Pamene Kugonjetsa Kwachidule Kungakhale Vuto Lalikulu
Anthu ena akhoza kukumbukira pamene wokondweretsa komanso wokonda masewero a Carol Burnett anachitidwa opaleshoni mmawa mu 1983 kukonza nkhope yomwe ankaona kuti inali yovuta: chida chooneka bwino.
Chikhalidwe, chomwe chimadziwika kuti mandibular retrognathia, ndichizoloŵezi chofala chomwe chingakhudze zambiri kuposa momwe munthu amadzionera yekha. Nthaŵi zina, zingayambitse kupweteka kwa nsagwada, kumamva ululu, kuvutika maganizo, komanso kuvutika maganizo.
Chidule cha Retrognathia
Retrognathia ndi pamene nsagwada ya pansi (mandible) imabwereranso ku nsagwada (maxilla). Sizitanthawuza kuti mandible ndi yaing'ono, yomwe imawonekera pamene nkhopeyo ikuwonekera.
Nthawi zambiri tidzakhala ndi munthu yemwe ali ndi retrognathia ngati "oposa". Mbaliyi siinaganizidwe mwa njira iliyonse yachilendo kapena yosakondweretsa ndipo kawirikawiri ndi yofanana ndi nkhope yonse.
Komabe, pamene nsagwada ndi yaing'ono komanso yopanda malire, munthuyo amanenedwa kuti ali ndi micrognathia, vuto limene lingakhale ndi zotsatira zoopsa kwambiri.
Zifukwa za Retrognathia
Maonekedwe a nkhope amachokera kumbali ya munthu. Choncho, anthu omwe ali ndi retrognathia amakhala ndi nsagwada zofanana ndi za mamembala ena. (Burnett mwiniwake adatchula kuti iye ndi "Burnett family lip.")
Pali kawirikawiri majini omwe amachititsa kuti ziphuphu za m'nsagwada zikhale zovuta, kuphatikizapo matenda a Pierre-Robin, matenda omwe amadziwika kuti ndi ochepa kwambiri komanso omwe amawoneka kuti ali ndi vuto lopuma.
Kusokonezeka kwa nkhope kumayambiriro kwa msinkhu wachinyamata kungayambitsenso kusuntha kwa nsagwada, kaŵirikaŵiri kumabweretsa maonekedwe osayenerera, "kubwerera".
Mavuto Ogwirizana ndi Retrognathia
Retrognathia ingayambitse mavuto kuyambira msinkhu wobereka, ndi ana ena omwe satha kuyenerera kuti ayang'ane pazitsamba pamene akudyetsa.
Pamene munthu akukula, kudetsedwa kwa mano kungakhudze kuluma kapena kutafuna chakudya, Ngati tsaya laling'ono ndiloling'ono, mano angakhalenso odzaza kapena osasintha. Zinthuzi zingathe kuchititsa matenda omwe amadziwika kuti temporomandibular disorder disorder (TMJ) , nthawi zambiri zowawa zomwe zimakhala ndi minofu ndi mitsempha m'tchire.
Retrognathia ingayambitsenso kupuma kupuma, makamaka pamene mukugona kapena mukakhala kumbuyo. Kusungunula ndi kugona tulo si vuto lalikulu kwa anthu omwe ali ndi retrognathia, chifukwa nthawi yomwe mthunziwo umaloleza kuti lilime lilowe kumbuyo. Zimenezi zingayambitse kupuma, kupuma, ndi kupuma.
Kuchiza Retrognathia
Malingana ndi kulemera kwa retrognathia, mankhwala akhoza kapena sangakhale oyenera.
Ngati akudziwika ali mwana, mankhwala ovomerezeka omwe amatha kuchepetsa kuoneka kwa nsagwada. Njira imodzi imaphatikizapo kugwiritsa ntchito mutu wapadera kuti pang'onopang'ono kukula kwa maxilla kuti mitsempha yam'mwamba ndi yapamtunda ikhale yabwino.
Pofika zaka zaunyamata kapena akuluakulu, kamodzi kamakula pakatha , opaleshoni yotchedwa maxillomandibular progress (MMA) ingagwiritsidwe ntchito kusuntha nsagwada zonse patsogolo.
Ubwino wa njira iyi ndikuti ma-brace sakufunika kuti asinthe mano. (Mosiyana ndi momwe opaleshoni ya Burnett imagwiritsira ntchito mandible osteotomy yomwe nsagwada imachotsedwa ndikusunthira patsogolo.)
(Zovuta kwambiri pa opaleshoni ndizofunika: kulikonse kuchoka pa $ 50,000 mpaka $ 100,000 ndipo nthawi zina.
Ngati retrognathia ikuyambitsa kugona, kugwiritsidwa ntchito kwapadera monga kupitilira kwina kwapansi (CPAP) ndi chogwiritsira ntchito pakamwa kumathandiza.
TMJ, mosiyana, nthawi zambiri imakhala yovuta kwambiri kuchiza ndipo imakhala ndi mankhwala odana ndi kutupa, ma packs a ice, masitera, njira zotsitsimutsa, komanso kupeŵa kugaya kwambiri kapena kutafuna.
Zipangizo zamakono (zomwe zimadziwika ngati mabala a mano kapena zilonda za kuluma) zimapezeka kupezetsa milandu yowopsa kwambiri.
Ngati mumakhudzidwa ndi thanzi la nsagwada yanu, lankhulani ndi dokotala kapena dotolo yemwe angathe kupereka uphungu pazochitika zothandizira komanso zosapanga opaleshoni.
> Zotsatira:
> Al-Hashmi, A. ndi Al-Saadi, N. "Opaleshoni yothandizira kuti mandibular retrognathia asamalidwe chifukwa cha matenda osokoneza bongo." Chimaltenango 2015; 44 (Suppl 1): e25.
> Joshi, N .; Hamdan, A .; ndi Fakhouri, W. "Malo Osokoneza Ubongo: Chisokonezo Chotukuka Chokhala ndi Moyo Wosatha." J Clin Med Res . 2014; 6 (6): 399-408.