Kusanthula kwa ntchito ndi ntchito ya unyolo wamphamvu mu chithandizo cha mano

1. Tanthauzo la malonda ndi makhalidwe oyambira
Unyolo Wosalala ndi chipangizo cholimba chopangidwa ndi polyurethane yachipatala kapena latex yachilengedwe, chokhala ndi makhalidwe otsatirawa:
Kutalika: kuzungulira kokhazikika kwa mainchesi 6 (15cm)
M'mimba mwake: 0.8-1.2mm (musanatambasule)
Modulus yotanuka: 3-6 MPa
Mitundu yosiyanasiyana: yowonekera/imvi/yamitundu (zosankha 12 zikupezeka)

II. Njira yogwirira ntchito yamakina
Dongosolo la mphamvu ya kuwala kosalekeza
Mphamvu yoyambirira: 80-300g (imasiyana malinga ndi chitsanzo)
Kuchuluka kwa mphamvu yowononga: 8-12% patsiku
Nthawi yogwira ntchito: maola 72-96

Mphamvu yolamulira ya magawo atatu
Njira yolunjika: kutseka kwa mpata (0.5-1mm/sabata)
Kulunjika kolunjika: mano akukankhira mkati/kutuluka
Axial: Kusintha kwa Torque

Ubwino wa biomechanical
Mphamvu yokangana imachepetsedwa ndi 60% poyerekeza ndi waya womangirira
Kugawa kwa kupsinjika maganizo kuli kofanana kwambiri
Chepetsani chiopsezo cha mizu kulowanso m'nthaka

III. Ntchito zazikulu zachipatala
Katswiri wodziwa bwino za kasamalidwe ka mipata
Kugwira ntchito bwino kwa kutseka malo otulutsiramo zinthu kwawonjezeka ndi 40%
Kukonzanso malo olumikizirana ndi malo oyandikana ndi malo ocheperako
Pewani kusuntha kwa dzino kosayembekezereka

Malangizo okhudza kuyenda kwa dzino
Kuwongolera kolondola kwa kayendetsedwe ka kayendedwe (± 5°)
Kukhazikitsa mayendedwe osiyanasiyana (kuchuluka kosiyana kwa mano akutsogolo ndi kumbuyo)
Chithandizo chokonza kasinthasintha

Chitetezo cha malo oimikapo magalimoto
Mphamvu ya orthodontic yoperekedwa pakati
Chepetsani kutayika kwa malo omangira
Sungani kukhazikika kwa mzere wapakati

IV. Buku Lotsogolera Kusankha Chitsanzo
Chidutswa cha mphete cha mtundu wa Model (mm) Mphamvu yogwira ntchito (g) Zizindikiro zabwino kwambiri Nthawi yosinthira
Kuwala kwambiri 0.8 80-120 Kusintha bwino/Matenda a Periodontal masiku 2-3
Mtundu wamba 1.0 150-200 Kutseka kwa mipata nthawi zonse masiku 4-5
Mtundu Wowonjezereka 1.2 250-300 Kufalikira kwa Molar/kufunikira kwamphamvu kwa makoma masiku 7

V. Zochitika zapadera zogwiritsira ntchito
Kukonza kutsegula ndi kutseka
Kugwirana koyima (pakati pa 6-6)
Gwirizanitsani ndi mbale yowongolera yathyathyathya
Kanikizani mu 1-1.5mm mwezi uliwonse

Kusintha kwa mzere wapakati
Kugwirana mwamphamvu mbali imodzi
Kapangidwe ka mphamvu kosagwirizana
Imatha kukonza 0.3-0.5mm pa sabata

Mozungulira choyikamo
Mphamvu yofatsa komanso yopitilira (<100g)
Unyolo wa rabara woletsa mabakiteriya
Pewani kusokoneza kwa osseointegration

VI. Mafotokozedwe a opaleshoni yachipatala
mfundo zazikulu zokhazikitsira
Gwiritsani ntchito pliers yapadera kuti mutambasule
Sungani digiri yoyambira ya 30-50%
Pewani kupindika ngodya kwambiri

Kulamulira mphamvu
Malo a mano akutsogolo ≤150g
Chigawo chakumbuyo ≤ 200g
Kuyesa pafupipafupi zida zoyezera mphamvu

Kupewa mavuto
Kukwiya kwa chingamu (chiwerengero cha matenda ndi 15%)
Kusonkhanitsa ma plaque (kutsuka tsiku ndi tsiku)
Kutopa kokhazikika (kusintha nthawi zonse)

VII. Malangizo a luso lamakono
Mtundu wa mayankho anzeru
Mphamvu yosinthira kutentha
Ntchito yokumbukira mawonekedwe
Kugwiritsa ntchito kuchipatala: chithandizo cha orthodontic musanachite opaleshoni ya orthognathic

Mtundu wa mankhwala otulutsa pang'onopang'ono
Mtundu woletsa kutsekeka kwa caries wokhala ndi fluoride
Mtundu wotsutsa kutupa ndi wochepetsa ululu
Kulimbikitsa kubwezeretsedwa kwa minofu ya periodontal

Mtundu wowononga zachilengedwe
Masabata 6 a kuwonongeka kwachilengedwe
Chimanga cha chimanga
Utsi wa kaboni wachepetsedwa ndi 70%

VIII. Malangizo a akatswiri ogwiritsira ntchito
"Maunyolo a rabara ndi 'wothandiza wosaoneka' wa madokotala a mano. Malangizo:
Kugwiritsa ntchito koyamba kwa mtundu wamba
Yang'anani mphamvu ya magetsi masiku atatu aliwonse
Kugwiritsa ntchito pamodzi m'mavuto ovuta
"Gwirizanani ndi njira yowunikira ya digito"
- Komiti Yaukadaulo ya Bungwe la Asian Orthodontic Association

Maunyolo amphamvu, okhala ndi mawonekedwe awo apadera a makina otanuka, amakwaniritsa ntchito yosasinthika yowongolera mbali zitatu pakuchiza mano. Ndi kupita patsogolo kwa sayansi ya zinthu, mbadwo watsopano wa zinthu, ngakhale ukugwira ntchito zakale, ukupita patsogolo ku luntha ndi magwiridwe antchito, kupereka chithandizo chodalirika cha chithandizo cholondola cha mano. Kusankha bwino ndi kugwiritsa ntchito maunyolo a rabara kumatha kuwonjezera mphamvu ya chithandizo cha mano ndi zoposa 25%, chomwe ndi chitsimikizo chofunikira chokwaniritsa kutsekedwa koyenera.