Ukwelashwa kwe-Orthodontic Kusiza Ukuthuthukisa I-Anatomy Efakazela ku-Apnea
Ukwelashwa kwe- apnea yokuvimbela ubuthongo ezinganeni ngokuvamile kudinga izindlela eziningi zokuqondisa izigwegwe, okungenzeka kuhlanganise nodokotela abaningi bezokwelapha kanye namazinyo. Omunye wabachwepheshe abakhulu abangase bahileleke yi-orthodontist eqeqeshwe ngokukhethekile okungenzeka enze ukukhuliswa okukhulu kwe-maxillary. Kuyini ukwanda okusheshayo kwe-maxillary njengendlela yokwelapha i-orthodontic ye-obstructive sleep apnea ezinganeni?
Iyiphi indima enayo ekwelapheni i-apnea yokulala ezinganeni? Funda ngokukhuliswa okukhulu kwama-maxillary, okungabantwana abangase bazuze kuwo, izingozi ezingase zihlotshaniswe nokwelashwa, kanye nemithi yokwelapha ehlukile noma engavumelana nayo engase ibonise ukuthi iyasiza.
Kuyini Ukwandisa Okusheshayo Kwama Maxillary?
Izingane ezitholakale zine-apnea yokuvimbela ukulala zingase zihanjiswe ku-orthodontist yokwelapha nge-expansion maxillary ngokushesha (i-RME). Le ukwelashwa kuhilela ukubeka ubuningi obunwetshwayo ophahleni lomlomo owandisa ububanzi be-maxilla. I-orthodontist eqondisa le ukwelashwa ngokuvamile iye yaqeqeshwa okukhethekile futhi ingaba yilungu le-American Academy of Dental Sleep Medicine (AADSM).
I-hardware, ngezinye izikhathi ebizwa ngokuthi i-butterfly brace, ngokuvamile i-slides phezu kwamazinyo amaningana angemva futhi iqhutshwa yizinsimbi ezizinzile zensimbi. Ephakathi nendawo ophahleni lomlomo, kukhona ingxenye eguquguqukayo.
Ngemuva kokubekwa, i-brace ingase ishintshwe ngokuqhubekayo ngumzali onesihluthulelo esikhethekile. Lezi zinguquko zizokhuphula kancane kancane inani lokucindezela elisetshenziselwa amazinyo kanye nelanga elinzima.
Ukwandiswa Kwama Maxillary Okusheshayo Kusebenza Kanjani?
Ukwandiswa kwama-maxillary okusheshayo kukhulisa kancane kancane i-palate elukhuni, okuyingxenye ephezulu yophahla lomlomo.
Lesi sakhiwo se-bony siyingxenye yama-maxilla. Uphahleni lomlomo lubuye lube phansi emgqeni wezandla. Ngakho-ke, uma ivuliwe, isikhala lapho umoya uhamba khona emakhaleni nakho kwanda ngesayizi. Ngenxa yalokho, umoya ophezulu ungadlula emphinjeni nasemaphaphini, futhi lokhu kunganciphisa ukuwa kwe-airway okubangela ukuba i-apnea ilale.
Lokhu kwanda kunemiphumela emibili yesibili. Ingane yakho nayo izoba nomomese obanzi ngenxa yalokho. Ngaphezu kwalokho, kuzoba khona isikhala samazinyo angene kuwo. Okubaluleke kakhulu, ukuphuma kwamazinyo ngenxa yokuqhuma kungagwenywa. Lawa mazinyo ayadingeka ukuze avuselele ukukhula kwethambo lomhlathi. Uma zisusiwe, umhlathi ungase ungasetshenziselwa ukukhula ngangokunokwenzeka, okuholela ekungeneni kakhudlwana kwe-apnea yokulala kamuva ngenxa ye- micrognathia .
Yikuphi Izingane Abayizicelo Ze-RME?
Njengamanje, ukwandiswa okukhulu kwama-maxillary kunconywa kubantwana abaye bathola ukuthi bane-apnea yokuvimbela ukulala. Kunemikhawulo embalwa, noma kunjalo. Ingane yakho kumele ibe namazinyo lapho i-brace ingafakwa khona. Izingane ezincane ezineminyaka engama-3 ubudala zingase ziphathwe, kodwa kuxhomeke ekududeni kwe-orthodontist. Ingane kufanele ikwazi ukuhlala ikhona ngokubeka i-brace kanye nokulungiswa.
Ngakho-ke, izingane ezincane zingase zibe nobunzima obunzima bokubekezelela ukwelashwa, noma ngabe kuzosebenza ngendlela efanayo.
Ngaphezu kwalokho, lokhu ukwelashwa kungcono kakhulu ezinganeni ezisekuqaleni ekukhuleni nasekuthuthukisweni kwazo. Okufanelekile, izingane ezikoleni zakuqala zakuqala zingaphathwa (kusukela eminyakeni engama-4 ukuya ku-10, kanengi). Kamuva ebuntwaneni, ipulazi yokukhula yama-flasilla maxilla. Amangqamuzana kuwo wonke umzimba anezindawo zethambo elibalwe nezifunda zokukhula nokwanda okuqhubekayo. Ku-maxilla, lapho ukukhula kuphelile, lo mkhakha uba kubalwa futhi ukucindezelwa okuqhubekayo okusetshenzisiwe ngeke kuholele ekukhuluseni okuqhubekayo. Amanye ama-orthodontists aseYurophu asebenzise ukucindezela okwanele ngesikhala sokuvula lesi suture sokukhula ngemva kokuvalwa nokuhlinzeka ukwandisa okwengeziwe, kodwa lokhu akuyona inqubo evamile.
Yimiphi imiphumela emibi eyenzeka ngokunyuka kwama-Maxillary okusheshayo?
Izingane ngokuvamile zibekezelela lokwelashwa kahle kakhulu. Kungenzeka kube nobuhlungu obuqala bokuqala ngokubeka futhi ngemuva kokulungiswa. Iningi lezingane aliqapheli le-brace. Ifihlekile futhi ayibonakali ngaphandle komlomo. Akuthinti kakhulu ukudla noma inkulumo.
Njengoba i-palate enzima ikhuliswa, amazinyo akulo ayoqala ukuphuma. Esikhathini sobudala bokwelashwa okujwayelekile, lawa mazinyo abantwana abancane. Uma amazinyo omdala engena, ukukhala kuzohlehlisa kakhulu. Ezinye izingane zingadinga i-orthodontics yezimonyo ukuze kuthuthukiswe ukulungiswa nokwandisa ukuhlukanisa kwamazinyo. Kungaba khona ingozi ezinganeni ezazalelwa ngomlomo noma nge-palate, futhi lokhu kumele kuvezwe futhi kuxoxwe nge-orthodontist.
Uma unesithakazelo ekwandiseni okusheshayo kwe-maxillary ukuphatha ukuphefumula kwengane yakho, qala ngokukhuluma ngososayensi wakho wokulala ukuze ubone ukuthi u-orthodontist onguchwepheshe wezokwelapha uyatholakala endaweni yakho. Kungaba nokubaluleka ukufaka ezinye izindlela zokwelapha, okubandakanya ukuhlinzwa okwenziwe izicubu ezinjenge-tonsillectomy kanye ne-adenoidectomy, ukwelashwa kwemithi yokungena emithonjeni , ukwelashwa kwemithi yokwelapha , nokucindezela okuqhubekayo okuvela emoyeni (CPAP) . Khuluma nodokotela wakho mayelana nokuthi yiziphi izinketho ezingase zifanele kakhulu ingane yakho.
> Umthombo:
> Kryger, MH et al . "Izimiso Nemikhuba Yokulala Imithi." Elsevier , edition 5. 2011.