Mawonedwe: 96 Wolemba: Site Editor Nthawi Yosindikiza: 2023-07-15 Koyambira: Tsamba
Pankhani yochiza zovuta zothyoka mafupa, Locking mbale opaleshoni yatulukira ngati njira patsogolo ndi ogwira. Njira yopangira opaleshoniyi imaphatikizapo kugwiritsa ntchito mbale ndi zomangira zapadera kuti akhazikike ndikuthandizira mafupa osweka panthawi yochira. Opaleshoni yotsekera mbale imapereka zabwino zambiri kuposa njira zachikhalidwe, kupatsa odwala nthawi yochira mwachangu, zotulukapo zabwino, komanso magwiridwe antchito anthawi yayitali. M'nkhaniyi, tiwona zovuta za opaleshoni yotsekera mbale, ubwino wake, ndi ntchito zake pazachipatala.
Opaleshoni yotsekera mbale ndi njira yamakono yopangira mafupa yomwe imagwiritsidwa ntchito pochiza fractures m'mafupa osiyanasiyana, kuphatikizapo femur, tibia, humerus, ndi radius. Mosiyana ndi njira zachikhalidwe zopangira fracture, zomwe zimadalira kukanikizana pakati pa mbale ndi fupa, zokhoma mbale zapangidwa kuti zikhazikike mokhazikika kudzera mu makina otsekera zomangira mu mbale. Mbali imeneyi imalepheretsa kuyenda pakati pa fupa ndi mbale, zomwe zimapangitsa kuti pakhale bata bwino panthawi ya machiritso.
Zokhoma mbale zimakhala ndi zigawo ziwiri zazikulu: mbale yokha ndi zomangira zotsekera. Mbaleyo ndi yachitsulo yolimba yomwe imapangidwa mozungulira kuti ifanane ndi fupa ndipo imayikidwa pambali pa malo osweka. Zomangira zotsekera, zomwe zimalowetsedwa mu fupa kudzera m'mabowo odziwiratu m'mbale, zimagwirizana ndi zigawo za ulusi wa mbale. Zomangirazo zikamangika, zimatsekera m'mbale, ndikupanga chomangira chokhazikika chomwe chimakhazikitsa sit yosweka.

Opaleshoni yotsekera mbale imapereka zabwino zingapo poyerekeza ndi njira zanthawi zonse zokonzera fracture:
Njira yotsekera mbaleyo imatsimikizira kukhazikika kokhazikika, kuchepetsa chiopsezo cha kulephera kwa implants komanso kusagwirizana. Kukhazikika kumeneku kumathandizira kusonkhanitsa koyambirira, kulimbikitsa machiritso mwachangu komanso kukonzanso.
Opaleshoni yotsekera mbale imachepetsa kuwonongeka kwa magazi m'mafupa, chifukwa imafunika zomangira zochepa ndipo sadalira kukanikizidwa. Kusunga magazi ndikofunikira kuti mafupa achiritse bwino komanso kuchepetsa chiopsezo cha zovuta.
Ma mbale otsekera amabwera m'mawonekedwe ndi makulidwe osiyanasiyana, zomwe zimawapangitsa kuti azigwirizana ndi ma fractures osiyanasiyana. Kusinthasintha kumeneku kumalola madokotala ochita opaleshoni ya mafupa kusankha mbale yoyenera kwambiri kwa wodwala aliyense, ndikuwongolera zotsatira za chithandizo.
The makina otsekera mbale amaphatikizapo njira yochepetsera pang'ono, kuchepetsa chiopsezo cha matenda poyerekeza ndi kuchepetsa kutsegula ndi maopaleshoni okonza mkati. Zowonongeka zing'onozing'ono ndi kuchepa kwa minofu yofewa kumapangitsa kuti pakhale mwayi wochepa wa zovuta zomwe zimachitika pambuyo pa opaleshoni.
Opaleshoni yotsekera mbale ikulimbikitsidwa pamitundu yosiyanasiyana yosweka, kuphatikiza:
Zotsekera mbale ndizoyenera kwambiri zothyoka zovuta, monga fractures comminuted (kumene fupa limasweka kukhala zidutswa zingapo) ndi fractures ndi mafupa osauka (mwachitsanzo, osteoporosis). Kukhazikika kokhazikika komwe kumaperekedwa ndi mbale zotsekera kumakulitsa mwayi wochira bwino pazovuta izi.
Mitsempha yapafupi ndi mafupa, yotchedwa periarticular fractures, imatha kuchiritsidwa bwino kutseka opaleshoni mbale . Kumanga kokhazikika kumathandiza kusunga mgwirizano ndi kukhazikika, kulimbikitsa kuchira bwino kwa ntchito.
Odwala osteoporosis nthawi zambiri amakhala ndi mafupa osalimba omwe amafunikira chisamaliro chapadera panthawi ya chithandizo cha fracture. Opaleshoni yotsekera mbale imapereka njira yodalirika, chifukwa imatha kuteteza fupa losweka ngakhale kukhalapo kwa mafupa otsika.

Njira ya opaleshoni ya Locking plate opaleshoni nthawi zambiri amatsatira izi:
Kukonzekera koyambirira: Dokotala wa opaleshoni amafufuza mwatsatanetsatane za fracture ndikukonzekera njira ya opaleshoni. Izi zikuphatikiza kusankha kukula kwa mbale yoyenera ndikuzindikira thirakiti yoyenera.
Kudula ndi kuwonetseredwa: Kachidutswa kakang'ono kamapanga pafupi ndi malo ophwanyika, ndipo minyewa yofewa imadulidwa mosamala kuti iwonetse fupa.
Kuyika mbale: The Chotsekera mbale imayikidwa pamwamba pa fupa ndikutetezedwa pogwiritsa ntchito zomangira. Mapangidwe a mbale ndi contour ayenera kufanana ndi fupa la fupa kuti likhale lokhazikika.
Kuyika zitsulo: Zomangira zokhoma zimalowetsedwa mosamalitsa kudzera m'mabowo omwe adadziwiratu m'mbale, zomwe zimagwirizana ndi zigawo za mbale.
Kukonzekera komaliza ndi kutseka: Zomangira zimamangika, kupanga chomanga chokhazikika. Kenako choboolacho chimatsekedwa, ndipo amasamalidwa moyenerera.
Pambuyo Opaleshoni yotsekera mbale , odwala nthawi zambiri amafunikira kutsatira dongosolo linalake la chisamaliro cha postoperative, kuphatikiza:
Kusamalira ululu: Mankhwala amaperekedwa kuti athetse ululu wopweteka pambuyo pa opaleshoni.
Thandizo la thupi: Zochita zolimbitsa thupi zimayambika kuti abwezeretse kuyenda kwamagulu ndi mphamvu za minofu.
Maudindo otsatila: Kufufuza nthawi zonse kumalola dokotala wa opaleshoni kuti ayang'ane momwe machiritso akuyendera ndikupanga kusintha kofunikira pa ndondomeko ya chithandizo.
Pamene Opaleshoni yotsekera mbale nthawi zambiri imakhala yotetezeka komanso yothandiza, pali zovuta zomwe odwala ayenera kudziwa, kuphatikiza:
Matenda pa malo opaleshoni
Kuchedwa kwa machiritso a mafupa kapena kusakhala mgwirizano
Kusalongosoka kwa fupa
Implant kulephera kapena kumasuka
Kuwonongeka kwa mitsempha kapena mitsempha ya magazi
Ndikofunika kuti odwala akambirane za zoopsa zomwe zingatheke komanso zovuta zomwe angakumane nazo ndi dokotala wawo wa opaleshoni ya mafupa asanayambe opaleshoni.
Tekinoloje ya Locking plate ikupitilirabe kusinthika, ndikupita patsogolo komwe kumafuna kupititsa patsogolo zotsatira za odwala. Zina zodziwika bwino ndi izi:
Zida zogwirizanirana ndi bio: Kupanga zinthu zatsopano, monga ma aloyi a titaniyamu, kumawonjezera mphamvu ndi kuyanjana kwa mbale zokhoma.
Mapangidwe apamwamba a mbale: Ma mbale okhoma tsopano akupezeka m'mawonekedwe a anatomical, omwe amapereka kukwanira bwino ndikuchepetsa kufunikira kopindika mbale.
Zosankha zotsekera zokhoma: Madokotala ochita opaleshoni amatha kusankha pazosankha zingapo, kuphatikiza zomangira za polyaxial, zomwe zimapereka kusinthasintha kwakukulu pakuyika wononga.
Kupititsa patsogolo kumeneku kumathandizira kukonza bwino komanso kudalirika kwa fracture, zomwe zimapangitsa kuti odwala azikhala okhutira komanso zotsatira zake.
Pamene Opaleshoni yotsekera mbale yatsimikizira kukhala yothandiza kwambiri, pali njira zina zochiritsira zothyoka mafupa, malingana ndi vuto lenileni. Izi zingaphatikizepo:
Kuponyera kapena kupatukana: Kuphulika kosavuta komwe sikufuna kuchitidwa opaleshoni nthawi zambiri kumatha kuchitidwa ndi kuponyera kapena kupatukana, kulola kuti fupa lichiritse mwachibadwa.
Kukhomerera kwa intramedullary: Njira imeneyi imaphatikizapo kuyika ndodo yachitsulo mu ngalande ya medulla ya fupa kuti ikhazikitse kusweka.
Kukonzekera kwakunja: Nthawi zina, chimango chakunja chokhala ndi zikhomo chimagwiritsidwa ntchito kuti chikhazikitse fupa losweka mpaka litachira.
Kusankhidwa kwa chithandizo kumadalira pazifukwa zosiyanasiyana, kuphatikizapo mtundu ndi malo a fracture, zaka za odwala, ndi thanzi labwino.
Opaleshoni yotsekera mbale imapeza ntchito muzamankhwala osiyanasiyana a mafupa, kuphatikiza:
Opaleshoni ya zoopsa: Mabale otsekera amagwiritsidwa ntchito pochiza fractures chifukwa cha kuvulala koopsa, monga fractures chifukwa cha ngozi kapena kugwa.
Mankhwala amasewera: Othamanga nthawi zambiri amakhala osweka pamasewera. Zotsekera mbale zimapereka kukhazikika kokhazikika ndikulimbikitsa kubwereranso kumasewera.
Orthopedic oncology: Ngati zotupa zimakhudza kukhulupirika kwa fupa, mbale zotsekera zitha kugwiritsidwa ntchito kukhazikika fupa pambuyo pochotsa chotupa.
Kusinthasintha kwa opaleshoni yotsekera mbale kumapangitsa kukhala chida chamtengo wapatali mu orthopedic armamentarium.
Kafukufuku wambiri akuwonetsa kupambana kwa Locking mbale opaleshoni pochiza fractures zosiyanasiyana. Zitsanzo ndi izi:
Nkhani Yophunzira: Distal Femur Fracture
Wodwala wosweka kwambiri wa distal femur adadutsa kutseka opaleshoni mbale . Kukhazikika kokhazikika komwe kumaperekedwa ndi mbale yotsekera kunalola kusonkhanitsa koyambirira, ndipo wodwalayo adachira kwathunthu mkati mwa miyezi isanu ndi umodzi.
Nkhani Yophunzira: Proximal Humerus Fracture
Wodwala wina wokalamba yemwe anali ndi vuto losweka pang'onopang'ono anachitidwa opaleshoni yotsekera mbale. Zomangamanga zokhazikika zinapereka kukhazikika kwabwino kwambiri, zomwe zimapangitsa wodwalayo kuti ayambenso kugwira ntchito pamapewa ndikuyambiranso ntchito za tsiku ndi tsiku.
Maphunzirowa akuwonetsa mphamvu ya kutseka opaleshoni ya mbale kuti akwaniritse zotsatira zabwino kwa odwala omwe ali ndi fractures zovuta.

Opaleshoni yotseka mbale imachitidwa pansi pa anesthesia, kotero odwala samamva ululu panthawi ya ndondomekoyi. Komabe, kukhumudwa pang'ono ndi kupweteka kungayembekezere panthawi yochira, yomwe imatha kuyang'aniridwa ndi mankhwala opweteka omwe dokotala wa opaleshoni amawalembera.
Nthawi yochira imasiyanasiyana malinga ndi mtundu wa fracture, zaka za odwala, ndi thanzi lonse. Nthawi zambiri, zimatha kutenga milungu ingapo mpaka miyezi kuti fupa lichiritse, ndipo kuchira kwathunthu kumatha kutenga miyezi ingapo mpaka chaka.
Nthawi zina, mbale zokhoma zimatha kuchotsedwa pomwe fracture yachira, makamaka ngati imayambitsa kusapeza bwino kapena kuletsa kuyenda kwamagulu. Komabe, chisankhochi chimapangidwa payekha payekha ndipo chiyenera kukambidwa ndi dokotala wochiza mafupa.
Pambuyo potseka opaleshoni ya mbale, odwala angafunikire kupewa zinthu zomwe zimayika kupsinjika kwambiri pa fupa kapena cholumikizira. Thandizo la thupi lidzathandiza kutsogolera odwala kupyolera mu njira yokonzanso ndikubwezeretsanso ntchito pamene fupa limachira.
Locking mbale opaleshoni akhoza kuchitidwa pa odwala misinkhu yosiyanasiyana, kuphatikizapo ana ndi okalamba. Chisankho chochitidwa opaleshoni chimachokera ku thanzi lathunthu la munthu, zizindikiro za fracture, ndi ubwino wa opaleshoni.
Opaleshoni yotsekera mbale imayimira kupita patsogolo kwakukulu m'mafupa, kupereka njira yabwino kwambiri komanso yosunthika pochiza zovuta zothyoka mafupa. Ndi kukhazikika kwabwino, nthawi zamachiritso mofulumira, ndi zotsatira zabwino za nthawi yayitali, njira yopangira opaleshoniyi imapatsa odwala njira yodalirika yobwezeretsa mafupa ndi magwiridwe antchito. Pamene ukadaulo ukupitilirabe patsogolo, opaleshoni yotsekera mbale yatsala pang'ono kupititsa patsogolo chithandizo cha fracture, kupindulitsa odwala azaka zonse ndikuwongolera moyo wawo.
Za CZMEDITECH , tili ndi mzere wathunthu wa mankhwala opangira opaleshoni ya mafupa ndi zida zofanana, zomwe zimaphatikizapo implants za msana, misomali ya intramedullary, trauma plate, mbale yotsekera, cranial-maxillofacial, prosthesis, zida zamagetsi, okonza kunja, arthroscopy, chisamaliro cha ziweto ndi zida zawo zothandizira.
Kuphatikiza apo, tadzipereka kupitiliza kupanga zinthu zatsopano ndikukulitsa mizere yazogulitsa, kuti tikwaniritse zosowa za maopaleshoni a madokotala ndi odwala ambiri, ndikupangitsanso kampani yathu kukhala yopikisana pamakampani onse apadziko lonse oyika mafupa ndi zida zamagetsi.
Timatumiza kunja padziko lonse lapansi, kuti mutha tilankhule nafe imelo adilesi song@orthopedic-china.com pa mtengo waulere, kapena tumizani uthenga pa WhatsApp kuti muyankhe mwachangu +86- 18112515727 .
Ngati mukufuna kudziwa zambiri, dinani CZMEDITECH kuti mudziwe zambiri.
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