Ngu-CAH Medical | eSichuan, eShayina
Kubathengi abafuna ama-MOQ aphansi kanye nezinhlobonhlobo zemikhiqizo ephezulu, abaphakeli be-Multispecialty banikeza ukwenza ngokwezifiso kwe-MOQ ephansi, izixazululo ze-logistics kusukela ekuqaleni kuya ekugcineni, kanye nokuthengwa kwezigaba eziningi, okusekelwa ulwazi lwabo olucebile embonini kanye nensizakalo kanye nokuqonda okuqinile kwezitayela zomkhiqizo ezisafufusa.
Ⅰ. Yini eyenziwa udokotela ohlinzayo we-craniomaxillofacial?
Ukuhlinzwa kwe-craniomaxillofacial ngokuvamile kuhilela izinyathelo ezilandelayo:
Ukuhlolwa nokulungiselela ngaphambi kokuhlinzwa
Umlando oningiliziwe kanye nokuhlolwa ngokomzimba, okuhlanganisa ukubukeka kobuso kanye nokuvaleka, kwenziwa, kanye nezifundo ze-cranial imaging (njenge-CT ne-MRI) ukuhlola ukukhubazeka kwamathambo e-craniofacial. Kusungulwa uhlelo lokuhlinzwa oluqondene nomuntu siqu, futhi isiguli nomndeni baziswa ngokugcwele ngezingozi zokuhlinzwa, imiphumela elindelekile, kanye nenqubo yokululama ngemva kokuhlinzwa. Ukuhlolwa okuvamile kwangaphambi kokuhlinzwa, njengenani eliphelele legazi, ukuhlolwa kokuqina kwegazi, kanye nokuhlolwa kokusebenza kwesibindi nezinso, kwenziwa, kanye nokulungiselela ngomlomo okudingekayo.
Ukubulala izinzwa
Isiguli sivame ukuthola i-anesthesia ejwayelekile ukuqinisekisa induduzo nokuphepha ngesikhathi sokuhlinzwa.
Ukuhlela ukusikwa
Ngokwecebo lokuhlinzwa, ukuhlikihlwa okufanele kuklanyelwe esikhumbeni sekhanda, ebusweni, noma emlonyeni ukuze kuvezwe ngokugcwele uhlaka lwesikhumba oluzophathwa.
Ukusikwa kwamathambo nokufuduka kwawo
Ukusikwa kwamathambo kwenziwa kusetshenziswa amathuluzi afanele, bese amathambo efakwa endaweni efanele.
Ukulungiswa kwangaphakathi
Amadivayisi okuqinisa angaphakathi, njengamapuleti e-titanium nezikulufo, asetshenziselwa ukuqinisa amathambo asusiwe endaweni efanele, ukuqinisekisa ukuzinza nokuphulukiswa.
Ukuvalwa kwe-Incision
Ngemva kokuncipha kwethambo nokuqina kwalo, ukusikwa kuvalwa ngokucophelela. Ukulungiswa nokwakhiwa kabusha kwezicubu ezithambile kungadingeka. Ukunakekelwa ngemva kokuhlinzwa kuhlanganisa ukususwa kwegazi, ukufakwa kwepayipi lokukhipha amanzi, kanye nokuthunga amanxeba. Ngemva kokuhlinzwa, izimpawu ezibalulekile zesiguli kumele ziqashwe ngokucophelela, izinyathelo zokuvimbela ukutheleleka kumele ziqaliswe, futhi kuhlinzekwe ukuqeqeshwa okufanele kokuvuselelwa.
Ⅱ. Iyini inhloso yokuhlinzwa kwe-craniomaxillofacial?
Ububanzi bokuhlinzwa kwe-craniomaxillofacial buhlanganisa izici ezilandelayo:
Ukuhlukaniswa ngendawo yokukhubazeka: Ukukhubazeka kungahlukaniswa njengalokho kogebhezi, ibunzi, i-ethmoid sinus, i-maxilla, ithambo le-zygomatic, ithambo lekhala, udonga lwe-orbital oluseceleni, kanye ne-mandible.
Ukuhlukaniswa ngokwemvelaphi: Ukungena kwe-basilar kubangelwa izici zokuzalwa noma ezitholwe futhi kungahlukaniswa kabanzi ngezimbangela zokukhula kanye nezitholwe. Ukungena kwe-basilar okuthuthukayo kuyisimo esizikhawulela ezinganeni esithuthuka kancane kancane futhi sinyamalale njengoba zikhula; izinhlobo ezitholwe zivame ukubangelwa ukulimala, izimila, nezinye izici. Ngokusekelwe endaweni yokukhubazeka, kungahlukaniswa kabanzi kube ukungena kwe-basilar okuphakathi kanye nokungena kwe-basilar okungephakathi.
Ukuhlukaniswa ngokwezimpawu zemitholampilo: Izibonelo zifaka phakathi ukukhubazeka okujulile kwe-craniofacial kanye ne-mandibular (okwaziwa nangokuthi i-Crouzon syndrome), ukukhubazeka kwe-cranial congenital okungekuhle (okwaziwa nangokuthi i-Crouzon type I), i-Crouzon type II, i-Crouzon type III, ukukhula ngokweqile kokuzalwa (okwaziwa nangokuthi i-Klippel-Feil syndrome), kanye ne-brachycephaly. Ngokusekelwe ekuhlukanisweni kwe-X-ray, kunezimfa ze-alveolar ezilula kanye nezimfa ze-alveolar eziyinkimbinkimbi. Ngokusekelwe ezinguqukweni ze-pathological, kunezimfa ze-cleft eziphelele nezingaphelele.
Ngokusekelwe ebunzimeni, kunezigaba I, II, III, kanye ne-IV. Ngokuvamile, ibanga I lincane, kanti ibanga IV linzima kakhulu.
Ukuhlinzwa kobuhle kufaka phakathi ukuhlinzwa kokunciphisa amathambo okune-zygomatic ephezulu, ukuhlinzwa kwe-mandibular angle hypertrophy (ukushintsha ubuso obuyisikwele bube ubuso obuyindilinga), kanye nokuhlinzwa kwe-osteotomy kanye nokuhlinzwa kokuthuthukiswa kwesilevu okuvundlile (ukulungisa isilevu esincane).
Izinqubo zokuhlinzwa zifaka phakathi ukukhipha izinyo, ukusikwa kwe-alveolar abscess kanye nokuphuma kwamanzi, ukususwa kwesimila, ukulungiswa kwezindebe eziqhekekile kanye nolwelwesi, ukulungiswa kwe-hypertrophy yolimi, kanye nokususwa kwe-jaw cyst.
Ngamafuphi, ububanzi bokuhlinzwa kwe-craniomaxillofacial bubanzi kakhulu, buhlanganisa izimo eziningi ezahlukene, kusukela ekukhubazekeni kokuzalwa kuya ekulimaleni okutholiwe, kanye nokulungiswa kokusebenza kuya ekuhlinzeni ubuhle.
Isikhathi sokuthunyelwe: Okthoba-16-2025
