Opaleshoni, chithandizo chamankhwala, komanso ntchito ya orthodontic
Kupewa kugona kwa mpweya ndi matenda omwe amachititsa kupuma pamene mukugona pakati pa akuluakulu ndi ana. Zingakhale ndi zofunikira pa kukula, chitukuko, ndi khalidwe pa achinyamata omwe athandizidwa. Ndi zizindikiro ziti zomwe zimagwirizanitsa ndi matenda obisala ana ndi achinyamata? Kodi ndi mankhwala apadera ati omwe alipowa magulu awa? Phunzirani momwe mungaperekere matenda opatsirana ogona tulo kwa ana ndi achinyamata, kuphatikizapo ntchito za opaleshoni, chithandizo chamankhwala, orthodontics, kulemera kwa thupi, ndi njira zina zomwe mungasankhire monga mankhwala opatsirana.
Kodi N'chiyani Chimalepheretsa Apuloa Kugona?
Kupewa kugona tulo tomwe timapuma timakhala tikupuma pamene tikugona. Zigawo izi zimakhala chifukwa cha kugwa kwapadera kwapadera kwa mphepo yam'mwamba , kumakhudza ziphuphu pamutu (monga matani, adenoids, kapena palatine) kapena pansi pa lilime. Zimakhudza pafupifupi 1 peresenti ya ana.
Zochitika zapuloa za kugona zimatha masekondi khumi ndipo zimakhudzana ndi kuchepa kwa magazi m'magazi (ndi kuchepa kwa magawo atatu peresenti), kuwonjezeka kwa mpweya wa carbon dioxide, kapena kuwuka kumene mapulogalamu akugona. Mosiyana ndi anthu akuluakulu, momwe chiwerengero cha apnea-hypopnea (AHI) choposa zisanu chimaonedwa kuti n'chosazolowereka, izi zikhoza kuchitika nthawi imodzi pa ola limodzi ndi ana ndipo zimaonedwa kukhala zofunika.
Kupewa kugona tulo kaŵirikaŵiri kumachitika chifukwa cha mawonekedwe a nkhope omwe amachititsa kuti phokoso liwonongeke. Zingawonongeke kwambiri ndi chifuwa kapena kusuta fodya.
Malo ogona, makamaka ogona kumbuyo, amatha kuwonjezeranso zochitikazo. Kulemera kwa phindu kungathandizenso ana omwe ali olemera kwambiri kapena olemera kwambiri.
Kodi Zizindikiro ndi Zisonyezero za Kugonana Kwakufa kwa Ana N'zotani?
Ngakhale kuti zofanana ndi zomwe zimachititsa kuti munthu asagone msinkhu, amatha kukhala ndi zizindikiro zosiyana siyana komanso zizindikiro za matendawa.
Zina mwazipezazi ndizo:
- kusuta
- anawona kupuma kupuma
- kupuma kapena kukakamiza
- pakamwa kupuma
- mano opukuta kapena kumangiriza
- thukuta usiku
- kugona mopanda phokoso
- zoopsa usiku
- kugona
- kugwidwa
- mitu yam'mawa
- kugona kwa masana
- Amakhala mu ana okalamba
- kuchepetsa vuto la matenda osokoneza bongo (ADHD)
- mavuto okula
Tiyeni tikambirane zochepa zomwe tafufuza ndikuwonetsa momwe angasonyezere kupezeka kwa matenda obisala obettive.
Ana sayenera kukwatira nthawi zonse. Ngakhale zikhoza kuwoneka zokongola, izi zikhoza kukhala chizindikiro cha kupuma kupuma pamene mukugona ndipo simuyenera kunyalanyazidwa. Kupuma pamphuno kumasonyeza vuto kupuma kudzera m'mphuno. Izi zikhoza kukhala chifukwa cha kusungunuka kwa msana kuchokera ku chimfine kapena nthawi zambiri pamtunda wa chifuwa. Kugona mopanda phokoso ndi mopanda kupuma kungakhale chizindikiro cha kupopera ndi kuyesetsa kupuma.
Kugonana kofiira kungapangitse magawo ogona ndikupangitsa kukhala ndi makhalidwe ogona (otchedwa parasomnias ) ngakhalenso bedwetting yomwe imapitirira kuposa nthawi yachibadwa ya kuthetsa. Ana angakhale akugona masana, koma mwina amatha kukhala osasamala komanso osasamala. Kukula kungakhalenso kovuta komanso njira yabwino yothandizira kugona tulo kungayambitse kukula komanso kusintha kwa khalidwe.
Zotsatira izi zingapewe.
Kuchiza kwa Apnea Yogona ku Ana ndi Achinyamata
Mwamwayi, pali njira zabwino zothetsera matenda omwe alipo pa ana ndi achinyamata, kuphatikizapo:
Tonsillectomy ndi Adenoidectomy
Izi ndizochipatala chofala kwambiri kwa ana omwe ali ndi matenda obisala ogona. Zidzakhalapo ngati dokotala adziwa kuti akuwonjezera mataniyoni kapena adenoids kumbuyo kwa pakamwa ndi kupaka mmero. Ana omwe ali ndi matani okulitsa angadwale matenda opatsirana, akudandaula ndi pakhosi, ndipo amatha kusintha mau awo pamene ziwalozo zikulitsidwa.
Kuchita opaleshoniyi kumagwira bwino kwambiri ndipo phindu labwino ndi 80 peresenti. Njirayi imakhala ora limodzi ndipo imapezeka pansi pa anesthesia. Ana amabwerera kusukulu masabata awiri. Amachitidwa ndi dokotala wamkulu opaleshoni kapena wamaluso, khutu, ndi mmero (ENT) katswiri. Kufufuza kumeneku kungafunike kutumiza kuchokera kuchipatala chanu kapena katswiri wa kugona.
Kuchiza Mankhwala
Ana kapena achinyamata omwe ali ndi vuto lopweteka (hay fever) akhoza kukhala ndi mphuno, mphuno, madzi kapena maso. Pamene mphuno imatsekedwa, kupuma pakamwa kumakhala kovuta. Izi zingachititse kuti pakhale chiopsezo chokodzera ndi kugona tulo. Mafupa amatha kupatsidwa mankhwala amphongo amphongo, mankhwala amlomo monga montelukast (kugulitsidwa ngati mankhwala osungiramo mankhwala), kapena mankhwala otchedwa steroid nasal sprays. Kutumiza kwa munthu wotsutsa akhoza kukonzekera kuyesedwa koyezetsa magazi kapena immunotherapy. Kuchepetsa ziphuphu zamkati, ziphuphu zomwe zimapweteka ndi zowawa ndipo zingalepheretse mphuno, zingatheke ndi katswiri wa ENT.
Orthodontic Treatment
Nthawi zambiri ana amasowa kuti aziwongolera mano opotoka, koma nthawi zina njirazi zingathandizenso kupuma pamene mukugona. Achinyamata nthawi zambiri amapita ku dokotala wina, koma ana ang'ono angapindule ndi mankhwala enaake. Kukula kwa maxillary kofulumira kungagwiritsidwe ntchito pofutukula chingwe cholimba ndi ndime yamphongo. Izi zimachitika ndi kukhazikitsidwa kwa nsalu yosinthika pa denga la pakamwa ndi katswiri wa orthodontist. Mankhwalawa amathandiza kwambiri ana ang'onoang'ono, ndipo sagwira ntchito pambuyo pa kukula kwachangu. Kwa ana achikulire, mbuzi zingagwiritsidwe ntchito kupitilira patsogolo mmafupa. Izi zingathandize pamene retrognathia alipo. Zomwe zingatheke, kuchotsa dzino kumayenera kupewa. Kukhalapo kwa mano akuluakulu kumalimbikitsa kukula kwa nsagwada kuti apeze malo.
Myofunctional Therapy
Kugwiritsa ntchito lilime ndi milomo kungapangitse kuti minofu ikhale yopanda phokoso komanso kuchepetsa chiopsezo chogonana ndi kugona. Zochita izi zingaphatikizepo kukankhira lilime kunja, kuligwedeza, kuliyika, kapena kukankhira padenga la pakamwa. Zingathenso kulangizidwa ndi katswiri wodziwa kulankhula. Mankhwala osokoneza bongo alibe mwayi wowopsa wa zotsatirapo. Zochita izi ziyenera kuchitidwa kwa mphindi 45 tsiku ndi tsiku, komabe, ndipo ana sangakhale akutsatira ndondomekozo. Palinso umboni wakuti kusewera zida zamatabwa komanso evengeridoo zingakhale zothandiza.
Kupitiliza Kulimbika Kwambiri kwa Airway (CPAP)
CPAP ingagwiritsidwe ntchito kwa ana kapena achinyamata omwe ali ndi vuto la kugona mofulumira ngakhale kuti akudwala matenda enaake. Pambuyo popanga njira zina, phunziro la kugona lingakhale lothandiza kubwereza mkhalidwewo. Ngati ikupitiriza, CPAP ikhoza kukhala njira yabwino. Ndi CPAP, kutuluka kwa mpweya kumaperekedwa kupyolera mu nkhope ya mask yokhala pamphuno kapena mphuno ndi pakamwa pogona. Ndikofunika kusankha maski omwe sagwiritsanso ntchito kupanikizika kwambiri pakati pa nkhope monga pali malipoti olepheretsa kukula. Achinyamata ambiri amayamba kuchita chidwi ndi mankhwala a CPAP ndipo nthawi zambiri amatha kusokonezeka, makamaka pamene achinyamata amapita ku koleji ndikugona m'mapiri. Ikhoza kukhala chithandizo chimene chimabweretsedwanso pakapita nthawi.
Kupititsa patsogolo kwa Maxillomandibular
Chakumapeto kwa msinkhu, kupititsa patsogolo opaleshoni ya mitsempha yapamwamba ndi yapamtunda ikhoza kuchitika kuti mutsegule panjira. Izi zikuwonetsedwa ngati retrognathia alipo. Mankhwalawa ndi ofalitsa 85 peresenti. Ndondomekoyi imatha maola 4-5 ndipo imapezeka pansi pa anesthesia. Zitha kutenga masabata asanu ndi limodzi kuti zibwezeretsedwe ndi kuwonongeka koyambirira pakudya. Zimagwiritsidwa ntchito ndi opaleshoni ya opaleshoni ndi ya maxillofacial.
App App Oral
Achinyamata okalamba omwe adatsiriza kukula ndi kukwaniritsa ntchito yofunikira ya orthodontic angakhale ndi chidwi chogwiritsa ntchito zipangizo zamagetsi kuti athetse kugona tulo. Imeneyi ndi njira yowonongeka yolepheretsa kugona kapena yochepetsetsa yogona. Zida zowonongekazi zimapangidwa ndi dokotala wa mano ndipo zasintha kwa miyezi ingapo. Akale kwambiri, nsagwada ndi lilime la pansi limasunthira patsogolo, kutsegula kumbuyo kwa msewu. Angathenso kuteteza mano enamel kuchoka ku mano omwe akuphwanyika kapena kupukuta. Ngati mavuto ali mu temporo-mandibular joint (TMJ) alipo, izi sizingakhale zoyenera. Chifukwa cha kufunika kosintha chida, komanso kuthekera koletsedwa, iwo sakuvomerezeka kwa ana aang'ono omwe akukulabe.
Kuchepetsa Kulemera
Kwa ana omwe ali olemera kwambiri kapena olemera kwambiri, mapulani olemera kwambiri omwe ali ndi zakudya zabwino komanso kuwonjezeka kwa masewero olimbitsa thupi angasonyezedwe. Kusintha kumeneku kuyenera kupangidwa ndi kuyang'aniridwa ndi dokotala wa ana. Kuchuluka kwa kuchepa kwa thupi ndi cholinga chenicheni ndipo ndalama zomwe zikufunikira zidzakhala zosiyana ndi momwe thupi la mwana limayendera (BMI).
Ngati muli ndi nkhawa zokhudzana ndi vuto la kugonana kwa mwana wanu, lankhulani ndi dokotala wanu wa ana ndipo funsani malangizo kwa katswiri wodziwa kugona wodalirika omwe angamuthandize kuti athe kupereka ndondomeko, kutsogolera, ndi kutumiza ngati mukufunikira. Kupewa kugona tulo tomwe timatha kugwiritsidwa ntchito moyenera kumathandizidwa komanso udindo wa kholo lolimbikitsidwa pakuwonjezera momwe zotsatirazi zimakhudzidwira.
> Zotsatira:
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> Z Z, Celestin J, ndi Row Lockey. Matenda a Kugona Matenda a Phunyu: Chosintha. J Zachilombo ka Immunol Pract . 2016 Jun 30; S2213-2198 (16) 30105-2.
> Marcus CL et al. Kusanthula ndi Kusamalira Ubwino Wopanda Ana Kugona kwa Apnea Syndrome. Matenda . Anasindikizidwa koyamba pa August 27, 2012; DOI: 10.1542 / peds.2012-1671.
Pereira KD, Jon CK, Szmuk P, Lazar RH, ndi Mitchell RB. Kuletsa Zopinga Kugonana kwa Ana: Njira Yothandiza. Mphuno Zakutu Mnyamata J. 2016 Jul; 95 (7): E14-22.
> Whitla L ndi Lennon P. Osagwiritsa ntchito opaleshoni Yopanda Kulepheretsa Kugonana: Kufotokozera. Mtsikana wa Int Child Health . 2016 Apr 14: 1-5.