Mawu Oyamba
Mbalame yam'mbuyo yam'mbuyo ndi mtundu wa mafupa opangidwa ndi mafupa omwe amagwiritsidwa ntchito pochiza fractures ya acetabulum, yomwe ili m'mphepete mwa fupa la femur (fupa la ntchafu) limakumana ndi chiuno. Mzere wammbuyo ndi mzere wowongoka wa fupa womwe umachokera kumalire apamwamba (apamwamba) a acetabulum mpaka pansi (pansi) malire a sciatic notch. Kuphwanyidwa kwa chigawo chakumbuyo kungakhale kovuta ndipo kumafuna kuchitidwa opaleshoni kuti abwezeretse kukhazikika kwa pelvis.
Anatomy ya Acetabulum
Acetabulum ndi kupsinjika kwa kapu m'fupa la m'chiuno lomwe limapanga socket ya mutu wa femur. Ili ndi magawo atatu: ndime yakutsogolo, yapambuyo, ndi denga. Mzere wam'mbuyo ndi mzere wolunjika wa fupa womwe umachokera kumalire apamwamba a acetabulum kupita ku pubic bone. Mzere wammbuyo ndi mzere wolunjika wa fupa womwe umachokera kumalire apamwamba a acetabulum kupita kumalire otsika a sciatic notch. Denga ndi malo opindika omwe amaphimba acetabulum.
Zizindikiro za Plate Yapambuyo Pansi
Kuphulika kwapambuyo kwapambuyo kumatha chifukwa cha kuvulala kwamphamvu kwamphamvu monga ngozi zagalimoto, kugwa kuchokera pamalo okwera, kapena kuvulala pamasewera. Mitundu yamtunduwu imatha kuwononga kwambiri m'chiuno ndipo imatha kulumikizidwa ndi kuvulala kwina monga kusokonezeka kwa chiuno, kuvulala kwa chikhodzodzo kapena urethral, kapena kuwonongeka kwa mitsempha. Zizindikiro za opaleshoni ya posterior column plate ndi:
Kusamuka kwa mzati wapambuyo wosweka kupitirira 2mm
Kukulitsa kwa intra-articular kwa fracture ya posterior
Kuwonongeka kogwirizana kwa khola lakumbuyo kapena denga
Kutayika kwa mgwirizano wa m'chiuno
Ndondomeko
Njira yopangira opaleshoni yam'mbuyo yam'mbuyo imaphatikizapo kupanga nthiti m'matako kuti mufike kumbuyo kwa pelvis. Kuthyokako kumachepetsedwa, kapena kubwezeretsedwanso, pogwiritsa ntchito zida zapadera zopangira opaleshoni. Mbali yam'mbuyo yam'mbuyo imayikidwa pambali yapambuyo ya acetabulum ndikutetezedwa ndi zomangira. Zomangirazo zimayikidwa m'njira kuti zisavulazidwe kumagulu ofunikira a neurovascular monga sciatic nerve kapena superior gluteal artery.
Chisamaliro cha Postoperative and Rehabilitation
Pambuyo pa opaleshoni yam'mbuyo yam'mbali, odwala nthawi zambiri amasungidwa osalemera kwa milungu ingapo kuti fractureyo ichiritse. Thandizo lakuthupi ndi kukonzanso ndizofunikira kuti mubwezeretsenso mphamvu ndikuyenda molumikizana ndi chiuno. Zitha kutenga miyezi ingapo kuti odwala abwererenso momwe amachitira asanavulale.
Zowopsa ndi Zovuta
Monga momwe zilili ndi opaleshoni iliyonse, pali zoopsa ndi zovuta zomwe zimagwirizanitsidwa ndi opaleshoni yam'mbuyo yam'mbali. Izi zikuphatikizapo:
Matenda
Kuwonongeka kwa mitsempha
Kutuluka magazi
Kulephera kwa Hardware
Nonunion kapena malunion wa fracture
Deep vein thrombosis kapena pulmonary embolism
Mapeto
Opaleshoni yam'mbuyo yam'mbali ndi chida chofunikira chochizira ma fractures ovuta a acetabulum. Zimapereka kukhazikika kwa pelvis, zimalimbikitsa machiritso, ndipo zingayambitse kuchira msanga. Ngakhale pali zoopsa ndi zovuta zomwe zimagwirizanitsidwa ndi kugwiritsidwa ntchito kwake, ubwino wake umaposa zoopsa zambiri.
FAQs
Kodi opaleshoni yam'mbuyo yam'mbali ndiyo njira yokhayo yothandizira ma fractures a acetabular? Ayi, pali njira zina zochiritsira zomwe zilipo, monga kusamalidwa kopanda opaleshoni kapena plating yamkati. Komabe, opaleshoni yam'mbuyo yam'mbuyo nthawi zambiri imakhala njira yabwino yopangira zosweka kwambiri kapena zovuta.
Zimatenga nthawi yayitali bwanji kuti ndichire kuchokera ku opaleshoni yokhala ndi mbale yakumbuyo? Nthawi yochira imatha kusiyanasiyana malinga ndi kuuma kwa fractureyo komanso thanzi la munthu. Komabe, odwala ambiri amatha kuyembekezera kubwerera kuntchito zachizolowezi mkati mwa miyezi 3-6.
