Bahlobo abathandekayo, kukugqibela kwethu ukuthetha ngayo Kwaye namhlanje ndiza kukuxelela ngokweenkcukacha kwaye kuzo zonke iinkcukacha ukuba ukususwa kwamazinyo "agwetyiweyo" kwenzeka njani. Ngemifanekiso. Ngoko ke, ndincoma ukuba abantu abathintekayo kunye nabasetyhini abakhulelweyo bacinezele "Ctrl +" indibaniselwano yesitshixo. Joke.
Kuphi ukususwa kwe-8, kwaye, ngokomgaqo, naliphi na elinye izinyo liqala?
Nge-anesthesia.
Ngoko:
I-anesthesia (ukuphelisa iintlungu)
Ukunciphisa ukungonwabi ngexesha lokutofa, kufuneka uphathe indawo yokutofa ngejeli ye-anesthetic ekhethekileyo. Le yinto ebizwa ngokuba yi-anesthesia yendawo. Isetyenziswa rhoqo kunyango lwamazinyo kubantwana, kodwa sikwayisebenzisa xa sisebenza nabantu abadala. Njengoko uqheliselo lubonisa, kukho ukuva okungathandekiyo okumbalwa, kwaye incasa imnandi ... ubuncinci uhlobo oluthile lovuyo.
Xa ususa amazinyo kumhlathi ophezulu, njengomthetho, ukungena okulula kwe-anesthetic kwindawo yezinyo ekhutshwayo kwanele. Kuqhutyelwa ngokusebenzisa i-syringe ekhethekileyo ene-anesthetics ekhethiweyo kwaye ibizwa ngokuba yi-infiltration.
Xa ususa amazinyo kumhlathi ophantsi, i-anesthesia yokungeniswa ngokuqhelekileyo ayikwanelanga (ngaphandle kweqela langaphambili lamazinyo, ukusuka kwi-canine ukuya kwi-canine). Ngoko ke, ubuchule be-anesthesia butshintsha ngandlela-thile - i-anesthetic, usebenzisa inaliti ende kodwa encinci kakhulu, isetyenziswe ngokuthe ngqo kwi-nerve bundle ejongene nokugcinwa kweendawo ezifunwayo. Le anesthesia ikuvumela ukuba "ucime" uvakalelo kungekuphela nje kwindawo yezinyo, kodwa kunye nomlomo, isilevu, inxalenye yolwimi, njl.
Kufuneka kuqatshelwe ukuba ngexesha kunye nangoko emva kwe-anesthesia, inani lezinto ezinomdla zinokubonwa - ukunyuka kwentliziyo, ukungcangcazela kwamalungu, ukuvakalelwa okungaqondakaliyo. Izigulana ezininzi ziqala ukothuka malunga noku. Kodwa akukho mfuneko yokoyika! Ezi ziphumo zecala ze-anesthetics ezininzi zanamhlanje kwaye zihamba zodwa ngaphakathi kwe-10-15 imizuzu.
Ewe, i-anesthesia yenziwe! Ngoku kufuneka uqiniseke ukuba yenziwe ngempumelelo?
Ezo ndawo zifanele ukuba ndindisholo zidweliswe ngasentla. Kwakhona, usebenzisa isixhobo esikhethekileyo kunye nokucinezela intlaka kwindawo yezinyo eliqhutyiweyo, sifumanisa ukuba intlungu isekhona okanye ayisekho. Into emele ivakalelwe kukuba "into" echukumisa i-gum. Oko kukuthi, iimvakalelo ezithintekayo zisagcinwa, kodwa intlungu ayisekho.
Kwaye ke izenzo zethu ziyahluka ngokuxhomekeke kuhlobo lwezinyo lobulumko esijongene nalo.
Izinyo lobulumko elichaphazelekileyo
Ezi ngokuqhelekileyo zezona zisibhozo zinzima ukususa kuzo zonke ezinye.
Sele siyivalele ibala lotyando. Yintoni elandelayo?
Iphantsi kwetshungama! Ke, sithatha i-scalpel ezandleni zethu kwaye senze ulwakhiwo oluthambileyo kwindawo yezinyo elikhutshwayo. Oku kudala ukufikelela kwizinyo lobulumko elikhutshwayo. Ihlukaniswe kwizicubu ezijikelezileyo zisebenzisa izixhobo ezikhethekileyo, kwaye ngoku sinokujonga ngokubonakalayo indawo yayo kwaye sikhethe indlela yokususa.
Ukuba izinyo aliqhumi, oko kuthetha ukuba kukho into elithintelayo. Le "nto" iya kuphazamisa kwakhona ukususwa kwayo, kwaye le "nto" ingaba yizinyo elingummelwane, i-bony protrusion, njl. Nangona kunjalo, awuyi kususa isixhenxe ukuze ufike kwizinyo lobulumko, akunjalo?
Ngoko ke, sahlula izinyo zibe ziinxalenye. Ukusebenzisa incam ekhethekileyo kunye nesantya sokusika i-150 rpm - oku akuseyona i-angle cutter elula, kodwa akukabikho i-turbine cutter. Eyokugqibela, ngendlela, ayinqweneleki kakhulu ukuba isetyenziswe ukususa amazinyo, kuba kwi-000 rpm kulula ukutshisa yonke into ngedangatye lesihogo, kwaye ngomoya ovela kwi-nozzle yokupholisa ungafaka i-emphysema phezu kwesiqingatha sobuso bakho. Ngokubanzi, ukususwa kufuneka ukhethe izixhobo ezifanelekileyo; akukho zinto zincinci okanye zihambelana apha kwaye akunakubakho. Kwaye kufuneka ucinge izihlandlo ezilikhulu ngaphambi kokususa amazinyo anjalo anengxaki kwi-ofisi yamazinyo enesihlalo esinye kwiklabhu yasemaphandleni kwifama edityanisiweyo ye "Half-Empty Bins".
Ingcebiso ekhethekileyo yotyando yokususa amazinyo obulumko. Ijikeleza kwi-frequency echanekileyo, inika i-torque efanelekileyo, ayitshisi izicubu okanye ifake i-emphysema. Kutyando, sisebenzisa izixhobo ezinjalo kuphela.
Ngoko ke, sahlula izinyo kwiindawo ezi-2-3 ukwenzela ukuba siyisuse ngokucophelela kunye nokuphazamiseka okuncinci kwizicubu ezijikelezileyo. Kwaye amazinyo adla ngokususwa kusetyenziswa "i-elevator" (kumfanekiso osekhohlo). Iiforceps, ezithi wonke umntu azidibanise nokususwa, zisetyenziswa ngokunqabileyo kakhulu.
Kaloku, izinyo lisusiwe. Emva koko, sicoca isiseko sezinyo kwi-"sawdust" kunye namaqhekeza amancinci amazinyo anokuthi ahlale. Ukusebenzisa i-curette.
Xa ususa amazinyo obulumko, akukho zixhobo zebhayoloji zisetyenziswayo; umngxuma uzaliswe lihlwili legazi ngokwawo, oku kwanele ukuphiliswa okuqhelekileyo.
Ngaphezu koko, "ukutyhala" i-biomaterials emngxunyeni kunokubangela ukuba kube nzima inkqubo yokuphilisa, ngoko ke inkqubo yokuvuselela mayenzeke ngokwemvelo kwaye ilula, kwaye ingabi mnandi, njengoko abanye oogqirha becebisa.
Amazinyo achaphazelekayo asuswa ikakhulu ngokusebenzisa i-elevator, kwaye kungekhona nge-forceps, njengoko abaninzi bajwayele ukucinga.
Ihlwili lisendaweni. Emva koko, sidibanisa imiphetho yesilonda kwaye sibeke imithungo ukwenzela ukuba ukutya kungabambeki enxebeni, kungabi gazi kakhulu, kwaye kuphole ngokukhawuleza. Kodwa kwangaxeshanye, i-sutures ayifanele iqine, kuba inxeba linokopha kakhulu kwiiyure ezingama-XNUMX zokuqala. Kwaye ukuba awuyi kudala ukuphuma, i-edema ihlala ikhula.
Emva kokususwa, i-sutures enokuphinda ifakwe (i-absorbable) ibekwe emngxunyeni, kaninzi ayifuni kususwa. Kodwa yonke into yomntu ngamnye.
Izinyo semi-retinated
Ngokomgaqo, indlela yokususa izinyo elinjalo ayifani nokususa izinyo elichaphazelekayo ngokupheleleyo. Kodwa, njengomthetho, kulula kancinci, kuba izinyo alinzulu kakhulu. Izigaba eziphambili zifana ngokufanayo: i-anesthesia, ukudala ukufikelela kwizinyo (kwaye ngamanye amaxesha unokwenza ngaphandle kokuphazamiseka), ukuhlukana (ukwahlula izinyo zibe ngamalungu) kwaye, ngokwenene, ukususa amazinyo kwiindawo.
Emva kokususa izinyo elisezantsi elichaphazelekileyo, i-sutures ibekwe kwisokethi; kwindawo yamazinyo obulumko aphezulu, iisutures azisoloko ziyimfuneko.
izinyo dystopic
Ukususa amazinyo anjalo kunokubizwa ngokuba yinto elula xa kuthelekiswa nabanye, kodwa kuphela ukuba izinyo zinengcambu enye echanekileyo. Emva koko ukususwa kuya kwenzeka ngokukhawuleza. Kodwa iimeko ezinjalo zeklinikhi zinqabile kakhulu. Kwaye, ngokujonga umfanekiso, sibona amagwegwe, kungekhona iingcambu, ezinokuthi, ngoxinzelelo olufanelekileyo, zikwazi ukuphuka. Ngokuqhelekileyo kukho iingcambu ezi-2, kwaye kulo mzekelo kufuneka sihlukanise ingcambu enye ukusuka kwenye usebenzisa isixhobo esifanayo-ingcebiso "yokuphakamisa". Kwaye susa ngokucophelela ingcambu nganye ngokwahlukileyo. Ukuqala kunye nokugqitywa kokususwa kwamazinyo anjalo kufana nawo onke amanye.
Izinyo eliqhume ngokupheleleyo kunye nokuma kwindawo yamazinyo
Njengoko safumanisa ukusuka , amazinyo anjalo siwashiya endaweni yawo. Bafuna nje ukukhathalelwa kunye nokubekwa kweliso, njengoko kunjalo ngamazinyo aqhelekileyo.
Kwaye kwenzeka ...
... ukuba amazinyo obulumko avimba amazinyo angabamelwane kwaye awathintele ukuba angaphumi ngokuqhelekileyo. Kwiimeko ezinjalo, izigulane zithunyelwa kugqirha wotyando yi-orthodontist.
Kakade ke, intsholongwane yezinyo lesibhozo kufuneka isuswe. Olu lusebenza olulula kwaye lukhululekile.
Jonga imifanekiso. Kukho umahluko weeveki ezintathu phakathi phezulu nasezantsi. Kubonakala ngokucacileyo kubo ukuba emva kokususa i-rudiments yesibhozo kunye "nokuvula", amazinyo esixhenxe aqala ukukhula ngokukhawuleza.
Izinyo lobulumko lisusiwe. Isigulane sanelisekile. Kodwa ulonwabo luseza. Oko kukuthi, ixesha emva kokuhlinzwa.
Emva kokususa amazinyo ayi-8, kufuneka ulandele iingcebiso ezingqongqo:
- Naphantsi kwazo naziphi na iimeko kufuneka uhlambe okanye utshise indawo yezinyo elikhutshiweyo ngayo nantoni na. Libala kwaye ungamameli imiyalelo efana "kufuneka uhlanjwe nge-tincture yamaphiko kakrebe kunye namabamba amakhulu." Hayi! Le nto ayinakwenziwa. Ngoba? Kwaye konke ngenxa yokuba ihlwili legazi elifanayo, njengoko sele sifumene, kufuneka lihlale emngxunyeni kwaye likhusele, liyakwazi ukuhlanjululwa ngokulula. Kwaye kwakhona siya kubuyela kukuvuvukala okufanayo kwaye, ngokufanelekileyo, ukuphilisa ixesha elide.
- Ukuphelisa umsebenzi womzimba ubuncinane iintsuku ezingama-2-3. Yantoni? Kwaye ngenxa yokuba phantsi komthwalo, uxinzelelo ngandlela-thile luyenyuka (ewe, ewe, kunye noArnold Schwarzenegger kunye noRocco Siffredi !!!), kwaye, nangona kunjalo, kwakhona, ihlwili aliqulunqwanga ngokupheleleyo, isilonda sinokuqala philisa, kwaye uphilise kakubi.
- Kananjalo asibandakanyi ukufudumeza ngokubanzi komzimba. Iisaunas, iibhafu zomphunga, iibhafu ezishushu azivumelekanga. Konke oku kunegalelo ekopheni.
- Ungadli de i-anesthesia iphele ngokupheleleyo. Kungenjalo, umngcipheko wokuba unokuluma umlomo, ulwimi okanye isidlele ngamandla kwaye ungaqapheli ukuba uphezulu kakhulu. Oku kudla ngokuthatha malunga neeyure ezingama-2-3. Kwaye ngokufanelekileyo - ukubanda, indlala, uxolo kwiintsuku ezimbalwa zokuqala.
- Kodwa uzifumene nini izandla zakho ekutyeni?, - kufuneka uhlafune kuphela kwicala elichasene nokususwa ukuze unciphise ukutya ukungena emgodini.
- Ungalibali ngokuxukuxa amazinyo akho! Kuyimfuneko ukuba uhlambe amazinyo akho, ngokukodwa ngebrashi yamazinyo ethambileyo, ukuze ungonakalisi indawo yezinyo elikhutshiweyo. Kwaye ungalibali ukuba izinyo alisekho, ngoko sisebenza kunye nebrashi ngokukodwa ngokucokisekileyo kule ndawo. KUNYE! Ngokuyimfuneko! UNGAZAMI ukucoca i-plaque emhlophe enokuthi igqume iintsini kwindawo yezinyo elikhutshiweyo. AYIYOPUSI le! Le yiFIBRIN! Iprotheni, ubukho bayo bubonisa ukuphiliswa okuqhelekileyo komngxuma.
- Umkhenkce nawo unikwa emva kokutsalwa kwezinyo.. Kucetyiswa ukuba uyifake esidleleni kwindawo yezinyo elikhutshiweyo yonke imini. Malunga nemizuzu eyi-15-20 ngeyure nganye. Konke okufanayo ukuze kuncitshiswe ukudumba. Kodwa akudingeki ukuba uqhutywe kakhulu ukuze ungafaki umqala wakho kunye ne-lymph nodes (ukuba ugcina iqhwa kwindawo engafanelekanga, okanye apho uyidinga khona, kodwa ixesha elide).
Ukongeza kwezi ngcebiso, amayeza nawo amiselwe, ebizwa ngokuba yi-antibacterial and anti-inflammatory therapy. Oku kungenxa yokuba indawo yamazinyo e-8 ivutha ngokulula, kwaye asifuni oku. Kanye kunye nokuthatha i-antibiotics, i-yoghurts yendalo kunye nezinye iimveliso zobisi ezinobisi zihamba kakuhle - ungalibali ukuxhasa i-microflora yamathumbu.
Ukuba ukususwa kuqhutywe ngokuchanekileyo, kwaye isigulane silandele zonke iingcebiso kwaye silandele imiyalelo kagqirha, ngoko ingozi yeengxaki ze-postoperative iphantsi kakhulu.
Hla umamele!
Ngokuzithoba, Andrey Dashkov.
umthombo: www.habr.com