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Amidou developed the Noma 15 days ago after a buccal infection in a context of malnutrition and immunodepression.
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The Noma is a buccal infection that, if it is not quickly treated with antibiotics, can end up losing a part of the face.
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Odette or Emilienne are embarrassed to eat, to talk, to express their emotions.
So it would be difficult for them to integrate socially.
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The Noma of Koita is developed at the level of play. It is a gangrene.
Following the scar, the subtraction of the fabrics has rigidified its play to the extreme.
It can no longer open nor close its mouth.
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Christine developed the Noma on the right side of the face.
She lost a part of her lips, her play, and even her eye.
She had to grow up with her eyebrows and accommodate herself.
After that, she was operated.
She now has a lumbar that comes to close the hole and her constriction has been raised.
But it is not as easy for her to talk, to eat, to smile.
It is not because the hole is filled that she can use her new works and her play.
We still have trouble understanding her, she still has trouble chewing her food.
She does not learn by herself. She has to do a re-education
to preserve the acnes of surgery and to learn to use her new face.
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Just like Christine, Nathalie needs re-education to strengthen her muscles,
to improve the mobility of her muscles, to soften her tissues and scars.
In a few months, she will receive post-operative care, including re-education.
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For this, she is welcomed in a center where nurses trained in re-education
will offer her re-education protocols during a long-term follow-up.
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Nathalie also needs a re-education, but different from that of Nathalie.
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Re-education carried out in the means of protocols
helps patients to re-appropriate their face, to eat and to talk more easily.
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The re-education does not improvise. It is a precise technique adapted to everyone.
An inappropriate or unfulfilled technique can aggravate a situation instead of improving it.
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How do you think about starting the massage of these days?
I do not think so. She has not finished her re-education yet.
She has not yet finished her re-education yet.
Re-education is being thought of.
It is being built based on a rigorous approach based on the test and the final observation.
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The protocols set in place allow us to maintain the buccal opening,
to increase the mobility of the face, to soften the lumbar
and to decrease, or to make the pain disappear.
However, to stop everything, there are still difficulties in pronunciation
that can lead to social assertion.
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A re-education led by an orthophonist will benefit him.
For others, gestures carried out by therapists will be necessary.
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The children of the Noma need a long-term follow-up.
The re-education of these diseases does not improve.
They need a close collaboration between the orthophonists,
the kinesi therapists, the nurses and the surgical teams.
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The Physiognoma Association has been focusing on re-education
of the Noma since 2003.
We have already had contacts.
The Physiognoma Association is investing in
so that these re-education techniques can be transmitted as efficiently as possible.
For this, we offer training actions to caretakers and re-educators
so that together, we can help children reach the Noma
and find the key to the smile.
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