Isi na nwughari ihu

Isi na nwughari ihu bụ ịwa ahụ iji rụkwaa nrụrụ nke isi na ihu (craniofacial).

Kedu otu ịwa ahụ maka nrụrụ isi na ihu (nwughari craniofacial) a na-adabere n'ụdị na nrụrụ nrụrụ, yana ọnọdụ onye ahụ. Okwu ahụike maka ịwa ahụ a bụ nwughari craniofacial.

Usoro ịwa ahụ gụnyere okpokoro isi (cranium), ụbụrụ, irighiri akwara, anya, na ọkpụkpụ na akpụkpọ ihu. Ọ bụ ya mere na mgbe ụfọdụ, dọkịta na-awa plastik (maka anụ ahụ na ihu) yana onye na-agwọ ọrịa akwara (ụbụrụ na irighiri akwara) na-arụkọ ọrụ. Ndị dọkịta na-awa isi na olu na-arụkwa ọrụ nwughari craniofacial.

Nke ịwa ahụ na-eme mgbe ị na-ehi ụra miri emi na-enweghị ihe mgbu (n'okpuru ọrịa nchịkwa). Wa ahụ nwere ike were 4 ruo 12 awa ma ọ bụ karịa. A na-egbutu ọkpụkpụ ụfọdụ nke ihu ma na-akwagharị. N'oge ịwa ahụ, a na-akwagharị anụ ahụ na akwara ọbara na irighiri akwara na-ejikọtaghachi site na iji usoro ịwa ahụ microscopic.

Enwere ike iwepụ ọkpụkpụ (ọkpụkpụ) na pelvis, ọgịrịga, ma ọ bụ okpokoro isi iji mejupụta oghere ebe a na-akwagharị ọkpụkpụ nke ihu na isi. Enwere ike iji obere kposara na efere ejiri titanium ma ọ bụ ngwaọrụ ndozi nke ihe nwere ike ịmịkọrọ ihe mee ka ọkpụkpụ ahụ dịrị. A pụkwara iji implants mee ihe. Enwere ike ijikọta jaws ọnụ iji jide ọkpụkpụ ọkpụkpụ ọhụrụ n'ọnọdụ. Iji kpuchie oghere ndị ahụ, enwere ike iwepụta aka, aka, mgbidi obi, ma ọ bụ apata ụkwụ.

Mgbe ụfọdụ ịwa ahụ na-akpata ọzịza nke ihu, ọnụ, ma ọ bụ n'olu, nke nwere ike ịdịru ọtụtụ izu. Nke a nwere ike igbochi ikuku. Maka nke a, ọ nwere ike ịdị gị mkpa ịnweta tracheostomy nke oge. Nke a bụ obere oghere emere na olu gị nke a na-etinye tube (endotracheal tube) na ikuku (trachea). Nke a ga - enyere gị aka iku ume mgbe ihu gị na ikuku elu gị zara aza.

Enwere ike ịmegharị Craniofacial ma ọ bụrụ na enwere:

• Mmetụta ọmụmụ na nrụrụ site na ọnọdụ dịka egbugbere ọnụ ma ọ bụ palate, craniosynostosis, Apert syndrome
• Nrụrụ mere site ịwa ahụ mere na-emeso etuto ahụ
• Ọrịa n'isi, ihu, ma ọ bụ agba
• Tumo

Ihe ize ndụ maka ọgwụ nchịkwa na ịwa ahụ n'ozuzu ya bụ:

• Nsogbu iku ume
• Mmeghachi omume na ọgwụ
• Ọbara ọgbụgba, mkpụkọ ọbara, ọrịa

Ihe egwu maka ịwa ahụ nke isi na ihu bụ:

• Akwara (nsogbu irighiri akwara) ma ọ bụ mmebi ụbụrụ
• Mkpa maka ịwa ahụ na-esote, karịsịa na ụmụaka na-eto eto
• Ọnwụ ma ọ bụ ngụkọta nke ọkpụkpụ
• Na-adịgide adịgide ịchapu

Nsogbu ndị a na-adịkarị na ndị:

• Anwụrụ ọkụ
• Nwee nri na-edozi ahụ
• Nwee ọnọdụ ahụike ọzọ, dịka lupus
• Nwee mgbasa ọbara na-adịghị mma
• Nwere mmebi akwara gara aga

Nwere ike iji ụbọchị abụọ nke mbụ ịwa ahụ na ngalaba nlekọta kpụ ọkụ n'ọnụ. Ọ bụrụ na ịnweghị nsogbu, ị ga-enwe ike ịhapụ ụlọ ọgwụ n'ime izu 1. Ọgwụgwọ zuru oke nwere ike izu isii ma ọ bụ karịa. Ọzịza ga-aka mma n'ime ọnwa ndị na-esonụ.

Enwere ike ịtụ anya ọdịdị dị mma karịa ịwa ahụ. Fọdụ ndị chọrọ ịnwe usoro ịgbaso n'oge afọ 1 ruo 4 na-esote.

Ọ dị mkpa ka ị ghara ịkpọtụrụ egwuregwu ịkpọtụrụ maka ọnwa 2 ruo 6 mgbe a wachara gị ahụ.

Ndị mmadụ nwere nnukwu mmerụ ahụ na-achọkarị ịrụ ọrụ site n'okwu mmetụta uche nke trauma na ngbanwe nke ọdịdị ha. Childrenmụaka na ndị okenye nwere nnukwu mmerụ ahụ nwere ike ịnwe nsogbu nrụgide post-traumatic, ịda mbà n'obi, na nsogbu nchekasị. Gwa ọkachamara ahụike ọgụgụ isi ma ọ bụ sonyere otu ndị na-akwado nkwado nwere ike inye aka.

Ndị nne na nna nke ụmụaka nwere nrụrụ ihu na-abụkarị ndị ikpe mara ma ọ bụ ihere, ọkachasị mgbe nrụrụ ahụ bụ n'ihi ọnọdụ mkpụrụ ndụ ihe nketa. Ka ụmụaka na-etolite ma mata ọdịdị ha, mgbaàmà nke mmetụta uche nwere ike ịmalite ma ọ bụ njọ.

Nwughari Craniofacial; Orbital-ịwa ahụ craniofacial; Ntughari ihu

• Okpokoro Isi
• Okpokoro Isi
• Cleft egbugbere ọnụ idozi - usoro
• Nwughari Craniofacial - usoro

Baker SR. Ndozigharị nke ntụpọ ihu. Na: Flint PW, Haughey BH, Lund V, et al, eds. Ọkpụkpụ Cummings Otolaryngology: &wa Ahụ & olu. Nke isii. Philadelphia, PA: Elsevier Saunders; 2015: isi 24.

McGrath MH, Pomerantz JH. Surgerywa ahụ plastic. Na: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Akwụkwọ Sabiston nke gerywa Ahụ: Ntọala Nduzi nke Omume Ahụhụ Oge a. Agba nke 20. Philadelphia, PA: Elsevier; 2017: isi nke 68.