Fractures la fupa zygomatic ndi kusamutsidwa

Zygomatic fractures fupa chiyani popanda njira yapadera yokwaniritsira matenda. Kuti Anthu mawu kuwonongeka si zovuta, chifukwa zimakhala zosavuta kuzindikira.

Khalidwe zowonongeka?

Kuwononga amakhala ndi fupa tsaya Anabweza, omwe otchedwa "sitepe" pa nkhope a wovulalayo. Mtundu wa mapindikidwe nthawi isanafalikire mu gawo infraorbital.

Fractures wa fupa zygomatic ndi kukhala kosatheka kuti amalize kutsegula pakamwa, ndilo umboni wosatsutsika wakuti Ngozi alipo. Wodwala kusuntha nsagwada m'munsi. Pamene CHIKWANGWANI izi TACHIMATA diso magazi.

Ngati analandira fractures choopsa cha fupa zygomatic, mwina maonekedwe a magazi m'mphuno kwa m'mphuno, ndipo ili pa mbali yoluza.

Childs, ambiri kudalirika mu matenda kutsatira ntchito zida X-ray, amene amapanga zotheka kuti chithunzi chosonyeza kuwonongeka. mwakayakaya ambiri amati matenda zikukhudza cheekbone chithunzi ndi kovuta. Koma sakudziwika fractures kungakhale mavuto, zikubweretsa kusintha pathological mu chigaza cha.

Kodi mitundu ya fupa lothyoka la fupa zygomatic kumeneko?

Monga ulamuliro, wolemekezeka mitundu iwiri kuvulala: wovulala ndi zygomatic fupa wovulala ndi kusamutsidwa ndi mafupa zygomatic popanda kusamutsidwa.

Ngozi, limodzi ndi kuchepetsa, yodziwika ndi kuwonongeka kwa chapamwamba sinuses maxillary. Iwo anatseka, lotseguka, liniya kapena kugawikana.

Ngati tsiku kuvulazidwa unachitikira kwa masiku 10, amaona kuti kukhala watsopano, koma ngati masiku oposa 10 kapena mtsogolo, ndi fupa lothyoka chakale. Koma ngati kuyambira kuwonongeka zinachitika mwezi watha, fupa imatengedwa cholakwika accrete kapena ayi zinaphatikizidwa.

Zizindikiro zoopsazo wovulala ndi kusamutsidwa

Pambuyo wovulala fupa zygomatic zizindikiro zotsatirazi:

• Magazi, kutupa ndi chilonda masking Anabweza mu masaya.
• Chikope edema, zomwe zina ndi maso anu chitsekere.
• Pafupipafupi magazi kuchokera mphuno ndi, inali mbali ya cheekbones zowonongeka.
• Woleza tikumvera pakamwa. Ndiponso sitingathe kusamukira ku mbali zosiyana za nsagwada m'munsi.
• Nthawi zambiri kusawona bwino, diplopia kugwirizana ndi kusamuka kwa mwana wa m'diso la.
• Pamene kutha fupa zygomatic wodwala anati kupweteka kwambiri pa palpation.
• Fractures wa Chipilala zygomatic akhoza pamodzi ndi fupa fractures cheekbone. Pankhaniyi chifukwa zidutswa kusamutsidwa ngodya fupa, kawirikawiri ananena pa fossa mwakanthawi.

ndi ntchito yaikulu akatswiri chiyani?

Ntchito yaikulu ya anthu ogwira ntchito zachipatala mu nthawi ya mankhwala kubwezeretsa anavulala kukhulupirika fupa. Fractures kuchepetsa anachotsa opaleshoni chifukwa pamafunika kuchepetsa makombo fupa ndi fixation awo. Opaleshoni alowererepo zingatenge malo m'kamwa wodwalayo ndi kunja.

Fractures popanda kusamutsidwa asonyezedwa conservatively ndi thandizo la mankhwala, komanso chikoka cha physiotherapy.

Kodi mavuto angayambe?

Kodi mavuto angachititse wovulala fupa zygomatic? Zotsatira za mankhwala mochedwa walakwa chifukwa kuchipatala akhale motere:

• mapindikidwe wa nkhope, amene angathe kutenga chikhalidwe kulimbikira;
• mandibular contracture;
• sinusitis chapamwamba nsagwada mu mawonekedwe aakulu;
• maxillary osteomyelitis.

Mandibular contracture zingachititse kusamutsidwa kwa fupa zygomatic inwards ndi chammbuyo, lomwe limathandiza kuti chitukuko cha jamming ndi zipsera akhakula mu zimakhala zofewa wa mandibular coronoid ndondomeko.

Maxillary sinusitis mu mawonekedwe aakulu ndi hule chifukwa chokumbukira zoopsa zidutswa osteomyelitis fupa amene kuuzidwa mu nkusani ndi lumen ake.

Chithandizo cha odwala mwakayakaya la fupa zygomatic

Iwo kumatha wovulala fupa zygomatic. Chithandizo kungakhale ndiwofatsa kapena opaleshoni, malingana ndi kukula kwa vutolo.

Mu kumawononga atsopano (palibe masiku oposa 10 pambuyo zoipa) popanda kuchepetsa zotheka kugwiritsa ntchito zidutswa za njira ndiwofatsa. Kawirikawiri mwambo wa mpumulo bwino. Pa malo a cheekbone wosweka anaika ozizira. zonsezi zimagwiridwa pa masiku awiri oyambirira pambuyo nkhaniyi.

Anzanu Tisawasale pa fupa zygomatic. Chotsegula pakamwa ayenera kukhala zochepa kwa masabata awiri.

Mankhwala wovulala akale

Mu fupa lothyoka akale (pa 10 masiku) ndi mchitidwe kusamutsidwa wasonyeza yekha opaleshoni. Pamene repositioning makombo fupa la nsagwada contraindicated mu pakamwa potsegula. Ndi kugonjetsedwa zimenezi nkhope mapindikidwe, kusowa kudziwa ululu m'dera la kuwonongeka kwa mitsempha infraorbital ndi zygomatic, pawiri masomphenya.

Fractures la fupa zygomatic ndi zygomatic Chipilala anachotsa njira zosiyanasiyana.

njira Lamberg

Izi ndi njira kaŵirikaŵiri ntchito mankhwala. Izo ntchito zinachitikira pamene mpanda wa nkusani chionongeko zonyozeka. Kuti muyike pena fupa mbedza ntchito ndi dzino limodzi. Wodwala adzatenge malo yopingasa. Iye amagona pa nsana wake.

Magawo waukulu njira mankhwala Lamberg

• mutu wovulalayo kumbali wathanzi.
• Unidentate mbedza anaikapo kudzera pakhungu kuti zygoma woyamba ankatembenukira motsogozedwa yopingasa, kenako inapitiriza pa makona pachimake ndi lupanga pamwamba lamkati.
• Otlomok kuchepetsa gulu mosiyana ndi kusamutsidwa a. Mpheto ikuchitika bola ngati fupa kudina.

njira Keane

njira amenewa amagwira ntchito ngati kumene fupa zygomatic amakadula ku nsagwada kumtunda ndi mazunzo ndi mafupa mwakanthawi. Choyamba, ang'ambe thupilo nembanemba mucous m'dera la Transitional pindani nsagwada kumtunda kwa Crest alveolar. Kudzera bala limene lidagwa pansi pa dokotala fupa analowa pamalo. Ndi magulu oposa ndi outwards chichitike kuchepetsa fupa mu malo olondola.

njira Vilaydzha

Iye ndi kusintha pa njira m'mbuyomu. Izo ntchito kuti muyike pena fupa cheekbone Chipilala. ang'ambe thupilo The amachitidwa pa khola Transitional m'dera la molars yoyamba ndi yachiwiri. The pamalo opunthira Karapetyan anayambitsa cheekbones fupa kapena Chipilala, amene repositioned mu.

njira Dubova

Njira ntchito pamene kuonongeka, ndi pamodzi ndi khoma zoopsa maxillary nkusani. Pankhaniyi kwathetsa zygomatic fupa wovulala? ntchito amatenda gawo kugwiritsa ntchito Chipilala chapamwamba mkamwa mwa chida ili pakati pamaso pa molar chachiwiri. Slimy periosteal khumudwitsidwa ndi katungulume, kuvumbula mbali linga la nkusani maxillary ndi. Ikani mafupa zidutswa. Kuphatikizapo anakhudzidwa ndi pansi pa bowo diso. Amapanga fistula umagwiritsidwa ntchito njira m'munsi mphuno. Nkusani mwamphamvu chatsekedwa Mphukira ya gauze impregnated ndi iodoform. Mapeto iwo anaika mphuno. Rana, wapafupi pakamwa, mwamphamvu sutured. The tampon amachotsedwa pambuyo pa masabata 2.

Njira Kazanyana kutembenuza

Njira imeneyi ndi yofanana ndi njira kuchitira mitengo. Koma pali kusiyana kwina. Kusunga zidutswa fupa mu malo olondola pamene plugging m'njira za m'mphuno m'malo gauze ntchito paipi ya mphira zofewa.

Njira Gillis, Kilner, Mwala

Bone fractures cheekbone ang'ambe thupilo cm 2 m'kachisi. Pankhaniyi, dokotala ubwera nuchoka kwa malire a tsitsi. chilonda ndi anaikapo lonse pamalo Gillis kapena forceps wopindidwa. Chida chimatsatira fupa kwawo. thandizo la chida ndi wad zolimba wa gauze. Ndiyamika mpheto izi zikhoza reponirovanie zinyalala.

njira Dyushanzha

Pamene njira imeneyi ikuchitika muyike pena fupa cheekbones mwapadera kwa forceps cholinga ndi mano akuthwa ndi masaya. Kudzera pakhungu mwa chida ichi chikhonza kulanda ndi tsaya fupa reponirovat izo. M'malo mwake, forceps izi zikhoza kugwiritsidwa "chipolopolo forceps" kapena mbano Khodorovich-Barinova.

njira A amachitira Malanchuk-Hadarovicha

Njira ntchito fractures a mwatsopano ndi zaka zakubadwa. Mbedza ndi dzino limodzi anaikapo pansi pa tsaya fupa kapena Arc ndi zidutswa ndi ankatembenukira kunja ndi chokhethemulira. Dzanja apuma pa mafupa cranial.

Osteosynthesis waya mwa msoko kapena polyamide yarns

Wovulala fupa zygomatic, zovuta zomwe ndi mkulu, amaliona kutsatira china chotulutsa waya. Izi njira ntchito masaya ndi pamphumi kapena cheekbone ndi chapamwamba nsagwada ndi kukhudzana kusiyana kwa fupa lothyoka mu malo. Kukonza fupa makombo a cheekbones ndi ntchito mbale ka zitsulo ndi zomangira yaing'ono.

njira Kazanyana

Njira imeneyi mankhwala ntchito kukachitika kuti zinyalala kuchepetsa kudzera mpheto ndi limodzi simudalandira, ndipo iwo sangakhoze kusungidwa mu malo olondola. ang'ambe thupilo wapangidwa m'dera la chikope m'munsi, kusiya poyera fupa cheekbone pafupi ndi dera suborbital. Mapangidwe fupa amapezeka ritsa kudzera yomwe ikuchitika ndi woonda mawaya zosapanga dzimbiri. Anadziŵa mapeto akuyesetsa kunja kupanga mbedza kapena kuzungulira. Mwambo umenewo ikuchitika zygomatic fupa fixation ndodo, imene yaikidwa mu kapu ya gypsum lapansi.

njira Shinbareva

Zygomatic fupa chili ndi waminga mbedza unidentate bandeji la gypsum. Ndi iwonso limodzi la Arc mbedza jekeseni mosamalitsa pa nsonga ya m'munsi ya wreckage pa malo a matendawa,. Khungu sutured. Wodwala ayenera kusunga yosalekerera zakudya. M'pofunika kupewa kukakamiza cheekbone lapansi.

njira Bragin

Kawirikawiri wovulala ndi kusamutsidwa ntchito limodzi-shank mbedza sikutheka kukonza makombo mu malo olondola, monga kayendedwe yogwira nkhaniyi ndi chidutswa chimodzi chokha cha Arc wosweka. Pankhaniyi ndi bidentate mbedza. Iwo anakonza mipata kudzera amene zinyalala angathe kuchitidwa pansi lingatury ndi kunyamula fixation kwa njanji lakunja.

Njira Matas-Berin

Ndi masingano lalikulu yokhota kumapeto mwa tendon mu mnofu zosatha pa cheekbones Arc unachitikira waya woonda. Kupangidwa ndi kuzungulira wa waya nkutha. Motero reponirovanie zygomatic Chipilala.

Njira Matas-Berin

Njira imeneyi imaphatikizapo suturing waya. Njira imeneyi zikusonyezedwa choncho pamene njira zina sititenga. Pamodzi m'munsi m'mphepete mwa Arc ndi opangidwa cheekbones yachigawo kutalika ndilo 2 cm. Mbali Kuonongeka ndi kusonkhanitsidwa pamodzi. Malekezero a zotsala ndi yaing'ono mabowo boron inabala. Mothandizidwa ndi ulusi zidutswa polyamide likugwirizana. Iwo apatsidwa fixation zolondola. Ulusi malekezero ali womangidwa, ndi chilonda sewn molimba.

Kumayambiriro kwa kuchuluka kwa zidutswa zidutswa fupa akhoza atathana mwa mofulumira oipa mbale pulasitiki. m'lifupi ndi 1.5 masentimita ndi kutalika lolingana Chipilala zygomatic wodwala.

Kamodzi zidutswa ndi thandizo la singano yokhota kumapeto adzakhala vpravleny, kuchokera kunja kwa aliyense mpukutu ikuchitika pansi ulusi polyamide. Malekezero ulusi angamvetsere pansi mbale. Pakati pa mbale ndi khungu akachita turundy ndi iodoform. Kotero khalani anachenjeza bedsores. 8-10 tsiku mbale kuchotsedwa.

Popeza kuphwanya chikhalidwe zinchito, ndipo nthawi yaitali kuchokera tsiku la fupa lothyoka (oposa 1 chaka) ntchito coronoid ndondomeko resection kapena osteotomy la fupa zygomatic.

Pomaliza

Wovulala fupa zygomatic, zithunzi ali m'nkhani ino amatanthauza gulu la Zikavuta m'munda wa traumatology.

Kuchedwa mankhwala kungawononge ku nambala ya osafunika zotsatira. Choncho, pambuyo zoipa ndi mpofunikila kuti kaye ulendo kwa dokotala. The katswiri adzamuika kuona zofunika ndi kusankha njira yoyenera mankhwala.