Ho sithabela maikutlo sefahlehong

Ho sithabela sefahleho ke kotsi ea sefahleho. E ka kenyelletsa masapo a sefahleho joalo ka lesapo le kaholimo la mohlahare (maxilla).

Likotsi tsa sefahleho li ka ama mohlahare o kaholimo, mohlahare o tlase, lerama, nko, sekoti sa mahlo, kapa phatla. Li ka bakoa ke matla a hlabang kapa tsa bakoa ke leqeba.

Lisosa tse tloaelehileng tsa kotsi ea sefahleho li kenyelletsa:

• Likotsi tsa koloi le sethuthuthu
• Maqeba
• Likotsi tsa lipapali
• Pefo

Matšoao a ka kenyelletsa:

• Liphetoho boikutlong ka sefahleho
• Sefahleho se holofetseng kapa se sa lekanang kapa masapo a sefahleho
• Ho phefumoloha ho thata ka nko ka lebaka la ho ruruha le ho tsoa mali
• Pono e habeli
• Meno a haellang
• Ho ruruha kapa ho longoa ho potoloha mahlo ho ka bakang mathata a pono

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele, e ka bonts'ang:

• Ho tsoa mali nko, mahlo kapa molomo
• Ho koaloa ha nko
• Ho phatloha letlalong (lacerations)
• Ho ruruha ho potoloha mahlo kapa ho atoloha ha sebaka se pakeng tsa mahlo, ho ka bolelang ho lematsa masapo lipakeng tsa liso tsa mahlo
• Liphetoho ponong kapa motsamao oa mahlo
• Meno a hodimo le a tlase a hokahantsweng hampe

Ba latelang ba ka fana ka maikutlo a ho robeha ha masapo:

• Maikutlo a sa tloaelehang lerameng
• Lintho tse sa tloaelehang tsa sefahleho tse ka utluoang ka ho ama
• Ho sisinyeha ha mohlahare o kaholimo ha hlooho e ntse e le teng

Ho ka etsoa CT scan ea hlooho le masapo a sefahleho.

Ho buuoa ho etsoa haeba kotsi e thibela tšebetso e tloaelehileng kapa e baka ho holofala ho hoholo.

Morero oa kalafo ke ho:

• Laola ho tsoa mali
• Theha tsela e hlakileng ea moea
• Phekola ho robeha 'me u lokise likarolo tsa masapo tse robehileng
• Thibela mabali, haeba ho khonahala
• Thibela pono e habeli ea nako e telele kapa mahlo a koahetsoeng kapa masapo a marama
• Tlosa likotsi tse ling

Kalafo e lokela ho etsoa kapele kamoo ho ka khonehang haeba motho a tsitsitse mme a sa robeha molala.

Batho ba bangata ba sebetsa hantle haholo ka kalafo e nepahetseng. Ho ka hlokahala opereishene e ngata likhoeling tse 6 ho isa ho tse 12 ho lokisa liphetoho ponahalong.

Mathata a ka kenyelletsa:

• Ho tsoa mali
• Sefahleho se sa lekanang
• Tšoaetso
• Mathata a boko le methapo
• Ho ba lerootho kapa bofokoli
• Ho lahleheloa ke pono kapa pono e habeli

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba u tsoa kotsi e mpe sefahlehong.

Itlameng ka mabanta a setulo ha le khanna.

Sebelisa lisebelisoa tse sireletsang ha u etsa mosebetsi kapa lintho tse ka lematsang sefahleho.

Kotsi ea Maxillofacial; Khatello ea kelello ea bohareng; Kotsi ea sefahleho; Likotsi tsa LeFort

Kellman RM. Matšoenyeho a Maxillofacial. Ka: Flint PW, Haughey BH, Lund V, et al, eds. Cummings Otolaryngology: Ho Buuoa Hlooho le Nko. La 6th. Philadelphia, PA: Elsevier Saunders; 2015: khaolo ea 23.

Mayersak RJ. Ho sithabela maikutlo sefahlehong. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 35.

Neligan PC, Buck DW, Likotsi tsa sefahleho. Ka: Neligan PC, Buck DW, li-eds. Mekhoa e Meholo ea Phekolo ea Polasetiki. Lekhetlo la bobeli. Philadelphia, PA: Elsevier; 2020: khaolo ea 9.