Ingabe ingane yakho encane inomhlathi omncane ongezansi? Ake sixoxe ngeMicrognathia!

Ngezinye izikhathi kungenzeka ukuthi uke waphawula ukuthi umhlathi ongezansi wosana olusanda kuzalwa ubukeka umncane kancane, noma ugobile kancane. Kuvamile ukuthi abazali bakhathazeke kancane uma bebona lokhu. Eqinisweni, lesi simo sisibiza ngokuthi iMicrognathia. Ungakhathazeki, sizoxoxa ngalokhu ngendlela elula ukuze uqonde.

Kuyini iMicrognathia?

Kalula nje, i-micrognathia iyenzeka lapho umhlathi wakho ongezansi ungakhuli kahle noma umncane kunokuvamile . Ngokuvamile kuyisimo sokuzalwa naso. Lokhu kusho ukuthi izingane zizalwa zinalesi simo.

Lokhu kungabangela ukuthi ezinye izingane zibe nezinkinga zokuphefumula kanye nobunzima bokudla. Izindaba ezinhle ukuthi esikhathini esiningi, lesi simo sizoziphelela njengoba umntwana ekhula. Kodwa-ke, kwezinye izimo, singahlotshaniswa nezinye izimo zofuzo. Isibonelo, sibonakala ngezimo ezifana ne-cleft lip and palate, i-Pierre Robin syndrome, kanye ne-Treacher Collins syndrome.

Uyini umehluko phakathi kweRetrognathia neMicrognathia?

Manje ungase uzibuze, ingabe i-Retrognathia ne-Micrognathia ziyizinto ezihlukene? Noma ingabe ziyinto efanayo? Zombili lezi yizimo ezithinta umhlathi ongezansi, noma lokho odokotela abakubiza ngokuthi i-mandible. Futhi womabili la magama asetshenziselwa ukuchaza ukubukeka okufanayo.

Kodwa uma sikhuluma iqiniso, i-retrognathia yilapho umhlathi ongezansi uhlehliswa ngendlela engavamile maqondana nomhlathi ongaphezulu. Kuyinkinga ngesimo somhlathi. Ngakolunye uhlangothi, i-micrognathia yilapho umhlathi ongezansi umncane kunalokho okufanele ube yikho. Kodwa-ke, ukuvezwa kwezokwelapha kwalezi zimo zombili kuvame ukufana.

Ubani othinteka kakhulu yilesi simo?

I-Micrognathia ivame ukubonakala ezinganeni ezizalwa zinezimo ezithile zofuzo . Isibonelo, ingabonakala nezimo ezifana ne-Pierre Robin syndrome, i-progeria, noma i-cri-du-chat syndrome. Ngezinye izikhathi ingenzeka futhi ngaphandle kwesizathu esibonakalayo, ngenxa yokuguquka kwezakhi zofuzo okungahleliwe.

Lesi simo singase senzeke nakubantu abadala, kodwa asivamile kangako. Izimbangela eziyinhloko ze-micrognathia kubantu abadala ukuphuka noma ukukhumuka komhlathi ngenxa yengozi, noma i-ankylosis ye-temporomandibular joint (TMJ).

Ivame kangakanani i-micrognathia?

I-Micrognathia yisimo esivame kakhulu phakathi kwezinsana ezisanda kuzalwa.Empeleni kuvamile impela . Eqinisweni, kuvamile ukuthi izingane zibe nomhlathi ongezansi ophuma kancane njengoba zikhula. Kwabaningi bezingane, lesi simo se-micrognathia sizophela ngokwaso ngokuhamba kwesikhathi. Kodwa-ke, uma sihlotshaniswa nesimo sofuzo, cishe asisoze saphela ngokwaso .

Ziyini izimpawu ze-Micrognathia?

Izinsana nezingane ezincane ezinalesi simo zingase zibonise izimpawu ezahlukahlukene.

Izici zezinsana nezingane ezincane

• Ukuphefumula okunomsindo: Uma ingane yakho yenza umsindo ongavamile lapho iphefumula, kungaba uphawu lwalesi simo. Kungase kuzwakale njengekhala elicijile.
• I-sleep apnea noma ezinye izinkinga zokuphefumula: Ezinye izingane zingase zizwe ukuminyana kancane ngenkathi zilele. Lokhu kungenxa yokuthi umhlathi ongezansi mncane futhi ulimi lungawa luvale indlela yokuphefumula. Lokhu kungabangela ukuthi ingane ivuke njalo.
• Inkinga ngokuncelisa: Ngenxa yokuthi umhlathi ongezansi mncane, kungaba nzima ngengane ukuvula umlomo wayo kahle, ibambe ingono kahle, futhi incele. Lokhu kungabangela ingane ukuba izizwe ikhathele ngenkathi incelisa futhi kungabangela ubisi ukuba lubhajwe.
• Ukukhuluphala okuncane: Ngenxa yokuthi ingane ayikwazi ukuncelisa kahle, ingane ingase ingakhuluphala ngokwanele ngokweminyaka yayo.
• Ukungakwazi ukulala kahle: Ingane ingase ingakwazi ukulala kahle ngenxa yobunzima bokuphefumula.

Izici zabantu abadala

Abantu abadala abane-micrognathia bangase babe ne -obstructive sleep apnea . Abanye abantu basebenzisa idivayisi efana nomshini we-CPAP ukulawula izimpawu zabo. Abanye bangadinga izinsimbi noma ukuhlinzwa kokulungisa umhlathi.

Ziyini izimbangela ze-micrognathia?

Ezimweni eziningi, lesi simo esibizwa ngokuthi i-micrognathia sibangelwa ukuzalwa , okusho ukuthi senzeka ngesikhathi umntwana esesesibelethweni.

• Izakhi zofuzo: Ngezinye izikhathi lokhu kungadluliselwa kusuka esizukulwaneni kuya kwesinye ngokusebenzisa izakhi zofuzo. Lokhu kusho ukuthi uma umama, ubaba, noma othile emndenini enalesi simo, kungenzeka ukuthi ingane nayo ibe naso.
• Ukuguquka kwezakhi zofuzo okungahleliwe: Ngezinye izikhathi lokhu kungenxa yokushintsha okungahleliwe kwezakhi zofuzo. Lokhu kusho ukuthi izakhi zofuzo zingashintsha ngengozi ngaphandle kwesizathu esibonakalayo.
• Amacala lapho imbangela ingaziwa: Ngezinye izikhathi, imbangela ethile ayitholakali.

Yiziphi ezinye izimo ezihlotshaniswa ne-micrognathia?

I-Micrognathia ingahlotshaniswa nezinye izifo eziningi zofuzo kanye nezimo zezokwelapha . Ezinye zalezi zimo zifaka:

• Umlomo oqhekekile nolwanga
• Isifo sikaPierre Robin
• Isifo sikaTreacher Collins
• I-Trisomy 13
• I-Trisomy 18
• I-Beckwith-Wiedemann syndrome
• I-Stickler syndrome
• I-Progeria
• I-Achondrogenesis
• Isifo se-Cri-du-chat
• I-Turner syndrome
• I-Marfan syndrome
• I-Seckel syndrome
• Isifo sikaRussell-Silver
• I-Hallermann-Streiff syndrome
• I-microsomia ye-Hemifacial

Ungesabi ngala magama. Akuzona zonke lezi zimo ezenzeka kuwo wonke umuntu. Udokotela angathola ukuthi kwenzekani ngempela.

Itholakala kanjani i-Micrognathia?

Into yokuqala udokotela wakho azokwenza ukuhlola ngokucophelela ukuma kobuso bengane yakho, ikakhulukazi indawo yomhlathi.

Izinto ezihlolwa udokotela

• Sibheka ubudlelwano phakathi komhlathi ongezansi wengane nomhlathi ongaphezulu .
• Sibheka noma yikuphi ukungalingani kobuso .
• Hlola izimpawu zomlomo oqhekekile kanye nolwanga .
• Kuhlolwa ukuthi ulimi lomntwana lunjani .
• Baphinde bahlole ukuthi ingane inalo yini ulimi oluqinile .

Cabanga nje, ngezinye izikhathi lesi simo singatholakala ngaphambi kokuba umntwana azalwe. Okusho ukuthi, ngesikhathi se-ultrasound yokukhulelwa, umhlathi ongezansi awukhuli kahle, okungabonakala.

Ukuhlolwa okwenziwe

Uma wena noma ingane yakho nisolwa ukuthi nine-micrognathia, udokotela wakho angase acele ezinye izivivinyo eziningana:

• Ukuhlolwa kwezithombe: Ukuhlolwa okufana ne-X-ray noma i-CT scan kungasibona kahle isimo samathambo omhlathi.
• Ucwaningo lokulala: Lokhu kulinganisa ukuphefumula, amazinga omoya-mpilo emzimbeni, umsebenzi wenhliziyo, kanye nokuvuselelwa kobuchopho ngesikhathi sokulala. Lokhu kungasiza ekunqumeni ukuthi uyacinana yini ngesikhathi sokulala.

Iphathwa kanjani iMicrognathia?

Kwezinye izimo, i-micrognathia izothuthuka ngokwayo . Uma lokhu kwenzeka, ngokuvamile kuzoxazululeka kakhulu ngesikhathi ingane isinezinyanga ezingu-18 ubudala . Kuze kube yileso sikhathi, udokotela uzoqapha isimo somntwana.

Kukhona kokubili ukwelashwa okungahlinzwa kanye nokwelashwa kokuhlinzwa kwalokhu. Ukwelashwa okufanele ingane yakho kuzoncika ebunzimeni besimo.

Ukwelashwa okungadingi ukuhlinzwa

Izindlela zokwelapha ezivame kakhulu ezingadingi ukuhlinzwa zalesi simo yilezi:

• Ukwelashwa ngesimo: Ukuze kusizwe ukugcina umoya wengane yakho uvulekile, udokotela wakho angase ancome izindlela ezithile zokulala , njengokujika ingane yakho ibe ngohlangothi.
• Ipayipi laseNasopharyngeal: Leli ipayipi elifakwa ngekhala lengane bese lidlula ekhaleni ukuze kusizwe ukugcina indlela yokuphefumula ivulekile.
• Ukwelashwa okuhle kokucindezeleka komoya: Lokhu kuhilela ukusebenzisa idivayisi ye-BiPAP® noma ye-CPAP ukuhambisa umoya ngepayipi bese uyinamathisela emaskini elingana nekhala lengane. Lokhu kucindezeleka okuqhubekayo kugcina umoya wengane uvulekile.

Ukwelashwa ngokuhlinzwa

Uma ukwelashwa okungekhona ukuhlinzwa kwehluleka, khona-ke ukuhlinzwa kwe-micrognathia kungadingeka. Nazi ezinye zezindlela zokuhlinzwa ezingenziwa:

• Ukunamathela kolimi nomlomo: Kule nqubo, udokotela ohlinzayo uletha isisekelo solimi lwengane phambili kancane bese elunamathisela endebeni engezansi noma emhlathini. Lokhu kuvimbela ulimi ukuthi lungawi futhi luvale indlela yokuphefumula.
• Ukuhlinzwa kwe-Mandibular distraction osteogenesis (MDO): Lena inqubo eyinkimbinkimbi kancane. Kule nqubo, ithambo lomhlathi ongezansi wengane lihlukaniswa kabili bese kufakwa ithuluzi elikhethekile lokususa izingcezu ezimbili zethambo. Lapho izingcezu ezimbili zisuswa, ithambo elisha liyakhula, umhlathi ongezansi uyanwebeka, bese kuvuleka indlela yokuphefumula.
• Ukuhlinzwa kwe-Tracheostomy: Lokhu kwenziwa kaningi kakhulu , futhi kuphela uma zonke ezinye izindlela zokwelapha zehlulekile. Lokhu kuhilela ukwenza imbobo ngqo emphinjeni womoya wengane ngentamo. Lokhu kuvumela ingane ukuthi iphefumule ngokugwema ukuvinjelwa kwendlela yokuphefumula ephezulu.

Ingabe i-Micrognathia ingavinjelwa?

Njengoba i-micrognathia ivame ukuba yisimo sokuzalwa , ayikho indlela yokuyivimbela. Ngokufanayo, ayikho indlela yokuvimbela izimo eziningi eziyisisekelo ezihambisana nayo.

Yini okufanele ngiyenze uma ingane yami ine-micrognathia?

Uma isimo se-micrognathia yengane yakho singathuthuki sodwa ngesikhathi isinezinyanga ezingu-18 ubudala , udokotela wakho angase akuncomele ukwelashwa. Uzokhuluma nawe futhi anqume uhlelo lokwelashwa olungcono kakhulu kuwe nomntanakho.

Khumbula, umbono jikelele wezingane ezine-micrognathia uncike kakhulu esimweni esiyisisekelo esihilelekile. Udokotela wakho uzokutshela ukuthi yini ongayilindela ngokusekelwe esimweni esithile sengane yakho.

Kufanele ubonane nini nodokotela?

Uma umhlathi ongezansi wengane yakho ubonakala umncane noma ubonakala ungakhuli kahle , kungcono ukubona udokotela ukuze uthole iseluleko. Ngaphezu kwalokho, qiniseka ukuthi wazisa udokotela wakho uma ingane yakho ibonisa noma yiziphi zalezi zimpawu ezilandelayo:

• Uma kukhona umsindo lapho uphefumula
• Uma unenkinga yokuphuza ubisi noma ukudla ukudla
• Uma kukhona ezinye izimpawu ezikhathazayo

Yimiphi imibuzo okufanele uyibuze udokotela?

Uma ingane yakho itholakale ine-micrognathia, uzofuna ukufunda okuningi ngangokunokwenzeka ngayo. Nansi eminye imibuzo ongayibuza udokotela:

• Sibi kangakanani lesi simo?
• Kungenzeka yini ukuthi isimo se-micrognathia yengane yami sixazululeke sodwa ?
• Ingabe ingane yami inezinye izimo zezokwelapha ezihlobene ne-micrognathia?
• Yiziphi izimo zokulala ezisiza ukugcina umoya womntwana wami uvulekile?
• Ingabe ukwelashwa kuyadingeka? Uma kunjalo, hlobo luni lokwelashwa?
• Iyini imbono iyonke?

I-Micrognathia yisimo esivame kakhulu ezinganeni ezisanda kuzalwa. Esikhathini esiningi, iba ngcono ngokwayo. Kodwa-ke, kwezinye izimo, ingavimba indlela yokuphefumula yengane, yenze kube nzima ukuphefumula kahle nokuncelisa. Uma ingane yakho ine-micrognathia, ungesabi. Udokotela wakho angakhuluma nawe ngezinketho zokwelapha futhi anqume ukuthi yini engcono kakhulu enganeni yakho.

Umlayezo Wokuya Nawe Ekhaya

• I-Micrognathia yisimo lapho umhlathi ongezansi uncane kunokuvamile.
• Lokhu kuvame ukuba yisimo sokuzalwa , futhi ezinye izingane zizokhula zisidlule njengoba zikhula.
• Ubunzima bokuphefumula kanye nobunzima bokudla kungaba yizimpawu eziyinhloko .
• Lesi simo singase sihlotshaniswe nezinye izifo zofuzo .
• Izindlela zokwelapha zincike ebunzimeni besimo kanye nembangela eyinhloko . Kukhona kokubili ukwelashwa okungahlinzwa kanye nokwelashwa okungekona ukuhlinzwa.
• Uma ingane yakho inalezi zimpawu, ungesabi futhi ufune iseluleko sezokwelapha . Ukutholwa kusenesikhathi kanye nokuphathwa okufanele kubaluleke kakhulu.

Ngithemba ukuthi lolu lwazi luzokusiza. Uma unemibuzo, ungabi namahloni okubuza udokotela wakho.

Umhlathi ongezansi, iMicrognathia, Umhlathi womntwana, Ubunzima bokuphefumula, Izifo zofuzo, i-Pierre Robin syndrome, iMicrognathia