ngmk|m( tmgatmk|nle mk zetadaek rmd|n( dek df}ze( bmrakcne dezn+?+ Mk kaket dek znhnlnr fmklale lmom |mkmr zrmdn}daek lm ke dehednr mhdf}ze lmk|re lm hn iat}rn+4+ Fncn ~}m mh omom mhagakm cntmt irmd}mk|mgmk|m

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NHDN>+LiN GNQE_E OeCE\N e(d(,N]+EE//{'Thgn/)l//#+#S

D]ANLE LMH ZNDAMK\M DEK D9lace2 MKI ' AK 'ZNHNLN_ MKLALE :??Fetza|nh

Tag9k Oehaynr Ymrta9k2 ?KIM_GM_AN

Hn rmznrnda9k lmh hnoae fmklale z}mlm tmr rmnhanln d}nkle hn tnh}l lmhkake zmrga|m mh }te tmc}rn lm nkmt|mtan+Onkm q zmtm nh rmdamk kndale+ _myatm hn zmrgmnoahalnl lm het nddmtetymketet q ~}m mh omom |mkcn hn gnkahhn lm almk|aiadnda9k z}mt|n\rnthnlm mh omom n tnhnt lm dar}can q mk|rmc}m n hn Mkimrgmrn Bmim lmtnhnt hn fat|eran dhakadn+Gnk|mkcn hn yan nmrmn zmrgmnohm l}rnk|m mh zet|'ezmrn|erae2

>+ Ynherm tacket lm lat|rmt rmtzarn|erae?+ Ntzarm hnt tmdrmdaekmt ernhmt d}alnletngmk|m zer het hnlet lm hnoedn4+ Gnk|mkcn nh omom tmgatmk|nle : lm hnle znrn zregeymr mh lrmknbm lmtmdrmdaekmt q zrmymkar mh |rn}gn lm hnt hakmnt lm t}|}rn+ Geka|eradm tacket ya|nhmt dnln ? fernt?+ Gakagadm hnt zetaoahalnlmt lm hAnk|e( ta mt kmdmtnrae nhdm q nd}km nhomom tm~}k kmdmtalnl+ KE ]TM DF]ZE LM MK\_M\MKDAEK+4+ Zred}rm nlmd}nln nknhcmtan

8/2/2019 ENF-IN-022 Cuidado del paciente con paladar hendido

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MKIM_GM_AN Ymrta9k2 ?

D]ANLE LMH ZNDAMK\M DEK D9lace2 MKI ' AK UZNHNLN_ MKLALE :??Fetza|nh

Tag9k Oe|rynr