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Linguinha test in newborns is now mandatory across the country

22/12/2014

This article was translated by an automatic translation system, and was therefore not reviewed by people.

 

 



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Starting this week, hospitals and maternity wards of public and private networks are now required to take the test called the linguinha in newborns. The determination was created by Law 13.002 / 2014. The goal of the test is to detect if there is any change in called frenulum, the membrane that connects the tongue to the bottom of the mouth - also known as brake. The change can generate the popular tongue-tied.
The dealer Eliane Tobar found that the younger son, now one year, had the problem when found it difficult to breastfeed. The diagnosis was made a month after the baby is born. "I complained to the doctor that at the time he was going to suck, it hurt a lot. The pain was unbearable in the arm. He nursed every 20 minutes, half an hour. "
The therapist and member of the Brazilian Society of Speech Roberta Martinelli created the methodology to the evaluation of infants and diagnose the problem. "At first, the test came to detect a lisp, which is when this wire is attached more to the tip of the tongue. Only considered lisp when limits the movement. "The problems go beyond the difficulty in speech. In the case of newborn feeding can be impaired, as it affects the suction. "It's been one of the major causes of early weaning. He [the baby] may have difficulty moving on to the baby food because it has difficulty swallowing. About a year and a half may have problems in the masticatory process too. "
The therapist 's examination observes the physical aspects of the language, but other features also need to be evaluated, for example, how the breast child and even crying. "We observed characteristics of crying because the baby has this lisp more climbs the side of the tip of the tongue. It [end] is the lower side. "If Eliane's son, the solution was a surgical procedure known as pike. A cut was made on the brake so that the language could have more movement. With local anesthesia, the surgery lasts a few minutes and then immediately the child may already be breastfed.
The eldest son of Eliane was also diagnosed with a lisp but, unlike the youngest, was already greater. The mother said the difficulty had to feed the first child. "It was a shame even if I could not breastfeed because she had milk but could not. He did not give swallow account ". The operation in this case is also recommended.
Although the law be considered an advance in some respects, the pediatrician Patricia Salmone, part of the Department of Clinical Genetics of the Brazilian Society of Pediatrics, believes it is necessary to consider some points regarding the treatment. It tells that there are different degrees of tongue-and therefore the processing costs. "Not all have the treatment indication pike in the language. Those without surgical indication could be sent without the need [for surgery]. "
Patricia recalls that, often, there is no consensus among professionals who do the testing with respect to the surgical procedure. "The prevalence of lisp revolves tone of 15% but, of those, 10% have no indication to do the procedure. Half would be required and the other half is the question. "She explains that, often, the child needs to be reassessed, and for the diagnosis to be made by qualified professionals.
For the therapist Roberta Martinelli, professionals need to be trained and you need to adopt a protocol to help test standardization. "While not have a standard, will make the 'achômetro' and it can not. We are dealing with babies. The protocol indicates only for surgery when the case is crystal clear. And these cases can not leave the maternity undiagnosed. "
According to a spokesperson of the Ministry of Health guidelines that will bring the details for the diagnosis are being developed by the National Commission on Technology Incorporation and a working group formed by the Health General Coordination of the Child, the statement said. Still according to the text, the national guideline will bring recommendations on how to test, and the ministry has directed the professionals on the importance of evaluation.
According to a spokesperson for the ministry, even without regulation, law enforcement is paying and the standard will reinforce what is already done today. The evaluation and surgery are offered free by the Unified Health System (SUS), as well as other important tests like the heel prick, the little ears and little eyes.
Congressman author of the law, Onofre Augostini (PSD-SC), reports that the Ministry of Health will be responsible for monitoring and believes that with the requirement, many problems will be avoided. "It will ensure that when the child becomes an adult, if it contains the prey linguinha called disability, has difficulty speaking, to breastfeed."
Martinelli says that now the expectation is that the ministry guidelines be developed soon. "What we want is not too long. The more delay, the more hospitals will take the suit. "
For Patricia Salmone, the great advantage of the law is that from now more children will be diagnosed. "There is such a low frequency. So make a screening is interesting. We will be the first country to do this screening. "He adds: "Come to add, as an additional tool for the doctor." It states that if surgery is necessary, the lower the child, the more rapid recovery. "The surgery is virtually painless. There is major surgery, but once born is a very small thing. "
 

 

Source: Agency Brazil

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This article was translated by an automatic translation system, and was therefore not reviewed by people.

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