Kwiyubaka kw'Abagore Imisumari

Kuvunika kw'abagore, cyane cyane ibibera mu gitsina gore (igufwa ry'ibibero), birashobora kuba ibikomere bikomeye kandi bitesha umutwe. Mugihe aho kuvunika bigoye cyangwa birimo gutakaza igufwa ryinshi, kwiyubaka kwabagore imisumari yimisumari ifatwa nkuburyo bwiza bwo kuvura. Iyi ngingo irasesengura ibintu bitandukanye byo kwiyubaka kwabagore imisumari yimbere, harimo ibimenyetso byayo, tekinike yo kubaga, ibyiza, ingorane zishobora kubaho, ibisubizo byabarwayi, nibindi byinshi.

Intangiriro

Kwiyubaka kwabagore imisumari yimisumari nuburyo bwo kubaga bukoreshwa muguhagarika no gusana ibice byavunitse. Harimo kwinjiza umusumari wicyuma mumigezi yimbere yigitereko kugirango itange ituze ninkunga mugihe cyo gukira. Ubu buhanga bumaze kumenyekana kubera ubushobozi bwabwo bwo guteza imbere ibiro kare no gukira vuba ugereranije nuburyo gakondo bwo kuvura.

Niki Kwiyubaka kwa Femoral Kwinjiza Imisumari?

Kwiyubaka kwa femorale imisumari ni tekinike yo kubaga ikubiyemo gukoresha umusumari uteganijwe kugirango ukosore kandi uhagarike kuvunika mu gitsina. Ubusanzwe umusumari bikozwe mubintu biramba nka titanium cyangwa ibyuma bitagira umwanda kandi byinjizwa binyuze mumutwe muto hafi yikibuno cyangwa ivi. Umusumari ufite uburebure bw'amagufwa yavunitse, utanga ituze kandi worohereza inzira yo gukira.

Ibimenyetso byo Kwiyubaka kw'Abagore Imisumari

Kwiyubaka kwabagore imisumari yimbere yerekanwe cyane cyane kumeneka igoye yigitsina gore. Ivunika rishobora kuba ririmo kuvunika kugabanijwe (aho igufwa ryacitsemo ibice byinshi), kuvunika igice (aho igufwa ryacitse ahantu henshi), cyangwa kuvunika bifitanye isano no gutakaza amagufwa akomeye. Byongeye kandi, ubu buhanga bukunze gufatwa nkuvunika bigoye guhagarara ukoresheje ubundi buryo cyangwa kuvunika bisaba kwikorera kare.

Ubuhanga bwo kubaga bwo Kwubaka Abagore Imisumari

Uburyo bwo kubaga uburyo bwo kongera kubaka femorale imisumari ikubiyemo intambwe nyinshi. Ubwa mbere, umurwayi ashyirwa muri anesteziya rusange cyangwa yakarere kugirango yizere ko nta bubabare. Gucisha make noneho bikozwe hafi yibibuno cyangwa ivi kugirango bigere kumuyoboro wimbere wigitsina gore. Amagufa yavunitse yahinduwe kandi aragabanuka, nibiba ngombwa, kugirango asubize imyanya isanzwe. Umugozi uyobora winjizwa mu muyoboro winjiye, ugakurikirwa no gukora inzira yo gukora umusumari. Umusumari uhita winjizwa muburyo bwitondewe hanyuma ugashyirwa mumwanya ukoresheje imigozi cyangwa uburyo bwo gufunga. Ishusho ya X-ray ikoreshwa muburyo bwose kugirango ihuze neza kandi ikosorwe.

Ibyiza byo Kwiyubaka kw'Abagore Imisumari

Kwiyubaka kwa femorale imisumari itanga inyungu nyinshi kurenza ubundi buryo bwo kuvura. Ubwa mbere, itanga ituze ryiza kandi itanga uburemere bwambere, igatera gukira vuba no gusubiza mu buzima busanzwe. Tekinike kandi igabanya ibyangiritse byoroheje kuko ikoresha uduce duto ugereranije no kugabanya gufungura no gukosora imbere. Byongeye kandi, kwiyubaka kwabagore imisumari yimbere yerekanaga ibisubizo bitanga umusaruro mubijyanye no kugabanya ububabare nyuma yubuvuzi, kongera gukira kuvunika, no kugarura imikorere isanzwe yamaguru.

Ibishobora kugorana n'ingaruka

Kimwe nuburyo ubwo ari bwo bwose bwo kubaga, kwiyubaka kwabagore imisumari yimisumari itwara ingaruka zimwe ningaruka zishobora kubaho. Ibi bishobora kuba birimo kwandura, imiyoboro y'amaraso cyangwa kwangirika kw'imitsi, kudahuza (kunanirwa kw'amagufwa gukira), kudahuza imvune, kunanirwa guterwa, hamwe na trombose ndende. Ariko, hamwe nubuhanga bukwiye bwo kubaga, gutoranya abarwayi witonze, hamwe nubuvuzi bukwiye nyuma yubuvuzi, ibibazo byingutu birashobora kugabanuka.

Gusubiza mu buzima busanzwe no gukira

Nyuma yo kwiyubaka kwabagore kubagwa imisumari, kuvura no gukira bigira uruhare runini mugusubiza imikorere no kugenda. Ubuvuzi bwimyitozo ngororangingo hamwe nimyitozo byateganijwe kugirango biteze imbere gukira, gushimangira imitsi ikikije, no kunoza urwego. Igihe n'uburemere bya gahunda yo gusubiza mu buzima busanzwe birashobora gutandukana bitewe n'umurwayi ku giti cye n'uburemere bw'ivunika.

Kugereranya nubundi buryo bwo kuvura

Kwiyubaka kwabagore imisumari ni imwe gusa muburyo bwo kuvura buboneka kuvunika k'umugore. Ubundi buryo burimo kugabanya gufungura no gukosora imbere (ORIF), gukosora hanze, hamwe no gusimbuza ikibuno cyose. Buri buryo bufite ibyiza byabwo nibitekerezo, kandi guhitamo kwivuza biterwa nibintu bitandukanye nkubwoko n’aho yavunitse, imyaka yumurwayi nubuzima muri rusange, hamwe nubuhanga bwo kubaga.

Intsinzi y'ibipimo n'ibisubizo by'abarwayi

Ubushakashatsi bwinshi bwerekanye umusaruro ushimishije hamwe niterambere ryinshi hamwe no kwiyubaka kwabagore imisumari. Ubuhanga bwerekanwe gutanga imvune nziza cyane, kuzamura uburemere hakiri kare, no koroshya amagufwa. Abarwayi bahura nubu buryo bakunze kunanirwa kugabanya ububabare, kugarura umuvuduko, no gusubira vuba mubikorwa byabo bya buri munsi ugereranije nubundi buryo bwo kuvura. Nyamara, ibisubizo byabantu ku giti cyabo birashobora gutandukana, kandi ni ngombwa kugisha inama inzobere mu buzima kugira ngo dusobanukirwe n'ibiteganijwe hamwe n'ingaruka zijyanye n'uburyo.

Inyigo Yibimenyetso nubuvuzi

Ibimenyetso bya Clinical hamwe nubushakashatsi bwakozwe byagaragaje imikorere nigihe kirekire cyo gutsinda kwabagore kwiyubaka imisumari. Ubushakashatsi bwakozwe bwasuzumye ibintu nkigihe cyo gukira kuvunika, ibisubizo bikora, ingorane, no guhaza abarwayi. Ubu bushakashatsi bugira uruhare runini mu bimenyetso bifatika bikoreshwa mu kongera kubaka femorale imisumari yimisumari nkuburyo bwizewe kandi bunoze bwo kuvura imvune zumugore.

Igiciro nuburyo bwo Kwiyubaka kwabagore Imisumari yimbere

Igiciro cyo kwiyubaka kwabagore kubagwa imisumari irashobora gutandukana bitewe nibintu nkahantu, utanga ubuvuzi, hamwe nubwishingizi bwumurwayi. Ni ngombwa kugisha inama inzobere mu buvuzi n’abatanga ubwishingizi kugirango twumve ikiguzi gishobora kuba kijyanye nuburyo. Kugera kuri ubu buryo bwo kuvura birashobora kandi gutandukana ukurikije aho uherereye no kuboneka kwa orthopedic kubaga kabuhariwe.

Umwanzuro

Kwiyubaka kwabagore imisumari yimisumari nubuhanga bwingenzi bwo kubaga uburyo bwo kuvura imvune zikomeye zumugore. Itanga ibyiza byinshi, harimo gutuza, kwikorera kare, no gukira vuba. Mugihe uburyo butwara ingaruka zimwe ningaruka zishobora guterwa, guhitamo neza abarwayi, ubuhanga bwo kubaga, hamwe nubuvuzi nyuma yubuvuzi burashobora gufasha kugabanya izo ngaruka. Muri rusange, kwiyubaka kwabagore imisumari yerekana imisumari yerekanye ibisubizo bitanga umusaruro mubijyanye no gukira kuvunika hamwe nigisubizo cy’abarwayi, bigatuma ihitamo kubaganga benshi babaga amagufwa n’abarwayi.