Okondedwa, ndine wokondwa kukulandiraninso! Takambirana kale zambiri pamutu wa mano anzeru, , , , ndi zochulukirapo . Ndine wokondwa kuti ambiri a inu munakonda nkhanizi, koma lero ndipitiriza mutu wa implantation.
Tonse tikudziwa kuti anthu athu amapita kwa madokotala pazochitika zapadera. Ndiye ikachedwa kwambiri. Kupita kwa dotolo wamano ndi chimodzimodzi. Zachidziwikire, izi sizikugwirizana kwenikweni ndi ogwiritsa ntchito a Habr, koma ndikufuna ndikuuzeni, ndipo koposa zonse, ndikuwonetseni momwe izi zitha kutha.
Ndiye tiyeni tiyambe!
Kodi aliyense amaopa chiyani? Chikuwaletsa chiyani? Aliyense ali ndi chifukwa chake. Ngati tikambirana za mano, m'malingaliro mwanga pali ziwiri zazikulu: mantha kuti adzapweteka (kapena zowawa kwambiri kuposa tsopano) ndi mantha kuti adzakhala okwera mtengo. Amanena kuti ndi bwino kugwiritsa ntchito ndalamazi patchuthi, galimoto yatsopano kapena ... 8PACK OrionX. Zomwe aliyense amaika patsogolo ndizosiyana.
Koma ndi anthu ochepa chabe amene amaganiza kuti kupita kwa dokotala mwadzidzidzi kumangowonjezera vutoli. Nthawi zambiri, pamene mukuganiza kuti "Ndidzakhala woleza mtima ndipo zidzangopita zokha," vutoli likhoza kuwonjezereka mpaka mavuto aakulu ayamba, momwe njira yokhayo yotulukira ndiyo kuyitanira ambulansi. Koma zimachitikanso kuti mavuto ambiri a mano ndi asymptomatic ndipo amatha kupezeka mwangozi. Kotero "sizimapweteka ndipo zili bwino", kenako zimafika poti palibe dzino limodzi lomwe lingapulumutsidwe ndipo onse ayenera kuchotsedwa. Ndipo monga tikudziwira, kuchuluka kwa voliyumu kumapangitsa kuti ntchitoyo ikhale yovuta komanso yokwera mtengo. Ziribe kanthu kuti zikukhudza dera lotani. Chifukwa chake, ndikofunikira kwambiri kukaonana ndi dotolo wamano miyezi isanu ndi umodzi iliyonse kuti muwonetsetse kuti zonsezi "sizikuvulaza". Chifukwa chiyani miyezi isanu ndi umodzi? Amakhulupirira kuti pasanathe miyezi isanu ndi umodzi, n'zotheka kuzindikira ndi kuthetsa vutoli kumayambiriro kwa chitukuko chake.
Nachi chitsanzo chimodzi
Wodwalayo amakhudzidwa kwambiri ndi mano ake. Monga tikuonera, iye anali kuchita nawo mankhwala ndi kubwezeretsa mano. Koma nthawi imadutsa, choncho moyo wautumiki wa kudzazidwa, korona ndi milatho watha. Kuphatikiza pa mfundo yakuti mano amawonongeka, mavuto amathanso kuyamba ndi ma implants omwe amaikidwa, monga momwe zilili pano. Zomalizazi ziyeneranso kuchotsedwa. Osanenanso kuti madotolo ena amayikabe ma implants a mbale popanda chizindikiro chilichonse. Zomwe zimatha kusweka mosavuta, monga momwe zilili pano. Ndipo chifukwa chiyani onse? Inde, chifukwa panalibe njira yokwanira, ndondomeko ya chithandizo ndi masomphenya a mkhalidwewo. Ndiuzeni, chifukwa chiyani "anakankhira" mbale yopyapyala pano yokhala ndi fupa lalikulu chotere? Koma mwina zinthu zinali bwino kwambiri asanachite opaleshoniyo. Chabwino, sizoyipa kwambiri.
Njira yokhayo yolondola ingakhale kuchotsa choyika mbale. Ngakhale ... kuchotsa ndikuyika mofatsa. Iyenera kudulidwa. Kodi ndikutanthauza chiyani? Ndipo ndikutanthauza, MUKUMWA. Pambuyo pa mawu awa, penapake m'chizimezime, chidole cha Billy chokwera njinga yake chimayamba kuyandikira pang'onopang'ono koma motsimikizika, ndipo kuthekera kozindikira bwino chidziwitso kumatha pang'onopang'ono, muyenera kuvomereza.
Monga tikudziwira, ma implants a mbale alibe kuphatikiza. Izi zikutanthauza kuti samaphatikiza / kuyika mizu mu fupa. Amangogwira mwamakani. Popanga bedi la implants, "ngalande" imapangidwa pamphepete mwa alveolar, pomwe mbale iyi imayikidwa. M’kupita kwa nthaŵi, minofu ya mafupa imakula m’mabowo a impulanti imeneyi. Ndipo zimakhala ngati nyumba yachifumu. Chifukwa chake, sizingatheke kuchotsa mwanjira ina iliyonse kupatula zomwe ndawonetsa pamwambapa. Mutha kunena kuti, sikofunikira kuchotsa choyikapo chokhazikika cha cylindrical mwanjira yomweyo? Chabwino, tsopano yerekezerani dera la bala pamene kuchotsa mbale pafupifupi 2 cm m'litali, ndi yamphamvu pafupifupi 4,5 mm awiri. Pali kusiyana? Komanso, ngati pazifukwa zina mavuto amadza ndi implant cylindrical, ndiye, monga lamulo, mwina sanaphatikizidwe (sanaphatikizidwe ndi fupa), choncho, akhoza kufika ndi zala zanu, kapena pakhala zovuta. kutayika kwa minofu ya fupa mozungulira choyikapo, monga momwe zilili pano. Nthawi zambiri, ntchito ya kubowola kapena ultrasonic handpiece imachepetsedwa, komanso kuvulala pambuyo pakusintha. Ngakhale, ndithudi, izi sizimachepetseratu zovuta zomwe zimagwirizanitsidwa ndi kubwezeretsanso kuchuluka kwa mafupa otayika m'derali. Popeza nthawi zambiri pamakhala "dzenje" lochititsa chidwi.
Choncho, pambuyo poganizira zotsatira za matenda, kukaonana ndi dokotala wa mafupa ndipo, chofunika kwambiri, zofuna za wodwalayo (!), anaganiza kuchotsa mano onse pamwamba ndi m'munsi nsagwada, kuphatikizapo anaikapo kale implants. Kupatula mbale, ndinasiya kuti ndidye.
Kodi mukuganiza kuti ndizo zonse? Kodi tingayambe? Ziribe kanthu momwe ziriri! Panthawiyi, mantha atsopano amayamba, monga "Chani?!" Chotsani chilichonse nthawi imodzi?!", "Kodi ndipulumuka?", "Ndidzatafuna bwanji ndi m'kamwa mwanga?"
Palibe chowopsa pa izi. Palibe chomwe chimawopseza thanzi lanu, makamaka moyo wanu. Komanso, palibe amene angakuloleni kuchoka kuchipatala opanda mano. Asanachotsedwe, dokotala wa mafupa ayenera kutenga mawonekedwe a nsagwada, ndiyeno mano ochotsamo athunthu amapangidwa ndi katswiri mu labotale. Ntchito ikafika ku chipatala, wodwalayo amakonzedwa kuti azichotsa dzino, ndiyeno nthawi yomweyo kuti agwirizane ndikutulutsa mawonekedwewo ngati mano osakhalitsa. Izi zikutanthauza kuti monga mwabwera kuchipatala ndi mano, mudzachoka ndi mano.
Isanayambe komanso itatha kuchotsa:
Denture yosakhalitsa yochotseka, idayesedwa nthawi yomweyo pambuyo pochotsa dzino:
Kuyika kusanayambe, pafupifupi miyezi iwiri iyenera kudutsa mpaka chilondacho chitachira. Palibe chifukwa chodikirira nthawi yayitali kuposa nthawi iyi, fupa silidzakula kuchokera ku izi, koma kuchepa kwa voliyumu yake kudzawonetsedwa momveka bwino pakapita nthawi. Nsagwada, ndithudi, sizidzathetsa, koma ndi kusakhalapo kwa dzino kwa nthawi yaitali, ndipo, chifukwa chake, katundu m'dera lina, minofu ya fupa imayamba kuchepa pang'onopang'ono. Mukachedwetsa kuchira, m'pamenenso mikhalidwe idzakhala yoipitsitsa panthawi yoyikidwa. Izi zikutanthauza kuti mwayi ndi kufunikira kwa kulumikiza mafupa kumangowonjezereka.
Chabwino, miyezi iwiri yatha ndipo ndi nthawi yoti muyambe kuyika! Koma bwanji kukhazikitsa implants ngati palibe dzino limodzi? Zoyenera kuyang'ana kuti ayime molunjika komanso m'malo awo? Sitingathe kuwayika mwanjira iliyonse. Kuti izi zisachitike:
Choncho, kalozera wa opaleshoni amagwiritsidwa ntchito. Mlonda wapakamwa wapadera, womwe uli wofanana kwambiri ndi woteteza pakamwa pamasewera, wokhala ndi chikhalidwe chimodzi chokha: mabowo amapangidwa m'dera la mano omwe adzabzalidwe mtsogolo. Izi zimafunika kuti dokotala wa opaleshoni amvetse bwino kumene implant iyenera kuikidwa. Pansipa pali template yokhazikika yomwe imagwira ntchito polemba chizindikiro:
Pankhani ya wodwalayo, template yosiyana ya opaleshoni sinafunikire. The orthopedist, pogwiritsa ntchito odula, amapanga mabowo ofanana mu prosthesis yanthawi yokha, yomwe idzakhala ngati template. Opaleshoniyo ikachitika, dokotala yemweyo amasindikiza mabowowa ndi chinthu chapadera ndipo mutha kupitiliza kugwiritsa ntchito prosthesis mpaka mawonekedwe okhazikika apangidwe. Ndipo ayi, kuyiyika mu kapu yamadzi musanagone sikudzakhala kofunikira.
Pachithunzithunzi chomwe chili pansipa chapakati, "masilinda oyera" amawonekera bwino; izi ndizofanana ndendende zomwe zidagwiritsidwa ntchito kuphimba mabowo a mano apamwamba ochotsedwa. Prosthesis yokhayo si radiopaque, kotero sikuwoneka pachithunzichi.
Chabwino, za mchere. Taonani! Izi ndi izi, CHILENGEDWE! Izi ndi zomwe ndikunena, choyika mbale chokhala ndi mabowo momwe minofu ya mafupa yamera. Chabwino, ndi "pini" yosweka, yomwe inali imodzi mwa zothandizira pa mlatho.
Kodi chinachitika ndi chiyani kwa thandizo lina, mukufunsa? Drumroll. Mano anu! Canine ndi premolar yoyamba (4ka). Wodwalayo anabweretsa chithunzi. Ndi yakale kwambiri. Zofanana ndi filimu osati zomveka bwino, koma apo. (Ndinatenga chithunzi ndi foni yanga)
Wina angaganize, chavuta ndi chiyani pamenepo? Chabwino, implant, chabwino, dzino. Bridge ndi mlatho. Ndipo mfundo yakuti mano ali ndi zida za ligamentous, imodzi mwa ntchito zake ndi kuchepa. Ndiko kuti, pakutafuna, mano "kasupe" penapake, pamene implant imakhazikika m'fupa ndipo ilibe ntchito imeneyi. Chinachake chofanana ndi lever chimatuluka. Malo omwe "pini" imalowa m'thupi la implant imakhala yodzaza kwambiri, zomwe zimapangitsa kuti zisawonongeke.
Chabwino, tiyeni tifotokoze mwachidule!
Okondedwa abwenzi, muyenera kumvetsetsa kuti ngakhale kuchuluka kwa ntchito, kapena kuchotsedwa kwa mano onse, kapena kulumikiza mafupa, kapena kuchuluka kwa implants zomwe zayikidwa sizikuwopsyeza. Chowopsa chokha ndichakuti "Ndikhala woleza mtima" chitha kukhala chachikulu "Ndikadachita dzulo." Mukapirira kwambiri, chithandizo chanu chidzakhala chachikulu komanso chokhalitsa. Mukatsuka mano pa nthawi yake, mukhoza kuteteza caries. Pochiza caries mu magawo oyambirira, mudzadzipulumutsa ku zovuta zake monga, mwachitsanzo, pulpitis kapena periodontitis. Mukachiritsa pulpitis kapena periodontitis pakapita nthawi, kuchotsa dzino kudzakulambalala. Kubwezeretsanso panthawi yake ya dzino lotayika kudzakutetezani ku mafupa a mafupa, ndi zina zotero. Pambuyo pa zonsezi, ndikuganiza kuti palibe chifukwa chonena kuti ulendo wanthawi yake kwa dokotala wa mano, kapena dokotala wina aliyense, udzakutetezani ku mitsempha yosafunika ndi ndalama. Apa zonse zimamveka bwino popanda mawu. Choncho tsukani m’mano, yesetsani kuchita zonse zimene mungathe, ndipo tizikumana kaŵirikaŵiri kuti mudzayezedwe zodzitetezera osati ku mavuto a mano.
Dzimvetserani!
Moona mtima, Andrey Dashkov
Ndi chiyani chinanso chomwe mungawerenge ponena za kuyika mano?
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Source: www.habr.com