Impilo, Imithi

Bone ukuxhumelela nge nokufakelwa kwamazinyo: Izibuyekezo

Yoma noma ukungabi bone - lokhu kuyinkinga evamile kakhulu amazinyo yesimanje. Kulokhu, ithambo ngokuxhunyelelwa iyona kuphela indlela yokuphuma.

Izinkomba amathambo ngokuxhunyelelwa

Odokotela bamazinyo ithambo ngokuxhunyelelwa wenziwa ezimweni emitholampilo ezilandelayo

Trauma emhlathini.
Obungapheli ukukhishwa izinyo.
Sokwenziwa namazinyo eziningana.
Ukuvuvukala ithambo, okuholela ekuwohlokeni kwamathambo.
Isidingo yenzeka.

Bone ukuxhumelela ngesikhathi yenzeka - yisona esikhulunywa abantu abaningi concomitant inqubo yenzeka, futhi kaningi plastic wenziwa ngenxa yalesi sizathu.

ithambo Plastic lapho ezifakelwa

Lapho udokotela ukutshela isiguli ukuthi liyadingeka uma nokufakelwa kwamazinyo, ithambo ngokuxhunyelelwa, "ukuthi iyini nokuthi kungani kudingeka ke" - ngempela umbuzo okunengqondo, okuyinto Ungasetha ngamunye. Uma emva ulahlekelwe izinyo, kuye kwaba isikhathi eside, izicubu ithambo is ngempela encishisiwe.

ukonakala kwalo kwenzeka ngoba umthwalo nezicubu izinyo engazizwa, futhi ngenxa yalokho, umzimba ucabanga ukuthi akudingekile, nezicubu uqale ukuncibilikisa kokubili ububanzi nobude.

Futhi lapho nolwelwesi kuyadingeka ukuthi indwangu uvalwe ezungezwe futhi ambheka. Ngokusho nemigomo, implatatu classical idinga okungenani 10 kwangu ithambo izicubu ukuphakama futhi 3 kwangu ohlangothini ngalunye. Uma izicubu akwanele, kufanele ubambe umthamo.

Izinhlobo ithambo grafts

Ukuze amathambo ngokuxhunyelelwa isiguli kuyadingeka ukusungula xhumelela bone ukuthi uyogcina sizakhele esikhundleni izicubu ezingekho. Ukufakelwa kunalezi zinhlobo ezilandelayo eziyisisekelo:

Ukufakelwa autologous. Bone esithathwayo ngabo ekuqaleni nje patsenta. Ngokuvamile, block ithambo esuswa umhlathi ongezansi, kusukela indawo ye molars kakhulu. Uma kukhona awukwazi ukuthatha ithambo, ithambo hip esithathwayo. It uyasinda Nokho block abanjalo kungcono, ezidingekayo ukuze afeze ukusebenza ezengeziwe.
Ukufakelwa Allogeneic. Basuke etholwe kubaxhasi womuntu, bese ezikhethwe ngokucophelela futhi inzalo. Ngenxa yalokho, lowo muntu amathambo izakhiwo elahleka, futhi kalula ingasetshenziswa njengendlela iyunithi.
Ukufakelwa Xenogeneic. Lona impahla umthombo - kuyinto izinkomo. Block icutshungulwe ukuze sibe oyinyumba ngokuphelele futhi iyahambisana umzimba womuntu.
grafts Alloplastic. amabhlogo yokufakelwa ngokugcwele ezinemithelela yethambo. Ngemva kokuhlinzwa, kancane kancane chaza noma abe usekelo ukukhula amathambo abantu zemvelo.

Kukhona izindlela eziningana ezehlukene ithambo ngokuxhunyelelwa, ngoba amazinyo yesimanje wenziwa njalo ngcono. Ngenxa yalokho, ezimweni ezihlukahlukene zokwelapha ingasetshenziswa efaneleko. Amasu ngempela okuningi, kodwa zimbalwa kuphela kufanele kubhekwe ngokuningiliziwe.

Eqondiswa ithambo ukuvuselelwa

Muva nje, impela ezinkulu ethandwa ithambo guided ukuvuselelwa - iphinde itshalwe ulwelwesi ekhethekile kukhona iyahambisana umzimba womuntu, okuyinto ukusheshisa kumiswa amathambo emhlathini. Ulwelwesi wenza kusukela collagen ethandele ekhethekile ezingenziwanga aliwa umzimba futhi ngezinye izikhathi ukuba afuthwe ngesibulali laqanjwa inkanuko ukukhula ithambo izicubu.

Ulwelwesi kukhona resorbable futhi okungezona resorbable, kuye ngokuthi isikhathi esingakanani udinga ubambe uzimele.

Uma ulwelwesi ingenisa indawo oyifunayo, isilonda is sutured, futhi une isikhathi ukulinda izicubu ithambo luyokhula. Le nqubo ivame kuthatha cishe izinyanga eziyisithupha.

yokutakula Kuqondiswe - futhi ithambo ukuxhumelela nge ephathelene nokufakelwa kwamazinyo. Isithombe amabhlogo esetshenziselwa ukuvuselelwa, ungabona ngezansi.

itheku lift

Itheku lift - kuyinto amathambo ngokuxhunyelelwa ethize, okuyinto kwandisa umthamo ithambo ngokuxhunyelelwa ku maxilla ngenxa ephakamisa phansi itheku maxillary.

Esimisiwe itheku lift ezimweni emitholampilo ezilandelayo:

In the ukungabikho pathologies bekezela ngaphakathi the operation zone.
Lapho polnonom akukho ingozi sokuthuthukiswa ukuxakeka.

Ngesikhathi esifanayo itheku lift kunombolo amacala zokwelapha is contraindicated ku:

imikhuhlane eziphikelelayo.
Ukuba khona ku itheku maxillary ngodonga amaningi.
Polyp ku ekhaleni.
Sinusitis.
Izinkinga nezifo ezithinta amathambo.
Bethembela-nicotine.

Ezinye Izimo luqedwe, bese kuphela ukufeza itheku oqondile lift.

Itheku lift wenziwa ngezindlela ezimbili eziyinhloko:

ukuhlinzwa Vula.
ukusebenza ikhiyiwe.

Vula itheku lift - it is a inqubo eyinkimbinkimbi uyabulawa uma ukuntuleka ivolumu ngokwanele enkulu ithambo. Kunenkolelo ngezigaba eziningana:

Udokotela wamazinyo snick mucosa ngaphandle itheku.
Lwamafinyila izicubu itheku waphakamisa kancane.
Isikhala lugcwele izinto okumele isetshenziselwe umthamo.
A lwamafinyila ehlutshiwe wafaka endaweni, futhi zonke sutured.

Uma amathambo engakutholi kancane, hhayi ningi than 2 kwangu, kungenzeka ukuba ubambe avaliwe itheku lift. Wenza kanjalo:

Isinyathelo sokuqala umhlathi endaweni ezihlelelwe imbobo nolwelwesi.
Khona-ke, udokotela ithuluzi amazinyo akhethekile ngokusebenzisa le imbobo Uphakamisa phansi itheku maxillary.
ekujuleni izimbobo wabeka impahla osteoplastic.
Ngokushesha ngemva kwalokho, nolwelwesi ibekwa emhlathini.

Indlela podsadki ithambo block

Iphinde itshalwe ithambo block okwenza esingaphansi ukuvuselelwa noma itheku lift njengoba nje kuhilela ukusetshenziswa grafts futhi engraftment zabo ezinde. Le yunithi unamathele ngezindlela ezahlukene, ngezinye izikhathi ngisho ekhethekile titanium ngezikulufo. Ngemva kwezinyanga eziyisithupha, lonke block uyasinda, titanium izikhonkwane basuka yenzeka ingenziwa.

ithambo ukuxhumelela iyunithi simiswe ngalendlela lelandzelako:

Desna ukusika.
Special ithuluzi amakhefu, sikhohlwe ithambo.
I ingaphakathi okuholela ibekwe materal osteoplastic.
I milisa iqinile titanium namasu ithambo engokwemvelo.
Zonke izikhala zigcwele ingane ekhethekile, inkanuko ithambo kumiswa.
Ukufakelwa ibekwa ulwelwesi ekhethekile.

ithambo block ngokuxhunyelelwa ngokuvamile kwenziwa uma udinga ukwandisa hhayi kuphela ukuphakama kodwa futhi ububanzi izicubu thambo umhlathi noma uma ithambo akuyona kakhulu.

Bone ukuxhumelela nge nokufakelwa kwamazinyo: Izinkinga

Njenganoma iyiphi ukuhlinzwa, ne amathambo ngokuxhunyelelwa ngaphambi yenzeka lakheka ngokubizwa ezinye izinkinga. Ukubuyekezwa kuthi zingenzeka:

Ukopha. Ngo yokuqala amahora amabili ngemva kokuhlinzwa, abanye ukopha kungokwemvelo, kodwa uma uya ku-usuku lonke, kufanele uye kudokotela.
Ubuhlungu nokuvuvukala. Ezinsukwini zokuqala 2-3 kukhona imithi elwa namagciwane yemvelo kanye amaphilisi ezinhlungu ziyasuswa. Uma ubuhlungu kuphela eba namandla ngokwengeziwe, kangcono ukuvakashela udokotela.
Ukungabi namizwa umhlathi. Uma kuthatha amahora ambalwa, bese kungase kube uphawu lokungabi ukulimala kwenzwa.
Ukuvuvukala. Uma kunzima umoya iphinde ivimbele umlomo wakho, udinga udokotela ukunakekelwa esiphuthumayo.