Msomali Wosinthidwa Wachikazi

Kanema watsatanetsatane wazomwe zikuchitika

CZMEDITECH Inasintha Msomali Wachikazi

Mawu Oyamba

Chiwopsezo cha fractures mu proximal femoral area chakwera ndi kuchuluka kwa okalamba omwe ali ndi matenda osteoporosis ndi ngozi zapamsewu mwa achinyamata akuluakulu.

Ziphuphu za dera la trochanteric zimayikidwa molingana ndi dongosolo la Orthopedic Trauma Association monga AO / OTA 31-A, zomwe zimawafotokozera ngati extracapsular fractures ya chiuno. Ziphuphuzi zimagawidwa m'magulu A1, A2 ndi A3. Ma fractures a A1 ndi osavuta, magawo awiri amathyoka, pomwe ma fractures a A2 amakhala ndi tizidutswa zingapo. Ma fractures a A3 amaphatikizanso ma oblique obwerera kumbuyo komanso ma fractures.

Pali mitundu iwiri ikuluikulu ya implants yomwe ilipo pochiza fractures izi, zomwe ndi implants za extramedullary ndi intramedullary [1-3]. Ngakhale kuti kwambiri ntchito kwambiri extramedullary implantat ndi mphamvu m'chiuno wononga wononga, amene ali kutsetsereka khosi zomangira cholumikizidwa ndi mbale mu lateral femoral kotekisi, olemba ambiri ananena kuti chipangizo ichi si oyenera AO/OTA 31-A3 reverse oblique kapena transverse fractures chifukwa cha zochitika zambiri za kulephera fixation. Choncho, chithandizo cha fractures chosakhazikika cha trochanteric chikadali chovuta, ndipo malipoti azachipatala okhudza intramedullary hip kukhomerera kwa reverse obliquity intertrochanteric fractures ndi ochepa.

Msomali Wosinthidwa Wachikazi: Kalozera Wokwanira

Pa opaleshoni ya mafupa, kusweka kwa chikazi kumakhala kofala. Misomali yachikazi imagwiritsidwa ntchito mobwerezabwereza kukonza zosweka zoterezi. Msomali wosinthidwa wa femoral ndi njira yatsopano komanso yatsopano yokonzera fractures, makamaka kwa odwala okalamba. M'nkhaniyi, tikambirana zonse zomwe muyenera kudziwa zokhudza misomali yachikazi yotembenuzidwa, kuphatikizapo ubwino, zizindikiro, ndi zovuta zomwe zingatheke.

Kodi Msomali Wosinthidwa Wachikazi Ndi Chiyani?

Msomali wosinthidwa wa chikazi ndi chipangizo cha mafupa chomwe chimagwiritsidwa ntchito pochiza fractures zachikazi. Ndi njira yatsopano yomwe imaphatikizapo kulowetsa msomali kuchokera pansi pa femur kupita mmwamba, zomwe zimatsutsana ndi njira yachizolowezi. Msomaliwo umalowetsedwa kudzera mu kabowo kakang'ono ka bondo ndipo amakhazikika pamalo ake pogwiritsa ntchito zomangira kumbali zonse ziwiri.

Zizindikiro Zosintha Misomali Yachikazi

Njira yosinthira misomali yachikazi ndiyothandiza makamaka munthawi zina, monga:

• Odwala okalamba omwe ali ndi mafupa osalimba

• Odwala omwe ali ndi distal femoral fracture

• Odwala ndi subtrochanteric fracture

• Odwala omwe ali ndi fracture m'dera la metaphyseal

Pazifukwa izi, njira yosinthika ya msomali wa femoral ingakhale njira yabwino kuposa njira wamba.

Ubwino Wa Misomali Yachikazi Yosinthidwa

Misomali yachikazi yotembenuzidwa imapereka maubwino angapo kuposa njira wamba. Izi zikuphatikizapo:

• Kuchepa kwa magazi panthawi ya opaleshoni

• Kupweteka kochepa kwa minofu yofewa yozungulira

• Kupweteka kochepa komanso nthawi yochira msanga

• Chiwopsezo chochepa cha matenda

• Kuchepetsa chiopsezo cha osakhala mgwirizano (vuto lomwe fupa limalephera kuchira bwino)

Njira Yobwezeretsedwa ya Msomali Wachikazi

Njira yosinthidwa ya msomali wa chikazi ndi yofanana ndi opaleshoni yachizolowezi ya misomali yachikazi, yokhala ndi zosiyana zochepa. Opaleshoniyo imachitidwa pansi pa anesthesia wamba, ndipo wodwalayo amaikidwa pamsana pake ndi miyendo yokwezeka.

Gulu la opaleshoni limapanga kachipangizo kakang'ono pamwamba pa bondo ndikuyika waya wolondolera pa bondo mpaka ku femur. Waya wolondolera udzagwiritsidwa ntchito kutsogolera msomali pamalo ake. Kenako msomaliwo amaulowetsa m’mbali mwa bondo ndi kulowa m’chikazi, n’kuuika mbali zonse ziwiri kuti ugwire bwino.

Zovuta za Misomali Yosinthidwa Yachikazi

Monga njira zonse zopangira opaleshoni, misomali yachikazi yotembenuzidwa imakhala ndi zoopsa zina. Izi zikuphatikizapo:

• Matenda pa malo opaleshoni

• Kuthyoka kwa femur pa opaleshoni

• Kuwonongeka kwa mitsempha

• Kuwonongeka kwa chotengera chamagazi

• Kulephera kwa fupa kuchira bwino

Odwala omwe adachitidwapo njira yosinthira misomali yachikazi ayenera kuyang'anitsitsa kuchira kwawo ndikufotokozera zizindikiro zachilendo kwa dokotala wawo mwamsanga.

Kuchira kuchokera ku Reversed Femoral Misomali

Kuchira kuchokera ku njira yosinthidwa ya msomali wa chikazi ndikofanana ndi kuchira kuchokera ku opaleshoni yachikazi ya msomali. Odwala amatha kumva ululu ndi kutupa pamalo opangira opaleshoni, omwe amatha kuthandizidwa ndi mankhwala opweteka komanso kupuma. Odwala adzafunika kugwiritsa ntchito ndodo kapena kuyenda kwa nthawi yaitali pambuyo pa opaleshoni kuti apewe kulemera kwa mwendo womwe wakhudzidwa.

Odwala ayenera kutsatira malangizo a dokotala mosamala kuti achire mokwanira komanso mwachangu.

Ma FAQ Osinthidwa a Msomali Wachikazi

1. Kodi ndi nthawi yanji yochira yokonzanso msomali wa femoral?

   Nthawi yobwezeretsa imasiyanasiyana malinga ndi wodwalayo komanso kukula kwa opaleshoniyo, koma odwala ambiri amatha kuyembekezera kubwerera kuntchito zachizolowezi mkati mwa masabata a 6-12.

2. Kodi njira yosinthira misomali yachikazi ndiyopweteka?

   Pakhoza kukhala ululu ndi kusamva bwino pambuyo pa opaleshoni, koma izi zikhoza kuyendetsedwa ndi mankhwala opweteka.

3. Kodi alipo amene angakhale ndi njira yosinthira misomali yachikazi?

   Ayi, njira yosinthidwa ya misomali yachikazi si yoyenera kwa odwala onse. Dokotala wanu adzawunika momwe zinthu zilili pamoyo wanu kuti adziwe ngati zili zoyenera kwa inu.

4.  Kodi msomali wotembenuzidwa umakhalabe m'malo kwa nthawi yayitali bwanji?

   Msomali umasiyidwa pamalo kwa miyezi 6-12 kuti fupa lichiritse bwino.

5. Kodi misomali yachikazi yotembenuzidwa ingachotsedwe?

   Inde, msomali ukhoza kuchotsedwa fupa likachira. Dokotala wanu adzawona ngati kuchotsa kuli kofunikira ndikukambirana za zoopsa ndi zopindulitsa ndi inu.

Mapeto

Misomali yachikazi yotembenuzidwa imapereka maubwino angapo kuposa njira wamba zokonza zosweka zachikazi. Njirayi imathandiza makamaka kwa odwala okalamba kapena omwe ali ndi mitundu ina ya fractures. Ngakhale kuti pali zovuta zomwe zingagwirizane ndi ndondomekoyi, ubwino wake nthawi zambiri umaposa kuopsa kwake. Odwala omwe adutsa njira yosinthira misomali yachikazi ayenera kutsatira malangizo a dokotala mosamala kuti athe kuchira kwathunthu komanso mwachangu.

Mwachidule, misomali yachikazi yotembenuzidwa ndi njira yatsopano komanso yatsopano yokonzera fractures yachikazi yomwe imapereka ubwino wambiri pa njira zamakono. Ngati mukukumana ndi kusweka kwa chikazi, lankhulani ndi dokotala kuti muwone ngati njira yosinthira msomali wa chikazi ndi yoyenera kwa inu.