Posterior teitei poraka karere pūtake i roto i te niho: o taputapu, taero

Ko te tino kino i roto i ngā o pōauautanga, werohanga technique Posterior teitei poraka io kauae. I te kau, whakamahia he tukanga rite te pinepine. Whakatinana e te whakahaere extraoral me buccal o taero. Kei te whakamahia rehunga ki analgesia rohe o nga molars runga, i roto i ngā pā io kauae.

ngā tukanga āhuatanga

ake i matatini wāhi whakahaere āhuatanga rongoā kikokiko te mōrea o pōauautanga, me te whakaiti i te whai huatanga o te rehunga. Kia whakaaro tatou te tahi mau ngā.

I roto i te wāhi pterygium temporomandibular runga ake te kauae o runga plexus venous Kei. ni'ai te reira i te wāhi o te wāwāhi infraorbital ki te kauae raro. poka kōpeka o te taiepa rua ai te hanganga o te kanokanototo nui, i te mea rawa uaua ki te ārai.

Kōkuhu i te ngira ki te taumata iti arata'i ki te meka e te kawea te otinga werohanga ki te kiko fatty subcutaneous. I roto i tenei take, posterior pai poraka karere pūtake e te tikanga e kore e whai hua. hohonu i te taikaha o te whakaurunga o te ngira arata'i ki te mau hopearaa e whai ake:

1. Kupu Whakataki o te faataoto i roto i te whakaritenga rohe whatu ai matapo rangitahi.
2. Ko te werohanga o te raau taero i roto i te kikokiko orbital e ai strabismus rangitahi.
3. Whakapā ki te otinga i roto i te uaua parirau ai mamae nui i muri i te pānga faataoto i runga i.

Kaua e tukua te matamata o te kiriata i runga i te Maunga i roto i te tukanga, mai te mea te reira perforation taea o raru me oko toto iti.

rohe rehunga

Tuberalnaya rehunga i roto i te niho taea ki a koe te manawa o te wāhi e whai ake nei:

• rohe o nga molars runga;
• me te uhi kiriuhi wheua mea mucosa pūtake wheua ;
• mucosa o te pakohu maxillary me wheua o te taiepa posteroexternal.

Ko te rohe mutunga o rehunga, haere i muri, ko te tamau. Mua e taea tae te reira i te waenganui o te bicuspid tuatahi, me te fakatatau ki mucosa, kei roto i te rohe o te gingiva.

posterior Intraoral poraka teitei karere pūtake mō te Yegorov

Ko te akoranga o te tukanga:

1. Kei te hawhe-whakatuwheratia te mangai o te manawanui. patu paparinga ki te rapa.
2. Na roto i te arata'iraa i te ngira ki te wheua tapahia, hanga te rata te poka ki runga ki te rua o nga molars ki te wheua.
3. kia te tūnga o te ngira i te koki o ⁴⁵ ° ki te pūtake wheua.
4. Ko te ngira neke ake, me te hoki ki te waenganui, me te hiahia ki te whakahaere i tona whakapā tonu ki te wheua. I roto i te akoranga o te nui iti o te rongoā tukua.
5. whakaurua ngira te 2-2.5 cm. faaho'i te kōkeke hoki ki tirohia mo te poka o te oko.
6. Ki te whakaurua kore toto e ki 2 ml o otinga. nekehia atu te pūwero te.
7. Te manawanui fakamālohii te rehunga wahi i roto i te tikanga ki te karo bruising.
8. pānga tonu o te tarukino ko runga te 10 meneti.

Ki te whakamahi koe i te rongoā mahi-poto, ka e whai hua mō te 45 meneti, ka he roa te tukanga - ki runga ki te 2.5 hāora. Kei te whakamana posterior Intraoral pai poraka karere pūtake mō ngā mahi tūroro, me ia wawaotanga i runga i te maha o molars.

tikanga Extraoral o

No mea i te mea e tika ana taha o te posterior pai poraka karere kauae, o te taputapu titau te ine o te matenga o te manawanui i roto i te huarahi i te ritenga. I roto i mua o te tākuta rehunga whakatau te hohonu ki te mea e tika ana ki te tomo i te ngira. Tenei tawhiti i waenganui i te raro koki waho o te turanga kanohi me te raro kokonga mua o te wheua zygomatic.

Kei TEETH te ki te matau o te manawanui. whakaurua te ngira e i roto i te rohe anteroinferior koki o te wheua zygomatic. Me whai te reira i te koki ^o 45 ki te faatura ki te waka rererangi sagittal waenga, me te i koki matau ki te aho-āmionga Trag. I muri whakaurunga o te ngira ki te hohonu e hiahiatia ana patia rongoā. whakawhanake rehunga runga 5 meneti.

mau faaineineraa

whakamana Posterior pai poraka karere pūtake kei te whakamahi i anesthetics rohe:

1. Lidocaine - nga pärönaki tuatahi o amides runga i i synthesized "Bupivacaine", "Articaine" "Mezokain 'me ētahi atu tikanga. Kei te whakamahia te reira i roto i te puka o te 1-2% otinga. no Lidocaine ki te kāwai utu iti taero. Kei te contraindicated i roto i te tūroro ki te pāpaka organic o te ate.
2. I ahu mai Trimekain te amides. Na roto i te tōtika, tere, me te roanga o te mahi ko te pai ki te procaine e rave rahi taime. Kei te whakaputaina te reira i roto i te puka o rongoā o ngä nohanga rerekē. Ka rite ki te pānga taha o whakahaere o te kaihoko kia puta ataahua kiri, whakapairuaki, ānini.
3. Ko te tarukino "Ultrakain", te utu o te mea 1.5-2 wa ki runga ake i taua o te tahi atu māngai o anesthetics rohe (50 moni ia oko), kua he painga nui ki te whakamahi i. kaha tūringiringi High me roanga pai o te mahi kia taea ki te whakamahi i te reira e kore anake i roto i te pokanga engari ano i roto i te niho prosthetic. Kia pehea te nui Ko "Ultrakain"? Ko te utu o te tarukino (hoki rehunga ko e whai tenei taputapu i roto i haumanu niho i roto i Russia ki te utu i 250 ki te 300 moni) he tika ki tona take ke. Analogs - "Articaine", "Alfakain", "Ubistezin".

E whakamahia moni katoa i roto i ngā ki vasoconstrictor (epinephrine). A, no te kōwhiri i te mātanga tarukino whakatau te kātakí takitahi me te horopeta mōrahi, tangohia ki pūkete te tau o te manawanui, me te hapū me comorbidities.

fifi o te tikanga

Posterior teitei poraka karere kauae, e kua konatunatua arotake (pūrongo tūroro he pānga analgesic pai, engari etahi amuamu e kōpā te wa roa e kore e haere, ki runga ki te 5 haora, me kore e te pānga taha kua whakahuatia ki te oa o maha), kia kawea i roto i i te mātanga tino tohu, taea ki te tango i ki pūkete nga mita katoa o te hui. Etahi o nga pōauautanga taea kua kua oti whakaaro. Kia utua ki te take o te wā ki te ārai ia ratou.

Ka taea te te ārai oko i tukitukia e me te mātauranga i roto i te mara o te kanokanototo rehunga. Ki tenei mutunga, i roto i ngira rehunga kore e taea e ngaro i te whakapā ki te kiko wheua, me te ki te whakamōhio i te reira e kore neke atu i te 2.5 cm. I muri tango o te urutomo ngira i hanga romiromi rongoā patia whakarunga muri te tuberosity maxillary. whakahohea Posterior pai poraka karere kauae te anake i roto i te ngaro o ngā tukanga inflammatory i te pae o te werohia.

riro te reira i mōrearea mō te manawanui whiwhi te otinga ki te bloodstream. nui haere tōna tāoke e 10 ngā wā, me te pānga vasoconstrictor - i roto i te 40. pea te manawanui he ru, tiango, kaihapai. Kia kore ai enei pōauautanga, i mua ki te werohanga o te plunger pūwero rongoā kumea te hoki. Ka āta whakarite tēnei e kore e te ngira patua te pounamu. Ki te reira ko tetahi toto pūwero, e hiahia ana koe ki te huri i te aronga o te ngira, me te ka wero i te tarukino.

Tūkinotanga o nga ture o asepsis i roto i te tukanga e taea arahi ki te mate. Te whakauru i te ngira ki tou mangai, e hiahia ana koe ki te kia e kore i pa ki reira te niho. Hit tohu ka arahi ki te whanaketanga o te cellulitis.

mutunga

Nā ki te maha nui o pōauautanga me te matatini o te hangarau o tuberalnoe rehunga mahi te uaua. kia te kōwhiringa o te rongoā kia tukua ki te mātanga.