Cleft Lip Mhando uye Zvirwere

Muromo wekunyengedza ndeimwe yezvinonyanya kusvibisa zviso zvemaziso epurasitiki . Kuchenesa muromo kunoshungurudza vabereki , sezvo vasingadi kuti mwana wavo anzwe kuzvidya mwoyo kana kuti ave chinangwa chekuseka.

Muromo wekunyengedza ipapa mumuromo wepamusoro. Sei zvichiitika? Munguva yekukura kwekuberekwa, masimba uye miromo zvinowanikwa hazvina kuungana zvakanaka. Miromo ye Cleft inofananidzwa muhuwandu hwavo hwekuoma.

Cleft lip yakave yakanzi "hare lip". Iyi moniker yakauya nekuda kwekuparadzana kwechisikigo iyo iripo mumuromo wepamusoro wearabhi / hares. Izwi rinonzi lip rinenge risisashandiswi munharaunda yezvechiremba sezvo inoratidzika sechinyadzisa.

Muromo wekunzwisisa wakasiyana nedhizha palate . Muromo unonamatira unobata muromo wepamusoro, nepo kuvhara kwepachika chikamu chiri mudenga remuromo. Haasi vanhu vose vane miromo yakajeka vane cleft palate. Uye havasi vanhu vose vane cleft palate vane miromo yakananga. Zvinokwanisika kuti munhu ave nemuromo wekanyoro uye chirwere chinonzi cleft palate.

Muchikamu chino, iwe uchadzidza mazita ezvikamu zvemuhuro unowanikwa. Kuziva kuti muromo unowirirana wakaita sei uchakubatsira iwe kunzwisisa zviri nani zvikamu zvemuhuro hazvina kujairika mumuromo wakanyorova. Iwe uchadzidzawo nezvemhando dzakasiyana dzemiromo yakanyanyisa - unilateral nekushambadzirana, yakazara kana kusakwana. Unilateral zvinoreva muromo une chidimbu kune rumwe rutivi. Kubatana kunoreva kuti kune denga kumativi ose maviri. Zvose zvinoratidza kuti chidimbu chinowedzera kubva pamuromo kusvika mumhino. Kusakwana kunosanganisira muromo asi kunodzivisa mhino.

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Kazhinji Lip Anatomy

Kuti unzwisise kusakanganiswa kwechikanganiso chemuromo, kunokosha kuti unzwisise kuti muromo unowanzoonekwa wakaita sei. Nzira yakasarudzika inowanikwa nepamusoro uye pasi pasi. Kuchenesa muromo kunobata muromo wepamusoro. Iyo miromo yepamusoro ine zvikamu zvakawanda.

• White roll: Mutsara wakachena igomba rakakurumbira kumusoro uko muromo weputi unosangana neganda reso.
• Vermillion: Vermillion ndiyo chikamu chinenge chine ruvara rwemuhuro. Mucherechedzo anotarisa kubva pakatsvuka kusvika kuvhuvhuta zvichienderana nehuturu hwemunhu. Iine chikamu chakaoma (chinowanikwa kana miromo ichivharwa) uye chikamu chine mvura (inoonekwa apo miromo inoparadzana).
• Philtral Columns: Iyo yakadzika shongwe dzinobva pamiromo kusvika kumhino. Iyo yakaderera / yakadzika yepirtral columns inoita mapeji emuromo wepamusoro. Iyo yakakwirira / yepamusoro inobatanidza iyo salin sill, pasi rehwamanda.
• Philtral Dimple: Huru kana kuora mwoyo pakati pemapiltral maviri maviri.
• Bowid cupid : Kuputika mukati memucheto we white white. Icho chakakomberedzwa nemiti miviri miviri kune rumwe rutivi. Iyo mikoko ndeye chikamu chepamusoro chemapiltral columns.
• Orbicularis Oris: The orbicularis oris muscle inopoteredza miromo. Uturu hwakakosha pakupa kukwanisa kutaura, kudya uye kunwa zvakaenzana. Kana chisina kukwana chisingapfuuri nechetatu chemiromo inenge yakakwirira, mamwe masvikiti anogona kuyambuka. Mune mitsetse yakaoma, pane kuvhiringidzwa kwakakwana kwemashuga emasumbu.
• Nasal Sill: The sill nasal inogadzira pasi kana pasi rehino. Sill sill inoshayikwa mune dzimwe nzira dzekunyepa.
• Bato raSimartart: Bhiriji reganda rinoyambuka pasi pebhandi pamusika wekanyoro. Rimwe boka raSimartart rinopa maitiro echine musal sill.
• Alar Rim: The alarm rim chikamu chemhino inopoteredza chinyorwa.

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Microform Cleft Lip

A microform cleft lip (inozivikanwawo se "form fruste") ndiyo inonyanya kushandiswa yemucheka uye inoratidzirwa sechinhu chisina kukwana.

A microform cleft lip haina chimiro chakajeka chekuonekwa kwemamwe macheka. Iyo inogona kungoonekwa semucheka wakaoma kubva pamuromo kusvika pamhino. Panogona kuva necheki mumuganhu wevermillion uye mhino inogona kuchinjwa. Kunyange zvazvo microform cleft ingave isiri pachena, pangangodaro kune dambudziko nekushanda. Iko kune kumwe kukanganiswa kwekuenderera kwe orbicularis oris muscle. Izvi zvinogona kukonzera kudya uye kunwa dambudziko pamwe chete nenyaya dzekutaura.

Mhuno kazhinji inowanzoenderana ne microform cleft deformity.

Mutambi, Joaquin Phoenix, ane microform cleft lip. Zvinoratidzika sekuti ane chirwere chokuvhiya chisina kugadziriswa nemuromo wekanyoro. Muzvokwadi, iyo ndiyo maitiro ake chaiwo.

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Unilateral Complete Cleft Lip

A unilateral cleft lip inobata chete rumwe rutivi rwemusoro. Zvikamu zviviri kubva kune zvitatu zvehuta hwa Cupid, imwe philtral column uye philtral dimple zvakachengetedzwa pamusana weusina kuvhara. Mucheka unowedzera nzira yose kubva pamuromo kusvika mumhino mumuromo wakanyatsopisa. The orbicularis oris muscle haisi mukuenderera mberi mumuromo wakananga wakakwana. Panzvimbo pokukomberedza muromo, mushutu unopinda mumucheto wemhino kumativi maviri emucheka. Izvi zvinokonzera kuoma kutaura, kudya uye kunwa.

Mhuno yakanyengedzwa nemucheka wekuchenesa. Iyo mhino yakawedzerwa uye pasi rehwamanda rinoshayikwa mumuromo wakakwana wekudzima remformity.

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Unilateral Incomplete Cleft Lip

A unilateral cleft lip inonyorera muromo kune rumwe rutivi chete. Pane chidimbu chephiltral column, Bowid uye philtral dimple kune rumwe rutivi kunze kwechidimbu. Chinokonzera zvakasiyana nemucheka wakakwana wekuti inonzi orbicularis muscle fibers inogona kuyambuka. Miromo isina kukwana yakakwana inogona kutora maitiro akasiyana-siyana. Ikoko kunogona kunge kungova nepakati pfupi kana kuvhara muvermillion kana inogona kuwedzerwa mukati meganda pamusoro pemuromo kana kupararira kusvika kumhino.

Sezvo nechose chakakwana chekuchenesa mhepo, mhuno ine zvimwe zvinokanganisa. Iko kunokanganisa kunowanzosvika pakuderera. Iyo mhino inogona kuwedzerwa, asi pasi yehwamanda inopindirana. Uyezve, pane bhiriji rezvisikwa muchitsime chemhino pachinamatira. Izvi zvinozivikanwa seboka reSimartart.

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Bilateral Complete Cleft Lip

Chimwe chinhu chakanyatsogadziriswa chakakwana chinokanganisa mativi ose akanaka uye akasara omuromo. Hapana philtral columns, hapana philtral dimple, uye hakuna kana orbicularis musungo mukati memumativi. Pamativi ose maviri, tsvina inowedzera kubva muvermillion kusvika kumhino. Kushaikwa kwekuenderera mberi mumutsipa kunoita kuti kutaura kwakachena kuve vanhu ava. Kudyisa kunogona kuva kwakaoma.

Ikoko kunokanganiswa kwepasina nemuromo wakazara wakanyatsopisa. Zvose zvinotyisa zvinoputika, mazamu acho anoshaya uye mhino inotora kuonekwa.

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Bhutera Risina Kukwana Cleft Lip

Chimwe chinhu chinoputika chinoputika chine mapapiro kumativi ose emuromo wepamusoro. Kungofanana nehutachiona hwakakwana hwakakwana, mahwendefa e-philtral anoshandiswa. Chero zvakadini zvichienderana nekukwira kwacho kusvika kwechidimbu ichibva kune vermillion. Panogona kunge pane imwe orbicularis muscle yakasimba. Mhino dzayo dzinoputika. Philtral dimple yakanyanyisa.

Muchikamu chisina kukwana chinokonzera mhepo yakashata, mhuno inoputika, kunyange zvazvo isingaenzaniswi zvakafanana neyese yakazara yakakwana yehutu hwekudzikama. Muvaya vane ruzivo rwemapapiro maviri, rumwe rutivi rungave rusina kukwana uye rumwe rutivi rusina kukwana.

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Mixed Bilateral Inokwana uye Yakakwana Cleft Lip

Mune avo vane ruzivo rwepakati, rumwe rutivi rungave rusina kukwana miromo uye rimwe divi rinenge rakakwana rakakwana remformity lip. Chimwe chisina kukwana chivharo chinogona kunge chisina kubvumirwa.

_Sources:

_{Boutros SG, Kucheka C. Bilateral Cleft Lip. Mu: McCarthy JG, RD Galiano, Boutros SG, eds. Current Therapy in Plastic Surgery, 1st Ed. Philadelphia: Elsevier, Inc, 2006.}

_{Boutros SG, Kucheka C. Unilateral Cleft Lip. Mu: McCarthy JG, RD Galiano, Boutros SG, eds. Current Therapy in Plastic Surgery, 1st Ed. Philadelphia: Elsevier, Inc, 2006.}

_{Gosman, AA. Cleft Lip. Mu: Janis E, ed. Zvinyorwa zvePlastiki Surgery. St. Louis: Quality Medical Publishing, Inc., 2007.}

_{RA, Hopping C, Grayson B. Cleft Lip uye Palate. Mune: Thorne CH, Beasely RW, Aston SJ, Bartlett SP, Gurtner GC, Spear S, eds. Grabb na Smith's Plastic Surgery, 6th ed. Philadelphia: Lippincott, 2007.}