Goldenhar ciwo: description, haddasawa, cututtuka, da kuma lura da gādo

Goldenhar ciwo - wani hereditary cuta okuloaurikulovertebralnoy yankin, watau da shan kashi na Tsarin emanating daga farko da na biyu gill arches. Yana da aka bayyana a cikin shekara ta 1952, ta Amirka likita Goldenhar. Wannan sigar gaji mutum cuta a cikin abin da ya fi sau da yawa ya furta unilateral hypoplasia na fuska, mahaukaci kunnuwa, eyelids, hakora, vertebrae, da sauransu. D.

Goldenhar ciwo

Goldenhar ciwo da aka farko da aka bayyana a cikin tsakiyar karni na ashirin. Amma ware a raba cuta daga baya American likita da sunan wanda samo sunanta. A abin da ya faru shi ne 1: 3000-5000. Duniya, da ke rubuce yan lokuta wannan cuta.

ciwo bayyananen

Goldenhar ciwo aka bayyana a cikin nau'i na waje anomalies. Idan aka lura da nakasawa auricles da ciwon halayyar growths. Suna iya zama lebur ko protruding, shafi daya kawai kunne ko karya da fasali a garesu. Wani lokaci aka haɗa zuwa kusurwar bakinsa a sakamakon wani mutum yakan mallaki wani wry look. A kunnuwa sukan karfi maras kyau, wani lokacin a can aka takaita da kunne canal ko gaban fistulas.

Saboda da underdevelopment na ƙananan muƙamuƙi sau da yawa fuskantar ne asymmetrical. Akwai da dama daga anomalies a cikin idanu da kuma eyelids. Su za a iya shafa da ciwo na daya mai gefe, amma mafi yawan duk - a garesu. A kashin baya ne shafa a wannan cuta shi ne, ba ko da yaushe. Amma idan ka har yanzu anomalies ta shãfe shi ba, da na mahaifa vertebrae ake Fused tare da mayar da kansa, ko da juna.

A kogon palate za a iya, forked harshe da hakori girma muhimmanci gaji da damuwa. Sau da yawa a cikin marasa lafiya da bayyananna shafi tunanin mutum retardation. Its mataki na iya zama daban-daban. Amma shafi tunanin mutum retardation ne har yanzu akwai kawai goma cikin dari na marasa lafiya.

Sanadin cutar

Goldenhar ciwo diddigin bai isa ba. Amma mafi malaman yarda cewa dalilin da ya faru ne da kwayoyin halittu. A mafi yawan lokuta, yanayi ne na harben cuta.

Me ya sa za har yanzu faruwa Goldenhar ciwo? A dalilan iya rufe da consanguineous iyaye. Amma muhimmiyar rawa a cikin ciwo iya taka tsohon zubar da ciki haƙuri uwar yaron ko teratogenic dalilai, wanda ya faru a farkon daukar ciki. Bugu da kari, a cikin hanyar yaro tare da ciwo na iya zama kiba ko ciwon sukari a cikin mahaifiyarsa.

gādo ciwo

Gādo Goldenhar ciwo yana daukar kwayar cutar a cikin wani autosomal recessive ko rinjaye fashion. An rearranged a wasu chromosomes. Wani lokaci, a lokacin da wani ciwo gano maye gurbi GSC gene. Idan maye gurbi rinjayar kuma TCOF1 gene, shi take kaiwa zuwa cin gaban ƙarin ciwo Treacher-Collins.

ganewar asali na ciwo

Don gane asali Goldenhar ciwo ya shafi mutane da yawa hanyoyin. Daya daga cikinsu - da nazarin ji. Ya taimaka sanin mataki na wani nauyi a kan ya shafa gefe. Yana dole ne a yi da sauri haka cewa yaro baya fadi a baya a shafi tunanin mutum da kuma jawabin ci gaba.

A farkon shekarun yara ne ya gwada auditory iko, kwakwalwa martani da modulated sautunan. Bincika yaro a lokacin barci. Ga mazan yara ga ganewar asali na ji jawabin audiometry da ake amfani a lokacin wasan. Tare da wannan ciwo yawanci bayyana sãɓãwar launukansa digiri na ji hasãra. Ganewar asali na ji ya kamata a gudanar sau biyu a shekara shekara bakwai.

Bayan sama amfani lissafta tomography na boko yankunan, wanda aka gudanar ga yara sama da shekaru uku da haihuwa. A yaro da ciwon Goldenhar ciwo, da bayanin sama da dama pathologies wanda aka gabatar, dole ne sha m jarrabawa likitoci:

• likitan zuciyar.
• jawabin far.
• itatuwa aure.
• Likita.
• orthopedic.
• jawabin pathologists.
• ophthalmologist.
• neurologist.

Jiyya na ciwo Goldenhar

Saboda iri-iri na fuska da kuma vertebral anomalies, a lokacin da gano Goldenhar ciwo, magani ne Multi-horo a yanayi. Yana da wani Multi-mataki da kuma dogara a kan adadin pathologies. Idan hali ne mai sauki, da yaro ne karkashin kulawa na kawai shekaru uku, sa'an nan ya fara orthodontic magani da kuma tiyata. Idan haka al'amarin yake mai rikitarwa cuta (kogon palate aibi muƙamuƙanka, kuma haka a), lura kewaye wuce ta sauran. Da farko, ayyukan ake yi - a kalla shekara biyu da haihuwa. Kuma kawai bayan da cewa gudanar da hadaddun magani.

Goldenhar ciwo (hemifacial microsomia) ko da yaushe bukatar m magani. A wannan yanayin, ya bambanta da dama, saukarwa:

• matsawa-shagala osteogenesis.
• TMJ arthroplasty.
• osteotomy na ƙananan kuma babba jaws.
• roba tiyata.

Domin orthodontic saukarwa ayan hana ci gaban daban-daban, ba madubi na muƙamuƙi, da kawar da malocclusion, shirye-shiryen da hakora da kuma gyara man fuska tsokoki ga ayyukan.

Goldenhar ciwo: orthodontic magani

Orthodontic magani ne zuwa kashi uku, saukarwa na cizo:

1. Madara.
2. Replaceable.
3. Dindindin.

A mataki na farko shi ne mafi muhimmanci. A lokacin da mahaifansa biyu farko ya ruwaito mataimakin, ta mai tsanani da kuma zai yiwu m kasada da kuma ci gaban da cutar. Sadarwa da ake bukata na baka tsabta da kuma cewa yaro dole ne bin. Idan jariri bai samu dace magani nan da nan, sa'an nan da shekaru shi za a iya nuna underdevelopment na da ƙasũsuwan da fuska. Kuma shi zai ci gaba. a kan lokaci, wani mahaukaci cizo za su zama ƙara shahararren. Ki haɗiye kuma tauna yaro zai kasance mafi wuya. Kuma a sakamakon wadannan ciwon - da m rauni na iyaye da kuma yara.

A lura da mataki na farko an yi amfani da m na roba muƙamuƙi da farantin sets. Wannan shi ne lokacin da babban manufar da likitoci - sanar da yaro da musamman na'urorin don taimaka musu su daidaita kuma samun amfani da yin amfani da su. Idan jeri na bangaren da aka ba asali bayyana, cewa irin wannan na'urorin suna gargadi ta hali.

Mataki na biyu na magani

Babban aiki - domin kawar da malocclusion. Don gyara sababbu siffofi da kuma masu girma dabam dentoalveolar arches. Aikin ya ci gaba a kan yin rigakafi da kawar da mataimakin muƙamuƙanka, kuma ta underdevelopment. Ga magani amfani m na roba farantin. Wadannan na'urori bauta a matsayin wani goyon baya da kuma goyon baya ga jaws. Bugu da ƙari, yi amfani da wadanda ba m firam.

The uku mataki

A cikin uku mataki na ci gaba duk jiyya da aka jera a sama. Amma riga fara yin amfani da wadanda ba m Katakon. A karshen jiyya amfani riƙewa lokaci a lokacin da ya wuce bunqasar cimma farko sakamakon. Shin amfani da wadanda ba m retainers na waya kayyade babba palate da kuma hakora. Ga wasu irin wannan na'urorin ya riga bayyane.

A daidai wannan lokaci da yaro sami wani m clip, wanda aka yi amfani ne kawai a lokacin barci. Riƙewa lokaci ƙare kawai a lokacin da yaro tsaya a nan ba girma. A wannan lokaci gudanar da lokaci-lokaci safiyo. The yaro ne karkashin m dubawa na likitoci. Idan dole, yin roba tiyata. Child Gyaran wurin samun ruwa ƙare kawai zuwa shekaru 18, da cewa shi ne, a lokacin da jikinsa da aka riga an kafa cikakken.