cranial snowflake ihuza isahani Ⅱ

cranial (kuva mu kigereki κρανίον 'igihanga') cyangwa cephalic (kuva mu kigereki κεφαλή 'umutwe') isobanura uburyo ikintu cyegereye umutwe wibinyabuzima.

Ubusembwa bwa gihanga buterwa igice kimwe nihungabana rya craniocerebral cyangwa imbunda zinjira mu mvune, kandi igice cyatewe no kubaga kubaga, gukomeretsa igihanga no kwangirika kwatewe no kwanga igihanga.Hariho etiologiya ikurikira: 1. Ihahamuka rya craniocerebral cyangwa gukomeretsa imbunda.2. Nyuma yo gusubiramo kuvunika igihanga cyangiritse cyangwa cyihebye kidashobora kugabanuka.3. Gukomeretsa bikabije ubwonko cyangwa ubundi bwoko bwo kubaga craniocerebral kubera uburwayi bukenera amagufwa ya disiki.4. Gukura kuvunika igihanga mubana.5. Cranial osteomyelitis hamwe nibindi bikomere bya gihanga ubwabyo biterwa no kwangirika kwa gihanga cyangwa kubaga ibikomere.

Kugaragara kwa Clinical: 1. Nta bimenyetso. Inenge ya gihanga ntoya ya 3cm naho iyiri munsi yimitsi yigihe gito na ocipital isanzwe idafite ibimenyetso.2. Indwara ya syndrome ya gihanga. Kubabara, guhindagurika, isesemi, gutakaza imbaraga z'ingingo, gukonja, guhinda umushyitsi, kutita ku bindi bimenyetso byo mu mutwe biterwa n'ubumuga bunini bwa gihanga.3. Ibimenyetso bya Encephalocele na neurolocational.Mu ntangiriro yambere yubusembwa bwigihanga, ubwonko bukabije bwubwonko, igihe cyubwonko bwubwonko hamwe no gushiraho ibibyimba bya fungoidal kumutwe wigihanga, byashyizwe kumagufwa yamagufa, bitera nekrosi ya ischemic yaho kandi bitera urukurikirane rwibimenyetso nibimenyetso bya neurologiya. Amagufwa ya sklerarose. Agace k'ubusembwa bwa gihanga buterwa no kuvunika gukura kwabana kwaguka ubudahwema, hamwe na sklerarose yamagufa akikije imiterere.

Gusana Cranial nuburyo nyamukuru bwo kuvura inenge ya gihanga.Ibimenyetso byo gukora: 1. Diameter ya Cranial diameter BBB 0 3cm.2. Diameter yinenge ya gihanga iri munsi ya 3cm, ariko iherereye mubice bigira ingaruka nziza.3. Umuvuduko kuri inenge urashobora gutera igicuri hamwe na meninge-ubwonko bw'inkovu ziherekejwe na epilepsy.4. Indwara ya gihanga iterwa nubusembwa bwa gihanga itera umutwaro wo mumutwe, igira ingaruka kumurimo no mubuzima, kandi ikeneye gusanwa. Kurwanya indwara zo kubaga: 1. Indwara yo mu nda cyangwa iyanduye yakize mugihe kitarenze igice cyumwaka.2. Abarwayi bafite ibimenyetso byubwiyongere bwumuvuduko wimitsi ntibagenzuwe neza.3. Imikorere mibi ya neurologiya (KPS <60) cyangwa guhanura nabi.4. Umutwe ni muto kubera inkovu nyinshi zuruhu, kandi gusana birashobora gutera gukira nabi ibikomere cyangwa na nérosose yo mumutwe.Igihe cyo gukora nuburyo bwibanze: 1. Umuvuduko wimitsi wagenzuwe neza kandi uhagaze neza.2. Igikomere cyakize rwose nta kwandura.3. Mubihe byashize, amezi 3 ~ 6 yo gusana nyuma yigikorwa cya mbere cyasabwe, ariko ubu ibyumweru 6 ~ 8 nyuma yigikorwa cya mbere birasabwa.Kongera kwimura igufwa ryamagufwa ya autologique yashyinguwe mumezi 2 birakwiye, kandi uburyo bwo kugabanya gukwega kwa subcapate aponeurose yashyinguwe ntibugomba kurenza ibyumweru 2.4. Gusana Cranial ntibisabwa munsi yimyaka 5 kuko umutwe numurizo bikura byihuse; imyaka 5 ~ 10 irashobora gusanwa, kandi hagomba gukurikizwa gusanwa imitwaro iremereye, kandi ibikoresho byo gusana bigomba kuba 0.5cm kurenza amagufwa. allograft decalcified, degreasing hamwe nibindi bitunganyirizwa bikozwe mu magufa matrix gelatin), ibikoresho bya autologique (imbavu, urutugu rw'igitugu, igihanga, n'ibindi), ibikoresho bishya, poroteyine nyinshi cyane, polyethylene, EH igizwe n'amagufwa yubukorikori), ikigezweho muburyo bwa 3 d kongera kubaka plaque ya titanium.