Intramedullary nail Ntọala mwepụ: Nchịkọta nke uru, ihe egwu, na usoro
A na-ejikarị mbọ intramedullary, nke a makwaara dị ka mbọ IM, na-agwọ mgbaji n'ọkpụkpụ ogologo dị ka femur, tibia, na humerus. A na-etinye mbọ ndị a n'ime oghere ụmị ọkpụkpụ iji nye nkwụsi ike na nkwado n'oge usoro ọgwụgwọ. Ọ bụ ezie na ha dị irè n'ịkwalite ọgwụgwọ ọkpụkpụ, ọ nwere ike ịdị mkpa ka ewepụ ha n'oge ụfọdụ iji gbochie nsogbu ndị dị ka ịkụnye ọdịda ma ọ bụ ihe mgbu. Nke a bụ ebe nhazi mwepụ Intramedullary nail na-abịa na aka. N'isiokwu a, anyị ga-enyocha ihe nhazi mwepụ Intramedullary nail bụ, uru na ihe egwu dị n'iji ya eme ihe, yana usoro ọ gụnyere.
Gịnị bụ ihe mkpochapụ Intramedullary nail ?
Ihe nhazi mwepụ Intramedullary nail bụ ngwa ọrụ emebere maka iwepụ mbọ intramedullary. Ntọala na-agụnye ngwa dị iche iche dị ka ndị na-egbu ọkpụkpụ, ọkpụkpụ ọkpụkpụ, na ọkpụkpụ, nke a na-eji egbutu ma wepụ ntu n'ọkpụkpụ. Ntọala ahụ nwekwara ike ịgụnye ngwaọrụ a na-akpọ reamer, nke a na-eji eme ka oghere ọkpụkpụ dị n'akụkụ ntu ahụ dịkwuo mfe iwepụ ya.
Uru nke iji nhazi mwepụ Intramedullary nail
Enwere ọtụtụ uru dị na iji nhazi mwepụ Intramedullary nail , gụnyere:
Na-egbochi nsogbu
Ịhapụ ntu intramedullary n'ebe ruo ogologo oge nwere ike ịkpata nsogbu dịka ọdịda ịkụnye, ọrịa, na mgbu. Iwepu ntu ahụ site na iji nhazi mwepụ Intramedullary nail nwere ike igbochi nsogbu ndị a.
Obere ịkpa ike
Usoro mwepụ site na iji Intramedullary nail Set Nwepu dị ntakịrị mkpasu iwe, nke pụtara na ọ na-achọ obere mbepụ ma na-akpata obere mmebi anụ ahụ ma e jiri ya tụnyere ịwa ahụ mepere emepe.
Mgbake ngwa ngwa
Usoro mmekpa ahụ dị ntakịrị na-ebutekarị oge mgbake ngwa ngwa ma e jiri ya tụnyere ịwa ahụ mepere emepe. Ndị ọrịa na-ewepụ ntu intramedullary site na iji nhazi mwepụ Intramedullary nail nwere ike ịlaghachi n'ọrụ ha na-eme ngwa ngwa.
Ihe ize ndụ nke iji nhazi mwepụ Intramedullary nail
Ọ bụ ezie na iji ihe mkpochapụ Intramedullary nail na-enye ọtụtụ uru, ọ na-ebukwa ụfọdụ ihe egwu, gụnyere:
Ọrịa
Dị ka usoro ịwa ahụ ọ bụla, enwere ihe ize ndụ nke ọrịa metụtara na mwepụ intramedullary ntu. Ekwesịrị iwere usoro ịgba ọgwụ mgbochi ọrịa nke ọma na mgbochi ọrịa iji belata ihe egwu a.
Mmebi nke anụ ahụ gbara ya gburugburu
N'oge usoro iwepụ, enwere ihe ize ndụ nke imebi anụ ahụ gbara ya gburugburu dịka irighiri akwara na arịa ọbara. Enwere ike ibelata ihe egwu a site na iji usoro onyonyo dị elu dị ka fluoroscopy.
Mgbaji ịkụnye
N'oge usoro iwepụ, ntu intramedullary nwere ike ịgbaji, nke nwere ike ime ka usoro mwepụ ahụ sie ike ma mee ka nsogbu dịwanye njọ.
Usoro mwepụ Intramedullary nail
Usoro iwepụ ntu intramedullary na-eji Intramedullary nail Ntọala mwepụ na-agụnye usoro ndị a:
Anesthesia: A na-enye onye ọrịa ahụ ọgwụ ahụ iji hụ na ha enweghị ihe mgbu n'oge usoro ahụ.
Mbibi: A na-eme obere mbepụ na saịtị nke ntinye ntu intramedullary.
Mwepụ ntu: A na-eji ngwá ọrụ mwepụ nke Intramedullary nail ewepụ ma wepụ ntu n'ọkpụkpụ.
Mmechi: A na-emechi mbepụ ahụ site na iji stitches ma ọ bụ staples.
Ajụjụ
Q1. Ogologo oge ole ka usoro iwepụ ntu intramedullary na-ewe?
A1. Usoro iwepụ ntu intramedullary na-ewekarị nkeji iri atọ ruo otu awa.
Q2. Mwepụ ntu intramedullary ọ na-egbu mgbu?
A2. A na-eji anesthesia eme ihe n'oge usoro ahụ iji hụ na onye ọrịa ahụ enweghị ihe mgbu. Otú ọ dị, ndị ọrịa nwere ike ịnweta ụfọdụ ahụ erughị ala ma ọ bụ mgbu mgbe usoro ahụ gasịrị, nke a pụrụ ijikwa ọgwụ mgbu.
Q3. Ogologo oge ole ka ọ na-ewe iji gbakee ka mwepu ntu intramedullary?
A3. Oge mgbake na-adịgasị iche site na onye ọrịa gaa na onye ọrịa, mana ọtụtụ ndị ọrịa nwere ike ịlaghachi n'ọrụ nkịtị n'ime izu ole na ole ruo ọnwa ole na ole ka usoro ahụ gasịrị.
Q4. Kedu mgbe ọ dị mkpa iwepụ ntu intramedullary?
A4. Mwepụ ntu intramedullary nwere ike ịdị mkpa ma ọ bụrụ na ntu na-akpata mgbu ma ọ bụ nsogbu dịka ọdịda ịkụnye ma ọ bụ ọrịa.
Q5. Enwere ike iwepụ ntu intramedullary na-enweghị ịwa ahụ?
A5. Mba, iwepụ ntu intramedullary chọrọ ịwa ahụ. Agbanyeghị, enwere ike ịme usoro ahụ site na iji usoro mmekpa ahụ pere mpe, nke na-achọ obere mbepụ ma mee ka anụ ahụ dị ntakịrị ma e jiri ya tụnyere ịwa ahụ mepere emepe.
Mmechi
Ntu intramedullary bụ nhọrọ ọgwụgwọ a na-ahụkarị maka ogologo ọkpụkpụ ọkpụkpụ, ma ọ nwere ike ịdị mkpa ka ewepụ ha n'oge ụfọdụ iji gbochie nsogbu. Ojiji nke nhazi mwepụ Intramedullary nail na-enye ọtụtụ uru, gụnyere igbochi nsogbu, ịbụ obere mkpasu iwe, yana na-ebute oge mgbake ngwa ngwa. Otú ọ dị, ọ na-ebutekwa ihe ize ndụ, dị ka ọrịa, imebi anụ ahụ gbara ya gburugburu, na mgbaji ịkụnye ihe. Usoro iwepụ ntu intramedullary site na iji Intramedullary nail Set ewepu bụ ihe kwụ ọtọ ma na-agụnyekarị anesthesia, obere mbepụ, ntu ntu, na mmechi. Ndị ọrịa nwere ike ịnwe ụfọdụ ahụ erughị ala ma ọ bụ ọnya mgbe usoro ahụ gasịrị, mana enwere ike ijikwa nke a na ọgwụ mgbu. Ọ bụrụ na ị na-enwe mgbu ma ọ bụ nsogbu sitere na ntu intramedullary, gwa dọkịta gị gbasara ma iwepụ ntu intramedullary nwere ike ịbara gị uru.
