Arthrodezi ya Wrist Ifunze Ifunga: Icyerekezo Cyuzuye

Arthrodesis yo mu ntoki ni uburyo bwo kubaga bugamije guhuza amagufwa y'intoki hamwe, gukuraho ingendo no kugabanya ububabare. Arthrodesis ya Wrist ikunze gukorwa kubarwayi barwaye rubagimpande zikomeye, ibikomere, cyangwa kubagwa amaboko. Muri iki kiganiro, tuzaganira ku ikoreshwa rya plaque zifunga intoki za arthrodez, inzira ubwayo, inzira yo gukira, nibibazo bishobora kuvuka.

Gusobanukirwa Wrist Arthrodesis

Wrist Arthrodesis ni iki?

Arthrodesis ya Wrist nuburyo bwo kubaga burimo guhuza amagufwa yintoki hamwe. Intego yuburyo ni ugukuraho ingendo hamwe no kugabanya ububabare. Arthrodezi irashobora gukorerwa kumurongo uwo ariwo wose wintoki, harimo radiocarpal, intercarpal, na carpometacarpal.

Kuki Wrist Arthrodesis ikorwa?

Indwara ya arthrodezi isanzwe ikorwa kubarwayi barwaye rubagimpande zikomeye, ibikomere, cyangwa kubagwa intoki. Arthrodesis irashobora kandi gusabwa abarwayi bafite ibibazo bimwe na bimwe bavukanye, nk'ubumuga bwa Madelung cyangwa indwara ya Kienbock.

Ni izihe nyungu za Wrist Arthrodesis?

Inyungu nyamukuru ya arthrodesis yintoki ni kugabanya ububabare. Muguhuza amagufwa hamwe, ingingo irahagarara kandi ububabare buragabanuka. Arthrodesis irashobora kandi kunoza imbaraga zo gufata hamwe nimikorere yintoki mubihe bimwe.

Ni izihe ngaruka za Wrist Arthrodesis?

Ingaruka nyamukuru ziterwa na arthrodesis yintoki ni kudahuza (aho amagufwa yananiwe guhurira hamwe), malunion (aho amagufwa ahurira mumwanya muto), no kwandura. Byongeye kandi, arthrodezi yintoki irashobora kugabanya intera yintoki kandi ikagira ingaruka kumikorere rusange.

Gukoresha Gufunga Amasahani muri Wrist Arthrodesis

Gufunga ibyapa ni iki?

Gufunga amasahani ni orthopedic yatewe mugukomeza amagufwa mugihe cyo gukiza kuvunika cyangwa guhuza hamwe. Gufunga amasahani bifite igishushanyo cyihariye kibemerera guhuza igufwa muburyo amasahani gakondo atabikora.

Kuki gufunga amasahani akoreshwa muri Wrist Arthrodesis?

Gufunga amasahani akoreshwa kenshi muntoki ya arthrodezi kuko itanga ituze ryiza ugereranije namasahani gakondo. Ibi ni ingenzi cyane cyane kubarwayi bafite ubumuga bwamagufwa, kuko amasahani yo gufunga ashobora kugera kuri ibyo bihe aho amasahani gakondo adashobora.

Nigute Gufunga ibyapa bikoreshwa muri Wrist Arthrodesis?

Mugihe cyo kubaga intoki arthrodesis, amagufwa yintoki yateguwe kugirango ahuze. Amagufwa amaze guhuzwa neza, isahani yo gufunga ishyirwa hejuru yamagufa hanyuma igashyirwa ahantu. Imiyoboro ikoreshwa mugufunga isahani yagenewe guhuza igufwa muburyo imigozi gakondo idashobora.

Ni izihe nyungu zo gukoresha amasahani yo gufunga muri Wrist Arthrodesis?

Gukoresha amasahani yo gufunga intoki arthrodesis afite ibyiza byinshi, harimo kongera umutekano, kugabanya ibyago byo kurekura imigozi, hamwe nubushobozi bwo kugera kubikosora mugihe habaye amagufwa mabi.

Uburyo bwa Wrist Arthrodesis

Gutegura mbere yo gutangira

Mbere yo kubaga intoki arthrodesis, umuganga wawe azakora isuzuma ryuzuye ry'ukuboko kwawe n'ubuzima muri rusange. Ibi birashobora kubamo X-imirasire, CT scan, cyangwa MRI scan kugirango umenye urugero rwa rubagimpande cyangwa izindi miterere.

Anesthesia

Kubaga arthrodesis kubagwa mubisanzwe bikorwa muri anesthesia rusange. Rimwe na rimwe, anesthesi yaho hamwe na sedation irashobora gukoreshwa.

Gutemagura no Kumurika

Umuganga abaga azakomeretsa ku kuboko kugira ngo agaragaze amagufwa. Uruhu nuduce tworoshye biratandukanijwe neza kugirango bigere ku kuboko.

Gutegura amagufwa

Amagufwa yingingo yintoki yateguwe kugirango ahuze akuremo karitsiye kandi ahindure amagufwa kugirango ahuze neza. Umuganga abaga ashobora gukoresha amagufwa kugirango afashe mugikorwa cyo guhuza.

Gushyira Isahani no Gukosora

Amagufwa amaze gutegurwa, isahani yo gufunga ishyirwa hejuru yamagufwa hanyuma igashyirwa ahantu. Imiyoboro ikoreshwa mugufunga isahani yagenewe guhuza igufwa muburyo imigozi gakondo idashobora.

Gufunga

Isahani hamwe nimigozi bimaze kuboneka, gutema bifunze hamwe na suture cyangwa staples. Ikibiriti cyangwa ibice bishobora gukoreshwa mukuboko kugirango bifashe mugukiza.

Inzira yo Kugarura

Kwitaho nyuma yo kubagwa

Nyuma yo kubagwa intoki arthrodesis, uzakurikiranirwa hafi mubitaro ibimenyetso byose byerekana ibibazo. Urashobora guhabwa imiti yububabare na antibiotike kugirango wirinde kwandura.

Immobilisation

Ukuboko kuzahagarikwa mumashusho cyangwa kumara ibyumweru byinshi kugirango bikire neza. Ubuvuzi bwumubiri bushobora gusabwa gufasha mugukiza.

Garuka mubikorwa bisanzwe

Abarwayi benshi barashobora kwitega gusubira mubikorwa bisanzwe mumezi atatu kugeza kuri atandatu nyuma yo kubagwa. Ariko, birashobora gufata igihe cyumwaka kugirango igufwa rihuze hamwe kandi ukuboko gukire neza.

Ibishobora kubaho

Ubumwe

Kudahuza ni ingorane zishobora gutera arthrodezi yintoki, aho amagufwa yananiwe guhurira hamwe neza. Ibi birashobora gusaba kubagwa byongeye kugirango bikosorwe.

Malunion

Malunion ni ingorane zishobora gutera arthrodezi yintoki, aho amagufwa ahurira mumwanya muto. Ibi birashobora gutuma imikorere yintoki igabanuka cyangwa ububabare.

Indwara

Kwandura nibishobora kugorana muburyo ubwo aribwo bwose bwo kubaga. Ibimenyetso byanduye birimo gutukura, kubyimba, kugira umuriro, no kongera ububabare.

Umwanzuro

Arthrodesis ya Wrist nuburyo bwo kubaga bugamije guhuza amagufwa yintoki hamwe, kugabanya ububabare no kunoza imikorere yintoki. Gukoresha amasahani yo gufunga intoki arthrodesis bitanga ituze ryiza ugereranije namasahani gakondo, bigatuma ihitamo neza kubarwayi bafite amagufwa mabi. Ariko, kimwe nuburyo ubwo aribwo bwose bwo kubaga, hari ingaruka zishobora kuvuka hamwe ningorane zigomba kuganirwaho na muganga wawe.