He aha ka Micrognathia?
Anter
- Hōʻike Overview
- He aha ke kumu o ka micrognathia?
- ʻO Pierre Robin maʻi maʻi
- Trisomy 13 a me 18
- Achondrogenesis
- Progeria
- Cri-du-chat Syndrome
- ʻO Treacher Collins maʻi
- Āhea ʻoe e ʻimi ai i kōkua?
- He aha nā koho lapaʻau no micrognathia?
- He aha ka manaʻo lōʻihi?
Hōʻike Overview
ʻO Micrognathia, a i ʻole mandopular hypoplasia, kahi ʻano i loaʻa i kahi keiki ka iwi ā lalo loa. ʻO ke keiki me ka micrognathia he iwi ā lalo kona ʻoi aku ka pōkole a ʻoi iki paha ma mua o ke koena o ko lākou alo.
Hānau ʻia paha nā keiki me kēia pilikia, a i ʻole hiki ke ulu aʻe ma hope o ke ola. Hana ʻia ia i nā keiki i hānau ʻia me nā ʻano genetics, e like me trisomy 13 a me progeria. Hiki iā ia ke hopena o ka maʻi palahalaha fetal.
I kekahi mau hihia, hala kēia pilikia i ka ulu ʻana o ka iwi ā o ke keiki me ka makahiki. I nā hihia koʻikoʻi, hiki i ka micrognathia ke kumu i ka hānai ʻana a i ʻole nā pilikia hanu. Hiki iā ia ke alakaʻi i ka maloccusion o nā niho, ʻo ia hoʻi ʻaʻole kū pololei nā niho o kāu keiki.
He aha ke kumu o ka micrognathia?
ʻO ka hapa nui o nā hihia o micrognathia he hānau, ʻo ia hoʻi ua hānau ʻia nā keiki me ia. ʻO kekahi mau hihia o ka micrognathia ma muli o nā maʻi hoʻoilina, akā ma nā hihia ʻē aʻe, ʻo ia ka hopena o nā hoʻololi kūlohelohe e kū i kā lākou iho a ʻaʻole e hele i waena o nā ʻohana.
Eia kekahi o nā syndrome genetic e pili ana me micrognathia.
ʻO Pierre Robin maʻi maʻi
ʻO ke kumu ʻo Pierre Robin ke kumu e hana mālie ai ka iwi ā o kāu pēpē i loko o ka ʻōpū, a ʻo ia ka hopena o kahi iwi ā lalo loa. ʻO ia ke kumu o ka hāʻule ʻana o ke alelo o ke pēpē i hope i ka puʻu, kahi e hiki ai ke ālai i nā ala ea a paʻakikī ka hanu ʻana.
Hānau ʻia paha kēia mau pēpē me ka hāmama i luna o ka hale o ko lākou waha (a i ʻole ka pā palule). Hana ʻia ma kahi o 1 i 8,500 a i 14,000 hānau.
Trisomy 13 a me 18
ʻO kahi trisomy kahi maʻi genetical e kū i ka wā i loaʻa i kahi pēpē ke kumu waiwai nui: ʻekolu mau chromosome ma kahi o nā ʻelua maʻamau. Kuhi kahi trisomy i nā hemahema noʻonoʻo koʻikoʻi a me nā hemahema o ke kino.
Wahi a ka National Library of Medicine, ma kahi o 1 o kēlā me kēia 16,000 pēpē i loaʻa i ka trisomy 13, ʻo ia hoʻi ʻo Patau syndrome.
Wahi a ka Trisomy 18 Foundation, ma kahi o 1 o 6,000 mau pēpē i loaʻa i ka trisomy 18 a i ʻole Edwards Syndrome, koe wale nō nā poʻe i hānau hānau ʻia.
ʻO ka helu, e like me 13 a 18 paha, pili i kahi chromosome i loaʻa mai nā mea keu.
Achondrogenesis
ʻO Achondrogenesis kahi maʻi kūlohelohe ʻole i hoʻoili ʻole ʻia ka pituitary gland o kāu keiki e ka ulu ulu. ʻO kēia ke kumu o nā pilikia iwi nui, e laʻa me ka iwi ā lalo a me ka umauma hāiki. He kumu pōkole hoʻi ia:
- wāwae
- lima
- ʻāʻī
- kino kino
Progeria
ʻO Progeria kahi ʻano ʻiʻo e kumu i kāua keiki i ka makahiki me ka wikiwiki. ʻAʻole hōʻike nā pēpē me nā progeria i nā hōʻailona ke hānau ʻia lākou, akā hoʻomaka lākou e hōʻike i nā hōʻailona o ka maʻi ma loko o nā makahiki 2 mua o ko lākou ola.
ʻO ia ma muli o ka hoʻololi ʻana o ka moʻokūʻauhau, akā ʻaʻole ia i hoʻoili ʻia e nā ʻohana. Ma waho aʻe o kahi ā liʻiliʻi, hiki i nā keiki me ka progeria ke loaʻa ka lohi o ka ulu ʻana, ka nalowale ʻana o ka lauoho, a me kahi helehelena paʻa loa.
Cri-du-chat Syndrome
ʻO Cri-du-chat Syndrome kahi ʻano laha ʻole e hiki ai i nā kino kīnā a me nā kino o ke kino, e like me ka iwi liʻiliʻi a me nā pepeiao haʻahaʻa.
Loaʻa ka inoa i ka uē kiʻekiʻe e like me ka pōpoki e hana ai nā pēpē me kēia ʻano. ʻAʻole ia he kūlana hoʻoilina.
ʻO Treacher Collins maʻi
ʻO Treacher Collins Syndrome kahi kūlana hoʻoilina e kumu i nā kūlohelohe koʻikoʻi o ke alo. Ma waho aʻe o ka iwi ā, hiki iā ia ke kumu i ka pā o ka pā, nā cheekbones e hele ʻole ana, a me nā pepeiao maikaʻi ʻole.
Āhea ʻoe e ʻimi ai i kōkua?
Kāhea i kāu kauka inā he liʻiliʻi ka iwi ā o kāu keiki a i ʻole ke pilikia paha kāu pēpē i ka ʻai ʻana a i ʻole ka hānai ʻana. ʻO kekahi o nā ʻano kūpuna i kumu i kahi iwi ā lalo he koʻikoʻi a pono i kahi hōʻailona i ka wā hiki ke hoʻomaka ka lāʻau.
Hiki ke ʻike ʻia kekahi mau hihia o micrognathia ma mua o ka hānau ʻana me ka ultrasound.
E hoʻomaopopo i ke kauka a kau kauka paha a kāu keiki inā he pilikia paha kāu keiki i ka nau ʻana, nahu ʻana, a i ʻole ke kamaʻilio ʻana. Hiki i nā pilikia e like me kēia ke hōʻailona o nā niho hewa, kahi e hiki ai i kahi orthodontist a i ʻole ke kauka lāʻau haʻi ke mālama.
Hiki paha iā ʻoe ke ʻike he pilikia paha kāu keiki i ka hiamoe a i ʻole hoʻomaha iki i ka hanu ʻana i ka wā hiamoe, ma muli paha o ka pīpī hiamoe ākea mai kahi iwi liʻiliʻi.
He aha nā koho lapaʻau no micrognathia?
Hiki ke ulu a lawa ka iwi ā lalo o kāu keiki ma ona iho, keu hoʻi i ka wā ʻōpio. I kēia hihia, ʻaʻohe pono e pono ai.
Ma ka laulaha, ʻo nā mālama ʻana no ka micrognathia e hoʻopili pū me nā ʻano hana i hoʻololi ʻia a me nā lakohana kūikawā inā pilikia kāu keiki i ka ʻai ʻana. Hiki i kāu kauka ke kōkua iā ʻoe e ʻike i kahi haukapila kūloko e hāʻawi nei i nā papa no kēia kumuhana.
Pono paha kāu keiki i kahi ʻoki hoʻoponopono i hana ʻia e kahi mea haʻi waha. E hoʻohui a neʻe paha ke kaukōpō i nā ʻāpana iwi e hoʻolōʻihi i ka iwi ā lalo o kāu keiki.
ʻO nā ʻōnaehana hoʻoponopono, e like me nā kaula hao orthodontic, e hoʻoponopono i nā niho hewa i hoʻokumu ʻia e ka iwi ā pōkole hiki ke kōkua.
ʻO nā ʻano hana maʻamau no ke ʻano o kāu keiki e pili ana i ke ʻano, nā ʻōuli e hana nei, a pehea ke koʻikoʻi. Hiki ke laulā i nā ʻano hana lapaʻau mai nā lāʻau lapaʻau a me ka nānā pono ʻana i ke ʻoki kino nui a me ka mālama kākoʻo.
He aha ka manaʻo lōʻihi?
Inā ulu ka iwi ā o kāu keiki ma luna ponoʻī, hoʻōki pinepine nā pilikia hānai.
Kūleʻa nui ke kaha pololei, akā hiki iā 6 a 12 mau mahina ke hōʻola no ka iwi ā o kāu keiki.
ʻO ka mea hope loa, pili ka nānā i ke ʻano o ka micrognathia. ʻO nā pēpē me kekahi mau ʻano, e like me achondrogenesis a i ʻole trisomy 13, noho wale no kahi manawa pōkole.
ʻO nā keiki me nā kūlana e like me Pierre Robin syndrome a i ʻole Treacher Collins syndrome hiki ke noho i kahi ola maʻamau me ka ʻole o ka lāʻau.
Hiki i ke kauka o kāu keiki ke haʻi iā ʻoe i ke ʻano o ka nānā aku i ke ʻano kikoʻī o kāu keiki. Kōkua ka ʻike mua a me ka mākaʻikaʻi mau ʻana i nā kauka e hoʻoholo inā pono ka lāʻau lapaʻau a i ʻole ke kōkua lāʻau e hōʻoia i ka hopena maikaʻi loa no kāu keiki.
ʻAʻohe ala pololei e pale aku ai i ka micrognathia, a me nā ʻano kumu he nui i hiki ʻole ke pale ʻia. Inā loaʻa ʻoe i kahi maʻi hoʻoilina, hiki i ke kākāʻōlelo genetic ke haʻi iā ʻoe pehea ʻoe e hoʻoili ai i kāu keiki.