Pehea e emi i ka iwi? Dislocation o ka iwi ā. iwi ami

Dislocation o ka temporomandibular ami ninoaaeyao he nui wahi i loko o ka 'ole o ka pathology o ka maxillofacial māhele. E ae aku i ka hapanui hiki-ke Kino o kanaka a me pensioners, wahine oi pinepine ma mua o nā kānaka, no ka anatomical hiʻona. Ke hoʻoneʻe lalo ā, i ka haka a luna a me ka masticatory nāʻiʻo i hana lākou AaOIeIOUIeXAOAaIN hoolilo maxillo-kahua niho i hoʻomākaukauʻia.

Dislocation o ka temporomandibular ami ua kapaia he pathological ana i loko i ka ami surfaces e ole ka ia. Keia mea aie a hiki i ka nui, e hoike ana i ke poʻo o ka mandible mai o ka glenoid lua o ke kino iwi. He 'atikala e noonoo Mea Maluna o dislocations, a nana i pehea e ho'ēmi i ka iwi.

Mea Maluna o ka dislocation o ka iwi

Ke kaumaha ma muli o ka anatomical wahi o ka poo pili i ka sprained kaumaha dislocation hana:

1. Front.

2. Hope.

Ke kaumaha ma muli o ka loa i ka a ka ami surfaces i offset, dislocation o ka mandible hiki e:

1. pono'ī - ka wā i piha OOAaAeAa.

2. subluxation - hapa OOAaAeAa ma ka articular surfaces.

IIeEeAIEUAA mea dislocation o ka mandible:

1. Unilateral (akau, aole hoi hema).

2. E pālua kapakahi - kēiaʻano mea hou, he pono ole.

Anamnestic na hoailona a me ka lōʻihi like 'ole o ke ola i dislocation:

1. No ka mea manawa mua ae la.

2. stale - ina ole ia me ka iniiaiie dislocation loko 1-2 pule a oi.

3. kohu pono dislocation o ka iwi ā - he mea pinepine (paha i kekahi mau manawa o ka lā), e ho'ēmi i kā he naʻu.

E like me ka hiki e ke kaumaha ma muli o ka complications o dislocation:

1. A noonoo ole a me ka uncomplicated.

2. complications (me ka rupture o nāʻiʻo, ligaments,ʻili, nä olonä, ipu, fracture o ka iwi ā).

Pehea e emi i ka iwi ā ma kekahi mau sprains? Kēia ninau mea o ka hoihoi ana i na mea he nui.

kumu o ka

Sprains ana no ka mea, o ka mea e hahai traumatic nā palapū.

1. ino a me ka pepehi iho at ia ma luna o nä mea like 'ole ma lalo iwi i ka haule ana.

2.ʻoi ikaika iwi neʻe i kaʻaiʻana, e kamaiʻilio ana paakiki ai.

3.ʻale a ikaika waha hamama.

Eia hou, i ka ino ke hiki no i ka hahai ole-traumatic nā palapū.

• Inoʻano, a hiki i hoʻomaka ai ma kau nui nä mea i loko o ka waha a me ka iwi ā e hana no kona Manao iho la ia mea (kanaka wehe i na hue, E hiki anei ia, mahae waha kukui).
• Ke alo aku o ke kāʻei kua maʻi e hoonawaliwali i ka ligament-articular i hoʻomākaukauʻia (mimikō, hui osteoarthritis, rheumatic a me ka arthritic lesions, osteomyelitis o ka mandible, osteoporosis, makahiki-pili loli).

Iapaau ana o kēia mau contortions komo i loko o Maxillofacialʻoki kino ma Moscow.

Lapaʻau na hoailona a me PalekanaEND_LINK ki ina hana like

A hiki aku ka mea, he dislocation, hiki ke lohe ke kaomi 'ana ma o ka iwi ā hui, i ua pu ma kekahiʻano loa eha. Ma hope iho o ia, ua ole paa hou mai la no i ka eha a me ka ÿole mechanical iaʻi ka waha.

Ke kaumaha ma muli i ke ano o ka dislocation ana (hope a mua), me kona mau iwi, kipaku ka mua a me ka palemo hoʻi. Inā ka mea, o kekahi-kapakahi, laila, i ka iwi ā oi ana skewed. A pau keia ua pu e excessive salivation, moni 'ia, no ka mea, ke kaʻina ka mea i haki.

Kanaka olelo i slurred ai ole i ke Akua. IeAUPIIe, IAa IO, mau symptomsʻikeʻia i loko o ka dislocation mua o ka iwi ā.

pono hala kekahi manawa, a ina o ka dislocation mea i pono, a laila ka mea, e lilo ia i mea stale. 'āno'ē me ka makaʻu no'aʻaʻa ulu ana ma na ami o ka iwi ā, he mea atrophy o na nāʻiʻo a me ligaments. E like me ka hopena, e lilo ia i mea hiki ole e reposition i ka ami ana i loko o ka physiological kūlana.

About subluxation

Subluxation o ka temporomandibular ami mea noteworthy. E like me ka rula, ka mea, ua i diagnosed no ka lōʻihi manawa ku i ka wa e kaawale aku o ahuwale symptoms. Manawa ua nalowale, aia no he dysfunction o ka lalo iwi ā. A me keia mea he pilikia i ka wa pono e reposition i ka lalo iwi ā i loko o ka hae ala.

Maʻi a iniiaiie sprains pinepine hoʻonāukiuki a kohu pono dislocation. Olelo mea hōʻikeʻikeʻuʻuku a me nā ligaments ikaika pererastyagivaetsya, ami kumupaʻa ua nalowale. Head noke hele mai mai o na ami ili ka wā e kekahi ka neʻe 'ana o ka iwi ā.

O ka papa kuhikuhi hana o kaʻike, ka radiography o ka mandible a me ka ami. Akā, ka mea hiki e unhelpful. A laila, lawe ultrasound, HI paha MRI.

E hana e like me ka trauma mea maikaʻi i loko o ka maxillofacial oihana o ka Apana haukapila.

makeʻe kulana lapaʻau

Nā Papahana O Ka lapaʻau hiki ke maheleia iʻoki lāʻau lapaʻau a me ka makeʻe kulana. Ua hilinaʻi nui ma luna o ka 'ano o ka dislocation, a ina paha he mea hiki ia, e hoʻopau i ke akahai.

Keʻanuʻu mua ka makeʻe kulana lapaʻau, a ua hoʻohana 'ia e like me ke kahua mua no nāʻano o nā contortions. Offset ami emi i ka poo i loko o ka glenoid lua.

Pehea e emi i ka iwi? Ma keia hope.

Kahua o ka hoʻonaʻauao ka ho'ēmiʻana o dislocation o ka iwi

Ke hoomanawanui Pono e noho ma luna o ka noho me ka paa hoʻi a me ka headrest. Head a me ke kino e pono ai e e clamped i kekahi kokua wawae ikaika loa o Paulo ma ka papahele a me ka papaʻaina. I ua pono piha i hoʻopaʻa 'ia o ke kino i loko o ka kūlike loa kūlana.

Iwi ami anesthetized anesthetic. E lawe mai infiltration o ka loli ana oʻilikai lidocaine paha novocaine. Ka wā mau anesthesia ua hoʻolako 'ia e Muscle hoʻomaha a me ka maikaʻi ka ho'ēmiʻana. Aia nā hihia reposition me ka hoʻohana o anesthesia.

Kauka kūkulu makani a kona manamana nui me ka lole wili a gauze. Kēia pono e hana i mea e pale poino i ka hoʻomanawanui i ka niho. A laila, waiho ihola i loko o ka waha ma ka pena o ka lalo ā, i nā manamana pono e apo i ka lalo iwi ā, a kona huina.

Hua mai la i pololei ka ho'ēmiʻana - i ka iwi ā ua nee aku ia, a hoʻi, a laila, neʻe i mua. Ma ka hope ke kahua, ua kaikai oia i a me ka hope. Dislocation pela emi kekahi,ʻaʻohe mea i ano ia mea.

Head o ka iwi ā ua i ka hoʻopoepoe noi a puni ka glenoid lua. Hope i vpravlen dislocation, pono e paa i ka iwi ā i 14 mau lā, i kekahi manawa hou. No kēia mau mea, hoʻohana papale hainaka a me ke kau ana o kaʻike mau lole wili. Waha hiki ole wehe nui, no laila, ka ai e ole e paakiki.

ua hoihoi hou maikaʻi ami hana ina e halawai na koi a pau. Maʻi ole a kohu pono dislocation paa ma kekahi ala ma hope o ka ka ho'ēmiʻana. Kēia e pono e ka kūikawā mea e kōkua ka laka 'ana i ka iwi ā i hoʻomoana. Hoʻopunipuni i ka pono no ka fouling ami connective'aʻaʻa.

operative Inc

Loa ana o keia ano hāpai Maxillofacialʻoki kino ma Moscow.

Kēiaʻano o ka Inc ua dislocated iwi ua wale pili wā maʻi ole a kohu pono 'ano apau loa. A ma na wahiʻike mau 'ana i kūpono mai i kōkua reposition. Me ke kōkua o keʻoki kino, ka mea hou ligament ua hana a hoʻihoʻi kahiko. Ka mea, e hōʻoia 'ia mandibular ke ami hoi, e noho paa. I emi ka dislocated, i hoʻopunipuni iwi.

First kōkua ma ka dislocation

No laila, he kanaka dislocated iwi. Pehea e straighten ia ia iho? Ua pono e hoomanao i ke kaʻina hana ka loa ola, a me ka ole a pau e hana ia. No ia mea, e aho e hilinaʻi i loko o ka lima o ka 'oihana.

Akā, ma luna o nā mea a pau, pono i ke ahonui o ka mua a me ka mua kōkua. Ka luahi pono e e mālie ia me ka ho'āʻo mai i ka e kekahi hana iwi.

Me ke kōkua o ke improvised o ia hoʻi, ua paa i ka iwi ā i ke kaʻina hana o ka halihali ana i ka 'inikua wahi uku paha ua painless. Inā 'oe makemake, a i ka manawa maopopo, he kanaka hiki ke kōkua ho'ēmi i ka eha. E hana i kēia, e hiki ke lawe ai 'e like "paracetamol", "ketorol", "Analgin". Mai ho'āʻo i ka straighten i ka iwi ā wale.

Ua hookolokolo mākou i loko o au mamuli pehea e ho'ēmi i ka iwi. Kēia kaʻina He loaʻano nui, eha. He nolaila, e pono e huli i ka hana kūikawā maxillofacial Oihana o ka haukapila no kēia dislocation o kekahiʻano. Huki ia no hoi e ole e, no ka mea, ua hiki i ka hooulu ana o ka mea complications.