Gamma Nail

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Gamma Umusumari wo mu musokoro w'amagufa : 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 zidahindagurika cyangwa zimuwe, kimwe no kuvunika kwagabanijwe cyangwa kugira 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. Hafi ya kure na kure Imigozi ifunga noneho binjizwamo kugirango babe umusumari mu mwanya.

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 byavunitse, no kwikorera ibiro hakiri 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 Umusumari wo mu musokoro w'amagufa kubagwa biratandukanye bitewe nubwoko bwavunitse, ahantu havunitse (nko kuvunika intertrochanteric cyangwa subtrochanteric), imyaka yumurwayi, ubwiza bwamagufwa, nubuzima muri rusange.
Muri rusange, abarwayi benshi batangira gukangurwa hakiri kare nyuma yo kubagwa kandi barashobora kwitega gukira no kugaruka mubikorwa bya buri munsi mugihe cyamezi 3 kugeza kuri 6 , mugihe ntakibazo gihari kandi hakurikizwa protocole yo gusubiza mu buzima busanzwe.

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2: Umusumari wa Gamma urakwiriye kuvunika amagufwa maremare?

No. ​ ​ ​ .
​Ihitamo rya nyuma ryatewe rigomba guhora rishingiye ku isuzuma ry’amavuriro no kubaga.

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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.

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4: Ni izihe ngaruka zishobora guterwa no kubaga Gamma Nail?

Kimwe nuburyo ubwo aribwo bwose Igikoresho cyatewe mu magufa , kubaga Gamma Nail kubaga bishobora guteza ingaruka. Ingorane zishobora kuba zirimo malalignment yatewe, gutinda ubumwe cyangwa kudahuza, kwandura, kunanirwa ibyuma, kuvunika hafi yatewe, cyangwa gukomeretsa imitsi ikikije cyangwa imiyoboro yamaraso.
Tekiniki yo kubaga yitonze, guhitamo neza, no gukurikirana nyuma yibikorwa bifasha kugabanya izo ngaruka.

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5: Ese Gamma Umusumari wo mu musokoro w'amagufa ikeneye gukurwaho nyuma yo gukira kuvunika?

Kenshi na kenshi, Gamma Umusumari wo mu musokoro w'amagufa ntibisaba gukurwaho 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.