2/3 Gukosora Impeta Kubice bya Tibial & Femur

Intego y'ibanze yo gukosora kuvunika ni uguhagarika igufwa ryavunitse, kugirango rishobore gukira vuba amagufwa yakomeretse, no kugaruka hakiri kare n'imikorere yuzuye yibikomere.

Gukosora hanze ni tekinike ikoreshwa mu gufasha gukiza amagufwa yavunitse cyane. Ubu bwoko bwo kuvura amagufwa burimo kurinda kuvunika hamwe nigikoresho cyihariye cyitwa fixator, kiri hanze yumubiri. Ukoresheje imigozi idasanzwe yamagufa (bakunze kwita pin) inyura muruhu n imitsi, uwakosoye ahujwe namagufa yangiritse kugirango akomeze guhuza neza nkuko akiza.

Niki gikosora hanze ikoreshwa?

Igikoresho cyo gutunganya hanze gishobora gukoreshwa kugirango amagufa yamenetse ahamye kandi ahuze. Igikoresho kirashobora guhindurwa hanze kugirango amagufwa agume mumwanya mwiza mugihe cyo gukira. Iki gikoresho gikunze gukoreshwa mubana kandi mugihe uruhu hejuru yimvune rwangiritse.

Ni ubuhe bwoko bwo gukosora hanze?

Hariho ubwoko butatu bwibanze bwo gutunganya ibintu hanze: gutunganya uniplanar isanzwe, gukosora impeta, hamwe na Hybrid fixator.

Ibikoresho byinshi bikoreshwa mugukosora imbere bigabanijwemo ibyiciro bike: insinga, pin na screw, amasahani, imisumari cyangwa inkoni.

Staples na clamp nazo zikoreshwa rimwe na rimwe mugukosora osteotomy cyangwa kuvunika. Autogenous bone grafts, allografts, hamwe ninsimburangingo zamagufwa zikoreshwa kenshi mukuvura inenge zamagufa zimpamvu zitandukanye. Kuvunika kwanduye kimwe no kuvura indwara zamagufwa, amasaro ya antibiotique akoreshwa kenshi.

2/3 Gukosora Impeta ya Tibial & Femur Kumeneka: Ubuyobozi Bwuzuye

Ivunika rya tibia na femur rirashobora gukomeretsa intege bisaba ubuvuzi bwihuse kandi bukwiye kugirango ukire neza kandi ukire. Bumwe mu buryo bwiza bwo kuvura ni ugukoresha 2/3 ikosora impeta, ubwoko bwo gukosora hanze butanga ituze kumagufwa yanduye mugihe yemerera guhuza neza no gukira. Muri iki kiganiro, tuzasesengura imikoreshereze ya 2/3 ikosora impeta yo kuvunika tibial na femur, harimo inyungu zayo, ingaruka, nuburyo ikoreshwa.

Incamake ya 2/3 Ikosora Impeta

2/3 ikosora impeta nigikoresho kigizwe nimpeta ebyiri zumuzingi zizengurutse imirongo ibiri cyangwa itatu. Ikoreshwa muguhuza no guhuza ibice byamagufwa mugihe habaye kuvunika bigoye, cyane cyane birimo tibia na femur. Ikosora ikoreshwa hanze, bivuze ko ifatanye nibice byamagufwa hanze yumubiri, bigatuma gukira neza no guhuza.

Inyungu za 2/3 Gukosora Impeta

Gukoresha impeta ya 2/3 ikosora kuvunika tibial na femur bifite inyungu nyinshi, harimo:

• Iterambere ryiza: Ikosora itanga ituze ryiza kubice byamagufwa yibasiwe, bituma bihuza neza kandi bigakira.

• Kugabanya ibyago byo kwandura: Abakosora hanze ntibakunze gutera indwara ugereranije nibikoresho byo gutunganya imbere.

• Gukira vuba: Gukoresha impeta ya 2/3 birashobora kugabanya igihe gikenewe cyo gukira ugereranije nubundi buvuzi.

• Inkovu ntoya: Ikosora ikoreshwa hanze, bivuze ko hari bike kuri nta nkovu.

Ingaruka za 2/3 Gukosora Impeta

Mugihe 2/3 ikosora impeta muri rusange ifite umutekano kandi ikora neza, hari ingaruka zimwe zirimo, harimo:

• Kwandura: Nubwo ibyago byo kwandura ari bike ugereranije nibindi bikoresho, haracyari amahirwe yo kwandura.

• Kurekura pin cyangwa kumeneka: Amapine akoreshwa muguhuza igufwa kumagufa arashobora kugabanuka cyangwa kumeneka, bigatuma uwakosoye adahinduka.

• Kubabara no kutamererwa neza: Ukosora arashobora gutera ububabare no kutamererwa neza, cyane cyane mugihe cyo gusaba.

• Kugenda kugarukira: Ukosora arashobora kugabanya umuvuduko nibikorwa bya buri munsi.

Gushyira mu bikorwa 2/3

Gushyira mu bikorwa impeta ya 2/3 ni inzira igoye isaba ubuhanga bwinzobere mu buvuzi bwahuguwe. Dore incamake yintambwe zirimo:

Intambwe ya 1: Gutegura umurwayi

Mbere yo gusaba gukosora, umurwayi azakorerwa ibizamini byinshi byo gusuzuma, harimo X-ray na CT scan. Ibi bizafasha inzobere mu buvuzi kumenya urugero rwavunitse no gutegura uburyo bukwiye bwo kuvurwa.

Intambwe ya 2: Gushyira mugukosora

Inzobere mu buvuzi izakoresha ikosora mu gucukura amapine mu bice by'amagufwa no kuyahuza ku mpeta za fixator. Amapine yinjizwa mumagufwa binyuze mubice bito bikozwe muruhu.

Intambwe ya 3: Guhindura uwakosoye

Iyo uwakosoye amaze kuba, inzobere mu buvuzi azayihindura kugirango ihuze neza kandi ihamye. Ibi birashobora gusaba gukomera cyangwa kurekura pin cyangwa imirongo.

Intambwe ya 4: Gukurikirana no gukurikirana

Nyuma yo gukosora, umurwayi azakurikiranirwa hafi kubimenyetso byose byanduye cyangwa izindi ngorane. Inzobere mu buvuzi izakora kandi X-imirasire isanzwe kugirango ikire neza kandi ihuze.

Umwanzuro

2/3 ikosora impeta nuburyo bwiza bwo kuvura kuvunika tibial na femur, bitanga ituze no guhuza mugihe bigabanya ibyago byo kwandura no gukomeretsa. Mugihe hari ingaruka zimwe zirimo, muri rusange ziruta inyungu. Niba waravunitse kandi umuganga wawe agusaba gukosora impeta ya 2/3, ni ngombwa kuganira nabo ingaruka nibyiza hamwe no gukurikiza ubuyobozi bwabo kugirango babitaho neza kandi babikurikirane.

Ibibazo

1. Ikosora impeta ya 2/3 ikeneye kuguma mugihe kingana iki?

Uburebure bwigihe uwakosoye akeneye kuguma mumwanya biterwa nuburemere n’aho yavunitse. Irashobora kumara ibyumweru byinshi kugeza kumezi menshi.

1. Gukoresha impeta ya 2/3 bisaba kubagwa?

Oya, gusaba gukosora impeta ya 2/3 ntibisaba kubagwa. Bikoreshwa hanze kubice byamagufwa.

1. Ikosora irashobora gukurwaho nyuma yuko igufwa rimaze gukira?

Nibyo, uwakosoye arashobora gukurwaho nyuma yamagufwa amaze gukira. Mubisanzwe bikorwa munsi ya anesthesi yaho kandi ni inzira yoroshye.

1. Nigute nita kubakosora mugihe kiri mukibanza?

Ni ngombwa gukurikiza amabwiriza ya muganga yo kwita no kubungabunga ibikosorwa, harimo guhora ukora isuku no gukurikirana ibimenyetso byanduye.

1. Nzabasha gusubukura ibikorwa bisanzwe mugihe uwakosoye ari mukibanza?

Ushinzwe gukosora arashobora kugabanya kugenda no gukora ibikorwa bya buri munsi, ariko umuganga wawe azatanga ubuyobozi kubikorwa bifite umutekano kandi bikwiye mugihe uwabikosoye ahari.