Ibisobanuro
Ibisobanuro ku bicuruzwa
Impuguke Femoral Umusumari wo mu musokoro w'amagufa ni prium Igikoresho cyatewe mu magufa igaragaramo tekinoroji ya Multi-Planar Ifunga Ikoranabuhanga kugirango izamuke ihindagurika. Yerekanwe kumeneka ya intertrochanteric / shaft (AO 31-A1 ~ 3), kuvunika osteoporotic, hamwe no kuvunika periprosthetic.
Umusumari nyamukuru nigice cyibanze cyigitsina gore intramedullary fixation. Yinjijwe mu muyoboro wa medullary femorale, ituma ahavunika kandi igatera gukira kuvunika. Igaragaza imyobo myinshi ifunga ikorana na Imigozi ifunga kugirango itange indege nyinshi zihamye.
Iyi screw yinjizwa mu mwobo wo gufunga umusumari mukuru kugirango ikore ihuza rikomeye, bizamura ituze aho yavunitse. Iremera insinga ziyobora kunyuramo kugirango zishyirwe neza.
Kwinjizamo unyuze mu mwobo wumusumari wingenzi kugirango ugire umurongo uhamye, utanga ubufasha bwingirakamaro, cyane cyane muburyo bwo gufunga ingingo nyinshi. Irashobora guhuzwa hamwe na 6.4mm ya screw kugirango itange ibisubizo bitandukanye.

Gukata oblique kumpera yegeranye birinda kurakara mubice byoroshye.
Hagati-ya mpande ya dogere 5 yemerera kwinjiza kumutwe wa trochanter ikomeye.
Uburyo bubiri bwo gufunga ibice bitandukanye.
Sikulufu ifunga yateguwe hamwe ninshuro ebyiri zo kuyobora kugirango byinjizwe byoroshye.




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Ku bijyanye no kuvura kuvunika kw'igitsina gore, inzobere z'umugore femorale ni bumwe mu buryo bukoreshwa cyane n'abaganga babaga amagufwa. Nuburyo bwo kubaga burimo kwinjiza inkoni yicyuma muri femur kugirango igumane igufwa kandi iteze imbere gukira. Muri iyi ngingo, tuzaganira ku buryo burambuye inzara femorale femorale, uhereye ku bimenyetso byayo kugeza ku ngaruka zishobora kuba.
Inzobere yinzobere yumugore nubwoko bwimisumari ikoreshwa mugukiza kuvunika kw'igitsina gore. Ninkoni yicyuma yinjizwa hagati yubusa bwamagufwa yigitsina gore kandi yagenewe guhuza amagufwa no guteza imbere gukira. Inzobere zinzobere zumugore zakozwe muri titanium cyangwa ibyuma bidafite ingese kandi biza mubunini butandukanye kugirango abarwayi bakeneye ibyo bakeneye.
Impuguke yinzobere yumugore irashobora gusabwa nabaganga babaga amagufwa kubwimpamvu nyinshi, harimo:
Ibice bya femur
Ibice byo mu kibuno
Malalignment ya femur
Kudahuza cyangwa gutinda ubumwe bwakavunitse
Ibibyimba byamagufwa muri femur
Kwinjiza umusumari winzobere femorale bikorwa munsi ya anesthesia rusange cyangwa yakarere. Umuganga abaga azakora uduce duto mu ruhu hejuru y’amagufwa y’igitsina gore kandi azashyiramo insinga iyobora mu magufa. Umugozi wo kuyobora ukoreshwa mugukora inzira kugirango umusumari winjizwe mumagufwa. Umugozi wo kuyobora umaze kuba, umuganga azakoresha reamer kugirango ategure igufwa ryumusumari. Impuguke yinzobere yumugore noneho yinjizwa mumagufwa yigitsina gore kandi igashyirwa mumwanya hamwe ninsinga cyangwa gufunga.
Hariho ibyiza byinshi byo gukoresha inzobere zinzobere zomugore mukuvura imvune zumugore, harimo:
Kugabanya gutakaza amaraso mugihe cyo kubagwa
Ibitaro bigufi bigumaho
Igihe cyo gukira vuba
Inkovu ntoya
Ibyago byo kwandura
Umutekano munini hamwe ninkunga kumagufa yamenetse
Kimwe nuburyo ubwo ari bwo bwose bwo kubaga, hari ingorane zishobora guterwa no kwinjiza umusumari w'inzobere. Ibi bishobora kubamo:
Kwandura ahabereye
Kwangiza imitsi
Amaraso
Guhindura igufwa
Gutinda gukira cyangwa kudahuza kuvunika
Kunanirwa kw'ibyuma cyangwa kumeneka
Gukira nyuma yinzobere yimisumari yumugore izatandukana bitewe nubunini bwavunitse nubuzima bwumurwayi muri rusange. Abarwayi benshi bazakenera gukoresha inkoni cyangwa kugenda mugihe runaka nyuma yo kubagwa. Ubuvuzi bwumubiri bushobora kandi gusabwa gufasha kugarura imbaraga no kugenda mumaguru yanduye. Ni ngombwa gukurikiza amabwiriza yose ya nyuma yibikorwa yatanzwe na muganga kugirango babone ibisubizo byiza bishoboka.
Impuguke yinzobere yumugore nubuhanga bukoreshwa muburyo bwo kubaga kuvura kuvunika. Itanga ibyiza byinshi muburyo gakondo bwo kuvura kandi muri rusange byihanganirwa nabarwayi. Ariko, kimwe nuburyo ubwo aribwo bwose bwo kubaga, hari ibibazo bishobora gutekerezwa. Niba warigeze kuvunika igitsina gore cyangwa ukaba warasuzumwe ikibyimba cyamagufwa muri femur, vugana na muganga wawe ubaga amagufwa yerekeye niba umusumari winzobere wumugore ushobora kuba uburyo bwiza bwo kuvura.
Bifata igihe kingana iki kugirango ukire nyuma yinzobere yimisumari ya femorale? Igihe cyo gukira kirashobora gutandukana bitewe nubunini bwavunitse nubuzima bwumurwayi muri rusange. Abenshi mu barwayi bazakenera gukoresha inkoni cyangwa kugenda mu gihe runaka nyuma yo kubagwa, kandi hashobora no kuvurwa imiti. Gukira byuzuye birashobora gufata amezi menshi.
Impuguke yinzobere yumugore irashobora gukurwaho? Rimwe na rimwe, umusumari w'inzobere w'igitsina gore ushobora gukenera kuvanwaho niba utera ibibazo cyangwa izindi ngorane. Ibi mubisanzwe bikorwa nkuburyo butandukanye bwo kubaga.
Impuguke yinzobere yumugore itangwa nubwishingizi? Gahunda nyinshi zubwishingizi bwubuzima zizishyura ikiguzi cyinzobere zinzobere zumugore, nubwo politiki yumuntu ku giti cye ishobora gutandukana. Abarwayi bagomba kugenzura n’abatanga ubwishingizi kugirango bamenye ubwishingizi.
Impuguke zinzobere femorale zimara igihe kingana iki? Impuguke yumugore femorale yagenewe kugumaho burundu, nubwo ishobora gukenera gukurwaho mubihe bimwe na bimwe.
Haba hari imbogamizi kubikorwa nyuma yinzobere yimikorere yimisumari? Abarwayi barashobora gukenera kugabanya ibikorwa bimwe na bimwe, nko guterura ibiremereye cyangwa siporo ikomeye, mugihe cyo gukira. Umuganga ubaga azatanga umurongo ngenderwaho wihariye wibikorwa ukurikije ibyo umurwayi akeneye.
Ibiranga & Inyungu
