Posterior mukuru alveolar tsinga nechigumbuso mu dentistry: kubva midziyo yemagetsi, zvinodhaka

Posterior mukuru alveolar tsinga nechigumbuso ndiyo ngozi tichitarisa yematambudziko, jekiseni unyanzvi. Panguva iyoyo, yakafanana nzira inoshandiswa Kazhinji. Chinozoiswa ne extraoral uye buccal kwokubatsira zvinodhaka. Yokutindivadza inoshandiswa analgesia nharaunda okumusoro molars, zvikurukuru alveolar tsinga blockade.

Features Matanho

Complex anatomical Unhu mishonga kutarisira munzvimbo kuwedzera ngozi yematambudziko uye kuderedza kubudirira yokutindivadza. Ngatimbokurukurai dzimwe pfungwa.

In temporomandibular pterygium nzvimbo pamusoro yokumusoro rushaya venous plexus iri. It anopindura munzvimbo infraorbital mutswe kunzvimbo dzakaderera shaya. Netsaona ponji of tsinga rusvingo hunokonzera paumbwe imwe hematoma guru, riri nyore chaizvo kudzivirira.

Dzinoisa tsono kuti kukwana padanho zvinotungamirira ndechokuti jekiseni mhinduro anoiswa pamusoro subcutaneous mafuta tishu. Muchiitiko chino, posterior mukuru alveolar tsinga nechigumbuso kazhinji haana inobudirira. Zvakawandisa kudzika kupinza of tsono kunotungamirira zvinotevera nemigumisiro:

1. Nhanganyaya of rufimbi iri optic urongwa mapazi kunokonzera pfupi upofu.
2. The jekiseni zvinodhaka ari orbital zvinyama hunokonzera duku strabismus.
3. Contact pamwe mhinduro iri bapiro mhasuru kunokonzera kurwadziwa pashure rufimbi mugumisiro pamusoro.

Usabvumira muromo yemasiraidhi paGomo panguva muitiro, sezvo zvichiita perforation kuti tsinga uye zviduku nemidziyo ropa.

yokutindivadza mapazi

Tuberalnaya yokutindivadza mu dentistry unokubvumira bindira zvinotevera:

• nharaunda okumusoro molars;
• uye nechifukidzo periosteum akati mucosa alveolar pfupa ;
• mucosa of maxillary sinus uye bvupa posteroexternal rusvingo.

Kuguma kumiganhu yokutindivadza, achipfuura shure, ari kugara. Front inogona kusvika pakati wokutanga bicuspid uye maererano mucosa, riri munzvimbo yacho gingiva.

Intraoral posterior mukuru alveolar tsinga chinogona Yegorov

Weboka nzira:

1. muromo murwere ari hafu-akazarurwa. Dama rwakanamatira spatula.
2. Dzichitungamirira tsono kurutivi akagerwa pfupa, chiremba anoita ponji pazuva rechipiri molars kuti mafupa.
3. The tsono zvinofanira akaiswa pana necheparutivi pamusoro ⁴⁵ ° kune alveolar pfupa.
4. The tsono runoita uye shure pakati, uye kudiwa kudzora ayo kugara kuonana mafupa. Nokufamba shoma rufimbi akasunungurwa.
5. Tsono akaiswa 2-2.5 cm. Kuminyuka kuti pisitoni shure kuongorora kuti ponji ari mudziyo.
6. Kana pasina ropa kutaurwa 2 ml mhinduro. The sirinji chinobviswa.
7. Murwere runonditsikirira nzvimbo yokutindivadza kuti vadzivise kupwanywa.
8. Full mugumisiro zvinodhaka riri pamusoro maminitsi 10.

Kana ukashandisa pfupi-achiita rufimbi, muitiro tichabudirira kwemaminitsi 45 kana refu - maawa anosvika 2,5. Intraoral posterior mukuru alveolar tsinga kugumbura rinoitwa kuti outpatient kushandiswa, uye apo Kupindira molars akawanda.

Extraoral nzira

Hazvinei iyo divi posterior mukuru alveolar tsinga nechigumbuso zvakakodzera, kuti midziyo inoda yakatsauka murwere musoro mu negwara. Pamberi yokutindivadza chiremba kunotema kudzama dzakasvikwa tsono zvinokosha kupinda. kure ichi pakati rezasi rokunze yorusvingo ziso panosangana uye pamberi yepazasi kukona zygomatic mapfupa.

Dentist riri kurudyi murwere. The tsono akaiswa munzvimbo anteroinferior pakona yacho zygomatic mapfupa. Inofanira kuva pakona ^e45 panyaya evaMedhia sagittal ndege uye dzimwe pamakona kuti mutsetse-muchadenga Trag zvakanaka. Pashure kupinza of tsono kuti aida kudzika jekiseni rufimbi. Yokutindivadza anovandudza pamusoro maminitsi 5.

gadziriro

Posterior mukuru misa alveolar tsinga rinoitwa kushandisa dzokutindivadza vemo:

1. Lidocaine - the nomukaka rokutanga amides zvakanga synthesized "Bupivacaine", "Articaine" "Mezokain 'uye nedzimwe nzira. Rinoshandiswa nenzira 1-2% mhinduro. Lidocaine ndohwaJehovha zvinodhaka yakaderera mutengo muchikwata. Chiri contraindicated pavarwere vane makemikari maronda chiropa.
2. Trimekain rinobva amides. Pakazosvika kunyatsoshanda, nokukurumidza uye nguva chiito hunopfuura procaine kanoverengeka. It anogadzirwa muchimiro mukugadzirisa zviri kuwanda siyana. Sezvo divi mugumisiro kwokubatsira pomutumwa zvingaitika ganda pallor, kuda kurutsa, nomusoro.
3. The mushonga "Ultrakain", mutengo chiri 1.5-2 nguva kupfuura kuti vamwe vamiririri omunzvimbo dzokutindivadza (rubles 50 pa chinu), ane mukana mukuru kushandisa. High diffusion kugona uye nguva chiito chakanaka zvigoneke kurishandisa kwete kuvhiyiwa asiwo prosthetic dentistry. How zvikuru "Ultrakain"? Mutengo zvinodhaka (nokuti yokutindivadza iri kushandisa mazino makiriniki muRussia achava kuripira kubva 250 kusvika 300 rubles) imhaka ayo dzimwe mavambo. Analogs - "Articaine", "Alfakain", "Ubistezin".

Mari All ikashandiswa pamwe vasoconstrictor (epinephrine). Pakusarudza zvinodhaka nyanzvi anosarudza nomunhu kushivirira uye kunonyanyisa dose, kufungawo nemakore murwere, uyewo nepamuviri uye comorbidities.

matambudziko anoitika nzira

Posterior mukuru alveolar tsinga mufurati, iro wongororo yakasananiswa (varwere yakashuma rakanakisisa unonyaradza marwadzo chaizvoizvo, asi vamwe vanotsutsumwa kuti bindira kwenguva refu hazvirevi zvakaitika maawa 5, uye ndinoiitawo kare kutaurwa nemishonga havasi kuti nezvaanoda nevakawanda), kunofanira kuitwa zvikuru vanokwanisa nyanzvi, anogona kufunga zvose nuances kwechiitiko ichi. Vamwe inobvira yematambudziko nechekare zvadzidzwa. Inofanira kubhadharwa nenhau nguva kwakavatadzisa.

Vakuvadzei midziyo uye dzidzo mumunda yokutindivadza hematoma zvinogona kudziviswa. Kuti izvi zvidaro, panguva yokutindivadza tsono anogona kurashikirwa kuonana pfupa rinenge uye kusuma parutivi asina kupfuura 2.5 cm. Mushure nokubviswa tsono nda aumba jekiseni rufimbi massaged mudenga shure maxillary tuberosity. Posterior mukuru misa alveolar tsinga anogoneswa chete pasina anogumbura pezvakaitwa pa nzvimbo jekiseni.

Zvinova ngozi murwere kuwana mhinduro kupinda muropa. toxicity kwayo yakawedzera ne10 nguva, uye vasoconstrictor maturo - muna 40. The murwere anogona kuva nehana, kuparara, kufenda. Kudzivirira matambudziko aya, asati jekiseni rufimbi sirinji plunger iri kudhonzwa shure. Izvi zvinoita kuti katsono asingadi yakarova bhodhoro. Kana paiva ropa sirinji, unofanira kuchinja mirayiridzo tsono uye ipapo baya jekiseni chezvinodhaka.

Kutyora mitemo asepsis panguva nzira inogona kukonzera chirwere. Kuisa tsono mumuromo wako, unofanira kuva nechokwadi chokuti haana kubata zino. Raparadza Dombo kuchaita kuti kukura cellulitis.

mhedziso

Nokuda vakawanda yematambudziko uye kunzwisisa mabikirwo tuberalnoe yokutindivadza iri kwaiitwa kashoma. Pakusarudza rufimbi inofanira vatakanzi nyanzvi.