Impuguke Femoral Intramedullary Nail

Kubaga amagufwa yagiye ahinduka cyane mu myaka yashize, bitanga uburyo bwiza bwo kuvura kuvunika no kuvunika amagufwa. Iterambere nk'iryo mu kubaga amagufwa ni inzobere femorale intramedullary. Ubu buhanga bushya bwahinduye uburyo bwo kuvura imvune zumugore, zitanga inyungu nyinshi nibisubizo byiza.

Intangiriro

Impuguke femoral intramedullary imisumari nigikorwa cyo kubaga gikoreshwa mugukosora imvune zumugore. Yashizweho kugirango itange ituze ninkunga kumagufa yamenetse, ituma gukira byihuse no gukira neza. Ubu buryo butagaragara cyane bwamamaye mubaganga babaga amagufwa kubera imikorere yayo kandi yizewe.

Impuguke Yaba Femoral Intramedullary Nail niyihe?

Impuguke yinzobere femorale imisumari ni inkoni yabugenewe yabugenewe yinjizwa muri femur (thighbone) kugirango ituze kandi ihuze ibice byamagufwa yavunitse. Ubusanzwe imisumari ikozwe muri titanium cyangwa ibyuma bidafite ingese, byemeza imbaraga nigihe kirekire. Iraboneka muburebure butandukanye na diametre kugirango ihuze abarwayi batandukanye hamwe nuburyo bwo kuvunika.

Inyungu ninyungu

Gukoresha inzobere femorale intramedullary imisumari itanga inyungu nyinshi ugereranije nuburyo gakondo bwo gukosora kuvunika. Zimwe mu nyungu zingenzi zirimo:

1. Ntibisanzwe: Uburyo bwo kubaga burimo uduce duto, biganisha ku kwangirika kw'imitsi no kugabanya ububabare nyuma yo kubagwa.

2. Guhagarara no Guhuza: Umusumari utanga ituze ryiza, ukirinda guhindagurika no guhindagurika, no guteza imbere guhuza amagufwa.

3. Gukangura hakiri kare: Abarwayi barashobora gutangira kwikorera ibiro hakiri kare no kwifuza, bifasha mukugarura imikorere kandi byihutisha inzira yo gukira.

4. Kugabanya ibyago byo kwandura: Tekinike ifunze intramedullary igabanya ibyago byo kwandura bijyana nuburyo bukinguye.

5. Gukiza Byihuse: Umusumari winjiza utera gukira ibinyabuzima mu kwemerera igufwa ryacitse kugira ngo rihindurwe bisanzwe.

6. Inyungu zo kwisiga: Ugereranije nibikoresho byo gutunganya hanze, imisumari yimbere yinjizwa mumagufwa, bikavamo isura nziza cyane.

   
   

Ubuhanga bwo kubaga

Gutegura mbere yo gutangira

Mbere yo kubagwa, hakorwa isuzuma ryuzuye ry’umurwayi, harimo ibizamini byerekana amashusho nka X-ray na CT scan. Amateka yubuvuzi bwumurwayi nibihe byose byabanjirije kubaho nabyo byitabwaho. Amabwiriza mbere yo gutangira, nko kwiyiriza ubusa no gucunga imiti, atangwa kugirango uburambe bwo kubaga butekanye.

Intambwe ku yindi

1. Anesthesia: Umurwayi atangwa anesthesia rusange cyangwa anesteziya yo mukarere, bitewe nuko umuganga abaga ndetse nubuzima bwumurwayi muri rusange.

2. Kwinjiza no Gutera Imisumari: Gucisha akantu gato bikozwe hafi yikibuno cyangwa ivi, hanyuma umugozi uyobora winjizwa mumuyoboro wigitsina gore. Umusumari winjiye hanyuma uyoborwa hejuru yinsinga hanyuma ugashyirwa muburyo bwimbere.

3. Gufunga no Kuringaniza: Umusumari umaze guhagarara neza, imigozi yo gufunga yinjizwa mumisumari kugirango ikingire ahantu. Ibi byemeza ituze no guhuza ibice byamagufa yamenetse.

4. Gufunga ibikomere: Gucibwa bifunze hamwe na suture cyangwa staples, kandi imyambarire idasanzwe ikoreshwa kumwanya wo kubaga.

   
   

Kwitaho nyuma yo kubagwa

Nyuma yo kubagwa, abarwayi bakurikiranirwa hafi aho bakira. Ingamba zo gucunga ububabare, nkimiti nubuvuzi bwumubiri, bishyirwa mubikorwa kugirango abarwayi bahumurizwe. Gahunda yo gukurikirana gahunda iteganijwe gusuzuma iterambere ryakize, kugenzura uko umurwayi agenda, no gukemura ibibazo cyangwa ibibazo.

Gusubirana no gusubiza mu buzima busanzwe

Igihe cyo gukira nyuma yo kubagwa imisumari femorale iratandukanye bitewe nibintu byinshi, harimo urugero rwavunitse nubuzima bwumurwayi muri rusange. Ubuvuzi bwumubiri bugira uruhare runini mugikorwa cyo gusubiza mu buzima busanzwe, bugamije kugarura imbaraga, guhinduka, no kugenda. Buhoro buhoro umurwayi yemerewe kwikorera ibiro ku kuguru kwanduye, iyobowe na orthopedic surgeon na therapiste physique.

Ingorane n'ingaruka

Mugihe kubaga imisumari ya femorale intamedullary mubusanzwe bifatwa nkumutekano kandi bifite akamaro, nkuburyo ubwo aribwo bwose bwo kubaga, butwara ingaruka zimwe ningaruka zishobora kubaho. Ibi bishobora kuba birimo kwandura, gukomeretsa imitsi cyangwa imitsi yamaraso, kudahuza (kunanirwa gukira amagufwa), kudahuza, kunanirwa kwatewe, hamwe no gutera imitsi. Nyamara, ibibazo byibi bibazo ni bike, kandi inyungu zuburyo bukunze kurenza ingaruka.

Umwanzuro

Impuguke ya femorale intramedullary imisumari yazamuye cyane ibisubizo byo kuvura kuvunika kwabagore. Ubu buhanga bworoshye butanga ituze, butera gukira vuba, kandi butuma hakangurwa hakiri kare. Mugihe ibibazo bishobora kubaho, ntibisanzwe, kandi abarwayi benshi bafite gukira neza. Kugisha inama ninzobere mu magufa birasabwa kumenya gahunda yo kuvura ikwiye kuri buri kibazo.