Reba: 175 Umwanditsi: Muhinduzi wurubuga Gutangaza Igihe: 2022-08-27 Inkomoko: Urubuga
Kuvunika kwa calcaneal ni igikomere kitoroshye kirimo igufwa ryagatsinsino, bikunze guterwa nihungabana ryingufu nyinshi nko kugwa muburebure cyangwa impanuka zibinyabiziga. Kuberako calcaneus igira uruhare runini mugutwara ibiro, kwinjiza ihungabana, hamwe nubukanishi bwo kugenda, ingamba zo kuvura zigomba gukemura ikibazo cyo gusana anatomique no gukira kwigihe kirekire.
Gucunga neza kuvunika kwa calcaneal bisaba gusobanukirwa byimazeyo uburyo bwo kuvunika, imiterere yoroheje-tissue, hamwe nibisabwa byihariye byabarwayi.
Kalisiyano ni igufwa rinini rya tarsal kandi ikora urufatiro rwinyuma. Kuvunika kw'amagufwa akenshi bihagarika ibinyabuzima bisanzwe byamaguru, biganisha ku bubabare, ubumuga, no kutagenda neza iyo bidafashwe neza.
Intego zibanze zokuvura zirimo kugarura uburebure bwa calcaneal, ubugari, no guhuza, gukomeza guhuza hamwe, no kugabanya ibibazo byigihe kirekire nko gukomera cyangwa kurwara rubagimpande. Ibyemezo byo kuvura ntibiyoborwa gusa nubushakashatsi bwa radiografiya gusa ahubwo binayoborwa nuburyo bworoshye-tissue hamwe nibyifuzo byabarwayi.
Ivunika rya Calcaneal risanzwe rishyirwa mubice byimbere-byimbere kandi bidasanzwe. Iri tandukaniro rirakomeye, kuko rigira uruhare rutaziguye muri gahunda yo kuvura no guhanura.
Ivunika ryimbere ririmo subtalar ihuriweho kandi ihagarariye ubwinshi bwimanza. Izi nkomere zishobora kuvamo guhuzagurika hamwe nigihe kirekire cyo gukora niba kugabanuka kwa anatomique kutagerwaho. Ibice bidasanzwe-bivunika, bitandukanye, birinda ubuso hamwe kandi akenshi bifite prognoza nziza.
Imicungire yimvune yimitsi ya calcaneal iterwa nibintu nko kwimuka kuvunika, gusenyuka hejuru yubutaka, guhuza rusange, hamwe nurwego rwibikorwa byabarwayi. Kwerekana amashusho yambere bikoreshwa mugusuzuma uruhare hamwe no kuyobora imiti yo kuvura.
Ubuvuzi budakorewe mubusanzwe bugenewe kuvunika nta kwimurwa gukomeye, uburyo bwo gukomeretsa bidasanzwe, cyangwa abarwayi babagwa bafite ibyago bitemewe.
Ubuyobozi bwa conservateur bwibanda ku kurinda kuvunika mugihe harinze icyerekezo hamwe no gukumira ibibazo bya kabiri.
Ubuvuzi bwambere busanzwe burimo ubudahangarwa ukoresheje inkweto cyangwa kugenda, boot protocole ikomeye idafite uburemere, hamwe nuburebure bwo kugenzura kubyimba. Iyo ibintu byoroshye-tissue bimaze gutera imbere, imyitozo ya kare-yimyitozo irashishikarizwa kugabanya ubukana no guteza imbere imikorere.
Gutabara kwa surgicale bifatwa mugihe kuvunika kwerekana kwimuka gukomeye, kudahuza hamwe, cyangwa ubumuga bubangamira ubukanishi bwamaguru. Igihe cyo kubagwa giteganijwe neza kugirango ibibyimba byoroheje bigabanuke, bigabanye ibyago byo guterwa ibikomere.
Intego yibanze yo kubaga ni ukugarura guhuza anatomical guhuza hamwe no guhuza ubuso hamwe mugihe urinda imyenda yoroshye ikikije.
Kugabanuka kumugaragaro no gukosora imbere bikomeje gukoreshwa muburyo bwo kuvunika imbere-articular. Ubu buhanga butuma umuntu yiyumvisha neza kuvunika no kugarura neza neza hejuru yubutaka bwa subtalar, bikagira uruhare mugutezimbere imikorere iyo ikozwe mubihe bikwiye.
Tekinike yibikorwa byo gukosora byamamaye mubibazo byatoranijwe. Ubu buryo bugamije kugabanya ihahamuka ryoroheje-mugihe hagabanutse kugabanuka kuvunika, cyane cyane kuvunika hamwe no kutitonda cyangwa morfologiya nziza.
Kuvura nyuma yo kubaga bigira uruhare runini mu kumenya ibizagerwaho igihe kirekire. Porotokole yubatswe ni ngombwa kugirango igarure imbaraga, kugenda, hamwe nubukanishi bwo kugenda.
Kugenda hakiri kare bifasha kwirinda gukomera hamwe, mugihe witonze wikoreye ibiro bifasha gukira kuvunika no gukira kwimikorere.
Gutwara ibiro igice mubisanzwe bitangizwa hagati yibyumweru umunani na icumi nyuma yo kubagwa, bitewe nibimenyetso bya radiyo byerekana gukira. Kuzamura ibiro byuzuye bigenda bisubirwamo buhoro buhoro bimaze kwemezwa guhuza ibice bihagije, akenshi bisaba amezi menshi yo gusubiza mu buzima busanzwe.
Nubwo bivurwa bikwiye, kuvunika kwa calcaneal bishobora gutera ingorane zigihe kirekire nko gukomera kwa subtalar, kubabara agatsinsino karande, cyangwa arthrite nyuma yo guhahamuka. Izi ngaruka ni nyinshi mu kuvunika gukabije kwimbere-arctular hamwe nibibazo bifite aho bihurira.
Ibisubizo by'igihe kirekire biterwa n'uburemere bwavunitse, ubuvuzi bwiza, no kubahiriza protocole yo gusubiza mu buzima busanzwe.
Nta buryo bwiza bwo kuvura isi yose ivunika rya calcaneal. Ibyagezweho neza bishingiye kuri gahunda yo kuvura yihariye igereranya ibiranga kuvunika, ibyifuzo byabarwayi, hamwe nubuhanga bwo kubaga.
Gufata ibyemezo bisangiwe hagati yo kuvura umuganga n’umurwayi ni ngombwa kugira ngo uhuze intego z’amavuriro n'ibiteganijwe bifatika.
Ntabwo imvune zose za calcaneal zikwiriye kuvurwa. Ivunika ryimuwe ririmo subtalar ihuriweho akenshi bisaba ubufasha bwo kubaga kugirango ugarure anatomiya nibikorwa.
Ubusanzwe gukira kuva kumezi atandatu kugeza kuri cumi n'abiri, bitewe n'ubwoko bwavunitse, uburyo bwo kuvura, hamwe niterambere ryimibereho.
Abarwayi benshi bagarura ubushobozi bwo kugenda no gukora ibikorwa bya buri munsi, nubwo kuvunika gukabije kwimbere mu nda bishobora kuviramo gukomera cyangwa kubabara.
Kubaga mubisanzwe birasabwa mugihe kuvunika bitera ihungabana rikomeye rihuriweho, gutakaza umurongo, cyangwa imikorere idahwitse.
Indwara ya rubagimpande nyuma yo guhahamuka ikunze kugaragara nyuma yo kuvunika kwa calcaneal intra-articular, cyane cyane iyo kugabanya anatomique bituzuye.
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