Femoral Imbere Imisumari & Kwiyubaka kw'Abagore Imisumari

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Femoral Intramedullary Nail & Kwiyubaka kwabagore Imisumari: Imfashanyigisho yuzuye

Ku bijyanye no kuvura imvune z’umugore, imisumari yimbere yahindutse inzira yo guhitamo kubaganga benshi babaga amagufwa. Mu bwoko butandukanye bwimisumari yimbere iraboneka, imisumari ya femorale intramedullary imisumari hamwe no kwiyubaka kwabagore imisumari yimisumari nuburyo bubiri bukunzwe. Muri iki kiganiro, tuzasesengura ibiranga, inyungu, nibibi byubwoko bwombi bwimisumari, bigufasha gufata icyemezo kiboneye.

Imbonerahamwe

1. Intangiriro

2. Umusumari wa Femoral Intramedullary Niki?

• Anatomy na Igishushanyo

• Ibimenyetso byo gukoresha

• Ubuhanga bwo kubaga

• Ibyiza

• Ibibi

3. Niki Kwiyubaka kwa Femoral Kwinjiza Imisumari?

• Anatomy na Igishushanyo

• Ibimenyetso byo gukoresha

• Ubuhanga bwo kubaga

• Ibyiza

• Ibibi

4. Kugereranya Hagati yimisumari yumugore no kwiyubaka kwabagore

5. Ibibazo

6. Umwanzuro

1. Intangiriro

Ivunika ry'umugore riri mubwoko bukunze kuvunika, cyane cyane kubantu bageze mu zabukuru. Izi mvune zirashobora kubabaza cyane no guca intege, bisaba ubuvuzi bwihuse. Mugihe uburyo gakondo bwo kuvura imvune zumugore zirimo plaster, akenshi usanga ntacyo bikora mubihe bikomeye. Imisumari yimbere yagaragaye nkuburyo bwiza cyane bwo kuvura kuvunika kwabagore, kandi imisumari yintangangore yimisumari hamwe no kwiyubaka kwabagore imisumari ni ubwoko bubiri bwimisumari ikoreshwa nabaganga babaga amagufwa.

2. Umusumari wintegarugori ni uwuhe?

Anatomy na Igishushanyo

Umusumari w'igitsina gore ni umusumari muremure, woroshye wicyuma winjizwa mumuyoboro winjira wa femur. Umuyoboro winjiye ni umwanya wuzuye imbere yamagufwa, ahakorerwa igifu. Umusumari wagenewe guhuza neza imbere yu muyoboro, kandi ugafatirwa mu mwanya w’imigozi yinjijwe mu igufwa no mu musumari. Ubusanzwe imisumari ikozwe muri titanium cyangwa ibyuma bidafite ingese, kandi iraboneka mubipimo bitandukanye n'uburebure bujyanye na anatomiya yumurwayi.

Ibimenyetso byo gukoresha

Imisumari yimbere yumugore ikoreshwa muburyo bwo kuvura ibice byigitsina gore, ibyo bikaba ari ibice bivuka hagati yigitereko. Iyi mvune irashobora guterwa nimpamvu zitandukanye, zirimo ihahamuka, osteoporose, na kanseri. Imisumari ya femorale ikoreshwa kandi mukuvura ubwoko bumwebumwe bwimvune zumugore zegeranye, nka subtrochanteric na intertrochanteric kuvunika.

Ubuhanga bwo kubaga

Ubuhanga bwo kubaga bwo gushyiramo umusumari wigitsina gore burimo no gukomeretsa mu kibero no gukora umwobo muto mu magufwa hafi yikibuno. Umusumari uhita winjizwa mumuyoboro winjiye hanyuma ukazamuka munsi yuburebure bwamagufwa kugeza ugeze ahavunitse. Umusumari umaze gushyirwaho, imigozi yinjizwa mumagufwa no mumisumari kugirango uyifate mumwanya.

Ibyiza

Imisumari yimbere yumugore ifite ibyiza byinshi kurenza ubundi buryo bwo kuvura imvune zumugore. Muri byo harimo:

• Kwangirika kwinyama zoroheje

• Ibihe byo gukira byihuse

• Kugabanya ibyago byo kwandura

• Ihinduka rikomeye ryurubuga rwacitse

• Guma mu bitaro bigufi

Ibibi

Nubwo bafite ibyiza byinshi, imisumari yimbere yumugore ntabwo iba ifite inenge. Bimwe mubibi bikunze kugaragara harimo:

• Ingaruka zo kudahuza imisumari

• Ibyago byo kudahuza kuvunika

• Ibyago byo kwandura ahabagwa

• Birashoboka kunanirwa ibyuma

• Kugabanya uburemere bwibihe mugihe runaka nyuma yo kubagwa

3.Icyuma cyo Kwubaka Abagore Niki?

Anatomy na Igishushanyo

Kwiyubaka kwabagore imisumari ni ubwoko bwimisumari yimbere yagenewe gutanga umutekano muke kumeneka. Igizwe n'ibice bibiri bitandukanye: umubiri wegeranye n'umusumari wa kure. Umubiri wegereye ni munini cyane wa diametero kuruta umusumari wa kure, kandi ufite impera yumutwe winjira mumagufwa. Umusumari wa kure winjijwe mu muyoboro winjiye kandi urambura uburebure bw'amagufwa.

Ibimenyetso byo gukoresha

Kwiyubaka kwa femorale imisumari ikoreshwa muburyo bwo kuvura kuvunika kw'igitsina gore, nk'ibitera ihahamuka ryinshi cyangwa ibibyimba by'amagufwa. Zikoreshwa kandi mukuvura nonunion na malunions za femur.

Ubuhanga bwo kubaga

Tekinike yo kubaga yo gushyiramo imisumari yumugore wongeyeho imisumari ikubiyemo gukora igisebe mu kibero no gukora umwobo muto mu magufwa hafi yikibuno. Umubiri wegereye noneho winjizwa mu magufa, hanyuma umusumari wa kure winjizwa mu muyoboro winjiye kandi utera imbere uburebure bw'amagufwa kugeza ugeze ahavunitse. Umusumari umaze gushyirwaho, imigozi yinjizwa mumagufwa no mumisumari kugirango uyifate mumwanya.

Ibyiza

Kwiyubaka kwabagore imisumari yimbere ifite ibyiza byinshi kurenza ubundi buryo bwo kuvura kuvunika kwumugore. Muri byo harimo:

• Ihinduka rikomeye ryurubuga rwacitse

• Kugabanya ibyago byo kutagira imisumari

• Kugabanya ibyago byo kudahuza ubumwe

• Ibihe byo gukira byihuse

• Kugabanya ibyago byo kwandura

Ibibi

Nubwo bafite inyungu nyinshi, kwiyubaka kwabagore imisumari yimisumari ntabwo ibuze. Bimwe mubibi bikunze kugaragara harimo:

• Ingaruka zo kunanirwa ibyuma

• Ingorane zo gukuraho umusumari nyuma yo gukira

• Kugabanya uburemere bwibihe mugihe runaka nyuma yo kubagwa

4. Kugereranya hagati yumusumari wintegarugori wumugore no kwiyubaka kwabagore

Imisumari yombi yimbere yumugore hamwe no kwiyubaka kwabagore imisumari ni uburyo bwiza bwo kuvura kuvunika kwabagore. Ariko, hariho itandukaniro ryinshi ryingenzi hagati yubwoko bubiri bwimisumari. Kwiyubaka kwabagore imisumari yimbere itanga ituze ryinshi kumwanya wavunitse, bityo bikundwa kuvunika bigoye. Kurundi ruhande, imisumari ya femorale intramedullary ifite ibyago bike byo kunanirwa ibyuma kandi byoroshye kuyikuramo nyuma yo gukira. Guhitamo imisumari biterwa nibisabwa byihariye byumurwayi, hamwe nubuhanga bwo kubaga.

5. Ibibazo

1. Bifata igihe kingana iki kugirango ukire kubagwa kuvunika k'umugore?

• Igihe cyo gukira kiratandukanye bitewe nuburemere bwakavunitse, ariko mubisanzwe bifata ibyumweru byinshi ukwezi.

1. Kubaga kuvunika k'umugore birababaza?

• Kubabara nyuma yo kubagwa birasanzwe, ariko birashobora gukemurwa n'imiti y'ububabare.

1. Nshobora kwihanganira ukuguru kwanjye nyuma yo kubagwa kuvunika k'umugore?

• Ibibujijwe gutwara ibiro biterwa n'uburemere bw'ivunika n'ubwoko bw'imisumari ikoreshwa. Muganga wawe azakugira inama mugihe ushobora gutangira kwikorera ibiro.

1. Ese kwiyubaka kwumugore birashobora gukurwaho imisumari?

• Nibyo, ariko gukuraho birashobora kugorana kandi birashobora gusaba kubagwa byongeye.

1. Ni izihe ngorane zo gutera imisumari femorale?

• Ingorane zirashobora kubamo malalignment yimisumari, kudahuza kuvunika, no kwandura.

6. Umwanzuro

Imisumari yimbere yumugore hamwe no kwiyubaka kwabagore imisumari yimisemburo yombi nuburyo bwiza bwo kuvura kuvunika kwabagore, ariko biratandukanye mubyerekana mugukoresha, gushushanya, tekinike yo kubaga, nibibazo bishobora kuvuka. Guhitamo imisumari biterwa nibisabwa byihariye byuburwayi nubuhanga bwo kubaga. Gutera imisumari ya femorale no kwiyubaka kwa femorale imisumari irashobora gutanga umusaruro ushimishije kubarwayi bafite imvune zumugore, ariko ni ngombwa gusuzuma witonze ibyiza nibibi bya buri kintu mbere yo gufata icyemezo.

7. Ibibazo

1. Bifata igihe kingana iki kugirango ukire kubagwa kuvunika k'umugore?

• Igihe cyo gukira kiratandukanye bitewe nuburemere bwakavunitse, ariko mubisanzwe bifata ibyumweru byinshi ukwezi.

1. Kubaga kuvunika k'umugore birababaza?

• Kubabara nyuma yo kubagwa birasanzwe, ariko birashobora gukemurwa n'imiti y'ububabare.

1. Nshobora kwihanganira ukuguru kwanjye nyuma yo kubagwa kuvunika k'umugore?

• Ibibujijwe gutwara ibiro biterwa n'uburemere bw'ivunika n'ubwoko bw'imisumari ikoreshwa. Muganga wawe azakugira inama mugihe ushobora gutangira kwikorera ibiro.

1. Ese kwiyubaka kwumugore birashobora gukurwaho imisumari?

• Nibyo, ariko gukuraho birashobora kugorana kandi birashobora gusaba kubagwa byongeye.

1. Ni izihe ngorane zo gutera imisumari femorale?

• Ingorane zirashobora kubamo malalignment yimisumari, kudahuza kuvunika, no kwandura.

Mu gusoza, imisumari yimbere yumugore hamwe no kwiyubaka kwabagore imisumari yimisumari byombi nibikoresho byingirakamaro mukuvura imvune zumugore. Buri cyiciro kigira inyungu zacyo nibibi, kandi guhitamo byombi biterwa nibyifuzo byumurwayi. Tutitaye ku bwoko bw'imisumari yakoreshejwe, ni ngombwa gukurikiza neza amabwiriza yose nyuma yo kubagwa no gushaka ubuvuzi bwihuse niba hari ibibazo bivutse.