saxan isku xidhka barafka cranial Ⅱ

cranial (oo ka yimid Giriigga κρανίον 'skull') ama cephalic (oo ka yimid Giriigga κεφαλή 'madaxa') ayaa qeexaya sida ay wax ugu dhow yihiin madaxa noolaha.

Cilladda madaxa waxaa qayb ahaan sababa dhaawac furan oo craniocerebral ama dhaawac hub ah, iyo qayb ka mid ah qalliinka qalliinka, nabarrada madaxa iyo dhaawac dalool ah oo ay keento dib-u-soo-jaridda madaxa. Waxaa jira sababo soo socda: Ka dib dib-u-hagaajinta jabka madaxa ee jaban ama niyad jabsan ee aan la yarayn karin.3. Dhaawaca maskaxeed ee daran ama noocyada kale ee qalliinka craniocerebral sababtoo ah jirro waxay u baahan yihiin depression lafaha.4. Burburka madaxa ee carruurta oo sii koraya.5. Osteomyelitis cranial iyo nabarrada kale ee madaxa laftiisa oo ay sababto burburka lafta madaxa ama qalliinka dib-u-eegidda dhaawacyada madaxa.

Calaamadaha bukaan-socodka: 1. Calaamado la'aan. Cilladaha madaxa ee ka yar 3cm iyo kuwa ku yaal meel ka hooseeya muruqyada ku meel-gaadhka ah iyo kuwa occipital inta badan waa asymptomatic.2. Skull defect syndrome.Madax-xanuun, dawakhaad, lallabbo, luminta awoodda addimada, qarqaryo, gariir, feejignaan la'aan iyo calaamado kale oo maskaxeed oo ay keento cillad weyn oo madaxa ah.3. Encephalocele iyo calaamadaha neurolocational.Markii hore ee cilladda qalfoofka, bararka maskaxda ee daran, dual of nudaha maskaxda iyo samaynta bararka fungoidal ee cilladda lafta, taas oo ku dheggan xudunta lafta, waxay sababtay necrosis ischaemic maxaliga ah waxayna sababtay calaamado isdaba-joog ah oo neerfaha ah. Lafaha sclerosis. Meesha cilladda qalfoofka ee ay keento jabka korriinka ee carruurta ayaa si joogto ah u fidiya, iyo sclerosis lafaha ku wareegsan cilladaha ayaa sameysma.

Dayactirka cranial waa istaraatijiyadda ugu weyn ee daawaynta cilladda madaxa Dhexroorka cilladda dhafoorka waa in ka yar 3cm, laakiin waxay ku taallaa qaybta saameeya bilicda.3. Cadaadiska cilada ayaa keeni karta suuxdin iyo nabar maskaxeed-maskaxda oo ay weheliso suuxdin.4. Cilad la'aanta madaxa oo ay keento cilladda madaxa ayaa keenta culeys maskaxeed, waxay saameysaa shaqada iyo nolosha, waxayna u baahan tahay dayactir. Caqabadaha qalliinka: 1. Intracranial ama jeexitaanka caabuqa ayaa la daaweeyay wax ka yar nus sano.2. Bukaanka calaamadaha cadaadiska intracranial ee kordhay aan si wax ku ool ah loo xakameyn.3. Dareen-xumo daran (KPS <60) ama saadaal xumo.4. Madaxu waa dhuuban sababtoo ah nabar maqaarka ah oo ballaaran, dayactirkuna wuxuu keeni karaa bogsashada dhaawaca oo liita ama necrosis madaxa. Waqtiga qalliinka iyo xaaladaha aasaasiga ah: 1. Cadaadiska intracranial si wax ku ool ah ayaa loo xakameeyay loona xasiliyay.2. Dhankii nabarkii wuu bogsaday isagoon caabuqin.3. Waagii hore, 3 ~ 6 bilood oo dayactir ah ka dib qalliinka ugu horreeya ayaa lagula talinayaa, laakiin hadda 6 ~ 8 toddobaad ka dib qalliinka ugu horreeya ayaa lagula talinayaa. Dib-u-soo-celinta laf-dhabarka laf-dhabarka ee lagu aasay 2 bilood gudahood ayaa ku habboon, iyo habka dhimista jiidista ee aponeurosis-ka hooseeya ee la aasay waa inaysan ka badnayn 2 toddobaad. Dayactirka cranial laguma talinayo in ka yar 5 sano sababtoo ah madaxa iyo dabada ayaa si degdeg ah u koraan; 5 ~ 10 sano jir waa la hagaajin karaa, dayactirka culeyska badan waa in la qaataa, qalabka dayactirkuna waa inuu ahaadaa 0.5cm oo ka baxsan xudunta lafaha. Kadib 15 sano jir, hagaajinta qalfoofka waxay la mid tahay dadka waaweyn (wuxuu leeyahay), walxaha allograft (sida nooca allograft decalcified, dereasing iyo processing kale oo ka samaysan gelatin matrix lafaha), qalabka autologous (feeraha, garbaha garbaha, dhafoor, iwm), qalab cusub, polyetylen cufnaanta sare ee dalool, EH lafo macmal ah ka kooban), hadda ee qaabka 3 d dib u dhiska saxan titanium inta badan la isticmaalo.