Icyapa cya Humeral Ikibaho (Ubwoko bwa Olecranon): Ibyo Ukeneye Kumenya
Isahani ya Distal Humeral Lateral (Ubwoko bwa Olecranon) ni isahani kabuhariwe ikoreshwa mu kubaga amagufwa kugira ngo ivure imvune zo mu nda ya kure na olecranon. Ubu bwoko bw'isahani bukoreshwa mugihe ubundi buryo bwo kubaga bwananiwe cyangwa budakwiriye umurwayi. Muri iki kiganiro, tuzaganira ku bimenyetso byerekana icyapa cya Distal Humeral Lateral (Ubwoko bwa Olecranon), anatomiya ya humerus ya kure na olecranon, uburyo bwo kubaga, gukira nyuma yo kubagwa no gusubiza mu buzima busanzwe, hamwe nibyiza nibibi byubwoko bwa plaque.
I. Intangiriro
Isahani ya Distal Humeral (Ubwoko bwa Olecranon) ni ubwoko bw'isahani ikoreshwa mu kubaga amagufwa yo kuvura kuvunika kw'imitsi ya kure na olecranon. Isahani yagenewe gutanga neza amagufwa yamenetse no kwemerera hakiri kare ingingo. Isahani ikozwe muburyo ihuza imiterere yamagufa, itanga ituze ryiza ninkunga.
II. Ibimenyetso byerekana intera ndende ya Humeral (Ubwoko bwa Olecranon)
Icyapa cya Humeral Lateral (Ubwoko bwa Olecranon) bwerekanwe kubintu bikurikira:
Ibice bya Humerus ya kure
Kuvunika kwa humerus kure birashobora kugorana kuvura kandi birashobora kuviramo uburwayi bukomeye iyo bidafashwe neza. Isahani ya Distal Humeral Lateral (Ubwoko bwa Olecranon) irashobora gukoreshwa mukuvura ibyo byavunitse, bitanga gukosorwa neza no kwemerera gukanguka hakiri kare.
Imvune za Olecranon
Ivunika rya Olecranon ni ibikomere bisanzwe bishobora guterwa no kugwa cyangwa guhahamuka ku nkokora. Isahani ya Humeral Lateral (Ubwoko bwa Olecranon) irashobora gukoreshwa mukuvura ibyo byavunitse, bitanga ituze ryiza ninkunga kubice byibasiwe.
Nonunions na Malunions
Nonunions na malunions ya humerus ya kure na olecranon birashobora kugorana kuvura. Icyapa cya Distal Humeral Lateral (Ubwoko bwa Olecranon) kirashobora gukoreshwa mugukosora ibi bihe, gutanga igisubizo gihamye hamwe ninkunga yibasiwe.
III. Anatomy ya Humerus ya kure na Olecranon
Mbere yo kuganira ku buryo bwo kubaga uburyo bwa Distal Humeral Lateral Plate (Ubwoko bwa Olecranon), ni ngombwa gusobanukirwa anatomiya ya humerus ya kure na olecranon.
Amagufwa hamwe ningingo zirimo
Humerus ya kure na olecranon nibice bigize inkokora. Indwara ya kure ni igice cyo hepfo yamagufa yo hejuru, mugihe olecranon nigufwa ryigaragaza inyuma yinkokora. Aya magufa agize urufatiro rwinkokora, rutuma guhindagurika no kwagura ukuboko.
Ligaments na Tendons Uruhare
Inkokora ifatanye ishyigikiwe na ligaments nyinshi. Ulnar ingwate ya ligament itanga ituze kumurongo wo hagati wigice, mugihe ingwate ya radial ingwate itanga ituze kumurongo wuruhande. Ikwirakwizwa rusange ryimyanya ndangagitsina hamwe na flexor tendon ihuriweho na epicondyles yo hagati na medial epicondyles ya humerus.
Gutanga Amaraso muri ako gace
Humerus ya kure na olecranon itangwa nimiyoboro ya brachial hamwe namashami yayo. Gutanga amaraso muri kariya gace ni ngombwa mugukiza neza nyuma yo kubagwa.
IV. Icyerekezo cya Humeral Icyapa (Ubwoko bwa Olecranon)
Uburyo bwo kubaga bwa Distal Humeral Lateral Plate (Ubwoko bwa Olecranon) burimo intambwe zikurikira:
Anesthesia
Umurwayi ahabwa anesthesia rusange cyangwa iyakarere, bitewe nuko umuganga abaga ndetse nuburwayi bwumurwayi.
Gutemagura
Uburebure bwa cm 10-12 bukozwe kuruhande rwinkokora, bugaragaza amagufa yamenetse hamwe nuduce tworoshye.
Kugabanya kuvunika
Amagufa yavunitse asubizwa yitonze kumwanya wambere wa anatomique ukoresheje ibikoresho byihariye.
Gushyira Isahani
Isahani ya Distal Humeral Lateral (Ubwoko bwa Olecranon) noneho igashyirwa kumurongo wuruhande rwigitereko, hejuru yikibanza. Isahani irinzwe kumagufa ukoresheje imigozi nibindi bikoresho byo gukosora.
Gufunga
Isahani imaze gushyirwaho neza, ahantu harafunzwe hifashishijwe suture cyangwa staples.
V. Nyuma yo gukira no gusubiza mu buzima busanzwe
Nyuma yo kubagwa, umurwayi azahabwa imiti ibabaza na antibiotike kugirango yirinde kwandura. Ukuboko kuzahagarikwa mumukino cyangwa gucamo mugihe cyibyumweru 2-6, bitewe nuburemere bwakavunitse. Nyuma yigihe cyo kudahagarara, umurwayi azakorerwa gahunda yo gusubiza mu buzima busanzwe kugira ngo agarure imbaraga zose mu kuboko kwanduye. Gahunda yo gusubiza mu buzima busanzwe irashobora kubamo kuvura umubiri, kuvura akazi, hamwe nimyitozo yo murugo.
VI. Ibyiza nibibi bya Distal Humeral Lateral Plate (Ubwoko bwa Olecranon)
Kimwe nuburyo ubwo ari bwo bwose bwo kubaga, Ikibaho cya Humeral Lateral Plate (Ubwoko bwa Olecranon) gifite ibyiza n'ibibi. Bimwe mu byiza birimo:
Itanga gukosorwa neza kumagufa yamenetse
Emerera gukangurira hakiri kare
Afite ibyago bike byo guhura nibibazo
Bimwe mubibi birimo:
Irasaba gukata cyane ugereranije nubundi buryo bwo kubaga
Birashobora gusaba igihe kirekire cyo gukira ugereranije nubundi buryo bwo kubaga
Birashobora kuvamo ingorane zijyanye no guterwa, nko gutsindwa kwatewe cyangwa kurekura
VII. Ibibazo
Isahani ya Distal Humeral Lateral (Ubwoko bwa Olecranon) niyo nzira yonyine yo kuvura kumitsi ya kure na olecranon ivunika?
Oya, hari ubundi buryo bwo kuvura burahari, nko guterera cyangwa guterana, bitewe n'uburemere bw'akavunika ndetse n'ubuvuzi bw'umurwayi.
Isahani ya Distal Humeral (Ubwoko bwa Olecranon) yatewe burundu?
Isahani irashobora gukurwaho nyuma yo kuvunika gukize, ariko ibi biterwa numurwayi ku giti cye hamwe n’umuganga ubaga.
Kubaga bifata igihe kingana iki?
Kubaga mubisanzwe bifata amasaha 2-3, bitewe nuburyo bugoye bwo kuvunika hamwe nubuhanga bwo kubaga bwakoreshejwe.
Ni ikihe gipimo cyo gutsinda kwa Distal Humeral Lateral Plate (Ubwoko bwa Olecranon)?
Intsinzi yo kubagwa iratandukanye bitewe numuntu ku giti cye hamwe nubuhanga bwo kubaga.
Ni izihe ngaruka zishobora guterwa no kubagwa?
Ingorane zishobora kuba zirimo kwandura, kunanirwa guterwa, kwangirika kw'imitsi, no gukomera mu kuboko kwanduye. Nyamara, izo ngorane ntizisanzwe kandi zirashobora kugabanywa ukurikije amabwiriza yo kubaga nyuma yo kubagwa.
