Kufotokozera
| REF | Mabowo | Utali |
| 021020004 | 4 mabowo | 31 mm |
| 021020005 | 5 mabowo | 38 mm pa |
| 021020006 | 6 mabowo | 45 mm pa |
| 021020008 | 8 zibowo | 59 mm pa |
Chithunzi Chenicheni

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Pankhani ya maopaleshoni a mafupa, ma implants amagwira ntchito yofunika kwambiri pakuwonetsetsa kuti zinthu zikuyenda bwino. Imodzi mwazoyika zotere zomwe zatchuka kwambiri m'zaka zaposachedwa ndi mbale yotsekera mini. M'nkhaniyi, tiwona mozama kuti mini locking mbale ndi chiyani, ntchito zake, ubwino wake, ndi kuipa kwake.
Mini locking mbale ndi mtundu wa implant yomwe imagwiritsidwa ntchito popanga maopaleshoni a mafupa. Ndi mbale yotsika kwambiri yokhala ndi ukadaulo wotsekera zotsekera zomwe zimathandiza kukhazikika kwa mafupa osweka. Zomangira zotsekera zimapereka kukhazikika kowonjezera, komwe kumakhala kopindulitsa makamaka pakagwa mafupa a osteoporotic. M'magawo otsatirawa, tikambirana za mini locking mbale mwatsatanetsatane.
Chophimba chaching'ono chotsekera ndi mtundu wa mbale yomwe imagwiritsidwa ntchito popanga maopaleshoni a mafupa pochiza mafupa osweka. Ndi mbale yotsika kwambiri, kutanthauza kuti ndi yocheperapo komanso yosalala kusiyana ndi mitundu ina ya mbale zomwe zimagwiritsidwa ntchito pa opaleshoni ya mafupa. Pulatiyi ili ndi ukadaulo wotsekera wotsekera womwe umathandizira kuti fupa likhale lokhazikika pokanikizira mbale ndi fupa. Chovala chotsekera chaching'ono chimapangidwa ndi titaniyamu, chomwe chimakhala chogwirizana komanso chosawononga.
Chovala chotsekera chaching'ono chimakhala chothandiza kwambiri pochiza ming'alu ya dzanja ndi phazi. Amagwiritsidwa ntchito pochita maopaleshoni pochiza:
Kuphulika kwa distal radius
Matenda a scaphoid
Metacarpal fractures
Metatarsal fractures
Pali maubwino angapo ogwiritsira ntchito mbale zokhoma zazing'ono pamitundu ina ya maopaleshoni a mafupa:
Mapangidwe apansi: Mapangidwe otsika a mbale amachepetsa chiopsezo cha kupsa mtima kwa minofu yofewa, yomwe ingayambitse mavuto panthawi ya opaleshoni.
Ukadaulo wotsekera zokhoma: Ukadaulo wotsekera wokhoma umapereka kukhazikika kowonjezera, komwe kumakhala kopindulitsa makamaka pakagwa mafupa a osteoporotic.
Biocompatible ndi yosawononga: Mbaleyi imapangidwa ndi titaniyamu, yomwe imakhala yogwirizana komanso yosawononga, kuchepetsa chiopsezo cha zovuta komanso kuonetsetsa kuti kukhazikika kwa nthawi yaitali.
Opaleshoni yocheperako pang'ono: Kukula kochepa kwa mbale kumatanthauza kuti opaleshoni ikhoza kuchitidwa pogwiritsa ntchito njira yochepetsera, kuchepetsa chiopsezo cha zovuta komanso kulimbikitsa kuchira msanga.
Ngakhale zabwino zake, palinso zovuta zina zogwiritsira ntchito mbale zokhoma mini:
Kugwiritsa ntchito pang'ono: Chovala chotsekera chaching'ono ndichoyenera kuchiza mitundu ina ya zosweka m'manja ndi kumapazi.
Kukwera mtengo: Kugwiritsa ntchito zomangira zotsekera ndi zinthu za titaniyamu kumawonjezera mtengo wa implant, zomwe zimapangitsa kuti zikhale zodula kuposa mitundu ina ya mbale.
Opaleshoniyo pogwiritsa ntchito mini locking mbale amachitidwa pansi pa anesthesia wamba kapena anesthesia ya m'dera, malingana ndi zomwe wodwalayo amakonda komanso mtundu wa fracture akuchiritsidwa. Dokotala wa opaleshoni amapanga kadulidwe kakang'ono pafupi ndi malo ophwanyika ndipo amagwirizanitsa mosamala zidutswa za mafupa. Chophimba chaching'onocho chimayikidwa pamwamba pa malo ophwanyika ndikumangirizidwa ndi zomangira zotsekera. Zomangira zokhoma zimapondereza mbaleyo ndi fupa, zomwe zimapangitsa kukhazikika.
Pambuyo potetezedwa kuti mbaleyo ikhalepo, kudulidwako kumatsekedwa pogwiritsa ntchito sutures kapena zopangira opaleshoni. Wodwalayo amayang'aniridwa mosamala ngati ali ndi vuto lililonse ndikupatsidwa mankhwala opweteka kuti athetse vuto.
Opaleshoniyo ikatha, wodwalayo ayenera kusunga mwendo womwe wakhudzidwawo ukhale wokwera komanso wosasunthika pogwiritsa ntchito pulasitala kapena plint kwa milungu ingapo. Thandizo lolimbitsa thupi litha kulangizidwa kuti lithandizire kubwezeretsanso kusuntha ndi mphamvu m'mbali yomwe yakhudzidwa. Wodwala adzafunikanso kutsatira ndondomeko yokhwima ya mankhwala ndikupita ku nthawi yotsatila ndi dokotala wawo wa opaleshoni kuti ayang'ane machiritso.
Nthawi yochira imasiyanasiyana malinga ndi mtundu wa fracture ndi thanzi la wodwalayo, koma odwala ambiri amatha kuyembekezera kuyambiranso ntchito zachizolowezi mkati mwa masabata asanu ndi limodzi mpaka khumi ndi awiri pambuyo pa opaleshoni.
Kafukufuku wambiri wachitika pogwiritsa ntchito mbale zotsekera zazing'ono pochita maopaleshoni a mafupa. Kafukufuku wina wofalitsidwa mu Journal of Orthopedic Surgery and Research anapeza kuti kugwiritsa ntchito mbale zotsekera zazing'ono kunali kothandiza pochiza fractures za distal radius ndipo zinabweretsa zotsatira zabwino zachipatala. Kafukufuku wina wofalitsidwa mu Journal of Hand Surgery anapeza kuti kugwiritsa ntchito mbale zotsekera za 1.5mm mini pochiza fractures ya metacarpal kumapangitsa kuti odwala azikhala okhutira kwambiri komanso zovuta zochepa.
Mini locking mbale ndi implant yotsika kwambiri yomwe imagwiritsidwa ntchito popanga maopaleshoni a mafupa kuti athetse mafupa othyoka m'manja ndi kumapazi. Ukadaulo wotsekera zotsekera umapereka kukhazikika kowonjezereka, ndipo titaniyamu yolumikizana ndi biocompatible komanso yosawononga imatsimikizira kukhazikika kwanthawi yayitali. Ngakhale pali zovuta zina, monga kugwiritsa ntchito kochepa komanso mtengo wapamwamba, ubwino wogwiritsa ntchito mbale zotsekera zazing'ono zimaposa zovuta zake.
Kodi opaleshoniyo imatenga nthawi yayitali bwanji?
Opaleshoniyo nthawi zambiri imatenga pakati pa ola limodzi ndi awiri, malingana ndi zovuta za fracture ndi mtundu wa anesthesia wogwiritsidwa ntchito.
Kodi ndifunika chithandizo chamankhwala pambuyo pa opaleshoni?
Thandizo lolimbitsa thupi likhoza kulangizidwa kuti lithandizire kubwezeretsa kayendedwe kake ndi mphamvu m'mbali yomwe yakhudzidwa.
Kuopsa kogwiritsa ntchito mbale ya mini locking ndi yotani?
Kuopsa kogwiritsa ntchito mbale yotsekera kakang'ono kumaphatikizapo matenda, kuwonongeka kwa mitsempha, ndi kulephera kwa implant.
Kodi mbaleyo ingachotsedwe pambuyo povulala?
Nthawi zina, mbaleyo imatha kuchotsedwa pambuyo poti fracture yachira. Dokotala wanu adzakambirana ndi inu zomwe mungachite panthawi yomwe mukutsatira.
Zimatenga nthawi yayitali bwanji kuti ndichire kuchokera ku opaleshoni pogwiritsa ntchito mini locking mbale?
Nthawi yochira imasiyanasiyana malinga ndi mtundu wa fracture ndi thanzi la wodwalayo, koma odwala ambiri amatha kuyembekezera kuyambiranso ntchito zachizolowezi mkati mwa masabata asanu ndi limodzi mpaka khumi ndi awiri pambuyo pa opaleshoni.
Pomaliza, mbale yotsekera ya mini ndi choyikapo chothandiza chomwe chimagwiritsidwa ntchito popanga maopaleshoni a mafupa kuti athetse zosweka m'manja ndi kumapazi. Ndiukadaulo wake wokhoma screw ndi biocompatible titaniyamu, imapereka kukhazikika kowonjezereka komanso kukhazikika kwanthawi yayitali. Ngakhale pali zovuta zina, ubwino wake umaposa kuopsa kwa nthawi zambiri.