Pana iwi pono luna 'lapaʻau

A pepe iwi - he 'aʻe' ana i ka pono o ka iwi ma lalo o ka aoao o ka poʻe koa. Mau fractures hiki e:

• Traumatic. Aia nō ma hopena, gunshot eha, he ulia paha ulia;
• Pathological. Ka mea, e kū aʻeʻoe spontaneously like me ka hopena o ka osteomyelitis, he nui cyst a he malignantʻeho.

Mandibular fractures hoike no ka hola 70% o nā mea a pau nā palapū e ana ma luna o ka maka. I ka lalo iwi ā ua hoʻokino e like me ka horseshoe a me nā palapū i ole uncommon kaulua, Triple a hiki fractures.

Pana iwi hopena hiki i ke ākeaʻano. Ka loa, he pono ole waha wale ekolu pohaku, e pono e hamama ana, a pili. Inā ka fracture originated i loko o ka pauku kīloi paʻewa o ka mandible, ka mandibular nā aʻalolo pōʻino ke kānāwai. A laila, i ka luahi uaʻike piʻi numbness o ka iwi ā mai ka poho, oiai poho iʻeluaʻaoʻao numb ka pau iwi. I ka wā o ka iwi fracture Makuakane pili ana i ke ku una mucosa a me ka palupalu'aʻaʻa waimaka, ka mea, ua olelo mai e wehe. I kekahi manawa, he trauma poino nui na moku a me ka nui hematoma hana. Pinepine pu ma fracture o ka concussion, a ma kekahi mau hihia, he kanaka i ka hoao ana o ka kŰia.

Inā 'oe a me kekahi, mai kou' ia i waho i ka pepe a iwia, oe e noho mālie, a kapa aku "ambulance." E like me ka rula, o ka helehelena o lesions ma luna o ka maka, aole ia i like loa me ka oolea o ka poino, akā, hiki ole ke hana me ka hana kūikawā kōkua. Ina o ka poino mea,ʻaʻole mea nui, e ho'āʻo e waiho oe ia oe iho i loko o ka wahi o ka iwi ā e ole e, no ka mea, hiki e nā palapala i ke ola.

Inā ka luahi mea unconscious, e pono e kau i kekahiʻaoʻao no laila, i ka tuha, ke koko a me ka 'ōlelo' aʻole e lilo i keʻakeʻa nei no ka hanu. Ua pono e kaʻi aku i loko o ka ia kulana. Ma ka hihia o ka loa kahe ana ke koko a 'inikua kōkua nei, e hiki ke hana tampons, a ina oe i kūikawā nā mākau, ka mea i pono, e holo ikaika aku nei i ka carotid artery mai ka poho.

Ma ka noi komo 'ana i ka haukapila ua pono o ka X-Ray ninaninau. He mea pono e hōʻoia i kaʻike,, haawi aku la ma hope o ka physical ninaninau o ka hoʻomanawanui. A hiki aku ka mea, he fracture o ka iwi ā, iapaau ana ua hoʻokumu pū like koke i ka hoʻomanawanuiʻana kulana i stabilized. Kona hana ua wae ke kaumaha ma muli o ka oolea o ka poino. Lapaau nā nā kēia mau kapuwai.

• Ka hui malu pu ana i ke koena ai, a ua hana ma lalo o kūloko anesthesia. Ua hiki ke hana pololei hana lima. Akā, i loko o kekahi mau hihia, o ka oi aku ina, mai ka manawa o ka hewa, i hala loa o ka lōʻihi manawa, ua lawe mai i kēia kaʻina hana i nā, hoʻohana kūikawā machines, e like me extraoral paha intermaxillary traction;
• Fixation o na hakina o ka iwi ā iwi i ka wā o ke ola. E hana i kēia, hana i kekahiʻano o nā 'ana i kūpono a me nā mea paahana;
• E pili ana i ke kūlana e hoʻonui ai i ka kokololio loaa ana o ka iwi ā.
• Kāohiʻana o nā complications o infectious a me ka hoʻoʻino ano.

Inā fracture o ka iwi ā ua hana surgically, na hakina i e paa Via crosslinking o tantalum a kila kaula, metala papa a paipu, extraoral i hoʻomākaukauʻia.

ʻO ka pahuhopu nui o ka hana maikaʻiʻole o fractures o ke ā mea he kuʻi nukeliu i ke koena ai ma ka oihana a e hōʻoia i ka hoihoi hou ia ana o ka occlusion, a ma ka pōkole manawa. Inā alu kekahi lahuikanaka i mokumokuia iwi me nā 'inoʻino loa i kekahi kanaka, he mea i pono ai no ka eaʻoki kino. Pinepine ka mea, e lawe mai i loko o kekahi mau kahua o ka hoʻonaʻauao, a me ka i dentures iwi a me ka maka, ina he pono. I kekahi manawa, he fracture o ka iwi ā ka mea, he mea nui complications me osteomyelitis, meningitis, abscess a me nā maʻi.