Nā CAH Medical | Sichuan, Haina
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Ⅰ. He aha te mahi a te taote pokanga angaanga-mata?
Ko te tikanga, ko ngā mahi e whai ake nei ko te pokanga craniomaxillofacial:
Aromatawai me te whakarite i mua i te pokanga
Ka mahia he hītori taipitopito me te whakamātautau tinana, tae atu ki te āhua o te kanohi me te aukati, me ngā rangahau whakaahua angaanga (pēnei i te CT me te MRI) hei aromatawai i ngā āhuatanga rerekē o te angaanga angaanga kanohi. Ka whakawhanakehia he mahere pokanga whaiaro, ā, ka whakamōhiotia te tūroro me te whānau ki ngā mōrearea o te pokanga, ngā putanga e tumanakohia ana, me te tukanga whakaora i muri i te pokanga. Ka mahia ngā whakamātautau o mua i te pokanga, pērā i te tatau toto katoa, ngā whakamātautau toto totoka, me ngā whakamātautau mahi ate me te whatukuhu, me te whakarite ā-waha e tika ana.
Whakangote
I te nuinga o te wā ka tukuna he rongoā whakamoe whānui ki te tūroro hei whakarite i te whakamarie me te haumaru i te wā e pokanga ana.
Te whakamahere tapahi
E ai ki te mahere pokanga, ka hangaia he tapahi tika ki te tumuaki, ki te mata, ki te waha rānei kia kitea katoatia ai te angaanga angaanga me rongoatia.
Te tapahi wheua me te nekehanga
Ka tapahia te wheua mā te whakamahi i ngā taputapu e tika ana, ā, ka nekehia ngā wheua ki te tūranga tika.
Te whakapiri ā-roto
Ka whakamahia ngā taputapu whakapiri ā-roto, pērā i ngā pereti titanium me ngā tīwiri, hei whakau i ngā wheua kua nekehia ki te tūranga tika, kia mau ai te pumau me te ora.
Katinga o te tapahi
I muri i te whakaiti me te whakau i te wheua, ka āta kati te tapahi. Tērā pea me whakatikatika me te hanga anō i ngā kiko ngohengohe. Ko te tiaki i muri i te pokanga ko te hemostasis, te whakatakotoranga ngongo waikeri, me te tuitui patunga. I muri i te pokanga, me aro turuki tata ngā tohu ora o te tūroro, me whakatinana ngā mahi ārai mate, me whakarato hoki i ngā whakangungu whakaora tika.
Ⅱ. He aha te whānuitanga o te pokanga Craniomaxillofacial?
Ko te whānuitanga o te pokanga craniomaxillofacial kei roto i ēnei āhuatanga e whai ake nei:
Te whakarōpūtanga mā te wāhi o te hē: Ka taea te whakarōpū i ngā hē hei ērā o te angaanga, te rae, te sinus ethmoid, te maxilla, te wheua zygomatic, te wheua ihu, te pakitara orbital taha, me te kauae.
Te whakarōpūtanga mā te take: Ko te invagination basilar ka puta mai i ngā āhuatanga whānau, i ngā āhuatanga whiwhi rānei, ā, ka taea te wehewehe anō ki ngā take whanaketanga me ngā take whiwhi. Ko te invagination basilar whanaketanga he āhuatanga whakawhāiti i a ia anō i roto i ngā pēpi ka pai haere, ka ngaro haere i te pakeketanga; ko ngā āhua whiwhi ka puta pinepine mai i te whara, i ngā pukupuku, me ētahi atu āhuatanga. I runga i te wāhi o te hapa, ka taea te wehewehe anō ki te invagination basilar midline me te invagination basilar non-midline.
Te whakarōpūtanga mā te whakaaturanga haumanu: Ko ētahi tauira ko ngā koha whanaketanga kino o te angaanga kanohi me te kauae (e mōhiotia ana ko te mate Crouzon), ngā kohaanga angaanga whānautanga pai (e mōhiotia ana ko te momo Crouzon I), momo Crouzon II, momo Crouzon III, te tipu nui whānautanga (e mōhiotia ana ko te mate Klippel-Feil), me te brachycephaly. I runga i te whakarōpūtanga hihi-X, kei reira ngā kapiti alveolar ngawari me ngā kapiti alveolar uaua. I runga i ngā huringa mate, kei reira ngā kapiti katoa me ngā kapiti kāore i oti.
I runga i te kaha o te mate, kei reira ngā taumata I, II, III, me te IV. I te nuinga o te wā, he ngawari ake te taumata I, engari he kino ake te taumata IV.
Ko ngā pokanga whakapaipai ko te pokanga whakaiti i te wheua zygomatic teitei, te pokanga hypertrophy o te kokonga kauae raro (hei huri i te mata tapawhā ki te mata porotītaha), me te pokanga osteotomy me te whakatairanga kauae whakapae (hei whakatika i te kauae iti).
Ko ngā tikanga pokanga ko te tango i ngā niho, te tapahi me te tango i te wai i roto i te whewhe alveolar, te tango i te pukupuku, te whakatika i te ngutu ngatata me te waha, te whakatikatika i te arero nui haere, me te tango i te whēwhe kauae.
Hei whakarāpopototanga, he whānui rawa te whānuitanga o te pokanga angaanga-kanohi-mata, e kapi ana i te whānuitanga o ngā āhuatanga, mai i ngā āhua whānau mai ki ngā whara kua riro mai, mai i te whakatikatika mahi ki te pokanga whakapaipai.
Wā tuku: Oketopa-16-2025
