Iipleyiti ze-Maxillofacial zixhobo eziyimfuneko kwintsimi yokuhlinzwa komlomo kunye ne-maxillofacial, esetyenziselwa ukubonelela ukuzinza kunye nenkxaso kumhlathi kunye namathambo obuso emva kokulimala, ukwakhiwa kwakhona, okanye iinkqubo zokulungisa. La macwecwe aza ngemathiriyeli eyahlukahlukeneyo, uyilo, kunye nobukhulu ukuhlangabezana neemfuno ezikhethekileyo zesigulana ngasinye. Eli nqaku liza kuhlolisisa ubuqhetseba bamacwecwe e-maxillofacial, ejongene nemibuzo eqhelekileyo kunye neenkxalabo ezinxulumene nokusetyenziswa kwazo.
Ziziphi iimpembelelo eziPhakamileyo zeePlayiti zeTitanium ebusweni?
Iipleyiti ze-Titanium zisetyenziswa ngokubanzi kwi-maxillofacial surgery ngenxa ye-biocompatibility yazo kunye namandla. Nangona kunjalo, njengalo naluphi na ukufakelwa kwezonyango, ngamanye amaxesha kunokubangela iziphumo ebezingalindelekanga. Ezinye izigulana zinokufumana iimpendulo zasekhaya ezifana nokudumba, iintlungu, okanye ukuba ndindisholo malunga nesiza sokufakelwa. Kwiimeko ezinqabileyo, iingxaki ezinzulu ezifana nosulelo okanye ukuvezwa kwepleyiti eluswini kunokwenzeka. Kubalulekile ukuba izigulana zilandele imiyalelo yokhathalelo lwasemva kotyando ngokusondeleyo ukunciphisa ezi ngozi.
Ngaba uyazisusa iiPlates emva koTyando lweMihlathi?
Isigqibo sokususa iipleyiti emva kokuhlinzwa komhlathi kuxhomekeke kwizinto ezininzi. Kwiimeko ezininzi, iiplati ze-titanium zenzelwe ukuhlala ngokusisigxina, njengoko zibonelela ngokuzinza kwexesha elide kunye nenkxaso kumhlathi. Nangona kunjalo, ukuba isigulane sifumana iingxaki ezifana nokusuleleka, ukungahambi kakuhle, okanye ukuvezwa kweplate, ukususwa kunokuba yimfuneko. Ukongezelela, abanye oogqirha banokukhetha ukususa iipleyiti ukuba azisafuneki kwinkxaso yesakhiwo, ngakumbi kwizigulane ezincinci amathambo abo aqhubeka ekhula kwaye ahlaziye.
Ingaba iipleyiti zentsimbi zihlala ixesha elingakanani eMzimbeni?
Iipleyiti zetsimbi ezisetyenziselwa utyando lwe-maxillofacial, oluqhele ukwenziwa nge-titanium, zenzelwe ukuba zihlale kwaye zihlale ixesha elide. Kwiimeko ezininzi, la macwecwe anokuhlala emzimbeni ngokungenasiphelo ngaphandle kokuthotywa okukhulu. I-Titanium ihambelana kakhulu nebhayoloji kwaye iyamelana nokuhlwa, iyenza ibe yeyona nto ifanelekileyo yokufakelwa kwexesha elide. Nangona kunjalo, ixesha lokuphila kwepleyiti linokuphenjelelwa zizinto ezifana nempilo yonke yesigulana, umgangatho wamathambo, kunye nobukho bazo naziphi na iimeko zonyango eziphantsi.
Ngaba unokuziva izikrufu emva koTyando lweMihlathi?
Kuqhelekile ukuba izigulana zibe neqondo elithile lokuziva malunga nezikrufu kunye neepleyiti emva kotyando lomhlathi. Oku kunokubandakanya iimvakalelo zobunzima okanye ukungahambi kakuhle, ngakumbi kwixesha lokuqala emva kokuhlinzwa. Nangona kunjalo, ezi mvakalelo ziyancipha ngokuhamba kwexesha njengoko indawo yotyando iphilisa kwaye izicubu ziqhelana nobukho bokufakelwa. Kwiimeko ezininzi, izigulane azifumani ukuphazamiseka okuphawulekayo kwexesha elide kwi-screws.
Zenziwe Ngantoni Iipleyiti zoTyando lweMihlathi?
Iipleyiti zotyando lwemihlathi ziqhele ukwenziwa nge-titanium okanye i-titanium alloys. Ezi zixhobo zikhethwa ngenxa ye-biocompatibility yazo, amandla, kunye nokuchasana nokubola. Iipleyiti ze-Titanium zikhaphukhaphu kwaye zinokujijwa ukuze zilungele umhlathi wesigulana. Kwezinye iimeko, izinto ezinokuphinda zisetyenziswe zinokusetyenziswa, ngakumbi kwiinkqubo ezingantsonkothanga kakhulu okanye kwizigulana zabantwana apho ukukhula kwamathambo kusenzeka.
Ngaba i-Maxillofacial Surgery ibandakanya ntoni?
Utyando lweMaxillofacial lubandakanya uluhlu olubanzi lweenkqubo ezijolise ekunyangeni iimeko ezichaphazela amathambo obuso, imihlathi, kunye nezakhiwo ezinxulumene nazo. Oku kunokubandakanya utyando olulungisa ukukhubazeka kokuzalwa okufana nenkalakahla ecandekileyo, ukwakhiwa kwakhona komothuko emva kokwenzakala kobuso, kunye notyando lokulungisa imihlathi ukujongana nokulunywa ngendlela engeyiyo okanye i-asymmetry yobuso. Ukongezelela, oogqirha be-maxillofacial surgeons banokwenza iinkqubo ezinxulumene nokufakelwa kwamazinyo, ukuphuka kobuso, kunye nokususwa kwamathumba okanye ama-cysts kwimimandla yomlomo kunye nobuso.
Yeyiphi imathiriyeli eyiPlates eResorbable kwi-Maxillofacial Surgery?
Iipleyiti ezinokuphinda zenziwe kuqhaqho lwe-maxillofacial ziqhele ukwenziwa kwizinto ezifana ne-polylactic acid (PLA) okanye i-polyglycolic acid (PGA). Ezi zixhobo zenzelwe ukudiliza ngokuthe ngcembe kwaye zifunnwe ngumzimba ngokuhamba kwexesha, ukuphelisa isidingo sotyando lwesibini ukususa ukufakelwa. Iipleyiti ezihlaziyiweyo ziluncedo kakhulu kwizigulane zabantwana okanye kwiimeko apho inkxaso yesikhashana ifunekayo ngelixa ithambo liphilisa kwaye lihlaziywa.
Ziziphi iimpawu zoSulelo emva koTyando lweMihlathi ngeePlates?
Ukosuleleka yingxaki enokwenzeka emva kotyando lomhlathi ngeepleyiti. Iimpawu zosulelo zinokubandakanya ukwanda kweentlungu, ukudumba, ububomvu, kunye nobushushu obujikeleze indawo yotyando. Izigulana zisenokuba nefiva, ukukhutshwa kobofu, okanye ivumba elibi eliphuma enxebeni. Ukuba kukho naziphi na kwezi mpawu, kubalulekile ukuba ufune unyango ngokukhawuleza ukuthintela usulelo ukuba lungasasazeki kwaye lubangele iingxaki ezingakumbi.
Yintoni i-Plate kuTyando lwamathambo?
Ipleyiti kutyando lwethambo yintsimbi encinci, isicaba okanye ezinye izinto ezisetyenziselwa ukubonelela uzinzo kunye nenkxaso kumathambo aqhekekileyo okanye akhiwe ngokutsha. Kutyando lwe-maxillofacial, iipleyiti zihlala zisetyenziselwa ukubamba amaqhekeza emihlathi kunye, okubavumela ukuba baphile ngokuchanekileyo. Amacwecwe ngokuqhelekileyo akhuselwe ngezikrufu, edala isakhelo esizinzile esikhuthaza ukulungelelaniswa kwamathambo okufanelekileyo kunye nokudibanisa.
Loluphi uhlobo lweNtsimbi olusetyenziswa kwi-Maxillofacial Surgery?
I-Titanium yeyona ntsimbi ixhaphakileyo kutyando lwe-maxillofacial ngenxa ye-biocompatibility yayo egqwesileyo, amandla, kunye nokuxhathisa ukubola. Iipleyiti ze-Titanium kunye nezikrufu zikhaphukhaphu kwaye zinokujijwa lula ukuze zilingane ne-anatomy yesigulana. Ukongeza, i-titanium ayinakwenzeka ukuba ibangele ukuguquguquka xa kuthelekiswa nezinye iintsimbi, oko kuyenza ibe lukhetho olukhuselekileyo noluthembekileyo lokufakelwa kwexesha elide.
Yintoni eyona nto iKhethayo kwiMaxillofacial Prosthesis?
Izinto ezikhethiweyo kwiiprotheses ze-maxillofacial zixhomekeke kwisicelo esithile kunye neemfuno zesigulane. Izinto eziqhelekileyo ziquka i-silicone ye-medical-grade, esetyenziselwa i-prostheses yezicubu ezithambileyo ezifana ne-facial flaps okanye ukuvuselelwa kweendlebe. Kwiiprostheses zezicubu ezinzima, ezifana nokufakelwa kwamazinyo okanye ukutshintshwa kwethambo lomhlathi, izinto ezifana ne-titanium okanye i-zirconia zihlala zisetyenziswa. Ezi zixhobo zikhethwa ngenxa ye-biocompatibility yazo, ukuqina, kunye nokukwazi ukudibanisa kunye nezicubu ezijikelezileyo.
Zisetyenziselwa ntoni iipleyiti zomlomo?
Iipleyiti zomlomo, ezaziwa ngokuba ziipleyiti zepalatal okanye izixhobo zomlomo, zisetyenziselwa iinjongo ezahlukeneyo kwi-maxillofacial kunye neyeza lamazinyo. Zingasetyenziselwa ukulungisa iingxaki zokuluma, ukubonelela ngenkxaso yokubuyisela amazinyo, okanye ukuncedisa kwinkqubo yokuphilisa emva kokuhlinzwa komlomo. Kwezinye iimeko, iipleyiti zomlomo zisetyenziselwa ukunyanga ukuphazamiseka kokulala okufana ne-apnea yokulala ngokubeka kwakhona umhlathi ukuphucula ukuhamba komoya.
Ukuqukumbela
Iipleyiti zeMaxillofacial zidlala indima ebalulekileyo kunyango kunye nokwakhiwa kwakhona kokulimala kobuso kunye nemihlathi kunye nokukhubazeka. Ngelixa zibonelela ngeenzuzo ezininzi, kubalulekile ukuba uqaphele iziphumo ebezingalindelekanga kunye neengxaki. Ngokuqonda izinto ezisetyenzisiweyo, izibonakaliso zokususwa kwepleyiti, kunye nokubaluleka kokunyamekela ngokufanelekileyo emva kokuhlinzwa, izigulane zinokwenza izigqibo ezinolwazi malunga nonyango kunye nokubuyisela. Inkqubela phambili kwizinto zesayensi kunye neendlela zotyando ziyaqhubeka nokuphucula ukhuseleko kunye nokusebenza kweepleyiti ze-maxillofacial, ukunika ithemba kunye nokuphucula umgangatho wobomi kwabo bafuna ezi nkqubo.
Ixesha lokuposa: Mar-28-2025
