Nyob zoo cov phooj ywg, hauv kab lus dhau los, peb tau tham txog - ΠΈ . Niaj hnub no kuv xav kom digress me ntsis thiab tham txog implantation, thiab tshwj xeeb tshaj yog ib-theem implantation, thaum lub implant yog ntsia ncaj qha mus rau hauv lub qhov (socket) ntawm cov hniav rho tawm, thiab hais txog sinus lifting, ib tug nce nyob rau hauv lub ntim ntawm cov pob txha cov ntaub so ntswg nyob rau hauv qhov siab. . Qhov no yog qhov yuav tsum tau thaum txhim kho cov khoom cog hauv thaj tsam ntawm 6, 7, lossis tsawg dua 5 cov hniav hauv lub puab tsaig sab saud. Cov pob txha augmentation yuav tsum tau vim muaj kab noj hniav nyob rau hauv lub puab tsaig sab sauv - lub Maxillary sinus. Feem ntau, nws occupies feem ntau ntawm lub puab tsaig sab sauv, thiab qhov kev ncua deb ntawm ntug ntawm cov pob txha mus rau hauv qab ntawm lub qhov ntswg yog tsis txaus rau nruab ib qho kev cog ntawm qhov yuav tsum tau ntev.
Ib qho CT scan qhia meej tias muaj qhov sib txawv ntawm qhov chaw ntawm cov hniav uas ploj lawm.
Kuv feem ntau hnov ββcov kws kho mob hais tias, "Tsis yog, tsis yog, tsis yog, koj tsis tuaj yeem tso qhov cog tam sim ntawd!" Ua ntej, peb yuav tshem cov hniav, thiab thaum txhua yam zoo, ces peb yuav nruab nws! " Ib lo lus nug tsim nyog yog vim li cas? Leej twg paub? Txaus siab rau kuv tus kheej. Txawm hais tias yog vim tsis paub tseeb hauv kev kwv yees, lossis vim kev ntshai ntawm cov teeb meem, uas, qhov tseeb, tsis muaj ntau tshaj li kev phais classical. Ntawm chav kawm, yog tias txhua yam ua tiav kom raug. Hauv kuv qhov kev coj ua, feem pua ββββntawm kev cog qoob loo ib txhij nrog rau txoj hauv kev classical yog li 85% txog 15%. Pom zoo, tsis yog me ntsis. Qhov twg yuav luag txhua qhov kev ua haujlwm hauv qhov kev tshem tawm cov hniav yog qhia xaus nrog implantation. Qhov tsuas yog qhov tshwj xeeb yog mob o nyob rau hauv thaj tsam ntawm cov hniav ua rau cov hniav, thaum cov kua paug ntws sib xyaw nrog snot. Los yog thaum cog tsis ruaj khov thiab dangles nyob rau hauv lub qhov zoo li ib tug cwj mem nyob rau hauv ib khob. Kev peev nyiaj txiag kuj ua lub luag haujlwm tseem ceeb. Leej twg yuav siv nyiaj ntau txaus siab rau txhua yam, tab sis tsis yog ntawm cov hniav. Koj tsis tuaj yeem sib cav nrog qhov ntawd. Tab sis muaj ib qho "Tab sis"! Koj yuav tsum nkag siab tias ntau lub sij hawm dhau los ntawm lub sijhawm ntawm kev tshem tawm cov hniav mus rau qhov pib ntawm cov khoom siv prosthetics, qhov phem tshaj qhov kev tso rau qhov kev cog lus tib yam. Raws li lawv hais: "qhov chaw dawb huv yeej tsis muaj qhov khoob." Nyob rau tib lub sij hawm, ib tug xov tooj ntawm cov teeb meem qus tshwm sim uas kuj yuav tsum tau daws. Thiab cov no yog ib txwm ntxiv, thiab feem ntau tseem ceeb, cov nuj nqis. Koj puas xav tau nws?
Zoo! Cia peb mus rau qhov piv txwv.
Qhov yooj yim tshaj plaws ntawm ib-kauj ruam implantation yog ib tug hauv paus hniav. Ua nws lub puab tsaig sab sauv lossis sab qis.
Qhov CT scan no tau ua tiav ua ntej tus hniav sib nrug.
Peb pom dab tsi?
Sab laug 5, tsis raug kho los yog kho orthopedic. Peb ua dab tsi? Yog lawm - tshem cov hniav thiab ntsia hlau rau hauv lub ntsia liaj qhov rooj.
Kuv ua ib tug maj, atraumatic cov hniav rho tawm thiab ntsia ib tug implant nrog ib tug pos hniav qub.
Cov pos hniav qub yog qee yam zoo li qhov qis (qhov nruab nrab ntawm 3 hli hauv qhov siab), cov pob txha hlau uas tawm me ntsis saum cov pos hniav, yog li tsim nws cov contour ua ntej txhim kho lub kaus mom. Nws zoo li qhov no:
Thiab qhov no yog qhov implant nws tus kheej zoo li:
Qhov grey yog qhov cog nws tus kheej. Qhov xiav yog qhov hu ua abutment ib ntus, uas ib ntus yas tuaj yeem txuas tau yog tias kev cog qoob loo yog nrog los ntawm kev thauj khoom tam sim. Yeej, qhov abutment no ua raws li kev cog qoob loo. Tom qab kev cog qoob loo, lub abutment yog unscrewed zoo li ib tug constructor - nrog ib tug tshwj xeeb ntswj ntsia hlau, thiab ib tug plug yog screwed rau hauv nws qhov chaw. Nws yog ntsia yog tias nws yog tsis yooj yim sua kom tam sim ntawd nruab cov pos hniav qub. Tom qab ntawd cov khoom cog thiab tag nrho nws cov khoom sib xyaw ua tiav nyob rau hauv cov pos hniav, uas txhais tau tias peb yuav tsis pom dab tsi hauv qhov ncauj kab noj hniav tom qab ua haujlwm. Zoo, tsuas yog rau cov stitches thiab ... cov hniav, yog tias muaj lwm yam sab laug. Nyob rau hauv cov ntaub ntawv no, lub qub yog ntsia tom qab cog tau noj paus.
Tom ntej no, peb xaiv cov theem tom ntej ntawm qhov nyuaj, thaum peb yuav tsum tshem tawm 6 tus hniav hauv lub puab tsaig qis. Cov hniav no muaj ob lub hauv paus. Peb, ntawm chav kawm, yuav tsis nruab ib qho cog rau hauv thaj tsam ntawm txhua lub hauv paus, raws li ib tug neeg yuav xav. Txawm tias kuv tau pom cov xwm txheej zoo sib xws. Tus kws kho mob pom tau tias muaj kev qiv nyiaj qiv.
Yog li, peb yuav tsum tau nruab ib qho cog, tab sis kom meej meej hauv qhov chaw. Peb yuav tsom mus rau lub pob txha muab faib nruab nrab ntawm ob lub hauv paus.
Peb nruab lub implant. Mus rau sab laug thiab sab xis ntawm nws hauv daim duab koj tuaj yeem pom meej qhov qhov ntawm cov hniav uas tsuas yog muab rho tawm, uas yuav kho tau thaum lawv kho.
Zoo, nws yog lub sij hawm los txiav txim siab txog ib rooj plaub uas yuav tsum tau tshem tawm cov hniav, txhim kho cov pob txha thiab tsim cov pob txha hauv lub puab tsaig sab sauv - qhov ntswg nqa. Lub caij no, theem ntawm qhov nyuaj nce. Tsis yog lub luag haujlwm nrog cov nyoob hoom qav taub los ntawm Vice City, ntawm chav kawm, tab sis koj yuav tsum tau ceev faj me ntsis dua li qhov dhau los.
Nco ntsoov thaum kuv hais tias qhov cog cog yuav tsum nyob nruab nrab? Yog li, 3-hauv paus hniav tsis muaj qhov zam. Lub implant yog ntsia, zoo li nyob rau hauv cov ntaub ntawv dhau los, mus rau hauv lub septum, tab sis ntawm ib tug peb-hauv paus hniav. Raws li peb tuaj yeem pom, qhov siab ntawm cov pob txha hauv cheeb tsam no yog li 3 hli. Qhov ntim no tsis txaus rau nruab ib qho kev cog qoob loo ntawm qhov ntev, yog li lub ntim yuav tsum tau nce ntxiv. Lub manipulation yog nqa tawm siv tshwj xeeb "pob txha cov ntaub ntawv". Qee cov neeg hu nws "pob txha hmoov", tsis txhob totaub nrog "dawb hmoov", txawm hais tias nws yog dawb, nws tseem nyob rau hauv daim ntawv ntawm granules. Muaj tsuas yog hauv cov thawv iav,
thiab hauv daim ntawv yooj yim dua - cov koob txhaj tshuaj tshwj xeeb, uas nws yooj yim dua rau kev ua haujlwm thiab qhia cov khoom siv rau hauv kev phais.
Nws yog ib qho yuam kev los ntseeg tias lub qhov ntswg nqa yog kev ua haujlwm "Nyob rau hauv" lub maxillary (Highmore) sinus. Nyob rau hauv qhov tseeb, lub manipulation yog nqa tawm "nyob rau hauv" nws. Raws li peb tau pom lawm, qhov sinus yog kab noj hniav nyob rau hauv lub puab tsaig sab sauv, ib qho khoob, yog tias koj nyiam, uas yog lined los ntawm sab hauv nrog nyias mucous daim nyias nyias nrog ciliated epithelium. Yog li, txhawm rau kom ua tiav txoj haujlwm ua tiav, lub zos detachment ntawm mucous daim nyias nyias los ntawm cov pob txha cov ntaub so ntswg yog nqa tawm thiab "pob txha cov ntaub ntawv" yog muab tso rau hauv lub tsim qhov chaw nruab nrab ntawm lub hauv qab ntawm lub sinus thiab lub mucous daim nyias nyias, zoo li nyob rau hauv ib lub hnab ntawv. . Nyob rau hauv cov ntaub ntawv no, nrog parallel installation ntawm implants.
Thiab tam sim no ib qho piv txwv ntawm sinus nqa thiab implantation, tab sis 2 lub hlis tom qab 6th hniav nyob rau hauv lub puab tsaig sab sauv raug tshem tawm. Tus neeg mob no tau tshem nws 6 lub lis piam dhau los hauv lwm lub tsev kho mob. Tus pab tau CT scan.
Vim qhov tseeb tias tsuas yog ib lub lim tiam dhau los txij li kev tshem tawm, hauv daim duab peb pom "qhov tsaus", zoo li qhov uas koj tus ex tso rau hauv koj lub siab. Nyob rau hauv qhov chaw uas tus hniav siv. Qhov ntawd yog, tsis muaj pob txha cov ntaub so ntswg hauv cheeb tsam no. Kuv pib phais 2 lub hlis tom qab. Lawv tsis tau ua dua CT scan tom qab lub qhov tau kho, tab sis ntseeg kuv, txhua yam tau zoo txaus rau kev phais kom ua tiav. Thaum lub sijhawm ua haujlwm, nws tsis tuaj yeem ua tiav qhov ruaj khov ruaj khov ntawm qhov cog, yog li kuv txiav txim siab los nruab ib lub ntsaws es tsis yog kev kho kom zoo. Vim li cas? Tab sis vim hais tias yog tias tus neeg mob pib zom cov crackers, ces lub siab muaj zog yuav raug exerted rau ntawm qhov chaw cog, tshwj xeeb tshaj yog yav tas los, thiab yog li ntawd lub implants yuav xoob los yog "ya" mus rau hauv lub sinus. Nyob rau tib lub sijhawm, 8 mus rau seem.
Zoo, qhov piv txwv kawg rau niaj hnub no yog kev tshem tawm 2 cov hniav, kev teeb tsa ntawm 2 qhov kev cog lus thiab lub qhov txhab nqa.
Raws li peb pom, cov xwm txheej hauv qhov xwm txheej no me ntsis zuj zus, txog 2 hli. Tab sis qhov no tsis tau txwv peb los ntawm kev ua haujlwm tag nrho.
Tej zaum koj yuav nug: - "Vim li cas muaj 2 implants thiab tsis yog 3?" "Dab tsi, yuav muaj ib tug choj?" "Yuav ua li cas txog load faib," thiab lwm yam?
Qhov tseeb, qhov teeb meem ntawm overload cuam tshuam nrog kev txuas hniav tsuas yog koj cov hniav xwb. Vim cov hniav muaj ligamentous apparatus. Ntawd yog, cov hniav tsis nruj nreem rau cov pob txha, tab sis zoo li caij nplooj ntoos hlav rau hauv nws. Nov yog daim duab:
Nyob rau hauv lub xub ntiag ntawm ib tug choj, cov hniav txhawb nqa ntawm lawv tus kheej load thiab lub load ntawm cov hniav uas ploj lawm. Yog li, overload ntawm cov hniav tsim, thiab tom qab ntawd lawv xaus nrog cov hniav fairy. Lub implant tsis muaj ligament. Nws nruj nreem fuses nrog cov ntaub so ntswg ib puag ncig, yog li tsis muaj teeb meem xws li nyob rau hauv rooj plaub ntawm koj tus kheej cov hniav. Tab sis qhov no tsis tau txhais hais tias ob qho kev cog qoob loo tuaj yeem siv los txhim kho tus choj loj dua tag nrho lub puab tsaig. Tib yam uas raug kev txom nyem nyob rau hauv lub xub ntiag ntawm cov choj yog kev tu cev, uas yuav tsum tau saib xyuas tshwj xeeb yog ua tib zoo. Vim tias kev saib xyuas cov hniav dawb yog yooj yim dua li kev saib xyuas cov hniav zoo sib xws.
Qhov ntawd yog tag nrho rau hnub no. Kuv yuav zoo siab teb koj cov lus nug!
Nyob zoo!
Nyob zoo, Andrey Dashkov.
Tau qhov twg los: www.hab.com