ipuleti le-cranial snowflake interlink Ⅱ

i-cranial (kusuka ku-Greek κρανίον 'skull') noma i-cephalic (kusuka ku-Greek κεφαλή 'head') ichaza ukuthi into iseduze kangakanani nenhloko yento ephilayo.

Ukonakala kogebhezi ngokwengxenye kubangelwa ukuhlukumezeka okuvulekile kwe-craniocerebral noma ukulimala kokungena kwesibhamu, futhi ngokwengxenye kubangelwa ukuwohloka kokuhlinzwa, izilonda zogebhezi oludalwe ukuqaqa ugebhezi.Kunalezi zindlela ezilandelayo: 1. Vula ukuhlukumezeka kwe-craniocerebral noma ukulimala kokubhobozwa kwesibhamu. .Ngemva kokuvuswa kokuqhekeka kogebhezi olunciphile noma olucindezelekile olungenakuncishiswa.3.Ukulimala okunzima kobuchopho obubuhlungu noma ezinye izinhlobo zokuhlinzwa kwe-craniocerebral ngenxa yokugula zidinga ukuchithwa kwe-bone disc.4.Ukukhula kogebhezi lwekhanda ezinganeni.5.I-cranial osteomyelitis nezinye izilonda zogebhezi ngokwalo okubangelwa ukubhobozwa kogebhezi lwekhanda noma ukuhlinzwa kabusha kwezilonda zogebhezi.

Ukubonakaliswa komtholampilo: 1. Azikho izimpawu.Iziphambeko zekhanda ezingaphansi kuka-3cm futhi lezo ezingaphansi kwemisipha yesikhashana neye-occipital ngokuvamile azibonakali.2.I-Skull defect syndrome.Ikhanda elibuhlungu, isiyezi, isicanucanu, ukuphelelwa amandla, ukugodola, ukundindizela, ukunganaki kanye nezinye izimpawu zengqondo ezibangelwa ugebhezi olukhulu.3.Izimpawu ze-Encephalocele kanye ne-neurolocational. Esigabeni sokuqala sogebhezi olukhubazekile, i-edema ebuchosheni eqinile, indawo ezungezile yezicubu zobuchopho kanye nokwakheka kweqhubu le-fungoidal endaweni yogebhezi, eyayishumekwe emaphethelweni ethambo, kwabangela i-ischemic necrosis yendawo futhi yabangela uchungechunge lwe-ischemic necrosis. izimpawu zendawo yemizwa kanye nezimpawu.4.I-Bone sclerosis.Indawo yogebhezi oludalwe ukukhula kwezingane ikhula ngokuqhubekayo, kanti i-bone sclerosis ezungeze ukukhubazeka kwakheka.

Ukulungisa uhlaka lwe-cranial yisu eliyinhloko lokwelapha ugebhezi olungasebenzi kahle.Izinkomba zokusebenza: 1. Ububanzi be-cranial defect BBB 0 3cm.2.Ububanzi besici sogebhezi lungaphansi kuka-3cm, kodwa sitholakala engxenyeni ethinta ubuhle.3.Ukucindezela kokukhubazeka kungabangela isithuthwane kanye nokwakheka kwezibazi ze-meninge-brain okuhambisana nesifo sokuwa.4.I-Skull defect syndrome ebangelwa ugebhezi ludala umthwalo onzima engqondweni, ithinta umsebenzi nempilo, futhi inesidingo sokulungiseka.Izingqinamba zokuhlinzwa: 1. Ukutheleleka nge-intracranial noma ukusikwa kwelashwe isikhathi esingaphansi kwesigamu sonyaka.2.Iziguli ezinezimpawu zokwanda kwengcindezi ye-intracranial azizange zilawulwe ngokuphumelelayo.3.Ukungasebenzi kahle kwezinzwa (KPS <60) noma ukubikezela okubi.4.I-scalp incane ngenxa yesibazi esikhulu sesikhumba, futhi ukulungiswa kungase kubangele ukuphulukiswa kwesilonda okubi noma i-scalp necrosis.Isikhathi sokusebenza kanye nezimo eziyisisekelo: 1. Ukucindezela kwe-intracranial kuye kwalawulwa ngokuphumelelayo futhi kwaqiniswa.2.Isilonda saphola ngokuphelele ngaphandle kokutheleleka.3.Esikhathini esidlule, izinyanga ezingu-3 ~ 6 zokulungiswa ngemva kokuhlinzwa kokuqala kunconyiwe, kodwa manje amaviki angu-6 ~ 8 ngemva kokuhlinzwa kokuqala kunconywa.Ukubuyiselwa kwe-autologous bone flap kungcwatshwe phakathi nezinyanga ezingu-2 kufanelekile, futhi indlela yokunciphisa i-traction ye-subcapate i-aponeurosis engcwatshwe akufanele idlule amasonto ama-2.4.Ukulungiswa kwe-cranial akunconywa ngaphansi kweminyaka engu-5 ubudala ngoba ikhanda nomsila zikhula ngokushesha; iminyaka engu-5 ~ 10 ubudala ingakhandwa, futhi ukulungiswa komthwalo osindayo kufanele kwamukelwe, futhi izinto zokulungisa kufanele zibe ngu-0.5cm ngaphezu komkhawulo wethambo. Ngemva kweminyaka engu-15 ubudala, ukulungiswa kogebhezi kuyafana nokwabantu abadala.Izinto zokulungisa ezisetshenziswa kakhulu: impahla ye-polymer ephezulu, ingilazi ephilayo, usimende wamathambo, i-silica, ipuleti le-titanium), i-allograft bone material isebenzisa kancane (ine), i-allograft material (njengohlobo lwe-allograft olucishiwe , ukwehlisa kanye nokunye ukucutshungulwa okwenziwe nge-gelatin yethambo le-matrix), izinto ezizenzakalelayo (izimbambo, izindwani zamahlombe, ugebhezi, njll.), izinto ezintsha, i-polyethylene enezimbobo eziphakeme, ithambo lokufakelwa eliyinhlanganisela ye-EH), okwamanje esesimweni sokwakhiwa kabusha kwe-3 d I-titanium plate isetshenziswa kakhulu.