Zochepetsera ndi nsagwada? Dislocation cha pachibwano. zimfundo nsagwada

Dislocation wa olowa temporomandibular ali ndi malo kwambiri mu dongosolo la kudwala wa dera maxillofacial. Lolani anthu makamaka wamphamvu ndi pensioners, akazi nthawi zambiri kuposa amuna chifukwa cha mbali anatomical. The makina m'munsi nsagwada, ndi yoikidwiratu chapamwamba nsagwada ndi minofu masticatory kuti achite mogwirizana awo zimapanga zida maxillo-mano.

Dislocation wa olowa temporomandibular amatchedwa chikhalidwe pathological imene pamalo olowa sizili zofanana. Ichi ndi chifukwa chakuti mutu wa mandible kuchokera M'mimbamo glenoid la fupa mwakanthawi. Nkhaniyi ikufotokoza gulu la dislocations ndi kuyang'ana pa zochepetsera ndi nsagwada.

Gulu la dislocation cha pachibwano

Malinga ndi malo anatomical wa wachibale mutu ndi sprained maganizo dislocation zimachitika:

1. Front.

2. kumbuyo.

Malinga mmene ya kali olowa ndi kuchepetsa, dislocation wa mandible angakhale:

1. Complete - pamene mismatch wathunthu.

2. subluxation - tsankho mismatch pa kali articular.

Kutanthauzira zimapangitsa dislocation wa mandible ndi:

1. Unilateral (kumanja kapena kumanzere).

2. kawiri amaganiza - mtundu Ichi ndi ofala.

Zizindikiro Anamnestic ndi nthawi ya kukhalapo amachita dislocation:

1. Kwa nthawi yoyamba anauka.

2. stale - ngati si mankhwala dislocation chachikulu mwa masabata 1-2 kapena kuposa.

3. kabwerebwere dislocation cha pachibwano - pali zambiri (mwina zina zingapo patsiku), amachepetsa ndi kudzikonda.

Monga mukhoza kukhala malinga ndi mavuto amene amabwera dislocation:

1. A yosavuta wopepuka.

2. mavuto (ndi chotupa minofu, Mitsemphayi, khungu, mitsempha ziwiya, wovulala pachibwano).

Zochepetsera ndi nsagwada pa sprains zosiyanasiyana? Funso limeneli ndi lofunika kwa ambiri.

zimayambitsa

Sprains zimachitika chifukwa cha kuvulala zoopsa:

1. choipa ndiponso kunyanyala pa zinthu kapena m'munsi nsagwada pa kugwa.

2. akuthwa kayendedwe amphamvu nsagwada pa kudya, kutafuna chakudya zovuta.

3. Yawning kapena mphamvu pakamwa kutsegula.

Komanso zoipa zingachitike chifukwa izi kuvulala sanali zoopsa:

• zizolowezi zoipa, zomwe angayambe poika zinthu mubwatolo pakamwa kapena nsagwada ntchito kwa cholinga chake (anthu kutsegula mabotolo, zitini, kugawanika mtedza pakamwa).
• Pamaso pa matenda maziko kuti kufooketsa mitsempha-articular zida (shuga, olowa nyamakazi, zotupa enaake ophwanya ndi nyamakazi, osteomyelitis wa mandible, kufooka kwa mafupa, kusintha obwera ndi ukalamba).

Chithandizo cha contortions izi zikugwira Maxillofacial Opaleshoni mu Moscow.

zizindikiro matenda ndi njira yodziwira

Pamene pali dislocation, angamvele kuwonekera mu nsagwada limodzi lomwe limodzi ndi ululu m'malo kwambiri. Pambuyo pake, pakamwa si kutsekedwa chifukwa ululu kapena kutsekeka makina.

Malinga wotani dislocation zinachitika (kumbuyo kapena kutsogolo), nsagwada anakankhira mwina patsogolo kapena limalephera kumbuyo. Ngati ndi mmodzi ndiye amaganiza, ndiye nsagwada zikuwoneka skewed. Zonsezi limodzi ndi salivation kwambiri, Pomeza, chifukwa ndondomekoyi wathyoka.

kulankhula kwa anthu amakhala slurred kapena zosatheka. Kawirikawiri, zizindikiro zimenezi kuonekera pa dislocation loyamba pachibwano.

A nthawi zina tiyenera papite, ndipo ngati dislocation siziri zolondola, ndiye adzakhala stale. Nthenda minofu yovulazidwa kukula pa mafupa a nsagwada, pali manja a minofu ndi Mitsemphayi. Chifukwa, izo kumakhala kovuta kuti muyike pena ndi likhale olowa mu udindo thupi.

About subluxation

Subluxation wa olowa temporomandibular N'zochititsa chidwi. Monga ulamuliro, si matenda kwa nthawi yaitali chifukwa pakalibe waledzera. Nthawi atayika, pali kukanika la nsagwada m'munsi. Ndipo ili ndi mwayi kovuta kuti muyike pena nsagwada m'munsi mwa njira muyezo.

Aakulu kapena chachikulu sprains zambiri zoyambitsa kabwerebwere dislocation. Olowa kapisozi ndi Mitsemphayi kwambiri pererastyagivaetsya, olowa bata atayika. Mutu mosalekeza ukatuluka mwa pamwamba olowa posankha kayendedwe aliyense wa pachibwano.

The njira yaikulu matenda ndi radiography wa mandible ndi olowa. Koma zingakhale unhelpful. Kenako ananyamula ultrasound, CT kapena Kujambula.

Kupanga zoopsa ngati ali bwino mu dipatimenti maxillofacial wa kuchipatala chigawo.

chithandizo ndiwofatsa

Njira mankhwala akhoza kugawidwa mu opaleshoni ndipo ndiwofatsa. Izo zimatengera mtundu wa dislocation, ndipo ngati n'zotheka kuthetsa njira yofatsa.

Sitepe yoyamba ndi ndiwofatsa mankhwala, amene ntchito ngati gawo loyamba kwa mitundu yonse ya contortions. Kuchepetsa olowa kuchepetsa mutu mu M'mimbamo glenoid.

Zochepetsera ndi nsagwada? Pa lino.

Masiteji kuchepetsa dislocation cha pachibwano

Wodwala ayenera kukhala pa mpando ndi kumbuyo olimba ndi headrest. Mutu ndi kufunika thupi kuti clamped ndi thandizo phazi mbamuikha pansi kapena gome. Chofunika kujambula wathunthu wa thupi mu malo enieni.

Nsagwada mfundo zamizidwa ndi kusakhala mankhwala ochititsa. Agwire kusalola wathuyo pamwamba lidocaine wa kapena novocaine. Pamene mankhwala ochititsa dzanzi ambiri amaperekedwa ndi minofu yosangalala ndi kuchepetsa bwino. Pali milandu muyike pena popanda kugwiritsa ntchito mankhwala ochititsa dzanzi.

Doctor mphepo likundikanikizira ake ndi bandeji kapena gauze. Izi ziyenera kuchitika pofuna kupewa kupweteka mano wodwalayo. Kenako anaika mu pakamwa pa amisiri a nsagwada m'munsi, zala zina ayenera kuphunzira nsagwada m'munsi ndi ngodya zake.

Yopangidwa kuchepetsa mwachindunji - nsagwada anawamvera pansi ndi kumbuyo, kenako anasamukira patsogolo. Pa gawo lotsiriza, akwezedwa ndipo kumbuyo. Dislocation motero kuchepetsa, ziribe kanthu mtundu wanji icho chiri.

Mutu wa nsagwada inapangidwa zoyenda zozungulira padziko M'mimbamo glenoid. Pambuyo pokhala vpravlen dislocation, nsagwada ayenera atathana pa masiku 14, nthawi zina yaitali. Pakuti zolinga zimenezi, ntchito matayala kapena imposition wa bandeji ochiritsira. Pakamwa angatsegulenso kwambiri, choncho chakudya sayenera zovuta.

ntchito bwino olowa abwezeretsedwa ngati malangizo onse anakumana. Aakulu kapena kabwerebwere dislocation anakonza njira ina pambuyo kuchepetsa a. Izi amafuna chipangizo chapadera chimene chimathandiza logwirana nsagwada udindo. Kukonza kufunika fouling olowa connective minofu.

mankhwala ntchito

ntchito kwambiri wa mtundu uwu amanyamula Maxillofacial Opaleshoni mu Moscow.

mtundu wa mankhwala ndi ntchafu nsagwada ndi okhawo pamene aakulu kapena njira mwachizolowezi. Ndipo pa nthawi imene njira ochiritsira sititenga muyike pena. Mothandizidwa ndi opaleshoni, ndi mitsempha latsopano analenga kapena kubwezeretsedwa akale. Iwo adzaonetsetsa kuti mandibular olowa adzatsala khola. Kuchepetsa ndi ntchafu, anapanga akukonzekera pachibwano.

thandizo mu dislocation

Choncho, munthu ntchafu pachibwano. Kodi kuwongoka yekha? Kumbukirani kuti ndondomeko ndi kuwawa kwambiri, osati aliyense azipanga izo. Choncho ndi bwino kukhulupirira mu manja a katswiri.

Koma pamwamba pa zonsezi, wodwala ayenera thandizo kapena choyamba. Wovulalayo ayenera kukhadzikika ndipo yesetsani kupanga magulu aliyense pachibwano.

Mothandizidwa ndi improvised zikutanthauza nsagwada chili ku ndondomeko ya kayendedwe ku malo dokotala anali sabweretsa chisoni. Ngati mukufuna ndi mwayi munthu akhoza kuthandiza kuchepetsa ululu. Kuchita izi, inu mukhoza kutenga mankhwala ngati "paracetamol", "ketorol", "Analgin". Musati muyesere kuwongola nsagwada yekha.

Takambiranazi mwatsatanetsatane zochepetsera ndi nsagwada. ndondomeko zimenezi n'kofunika kwambiri, chopweteka. Choncho ndikofunikira kutembenukira kwa apadera maxillofacial dipatimenti m'chipatala amaganiziridwa dislocation a mtundu uliwonse. Kukokera izi ayeneranso kukhala, chifukwa n'zotheka chitukuko cha mavuto aakulu.