Waba uzi uburyo bwo kuvura imivurungano ya humerus?

Kuvunika kwa humerus byingenzi nimwe mubice bisanzwe muri orthopedietic, kandi imivurungano ya humerus ifite imbaraga za osteorootic muri abasaza.

Nubwo ubwinshi bwa humerus ya Proximile bushobora gufatwa nabi, 10-15% byimivuruke iracyasaba kwivuza, ikubiyemo kugabanya isahani yo kugabanya isahani, kugabanya intera byimisumari, hamwe no gusimburwa hamwe.

Icyemezo cyo kwivuza kigomba gushingira ku miterere y'umubiri, imyumvire ye bwite, ibyifuzo bya psychologiya, n'ubwoko bwo kuvunika.

1. Gusubiramo no gukosora imivurungano yihutirwa

Icyifuzo】 kuri proximal humeka ndende (Neer Ubwoko bwibice 2 byigice hamwe nibitugu byihutirwa byo mu ijosi byo kubaga, usibye guhagarika umutima wihutirwa (igipimo cyimpuguke: 76.2%).

2. Guhuza ububabare bukabije

Icyifuzo】 Abarwayi bafite kuvunika humerus bakomeye bafite acetaminofeti ya mbere cyangwa NUDAHIDS, hamwe nigipimo cyiza (igipimo cyimpuguke: 73.8%).

3. Amashuri yibanze yabamisiyoneri

[Icyifuzo] Amashuri yibanze agomba gukorwa muburyo butandukanye kandi bwinshi. (Igipimo cy'impuguke: 100%; Igipimo gikomeye: 83.8%)

4. Isuzuma ryimirire myiza hamwe nubuvuzi bushyigikiwe

Icyifuzo】 kugirango ugere ku rwego rwo kwerekana imirire yabarwayi muri 24 h yo kwinjira no gutanga ibitekerezo byimirire kubarwayi bafite imirire. (Igipimo cy'impuguke: 98.5%; igipimo gikomeye: 55.9%)

5. Isuzuma rya Glucose ya Glucose n'amabwiriza muri Diyabetike

Icyifuzo 【Icyifuzo cya Glycemic gishinzwe kugenzura abarwayi ba diyabete benshi kubaga amatora ni 7.8 kugeza 10.0 Mmol / l.

6. Gucunga imiyoboro yoroshye kubyimba mubihe bya perioperative

Icyifuzo】 kubarwayi kubaga amatora barimo kuvuza humerus humerus, uburyo bwinshi bwumubiri butangwa kugirango bugabanye kubyimba mugihe cya parike. (Igipimo cy'impuguke: 98.5%; igipimo gikomeye: 80.9%)

7. Imicungire yimirire ikoreshwa

Icyifuzo】 Abarwayi bafite abaganga bakuru barashobora kurya ibinyobwa bisindisha 2 h mbere yo kubaga no kurya ibiryo cyangwa ibikomoka ku busa 6 h mbere yo kubagwa. (Igipimo cy'impuguke: 100%; Igipimo gikomeye: 76.5%)

8. Ubuyobozi bwa peteroli

Icyifuzo】 Catheries Hatioperative isanzwe ntabwo isabwa kubarizwa rya humerus ya FUMERUS (igipimo cyimpuguke: 100%; Igipimo cyo gusaba: 78,6%)

9. Gukoresha plephylactique yibiyobyabwenge bya periopetive

Icyifuzo】 kubarwayi bafite ibibazo bya humerus byifashe kuri endoprosthesi cyangwa gusimbuza ibintu byambere- icyasekeje cephalopospine ya mbere- na kabiri (Igipimo cy'impuguke: 97.1%; igipimo gikomeye: 73.5%)

10. Guhitamo Anesthesia

Icyifuzo】 anesthesia birasabwa kwemeza uburyo bwo guhagarika umutima rusange, hitamo ibiyobyabwenge kugirango wirinde guhangana nimbaraga zuburwayi bwa sisitemu, kandi witondere gushimangira ibikorwa bya sisitemu. Igipimo cyimpuguke: 100%

11. Umuvuduko wamaraso

[Icyifuzo] Kugabanya umutima wumuvuduko wamaraso bigomba kwishyurwa no kugabanya gutakaza amaraso mumisoro, ariko abarwayi bageze mu zabukuru bafite imitinda myiza yo kwirinda imitako n'inzego zidasanzwe: 61,9%).

12. Imicungire yimizitizi

.

13. Gucunga amaraso

. Kugenzura Kumurongo wa HGB <80G / l birasaba guterwa amaraso ya Allogeneic (igipimo cyimpuguke: 100%; Igipimo cyo gusaba: 73.8%).

14. Gukumira hytrathermia ittraive

[Ibyifuzo] Abarwayi bafite imikino yubuhinzi bwihuse bagomba gushimangira gukurikirana ubushyuhe bukabije kandi bagafata ingamba zitandukanye zo gukomeza ubushyuhe bwibanze hejuru ya 36 ° C (Igipimo cyimpuguke: 100%: 76.2%).

15. Guhitamo Uburyo bwo kubaga

(1) gutondeka gushushanya humerus ya proximal

[Icyifuzo] Gutsimbataza Neer birasabwa kubicuruzwa bya humerus byangiza (igipimo cyimpuguke: 100%; Igipimo cyo gusaba: 83.3%).

(2) Uburyo bwo kubaga

Gahunda yo kubaga igomba gutoranywa ishingiye ku kuvunika morphologie, ubuziranenge bwa igufwa, imiterere yumurwayi nuburyo bwimitekerereze nibindi bintu bifatika.

. Kubarwayi bageze mu zabukuru bafite Osteoporose bigoye gusubiramo cyangwa gukosora, kuvunika ibice 4), kuvunika ibitugu hamwe na osteor hamwe na osteor portic hamwe na romor ya anatole. Igipimo cyimpuguke: 100% Igipimo: 71.4%).

Igishushanyo 1 Umugore wimyaka 65 hamwe nigice cyigice cyimyaka 4 yo kwinjizamo Adictor ya Proximal hamwe na Allograft Fibulant Plati plati plati plati plaque hamwe no kwisubiraho.

16. Gushyira igikomere

. ② kuva amaraso hasi. Ibimenyetso byo gushyira umuyoboro wa marwage: ① ukoresheje uburebure bwa pectoral deltoral, gufunga amasahani yo gukosora cyangwa gusimbuza ibitugu; ② kuva amaraso akomeye kuva hejuru ya gikomere (igipimo cyimpuguke: 100%; igipimo gikomeye: 71.4%).

17. Gufunga ibikomere

Icyifuzo cya】 IYI STICE YATANZWE NUBUNTU BUGARAGARA, KUNYURANYA-BY'UMUGORE (Igipimo cy'impuguke: 100%; Igipimo gikomeye: 76.2%).

18. Indyo yo kugarura nyuma

Icyifuzo】 Abarwayi barashobora kugenda ibinyobwa bidafite dregs ukoresheje umunwa nibamara kuba maso nyuma yo kubagwa, hanyuma bakomeza kurya bisanzwe nyuma ya 1-2 niba nta reaction mbi.

19. Guhitamo Umwanya wo gutoranya no gukora hakiri kare

Icyifuzo】 Abarwayi ntibakeneye kuryama kumusego nyuma yo kubagwa, barashobora gufata umwanya wa kimwe cya kabiri kandi barashobora kwimukira hasi nyuma yo kubyuka. Urutugu rutunguha rugomba guhagarara.

20. Ingamba za Analsogetic

Icyifuzo】 Analgesiatia nyuma yo guhagarika imikino yubuhinzi ya Proximire yahagaritswe hamwe na pompe ya ANALGESIA (igipimo cyimiterere ya Analgesia (igipimo cyimpuguke: 100%; Igipimo gikomeye: 78,6%).

21. Gukumira isesemi ya nyuma no kuruka

[Icyifuzo] Abarwayi bose bagomba guhabwa imiti igabanya ubupfura 30 min mbere yo kubagwa. (Igipimo cy'impuguke: 97%; Igipimo gikomeye: 47.8%)

22. Gusubiza mu buzima busanzwe

Icyifuzo】 Abarwayi bafite imivurungano ihamye kandi ihamye ihamye bagomba gutangira imyitozo yo gusubiza mu buzima busanzwe hakiri kare bishoboka nyuma yo kubagwa. Imyitozo yo gusubiza mu buzima busanzwe imfashanyo yo kugarura neza imikorere y'ingingo yo hejuru (igipimo cy'impuguke: 100%; Igipimo gikomeye: 92.9%).

23. Ibipimo byo gusezerera no gukurikirana

Icyifuzo】 Ibipimo bishimishije gusohora bigomba gushingwa, kandi abarwayi bagomba gukurikiranwa buri gihe ku mezi 6 (igipimo cy'impuguke: 100%; Igipimo cyo gusaba: 83.3%).

Nigute wagura amagufwa hamwe nibikoresho bya orthopedic?

Kuri Czmeditech , dufite umurongo wuzuye wibicuruzwa byubasaguro orthopperic bitera kandi nibikoresho bihuye, ibicuruzwa birimo Umugongo, Intramedillary Imisumari, Isahani, gufunga isahani, cranial-maxillofacial, prostas, ibikoresho by'ingufu, ibicuruzwa byo hanze, arthroscopy, Kwitaho ku matungo n'ibikoresho byabo byo gushyigikira.

Byongeye kandi, twiyemeje guhora dukura ibicuruzwa bishya no kwagura imirongo yibicuruzwa, kugirango duhuze ibyifuzo byabaganga nabarwayi benshi, kandi binatuma sosiyete yacu irushanwa mubicurarango byose bya orttopedic.

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