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Ukuhlinzwa
- I midiyo
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I-Oncology yonyango
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Izinto ekucingwa ukuba zithathe isigqibo ngekhondo lonyango ziquka impilo yomzimba jikelele, uhlobo kunye nenqanaba lomhlaza, ukuba nokwenzeka kokunyanga isifo, kunye nefuthe lonyango kwimisebenzi efana nentetho, ukuhlafuna, nokuginya. Iinketho zotyando zomhlaza womlomo zisekelwe kwindawo yomhlaza.
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Ukususwa kweethumba ezincinci ngotyando – Iithumba ezincinci zomlomo zinokunyangwa ngokukhawuleza nangokuphumelelayo ngokususwa kweethumba ngotyando. Inzuzo yokunyanga umhlaza okwinqanaba lokuqala ngotyando kukuba ugqitywa ngokukhawuleza kwaye uhlala esibhedlele iintsuku ezimbalwa kuphela.
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Ukukhutshwa ngotyando lwamathumba aphezulu-
Xa isigulana sityandwa ngenxa yomhlaza womlomo , ugqirha ohlinzayo ususa ithumba ngezinye zezicubu ezisempilweni ezikufutshane. Ukususwa ngokupheleleyo kwethumba kuvavanywa ngoncedo lwengcali yezifo, ohlola izicubu ezisusiweyo ngexesha lotyando ngokwalo (iCandelo eliQhotsisiweyo) ukuze kuchongwe ukususwa ngokupheleleyo kwethumba elibi.
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ULWIMI –
Ukuba umhlaza ufumaneka ngolwimi, ngokusekelwe kubungakanani bokubandakanyeka kolwimi, iintlobo ezahlukeneyo zokuhlinzwa zenziwe:
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Ukususwa kwe-glossectomy engaphelelanga – kususwa inxalenye encinci yolwimi.
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I-Hemiglossectomy – isiqingatha solwimi siyasuswa.
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I-subtotal glossectomy - ingaphezulu kwesiqingatha solwimi siyasuswa.
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I-glossectomy iyonke - ulwimi lonke luyasuswa
- Uqhaqho ngokutsha kwenziwa ngokukhawuleza ukunceda isigulane siphucule intetho kunye nokuginya. Ukwakhiwa ngokutsha kusekelwe kubungakanani bokutshatyalaliswa. Kwimeko yeziphene ezincinci, ngokuqhelekileyo, ukuvalwa okuphambili kolwimi lwenziwa, ngelixa kwimeko yokukhubazeka okukhulu, ukuvuselelwa kwe-microvascular usebenzisa i-flap yamahhala ethathwe ethangeni iyona ndlela ingcono kakhulu.
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BUCCAL MUCOSA KUNYE ALVEOLUS
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Ukususwa Okubanzi – Kumhlaza obandakanya i-buccal mucosa, ukususwa okubanzi kwayo kwenziwa ngokususwa kwenxalenye ye / isiqingatha se-mandible (umhlathi ongezantsi) okanye i-maxilla (umhlathi ongaphezulu) kunye ne-gingiva echaphazelekayo (iintsini).
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I-Alveolectomy – ukuba kukho i-alveolus ephezulu okanye esezantsi, amathambo omhlathi asuswa kunye okanye ngaphandle kwenxalenye ye-buccal mucosa.
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Ithambo lomhlathi ongezantsi (mandible), elinika ukumila kwindawo esezantsi yobuso, liyimfuneko ekuhlafuneni ukutya. Eli thambo liyakhutshwa xa ithumba lingena kulo.
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Ukususwa kwe-mandible kuyahluka kumntu ngamnye ngokusekelwe kubungakanani bomhlaza. Isenokuba ngu-
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Utyando lwe-mandibulectomy olusemantla – inxalenye ephezulu ye-mandible iyasuswa, igcina umqolo womhlathi. Kule meko, akukho mfuneko yokwakha ngokutsha.
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Utyando lwe-mandibulectomy olusecaleni – icandelo le-mandible liyasuswa.
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I-Hemimandibulectomy - isiqingatha se-mandible siyasuswa.
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Ukwakhiwa kwakhona kweMandible – Ukuba ithambo alikhiwanga ngokutsha, ukuhlafuna ukutya kunzima, kwaye nenkangeleko yobuso nayo iyatshintsha. Okwangoku, umhlathi ongezantsi wakhiwa ngokutsha ngethambo elivela emlenzeni (i-fibula) kusetyenziswa indlela ye-microvascular. Inceda ekugcineni i-contour yobuso, kwaye isigulane siyakwazi ukuhlafuna kakuhle ngamazinyo aseleyo.
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Ukususwa kweMaxilla kungabandakanya ukususa inxalenye yesokisi yamazinyo. Isenokuba:
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Utyando lwe-maxillectomy oluyi-Infrastructure – ukususwa kwenxalenye esezantsi ye-maxilla, elithambo elinika i-contour esidleleni. Oku kunokubangela iziphene enkalakahleni.
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Ukwakhiwa kwakhona kweMaxilla – Ukuba ithambo alikhiwanga ngokutsha, kubangela ubunzima ekuginyeni. Ukwakhiwa kwakhona kwe-maxilla kwenziwa kusetyenziswa iindlela ze-microvascular okanye kusetyenziswa i-dental obturator. Amazinyo anokuxhonywa nakwizikrufu ze-titanium ezifakwa ethanjeni nokuba ngexesha lotyando lokuqala okanye kamva (ezaziwa ngokuba zi-Osseo-integrated dental implants).
