Humerus intradellary msomali: yankho logwira ntchito pochiza mabanki a Humeral

Mafuta a humerus, fupa ku mkono wapamwamba, amatha kukhudzanso zochitika za tsiku ndi tsiku komanso moyo wabwino. Kuchiza zakumwazi kumafunikira kuganizira zinthu zosiyanasiyana, kuphatikiza mtundu wowonongeka, malo, ndi mikhalidwe yoleza mtima. Njira imodzi yochitira opaleshoni yomwe yayamba kutchuka m'zaka zaposachedwa ndikugwiritsa ntchito humerus intravedillary msomali. Nkhaniyi ikuwunikira zabwino, mwaukadaulo, zoopsa, komanso kukonzanso komwe kumachitika ndi njirayi.

Chiyambi

Kuwonongeka kumachitika mu humerus, kumatha kuyambitsa kupweteka kwambiri, kusungulumwa kumayambitsa, komanso kusokonekera kogwira ntchito. Njira zachikhalidwe, monga kuponyera kapena kuyika, kukhala ndi zoperewera, ndipo kufunafuna mayankho ogwira mtima kunapangitsa kuti ayambitse Humerus intravellary msomali msomali.

Kodi humerus unayatsa bwanji msomali msomali?

Humerus intradellary msomali ndi chipangizo chokhazikika kuti chikhazikike ndikulimbikitsa kuchiritsidwa kwa zotupa mu Hucrat Shaft. Ili ndi ndodo yachitsulo yayitali yomwe imayikidwa m'chigawo chofewa chafupa, ndikuthandizira kukhazikika ndikuthandizira pakuchiritsa. Msomali nthawi zambiri amapangidwa ndi titanium kapena chitsulo chosapanga dzimbiri ndikubwera kumayiko osiyanasiyana kuti agwirizane ndi abwana omwe ali ndi odwala.

Zisonyezo kwa Humer Intradellary msomali

Humerus intravellary misomali imagwiritsidwa ntchito pochiza midshaft ndi proxal fracrate. Amakhala othandiza kwambiri kwa zonunkhira zomwe zimafuna kukhazikika kokhazikika, monga kuphatikizidwa ndi ma fracration kapena zonunkhira zokhudzana ndi kusamutsidwa kwakukulu. Kuphatikiza apo, njirayi ndi yoyenera kwa odwala omwe ali ndi mafupa osawoneka bwino kapena pomwe osakhala ndi kulemera.

Njira yochita opaleshoni ya humerus intradellary msomali

Kukonzekera

Pamaso pa opaleshoni, kulinganiza kokwanira ndikofunikira. Izi zimaphatikizaponso kuwunika kwathunthu kwa mawonekedwe a kuwonongeka, thanzi la wodwala, komanso kuvulala kulikonse. X-ray, ct scans, kapena mambo akhoza kugwiritsidwa ntchito kuti amvetsetse bwino za mawonekedwe a ku Fracreur ndikukonzekera zopalamula moyenerera.

Wodwala

Pa opaleshoni, wodwalayo amaikidwa pampando wa gombe kapena wotsatira scabitus udindo. Kusankha kumatengera zomwe dokotala amakonda ndi malo ochita opaleshoni. Kukhazikika koyenera kumatsimikizira mwayi wokhathamira kuwonongeka ndikuthandizira kulowa misomali.

Kukhazikika ndi kulowa

Kugwedezeka kumapangidwa pamalo opangira opaleshoni kuti mupeze fupa lowonongeka. Kutalika ndi komwe kumapangitsa kuti mawonekedwe a kusokonezeke ndi malo ake m'mbali mwa humerus. Kugwiritsa ntchito minofu yofewa ndikofunikira kuti muchepetse zowawa ndikuchepetsa chiopsezo cha matenda.

Misomali

Pambuyo popanga malo olowera, dokotalayo amaika humerus intradellary misomali ku ngalande ya Humeral. Malangizo a Fluorooscopic amagwiritsidwa ntchito kuonetsetsa kuyika koyenera ndi kuphatikizidwa. Msomali umayendetsedwa kudzera m'mafupa, kuyika zidutswa zilizonse zochotsa, ndikubwezeretsa Anatom yoyenera

Kutseka zomata

Misomali ikakhala yolondola, 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

Pambuyo pa msomali ndi zomangira zake ndi zotetezeka m'malo mwake, mawonekedwe otsekeka amatsekeredwa pogwiritsa ntchito ma ratures kapena ma stoples. Kutsekedwa kwa ma bala kumafunikira kulimbikitsa machiritso ndikuchepetsa chiopsezo cha matenda. Malo opaleshoni amavala, komanso bala yopanda kapena kuvala kumayikidwa.

Ubwino wa Humerus Intradellary msomali

Kugwiritsa ntchito humerus intravedillary nail kumapereka zabwino zambiri pa njira zachikhalidwe zothandizira mankhwala. Ena mwa phindu lalikulu limaphatikizapo:

1. Kukhazikika ndi kusinthika: msomali wa msomali umakhala wosakhazikika, kulola kuvomerezedwa bwino kwa zidutswa zowoneka bwino, zomwe zimalimbikitsa machiritso oyenera.

2. Kusokonezeka kwa minofu minofu: Poyerekeza ndi kugwiritsa ntchito njira zomangira, ma intradellary misomali imaphatikizapo kusokonezeka kwa minofu komanso kusokoneza chiopsezo cha zovuta.

3. Mofuula woyambirira: msomaliyo umangokhala wokhazikika kuti ulole kuyenda koyambirira ndikukonzanso, kulimbikitsa kuchira mwachangu komanso kubwezeretsa kogwira ntchito.

4. Kuchepetsa chiwopsezo cha matenda: Njira yotsekedwa ya mkati mwa intradellary mitambo imachepetsa chiopsezo cha opaleshoni yamagetsi poyerekeza ndi njira yotsegulira ndi njira zamkati.

Mavuto ndi Zoopsa

Pomwe Humeus intradellary opaleshoni yamsonzi nthawi zambiri imakhala yotetezeka komanso yothandiza, pamakhala zovuta komanso zoopsa zomwe zimakhudzana ndi njirayi. Ndikofunikira kudziwa izi musanalandire chithandizo. Mavuto ena ndi monga:

Kupasilana

Njira iliyonse yochitira opaleshoni imakhala ndi chiopsezo cha matenda. Ngakhale mitengo yamatenda ndi ochepa kwambiri ndi Humerus intradellary iil, masitepe osabala oyenera ndi chisamaliro chofunikira ndikuchepetsa chiwopsezo ichi. Pankhani ya matenda, chithandizo chamankhwala choyenera komanso mwina opaleshoni yochita opaleshoni ingafunike.

Kuperewera kapena kusagwirizana

Nthawi zina, kununkhira sikungachiritse bwino, kumapangitsa kuti mafuta osayenera (osagwirizana) kapena osakhala ndi machiritso). Zinthu monga mtundu wopanda mafupa, osakwanira osakwanira, kapena kuyenda mopitirira muyeso kumatha kuyambitsa mavuto awa. Kuwunika pafupi, mayendedwe pafupipafupi, ndipo nthawi yake ingathe kuthandiza kuthana ndi mavutowa ngati abwera.

Kulephera

Nthawi zambiri, zophatikizika zomwe zimagwiritsidwa ntchito pazinthu zamkati zitha kulephera. Izi zimatha kuchitika chifukwa cha kuwonongeka kwa kuwonongeka, kumasula, kapena kusamuka. Kusankha koyenera, opaleshoni yopangira opaleshoni, komanso chisamaliro cha postoperative chimatha kuchepetsa chiopsezo cha kulephera kolakwika.

Kuvulala kwa mitsempha

Pa opaleshoni, pamakhala chiopsezo chochepa chovulala cha mitsempha, chomwe chingapangitse kuti muchepetse chiwembu kapena chopanda magalimoto. Opanga madokotala amasamala kuti apewe kuwonongeka kwa mitsempha, monga kusamvana mosamala komanso kudziwa bwino kwa ana. Zizindikiro zilizonse zokhudzana ndi mitsempha ziyenera kunenedwa mwachangu kwa gulu lachipatala mwachangu kuti liziwunika ndi kasamalidwe.

Kukonzanso ndi kuchira

Humerus interdulallary opaleshoni yamsomali, pulogalamu yokwanira yokonzanso ndiyofunika kuchira koyenera. Dongosolo lokonzanso lingakhale losiyana malinga ndi kuuma kwamphamvu komanso moleza mtima. Kusunthika koyambirira, zolimbitsa thupi zofananira, ndipo kulimbikitsa kumayambitsidwa pang'onopang'ono kubwezeretsa ntchito ndikuwongolera minofu. Mankhwala othandizira akuthupi, otsogozedwa ndi akatswiri azaukadaulo, amasewera mbali yofunika kwambiri pakuchira.

Kafukufuku ndi nkhani zopambana

Odwala ambiri apeza zotsatira zabwino ndi Humerus a intradellary opaleshoni. Mlandu umodzi Phunziro la wazaka 45 wokhala ndi vuto lokongoletsa Humeral Shaft. Pambuyo pa opaleshoni yokumana ndi msomali wa intravedollallallary, yemwe adapeza bwino kwambiri, ndikubwezeretsanso mitundu yonse, ndikubwerera kuntchito yawo yovulala pakatha miyezi isanu ndi umodzi.

Kuyerekeza ndi njira zina zothandizira chithandizo

Mukamaganizira njira za chithandizo chamankhwala a Herral, ndikofunikira kuyerekezera zabwino ndi malire a njira iliyonse. Ngakhale kugwiritsa ntchito humerus intradellary nail imathandizira, monga kukhazikika, kusokonekera koyambirira, komanso kusokonezeka kwa minofu, sikungakhale koyenera kwa kusokonekera kulikonse. Njira zina njira, monga kupanga kapena kukhazikika kwakunja, zitha kuzolowera nthawi zina. Kufunsira ndi katswiri wa Orthopedic kudzakuthandizani kudziwa njira yoyenera kwambiri yothandizira.

Mapeto

Pomaliza, kugwiritsa ntchito humerus intradedollary msomali watuluka ngati njira yovomerezeka komanso yodalirika yothandizira kwa Humeral fractures. Njira yochita opaleshoniyi imapereka mawonekedwe okhazikika, amalimbikitsa kulimbikitsa molimbika, ndipo amapereka zabwino zambiri pa njira zachikhalidwe. Ngakhale kuti pali zoopsa ndi zovuta zomwe zimagwirizana ndi njirayi, kukonza koyenera, njira zopangira maluso, komanso chisamaliro chantchito chitha kuthandiza kuchepetsa nkhawa izi. Ndi kukonzanso koyenera komanso kuwunikira pafupi, odwala amatha kubwezeretsanso bwino ndikupezanso luso lawo.