Maonedwe: 235 Wolemba: Mkonzi Wosindikiza Nthawi: 2023-06-06 adachokera: Tsamba
Maopaleshoni Orthopedic nthawi zambiri imakhudza kugwiritsa ntchito mitundu yosiyanasiyana ndi njira zokhazikika kuti mukhazikitse ndikuchiritsa machiritso ndi mabingu mafupa. Njira imodzi yothetsera yothandizayi ndi njira yolumikizira yamiyala yolumikizira (PFNA) msomali. Nkhaniyi ikuwunikira zabwino, njira yochitiranji, opaleshoni ina, njira zobwezeretsa, zovuta, komanso zomwe zimakhudzana ndi opaleshoni ya PFNA.
Madokotala opangira ma Orhopedic nthawi zambiri amakumana ndi zolemetsa za proximal kudera la femumu, lomwe limadziwika kuti m'chiuno. Ma fractures awa amatha kupangitsa kuti munthu asasunthike kwambiri. PFNA NAIL imapangidwa makamaka kuti ithe kuthana ndi zolengedwazi pogwiritsa ntchito mawonekedwe okhazikika ndikulimbikitsa kulimbikitsa.
Msana wa PFNA ndi msomali wopangidwa mwapadera womwe umagwiritsidwa ntchito pa opaleshoni ya Orthopdic kuti muchepetse zolengedwa mu promximal femur. Ili ndi ndodo yazitsulo yayitali, yopapatiza yomwe imayikidwa mu ngalande ya intradellallary ya femur, yomwe ikuchokera m'chiuno mpaka bondo. Mapangidwe apadera a PFNA PFNA amalola kukhazikika kwakanthawi, kugawa katundu, komanso kuchiritsa kwa ma fracrate.
Kukhazikika kokhazikika : msomali wa PFNA umapereka bwino kwambiri, kulola kuti pakulimbika koyambirira ndi zochitika zolemetsa.
Kugawana katundu : msomali kumathandizanso kugawa katunduyo kudutsa femur, kuchepetsa nkhawa fupa la kuwonongeka ndikulimbikitsa machiritso.
Kuwonongeka kochepa kwa minofu : Kuyika kosavuta kwa kuphatikiza kwa PFNA NAMP kumawononga minofu yochepa kwambiri, kumabweretsa kuchira mwachangu.
Kuchiritsa kwamphamvu kwa kuwonongeka : Mapangidwe a msomali amalimbikitsa kuphatikizika koyenera komanso kulumikizana pakati pa zidutswa zowonongeka, kufalitsa mwachangu komanso kuchiritsa kosiyanasiyana.
PFNA msomali umawonetsedwa makamaka pazomwe amachiza matenda a m'chiuno, kuphatikizapo ma metrocanticnic fractures, mitu yathyantiontic, ndi makosi onunkhira. Zimakhala zothandiza kwambiri pakakhala komwe kukonzekera kokhazikika kumafunikira kulimbikitsa oyambira kulemera koyambirira komanso kusuntha.
Kuyika kwa pfna
Kukonzekera kothandizira : Kulingalira mwatsatanetsatane monga X-rays kapena CT Scans, amagwiritsidwa ntchito poyesa kuwonongeka kwa kuwonongeka, kukula, komanso moyenera kuyika kwa mitayi ya PFNA.
Wodwala Posankha : Wodwalayo amaikidwa moyenera patebulo logwirira ntchito kuti athandizire kuwonongeka kwa femur.
Kusunthika ndi Kufikira : Kukhazikika pang'ono kumapangidwa pafupi ndi Trochanter wamkulu, ndipo waya wotsogolera amaikidwa mu femur motsogozedwa ndi fluoroscopic malangizo.
Kuyika misomali ndi kukonza : msomali wa PFNA umayikidwa mosamala pa waya wotsogolera, ndikuwonetsetsa kuti musinthe ndikupewa kuwonongeka kwa magulu oyandikana nawo. Zomangira zimagwiritsidwa ntchito kukonza msomali m'malo mwake.
Kutseka Kusunthika : Chiwonetserocho chimatsekedwa, ndipo mavalidwe oyenera amagwiritsidwa ntchito poyendetsa ma aumalonda.
Kukhazikika kwabwino ndi kugawana katundu : msomali wa PFNA amangokhala ndi njira zapamwamba poyerekeza ndi njira zachikhalidwe monga mbale ndi zomangira, kulola kusunthira koyambirira.
Njira zambiri zopendekera : Zida zopitilira muyeso za PFNA zomwe zimapangitsa kuti magazi a PFNA abweretse magazi ang'onoang'ono, amachepetsa magazi, komanso kuchira mwachangu.
Kuchepetsa chiopsezo cha zovuta : msomali wa PFNA wawonetsedwa kuti ali ndi chiopsezo chochepa monga kulephera kwa zovuta monga kusokonekera, kusamvana, komanso matenda poyerekeza ndi njira zina zosinthira.
Kutsatira opaleshoni ya PFNA NASTERS, pulogalamu yokwanira yokonzanso ndiyofunikira kuti mutseke zotsatira ndikupezanso magwiridwe antchito. Njira zochiritsira nthawi zambiri zimaphatikizapo:
Kusamalira Ntchito : Odwala amayang'aniridwa kwambiri pamakina opweteka, maalama, ndi zizindikiro za matenda.
Kubala ndi kusuntha : Kutengera malingaliro a kuwonongeka ndi dokotala, odwala amatha kuyamba kuchita zinthu zochepa pogwiritsa ntchito zida zothandizira.
Njira yolimbitsa thupi : Mankhwala akuthupi amagwira gawo lofunikira pakuchira. Zimaphatikizapo masewera olimbitsa thupi kuti azisintha mayendedwe osiyanasiyana, mphamvu, komanso kusuntha kogwiritsa ntchito.
Pomwe opaleshoni ya PFNA NAST nthawi zambiri imakhala ndi mbiri yabwino, pamakhala zovuta komanso zoopsa zomwe zimakhudzidwa ndi njirayi. Izi zingaphatikizepo:
Kupasilana
Kulephera
Nonnion kapena kuchedwa mgwirizano wa kusokonekera
Kutalika kwa miyendo
Mitsempha kapena kuvulala kwa magazi
Ndikofunikira kuti odwala ndi omwe amakambirana ndi ngozi zomwe zingakhalepo ndi opaleshoni yawo ndikutsatira malangizo a pambuyo pake mosamala.
Kupambana kwa opaleshoni ya PFNA NAT Maphunziro ambiri anena zotsatira zabwino zamankhwala, kuphatikizapo machiritso owongolera, olimbikitsidwa kwambiri, komanso chisangalalo chodwala. Komabe, zotsatira za munthu aliyense payekhapayekha zingakhale zosiyanasiyana kutengera zinthu zosiyanasiyana monga thanzi lonse la wodwala, mtundu wa kuwonongeka, komanso kutsatira kwa kukonzanso kwa postoperatic kukonzanso.
Mtengo wa opaleshoni ya pfna msomali imatha kukhala yosiyanasiyana malinga ndi zinthu zachipatala monga chipatala, ndalama za opaleshoni, kutalika kwa chipatala kukakhala, komanso chisamaliro cha postoperative. Ndikofunikira kuti odwala awerengere ndi omwe amapereka inshuwaransi ndi inshuwaransi kuti amvetsetse mtengo ndi kupezeka kwa inshuwaransi pa njirayi.
Pomaliza, pfna msomali ndi njira yothetsera ma Orthopdic yokhazikika mu khungu mu proximul femur. Mapangidwe ake apadera, kukhazikika, komanso malo ogawika katundu amathandizira kukonza zotsatira zamankhwala komanso kuchira mwachangu. Ndondomeko ikakhala ndi zoopsa zomwe zingachitike, kupambana kopambana komanso kukhutitsidwa kwa odwala omwe ali ndi opaleshoni ya PFNA NTHAWI ZONSE. Ndikofunikira kuti odwala awerengere ndi dokotala wodziwa bwino dokotala kuti adziwe bwino njira yabwino yothandizira.
Akatswiri a ibial intradellal keil: Kupanga maopaleshoni a Orthopdic
Mitengo ya Humeral intradellallary msomali: Kupita patsogolo kwa mapewa
Introllad urradellary msomali: njira yabwino kwambiri yopangira femal
Kubwezeretsa ma introllal a intravellary msomali: Njira Yolozera Kwambiri
Tibial intradellallary msomali: Njira yodalirika yothetsera tibial