Intera ya femoramed

Kuvunika femoral, bigira ingaruka kumagufwa, birashobora gutera ububabare bukomeye, kwibeshya, no kugarukira. Amahitamo meza yo kuvura ningirakamaro kugirango agere kubisubizo byiza kubarwayi bafite ibi bice. Ihitamo nk'iryo ryamamaye mu myaka yashize ni ugukoresha intera y'umunya femorallary. Iyi ngingo irashakisha inyungu, tekinike yo kubaga, ingaruka, no gukira bifitanye isano nubu buryo bushya bwo kuvura.

Intangiriro

Kuvunika femur birashobora gutuka, bisaba kwivuza kandi neza. UBURYO BUKURIKIRA, nko gukosora cyangwa hanze yo gukosora, birashobora kugira imbogamizi muguhitamo ibisubizo byiza. Tekinike yo mu misumari ya femoramedlary yagaragaye nk'igisubizo cyizewe kandi cyiza cyo gucunga imiyoboro y'indwara.

Ni ubuhe butumwa bwo mu busambanyi?

Umusumari wa intramedullary ni igikoresho cyubuvuzi cyagenewe gutuza no guteza imbere gukira mubice bya femur. Igizwe n'inkoni y'icyuma yinjijwe mu kigo cya femur, gitanga umutekano n'inkunga mu gihe cyo gukira. Imisumari isanzwe ikozwe muri titanium cyangwa ibyuma bidafite ingaruka kandi ije mubunini butandukanye kugirango yegure anatomi zinyuranye.

Ibimenyetso byerekana imisumari ya femoraveur

Imisumari ya femoraveurse imisumari isanzwe ikoreshwa mukuvura imivura ya femoral. Bafite akamaro cyane cyane kubijyanye no gukosora ikosora, nkibishimwa cyangwa byimuwe cyangwa byashyizweho. Ubu buhanga nabwo bukwiriye gutabwa aho bihita bikenerwa cyangwa mugihe hari ubwiza bwamagufwa.

Ubuhanga bwo kubaga kuri intera femoral umusumari

Igenamigambi

Igenamigambi ryimikorere myiza mbere ni ngombwa mugushyirirwe n'umusumari watsinze imisumari. Ibi birimo gusuzuma byuzuye uburyo bwo kuvunika, ubuzima rusange bwumurwayi, hamwe nibikomere byose bifitanye isano. Tekinike yerekana, nka x-imirasire, ct scan, cyangwa mri, ikoreshwa kugirango isuzume ibiranga kandi bigayobora gufata ibyemezo.

Umwanya

Mugihe cyo kubaga, umurwayi asanzwe akoreshwa kumeza yo gukora. Ukuguru kwanduye birategurwa no gutondekanya muburyo bworoshye. Umwanya ukwiye ningenzi kugirango wemererwe kugera ku kuvunika neza no koroshya imibonano mpuzabitsina.

Gutema no kubona

Gutema kwateganijwe kurubuga rwo kubaga kugirango ugere kumagufwa yavunitse. Uburebure n'aho biherereye biterwa nuburyo bwo kuvunika hamwe numwanya wacyo muri femur. Gutondekanya byoroshye ibice ni ngombwa kugirango ugabanye ihungabana no kugabanya ibyago byo kwandura.

Imisumari

Nyuma yo gukora ingingo yinjira muri Femur Femur, umuganga ubaga yinjiza yitonze umusumari wa femorallary mu miyoboro ya gisabune. Ubuyobozi bwa Fluorscopic bukoreshwa kugirango hamenyekane neza no guhuza neza. Umusumari wateye imbere mu magufa, uhuza ibice byose byimuwe no kugarura anatomike ikwiye.

Gufunga imigozi

Iyo umusumari umaze gutondekwa neza, gufunga imigozi yinjijwe kugirango umusumari mu magufwa. Iyi miyoboro itanga imbaraga zinyongera kandi irinde kugenda kuzunguruka cyangwa kwambara kashe ya fracraments. Umubare no gushyira imiyoboro biterwa nuburyo bwo kuvunika hamwe no kubaga.

Gufunga ibikomere

Nyuma yo guhakana neza no gukosorwa, gutemagurira bifunze gukoresha sutures cyangwa staples. Gufunga ibikomere bikorwa neza kugirango biteze imbere gukira no kugabanya ibyago byo kwandura. Imyambarire ya Sterile ikoreshwa, kandi urubuga rwo kubaga rurinzwe.

Ibyiza byo mu ntera ya femoravuzi

Gukoresha intera ya intera femorallary itanga ibyiza byinshi kubu buryo bwo kuvura gakondo. Zimwe mu nyungu zingenzi zirimo:

1. Gukosora Ihamye: Gukoresha imisumari ya femoralery itanga ikosora, yemerera guhuza neza no guhuza ibice byamavuni. Uku gushikama guteza imbere gukira neza no kugabanya ibyago byo gukwirakwiza.

2. Gukangurira hakiri kare: hamwe na tekinike yo mu misumari, ubukangurambaga bwa mbere burashoboka. Ibi bivuze ko abarwayi bashobora gutangiza imyitozo yo kwikorera no gusubiza mu buzima busanzwe, biganisha ku gukira vuba no kunoza imikorere yimikorere.

3. Kubungabunga Amaraso: Mu gukoresha imiyoboro y'inyoni, tekinike y'imisumari igabanya guhungabanya amaraso y'amagufwa. Kurinda amaraso ahagije ningirakamaro kumagufwa meza yo gukiza no kuvunika ubumwe.

4. Kunoza Ibisubizo by'ibitangaza: Ugereranije uburyo bwo gukosora hanze, kubaga imisumari by'imisumari bikubiyemo imibare mito. Ibi bivamo ibizavamo byimazeyo hamwe no kugabanuka no kunoza kunyurwa.

5. Kugabanya ibyago byo guhura na tissue yoroshye: Tekinike yo gukoresha imisumari ya femoralery ikubiyemo guhungabana ntoya ya tissue. Ibi bigabanya ibyago byo kugorana nkibibazo byo gukiza ibikomere, kwandura tissue yoroheje, no gutinda gukira.

   
   

Ingorabahizi n'ingaruka

Mugihe kubaga imisumari yumunyamisumari muri rusange bifatwa neza kandi bigira akamaro, hari ibibazo nibibazo bifitanye isano nuburyo bujyanye nuburyo bukoreshwa nuburyo. Ni ngombwa ko abarwayi bazi ibyo bishoboka mbere yo kwivuza. Bimwe mubibazo birimo:

• Kwandura: Nko ku buryo ubwo aribwo bwose bwo kubaga, hari ibyago byo kwandura. Nyamara, tekinike ikwiye, antibiyotike prophylaxis, no kwitonda nyuma yo kugabanya cyane iyi ngaruka.

• Mala-Nounion: Rimwe na rimwe, ibice byacitse ntibishobora gukiza muburyo bwifuzwa cyangwa kunanirwa gukira. Impamvu nk'igabanuka ridahagije, ubuziranenge bw'amagufwa, cyangwa ubwikorezi bukabije burashobora gutanga umusanzu mu ma malabrament cyangwa kuba adanion. Gukurikiranira hafi kandi byiyongera, nko kubaga gusubirwamo, birashobora kuba ngombwa gukemura ibyo bibazo.

• Ingorane zijyanye na Sport: Nubwo ari gake, ingorane zijyanye no kudashimangirwa. Ibi birashobora kubamo imbaraga zo kurekura, gusenyuka, cyangwa kurakara. Niba ingorane nkizo zivuka, hashobora kuba maso.

• Imitsi cyangwa amaraso yo mu maraso: Mugihe cyo kubaga, hari ibyago bike byimitsi cyangwa ibikomere byamaraso. Abaganga babaga bafata ingamba zo kugabanya iki kibazo, ariko abarwayi bagomba kumenya ibishoboka kandi bahita bavuga ibimenyetso byose cyangwa bikabije.

  
  

Gusana no Kugarura

Nyuma yo kubagwa imisumari y'igitsina, gahunda yo gusubiza mu buzima busanzwe ni ngombwa mu gukira neza. Gahunda yihariye yo gusubiza mu buzima busanzwe burashobora gutandukana bitewe n'uburemere bwo kuvunika, ibiranga abarwayi, n'ubuyobozi bwabaga. Kuvura umubiri, harimo imikoreshereze yimikorere, gushimangira imyitozo, no guhugura, bigira uruhare runini mugusubiza imikorere no kugera ku gukira.

Ubushakashatsi bwakozwe n'inkuru

Abarwayi benshi bahuye n'ibizagenda neza hamwe no kubaga imisumari yo kubaga imisumari. Inyigisho imwe yibanze yarimo umuntu wimyaka 40 hamwe nigiti cya femoral yimuwe. Nyuma yo kubagwa imisumari y'inkuta z'umunya femoral, umurwayi yageze ku kuvunika ubumwe bukomeye, yongeye kubona ibiro byuzuye byo kwitwaza ibiro, asubira mu bikorwa bisanzwe mu mezi atandatu.

Kugereranya nubundi buryo bwo kuvura

Mugihe usuzumye amahitamo yo kuvura imivurungano, ni ngombwa kugereranya inyungu n'imbogamizi za buri nzira. Mugihe tekinike yo mu misumari ya femorave itanga ibyiza byinshi, nko gukosoresha, gukangurira hakiri kare, no kuzamura ibitangaza byo kwisiga, ntibishobora kuba bikwiranye na buri buryo bwo kuvunika cyangwa kwihangana. Ubundi buryo, nko gukosora hanze cyangwa kwipimisha, birashobora kuguhitamo mubihe bimwe. Kugisha inama inzobere mu magufwa bizafasha kumenya uburyo bukwiye bwo kuvura bushingiye ku mibereho.

Umwanzuro

Mu gusoza, tekinike yimisumari yubugome nuburyo bwo kuvura kandi bunoze bwo kuvunika femoral. Itanga ikosora, ituma ubukangurambaga bwa mbere, kandi itanga ibyiza byinshi kubu buryo gakondo. Mugihe hariho ingaruka zishobora kubaho nibibazo bifitanye isano nuburyo, gutegura neza witonze, ubuhanga bwuganje, kandi ubwitonzi bukwiye bwa nyuma burashobora gufasha kugabanya izo mpungenge. Abarwayi barimo kubaga imisumari bavanze imisumari, hakurikiraho gahunda yo gusubiza mu buzima busanzwe mu buzima busanzwe, bafite ubushobozi bwo gukira neza no kugarura imikorere.