Vadikani takambokurukura chii chinoitika uye
Zvingaita sekuti chii chakaoma pamusoro peizvi?
Asi! Kusvika zvino, varwere vanouya kuzobvunza uye vanoti - "Asi mune imwe kiriniki chiremba akati..." Vanoti mazino akaomarara akadaro haagone kubviswa kunze kwechipatara, mudhipatimendi rekuvhiya maxillofacial, uye kunyangwe pasina general anesthesia. . Kufanana, kuzere nemhedzisiro.
Mashoko okuti "chipatara" uye "maxillofacial surgery" haangoiti chete kunzwa kutya pamucheto wekutya kwevarwere vakawanda, asi mushure mekutaura kwakadaro kwakaoma zvikuru kuvanyengetedza neimwe nzira.
Mushure mekutyisidzirwa kwakadaro, uye ini handikwanise kuzvidaidza kuti chero chimwe chinhu, vazhinji vanoenda kuchipatara, vanotora bvunzo, vanobvuma intubation anesthesia uye kurara mumawadhi kwemazuva akati wandei, vachinakidzwa nenzanga yeko, maitiro ekuteerera evanamukoti uye nosocomial utachiona.
Panguva imwecheteyo, kumubvunzo wekuti "Wakapembedza sei kudiwa kwekubvisa zino chete mudhipatimendi rekuvhiya maxillofacial?" Handina kumbowana mhinduro yakajeka.
Chinhu chimwe chete chavanowanzo taura ndechekuti: "Zvakanaka, vakandiudza kuti zino rakaoma ... rakadzika ... kune tsinga iri pedyo nayo ...". Hongu, ndinogona kufungidzira kuti izvi zvose ndezvechokwadi, uye kune tsinga ipapo, uye socket yakadzikawo, asi ... ndeupi musiyano unokosha muhutano hwekubvisa varwere uye kunze?
Kuongorora?
Zvakanaka, CT scan (3D volumetric mufananidzo) inogona kuitwa chero kupi.
Nokuti chii?
Uye nekuti orthopantomography (OPTG, ongororo kana panoramic mufananidzo wemazino) iri planar, zvinoreva kuti imwe neimwe yemufananidzo yakakwidibirwa layer ne layer pane imwe neimwe. Nekuda kweizvozvo, hazvigoneke kuongorora chinhu chekudzidza, kunyanya, iyo nzvimbo yezino rehuchenjeri iri padyo neiyo mandibular nerve, mundege dzese, kubva kune imwe kona kana kubva kune imwe fungidziro. CBCT (Cone Beam Computed Tomography), pane zvinopesana, inotipa mukana uyu.
Pamwe aya maxillofacial units ako anoshandisa vanachiremba vakanyatsodzidziswa vane hunyanzvi hwekubvisa mazino? Izvo, pasina kuchekwa kana kuedza kupi zvako, kuchamanikidza yechi8 kunyungudika nesimba rekufunga?
Zvakanaka, kwete zvakare!
Uye ndinoramba ndichibvunza: "Sezviri pachena zino rakakurumidza kubviswa uye hapana chakakunetsa?" Crap! Handina kana kumbosvika pano.
Avhareji yenguva yekubviswa kwemazino ehuchenjeri akadzikira (ayo ari pasi pegum) mumasangano akadaro, maererano nevarwere, maawa 2,5. Ndakanzwa kakati wandei, imbofunga nezvazvo, nezve 4 (!) Maawa. Haufungi here kuti uku kunyanyisa? Munguva ino, iwe unogona kuita sinus kusimudza kumativi ese, kuisa 8 implants, kuzviodha iwe kudya kwemasikati, uye kunyange kuwana nguva yekurara. Kumashoko angu akadai se "mukiriniki yedu, kubvisa zino rakadai rinotora paavhareji 25-30 maminetsi, kubva kune anesthesia kusvika kune suture," vanhu vazhinji, kuti vaise zvinyoro, tarisa nekushamisika.
Ndinofunga kuti iwe, wapedza maawa mana uri pachigaro chechiremba wemazino, uye kunyange mumwe purofesa, akarembera ne regalia, haangatendi kuti zvose izvi zvingave zvakaitwa "zvishoma" nokukurumidza. Uye mune imwe hushamwari, yakadzikama uye yakasununguka mamiriro. Pasina njodzi dzisina basa uye kunetseka.
Saka sei vanhu vachiendeswa kuchipatara che maxillofacial kuti vabviswe mazino ehuchenjeri? Ndiani anoita izvi?
Heunoi ndiani:
- kana chiremba haazive kuti / anotya sei kubvisa mazino akadaro uye anoda kuitamba yakachengeteka nekukuendesa kune imwe nyanzvi (iyo inonyanya kuitika)
- kana kuti vanoda kukubira mari.
Pfungwa yekutanga yakajeka. Kana usingazivi kuti sei, ipa mumwe munhu. Izvi ndizvozvo.
Asi mari inei nazvo uye nei "kuiramba"? Nekuti urikubhadharira masevhisi ayo, sezvatichangobva kuona, haana basa:
- mari yezuva rinoshandiswa muchipatara inenge 4 zviuru rubles. Zvichienderana nekuti iwe uchave nekamuri imwe chete, kana kwehusiku hunoverengeka iwe uchanzwa kurira kwevamwe makumi maviri evamwechete "nemhanza" vanhu vane mazino ehuchenjeri.
Asi hazvisi izvo zvoga.
Kana general anesthesia inofanirwa, wedzera kune mari inoshandiswa pawadhi kubvunzana anesthesiologist-resuscitator (anenge 1,5 zviuru rubles), inodiwa murabhoritari kuongororwa (paavhareji 3 zviuru rubles), uye mukuru wokutindivadza nzira pachayo. Minimum maawa maviri, asi dzimwe nguva kupfuura. Uye izvi zvinogona kukubhadhara kubva ku8 kusvika ku30 zviuru zveRubles.
Asi kuvhiya kuvhiya pachayo kwakakosha chimwe chinhu, handiti? Sezvo mutemo, kubvisa zino rakakanganiswa kunodhura kubva ku14 kusvika ku23 zviuru rubles. Tinogona kufunga kuti muchipatara chakanaka mari yekubvisa ichafananidzwa (kwete kuverenga wadhi, anesthesia, miedzo, mazano uye anesthesia).
Unonzwa musiyano here? Zvakanaka, hakusi kurambana here? Vanokutyisa, vobva vabira mari kubva kwauri. Mari yakawanda chaizvo.
Ndakanyorerei zvese izvi?
Ndinoda kukuudzai, shamwari dzinodikanwa, izvozvo chaizvoizvo Ikoko hakuna mazino ehuchenjeri asingagoni kubviswa kunze kwechipatara, panguva yenguva dzose yekuona varwere vekunze. Kana wapedza akawandisa maminetsi makumi mana pakubvunzana, kuongorora uye oparesheni pachayo, iwe unogadzirisa dambudziko zvachose. Nenguva diki diki, unenge wadzoka mukuita, uchakwanisa kuita bhizinesi rako, pasina kutsauka kubva pamararamiro ako akajairika. Hapana chikonzero chekutora zororo rekurwara uye kuhaya mukoti. Rarama hupenyu hwako hwemazuva ese, asi uine mamwe epost-operative kurudziro, kugadzwa uye bvunzo.
Ndinokutendai nekuteerera kwenyu. Ndichafara kupindura mibvunzo yako mumhinduro!
Nomwoyo wose, Andrey Dashkov
Ndezvipi zvimwe zvaungaverenga pamusoro pemazino euchenjeri uye kubviswa kwawo?
Source: www.habr.com