Ubuvuzi bwa CAH | Sichuan, Ubushinwa
Kubaguzi bashaka MOQ nkeya nubwoko butandukanye bwibicuruzwa, Abatanga ibicuruzwa byinshi batanga ibicuruzwa bito bya MOQ, ibisubizo byibikoresho bya nyuma, kugeza amasoko menshi, bigashyigikirwa ninganda zabo zikungahaye hamwe nuburambe bwa serivisi hamwe no kumva neza ibicuruzwa bigenda bigaragara.
Ⅰ. Umuganga ubaga craniomaxillofacial akora iki?
Kubaga Craniomaxillofacial mubisanzwe birimo intambwe zikurikira:
Isuzuma mbere yo gutangira no gutegura
Amateka arambuye hamwe nisuzuma ryumubiri, harimo isura yo mumaso no gufunga, birakorwa, hamwe nubushakashatsi bwerekana amashusho (nka CT na MRI) kugirango hamenyekane ibintu bidasanzwe muri skeleton ya craniofacial. Gahunda yihariye yo kubaga yateguwe, kandi umurwayi n'umuryango bamenyeshejwe byimazeyo ingaruka zo kubaga, ibizagerwaho, hamwe na gahunda yo gukira nyuma yo kubagwa. Ibizamini bya buri munsi mbere yo gutangira, nko kubara amaraso yuzuye, gupima coagulation, no gupima imikorere yumwijima nimpyiko, hamwe no gutegura umunwa.
Anesthesia
Ubusanzwe umurwayi yakira anesthesia muri rusange kugirango abone ihumure n'umutekano mugihe cyo kubagwa.
Gutegura
Ukurikije gahunda yo kubaga, ibice bikwiye byateguwe mu mutwe, mu maso, cyangwa mu kanwa kugira ngo bigaragaze neza skeleti ya craniofacial igomba kuvurwa.
Gufata amagufwa no kwimurwa
Gufata amagufwa bikozwe hakoreshejwe ibikoresho bikwiye, kandi amagufwa akusanyirizwa mumwanya ukwiye.
Gukosora imbere
Ibikoresho byo gutunganya imbere, nka plaque ya titanium na screw, bikoreshwa mukurinda amagufwa yimuwe mumwanya ukwiye, kurinda umutekano no gukira.
Gufunga
Nyuma yo kugabanya amagufwa no gukosorwa, gukata bifunze neza. Gusana imyenda yoroshye no kwiyubaka birashobora kuba ngombwa. Kuvura nyuma yubuvuzi harimo hemostasis, gushyira imiyoboro y'amazi, hamwe no kudoda ibikomere. Nyuma yo kubagwa, ibimenyetso byingenzi by’umurwayi bigomba gukurikiranirwa hafi, ingamba zo gukumira indwara zigomba gushyirwa mu bikorwa, kandi hagomba gutangwa amahugurwa akwiye yo gusubiza mu buzima busanzwe.
Ⅱ. Ni ubuhe buryo bwo kubaga Craniomaxillofacial?
Ingano yo kubaga craniomaxillofacial ikubiyemo ibintu bikurikira:
Gutondekanya ukurikije aho ubumuga bugaragara: Ubumuga bushobora gushyirwa mubyiciro bya gihanga, agahanga, sinema ya Ethmoid sinus, maxilla, igufwa rya zygomatike, amagufwa yizuru, urukuta rwa orbital, kandi byemewe.
Gutondekanya na etiologiya: Kwinjira kwinshi guterwa nibintu bivuka cyangwa byabonetse kandi birashobora kugabanywa mubice byiterambere kandi byabonetse. Iterambere ryibanze risa nigikorwa cyo kwifata ku mpinja zigenda zitera imbere kandi zikabura uko imyaka igenda ishira; impapuro zabonetse akenshi ziterwa nihungabana, ibibyimba, nibindi bintu. Ukurikije aho ubumuga bumeze, burashobora kugabanywamo kabiri hagati ya basilar invagination na non-midline basilar invagination.
Gutondekanya kubigaragaza kwa clinique: Ingero zirimo gutera imbere gukabije kwiterambere rya craniofacial na mandibular malformations (bizwi kandi nka syndrome ya Crouzon), ubumuga bwiza bwavutse (nanone buzwi ku izina rya Crouzon I), ubwoko bwa Crouzon II, ubwoko bwa Crouzon III, gukura kwa kavukire (bizwi kandi nka Klippel-Feil syndrome). Ukurikije X-ray itondekanya, hariho ibice byoroheje bya alveolar hamwe nibice bigoye bya alveolar. Ukurikije impinduka zindwara, hariho palate yuzuye kandi ituzuye.
Ukurikije ubukana, hari amanota I, II, III, na IV. Muri rusange, icyiciro cya I kiroroshye, mugihe icyiciro cya IV kirakabije.
Kubaga kwisiramuza harimo kubaga amagufwa ya zygomatike yo kubaga amagufwa, kubaga mandibular angle hypertrophy kubagwa (guhindura isura ya kare igahinduka isura ya oval), hamwe na chin osteotomy ya chin horizontal hamwe no kubaga iterambere (gukosora umunwa muto).
Uburyo bwo kubaga burimo gukuramo amenyo, gukuramo ibibyimba bya alveolar no kuvoma, kuvura ibibyimba, gusana iminwa no gusana, gukosora hypertrophyi y'ururimi, no kuvanaho urwasaya.
Muri make, ibikorwa byo kubaga craniomaxillofacial ni binini cyane, bikubiyemo ibintu byinshi, kuva ubumuga bwavutse kugeza ibikomere byabonetse, ndetse no gusana imikorere kugeza kubaga kwisiramuza.
Igihe cyo kohereza: Ukwakira-16-2025
