Umhlathi ongezansi ... Indlela nezimpawu kanye nezindlela zokwelapha dislocated wakhe?

Uma uvula umlomo wakho, umhlathi ongezansi usesikhundleni lapho yayo naphakathi-disk futhi ikhanda ukuthuthela ohlangothini emuva emthambekeni articular. Le ndlela yokwenza ulungisa ukuphakama tubercle articular, nemisipha nemisipha ngokusondelene nalezi amalunga omzimba. Kodwa kukhona izimo lapho ephansi emhlathini Biomechanics yaphazanyiswa dislocations, okungukuthi, ama-slide ikhanda ohlangothini front of the kummango.

Dislocations nokuthi sohlangothi olulodwa futhi zamazwe amabili. Kuphakama lapho umlomo okhamisa ukuba ukuzamula, ukuhleka, ubambe ucezu enkulu ukudla, futhi ngezinye izikhathi ngenxa ukukhwehlela olunzima, ukuhlanza, noma buhlungu umhlathi. Ngezinye izikhathi dislocations elakhiwe ngesikhatsi ukwelashwa kwamazinyo ngumuntu wamazinyo, kanye ngesikhathi ukusetshenziswa Gag ngesikhathi intubation esiswini.

Lapho umhlathi ongezansi kuyinto dislocation zamazwe amabili, umuntu usesimweni eziyinkimbinkimbi yokuthi akakwazi ngisho ukuchaza umnyombo wenkinga, ngoba kunzima ukuvala umlomo. Kuphela ukuthinta ubonisa ukuthi nakho ubuhlungu eduze indlebe, futhi kukhona wamanje oqinile amathe emlonyeni wakhe. kwesilevu sakhe ngesikhathi esifanayo iqhubekela phambili, ngakho ukucushwa kwe ngobugebengu Ezansi ebusweni. Uma ingcindezi kancane esilevwini, ungaziqhenya imithombo umhlathi ongezansi akusho umboleke uqobo kule. Radiographs noma osteotomy we mandible lembula ukuthi ingaphakathi ngokuhlanganyela ayinalutho, nenhloko kugudlukela kuya phambi ohlangothini kummango.

Isithombe kancane kancane ezahlukene ubukeka dislocation sohlangothi olulodwa. Chin iqhubekela phambili hhayi kuphela, kodwa futhi kolunye lapho ngokuhlanganyela alilinyaziwe. Amazinyo kungukuthi ivaliwe kuphela dislocation, futhi umuntu ovamile uzolahlekelwa umuda wesimethri. Dislocation ka ilunga ohlangothini ezingemuva kummango kwenzeka ujuqu esilevwini. Kulokhu kungabonakala nasemkhakheni futhi ngopha indlebe.

Ekwelapheni dislocation of inqubo isicelo sikaHippocrates. Udokotela ihlalisa nesineke ukuze esifundeni dislocation ukuthi ahambisana indololwane yayo ngokuhlanganyela. Khona-ke uhlela izithupha yakhe namazinyo yomdabu elikhulu, kanye nezinye iminwe ophethe yonke umhlathi ongezansi futhi ukhiqiza ezinyakazayo, kwakheka okuphambene okuyinto ngenxa dislocation. Okungukuthi kwehlisa emhlathini kancane phansi, bese uthatha emuva zakhe kancane kuphakamisa, ukubeka esikhundleni ngalo ingaphakathi glenoid. Nokho, izithupha zakhe kancane cindezela phansi ezihlathini, esisuka imisipha ukuhlafuna.

Lapho i operation ezifana akufanele enze ukunyakaza kungazelelwe, ukuze singathwesi ubuhlungu. Ekupheleni inqubo kudingekile ukuba kancane siphakamise kwesilevu wafaka ngebhandeshi izinsuku ezinhlanu, enikeza izincomo hhayi umlomo wakhe ububanzi izinsuku eziyishumi. Futhi ukuqinisekisa ukuthi imibandela yomsebenzi we udokotela bebelokhu evumayo, isiguli Kunconywa ukufaka angu yokuqala emithathu kuya kweyisihlanu novocaine amaphesenti amabili-eliyifa ekhanda wing emhlathini imisipha emlonyeni.

Ngokuvamile umhlathi ongezansi ukunciphisa a ingcindezi emnene phambili ingxenye kancane phansi bese emuva ukuthi kusiza ukuthuthukisa Kuhanjiswe joint endaweni. Ngaphezu izindlela sikaHippocrates, kukhona yesimanje, izindlela eziningana ezimisiwe yokwelashwa dislocation.