Nigute ushobora kuvana inzitizi ya Intramedillar?

Gukuraho imisumari ya Intramedullary nigikorwa gisanzwe, nkuko buri wese wakora atanga ibikoresho bikwiye. Ariko, gukenera rwose gukuraho imisumari yuzuye intramedullary ni gake. Imvugo yimisumari yimisumari, ibintu birababaje cyane. Kuri iyi ngingo, ibikoresho bidasanzwe nubuhanga birasabwa gukuraho umusumari wa Intramedillar.

Kuraho muri rusange imisumari yo gukuraho imisumari kandi yacitsemo imisumari iraboneka ku isoko, kandi ibi bice birashobora gufasha gukemura ibibazo byavuzwe haruguru. Ariko, kubaga impumyi ntibisabwa nta bikoresho byihariye.

Itondekanya aho umusumari wakuweho ni ngombwa. Mbere yo gukuraho ikosora imbere, umurizo ugomba kuba uherereye kandi ufata. Umurizo wumurizo rimwe na rimwe uragoye kumenya kuri X-Imirasire, kandi kubwiyi mpamvu, abaganga bamwe ntibasaba gukoresha ingofero yumurizo keretse niba yongera uburebure bwakazi bwimisumari yinjira. Nyuma yo gukuraho ingofero yumurizo, koresha ukuboko kuyobora kugirango ufate umusumari, hanyuma ukomeze kuvana imisumari yo gufunga. Igomba kuzirikana ko amapine yose yo gufunga agomba kuvaho mbere yo kugerageza gukuraho pin nkuru. Niba uwakoze imisumari y'intangiriro ntashobora kumenyekana, birakenewe mu buryo buhagije bw'imisumari y'inyoni kugira ngo dusobanure imisumari yo gufata, harimo n'ubwoko bw'imboga n'ubunini, no guhitamo igikoresho cyo kohereza. Niba umukino utunganye udashoboka, uburyo bwo gukoresha igikoresho cyo gukuramo bwanditseho bishobora gufasha mugufata umurizo wimisumari yintara. Niba amagufwa yinjiye mu mwobo cyangwa hejuru yumusumari akekwa, umusumari arashobora kwambikwa intandaro ebyiri hamwe ninyundo kare mbere yo gukuraho.

Ibisobanuro bitandukanye byingofero yumurizo byateguwe kugirango byoroherezwe guhitamo no gukuraho intera imisumari.

Abaganga benshi b'inararibonye bavuze muri make umubare munini wo gukuraho imisumari yo gukuraho imisumari. Niba imperuka yacitse igomba gufungurwa yo gukora isuku no kugabanuka, umusumari wa Intramedullary urashobora kuvanwa mu mpera zacitse. Hasi, tuzatangiza muri make uburyo bumwe bwo gukuramo budasaba guhura nimpera yavunitse.

• Nigute wakuraho inkuta zacitse integer yamenetse?

Mubisanzwe, ntabwo bigoye cyane gukuraho igice cyambere cyimisumari yacitse. Igice cya mbere kimaze gukurwaho, kiba ikibazo uburyo bwo kuvanaho igice cya kure utafunguye igice cyo gucika intege. Ongera uhindure imiyoboro ya Proximal na milimetero nkeya irashobora koroshya gukuraho imisumari ya maldal.

Gukoresha imbaraga ndende cyangwa laparoscopique, igice cya kure kirashobora gufatwa no kuvaho neza. Nyamara, imbaraga ndende ntabwo zitanga gufata cyane, kandi gukuraho neza biterwa no kumenya niba igice cya kure cyarakuweho.

Gutwara inzitizi yoroheje cyangwa umuyoboro wintoki mu musumari wacitse kandi rimwe na rimwe afasha kubikuraho. Mugihe cyo gutwara, pin yo gufunga cyane igomba kugumaho kugirango yirinde gukomeza kwimura ikiganiro cya kure mugihe cyo gutwara. Iyo umusumari woroheje unanutse cyangwa reamer intoki yageze ku mbaraga zihamye hamwe nigice cya kure, ukureho umusumari wa kure hanyuma ugakomanga inyuma kugirango ukureho igice cyacitse.

Ubuvanganzo bwinshi butanga raporo kubikoresha ibikoresho byafashwe kugirango bikureho igice cya kure cyimisumari yacitse. Ubuvumo bwuzuye bwimisumari yinjira birashobora kuzuzwa insinga nyinshi ziyobora muburyo bwo kunyuramo kugirango wirinde gutereta mugihe cyo gukuramo. Tekinike nyinshi zo gucuruza insinga nazo na rimwe rimwe na rimwe ubundi buryo bwo gukuramo.

Amaherezo, niba byose byakuyeho byandukiriye byatsinzwe bidatsinzwe, gukuraho umusumari intramedillary birashobora kugerageza. Kurugero, igice cyacitse cyamanutse cyimisumari ya femoraveur yakuweho binyuze mu gufungura femur ya kure binyuze mu ivi. Ifunguro ryerekeza ku mpera z'ibiganza by'intara, kandi gufungura ni binini bihagije kugira ngo hamenyekane insinga ya elive na gabo. Insinga ziyobora zanyuze mu mwobo wimisumari ivuye mu ihohoterwa riva mu gufungura femur ya proximi, kandi umutwe wa elayo ufite icyogajuru urashobora kuzana umusumari umenetse muri femur yacitse intege. Ubuhanga nk'ubwo bushobora gukoreshwa kuri Tibia, hamwe na retrograde kwinjiza kure gufungura insinga ya malleolus. Rimwe na rimwe, insinga ya steiner yinjijwe mu gufungura no gukomanga kurwanya isuka yacitse ku iherezo rya kure, kugirango imisumari imenetse ishobora kwinjiza gato, ifasha kwinjiza inshinge zinyuranye no kuvana mu misumari.

• Nigute ushobora kuvanaho inzitizi zikomeye zavunitse?

Imisumari ikomeye yo muri intttttttttttttttttttttamedilary muri rusange iragoye kuyikura kuruta imisumari idashobora kwishyurwa. Ubuhanga bwayo bwo gukuraho burimo gusubiramo ibisambano byatewe na tagilery hamwe no gusobanukirwa neza numusumari wacitse intege. Inkoni za Laparoscopique zirashobora gukoreshwa mugutora imisumari yacitse intege. Ibitabo byatangaje kandi imbaraga zidasanzwe zizengurutse umurizo wigituba. Ariko, gukoresha ibikoresho bitandukanye ntibishobora gusobanukirwa neza numusumari wacitse. Muri iki gihe, imisumari yacitse igomba gukumirwa nizindi mpera zamagufwa. Ihame rya tekinike rirasa nubwa motu ya turtttterollary. Koresha ibikoresho nkimyitozo yoroshye kandi biyobora bikomeye kugirango ukomane imisumari yacitse intege neza.

• Nigute wakuraho inzitizi zivanze intera?

Umutwe cyangwa igice cya Speefl cyumugozi uhagarika urashobora kuvaho ukoresheje screwdriver ihuye. Rimwe na rimwe, insanganyamatsiko yo guhagarika imitekerereze irashobora kunyerera mumagufwa, isaba gukurura hafi yumutwe wimigozi ifite imbaraga hamwe na screwdriver kuyijugunya. Imitwe yangiritse irashobora gusaba ibikoresho byihariye byo gukuraho, nko gukosora imbere ibikoresho nko guhuza imikino. Igice cya kure cya screw yamenetse rimwe na rimwe kirarekurwa rwose, kidahindura gukuraho imigozi nyamukuru, kandi kirashobora gusigara mumubiri niba kidafite ingaruka kubikorwa byakurikiyeho. Ariko, rimwe na rimwe imvururu za kure zirashobora gutuma ivunika Inyenyeri mugihe umusumari nyamukuru wavanyweho, kandi ni ngombwa kubikuraho. Uburyo bukoreshwa cyane ni tekinike yo gusunika umugozi, ni ukuvuga ko umugozi munini wakuweho kumwanya wambere, kugirango umwobo ufungiweho umusumari, kandi imigozi imenetse yakuweho imisatsi ya stemedullary, umugozi muto wa Malle cyangwa screwdriver. PIN isunitswe binyuze mu mwobo wa pin muri cortex yavoye kandi yakuweho binyuze mu buryo butandukanye.

Nigute wagura amagufwa hamwe nibikoresho bya orthopedic?

Kuri Czmeditech , dufite umurongo wuzuye wibicuruzwa byubasaguro orthopperic bitera kandi nibikoresho bihuye, ibicuruzwa birimo Umugongo, Intramedillary Imisumari, Isahani, gufunga isahani, cranial-maxillofacial, prostas, ibikoresho by'ingufu, ibicuruzwa byo hanze, arthroscopy, Kwitaho ku matungo n'ibikoresho byabo byo gushyigikira.

Byongeye kandi, twiyemeje guhora dukura ibicuruzwa bishya no kwagura imirongo yibicuruzwa, kugirango duhuze ibyifuzo byabaganga nabarwayi benshi, kandi binatuma sosiyete yacu irushanwa mubicurarango byose bya orttopedic.

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