Inkokora Igice cyo hanze

Intego y'ibanze yo gukosora kuvunika ni uguhagarika igufwa ryavunitse, kugirango rishobore gukira vuba amagufwa yakomeretse, no kugaruka hakiri kare n'imikorere yuzuye yibikomere.

Gukosora hanze ni tekinike ikoreshwa mu gufasha gukiza amagufwa yavunitse cyane. Ubu bwoko bwo kuvura amagufwa burimo kurinda kuvunika hamwe nigikoresho cyihariye cyitwa fixator, kiri hanze yumubiri. Ukoresheje imigozi idasanzwe yamagufa (bakunze kwita pin) inyura muruhu n imitsi, uwakosoye ahujwe namagufa yangiritse kugirango akomeze guhuza neza nkuko akiza.

Niki gikosora hanze ikoreshwa?

Igikoresho cyo gutunganya hanze gishobora gukoreshwa kugirango amagufa yamenetse ahamye kandi ahuze. Igikoresho kirashobora guhindurwa hanze kugirango amagufwa agume mumwanya mwiza mugihe cyo gukira. Iki gikoresho gikunze gukoreshwa mubana kandi mugihe uruhu hejuru yimvune rwangiritse.

Ni ubuhe bwoko bwo gukosora hanze?

Hariho ubwoko butatu bwibanze bwo gutunganya ibintu hanze: gutunganya uniplanar isanzwe, gukosora impeta, hamwe na Hybrid fixator.

Ibikoresho byinshi bikoreshwa mugukosora imbere bigabanijwemo ibyiciro bike: insinga, pin na screw, amasahani, imisumari cyangwa inkoni.

Staples na clamp nazo zikoreshwa rimwe na rimwe mugukosora osteotomy cyangwa kuvunika. Autogenous bone grafts, allografts, hamwe ninsimburangingo zamagufwa zikoreshwa kenshi mukuvura inenge zamagufa zimpamvu zitandukanye. Kuvunika kwanduye kimwe no kuvura indwara zamagufwa, amasaro ya antibiotique akoreshwa kenshi.

Inkokora ihuriweho hanze yo gukosora

Guhuza Amagufwa Amagufa ：Φ5 * 110mm 4 pc

Ibikoresho byo guhuza ： 3mm ya hex, 5mm ya hex, 6mm screwdriver

Inkokora Igice cyo hanze gikosora: Ubuyobozi bwuzuye

Kuvunika no kwimura inkokora ni ibikomere byamagufwa, akenshi biterwa no kugwa, gukomeretsa siporo, cyangwa impanuka z’ibinyabiziga. Kuvura izo nkomere birashobora kuba ingorabahizi, bisaba ubuyobozi bwitondewe kugirango wirinde ingorane no kugarura imikorere. Uburyo bumwe bwo kuvura kuvunika inkokora bigoye ni ugukoresha inkokora igice cyinkokora. Muri iyi ngingo, tuzasesengura ibimenyetso, gushyira, kwita, hamwe nibibazo bishobora guterwa niki gikoresho.

1. Igice cyo mu nkokora ni iki?

Igice cy'inkokora igice cyo gukosora ni ubwoko bwibikoresho byo hanze bikoreshwa muguhagarika kuvunika cyangwa gutandukana kwinkokora. Igizwe nipine cyangwa imigeri yinjijwe mumagufwa hejuru no munsi yikibanza cyavunitse, ihujwe nikintu gifata ibice byamagufwa mumwanya. Igikoresho cyemerera guhuza neza kugabanya kuvunika, gutanga igisubizo gihamye mugihe cyemerera urwego runaka rwimikorere.

2. Ibimenyetso byerekana inkokora Igice cyo hanze

Igice cy'inkokora igice cyo gukosora gishobora kwerekanwa kugirango bivurwe kuvunika inkokora bigoye cyangwa gutandukana, harimo:

• Ivunika ryagabanijwe (kuvunika hamwe nibice byinshi)

• Ivunika ririmo ubuso buhuriweho

• Kumeneka hamwe no gutakaza amagufwa cyangwa ubuziranenge bwamagufwa

• Ivunika rijyanye no gukomeretsa ingirangingo

• Gusiba hamwe no kuvunika bifitanye isano

3. Ibyiza bya Elbow Fragment Igice cyo hanze

Igice cy'inkokora igice cyo hanze gitanga inyungu nyinshi kurenza ubundi buryo bwo kuvura kuvunika inkokora bigoye, harimo:

• Ubushobozi bwo kugera neza-kugabanya kugabanya kuvunika no gukomeza kugabanuka mugihe cyo gukira

• Kubungabunga ibahasha yoroheje hamwe no gutanga amaraso, guteza imbere gukira

• Gukangurira hakiri kare no gusubiza mu buzima busanzwe, kugabanya gukomera hamwe hamwe n'imitsi

• Kugabanya ibyago byo kwandura ugereranije nibikoresho byo gutunganya imbere

• Birashoboka guhinduka mubundi buryo bwo gukosora niba bikenewe

4. Isuzuma ryibanze

Mbere yo gushyira igice cyinkokora igice cyo gukosora hanze, birakenewe gusuzuma neza ubuzima rusange bwumurwayi, amateka yubuvuzi, nimiterere yimvune. Kwiga amashusho nka X-imirasire, CT scan, cyangwa MRI birashobora gukoreshwa mugusuzuma urugero rwavunitse cyangwa kwimurwa no gutegura gushyira igikoresho. Ibizamini byamaraso birashobora gukorwa kugirango hamenyekane ubuzima bwumurwayi muri rusange nubushobozi bwo gutera anesteziya.

5. Gushyira Inkokora Igice cya Fixator yo hanze

Gushyira inkokora igice cyinkokora isanzwe ikorwa munsi ya anesthesia rusange mubyumba bikoreramo. Inzira ikubiyemo gukora uduce duto mu ruhu hejuru yamagufa aho hazinjizwa pin cyangwa imigozi. Amapine cyangwa imigozi noneho byinjizwa mumagufwa hejuru no munsi yikibanza cyavunitse hanyuma ugahuzwa nikintu gifata ibice byamagufwa mumwanya.

Igikoresho cyahinduwe kugirango kigere ku kigero cyifuzwa cyo kwikuramo cyangwa kurangara ahavunitse, kandi buri gihe hagomba gukurikiranwa no kugenzura igikoresho kugira ngo gikire neza kandi gihuze ibice byamagufwa.

6. Kwita no gufata neza Inkokora Igice cyo hanze

Kwitaho neza no gufata neza inkokora igice cyinkokora ni ngombwa kugirango wirinde ingorane nko kwandura pin cyangwa kunanirwa kw'ibikoresho. Ubusanzwe abarwayi basabwa uburyo bwo gukora isuku no kwambara ibibanza bya pin kandi basabwa kwirinda kwibiza igikoresho mumazi.

Gukurikirana buri gihe gahunda hamwe na orthopedic surgeon basabwa gukurikirana gukira no guhindura igikoresho nkuko bikenewe.

7. Ingorane zifatanije na Elbow Fragment Igice cyo hanze

Ingorane zijyanye nu nkokora igice cyo hanze gishobora gukosora:

• Indwara ya pin

• Kunanirwa kw'ibikoresho cyangwa kurekura pin / screw

• Gutakaza guhuza cyangwa kugabanya ibice byamagufwa bihamye

• Gukomera hamwe cyangwa amasezerano

• Imitsi cyangwa intege nke

• Kubabara cyangwa kutoroherwa kurubuga rwa pin

8.Gucunga ibibazo

Gucunga byihuse ibibazo bifitanye isano nu nkokora igice cyo gukosora ni ngombwa kugirango hirindwe izindi ngorane no guteza imbere gukira. Indwara zifata inzira zishobora kuvurwa hakoreshejwe antibiyotike yo mu kanwa cyangwa mu mitsi, kandi kuvanaho igikoresho birashobora gukenerwa mugihe gikomeye. Kunanirwa kw'ibikoresho cyangwa kurekura amapine cyangwa imigozi birashobora gusaba kubagwa gusubiramo kugirango wongere uhagarike aho yavunitse.

9. Gusubiza mu buzima busanzwe no gukurikirana

Kwisubiraho hakiri kare hamwe nimyitozo yimyitozo ningirakamaro kugirango umuntu agarure imikorere kandi akumire gukomera cyangwa amasezerano. Ubuvuzi bufatika hamwe nubuvuzi bwakazi bukenewe kenshi kugirango bafashe abarwayi kugarura imbaraga no kugenda mumaboko yanduye.

Guhora ukurikirana gahunda hamwe na orthopedic surgeon basabwa gukurikirana gukira no guhindura igikoresho nkuko bikenewe. X-imirasire cyangwa ubundi bushakashatsi bwerekana amashusho birashobora gukorwa kugirango harebwe gukira amagufwa no kwemeza guhuza ibice byamagufwa.

10. Umwanzuro

Igice cy'inkokora igice cyo hanze gitanga uburyo bwiza bwo kuvura kuvunika inkokora bigoye no gutandukana. Igikoresho cyemerera guhuza neza kugabanya kuvunika no gukanguka hakiri kare, biteza imbere gukira no gukira neza. Kwita no gufata neza ibikoresho ni ngombwa kugirango wirinde ingorane, kandi gucunga byihuse ibibazo byose bivuka birakenewe kugirango ibisubizo bigerweho.

Ibibazo

1. Igihe kingana iki inkokora igice cyo hanze kigumaho?

• Ikiringo c'igikoresho giterwa n'imiterere y'imvune n'inzira yo gukira. Irashobora gukurwaho nyuma yibyumweru byinshi kugeza kumezi menshi, bitewe nubushakashatsi bwabaganga bwo gukira.

1. Igice cy'inkokora gishobora gukosorwa hanze gishobora gukoreshwa muburyo bwose bwo kuvunika inkokora?

• Oya, igikoresho cyerekanwe cyane cyane kuvunika bigoye cyangwa gutandukana hamwe nibice byinshi cyangwa gutakaza amagufwa.

1. Ese inkokora igice cyo gukosora cyo hanze kigabanya kugendana hamwe?

• Igikoresho cyemerera urwego runaka rwimikorere hamwe kandi birashobora guhinduka kugirango byemere kugenda nkuko gukira gutera imbere.

1. Ni izihe ngaruka zijyanye nigice cyinkokora igice gikosora hanze?

• Ingaruka zirimo kwandura indwara ya pin, kunanirwa kw'ibikoresho cyangwa kurekura, gutakaza guhuza cyangwa kugabanya ibice by'amagufwa, gukomera kw'ingingo, gukomera kw'imitsi cyangwa intege nke, no kubabara cyangwa kutamererwa neza kuri pin.

1. Ubuvuzi bwumubiri burakenewe nyuma yo kuvurwa ukoresheje inkokora igice cyo gukosora hanze?

• Nibyo, ubuvuzi bwumubiri hamwe nubuvuzi bwakazi bukenewe akenshi kugirango bafashe abarwayi kugarura imbaraga no kugenda mumaboko yanduye.