Kubwezeretsa ma introllal a intravellary msomali: Njira Yolozera Kwambiri

Zovala zamasewera, zomwe zimakhudza fupa la ntchafu, zimakhala zovuta kuchitira bwino. Njira yosinthira intravellaylallary yatuluka ngati njira yolongosola yoyang'anira izi. Munkhaniyi, tiona mapindu ake, njira yochitira opaleshoni, zovuta zomwe zingachitike, komanso kuchira komwe kumayenderana ndi msomali wa intramullallallauslarylarylauslary.

Chiyambi

Kununkhira kwa femur kumatha kubweretsa kupweteka kwambiri, kufooka komanso kugwiritsa ntchito malire ogwira ntchito. Njira zachikhalidwe zochizirana zimatha kukhala ndi malire pokwaniritsa zotsatira zabwino. Njira yosinthira intravellallallary imapereka malingaliro atsopano pamadana a fectreup, ndikuthandizira kukhazikika ndikuthandizira pakachiritso.

Kuzindikira kumasulira msomali

Mkati wa introllallallary intravellary nail ndi chipangizo chodzipangira kuti chikhazikike ndikulimbikitsa kuchiritsidwa mu zojambula zomata. Ndizofanana ndi msomali wa intravellallary, koma ndi otembenukira. Msomali umayikidwa kuchokera kumapeto kwa femur ndipo amafikira momveka bwino, kukhazikika ndikugwirizanitsa ndi zigawo zowonongeka.

Zizindikiro zobwezeretsedwa

Nambala ya intramullallallary intravellary nail makamaka ndiyoyenera mitundu ina ya zotupa za femal. Nthawi zambiri imagwiritsidwa ntchito kudera la Fraclues yomwe ili kudera la femur, kuphatikizapo Supracondylar ndi Intracyyar Fractures. Zojambulazi nthawi zambiri zimafunikira kukonzanso komanso kugwirizanitsa kolondola kwa machiritso oyenera.

Njira yochitira opaleshoni yobwezeretsanso intravellallary msomali

Kukonzekera

Kukonzekera kokwanira ndikofunikira kuti mubwezeretse bwino opaleshoni ya akazi intrallavellalulal. Izi zimaphatikizapo kuwunika kwathunthu kwa mawonekedwe a kuwonongeka kwa wodwala, thanzi lathunthu, komanso kuvulala kulikonse. Njira Zoyeserera, monga X-ray, CT scan, kapena MRI, imagwiritsidwa ntchito poyesa kuwunika mawonekedwe ndi kuwongolera zochita za opaleshoni.

Wodwala

Pa opaleshoni, wodwalayo amakhala ndi supine patebulo logwira ntchito. Mwendo womwe wakhudzidwayo umakometsedwa ndikuwumbidwa mu chosabala. Kukhazikika koyenera ndikofunikira kuti mulole mwayi wopezeka bwino ku Fracraures ndikuthandizira kuyika misomali kuchokera kumapeto kwa femur.

Kukhazikika ndi kulowa

Kugwedezeka kumapangidwa pamalo opangira opaleshoni kuti mupeze fupa lowonongeka. Kutalika ndi komwe kumapangitsa kuti mawonekedwe a kusokonezedwa ndi mtundu wake wocheperako komanso komwe amakhala mogwirizana ndi femur. Kugwiritsa ntchito minofu yofewa ndikofunikira kuti muchepetse zowawa ndikuchepetsa chiopsezo cha matenda.

Misomali

Msana wa intravellallary intravelyallary nail amaikidwa kuchokera kumapeto kwa femur, akumatayika pamalopo. Chitsogozo cholondola chofunikira kuonetsetsa kulowererapo ndi kuphatikizidwa. Kungoganiza za fluoroscopic kumagwiritsidwa ntchito kutsimikizira kuyika msomali mkati mwa ngalande yamasewera.

Zovala zotsekemera

Misomali ikakhala yolondola, zomata zowoneka bwino 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

Mukawonetsetsa kusagwirizana koyenera ndi kukhazikika, mawonekedwe otsekeka amatsekeredwa pogwiritsa ntchito zosayenera kapena zosanja. Kutsekedwa kwa mabala kumachitika mosamala kuti kulimbikitsa machiritso ndikuchepetsa chiopsezo cha matenda. Kuvala kosatha kumayikidwa, ndipo malo opaleshoni amatetezedwa.

Zabwino zobwezera intrallallary msomali

Kugwiritsa ntchito Nonserlary Nayelirlallary mensel Ena mwa phindu lalikulu limaphatikizapo:

1. Kusintha Kwakukulu: Njira yosinthira misomali imalola kuti zigwirizane ndi zigawo zowonongeka za mafupa, kulimbikitsa machiritso okwanira komanso kuchepetsa chiopsezo cha kuwongolera.

2. Kukhazikika kwa inthamudy: msomali wosinthika umathandizira kukhazikika kwa malo osokoneza bongo, kulola kuti zikhale bwino komanso zomwe zimapangitsa kuti zikhale zochiritsa.

3. Kusunga magazi: Pogwiritsa ntchito ngalande ya intravedollary ndikuyika msomali kuchokera kumapeto, njira yobwezeretsera intrallallary ya akazi imachepetsa kusokonezeka kwa magazi. Kusunga magazi kumeneku ndikofunikira kuti mumveke bwino kwambiri.

4. Kuchepetsa minofu yofewa: Njira yosinthira misomali imaphatikizapo kulowetsa minofu ya minofu, zomwe zimachepetsa minofu yofewa. Izi zitha kubweretsa kuchira mwachangu, kuchepetsedwa postoperative posticative upwala, ndikuchepetsa chiopsezo cha minofu yofewa.

5. Kupitilira koyambirira: Ndi msomali wobwezeretsedwayo wa intramullallallary, molimbika koyambirira ndikotheka. Izi zimathandiza odwala kuyamba kulemera komanso kukonzanso mwadzidzidzi, popititsa patsogolo kubwezeretsanso ntchito.

   
   

Zovuta ndi zoopsa zomwe zingachitike

Ngakhale njira yobwezeretsera intrallallary ya intrallallallal nthawi zambiri imawoneka yotetezeka komanso yothandiza, pali zovuta zomwe zingachitike ndi njirayi. Ndikofunikira kwa odwala kuti adziwe zotheka izi musanalandire chithandizo. Mavuto ena ndi monga:

• Matenda: Monga momwe amachitira opaleshoni iliyonse, pamakhala chiopsezo cha matenda. Komabe, maluso osabala oyenera, ma antibiotic prophylaxis, ndipo chisamaliro cha postoperative chitha kuchepetsa kwambiri chiopsezo ichi.

• Kutumiza kapena kusamvana: Nthawi zina, zidutswa za kuthyolako sizitha kuchiritsa kapena kulephera kuchiritsa kwathunthu. Zinthu zochepetsetsa zokwanira, zabwino kwambiri zamafupa, kapena zolemera kwambiri zimatha kupangitsa kuti ma alaling kapena osagwirizana nawo. Kuwunikirana kwambiri ndi kulowererapo mobwerezabwereza, monganso kuchitirana opaleshoni ya opaleshoni, kungakhale kofunikira kuthana ndi mavutowa.

• Zovuta zokhudzana: Ngakhale zovuta, zovuta zokhudzana ndi zophatikizika zitha kuchitika. Izi zitha kukhala ndi kumasula kosankha, kusweka, kapena kukwiya. Ngati zovuta ngati izi, kulowererapo kwa opaleshoni kungafunike.

• Mitsempha kapena kuvulala kwa magazi: Panthawi yopanga opaleshoni, pali chiopsezo chaching'ono cha mitsempha kapena kuvulala kwa magazi. Opanga madokotala amasamala kuti achepetse chiopsezochi, koma odwala ayenera kudziwa kuti angathe kufotokozera zomwe zimapitilira muyeso kapena zikuipiraipira.

  
  

Kukonzanso ndi kuchira

Kutsatira kwa opaleshoni ya femulylallary yazachikazi, pulogalamu yokwanira yokonzanso ndiyofunikira kuti muchiritsidwe bwino. Dongosolo lokonzanso limatha kukhala yosiyanasiyana kutengera kuuma kwabwino, mikhalidwe wodwala, ndi dokotala wa opaleshoni. Kuchiritsa kwakuthupi, kuphatikizapo kusinthasintha kwa zolimbitsa thupi, kumalimbitsa ntchito zolimbitsa thupi, komanso maphunziro ofunikira, ndi gawo lofunikira pakubwezeretsa ntchito komanso kukwaniritsa bwino.

Kafukufuku ndi nkhani zopambana

Anthu ambiri omwe anakumana ndi mavuto opambana omwe ali ndi njira yosinthira intrallallauslary. Mlandu umodzi Phunziro la zaka 45 lokhala ndi vuto lakuthwa la femal. Nditachita opaleshoni ya intramullallary yobwezera, wodwalayo adapeza mphamvu yolimba yamphamvu, yokhazikika, ndipo idabwezeretsa zochitika wamba mkati mwa miyezi isanu ndi umodzi.

Mapeto

Pomaliza, njira yosinthira interrallallallallallallallary imapereka njira yabwino yothandizira kusamalira zinthu zoyenda zamasewera, makamaka m'dera la kusokonekera. Imakhala yokhazikika yokhazikika, kutsata kwenikweni, komanso kuthekera kopitirira koyambirira. Ngakhale kuti pali zoopsa ndi zovuta, kulinganiza mosamala, luso lochita opaleshoni, komanso chisamaliro choyenera chingathandize kuchepetsa nkhawa izi. Odwala omwe amathandizira opaleshoni ya akazi intralulaltullary, kenako pulogalamu yokonzanso bwino yokonzanso bwino, ingakhale ndi kuthekera kuchira bwino ndikubwezeretsa ntchito.