Kuwedzereka kweMaximilla Maxillary kweAkubata Apnea muvana

Orthodontic Treatment Inobatsira Kuvandudza Anatomy Inopa Apnea

Kurapa kwekudzivirira kuberekwa kwepabonde muvana kanowanzodikanwa nzira dzakasiyana-siyana dzekuraira, zvingangosanganisira mazano akawanda ezvokurapa uye mazino. Chimwe chevadzidzi vanokosha vanogona kunge varipo ndeye orthodontist akarovedzwa chaiyo anogona kuita nokukurumidza maxillary kuwedzera. Chii chinokurumidza kukura maxillary sechirongwa chetsitsi chekudzivirira kubheta kuberekwa kwevana muvana?

Inobatsira sei mukurapa kurara kwepabonde muvana? Dzidza nezvekuwedzera kwemaximillary, iyo vana vanogona kubatsirwa nayo, ingozi dzinogona kuwirirana nerapi, uye zvichibvira zvimwe zvinogona kurapwa zvinogona kubatsirawo.

Chii Chinokurumidza Kuwedzera MaMillaillary?

Vana vane chirwere chekurara chepabonde vanogona kuendeswa kune orthodontist kurapwa nekukura kwemaximillary (RME). Iro kurapwa kunosanganisira kuisa kusungurudza kunowedzera padenga remuromo kunowedzera upamhi hwema maxilla. Anonzi orthodontist achitungamirira kurapwa uku kazhinji ave ane ruzivo rwekudzidzisa uye angave nhengo yeAmerican Academy yeDental Sleep Medicine (AADSM).

Iyo hardware, dzimwe nguva inonzi butterfly brace, inowanzofuratira mazino akasiyana-siyana akare uye inogadziriswa munzvimbo nesimbi yakagadzikana mabheji. Pakati pepamusoro pematenga, pane chimwe chinhu chinogadziriswa.

Mushure mekuiswa, iyo yakagadzika inogona kuwedzera kugadziriswa nemubereki ane kiyi chaiyo. Izvi zvinogadziriswa zvishoma nezvishoma kuwedzera kwekumanikidzwa kunoshandiswa kumazino uye maronda akaoma.

Kuwedzerwa Kwakawedzerwa Maxillary Kukura Kunoshanda Sei?

Kukura kwema maxillary kunowedzera zvishoma nezvishoma kuwedzera marati akaoma, ayo ari chikamu chepamusoro che denga remuromo.

Iyi bony chivako chikamu chema maxilla. Denga remu muromo ndirowo pasi remukati wemvura. Saka, kana yakawedzerwa, nzvimbo iyo mweya inofamba nayo mumhino inowedzerawo muhukuru. Somugumisiro, mhepo yakawanda inogona kupinda mukati mehuro nemapapu, uye izvi zvinogona kuderedza kudonha kwemhepo inoita kuti zvive nehope yekurara.

Iko kukura kunewo zvimwe zvigadziriswe. Mwana wako achavawo nekumwemwerera kwepamusoro. Mukuwedzera, pane zvingangodaro pane nzvimbo yakawanda yemeno kuti inopinda. Zvakakosha, kuwedzera kwemazino nekuda kwekuputika kunogona kudziviswa. Mazino aya akadikanwa kukurudzira kufambira mberi kwemapfupa ejaya. Kana pavanenge vabviswa, jaya haringasimbiswi kuti rikure zvakanyanya sezvingagona, zvichiita kuti pave nehuwandu hwehutachiona hwekurara mushure mekuda kwehutachiona .

Ndeapi Vana Vakasarudzirwa RME?

Parizvino, kuwedzera kwekukura kwema maxillary kunokurudzirwa kune vana vakamboonekwa kuti vane kuvhiringidzika kwepabonde yekurara. Pane mimwe mitemo, zvisinei. Mwana wako anofanira kunge ane meno kune iyo bhoche inogona kuiswa. Vana vaduku semakore matatu vanogona kurapwa, asi zvinoenderana nekunyaradzwa kwee orthodontist. Mwana wacho anofanira kunge akwanisa kugara akachengeteka pakuisa bhande uye kugadzirisa.

Nokudaro, vana vaduku vangave vakaoma zvakaoma kushivirira kurapwa, kunyange zvazvo zvingave zvakaenzana.

Mukuwedzera, kurapa uku kwakanakisisa kune vana avo vari mberi mukukura kwavo uye kubudirira. Zvakanaka, vana vari mukirasi yekutanga kuchikoro vanogona kurapwa (kubva pamakore 4 kusvika ku10, kazhinji). Gare gare muhuduku, chikwata chokukura chema maxilla fuses. Mabheti mumuviri wose ane nzvimbo dze calcid bone uye nzvimbo dzekuwedzera nekuwedzera nekukura. Mune maxilla, apo kukura kunoguma, iyo nzvimbo inowanzoverengwa uye kushandiswa kwakanyanya kunoshandiswa hakuzoendese mberi nekuwedzera. Vamwe vanonzi orthodontist muEurope vakashandisa zvakakwana kumanikidziro nechokuita kuti vadzorezve kukura uku suture mushure mekuvhara uye kupa huwandu hwekuwedzera, asi iyi haisi iyo nzira inowanikwa.

Ndezvipi Migumisiro Yakashata Inoitika Nokukurumidza Kuwedzera KwamaMadillary?

Vana vanowanzoregerera kurapwa uku zvakanaka kwazvo. Panogona kuva nekurwadziwa kwekutanga kunononoka nekuiswa uye shure kwekugadzirisa. Vana vakawanda havaoni hutano. Inenge yakavanzika uye isingaoneki kunze kwemuromo. Hazvirevi zvakanyanya kudya kana kutaura.

Sezvo maronda akaoma ari kuwedzerwa, mazino ari mukati mawo anotanga kubuda. Penguva yakatarwa yokurapwa, izvi zvinowanzoita mazino emwana. Apo mazino akakura anouya, nzvimbo yacho inogona kuderera zvikuru. Vamwe vana vanogona kudimbura orthodontics kuti vashandise kugadzirisa uye kugadzirisa mazino mavara. Panogona kunge kune ngozi kune vana vakaberekerwa nekwenyoro kana kuti kunyorova, uye izvi zvinofanira kuzarurirwa nekukurukurirana nemutungamiri wemitemo.

Kana iwe uchida kufambira mberi kwemaximillary kukura kwekubata kwevana vako, tanga nokutaura nehope yako nyanzvi kuti uone kana anthodontist anonyanya kuzivikanwa muchirapa aripo munzvimbo yako. Zvinogonawo kuva zvakakosha kusanganisira zvimwe zvirongwa zvinoshandiswa, kusanganisira kushandiswa kwemapfupa akadai se tonsillectomy uye adenoidectomy, zvirwere zvese zvemishonga, myofunctional therapy , uye inoramba ichienderera mberi inofambisa mweya (CPAP) . Taura nachiremba wako pamusoro pezvipi zvingave zvakakosha zvakanyanya kumwana wako.

> Kwakabva:

> Kryger, MH et al . "Mazano Nezviito Zvokurapa Mishonga." Elsevier , 5th edition. 2011.