Kusunthira Mitsempha Patsogolo Kumatha Kuwongolera Njira Yoyenda Pansi
Opaleshoni ya Maxillofacial yomwe imagwiritsa ntchito kupweteka kwa nsagwada imagwiritsidwa ntchito nthawi zina pofuna kuthetsa vuto la kugona kwa tulo . Kodi opaleshoni ya nsagwada imakonza bwanji mitsempha yaing'onoting'ono yomwe imatha kupeŵa kugona tulo? Phunzirani za njirayi, zoopsa zomwe zingakhalepo, komanso nthawi yowonongeka pakatha opaleshoni.
The Anatomy Yimalangizidwa ndi Opaleshoni Ya Jaw
Kuchita opaleshoni chifukwa cha kugona kwa kugona ndi njira yomwe imakhudza opaleshoni yapamwamba ndi / kapena ya m'munsi.
Nsagwada yapamtunda imatchedwa maxilla ndipo nsagwada ya pansi imatchedwa mandible . Choncho, opaleshoni ikhoza kutchedwa maxillomandibular kupita patsogolo kapena kupita patsogolo kwa bimaxillary (ngati nsagwada zonse zikupita patsogolo). Njirayi imagwiritsidwa ntchito nthawi zambiri pamene nsagwada zimatsitsidwanso, monga zimawonetsedwa ndi micrognathia kapena retrognathia. Matendawa nthawi zambiri amatha msinkhu, kutanthauza kuti amakhalapo kuyambira kubadwa, kapena atakula.
Kodi Kupanga Kukula Kwachangu Kukuthandizani Bwanji Kuthandiza Kumwalira?
Kuchita opaleshoni yopita patsogolo kungapangitse malo kupuma pammero chifukwa ziwalo zomwe zili pamphepete mwa mmimba zimagwirizana kwambiri ndi nsagwada. Kuyendetsa nsagwada kumasunthira zigawozi patsogolo, kuchepetsa kuthekera kwawo kutulutsa kupweteka pammero. Chofunika kwambiri, lilime likupitabe patsogolo ndipo izi zingathandize kuti thupi liziyenda bwino lomwe limathandiza kuti onse azikhala ndi matenda obisala.
Opaleshoni yopita patsogolo ya Maxillomandibula ikhoza kukhala yothandiza kwambiri, koma njirayi ili ndi zoopsa zambiri komanso kuyerekezera poyerekeza ndi njira zina zochizira opaleshoni.
Chifukwa chakuti zimakhudzidwa kwambiri kuposa njira zina, opaleshoni yopitilira mmawa nthawi zambiri amachitidwa okha kwa odwala omwe sanamverepo mankhwala ena monga omwe sakulekerera ndi mankhwala opatsirana opatsirana (CPAP) . Komabe, kwa odwala ena, makamaka achinyamata omwe ali ndi nsagwada zachabe, akhoza kukhala mankhwala oyamba opaleshoni.
Zopindulitsa za nthawi zonse zimakhala zosangalatsa kwa iwo amene akufuna kupeŵa kugwiritsa ntchito mankhwala ena a moyo .
Kodi Zowonjezereka Zimayenderana ndi Opaleshoni Yoyamba?
Odwala omwe ali ndi matenda obongoletsa ogona, njirayi ndi yovuta kwambiri kuposa momwe wodwalayo aliri ndi malo opanda nsagwada. Pamafunika kuwonjezereka kwa nsagwada, ndizovuta kwambiri kwa dokotalayo, ndipo zimakhala zoopsa kwambiri ndikuchira. Izi zimachitidwa ndi dokotala wa opaleshoni omwe amaphunzitsidwa mwakhama.
Mofanana ndi opaleshoni iliyonse, pali ngozi zomwe zimachitika ndi mankhwala. Mavuto akulu ndi awa:
- Kusuta
- Kutenga
- Kutupa komwe kungapangitse kupuma kovuta (komwe kungakhale kosavuta kanthawi kochepa)
- Kulephera kwa nsagwada kuchiza kapena kufooketsa nsagwada
- Kuvulaza dzino
- Kusintha kwa kuluma (malocclusion)
- Matenda a Temporomandibular (TMJ)
- Dzino lopanda dzino kapena kusweka kwa nkhope
- Sinthani nkhope ya nkhope
Njirayi imafuna miyezi 2 mpaka 3 ya nthawi yowononga, kuphatikizapo zofunikira zoyamba kudya kwa masabata asanu ndi limodzi.
Ngati mukuganiza opaleshoni ya msuwa ngati chithandizo cha matenda anu ogona tulo, muyenera kulankhula ndi katswiri wanu ogona pazochitazi ndikufunsani kwa dokotala wodziwa bwino dera lanu kuti muyese.
Chifukwa cha zovuta za ndondomekoyi, ndibwino kuti mupeze dokotala yemwe ali ndi luso la njirayi.
Zotsatira:
Riley RW, Powell NB, ndi Guilleminault C. "Kuletsa kugona tulo topnea syndrome: kubwereza anthu 306 omwe amachititsa odwala opaleshoni mwachangu." Chovala cha Otolaryngol Mutu. 1993 Feb; 108 (2): 117-25.
Waite PD, Wooten V, Lachner J, ndi Guyette RF. "Opaleshoni ya Maxillomandibular yopita patsogolo mwa odwala 23 omwe ali ndi matenda obisala ogona." J Mwalankhula Maxillofac Surg. 1989 Dec; 47 (12): 1256-61; kukambirana 1262.