2/3 Ring Fixator Kwa Tibial & Femur Fracture

Cholinga chachikulu cha kukonza fupa la fracture ndikukhazikitsa fupa losweka, kuthandizira kuchira msanga kwa fupa lovulala, ndi kubwereranso mofulumira komanso kugwira ntchito kwathunthu kwa fupa lovulala.

Kukonzekera kwakunja ndi njira yomwe imagwiritsidwa ntchito pochiritsa mafupa osweka kwambiri. Mtundu uwu wa chithandizo cha mafupa umaphatikizapo kuteteza fracture ndi chipangizo chapadera chotchedwa fixator, chomwe chili kunja kwa thupi. Pogwiritsa ntchito zida zapadera za fupa (zomwe zimatchedwa pini) zomwe zimadutsa pakhungu ndi minofu, chokonzacho chimagwirizanitsidwa ndi fupa lowonongeka kuti likhale loyenera pamene likuchiritsa.

Kodi chokonzera chakunja chimagwiritsidwa ntchito chiyani?

Chipangizo chokonzekera chakunja chingagwiritsidwe ntchito kuti mafupa osweka akhazikike komanso agwirizane. Chipangizocho chikhoza kusinthidwa kunja kuti chitsimikizire kuti mafupa amakhalabe pamalo abwino panthawi ya machiritso. Chipangizochi chimagwiritsidwa ntchito kwambiri kwa ana komanso pamene khungu pa fracture lawonongeka.

Ndi mitundu yanji ya fixator yakunja?

Pali mitundu itatu yoyambira yazitsulo zakunja: wokhazikika uniplanar fixator, ring fixator, ndi hybrid fixator.

Zida zambiri zomwe zimagwiritsidwa ntchito pokonza mkati zimagawidwa m'magulu angapo: mawaya, mapini ndi zomangira, mbale, ndi misomali kapena ndodo za intramedullary.

Zomangamanga ndi zomangira zimagwiritsidwanso ntchito nthawi zina pa osteotomy kapena fracture fixation. Mafupa amtundu wa autogenous, allografts, ndi mafupa amtundu wa mafupa amagwiritsidwa ntchito kawirikawiri pofuna kuchiza matenda a mafupa pazifukwa zosiyanasiyana. Pa zothyoka zomwe zili ndi kachilombo komanso pochiza matenda a mafupa, mikanda yolimbana ndi maantibayotiki imagwiritsidwa ntchito pafupipafupi.

2/3 Ring Fixator ya Tibial & Femur Fracture: Chitsogozo Chokwanira

Kuphulika kwa tibia ndi femur kungakhale kuvulala kofooketsa komwe kumafuna chithandizo chamsanga ndi choyenera kuti chitsimikizidwe kuchiritsidwa bwino ndi kuchira. Njira imodzi yochiritsira yothandiza ndiyo kugwiritsa ntchito 2/3 ring fixator, mtundu wa fixator wakunja womwe umapereka kukhazikika kwa fupa lokhudzidwa pamene kulola kugwirizanitsa bwino ndi kuchiritsa. M'nkhaniyi, tiwona kugwiritsa ntchito 2/3 ring fixator kwa tibial ndi femur fractures, kuphatikizapo ubwino wake, zoopsa, ndi momwe zimagwiritsidwira ntchito.

Chidule cha 2/3 Ring Fixator

2/3 ring fixator ndi chipangizo chomwe chimakhala ndi mphete ziwiri zozungulira zachitsulo zolumikizidwa ndi ma struts awiri kapena atatu. Amagwiritsidwa ntchito kuti akhazikike ndikugwirizanitsa zidutswa za fupa pazochitika zovuta zowonongeka, makamaka zomwe zimakhudza tibia ndi femur. Chokonzeracho chimagwiritsidwa ntchito kunja, kutanthauza kuti chimamangiriridwa ku zidutswa za fupa kunja kwa thupi, kulola kuchiritsa koyenera ndi kugwirizanitsa.

Ubwino wa 2/3 Ring Fixator

Kugwiritsiridwa ntchito kwa 2/3 ring fixator kwa tibial ndi femur fractures kuli ndi ubwino wambiri, kuphatikizapo:

• Kukhazikika kwabwino: Wokonzayo amapereka kukhazikika kwabwino kwa zidutswa za mafupa zomwe zakhudzidwa, zomwe zimalola kugwirizanitsa bwino ndi kuchiritsa.

• Kuchepetsa chiopsezo chotenga kachilomboka: Zokonza zakunja sizingayambitse matenda poyerekeza ndi zida zopangira mkati.

• Kuchira msanga: Kugwiritsa ntchito 2/3 ring fixator kungachepetse nthawi yofunikira kuti achire poyerekeza ndi mankhwala ena.

• Kuchepa kochepa: Chokonzeracho chimagwiritsidwa ntchito kunja, kutanthauza kuti palibe mabala ochepa.

Zowopsa za 2/3 Ring Fixator

Ngakhale zokonzera mphete 2/3 nthawi zambiri zimakhala zotetezeka komanso zothandiza, pali zoopsa zina zomwe zimachitika, kuphatikiza:

• Infection: Ngakhale kuti chiopsezo chotenga matenda ndi chochepa poyerekeza ndi zipangizo zina, pali mwayi wotenga matenda.

• Pini kumasula kapena kusweka: Zikhomo zomwe zimagwiritsidwa ntchito kulumikiza chokonzera ku fupa zimatha kumasula kapena kusweka, zomwe zimapangitsa kuti chokonzacho chisakhazikika.

• Ululu ndi kusamva bwino: Wokonza amatha kuyambitsa kupweteka komanso kusamva bwino, makamaka panthawi yogwiritsira ntchito.

• Kuyenda kochepa: Wokonza amatha kuchepetsa kuyenda ndi ntchito za tsiku ndi tsiku.

Kugwiritsa ntchito 2/3 Ring Fixator

Kugwiritsa ntchito 2/3 ring fixator ndizovuta kwambiri zomwe zimafuna ukadaulo wa akatswiri azachipatala ophunzitsidwa bwino. Nazi mwachidule masitepe omwe akukhudzidwa:

Gawo 1: Kukonzekera wodwala

Asanagwiritse ntchito fixator, wodwalayo adzayesedwa kangapo, kuphatikizapo X-ray ndi CT scans. Izi zidzathandiza dokotala kudziwa kukula kwa fracture ndikukonzekera chithandizo choyenera.

Khwerero 2: Kugwiritsa ntchito fixator

Katswiri wa zachipatala adzagwiritsa ntchito fixator pobowola zikhomo mu zidutswa za fupa ndikuzilumikiza ku mphete za fixator. Mapiniwo amawalowetsa m’fupa kudzera m’zing’onozing’ono zopanga pakhungu.

Khwerero 3: Kusintha fixator

Pamene fixator ili m'malo, katswiri wa zachipatala adzasintha kuti atsimikizire kugwirizanitsa bwino ndi kukhazikika. Izi zingafunike kumangitsa kapena kumasula zikhomo kapena ma struts.

Gawo 4: Kuyang'anira ndi kutsata

Pambuyo pa fixator, wodwalayo adzayang'anitsitsa zizindikiro zilizonse za matenda kapena zovuta zina. Katswiri wazachipatala adzachitanso ma X-ray pafupipafupi kuti atsimikizire kuchira koyenera komanso kulondola.

Mapeto

A 2/3 ring fixator ndi njira yabwino yothetsera matenda a tibial ndi femur fractures, kupereka bata ndi kugwirizanitsa pamene kuchepetsa chiopsezo cha matenda ndi zipsera. Ngakhale kuti pali zoopsa zina zomwe zimakhudzidwa, nthawi zambiri zimakhala zazikulu kuposa ubwino wake. Ngati mwasweka ndipo dokotala wanu akulangizani 2/3 ring fixator, ndikofunika kukambirana za zoopsa ndi zopindulitsa ndi iwo ndikutsatira malangizo awo pa chisamaliro choyenera ndi kuyang'anira.

FAQs

1. Kodi 2/3 ring fixator ikufunika kuti ikhalebe nthawi yayitali bwanji?

Kutalika kwa nthawi yomwe fixator imayenera kukhalapo imadalira kuuma ndi malo a fracture. Zitha kukhala masabata angapo mpaka miyezi ingapo.

1. Kodi kugwiritsa ntchito 2/3 ring fixator kumafuna opaleshoni?

Ayi, kugwiritsa ntchito 2/3 ring fixator sikufuna opaleshoni. Amagwiritsidwa ntchito kunja kwa zidutswa za fupa.

1. Kodi chokonzacho chingachotsedwe fupa litachira?

Inde, chokonzacho chikhoza kuchotsedwa fupa litachiritsidwa. Izi kawirikawiri zimachitika pansi pa anesthesia wamba ndipo ndi njira yosavuta.

1. Kodi ndingasamalire bwanji chokonzera pamene chili m'malo?

Ndikofunikira kutsatira malangizo a dokotala pakusamalira ndi kukonza chokonzera, kuphatikizapo kuyeretsa nthawi zonse ndi kuyang'anira zizindikiro za matenda.

1. Kodi ndidzatha kuyambiranso ntchito zanthawi zonse pomwe chokonza chili m'malo?

Wokonza akhoza kuchepetsa kuyenda ndi ntchito za tsiku ndi tsiku, koma dokotala wanu adzapereka chitsogozo pa zomwe ntchito zili zotetezeka komanso zoyenera pamene fixator ili.