Zempilo, Mayeza

Utyando lweplastiki lwe-Bone lokufakelwa kwamazinyo: ukuphononongwa

I-Atrophy okanye ukungabikho kwezicubu zethambo yinkinga eqhelekileyo kwizinyango zamathambo zanamhlanje. Kule meko, iplastiki yamathambo iya kuba yindlela kuphela yokuphuma kwimeko.

Iimpawu zethambo elimnyama

Amathambo amazinyo enza i-bone grafting kwiimeko ezilandelayo zeklinikhi

Ukulimala komhlathi.
Utyando lwezinyo ezibuhlungu.
Ukuxhomekeka kwamazinyo amaninzi kanyekanye.
Ukuvuvukala kwithambo, okukhokelela ekunciphiseni kwezicubu zethambo.
Ukuyimfuneko yokumiswa.

Utyando lweplastiki lwengqondo ngexesha lokumiselwa kwindlela eqhelekileyo enxulumene nokufakela imveliso, kwaye ngokuqhelekileyo iplastiki isenziwa ngokuchanekileyo ngesi sizathu.

Utyando lweplastiki ye-plastic yokufakelwa

Xa ugqirha exelela isigulane ukuba ufuna iiplastiki zethambo xa efaka amazinyo akhe, "yintoni na kwaye kutheni kuyadingeka" ngumbuzo onengqiqo wonke umntu onokuwubuza. Ukuba emva kokuba ulahlekelwe lizinyo, bekude ixesha elide, ngoko-ke amathambo amathambo kufuneka ahla.

Ukutshatyalaliswa kwakhe kwindlela eyenzekayo ngenxa yokuba umthwalo osuka kwizinyo awusayi kuvezwa yimizimba, oku kuthetha ukuba umzimba ukholelwa ukuba akuyimfuneko, kwaye izicubu ziqala ukutshabalalisa zombini ububanzi nobude.

Kwaye xa ufaka ukufakelwa, kuyimfuneko ukuba izicubu zijikelezwe kwaye zigcinwe. Ngokomgangatho, ukufakelwa kweklastiki kudinga malunga neekhilomitha ezili-10 zeethambo zamathambo ukuphakama kunye nemithamitha amathathu kwicala ngalinye. Ukuba izicubu zanele, ke kufuneka uzinze.

Iintlobo zeetrafti zethambo

Ukuze wenze uphando lweplastiki lwangasese, isigulane kufuneka sibe ne-bone graft ekugqibeleni iphilise kwaye ishintshe izicubu ezilahlekileyo. Ukutshintshwa kwezi zilandelayo zilandelayo:

Ukuhamba ngokugqithiseleyo. I-Bone yona ithathwa kwisigulane ngokwakhe. Njengomthetho, i-block block ikhutshwe kumhlathi osezantsi, ngaphandle kwendawo engemva kwemimandla ephezulu. Ukuba awukwazi ukuthabatha ithambo ukusuka apho, i-bone tissue ye-hip ithathwa. Ibhloko elinjalo lihle kakhulu, kodwa kuyimfuneko eyongezelelweyo.
I-allogeneic grafts. Zifumaneka kubanikeli babantu, kwaye zikhethwe ngokucokisekileyo kwaye zinyunyiwe. Ngenxa yoko, iipropati zodwa zethambo zilahlekile, kwaye ingasetyenziswe lula njengebhokisi.
Xenogenic transplants. Nantsi imvelaphi yezinto eziphathekayo yinkomo. Ibhloko iqhutyelwa ukuze ibe yinyumba kwaye ihambelane nomzimba womntu.
I-alloplastic transplants. Iibhloko ezenziwe ngokugqibeleleyo ezilinganisa isakhiwo sethambo. Emva kokusebenza, ngokukhawuleza bazimisele okanye babe yinkxaso yokukhula kwethambo lomntu.

Kukho iindlela ezininzi ezahlukahlukeneyo zokufakelwa kwamathambo, kuba amazinyo edayi ahlala ephuculwa. Ngenxa yoko, iindlela ezininzi ezifanelekileyo zingasetyenziselwa kwiimeko ezahlukeneyo zeklinikhi. Le ndlela inene kakhulu, kodwa ke bambalwa kuphela abafanelekile ukuqwalasela ingcaciso.

Ukuqondisa ukuvuselelwa kwethambo

Kungekudala, ukuhlaziywa kwethambo elinolawulo lithandwa kakhulu: ukutshintshwa kweembumba ezikhethekileyo ezihambelana nomzimba womntu, okhawuleza ukubunjwa kwamathambo omhlathi. Iimbumba zenziwe ngeefowuni ezikhethekileyo ze-collagen, ezingakhange zithatyathwe ngumzimba kwaye ngamanye amaxesha zixutywe ngumbumba okhuthaza ukukhula kweethambo zamathambo.

Iimfumba ziyakwazi ukuhlaziywa kwaye zingenakwenzeka, kuxhomekeke ekubeni kuthatha ixesha elide ukugcina isakhelo.

Emva kokuba i-membrane ifakwe kwindawo efunekayo, isilonda sutured, kwaye kuthatha ixesha elithile ukuba lilinde de i-bone tissue ikhule. Ngokuqhelekileyo le nkqubo ithatha malunga neenyanga ezintandathu.

Ukuqondisa ukuvuselelwa kwakhona kwithambo leplastiki xa kufakwa amazinyo. Ifoto yezitshixo ezisetyenziselwa ukuvuselelwa, ungabona ngezansi.

Sinus Ukuphakamisa

Ukuphakanyiswa kwe-sinus yiplastiki ethile yethambo eyenza inani lentsimbi yeplastiki ehlathini eliphezulu ngenxa yokuphakama kwe-sinus maxillary.

Ukuphakanyiswa kweSinus kumiselwe kwezi zilandelayo:

Ukungabikho kwezigulane zesifo kwiindawo zokusebenza.
Ngokungabikho ngokupheleleyo kwengozi yokuphuhliswa kweengxaki.

Kule meko, ukuphakanyiswa kwe-sinus kuyaphikiswa kwimiba yeeklinikhi eziliqela:

Rhinitis rhoqo.
Ubukho kwi sinus maxillary yeendidi ezininzi.
Iipolisi kwimpumlo.
Sinusitis.
Iingxaki nezifo ezichaphazela izicubu zethambo.
Ukuxhomekeka kwi-nicotine.

Ezinye zeengqinisiso zinokupheliswa, kwaye emva koko, zenze i-sinus-lifting itself.

Ukuphakanyiswa kweSinus kwenziwa ngeendlela ezimbini ezibalulekileyo:

Vula ukusebenza.
Umsebenzi ovalwe.

Ukuvulwa kwe-sine ukuphakanyiswa yinkqubo eyinkimbinkimbi eyenziwa ukuba i-volume enkulu yeethambo zamathambo ayikho. Kuqhutywa ngamanqanaba ambalwa:

Udokotela wamazinyo uncitshisa i-mucous ngaphandle kweso sinus.
Izicubu ze-mucous ze sinus ziphakamisa.
Ukungabi nalutho kuzaliswe izinto eziza kusetyenziswa ukwakha.
I-mucosa egcinwe kuyo ifakwe endaweni, kwaye yonke into iyakuthiwa.

Ukuba amathambo esifuba afikeleli encinci, angabi ngaphezu kwama-millimitha angama-2, ngoko kunokwenzeka ukuba ubambe ukukhutshwa kwe-sinus-lifting. Yenziwe njengaye:

Into yokuqala emangcwabeni kwindawo yokucwangciswa okucwangcisiweyo kokufakelwa kwintambo.
Emva koko intsimbi ekhethekileyo yonyango ugqirha ngokusebenzisa le ngqamaniso iphakamisa izantsi le sinus maxillary.
Ngaphakathi kwendawo, impahla ye-osteoplastiki isetyenziswe.
Ngokukhawuleza emva kwalokhu, ukufakelwa kufakwa emlonyeni.

I-Technique ye-block blocking replanting

Ukunqanda i-Bone akuqhelekanga kunokuba kuvuselelwe okanye ukuphakanyiswa kwesono, njengoko kubandakanya nje ukusetyenziswa kwezinto ezihambayo kunye ne-engraftment yabo ende. Iibhloko ezinjalo zifakwe kwiindlela ezahlukeneyo, ngamanye amaxesha kunye neetransiti ezikhethekileyo zeetanium. Kwiinyanga ezintandathu kamva, ibhloko iyaphiliswa ngokupheleleyo, izikhonkwane ze-titanium zikhutshwe kwaye ukufakwa kwendawo kungenziwa.

I-block block replenishment yenziwa ngolu hlobo lulandelayo:

Iintlobo zinqunywe.
Isixhobo esikhethekileyo sahlula kwaye sisasaza izicubu zethambo.
Kulo mgca obangela ukuba i-osteoplastic material.
Ukutshintshwa kwimiqathango ye-titanium kwiithambo zenyama zethambo.
Zonke izikhewu zizaliswe ngumbumba okhethekileyo, okhuthaza ukubunjwa kweethambo zamathambo.
I-membrane ekhethekileyo isetyenziselwa ukufakelwa.

I-block block replanting idla ngokuyenzayo ukuba ufuna ukunyusa nje ukuphakama, kodwa ububanzi beethambo lesifuba emhlathini, okanye ukuba kukho iincinci ezincinci zethambo.

Utyando lweplastiki lwe-Bone lokufakelwa kwamazinyo: iingxaki

Njengalo naluphina usebenzo, ngeplastiki, iimeko ezinokuthi zivele ngaphambi kokufakelwa. Kwiingxelo, kuthiwa:

Ukuhlamba. Kwiiyure ezimbini zokuqala emva kwenkqubo, ukuphuma kwincinci encinci kuyinto engokwemvelo, kodwa ukuba iyaqhubeka yonke imihla, kufuneka uhambe ugqirha.
Ubuhlungu kunye nokuvuvukala. Kwiintsuku eziyi-2-3 zokuqala ziyimvelo, ziyakususwa ngamayeza okubulala kunye neepilisi. Ukuba intlungu iba namandla kakhulu, kulunge ukutyelela ugqirha.
Ubungqina bomhlathi. Ukuba ihlala iiyure eziliqela, ingabonakalisa umonakalo wento.
Edema. Ukuba yenza ukuphefumula kunzima kwaye kuvimbela ukuvula umlomo wakho, ngoko kufuneka unyango oluphuthumayo lufunekayo.