Mavuto a nkhope

Kupweteka kwa nkhope ndikovulaza nkhope. Zitha kuphatikizira mafupa akumaso monga chibwano chapamwamba (maxilla).

Kuvulala kumaso kumatha kukhudza nsagwada yakumtunda, nsagwada, masaya, mphuno, socket yamaso, kapena pamphumi. Zitha kuyambitsidwa ndi mphamvu zopanda pake kapena chifukwa cha bala.

Zomwe zimayambitsa kuvulaza nkhope ndizo:

• Ngozi zamagalimoto ndi njinga zamoto
• Mabala
• Kuvulala kwamasewera
• Chiwawa

Zizindikiro zimaphatikizapo:

• Zosintha pakumverera pankhope
• Maonekedwe olumala kapena osagwirizana kapena mafupa a nkhope
• Kuvuta kupuma kudzera m'mphuno chifukwa chotupa komanso kutuluka magazi
• Masomphenya awiri
• Mano akusowa
• Kutupa kapena kuphwanya mozungulira maso komwe kumatha kubweretsa mavuto amaso

Wothandizira zaumoyo adzayesa, omwe angawonetse:

• Kutuluka magazi kuchokera m'mphuno, m'maso, kapena mkamwa
• Kutsekeka kwammphuno
• Kuphulika pakhungu (kutayika)
• Kupunduka mozungulira maso kapena kukulitsa mtunda pakati pa maso, zomwe zitha kutanthauza kuvulala kwa mafupa pakati pamabulowo amaso
• Kusintha kwa masomphenya kapena kuyenda kwa maso
• Mitsempha yolumikiza molakwika ndi m'munsi

Otsatirawa atha kuwonetsa kuti mafupa amathyoka:

• Zovuta pamasaya
• Zovuta za nkhope zomwe zingamveke mwakugwira
• Kusuntha kwa nsagwada zakumutu pomwe mutu udakali

Kujambula kwa CT kwa mutu ndi mafupa a nkhope kumatha kuchitika.

Opaleshoni imachitika ngati chovalacho chimalepheretsa kugwira bwino ntchito kapena chimayambitsa vuto lalikulu.

Cholinga cha chithandizo ndi:

• Pewani magazi
• Pangani njira yoyenda bwino
• Chitani chophwanyacho ndikukonzekera zidutswa za mafupa
• Pewani zipsera, ngati zingatheke
• Pewani kuwonera kwakanthawi kwakanthawi kapena maso otupa kapena mafupa a tsaya
• Lamulani zovulala zina

Chithandizo chikuyenera kuchitidwa mwachangu ngati munthuyo ali wolimba ndipo sathyoledwa khosi.

Anthu ambiri amachita bwino ndi mankhwala oyenera. Kuchita maopareshoni ambiri kumafunika pakadutsa miyezi 6 mpaka 12 kuti musinthe mawonekedwe.

Zovuta zingaphatikizepo:

• Magazi
• Nkhope yosagwirizana
• Matenda
• Ubongo ndi mavuto amanjenje
• Dzanzi kapena kufooka
• Kutaya masomphenya kapena masomphenya awiri

Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati mwapweteka kwambiri kumaso.

Valani malamba pamene mukuyendetsa.

Gwiritsani ntchito zida zodzitchinjiriza mukamagwira ntchito kapena zinthu zomwe zitha kuvulaza nkhope.

Kuvulala kwa Maxillofacial; Zoopsa zapakati; Kuvulala pamaso; Kuvulala kwa LeFort

Kellman RM. Zovuta za Maxillofacial. Mu: Flint PW, Haughey BH, Lund V, et al, olemba. Cummings Otolaryngology: Opaleshoni ya Mutu ndi Khosi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier Saunders; 2015: chap 23.

Mayersak RJ. Mavuto a nkhope. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 35.

Neligan PC, Buck DW, Kuvulala kumaso. Mu: Neligan PC, Buck DW, ma eds. Ndondomeko Zazikulu mu Opaleshoni Yapulasitiki. Wachiwiri ed. Philadelphia, PA: Elsevier; 2020: chap 9.