saxan isku xidhka barafka cranial Ⅱ

cranial (oo ka yimid Giriigga κρανίον 'skull') ama cephalic (oo ka yimid Giriigga κεφαλή 'madaxa') ayaa qeexaya sida ay wax ugu dhow yihiin madaxa noolaha.

Cilladda madaxa waxaa qayb ahaan sababa dhaawac furan oo craniocerebral ama dhaawac hub ah, iyo qayb ka mid ah qalliinka qalliinka, nabarrada madaxa iyo dhaawac dalool ah oo ay sababto dib-u-soo-noqoshada madaxa. Waxaa jira sababo soo socda: .Ka dib dib-u-hagaajinta jabka madaxa ee jaban ama niyad jabsan ee aan la yarayn karin.3.Dhaawaca maskaxeed ee daran ama noocyada kale ee qalliinka craniocerebral sababtoo ah jirro waxay u baahan yihiin depression lafaha.4.Jabka madaxa ee carruurta ku koraya.5.Osteomyelitis cranial iyo nabarrada kale ee madaxa laftiisa oo ay sababto burburka lafta madaxa ama qalliinka dib-u-eegidda dhaawacyada madaxa.

Calaamadaha bukaan-socodka: 1. Calaamado la'aan. Cilladaha madaxa ee ka yar 3cm iyo kuwa ku yaal meel ka hooseeya muruqyada ku meel-gaadhka ah iyo kuwa occipital inta badan waa asymptomatic.2.Skull defect syndrome.Madax-xanuun, dawakhaad, lallabbo, luminta awoodda addimada, qarqaryo, gariir, feejignaan la'aan iyo calaamado kale oo maskaxeed oo ay keento cillad weyn oo madaxa ah.3.Calaamadaha encephalocele iyo neurolocational.Markii hore ee cilladda madaxa, bararka maskaxda ee daran, dabar-goynta unugyada maskaxda iyo samaynta bararka fungoidal ee cilada dhakada, taas oo lagu dhejiyay xudunta lafta, waxay sababtay necrosis ischemic local waxayna sababtay taxane ah calamadaha iyo calamadaha deegaanka neerfaha.4.Lafaha sclerosis. Meesha cilladda qalfoofka ee ay keento jabka korriinka ee carruurta ayaa si joogto ah u fidiya, iyo sclerosis lafaha ku wareegsan cilladaha ayaa sameysma.

Dayactirka cranial waa istaraatijiyadda ugu weyn ee daaweynta cilladda madaxa. Tilmaamaha hawlgalka: 1. Dhexroor cillad cranial BBB 0 3cm.2.Dhexroorka cilladda dhafoorka waa in ka yar 3cm, laakiin waxay ku taallaa qaybta saameeya bilicda.3.Cadaadiska cilada ayaa keeni karta suuxdin iyo nabar maskaxeed-maskaxda oo ay weheliso suuxdin.4.Cilad la'aanta madaxa oo ay keento cilladda madaxa ayaa keenta culeys maskaxeed, waxay saameysaa shaqada iyo nolosha, waxayna u baahan tahay dayactir. Caqabadaha qalliinka: 1. Intracranial ama jeexitaanka caabuqa ayaa la daaweeyay wax ka yar nus sano.2.Bukaanka calaamadaha cadaadiska intracranial ee kordhay aan si wax ku ool ah loo xakameyn.3.Dareen-xumo daran (KPS <60) ama saadaal xumo.4.Madaxu waa dhuuban sababtoo ah nabar maqaarka ah oo ballaaran, dayactirkuna wuxuu keeni karaa bogsashada dhaawaca oo liita ama necrosis madaxa. Waqtiga qalliinka iyo xaaladaha aasaasiga ah: 1. Cadaadiska intracranial si wax ku ool ah ayaa loo xakameeyay loona xasiliyay.2.Dhankii nabarkii wuu bogsaday isagoon caabuqin.3.Waagii hore, 3 ~ 6 bilood dayactirka ka dib qalliinka ugu horreeya ayaa lagula taliyay, laakiin hadda 6 ~ 8 toddobaad ka dib qalliinka ugu horreeya ayaa lagula talinayaa. Dib-u-soo-celinta laf-dhabarka laf-dhabarka ee lagu aasay 2 bilood gudahooda waa ku habboon yahay, iyo habka dhimista jiidista ee subcapate. aponeurosis la aasay waa in aanu dhaafin 2 todobaad.4.Dayactirka cranial laguma talinayo da'da 5 sano ka yar sababtoo ah madaxa iyo dabada ayaa si degdeg ah u koraan;5 ~ 10 sano jir waa la hagaajin karaa, dayactirka culeyska badan waa in la qaataa, alaabta dayactirkuna waa in ay ahaataa 0.5cm ka baxsan lafta. 15 sano ka dib da'da, hagaajinta qalfoofka waa la mid ah sida dadka waaweyn. Qalabka dayactirka ee caadiga ah loo isticmaalo: walxaha polymer-ka sare, galaas organic, sibidhka lafaha, silica, saxan titanium), walxaha lafaha allograft isticmaalka wax ka yar (wuxuu leeyahay), walxaha allograft (sida nooca allograft decalcified). , Dereasing iyo processing kale oo ka samaysan jelatin matrix lafaha), qalabka autologous (feeraha, garbaha garabka, madaxa, iwm), qalab cusub, polyetylen cufnaanta sare dalool, EH lafo macmal ah ka kooban), hadda ee qaabka 3 d dib u dhiska saxan titanium ayaa inta badan la isticmaalaa.