cranial snowflake ihuza isahani Ⅱ

cranial (kuva mu kigereki κρανίον 'igihanga') cyangwa cephalic (kuva mu kigereki κεφαλή 'umutwe') isobanura uburyo ikintu cyegereye umutwe wibinyabuzima.

Ubusembwa bwa gihanga buterwa ahanini nihungabana rya craniocerebral cyangwa imbunda zinjira mu mvune, kandi igice cyatewe no kubaga kubaga, gukomeretsa igihanga no kwangirika kwatewe no kwanga igihanga.Hariho etiologiya ikurikira: 1. Ihahamuka rya craniocerebral cyangwa gukomeretsa imbunda.2. .Nyuma yo gusubiramo kuvunika igihanga cyangiritse cyangwa cyihebye kidashobora kugabanuka.3.Gukomeretsa bikabije ubwonko cyangwa ubundi bwoko bwo kubaga craniocerebral kubera uburwayi bukenera amagufwa ya disiki.4.Gukura kuvunika igihanga mubana.5.Cranial osteomyelitis nibindi bikomere bya gihanga ubwabyo biterwa no kwangirika kwa gihanga cyangwa kubaga ibikomere.

Kugaragara kwa Clinical: 1. Nta bimenyetso. Inenge ya gihanga ntoya iri munsi ya 3cm naho iziri munsi yimitsi yigihe gito nigitereko ntigisanzwe.2.Indwara ya syndrome ya gihanga. Kubabara, guhindagurika, isesemi, gutakaza imbaraga z'ingingo, gukonja, guhinda umushyitsi, kutita ku bindi bimenyetso byo mu mutwe biterwa n'ubumuga bunini bwa gihanga.3.Ibimenyetso bya Encephalocele nibimenyetso bya neurolocational.Mu ntangiriro yambere yubusembwa bwa gihanga, ubwonko bukabije bwubwonko, igihe cyubwonko bwubwonko ndetse no gushiraho ibibyimba bya fungoidal kumutwe wa gihanga, byashyizwe kumagufwa yamagufa, bitera na nérosose ya ischemic yaho kandi bitera urukurikirane rwa ibimenyetso bya neurologiya byerekana ibimenyetso nibimenyetso.4.Amagufwa ya sklerarose. Agace k'ubusembwa bwa gihanga buterwa no kuvunika gukura kwabana kwaguka ubudahwema, hamwe na sklerarose yamagufa akikije imiterere.

Gusana Cranial ningamba nyamukuru yo kuvura inenge ya gihanga.Ibimenyetso byo gukora: 1. Diameter ya Cranial diameter BBB 0 3cm.2.Diameter yinenge ya gihanga iri munsi ya 3cm, ariko iherereye mubice bigira ingaruka nziza.3.Umuvuduko kuri inenge urashobora gutera igicuri hamwe na meninge-ubwonko bw'inkovu ziherekejwe na epilepsy.4.Indwara ya syndrome ya gihanga iterwa nubusembwa bwa gihanga itera umutwaro wo mumutwe, igira ingaruka kumurimo nubuzima, kandi ikeneye gusanwa. Kurwanya indwara zo kubaga: 1. Indwara yo mu nda cyangwa iyanduye yakize mugihe kitarenze igice cyumwaka.2.Abarwayi bafite ibimenyetso byubwiyongere bwumuvuduko wimitsi ntibagenzuwe neza.3.Imikorere mibi ya neurologiya (KPS <60) cyangwa guhanura nabi.4.Umutwe uroroshye kubera inkovu nyinshi zuruhu, kandi gusana birashobora gutera gukira nabi ibikomere cyangwa na nérosose yo mumutwe.Igihe cyo gukora nuburyo bwibanze: 1. Umuvuduko wimitsi wagenzuwe neza kandi uhagaze neza.2.Igikomere cyakize rwose nta kwandura.3.Mubihe byashize, amezi 3 ~ 6 yo gusana nyuma yigikorwa cya mbere cyasabwe, ariko ubu ibyumweru 6 ~ 8 nyuma yigikorwa cya mbere birasabwa.Kongera kwimura igufwa ryamagufwa ya autologique yashyinguwe mumezi 2 birakwiye, kandi uburyo bwo kugabanya gukwega subcapate aponeurose yashyinguwe ntigomba kurenza ibyumweru 2.4.Gusana Cranial ntibisabwa munsi yimyaka 5 kuko umutwe numurizo bikura vuba; imyaka 5 ~ 10 irashobora gusanwa, kandi hagomba gukurikizwa gusanwa imitwaro iremereye, kandi ibikoresho byo gusana bigomba kuba 0.5cm kurenza amagufwa.Nyuma yimyaka 15 imyaka, gusana igihanga ni kimwe no mubantu bakuru.Ibikoresho bisanzwe bikoreshwa mu gusana: ibikoresho byinshi bya polymer, ibirahuri kama, sima yamagufa, silika, isahani ya titanium), ibikoresho byose byamagufwa ukoresha bike (bifite), ibikoresho byose (nkubwoko bwa allograft decalcised , gutesha agaciro nibindi bitunganyirizwa bikozwe mu magufa matrix gelatin), ibikoresho bya autologique (imbavu, ibyuma bitugu, igihanga, nibindi), ibikoresho bishya, polyethylene yuzuye umubyimba mwinshi, amagufwa yubukorikori ya EH), ikigezweho muburyo bwa 3 d kwiyubaka isahani ya titanium ikoreshwa cyane.