quful maxillofacial mini saxan toosan

Qalliinka lafaha ama lafaha, waa qayb ka mid ah qalliinka.Dhakhaatiirta lafaha waxay daryeelaan nidaamka muruqyada.Hababka qalliinka iyo kuwa aan qalliinka ahaynba waxaa isticmaala dhakhaatiirta qalliinka lafaha si ay u daweeyaan dhaawacyada murqaha, cudurrada laf dhabarta, dhaawacyada isboortiga, cudurrada hoos u dhaca, caabuqyada, burooyinka, iyo cilladaha ku dhasha xubnaha taranka.

25-ka hab ee ugu caansan ee ay sameeyaan dhakhaatiirta qalliinka lafaha sida ay u kala horreeyaan waa: arthroscopy jilibka iyo meniscectomy, arthroscopy garabka iyo depression, tunnel carpal sii daayo, arthroscopy jilibka iyo chondroplasty, saarista maqaar-galaha taageerada, arthroscopy jilibka iyo dib-u-dhiska xididdada hore, beddelka jilibka, hagaajinta jabka qoorta femoral, hagaajinta jabka trochanteric, burburka maqaarka / murqaha / lafaha / jabka, hagaajinta jilibka arthroscopy ee labadaba menisci, bedelka sinta, arthroscopy garabka / goynta distal clavicle, hagaajinta jilicsanaanta rotator cuff, hagaajinta jabka radius (lafaha) / ulna, laminectomy, hagaajinta jabka canqowga (nooca bimalleolar), arthroscopy garabka iyo kala-baxa, fiyuuska laf-dhabarka lumbar, jabka jabka ee qaybta fog ee radius, qaliinka dhabarka hoose ee intervertebral, galka seedaha faraha oo la jarjaray, hagaajinta jabka canqowga (fibula), hagaajinta jabka dheddigga, hagaajinta jabka trochanteric.

Dhaawaca maxillofacial ee carruurta iyo sidoo kale dadka waaweyn ee caadiga ah waxay ka yimaadaan dhaawacyada isboortiga, dhicitaanka, weerarrada, shilalka baabuurta, weerarrada badheedhka ah, dharbaaxada feerka ama walxaha.Weerarka xoolaha, rasaasta, qaraxyada iyo dhaawacyada kale ee dagaalka ayaa sidoo kale sababi kara jabka wejiga.Dhaawaca baabuurku waa mid ka mid ah sababaha ugu horreeya ee dhaawacyada wejiga ee nolosha magaalada.Dhaawaca badanaa wuxuu dhacaa marka wejigu ku dhaco qayb ka mid ah gudaha baabuurka, sida isteerinka.Intaa waxaa dheer, barkinta shilku waxay u keeni kartaa nabarka corneal iyo jeexjeex wajiga marka la geeyo.

Dhaawacyada lafaha wejiga ayaa qiyaas ahaan loo qaybin karaa oo ay ku jiraan lafta sanka, maxilla, iyo mandible.Maskaxda ayaa laga yaabaa in ay ka jabto symphysis, jirka, xagasha, ramus, iyo kondyle.Dhabannada iyo lafta hore waa meelo kale oo jabka.Jajabku waxa kale oo laga yaabaa inuu ku dhaco lafaha calaacalaha iyo kuwa isu yimaada si ay u sameeyaan wareegga isha.

Bilawgii qarnigii 20-aad, René Le Fort waxa uu khariideeyay meelaha caadiga ah ee jabka wejiga;Kuwaas waxaa hadda loo yaqaan Le Fort I, II, iyo III jabka (midig).Lafo-jabka Le Fort I, oo sidoo kale loo yaqaan Guérin ama jabka maxillary ee jiifka ah, waxay ku lug leeyihiin maxilla, oo ka soocaya bararka.Lafaha Le Fort II, oo sidoo kale loo yaqaan jabka pyramidal ee maxilla, waxay ka gudbaan lafaha sanka iyo cirifka orbital.Lafaha Le Fort III, oo sidoo kale loo yaqaan 'craniofacial disjunction' iyo jabka wejiga, ka gudba xagga hore ee maxilla oo ku lug leh lafta lacrimal, papyracea lamina, iyo dabaqa orbital, oo inta badan ku lug leh lafta ethmoid, ayaa ah kuwa ugu daran.Jabka Le Fort, oo xisaabiya 10-20% jabka wejiga, ayaa inta badan lala xiriiriyaa dhaawacyo kale oo halis ah.

Daawaynta qaliinka waxaa loo qaatay in lagu hagaajiyo jabka lafaha maxillofacial, ujeedaduna tahay in la hagaajiyo qaab dhismeedka lafaha dabiiciga ah ee wejiga iyo in laga tago raad yar oo dhaawac ah intii suurtagal ah.Dhaawacyada lafaha waxaa lagu daweyn karaa taargooyin titanium saafi ah iyo boolal titanium alloy ah.Qalabka dib loo soo celin karo ayaa ah doorasho kale oo la heli karo.

Dhaawaca maxillofacial marar dhif ah ayay keentaa halis nolosha, laakiin waxaa badanaa lala xiriiriyaa dhaawacyo halis ah, xannibaadda marin-haweedka iyo dhibaatooyin kale oo nafta halis gelinaya.Marinka hawadu wuxuu xidhmi karaa dhiig-baxa, bararka unugyada ku xeeran, ama waxyeelo soo gaadha dhismayaasha.Gubashada wejiga waxay keeni kartaa barar unugyo ah oo markaa u horseeda xannibaadda marin-haweedka.Isku darka jabka sanka, maxillary, iyo mandibular waxay saameyn ku yeelan karaan marin-haweedka.Waa lagama maarmaan in si joogto ah loola socdo marin-haweedka, sababtoo ah dhibaatooyinka marin-haweedka ayaa dhici kara goor dambe ka dib dhaawaca bilowga ah.

lafaha waxay u baahan yihiin in dib loogu celiyo meelahoodii saxda ahaa sida ugu dhakhsaha badan, sababtoo ah neerfaha iyo muruqyada waxaa laga yaabaa inay ku xayiran yihiin lafo jaban.Jajabka sagxada orbital ama gidaarka orbital ee dhexdhexaadka ah ee jabka isha waxay dabin kartaa malawadka dhexe ama murqaha malawadka hoose.

Dhaawacyada wejiga, jeexjeexyada jeexjeexyada iyo neerfaha wejiga ayaa laga yaabaa inay waxyeelo soo gaarto.Jajabka lafta hore waxay faragelin kartaa qulqulka sinuska hore waxayna sababi kartaa sinusitis.Caabuqa waa dhibaato kale oo iman karta.