maxillofacial trauma micro double Y mbale

Mawonekedwe a maxillofacial trauma

1. Kuthamanga kwa magazi ochuluka: pali magazi ambiri pambuyo povulala, zomwe zimakhala zosavuta kupanga hematoma; Kuthamanga kwa edema kwa minofu kumakhala kofulumira komanso kolemera, monga m'kamwa, m'munsi mwa lilime, nsagwada zapansi ndi mbali zina za chovulala, chifukwa cha edema, Kuponderezedwa kwa hematoma komanso kukhudza njira yodutsa mpweya yosalala, komanso kumayambitsa kukomoka.Kumbali inayi, chifukwa cha magazi olemera, minofu imakhala ndi mphamvu yolimbana ndi matenda ndi kubwezeretsanso, ndipo chilondacho n'chosavuta kuchiza.

2. Kuvulala kwa maxillofacial nthawi zambiri kumatsagana ndi kuvulala kwa dzino: mano osweka amathanso kuponyedwa mu minofu yoyandikana nayo, kuchititsa "kuvulala kwachiwiri kwa shrapnel", ndipo akhoza kumangirizidwa ku miyala ya mano ndi mabakiteriya mu minofu yakuya, kumayambitsa matenda a zenera. pamzere wa nsagwada wa fracture nthawi zina ungayambitse matenda pamapeto osweka a fupa ndipo zimakhudza machiritso a fracture.Komano, kusuntha kwa mano kapena kusokonezeka kwa ubale wa occlusal ndi chimodzi mwa zizindikiro zofunika kwambiri pa matenda a nsagwada. .Pochiza mano ndi alveolar fupa kapena nsagwada fracture, nthawi zambiri ayenera kugwiritsa ntchito mano kapena dentition monga abutment ligation anakonza, ndi zofunika maziko a nsagwada kukokera fixation.

3. N'zosavuta kukhala zovuta kuvulala craniocerebral: kuphatikizapo concussion, ubongo contusion, intracranial hematoma ndi chigaza m'munsi fracture, etc., ndipo mbali yake yaikulu yachipatala ndi chikomokere mbiri pambuyo kuvulala. cerebrospinal fluid kuchokera m'mphuno kapena kunja kwa makutu.

4. Nthawi zina zimatsagana ndi kuvulala kwa khosi: pansi pa maxillofacial ndi khosi, komwe kuli mitsempha yayikulu yamagazi ndi msana wa khomo lachiberekero. high paraplegia.Carotid aneurysms, pseudoaneurysms ndi arteriovenous fistulas nthawi zina zimatha kupangidwa mochedwa pamene ziwiya zazikulu za khosi zimavulazidwa ndi mphamvu yosamveka pakhosi.

5. Zosavuta kuchitika asphyxia: kuvulala kungakhale chifukwa cha kusuntha kwa minofu, kutupa ndi kutsika kwa lilime, kutsekeka kwa magazi ndi kutsekeka kwachinsinsi komanso kumakhudza kupuma kapena kupuma.

6. Kuwonongeka kwa chakudya ndi ukhondo wapakamwa: Kutsegula m'kamwa, kutafuna, kulankhula kapena kumeza kungakhudzidwe pambuyo pa kuvulala kapena pamene kugwedeza kwapakati pa nsagwada kumafunika kuchiza, zomwe zingasokoneze kudya bwino.

7. Easy to matenda: m`kamwa ndi maxillofacial nkusani patsekeke, pali m`kamwa patsekeke, m`mphuno patsekeke, nkusani ndi orbit, etc.Kupezeka kwa chiwerengero chachikulu cha mabakiteriya mu mphako cavities, ngati chimodzimodzi ndi bala, sachedwa matenda. .

8. Angathe limodzi ndi zina anatomical dongosolo kuvulala: kugawa malovu tiziwalo timene timatulutsa, nkhope mitsempha ndi trigeminal mitsempha m`kamwa ndi maxillofacial dera, monga parotid gland kuwonongeka, zingachititse malovu fistula; Mitsempha ya trigeminal ikavulala, dzanzi limatha kuwoneka m'malo ogawa.

9. Kupunduka kwa nkhope: Pambuyo pa kuvulala kwa maxillofacial, nthawi zambiri pamakhala kusiyana kosiyana kwa nkhope, zomwe zimakulitsa mtolo wamaganizo ndi wamaganizo wa ovulalayo.