Nyob zoo cov phooj ywg, peb twb tham lawm ua li cas thiab
Nws yuav zoo li tias qhov nyuaj npaum li cas txog qhov no?
Tab sis! Txog tam sim no, cov neeg mob tuaj rau kev sab laj thiab hais tias - "Tab sis nyob rau hauv lwm lub tsev kho mob tus kws kho mob hais tias ... "Lawv hais tias cov hniav zoo li no tsis tuaj yeem raug tshem tawm sab nraum tsev kho mob, hauv chav kho mob maxillofacial, thiab txawm tias tsis muaj tshuaj loog. Zoo li, fraught nrog rau txim.
Tsis tsuas yog ua cov lus "tsev kho mob" thiab "kev phais mob maxillofacial" ua rau muaj kev ntshai ntawm qhov kev ntshai ntawm kev tawm tsam hauv ntau tus neeg mob, tab sis tom qab cov lus no nws nyuaj heev rau kev ntxias lawv lwm yam.
Tom qab muaj kev hem thawj, thiab kuv tsis tuaj yeem hu nws ua lwm yam, ntau tus mus rau hauv tsev kho mob, sau cov kev sim, pom zoo rau kev tso tshuaj loog thiab pw hauv pawg ntseeg tau ob peb hnub, txaus siab rau lub zej zog hauv zej zog, saib xyuas tus cwj pwm ntawm cov kws saib xyuas neeg mob thiab kab mob nosocomial.
Nyob rau tib lub sijhawm, rau lo lus nug "Yuav ua li cas ua kom pom tseeb qhov kev xav tau ntawm kev tshem tawm cov hniav tshwj xeeb hauv maxillofacial phais department?" Kuv yeej tsis tau txais cov lus teb meej.
Ib yam uas lawv ib txwm hais yog: "Zoo, lawv hais rau kuv tus hniav yog qhov nyuaj ... nws tob heev ... muaj cov hlab ntsha ntawm nws ...". Yog lawm, kuv tuaj yeem xav txog tias txhua yam no muaj tseeb, thiab muaj cov hlab ntsha nyob ntawd, thiab lub qhov (socket) kuj sib sib zog nqus, tab sis ... dab tsi yog qhov sib txawv hauv cov txheej txheem ntawm kev tshem tawm tus neeg mob thiab sab nraud?
Kev xeem?
Zoo, CT scan (3D volumetric duab) tuaj yeem ua tau - nyob qhov twg.
Rau dab tsi?
Thiab vim hais tias orthopantomography (OPTG, daim ntawv ntsuam xyuas lossis cov duab panoramic ntawm cov hniav) yog cov qauv, uas txhais tau hais tias txhua qhov kev nthuav dav ntawm daim duab yog superimposed txheej txheej ntawm ib leeg. Yog li ntawd, nws yog tsis yooj yim sua los soj ntsuam cov khoom ntawm kev kawm, tshwj xeeb tshaj yog, qhov chaw ntawm lub ntse hniav nyob rau hauv ib sab ntawm lub mandibular paj, nyob rau hauv tag nrho cov dav hlau, los ntawm ib tug txawv lub kaum sab xis los yog los ntawm ib tug txawv projection. CBCT (Cone Beam Computed Tomography), ntawm qhov tsis sib xws, muab lub sijhawm rau peb.
Tej zaum cov maxillofacial units ntawm koj li ntiav cov kws kho mob tshwj xeeb uas muaj cov txheej txheem rau kev tshem tawm cov hniav? Qhov twg, tsis muaj kev txiav txim siab lossis kev siv dag zog, yuav yuam kom 8th yaj nrog lub zog ntawm kev xav?
Zoo, tsis muaj ib yam!
Thiab kuv pheej nug tias: "Tseem pom cov hniav raug tshem tawm sai thiab tsis muaj dab tsi cuam tshuam koj?" Crap! Tsis tau ua nws ntawm no.
Lub sijhawm nruab nrab ntawm kev tshem tawm cov hniav uas muaj kev cuam tshuam qis dua (cov uas nyob hauv qab cov pos hniav) hauv cov tsev kho mob, raws li cov neeg mob, yog 2,5 teev. Kuv hnov ob peb zaug, cia li xav txog nws, txog 4(!) teev. Koj tsis xav tias qhov no yog overkill? Thaum lub sijhawm no, koj tuaj yeem ua lub qhov txhab nqa ntawm ob sab, nruab 8 qhov kev cog lus, xaj koj tus kheej noj su, thiab tseem muaj sijhawm los pw tsaug zog. Rau kuv cov lus zoo li "hauv peb lub tsev kho mob, tshem cov hniav zoo li qhov no yuav siv sijhawm li 25-30 feeb, los ntawm kev siv tshuaj loog mus rau suture," ntau tus neeg, muab nws me me, saib nrog kev xav tsis thoob.
Kuv xav tias koj, tau siv sijhawm 4 teev hauv tus kws kho hniav lub rooj zaum, thiab txawm tias qee tus xibfwb, dai nrog regalia, yuav tsis ntseeg tias txhua yam no tuaj yeem ua tiav "me ntsis" sai dua. Thiab nyob rau hauv ib tug ntau tus phooj ywg, calm thiab xis chaw. Tsis muaj kev txaus ntshai thiab kev txhawj xeeb.
Yog li vim li cas tib neeg raug xa mus rau lub tsev kho mob maxillofacial kom tshem tawm lawv cov hniav? Leej twg ua qhov no?
Nov yog leej twg:
- txawm tus kws kho mob tsis paub yuav ua li cas / ntshai tshem cov hniav thiab xav ua si kom nyab xeeb los ntawm kev xa koj mus rau lwm tus kws tshaj lij (uas yog feem ntau)
- los yog lawv xav ntxias koj tawm ntawm cov nyiaj.
Thawj qhov yog qhov tseeb. Yog koj tsis paub yuav ua li cas, muab rau lwm tus. Qhov no yog lawm.
Tab sis dab tsi yog nyiaj tau los ua nrog nws thiab vim li cas "sib nrauj" nws? Vim tias koj tab tom them cov kev pabcuam uas, raws li peb nyuam qhuav pom, tsis tsim nyog:
- tus nqi ntawm ib hnub siv hauv tsev kho mob yog li 4 txhiab rubles. Nyob ntawm seb koj puas yuav muaj ib chav, lossis ob peb hmo koj yuav hnov snoring ntawm lwm nees nkaum ntawm tib neeg "muaj hmoo" nrog cov hniav ntse.
Tab sis hais tias tsis yog txhua txhua.
Yog tias koj xav tau tshuaj loog dav dav, ntxiv rau koj cov nyiaj siv hauv pawg ntseeg kev sab laj nrog tus kws kho mob tshuaj loog-resuscitator (kwv yees li 1,5 txhiab rubles), qhov kev kuaj xyuas tsim nyog (qhov nruab nrab 3 txhiab rubles), thiab cov txheej txheem tshuaj loog nws tus kheej. Tsawg kawg yog ob teev, tab sis qee zaum ntau dua. Thiab qhov no tuaj yeem raug nqi los ntawm 8 mus rau 30 txhiab rubles.
Tab sis kev phais nws tus kheej yog tsim nyog ib yam dab tsi, txoj cai? Raws li txoj cai, tshem tawm cov hniav cuam tshuam los ntawm 14 txog 23 txhiab rubles. Peb tuaj yeem xav tias hauv tsev kho mob zoo cov nqi tshem tawm yuav sib piv (tsis suav cov pawg ntseeg, tshuaj loog, kev sim, kev sib tham thiab tshuaj loog).
Koj puas xav tias qhov txawv? Zoo, tsis yog kev sib nrauj? Lawv ntshai koj, ces lawv ntxias nyiaj los ntawm koj. Tau nyiaj ntau heev.
Vim li cas kuv thiaj sau tag nrho cov no?
Kuv xav qhia rau koj, cov phooj ywg, uas xyaum Tsis muaj cov hniav txawj ntse uas tsis tuaj yeem raug tshem tawm sab nraum lub tsev kho mob, ntawm kev teem caij kho mob tsis tu ncua. Tau siv ntau tshaj plaub caug feeb ntawm kev sib tham, kev kuaj xyuas thiab kev ua haujlwm nws tus kheej, koj yuav daws qhov teeb meem ib zaug thiab rau tag nrho. Nyob rau lub sijhawm luv tshaj plaws, koj yuav rov qab los ua haujlwm, koj tuaj yeem mus txog koj txoj kev lag luam, yuav luag tsis txawv ntawm koj txoj kev ua neej ib txwm muaj. Tsis tas yuav mus so mob thiab ntiav tus kws saib xyuas neeg mob. Ua neej nyob li qub, tab sis nrog qee cov lus pom zoo tom qab ua haujlwm, teem caij thiab kuaj xyuas.
Ua tsaug rau koj mloog. Kuv yuav zoo siab los teb koj cov lus nug hauv cov lus!
Nyob zoo, Andrey Dashkov
Dab tsi ntxiv koj tuaj yeem nyeem txog cov hniav ntse thiab lawv tshem tawm?
Tau qhov twg los: www.hab.com
