Cire kusoshi na intramedullary hanya ce ta yau da kullun, kamar yadda kowane masana'anta ke ba da kayan aikin cirewa da suka dace. Koyaya, ainihin buƙatar cire cikakkiyar ƙusa intramedullary yana da wuya. Da zarar ƙusa intramedullary ya karye, lamarin ya zama mai wahala musamman. A wannan lokaci, ana buƙatar kayan aiki da fasaha na musamman don cire ƙusa na intramedullary.
Ana samun cirewar ƙusa na intramedullary na duniya da fashewar ƙusa a kasuwa, kuma waɗannan saitin na iya taimakawa wajen magance matsalolin da ke sama. Duk da haka, ba a ba da shawarar tiyata ba tare da kayan aiki na musamman ba.
Tsarin da aka cire ƙusa intramedullary yana da mahimmanci. Kafin cire gyare-gyaren ciki, dole ne a samo wutsiya kuma a kama shi. Wani lokaci hular wutsiya yana da wuyar ganewa akan hasken X-ray, kuma saboda wannan dalili, wasu likitocin ba sa shawarar yin amfani da hular wutsiya sai dai idan ya ƙara tsayin ƙusa na intramedullary. Bayan cire hular wutsiya, yi amfani da hannun jagora don kama ƙusa na intramedullary, sannan a ci gaba da cire ƙusa mai kulle. Dole ne a tuna cewa dole ne a cire duk makullin fil kafin yunƙurin cire babban fil. Idan ba za a iya gano wanda ya kera ƙusa na intramedullary ba, ya zama dole a bijirar da isasshiyar ƙarshen ƙusa na intramedullary don fayyace hanyar kama shi, gami da nau'in zaren da girmansa, kuma don zaɓar kayan aikin da ya dace. Idan daidaitaccen wasa ba zai yiwu ba, zaɓin yin amfani da kayan aikin cirewa da aka ɗora na iya taimakawa wajen ɗaukar wutsiyar ƙusa ta intramedullary. Idan ana zargin zub da kashi a cikin ramin ƙusa ko a saman ƙusa, za a iya danna ƙusa cikin ƴan milimita da guduma mai zamiya kafin a cire.
An tsara ƙayyadaddun ƙayyadaddun ƙayyadaddun ƙayyadaddun wutsiya daban-daban don sauƙaƙe zaɓi na ciki da tabbatar da cire ƙusa na intramedullary.
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Kwararrun likitoci da yawa sun taƙaita adadin fasahohin kawar da ƙusa na intramedullary. Idan ƙarshen karya ya buƙaci buɗewa don tsaftacewa da raguwa, za'a iya cire ƙusa na intramedullary ta ƙarshen karya. A ƙasa, za mu ɗan gabatar da wasu hanyoyin cirewa waɗanda ba sa buƙatar bayyanar da ƙarshen karyewar.
Yadda ake cire ƙusa intramedullary mai karye?
Yawancin lokaci, ba shi da wahala sosai don cire ɓangaren kusanci na ƙusa intramedullary da aka karye. Da zarar an cire ɓangaren da ke kusa, ya zama ƙalubalen yadda za a cire ɓangaren nesa ba tare da buɗe ɓarke karya ba. Gyara madaidaicin magudanar ruwa ta ƴan milimita na iya sauƙaƙe cire ƙusa mai nisa.
Yin amfani da dogayen tsakiya ko ƙarfin laparoscopic, ana iya kama yanki mai nisa a wasu lokuta kuma a samu nasarar cire shi. Koyaya, dogon ƙarfi ba ya samar da ƙarfi mai ƙarfi, kuma nasarar cirewa ya dogara akan ko ɓangaren nesa ya sassauta.
Korar ƙusa na bakin ciki na intramedullary ko reamer na hannu a cikin ƙusa mai karye shima wani lokaci yana taimakawa wajen cire shi. Yayin tuƙi, yakamata a riƙe fil ɗin makullin nesa don gujewa ƙarin matsuguni na yanki mai nisa yayin tuki. Da zarar ƙusa na intramedullary na bakin ciki ko reamer na hannu ya sami tabbataccen haɗin gwiwa tare da ɓangaren nesa, cire ƙusa mai nisa sannan a buga baya don cire ɓangaren nesa.
An ba da rahoton wallafe-wallafe da yawa game da amfani da kayan kida don cire yanki mai nisa na fashe kusoshi. Za'a iya cika rami mara kyau na ƙusa na intramedullary da wayoyi masu jagora da yawa a layi daya tare da hanyar ƙugiya hakar don guje wa yankewa yayin aikin hakar. Dabarun tattara waya na jagora da yawa kuma wani lokacin madadin ƙugiya masu hakar.
![Karye gwangwani cire ƙusa intramedullary]()
A ƙarshe, idan duk dabarun cire kusancin da ke sama ba su yi nasara ba, ana iya ƙoƙarin cire ƙusa na intramedullary nesa. Misali, an cire wani yanki mai nisa na ƙusa intramedullary na mata ta hanyar buɗewa a cikin femur mai nisa ta hanyar haɗin gwiwa. Sojin yana karkata zuwa ƙarshen ƙusa na intramedullary, kuma buɗewar tana da girma don ɗaukar waya mai jagora mai zaƙi tare da gasket. Wayar jagorar an sake juyewa ta cikin ramin ƙusa na intramedullary kuma tana fitowa daga buɗewar mace mai kusa, kuma kan zaitun tare da spacer na iya fitar da ƙusa mai nisa daga cikin mata na kusa. Za'a iya amfani da irin wannan fasaha don tibia, tare da sake dawowa na budewa mai nisa na waya mai jagora a tsakiyar malleolus. Wani lokaci, ana shigar da waya ta Steiner ta wurin buɗewa kuma a buga wa ƙusa da aka karye a ƙarshen nesa, ta yadda ƙusa da ya karye zai iya motsawa kadan kusa, wanda ke taimakawa wajen sake shigar da allurar jagora da kuma cire ƙusa da ya karye.
Yadda ake cire ƙusa mai ƙarfi na intramedullary?
Ƙaƙƙarfan kusoshi na intramedullary gabaɗaya sun fi wahalar cirewa fiye da kusoshi na intramedullary gwangwani. Dabarun cire shi sun haɗa da reaming na kusa da rami medullary da ingantacciyar fahimtar fashewar ƙusa. Za a iya amfani da ƙugiya na laparoscopic don ɗaukar ƙusoshin da suka karye. Littattafan kuma sun ba da rahoton wani ƙarfi na musamman a kusa da wutsiyar ƙusa. Koyaya, yin amfani da kayan aikin daban-daban na iya kasa iya fahimtar fashewar ƙusa yadda ya kamata. A wannan yanayin, ƙusa da ya karye dole ne a fitar da shi daga ɗayan ƙarshen kashi. Ka'idar fasaha tayi kama da na ƙusa intramedullary cannulated. Yi amfani da kayan aiki kamar ƙwanƙwasa masu laushi da fitilun jagora don fidda ƙusoshin da suka karye kai tsaye zuwa ƙarshen kusa.
![cire ƙusa mai ƙarfi na intramedullary]()
Yadda za a cire ƙusa intramedullary da ya karye?
Ana iya cire kai ko yanki na kusa na dunƙule masu shiga tsakani ta amfani da na'urar sikirin da ta dace. Wani lokaci zaren dunƙule masu shiga tsakani na iya zamewa a cikin ƙashin, yana buƙatar jan hankali a kusa da kan dunƙule da ƙarfi da screwdriver don kwance shi. Lalacewar shuwagabannin dunƙule na iya buƙatar kayan aiki na musamman don cirewa, kamar na'urorin cirewa na ciki kamar na'urorin da aka zalunta. Bangaren da ya karye a wasu lokuta yana kwance gaba ɗaya, wanda baya shafar cire babban dunƙule, kuma ana iya barin shi a cikin jiki idan bai shafi aikin jiyya na gaba ba. Duk da haka, wani lokacin ƙusa mai lalacewa na iya haifar da raunin iatrogenic lokacin da aka cire babban ƙusa, kuma wajibi ne a cire shi. Hanyar da aka fi amfani da ita ita ce dabarar turawa ta screw, wato ana janye babban dunƙule zuwa matsayinsa na asali, ta yadda ramin da ke kan kashin ya kasance cikin layi ɗaya da ramin kulle ƙusa na intramedullary, kuma ana cire ƙusa ta hanyar amfani da wayar Steiner, ƙaramin sandar malleus ko screwdriver. Ana fitar da fil ɗin ta cikin ramin fil ɗin da ke cikin bawo mai cin karo da juna sannan a cire shi ta wani yanki na daban.
Yadda Ake Siyan Kayan Gyaran Orthopedic da Instruments?
Domin CZMEDITECH , muna da cikakken samfurin layi na kayan aikin tiyata na orthopedic da kayan aiki masu dacewa, samfurori ciki har da kashin baya implants, intramedullary kusoshi, farantin rauni, farantin kulle, cranial-maxillofacial, prosthesis, kayan aikin wuta, masu gyara waje, arthroscopy, kula da dabbobi da saitin kayan aikinsu.
Bugu da kari, mun himmatu wajen ci gaba da bunkasa sabbin kayayyaki da fadada layin samfur, ta yadda za a iya biyan bukatun tiyata na karin likitoci da marasa lafiya, da kuma sa kamfaninmu ya kara yin gasa a cikin dukkan masana'antar sarrafa kasusuwa ta duniya da masana'antar kayan aiki.
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