Karayar Scaphoid
Scaphoid fracture shine mafi yawan raunin carpal, yana lissafin kusan kashi 70 cikin dari na duk raunin kashi na carpal. Saboda matsayinsa na musamman na jiki a cikin tsarin kashi na carpal, ana yawan rasa sabbin fasahohin scaphoid a cikin ganewar asibiti. Bugu da ƙari, ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar ƙwayar cuta ta haifar da rikice-rikice kamar rashin daidaituwa, avascular necrosis (AVN), da rashin kwanciyar hankali na carpal a cikin matakai na gaba. A asibiti, ɓarkewar ɓarna yana da wuyar magancewa kuma sau da yawa yana barin abubuwan da ke biyo baya kamar ciwon wuyan hannu na ci gaba, ƙuntataccen motsi, da cututtukan cututtuka na baya-bayan nan.
Matsayin Halittu Na Musamman na Scaphoid
Scaphoid shine kashi mafi tsayi a cikin layin carpal na kusa, mai siffa kamar ƙaramin jirgin ruwa (don haka sunan 'scaphoid'). Ya kewaya tsakanin layuka na kusa da carpal na nesa, yana taka muhimmiyar rawa wajen daidaitawa da haɗa layuka biyu. Motsin wuyan hannu na yau da kullun, gami da jujjuyawar, tsawo, karkatawar radial, da karkacewar ulnar, duk sun dogara ne akan haɗin gwiwar motsi na scaphoid. Da zarar an karye, injiniyoyin halittu na gabaɗayan haɗin gwiwar wuyan hannu sun lalace.
Samar da Ruwan Jiji Mai Karɓa
Scaphoid yana karɓar wadatar jini musamman daga rassan jijiyar radial, yana shiga daga ƙwanƙolin dorsal da sanda mai nisa:
Kimanin kashi 70-80% na kwararar jini yana shiga ta hanyar tubercle mai nisa, yana gudana ta baya don ciyar da sandar kusa.
Wasu rassa kaɗan ne kawai ke shigar da sandar kusa.
Abubuwan da ke faruwa:
Mafi kusancin karaya shine zuwa sandar kusanci, mafi girman haɗarin rushewar jijiyoyin jini.
Da zarar an katse kwararar jini, guntun da ke kusa yana da saurin kamuwa da AVN da rashin haɗin kai.
Tsarin Rauni na kowa
Mafi yawan hanyar rauni shine faɗuwa a hannun wanda aka miƙe (FOOSH) .Lokacin faɗuwa, daidaikun mutane suna ɗaga hannu a hankali kuma su yada yatsunsu don ɗaukar tasiri tare da dabino. Wannan tsari na rauni akai-akai ya jawo hankali na asibiti da bincike, kuma ana kiransa da sunan FOOSH.
Jinkirta Ganewar Fargawar Scaphoid
Scaphoid fractures sau da yawa yana haifar da raunin FOOSH. A cikin ƙananan yanayi, alamun bayyanar cututtuka na iya iyakance ga ƙananan ciwon wuyan hannu, yana haifar da marasa lafiya ga rashin kulawa da neman kulawar likita. Ko da a lokacin da aka ɗauki X-ray (AP da kuma ra'ayi na gefe), ƙila ba za a iya ganin karaya nan da nan ba. Marasa lafiya na iya dawowa watanni bayan haka tare da ciwon wuyan hannu na ci gaba, a lokacin da hoton ya nuna raunin scaphoid na yau da kullum-yana jinkirta ganewar asali kuma ya ɓace taga mafi kyawun magani.
Mahimman shawarwarin bincike:
Ya kamata a yi hoton X-ray don duk raunin wuyan hannu, gami da ra'ayoyin scaphoid lokacin da ake zargin karaya.
Idan haskoki na X-ray ba su da kyau amma zato ya rage, ya kamata a yi amfani da rashin motsi, sannan a maimaita hoto bayan makonni 2.
Rashin motsi da wuri zai iya zama duka ma'aunin bincike da magani.
Zaɓuɓɓukan Magani
Gyaran Waje
Za a iya maganin karayar da ba a gushe ba tare da hana motsi. Duk da haka, gyara dole ne a daure don tabbatar da waraka. Daidaitaccen filastar ko splints na guduro na iya kasa sarrafa wuyan hannu da jujjuyawar hannu, yana rage kwanciyar hankali.
Rashin Motsa Simintin Filasta:
Simintin gyare-gyare na babban yatsan hannu mai tsayi:
An nuna don kusan kashi ɗaya bisa uku (mafi girman haɗarin AVN), layukan karaya a tsaye/madaidaici, da shari'o'in ganewar asali.
Yana hana gwiwar hannu a 90°, hannun hannu, wuyan hannu, da babban yatsan hannu.
Yana ba da matsakaicin kwanciyar hankali ta hanyar kawar da jujjuyawar hannu.
Babban yatsa spica simintin hannu:
Ya dace da karaya ta uku mai nisa, raunin tuberosity, da karyewar tsakiyar kugu (mataki na baya).
Yana ba da ƙarin ta'aziyya amma ƙarancin kwanciyar hankali.
Gyaran Cikin Gida
Matsi mara kai (Herbert Screw)
A halin yanzu ma'aunin gwal don karyewar kugu.
Herbert Cannulated Compress Screw
Beveled Cannulated Herbert Screw
Kirschner Waya (K-waya) Gyarawa
Hanyar gargajiya amma mai amfani, sau da yawa hadewa.
Abũbuwan amfãni : m, m, kadan rushewa na vascularity.
Hasara : ƙarancin kwanciyar hankali, yana buƙatar gyara waje, haɗarin kamuwa da cuta, cirewar da ake buƙata bayan warkarwa.
Alamomi : karaya na yara, gyare-gyare na wucin gadi a cikin comminution, haɗin gwiwa zuwa dunƙule gyarawa.
Cannulated Screw Parti-threaded
Cannulated Screw Parti-threaded
Scaphoid Nonunion
Saboda wadatar jijiyoyin jini na musamman, ƙwanƙarar ƙwanƙwasa da karaya masu kusanci suna da haɗari ga rashin haɗuwa da AVN.
Jiyya : Gyaran kasusuwa (marasa jini ko vascularized) hade tare da gyaran ciki (Herbert screw ko K-waya). Madaidaicin wurin dasa shuki da gyare-gyaren shimfidar wuri mai santsi suna da mahimmanci. A wasu lokuta, ana iya buƙatar radial styloidectomy idan shaharar kashi ya taso yayin motsin hannu.
Manyan Masu Kayayyakin Herbert Screw 10 na Duniya da Bayanin Samfurin CZMEDITECH
Maganin ɓarkewar ɓarna yana da mahimmancin mahimmanci-ba kawai don maido da aikin wuyan hannu ba har ma don kiyaye ingancin rayuwar marasa lafiya da iya aiki. Zaɓin ingantaccen na'urar gyara na ciki shine mabuɗin don hana rikitarwa, cimma daidaito daidai, da haɓaka gyarawa.
Daga cikin daban-daban implants, da Herbert Screw ya fito ne saboda ƙirar sa na musamman da kuma ingantaccen aikin asibiti, yana mai da shi ɗayan mahimman na'urori a cikin sarrafa karaya.
Manyan 10 Herbert Screw Suppliers Duniya
| Matsayin |
Kamfanin Sunan |
Logo |
| 1 |
Abubuwan da aka bayar na DePuy Synthes |
![Herbert Cannulated Compress Screw]() |
| 2 |
Styker |
![Herbert Cannulated Compress Screw]() |
| 3 |
Zimmer Biomet |
![Herbert Cannulated Compress Screw]() |
| 4 |
Artrex |
![Herbert Cannulated Compress Screw]() |
| 5 |
Smith & Dan uwa |
![Herbert Cannulated Compress Screw]() |
| 6 |
Wright Medical Group |
![Herbert Cannulated Compress Screw]() |
| 7 |
Ma'ana |
![Herbert Cannulated Compress Screw]() |
| 8 |
AAP Implantate AG girma |
![Herbert Cannulated Compress Screw]() |
| 9 |
Orthofix |
![Herbert Cannulated Compress Screw]() |
| 10 |
CZMEDITECH |
![Herbert Cannulated Compress Screw]() |
CZMEDITECH Herbert Screw Products
A matsayin babban masana'anta na kasar Sin kuma mai ba da kayan aikin gyaran kasusuwa, CZMEDITECH yana ba da cikakkiyar fayil na Herbert Screws wanda aka keɓance don ɓarke scaphoid da sauran ƙananan raunin kashi.
Mabuɗin fasali:
Ƙirar matsi mara kai: yana tabbatar da ƙayyadaddun gyare-gyare yayin da yake rage haushin guringuntsi.
High biomechanical kwanciyar hankali: abin dogara interfragmentary matsawa inganta m ƙungiya.
Zaɓuɓɓukan kayan abu: ana samunsu a cikin bakin ƙarfe-mara lafiya da gami da titanium gami, tare da ingantaccen yanayin rayuwa da juriya na lalata.
Matsakaicin daidaitawa mara kyau: dace da duka hanyoyin da ba a taɓa gani ba da buɗe ido.
Ƙididdiga da yawa: faɗin kewayon diamita da tsayi don magance buƙatun asibiti iri-iri.
Amfanin asibiti:
Yana sauƙaƙe warkar da karaya cikin sauri kuma abin dogaro, musamman a cikin babban haɗari mai haɗari da karaya mai kusanci.
Yana ba da damar haɗa hannu da wuri, rage taurin kai da haɓaka aikin murmurewa.
Mahimmanci yana rage haɗarin rashin haɗin kai da AVN idan aka kwatanta da hanyoyin gyara na gargajiya.
CZMEDITECH Products
