maxillofacial trauma micro pālua Y pā

Nā hiʻohiʻona o ka maxillofacial trauma

1. ʻO ke kahe koko waiwai: ʻoi aku ka nui o ke koko ma hope o ka ʻeha, maʻalahi ka hana ʻana i ka hematoma; ʻO ka wikiwiki a me ke kaumaha ka hopena o ka edema, e like me ke kumu waha, ke kumu alelo, ka iwi āpau a me nā ʻāpana ʻē aʻe o ka ʻeha, ma muli o ka edema, ʻO ka hematoma hoʻoluhi a hoʻopili i ke ala ea maʻemaʻe, a hiki ke kumu i ka suffocation. Ma ka ʻaoʻao ʻē aʻe, no ka waiwai o ke koko, ʻoi aku ka ikaika o ka ʻiʻo e pale aku i ka maʻi a me ka hana hou ʻana, a ua maʻalahi ka ʻeha e ho'ōla.

2. ʻO kaʻeha maxillofacial e hele pinepineʻia me kaʻeha niho: hiki ke paʻiʻia nā niho haʻihaʻi i loko o kaʻiʻo pili, e hoʻoulu ai i "keʻeha shrapnel lua", a hiki ke hoʻopiliʻia i nā pōhaku niho a me ka bacteria i loko o kaʻiʻo hohonu, e hoʻoulu ai i ka puka makani. ma ka laina o ka iwi āwae hiki i kekahi manawa ke alakaʻi i ka maʻi ma ka ʻaoʻao haʻihaʻi o ka iwi a pili i ka hoʻōla ʻana o ka haʻihaʻi. .I ka mālama 'ana i nā niho a me ka iwi alveolar a i 'ole ka iwi āpau, pono pinepine e ho'ohana i ka niho a i 'ole ka niho e like me ka ho'opa'a 'ana i ka abutment ligation, he kumu nui ia o ka ho'opa'a 'ana i ka iwi.

3. He mea maʻalahi ka paʻakikī me kaʻeha craniocerebral: me ka concussion, ka lolo contusion, intracranial hematoma a me ka iwi iwi iwi haʻihaʻi, a me nā mea ʻē aʻe. ʻO ka wai cerebrospinal mai ka puka ihu a i ʻole ke awāwa lohe waho.

4. I kekahi manawa hele pū me ka ʻeha ʻāʻī: ma lalo o ka maxillofacial a me ka ʻāʻī, kahi i loaʻa ai nā kīʻaha koko nui a me ka spine cervical. kiʻekiʻe paraplegia.Carotid aneurysms, pseudoaneurysms a me arteriovenous fistulas hiki ke hana ʻia i kekahi manawa i ka wā hope i ka wā e ʻeha ai nā moku nui o ka ʻāʻī e ka ikaika blunt ma ka ʻāʻī.

5. Hiki ke ma'alahi i ka asphyxia: hiki ke hō'eha ma muli o ka ne'e 'ana o ke kino, ka pehu a me ka hā'ule 'ana o ke alelo, ka pa'a 'ana o ke koko a me nā mea huna a pili i ka hanu a me ka asphyxia.

6. Ka pōʻino o ka hānai ʻana a me ka maʻemaʻe waha: Hiki ke hoʻopilikia ʻia ka wehe ʻana o ka waha, ka nau ʻana, ka ʻōlelo a i ʻole ka ʻai ʻana ma hope o ka hōʻeha ʻana a i ʻole ke koi ʻia ʻana o ka interjaw traction no ka mālama ʻana, hiki ke hoʻopilikia i ka ʻai maʻamau.

7. E maʻalahi i ka maʻi: ka waha a me ka maxillofacial sinus cavity, aia ka waha o ka waha, ka nasal cavity, ka sinus a me ka orbit, etc. ʻO ka loaʻa ʻana o ka nui o nā hua bacteria i loko o kēia mau lua sinus, inā e like me ka ʻeha, hiki i ka maʻi. .

8. Hiki ke hui pū ʻia me nā ʻeha ʻano anatomical ʻē aʻe: ʻo ka puʻunaue ʻana o nā salivary glands, facial nerve a me ke aʻalolo trigeminal ma ka waha a me ka maxillofacial māhele, e like me ka parotid gland poino, hiki ke hana i ka salivary fistula; Ke hōʻeha ʻia ke aʻalolo trigeminal, ʻike ʻia paha ka numbness ma ka wahi hoʻoili pili.

9. Keʻano o ka helehelena: Ma hope o kaʻeha maxillofacial, he mauʻano likeʻole o ka helehelena o ka helehelena, kahi e hoʻonui ai i ke kaumaha o ka noʻonoʻo a me ke kino o ka meaʻeha.