cranial snowflake interlink mbale Ⅱ

cranial (kuchokera ku Greek κρανίον 'skull') kapena cephalic (kuchokera ku Greek κεφαλή 'head') amafotokoza kuyandikana kwa chinthu ndi mutu wa chamoyo.

Kuwonongeka kwa chigaza kumabwera chifukwa cha kuvulala kotseguka kwa craniocerebral kapena kuvulala kolowera kwamfuti, ndipo mwina chifukwa cha opareshoni, kuvulala kwa chigaza komanso kuwonongeka kwa chigaza chifukwa cha chigaza. Pambuyo pa remation kwa comminuted kapena kukhumudwa chigaza fractures kuti sangathe kuchepetsedwa.3. Kuvulala koopsa kwa ubongo kapena mitundu ina ya opaleshoni ya craniocerebral chifukwa cha matenda amafunikira mafupa a disk decompression.4. Kukula kwa chigaza cha ana.5. Cranial osteomyelitis ndi zotupa zina za chigaza chomwe chimabwera chifukwa cha kuwonongeka kwa chigaza kapena opaleshoni ya zilonda za chigaza.

Mawonetseredwe azachipatala: 1. Palibe zizindikiro.Zowonongeka za chigaza zochepera 3cm ndipo zomwe zili pansi pa minofu ya temporal ndi occipital nthawi zambiri zimakhala zopanda zizindikiro.2. Skull defect syndrome.Kupweteka kwamutu, chizungulire, nseru, kufooka kwa miyendo, kuzizira, kunjenjemera, kusatchera khutu ndi zizindikiro zina zamaganizo zomwe zimachitika chifukwa cha vuto lalikulu la chigaza.3. Kumayambiriro kwa chiwopsezo cha chigaza, edema yaubongo, kufalikira kwa fungoidal pakhungu la chigaza, lomwe limayikidwa m'mphepete mwa fupa, kumayambitsa ischemic necrosis ndikuyambitsa mndandanda wazizindikiro zamatenda amitsempha yamagazi ndi zizindikiro.4. Bone sclerosis.M'dera la Chigaza chilema chifukwa kukula fracture ana amakula mosalekeza, ndi fupa sclerosis padziko chilema mitundu.

Kukonza Cranial ndiyo njira yayikulu yochizira matenda a chigaza.Zizindikiro zogwirira ntchito: 1. Cranial defect diameter BBB 0 3cm.2. Kuchuluka kwa chiwopsezo cha chigaza ndi osakwana 3cm, koma kumakhala mu gawo lomwe limakhudza kukongola.3. Kupanikizika kwa chilemacho kungayambitse khunyu ndi kupangika kwa zipsera za ubongo zotsatizana ndi khunyu.4. Matenda a chigaza cha chigaza chomwe chimayambitsidwa ndi vuto la chigaza chimayambitsa kulemedwa kwa maganizo, kumakhudza ntchito ndi moyo, ndipo kumafunika kukonzanso.Zotsutsana ndi opaleshoni: 1. Matenda a m'mimba kapena odulidwa amachiritsidwa kwa nthawi yosachepera theka la chaka.2. Odwala omwe zizindikiro zawo zowonjezera kuthamanga kwa intracranial sizinayende bwino.3. Kuwonongeka kwakukulu kwa ubongo (KPS <60) kapena kusazindikira bwino.4. Mphuno ndi yopyapyala chifukwa cha chilonda chachikulu cha khungu, ndipo kukonzanso kungayambitse machiritso osauka a bala kapena scalp necrosis.Nthawi yogwira ntchito ndi zofunikira: 1. Kuthamanga kwa intracranial kwayendetsedwa bwino ndikukhazikika.2. Chilondacho chinachira popanda matenda.3. M'mbuyomu, 3 ~ 6 miyezi yokonza pambuyo pa opaleshoni yoyamba inalimbikitsidwa, koma tsopano 6 ~ 8 masabata pambuyo pa opaleshoni yoyamba ikulimbikitsidwa.Kubwezeretsedwa kwa fupa la autologous fupa lokwiriridwa mkati mwa miyezi 2 ndiloyenera, ndipo njira yochepetsera yochepetsera ya subcapate aponeurosis yokwiriridwa sayenera kupitirira masabata a 2.4. Kukonza cranial sikuvomerezeka pansi pa zaka 5 chifukwa mutu ndi mchira zimakula mofulumira; 5 ~ 10 zaka zikhoza kukonzedwa, ndi kukonza zolemetsa ziyenera kutengedwa, ndi kukonza zinthu ziyenera kukhala 0.5cm kupitirira malire a fupa. Pambuyo pa zaka 15, kukonza chigaza ndi chimodzimodzi ndi akuluakulu. ntchito zochepa (ali), allograft zakuthupi (monga mtundu wa allograft decalcified, degreasing ndi processing zina zopangidwa fupa masanjidwewo gelatin), zipangizo autologous (nthiti, masamba phewa, chigaza, etc.), zipangizo zatsopano, porous mkulu osalimba polyethylene, EH gulu yokumba fupa), panopa mu mawonekedwe a 3 d wamba ntchito yomanganso titanium.