Gukuraho imisumari yimbere ni inzira isanzwe, kuko buriwukora atanga ibikoresho byo gukuraho. Ariko, icyifuzo gikenewe cyo gukuraho imisumari yuzuye ntisanzwe. Iyo imisumari yimbere imaze guturika, ibintu biba bigoye cyane. Kuri iyi ngingo, ibikoresho byihariye nubuhanga birasabwa gukuraho umusumari winjiye.
Gukuraho imisumari kwisi yose hamwe no kuvanaho imisumari iraboneka kumasoko, kandi ayo maseti arashobora gufasha gukemura ibibazo byavuzwe haruguru. Ariko, kubagwa buhumyi ntibisabwa nta bikoresho kabuhariwe.
Itondekanya ryakuweho imisumari irakomeye. Mbere yo gukuraho ibyimbere imbere, umurizo ugomba kuba uri kandi ugafatwa. Umurizo wumurizo rimwe na rimwe biragoye kumenya kuri X-ray, kandi kubwiyi mpamvu, abaganga bamwe ntibasaba gukoresha umurizo wumurizo keretse niba byongera uburebure bwakazi bwumusumari. Nyuma yo gukuraho umurizo wumurizo, koresha ukuboko kukuyobora kugirango ufate umusumari winjiye, hanyuma ukomeze ukureho umusumari ufunze. Tugomba kuzirikana ko pin zose zifunga zigomba kuvaho mbere yo kugerageza gukuraho pin nkuru. Niba uwakoze imisumari yimbere adashobora kumenyekana, birakenewe kwerekana bihagije impera ya caudal yimisumari yimbere kugirango isobanure uburyo bwayo bwo gufata, harimo ubwoko bwurudodo nubunini, no guhitamo igikoresho gikuramo. Niba guhuza neza bidashoboka, amahitamo yo gukoresha igikoresho cyo gukuramo gishobora gufasha mugufata umurizo wumusumari. Niba amagufwa yinjiye mu mwobo w’imisumari cyangwa hejuru y’umusumari bikekwa, umusumari urashobora gukomwa imbere muri milimetero nkeya ukoresheje inyundo iranyerera mbere yo kuyikuramo.
Ibisobanuro bitandukanye byumurizo wumurizo byateguwe kugirango byoroherezwe guhitamo ibikorwa no kwemeza gukuramo imisumari.
![ingofero yimisumari]()
Abaganga benshi b'inararibonye bavuze muri make umubare munini wubuhanga bwo kuvanaho imisumari. Niba impera yamenetse yamenetse igomba gukingurwa kugirango isukure kandi igabanuke, imisumari yimbere irashobora gukurwaho mumutwe wacitse. Hasi, turaza kwerekana muri make uburyo bumwe bwo kuvoma budasaba kwerekana impera zacitse.
Nigute ushobora kuvanaho imisumari yamenetse？
Mubisanzwe, ntabwo bigoye cyane gukuraho igice cyegeranye cyimisumari yamenetse. Igice cyegeranye kimaze gukurwaho, biba ingorabahizi uburyo bwo gukuraho igice cya kure udafunguye igice cyacitse. Kuvugurura umuyoboro wa medullary hafi ya milimetero nkeya birashobora korohereza gukuramo imisumari.
Ukoresheje nucleus ndende cyangwa laparoskopi yingufu, igice cya kure gishobora rimwe na rimwe gufatwa kandi kigavaho neza. Nyamara, imbaraga ndende ntizitanga imbaraga, kandi gukuraho neza biterwa nuko igice cya kure cyarekuye.
Gutwara umusumari unanutse cyane cyangwa reamer y'intoki mumisumari yacitse kandi nayo rimwe na rimwe ifasha kuyikuraho. Mugihe cyo gutwara, pin yo gufunga intera igomba kugumaho kugirango wirinde kwimura igice cya kure mugihe utwaye. Iyo imisumari yoroheje cyangwa intoki zimaze kugera kumasezerano akomeye hamwe nigice cya kure, kura umusumari wafunze hanyuma hanyuma ukomange inyuma kugirango ukureho igice cyacitse.
Ubuvanganzo bwinshi butanga raporo ku ikoreshwa ryibikoresho bifatanye kugirango ukureho igice cya kure cyimisumari yamenetse. Umuyoboro wuzuye wumusumari winjiye urashobora kuzuzwa ninsinga nyinshi ziyobora ugereranije nicyerekezo cyikururwa kugirango wirinde gucika mugihe cyo gukuramo. Uburyo bwinshi bwo kuyobora insinga zo gupakira nabwo rimwe na rimwe ni ubundi buryo bwo kuvoma.
![Kumenagura urumogi gukuramo imisumari]()
Hanyuma, niba tekinike zose zavuzwe haruguru zo gukuraho zananiranye, gukuraho kure imisumari yimbere irashobora kugerageza. Kurugero, igice cyacitse cya kure cyumusumari wigitsina gore kivanwaho mugukingura mumugongo wa kure unyuze kumavi. Imyitozo yerekejwe ku mpera y’umusumari winjiye, kandi gufungura ni binini bihagije ku buryo byakira insinga ziyobowe na elayo hamwe na gaze. Umugozi uyobora uca inyuma unyuze mu mwobo w’imisumari yimbere kandi ugasohoka uva mu gufungura urutoki rwegeranye, kandi umutwe wa elayo hamwe na spacer urashobora kuzana imisumari yacitse kure muri femur yegeranye. Tekinike isa nayo irashobora gukoreshwa kuri tibia, hamwe na retrograde yinjizamo gufungura kure insinga ziyobora kuri malleolus yo hagati. Rimwe na rimwe, insinga ya Steiner yinjizwa mu gufungura no gukomanga ku musumari wavunitse ku mpera ya kure, kugira ngo umusumari wavunitse ushobora kugenda hafi gato, ibyo bikaba bifasha retrograde kwinjiza urushinge ruyobora no gukuraho umusumari wacitse.
Nigute ushobora kuvanaho imisumari ikomeye yamenetse？
Imisumari ikomeye ikomeye muri rusange biragoye kuyikuramo kuruta imisumari. Uburyo bwo kuyikuraho burimo gusubiramo umwobo wa medullary yegeranye no gufata neza umusumari wavunitse. Laparoscopic claw hook irashobora gukoreshwa mugufata imisumari yacitse. Ubuvanganzo kandi bwatangaje ko imbaraga zidasanzwe zifata umurizo w’umusumari. Ariko, gukoresha ibikoresho bitandukanye ntibishobora gufata neza imisumari yacitse. Muri iki gihe, imisumari yamenetse igomba gukurwa ku rundi ruhande rw'amagufwa. Ihame rya tekiniki risa n'iry'umusumari uteganijwe. Koresha ibikoresho nka myitozo yoroshye hamwe nubuyobozi bukomeye kugirango ukureho imisumari yaciwe kure kugeza kumpera yegeranye.
![kura umusumari ukomeye wavunitse]()
Nigute ushobora kuvanaho imisumari ivunitse ram
Umutwe cyangwa igice cyegeranye cyumugozi uhuza gishobora gukurwaho ukoresheje icyuma gihuye. Rimwe na rimwe, insinga z'umugozi zuzuzanya zirashobora kunyerera mu magufwa, bisaba gukwega umutwe w’umutwe hamwe nimbaraga hamwe na screwdriver kugirango uyipakurure. Imitwe yangiritse yangiritse irashobora gusaba ibikoresho byihariye byo kuyikuramo, nkibikoresho byo gukuramo imbere byimbere nkimyitozo ngororamubiri. Igice cya kure cyimigozi yamenetse rimwe na rimwe kirarekurwa burundu, kikaba kitagira ingaruka ku ikurwaho ry’imigozi nyamukuru, kandi gishobora gusigara mu mubiri niba kidafite ingaruka ku gikorwa cyo kuvura nyuma. Ariko, rimwe na rimwe, imisumari ya kure yamenetse irashobora gutera kuvunika iatrogène mugihe umusumari nyamukuru ukuweho, kandi ni ngombwa kuyikuraho. Uburyo bukoreshwa cyane ni tekinike yo gusunika hanze ya screw, ni ukuvuga ko umugozi nyamukuru usubizwa kumwanya wambere, kugirango umwobo wa screw hejuru yamagufwa uri kumurongo umwe nu mwobo wo gufunga umusumari winjiye, kandi umugozi wacitse ukurwaho ukoresheje insinga ya Steiner, inkoni ntoya ya malleus cyangwa icyuma. Ipine irasunikwa ikoresheje umwobo wa pin muri cortex itandukanijwe kandi ikurwaho binyuze mumutwe.
Nigute wagura imitekerereze ya orthopedie nibikoresho bya orthopedie？
Kuri CZMEDITECH , dufite ibicuruzwa byuzuye byumurongo wo kubaga amagufwa hamwe nibikoresho bijyanye, ibicuruzwa birimo umugongo, imisumari, icyapa cy'ihungabana, icyapa, cranial-maxillofacial, prothèse, ibikoresho by'ingufu, abatunganya hanze, arthroscopy, ubuvuzi bwamatungo nibikoresho byabo bifasha.
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