Humeral Intramedullary Nail Box: The Ultimate Guide
Pankhani ya maopaleshoni a mafupa, ndikofunikira kukhala ndi zida zoyenera kuti zitsimikizire zotsatira zabwino kwa odwala. Chida chimodzi chotere ndi bokosi la misomali la humeral intramedullary, lomwe ndi zida zomwe zimapangidwira kuti zithandizire kuyika msomali wa intramedullary mu fupa la humerus.
Mu bukhuli, tiwona bwino bokosi la misomali ya humeral intramedullary ndi zigawo zake zosiyanasiyana, komanso kagwiritsidwe ntchito kake, phindu, ndi kukonza.
1. Mawu Oyamba
Bokosi la misomali la humeral intramedullary nail ndi zida zambiri zomwe zimagwiritsidwa ntchito kuyika msomali wa intramedullary mu fupa la humerus. Bokosi la misomali nthawi zambiri limakhala ndi zida zingapo zomwe zimathandizira kuyika msomali, kuphatikiza mawaya owongolera, ma reamers, ndi kubowola.
Kugwiritsiridwa ntchito kwa msomali wa intramedullary mu fractures ya humerus ndi njira yovomerezeka yovomerezeka yomwe imapereka zotsatira zabwino kwambiri za machiritso a mafupa ndi kuchira kwa odwala. Kugwiritsiridwa ntchito kwa bokosi la misomali ya humeral intramedullary kumathandiza kuonetsetsa kuti zotsatira zake zikuyenda bwino popereka dokotala wa opaleshoni zipangizo zoyenera kuti achite njirayi molondola komanso motetezeka.
2. Zigawo za Humeral Intramedullary Nail Box
Bokosi la misomali la humeral intramedullary lili ndi izi:
2.1. Mawaya Wotsogolera
Mawaya owongolera amagwiritsidwa ntchito kuthandiza kutsogolera msomali kudzera mu ngalande ya intramedullary ya fupa la humerus. Waya wowongolera ndiye chida choyamba chomwe chimagwiritsidwa ntchito panthawiyi, ndipo chimakhala ngati njira yoti msomali utsatire.
2.2. Reamers
Reamers amagwiritsidwa ntchito kukulitsa ngalande ya intramedullary ya fupa la humerus. Ma reamers amalowetsedwa kudzera muwaya wowongolera, ndipo amathandizira kupanga njira yayikulu kuti msomali utsatire.
2.3. Zobowola
Kubowola kumagwiritsidwa ntchito popanga dzenje kumapeto kwa fupa la humerus. Mabowowo amapereka njira yolowera zomangira zotsekera zomwe zimateteza msomali pamalo ake.
2.4. Msomali wa Intramedullary
Msomali wa intramedullary ndiye gawo lalikulu la bokosi la msomali la humeral intramedullary. Msomali umalowetsedwa kudzera muwaya wowongolera ndikutsika mu ngalande ya intramedullary ya fupa la humerus. Msomali ukakhazikika, zomangira zotsekera zimalowetsedwa kudzera m'mabowo opangidwa ndi zobowola kuti msomaliwo ukhalepo.
2.5. Screwdriver
The screwdriver amagwiritsidwa ntchito kuyika zomangira zotsekera mu fupa la humerus. screwdriver nthawi zambiri imakhala ndi chogwirira cha T chomwe chimapereka chogwira motetezeka ndikuloleza kuyika bwino zomangira.
3. Kugwiritsa Ntchito Humeral Intramedullary Nail Box
Kugwiritsiridwa ntchito kwa humeral intramedullary nail box kumaphatikizapo izi:
Kukonzekera kusanachitike: Dokotala wa opaleshoni adzayang'ana X-ray ya wodwalayo ndi mbiri yachipatala kuti adziwe njira yabwino yochitira opaleshoniyo.
Anesthesia: Wodwala adzapatsidwa mankhwala oletsa ululu kuti atsimikizire kuti amakhalabe opanda ululu panthawi ya opaleshoni.
Kudulira: Dokotala wa opaleshoni amadula khungu kuti awonetse fupa la humerus.
Kuyika kwa waya wotsogolera: Dokotala wochita opaleshoni amalowetsa waya wowongolera kudzera mu ngalande ya intramedullary ya fupa la humerus.
Kulingalira: Dokotala wa ochita opaleshoni adzagwiritsa ntchito reamers kukulitsa ngalande ya intramedullary.
Kulowetsa msomali: Msomali wa intramedullary udzalowetsedwa kudzera muwaya wolondolera ndi pansi pa ngalande ya intramedullary.
Kuyika screw: Dokotala amagwiritsa ntchito kubowola kupanga mabowo m'mabowo akutali ndi kutali a fupa la humerus, kenako amagwiritsa ntchito screwdriver kuyika zomangira zotsekera kuti msomali ukhalepo.
Kutseka: Dokotala wa opaleshoni adzatseka chojambulacho ndi sutures kapena zakudya.
4. Ubwino wa Humeral Intramedullary Nail Box
Bokosi la misomali la humeral intramedullary limapereka maubwino angapo, kuphatikiza:
4.1. Kupititsa patsogolo Kuchita Opaleshoni
Bokosi la msomali la intramedullary la humeral lili ndi zida zambiri zomwe zimathandiza kuyika msomali wa intramedullary, zomwe zimathandiza kuonetsetsa kuti opaleshoni ndi yolondola.
4.2. Kuchepetsa Nthawi ya Opaleshoni
Kugwiritsira ntchito humeral intramedullary nail box kungathandize kuchepetsa nthawi ya opaleshoni, chifukwa bokosilo lili ndi zida zonse zofunika pa ndondomekoyi.
4.3. Zotsatira Zabwino Odwala
Kugwiritsiridwa ntchito kwa msomali wa intramedullary mu fractures ya humerus ndi njira yovomerezeka yovomerezeka yomwe imapereka zotsatira zabwino kwambiri za machiritso a mafupa ndi kuchira kwa odwala.
5. Kukonzekera kwa Humeral Intramedullary Nail Box
Bokosi la msomali la humeral intramedullary limafuna kukonzanso koyenera kuti zitsimikizire kuti moyo wake ndi wautali komanso wogwira ntchito. Malangizo otsatirawa angathandize kusunga bokosi la misomali:
Kuyeretsa nthawi zonse: Zida zomwe zili m'bokosi la misomali ziyenera kutsukidwa ndi kupha tizilombo toyambitsa matenda nthawi zonse kuti tipewe kufalikira kwa matenda.
Kusungirako Moyenera: Bokosi la misomali liyenera kusungidwa pamalo owuma, aukhondo, komanso ozizira kuti zida zisawonongeke.
Kuyendera pafupipafupi: Zida zomwe zili m'bokosi la misomali ziyenera kuyang'aniridwa pafupipafupi kuti ziwone ngati zatha kapena kuwonongeka.
6. Mapeto
Bokosi la misomali la humeral intramedullary ndi chida chofunikira kwa maopaleshoni a mafupa omwe amachita maopaleshoni a humerus fracture. Bokosilo liri ndi zida zambiri zomwe zimathandiza kuyika msomali wa intramedullary, zomwe zimathandiza kuonetsetsa kuti opaleshoni ndi yolondola, imachepetsa nthawi ya opaleshoni, komanso imapangitsa kuti zotsatira za odwala zikhale bwino. Kukonzekera koyenera kwa bokosi la msomali n'kofunika kuti zitsimikizire kuti moyo wake wautali ndi wothandiza.
