Gamma

Gamma Intramedilllary Umusumari: Incamake Yuzuye

Ku bijyanye no kubaga amagufwa, bumwe mu buryo bukunze kuvugurura amagufwa hamwe n'imisumari. Muri ibyo, imisumari ya gamma ni amahitamo akunzwe kubera inyungu zitandukanye. Muri iki kiganiro, tuzaganira ku gishushanyo, ibimenyetso, tekiniki, ingorane, n'ibisubizo bifitanye isano no gukoresha imisumari y'imisumari ya Gamma.

Intangiriro

Imisumari ya gamma ni ubwoko bwibikoresho byo gutunganya imiterere ikoreshwa mugufata amagufwa maremare. Yatangijwe bwa mbere na Ao Foundation mu myaka ya za 1980 kandi kuva kuva yahitanye abantu benshi mu micungire y'imiterere muri Femur, Tibia, na Humerusi. Imisumari ya gamma yagenewe gutanga ikosora ikosorwa mugihe ikiza ibinyabuzima byurubuga rwavuzagurika no kwemerera ibirori byambere.

Anatomy no gushushanya

Umusumari wa gamma ni titanium alloy inkoni yinjijwe mu miyoboro y'inyoni y'amagufwa. Inkoni ifite imiterere igoramye, iyemerera gukurikiza amagufwa. Iherezo ryiza ryumusumari rifite imiterere yaka, itanga ituze ryuzuye kandi ribuza kwimuka kwabasunda. Iherezo ryimisumari rifite urudodo rwumugozi, rwishora hamwe namagufa nkagarika kandi bigatanga umutekano.

Ibimenyetso

Umusumari wa gamma agaragazwa no kuvura amagufwa maremare, cyane cyane abo muri Femur, Tibia, na Humerusi. Bikoreshwa cyane kubijyanye no gukata hagati cyangwa kure ya gatatu kumagufwa. Imisumari ya gamma nayo yerekanwe kugirango ivure imivurungano idahungabana cyangwa yimuwe, ndetse no kumeneka zimuwe cyangwa zifite igice cy'ikinyugunyugu.

Tekinike yo kubaga

Ubuhanga bwo kubaga bwo kwinjiza imisumari ya gamma bikubiyemo gukoresha ibikoresho byihariye. Uburyo busanzwe bukorwa muri anesthesia rusange cyangwa mu karere. Nyuma yo gutegura umurwayi nurubuga rwo kubaga, insinga ziyobowe byinjijwe mubitabo byintangiriro yamagufwa ukoresheje ubuyobozi bwa fluoroscopic. Insinga ziyobora noneho yakosowe kugirango utegure umuyoboro kumusumari. Imisumari ya gamma yinjijwe hejuru yinsinga kandi iteye imbere mu muyoboro kugeza igeze kurubuga. Imigozi ifunze kandi ya kure noneho yinjizwa kugirango ibone umusumari mumwanya.

Ingorane

Mugihe imisumari ya gamma ifatwa nkuburyo bwiza bwo kuvura kandi bunoze, ntabwo budashoboka. Ingorane zijyanye no gukoresha imisumari ya gamma zishobora kubamo:

• Mala cyangwa kuvuza umusumari

• Kuvunika umusumari cyangwa igufwa

• Nonunion cyangwa yatinze Inzego zivunika

• Kwandura

• Kunanirwa kw'ibyuma

• Kwangiza imiterere izengurutse, nka nerves cyangwa imiyoboro y'amaraso

Ibisubizo

Ubushakashatsi bwinshi bwasuzumye ibizavamo bifitanye isano no gukoresha imisumari yo kuvura amagufwa maremare. Muri rusange, ibisubizo byabaye byiza, hamwe nigipimo kinini cyo kuvunika ubumwe, ibipimo bike byingorane, nibisubizo byiza byimikorere byatangajwe. Meta-gusesengura ubushakashatsi 22 byasanze gukoresha imisumari byatumye habaho igipimo cyinzego 95% hamwe nibisubizo byiza cyangwa byiza.

Umwanzuro

Mu gusoza, imisumari ya gamma ni inzira izwi kandi nziza yo kuvura amagufwa. Itanga ibyiza byinshi mubindi buryo bwo gukosora, harimo gukosora, kubungabunga ibinyabuzima byurubuga rwavuzagurira, no kubyara hakiri kare. Mugihe atariyo hatagira ibibazo byayo, ibisubizo rusange bifitanye isano no gukoresha imisumari ni byiza.

Ibibazo

1. Bifata igihe kingana iki kugirango ukire kubaga hamwe numusumari?

• Igihe cyo gukira kiratandukanye bitewe n'ahantu n'uburemere bwo kuvunika, kimwe n'ubuzima muri rusange muri rusange nibindi bintu. Ariko, abarwayi benshi barashobora kwitega ko basubira mubikorwa bisanzwe mumezi 3-6 nyuma yo kubaga.

1. Ese gamma irashobora gukoreshwa muburyo bwose bwo kuvunika amagufwa maremare?

• Mugihe imisumari ya gamma igaragazwa no kuvura amagufwa magufa, ntibishobora kuba bikwiriye imiterere yose. Icyemezo cyo gukoresha imisumari cya gamma kizaterwa nibintu bitandukanye, harimo ahantu n'uburemere bwo kuvunika, imyaka yumurwayi nubuzima rusange, nubunararibonye bwabaga hamwe nibyifuzo.

1. Kwinjiza gamma imisumari uburyo bubabaza?

• Kwinjiza imisumari ya gamma mubisanzwe bikorwa munsi ya anesthesia, bityo abarwayi ntibagomba kumva ububabare mugihe cyiburyo. Ariko, hashobora kubaho ibintu cyangwa ububabare nyuma yuburyo, bushobora gucungwa n'imiti nububabare nizindi ngamba.

1. Nibihe bigoye kubagwa gamma byimisumari?

• Ingorane zijyanye no gukoresha umusumari zishobora gukoresha macro cyangwa kuvuza umusumari, kuvunika umusumari cyangwa amagufwa, gutsindwa, no kwanduza ibyuma bikikije imitsi cyangwa imiyoboro y'amaraso.

1. Umusaruro wa gamma urashobora gukurwaho nyuma yo kuvunika?

• Kenshi na kenshi, imisumari ya gamma ntigomba kuvaho nyuma yo kuvunika gukize. Ariko, mubihe bimwe, birashobora kuba ngombwa gukuramo umusumari niba bitera ububabare cyangwa ibindi bibazo. Icyemezo cyo gukuraho umusumari kizaterwa nibintu bitandukanye, harimo ahantu h'umusumari hamwe nibimenyetso byumurwayi.