Gamma Intramedullary Nail - Incamake y'ibicuruzwa
Video ya Gamma Nail
Ibisobanuro bya Gamma Nail
Imisumari Nkuru nigice cyibanze cya sisitemu ya Gamma Nail, igikoresho kidasanzwe cyakozwe muguhindura imvune zomugore zegeranye cyane cyane kuvunika hagati ya subtrochanteric.
Iyi ni diameter nini, ikomeye yo gufunga ibice byashizweho kugirango itange imbaraga nini zo gukurura no gutuza mubihe bisaba gukosorwa neza.
3.5mm yo gufunga ikoreshwa muburyo busanzwe bwo gufunga ijosi no mumutwe wumugore, akenshi ikora nka anti-rotation hamwe na nini nini ya lag nini.4.5mm yo gufunga ikoreshwa mubice bitandukanye byo gufunga sisitemu ya Gamma Nail.
Igikoresho cyashyizwe kumisumari ya Gamma ni igiteranyo cyuzuye cyibikoresho byabugenewe byifashishijwe kugirango habeho gushyirwaho neza kandi neza kwimisumari hamwe n’ibikoresho byayo.
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Ishusho Yukuri ya Gamma Intramedullary Nail
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Ibyiza bya Clinical ya Gamma Intramedullary Nail
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Blog ya Gamma Imisumari
Gamma Intramedullary Nail: Incamake Yuzuye
Ku bijyanye no kubaga amagufwa, bumwe mu buryo bukunze kugaragara ni ugukosora kuvunika amagufwa hamwe n’imisumari. Muri ibyo, gamma intramedullary imisumari ni amahitamo azwi kubera ibyiza byayo bitandukanye. Muri iki kiganiro, tuzaganira ku gishushanyo, ibimenyetso, tekinike, ingorane, hamwe n’ibisubizo bijyanye no gukoresha imisumari ya gamma intramedullary.
Intangiriro
Imisumari ya gamma ni ubwoko bwibikoresho byo gutunganya bikoreshwa mu kuvura amagufwa maremare. Yatangijwe bwa mbere na AO Foundation mu myaka ya za 1980 kandi kuva icyo gihe yabaye ihitamo rikunzwe mu gucunga imvune muri femur, tibia, na humerus. Imisumari ya gamma yagenewe gutanga ibisubizo bihamye mugihe ibungabunga ibinyabuzima byavunitse kandi bikemerera kubyara kare.
Anatomy na Igishushanyo
Umusumari wa gamma ni titanium alloy inkoni yinjizwa mumigezi yimbere yamagufwa. Inkoni ifite ishusho igoramye, ituma ikurikiza imiterere karemano yamagufwa. Impera yegeranye yimisumari ifite ishusho yaka, itanga ihindagurika kandi ikabuza kwimuka kwimisumari. Impera ya kure yimisumari ifite umugozi wumugozi, uhuza amagufwa ya kanseri kandi utanga umurongo uhamye.
Ibyerekana
Imisumari ya gamma yerekanwa mu kuvura kuvunika amagufwa maremare, cyane cyane ay'igitsina gore, tibia, na humerus. Bikunze gukoreshwa kuvunika biri hagati cyangwa hagati ya kimwe cya gatatu cyamagufwa. Umusumari wa gamma kandi werekanwa no kuvura imvune zidahungabana cyangwa zimuwe, kimwe no kuvunika kugabanijwe cyangwa bifite agace kinyugunyugu.
Ubuhanga bwo kubaga
Tekinike yo kubaga yo gushyiramo umusumari wa gamma ikubiyemo gukoresha ibikoresho byabugenewe. Inzira isanzwe ikorwa muri anesthesia rusange cyangwa yakarere. Nyuma yo gutegura umurwayi nu kibaga cyo kubaga, insinga iyobora yinjizwa mu muyoboro w’amagufwa ukoresheje ubuyobozi bwa fluoroscopique. Umugozi uyobora noneho uhindurwamo kugirango utegure umuyoboro wumusumari. Imisumari ya gamma yinjizwa hejuru yicyuma kiyobora hanyuma igatera imbere mu muyoboro kugeza igeze ahavunika. Imigozi yegeranye kandi yitaruye noneho yinjizwamo kugirango ikingire umusumari.
Ingorane
Mugihe imisumari ya gamma isanzwe ifatwa nkuburyo bwiza bwo kuvura kandi bwiza, ntabwo burimo ibibazo byabwo. Ingorane zijyanye no gukoresha imisumari ya gamma zishobora kubamo:
Malalignment cyangwa malrotation yumusumari
Kuvunika umusumari cyangwa igufwa
Kudashyira hamwe cyangwa gutinda ubumwe bwavunitse
Indwara
Kunanirwa kw'ibyuma
Kwangiza imiterere ikikije, nk'imitsi cyangwa imiyoboro y'amaraso
Ibisubizo
Ubushakashatsi bwinshi bwasuzumye ibyagezweho bijyanye no gukoresha umusumari wa gamma mu kuvura amagufwa maremare. Muri rusange, ibisubizo byabaye byiza, hamwe n’igipimo kinini cy’ubumwe bwavunitse, igipimo gito cy’ibibazo, hamwe n’ibisubizo byiza byakozwe. Ubushakashatsi bwakozwe na meta 22 bwerekanye ko gukoresha imisumari ya gamma byatumye 95% by’ubumwe hamwe na 92% byiza cyangwa byiza byimikorere.
Umwanzuro
Mugusoza, gamma intramedullary imisumari nuburyo bukunzwe kandi bwiza bwo kuvura amagufwa maremare. Itanga inyungu nyinshi kurenza ubundi buryo bwo gukosora, harimo gukosorwa neza, kubungabunga ibinyabuzima byahantu havunitse, no kubyara kare. Mugihe bitarimo ingorane zishobora kuba, ibisubizo muri rusange bijyana no gukoresha imisumari ya gamma nibyiza.
Gamma Nail Ibibazo
1: Bifata igihe kingana iki kugirango ukire nyuma yo kubagwa Gamma Nail?
Igihe cyo gukira nyuma ya Gamma Intramedullary Kubaga imisumari biratandukana bitewe nubwoko bwavunitse, ahantu havunitse (nko kuvunika intertrochanteric cyangwa subtrochanteric), imyaka yabarwayi, ubwiza bwamagufwa, nubuzima muri rusange.
Muri rusange, abarwayi benshi batangira gukangurwa hakiri kare nyuma yo kubagwa kandi barashobora kwitega gukira neza no kugaruka mubikorwa bya buri munsi mugihe cyamezi 3 kugeza kuri 6 , mugihe ntakibazo gihari kandi hakurikizwa protocole yo gusubiza mu buzima busanzwe.
2: Umusumari wa Gamma urakwiriye kuvunika amagufwa maremare?
No. .
Ihitamo rya nyuma ryatewe rigomba guhora rishingiye ku isuzuma ry’amavuriro no kubaga.
3: Kwinjiza Gamma Nail ni inzira ibabaza?
Kwinjiza Gamma Nail bikorwa muri anesthesia rusange cyangwa yakarere , bivuze ko abarwayi batagira ububabare mugihe cyo kubaga ubwacyo.
Kubabara nyuma yo kubagwa cyangwa kutamererwa neza birashobora kubaho ariko mubisanzwe ni byigihe gito kandi birashobora gucungwa neza hakoreshejwe imiti yububabare, gusubiza mu buzima busanzwe, no kuvurwa neza nyuma yo kubagwa.
4: Ni izihe ngaruka zishobora guterwa no kubaga Gamma Nail?
Kimwe nuburyo ubwo aribwo bwose bwo gutera amagufwa, kubaga Gamma Nail bitera ingaruka zishobora kubaho. Ingorane zishobora kuba zirimo malalignment yatewe, gutinda ubumwe cyangwa kudahuza, kwandura, kunanirwa ibyuma, kuvunika hafi yatewe, cyangwa gukomeretsa imitsi ikikije cyangwa imiyoboro y'amaraso.
Tekiniki yo kubaga yitonze, guhitamo neza, no gukurikirana nyuma yibikorwa bifasha kugabanya izo ngaruka.
5: Ese imisumari ya Gamma ikeneye gukurwaho nyuma yo gukira kuvunika?
Kenshi na kenshi, Imisumari ya Gamma ntisaba kuvanwaho iyo kuvunika gukize.
Ariko, kuvanaho bishobora gutekerezwa niba umurwayi afite ububabare buhoraho, kurakara biterwa no guterwa, cyangwa izindi ngorane. Icyemezo kigomba gufatwa nu muganga ubaga amagufwa ashingiye ku bimenyetso by’amavuriro n’ibisubizo byerekana.
