gufunga maxillofacial mini isahani igororotse

Kubaga amagufwa cyangwa amagufwa, ni ishami rimwe ryo kubaga. Ortopedie yita kuri sisitemu ya musculoskeletal. Uburyo bwombi bwo kubaga no kubaga bukoreshwa n’abaganga babaga amagufwa mu kuvura ihungabana ry’imitsi, indwara z’umugongo, ibikomere bya siporo, indwara zangirika, indwara, ibibyimba, n’indwara zavutse.

Uburyo bwa mbere 25 bukunze gukorwa nabaganga babaga amagufwa muburyo bukurikira ni: arthroscopie na meniscectomy, urutugu arthroscopi na decompression, kurekura umuyoboro wa karpal, ivi rya arthroscopi na chondroplasti, kuvanaho infashanyo, arthroscopie yivi hamwe no kuvunika imitsi / kuvunika amaguru / kuvunika amagufwa / kuvunika amagufwa arthroscopy yo gusana menisci zombi, gusimbuza ikibuno, urutugu arthroscopy / kure ya clavicle kure, gusana rotator cuff tendon, gusana kuvunika kwa radiyo (amagufwa) / ulna, laminectomy, gusana kuvunika amaguru (ubwoko bwa bimalleolar), kurwara urutugu rwa arthroscopi no kuvunika, kuvunika urutoki rwa interineti icyatsi, gusana kuvunika amaguru (fibula), gusana kuvunika kwa femorale femorale, gusana kuvunika trochanteric.

ihahamuka ryinshi mu bana kimwe n'abantu bakuru bakunze guturuka ku gukomeretsa siporo, kugwa, gukubita, impanuka z'imodoka, gukubita ibitero, gukubita ibipfunsi cyangwa ibintu. Igitero cy’inyamaswa, urusaku rw'amasasu, ibisasu hamwe n'ibindi bikomere by'intambara nabyo bishobora gutera amagufwa yo mu maso. Ihahamuka ry'imodoka nimwe mubitera gukomeretsa mumaso mubuzima bwumujyi. Ihahamuka rikunze kubaho mugihe isura ikubise igice cyimbere yikinyabiziga, nkuruziga. Byongeye kandi, imifuka yindege irashobora gutera corneal gukuramo no gukomeretsa mumaso mugihe byoherejwe.

Gukomeretsa amagufwa yo mumaso birashobora kugabanwa hafi harimo amagufwa yizuru, maxilla, na mandible. Ibyemewe birashobora kuvunika kuri simphysis, umubiri, inguni, ramus, na condyle. Umusaya n'amagufwa y'imbere ni ahandi hantu havunika. Ivunika rishobora kandi kugaragara mumagufa ya palate hamwe nayateraniye hamwe kugirango azenguruke ijisho.

Mu ntangiriro z'ikinyejana cya 20, René Le Fort yashushanyije ahantu hasanzwe havunika mu maso; ubu bizwi nka Le Fort I, II, na III kuvunika (iburyo). Le Fort I Ivunika, nanone yitwa Guérin cyangwa horizontal maxillary yamenetse, irimo maxilla, itandukanya na palate. Ivunika rya Le Fort II, ryitwa kandi piramide ivunika ya maxilla, ryambuka amagufwa yizuru hamwe nuruziga rwa orbital. Ivunika rya Le Fort III, ryitwa kandi craniofacial disjunction hamwe no kuvunika mumaso, byambukiranya imbere ya maxilla kandi bikubiyemo amagufwa ya lacrimal, papyracea ya lamina, hamwe na orbital hasi, kandi akenshi bikubiyemo amagufwa ya etmoide, nibyo bikomeye cyane. Ivunika rya Le Fort, rifite 10-20% byavunitse mumaso, akenshi bifitanye isano nizindi nkomere zikomeye.

Uburyo bwo kubaga bwakoreshejwe kugirango hasanwe amagufwa ya maxillofacial, agamije gusana imiterere yimiterere yamagufwa yo mumaso no gusiga ibimenyetso bike byerekana ibikomere bishoboka. Gukomeretsa amagufwa birashobora kuvurwa hamwe na plaque ya titanium nziza hamwe na titanium alloy screw. Ibikoresho bisubirwamo nubundi buryo burahari.

ihahamuka rya maxillofacial ntirishobora kuzana ubuzima, ariko akenshi rifitanye isano n’imvune ziteje akaga, kuziba mu kirere hamwe n’ibindi bibazo byangiza ubuzima. Inzira yo guhumeka irashobora guhagarikwa kubera kuva amaraso, kubyimba imyenda ikikije, cyangwa kwangiza imiterere. Gutwika mu maso birashobora gutera kubyimba imyenda bityo bigatera guhagarika umwuka. Guhuza amazuru, maxillary, na mandibular kuvunika birashobora kugira ingaruka kumuyaga. Birakenewe gukurikirana inzira yumuyaga buri gihe, kuko ibibazo byumuhanda bishobora kubaho bitinze nyuma yimvune yambere.

amagufa akeneye gusubizwa mumwanya wabyo byihuse, kuko imitsi n'imitsi bishobora kugwa mumagufa yamenetse. Kumeneka hasi ya orbital cyangwa urukuta rwa orbital urukuta rwamagufwa yijisho rirashobora kwinjirira urukiramende rwagati cyangwa imitsi ya rectus yo hasi.

Mu bikomere byo mu maso, imiyoboro y'amarira hamwe n'imitsi yo mu maso birashobora kwangirika. Kuvunika kw'amagufa y'imbere birashobora kubangamira amazi ya sinus y'imbere kandi bishobora gutera sinusite. Kwandura ni ikindi kintu gishobora kugorana.