Mi thenkhat hmui hnuai lam emaw, chunglam emaw pawh nise, hmalam pan deuhin a rawn chhuak tih i hmu ngai em? Chutiang bawk chuan nang pawhin i hre ve ngei ang. Hei hi damdawi lama ``Prognathism'' kan tih chu a ni. Hei hi mi thenkhat pianpui thil a ni a, mahse a chang chuan an naupan laia an ha accident vang te, emaw, naupan lai atanga an tih dan thenkhat (entir nan, an kutpui hrual) vang te pawh a ni thei. Hemi chungchang hi vawiinah hian chipchiar deuhin kan sawi dawn em ni?
He jaw chhuak (Prognathism) hi eng nge ni? A awlsam zawngin...
A awlsam zawngin ``(Prognathism)`` tih hian i hmui, chu chu i hmai hnuai lam emaw, a chunglam emaw chu a tlangpui aia hmalam a rawn chhuak tihna a ni. A tam zawkah chuan hei hian jaw hnuai lam a nghawng thin. Ngaihtuah teh, i hmui hnuai lam chu a chung lam aiin hmalam a rawn chhuak tam zawk angin a lang a nih chuan, chu chu he dinhmun hi an ti a ni.
This is a congenital condition , chu chu mi pakhat chu heng symptoms nei hian a piang thei tihna a ni. Mahse, a châng chuan pian tirh lamah danglamna lian tham awm lo mah se, chu natna chu a hnuah a lo awm thei a, chu chu ha hliam vang te, hmui a vuak vang te, a nih loh leh naupan lai aṭanga tih dan, kut zungtang hrual ang chi a nih vang pawh a ni thei.
Hei hi eng ang nge a nih? A chi hrang hrangte chu engte nge ni?
`(Prognathism)` hi chi hrang hrangin a lo thleng thei. Chu chu chi hrang hrang a awm tihna a ni. A chi hrang hrangte chu eng nge ni tih i lo en ang u:
1. Mandibular prognathism tih hi a awm lo
Hei hi i hmui hnuai lam chu i hmui chunglam aiin a chhuak nasa zawk a ni. Side atanga en chuan i hmui chu a rawn chhuak chhuak ang maiin a lang. Hei hi mi tam zawka hmuh tam ber chi a ni.
2. Maxillary prognathism tih hi a awm lo
Hei hi i upper jaw chu hmalam pan lutuka a chhuahna hmun a ni. A chang chuan hei hi ``Alveolar prognathism'' an ti bawk. Hei hian hmui chunglam chu hmalam pan angin a lang thei a ni.
3. Bimaxillary prognathism a awm thei
Chutiang a nih chuan i hmui chunglam leh hnuai lam pahnih chu hmalam hawiin a chhuak vek a ni .
He natna (Prognathism) hi mi thenkhat tan chuan a na lo thei hle a , chu chu hriat theih a ni lo tihna a ni. Mahse, mi ṭhenkhat tân chuan he natna hi a na thei hle . Chutiang a nih chuan nitin nun leh hmel lan danah nghawng lian tak a nei thei a ni.
He natna hian tute nge a nghawng ber? Engtiang chiahin nge a hluar?
He natna (Prognathism) hian hmeichhia leh mipa a nghawng thei a ni. Mahse, mipaah chuan a tam deuh niin an sawi .
A hluar danah chuan he natna hi naupangte zingah 0.5% leh 2.0% inkar velin hmuh a ni. Puitlingah chuan he rate hi 2.0% leh 4.0% inkar a ni. Chumi awmzia chu a tam vak lo nain mi langsar takin he harsatna hi an nei tihna a ni.
Engtin nge hmui chhuak (protruding jaw) hian i hriselna a nghawng?
Jaw chhuak hian ha a inmil tawk lohna hmunah harsatna a thlen thei (malocclusion) . He ``(Malocclusion)`` dinhmun hian hriselna lama harsatna dang engemaw zat a thlen thei bawk. Entir nan:
- Ha hring leh a chhe zual thei.
- Chaw ei harsatna a awm thei.
- Thumal thenkhat chu thusawi laiin sawi harsa a ni thei.
Chu bâkah, ha chu a dinhmun a ṭhat loh avângin, ha sil leh flossing chu a harsa deuh thei a ni . Chuvangin, prognathism vei tam tak chu cavities leh gum disease vei theihna a sang hle .
Hei hi eng symptoms nge ni?
Mi pakhatin a hmui a chhuak a, a natna lan chhuah dan chi hrang hrang a nei thei. Hei hi prognathism chi leh a nasat danah a innghat a ni. A lan chhuah dan tlangpui thenkhat chu:
- Upper jaw, lower jaw emaw, hmui pahnih emaw chhuak (hei hi a ziarang ber a ni).
- Temporomandibular joint (TMJ) disorders - Chumi awmzia chu hmui hawn emaw khar emaw hian click ri emaw, hmuiah na emaw a awm tihna a ni.
- Ha a hring chhuak.
- Mut laiin ha hrual (Bruxism).
- Overbite emaw underbite emaw a ni.
- Jaw a chhuak (dislocated jaw) a ni.
- Ha inmil lo, ha inzawm emaw, ha inzawm emaw ang chi.
- Chaw ei harsa.
- Thusawi harsa.
- Thâwk harsa (a bik takin a nasat chuan).
Engvangin nge hetiang hi a lo awm? A chhan engte nge ni?
A awlsam zawngin, prognathism hi i hmai ruhte a lo thang dik loh vang a ni . Hei hi thil engemaw zat avanga lo awm thei a ni.
1. Genetic avanga lo awm
A tam zâwk chuan, jaw lian tak chu genetic trait anga rochun a ni . Chu chu nu leh pa atanga fate hnena inthlunzawm theih a ni tihna a ni. Vun rawng leh sam rawng ang bawkin, a hnuaia damdawi lam dinhmun engmah nen a inzawm lo mai thei.
2. Damdawi lam thil dang vangin
Mahse, \henkhatah chuan `(Prognathism)` hi damdawi lam dinhmun dang emaw `(syndrome) emaw chhinchhiahna a ni thei. Entirna thenkhat chu:
- `Acromegaly` : Hei hi pituitary gland nena inzawm natna a ni. Hemiah hian taksain growth hormone a siam tam lutuk a. Chuvang chuan jaw ang chi tissue te chu a lian thei hle.
- Crouzon syndrome : Hei hi genetic syndrome a ni. Luru ruh inzawmkhawm danah thil danglam tak a siam thin. Hei hian prognathism leh hmai leh lu natna dang a thlen thei a ni.
- `Basal cell nevus syndrome` : Hei pawh hi thlahtute atanga lo chhuak a ni. Chutah chuan hmai lama hmasawnna pangngai lo a awm thin. A châng chuan, `(Prognathism)` pawh he dinhmunah hian a tel ve bawk.
- `Acrodysostosis` tih a ni: Hetiang dinhmun hian ruh thanna a nghawng a ni. ``Acrodysostosis`` vei te hian upper jaw te tak te an nei tlangpui. Tichuan a hnuai lam jaw chu a nena khaikhin chuan a lian zawkin a lang. Hei bakah hian hnar tawi, kut leh ke tawi te ang chi features te pawh hmuh tur a awm bawk.
- Down syndrome : Down syndrome vei te hian an taksaah chromosome extra an nei a, chu chuan naupang hmasawnna a nghawng a ni. A then phei chuan hei hian jaw a ti lian lutuk thei a ni.
Engtin nge hei hi kan hriat theih ang?
Hetiang harsatna hi i nei nia i hriat chuan Doctor i pan hmasa phawt tur a ni. Doctor chuan taksa enfiahna kimchang tak a nei ang , i natna lan chhuah dan a zawt ang a, i chhungte zingah he natna hi tu emaw chuan an nei tawh em tih a zawt ang. Tin, a hnuaia test te hi tih theih a ni bawk:
- Ha X-ray : Hengte hian i ha leh a hmuna vawn tlattu jawbone chungchang hriatthiamna tha zawk a pe thei che a ni.
- Cephalometric radiograph : Hei hian i hmai side view, jaw joint, leh i ha inzawm dan (occlusion) te a en thei.
- Dental impressions : Hengte hi i ha model siam nan hman a ni. Hei hian enkawlna ruahmannaah a pui hle.
Engtin nge enkawl ang? (Tihdamna)
Prognathism enkawlna chu a nasat danah a innghat a ni . A tlangpuiin, ruh lama harsatna, prognathism ang chite chu operation neih a ngai a ni . Mahse, ṭhenkhatah chuan orthodontics , brace ang chi chu a chauhvin hman theih a ni. Mahse, a tam zawkah chuan , surgery leh orthodontics inkawp a tha.
Orthognathic hmanga operation tih a ni
Hei hi corrective jaw surgery an ti bawk . He surgery hi i jawbone chu a awmna tur dik takah sawn tir a, a hriselna, a hnathawh leh a hmel a titha a ni. I jawbone chu a inrem fel tawh chuan i ha chu a in fit tha ang.
Orthodontic hmanga enkawl a ni
Orthognathic surgery hi braces emaw clear aligners emaw nen an ti dun fo thin. Mi tam tak tan chuan orthognathic surgery hmain brace dah hmasak a ni a, ha chu tlem a dinglam a ni. Mahse, he enkawlna ruahmanna hi mi hrang hrangah a inang lo thei . I doctor chuan i dinhmun atana enkawl dan tur tha ber a hrilhfiah ang che.
Heng enkawl dan turte hi ha enkawltu (Oral leh Maxillofacial Surgeon) leh ha enkawltu (orthodontist) te hian an rel dun thin tih hre reng ang che.
Hei hi operation tel lovin tihdam theih a ni em?
A dinhmun a na lo hle a nih chuan orthodontics hmangin siamthat theih a ni mai thei. Mahse, hei hi a awm lo. Braces hian ha chauh a ti che thei a, hmai ruh a ti che thei lo. Chuvângin, ruh dik lo chu a hniam emaw, a na emaw a nih chuan, enkawlna zînga mi angin operation neih a ngai ngei ang .
Operation hnuah a dam leh theih nan eng chen nge a duh?
A tlangpuiin orthognathic surgery atanga a dam kim theih nan thla 9 atanga thla 12 vel a ngai thei. I doctor chuan he hun chhung hian eng nge i zawm tur tih chipchiar takin a hrilh ang che, a bik takin ei leh in leh exercise chungchangah. A dam kim theih nân kum khat chhûng a la ngai thei a, mahse , kar hnih aṭanga kar thum chhûngin hna, sikul, leh thil tih dân pangngai dangte chu i thawk leh thei tûr a ni .
Surgery neih hian hlauhawmna a awm em? (Operation neih theihna tur hlauhawm) .
Surgery dang ang bawkin orthognathic surgery hian hlauhawm engemaw zat a keng tel a ni. Harsatna awm thei thenkhat chu:
- Operation hnua infection a awm .
- Nerve chhiatna (hei hian hmui leh hmui ang chi hmunah a ti na thei a, mahse hun eng emaw chen atan a ni fo).
- Jaw na a na.
- Jaw fracture (a tlem hle).
- Bite harsatna a awm.
- Jaw position a lo let leh deuh.
I doctor chuan operation hmain heng hlauhawmnate hi uluk takin a hrilhfiah ang che.
Hei hi ven theih a ni em? (Invenna) 1.1.
Since prognathism is often a congenital condition , a venna tur engmah i tih theih loh. Mahse, fa neih i tum a, i fate hnena genetic condition i thlen theihna tur hriat i duh chuan genetic counselor i zawt thei ang . Tin, naupan lai atanga kut zungtang (thumb sucking) ang chi tih dan tihtawp hian naupan laia natna nasatzia a tihziaawm thei bawk.
Hetiang dinhmun hi ka neih chuan engtin nge ka tih ang? / Doctor ka hmu tur em ni?
I hmui chhuak chhuak nia i ngaih chuan doctor pan ngei ngei tur a ni . I doctor chuan hei hi aesthetic problem mai emaw, i hriselna leh nitin hnathawhna tichhe thei thil emaw a ni tih a hre thei ang.
A bîk takin , ei leh in, ṭawng harsa, thawk harsa ang chi harsatna lian tak i neih chuan doctor pan nghâl rawh .
Prognathism hian i ha hnathawh dan leh hriselna zawng zawngah nghawng lian tak a nei thei a ni. Hetiang natna vei te hian an hmel lan danah an mualpho thei a, mahni inrintawkna an nei lo thei bawk. Orthognathic surgery hian ha vuah a ti tlem thei a, chewing ability a ti tha a, hmel a ti tha thei bawk. Chuvangin, he thil chungchangah hian ngaihtuahna i neih chuan doctor nen inbia la, i tana solution tha ber zawng rawh.
Chuvangin, a tawp berah chuan thil hriat reng tur thenkhat (Take-Home Message) .
- Prognathism hi enkawl theih a ni.
- Chutianga a awm chhan chu genetic, damdawi lam dinhmun dang, a nih loh leh tih dân ṭhenkhat pawh a ni thei.
- Mi tin hian natna lan chhuah dan a inang lo thei. Ei leh in, tawng leh thawk harsatna i neih chuan Doctor pan nghal rawh.
- A tam zawkah chuan result tha ber neih theih nan surgery leh orthodontic treatment pahnih a ngai thin.
- Enkawlna dik tak i neih chuan i nunphung chu nasa takin a lo tha chho thei a ni. Hei hi zah tur leh rilru na tur a ni lo. A pawimawh ber chu damdawi lam thurawn mumal tak lak hi a ni!
` Prognathism, Jaw protrusion, Jaw surgery, Ha lakchhuah, Malocclusion, Orthognathic surgery, Mandibular prognathism











💬 Comments (0)
Comment a la awm lo. Hetah hian i comment hi a vawikhatna atan add rawh.
I comment kha add rawh