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 kwamfuti, ndipo mwina chifukwa cha opaleshoni, kuphulika kwa chigaza ndi kuwonongeka kwa 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 chimayamba 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 minofu yaubongo ndi mapangidwe a fungoidal bulge pa chigaza cha chigaza, chomwe chidayikidwa m'mphepete mwa fupa, chimayambitsa ischemic necrosis ndikupangitsa kuti pakhale zovuta zingapo. zizindikiro ndi zizindikiro za minyewa.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 yokonzanso itatha opaleshoni yoyamba, koma tsopano masabata 6 ~ 8 pambuyo pa opaleshoni yoyamba ikulimbikitsidwa.Kubwezeretsanso kwa fupa la autologous lomwe linakwiriridwa mkati mwa miyezi 2 ndiloyenera, ndipo njira yochepetsera mphamvu ya subcapate. aponeurosis m'manda sayenera upambana 2 milungu.4.Kukonza cranial sikuvomerezeka pansi pa zaka 5 chifukwa mutu ndi mchira zimakula mofulumira; zaka 5 ~ 10 zikhoza kukonzedwa, ndipo kukonza zolemetsa ziyenera kutengedwa, ndipo kukonzanso kuyenera kukhala 0.5cm kupitirira malire a fupa. Pambuyo pa zaka 15 zaka, chigaza kukonza ndi chimodzimodzi ndi akuluakulu.Zimagwiritsidwa ntchito kwambiri kukonza zipangizo: mkulu polima zinthu, galasi organic, fupa simenti, silika, titaniyamu mbale), allograft fupa chuma ntchito zochepa (ali), allograft zinthu (monga mtundu wa allograft decalcified , degreasing ndi processing zina zopangidwa fupa masanjidwewo gelatin), autologous zipangizo (nthiti, mapewa masamba, chigaza, etc.), zipangizo zatsopano, porous mkulu osalimba polyethylene, EH gulu yokumba fupa), panopa mu mawonekedwe a 3 d kumangidwanso mbale ya titaniyamu imagwiritsidwa ntchito kwambiri.