Ukuhanjiswa kweeJawu eziPhambili Kungayilungisa i-Airway eyakhiweyo
Utyando olwenziwe nge-maxillofacial olusebenzisa ukunyuka komhlathi lusetyenziswa ngamanye amaxesha ukuphazamisa ukuphazamiseka kokuphazamiseka kokulala . Utyando lomhlathi lukulungisa njani i-anatomy yesikhukhula esincinci okanye esicatshulwayo esenza ukuba i-apnea ilale? Funda malunga nale nqubo, ingozi engozini, kunye nexesha elilindelekileyo lokubuyisela emva kokuhlinzwa.
I-Anatomy eqondiswa ngoBugqomo
Utyando lwe-Jaw for sleep apnea yinkqubo ebandakanya ukuqhubela phambili ukuqhubela phambili umhlathi ophezulu kunye / okanye osezantsi.
Umhlathi ophezulu ubizwa ngokuthi i- maxilla kunye nomhlathi osezantsi ubizwa ngokuba yi- mandible . Ngoko ke, utyando lungabizwa ngokuba yi-maxillomandibular ukuqhubekela phambili okanye ukuqhubekela phambili kwe-bimaxillary (ukuba zombini umhlathi uya phambili). Le nkqubo isetyenziswe rhoqo xa iimfele zibuyiselwa emuva, njengokuba zibonwa kunye ne-micrognathia okanye i-retrognathia. Ezi ngxaki zivame ukuzalwa, oku kuthetha ukuba zikhona okanye zivela emva kokukhula, okanye emva kokukhula.
Ukunyanga Ukunyuka Kwemigqomo Kukunceda njani Ukulala Nge-Apnea?
Ukuqhutyelwa kwe-Jaw ukuqhubela phambili kunokwandisa indawo yokuphefumula emqaleni ngenxa yokuba izakhiwo ezijikeleze umqala, zixhomekeke kwimida. Ukuqhubela phambili umhlathi uhambisa ezi zakhiwo phambili, ukunciphisa amandla abo okuvelisa umlenze emqaleni. Kubaluleke kakhulu, ulwimi luya phambili kwaye oku kuya kuphucula i- anatomy egalela ekubanjeni kunye nokulala kwe-apnea.
Ukuhlinzwa ngokugqithisileyo kwe-Maxillomandibular kunokusebenza kakuhle, kodwa le nkqubo inomngcipheko omkhulu kunye nokubuyiselwa xa kuthelekiswa nezinye iindlela zokonyango.
Ngenxa yokuba ixhamle ngakumbi kunezinye iinkqubo, ukuqhutyelwa kwentsholongwane yesikhumbuzo ngokuqhelekileyo kuqhutyelwa kuphela kwizigulane ezingaphendulanga kwezinye iindlela zonyango ezifana nalabo abangenako ukunyamezela ukunyanga okuqhubekayo okunyanzelekileyo (CPAP) . Nangona kunjalo, kwezinye izigulane, ingakumbi abantu abatsha abanomdla wokungahambi kakuhle, kungabakho unyango wokuqala.
Izinzuzo ezihlala ixesha elide zenza kube yinto ekhangayo kulabo abanqwenela ukuphepha ukusebenzisa ezinye unyango lobomi .
Ziziphi iiengozi ezibandakanyeka noBurophu?
Kwizigulane ezine-apnea eziphazamisayo zokulala, le nkqubo inzima kakhulu kunokuba isigulane esifana nesigxina esingaqhelekanga ngaphandle kwe-apnea yokulala. Kudinga ukunyuka okukhulu kwimihlathi, kunzima kakhulu ukuba ugqirha, kwaye unomngcipheko omkhulu kunye nokubuyisela nzima. Kuqhutyelwa ngugqirha onoqeqesho olukhethekileyo kwinkqubo.
Njengoko naluphi na utyando, kukho iingozi ezichaphazelekayo kunyango. Ingozi enkulu iquka:
- Ukuhlamba
- Sulelo
- Ukukhupha okungenza ukuphefumula ubunzima (apho i- tracheotomy yesikhashana ingadingeka )
- Ukungaphumeleli kwemisipha yokuphilisa okanye ukunyanzeliswa kwemihlathi
- Ukulimala kwezinyo
- Iinguqu zokuluma (malocclusion)
- Iingxaki ze-Temporomandibular (TMJ)
- Izinyo okanye ubuso obunzima
- Shintsha ngobuso buso
Le nkqubo ifuna iinyanga ezi-2 ukuya kwezi-3 zokuphucula ixesha, kubandakanywa izithintelo zokuqala zokutya kwiiveki ezingama-6.
Ukuba uqwalasela ukutyunjwa kwesikhumba njengokonyango lwe-apnea yakho yokulala, kufuneka uthethe ngongcali wakho wobuthongo malunga nale khetho uze ufune ukuhanjiswa kwigqirha onguchwepheshe ekuhlaleni.
Ngenxa yobunzima benkqubo, kuyacetyiswa ukuba ufumane ugqirha onobuchule kwinkqubo.
Imithombo:
URiley RW, uPowell NB, noGuilleminault C. "Ukuphulukana nokulala kwe-apnea syndrome: ukuhlaziywa kwezi-306 ezigulane izigulane zokugulana ngokulandelelana." Otolaryngol Head Neck Surg. Ngo-1993 Feb; 108 (2): 117-25.
I-PD ye-Waite, i-Wooten V, uLachner J kunye no-Guyette RF. "Utyando lwe-Maxillomandibular ukuqhubela phambili kwizigulane ezingama-23 ezinezifo eziphazamisayo zokulala kwe-apnea syndrome." J Oral Maxillofac Surg. NgoDisemba ka-1989; 47 (12): 1256-61; ingxoxo 1262.