gufunga maxillofacial mini urukiramende

Gufunga isahani ni igikoresho cyo gukosora cyavunitse gifite umwobo ufunze. Isahani yo gufunga ituma igufwa rihuza cyane isahani, bigatuma ingingo yaciwe ihagarara neza nyuma yo kuyisubiramo.

Isahani yo gufunga yakoreshejwe bwa mbere mu myaka 20 ishize mu kubaga umugongo no kubaga maxillofacial kugirango ihagarike kuvunika mugihe hagabanijwe gutandukana kworoshye no gukomeretsa.

Isahani yo gufunga nigikoresho cyo gukosora cyavunitse gifite umwobo ushyizwemo isahani ikora nkigikoresho cyo gukosora Angle mugihe hashyizwemo umugozi ufite umutwe wumutwe.Imyobo yombi yo gufunga no kudafunga irashobora gutangwa kugirango winjizemo ibice bitandukanye. Isahani yose irashobora guhindurwamo mu buryo butajegajega (butajegajega) Inguni cyangwa bolt mubyukuri ni isahani ifunga.Gukosora isahani yicyuma ntibiterwa no guterana amagufwa kugirango umenye isano, ariko rwose biterwa nuburyo bwo gufunga icyuma ubwacyo.A icyuho runaka gishobora gusigara hagati yisahani yicyuma nubuso bwamagufwa, bikuraho ingaruka mbi ziterwa no guhura kwinshi hagati yicyuma nigufwa, kandi bigatezimbere cyane itangwa ryamaraso no gukura no gukira kwa periosteum. Itandukaniro nyamukuru ryibinyabuzima hagati isahani gakondo yicyuma nicyapa gakondo nuko iyanyuma yishingikiriza kumbaraga zo guterana kumagufa-isahani kugirango igabanye igufwa.

Imashini ifunga ni imashini yikuramo kandi irashobora gukoreshwa udakubise cyangwa ngo utobore amagufwa.Nta gahato kari hagati yicyuma na cortex yamagufwa, kubwibyo rero nta gitutu kiri kuri periosteum, kugirango birinde amaraso ya periosteum. Kubijyanye na tekinike yo kubaga, irashobora kuba yujuje ibyangombwa byo kubaga byibasiwe cyane, kandi irashobora kurinda neza amaraso yaho yamenetse, kugirango igikorwa cyo guteranya amagufwa ntigikenewe.Ibikoresho byo gukosora imbere biroroshye.Imbere yumutwaro, hariho imbaraga zo guhagarika umutima hagati yimvune zavunitse, zifasha kwibumbira hamwe no gukira kuvunika.

Nyuma yo kuvunika kwa maxillofacial, ni kugabanya cyane no gukosorwa. Ikimenyetso cyingenzi cyo kugabanya kuvunika urwasaya ni ukugarura umubano usanzwe w’amenyo yo hejuru no hepfo, ni ukuvuga isano nini yo guhuza amenyo. Ubundi bizagira ingaruka kumikorere yimikorere yo kwikinisha. nyuma yo gukira kuvunika.Hari uburyo butatu busanzwe bwo gusubiramo:

1. Kugabanuka kwa manipulative: mugihe cyambere cyo kuvunika urwasaya, igice cyacitse kirakora cyane, kandi igice cyacitse cyimuwe gishobora gusubizwa mumwanya usanzwe mukiganza.

2. Kugabanya gukurura: nyuma yo kuvunika urwasaya, nyuma yigihe kinini (ibyumweru birenga bitatu bya maxilla, ibyumweru birenga bine bya mandible), kuvunika bifite igice cyumubiri wa fibrous gukira, kugabanya intoki ntabwo bigenda neza, uburyo bwo kugabanya gukwega burashobora gukoreshwa.Ivunika rya mandibular rifite intego nyinshi yo gukurura urwasaya, riri mumagufwa ya mandibular afite kwimura igice cyacitse cyo gushyira igice cyinyo cyamenyo yamenyo, hanyuma hagati y amenyo yamenyo na maxillary, hamwe na a reberi ntoya kugirango ikwege byoroshye, kugirango igarure buhoro buhoro umubano usanzwe. Nyuma yo kuvunika kwa maxillary, niba igice cyacitse kigenda gisubira inyuma, agace kamenyo kamenyo gashobora gushyirwa kumyanya ya maxillary, kandi agapira ka plaque hamwe nicyuma gishobora kuba bikozwe ku mutwe.Gukwega kwa elastike kurashobora gukorwa hagati yamenyo y amenyo hamwe nigitereko cyicyuma, kugirango igice cyavunitse kinini gishobora gusubizwa imbere.Gukurura imbaraga za Horizontal nazo zirashobora gukoreshwa mugihe hakenewe imbaraga nini zo gukurura.

3.Gukingura gufungura: Ibimenyetso byo kugabanuka kumugaragaro ni binini. Kugabanya gufungura bigomba gukorwa mugihe igice cyavunitse cyimuwe igihe kirekire kandi hariho gukiza fibrous cyangwa gukiza amagufwa ya malalignment, kandi kugabanuka ntigushobora kugerwaho no gukoreshwa cyangwa gukurura. fibrous tissue yibumbiye muri dislocation ikiza hagati yimvune zavunitse ziracukurwa cyangwa umuhamagaro ucibwa kure, kandi urwasaya rwongeye gutandukanwa kugirango rusubire mumwanya usanzwe.Kugabanuka gukinguye gukoreshwa muburyo bwo kuvunika gushya cyangwa kuvunika gufungura bigoye. mukugabanya intoki cyangwa guhungabana nyuma yo kugabanuka.