Broken shaya kunoda kunzwisisa kurapwa

A wakaputsika shaya - kutyora kuvimbika pfupa pasi pokudzora mauto. mitswe izvi zvinogona kuva:

• Zvinorwadza. Kune dzimwe kwechirwere, vapfurwa ronda, tsaona kana tsaona;
• Pathological. Ivo vasimuke nomuzvarirwo somugumisiro osteomyelitis, hombe chikofu kana akaipa bundu.

Mandibular mitswe pamusana anenge 70% kukuvara zvose zvinoitika pachiso. Rezasi shaya riri kuumbwa akafanana chidhongi uye kukuvara zviri zvakajairika kaviri, katatu uye kunyange mitswe.

Broken shaya Migumisiro inogona siyana. The inonyanya muromo kungoti haizorambi zvakanaka inozarurwa. Kana kutsemuka dzakatangira muchikamu lateral pamusoro mandible, ari mandibular kukuvara etsinga zvingaitika. Ipapo wacho kuona chiveve pakati shaya kubva zvakakanganisika, apo kukuvara bilateral bindira yose shaya. Kana shaya kutsemuka Break pamwe nomumukanwa mucosa uye akapfava zvinyama misodzi, zvinonzi kuvhura. Dzimwe pachiitiko chinotyisa zvaparadzwa midziyo huru huru hematoma aumba. Kazhinji achiperekedzwa pakakuvara imwe chipaparadzungu, uye dzimwe nguva, munhu pavanorwadziwa ndisingafungiri.

Kana iwe kana kuti mumwe munhu kubva mumamiriro ezvinhu yakabuda yakaputsika rushaya, unofanira kuramba wakadzikama uye kudana "amburenzi." Kazhinji, chimiro maronda pachiso hakurevi kuenzaniswa kwokuomerwa zvaparadzwa, asi haagoni kuita pasina rubatsiro unyanzvi. Kunyange kana kukuvara hakusi chakakomba zvikuru, edza kuisa pachako panzvimbo shaya hakufaniri, nokuti kunogona kukuvadza utano.

Kana munhu akuvara azheuka, inofanira kuiswa kudivi rimwe kuitira kuti nemate, ropa uye mutauro hauzoti chipingamupinyi kuti kufema. Inofanira zvifambiswe ari kuitawo. Kana zvikuru ropa kusvikira rubatsiro rwezveutano asvika, unogona kushandisa tampons, uye kana uine unyanzvi, zvakakodzera kumanikidza kuti carotid tsinga kubva kukuvara.

On kubvuma kuchipatara zvinenge aipedza X-ray kuzviongorora. Zvakakodzera kusimbisa chirwere, akaponesa pashure pokuongororwa murwere. Kana pane pakakuvara shaya, kurapwa ndiye anosarudza rekukwazisa murwere muine kudzikamiswa. nzira yake anosarudzwa zvichienderana kwokuomerwa zvaparadzwa. Treatment kunosanganisira matanho anotevera:

• Tikafunga nezvimedu, iro rinoitwa pasi zvomunharaunda yokutindivadza. It kunogona kuitwa zvakananga manually. Asi mune zvimwe zviitiko, kunyanya kana kubva panguva yokukuvara, akatora chaizvo kwenguva refu, nzira iyi rinoitwa zvishoma nezvishoma, vachishandisa chaiyo michina, uyewo extraoral kana intermaxillary traction;
• Kuda kutamba nezvimedu ari shaya bvupa kwenguva kupora. Kuti aite izvi, kushandisa dzakasiyana-siyana unyanzvi uye midziyo;
• Kusika zvinhu zvinokonzera nokukurumidza kuzoita shaya.
• Kudzivirira yematambudziko nezvirwere uye anogumbura hunhu.

Kana pakakuvara shaya ikarapwa surgically, zvimedu vanogona wakaiswa Via crosslinking kuti tantalum kana simbi waya, ndiro simbi kana tsono, extraoral midziyo.

The chinangwa chikuru kurapwa pakati mitswe ari shaya chinhu Fusion zvezvidimbu panzvimbo iyo kuchaita kudzorerwa occlusion, uye munguva pfupi. Kana akatyoka rushaya kubatanidzwa nemamwe zvakakomba kukuvara munhu, pane kudiwa epurasitiki kuvhiyiwa. Kazhinji vari kuitwa mumatanho akawanda, uye akaita dentures shaya chiso, kana zvichidikanwa. Dzimwe nguva pakakuvara shaya pane zvakadai matambudziko zvakakura sezvo osteomyelitis, yomumuzongoza, pute nezvimwe zvirwere.