Bahlobo abathandekayo, sele sixoxile kwenzekani kwaye
Kubonakala ngathi yintoni enzima ngale nto?
Kodwa! Ukuza kuthi ga ngoku, izigulana ziza kuboniswana kwaye zithi - "Kodwa kwenye ikliniki ugqirha uthe..." Bathi amazinyo anzima ngolo hlobo akanakususwa ngaphandle kwesibhedlele, kwisebe lotyando lwe-maxillofacial, nangaphandle kwe-anesthesia jikelele. . Njengokuba, egcwele iziphumo.
Akunjalo kuphela amagama athi "isibhedlele" kunye "notyando lwe-maxillofacial" avuselela imvakalelo yoloyiko kwi-panic attack kwizigulane ezininzi, kodwa emva kweengxelo ezinjalo kunzima kakhulu ukuziqinisekisa ngenye indlela.
Emva kosoyikiso olunjalo, kwaye andikwazi ukuyibiza ngayo nayiphi na enye into, abaninzi baya esibhedlele, baqokelele iimvavanyo, bavume i-anesthesia ye-intubation kwaye balale kwiiwadi iintsuku ezininzi, besonwabela uluntu lwendawo, isimo sengqondo sokuthobela sabahlengikazi usulelo lwe-nosocomial.
Kwangaxeshanye, kumbuzo othi "Uyithethelele njani imfuneko yokukhutshwa kwezinyo ngokukodwa kwisebe lotyando lwe-maxillofacial?" Andizange ndifumane mpendulo ecacileyo.
Into kuphela abayithethayo ngokuqhelekileyo kukuba: "Ewe, bandixelele ukuba izinyo liyinkimbinkimbi ... linzulu ... kukho i-nerve ecaleni kwayo ...". Ewe, ndiyakwazi ukucinga kakuhle ukuba yonke le nto iyinyani, kwaye kukho i-nerve apho, kwaye i-socket nayo inzulu, kodwa ... yintoni umehluko osisiseko kubuchule bokukhutshwa kwezigulane kunye nokukhutshwa ngaphandle?
Uviwo?
Ewe, i-CT scan (i-3D volumetric image) inokwenziwa-naphi na.
Yenzelwe ntoni?
Kwaye ngenxa yokuba i-orthopantomography (i-OPTG, uphando okanye umfanekiso we-panoramic wamazinyo) i-planar, oku kuthetha ukuba inkcukacha nganye yomfanekiso i-superimposed layer by layer on each other. Ngenxa yoko, akunakwenzeka ukuhlolisisa into yokufunda, ngokukodwa, indawo yezinyo lobulumko elisecaleni kwe-nerve ye-mandibular, kuzo zonke iindiza, ukusuka kwi-engile eyahlukileyo okanye kwintelekelelo eyahlukileyo. I-CBCT (iCone Beam Computed Tomography), ngokuchaseneyo, isinika eli thuba.
Mhlawumbi ezi yunithi zakho maxillofacial ziqeshe oogqirha abaqeqeshwe ngokukodwa abanobuchwephesha bokutsalwa kwezinyo ezingadibananga? Yiyiphi, ngaphandle kokusikwa okanye nayiphi na inzame, eya kunyanzela i-8 ukuba ichithe ngamandla nje okucinga?
Ewe, hayi kwakhona!
Kwaye ndihlala ndibuza: "Kuyabonakala ukuba izinyo lisuswe ngokukhawuleza kwaye akukho nto ikukhathazayo?" Crap! Akhange ifikelele apha.
Ixesha eliqhelekileyo lokususwa kwamazinyo obulumko obunefuthe elisezantsi (lawo aphantsi kwentsini ngokupheleleyo) kumaziko anjalo, ngokwezigulane, ziiyure ezingama-2,5. Ndive amaxesha ambalwa, cinga nje ngayo, malunga ne-4 (!) iiyure. Awucingi ukuba oku kukugqithisela? Ngeli xesha, unokwenza i-sinus lift kumacala omabini, ufake ii-implants ezi-8, u-odole isidlo sasemini, kwaye ube nexesha lokuthatha i-nap. Abantu abaninzi, ukuyibeka kancinci, bajonge iingxelo zam ezinje "kwikliniki yethu, ukususa izinyo elinje kuthatha umyinge wemizuzu engama-25-30, ukusuka kwi-anesthesia ukuya kwi-suture."
Ndicinga ukuba, uchithe iiyure ezi-4 kwisitulo samazinyo, kwaye unjingalwazi othile, exhonywe nge-regalia, akanakukholelwa ukuba konke oku bekunokwenziwa "kancinci" ngokukhawuleza. Kwaye kwindawo enobuhlobo ngakumbi, ezolile kwaye ekhululekile. Ngaphandle kweengozi ezingeyomfuneko kunye namaxhala.
Ke kutheni abantu bethunyelwa kwisibhedlele i-maxillofacial ukuze basuswe amazinyo obulumko? Ngubani owenza oku?
Nanku umntu:
- mhlawumbi ugqirha akayazi indlela / uyoyika ukususa amazinyo anjalo kwaye ufuna ukudlala ngokukhuselekileyo ngokukuthumela kwenye ingcali (enokwenzeka kakhulu)
- okanye bafuna ukukuqhatha ngemali.
Ingongoma yokuqala icacile. Ukuba awuyazi indlela, yinike omnye umntu. Oku kulungile.
Kodwa imali inantoni na kwaye kutheni "uqhawula umtshato"? Ngenxa yokuba uhlawulela iinkonzo, njengoko sisanda kufumanisa, ayimfuneko:
- iindleko zosuku oluchithwe esibhedlele malunga nama-ruble angama-4 amawaka. Kuxhomekeke ekubeni uya kuba negumbi elinye, okanye ubusuku obuninzi uya kuva ukurhona kwabanye abantu abangamashumi amabini afanayo βabanethamsanqaβ abanamazinyo obulumko.
Kodwa akuphelelanga apho.
Ukuba i-anesthesia jikelele iyimfuneko, yongeza kwimali echithwe kwiwadi ukubonisana ne-anesthesiologist-resuscitator (malunga ne-1,5 amawaka ee-ruble), uviwo oluyimfuneko lwebhubhoratri (kwi-avareji ye-3 lamawaka eeruble), kunye nenkqubo ye-anesthesia jikelele ngokwayo. Ubuncinci iiyure ezimbini, kodwa ngamanye amaxesha ngaphezulu. Kwaye oku kunokubiza ukusuka kwi-8 ukuya kuma-30 amawaka eeruble.
Kodwa utyando ngokwalo lufanelekile, akunjalo? Njengomthetho, ukususa iindleko zezinyo ezichaphazelekayo ukusuka kwi-14 ukuya kwi-23 eyiwaka elingamawaka. Sinokucinga ukuba kwisibhedlele esilungileyo iindleko zokususwa ziya kuthelekiswa (ngaphandle kokubala iwadi, i-anesthesia, iimvavanyo, ukubonisana kunye ne-anesthesia).
Ngaba uyawuva umahluko? Kaloku, ayingomtshato na? Bayakoyikisa, baze bakuthathele imali. Imali eninzi kakhulu.
Ndiyibhalele ntoni yonke lento?
Ndifuna ukunixelela, bahlobo abathandekayo, oko ngokubonakalayo Akukho mazinyo obulumko angenakususwa ngaphandle kwesibhedlele, kwidinga eliqhelekileyo lezigulane ezingaphandle. Ukuba uchithe imizuzu engamashumi amane ukubonisana, uviwo kunye nokusebenza ngokwakho, uya kuyicombulula ingxaki kube kanye. Ngexeshana elifutshane, uya kubuya usebenze, uya kukwazi ukuqhubeka neshishini lakho, phantse ngaphandle kokutenxa kwindlela yakho yokuphila yesiqhelo. Akukho sidingo sokuthatha ikhefu lokugula kwaye uqeshe umongikazi. Phila ubomi bakho obuqhelekileyo, kodwa ngezinye iingcebiso emva kotyando, ukuqeshwa kunye neemviwo.
Enkosi ngosinaka kwakho. Ndiya kukuvuyela ukuphendula imibuzo yakho kwizimvo!
Ngokunyanisekileyo, uAndrei Dashkov
Yintoni enye onokuyifunda ngamazinyo obulumko kunye nokususwa kwawo?
umthombo: www.habr.com