maxillofacial trauma micro X mbale

Kuvulala kwapakamwa ndi maxillofacial nthawi zambiri kumachitika chifukwa cha kuvulala kokhudzana ndi ntchito, kuvulala pamasewera, ngozi zapamsewu komanso kuvulala mwangozi pamoyo.Magazi a maxillofacial ndi wolemera, olumikizidwa ku ubongo ndi khosi, ndipo ndi chiyambi cha kupuma thirakiti ndi m`mimba thirakiti.Pali mafupa a maxillofacial ndi zibowo sinuses.Pali mano omwe amamangiriridwa ku fupa la maxillofacial, ndipo lilime lili m'kamwa.Nkhope ili ndi minofu ya nkhope ndi minyewa ya nkhope; Mgwirizano wa temporomandibular ndi ma glands a salivary; Amagwira ntchito zowonetsera, kulankhula, kutafuna, kumeza ndi kupuma.

Kukonzekera kwa maxillofacial fracture pambuyo pa kuchepetsa ndi sitepe yofunikira pa chithandizo.Njira zokhazikika zomwe zimagwiritsidwa ntchito nthawi zambiri zimaphatikizapo kukhazikika kwa nsagwada imodzi, interjaw fixation, interjaw ligation fixation, miniplate kapena microplate fixation, cranial ndi nsagwada fixation, ndi njira zina zimaphatikizapo perimaxillary fixation ndi compression. kukonza mbale.

1. The splint fixation njira ya single nsagwada Chipilala mano: ndi ntchito 2 mm awiri a aluminiyamu waya kapena chomalizidwa ndi mbedza mano Chipilala splint, malingana ndi mawonekedwe a Chipilala mano, ndiyeno ntchito zabwino zitsulo ligation waya kudzera danga dzino, chiwombankhangacho chimalumikizidwa pa mbali kapena mano onse kumbali zonse za mzere wosweka, kukonza gawo la fracture.Njira iyi ndi yoyenera kwa fractures popanda kusamutsidwa koonekeratu, monga kuphulika kwa mzere wapakati wa maxillochin ndi kuphulika kwa alveolar komweko. .

2. Intermaxillary fixation: njira wamba ndi kuika mbedza Chipilala cha mano pa mano apamwamba ndi apansi, ndiyeno gwiritsani ntchito kagulu kakang'ono ka mphira ka intermaxillary fixation, kotero kuti nsagwada zimakhalabe m'malo mwa chiyanjano cha occlusal. ndi odalirika, oyenera mitundu yosiyanasiyana ya mandibular fractures, ubwino wake ndi wakuti nsagwada imatha kuchiritsidwa pamalo abwino, imathandizira kuti ntchitoyo iyambe kugwira ntchito, choyipa ndi chakuti ovulala sangathe kutsegula pakamwa kuti adye, komanso si zophweka. kusunga ukhondo mkamwa, ayenera kulimbikitsa unamwino.

3. Interosseous ligation ndi fixation: pankhani yochepetsera opaleshoni yotseguka, mapeto awiri osweka a fracture amatha kugwedezeka ndipo kenako amangiriridwa ndi kukhazikika kudzera mu waya wachitsulo chosapanga dzimbiri.Iyi ndi njira yodalirika yothetsera. kusweka kwa ana kungathenso kukhazikitsidwa ndi njira iyi.

4. Kukhazikika kwa mbale yaying'ono kapena mbale yaying'ono: pamaziko a kuchepetsa kutseguka kwamanja, mbale yaying'ono kapena mbale yaying'ono yautali woyenerera ndi mawonekedwe amayikidwa pamwamba pa fupa la mbali ziwiri zosweka za fracture, ndipo chopukutira chapadera chimagwiritsidwa ntchito. kulowa mkati mwa fupa la fupa kuti mukonze mbale, kuti mukwaniritse cholinga chokonzekera fracture.Mamba ang'onoang'ono amagwiritsidwa ntchito ngati mandible, pamene mbale zazing'ono zimagwiritsidwa ntchito pa maxilla.

5. Cranial ndi maxillofacial fixation njira: maxillary chopingasa fracture, osati kudalira mandible kwa fixation, angagwiritse ntchito Chigaza kwa fixation, apo ayi pakati nkhope sachedwa elongated deformation.The njira fixation ndi malo oyamba Chipilala splint. Pa mano a maxillary, ndiye kumangiriza mbali imodzi ya chipikacho kudera lakumbuyo la dzino ndi waya wachitsulo chosapanga dzimbiri, ndipo mbali ina ya chipilalacho chimadutsa m'kamwa kudzera muzitsulo zofewa za zygomaticocheek, ndikupachika pa chithandizo cha Pa nthawi yomweyo, intermaxillary fixation anawonjezeredwa.

Nthawi ya kusweka kwa nsagwada kungadziwike molingana ndi kuvulala kwa wodwala, zaka ndi chikhalidwe chake.Nthawi zambiri zimakhala masabata a 3 ~ 4 kwa maxilla ndi masabata a 4 ~ 8 a mandible. Njira yowonjezereka ndi yosasunthika ingagwiritsidwe ntchito kufupikitsa nthawi ya interjaw fixation.Njirayi ndi yakuti pambuyo pa 2 kwa masabata a 3 a immobilization, mphete ya rabara imachotsedwa pamene kudyetsa ndi kuyenda koyenera kumaloledwa.Atagwiritsa ntchito mbale yaying'ono kapena mbale yaying'ono kuti ikhale yolimba mkati, maphunziro ogwira ntchito amatha kuchitidwa bwino. kupita patsogolo kulimbikitsa machiritso a fracture.