Femur Nail

Kanema watsatanetsatane wazomwe zikuchitika

CZMEDITECH Femoral Intramedullary Nail

Mawu Oyamba

Msomali wa Femoral Intramedullary Nail, womwe umadziwikanso kuti Femoral Nail, ndi chipangizo chopangira opaleshoni chomwe chimagwiritsidwa ntchito pochiza fupa la ntchafu. Ndi ndodo yachitsulo yomwe imalowetsedwa mkatikati mwa dzenje la femur ndipo imatambasula kutalika kwa fupa kuti likhale lokhazikika komanso lothandizira panthawi ya machiritso. Msomali nthawi zambiri umapangidwa ndi titaniyamu kapena chitsulo chosapanga dzimbiri ndipo umapezeka mumitundu yosiyanasiyana komanso mawonekedwe kuti ugwirizane ndi mitundu yosiyanasiyana ya zosweka komanso mawonekedwe a wodwala. Njira yopangira msomali wa chikazi imatchedwa intramedullary nailing kapena IM nailing.

Kodi Femoral Intramedullary Nail ndi chiyani?

Misomali ya femoral intramedullary nthawi zambiri imapangidwa ndi zinthu monga chitsulo chosapanga dzimbiri kapena titaniyamu aloyi, zomwe zimakhala zogwirizana komanso zimapereka mphamvu komanso kulimba. Misomali ina ingakhalenso yokutidwa ndi zipangizo monga hydroxyapatite kulimbikitsa kukula kwa mafupa ndi kuphatikiza.

Kodi mitundu ya Femoral Intramedullary Nail ndi iti?

Pali mitundu yosiyanasiyana ya misomali yachikazi ya intramedullary, yomwe imagwiritsidwa ntchito pazowonetsa zosiyanasiyana komanso kuchuluka kwa odwala. Mitundu ina yodziwika bwino ndi:

1. Misomali yokhazikika yachikazi: Izi zimagwiritsidwa ntchito popanga ma fractures osavuta a chikazi ndipo amapezeka mosiyanasiyana komanso kutalika kwake.

2. Retrograde misomali yachikazi: Izi zimagwiritsidwa ntchito pamitundu ina ya fractures yachikazi yomwe ili pafupi ndi bondo. Msomali umalowetsedwa kuchokera ku bondo ndikudutsa ngalande ya chikazi.

3. Misomali ya Trochanteric Femoral: Izi zimagwiritsidwa ntchito pazigawo zachikazi zomwe zili m'chigawo cha trochanter chachikulu. Ali ndi kutalika kwa msomali wamfupi ndi uta wofananira kuti agwirizane ndi mawonekedwe a femur m'derali.

4. Kumanganso misomali yachikazi: Izi zimagwiritsidwa ntchito pophwanya zovuta za ntchafu, monga zomwe zimakhudzana ndi proximal kapena distal femur. Atha kukhala ndi njira zingapo zotsekera ndipo amatha kukhala ndi ma angled kapena kukhala ndi mawonekedwe opindika kuti agwirizane ndi mawonekedwe a femur.

5. Misomali yachikazi ya ana: Izi zimagwiritsidwa ntchito pothyoka chikazi mwa ana ndi achinyamata. Amapezeka m’miyeso yosiyanasiyana ndipo akhoza kukhala ndi zina zowonjezera kuti agwirizane ndi kukula kwa mwanayo.

   
   

Mtundu weniweni wa msomali wa intramedullary wa femoral womwe umagwiritsidwa ntchito umadalira momwe wodwalayo alili komanso momwe akuwonetsedwera.

Kugwiritsa Ntchito Msomali Wachikazi (Femoral).

1. Kuphwanyidwa kwapang'onopang'ono

2. Segmental fractures

3. Kuthyoka kwa mafupa

4. Proximal ndi distal fractures

5. Nonunion

6. Matenda a subtrochanteric

7. Mitundu ya intertrochanteric fractures

Momwe mungagwiritsire ntchito Femoral Intramedullary Nail?

Misomali ya Femoral intramedullary (IM misomali) ndi implants opangira opaleshoni yomwe imagwiritsidwa ntchito pochiza fractures ya femur, fupa lalitali la ntchafu. Njirayi imaphatikizapo kulowetsa msomali mu ngalande ya intramedullary (pakati pa dzenje) ya femur, ndikuyiyika pamalo ake ndi zomangira kapena zokhoma kumapeto kwa msomali.

Nazi njira zambiri zogwiritsira ntchito msomali wa femoral intramedullary:

1. Opaleshoni: Wodwala amapatsidwa opaleshoni, kaya yamba kapena yachigawo (msana kapena epidural).

2. Kuphatikizika: Dokotala wa opaleshoni amapanga chiwombankhanga pafupi ndi chiuno kapena mawondo, malingana ndi malo a fracture.

3. Kukonzekera kwa femur: Dokotala wa opaleshoni amatsegula fupa kuti alowe mumtsinje wa intramedullary.

4. Kulowetsa msomali: Msomali umalowetsedwa mu ngalande ndikupita kumalo ophwanyika.

5. Kuyanjanitsa: Dokotala amagwiritsa ntchito fluoroscopy (nthawi yeniyeni X-ray) kuti atsimikizire kuti msomali umagwirizana bwino ndi fupa ndipo fracture yachepetsedwa.

6. Kukonzekera: Zopangira kapena zotsekera zimagwiritsidwa ntchito kuti misomali ikhale kumapeto kwa fupa.

7. Kutsekera: Chovalacho chimatsekedwa ndi sutures kapena staples, ndipo chovala chosabala chimayikidwa.

   
   

Chisamaliro cha postoperative chimaphatikizapo kuwongolera ululu, chithandizo chamankhwala, ndikutsatira X-ray kuti ayang'anire machiritso.

Ndikofunika kuzindikira kuti masitepe ndi njira zenizeni zimatha kusiyana malinga ndi mtundu wa msomali wa intramedullary womwe ukugwiritsidwa ntchito, komanso zomwe dokotalayo amakonda komanso zomwe akudziwa. Njirayi iyenera kuchitidwa ndi dokotala wodziwa bwino mafupa odziwa bwino mafupa.

Femur (Femoral) misomali Contraindications

Maphunziro a dokotala, maphunziro ndi chiweruzo cha akatswiri ziyenera kudaliridwa kuti asankhe chipangizo choyenera kwambiri ndi chithandizo. 

Zinthu zomwe zikuwonetsa chiopsezo chowonjezeka cha kulephera ndi:

1. Matenda aliwonse omwe akuchitika kapena omwe akuganiziridwa kuti ndi obisika kapena odziwika ndi kutupa komweko mkati kapena pafupi ndi dera lomwe lakhudzidwa.

2. Kuwonongeka kwa mitsempha yomwe ingalepheretse magazi okwanira kumalo ophwanyika kapena malo opangira opaleshoni.

3. Mafupa okhudzidwa ndi matenda, matenda kapena kuikidwa m'mbuyo komwe sikungathe kupereka chithandizo chokwanira ndi / kapena kukonza zipangizo.

4. Kukhudzidwa kwa zinthu, zolembedwa kapena zokayikiridwa.

5. Kunenepa kwambiri. Wodwala wonenepa kwambiri kapena wonenepa kwambiri amatha kutulutsa katundu pa implant yomwe ingayambitse kulephera kwa kukonza kwa chipangizocho kapena kulephera kwa chipangizocho.

6. Odwala omwe ali ndi kutsekedwa kwa minofu yokwanira pamalo opangira opaleshoni.

7. Kugwiritsiridwa ntchito kwa implant komwe kungasokoneze mapangidwe a anatomical kapena physiological performance.

8. Matenda aliwonse amisala kapena a neuromuscular omwe angapangitse chiopsezo chosavomerezeka cha kulephera kukonza kapena zovuta pakusamalira pambuyo pa opaleshoni.

9. Zina zachipatala kapena opaleshoni zomwe zingalepheretse phindu la opaleshoni.

Momwe Mungagulire Msomali Wapamwamba wa Femoral Intramedullary?

Ngati mukuyang'ana kugula msomali wapamwamba kwambiri wa femoral intramedullary, nayi malangizo ena:

1. Fufuzani ndikusankha wopanga kapena wogulitsa zida zamankhwala. Yang'anani makampani omwe ali ndi mbiri yotsimikizika yopanga ma implants ndi zida zapamwamba kwambiri.

2. Yang'anani za certification ndi kutsata malamulo. Onetsetsani kuti wopanga kapena wogulitsa walandira ziphaso ndi zovomerezeka kuchokera ku mabungwe olamulira monga FDA (ku US), CE (mu EU), kapena ISO (International Organisation for Standardization).

3. Tsimikizirani zomwe mukufuna. Onetsetsani kuti msomali wa intramedullary wa femoral ukukwaniritsa zofunikira malinga ndi kukula, mawonekedwe, ndi zinthu.

4. Taganizirani mbali za implant. Yang'anani zinthu monga njira zotsekera, ma angles osinthika, ndi mphamvu zotsutsana ndi kuzungulira, zomwe zingapereke phindu lina kwa wodwala ndi opaleshoni.

5. Funsani dokotala. Musanagule, ndikofunikira kukaonana ndi dokotala wodziwa bwino za mafupa kapena akatswiri ena azachipatala kuti muwonetsetse kuti msomali wa femoral intramedullary ndi woyenera pazosowa zanu zenizeni.

6. Onetsetsani kusungidwa koyenera ndi kusamalira. Mukagula implant, onetsetsani kuti mwasunga ndikuyigwira molingana ndi malangizo a wopanga kuti muwonetsetse kuti ikukhalabe mulingo woyenera kuti mugwiritse ntchito popanga opaleshoni.

Za CZMEDITECH

CZMEDITECH ndi kampani yazida zamankhwala zomwe zimagwira ntchito yopanga ndi kugulitsa zida zapamwamba zamafupa ndi zida, kuphatikiza misomali ya intramedullary. Kampaniyo ili ndi zaka zopitilira 14 pantchitoyi ndipo imadziwika chifukwa chodzipereka pakupanga zatsopano, zabwino, komanso ntchito zamakasitomala.

Pogula misomali ya intramedullary kuchokera ku CZMEDITECH, makasitomala amatha kuyembekezera zinthu zomwe zimagwirizana ndi miyezo yapadziko lonse yamtundu wamtundu ndi chitetezo, monga ISO 13485 ndi chiphaso cha CE. Kampaniyo imagwiritsa ntchito matekinoloje apamwamba opanga zinthu komanso njira zowongolera zowongolera kuti zitsimikizire kuti zinthu zonse ndi zapamwamba kwambiri komanso zimakwaniritsa zosowa za maopaleshoni ndi odwala.

Kuphatikiza pa zinthu zamtengo wapatali, CZMEDITECH imadziwikanso ndi ntchito yabwino kwambiri yamakasitomala. Kampaniyo ili ndi gulu la oimira odziwa bwino malonda omwe angapereke chitsogozo ndi chithandizo kwa makasitomala panthawi yonse yogula. CZMEDITECH imaperekanso ntchito zambiri zogulitsa pambuyo pogulitsa, kuphatikiza chithandizo chaukadaulo ndi maphunziro azinthu.