Arthrodesis yintoki zifunze Plate Plate: Igitabo cyuzuye

Arthrodesis yintoki ni inzira yo kubaga igamije guhagarika amagufwa hamwe, gukuraho kugenda no kugabanya ububabare. Wrist Arthrodesis ikunze gukorwa mubarwayi bafite urujini rukabije rwa rubagimpande, ibikomere bibabaje, cyangwa kubaga byatsinzwe. Muri iki kiganiro, tuzaganira ku gukoresha amasahani yo gufunga mu kuboko arthrodesis, inzira ubwayo, inzira yo gukira, n'ibishobora.

Gusobanukirwa Worts ArthroDis

Ni ubuhe butumwa arthrodesis?

Wrist Arthrodesis ni inzira yo kubaga irimo guhuza amagufwa yintoki hamwe. Intego yuburyo ni ugukuraho umutwe uhuriweho no kugabanya ububabare. Arthrodesis irashobora gukorwa kumwanya uwo ariwo wose ku kuboko, harimo na radiocarpal, intercarpal, hamwe na carpomecarpal ingingo.

Kuki kuboko arthrodesis yakoze?

Wrist Arthrodesis ikorerwa mubarwayi bafite urujini rukabije rwa rubagimpande, ibikomere bibabaje, cyangwa kubaga kubyatsi byatsinzwe. ArthroDisis irashobora kandi gusabwa kubarwayi mubihe bimwe na bimwe byumvikanye, nkindwara za Madlung cyangwa indwara za Kienbock.

Ni izihe nyungu z'intwari arthrodesisis?

Inyungu nyamukuru yintwari arthrodesisi ni ukugabanya ububabare. Muguhuza amagufwa hamwe, ingingo irahamye kandi ububabare iragabanuka. Arthrodesis irashobora kandi kunoza imbaraga nimikorere yintoki mugihe runaka.

Ni izihe ngaruka z'inkinzi arthrodesis?

Ingaruka nyamukuru za arthrodesis ntabwo zidahujije (aho amagufwa yananiwe guhunga hamwe), malunion (aho amagufwa agura mumwanya wa subofimal), no kwandura. Mubyongeyeho, ukuboko kwa Arthrodesis birashobora kugabanya urwego rwimbere kandi bigira ingaruka kumikorere muri rusange.

Gukoresha amasahani yo gufunga mukiboko arthrodesis

Isahani yo gufunga ni iki?

Gufunga amasahani ni amagufwa akoreshwa muguhagarika amagufwa mugihe cyo gukiza cyangwa guhuriza hamwe. Isahani yo gufunga ifite igishushanyo kidasanzwe kibafasha kwishora mu magufa muburyo amasahano gakondo atabikora.

Kuki gufunga amasahani bikoreshwa mumaboko ya arthrodesis?

Gufunga ibyapa bikunze gukoreshwa mumaboko ya arthrodesis kuko batanga ituze ryisumbuye ugereranije nisahani gakondo. Ibi ni ngombwa cyane cyane kubarwayi bafite amagufwa mibi, nko gufunga amasahani birashobora kugera ku gukosora muri ibi bihe bya plaque bidashobora.

Nigute amasahani yo gufunga ikoreshwa mumaboko ya arthrodesis?

Mugihe cyo kubaga arthrodesis, amagufwa yintoki yiteguye guhuza. Amagufwa amaze guhuza neza, isahani yo gufunga ihagaze hejuru yamagufa kandi igahinduka ahantu. Imiyoboro ikoreshwa mugufunga isahani yagenewe kwishora hamwe nigufwa muburyo imigozi gakondo idashobora.

Ni izihe nyungu zo gukoresha amasahani yo gufunga mu kuboko arthrodesis?

Gukoresha amasahani yo gufunga mukiboko arthrodesis bifite inyungu nyinshi, harimo imbaraga zo kwiyongera, kugabanya ibyago byo kwikuramo intsinzi, nubushobozi bwo kugera kubikosora mugihe cyubwiza bwamagufwa.

Uburyo bwa Arthrodesis

Igenamigambi

Mbere yo kubaga arthrodesis, umuganga wawe azakora isuzuma ryinshi ryintoki kandi muri rusange. Ibi birashobora kubamo x-imirasire, ct scan, cyangwa mr scan kugirango isuzume urugero rwa arthritis yawe cyangwa ibindi bintu.

Anesthesia

Kubaga Arthrodesis mubisanzwe bikorwa munsi ya anesthesia rusange. Rimwe na rimwe, anesthesia yaho hamwe na stination irashobora gukoreshwa.

Gutemagurika no kwerekana

Umuganga ubaga azatemagurira ku kuboko kugirango agaragaze amagufwa. Uruhu nuburyo bworoshye ntibukwirakwizwa neza kugirango ugere ku rutoki.

Gutegura amagufwa

Amagufwa yintoki yiteguye kwitegura guhuza no gukuraho karitsiye no guhindura amagufwa guhuza neza. Umuganga ubaga arashobora gukoresha amagufwa kugirango afashe mubikorwa bya Fusion.

Gushyira ahagaragara no gukosora

Amagufwa amaze guterwa, isahani yo gufunga ihagaze hejuru yamagufa kandi igahinduka ahantu. Imiyoboro ikoreshwa mugufunga isahani yagenewe kwishora hamwe nigufwa muburyo imigozi gakondo idashobora.

Gufunga

Isahani n'imigozi birahari, gutema byafunze hamwe na sutures cyangwa staples. Igitero cyangwa igitero gishobora gukoreshwa ku kuboko gutabara mubikorwa byo gukira.

Inzira yo kugarura

Kwitaho nyuma yo kwitabwaho

Nyuma yo kubaga arthrodesis, uzakurikiranirwa hafi mubitaro kubimenyetso byose. Urashobora guhabwa imiti yububabare na antibiyotike kugirango birinde kwandura.

Impumuro

Ukuboko kuzabura mu gihingwa cyangwa kubyumweru byinshi kugirango wemererwe gukira neza. Kuvura umubiri birashobora gusabwa gufasha mu gukira.

Garuka mubikorwa bisanzwe

Abarwayi benshi barashobora kwitega gusubira mubikorwa bisanzwe mugihe cyamezi atatu kugeza kuri atandatu nyuma yo kubagwa. Ariko, birashobora gufata umwaka mumagufwa kugirango uhuze byuzuye hamwe kandi kuntoki kugirango ukire byuzuye.

Ingorabahizi

Kudahuza

Ntabwo ari ubumwe nigishobora kugorana kwikiboko arthrodesis, aho amagufwa yananiwe guhungabanya neza. Ibi birashobora gusaba kubaga izindi kubaga gukosora.

Malunion

Malnion ni ikibazo gishobora kuba ingorabahizi ya arthrodesis, aho amagufwa afunze mumwanya wa suborimal. Ibi birashobora kuvamo kugabanya imikorere cyangwa ububabare.

Kwandura

Kwandura ni ibishobora gukemura inzira iyo ari yo yose yo kubaga. Ibimenyetso byo kwandura birimo umutuku, kubyimba, umuriro, no gukababaro.

Umwanzuro

Wrist Arthrodesis nuburyo bwo kubaga bugamije guhagarika amagufwa hamwe, kugabanya ububabare no kuzamura imikorere yimyandikire. Gukoresha amasahani yo gufunga mukiboko arthrodesis bitanga umutekano mukuru ugereranije nisahani gakondo, bigatuma ari uburyo bwiza kubarwayi bafite amagufwa make. Ariko, kimwe nuburyo bwo kubaga, hariho ingaruka nibibazo bigomba kuganirwaho nuwamugaye.