Koj tus me nyuam puas ua qhov thawb tus nplaig thiab? (Tongue Thrust) - Cia peb tham txog qhov no!

Koj puas tau pom koj tus me nyuam yaus muab nws tus nplaig tawm thaum nws tham lus, nqos zaub mov, lossis zaum xwb? Qee zaum, nws tus nplaig yuav tawm ntawm nruab nrab ntawm lawv cov hniav. Qhov no yog qhov peb hu ua kev thawb tus nplaig , lossis "Kev thawb tus nplaig". Txawm hais tias nws yuav zoo li yog ib yam me me thaum xub thawj siab, yog tias qhov no txuas ntxiv mus, nws tuaj yeem ua rau muaj ntau yam teeb meem rau tus menyuam. Yog li, tsis muaj dab tsi yuav txhawj txog, cia peb tham txog qhov no kom meej hnub no.

Qhov kev thawb tus nplaig no yog dab tsi?

Hais yooj yim xwb, tus nplaig thawb yog tus cwj pwm thawb tus nplaig mus tom ntej rau sab nraub qaum ntawm cov hniav. Qhov no tuaj yeem tshwm sim thaum tham lus, nqos, lossis thaum lub qhov ncauj qhib. Nws yog ib qho uas pom ntau heev ntawm cov menyuam yaus. Txawm li cas los xij, yog tias tsis kho kom zoo, tus cwj pwm no tuaj yeem kav ntev dhau thaum yau thiab tej zaum mus txog rau thaum laus.

Yog koj pom koj tus menyuam muab nws tus nplaig thawb tawm li no, nws yog ib qho tseem ceeb uas yuav tsum tau mus ntsib kws kho mob kom kuaj xyuas nws. Raws li lub sijhawm dhau mus, qhov kev thawb tus nplaig no tuaj yeem ua rau muaj teeb meem hais lus tsis meej , cov hniav tsis sib luag , lossis qhov tseeb dua, qhov tsis zoo lossis "tom phem." Qhov xov xwm zoo yog tias muaj kev kho mob uas tuaj yeem pab koj tus menyuam kom tsis txhob muaj tus cwj pwm thawb tus nplaig no.

Cov tsos mob ntawm kev thawb tus nplaig yog dab tsi?

Tsis yog txhua tus menyuam yuav muaj qhov no tib yam. Txawm li cas los xij, muaj qee cov cim qhia uas koj tuaj yeem saib xyuas. Saib xyuas cov cim no kom pom tias koj tus menyuam puas muaj tus cwj pwm no:

• Tus nplaig tawm thaum tham lus lossis nqos zaub mov. Nws pom tau tias tawm zoo li nab me me.
• Khoom noj nyuaj nqos, thiab nws yooj yim poob tawm ntawm lub qhov ncauj. Tej zaum koj yuav pom ib yam dab tsi uas tus me nyuam noj tawm hauv lub qhov ncauj thaum koj saib.
• Koj feem ntau tom koj tus nplaig lossis sab plhu. Yog tias koj feem ntau hais tias, "Auj, Niam, kuv tom kuv tus nplaig," ces txhawj me ntsis.
• Feem ntau, es tsis txhob ua pa los ntawm lub qhov ntswg, koj ua pa los ntawm lub qhov ncauj (ua pa ntawm qhov ncauj). Qhov no kuj yog ib qho cim qhia.
• Muaj tej lub suab nyuaj rau hais kom raug thaum hais lus. Tshwj xeeb tshaj yog thaum hais cov tsiaj ntawv xws li "ஸ", "ஶ", "ச", "ஜ", thiab lwm yam, lawv yuav tsis meej pem thiab muaj lub suab txawv. Piv txwv li, thaum hais "ஸமன்", nws yuav suab zoo li "தமன்".

Teeb meem hniav

Thaum koj siv koj tus nplaig thawb koj cov hniav ntev ntev, ntau yam teeb meem yuav tshwm sim rau koj cov hniav. Xav txog seb yuav ua li cas yog tias koj pheej kov ib yam dab tsi uas nyob ntawd. Qhov no yog li cas.

• Kev Tsis Sib Haum: Qhov teeb meem feem ntau yog qhov tom qhib, qhov twg cov hniav sab saud thiab sab hauv qab tsis sib ntsib zoo thaum lub qhov ncauj kaw. Qhov no txhais tau tias cov hniav sab saud thiab sab hauv qab tsis sib ntsib zoo thaum lub qhov ncauj kaw, ua rau muaj qhov sib txawv hauv nruab nrab. Qhov no kuj tseem tuaj yeem tshwm sim los ntawm cov hniav sab saud nyob deb dhau mus tom ntej (overbite) lossis cov hniav sab hauv qab nyob deb dhau mus tom ntej (underbite).Tej zaum yuav zoo.
• Qhov sib txawv ntawm cov hniav: Qhov sib txawv no feem ntau pom ntawm ob lub hniav pem hauv ntej sab saud.
• Mob lub puab tsaig: Yog tias koj tus menyuam pheej yws tias lawv lub puab tsaig mob, nws yuav yog vim lawv cov pob txha lossis cov hniav tsis sib dhos zoo. Raws sijhawm, qhov kev thawb tus nplaig no tuaj yeem tsim mus rau hauv cov kab mob temporomandibular joint (TMJ) .

Cov tsos mob ntawm kev thawb tus nplaig rau cov neeg laus zoo ib yam li cov menyuam yaus. Txawm li cas los xij, thaum lawv laus lawm, cov teebmeem ntawm kev thawb tus nplaig ntev ntev, xws li rub hniav thiab mob lub puab tsaig, tuaj yeem hnyav dua.

Cov laj thawj rau kev thawb tus nplaig yog dab tsi?

Tej zaum yuav muaj ntau yam ua rau qhov no. Cia peb saib cov laj thawj tseem ceeb.

Cov menyuam mos uas noj qab nyob zoo yug los muaj lub zog thawb lawv tus nplaig tawm (extrusion reflex) . Qhov no yog los tiv thaiv kev txhaws thaum pub niam mis lossis haus dej los ntawm lub raj mis. Tus cwj pwm no maj mam ploj mus thaum muaj 6 lub hlis, thaum cov menyuam mos pib noj cov khoom noj khov.

Txawm li cas los xij, rau qee tus menyuam mos, tus cwj pwm ntuj no tuaj yeem dhau los ua ib txoj hauv kev siv lawv tus nplaig li no. Muaj ntau yam laj thawj rau qhov no:

• Siv lub txiv mis thiab khob haus dej kom txog thaum muaj 3 xyoos. Xav txog seb, thaum lub txiv mis lossis khob haus dej nyob hauv qhov ncauj, tus menyuam lub puab tsaig thiab tus nplaig yuav txav mus rau hauv qab thiab mus tom ntej. Tom qab ntawd, tus nplaig yuav dhau los ua ib qho kev coj ua ntawm kev raug thawb mus tom ntej nrog kev nqus.
• Tej yam mob uas ua rau ua pa ntawm qhov ncauj. Tej yam xws li kev ua xua, hnoos tas li, lossis o ntawm cov tonsils lossis adenoids tuaj yeem ua rau nws nyuaj rau tus menyuam ua pa ntawm lawv lub qhov ntswg. Tom qab ntawd, kom tau txais cua txaus, lawv yuav thawb lawv lub puab tsaig (thiab tus nplaig) mus rau hauv qab thiab mus tom ntej thaum ua pa ntawm lawv lub qhov ncauj.
• Muaj tej teeb meem ntawm lub cev. Cov menyuam uas muaj lub puab tsaig sab saud nqaim lossis cov hniav sib sib zog nqus muaj qhov chaw tsawg hauv lawv lub qhov ncauj los tuav thiab txav lawv tus nplaig kom raug. Qhov no kuj tuaj yeem ua rau muaj tus cwj pwm thawb tus nplaig. Tsis tas li ntawd, cov menyuam mos uas muaj tus nplaig khi yuav tsum thawb lawv tus nplaig kom nqos zaub mov.
• Cov mob ntawm lub paj hlwb. Kev thawb tus nplaig kuj tseem tuaj yeem tshwm sim los ntawm cov mob uas cuam tshuam rau txoj kev uas tus menyuam siv cov leeg nqaij uas siv los hais lus thiab nqos. Piv txwv li suav nrog cerebral palsy , Down syndrome, thiab autism spectrum disorder (ASD) .

Kev thawb tus nplaig thiab kev ntxhov siab rau cov neeg laus

Qee zaum kev thawb tus nplaig yog txuam nrog kev ntxhov siab thiab kev ntxhov siab rau cov neeg laus. Kev ntxhov siab nws tus kheej tsis ua rau thawb tus nplaig, tab sis thaum koj ntxhov siab, koj yuav tsis paub tias koj thawb koj tus nplaig mus tom ntej, suav nrog:

• Kev sib tsoo hniav (Bruxism)
• Ua pa ntawm qhov ncauj
• Chwv ib lub puab tsaig

Yuav ua li cas thiaj paub qhov kev thawb tus nplaig?

Cov kws kho mob kuaj mob no los ntawm kev saib seb koj tus menyuam puas tawm los yog tawm nws tus nplaig thaum hais lus lossis nqos. Lawv yuav hais kom koj tus menyuam hais qee cov lus. Piv txwv li, yog tias koj tus menyuam tawm nws tus nplaig, lawv yuav hais lo lus "rau" zoo li "thay."

Koj tus menyuam tus kws kho mob yuav kuaj koj tus menyuam cov hniav kom pom tias lawv puas tom tsis zoo. Lawv kuj yuav nug seb koj tus menyuam puas siv khob haus dej lossis nqus lawv tus ntiv tes xoo. Yog tias koj tus menyuam loj dua, lawv kuj yuav nug thaum twg lawv tsis siv cov cwj pwm no lawm.

Yuav kho tus nplaig thawb li cas?

Cov kev xaiv kho mob rau koj tus menyuam yuav nyob ntawm lawv lub hnub nyoog thiab seb lawv puas muaj teeb meem hniav. Piv txwv li, qee tus menyuam yuav tsum tsis txhob thawb tus nplaig rau lawv tus kheej thaum muaj hnub nyoog 4 lossis 5 xyoos. Yog tias kev thawb tus nplaig tsis ua rau muaj kev puas tsuaj loj, koj tus kws kho mob yuav txiav txim siab ncua kev kho mob kom txog thaum koj tus menyuam muaj sijhawm tso tseg lawv tus kheej.

Feem ntau cov menyuam yaus uas tau txais kev kho mob rau qhov thawb tus nplaig yog cov menyuam yaus hnub nyoog ntawm 8 thiab 12 xyoos. Kev kho mob suav nrog kev tso tseg tus cwj pwm thiab kho cov teeb meem xws li cov hniav nkhaus. Nov yog qee txoj kev kho mob:

• Kev Kho Mob Hais Lus: Tus kws kho mob hais lus (SLP) tuaj yeem qhia koj tus menyuam kom txhawb nqa thiab tso lawv tus nplaig kom raug. Qhov no yuav pab lawv tsis txhob thawb lawv tus nplaig. Lawv kuj tseem yuav raug qhia cov kev tawm dag zog tshwj xeeb uas siv tus nplaig, sab plhu, thiab daim di ncauj. Hom kev cob qhia no kuj hu ua myofunctional therapy .
• Rooj Tog Rau Tus Ntiv Tes: Tus kws kho hniav orthodontist tuaj yeem muab lub cuab yeej no tso rau tom qab ntawm koj tus menyuam cov hniav. Qhov no tsim ib qho thaiv uas tiv thaiv tus menyuam kom tsis txhob thawb lawv tus nplaig mus tom ntej thiab ntaus lawv cov hniav. Feem ntau cov menyuam yuav tsum hnav lub cuab yeej no li ntawm 6 lub hlis txog ib xyoos los pab lawv xyaum lawv tus nplaig.
• Cov Hniav Braces thiab Aligners: Yog tias koj tus menyuam tus kws kho hniav tom tsis zoo, nws yuav tsum tau muab cov hniav braces lossis aligners los kho nws.

Yog tias kuv tus menyuam muaj tus cwj pwm thawb tus nplaig ne?

Feem ntau, cov ua rau tus nplaig thawb tuaj yeem kho tau zoo. Txawm hais tias ob qho tib si kev kho mob hais lus thiab cov hlau nplaum siv, dhau sijhawm, ntau tus menyuam yaus (thiab cov neeg laus uas kuaj pom lig) tuaj yeem tso tseg kev thawb tus nplaig. Cov kev kho mob no kuj tseem tuaj yeem kho cov teeb meem xws li cov hniav lwj thiab cov teeb meem hais lus uas tshwm sim los ntawm kev thawb tus nplaig ntev. Yog li tsis txhob txhawj, puas yog?

Puas tiv thaiv tau qhov thawb tus nplaig?

Tau kawg, nws tsis yooj yim sua kom tiv thaiv tau txhua yam ua rau tus nplaig thawb. Txawm li cas los xij, koj tuaj yeem txo qee yam kev coj cwj pwm tsis zoo uas cuam tshuam rau kev sib dhos ntawm koj cov hniav thiab lub puab tsaig. Piv txwv li:

• Tshem koj tus menyuam kom tsis txhob noj lub txiv mis thiab cov khob haus thaum lawv muaj li 3 xyoos.Txawm hais tias cov khoom siv no muaj txiaj ntsig thiab nplij siab rau cov menyuam mos, lawv tuaj yeem ua rau muaj kev phom sij tom qab muaj hnub nyoog.
• Txwv tsis pub koj tus menyuam ntxais nws tus ntiv tes xoo.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj tus menyuam muaj 4 xyoos lossis laus dua thiab tseem tawm lawv tus nplaig, teem sijhawm mus ntsib kws kho mob menyuam yaus lossis kws kho hniav. Thaum muaj hnub nyoog li no, ntau tus menyuam tau poob tag nrho qhov kev xav ntawm tus nplaig uas tiv thaiv lawv kom tsis txhob txhaws thaum lawv tseem yog menyuam yaus. Yog tias tus cwj pwm no txuas ntxiv mus tom qab hnub nyoog no, nws tuaj yeem dhau los ua tus cwj pwm nyuaj rau tshem tawm thiab tuaj yeem ua rau muaj teeb meem nrog lawv cov hniav thiab kev hais lus tom qab hauv lub neej.

Cov lus nug uas yuav tsum nug tus kws kho mob

Thaum koj mus ntsib kws kho mob, tsis txhob hnov ​​qab nug cov lus nug no:

• Ua cas kuv tus menyuam thiaj li hais nws tus nplaig tawm?
• Puas yuav xav tau kev kho mob?
• Yuav tsum pib kho mob sai npaum li cas?
• Peb yuav tsum mus ntsib kws kho mob zoo li cas? (piv txwv li kws kho kev hais lus, kws kho hniav)
• Yuav siv sijhawm ntev npaum li cas los cob qhia ib tug menyuam kom siv nws tus nplaig kom raug?

Cov Lus Qhia Txog (Cov Lus Qhia Coj Mus Tsev)

Nws nyuaj rau xav txog tias ib tug cwj pwm ntuj uas tiv thaiv ib tug me nyuam me kom tsis txhob txhaws yuav ua rau nws tus cwj pwm tsis zoo thaum nws loj hlob tuaj, puas yog? Tab sis thaum peb loj hlob tuaj, peb cov kev xav tau hloov pauv, thiab txoj kev uas peb lub cev ua haujlwm hloov pauv.

Raws li lub sijhawm dhau mus, feem ntau cov menyuam kawm kom tuav lawv tus nplaig kom zoo, noj mov, nqos, thiab tham. Tab sis yog tias koj tus menyuam xav tau kev pab me ntsis, tsis muaj teeb meem dab tsi. Kev thawb tus nplaig yog ib qho mob uas kho tau. Tsuas yog siv zog me ntsis xwb, koj, koj tus menyuam, thiab pab neeg uas kho nws yuav tuaj yeem tiv thaiv tus cwj pwm no tau. Yog li ntawd, tsis txhob txhawj, cia peb ua qhov tsim nyog, puas tau?

Kev Ntshaw Tus nplaig, Cov Hniav Me Nyuam, Kev Hais Lus Tsis Zoo, Kev Kho Mob Myofunctional, Teeb Meem Hniav, Kev Noj Qab Haus Huv Qhov Ncauj