Sei kuderedza rushaya? Dislocation pakati shaya. rushaya majoini

Dislocation of temporomandibular muhudyu anopindura nzvimbo rinokosha iri nemamiriro zvokurwara ari maxillofacial nharaunda. Kutambura kunyanya akagwinya vanhu uye pensioners, vakadzi kakawanda kupfuura vanhu pamusana anatomical zvinhu. The chinjwa yakaderera rushaya, yakatarwa yokumusoro rushaya uye masticatory tsandanyama kuti aite kudyidzana kwavo kunobvumirwa maxillo-mazino midziyo.

Dislocation of temporomandibular muhudyu chinonzi ezvinhu pathological umo vagari hukawanika havasi zvakafanana. Izvi imhaka yokuti musoro mandible kubva glenoid mhango pakati zvenyama mapfupa. Nyaya ino ichakurukura kupatsanura pakati dislocations uye kutarisa sei kuti kuderedza shaya.

Kupatsanura pakati dislocation of rushaya

Zvichienderana anatomical nzvimbo yacho musoro hama kuti sprained mwoyo dislocation zvinoitika:

1. Front.

2. Rear.

Zvichienderana papi vagari hukawanika vari zvaizopedza, dislocation pamusoro mandible anogona kuva:

1. Complete - kana mismatch wakakwana.

2. subluxation - rushoma mismatch panguva articular hukawanika.

Localization inoita dislocation of mandible:

1. yaitsigira divi (kurudyi kana kuruboshwe).

2. Double vanototsigira - Iyi mhando zvakawanda zvakajairika.

Anamnestic zviratidzo uye nguva okurarama anoita dislocation:

1. Kokutanga akasimuka.

2. stale - kana asina kubatwa chikuru dislocation mukati memasvondo 1-2 kana kupfuura.

3. vanongogara dislocation of rushaya - pane kazhinji (pamwe kunyange kanoverengeka pazuva), izvozvo zvinoderedza self.

Sezvo anogona kuva zvichienderana matambudziko anoitika dislocation:

1. nyore uye nyore.

2. yematambudziko (pamwe atsamwira pamusoro tsandanyama, mapfupa, ganda, tsinga, nemidziyo, pakakuvara shaya).

Sei kuderedza rushaya dzimwe sprains siyana? mubvunzo uyu inofarirwa nevakawanda.

zvinokonzera

Sprains kuitika nokuda zvinotevera kukuvara yaizoitika:

1. kukuvara kwevashandi nezvinhu kana kudzika rushaya panguva kuwa.

2. Sharp simba rushaya kufamba panguva kudya, kutsenga zvokudya zvakaoma.

3. Yawning kana simba muromo yokutanga.

Mukuwedzera, kukuvara kunogona kuitika nokuda zvinotevera kukuvara asiri yaizoitika:

• Bad tsika, izvo zvinogona kuitika nokuisa zvinhu makuru mumuromo kana rushaya kwete kushandisa kuti chinangwa chahwo (vanhu kuzarura hombodo, magaba, kutsemura muromo nzungu).
• Kuvapo zvirwere pakanyorwa kuti zinyekenyeke shwashwa-articular midziyo (chirwere cheshuga, vadyi osteoarthritis, rheumatic uye chearthritis maronda, osteomyelitis pamusoro mandible, osteoporosis, zera-kufanana kuchinja).

Mabatirwo contortions izvi mubasa Maxillofacial Surgery muMoscow.

Clinical zviratidzo uye chirwere nzira

Kana pane dislocation, rinogona kunzwika nekudzvanya ari shaya vadyi, izvo pamwe kurwadziwa zvikuru kwazvo. Pashure paizvozvo, muromo hauna kuvharwa nokuda kurwadziwa kana zvokuimba mhingaidzo.

Zvichienderana worudzii dislocation chakaitika (neshure kana mberi), shaya ake kusundwa kana mberi kana riwire shure. Kana munhu ari kuzviitirwa, ipapo shaya anotaridzika nokushapira. Zvose izvi pamwe nokunyanyisa salivation, pakuparadza, nekuti kwacho raputsika.

Kutaura Human kunokanganisika kana hazviiti. Kazhinji, Zviratidzo izvi kuonekwa munguva dislocation pakati shaya wokutanga.

Mumwe nguva anofanira elapse, uye kana dislocation hakuna kunaka, ipapo ichava stale. Zvemamiriro vanga rinenge richikura pamusoro Hudyu shaya, pane atrophy tsandanyama nemarunda. Somugumisiro, izvozvo zvisisakwanisiki reposition vagari kunhaka ari vasiri chinzvimbo.

About subluxation

Subluxation of temporomandibular muhudyu kunokosha. Kazhinji, hazvina chirwere kwenguva refu nokuda asipo zviratidzo pachena. Time wakarasika, pane dysfunction repasi shaya. Uye ichi ndicho mukana zvakaoma reposition rezasi rushaya mune mwero nzira.

Chirwere kana chikuru sprains kazhinji vanotsamwisa vanongogara dislocation. Joint Kamudzira nemarunda zvakasimba pererastyagivaetsya, vadyi kugadzikana akarasika. Head anoramba chinobuda kwemajoini pamusoro apo achiita chero kufamba shaya.

The nzira chikuru nechirwere ndiyo radiography pamusoro mandible vadyi. Asi unogona kuva unhelpful. Ipapo akatakura Ultrasound, CT kana MRI.

Kuti izvozvo kunotevera zvakanaka mune maxillofacial dhipatimendi vedunhu muchipatara.

kuchinja mabatiro

Nzira kurapwa zvinogona rakakamurwa zvomusejari uye kuchinja. Zvinoenderana worudzii dislocation, uye kana zvichiita kubvisa akapfava nzira.

Danho rokutanga kuchinja kurapwa, iro rinoshandiswa sezvo wokutanga pave ose contortions. Kushaya vagari kuderedza musoro glenoid mhango.

Sei kuderedza rushaya? On ichi akazotevera.

Zvinhanho rutapudzo pakati dislocation of rushaya

Murwere kugara pachigaro ane musana yakasimba uye headrest. Head uye muviri vanofanira kuti clamped kuti mutsigiri rutsoka aimanikidzwa pasi kana patafura. Kuti kunodiwa kurekodha kwakakwana mumuviri mune chaiwo chinzvimbo.

Shaya majoini anesthetized rufimbi. Tiite infiltration pakati njodzi pamusoro lidocaine kana novocaine. Kana mukuru yokutindivadza inopiwa tsandanyama kutandara uye nani rutapudzo. Pane nyaya reposition pasina kushandisa yokutindivadza.

Doctor mhepo thumb dzaro bhandeji kana gauze. Izvi zvinofanira kuitwa kuitira kuti vadzivise vaikuvadza meno murwere. Akabva aisa pamuromo pamusoro Painters repasi shaya, vamwe minwe vanofanira kugamuchira rezasi shaya dzayo angled.

Yakabudiswa yakananga rutapudzo - shaya inodedera pasi uye shure, ipapo mberi. Rekupedzisira pachikuva, ukazvikudza uye shure. Saka Dislocation kuderedza, pasinei mhando ndiyo.

Head dzeshaya rakaitwa raundi inofamba akapoteredza glenoid mhango. Pashure pokuva vpravlen dislocation, shaya inofanira wakaiswa pa mazuva 14, dzimwe nguva refu. Zvinangwa izvi, vakashandisa matai kana nokuiswa kwechinhu kwakajairika bhandeji. Mukanwa ringagona kusvinudza zvikuru, saka zvokudya havafaniri kuva zvakaoma.

nani kwemajoini basa anodzorerwa kana zvose kunenge zvakasangana. Chirwere kana vanongogara dislocation wakaiswa neimwe nzira mushure rutapudzo. Izvi zvinoda zano rinokosha kuti inobatsira akakiya shaya panzvimbo. Kugadzira kudiwa uchisvibisa kumonwa connective tishu.

kushanda kurapa

kushanda Most ino mhando anotakura Maxillofacial Surgery muMoscow.

Izvi rworudzi ARV dislocated rushaya chete kutevedzerwa chirwere kana vanongogara siyana. Uye zviitiko apo kwakajairika nzira regai kubatsira reposition. Tichibatsirwa kuvhiyiwa, kuti shwashwa mutsva akasikwa kana rakadzorerwa akwegura. Ivo vachava nechokwadi chokuti mandibular vadyi icharamba yakatsiga. Uyewo kuderedza dislocated, akaita kugadzirira shaya.

rubatsiro rwekutanga mukurapa dislocation

Saka, murume dislocated shaya. How kutwasanudza pachake? Zvinofanira kurangarirwa kuti nzira zvinorwadza chaizvo, uye havasi vose ndichaiita. Naizvozvo zviri nani kuvimba mumaoko nyanzvi.

Asi kupfuura zvose, murwere unofanira kuva wokutanga kana rwekutanga a. Munhu wacho anofanira kudzikama edza kuita chero kufamba shaya.

Vachibatsirwa kugadzirwa zvinoreva shaya ndee kuna nedanho chokufambisa kuti nachiremba jeri raiva nyarara. Kana uchida uye mukana, munhu anogona kubatsira kuderedza marwadzo. Kuti aite izvi, unogona kutora zvinodhaka se "paracetamol", "ketorol", "Analgin". Usaedze kutwasanudza shaya oga.

Takurukura zvose sei kuti kuderedza shaya. Izvi ndizvo chaizvo zvinokosha, kunorwadza. naizvozvo zvakafanira kuti kutendeukira kune unyanzvi hwakasiyana maxillofacial dhipatimendi kuchipatara vakafunga dislocation chero mhando. Dhonza ichi uyewo havafaniri kuva, nokuti zvinokwanisika kukura zvakakomba yematambudziko.