Minsk City Clinical Emergency Hospital (GKBSMP)

Kuwanda kwechirwereChirwere cheuropa, icho chinobata vanhu vanopfuura mamirioni makumi mashanu pasi rose, chinopa chikamu chakakura chemutoro wepasi rose wechirwere. Zvinofungidzirwa kuti chikamu chehuwandu hwese huwandu neyakagwinya fomu yekushanda (kureva kuti, nekubatwa kusingaperi kana kudiwa kwokurapwa) panguva yakapihwa kubva kugumi kusvika kugumi pane vanhu chiuru. Nekudaro, mhedzisiro yezvimwe zvidzidzo munyika dzakaderera- nepakati-mari inoratidza kuti chikamu ichi chakanyanya kukwirira - kubva pa7 kusvika gumi nemashanu pagumi nevanhu.Zvinofungidzirwa kuti pasi rese, chirwere chemanyoka chinowanikwa gore rega rega mukatiMamirioni 2.4 vanhu. Munyika dzine mari yakakwira, huwandu hwezviitiko zvitsva zvegore negore zvechirwere pamwero wehuwandu hwevanhu huri pakati pe30 kusvika makumi mashanu pamazana ezviuru. Munyika dzakadzika-uye yepakati-mari inowanikwa, nhamba iyi inogona kunge yakapetwa kaviri.Nhamba dzakakwirira munzvimbo dzakaderera- uye yepakati-mari inowanikwa inogona kuve yakabatana nenjodzi yakawedzera yezvirwere zvechirwere chakadai semarariya uye neurocysticercosis; kuwedzera kwehuwandu hwekukuvara kwemigwagwa; kukuvara kwekuzvarwa, pamwe nemisiyano muzvivakwa zvekurapa, kuwanikwa kwehurongwa hwekudzivirira uye kurapwa kuri nyore kurapwa.nullnullnullnullmushonga, kuvhiya kunogona kubatsira.KudziviriraIdiopathic epilepsy haina kudziviririka. Nekudaro, nekuda kwezvikonzero zvinozivikanwa chechipiri kushupika, matanho ekudzivirira anogona kutorwa.    Kudzivirira kukuvara kwemusoro ndiyo nzira inoshanda kwazvo yekudzivirira kushungurudzika kwepashure.     Kuchengetwa kwakakodzera kwemukati kunobatsira kudzikisira kuitika kweiyo nyowani nyowani nekuda kwekukuvara kwekuzvara.     Kushandiswa kwezvinodhaka uye dzimwe nzira kuderedza kudziya kwemuviri muvana vane fivha kunogona kuderedza mukana wekubatwa kwehusimbe.     Zvirwere zvemuviri wepakati pezvirwere zvinokonzeresa munzvimbo dzekupisa ukokune nyika zhinji dziri kusimukira. Kubviswa kwezvikara pasi pemamiriro ezvinhu aya uye basa rekudzidzisa zvine chekuita nezvekudzivirira kwehutachiona inzira dzinoshanda dzekuderedza mutoro wechirwere chepfungwa pasi rese, semuenzaniso, kusuruvara nekuda kwemutsipa.Allhospital anoda kukurudzira Purofesa Antonio Russi (Teknon Kiron Clinic, Barcelona), mumwe wevanyori vepamusoro veEuropean. Sekureva kwaProfessor Russi, makumi maviri nevashanu vevarwere vanokwanisa kubvisa zvachose chirwere chechirume mushure mekurapwa kwakakodzera.Rega chikumbiro pane webhusaiti yedu uye nyanzvi dzedu dzichaonana newe uye dzichakubatsira kusarudza kiriniki yakanakira maererano nenyaya yako yemahara.

Ongorora:Kuvhiya kuti ubvise bundu muuropi kunoitwa nenyanzvi yeurosurgeon kuitira kuti isa chikamu kana kubvisa bundu racho zvachose. Avhareji kureba kwekugara kune imwe nyika: Mavhiki matanhatu kusvika masereIzvo zvinoenderana nemhando yekuvhiya, pane zvinodiwa uye nguva yekugadziriswa uye iyo nhanho yekugadzirisa murwere.

Kuongororwa kwekudzivirira kwekurapa kunowanzodaidzwa kuti kuongororwa-kana kuongororwa, kubva kuongororo yechirungu, kuongororwa kwehutano hwemurwere. Kuongororwa kwekurapa kunogona kubatsira kuona matambudziko ehutano pakutanga, kunyange zviratidzo zvisati zvaitika, uye zvakare kusimbisa varwere vari kunetseka nezvehutano hwavo kana vane zviratidzo zvinofungidzira.Kuongororwa kwechivanhu kwakawanda (kuongorora-kumusoro) kunokurudzirwa kuti kuitwe makore ese mashoma. Kunyanya kune avo varwere vakawandisauremu, maitiro akaipa, kana nhoroondo yemhuri yezvirwere zvakadai semwoyo chirwere, kenza, kana chirwere cheshuga. Kuongorora-kunokwanisa kubatsira kuona matambudziko akadai sekukwira kweropa kana chirwere chemoyo chekutanga. Varwere vachakwanisa kuita shanduko dzinodiwa mumararamiro nemaitiro, uye kana zvichidikanwa, tanga kunwa mishonga, uchidzivirira kuwedzerwa kwechirwere.Kune akawanda akasiyana bvunzo uye bvunzo izvo zvinogona kuverengerwa muongororo yekurapa, kusanganisirakuongororwa kweropa, kufungidzira kwekuongorora, bvunzo dzemwoyo uye nevamwe vazhinji. Ongororo dzinogona kusanganisira kuongororwa kweropa kwemamamota ezviratidzo anoona zviratidzo zvekenza masero mumuviri.Kuongorora-inokurudzirwa kune chero munhu anokahadzika pamusoro pehutano hwavo kana vane zviratidzo zvinoda kuongororwa nguva dzose.YakakurudzirwaKuongororwa kwenguva dzose kwekurapa kunokurudzirwa kune vese varwere, kunyanya avo vane njodzi yakakura yekukudziridza zvimwe zvirwere.

Kuisirwa mazino chikwangwani chidiki chakakoshwa mugwaya kuti chigadzirise zino rechisikigo. Iyo inoshanda semidzi yezino uye pakupedzisira inonamatira kune pfupa rechisikigo.Kazhinji, chinhu chakamisirwa inoiswa mutsipa uye mukati memwedzi 1.5-6 unotora midzi mukati mawo, wakasangana nawo. Nekudaro, inoporesa isina kuiswa pasi pekumanikidzwa nekuda kwekutsenga, izvo zvinoderedza njodzi yekuisirwa isiri yekurapa. Mushure mekuiswa mukati, chiremba wemazino anoita fungidziro yekutaurisa kugadzira korona, yaachaisa pamusoroimplant uye abutment (yavo yekubatanidza).Zvichienderana nehupamhi hwepfupa renaya uye mamwe mamiriro, iyo nguva pakati pekuiswa kwekuisirwa uye kuiswa kweprosthesis isingaperi mumamiriro ega ega. Mamwe makiriniki anoti mavhiki matanhatu akakwana, mune vamwe vanoisa mazino matsva zuva rega rega vachishandisa zvimisikidzwa zvakadai saStraumann.Iyo yekuisa mazino inogona kushandiswa kuisa rimwe zino kana sechinhu chekuisirwa mukati meiyo dentition yose. Panyaya yemafesi akazara pane mana emamirioni uye mamwe mabhiriji uyemeno ekunyepedzera anobva pane akadzika anoshandiswa prostheses inowanikwa zvichienderana neimwe maitiro, ayo anotsigira iro rose remazino arch (anosvika gumi kana gumi nemaviri emeno).Mazino okuisira anoshandiswa kune varwere vanopotsa mazino avo uye kutsvaga mhinduro yakagadzika, isingaperi iyo ichavatendera kuti vanzwe kuvimba nechitarisiko chavo, pamwe nekukwanisa kudya uye kutaura zvinonakidza.Kazhinji, chinhu chakamisikidzwa chinoiswa mune iyo taya ndokubvumidzwa kupora (uye fuse kusvika kwakanyanyisa kana osseointegrate) pakati pemavhiki matanhatu kusvika kumwedzi mitanhatu.Izvi zvinobvumira iwo kumisikidza kuporesa pasina kupinda pasi pekumanikidzwa kubva mukutsenga uye kunoderedza njodzi yekusundirwa kutadza. Kamwe iko kumisikidza kwakachengeteka, chiremba wemazino anotora fungidziro yemuromo kugadzira korona kuti ugare pamusoro pekuisirwa uye muganho (kubatanidza, pakati pezviviri).Iyo nguva inodikanwa pakati pekuiswa kweiyo yekuisirwa uye kushandiswa kweiyo yekupedzisira prosthesis inogona kusiyana zvakasiyana, zvichienderana nekushomeka kwejazbone uye zvimwe zvinosiyana. Mamwe makiriniki anoti masvondo matanhatu akakwana, uye mamwe makiriniki anopa mazino matsva pazuva vachishandisa masisitimu akadaiInstant Straumann Road mazino emamentso.Iyo yekuisa mazino inogona kushandiswa kutsigira rimwechete zino, asi inogonawo kuve chikamu chekudzoreredza zvakakwana kwemuromo. Sarudzo senge All-4 uye vamwe Implementation-Inotsigirwa Mazino Madhiri uye Ekushandisa-Inotsigirwa Mazino anoshandisa akati wandei akaisirwa mazino ekuisa mazino kuti abate iyo yakazara arch (kusvika gumi kana gumi nemaviri emeno).YakakurudzirwaMazino okuchengetera mazino anokurudzirwa kana paine kurasikirwa kwemazino, kana mhinduro yekusingaperi isingagumi inodiwa inopa murwere kuvimba nekutaridzika kwavo, ichavatendera kuti vadye uye vataure vasingamanikidze.