Ukuhambisa Imijaho Ngaphambili Kungalungisa I-Airway Evinjiwe
Ukuhlinzekwa kwama-maxillofacial okusebenzisa ukuqhuma komhlathi kusetshenziswe ngezinye izikhathi ukuphatha i- obnetive obnetive apnea . Ukuhlinzwa okusemangcwabeni kulungisa kanjani isisu somhlathi omncane noma oqedile owenza ukuba umuntu alele ekuphefumuleni? Funda ngale nqubo, izingozi ezingase zibe khona, kanye nesikhathi esilula sokulinda ngemuva kokuhlinzwa.
I-Anatomy Eqondiswa Ngokuhlinzwa Kwe-Jaw
Ukuhlinza ama-jaw for apnea yokulala yinkambiso ehilela ukugudluza amajaji angenhla kanye / noma aphansi.
Umhlathi ophezulu ubizwa ngokuthi i- maxilla nomhlathi ophansi ubizwa ngokuthi i- mandible . Ngakho-ke, ukuhlinzwa kungase kuthiwe ukuqhubekela phambili kwe-maxillomandibular noma ukuthuthukiswa kwe-bimaxillary (uma zombili izinwele ziqhutshwa phambili). Le nqubo isetshenziswa kaningi uma izinhlayiya zibuyiselwa emuva, njengezibonwa nge-micrognathia noma i-retrognathia. Lezi zinkinga zivame ukuzalwa, okusho ukuthi zikhona kusukela ekuzalweni, noma emva kokukhula sekuphelile.
Ukuhlinzwa Kwenyuka Kwamajuba Kusiza Kanjani Ukulala Nge-Apnea?
Ukuhlinza ukuqhuma kwentambo kungakwandisa isikhala sokuphefumula emphinjeni ngoba izakhiwo ezungeze umphimbo zithinteka kahle emathangeni. Ukuqhubekela phambili kwemigqa kushukumisela lezi zakhiwo phambili, ukunciphisa ikhono labo lokukhiqiza umkhuhlane emphinjeni. Okubaluleke kakhulu, ulimi luqhubekela phambili futhi lokhu kungathuthukisa isisu esithinta kokubili ukuphuza nokulala.
Ukwenziwa ukuhlinzwa okuphezulu kwe-Maxillomandibular kungase kuphumelele kakhulu, kodwa le nqubo inezingozi ezinkulu futhi ilulame uma kuqhathaniswa nezinye izinketho zokwelapha okuhlinzekwa.
Ngenxa yokuthi ihileleke kakhulu kunezinye izinqubo, ukuhlinzeka ngokuhlinzwa komhlathi okuvame ukuqhutshwa kuphela ngeziguli ezingazange zamukele ezinye izindlela zokwelashwa ezifana nalabo abangenakubekezelela ukuphikelela okuqhubekayo kokucindezela umoya we-airway (CPAP) . Kodwa-ke, kwezinye iziguli, ikakhulukazi abantu abasha abanezinhlamba ezingavamile, kungaba yindlela yokwelashwa yokuqala yokuqala.
Izinzuzo ezihlala njalo zenza kube yindlela ekhangayo kulabo abafisa ukugwema ukusebenzisa ezinye izindlela zokwelapha.
Yiziphi Izingozi Ezihlobene Nokuhlinzwa Kwamajuba?
Kulezi ziguli ezine-apnea yokuvimbela ukulala, le nqubo iyinkimbinkimbi kunesiguli esivamile esinezinwele ezingavamile ngaphandle kwe-apnea yokulala. Kudinga ukunyakaza okuqhubeka phambili kwemifino, kunzima kakhulu kumhlinzeki wokuhlinza, futhi kunemingcipheko emikhulu nokuthola okulula kakhudlwana. Kuvame ukwenziwa udokotela ohlinzayo onokuqeqeshwa okukhethekile kule nqubo.
Njenganoma yikuphi ukuhlinzwa, kunezingozi ezihlobene nokuphathwa. Izingozi ezinkulu zihlanganisa:
- Ukuphuza
- Ukutheleleka
- Ukuvuvukala okungabangela ukuphefumula kanzima (okungahle kudingeke ukuthi i- tracheotomy yesikhashana idingeke)
- Ukwehluleka kwemihlathi ukuphulukisa noma ukunye buthakathaka kwemihlathi
- Ukulimala izinyo
- Izinguquko zokuluma (indawo yokufaka indawo)
- Izinkinga ze-Temporomandibular (TMJ)
- Amazinyo noma ubunzima bokubukeka
- Shintsha ebukeka ubuso
Le nqubo idinga isikhathi eside kusukela ezinyangeni ezimbili kuya kwezingu-3 zokuphumula, kufaka phakathi imikhawulo yokudla yokuqala yamaviki ayisithupha.
Uma ucabangela ukuhlinzwa kwejubane njengokwelashwa kwe-apnea yakho yokulala, kufanele ukhulume ngososayensi wakho wokulala ngalolu khetho bese ucela ukudluliselwa kudokotela ohlinzayo oqeqeshiwe endaweni yakho ukuze kuhlolwe.
Njengoba kunikezwe ubunzima bezinqubo, kunconywa ukuthi uthola udokotela onolwazi kule nqubo.
Imithombo:
Riley RW, Powell NB, noGuilleminault C. "Ukuvimbela ukulala kwe-apnea syndrome: ukubuyekezwa kweziguli zokuhlinzeka ezingu-306 ezilandelana ngokulandelana." Otolaryngol Head Neck Surg. 1993 Feb; 108 (2): 117-25.
I-Waite PD, i-Wooten V, uLachner J no-Guyette RF. "Ukuhlinzwa okuqhubekayo kwe-Maxillomandibular ezigulini ezingu-23 ezinezinkinga zokuphuza i-apnea syndrome." J Oral Maxillofac Surg. 1989 Dec; 47 (12): 1256-61; ingxoxo 1262.