Indlela ukunciphisa umhlathi? Dislocation emhlathini. imihlathi amalunga

Dislocation we ngokuhlanganyela temporomandibular unendima ebalulekile e isakhiwo se-pathology yesifunda maxillofacial. Vuma abantu ikakhulukazi enamandla kanye nabahola impesheni, abesifazane kaningi ngaphezu amadoda ngenxa izici yokwakheka. Ezithathekayo umhlathi ongezansi, egxilile ongenhla nemisipha masticatory ukuthi enze ekusebenzelaneni kwabo bakha ama-apharathasi maxillo-kwamazinyo.

Dislocation we ngokuhlanganyela temporomandibular ibizwa ngokuthi isimo sokugembula lapho evele ngokuhlanganyela azifani. Lokhu kungenxa yokuthi inhloko yabangamashumi mandible aphume umgodi glenoid wethambo yesikhashana. Lesi sihloko sizodingida Ukwahlukaniswa dislocations futhi sibheke indlela yokunciphisa umhlathi.

Ukwahlukanisa dislocation emhlathini

Kuye indawo yokwakheka isihlobo ikhanda kumuntu ukwenyela ukucindezeleka dislocation kwenzeka:

1. Front.

2. engemuva.

Kuye ngezinga elingakanani evele ngokuhlanganyela kuthiwa offset, dislocation we mandible kungaba:

1. Gcwalisa - uma ukungafani ephelele.

2. subluxation - Ukungafani ngokwengxenye ngesikhathi evele articular.

Kwasendaweni kwenza dislocation we mandible:

1. sohlangothi olulodwa (kwesokudla noma kwesobunxele).

2. emaceleni Double - Lolu hlobo landile.

izimpawu Anamnestic nobude khona owenza dislocation:

1. Ngokokuqala ngqá ezaphakama.

2. lidala - uma singelashwa nge dislocation eyinhloko emasontweni 1-2 noma ngaphezulu.

3. dislocation komkhuba emhlathini - kukhona ngokuvamile (mhlawumbe izikhathi ngisho eziningana ngosuku), kunciphisa self.

Njengoba kungaba kuncike yezinkinga dislocation:

1. A elula futhi kube lula.

2. yezinkinga (nge ukudabuka imisipha, nemisipha, isikhumba, ekupholiseni izinzwa, izitsha, ukwa emhlathini).

Indlela ukunciphisa umhlathi ngaleso Ukwenyela ezihlukahlukene? Lo mbuzo iyathakazelisa eziningi.

izimbangela

Ukwenyela zenzeka ngenxa yokulimala elandelayo kuhlasimulise:

1. ukulimala kanye iziteleka ezintweni noma umhlathi ongezansi ngesikhathi sokuwa.

2. Cijela eqinile emhlathini ukunyakaza ngesikhathi edla, ukuhlafuna ukudla kanzima.

3. Yawning noma ukuvulwa umlomo eqinile.

Ngaphezu kwalokho, ukulimala engenzeka ngenxa yokulimala ezilandelayo ze-non-kuhlasimulise:

• Izejwayezi ezimbi, okungase kwenzeke ngokubeka izinto ezinkulu emlonyeni noma emhlathini Ungasebenzisi inhloso yazo (abantu ukuvula amabhodlela, amathini, ukuhlukaniswa umlomo nuts).
• Ukuba khona izifo ngemuva ukuthi buthaka apharathasi umsipha-articular (isifo sikashukela, i-osteoarthritis ngokuhlanganyela, izilonda rheumatism futhi isifo samathambo, osteomyelitis we mandible, ukukhumuzeka kwamathambo, izinguquko ezihlobene nokukhula).

Ukwelashwa yalezi contortions wahlanganyela Maxillofacial Ukuhlinzwa eMoscow.

izimpawu Clinical futhi izindlela zokuxilonga

Lapho kukhona dislocation, ungezwakala ngokuchofoza emalungeni emhlathini, okuyinto kuhambisana ubuhlungu kunalokho ezinzima. Ngemva kwalokho, emlonyeni ayivaliwe ngenxa yezinhlungu noma isimiso lokukhanda.

Kuye onjani dislocation iphutha (bakhulise noma ngaphambili), umhlathi wakhe kwaphoqa noma phambili noma eshona emuva. Uma ungomunye emaceleni ke umhlathi ubukeka etshekile. Konke lokhu kuhambisana amathe ngokweqile, ukugwinya, ngoba inqubo siphukile.

inkulumo Human iba egwinya noma kungenzeki nhlobo. Ngokuvamile, lezi zimpawu avele ngesikhathi dislocation lokuqala emhlathini.

A time ezithile kumelwe kudlule, futhi uma dislocation akulungile, khona-ke iyoba endala. Okungavamile isibanda izicubu ezikhula emalungeni emhlathini, kukhona yoma kwemisipha nemisipha. Ngenxa yalokho, kusuka kube nzima kakhulu misa eliyifa ngokuhlanganyela esimweni bokuphila.

mayelana subluxation

Subluxation we ngokuhlanganyela temporomandibular Kuyaphawuleka. Njengomthetho, it is hhayi kutholakale ukuthi une isikhathi eside ngenxa ukungabikho izimpawu ezisobala. Isikhathi kulahleka, kukhona ukungasebenzi kwekhono umhlathi ongezansi. Futhi lokhu kuyithuba nzima ukuze ubeke kabusha umhlathi ongezansi ngendlela ejwayelekile.

Ukwenyela Okungalapheki noma eyinhloko ngokuvamile avuse dislocation umkhuba. egobolondweni lelunga nemisipha kakhulu pererastyagivaetsya, ukuzinza ngokuhlanganyela kulahleka. Shona ngokuqhubekayo okuphuma kwamanzi ngokuhlanganyela lapho wenza kunoma iziphi izinhlangano ezixuba emhlathini.

Indlela eyinhloko uphethwe esimweni we mandible futhi ngokuhlanganyela. Kodwa kungaba okungelona usizo. Khona-ke okwenziwa ultrasound, CT noma i-MRI.

Ukuze wenze ukuhlukumezeka abanjalo kungcono emnyangweni maxillofacial esibhedlela wesifunda.

ukwelashwa ngoludala

Izindlela yokwelashwa zingahlukaniswa zibe kuhlinzwa, olandelanayo. Kuya ngokuthi hlobo dislocation, nokuthi kungenzeka ukuqeda ngendlela emnene.

Isinyathelo sokuqala ukwelashwa ngoludala, elisetshenziswa njengesibonakaliso esigabeni sokuqala zonke izinhlobo contortions. Offset ngokuhlanganyela ukunciphisa umvuthwandaba ngo ngalo ingaphakathi glenoid.

Indlela ukunciphisa umhlathi? On lokhu kamuva.

Izigaba nokwehlisa dislocation emhlathini

Isiguli kudingeka ahlale esihlalweni nge emuva eqinile futhi headrest. Shona nomzimba okudingeka uqale ukucindezela ukuba unyawo ukwesekwa bezama phansi noma itafula. Lokho kuyadingeka ukuqoshwa ephelele emzimbeni esimweni eqondile.

Imihlathi amalunga izinzwa imithi ebulala izinzwa. Feza kokuziphatha ethintekile ebusweni lidocaine noma novocaine. Lapho ukubulawa kwezinzwa okuvamile inikezwa yi muscle nokwehlisa kangcono. Kukhona amacala misa ngaphandle kokusebenzisa izinto zokubulala izinzwa.

Doctor wind izithupha yayo ngebhandeshi noma gauze. Lokhu kumele kwenziwe ukuze ugweme ukulimala emazinyweni lesiguli. Khona-ke wabeka emlonyeni phezu abadwebi we umhlathi ongezansi, nezinye iminwe kudingeka bamukele umhlathi ongezansi futhi engela yayo.

Ikhishwa ukunciphisa ngqo - umhlathi idluliswa phansi nasemuva, bese sahamba phambili. Ngesikhathi sigaba sokugcina, siphakeme futhi emuva. ngaleyo ndlela dislocation ukunciphisa, kungakhathaliseki ukuthi hlobo luni kuba.

Inhloko emhlathini senziwa ngokunyakaza eyisiyingi ngalo ingaphakathi glenoid. Ngemva kokuba vpravlen dislocation, umhlathi kumele lulungiswe at ezingu-14, ngezinye izikhathi isikhathi eside. Ngenxa yalezi zinjongo, wasebenzisa amathayi noma ukunqunywa ngebhandeshi ezivamile. Umlomo ayikwazi ukuvula kakhulu, ngakho ukudla Akufanele kube nzima.

umsebenzi kangcono ngokuhlanganyela esimweni uma zonke izincomo ziyagcinwa. dislocation Okungalapheki noma komkhuba ilungiswe ngenye indlela emva ukunciphisa. Lokhu kuzodinga idivayisi ekhethekile esiza uvala emhlathini endaweni. Ukubeka isidingo ungcolisa izicubu ngokuhlanganyela zezinzwa.

ukwelashwa op

imisebenzi Iningi lolu hlobo ithwala Maxillofacial Ukuhlinzwa eMoscow.

Lolu hlobo yokwelapha is dislocated emhlathini kuphela isicelo uma esingamahlalakhona noma izinhlobo umkhuba. Futhi ezimweni lapho amasu ezivamile musa asize kabusha. Ngosizo kokuhlinzwa, umsipha entsha wadala noma abuyiselwe ubudala. Bayoba ukuqinisekisa ukuthi ngokuhlanganyela mandibular ngeke sizinzile. Futhi ukunciphisa dislocated, wenza emhlathini ukulungiswa.

Usizo lokuqala e dislocation

Ngakho, indoda dislocated emhlathini. Indlela elula yena? Kumele kukhunjulwe ukuthi inqubo kuba buhlungu kakhulu, futhi akubona bonke kuzokwenza kube. Ngakho-ke kungcono ukuthembela ezandleni professional.

Kodwa ngaphezu kwakho konke, isiguli kumele abe usizo lokuqala noma kuqala. Isisulu idinga ukuzola futhi sizame hhayi ukwenza kunoma iziphi izinhlangano ezixuba emhlathini.

Ngosizo ngokurhaba kusho emhlathini eqondiswa inqubo yezokuthutha a isikhungo sokwelapha kwaba buhlungu. Uma ufuna futhi nethuba, umuntu kungasiza ekunciphiseni izinhlungu. Ukuze wenze lokhu, ungathatha imithi efana "paracetamol", "ketorol", "Analgin". Ungazami qondanisa umhlathi wedwa.

Sesihlole ngokuningiliziwe indlela yokunciphisa umhlathi. Le nqubo ngempela kubalulekile, okubuhlungu. Ngakho-ke kudingekile ukuba baphendukele umnyango ezikhethekile maxillofacial esibhedlela ngoba dislocation esolwa yiluphi uhlobo. Donsela lokhu akufanele kube, ngoba kungenzeka ukuthuthukiswa sengozini yokuthola izifo.