maxillofacial ihahamuka mini igororotse ikiraro

Ihahamuka rya Maxillofacial, nanone ryitwa ihahamuka ryo mumaso, ni ihahamuka ryumubiri riba mumaso.Ihahamuka rya Maxillofacial rishobora kugabanywa mu bikomere byoroheje, harimo gutwikwa, gukomeretsa no gukomeretsa, cyangwa kuvunika amagufwa yo mu maso nko gukomeretsa amaso, kuvunika izuru no kuvunika urwasaya.kuvunika bishobora gutera ububabare, kubyimba, gutakaza imikorere, guhindura imiterere yimiterere yo mumaso.

ibikomere byinshi birashobora kuvamo isura mbi no gutakaza imikorere yo mumaso;nk'ubuhumyi cyangwa ingorane zo kwimura urwasaya.Hariho amahirwe make yo guhitana ubuzima, ariko ihahamuka rya maxillofacial naryo rirashobora kwica, kuko rishobora gutera kuva amaraso menshi cyangwa kubangamira inzira yumuyaga;bityo rero ikibazo cyibanze mubuvuzi nukureba ko inzira yumuyaga ifunguye kandi idatewe ubwoba kugirango umurwayi ahumeke.Mugihe gikekwa kuvunika amagufwa, koresha radiografi kugirango umenye.Ni nkenerwa kuvura izindi nkomere nko gukomeretsa ubwonko, bikunze guherekeza ihahamuka rikomeye ryo mumaso.

Kimwe nibindi byavunitse, kuvunika amagufwa ya maxillofacial bibaho hamwe nububabare, gukomeretsa, hamwe nuduce twizengurutse kubyimba.Kuvunika amaraso birashobora kugaragara kumvune yizuru ryavunitse, kuvunika maxilla, no kuvunika igihanga.Ivunika ryizuru rishobora kuba rifitanye isano nubumuga bwizuru, kimwe no kubyimba no gukomeretsa.Abantu bafite imvune ya mandibular akenshi bafite ububabare ningorane zo gufungura umunwa kandi barashobora kugira ubunebwe mumunwa no mumatama.Kubijyanye no kuvunika Le Fort, hagati irashobora kugenda ugereranije nibindi bisigaye byo mumaso cyangwa igihanga.

Kumeneka kuvunika kwa maxilla

1. Umurongo wavunitse amagufwa ya maxillary ahujwe namagufwa yizuru, igufwa rya zygomatike nandi magufwa ya craniofacial.Umurongo wavunitse ukunze kugaragara mubudodo no kurukuta rwamagufwa adakomeye.Le Fort yashyize kuvunika muburyo butatu ukurikije uburebure nuburebure bwumurongo wavunitse.

Ubwoko bwa I kuvunika: bizwi kandi no kuvunika kwa maxillary yo hepfo cyangwa kuvunika gutambitse.Umurongo wavunitse urambuye utambitse kuva kuri pirameri ya piriform kugeza kuri suture ya maxillary pterygoid kumpande zombi muburyo bwo hejuru bwibikorwa bya alveolar.

Ubwoko bwa kabiri bwavunitse nabwo bwitwa median maxillary kuvunika cyangwa kuvunika kwa conical.Umurongo wavunitse uva kumutwe wa nasofrontal wambutse ikiraro cyizuru, urukuta rwa orbital rwagati, hasi ya orbital hamwe na suture ya orbital kuruhande, hanyuma ukurikira urukuta rwuruhande rwa maxilla kugera kuri inzira ya pterygeal. Rimwe na rimwe irashobora guhanagura sinus ya Ethmoid kugeza kuri fossa y'imbere, cerebrospinal fluid rhinorrhea.

Ubwoko bwa III kuvunika kandi byitwa kuvunika cyane kurwego rwo hejuru cyangwa kuvunika gutandukana kwa craniofacial.Umurongo wavunitse uva kumazuru imbere yimbere kugeza kumpande zombi hakurya yikiraro cyizuru, orbit, unyuze muri zygomaticofrontal suture usubira mubikorwa bya pterygeal, gushiraho gutandukana kwa craniofacial, akenshi biganisha hagati yo kurambura mumaso no kwiheba, ubu bwoko bwo kuvunika buherekejwe no kuvunika igihanga cyangwa igikomere cya craniocerebral, ugutwi, kuva amaraso mumazuru cyangwa gutemba kwa cerebrospinal fluid.

2. Kwimura igice cyavunitse mubisanzwe bibaho inyuma ninyuma.

3. Indwara idasanzwe.

4. Guhindura orbital na periorbital bihindura orbital na periorbital akenshi biherekejwe no kuva amaraso, kuribwa, gukora "ibimenyetso byijisho ryihariye", bikunze kugaragara nka ecchymose ya periorbital, hejuru y'amaso yo hepfo no hepfo hamwe no kuva amaraso menshi, cyangwa kwimura amaso na diplomasi.

5. Gukomeretsa ubwonko.

Uburyo bwo kuvura ibikomere bya maxillofacial birimo:

1. Gukomeretsa byoroshye kwa Maxillofacial: ihame ryo kuvura ni ugusenyuka ku gihe, kandi urugingo rwimuwe rugasubizwa kandi rukadoda.Mu gihe cyo kwangirika, ingirangingo zigomba kubikwa uko bishoboka kose kugira ngo zigabanye inenge n’ingaruka ku miterere y’umurwayi nyuma yo gukomeretsa.

2, kuvunika urwasaya: kugabanya impera zanyuma, ukoresheje uburyo bwo gukosora imbere kugirango ukosore ahantu hafashwe, kugarura ubudahwema bwurwasaya, gerageza kugarura umubano usanzwe utangira gutangira.