Izinhlobo ze-Lips and Cleans

by UMillicent Odunze, MD

Umlomo ocacile ungenye yezinkinga ezijwayelekile kakhulu ebusweni obuphathwayo ngabahlinzayo abahlinzeka nge-plastic . I-Cleft lip iyabacindezela abazali , ngoba abafuni ukuthi ingane yabo ikwazi ukuziqhenya noma ukuba igxile ekuhlekwa usulu.

Umlomo ocacile uyisigamu ekhanda eliphezulu. Kungani kwenzeka? Phakathi nokuthuthukiswa kwe-fetal, izakhi zomlomo nezindebe azihlangani kahle. Izindebe ezihlanzekile ziyahlukahluka ngobukhulu babo.

I-Cleft lip iye yabizwa ngokuthi "hare hare". Le moniker yavela ngenxa yokwahlukana kwemvelo okukhona emlonyeni ophezulu wezinogwaja / izinhlamvu. Igama elithi lip lip alisetshenzisiwe emphakathini wezokwelapha njengoba kubhekwa njengokuhlekisa.

Umlomo ocacile uhlukile emgqeni we- cleft . Umlomo ocacile uthinta i-lip engenhla, kanti i-palate ye-cleft iyigaba ophahleni lomlomo. Akubona bonke abantu abanezindebe ezicacile abane-palate. Futhi akubona bonke abantu abane-palate ecacile abanomlomo ocacile. Kungenzeka ukuthi umuntu abe nomlomo ozwakalayo kanye ne-palate ye-cleft.

Kulesi sihloko, uzofunda amagama wezingxenye zomlomo ojwayelekile. Ukukwazi ukuthi imilomo evamile ibukeka kanjani kuyokusiza ukuba uqonde kangcono ukuthi yiziphi izingxenye ze-lip ezingavamile emlonyeni we-cleft. Uzofunda ngezinhlobo ezehlukene zezindebe eziqhakazile - okungahambisani nanye, okuphelele nokuphelele. I-Unilateral kusho ukuthi i-lip ine-cleft ngakolunye uhlangothi. Izindlela zokubambisana zikhona ukuthi kukhona ukuhlenga kwezinhlangothi zombili. Ukuqedela kubonisa ukuthi uqhwaba luvela emlonyeni yonke indlela eya ekhaleni. Ukungapheleli kuhilela i-lip kodwana kubeka ikhala.

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I-Lip Anatomy evamile

I-Anatomy ye-Lip evamile. Lisa Stirling / Getty Izithombe

Ukuze uqonde ukungahleleki kwesiphambeko somlomo ocacile, kuyadingeka ukuthi uzwisise ukuthi imilomo evamile ibonakala kanjani. I-anatomy evamile inomlomo ophezulu nangaphansi. Umlomo ophuthumayo uthinta i-lip engenhla. I-lip engenhla inezingxenye eziningana.

Umqulu omhlophe: Umqulu omhlophe uyigwala elivelele ngenhla lapho isikhumba somlomo sifana nesikhumba sombuso.
I-Vermillion: I-vermillion yiyona ingxenye ehlotshisiwe ye-lip. Umbala wemibala kusuka obomvu kuya obomvu ngokusekelwe ekuhlotsheni kwezithombe zomuntu ngamunye. Inomuthi owomile (obonakala lapho izindebe zivaliwe) kanye nenxenye emanzi (ebonakalayo lapho izindebe zihlukaniswa).
Amakholomu asePhiltral: Izinsika eziqondile ezisuka ezindebeni kuya ekhaleni. Isici esingaphansi / esingaphansi kwamakholomu we-philtral enza izintaba ze-lip engenhla. Isici esiphezulu / esingaphezulu sakha i-sill yangasese, phansi kwe-nostril.
I-Philtral Dimple: Ukungena noma ukucindezeleka phakathi kwamakholomu amabili we-philtral.
Umnsalo we-Cupid : Ukuvuthwa engxenyeni ephakathi komqulu omhlophe. Inamaphuzu amabili kunhlangothi zonke. Izintaba ziyingxenye ephansi yamakholomu we-philtral.
I-Orbicularis Oris: I-orbicularis oris muscle ijikeleza izindebe. Imisipha ibalulekile ekunikezeni ikhono lokukhuluma, ukudla nokuphuza ngokwejwayelekile. Uma ukucwila okungaphelele kungaphansi kwezingxenye ezimbili kwezintathu zokuphakama kwe-lip, ezinye izintambo zomsila zingase ziwele umcibisholo. Emikhankeni enamandla kakhulu, kunokuphazanyiswa okuphelele kwezingcingo ze-muscle.
I-Nasal Sill: I-sill yama-nasal yenza i-bottom noma phansi kwe-nostril. I-sill yama-nasal ayitholakali kwezinye izinhlobo zomlomo ocacile.
I-Simonart's Band: Ibhuloho lesikhumba eliwela phansi emakhaleni ohlangothini lwe-cleft lomlomo ocacile. Ibhendi likaSimartart libukeka sengathi liyi-sill egcwele emanzini.
I-Alar Rim: I-alarm i-alar isyingxenye yekhala elizungezile i-nostril.

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Microform Cleft Lip

I-Microform cleft lip iyindlela elula kakhulu yomlomo ocacile. Kungase kubonakale njengesotshi esingafaneleki noma njengesikhala sekholomu ye-philtral. Isithombe © Millicent Odunze, MD, MPH

I-microform cleft lip (eyaziwa nangokuthi "i-fruste form") inguqulo elula kakhulu yomlomo ocacile futhi ihlukaniswe njenge-cleft engaphelele.

Iphutha le-microform lomsindo alikho ukubonakala okucacile okubonakalayo kweminye imikhakha. Kungase kubonakale nje njengesikhumba esivela emlonyeni kuya ekhaleni. Kungase kube khona inothi emngceleni we-vermillion futhi impumulo ingathinteka. Ngenkathi i-microform cleft ingase ingabonakali, kungase kube khona inkinga ngokusebenza. Kukhona ukuphazamiseka kokuqhubeka kwe-orbicularis oris muscle. Lokhu kungabangela ukudla nokuphuza izinkinga kanye nezinkinga zenkulumo.

Iphunga ngokuvamile livame ukukhubazeka kwe-microform cleft.

Umlingisi, uJoaquin Phoenix, unomlomo we-microform cleft. Kubonakala sengathi unesisindo sokuhlinzwa esilungiswa ngomlomo ocacile. Eqinisweni, lokho kubukeka kwakhe ngokwemvelo.

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Unilateral Complete Cleft Lip

U-Unilateral ohlangene ohlangothini olungakwesokunxele I-Complete Cleft Lip. Isithombe © Millicent Odunze, MD, MPH

Iphutha elilodwa elingenalutho luthinta kuphela uhlangothi olulodwa lwendlebe engenhla. Izingxenye ezimbili kwezintathu zomnsalo we-Cupid, ikholomu eyodwa ye-philtral kanye ne-philtral dimple zilondolozwe ohlangothini lwe-noncleft / ovamile. I-cleft ivule yonke indlela kusukela kwiphuphu kuya ekhaleni ngomlomo ogcwele ocacile. I-orbicularis oris muscle ayikho ekuqhubekeni komlomo ocacile. Esikhundleni sokuzungeza umlomo, umsila ufaka emkhaleni wempumu ezinhlangothini zombili ze-cleft. Lokhu ukuphazamiseka kwenza kube nzima ukukhuluma, ukudla nokuphuza.

Ikhala liphikisana nokukhubazeka komlomo we-lip. I-nostril iyanwetshwa futhi phansi kwe-nostril ayitholakali ekuqotheni komlomo ngokugcwele.

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I-Unilateral Incomplete Cleft Lip

I-Lip Unilateral Incomplete Cleft Lip. Isithombe © Millicent Odunze, MD, MPH

Iphutha elilodwa elingenalutho lensimbi liye lahlanza ipulazi ngakolunye uhlangothi kuphela. Kukhona ikholomu evamile ye-philtral, umnsalo we-Cupid ne-philtral dimple ngakwesokunxele ngaphandle kocingo. Yini eyenza ihluke emlonyeni ogcwele we-cleft ukuthi amanye ama-orbicularis muscle fibers angase awele umcibisholo. Izindebe eziqhakazile ezingalungile zingathatha ukubonakala okuhlukahlukene. Kungase kube khona i-gap encane noma ukucwenga ku-vermillion noma kungase kwande kancane esikhumbeni ngaphezu kwendlebe noma kwandise cishe ku-nostril.

Njenge-deformity ephelele yokucwenga komlomo, ikhala linokuphazamiseka okuthile. Ukuphazamiseka kuvame ukulingana. I-nostril ingase ikhululwe, kodwa phansi kwe-nostril kuqinisiwe. Ukwengeza, kukhona ibhuloho lesishubhu esisebunzini se-nostril ngakwesokunxele. Lokhu kwaziwa njengeqembu likaSimartart.

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I-Bilateral Complete Cleft Lip

I-Bilateral Complete Cleft Lip. Isithombe © Millicent Odunze, MD, MPH

Iphutha elilodwa eligcwele eliphelele elibhekene nomlomo lithinta izinhlangothi zombili nezakwesokunxele. Awekho amakholomu we-philtral, ayikho i-philtral dimple, futhi ayikho imisipha ye-orbicularis engxenyeni ephakathi. Kuzo zombili zombili, umcengezi uvela kusukela enkulumeni kuze kube emakhaleni. Ukuntuleka kokuqhubeka emisipha kwenza inkulumo ecacile kunzima kulaba bantu. Ukondla kungaba nzima nakakhulu.

Kukhona ukuhlanekezela kokusuka komlomo ngephutha elilodwa eliqediwe elilodwa eliphelele. Zombili izimpondo ze-alamu zanda, ama-sal sills ayengekho futhi impumulo iqala ukubonakala.

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I-Bilateral Incomplete Cleft Lip

Umlomo womhlaba ohlangothini olulodwa unomkhawulo ohlangothini lwezintambo zombili. Njengomlomo ohlangothini oluqedile, amapolumns e-philtral ayathinteka. Kunoma yiliphi izinga kuxhomeke ekutheni ubude obunjani obude buvela ku-vermillion. Kungase kube khona imisipha ye-orbicularis ephelele. Ama-nostril sills aqinile. I-philtral dimple ingene.

Ngokwehluleka kokuphefumula komlomo okungenakulinganiswa kwamanye amazwe, impumulo iyathinteka, nakuba ingafani nesimo sokukhubazeka komlomo ophelele. Kulabo bantu abanokukhubazeka komlomo womhlaba wonke, uhlangothi olulodwa lungaba ukukhubazeka okuphelele futhi ngakolunye uhlangothi ukukhubazeka okuphelele.

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I-Mixed Bilateral Incomplete ne-Complete Cleft Lip

I-Bilateral Cleft Lip: Uhlangothi olungakwesokudla luyi-lip ephelele yomlomo futhi ohlangothini lwesobunxele ngumlomo ongaphelele womlomo. Isithombe © Millicent Odunze, MD, MPH

Kulabo abanomlomo we-cleft bilateral, ohlangothini olulodwa lungase lube ngumlomo ongaqediwe womlomo futhi ngakolunye uhlangothi ukukhubazeka komlomo ophelele. Umlomo ongagcwaliseki umlomo ungase ungabi nakancane.

_Imithombo:

_{I-Boutros SG, Ukusika C. Ukubambisana Kokuhlanzwa Kwezindebe Lip.} _{Ku: McCarthy JG, RD Galiano, Boutros SG, eds.} _{Ukwelashwa Kwamanje Ngokwelashwa Kwepulasitiki, Ngo-1 Ed.} _{I-Philadelphia: Elsevier, Inc, 2006.}

_{I-Boutros SG, Ukusika C. Unilateral Cleft Lip.} _{Ku: McCarthy JG, RD Galiano, Boutros SG, eds.} _{Ukwelashwa Kwamanje Ngokwelashwa Kwepulasitiki, Ngo-1 Ed.} _{I-Philadelphia: Elsevier, Inc, 2006.}

_{I-Gosman, i-AA.} _{Cleft Lip.} _{Ku: Janis JE, uhleli.} _{Izinto ezibalulekile zokuhlinza nge-Plastic.} _{USt. Louis: Quality Medical Publishing, Inc., 2007.}

_{RA Hopper, Cutting C, Grayson B. Cleft Lip kanye Palate.} _{Ku: Thorne CH, Beasely RW, Aston SJ, Bartlett SP, Gurtner GC, Spear S, eds.} _{Ukuhlinzwa Kwe-Plastic Grabb no-Smith, 6th.} _{I-Philadelphia: Lippincott, 2007.}

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