Kuchiza kwa Orthodontic Kumathandizira Kulimbitsa Thupi la Anatomy Kupereka kwa Apnea
Chithandizo cha matenda obisala m'mimba mwa ana nthawi zambiri chimakhala ndi njira zambiri zowonongeka, kuphatikizapo akatswiri ambiri azachipatala ndi a mano. Mmodzi mwa akatswiri akuluakulu omwe angakhale nawo mbali ndi a orthodontist ophunzitsidwa bwino omwe angachite bwino kukula kwa maxillary. Kodi kukula kwakukulu kwapadera kumakhala chithandizo chotani cha abstructive sleep apnea kwa ana?
Kodi ndi udindo wotani pa nkhani yothandizira kugona tulo kwa ana? Phunzirani za kukula kwa maxillary, zomwe ana angapindule nacho, zomwe zingakhale zoopsa zogwiritsidwa ntchito ndi mankhwala, komanso njira zina zothandizira mankhwala omwe angakhale othandiza.
Kodi Kukula Kwakukulu Kwakukulu N'kutani?
Ana amene amapezeka kuti ali ndi matenda obongoletsa ogona angatumizidwe kwa orthodontist kuchipatala ndi kukula kwa maxillary (RME). Chithandizochi chimaphatikizapo kuika chigoba chokwanira padenga la pakamwa chomwe chimapanga maola ochuluka. Katswiri wa orthodontist akutsogolera mankhwalawa amakhala ndi maphunziro apadera ndipo akhoza kukhala membala wa American Academy of Dental Sleep Medicine (AADSM).
Chombochi, chomwe nthawi zina chimatchedwa butterfly brace, nthaŵi zambiri chimadutsa mano ambiri ambuyo ndipo chimagwiritsidwa ntchito ndi mabotolo osalimba. Pakati pa denga la pakamwa, pali chigawo chosinthika.
Pambuyo poyikidwa, chingwechi chingasinthidwe ndi kholo lomwe liri ndichinsinsi chapadera. Kusintha kumeneku kudzawongolera pang'onopang'ono kuchuluka kwa mphamvu yogwiritsidwa ntchito mano.
Kodi Kuwonjezeka Kwakukulu Kwambiri Kwambiri Kumagwira Ntchito Bwanji?
Kukula kwa maxillary mofulumira kumawonjezera phazi lolimba, lomwe liri gawo lomaliza la denga la pakamwa.
Bony ili ndi gawo la maxilla. Denga la pakamwa ndilo pansi pa ndime yamkati. Choncho, pamene likulitsidwa, dera lomwe mpweya umayenderera kupyola mu mphuno imathandizidwanso kukula. Zotsatira zake, mpweya wambiri ukhoza kudutsa pammero ndi m'mapapu, ndipo izi zingachepetse kugwa kwa mlengalenga komwe kumapangitsa kuti agone.
Kuwonjezeka uku kuli ndi zotsatira zina zapadera. Mwana wanu adzakhalenso ndi kumwetulira kwakukulu. Kuonjezerapo, padzakhala malo ochulukirapo oti mano alowemo. Chofunika kwambiri, kuyamwa kwa mano chifukwa cha kubzala kungapewe. Mankhwalawa ndi ofunikira kuti pitirizani kukula kwa fupa. Akachotsedwa, nsagwada sizingasunthike kukula bwino momwe zingathere, zomwe zimapangitsa kuti pakhale ngozi yowonongeka chifukwa cha micrognathia .
Kodi Ndi Ana ati Amene Ali Otsatira a RME?
Pakali pano, kufalikira kwachangu kwapadera kumalimbikitsidwa kwa ana amene apezeka kuti ali ndi vuto la kugona kwa kugona. Pali zochepa zoletsera, komabe. Mwana wanu ayenera kukhala ndi mano omwe angapangidwe. Ana omwe ali ndi zaka zitatu akhoza kupatsidwa chithandizo, koma zimadalira chitonthozo cha orthodontist. Mwanayo ayenera kukhala wokhazikika kuti apange chigoba ndi kusintha.
Choncho, ana ang'onoang'ono angakhale ovuta kuvomereza chithandizocho, ngakhale kuti zingakhale zofanana.
Kuonjezera apo, mankhwalawa ndi abwino kwa ana omwe ali kale mu kukula kwawo ndi chitukuko. Ndibwino kuti, ana omwe ali m'kalasi yam'mbuyomu akhoza kuchiritsidwa (kuyambira zaka 4 mpaka 10, nthawi zambiri). Pambuyo pa ubwana, chomera cha maxilla fuses. Mitsempha m'thupi lonse ili ndi malo owerengedwa ndi fupa la kukula komanso kukula. Mu maxilla, pamene kukula kumathera, chigawo ichi chimawerengedwa ndipo kuponderezedwa kogwiritsidwa ntchito sikungapititse patsogolo kukula. Ena a orthodontists ku Ulaya agwiritsira ntchito mokakamiza kuti adzikonzeketsere kukula kwa mbeuyi atatha kutsegulira ndikupereka zina zowonjezereka, koma izi sizomwe zimayendera.
Zotsatira Zowopsa Ziti Zidzakhala ndi Kuwonjezeka Kwambiri Kwambiri?
Ana amalekerera mankhwalawa bwino kwambiri. Pangakhale kupweteka koyamba koyamba ndi kusungidwa ndi pambuyo pa kusintha. Ana ambiri sazindikira chingwecho. Zili zobisika ndipo siziwoneka kunja kwa pakamwa. Sizimakhudza kwambiri kudya kapena kulankhula.
Pamene nthenda yovuta ikufutukula, mano omwe ali mmenemo adzayamba kutuluka. Pa nthawi ya chithandizo cha mankhwala, izi ndizo mano aang'ono. Pamene mano akuluakulu abwera, malowa akhoza kuchepa kwambiri. Ana ena angafunike mankhwala odzola kuti azisintha kayendedwe ka mano ndi kupititsa patsogolo mano. Pakhoza kukhala pangozi kwa ana omwe anabadwa ndi ludzu kapena phala, ndipo izi ziyenera kufotokozedwa ndi kukambirana ndi ophunzila.
Ngati mukufuna chidwi cha kukula kwa maxillary kuti muwonetsetse kuti mwana wanu ali ndi vuto la kugona, yambani kulankhula ndi ogona anu ogona kuti muwone ngati a orthodontist omwe amadziwika ndi mankhwalawa alipo m'deralo. Zingakhale zofunikanso kuphatikizapo mankhwala ena opatsirana, kuphatikizapo opaleshoni yofewa monga tonsillectomy ndi adenoidectomy, mankhwala osokoneza bongo, mankhwala opatsirana , komanso kupitiliza kuthamanga kwa mpweya wabwino (CPAP) . Lankhulani ndi dokotala wanu zomwe zingakhale zoyenera kwambiri kwa mwana wanu.
> Chitsime:
> Kryger, MH et al . "Mfundo Zothandiza Pogona Mankhwala." Elsevier , edition lachisanu. 2011.