
mukhavaril myofunctional vikar

orapheshiyal myofunctional disorder (oo. emm. dii.) (kadhikadhi 'oral myofunctional disorder' aanee 'jeebh thrust' mhanatat) heey tondatil dirghakalin shvasochavasamule chehara, tond, oth kinwa jabadyachya snayunche vikar aahet.
jibhevar jore denyachya vartananchya ghatana aanee prasaravaril alikadil abhyas upalabdh naheet. tathapi, mageel sanshodhananusar, 38 takke vividh loksankhyela oo. emm. dii. aahe. bolanyat/bolanyatil samasya darshavina mulanmadhye heey praman 81 takkyanitke jaast aahe (kelam, 1992).
sanket.
oo. emm. dii. mhanje mukhatil snayu, asamanya chaghalane aanee gilanyache namune, dantvaidhyakiy apbhransh, anunasik vayumarge bund hone aanee bolanyachya samasya yanchi asamanya vishrantichi mudra hoy. oo. emm. dii. heey tondawate aanee/kinwa mukhatil snayuncha samavesh asalele namune aahet jeey sanrachanechya samanya vadhit, vikasat kinwa karyat hastakshep karatat kinwa swatakade laksh vedhatat. oo. emm. dii. mule aanee praudh doghanmadhyehi aadhaltat. samanyatah mulanmadhye disana oo. emm. dii. madhye jibhecha jore samavisht asato jyala jibhechya agrabhagachya mudret gilane asehi mhanatat. oo. emm. dii. mhanje angatha shoshane, chikatavane, bruxing ityadi poshak nasalelya shoshak vartanansarkhya ghatakancha dekhil sandarbh dete. jyamule dantchikitsa aanee tondi pokalicha asamanya vikas jhaala. praudh aanee vruddha loksankhyetil oo. emm. dii. heey vividh majjasansthetil dosh, tondachi swachchata, vruddhatvamule snayunchya karyat badal, pranaligat rog ityadinmule hotat.
jeebh dabane haah eka prakarcha mukhatil ardhkriyatmak vikar aahe, jyachi vyakhya gilatana, chaghalatana, vishranti ghetana kinwa bolatana jeebh pudhe aanee/kinwa datanchya viruddha kinwa darmyan bajula dhakalane kinwa vishranti ghene ashee kelee jaate. gilanyache asamanya namune varchya datanna varchya vayuvahak prakriyepasoon pudhe aanee door dhakaltat aanee ughadya chavnyala karanibhoot tharatat. mulanmadhye, aparipakv tondi vartan, datanchi arund kamani, dirghkalaparyant varchya shvasanmargache sankraman, datanmadhil jaaga (diastema), snayu kamkuvat hone, durbhavanapurnapana, shoshanyachya asamanya savayi aanee janukeey utpattichya sanrachanatmak vikrutinmule tond ughade thevane yamule jeebh dabane samanya aahe. mothe tonsils aanee adenoids dekhil jeebh gilanyas madat karatat.
dantanchya drushtikonatun, daat mauu uutinchya santulanachya sambandhat halatat; datancha samanya sambandh bund honyat asato; aanee samanya bund honyapasoon konatyahi vichalanamule dantvikar houu shakato. gilanyat aanee datanchya vadhit jibhechi mudra mahattvachi bhoomika bajavate. jibhecha jore gilatana, jibheche toke datanchya viruddha kinwa darmyan yeu shakate; madhyabindu kosaloo shakato kinwa ektarfi kinwa dwaipakshikpane vadhavala jaau shakato; kinwa katheen talhuchya mageel bhagacha. yaa paristhitit, asamanya dant-mukh vaadh honyachi shakyata aanee chraniophacial complexchya vikasashi sambandhit itar chinta asatat.
jibhechya jorane gilanyachya nidanasathi vichar karata yenyajoge sambandhit lakshanyukt prashna aahet. yapaiki kahee prashna, jevha grahak vishranti ghet asato tevha jeebh baher kadhane aanee oth ughadane, tondat shwas ghene, ankee shoshane, uchch aanee arund paletal kamaan asane, ankiloglosia (jeebh-bandhane), mallocultion (varg II, III), kamkuvat chaghalanare snayu (macitor), othanche kamkuvat snayu (orbicularis oris), thodichya snayuncha ativikasit vikas (mentallis), snayunche asantulan, asamanya dantakshay yankade laksh vedhoon ghetale jaatat.
jeebh dabane aanee bolanyatil samasya ekatra yeu shakatat. jeebh aanee itar uchcharkanchya aparamparik mudranmule, dant aanee pudhil bajus lipping khoop samanya aahe. vayuvahak dhwani/ess/aanee/zed/adhik agrabhagi tayar hotat jyamule dhwani/tha/sarkhe interdental frecative hotat.
karane.
jibhechya dhaddhadanyachi karane olakhatana, heey lakshat thevane mahatvache aahe qee jibhechi, jabadyachi aanee othanchi vishrantichi mudra hii tondachya aanee tyachya sanrachanechya samanya vikasasathi mahattvapoorn aahe. jarr jeebh varchya pudhchya datanchya viruddha asel tarr daat pudhe baher padoo shakatat aanee jibhavaril pratikool daab tondatil pokalicha vikas pratibandhit karoo shakato. jeebh tondat kinwa tondachya pokalit khalchya patalivar asate aanee samanyatah varchya aanee khalchya datanchya darmyan pudhe sarakate. jarr jibhevar jore denyache vartan sudharle gele nahee, tarr tyacha datanchya samanya vikasavar parinam houu shakato. kayamswarupi daat vadhatana daat vegvegalya dishene dhakalale jaau shakatat.
tond ughade thevanyachi mudra.
anunasik teey tond shwas ghenyaparyantche anukulan tevha hote jevha madhya kanache dirghakalin sansarg, cyanusitis, allergic nasikashoth, varchya vayumargatil sansarg aanee zopetil vyatyay (udaa.jee.ghorane) hote. yavyatirikt, tondatoon shwas ghene heey anekada fuffusanmadhil oxygenche sevan qamee honyashi sambandhit asate. tondatil shvasochchhavas visheshtah vadhatya chehnyavar parinam karoo shakato, kaaran chehnyachya hadanvar yaa snayu gatanche asamanya khechane haloohaloo yaa hadance vikrut karate, jyamule chukichya sanrekhan hote. aayushyachya suruvatichya kalat heey badal hotat, chehnyachya vadhimadhye jitke mothe badal hotat aanee shevati tond ughade thevanyachi mudra tayar hote, jithe varche oth varr kele jaatat aanee khalcha jabada khulya sthiteet thewala jaato. jeebh, jee samanyatah tondachya chhatakhali adakavali jaate, tee tondachya jaminivar padate aanee jaast pramanat haveche sevan houu denyasathi baher padate. parinami, tond ughade thevalyane durgunipana aanee gilanyat samasya udbhavu shakatat. tond ughade thevanyachi itar karane mhanje othanche snayu kamkuvat hone, shariratil tonecha kinwa hypotoniacha ekoon abhav aanee shwasanmargachi dirghkal/junat allergy.
upchar.
eka orophasial mifunctional therapist snayunchya halchalinna punha shikshit karato, jyat grahakala yogya prakare shwas kassa ghyava heey shikavane, gilanyache yogya namune punarsanchayit karane aanee puresha labial-bhashik mudra sthapit karane samavisht aahe. gilane, bolane aanee itar saundarya ghatakanchya babatit karyatmak uddishte sadhya karnyasathi upcharache aantarshakhiy swaroop nehmich isht asate. mukhatil myofunctional vikar sudharanyasathi sanghik drushtikon prabhavi asalyache disun aale aahe. yaa pathkanmadhye orthodontist, dant swachchata tadnya, pramanit orophasial myologist, samanya dantvaidhya, autorinolaryngologist aanee speach-lenguage pathologist yancha samavesh aahe.