Femoral Intramedullary Nail: Umuti utanga ikizere cyo kuvunika k'umugore

Kuvunika kw'abagore, bigira ingaruka ku magufwa y'ibibero, birashobora gutera ububabare bukomeye, kudahindagurika, no kugarukira kumikorere. Uburyo bwiza bwo kuvura nibyingenzi kugirango umuntu agere ku ntsinzi nziza ku barwayi bafite iyi mvune. Bumwe muri ubwo buryo bumaze kumenyekana mu myaka yashize ni ugukoresha imisumari ya femorale. Iyi ngingo iragaragaza inyungu, tekinike yo kubaga, ingaruka, no gukira bifitanye isano nubu buryo bushya bwo kuvura.

Intangiriro

Ivunika ryigitsina gore rirashobora gucika intege, bisaba ubuvuzi bwihuse kandi bwuzuye. Uburyo gakondo bwo kuvura, nka casting cyangwa gukosorwa hanze, burashobora kugira aho bugarukira mugushikira ibisubizo byiza. Tekinike ya femorale intramedullary tekinike yagaragaye nkigisubizo cyizewe kandi cyiza cyo gucunga imvune zumugore.

Umusumari wa Femoral Intramedullary Niki?

Umusumari w'igitsina gore ni igikoresho cyubuvuzi cyagenewe gutuza no guteza imbere gukira kuvunika kw'igitsina gore. Igizwe n'inkoni y'icyuma yinjizwa mu mwobo wo hagati w'igitsina gore, itanga ituze n'inkunga mugihe cyo gukira. Ubusanzwe imisumari ikozwe muri titanium cyangwa ibyuma bidafite ingese kandi biza mubunini butandukanye kugirango habeho anatomiya zitandukanye z'abarwayi.

Ibyerekana kuri Femoral Intramedullary Nail

Imisumari ya femorale ikoreshwa muburyo bwo kuvura imvune zomugore. Zifite akamaro cyane cyane kuvunika bisaba gukosorwa bihamye, nkibimuwe cyangwa byavunitse. Ubu buhanga buranakwiriye kubibazo aho byihutirwa kwikorera ibiro cyangwa mugihe hari ubuziranenge bwamagufwa.

Ubuhanga bwo kubaga umusumari wumugore

Gutegura mbere yo gutangira

Gutegura neza mbere yo gutangira ni ngombwa kugirango ubashe kubaga imisumari femorale intramedullary. Ibi bikubiyemo gusuzuma byimazeyo uburyo bwo kuvunika, ubuzima bwumurwayi muri rusange, nibikomere byose bifitanye isano. Uburyo bwo gufata amashusho, nka X-imirasire, CT scan, cyangwa MRI, bikoreshwa mugusuzuma ibiranga kuvunika no kuyobora ibyemezo byo kubaga.

Umwanya w'abarwayi

Mugihe cyo kubaga, umurwayi ubusanzwe ashyirwa supine kumeza yo kubaga. Ukuguru kwanduye kurateguwe kandi kurigata muburyo budasanzwe. Guhagarara neza ni ngombwa kugirango wemererwe kugera kurubuga rwacitse kandi byoroshye kwinjiza imisumari.

Gukata no Kubona

Gucibwa bikozwe kurubuga rwo kubaga kugirango igufwa ryacitse. Uburebure n'aho biherereye biterwa n'ubwoko bwavunitse hamwe n'aho biherereye ku gitsina gore. Kwitonda witonze byoroshye ni ngombwa kugabanya ihungabana no kugabanya ibyago byo kwandura.

Kwinjiza imisumari

Nyuma yo gukora ikintu cyinjira muri femur yegeranye, umuganga ubaga yinjiza yitonze imisumari ya femorale mumisumari ya medullary. Ubuyobozi bwa Fluoroscopique bukoreshwa kugirango habeho gushyira neza no guhuza. Umusumari utera imbere unyuze mu magufa, ugahindura ibice byose byimuwe kandi ukagarura guhuza neza.

Gufunga imigozi

Iyo umusumari umaze guhagarara neza, hashyizwemo imigozi yo gufunga kugirango umusumari uri mu magufa. Iyi miyoboro itanga ituze ryinyongera kandi irinda kuzenguruka cyangwa kugendagenda kumutwe. Umubare nogushyira imigozi biterwa nuburyo bwo kuvunika no kubaga kwa muganga.

Gufunga ibikomere

Nyuma yo kwemeza guhuza no gukosora neza, gutema bifunze ukoresheje suture cyangwa staples. Gufunga ibikomere bikorwa neza kugirango biteze imbere gukira no kugabanya ibyago byo kwandura. Imyambarire idasanzwe ikoreshwa, kandi urubuga rwo kubaga rurinzwe.

Ibyiza bya Femoral Intramedullary Nail

Gukoresha imisumari ya femorale intramedullary itanga ibyiza byinshi muburyo bwo kuvura gakondo. Zimwe mu nyungu zingenzi zirimo:

1. Gukosora neza: Gukoresha umusumari wigitsina gore utanga imisumari itanga gukosorwa neza, kwemerera guhuza neza no guhuza ibice byavunitse. Uku gushikama gutezimbere gukira neza kandi kugabanya ibyago byo kurwara nabi.

2. Gukangurira hakiri kare: Hamwe na tekinike yimisumari, gukanguka kare birashoboka. Ibi bivuze ko abarwayi bashobora gutangira imyitozo yo kwikorera ibiro no gusubiza mu buzima busanzwe vuba, biganisha ku gukira vuba no kunoza imikorere.

3. Kubungabunga amaraso: Ukoresheje umuyoboro winjiye, tekinike yimisumari ya femorale igabanya ihungabana ryamaraso yamagufwa. Kubungabunga amaraso ahagije ningirakamaro muburyo bwiza bwo gukiza amagufwa no kuvunika.

4. Ibisubizo byiza byo kwisiga: Ugereranije nuburyo bwo gutunganya ibintu hanze, kubaga imisumari ya femorale femorale irimo uduce duto. Ibi bivamo ibisubizo byiza byo kwisiga hamwe no kugabanya inkovu no kunezeza abarwayi.

5. Kugabanya ibyago byo guhura nibibazo byoroshye: Tekinike yo gukoresha umusumari wigitsina gore urimo imisemburo yoroheje yoroheje. Ibi bigabanya ibyago byingutu nkibibazo byo gukira ibikomere, kwandura ingirabuzimafatizo, no gutinda gukira.

   
   

Ingorane n'ingaruka

Mugihe kubaga imisumari femorale intramedullary mubisanzwe bifatwa nkumutekano kandi bifite akamaro, haribibazo bishobora guteza ingaruka hamwe nuburyo bukoreshwa. Ni ngombwa ko abarwayi bamenya ibyo bishoboka mbere yo kwivuza. Zimwe mu ngorane zirimo:

• Kwandura: Kimwe nuburyo ubwo ari bwo bwose bwo kubaga, hari ibyago byo kwandura. Nyamara, uburyo bukwiye bwa sterile, antibiyotike ya prophylaxis, hamwe nubuvuzi nyuma yo kubagwa birashobora kugabanya cyane ibi byago.

• Kudahuza cyangwa kudahuza: Rimwe na rimwe, ibice byavunitse ntibishobora gukira muburyo bwifuzwa cyangwa kunanirwa gukira burundu. Ibintu nko kugabanuka bidahagije, kutagira amagufwa mabi, cyangwa kwikorera ibiro birenze urugero bishobora kugira uruhare mubi cyangwa kudahuza. Gukurikiranira hafi hamwe n’ibindi bikorwa, nko kubaga ubugororangingo, birashobora kuba ngombwa kugirango ibyo bibazo bikemuke.

• Ingorane zijyanye no guterwa: Nubwo bidasanzwe, ingorane zijyanye no guterwa zirashobora kubaho. Ibi birashobora kubamo kurekura, kumeneka, cyangwa kurakara. Niba ibibazo nkibi bivutse, hashobora gukenerwa ubundi buryo bwo kubaga.

• Gukomeretsa imitsi cyangwa imitsi y'amaraso: Mugihe cyo kubaga, hari ibyago bike byo gukomeretsa imitsi cyangwa imitsi y'amaraso. Abaganga babaga bafata ingamba zo kugabanya ibi byago, ariko abarwayi bagomba kumenya ko bishoboka kandi bagahita batangaza ibimenyetso byose bikomeje cyangwa bikabije.

  
  

Gusubiza mu buzima busanzwe no gukira

Nyuma yo kubaga imisumari ya femorale intramedullary, gahunda yuzuye yo gusubiza mu buzima busanzwe ni ngombwa kugirango umuntu akire neza. Gahunda yihariye yo gusubiza mu buzima busanzwe irashobora gutandukana bitewe n'uburemere bwavunitse, ibiranga abarwayi, hamwe n'ubuyobozi bw'abaganga. Ubuvuzi bwumubiri, burimo imyitozo yimyitozo ngororamubiri, gushimangira imyitozo, hamwe namahugurwa yo kugenda, bigira uruhare runini mugusubiza imikorere no kugera ku gukira byuzuye.

Inyigo Yibintu Nitsinzi

Abarwayi benshi babonye umusaruro ushimishije kubaga imisumari femorale intramedullary. Ubushakashatsi bumwe bwakorewe ku muntu ufite imyaka 40 y'amavuko yavunitse. Nyuma yo kubagwa n'umusumari w'igitsina gore, umurwayi yageze ku bumwe bukomeye bwo kuvunika, agarura ubushobozi bwuzuye bwo gutwara ibiro, hanyuma asubira mu bikorwa bisanzwe mu mezi atandatu.

Gereranya nubundi buryo bwo kuvura

Mugihe usuzumye uburyo bwo kuvura kuvunika kwumugore, ni ngombwa kugereranya inyungu nimbibi za buri nzira. Mugihe tekinike yimisumari ya femorale itanga ibyiza byinshi, nko gukosorwa neza, gukanguka hakiri kare, hamwe no kwisiga neza, ntibishobora kuba byiza muburyo bwose bwo kuvunika cyangwa umurwayi. Ubundi buryo, nkibikosorwa hanze cyangwa isahani, birashobora guhitamo mubihe bimwe. Kugisha inama inzobere mu magufa bizafasha kumenya uburyo bukwiye bwo kuvura ukurikije ibihe byihariye.

Umwanzuro

Mu gusoza, tekinike yimisumari ya femorale nuburyo bwiza bwo kuvura kuvunika kwumugore. Itanga igisubizo gihamye, itanga ubukangurambaga hakiri kare, kandi itanga inyungu nyinshi kurenza uburyo gakondo. Mugihe hari ingaruka zishobora kuvuka hamwe ningorane zijyanye nuburyo, gutegura neza mbere yo gutangira, tekinike yo kubaga neza, hamwe nubuvuzi bukwiye nyuma yibikorwa bishobora gufasha kugabanya izo mpungenge. Abarwayi babazwe imisumari femorale intramedullary, hanyuma bagakurikirwa na gahunda yo gusubiza mu buzima busanzwe, bafite amahirwe yo gukira neza no kugarura imikorere.