Icyapa cya kure cya Humeral Gufunga Isahani: Ubuyobozi Bwuzuye Kubaga amagufwa
Abaganga babaga amagufwa bahura nibice bitandukanye byavunitse mugihe cyimyitozo yabo, harimo nibya kure. Kuvunika kure ya humeral akenshi bituruka ku ihahamuka ryinshi kandi birashobora kugorana kubicunga. Isahani ya kure yifunga isahani ni iterambere rishya mubijyanye no kubaga amagufwa kandi byagaragaye nkuburyo bwiza bwo kuvura kuvunika kure. Muri iki kiganiro, tuzatanga ubuyobozi bwuzuye kuri plaque ya kure ya humeral ifunga, igishushanyo cyayo, ibimenyetso, tekinike yo kubaga, ingorane, nibisubizo.
Anatomy ya Humerus Yitaruye
Mbere yo kuganira ku isahani ya kure ya humeral ifunga isahani, ni ngombwa gusobanukirwa anatomiya yigitereko cya kure. Indurwe ya kure ni amagufwa asohoka kumpera yo hepfo yigitereko, igufwa mumaboko yo hejuru. Igizwe na condyles ebyiri: condyle yo hagati na condyle kuruhande, itandukanijwe na groove yitwa trochlea. Humerus ya kure ivuga hamwe na radiyo n'amagufa ya ulna mumaboko kugirango bibe inkokora. Indurwe ya kure ningirakamaro kumikorere yinkokora, kandi kuvunika kwose muri kano karere kurashobora kugira ingaruka zikomeye kumurwayi.
Ibyerekana kure ya Humeral Ifunga Isahani
Icyapa cyo gufunga icyerekezo cya kure cyerekanwe cyane cyane kumeneka ya kure ya humeral igoye gucunga ukoresheje uburyo busanzwe nka casts, splints, cyangwa pinning percutaneous. Ivunika mubisanzwe riragoye, ririmo kwimurwa, gutangira, cyangwa uruhare rwimbere. Icyapa cya kure cya humeral gifunga icyapa gitanga gukosorwa gukomeye hamwe no gutuza kumwanya wavunitse, bigatuma gukanguka hakiri kare no gukira vuba.
Igishushanyo mbonera cya Humeral Gufunga Isahani
Isahani ya kure ya humeral ifunga isahani yabanje gushyirwaho, isahani yabugenewe ishyizwe kumurongo wuruhande rwa humerus ya kure. Isahani ifite ibyobo byinshi hamwe nuburyo bwo gufunga butuma amagufwa atunganywa neza. Isahani ikozwe muri titanium cyangwa ibyuma bidafite ingese kandi iraboneka mubunini butandukanye kugirango habeho anatomiya zitandukanye z'abarwayi.
Ubuhanga bwo kubaga kubutaka bwa Humeral Gufunga Isahani
Tekiniki yo kubaga ya plaque ya kure ya humeral ifunga harimo kugabanya kumugaragaro no gukosora imbere (ORIF). Umurwayi ashyirwa munsi ya anesthesia muri rusange, hanyuma agakorerwa kuruhande rwuruhande rwinkokora kugirango agaragaze aho yavunitse. Ivunika ryaragabanutse, kandi isahani ya kure ya humeral ifunga isahani ishyirwa kuruhande rwa humerus ya kure. Isahani irinzwe kumagufwa ukoresheje imigozi yo gufunga, kandi igifunga gifunze. Kuvura nyuma yubuvuzi bikubiyemo ubudahangarwa, kuvura umubiri, no kubikurikiranira hafi.
Ingorabahizi Zitaruye Humeral Ifunga Isahani
Kimwe nuburyo ubwo aribwo bwose bwo kubaga, hari ingorane zishobora kuba zifitanye isano na plaque ya kure ya humeral. Muri byo harimo kwandura, kunanirwa guterwa, gukomeretsa imitsi, no gutakaza kugabanuka. Ibyago byingutu birashobora kugabanuka muguhitamo neza abarwayi, tekinike ikwiye yo kubaga, hamwe no gukurikiranwa nyuma yibikorwa.
Ibisubizo bya Distal Lateral Humeral Ifunga Isahani
Ibyavuye mu isahani ya kure ya humeral bifunga ibyiringiro byatanze icyizere, hamwe nubushakashatsi bwinshi buvuga ko igipimo kinini cy’ubumwe bwavunitse, umusaruro uhebuje w’imikorere, hamwe n’ibiciro bito by’ingutu. Nyamara, ibisubizo birebire byubu buryo biracyasuzumwa, kandi birakenewe ubundi bushakashatsi kugirango hamenyekane ingaruka zabyo mugihe kirekire.
Umwanzuro
Ivunika rya kure ryimyanya ndangagitsina riragoye gucunga, kandi isahani ya kure ya humeral ifunga isa nkigikorwa cyiza cyo kuvura kuvunika bigoye. Isahani yabanje gutegurwa kandi ikozwe muburyo budasanzwe, itanga gukosorwa gukomeye hamwe no gutuza kumwanya wavunitse. Tekiniki yo kubaga ikubiyemo kugabanya kumugaragaro no gukosora imbere, kandi ubuvuzi nyuma yubuvuzi burimo ubudahangarwa, kuvura umubiri, no kubikurikiranira hafi. Nubwo hari ingorane zishobora kuba zijyanye nuburyo, ibisubizo byagiye bitanga icyizere, hamwe n’igipimo kinini cy’ubumwe bwavunitse, umusaruro ushimishije, hamwe n’ibiciro bito by’ingutu. Abaganga babaga amagufwa bagomba gutekereza ku isahani ya kure ya humeral ifunga nk'uburyo bwo kuvura ibibazo bivunika byavutse.
Ibibazo
Niki kuvunika kure ya humeral?
Kuvunika kure ya humeral ni ukumena igufwa kumpera yo hepfo yigitereko, mubisanzwe bituruka ku ihahamuka ryinshi.
Isahani yo gufunga intera irihe?
Isahani ya kure ya humeral ifunga isahani yabanje gushyirwaho, isahani yabugenewe ishyizwe kumurongo wuruhande rwimyanya ndangagitsina kugirango itange gukosorwa gukomeye hamwe no guhagarara neza kumwanya wavunitse.
Nibihe byerekana ibimenyetso bya kure bya humeral bifunga isahani?
Icyapa cyo gufunga icyerekezo cya kure cyerekanwe cyane cyane kumeneka ya kure ya humeral igoye gucunga ukoresheje uburyo busanzwe nka casts, splints, cyangwa pinning percutaneous.
Ni izihe ngaruka zishobora kuba zifitanye isano na plaque ya kure ya humeral?
Ingorane zishobora kuba zifitanye isano na plaque ya kure ya humeral ifunga harimo kwandura, kunanirwa kwatewe, gukomeretsa imitsi, no gutakaza kugabanuka.
Ni izihe ngaruka za plaque ya kure ya humeral ifunga isahani?
Ibisubizo bya plaque ya kure ya humeral bifunga ibyiringiro byatanze ikizere, hamwe nibiciro byinshi byubumwe bwavunitse, ibisubizo byiza byimikorere, hamwe nibiciro bito byingutu. Nyamara, ibisubizo birebire byubu buryo biracyasuzumwa, kandi birakenewe ubundi bushakashatsi kugirango hamenyekane ingaruka zabyo mugihe kirekire.
