Kutyando lwe-craniomaxillofacial (CMF), ukhetho lwe-hardware yokulungisa luchaphazela ngokuthe ngqo iziphumo zotyando, ukuhamba komsebenzi, kunye nokhuseleko lwesigulane. Phakathi kwezinto ezintsha ezixoxwe kakhulu kwiminyaka yakutshanje yi-CMF self-drilling screw-indlela eyonga ixesha kwi-screws eziqhelekileyo zokungazibholi. Kodwa ingakanani impumelelo enikezela ngenene xa kuthelekiswa neenkqubo zemveli? Kweli nqaku, siphonononga iingenelo kunye neempembelelo zeklinikhi zezikrufu zokuzibhora kwizicelo zeCMF.
Ukuqonda izinto eziSiseko: Ukuzibhobhoza vs. Izikrufu zeNdabuko
Isikrufu sokuzibhora seCMFyenzelwe ukugqobhoza zombini ithambo elithambileyo neliqinileyo ngaphandle kwesidingo somngxuma wokulingwa owenziwe kwangaphambili. Idibanisa ukubhola kunye nokucofa imisebenzi kwinyathelo elinye. Ngokwahlukileyo, izikrufu zemveli zifuna inkqubo yokulandelelana: ukugrumba umngxuma wokulinga, emva koko ucofe (ukuba kuyimfuneko), kulandele ukufakwa kwesikrufu.
Lo mahluko wenkqubo ungabonakala umncinci, kodwa kwindawo yotyando olukhawulezayo-ngokukodwa kwiimeko ezixinzelelekileyo okanye eziphuthumayo-ukuphelisa inyathelo elilodwa kunokunciphisa kakhulu ixesha kunye nobunzima.
Ukusebenza kakuhle koTyando: Yintoni ethethwa yiDatha kunye noGqirha
1. UkuNcitshiswa kwexesha
Izifundo kunye neengxelo zeklinikhi zibonisa ukuba ukusebenzisa i-CMF izikrufu zokuzibhola kunokunciphisa ixesha elipheleleyo lokulungisa ukuya kuthi ga kwi-30%. Ngokomzekelo, ekulungiseni i-mandibular fracture, ukutsiba inyathelo lokugaya kuguqulela kwi-hardware yokubeka ngokukhawuleza, ngakumbi xa kufuneka izikhonkwane ezininzi.
2. Koogqirha botyando, oku kuthetha:
Ixesha elifutshane legumbi lokusebenza
Ukunciphisa ukubonakaliswa kwe-anesthesia kwisigulane
Ukopha kancinci kwi-intraoperative ngenxa yobuchule obuncitshisiweyo
3. Ukuhamba komsebenzi okwenziwa lula
I-self-drilling screws ilungelelanisa inkqubo ngokunciphisa inani lezixhobo kunye namanyathelo enkqubo. Akukho mfuneko yokutshintsha phakathi kwe-drill kunye ne-screwdriver ngokuphindaphindiweyo, enganciphisa ixesha lotyando kuphela kodwa kwakhona:
4 . Yehlisa ukudinwa kogqirha wotyando
Yehlisa umngcipheko wosulelo
Yenza lula ulawulo lwezixhobo, ngakumbi kwizibhedlele zasendle okanye ngexesha lotyando lothutho
5. IiNgncedo zeklinikhi kwi-Trauma kunye ne-Emergency Cases
Kwiimeko zokulimala kobuso-apho izigulane zihlala zifika ngokuqhekeka okuphindaphindiweyo kunye nokudumba-ukubalwa kwesibini nganye. Ukombiwa kwesiqhelo kunokuthatha ixesha kwaye kunokwazisa ukwenzakala okongeziweyo kwamathambo okanye ukuvelisa ubushushu. Isikrufu sokuzenzela iCMF, ngokwahlukileyo, sibonelela:
6. Ukulungiswa ngokukhawuleza phantsi koxinzelelo
Ukusebenza okuphuculweyo kwiimeko zethambo eziphazamisekile
Ukuthembeka okukhulu kwiinkqubo ezingxamisekileyo zokwakhiwa kwakhona kwe-craniofacial
Kubaluleke kakhulu kwizigulane zabantwana okanye abadala, apho umgangatho wamathambo uhluka, kwaye ukuchaneka kubalulekile.
Ukuthelekisa ukusebenza kunye neMfezeko yethambo
Enye inkxalabo ehlala iphakanyiswa kukuba ingaba izikrufu zokuzibhora zibeka esichengeni umgangatho wamathambo okanye ukuzinza. Nangona kunjalo, izikrufu zangoku ze-CMF zokuzibhora zenziwe ngeengcebiso ezibukhali, uyilo olufanelekileyo lwentambo, kunye neengubo ezihambelana ne-bio ukuqinisekisa:
Ukuchasa okunamandla okukhupha
Ubuncinci be-necrosis yamathambo
Khusela i-ankile nakwimimandla ebhityileyo yecortical
Idatha yeklinikhi ibonisa ukuthelekiswa, ukuba akukho phezulu, amandla okulungisa xa kuthelekiswa nezikrufu zendabuko, ngaphandle kokuba ugqirha ukhetha ubude obufanelekileyo be-screw kunye nenqanaba le-torque.
Unyino kunye nokuqwalaselwa
Ngelixa izikrufu zokuzibhora zeCMF zibonelela ngezibonelelo eziphawulekayo, zisenokungalungeli kuzo zonke iimeko:
Kwithambo le-cortical elishinyeneyo, u-pre-drilling usenokufuneka ukunqanda i-torque yokufaka kakhulu.
Eminye imimandla ene-engile okanye ekunzima ukufikelela kuyo inokuxhamla kwi-pre-drilling yesiko ukulungiselela ulawulo olungaphezulu.
Oogqirha abangaqhelananga neenkqubo zokuzibhoboza banokufuna uqeqesho ukuze bafumane iziphumo ezigqwesileyo.
Ngaloo ndlela, oogqirha abaninzi bagcina zombini iinketho ezikhoyo kwaye bakhetha ngokusekelwe kwiimeko ze-intraoperative.
Inyathelo elicacileyo lokuya Phambili kwiCMF yoTyando
I-screw ye-CMF yokuzenzela i-self-drilling iye yavela njengesixhobo esibalulekileyo ekuphuculeni ukusebenza kakuhle kotyando, ngakumbi kwintlungu, ukulungiswa kobuso, kunye nemisebenzi ethatha ixesha. Xa kuthelekiswa nezikrufu zemveli, inciphisa inani lamanyathelo, inciphisa ixesha lotyando, kwaye yenza lula inkqubo iyonke, ngaphandle kokuphazamisa umgangatho wokulungisa.
Kwizibhedlele kunye namaziko otyando ajolise ekuphuculeni ukuguqulwa kwegumbi lokusebenza, ukunciphisa iindleko, kunye nokuphucula iziphumo zesigulane, ukubandakanya i-self-drilling screw systems kwiikiti ze-CMF sisigqibo sokucinga phambili.
Njengoko itekhnoloji iqhubeka nokuguquka, ugxininiso luya kuhlala kwizixhobo ezingenzi kakuhle kuphela kodwa zenza iinkqubo zotyando zikhuseleke, zikhawuleze, kwaye zithembeke ngakumbi, okwenza i-CMF self-drilling screws ibe yinto entsha yokunyamekela kwe-craniofacial yanamhlanje.
Ixesha lokuposa: Jul-15-2025