maxillofacial trauma mini yakatwasuka bhiriji ndiro

Maxillofacial trauma, iyo inonziwo facial trauma, iko chero kushungurudzika kwemuviri kunoitika kumeso.Maxillofacial trauma inogona kupatsanurwa kuita kukuvara kwenyama yakapfava, kusanganisira kupiswa, mavanga uye maronda, kana kutyoka kwemapfupa echiso sekukuvara kweziso, kuputika kwemhino uye kuputika kweshaya.kuputsika kunogona kutungamirira kumarwadzo, kuzvimba, kurasikirwa kwebasa, kuchinja kwechimiro chechimiro chechiso.

kukuvadzwa kwemaxillofacial kunogona kukonzera kukanganisa uye kurasikirwa kwebasa rechiso;zvakaita seupofu kana kutadza kufamba shaya.Pane mukana wakaderera wekuisa hupenyu munjodzi, asi maxillofacial trauma inogonawo kuuraya, nekuti inogona kukonzera kubuda ropa kwakanyanya kana kuvhiringa nzira yemhepo;nokudaro chinonyanyonetsa mukurapa ndechekuva nechokwadi chekuti nzira yemhepo yakazaruka uye isingatyisidzirwe kuitira kuti murwere akwanise kufema.Kana kuputsika kwemapfupa kuchifungidzirwa, shandisa radiography kuti uongorore.Izvo zvinodikanwa kuita kurapwa kune kumwe kukuvadzwa kwakadai sekukuvara kwehuropi, izvo zvinowanzoperekedza zvakanyanya kukuvadzwa kwechiso.

Kungofanana nemamwe mafractures, maxillofacial bone fractures aripo nekurwadziwa, mavanga, uye akatenderedza matishu kuzvimba.Prouse nosebleeds inogona kuitika paKutsemuka kwemhuno, maxilla fracture, uye skull base fracture.Kutyoka kwemhino kunogona kuve kwakabatana nekuremara kwemhino, pamwe nekuzvimba nekupwanya.Vanhu vane mandibular fractures vanowanzova nemarwadzo uye kunetseka kuvhura muromo uye vanogona kunge vane chiveve mumuromo nechirebvu.Panyaya yeLe Fort fractures, iyo midface inogona kufamba maererano nechiso chakasara kana dehenya.

Kuputsika kwemaxilla fracture

1. Mutsara wekuputsika iyo maxillary bone yakabatanidzwa ne nasal bone, zygomatic bone uye mamwe mapfupa ecraniofacial.Mutsara wekuputsika unowanzoitika mu sutures uye masvingo emapfupa asina simba.Le Fort yakaronga kuputsika mumhando nhatu maererano nekukwirira uye kureba kwemutsara wekuputsika.

Rudzi rweI fracture: inozivikanwawo seyakaderera maxillary fracture kana kuputika kwehorizontal.Mutsara wekuputsika unowedzera nehupamhi kubva kune piriform foramen kusvika kune maxillary pterygoid suture kumativi ose maviri mumutungamiri wepamusoro we alveolar process.

Type II fracture inonziwo median maxillary fracture kana conical fracture.Mutsetse wekutyoka kubva panasofrontal suture wakayambuka zambuko remhuno, medial orbital wall, orbital floor and orbital maxillary suture laterally, ndokuzotevera lateral wall ye maxilla kusvika pterygeal process.Dzimwe nguva inogona kutsvaira ethmoid sinus kusvika kune anterior fossa, cerebrospinal fluid rhinorrhea.

Type III fracture inodaidzwawo kuti maxillary high level fracture kana craniofacial separation fracture.Mutsetse wekutyoka kubva pamhuno yemberi suture kusvika kumativi ese ari pabhiriji remhuno, orbit, kuburikidza nezygomaticofrontal suture kudzokera kupterygeal process, kuumbwa kwecraniofacial separation, kazhinji kunotungamirira pakati pechiso cherefu uye kuora mwoyo, rudzi urwu rwekutsemuka kunoperekedzwa nedehenya base fracture kana craniocerebral kukuvara, nzeve, kubuda ropa kwemhino kana cerebrospinal fluid leakage.

2. Kutyoka kwechikamu kusimuka kunowanzoitika kumashure uye kwakaderera kusimuka.

3. Occlusal disorder.

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5. Kukuvara kweuropi.

Nzira dzekurapa dzekukuvara kwe maxillofacial dzinosanganisira:

1. Maxillofacial soft tissue kukuvara: mutemo wekurapa kusvibiswa panguva yakakodzera, uye mutsara wakadzingwa unodzorerwa uye sutured.Panguva yekusvibiswa, mutsara unofanirwa kuchengetedzwa sezvinobvira kuderedza kukanganisa uye kukanganisa kwechimiro chechiso chemurwere mushure mekukuvara.

2, kutsemuka kweshaya: kupera kwekupedzisira kuderedza, kushandisa nzira yekugadzirisa mukati kugadzirisa nzvimbo yakakanganiswa, kudzorera kuenderera mberi kweshaya, edza kudzorera hukama hwekare hwekare hwekutanga.