Ⅰ. Ndi mtundu wanji wa kubowola womwe umagwiritsidwa ntchito pa opaleshoni ya mafupa?
Madokotala a mafupa ali ngati “anthu okonza matabwa,” omwe amagwiritsa ntchito zida zofewa kuti akonze thupi. Ngakhale kuti ndi lovuta pang'ono, limasonyeza mbali yofunika kwambiri ya opaleshoni ya mafupa: kukonzanso ndi kukonzanso.
Bokosi la Zida za Mafupa:
1. Hammer ya Mafupa: Hammer ya mafupa imagwiritsidwa ntchito poyika zida. Komabe, nyundo ya mafupa ndi yofewa komanso yopepuka, yokhala ndi mphamvu yolondola komanso yowongoka.
- Osteotome Percussion: Imagwiritsidwa ntchito limodzi ndi nyundo ya fupa podula kapena kulekanitsa minofu ya fupa.
2. Kudula Mafupa: Kudula mafupa kumagwiritsidwa ntchito podula mafupa. Komabe, pali mitundu yambiri ya kudula mafupa yomwe ili ndi ntchito zapadera, monga:
-Saw Yobwerezabwereza: Tsamba la saw limayenda mozungulira. Liwiro lodulira mwachangu, loyenera kudula mopingasa kapena kudula mafupa aatali.
-Wodula Mano: Tsamba la wodula limapereka chitetezo chachikulu komanso kuwononga minofu yofewa yozungulira. Ndi loyenera kudula mafupa molondola pa opaleshoni monga kusintha mafupa.
- Waya Wodula (Gigli Saw): Waya wodula wodula wachitsulo wosinthasintha woyenera kudula mafupa m'malo apadera kapena ngodya.
3. Zomangira za Mafupa ndi Zitsulo: Zomangira za mafupa ndi zitsulo zachitsulo zili ngati misomali ndi matabwa a kalipentala, zomwe zimagwiritsidwa ntchito kukonza mafupa osweka ndi kumanganso mafupa. Koma "misomali" ya mafupa imapangidwa ndi zipangizo zapamwamba kwambiri, zopangidwa mwaluso kwambiri, ndipo zimakhala ndi ntchito zamphamvu kwambiri, mwachitsanzo:
4. Zipangizo Zodulira Mafupa (Rongeur) zokhala ndi mbali zakuthwa, zomwe zimagwiritsidwa ntchito kudula, kudula, kapena kupanga mafupa, nthawi zambiri zimagwiritsidwa ntchito pochotsa mafupa, kukulitsa mabowo a mafupa, kapena kupeza minofu ya mafupa.
5. Bowola la Mafupa: Limagwiritsidwa ntchito pobowola mabowo m'mafupa kuti liike zomangira, mawaya, kapena zinthu zina zamkati. Ndi chida chobowola mafupa chomwe chimagwiritsidwa ntchito kwambiri pochita opaleshoni ya mafupa.
Ⅱ. Kodi njira yobowolera ubongo yothamanga kwambiri ndi iti?
Dongosolo loboola mitsempha lothamanga kwambiri ndi chida chofunikira kwambiri pa opaleshoni ya mitsempha ya microsurgical, makamaka yofunika kwambiri pa opaleshoni ya cranial base.
Ntchito
Kuboola mwachangu: Liwiro la kuboola limatha kufika 16000-20000r/min, zomwe zimapangitsa kuti opaleshoniyo ipambane.
Kuwongolera njira: Chobowolera chamagetsi chimathandizira kuzungulira kutsogolo ndi kumbuyo. Pa zilonda kumbali yakumanja, zungulirani kuti mupewe kuwonongeka kwa ubongo kapena mitsempha yomvera.
Makina Oziziritsira: Chidutswa china cha bowola chimafunika kuziziritsidwa ndi madzi mosalekeza panthawi yogwira ntchito, koma zidutswa zake za bowola zimakhala ndi payipi yoziziritsira.
Kapangidwe kake
Dongosololi limaphatikizapo craniotome, mota, switch ya phazi, drill bit, ndi zina zotero. Drill imatha kusintha liwiro lake ndi pedal ya phazi.
Kugwiritsa Ntchito Zachipatala
Amagwiritsidwa ntchito makamaka pa opaleshoni yovuta monga opaleshoni ya chigaza, frontal sinus kapena internal under ear resection, ndipo kutsatira kwambiri malangizo a opaleshoni ndikofunikira kuti zitsimikizire chitetezo.
Nthawi yotumizira: Novembala-14-2025
