Dynamic Axial Yowongoka Mtundu Wakunja Fixator

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.

Dynamic Axial Straight Type Fixator Yakunja: Chitsogozo Chokwanira

Pankhani yochiza fractures ndi matenda ena a mafupa, zowonongeka zakunja zimagwira ntchito yofunika kwambiri pakuwongolera ndi kukonzanso odwala. Mmodzi wotero wakunja woterewu ndi axial yowongoka yamtundu wakunja, yomwe yatchuka pakati pa madokotala ochita opaleshoni ya mafupa chifukwa cha mapangidwe ake apadera ndi ntchito zake. Mu bukhuli lathunthu, tifufuza mozama za zowongolera zakunja za axial molunjika, kuphatikiza kapangidwe kake, zisonyezo, zabwino zake, ndi malire.

1. Mawu Oyamba

Dynamic axial straight type fixator yakunja ndi chipangizo chakunja chomwe chimagwiritsidwa ntchito kuti chikhazikitse fractures kapena zidutswa za mafupa mwa odwala. Amagwiritsidwa ntchito nthawi zambiri pamene kukonza mkati sikuli koyenera, kapena komwe kuli kofunikira kuwongolera ndi kusokoneza pang'onopang'ono kapena kuponderezedwa kwa malo osweka. Mphamvu ya axial yowongoka yamtundu wakunja imalola kuponderezedwa kwa axial ndi kusokoneza, komanso mayendedwe ozungulira komanso omasulira, ndikupangitsa kuti ikhale yosunthika kwambiri pochiza matenda osiyanasiyana a mafupa.

2. Kodi Dynamic Axial Straight Type External Fixator ndi chiyani?

A dynamic axial straight type fixator kunja ndi chipangizo chakunja chopangidwa ndi zitsulo kapena carbon fiber ndodo, zomwe zimagwirizanitsidwa ndi zikhomo kapena zikhomo zomwe zimayikidwa mu fupa. Chipangizocho chikhoza kusinthidwa kuti chipereke kupanikizika kapena kusokoneza pamalo ophwanyika, malingana ndi zomwe dokotalayo akufuna. Chipangizocho chingagwiritsidwenso ntchito kukonza zopunduka kapena malunions a mafupa ndikugwiritsanso ntchito pang'onopang'ono kukakamiza komwe mukufuna.

3. Zigawo za Dynamic Axial Straight Type External Fixator

A dynamic axial straight type fixator yakunja nthawi zambiri imakhala ndi zigawo izi:

• Ndodo zachitsulo kapena za carbon fiber zautali ndi ma diameter osiyanasiyana

• Zikhomo kapena zikhomo kuti zigwirizane ndi fupa

• Zolumikizira zosinthika zolumikizira ndodo ndi ma clamp/pini

• Njira zokhoma zokhazikika bwino za ndodo ndi zikhomo / zikhomo

• Zida zopondereza ndi zosokoneza za axial compression kapena kusokoneza pamalo ophwanyika

• Njira zosinthira ndikusintha mozungulira

4. Zizindikiro za Dynamic Axial Straight Type External Fixator

The dynamic axial straight type fixator yakunja imasonyezedwa pazifukwa izi:

• Tsegulani fractures ndi kuwonongeka kwakukulu kwa minofu yofewa

• Kuphulika kwamphamvu kwamphamvu komwe kumakhala ndi commition yayikulu kapena kuwonongeka kwa mafupa

• Ziphuphu zomwe zimakhala zovuta kukhazikika ndi zipangizo zopangira mkati

• Malunions kapena zosagwirizana ndi mafupa

• Kuwongolera osteotomies kapena njira zowonjezera mafupa

• Kuchotsa chotupa kapena kuwonongeka kwa mafupa kumafuna kukonzanso

5. Ubwino wa Dynamic Axial Straight Type External Fixator

Mphamvu ya axial yowongoka yamtundu wakunja ili ndi zabwino zingapo kuposa zokonzera zina zakunja, kuphatikiza:

• Kusinthasintha pochiza matenda osiyanasiyana a mafupa

• Kutha kugwiritsa ntchito kuponderezana kowongolera komanso pang'onopang'ono kapena kusokoneza

• Kusokonezeka kwa minofu yofewa pang'ono panthawi yoyika

• Palibe chifukwa chocheka kapena kudula minofu

• Kulimbikitsana koyambirira kwa wodwalayo ndizotheka

• Kusintha kosavuta ndi kuchotsedwa kwa chipangizocho

6. Zoperewera za Dynamic Axial Straight Type External Fixator

Ngakhale zabwino zake, chowongolera chakunja cha axial chowongoka chili ndi zofooka zina zomwe ziyenera kuganiziridwa, kuphatikiza:

• Kuopsa kwa matenda a pin tract, omwe angayambitse zovuta zina

• Kufunika kowunika mosamala ndikusintha chipangizocho kuti musapanikize kwambiri kapena kusokoneza

• Kuvuta kukwaniritsa kukhazikika kokwanira mwa odwala onenepa kwambiri kapena othamanga kwambiri

• Kuyenda kochepa mu mwendo womwe wakhudzidwa panthawi yokonza

• Chiwopsezo cha kuvulala kwaubongo pakuyika kapena kusintha kwa chipangizocho

7. Kodi Dynamic Axial Straight Type External Fixator imayikidwa bwanji?

Kuyika kwa dynamic axial straight type fixator yakunja nthawi zambiri kumachitika pansi pa anesthesia wamba kapena wachigawo m'chipinda chopangira opaleshoni. Njirayi imaphatikizapo kuyika zikhomo kapena zikhomo mu fupa patali ndi malo ophwanyidwa, ndikutsatiridwa ndi kugwiritsa ntchito chipangizo chakunja chokonzekera kulumikiza zikhomo / zikhomo ndi ndodo.

Chipangizocho chimasinthidwa kuti chikwaniritse kuchuluka kofunikira kwa kuponderezedwa kapena kusokoneza pa malo ophwanyidwa, ndipo kuyang'anitsitsa nthawi zonse ndi kusintha kwa chipangizocho kumafunika kuti zitsimikizidwe kuti machiritso oyenera ndi kugwirizanitsa zidutswa za mafupa.

8. Kusamalira ndi Kusamalira Dynamic Axial Straight Type External Fixator

Kusamalira koyenera ndi kukonza kwamphamvu ya axial yowongoka yakunja ndikofunikira kuti tipewe zovuta monga matenda a pin tract kapena kulephera kwa chipangizo. Odwala nthawi zambiri amalangizidwa momwe angayeretsere ndi kuvala malo a pini ndipo amalangizidwa kuti apewe kumiza chipangizocho m'madzi.

Kukumana pafupipafupi ndi dokotala wa opaleshoni ya mafupa kumafunika kuyang'anira machiritso ndikusintha chipangizocho ngati pakufunika.

9. Zovuta Zogwirizana ndi Dynamic Axial Straight Type External Fixator

Zovuta zomwe zimagwirizanitsidwa ndi zowongolera zakunja za axial molunjika zingaphatikizepo:

• Pin thirakiti matenda

• Kulephera kwa chipangizo kapena kumasula mapini/zingwe

• Kutayika kwa kuyanjanitsa kapena kuchepetsa kukhazikika kwachidutswa cha fupa

• Kuvulala kwa Neurovascular

• Kulimba kwa mgwirizano kapena contractures

• Kufooka kwa minofu kapena kufooka

• Ululu kapena kusapeza bwino pa malo a pini

10. Mapeto

Dynamic axial straight type fixator yakunja ndi chida chofunikira pakuwongolera ma fractures ndi mikhalidwe ina ya mafupa, yopereka maubwino apadera kuposa ena okonza akunja. Komabe, kusankha koyenera kwa odwala ndikuwunika mosamala chipangizocho ndikofunikira kuti tipewe zovuta ndikuwonetsetsa kuti zinthu zikuyenda bwino.

11. Mafunso Ofunsidwa Kawirikawiri

1. Zimatenga nthawi yayitali bwanji kuti muyike chowongolera chakunja cha axial mowongoka? Kuyika kwa axial yowongoka yamtundu wowongoka wakunja nthawi zambiri kumatenga maola angapo, kutengera zovuta za kusweka kwake komanso momwe wodwalayo alili.

2. Kodi axial yowongoka yamtundu wakunja imakhala yowawa? Kuyika kwa axial yowongoka yamtundu wakunja kumakhala kosavuta, koma chipangizocho sichiyenera kuyambitsa kupweteka kwakukulu.

3. Kodi wodwala amayenera kuvala cholumikizira chakunja cha axial mowongoka nthawi yayitali bwanji? Kutalika kwa kukhazikika kwakunja kumasiyanasiyana malinga ndi momwe kusweka kapena momwe akuchitidwira, koma nthawi zambiri kumatenga milungu ingapo mpaka miyezi ingapo.

4. Kodi chowongolera chakunja cha axial chowongoka chingasinthidwe? Inde, chipangizochi chikhoza kusinthidwa kuti chipereke kuchuluka kwa kupanikizika kapena kusokoneza komwe kukufunika.

5. Kodi pali njira zina zochizira ku dynamic axial straight type fixator? Zida zokonzera mkati, monga mbale ndi zomangira, zingagwiritsidwe ntchito kukhazikitsira fractures, koma sizingakhale zoyenera nthawi zonse. Zida zina zowonjezera kunja, monga zozungulira zozungulira kapena zosakanizidwa zosakanizidwa, zingagwiritsidwenso ntchito malinga ndi zosowa za wodwalayo.