Zaka zingapo zapitazo, ma tunnel m'makutu sanali otchuka kwambiri ndipo ankawoneka ngati chikhalidwe cha aspirin ndi achinyamata osadziwika. Tsopano zinthu zasintha ndipo pali mafanizi ochuluka ndi mafani a kupyoza kotereku. Ma tunnel ena amakondweretsa, wina amanyansidwa, wina samamvetsa, koma amakopeka. Kuti mudziwe ngati mungapange ma tunnel m'makutu anu kapena ayi, muyenera kudziwa zambiri za kuboola uku ndi zotsatira zake.
Njira yamakonzedwe a tunnel
Momwe mungagwiritsire ntchito tunnels m'makutu ndi osavuta kuganiza.
Pali njira zitatu zokha:
- kufalikira kwa nthawi;
- kukakamizidwa kwa lobe;
- kupanga dzenje ndi scalpel.
Njira yoyamba ndi yoyenera kwa anthu odwala ndipo imaphatikizapo kutambasula pang'ono pang'onopang'ono ku khutu la khutu kufunika kwake. Kuonjezera apo, kuchepa kwapang'onopang'ono kwa kutsekedwa kumathandizira kudziwa kukula kwake kwa mphete.
Yachiŵiri, njira yamakadinayi imagwiritsidwa ntchito mobwerezabwereza. Mdulidwewu umangopangidwa pokhapokha ngati wothandizila ali wotsimikiza zenizeni za zofunazo ndipo akufulumira kuziyika.
Njira yachitatu imagwiritsidwa ntchito ndi anesthesia ndipo ndi yoopsa, chifukwa pali chiopsezo chochotsa lobe. Amasankhidwa ndizing'ono kuti apange ma tunnel a lalikulu kwambiri diameters.
Mitundu ya tunnel
Mitundu yosiyanasiyana ya kupyoza koteroko imakupatsani mwayi wokatenga makutu pa zokoma zilizonse. Pambuyo pa kutuluka kwa lobe ndi machiritso ake, m'makonzedwe amtsogolo m'makutu amayikidwa ndi expander mpaka 3 mm. Ndiye mumangosankha kusankha m'mimba mwake ndipo mupitirize kutambasula.
Chodziwika kwambiri, chifukwa cha kulondola kwawo, ndi njira zoterezi:
- Ma tunnel m'makutu a 5 mm. Zingwe zamphongo zing'onozing'ono zimatha kukongoletsedwa ndi miyala yamtengo wapatali, miyala yamtengo wapatali komanso yamtengo wapatali.
- Mankhwala 8 mm m'makutu. Ambiri ndi ofunika kukula. Zikuwoneka bwino, koma zikukopa kale maonekedwe.
- Mitengo yamakono 10mm. Pano mungathe kuyankhula za kulimbitsa mtima: mphete ya 1 masentimita imadziwika bwino, imakwirira pafupifupi lobe lonse.
Chisamaliro. Monga kulowerera kulikonse mu thupi, tunnels m'makutu ali ndi zotsatira zake. Zowonjezereka mwa izi zikhoza kuonedwa kuti ndizitsamba, zomwe zimachitika chifukwa cha chisamaliro chosayenera kapena kupezeka kwathunthu. Choncho, muyenera kutsatira mosamala malangizo a wopanga opaleshoniyo kapena funsani dokotala.
Aesthetics. Kukongola kwa ma tunnel monga zokongoletsera sikungayamikiridwe ndi onse, nthawi zambiri amatsutsa abambo awo chifukwa cholephera kuyima kuchokera ku imvi. Tiyenera kukumbukira kuti kuponyedwa kwa mtundu umenewu kwakhalapo kwa nthawi yaitali ndipo ndi njira imodzi yokongoletsera nokha, zofanana ndi ndolo, zikhomo ndi makapu. Kuwonjezera apo, sikofunika kukhazikitsa chingwe chachikulu mu khutu kwa 4-5 masentimita, ndikwanira kutenga chinachake chochepa komanso chokongola. Mitsewu yaying'ono kapena mapiritsi m'makutu a atsikana amaoneka okongola kwambiri, kutsindika zaumwini ndi chithunzi chosankhidwa. Komanso, sipadzakhala mavuto ngati mutasankha kuchotsa kupyola.
Zosintha. Anthu ambiri amakhulupirira kuti ngati tunnel akuchotsedwa, chizindikiro chidzakhalabe pa moyo. Zomwe anthu ambiri amakhulupirira zolakwika ndizoona,
Mitengo yamakutu m'makutu mpaka 1 masentimita inadzikulira, padzakhala zosaoneka zosaoneka, monga kutsekemera kwa zitsulo zamtundu uliwonse. Ngati kutalika kwake sikudutsa 3 masentimita, dzenje lakumutu lidzawonjezereka. Zoona, zimatenga nthawi yochuluka ndipo padzakhala kachilombo kakang'ono pamutu. Mavuto amachititsa kuchotsa makina akuluakulu (4-5 cm). Pachifukwa ichi, m'pofunika kuchotsa mbali yothandizira opaleshoni ndikugwiritsira ntchito suture. Njirayi, ndithudi, idzachotsa chivundi choonekera. Koma, ndi chikhumbo chachikulu, chiri chosavuta kuchotsa mothandizidwa ndi opaleshoni ya pulasitiki.