Mphete Fixator Kwa Tibial & Femur Fracture

Cholinga chachikulu cha kukonza fupa la fracture ndikukhazikitsa fupa losweka, kuthandizira kuchira msanga kwa fupa lovulala, ndi kubwereranso mofulumira komanso kugwira ntchito kwathunthu kwa fupa lovulala.

Kukonzekera kwakunja ndi njira yomwe imagwiritsidwa ntchito pochiritsa mafupa osweka kwambiri. Mtundu uwu wa chithandizo cha mafupa umaphatikizapo kuteteza fracture ndi chipangizo chapadera chotchedwa fixator, chomwe chili kunja kwa thupi. Pogwiritsa ntchito zida zapadera za fupa (zomwe zimatchedwa pini) zomwe zimadutsa pakhungu ndi minofu, chokonzacho chimagwirizanitsidwa ndi fupa lowonongeka kuti likhale loyenera pamene likuchiritsa.

Kodi chokonzera chakunja chimagwiritsidwa ntchito chiyani?

Chipangizo chokonzekera chakunja chingagwiritsidwe ntchito kuti mafupa osweka akhazikike komanso agwirizane. Chipangizocho chikhoza kusinthidwa kunja kuti chitsimikizire kuti mafupa amakhalabe pamalo abwino panthawi ya machiritso. Chipangizochi chimagwiritsidwa ntchito kwambiri kwa ana komanso pamene khungu pa fracture lawonongeka.

Ndi mitundu yanji ya fixator yakunja?

Pali mitundu itatu yoyambira yazitsulo zakunja: wokhazikika uniplanar fixator, ring fixator, ndi hybrid fixator.

Zida zambiri zomwe zimagwiritsidwa ntchito pokonza mkati zimagawidwa m'magulu angapo: mawaya, mapini ndi zomangira, mbale, ndi misomali kapena ndodo za intramedullary.

Zomangamanga ndi zomangira zimagwiritsidwanso ntchito nthawi zina pa osteotomy kapena fracture fixation. Mafupa amtundu wa autogenous, allografts, ndi mafupa amtundu wa mafupa amagwiritsidwa ntchito kawirikawiri pofuna kuchiza matenda a mafupa pazifukwa zosiyanasiyana. Pa zothyoka zomwe zili ndi kachilombo komanso pochiza matenda a mafupa, mikanda yolimbana ndi maantibayotiki imagwiritsidwa ntchito pafupipafupi.

Kukonzekera kwa mphete kwa Tibial & Femur Fracture: Chidule

Kuphulika kwa tibia ndi femur kungakhale kovuta kuchiza, ndipo njira zachikhalidwe zokonzekera monga mbale ndi zomangira kapena misomali ya intramedullary sizingapereke zotsatira zokhutiritsa nthawi zonse. M'zaka zaposachedwa, kugwiritsa ntchito mphete zopangira mphete kwakhala kotchuka kwambiri pochiza zovuta za tibial ndi femur fractures. Nkhaniyi ikufuna kupereka chithunzithunzi chokwanira cha ma ring fixator, zisonyezo zawo, njira ya opaleshoni, ndi zotsatira zake.

Kodi Ring Fixator ndi chiyani?

Chokonzera mphete ndi chipangizo cholumikizira kunja chomwe chimakhala ndi mphete zachitsulo zolumikizidwa ndi ndodo, mawaya, kapena zomangira. Mphetezo zimatetezedwa ku fupa ndi zikhomo kapena mawaya omwe amalowa pakhungu ndikumangirira ku fupa. Chipangizocho chimapanga chimango chokhazikika kuzungulira chiwalo chomwe chimalola kuwongolera bwino momwe zidutswa za fupazo zilili komanso momwe zimayendera. Kukhazikika kwa chimango kumalola kusonkhanitsa koyambirira ndi kulemera, zomwe zimapangitsa kuti machiritso afulumire komanso zotsatira zabwino.

Zizindikiro za Ring Fixators

Zokonzera mphete zimasonyezedwa kwa mitundu yambiri ya tibial ndi femur fractures, kuphatikizapo fractures yotseguka, yopanda mgwirizano, malunions, ndi fractures ndi kuvulala kwakukulu kwa minofu yofewa. Zimakhalanso zothandiza pazochitika zomwe njira zachikhalidwe zowonongeka sizingatheke kapena zalephera. Kuphatikiza pa kugwiritsidwa ntchito kwawo pakusweka, zowongolera mphete zimagwiritsidwanso ntchito pakutalikitsa miyendo ndi kukonza zolakwika.

Njira Yopangira Opaleshoni

Kuyika kwa mphete yokonza mphete ndi njira yovuta yomwe imafuna kukonzekera mosamala ndi kuchitidwa mosamala. Opaleshoniyo imachitidwa pansi pa anesthesia wamba kapena anesthesia ya msana, ndipo wodwalayo amaikidwa pamtunda kapena pambali malinga ndi malo ophwanyika. Zikhomo kapena mawaya amalowetsedwa mosadukiza kapena kudzera m'magawo ang'onoang'ono, ndipo mphete zimamangiriridwa kwa iwo. Mawayawa amamangika kuti apereke bata ndi kuponderezana kwa malo ophwanyika. Pambuyo pa kuyika kwa chimango, kugwirizanitsa kwa nthambi kumafufuzidwa ndikusinthidwa ngati kuli kofunikira. Pambuyo pa opaleshoni, wodwalayo akulimbikitsidwa kuti ayambe kulimbikitsana koyambirira ndi kulemera monga momwe amalekerera.

Zovuta

Zovuta zomwe zimagwirizanitsidwa ndi zokonzera mphete zimaphatikizapo matenda a pin tract, kusweka kwa waya kapena pini, kuuma kwamagulu, ndi kuvulala kwa mitsempha. Kuchuluka kwa zovuta kumatha kuchepetsedwa poyika mapini moyenera, kukanikizana koyenera kwa mawaya, ndi chisamaliro chanthawi zonse cha malo a pini. Zochitika zazovuta zazikulu ndizochepa, ndipo zambiri zimatha kuyendetsedwa mosamalitsa kapena ndi njira zosavuta zopangira opaleshoni.

Zotsatira

Okonza mphete awonetsa zotsatira zabwino kwambiri pochiza zovuta za tibial ndi femur fractures. Amalola kulemera koyambirira, kumabweretsa kuchira msanga komanso zotsatira zabwino zogwira ntchito. Kafukufuku wasonyeza kuti zokonzera mphete zimakhala ndi chiwongola dzanja chokwera kwambiri, chiwopsezo chochepa cha matenda, komanso magwiridwe antchito ochepera poyerekeza ndi njira zachikhalidwe zokonzera.

Mapeto

Zokonzera mphete ndi chida chamtengo wapatali chochizira zovuta za tibial ndi femur fractures. Amapereka kukhazikika kokhazikika, kuwongolera kolondola, komanso kulola kulimbikitsana koyambirira komanso kulemera. Ngakhale kuti kuika mphete ndi njira yovuta, zotsatira zake zimakhala zabwino kwambiri, zokhala ndi zovuta zochepa poyerekeza ndi njira zachikhalidwe zokonzekera.

FAQs

1. Kodi chokonzera mphete ndi chowawa?

Ngakhale kuikidwa kwa mphete yokonza mphete kungayambitse kupweteka ndi kupweteka, kuwongolera ululu ndi gawo lofunikira la dongosolo la chisamaliro cha postoperative.

1. Kodi chokonzera mphete chimakhala nthawi yayitali bwanji?

Zokonzera mphete zimakhala m'malo kwa milungu isanu ndi umodzi kapena isanu ndi itatu, kenako zimachotsedwa m'njira yosavuta yopita kunja.

1. Kodi ndingasamba ndi chokonzera mphete?

Kusamba ndi mphete yokonza mphete ndizotheka ndi kusamala koyenera. Phimbani chimangocho ndi chivundikiro chopanda madzi kapena thumba lapulasitiki kuti chiwume.