Wosweka nsagwada amafuna chithandizo zovuta

A nsagwada wosweka - kuphwanya umphumphu wa fupa mchikakamizo cha mphamvu. fractures zimenezi zingakhale:

• Mantha. Pali pa amadza, gunshot bala, ngozi kapena ngozi;
• Pathological. Yak zokha chifukwa cha osteomyelitis, chotupa chachikulu kapena chotupa chotupa.

fractures Mandibular mlandu pafupifupi 70% kuvulala zonse zimene zimachitika pa nkhope. Nsagwada m'munsi kumaoneka ngati horseshoe ndi kuvulala sizachilendo awiri, patatu ndipo ngakhale fractures.

Wosweka nsagwada zotsatira akhoza kukhala osiyanasiyana. Pakamwa ambiri chabe amathera bwino imayamba ndi kumaliza. Ngati wovulala unachokera mu chigawo lateral wa mandible, ndi mandibular mitsempha kuwonongeka angagwe. Ndiye wovulalayo akukumana dzanzi la nsagwada zisaonongeke, pamene kuwonongeka kwa dzanzi amgwirizano nsagwada lonse. Pamene nsagwada wovulala Idyani ayende m'kamwa mucosa ndi minofu zofewa misozi, zikunenedwa kutsegula. Nthawi zina zoopsa kuonongeka ziwiya lalikulu ndi hematoma lalikulu anapanga. Kawirikawiri limodzi ndi wovulala concussion, ndipo nthawi zina, munthu amakhala ndi mantha.

Ngati inu kapena winawake chilengedwe anatuluka ndi nsagwada wosweka, muyenera kukhala odekha ndiponso kuitana "ambulansi." Monga ulamuliro, maonekedwe a zotupa pa nkhope sakugwirizana ndi zovuta kuwonongeka, koma simungakhoze kuchita popanda thandizo lapadera. Ngakhale zoipa si lalikulu kwambiri, kuikapo nokha mu malo pachibwano sayenera kukhala, chifukwa zingakhale zovulaza thanzi.

Ngati wogwiriridwayo ali chikomokere, ayenera kuthiridwa mbali imodzi kotero kuti malovu, magazi ndi chinenero sichikwiya chopinga kwa kupuma. Izo ziyenera amadutsa mu malo omwewo. Pankhani ya amataya magazi mpaka kuchipatala akadzafika, mungagwiritse ntchito tampons, ndipo ngati inu muli luso m'pofunika kuti akanikizire ndi carotid mtsempha wamagazi zisaonongeke.

Pa chikuonetseratu ku chipatala ali kwenikweni anakhala X-ray bwino. M'pofunika kutsimikizira matenda, anakamba pambuyo kuona thupi la wodwalayo. Pamene pali wovulala pachibwano chithandizo amasankha mwamsanga alili ali okhazikika. njira wake amusankha malingana ndi kuopsa kwa kuwonongeka. Chithandizo zikuphatikizapo zotsatirazi:

• Kulumikizana ndi makombo, amene anachita pansi mankhwala oletsa ululu pamalopo. Izo zikhoza kuchitidwa mwachindunji pamanja. Koma nthawi zina, makamaka ngati kuchokera pamene choipa, anatenga ndithu nthawi yaitali, njirayi ikuchitika pang'onopang'ono, ntchito makina wapadera, komanso extraoral kapena intermaxillary samatha;
• Kukondetsa wa zidutswa za chibwano fupa kwa nthawi kuchira. Kuchita izi, ntchito zosiyanasiyana njira ndi zipangizo;
• Kupanga zinthu zimene zimachititsa kuti ayambe mofulumira pachibwano.
• Kupewa mavuto a chikhalidwe opatsirana ndi yotupa.

Ngati wovulala pachibwano amaliona opaleshoni, makombo mwina atathana kudzera crosslinking wa tantalum kapena zitsulo mawaya, mbale chitsulo kapena singano, extraoral zida.

Cholinga chachikulu cha mankhwala a fractures a nsagwada ndi maphatikizidwe makombo udindo umene adzaonetsetsa kubwezeretsa occlusion, ndipo mu nthawi yochepa. Ngati nsagwada wosweka pamodzi ndi kuwonongeka ena oopsa kwa munthu, pali kufunika opaleshoni pulasitiki. Nthawi zambiri akutsatiridwa mu magawo angapo, ndipo anapanga kupeza mano otere nsagwada ndi nkhope ngati n'koyenera. Nthawi zina wovulala pachibwano pali ngati mavuto aakulu ngati osteomyelitis, kakhosi, abscess ndi matenda ena.