Zida za msomali wa intramedullary ndi zida zopangira opaleshoni zomwe zimagwiritsidwa ntchito poika ndi kuchotsa misomali ya intramedullary, yomwe ndi zipangizo zomwe zimagwiritsidwa ntchito kuti zikhazikike ndi kugwirizanitsa fractures m'mafupa aatali, makamaka mu femur ndi tibia. Zida izi zikuphatikizapo:
Intramedullary msomali wokha: Msomali ndiye choyikapo chachikulu chomwe chimagwiritsidwa ntchito kuti fupa likhale lokhazikika. Amalowetsedwa kudzera m'kang'ono kakang'ono ndipo amatsogoleredwa pakati pa fupa.
Reamers: Izi zimagwiritsidwa ntchito pokonzekera fupa la msomali popanga njira yolowera msomali. The reamer imalowetsedwa mu fupa ndikuzunguliridwa, pang'onopang'ono kukula mpaka kukula koyenera kukwaniritsidwa.
Zotsekera zotsekera: Izi zimagwiritsidwa ntchito kuti misomali ikhale pamalo ake. Maboti okhoma amalowetsedwa m'mbali mwa fupa ndi msomali, ndikuligwira mwamphamvu.
Otsogolera: Maupangiri amagwiritsidwa ntchito kutsimikizira kuyika kolondola kwa msomali. Zitha kukhazikitsidwa ku fupa kapena msomali ndikuthandizira kuti zisamayende bwino panthawi ya ndondomekoyi.
Mafupa a mafupa: Izi zimagwiritsidwa ntchito popanga dzenje m'fupa kuti bolt yotsekera idutse.
Zotulutsa: Izi zimagwiritsidwa ntchito pochotsa msomali fupa likapola. Chotsitsacho chimalowetsedwa mu msomali ndikupotozedwa, kulola kuti msomali uchotsedwe ku fupa.
Wrenches: Ma wrenches amagwiritsidwa ntchito kulimbitsa kapena kumasula ma bolts otsekera ndi zigawo zina za intramedullary misomali system.
Kubowola Opaleshoni: Mabowo opangira opaleshoni amagwiritsidwa ntchito kupanga mabowo oyendetsa fupa kuti ma bolts okhoma adutse.
Zidazi zimagwiritsidwa ntchito ndi madokotala ophunzitsidwa bwino a mafupa panthawi ya opaleshoni ndipo amapangidwa kuti azigwiritsidwa ntchito limodzi ndi machitidwe enaake a intramedullary misomali. Nthawi zambiri amapangidwa kuchokera ku chitsulo chapamwamba kwambiri cha maopaleshoni osapanga dzimbiri ndipo amapangidwa kuti azigwiritsidwanso ntchito pambuyo potsekereza.
Pali mitundu yosiyanasiyana ya zida za intramedullary misomali zomwe zimagwiritsidwa ntchito panthawi ya opaleshoni, malingana ndi zosowa zenizeni za wodwalayo komanso zomwe dokotala wa opaleshoni angakonde. Mitundu ina yodziwika bwino ndi:
Reamers: Zidazi zimagwiritsidwa ntchito kukulitsa ngalande ya intramedullary pokonzekera kuyika msomali.
Malangizo: Maupangiri amagwiritsidwa ntchito kuthandiza dokotala kuti alowetse msomali wa intramedullary pamalo oyenera.
Zopangira misomali: Zida izi zimagwiritsidwa ntchito kuchotsa msomali wa intramedullary ngati kuli kofunikira.
Zomangira zokhoma: Izi ndi zomangira zomwe zimagwiritsidwa ntchito kutchingira msomali pamalo ake, kupereka kukhazikika kwina.
Zogwirizira: Zida izi zimagwiritsidwa ntchito kusunga msomali wa intramedullary pamalo pomwe zomangira zotsekera zimayikidwa.
Zoyezera zakuya: Zoyezera zakuya zimagwiritsidwa ntchito poyeza kuya kwa ngalande ya intramedullary ndikuwonetsetsa kuti msomali umayikidwa moyenerera.
Ndodo zopindika: Zida zimenezi zimagwiritsidwa ntchito kupindika msomali wa intramedullary kuti ugwirizane ndi mawonekedwe a fupa la wodwalayo.
Zosokoneza: Zosokoneza zimagwiritsidwa ntchito kuyika zomangira zotsekera mu fupa.
Zobowola: Zidazi zimagwiritsidwa ntchito popanga mabowo m'fupa momwe zomangira zotsekera zidzayikidwa.
Ma tap: Ma tap amagwiritsidwa ntchito kupanga ulusi m'fupa kuti alole kuyika zomangira zotsekera.
Zidazi nthawi zambiri zimagulitsidwa m'makiti omwe amaphatikizapo zida zonse zofunika pamtundu wina wa opaleshoni ya msomali wa intramedullary.
Zida za Intramedullary misomali nthawi zambiri zimapangidwa ndi chitsulo chosapanga dzimbiri chapamwamba kwambiri, chomwe chimakhala cholimba, cholimba, komanso chosagwirizana ndi dzimbiri. Zida zina zimatha kukhala ndi zokutira zowonjezera kapena zochizira kuti zipititse patsogolo mawonekedwe awo, monga zokutira za titaniyamu kuti zigwirizane bwino ndi biocompatibility kapena zokutira za kaboni ngati diamondi kuti ziwonjezeke kuuma komanso kukana kuvala. Zida zina zomwe zimagwiritsidwa ntchito pazida za intramedullary misomali zingaphatikizepo zigawo za pulasitiki kapena silicone zogwirira ntchito ndi zogwirira, komanso mitundu yosiyanasiyana yazitsulo zazitsulo zamagulu apadera monga zomangira zotsekera.
Kuti mugule zida za intramedullary misomali, mutha kulingalira izi:
Dziwani zofunikira zanu zenizeni: Musanagule, dziwani mtundu ndi kukula kwake kwa zida za intramedullary misomali zomwe mukufunikira malinga ndi momwe wodwalayo alili komanso opaleshoni yokonzekera.
Opereka kafukufuku: Chitani kafukufuku kuti muzindikire ogulitsa odalirika komanso odalirika a zida za intramedullary misomali. Yang'anani ogulitsa omwe ali ndi mbiri yabwino yopereka zinthu zapamwamba komanso ntchito yodalirika yamakasitomala.
Yang'anani khalidwe lazogulitsa: Onetsetsani kuti zida za intramedullary misomali zikugwirizana ndi zomwe zimafunikira ndipo zimapangidwa kuchokera ku zipangizo zamtengo wapatali zomwe zimakhala zolimba komanso zotetezeka kugwiritsa ntchito.
Yang'anani ziphaso: Onetsetsani kuti wogulitsa ndi wovomerezeka ndi akuluakulu oyenerera ndipo ali ndi ziphaso ndi ziphaso zoyenera kupanga ndi kugulitsa zida zamankhwala.
Yang'anani njira zobweretsera: Yang'anani njira zobweretsera zomwe zilipo ndikuwonetsetsa kuti wogulitsa atha kubweretsa zinthuzo kumalo anu munthawi yake komanso moyenera.
Yerekezerani mitengo: Yerekezerani mitengo kuchokera kwa ogulitsa osiyanasiyana kuti mupeze malonda abwino popanda kunyengerera pamtundu.
Ikani oda: Mukasankha wogulitsa wodalirika ndikuwonetsetsa kuti zinthuzo zikukwaniritsa zomwe mukufuna, ikani dongosolo ndikukonzekera zolipira.
Wothandizira m'modzi yemwe mungamuganizire ndi CZMEDITECH, yomwe imagwira ntchito yopanga ndi kugawa zida zapamwamba za mafupa ndi zida, kuphatikiza zida za intramedullary misomali.