Introllad urradellary msomali: njira yabwino kwambiri yopangira femal

Ma fracrate, omwe akukhudza fupa la ntchafu, amatha kubweretsa kupweteka kwambiri, kusakhazikika, komanso zoperewera zogwira ntchito. Zosankha zochizira chithandizo ndizofunikira kuti zithetse zomwe zikuyenda bwino mwa odwala omwe ali ndi ma fractures awa. Njira imodzi yotere yomwe yakhala yotchuka m'zaka zaposachedwa ndikugwiritsa ntchito msomali wamkazi. Nkhaniyi ikuwunikira zabwino, mwaukadaulo, zoopsa, komanso kuchira cholumikizidwa ndi njira yothandizirana ndi njira yothandizira.

Chiyambi

Kuchuluka kwa femur kumatha kufooketsa, kufunikira mwachangu komanso mwachidule chidwi. Njira zachikhalidwe zothandizira, monga kuponyera kapena kukhazikika kwakunja, kumatha kukhala ndi malire pokwaniritsa zotsatira zabwino. Njira yoyendayenda intravelallallary yatuluka ngati njira yodalirika komanso yogwira ntchito yothandizira kugwiritsa ntchito zowonongeka zamanjenje.

Kodi msomali wamtsogolo ndi uti?

Interlullallary Nail ndi chipangizo chopangidwa kuti chikhazikike ndi kulimbikitsa machiritso m'matumbo a femur. Imakhala ndi ndodo yachitsulo yomwe imayikidwa m'chipinda chafwololo ya femurolo, kupereka bata ndi chithandizo pakuchiritsa. Msomali nthawi zambiri amapangidwa ndi titanium kapena chitsulo chosapanga dzimbiri ndikubwera kumayiko osiyanasiyana kuti agwirizane ndi abwana omwe ali ndi odwala.

Zizindikiro za intravellallary msomali

Misomali ya akazi intravelladillary imagwiritsidwa ntchito pochiza matenda a femal. Amakhala othandiza kwambiri kwa zonunkhira zomwe zimafuna kukhazikika kokhazikika, monga zokongoletsedwa kapena zopangidwa. Njirayi ndi yofunikanso kwa milandu yomwe kubereka kumangofunidwa kapena ngati pali mpweya wabwino.

Njira yochitira opaleshoni ya intravellallary msomali

Kukonzekera

Kukonzekera kokwanira ndikofunikira kuti pakhale opaleshoni yopambana ya intravelallary. Izi zimaphatikizapo kuwunika kwathunthu kwa mawonekedwe a kuwonongeka kwa wodwala, thanzi lathunthu, komanso kuvulala kulikonse. Njira Zoyeserera, monga X-ray, CT scan, kapena MRI, imagwiritsidwa ntchito poyesa kuwunika mawonekedwe ndi kuwongolera zochita za opaleshoni.

Wodwala

Pa opaleshoni, wodwalayo amakhala ndi supine patebulo logwira ntchito. Mwendo womwe wakhudzidwayo umakometsedwa ndikuwumbidwa mu chosabala. Kukhazikika koyenera ndikofunikira kuti mulole mwayi wopezeka bwino ku malo owuluka ndikuthandizira kuyika mitayi.

Kukhazikika ndi kulowa

Kugwedezeka kumapangidwa pamalo opangira opaleshoni kuti mupeze fupa lowonongeka. Kutalika ndi komwe kumapangitsa kuti mawonekedwe a kusokonezedwa ndi mtundu wa kuwonongeka ndi komwe amakhala motsatira femur. Kugwiritsa ntchito minofu yofewa ndikofunikira kuti muchepetse zowawa ndikuchepetsa chiopsezo cha matenda.

Misomali

Pambuyo popanga malo olowera mu proximal femur, dokotalayo amagwiritsa ntchito mosamala intravelary misomali mkati mwa ngalande ya Medillary. Malangizo a Fluorooscopic amagwiritsidwa ntchito kuonetsetsa kuyika koyenera ndi kuphatikizidwa. Msomaliyo amapita patsogolo kudzera m'mafupa, kuwongolera zidutswa zilizonse zochotsa zidutswa ndikubwezeretsanso mgwirizano woyenera.

Kutseka zomata

Misomali ikakhala bwino, zomata zotsekedwa zimayikidwa kuti ziteteze msomali mkati mwa fupa. Zomangira izi zimapereka kukhazikika kwina ndikupewa mayendedwe ozungulira kapena axial a zidutswa zakuthwa. Chiwerengero ndi kuyikidwa kwa zomangira zimadalira pa dongosolo la kuwonongeka ndipo opaleshoni ya opaleshoni ya opaleshoni.

Kutseka kwa mabala

Mukawonetsetsa kusagwirizana koyenera ndi kukhazikika, mawonekedwe otsekeka amatsekeredwa pogwiritsa ntchito zosayenera kapena zosanja. Kutsekedwa kwa mabala kumachitika mosamala kuti kulimbikitsa machiritso ndikuchepetsa chiopsezo cha matenda. Kuvala kosatha kumayikidwa, ndipo malo opaleshoni amatetezedwa.

Ubwino wa Intravellallary msomali

Kugwiritsa ntchito gawo lachilendo intravelary kumapereka zabwino zambiri pa njira zamankhwala othandizira. Ena mwa phindu lalikulu limaphatikizapo:

1. Kukhazikika kokhazikika: Kugwiritsa ntchito intravellallary msomali wosakhazikika kumapereka kukonzekera kokhazikika, kulola kugwirizanitsidwa bwino ndi mgwirizano wa zidutswa zowoneka bwino. Izi zimalimbikitsa machiritso abwino ndikuchepetsa chiopsezo cha zoopsa.

2. Kupitilira koyambirira: Ndi intramidlary, kulimbikitsa koyambirira ndikotheka. Izi zikutanthauza kuti odwala amatha kuyamba kulemera komanso kukonzanso masewera olimbitsa thupi posachedwa, zomwe zimapangitsa kuti zibwezere mwachangu ndikusintha zotsatira zake.

3. Kusungidwa kwa magazi: pogwiritsa ntchito ngalande ya intravedollary, njira yokazinga intravellary misomali imachepetsa kusokonezeka kwa magazi. Kusunga kayendedwe kokwanira magazi ndikofunikira kwambiri kuti muchiritse mafupa abwino ndi kuphwanyira.

4. Zodzikongoletsera: Poyerekeza ndi njira zakunja zakunja, ma opaleshoni akhama a intravellallary amakhala ndi zovuta zambiri. Izi zimabweretsa zotsatira zabwino zodzikongoletsera ndi kuchepetsedwa ndikusintha kwathunthu.

5. Chiwopsezo chochepa cha minofu yofewa: Njira yogwiritsa ntchito intravellary msomali imakhudza chisokonezo chochepa cha minofu. Izi zimachepetsa chiopsezo cha zovuta monga ma bala amachiritsira mavuto, matenda ofewa minofu, ndikuchedwa kuchira.

   
   

Mavuto ndi Zoopsa

Ngakhale opaleshoni ya akazi interravelary nthawi zambiri amawoneka otetezeka komanso othandiza, pamakhala zovuta ndi zoopsa zomwe zimayenderana ndi njirayi. Ndikofunikira kwa odwala kuti adziwe zotheka izi musanalandire chithandizo. Mavuto ena ndi monga:

• Matenda: Monga momwe amachitira opaleshoni iliyonse, pamakhala chiopsezo cha matenda. Komabe, maluso osabala oyenera, ma antibiotic prophylaxis, ndipo chisamaliro cha postoperative chitha kuchepetsa kwambiri chiopsezo ichi.

• Kutumiza kapena kusamvana: Nthawi zina, zidutswa za kuthyolako sizitha kuchiritsa kapena kulephera kuchiritsa kwathunthu. Zinthu zochepetsetsa zokwanira, zabwino kwambiri zamafupa, kapena zolemera kwambiri zimatha kupangitsa kuti ma alaling kapena osagwirizana nawo. Kuwunikirana kwambiri ndi kulowererapo mobwerezabwereza, monganso kuchitirana opaleshoni ya opaleshoni, kungakhale kofunikira kuthana ndi mavutowa.

• Zovuta zokhudzana: Ngakhale zovuta, zovuta zokhudzana ndi zophatikizika zitha kuchitika. Izi zitha kukhala ndi kumasula kosankha, kusweka, kapena kukwiya. Ngati zovuta ngati izi, kulowererapo kwa opaleshoni kungafunike.

• Mitsempha kapena kuvulala kwa magazi: Panthawi yopanga opaleshoni, pali chiopsezo chaching'ono cha mitsempha kapena kuvulala kwa magazi. Opanga madokotala amasamala kuti achepetse chiopsezochi, koma odwala ayenera kudziwa kuti angathe kufotokozera zomwe zimapitilira muyeso kapena zikuipiraipira.

  
  

Kukonzanso ndi kuchira

Kutsatira opaleshoni ya akazi intravelary, pulogalamu yokwanira yokonzanso ndiyofunikira kuti muchiritsidwe. Dongosolo lokonzanso limatha kukhala yosiyanasiyana kutengera kuuma kwabwino, mikhalidwe wodwala, ndi dokotala wa opaleshoni. Kuchiritsa kwakuthupi, kuphatikizapo kusinthasintha kwa zolimbitsa thupi, kumalimbitsa ntchito zolimbitsa thupi, komanso maphunziro ofunikira, ndi gawo lofunikira pakubwezeretsa ntchito komanso kukwaniritsa bwino.

Kafukufuku ndi nkhani zopambana

Odwala ambiri abwera chifukwa chochita bwino ndi opaleshoni ya akazi. Mlandu umodzi wophunzirira unakhudza munthu wazaka 40 wokhala ndi vuto lotakasuka. Atachita opaleshoni yam'mimba intravelallary msomali wina, wodwalayo adapeza mphamvu yolimba, ndikuyambiranso kulemera, ndikubwereranso ku zochitika wamba mkati mwa miyezi isanu ndi umodzi.

Kuyerekeza ndi njira zina zothandizira chithandizo

Mukamaganizira njira za chithandizo chamankhwala osokoneza bongo, ndikofunikira kuyerekezera zabwino ndi malire a njira iliyonse. Ngakhale njira yokazinga intravelallallary imapereka zabwino zambiri, monga zabwino zokhazikika, kulimbikitsa koyambirira, komanso kusintha kwa zodzikongoletsera zilizonse, sizingakhale zoyenera kusokonekera kulikonse kapena wodwala. Njira zina zotsatizana, monga kukonza zakunja kapena kulembera, kukhoza kuzolowera nthawi zina. Kufunsira ndi katswiri wa Orthopedic kudzakuthandizani kudziwa njira yoyenera kwambiri yothandizira.

Mapeto

Pomaliza, njira yokazinga indravelallallary ndi njira yabwino komanso yothandiza ya zojambula zamasewera. Imakhala yokhazikika yokhazikika, imathandizira kulimbikitsa koyambirira, ndipo imapereka zabwino zambiri pa njira zachikhalidwe. Ngakhale kuti pali zoopsa ndi zovuta zomwe zimakhudzana ndi njirayi, kukonzekera koyenera, njira yoyeserera, komanso chisamaliro choyenera chikhoza kuthandiza kuchepetsa nkhawa izi. Odwala omwe amachitidwa opaleshoni yazovala zamkati ya intraverallallal, adatsatiridwa ndi pulogalamu yokonzanso bwino yokonzanso bwino, ingakhale ndi kuthekera kuchira bwino ndikubwezeretsa ntchito.