Intore Intermorale Intramedullary Umusumari

Kubaga amagufwa byahindutse cyane mu myaka yashize, gutanga uburyo bwiza bwo kuvura kugirango bavuze kandi butunganijwe. Iterambere nk'iryo mu kubaga amagufwa ni intera y'inzobere mu by'ubutaka. Iyi tekinike yo guhanga udushya yahinduye uburyo bwo kuvura femoral, itanga inyungu nyinshi kandi byateje imbere ibisubizo.

Intangiriro

Inteko y'inzobere mu Buhu bw'inzoga Ninkunga yo kubaga ikoreshwa mugukosora imivurungano. Yashizweho kugirango itange umutekano kandi ishyigikire igufwa ryavunitse, ryemerera guhindagurika byihuse no gukira neza. Ubu buryo budashimishije bufite ubukana bwungutse hagati yo kubaga amagufwa kubera imikorere yayo no kwizerwa.

Ni ubuhe butumwa bw'inzobere femoral isullary?

Inteko y'inzobere mu bytttttramedimer ni icyuma kidasanzwe cyinjijwe muri femur (thubnone) kugirango gihuze kandi gihuze ibice by'amagufwa. Imisumari isanzwe ikozwe muri titanium cyangwa ibyuma bidafite ingaruka, ifata imbaraga no kuramba. Iraboneka muburyo butandukanye na diameters kugirango yakire anatomies zitandukanye zihangana no kuvunika.

INYUNGU N'INGENZI

Gukoresha intera femoral numusumari kandi imisumari itanga ibyiza byinshi ugereranije nuburyo gakondo bwo gukosorwa. Zimwe mu nyungu zingenzi zirimo:

1. Gutera byinshi: Uburyo bwo kubaga burimo imitsi mito, biganisha ku kwangirika gato no kugabanya ububabare bwa posita.

2. Guhagarara no guhuza: Umusumari atanga umutekano mwiza, gukumira ubumuga bwo kunyeganyega kandi buboneye, no guteza imbere amagufwa akwiye.

3. Gukangurira hakiri kare: abarwayi barashobora gutangira gushiramo uburemere no kwibiza, bagirira imfashanyo yo kugarura imikorere no kwihutisha inzira yo gukira.

4. Kugabanya ibyago byanduye: Tekinike ifunze igabanya ibyago byo kwandura bifitanye isano nuburyo bufunguye.

5. Gukiza byihuse: InterAmedillary Umuvanga wo gukiza ibinyabuzima wemerera igufwa ryavunitse kugirango uhumure karemano.

6. Inyungu zo kwisiga: Ugereranije nibikoresho byo gukosora hanze, umusumari wa Intramedillary winjijwe mumagufwa, bikaviramo isura ishimishije.

   
   

Tekinike yo kubaga

Imyiteguro yo gutegura

Mbere yo kubagwa, gusuzuma neza imiterere yumurwayi bikorwa, harimo ibizamini byamashusho nka x-imirasire na ct scan. Amateka yubuvuzi yumurwayi hamwe nibihe byose byambere nabyo byafashwe. Amabwiriza ya mbere, nko kwiyiriza ubusa no gucunga imiti, hatangwa kugirango tumenye uburambe bwugariya.

Intambwe ya Inzocyuho

1. Anesthesia: Umurwayi ayobowe na anesthesia rusange cyangwa anesthesia y'akarere, bitewe no kubaga abaganga hamwe nubuzima bwumurwayi muri rusange.

2. Gutema no kwinjiza imisumari: Gutemagurika gato hafi yikibuno cyangwa ivi, hamwe numugozi uyobora winjijwe mu miyoboro y'ibitsina. Umusumari wa Intramedillary noneho ayobowe hejuru yinsinga kandi uhagaze neza muri femur.

3. Gufunga no Guhuza: Iyo umusumari amaze guhagarara neza, gufunga imigozi yinjijwe mumusumari kugirango ibone umutekano. Ibi biremeza ko habaho gushikama no guhuza ibice byamagufwa.

4. Gufunga ibikomere: Gushinyagurwa bifunze hamwe na sutures cyangwa ibikoresho, hamwe nimyambarire ya sterile ikoreshwa kurubuga rwo kubaga.

   
   

Kwitaho nyuma yo kwitabwaho

Nyuma yo kubaga, abarwayi bakurikiranwe cyane mukarere kagarukira. Ingamba zo gucunga ububabare, nk'imiti no kuvura umubiri, bishyirwa mu bikorwa kugira ngo bihangane. Gahunda yo gukurikirana iteganijwe gusuzuma iterambere ryakize, gukurikirana ingendo z'umurwayi, no gukemura ibibazo byose cyangwa ingorane.

Kugarura no gusubiza mu buzima busanzwe

Igihe cyo gukira nyuma yo kubaga imisumari yumunyamisumari biratandukanye bitewe nibintu byinshi, harimo nurwego ruvunika hamwe nubuzima bwumurwayi muri rusange. Kuvura umubiri bikagira uruhare runini mubikorwa byo gusubiza mu buzima busanzwe, bigamije kugarura imbaraga, guhinduka, hamwe no kugenda. Buhoro buhoro, umurwayi yemerewe gutanga uburemere ku kuguru ku kuguru, ayobowe n'umuganga ubaga amagufwa na Therapiste.

Ingorabahizi n'ingaruka

Mugihe kubaga imisumari yumunyamisumari muri rusange bifatwa neza kandi bikora neza, nkuburyo ubwo aribwo bwose bwo kubaga, butwara ingaruka zimwe nibishobora. Ibi birashobora kubamo ubwandu, imitsi cyangwa imitsi yo mu maraso, kudacometse (gutsindwa kw'amagufwa), gukiza amagufwa), gukiza amagufwa), kunanirwa, gutsindwa kw'imitsi. Ariko, ibibazo byibi bigoye ni bike, kandi inyungu zuburyo zirenze ingaruka.

Umwanzuro

Inteko y'inzobere mu Bunazinze imisumari yateje imbere cyane ibisubizo by'ubuvuzi byo kuvunika indwara. Iyi tekinike iteye ubwoba itanga ituze, iteza imbere gukira vuba, kandi ituma yo gukangurira hakiri kare. Mugihe ingorane zishobora kubaho, ni gake, kandi benshi mubarwayi bahura neza. Kugisha inama inzobere ngufi birasabwa kugirango umenye gahunda ibereye kuri buri kibazo kugiti cye.