Kutagira imitwe idahwitse

Ni ubuhe buryo butagira umutwe wo kwikuramo imitekerereze?

Imitekerereze itagira umutwe ya screw ni inzitizi zikoreshwa mugukosora scaphoid. Umukiriya winjiza kugoreka urubuga mbere yo kubarwa munsi yubuso bwa Articular.

Ibitekerezo bitagira ingano

Umukinnyi udasanzwe utagira amatara: umuyobozi wuzuye

Kuvunika ni ibintu bisanzwe, kandi birashobora kubaho kubantu bose, igihe icyo aricyo cyose. Kubwamahirwe, iterambere ryikoranabuhanga ryubuvuzi ryanyoroheye gufata ibikomere nkibi. Kimwe mu bisubizo bishya cyane ni ugukoresha imiyoboro ya compression idafite ishingiro (chcs). Muri iki kiganiro, tuzatanga ibisobanuro byuzuye kubintu byose ukeneye kumenya kuri CHCs.

Imbonerahamwe

1. Ni ubuhe buryo butagira imitekerereze itagira ingano?

2. Amateka niterambere ryimigozi idahwitse

3. Ubwoko bwimigozi idahwitse

4. Ibimenyetso kugirango ukoreshe imitwe idahwitse itagira ingano

5. Tekinike yo kubaga kubikoresho bidafite imitwe idahwitse

6. Ibyiza byimigozi idahwitse itagira ingano

7. Ingorane n'ibishobora

8. Kwitaho kwa nyuma no gusubiza mu buzima busanzwe

9. Ubushakashatsi n'ubushakashatsi

10. Umwanzuro

11. Ibibazo

1. Ni ubuhe buryo butagira ingano ya scoreque?

Umuyoboro utagira ingano udasanzwe (CHCS) ni ubwoko bwa screw bukoreshwa mubusambwa bwo kubaga amagufwa kugirango ukosore imivurungano. Yashizweho kugirango itange ikosorwa rihamye kuruta imigozi gakondo mugihe cyo kugabanya ibyago byo kwangiza imyenda yoroshye.

Bitandukanye na screw gakondo, bifite umutwe wigituba ushobora gusohoka mumagufwa, imigozi ya CHCS idafite imitwe itagira umutwe, bivuze ko badafite umutwe ugaragara. Ahubwo, bafite iherezo ryakabutse ribuza kurubuga, guteza imbere amagufwa gukira.

Imigozi ya CHCs irashoboye, bivuze ko bafite ikigo. Ibi bituma kwinjiza insinga ziyobora, bifasha kuyobora plarec neza mumagufwa.

2. Amateka n'iterambere ryimigozi idahwitse

Gukoresha imigozi yo kwikuramo kuvura amatariki yagarutse mu ntangiriro z'ikinyejana cya 20. Icyakora, ntabwo bwari impeshyi yatujwe.

Gutezimbere imitwe ya CHCs byari iterambere rikomeye kuvura, kuko byagabanije ibyago byo kwangirika kworoheje kandi bigatanga umusaruro uhamye. Kuva imishinga yabo, imigozi ya CHCs yarushijeho kubaga kubumbwa.

3. Ubwoko bwimitwe idahwitse itagira ingano

Hariho ubwoko butandukanye bwa chcs screws ihari, harimo:

• Imigozi yuzuye

• Igice cy'inkweto

• Imigozi yo kwigumisha

• Kwikubita hasi

Buri bwoko bwa screw afite ibyiza nibibi, kandi guhitamo imitekerereze bizaterwa nurubanza runaka.

4. Ibimenyetso kugirango ukoreshe imigozi ya compression idafite umutwe

Imigozi ya CHCs ikoreshwa mukuvura amagufwa maremare, nka femur, Tibia, na Humerusi. Ni ingirakamaro cyane mu kuvura imivurungano, nkuko batanga ikosora rihamye kuruta imigozi gakondo.

Imigozi ya CHCs nayo ikoreshwa mugufata amaturi (kuvugurura ntabwo yakize) hamwe namasamico (kuvunika byakize nabi).

5. Ubuhanga bwo kubaga kubikoresho bidafite imitwe idahwitse

Ubuhanga bwo kubaga bwo kwinjiza imigozi ya CHCs burimo intambwe zikurikira:

1. Igenamigambi ryambere, harimo Ibyigisho byo kumenya aho nukaba uvunika

2. Anesthesia no gushyira umurwayi

3. Kwinjiza insinga iyobora mumagufwa, ukoresheje ubuyobozi

4. Gukanda igufwa kugirango ukore inzira ya screw

5. Kwinjiza Screw Screw kubera insinga, guhagarika urubuga

6. Kugenzura uburyo bukwiye ukoresheje Ibyigisho

6. Ibyiza byimigozi idahwitse

Imigozi ya CHCS itanga ibyiza byinshi hejuru yimigozi gakondo nubundi buryo bwo gukosora. Zimwe muri izo nyungu zirimo:

1. Kugabanya ibyago byo kwangirika kworoheje: Imigozi ya CHCs nta magarafi itagira umutwe, igabanya ibyago byo kwangirika kuri tissuesa yoroshye.

2. Kongera umutekano: imigozi ya CHCs itanga ibintu bihamye kuruta imigozi gakondo, bigabanya ibyago byo kunanirwa kw'ibikoresho kandi bikenewe kubagwa.

3. Gutera byinshi: Gukoresha imitwe ya CHCS nigikoresho giteye ubwoba, kikaba gishobora kuganisha ku gutiza byihuse no gukira.

4. Urutonde rwinshi rwo kugenda: Ingano ntoya yimigozi ya chc yemerera inzira nini yo kugenda ugereranije nubundi buryo bwo gukosora.

5. Kugabanya ibyago byo kwandura: Ikigo cyijimye cya chts cyemerera kuhira neza no kugabanya ibyago byo kwandura.

7. Ingorane zishobora no kuzamuka

Kimwe nuburyo bwo kubaga, gukoresha imitwe ya CHCs bitwara ingaruka zimwe nibishobora. Bimwe muribi birimo:

1. Kunanirwa kw'ibyuma: Imiyoboro ya CHCs irashobora kumeneka cyangwa kurekura mugihe, biganisha kubikenewe kubagwa.

2. Ubujyakuzimu: Gushyira nabi imigozi ya CHCs birashobora kuvamo gukira bidakwiye cyangwa kwangiza imiterere.

3. Indwara: Nubwo ari gake, gukoresha imigozi ya chc birashobora kuganisha ku kwandura.

4. Imitsi cyangwa ibyangiritse byangiritse: Gushyira imitwe ya CHCS hafi yimitsi cyangwa imiyoboro y'amaraso birashobora kuganisha ku byangiritse.

5. Ibisubizo bya Allergic: Mubibazo bidasanzwe, abarwayi barashobora kugira reaction ya allergique kubikoresho bikoreshwa mumigozi ya CHCS.

8. Kurera nyuma yo kurera no gusubiza mu buzima busanzwe

Kwitaho nyuma yo kurera no gusubiza mu buzima busanzwe bigira uruhare rukomeye mu gutsinda kwa CHCs. Abarwayi bazasabwa kwirinda ibirori byo kwikorera ibiro byibasiwe kandi bazakenera kuvura kumubiri kugirango bagarure imbaraga no kugenda.

Mubisanzwe gusana mubisanzwe bitangira ibyumweru bike nyuma yo kubagwa kandi birashobora kumara amezi menshi, bitewe n'uburemere bwo kuvunika.

9. Ubushakashatsi n'ubushakashatsi

Ubushakashatsi bwinshi bwa clinical bwerekanye imikorere ya screws ya chc mugufata ibirunga. Ubushakashatsi bumwe bwasohotse mu kinyamakuru orthopedic ihahamuka byasanze imigozi ya CHC yatanze ikosora neza kandi ikanoza umusaruro ugereranywa ugereranije n'imigozi gakondo.

Ubundi bushakashatsi bwasohotse mu kinyamakuru cy'amagufwa no kubaga ihuriweho byasanze gukoresha imigozi ya CHCs byavuyemo igipimo cyo hejuru cyo kuvunika ugereranije n'undi buryo bwo gukosora.

10. UMWANZURO

Imigozi itagira ingano idafite umutwe nigikoresho cyingenzi mu kuvura ibivunika. Batanga ibyiza byinshi hejuru yimigozi gakondo nubundi buryo bwo gukosora kandi bwerekanwe kugirango bukore neza mubushakashatsi bwa kavukire.

Kimwe nuburyo bwo kubaga, hari ingaruka nibishobora kuba bifitanye isano no gukoresha imigozi ya CHCS. Ariko, iyo ikoreshejwe neza, irashobora kuganisha ku bihe byo gukiza byihuse, byagabanijwe ibyago byo kwandura, no kuzamura indwara ziyirwa.

11. Ibibazo

1. Bifata igihe kingana iki kugirango ukire muri CHCS kubaga?

Igihe cyo gukira kiratandukanye bitewe nuburemere bwimivurungano nibindi bintu byihariye. Ariko, abarwayi benshi barashobora kwitega gutangira gusubiza mu buzima busanzwe ibyumweru bike nyuma yo kubagwa kandi barashobora kwitega ko baza kunoza amezi menshi.

1. SHCS irashobora gukurwaho?

Rimwe na rimwe, imigozi ya CHCS irashobora gukurwaho niba itera ububabare cyangwa izindi ngorane. Ariko, iki cyemezo kigomba gukorwa mugisha inama umuganga.

1. Imigozi ya chcs yatwikiriwe nubwishingizi?

Gahunda nyinshi yubwishingizi ikubiyemo ikiguzi cya screws ya chc mugihe bifatwa nkibikenewe mubuvuzi.

1. Ni ibihe bikoresho imigozi ya CHCS ikozwe?

Imiyoboro ya CHCs isanzwe ikozwe muri titanium cyangwa ibyuma bidafite ingaruka.

1. Hoba hariho ibibujijwe kubikorwa nyuma yo kubaga CHCS?

Ubusanzwe abarwayi bazasabwa kwirinda ibirori byo kwikorera ibirenge byatewe nyuma yibyumweru byinshi nyuma yo kubagwa. Ukurikije ubukana bwivunika, ibindi bibuza birashobora gukoreshwa, kandi abarwayi bagomba gukurikiza amabwiriza yabaganga kugirango bakire.