“Піднебіння – із щоки”: львівські хірурги остаточно виправили дефект піднебіння 17-річному Артему із Києва.

▫️За 17 років хлопець пережив: 7 операцій у різних країнах, роки пошуків та десятки клінік, в яких не змогли допомогти Артему.

▫️Усе своє життя хлопець боровся з вродженою недугою – складною розщілиною піднебіння. Дефект не просто косметичний, він змінював якість життя: їжа потрапляла в ніс, а через соломинку хлопець не міг пити взагалі.

▫️Першу операцію із закриття дефекту губи йому зробили у 3 місяці. До 10-ти років йому вдалося закрити дефект м’якого піднебіння. Тверде ж лікарі не могли закрити.

▫️Родина Артема не залишала спроб виправити ваду остаточно і консультувалася у щелепно-лицевих хірургів всієї країни, яких лише могла знайти. Але кожна операція ускладнювала наступну, через рубці тканини ставали немобільними, тому важко було сформувати клапоть для закриття дефекту.

▫️“Я завжди шукала допомоги для сина. Ми все життя були на обліку, робили все, щоб допомогти дитині. В якийсь момент хірурги з Харкова і Києва порадили звернутися до Туреччини, бо це дуже складна патологія. Завжди була якась перешкода: то зуб не так стоїть, то ще щось. Ми були у Туреччині, сина оперували і в Польщі, але результату не було, повністю закрити дефект піднебіння нікому не вдавалося”, – розповіла мама хлопця.

▫️Хірурги у різних країнах пропонували радикальний варіант – усунути дефект за рахунок клаптя на ніжці з язика за методикою Vuerrero – Santos. Суть методики – клаптик пришивають в ділянці дефекту, язик підтягують і фіксують швами. Через деякий час ніжку стебла відсікають від язика. Це обмеження мовлення і харчування. І Артем, і його мама не наважувалися на таку операцію.

▫️“Ми вирішили пошукати ще варіанти і знайшли рішення у Львові. Вже наступного дня ми вже мчали з Києва до Львова, потрапили на консультацію і тут нам запропонували нове рішення, яке підійшло нам із сином ідеально”, – додала мама пацієнта.

▫️Найбільш сучасний спосіб лікування запропонували у Центрі дитячої медицини, лікарні “Охматдит”.

▫️“Щоб остаточно закрити дефект твердого піднебіння в нашого Артема, ми взяли фрагмент тканин на судинній ніжці з його щоки – артерізований клапоть (фрагмент лицевої артерії, який буде живити ділянку піднебіння)”, – пояснює хірургиня Христина Погранична.

▫️“Оскільки дефект був значний, було недостатньо тканин піднебіння, фрагмент зі щоки нам дозволяв повністю його закрити. Мікроваскулярна хірургія дає можливості оптимально вирішити таку проблему”, – каже розповів хірург Роман Огоновський.

▫️В операційній вдалося закрити сполучення носової порожнини з ротовою, клапоть зі щоки прижився, піднебіння має достатній кровообіг, все добре загоїлося і Артем уже вдома. Весь час він з мамою на зв’язку зі своїми лікарями зі Львова.

▫️Бажаємо Артему міцного здоров’я!

8 thoughts on ““Піднебіння – із щоки”: львівські хірурги остаточно виправили дефект піднебіння 17-річному Артему із Києва.”

  1. All in all, the flat bench press would always be thought of a
    primary carry, not an assistance raise like incline or decline bench presses could additionally be relying on the program.
    We will go over programming bench press into your routine later in this guide.
    The bench press plays a vital role in weightlifting,
    bodybuilding, and powerlifting as it is one of a number of staple
    compound workouts.
    Whereas the Overhead Barbell Press is a great higher body pushing exercise too, the Bench Press allows for greater energy simply because it’s simpler to progress with.
    Keep your shoulders (rear delts) on the bench all through the raise.
    A good cue is to think about pushing yourself away from the
    bar quite than pressing the bar away from your chest.
    I liken these three bench press variations to squatting via completely different ranges of movement.

    When we expose ourselves to totally different ranges of motion we’re
    going to coach the tissues used in these ranges to be more resilient.

    The dumbbells ought to come together on the high of every rep.
    Straighten your arms, but don’t lock your elbows. Locking your arms means your
    joints are supporting the weight somewhat than your muscular
    tissues. You could discover that sure variations are hard in your joints or simply ineffective.
    All in all, if you need to construct a powerful
    chest, and upper body horizontal pushing power, the bench press is
    the best and efficient way to take action. Nevertheless, you’ll be keeping the dumbbells at your centerline throughout the train. The dumbbells will stay pressed collectively and you’ll merely press up
    and down in a straight path. The act of
    compacting the dumbbells collectively throughout the motion does a really great job of maintaining
    plenty of pressure on your pecs.
    Deliver the weights to your knees so that the dumbbell
    ends relaxation on the knees and sit back onto the bench so
    that the bells are planted in your knees and you have got a “hammer”
    grip. Include these workout routines 1-3 instances weekly, relying in your exercise split.
    Ensure adequate rest between classes for muscle restoration and growth.

    Results rely upon consistency, proper form, and nutrition, rather than the kind of press.

    They also may be an efficient strengthening exercise for sports
    like sprinting, hockey, and soccer. Proper dumbbell bench
    press form starts with the correct setup, together with a bench and
    dumbbells. With arms extended in order that
    the weights are over the chest, have interaction the
    core and squeeze the scapulas collectively for stability.
    Slowly decrease the weights in a easy, controlled movement till the elbows reach 45-degree angles.

    The person performing the train lies on their again on a flat bench with a barbell
    grasped in each palms. They decrease the barbell to chest level until it touches the chest, then press the barbell upwards, extending the arms until their arms are reasonably straight.
    Like the deltoids, the rotator cuffs provide stability all through the carry.
    The dumbbell bench press is a superb method to strengthen the rotator
    cuffs, and it’s usually included in shoulder injury prevention routines.
    Alternatively, some athletes perform the dumbbell bench press without any arch of their again. Bench pressing
    with no arch prevents an athlete from pushing off the ground effectively with their ft, and it makes
    it harder to squeeze your shoulder blades.
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    Firstly, flaring your elbows introduces inside rotation into the
    movement. Brace your core by taking in a deep breath and pushing your diaphragm outwards before each rep.
    This stabilizes your torso. By incorporating both, you’ll construct a much
    bigger, fuller, broader chest and achieve the attention of all onlookers.
    In a fitness center, you won’t should look hard to seek out an adjustable bench,
    so you can choose and select your angle.
    Nevertheless, lots of lifters love to do decline barbell or dumbbell bench presses
    as accent lifts. To construct the girth of the pecs, the flat
    bench press is often a great possibility. For the higher pecs
    and the anterior delts, go for incline bench presses,
    and to construct the underside of the pecs, program the decline bench press.
    The flat bench press is among the best workouts to develop
    and strengthen your chest, shoulders, and triceps.
    You can positively include it in your push day workout routine.

    Starting with the Dumbbell Press, give consideration to a full range of motion. The incline press may be problematic for many who expertise shoulder
    pain. If you have ongoing shoulder pain, try the train on a
    machine or with a barbell earlier than attempting it with dumbbells.

    The overhead press, for example, is a typical exercise
    that you can carry out sitting or standing. It involves pressing a
    barbell or pair of dumbbells out of your higher chest to overhead.
    Full-body routines can additionally be simpler than spot
    coaching, or at all times performing the identical
    train to try to build up that muscle. Remember, your body shortly adapts to exercise, so
    it’s essential to change up your exercises to
    maintain your body challenged. This exercise can cause your physique to increase development hormone production. Development hormone
    is produced to assist your body repair itself after exercising.

    Given the popularity and effectiveness of the dumbbell bench press,
    there are a selection of variations of dumbbell bench
    press.
    While the Smith machine provides stability, it could not have interaction stabilizer muscles as successfully as free
    weights. Dumbbell presses require extra steadiness and coordination, doubtlessly main to higher muscle improvement and useful power.
    By learning the right kind and using it in your exercises,
    you’ll unlock your higher body’s full potential.
    Remember to heat up, progress steadily, and prioritize security
    for the most effective results. Hold your head flat on the bench and toes flat on the floor for stability,
    but don’t push your head into the bench to help the lift—firm up the neck muscle tissue instead.
    Opposite to some weightlifting security advice,
    you can “lock out” your elbows when doing a bench
    press. The key to creating this action protected is to not lock your elbows all of
    a sudden or explosively.
    If using a flat bench, studies show round a 30% increase
    on higher chest activation. So, if you want to target your higher chest with out as much
    shoulder work, flat bench reverse grip is nice. The same is
    true for incline, but the enhance to the higher chest is not as great, contemplate the incline place already targets the higher chest extra with
    the usual grip. With incline reverse grip bench press, you’ll get
    a couple of 5-10% enhance in upper chest recruitment.

    This switches you from eccentric-concentric contraction to isometric contraction. Overall, it is good for building power, as isometric contraction is
    great for getting stronger. With resistance bands, the more they stretch, the more resistance they have.
    With that, within the bottom range of the bench press, the band has
    less tension, almost to a negligible point, so the weight load isn’t really
    harder than it usually can be without the band.
    However, as you press up, the band stretches, so if you attain the mid to high range, the band provides resistance so what would usually be the easier part of the lift becomes more durable.

    The dumbbell bench press is a compound lift and requires
    a number of steps to carry out appropriately. To maximize their performance on a dumbbell bench press, an athlete should protect their concentration and grasp each part of the dumbbell bench press.
    Since the dumbbell bench press is a compound lift, it’s essential to know each exercise stage.
    If you understand the person phases of the train, then you
    understand how to apply and master the type of each one.
    Longevity in coaching is not just in regards to the quick exercise but also in regards to the cumulative
    effect of consistently protected practices.
    Listen to your physique, and if a selected weight or range of movement causes discomfort beyond regular muscle fatigue,
    reassess and modify accordingly.
    The key to gaining these benefits is to stay consistent, maintain your self engaged
    via its variations, and comply with a wholesome life-style.
    So as you possibly can see there is no actual science to calculating your barbell bench press
    based of your dumbbell press. But you presumably can determine it
    out easily by starting gentle on your bench press and growing
    from there.
    Performing the exercise incorrectly can result in accidents to the pectorals or shoulders.

    Utilizing too much weight can tear the pectoralis major muscular tissues
    or overload the shoulders and injury the joint. To stop injury, lifters want to make use of proper
    form and only use as much weight as they will safely manage.
    Most of the injuries stem from using an extreme quantity of weight or poor type.
    It’s a platform for various workouts utilizing dumbbells, resistance bands, or body weight.
    By incorporating variations of the flat bench press, you presumably
    can goal specific areas of those muscle
    tissue for a well-rounded chest exercise.
    Additionally, it will cause this exercise to lose efficiency and not target the athlete’s pectoral and chest muscle tissue.
    Some athletes arch their back an extreme amount of when performing
    a dumbbell bench press. Typical dumbbell bench press form requires an athlete to have a slight arch.

    Transfer the bar backward progressively until you feel the rack uprights, then lower the bar to the barbell rest.
    This train works each of these muscle teams differently, and it targets some greater
    than others. Additionally, the athlete ought to pay consideration to their hand positioning.

    Their palms ought to be in the midst of the dumbbell to achieve a balanced weight
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