Amapuleti ama-maxillofacial angamathuluzi asemkhakheni ahlinzekelwe ngomlomo nakwaMaxillofacial, asetshenziselwa ukuhlinzeka ngosizo kanye nokwesekwa emathanjeni emhlathi nangobuso elandela usizi, ukwakha kabusha, noma izinqubo zokulungisa. Lawa mapuleti eza ngezinto ezahlukahlukene, amacebo, kanye nosayizi ukuze ahlangabezane nezidingo ezithile zesiguli ngasinye. Le ndatshana izongena kwizinkampani ezinamandla amapuleti ama-maxillofacial, ekhuluma ngemibuzo evamile nokukhathazeka okuhlobene nokusetshenziswa kwazo.
Yimiphi imiphumela emibi yamapuleti e-titanium ebusweni?
Amapuleti e-Titanium asetshenziswa kabanzi ekuhlinzweni kwe-maxillofacial ngenxa yokuthambekela kwawo namandla abo. Kodwa-ke, njenganoma yikuphi ukufakwa kwezokwelapha, kwesinye isikhathi kungadala imiphumela emibi. Ezinye iziguli zingathola ukusabela okwenziwe kwasendaweni njengokuvuvukala, izinhlungu, noma ukuqina okuzungeze indawo ebekiwe. Ezimweni ezingavamile, izinkinga ezinkulu kakhulu njengokutheleleka noma ukuvezwa kwepuleti ngesikhumba kungenzeka. Kubalulekile ukuba iziguli zilandele imiyalo yokunakekelwa kwe-postoperative eduze ukunciphisa lezi zingozi.
Uyawasusa amapuleti ngemuva kokuhlinzwa kwe-jaw?
Isinqumo sokususa amapuleti ngemuva kokuhlinzwa komhlathi kuncike ezicini eziningana. Ezimweni eziningi, amapuleti e-titanium aklanyelwe ukuhlala endaweni yaphakade, njengoba enikeza ukuqina kwesikhathi eside nokusekelwa komhlathi. Kodwa-ke, uma isiguli sibhekana nezinkinga ezinjengokutheleleka, ukungakhululeki, noma ukuvezwa kwepuleti, ukususwa kungadingeka. Ngaphezu kwalokho, abanye odokotela abahlinzayo bangase bakhethe ukususa amapuleti uma bengasadingeki ekusekelweni okuhlelekile, ikakhulukazi ezigulini ezisencane eziqhubeka zikhula futhi zilungiswe kabusha.
Ngabe amapuleti wensimbi ahlala isikhathi esingakanani emzimbeni?
Amapuleti ensimbi asetshenziswa ekuhlitshweni kwe-maxillofacial, okwenziwe nge-titanium, aklanyelwe ukuba ahlala isikhathi eside futhi ahlala isikhathi eside. Ezimweni eziningi, la mapuleti angahlala emzimbeni unomphela ngaphandle kokuwohloka okukhulu. I-Titanium ihambelana kakhulu futhi imelana nokugqwala, okwenza kube yinto efanelekile yezitha zesikhathi eside. Kodwa-ke, isikhathi sokuphila kwepuleti singathonywa yizici ezifana nempilo yesiguli, ikhwalithi yamathambo, kanye nokuba khona kwanoma yiziphi izimo zezokwelapha ezingaphansi.
Ungazizwa izikulufa ngemuva kokuhlinzwa kwe-Jaw?
Kuyinto evamile ukuthi iziguli zizwakale ngezinga elithile lokuzwela ngezikulufo namapuleti ngemuva kokuhlinzwa kwe-jaw. Lokhu kungafaka imizwa yobulukhuni noma ukungakhululeki, ikakhulukazi esikhathini sokuqala se-postoperative. Kodwa-ke, le mizwa yehla ngokuhamba kwesikhathi njengoba isayithi lokuhlinza alulale nezicubu ezivumelana nobukhona bokufakelwa. Ezimweni eziningi, iziguli azihlangeli ngokungahambi kahle okuphezulu kwezikulufo.
Ayini amapuleti okuhlinza ama-jaw?
Amapuleti wokuhlinzwa kwe-Jaw ajwayele ukwenziwa nge-titanium noma nge-titanium alloys. Lezi zinto zokwenziwa zikhethwe ukuthembeka kwazo, amandla, kanye nokumelana nokugqwala. Amapuleti e-Titanium angasindi futhi angenziwa akwazi ukulingana ne-anatomy ethile yomhlathi wesiguli. Kwezinye izimo, izinto zokubekezelela nazo zingasetshenziswa, ikakhulukazi ngezinqubo eziyinkimbinkimbi eziyinkimbinkimbi noma ezigulini zezingane lapho ukukhula kwamathambo kusenzeka khona.
Kuhlanganisani ukuhlinzwa kwe-maxillofacial?
Ukuhlinzwa okuningiliillofacial kufaka phakathi izinqubo ezahlukahlukene ezihlose ukwelapha izimo ezithinta amathambo wobuso, imihlathi nezinhlaka ezihambisana nazo. Lokhu kungafaka ukuhlinzwa kokulungiswa kwezimo zokuwohloka okufana nokwakhiwa kolwandleka, ukwakhiwa kabusha kwenhlekelele kulandela ukulimala kobuso, kanye nokuhlinzwa okulungiselelwa kokulungisa ukubhekana nokulinywa okungekho emthethweni noma kobuso asymmetry. Ngokwengeziwe, odokotela abahlinzayo bakwaMaxillofacial bangenza izinqubo ezihlobene nezimila zamazinyo, ukuqhekeka kobuso, kanye nokususwa kwamathumbu noma ama-cysts ezifundeni zomlomo nangobuso.
Yikuphi okubonakalayo amapuleti adluliselwe ekuhlinzweni maxillofacial?
Amapuleti asetshenzisiwe ekuhlinzweni kwama-maxillofacial ngokuvamile enziwa ngezinto ezifana ne-polylactic acid (PLA) noma i-polyglycolic acid (PGA). Lezi zinto zokwenziwa zenzelwe kancane kancane zibhidlize umzimba ngokuhamba kwesikhathi, ziqeda isidingo sokulungiswa kwesibili ukususa okufakiwe. Amapuleti aqandayo awusizo ikakhulukazi ezigulini zezingane noma ezimweni lapho kudingeka khona ukusekelwa kwesikhashana ngenkathi ithambo liphulukisa futhi lilungisa kabusha.
Yini izimpawu zokutheleleka ngemuva kokuhlinzwa kwe-Jaw ngamapuleti?
Ukutheleleka kuyinkinga engaba khona ngemuva kokuhlinzwa kwe-jaw ngamapuleti. Izimpawu zokutheleleka zingafaka izinhlungu ezandayo, ukuvuvukala, ukubomvu, kanye nokufudumala esizeni sokuhlinza. Iziguli nazo zingathola umkhuhlane, ukuphuma kwepus, noma iphunga elibi elivela esilondeni. Uma noma yiziphi zalezi zimpawu zikhona, kubalulekile ukufuna ukunakekelwa kwezokwelapha ngokushesha ukuvikela ukutheleleka ekusakazeni nasekudaleni ezinye izinkinga.
Yini ipuleti ekuhlinzweni kwamathambo?
Ipuleti ekuhlinzweni kwamathambo yingxenye yensimbi emincane, eyisicaba noma enye impahla esetshenziselwa ukuhlinzeka ngosizo nokusekelwa kwamathambo aqhekekile noma ahlelwe kabusha. Ekuhlinzweni kwe-maxillofacial, amapuleti ajwayele ukusetshenziselwa ukubamba izingcezwana ezihlaselayo ndawonye, zibavumele baphulukise kahle. Amapuleti atholakala ngokujwayelekile ngezikulufo, adale uhlaka oluzinzile olukhuthaza ukuqondanisa kwamathambo afanele kanye nokuhlanganiswa.
Uhlobo luni lwensimbi olusetshenziswayo ekuhlinzweni kwe-maxillofacial?
I-Titanium iyinsimbi esetshenziswa kakhulu ekuhlinzweni kwe-maxillofacial ngenxa yokuthambekela kwayo okuhle kakhulu, amandla, kanye nokumelana nokugqwala. Amapuleti e-Titanium nezikulufa azisindi futhi zingakhiwa kalula ukuze zivumelane ne-anatomy yesiguli. Ngokwengeziwe, titanium mancane amathuba okubangela ukusabela komzimba uma kuqhathaniswa nezinye izinsimbi, okwenza kube ukukhetha okuphephile futhi okuthembekile kwezitha zesikhathi eside.
Yini impahla yokukhetha ye-maxillofacial prosthesis?
Izinto ezikhethiwe ze-maxillofacial prostheses zincike kwisicelo esithile nesidingo seziguli. Izinto ezijwayelekile zifaka phakathi i-silicone yezokwelapha, esetshenziselwa izicubu ezithambile zezicubu ezifana nezinsimbi zobuso noma ukwakhiwa kabusha kwamandlebe. Ukuze uthole izicubu ezinzima, njengezimilo zamazinyo noma ukufakwa kwe-jawbone, izinto ezifana ne-titanium noma i-zirconia zivame ukusetshenziswa. Lezi zinto zokwenziwa zikhethwe ukuqina kwazo, ukuqina, kanye nekhono lokuhlanganisa nezicubu ezizungezile.
Kusetshenziswa yiphi amapuleti omlomo?
Amapuleti womlomo, owaziwa nangokuthi amapuleti e-palatal noma izinto zomlomo, asetshenziselwa izinhloso ezahlukahlukene emthini we-maxillofacial nezamazinyo. Zingasetshenziswa ukulungisa izinkinga zokuluma, zinikeze ukusekelwa kokubuyiselwa kwamazinyo, noma ukusiza kwinqubo yokuphulukisa elandela ukuhlinzwa ngomlomo. Kwezinye izimo, kusetshenziselwa ukwelapha ukuphazamiseka kokulala njenge-sleep apnea ngokubuyisela umhlathi ukuthuthukisa ukuhamba ngendiza.
Ukugcina
Amapuleti ama-maxillofacial adlala indima ebalulekile ekwelashweni nokwakhiwa kabusha kokulimala kobuso nangokomhlambi kanye nokukhubazeka. Ngenkathi zinikeza izinzuzo eziningi, kubalulekile ukuze wazi imiphumela emibi nezinkinga. Ngokuqonda izinto ezisetshenzisiwe, izinkomba zokususwa kwepuleti, kanye nokubaluleka kokunakekelwa okufanele kwe-postoperative, iziguli zingenza izinqumo ezinolwazi mayelana nokwelashwa kwazo nokululama. Ukuthuthuka kwezinto ezibonakalayo isayensi kanye namasu okuhlinza aqhubeka nokwenza ngcono ukuphepha nokusebenza kahle kwamapuleti ama-maxillofacial, anikezela ngethemba nekhwalithi yempilo ethuthukisiwe yalabo abadinga lezo zinqubo.
Isikhathi sePosi: Mar-28-2025
