Kuzindikira

Kuzindikira ndikutambasula kapena kutulutsa (kutulutsa) nsagwada (mandible). Zimachitika mano akakhala kuti sanagwirizane bwino chifukwa cha mawonekedwe a mafupa akumaso.

Kuzindikira kumatha kuyambitsa malocclusion (kusokonekera bwino kwa malo oluma am'munsi ndi m'munsi mano). Ikhoza kupatsa munthu mawonekedwe okwiya, kapena omenyera. Kuzindikira kumatha kukhala chizindikiro cha ma syndromes ena kapena zikhalidwe zina.

Nsagwada zowonekera (zotuluka) zitha kukhala gawo la mawonekedwe abwinobwino amunthu omwe amapezeka pakubadwa.

Zitha kuyambidwanso chifukwa chobadwa nawo, monga matenda a Crouzon kapena basal cell nevus syndrome.

Zitha kukula pakapita nthawi mwa ana kapena akulu chifukwa chakukula mopitilira muyeso monga gigantism kapena acromegaly.

Dokotala wamano kapena wamano amatha kuthana ndi nsagwada ndi mano. Wopereka chithandizo chamankhwala choyambirira akuyeneranso kutenga nawo mbali kuti awone zovuta zamankhwala zomwe zingagwirizane ndi prognathism.

Imbani wothandizira ngati:

• Inu kapena mwana wanu mumavutika kuyankhula, kuluma, kapena kutafuna zokhudzana ndi kufanana kwa nsagwada.
• Muli ndi nkhawa zakalumikizidwe ka nsagwada.

Wothandizira adzayesa thupi ndikufunsa mafunso okhudzana ndi mbiri yanu yamankhwala. Mafunso angaphatikizepo:

• Kodi pali mbiri yakale yabanja yansalu yachilendo?
• Kodi pali zovuta kulankhula, kuluma, kapena kutafuna?
• Ndi zisonyezo zina ziti zomwe muli nazo?

Mayeso ozindikira atha kuphatikizira:

• Chigoba x-ray (chosonyeza ndi cephalometric)
• Mano x-ray
• Zizindikiro za kuluma (nkhungu ya pulasitala imapangidwa ndi mano)

Vutoli limatha kuchiritsidwa ndi opaleshoni. Dokotala wochita opaleshoni yamlomo, dokotala wa opaleshoni ya nkhope, kapena katswiri wa ENT amatha kuchita opaleshoniyi.

Chingwe chowonjezera; Pembedzani

• Kuzindikira
• Kuchotsa mano

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.

Goldstein JA, Baker SB. Kuchita opaleshoni ya orthognathic yoyera ndi craniofacial. Mu: Rodriguez ED, Losee JE, Neligan PC, eds. Opaleshoni ya Pulasitiki: Voliyumu 3: Opaleshoni ya Craniofacial, Mutu ndi Khosi ndi Opaleshoni ya Pulasitiki ya Ana. Wolemba 4. Philadelphia, PA: Elsevier; 2018: mutu 28.

(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.