Kuchotsa mano

Malocclusion amatanthauza kuti mano sanagwirizane bwino.

Kuyika kumatanthauza kulumikizana kwa mano ndi momwe mano akum'mwera ndi otsika amagwirira ntchito limodzi (kuluma). Mano akumwamba amayenera kukwana pang'ono pamano apansi. Malangizo a molars amayenera kulumikizana ndi ma grooves otsutsana.

Mano akumwamba amakulepheretsani kuluma masaya anu ndi milomo, ndipo mano anu apansi amateteza lilime lanu.

Malocclusion nthawi zambiri amatengera kubadwa. Izi zikutanthauza kuti imadutsa kudzera m'mabanja. Zingayambike chifukwa cha kusiyana pakati pa kukula kwa nsagwada zakumtunda ndi zapansi kapena pakati pa nsagwada ndi kukula kwa dzino. Zimayambitsa kudzaza mano kapena kuluma modabwitsa. Mawonekedwe a nsagwada kapena zolakwika monga kubadwa kwa milomo ndi m'kamwa kungathenso kukhala zifukwa zosavomerezeka.

Zina mwa zifukwa zake ndi izi:

• Zizolowezi zaubwana monga kuyamwa chala chachikulu, kuponyera lilime, kugwiritsa ntchito pacifier kupitirira zaka 3, ndikugwiritsa ntchito botolo kwa nthawi yayitali
• Mano owonjezera, mano otayika, mano okhudzidwa, kapena mano opangidwa modabwitsa
• Kudzaza mano koyenera, zisoti zachifumu, zida zamano, zosunga, kapena zolimba
• Kusokonekera kwa nsagwada zovulala pambuyo povulala kwambiri
• Ziphuphu mkamwa ndi nsagwada

Pali mitundu yosiyanasiyana yazosavomerezeka:

• Malocclusion a Class 1 ndi omwe amapezeka kwambiri. Kuluma ndi kwachilendo, koma mano akumtunda amapindana pang'ono mano apansi.
• Kalasi yachiwiri ya malocclusion, yotchedwa retrognathism kapena overbite, imachitika pomwe nsagwada zakumtunda ndi mano zimakata kwambiri nsagwada ndi mano apansi.
• Gulu lachitatu la malocclusion, lotchedwa prognathism kapena underbite, limachitika nsagwada zakumunsi zikatuluka kapena kulowera kutsogolo, ndikupangitsa nsagwada ndi mano kuti aphatikane nsagwada ndi mano.

Zizindikiro zakusokonekera ndi izi:

• Kuyanjana kwapadera kwa mano
• Maonekedwe achilendo a nkhope
• Zovuta kapena zosasangalatsa mukamaluma kapena kutafuna
• Mavuto olankhula (osowa), kuphatikizapo lisp
• Kupuma pakamwa (kupumira pakamwa osatseka milomo)
• Kulephera kuluma chakudya moyenera (kuluma kotseguka)

Mavuto ambiri okhudzana ndi mano amapezeka ndi dokotala wamankhwala poyesa kuyerekezera. Dokotala wanu wa mano amatha kukokera tsaya lanu panja ndikukufunsani kuti mulume pansi kuti muwone ngati mano anu obwerera alumikizana. Ngati pali vuto lililonse, dokotala wanu amatha kukutumizirani kwa orthodontist kuti mupeze matenda ndi chithandizo.

Muyenera kukhala ndi ma x-ray amano, mutu kapena chigaza x-ray, kapena ma x-ray pankhope. Mitundu yodziwitsa mano nthawi zambiri imafunikira kuti mudziwe vuto.

Ndi anthu ochepa kwambiri omwe ali ndi mayendedwe abwino a mano. Komabe, mavuto ambiri ndi ochepa ndipo safuna chithandizo.

Malocclusion ndiye chifukwa chofala kwambiri chotumizira kwa orthodontist.

Cholinga cha chithandizo ndikuwongolera kukhazikitsidwa kwa mano. Kuwongolera malocclusion ochepa kapena ovuta kumatha:

• Pangani mano kuti ayeretse ndikuchepetsa chiopsezo cha kuwola kwa mano ndi matenda a periodontal (gingivitis kapena periodontitis).
• Chotsani mavuto m'mano, nsagwada, ndi minofu. Izi zimachepetsa chiopsezo chothyola dzino ndipo zimachepetsa zisonyezo zamatenda a temporomandibular joint (TMJ).

Chithandizo chitha kukhala:

• Zolimba kapena zida zina: Zingwe zazitsulo zimayikidwa mozungulira mano ena, kapena chitsulo, ceramic, kapena zomangira zapulasitiki zimalumikizidwa pamwamba pamano. Mawaya kapena akasupe amagwiritsa ntchito mphamvu kumano. Chotsani ma brace (aligners) opanda waya atha kugwiritsidwa ntchito kwa anthu ena.
• Kuchotsa dzino limodzi kapena angapo: Izi zitha kukhala zofunikira ngati kuchuluka kwa anthu kuli gawo lavuto.
• Kukonza mano akuthwa kapena osasinthasintha: Mano amatha kusinthidwa, kusinthidwa, ndikumangirizidwa kapena kutsekedwa. Kubwezeretsa kwa Misshapen ndi zida zamano ziyenera kukonzedwa.
• Opaleshoni: Kukonzanso kwa opareshoni kuti ichulutse kapena kufupikitsa nsagwada kumafunikira nthawi zambiri. Mawaya, mbale, kapena zomangira zitha kugwiritsidwa ntchito kuti zikhazikitse fupa la nsagwada.

Ndikofunika kutsuka ndi kutsuka mano tsiku lililonse ndikuchezera dokotala wa mano pafupipafupi. Chipilala chimakhala cholimba ndipo chimatha kusindikiza mano mpaka kalekale kapena kuyambitsa kuwola kwa mano ngati sichichotsedwa bwino.

Muyenera chosungira kuti musakhazikike mano mukatha kulimba.

Mavuto okhathamira ndi mano ndiosavuta, achangu, komanso otsika mtengo kuchiza akakonzedwa msanga. Chithandizo chimagwira bwino kwa ana ndi achinyamata chifukwa mafupa awo akadali ofewa ndipo mano amasunthika mosavuta. Chithandizo chitha miyezi 6 mpaka 2 kapena kupitilira apo. Nthawi idzadalira kuchuluka kwa kuwongolera kofunikira.

Chithandizo cha matenda a orthodontic mwa akulu nthawi zambiri chimayenda bwino, koma chitha kufunikira kugwiritsanso ntchito ma brace kapena zida zina.

Zovuta zakusavomerezeka ndi monga:

• Kuola mano
• Kusasangalala panthawi ya chithandizo
• Kukwiya pakamwa ndi m'kamwa (gingivitis) koyambitsidwa ndi zida zamagetsi
• Kutafuna kapena kulankhula movutikira mukamalandira chithandizo

Itanani dokotala wanu wamazinyo ngati kupweteka kwa mano, kupweteka pakamwa, kapena zizindikilo zina zatsopano zimayamba mukamamwa mankhwala am'mimba.

Mitundu yambiri yoletsa malocclusion siyimapewedwa. Pakhoza kukhala kofunikira kuwongolera zizolowezi monga kuyamwa chala chachikulu kapena kuponyera lilime (kukankhira lilime lanu patsogolo pakati pa mano anu akumunsi ndi kutsika). Kupeza ndi kuthana ndi vuto msanga kumapereka zotsatira zachangu komanso kuchita bwino kwambiri.

Kudzaza mano; Mano olakwika; Crossbite; Kulimbana; Pembedzani; Kuluma kotsegula

• Kuzindikira
• Mano, wamkulu - mu chigaza
• Kuchotsa mano
• Matenda a mano

Dean JA. Kusamalira kutukuka komwe kukukula. Mu: Dean JA, mkonzi. McDonald ndi Avery Dentistry kwa Mwana ndi Wachinyamata. 10th ed. St Louis, MO: Elsevier; 2016: chap 22.

Dhar V. Malocclusion. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 335.

Hinrichs JE, Thumbigere-Math V. Udindo wowerengera mano ndi zinthu zina zakomweko. Mu: Newman MG, Takei HH, Klokkevold PR, Carranza FA, olemba. Newman ndi Carranza's Clinical Periodontology. Wolemba 13. Philadelphia, PA: Elsevier; 2019: mutu 13.

(Adasankhidwa) Koroluk LD. Odwala achichepere. Mu: Stefanac SJ, Nesbit SP, olemba., Eds. Kuzindikira ndi Kukonzekera Chithandizo cha Mano. Wachitatu ed. St Louis, MO: Elsevier; 2017: mutu 16.

Nesbit SP, Reside J, Moretti A, Gerdts G, Boushell LW, Barrero C. Gawo lomaliza la chithandizo. Mu: Stefanac SJ, Nesbit SP, olemba., Eds. Kuzindikira ndi Kukonzekera Chithandizo cha Mano. Wachitatu ed. St Louis, MO: Elsevier; 2017: mutu 10.