NaCAH Medical | Sichuan, China
Kune vatengi vari kutsvaga MOQ shoma uye mhando dzakasiyana dzezvigadzirwa, Multispecialty Suppliers vanopa maitiro avo ekugadzirisa MOQ yakaderera, mhinduro dzezvinhu kubva kumagumo kusvika kumagumo, uye kutenga zvinhu zvakasiyana-siyana, zvichitsigirwa neruzivo rwavo rwakakura muindasitiri nebasa uye kunzwisisa kwakasimba kwemafambiro ezvigadzirwa ari kubuda.
Ⅰ. Chii chinoitwa nachiremba wepfungwa ane ganda rakapinza (craniomaxillofacial surgeon)?
Kuvhiyiwa kweCraniomaxillofacial kunowanzo sanganisira matanho anotevera:
Kuongorora nekugadzirira usati wavhiyiwa
Nhoroondo yakadzama uye kuongororwa kwemuviri, kusanganisira chitarisiko chechiso uye kuvhara, zvinoitwa, pamwe chete nezvidzidzo zvemifananidzo yemusoro (senge CT neMRI) kuti vaone kana paine zvisina kumira zvakanaka mumapfupa emusoro. Hurongwa hwekuvhiya hunogadzirwa, uye murwere nemhuri vanoziviswa zvizere nezvenjodzi dzekuvhiya, mhedzisiro inotarisirwa, uye maitiro ekupora mushure mekuvhiyiwa. Kuongororwa kwese kwese kwese kweropa, senge kuverenga ropa rakazara, bvunzo dzekuvhara ropa, uye bvunzo dzekushanda kwechiropa neitsvo, zvinoitwa, pamwe chete nekugadzirira kwemuromo kunodiwa.
Anesthesia
Murwere anowanzo gamuchira anesthesia kuti ave nechokwadi chekuti anonzwa akasununguka uye akasununguka panguva yekuvhiyiwa.
Kuronga kucheka
Zvichienderana nehurongwa hwekuvhiya, machekwa akakodzera akagadzirwa mumusoro, kumeso, kana mumuromo kuti mapfupa emusoro aonekwe zvizere kuti arapwe.
Kuchekwa kwemapfupa uye kubviswa kwawo
Kuchekwa kwemapfupa kunoitwa uchishandisa zvishandiso zvakakodzera, uye mapfupa anoendeswa panzvimbo yakakodzera.
Kugadziriswa kwemukati
Midziyo yekugadzirisa mukati, yakaita setitanium plates ne screws, inoshandiswa kuchengetedza mapfupa akabviswa panzvimbo chaiyo, zvichiita kuti mapfupa acho agare akasimba uye apore.
Kuvhara kwekucheka
Mushure mekuchekwa kwemapfupa nekugadziriswa, kucheka kwacho kunovharwa nokungwarira. Kugadziriswa kwenyama yakapfava uye kugadziriswa patsva kunogona kudiwa. Kutarisirwa mushure mekuvhiyiwa kunosanganisira kubuda ropa, kuiswa kwechubhu yemvura, uye kusukwa kwemaronda. Mushure mekuvhiyiwa, zviratidzo zvakakosha zvemurwere zvinofanirwa kutariswa zvakanyanya, matanho ekudzivirira hutachiona anofanira kuitwa, uye kudzidziswa kwakakodzera kwekugadziriswazve kunofanirwa kupihwa.
Ⅱ. Chii chinonzi Craniomaxillofacial surgery?
Kuvhiyiwa kwecraniomaxillofacial kunosanganisira zvinhu zvinotevera:
Kupatsanurwa nenzvimbo yekuremara: Kuremara kunogona kuiswa muzvikamu zvakaita sekwedehenya, huma, ethmoid sinus, maxilla, zygomatic bone, nasal bone, lateral orbital wall, uye mandible.
Kupatsanurwa nezvikonzero: Kupinda kweBasilar kunokonzerwa nezvinhu zvekuzvarwa nazvo kana zvinowanikwa uye kunogona kukamurwa kuita zvikonzero zvekukura nezvinowanikwa. Kupinda kwebasilar mukukura chirwere chinozviganhurira muvacheche chinovandudzika zvishoma nezvishoma uye chinopera nekukura; mafomu anowanikwa anowanzo kukonzerwa nekukuvara, bundu, nezvimwe zvinhu. Zvichienderana nenzvimbo yekuremara, inogona kukamurwa kuita midline basilar invagination uye non-midline basilar invagination.
Kupatsanurwa zvichienderana nezviratidzo zvekiriniki: Mienzaniso inosanganisira progressive severe developmental craniofacial and mandibular malformations (inozivikanwawo seCrouzon syndrome), benign congenital cranial deformities (inozivikanwawo seCrouzon type I), Crouzon type II, Crouzon type III, congenital overgrowth (inozivikanwawo seKlippel-Feil syndrome), uye brachycephaly. Zvichibva paX-ray classification, kune simple alveolar clefts uye complex alveolar clefts. Zvichibva pakuchinja kwepathological, kune complete neasina kukwana cleft palates.
Zvichienderana nekuoma kwechirwere, pane magiredhi I, II, III, uye IV. Kazhinji, giredhi I harinyanyi kuoma, nepo giredhi IV rinonyanya kuoma.
Kuvhiyiwa kwekunaka kunosanganisira kuvhiyiwa kwekuderedza mapfupa zvakanyanya, kuvhiyiwa kwekuwedzera angle yemusana (kuchinja chiso chesikweya kuita chechiso cheoval), uye kuvhiyiwa kwe osteotomy yechirebvu chakatambanudzwa uye kuvhiyiwa kwekusimudzira chirebvu (kugadzirisa chirebvu chidiki).
Maitiro ekuvhiya anosanganisira kubvisa mazino, kuchekwa kweganda remudumbu uye kubuda kwemvura, kubviswa bundu, kugadziriswa kwemiromo yakatsemuka nemuromo, kugadziriswa kwe hypertrophy yerurimi, uye kubviswa kwe shaya.
Muchidimbu, nzira yekuvhiya craniomaxillofacial yakakura zvikuru, ichisanganisira zvirwere zvakasiyana-siyana, kubva pakuremara kwekuzvarwa nakwo kusvika pakukuvara kwakawanikwa, uye kubva pakugadzirisa mashandiro emuviri kusvika pakuvhiya kutaridzika zvakanaka.
Nguva yekutumira: Gumiguru-16-2025
