Kwiyubaka kw'intwaro Intemererlary Umusumari

Kuvunika femoral, cyane cyane ibyo bibaho muri femur (amagufwa), birashobora gukomeretsa bikomeye kandi bicika intege. Mu manza iyo isake igoye cyangwa ikubiyemo gutakaza amagufwa, intera yo kwiyubakira inzitizi ifatwa nkuburyo bwiza bwo kuvura. Iyi ngingo irasobanura ibintu bitandukanye byo kwiyubaka mu bubiko bw'inkuta z'umusumari, harimo ibimenyetso byayo, ubuhanga bwo kubaga, ibyiza, ibidukikije, ibishoboka byose, ibyavuyemo, n'ibindi.

Intangiriro

Kwiyubaka kw'intwaro intera ni inzira yo kubaga ikoreshwa mu gutuza no gusana ibicuruzwa muri femur. Harimo kwinjiza imisumari y'icyuma mu muyoboro w'inyoni w'icyaha kugira ngo uhaguruke umutekano n'inkunga mu gihe cyo gukira. Ubu buhanga bwabonye ibyamamare bitewe nubushobozi bwayo bwo guteza imbere ibiro bimaze kurera no gukira vuba ugereranije nuburyo gakondo bwo kuvura.

Ni ubuhe buryo bwo kwiyubakira kw'intwaro inkuta z'umusumari?

Kwiyubaka kw'intwaro intera ni tekinike yo kubaga irimo gukoresha intera intera umusumari kugira ngo akosore kandi uhagarike kuvuka muri femur. Umusumari mubisanzwe bikozwe mubintu biramba nka titanium cyangwa ibyuma bidafite ishingiro kandi byinjijwe muburyo buto hafi yikibuno cyangwa ivi. Umusumari atera uburebure bwinkumi yavunitse, itanga umutekano no koroshya inzira yo gukira.

Ibimenyetso byo kwiyubaka mu bubiko

Kwiyubaka kw'intwaro intera isuku yerekanwa cyane cyane ku ngwactx ya femur. Izi mvururu zishobora kuba zirimo kuvugurura (aho igufwa ricikamo ibice), kuvunika gutandukanya (aho igufwa ryacitse ahantu henshi), cyangwa kuvunika bifitanye isano no kubura amagufwa. Byongeye kandi, ubu buhanga bukunze gufatwa nkibivuruzi bigoye guhanagura gukoresha ubundi buryo cyangwa kuvunika bisaba uburemere bukabije.

Tekinike yo kubaga yo kwiyubaka muri femoral instaimedlary umusumari

Uburyo bwo kubaga bwo kwiyubaka muri femoral isukari ikubiyemo intambwe nyinshi. Ubwa mbere, umurwayi ashyirwa munsi ya anesthesia rusange cyangwa akarere kugirango agere kubikorwa byubusa. Haca hasuzumwa gato hafi yibumba cyangwa ivi bihuriweho kugera kumuyoboro wa intramedullary wa femur. Amagufwa yavunitse arashyirwaho kandi agabanya, nibiba ngombwa, kugirango agarure umwanya wa Anatomical. Insinga yinjijwe mu miyoboro y'inyomoro, ikurikirwa no kongera gukora inzira yo kugira isuku. Umusumari noneho yinjijwe neza mubitabo kandi ashyirwaho muburyo ukoresheje imigozi cyangwa gufunga uburyo. X-ray imaging ikoreshwa muburyo bwose kugirango igabanye neza kandi ikosore.

Ibyiza byo kwiyubaka muri femoral isukari

Kwiyubaka kw'intwaro IntemererAréers itanga ibyiza byinshi kurindi mahitamo yo kuvura. Ubwa mbere, itanga umutekano mwiza kandi yemerera ibirori byambere, guteza imbere gukira byihuse no gusubiza mu buzima busanzwe. Tekinike nayo igabanya ibyangiritse byoroshye mugihe ikoresha ibinyomoza bito ugereranije no kugabanuka no muburyo bwo gukosora imbere. Byongeye kandi, intera yo kwiyubaka inkuta z'umusumari yerekanaga ingaruka mu buryo bwo kugabanya ububabare nyuma yo gukiza nyuma yo gutanga, no kugarura imikorere isanzwe y'amaguru.

Ingorane n'ibishobora

Kimwe nuburyo bwo kubaga, intera yo kwiyubaka inzitizi itwara ingaruka zimwe nibishobora. Ibi birashobora kubamo kwandura, inzabya y'amaraso cyangwa imitsi yangiza, kutabarika (gutsindwa kw'amagufwa gukira), kunanirwa kumeneka, kunanirwa kwimbitse. Ariko, hamwe nubuhanga bukwiye bwo kubaga, guhitamo kwitondera neza, hamwe nubuvuzi bukwiye nyuma yo kwitabwaho, guhangayika bishobora kugabanywa.

Gusana no Kugarura

Nyuma yo kwiyubaka kw'insanganyamatsiko yo kubagwa imisumari, gusubiza mu buzima busanzwe no kugarura bigira uruhare rukomeye mu kugarura imikorere no kugenda. Kuvura imiti nogukoresha mubisanzwe byateganijwe guteza imbere gukira, gushimangira imitsi ikikije, no kunoza ibintu bitandukanye. Igihe no gukomera kwa gahunda yo gusubiza mu buzima busubirwamo birashobora gutandukana bitewe n'umurwayi ku giti cye n'uburemere bwo kuvunika.

Kugereranya nubundi buryo bwo kuvura

Kwiyubaka kw'intwaro Intemererlary Umusuko nimwe mu mahitamo menshi yo kuvura aboneka mu kuvunika femoral. Ubundi buryo burimo kugabanya no gukosora imbere (Orif), gukosora hanze, hamwe no gusimbuza ikibuno. Buri nzira ifite ibyiza byayo n'ibitekerezo byayo, hamwe no guhitamo kwivuza biterwa nibintu bitandukanye nkubwoko hamwe nubutaka bwumurwayi nubuhanga bwabaganga muri rusange, nubuhanga bwabaganga muri rusange, nubuhanga bwabaganga muri rusange, nubuhanga bwabaganga muri rusange.

Intsinzi Igipimo no Kuruhuka Kwihangana

Ubushakashatsi bwinshi bwatanze raporo nziza hamwe n'ibiciro byinshi byo gutsinda hamwe na inkuta zo kwiyubaka mu femoral. Tekinike yerekanwe kugirango itange umutekano mwiza, guteza imbere ibiro biremereye, kandi koroshya gukiza amaguku. Abarwayi bakurikiza ubu buryo bakunze guhura nububabare bubabaza, busubire mu bubabare, kandi byihuse gusubira mubikorwa byabo bya buri munsi ugereranije nubundi buryo bwo kuvura. Ariko, ibisubizo byumuntu ku giti cye birashobora gutandukana, kandi ni ngombwa kugisha inama inzobere mu buzima bwo kumva ibyateganijwe n'ingaruka zijyanye n'uburyo.

Ubushakashatsi bwakozwe hamwe nibimenyetso byubuvuzi

Ibimenyetso byubuvuzi hamwe nubushakashatsi bwimanza bwerekanye imikorere no gutsinda kwigihe kirekire cyo kwiyubaka inzitizi inzitizi. Ubushakashatsi bwakozwe bwasuzumye ibintu nko gukiza igihe, ibisubizo bikora, ingorane, no kunyurwa kwihangana. Ubu bushakashatsi bugira uruhare mu bimenyetso bikura bishyigikira ikoreshwa ry'isi yo kwiyubaka mu bubiko bw'imibonano mpuzabitsina mu misumari nk'umuntu wizewe kandi neza mu kuvura femoral.

Ikiguzi no kugerwaho byo kwiyubaka mu bubiko bw'inkuta z'umusumari

Igiciro cyo kwiyubaka mu bubiko bw'ikinyabutaka kubaga imisumari gishobora gutandukana bitewe n'ibintu nk'aho biherereye, abashinzwe ubuzima, hamwe n'ubwishingizi bw'umurwayi. Ni ngombwa kugisha inama abanyamwuga n'ubuzima n'abatanga ubwishingizi gusobanukirwa ibiciro bishobora kuba bijyanye nuburyo bukoreshwa. Kugera kuri ubu buryo bwo kuvura birashobora kandi gutandukana ukurikije aho hantu hamwe no kuboneka kwa orthopepedic yihariye.

Umwanzuro

Kwiyubaka kw'intwaro InterAmedillary ni tekinike yo kubaga agaciro kugirango ivurure femoral femoral. Itanga ibyiza byinshi, harimo gushikama, gushira hejuru cyane, no gukira vuba. Mugihe inzira itwara ingaruka zimwe nibishoboka, guhitamo neza, guhitamo neza, ubuhanga bwo kubaga, hamwe nubuvuzi nyuma yo gukora burashobora gufasha kugabanya izi ngaruka. Muri rusange, intera yo kwiyubakira inkuta zagaragaje ingaruka zitanga umusaruro mubijyanye no kuvunika gukiza no kwihangana kuruhuka no kwihangana kwihangana, bigatuma habaho guhitamo abaganga benshi babaga amafranga.