Tibial intradellallary msomali: Njira yodalirika yothetsera tibial

Tibial fracratures, akukhudzanso shinone, amatha kusintha kwambiri komanso tsiku ndi tsiku. Kuchiza kwa zakumwa zoterezi kumafunikira kuganizira zinthu zosiyanasiyana, kuphatikiza mtundu wowonongeka, malo, ndi mikhalidwe yoleza mtima. Njira imodzi yopangira opaleshoni yomwe yatsimikiza m'zaka zaposachedwa ndikugwiritsa ntchito msomali wamkati. Nkhaniyi ikuwunikira zabwino, mwaukadaulo, zoopsa, komanso kuchira komwe kumayenderana ndi njirayi.

Chiyambi

Kununkhira kwa tibia kumatha kufooketsa, kumapangitsa kupweteka, kusakhazikika, komanso kumangoyenda. Njira zachikhalidwe zothandizira, monga kuponyera kapena kukhazikika kwakunja, kukhala ndi malire, kupangitsa kufufuza kwa zinthu zotsogola kwambiri ngati msomali wa intramulladulkalary intramillary.

Kodi msomali wamkati wa intramial?

Mkati wa tibial intramial intramillal ndi chipangizo chokhazikika kuti chikhazikike ndikulimbikitsa kuchiritsidwa kwa ma fracration mu shaft. Imakhala ndi ndodo yachitsulo yokhazikitsidwa pakatikati pa fupa, ndikuthandizira kukhazikika ndikuthandizira pakuchiritsa. Msomali nthawi zambiri amapangidwa ndi titanium kapena chitsulo chosapanga dzimbiri ndikubwera kumayiko osiyanasiyana kuti agwirizane ndi abwana omwe ali ndi odwala.

Zizindikiro za timial intradellal

Tibial intradlary misomali imagwiritsidwa ntchito pochiza matenda a tibial sharts. Amakhala othandiza kwambiri kwa zonunkhira zomwe zimafuna kukhazikika kokhazikika, monga zokongoletsedwa kapena zopangidwa. Njirayi ndi yofunikanso kwa milandu yokhala ndi mpweya wabwino kapena pomwe wolemera amafunidwa.

Njira yochitira opaleshoni ya timial intramial intradellary msomali

Kukonzekera

Kukonzekera kokwanira ndikofunikira kuti tigwiritse ntchito opaleshoni ya intramululal. Izi zimaphatikizaponso kuwunika kwathunthu kwa mawonekedwe a kuwonongeka, thanzi la wodwala, komanso kuvulala kulikonse. Njira Zoyesa Monga X-ray, CT Scans, kapena MRI ikhoza kugwiritsidwa 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 Fracraure ndikuthandizira kulowa mitayi.

Kukhazikika ndi kulowa

Kugwedezeka kumapangidwa pamalo opangira opaleshoni kuti mupeze fupa lowonongeka. Kutalika ndi komwe kumachitika kumadalira mtundu wa kuwonongeka ndi komwe amakhala m'mbali mwa Tibia. Kuthana ndi minofu yofewa ndikofunikira kuti muchepetse kuvutika ndikuchepetsa chiopsezo cha matenda.

Misomali

Pambuyo popanga malo olowera mu proximal tibia, dokotala wa opaleshoniyo mosamala imayikanso ti intravellaltallary misomali mu ngalande ya Medillary. Malangizo a Fluorooscopic amagwiritsidwa ntchito kuonetsetsa kuyika koyenera ndi kuphatikizidwa. Msomaliyo amapita patsogolo kudzera m'mafupa, kuwongolera zidutswa zilizonse zochotsa zidutswa ndikubwezeretsanso mgwirizano woyenera.

Kutseka zomata

Misomali ikakhala bwino, zomata zotsekedwa 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 za tibraal intradellallary msomali

Kugwiritsa ntchito tibial intramial intravellary kumapereka zabwino zambiri pa njira zachikhalidwe zothandizira mankhwala. Ena mwa phindu lalikulu limaphatikizapo:

1. Kukhazikika kokhazikika: msomali wa msomali umapereka mawonekedwe okhazikika, kulola kugwirizanitsidwa bwino ndi mgwirizano wa zidutswa za kuthwala.

2. Kupitirira kwa Lolaililization: msomali umapereka molimbika molawirira, kupangitsa odwala kuyamba ndi kuchita masewera olimbitsa thupi posachedwa poyerekeza ndi njira zina zochizira.

3. Kusungidwa kwa magazi: pogwiritsa ntchito ngalande ya intravedollary ya intramullallary, njira ya intramullallary misomali imachepetsa kusokonezeka kwa magazi, zomwe ndizofunikira kwambiri pakuchiritsa.

4. Kukonzanso zotsatira zoyendetsedwa: Ndi mawonekedwe okhazikika komanso olimbikitsa, odwala omwe adakumana ndi matenda a intramul a intradelulal nthawi zambiri amakumana ndi zotsatira zabwino ndikubwereranso ku zochitika za tsiku ndi tsiku.

5. Kuchepetsa chiopsezo cha minofu yofewa: Poyerekeza ndi njira zakunja zakunja, njira ya msomali ya intradollal imaphatikizapo kusokonezeka kocheperako ndikuchepetsa kusokonezeka kwa minofu ndi matenda ofewa.

   
   

Mavuto ndi Zoopsa

Pomwe opaleshoni intramial intradlallary nthawi zambiri imakhala yotetezeka komanso yothandiza, pamakhala zovuta komanso zoopsa zomwe zimakhudzana ndi njirayi. Ndikofunikira kudziwa izi musanalandire chithandizo. Mavuto ena ndi monga:

Kupasilana

Monga momwe zimachitidwa opaleshoni iliyonse, pamakhala chiopsezo cha matenda. Komabe, ndi njira zosatsutsika, ma antibiotic prohylaxis, komanso chisamaliro cha ntchito, chiopsezo chotenga kachilomboka chimatha kuchepa.

Kulangana kapena Njuchi

Nthawi zina, zidutswa za kuthyolako sizitha kuchiritsa munjira yofunikira kapena kulephera kuchiritsa kwathunthu. Zinthu zochepetsetsa zokwanira, zabwino kwambiri zamafupa, kapena zolemera kwambiri zimatha kupangitsa kuti ma alaling kapena osagwirizana nawo. Kuwunikira pafupi ndi kutero, ngati kuli kotheka, kulowererapo zowonjezera monga kukonzanso opaleshoni kungafunike.

Zovuta Zogwirizana

Ngakhale zovuta zokhudzana ndi zovuta, zowoneka bwino zimatha kuchitika, monga kumasula koyamwa, kusweka, kapena kukwiya. Izi zitha kufunikira opaleshoni inanso yochita opaleshoni ku adilesi.

Mitsempha kapena kuvulala kwa magazi

Panthawi yochita 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 tibial intradulary opaleshoni yamsonzi, pulogalamu yokwanira yokonzanso ndiyofunikira kuti muchiritsidwe. Dongosolo lokonzanso limatha kukhala yosiyanasiyana kutengera kuuma kwabwino, mikhalidwe wodwala, ndi dokotala wa opaleshoni. Zochita zoyambilira, zolemera zolemera, komanso mankhwalawa zimachita maudindo ofunikira pakubwezeretsa ntchito, kuwongolera mphamvu, ndikulimbikitsa machiritso.

Kafukufuku ndi nkhani zopambana

Anthu ambiri odwala adatuluka ndi zotsatira zopambana ndi opaleshoni intramululalulary. Mlandu umodzi Phunziro la wazaka 35 lomwe lili ndi shaflual shaft. Nditachita opaleshoni yambiri yokhala ndi msomali wa intramullallary, yemweyo adapeza mphamvu yolimba ya kuthwa, kuyambiranso kulemera, ndikubwerera ku gawo lawo lakale mkati mwa miyezi isanu ndi umodzi.

Kuyerekeza ndi njira zina zothandizira chithandizo

Mukamaganizira njira zothandizira tibraal, ndikofunikira kuyerekezera zabwino ndi malire a njira iliyonse. Ngakhale opaleshoni intramululalkalary imapereka zabwino zambiri, monga zokhazikika, kusunthira koyambirira, ndikuchepetsa minofu yofewa, siyingakhale yoyenera kusokonekera kulikonse kapena wodwala. Njira zina njira, monga kupanga kapena kukhazikika kwakunja, zitha kuzolowera nthawi zina. Kufunsira ndi katswiri wa Orthopedic kudzakuthandizani kudziwa njira yoyenera kwambiri yothandizira.

Mapeto

Pomaliza, tibial intradularlary opaleshoni yamkati ndi njira yodalirika komanso yothandiza ya matenda a tibial. Njirayi imapereka mawonekedwe okhazikika, imalola kulimbikitsa koyambirira, ndipo imapereka zabwino zambiri pa njira zachikhalidwe. Ngakhale kuti pali zoopsa ndi zovuta zomwe zimakhudzana ndi njirayi, kukonzekera koyenera, njira yoyeserera, komanso chisamaliro choyenera chimatha kuchepetsa nkhawa izi.