I-Orthodontic Treatment Icedisa Ukuphucula I-Anatomy Ekhuthaza i-Apnea
Unyango lwe- apnea yokukhusela ubuthongo kubantwana kaninzi lufuna indlela eninzi yokuziphatha, enokubandakanya iingcali ezininzi zezokwelapha kunye namazinyo. Enye yeengcali eziphambili ezingabandakanyeka yi-orthodontist eqeqeshiwe ngokukhethekileyo onokwenza ukwandiswa kwe-maxillary ngokukhawuleza. Yintoni yokwandiswa kwe-maxillary ngokukhawuleza njengonyango lwe-orthodontic ye-apnea yokuphazamisa ubuthongo kubantwana?
Inendima yintoni ekunakekeleni ukugula kwe-apnea kubantwana? Funda malunga nokwandiswa kwe-maxillary okukhawuleza, apho abantwana banokuzuza kuyo, ubunobungozi obubangelwa yonyango, kunye nezinye iindlela zokufumana unyango olungenokuba luncedo.
Yintoni eyenyukayo iWillaillary Extension?
Abantwana abaye bafumanisa ukuba banesifo sokukhupha i-apnea yokulala singathunyelwa kwi-orthodontist unyango ngokunyuka kwama-maxilla ngokukhawuleza (RME). Olu unyango lubandakanya ukubeka i-brace brace on the roof of the mouth that increases the width of maxilla. I-orthodontist eqondisa le nyango ibonelele ukuqeqeshwa okhethekileyo kwaye ingaba ilungu le-American Academy of Dental Sleep Medicine (AADSM).
I-hardware, ngamanye amaxesha ebizwa ngokuba yi-butterfly brace, ngokuqhelekileyo islayidi phezu kwamazinyo ambalwa angemva kwaye iqhutywe endaweni eneebhanki zetsimbi ezizinzile. Kwinqanaba lophahla lomlomo, kukho icandelo elungiswayo.
Emva kokuba kufakwe, i-brace iyakwazi ukuhlengahlengiswa ngumzali eneenkcukacha ezikhethekileyo. Ezi zihlengahlengiso ziya kwandisa ngokunyuka inani loxinzelelo olusetyenziselwa amazinyo kunye nesilonda esinzima.
Ukusebenza Kwenyuka Kwama Maxillary?
Ukwandiswa kwama-maxillary okukhawulezayo kwandisa intlungu enzima, eyona nxalenye phambili yophahla lomlomo.
Esi sakhiwo sebony sinxalenye ye-maxilla. Uphahla lomlomo lusezantsi lomhlathi. Ngoko ke, xa kukhuliswa, indawo apho umoya uhamba khona ngeempumlo ukwandiswa ngobukhulu. Ngenxa yoko, umoya ophezulu ungadlulela emqaleni nasemiphungeni, kwaye oku kunokunciphisa ukuwa kwe-airway eyenza ukuba i-apnea ilale.
Olu kongeza lunemiphumo yesibini. Umntwana wakho uya kuba novuyo olubanzi ngenxa yoko. Ukongezelela, kuya kubakho indawo eninzi yamazinyo angena kuzo. Ngokubalulekileyo, ukukhutshwa kwamazinyo ngenxa yobuninzi bungaxinwa. La mazinyo ayimfuneko ukukhuthaza ukukhula kwethambo lomhlathi. Xa zisuswe, umhlathi awukwazi ukunyanzelwa ukuba ukhule kangangoko kunokwenzeka, obangela ukuba ingozi yokulala i-apnea izayo emva koko ngenxa yokucoca i-micrognathia .
Yiyiphi iAbantwana Abaviwa kwiRME?
Okwangoku, ukwandiswa kwe-maxillary ngokukhawuleza kunconywa kubantwana abaye bafumanisa ukuba banesifo sokukhubazeka sokulala. Kukho imiqathango embalwa, nangona kunjalo. Umntwana wakho kufuneka abe namazinyo apho i-brace ingafakwa khona. Abantwana abaneminyaka engama-3 ubudala banokuphathwa, kodwa kuxhomekeke kwintuthuzelo ye-orthodontist. Umntwana kufuneka akwazi ukuhlala esele ngokubeka i-brace kunye nokulungiswa.
Ngoko ke, abantwana abaselula banokuba nzima ngakumbi ukunyamezela unyango, nangona luya kusebenza ngokulinganayo.
Ukongezelela, olu unyango lulungele abantwana abakuqala ekukhuleni nasekuphuhlisweni kwabo. Eyona nto, abantwana abasesikolweni sokuqala bangaphathwa (ukususela kwiminyaka emi-4 kuya kwe-10, ngokuqhelekileyo). Kamva ebuntwaneni, isitya sokukhula samafayili amakhulu. Amathambo kuwo wonke umzimba anemihlaba yeethambo eziqingqiweyo kunye nemimandla yokukhula kunye nokukhula okuqhubekayo. Kwi-maxilla, xa ukukhula kuphelile, lo mmandla uba kubalwe kwaye ukusetyenziswa kwengcinezelo esongezelelweyo akuyi kubakho kwandisa ukunyuselwa. Ezinye i-orthodontists eYurophu ziye zasebenzisa uxinzelelo olwaneleyo kunye ne-brace yokuvula kwakhona ukukhula kwe-suture emva kokuvalwa kunye nokongeza ukongezwa okongeziweyo, kodwa oku akuyinkqubo efanelekileyo.
Ziziphi iimpembelelo eziphambili ezenzeka ngokunyuka kwama-Maxillary Exalsion?
Abantwana bavame ukunyamezela le nyango kakuhle. Ku nokuba nobuhlungu bokuqala obubekwe bucala kwaye emva kokulungiswa. Uninzi lwabantwana aluqapheli i-brace. Ifihliwe kwaye ayibonakali ngaphandle komlomo. Akuchaphazeli kakhulu ukutya okanye intetho.
Njengoko isalathisi esinzima sikhuliswa, amazinyo asekuyo aya kuqala ukuphuma. Kwixesha eliqhelekileyo lononyango, ezi zizinyo zintsana. Xa amazinyo amakhulu efika, ukusabalalisa kuya kunciphisa kakhulu. Abanye abantwana banokufuna i-orthodontics ye-cosmetic ukuphucula ukulungelelaniswa nokuphuculwa kwamazinyo. Kukho umngcipheko kubantwana abazalelwe ngomlomo ococekileyo okanye utywala, kwaye oku kufuneka kuvezwe kwaye kuxoxwe kunye ne-orthodontist.
Ukuba unomdla wokunyuka okuphezulu ngokukhawuleza ukuphatha ukugula komntwana wakho, qalisa ngokuthetha nothando lwakho lokulala ukuze ubone ukuba i-orthodontist ekhethekileyo kwipilisi iyatholakala kwindawo yakho. Kwakhona kubalulekile ukuba kufakwe ezinye izibonelelo zonyango, kuquka utyando oluthile olunjenge-tonsillectomy kunye ne-adenoidectomy, unyango lwama- allergies, unyango lwe-myofunctional , kunye noxinzelelo oluqhubekayo lwengqondo (CPAP) . Thetha nogqirha wakho malunga naluphi ukhetho olufanelekileyo kakhulu kumntwana wakho.
> Umthombo:
> Kryger, MH et al . "Imigaqo kunye nokuSebenza kweMithi yokulala." Elsevier , edition 5. 2011.