Ua noʻonoʻo paha ʻoe, "ʻAuē, ʻaʻohe niho o kaʻu pēpē, he mau mahina i hala, ʻeā?" A i ʻole ua hānau ʻia kekahi āu i ʻike ai me ka ʻole o nā niho. He maʻi laha ʻole kēia. I kēia lā e kamaʻilio mākou e pili ana i kēia ʻano o ka nele o ka niho, ʻo ia hoʻi ma ka ʻōlelo lapaʻau he anodontia .
I ka ʻōlelo maʻalahi, he aha ʻo Anodontia?
Maʻalahi loa. ʻO Anodontia ke ʻano o ka hānau ʻia ʻana me ka ʻole o nā niho . He ʻano laha ʻole kēia e hāʻule ana ma lalo o ka māhele o Dental Agenesis . ʻO Dental agenesis ke ʻano o ka hānau ʻia ʻana me nā niho liʻiliʻi a ʻaʻohe niho paha. ʻO "Agenesis" ke ʻano ua hānau ʻia ʻoe me kēia ʻano.
ʻAʻohe niho o ka poʻe me ka anodontia i ulu piha. Hiki i kēia kūlana ke hoʻopilikia i nā niho pēpē a me nā niho makua . ʻO ka pinepine, loaʻa i ka poʻe me ka anodontia kekahi ʻano genetic ʻē aʻe i kapa ʻia ʻo Ectodermal Dysplasia . Hiki i ka Ectodermal Dysplasia ke hana i nā ʻano ʻē ʻaʻole wale i nā niho, akā i ka lauoho, nā kui, a me nā ʻōpū hou .
No laila, hiki anei ke nalowale kekahi mau niho?
ʻAe, ʻoiaʻiʻo nō. Aia kekahi poʻe i hānau ʻia me ka ʻole o ko lākou mau niho āpau, akā he kakaikahi wale nō. Kāhea mākou i kēia "partial anodontia" a kapa kekahi poʻe pēlā. I mea e pololei ai:
- Hypodontia: ʻO kēia ka nalowale ʻana o hoʻokahi a ʻeono niho.
- ʻOligodontia: Hiki i kēia ke pili i ka nalowale ʻana o nā niho ʻeono ma mua.
No laila, ʻo ka nalowale piha ʻana o nā niho ka mea a mākou e kapa nei he anodontia.
Pehea ka hopena o ka anodontia i kou olakino waha a me kou kino holoʻokoʻa?
ʻO ka mea nui e pili ana i ka nalowale o nā niho , ʻo ia ka paʻakikī o ka nau ʻana a me ka ʻōlelo pono ʻana . E noʻonoʻo wale, ke ale kākou i ka meaʻai me ka nau pono ʻole ʻana, hiki iā ia ke hoʻopilikia i ko kākou olakino ʻōpū . Eia kekahi, hiki i ka anodontia ke hōʻino i nā ʻāʻī a hoʻōki i ka ulu ʻana o ka iwi ʻauwae . Inā ʻaʻole ulu pono kēia iwi ʻauwae, e ʻike ʻia paha kou ʻauwae he liʻiliʻi ma mua o ka maʻamau. Hoʻopilikia pū kēia i kou helehelena.
He aha nā hōʻailona o Anodontia?
ʻO ka hiʻohiʻona nui a maopopo loa, ʻo ia ka nele o nā niho maoli .
Eia naʻe, e like me kaʻu i ʻōlelo ai ma mua, ʻike pinepine ʻia ʻo Anodontia me kahi maʻi i kapa ʻia ʻo Ectodermal Dysplasia , no laila e ʻike ʻia nā hōʻailona ʻē aʻe. Eia kēia:
- Lehelehe māwae a i ʻole ka lehelehe māwae .
- Ka lahilahi a i ʻole ka nalowale o ka lauoho .
- ʻAʻohe a he liʻiliʻi loa paha o nā kelepa houHiki i kēia ke paʻakikī i ka kaohi ʻana i ka mahana o ke kino.
- Ka nalowale o ka lohe .
- Ka hemahema o ka ʻike .
- ʻAʻohe a i ʻole ke kūlana kūpono ʻole o nā kui .
He mea kākaʻikahi loa, aia paha he anodontia wale nō me ka ʻole o ka ectodermal dysplasia. I ia mau hihia, manaʻo nā kauka he kumu hoʻololi genetic i ʻike ʻole ʻia.
No ke aha e hana ʻia ai kēia? He aha ke kumu o Anodontia?
I ka ʻōlelo maʻalahi, ua hoʻokumu ʻia ʻo Anodontia e kahi hoʻololi genetic e hoʻopilikia ai i ka hana pono ʻana o kā mākou lamina niho (ka papa o nā ʻiʻo ma lalo o nā ʻāʻī e hana ana i nā niho). He mea kēia i hoʻoilina ʻia mai nā mākua a i nā keiki . Ua kapa ʻia ʻo ia he hoʻoilina autosomal recessive . ʻO ke ʻano kēia, no ke keiki e loaʻa kēia ʻano, pono lākou e loaʻa i kahi gene ʻano ʻē mai ko lākou makuahine a me ko lākou makuakāne . ʻAʻole lawa ka loaʻa ʻana mai hoʻokahi kanaka wale nō.
E noʻonoʻo e lawe malū ana nā mākua ʻelua i kēia kīnā genetic i loko o ko lākou kino (akā me ka ʻole o nā hōʻailona). A laila, inā hoʻoilina kekahi o kā lāua mau keiki i nā genes kīnā ʻelua mai iā lāua ʻelua, hiki i ke keiki ke loaʻa ka anodontia.
Pehea e ʻike ai nā kauka i kēia? (Diagnosis)
Hiki i nā kauka ke kānalua i ka anodontia inā ʻaʻohe niho pēpē o kāu pēpē i ka 13 mahina . No ka hōʻoia ʻana i kēia, e lawe lākou i nā X-ray niho e ʻike inā e puka mai ana kekahi mau niho. Inā ʻaʻole hōʻike nā X-ray i kekahi niho, aia paha kāu pēpē i ka anodontia.
He aha nā lāʻau lapaʻau no kēia?
Hoʻōla ʻia ʻo Anodontia ma ke pani ʻana i nā niho nalowale me nā mea pani . ʻO nā lāʻau lapaʻau i hoʻohana pinepine ʻia:
1. Nā niho kuʻi
He mau niho kuʻi hiki ke wehe ʻia kēia. Hoʻomaha lākou ma luna o nā ʻāʻī. Hiki ke hoʻohana ʻia kahi ʻano ʻāʻī kūikawā i kapa ʻia he mea hoʻopili niho e hoʻopaʻa iā lākou ma kahi. He kūpono nā niho kuʻi kuʻuna no nā keiki a me nā pākeke me ka anodontia. Hiki ke hoʻohana ʻia mai ka wā ʻōpiopio.
2. Nā mea hoʻokomo niho
He mau pou liʻiliʻi kēia, i wili ʻia e pani ana i nā aʻa o nā niho nalowale. Hoʻokomo ke kauka lapaʻau iā lākou i loko o ka iwi ʻauwae i ka wā o ke ʻoki waha . Ma hope o ka ho'ōla ʻana o nā implants, hiki i kāu kauka niho ke hoʻopili i nā alahaka a i ʻole nā dentures ma luna o lākou. E hāʻawi kēia iā ʻoe i kahi minoʻaka nani a maʻalahi hoʻi ka ʻai ʻana.
Eia nō naʻe, no ka loaʻa ʻana o nā implants niho, pono e ulu piha kou mau iwi maka.No kēia kumu, hoʻohana ka nui o nā keiki me ka anodontia i nā niho kuʻi a hiki i ka ulu ʻana o ko lākou mau iwi maka. A laila wale nō hiki iā lākou ke noʻonoʻo i nā implants niho.
Aia kekahi ala e hiki ai iā kākou ke pale aku i kēia?
ʻOiai he maʻi hoʻoilina ʻo Anodontia, ʻaʻohe mea hiki iā mākou ke hana e pale aku ai i kona hiki ʻana mai . Eia nō naʻe, ʻo ka mea nui e hoʻomanaʻo ai, ʻoiai inā loaʻa iā ʻoe ʻo Anodontia, ʻaʻole ia he manaʻo e hoʻoilina kāu mau keiki. Hiki iā ʻoe ke aʻo hou aʻe e pili ana i kēia ma ke kamaʻilio ʻana me kahi kākāʻōlelo hoʻoilina.
He aha ka mea hiki i kekahi me Anodontia ke manaʻo?
ʻAʻole ʻo Anodontia kahi maʻi weliweli a hoʻoweliweli paha i ke ola . Eia nō naʻe, inā ʻaʻole mālama ʻia, hiki iā ia ke hoʻopilikia i ka ʻai ʻana a me ka ʻōlelo ʻana . ʻAʻole wale ia, akā hiki paha iā ʻoe ke pale aku i nā hanana pilikanaka no ka mea hilahila ʻoe i ka minoʻaka a hopohopo paha i ka mea a haʻi e manaʻo ai. Hiki i kēia mau mea ke loaʻa ka hopena koʻikoʻi i kou ʻano ola.
Inā he anodontia ʻoe a kāu keiki paha, e hana kāu kauka i kahi hoʻolālā lapaʻau pilikino e pili ana i kāu mau pono a me kāu makemake.
I ka ulu ʻana o nā keiki, loli ko lākou waha a me nā mea i loko o ko lākou waha. Inā hoʻohana kāu keiki i nā niho kuʻi, pono paha lākou i nā niho kuʻi hou i kēlā me kēia mau makahiki a hiki i ka pau ʻana o ka ulu ʻana o nā iwi ma ko lākou alo. Hiki i kāu kauka niho ke haʻi iā ʻoe i ka mea e manaʻo ai ma muli o kou kūlana.
Āhea mākou e ʻike ai i ke kauka?
ʻOiai ʻaʻole weliweli ka anodontia, pono ʻoe e kamaʻilio me ke kauka inā:
- Inā ʻaʻohe niho pēpē o kāu pēpē i ka 13 mahina .
- Inā he 10 mau makahiki o kāu keiki a ʻaʻohe ona niho paʻa .
- Inā pilikia ke ola o kāu keiki i ka nalowale o nā niho (no ka laʻana, ka paʻakikī i ka ʻai ʻana, ka paʻakikī i ka ʻōlelo ʻana, ka hilahila ma ke kula).
He aha nā nīnau koʻikoʻi e nīnau aku ai i ke kauka?
Inā he anodontia kou a i ʻole kāu keiki, hiki iā ʻoe ke nīnau i kāu kauka niho a mea mālama ola paha i kēia mau nīnau:
- He aha nā koho lapaʻau i loaʻa no kaʻu keiki?
- Pehea ka lōʻihi o ka mālama ʻana?
- E hoʻopilikia anei kēia kūlana i ka meaʻai a i ʻole ka ʻai ʻana o kaʻu keiki?
- He lāʻau kūpono anei nā hoʻokomo niho implants iā mākou?
- Pono anei mākou i nā hoʻāʻo hou aʻe e ʻike ai inā he mau maʻi genetic ʻē aʻe ko mākou ?
ʻO ka mea hope loa, nā mea e hoʻomanaʻo ai (Leka Lawe-Home)
He ʻano laha ʻole ka Anodontia kahi i nalowale loa ai nā niho mai ka hānau ʻana. ʻOiai hiki ke hana pinepine ʻia ma kāna iho, pinepine ia eʻO ka Ectodermal Dysplasia kahi maʻi genetic e hoʻoulu ai i ka lauoho lahilahi, ka nalowale o nā kui, a me ka emi ʻana o nā kelepa hou, a me nā mea ʻē aʻe. Inā he anodontia ʻoe a i ʻole kāu keiki, e kamaʻilio me kāu kauka e pili ana i nā lāʻau lapaʻau e pani ai i nā niho nalowale . Hiki i kēia mau lāʻau lapaʻau ke hoʻihoʻi i ke ʻano, ka hana, a me ke olakino o kāu a i ʻole ka waha o kāu keiki. Mai hilahila a kaumaha paha e pili ana i kēia . Me ka ʻōlelo aʻoaʻo lapaʻau kūpono a me ka lāʻau lapaʻau, hiki ke hoʻokele pono ʻia.
ʻAnodontia , Nalowale niho, Nalowale niho hānau, Agenesis niho, Dysplasia Ectodermal, Nā niho kuʻi, Nā mea hoʻokomo niho
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