Nigute wavura imibare ya radiyo ya kure?

Kuvunika kwa Radiyo ya kure biri mubice bisanzwe mubasaza. Abantu bari hagati yimyaka 50 na 75 barasobanuwe nkabasaza. Igihe cyo kuvunika radiyo ya kure rwiyongera cyumwaka nurwego rwicyerekezo mubakuze bakuze biriyongera. Ikibazo gishyushye mu mpaka kijyanye no kuvunika Radiyo kure ibisigazwa: kubaga bikenewe?

Ubushakashatsi bwa Epidemiologiya

Kuvunika kuri konte ya Radius kuri 18% byumubiri wose mubintu bikuze. Abaturage bo muri Caucase, abarwayi b'abagore, na Osteopose ni ibintu bikomeye bishobora guhungabanya indwara za Ratius. Byongeye kandi, ikubiyemo kandi ibintu byigihe, nka slip-ageze mu zabukuru-kugwa kugirango igabanye radiyo ya kure mugihe cy'itumba. Ubushakashatsi bumwe bwatangaje ko abarwayi bageze mu zabukuru bafite ubushobozi bwo kubwumvikane bukabije na sisitemu nziza ifite ibyago byinshi byo kuvura indwara za kure (kuko abarwayi bafite recraque, bazarambura amaboko kugirango bashyigikire ubutaka iyo baguye). .

Nk'uko imibare, muri Amerika, muri Amerika, ikiguzi cyo kwa muganga cyo kuvunika indwara za kure muri 2007 cyari nko mu madorari miliyoni 170 z'amadolari y'Amerika (hafi 1983). Nubwo abarwayi benshi bageze mu zabukuru bafite imivurungano ya kure bavuwe neza, umubare w'abarwayi bahitamo ko gukosora imbere imbere ni ukugenda umwaka. Igiciro cyubuvuzi cyo gukosora imitekerereze ni inshuro eshatu zo kuvura ibihakanyi, kandi biroroshye kandi ikiguzi cyibitaro no mubindi biciro bifitanye isano.

Hariho kandi itandukaniro ryakarere kandi rishingiye ku moko mugukoresha ikosora ryimbere kumiterere ya Ratius. Ubushakashatsi kuri Medicare bwerekanye ko abagore n'abatsewasi bashoboraga kubaga, ndetse n'amahitamo yo gukosora imbere yari 4.6% kugeza 42.1%. Basanga abaganga batojwe kubagwa intoki bakunze guhitamo kubaga.

Isuzuma rya Clinical

Uburyo bwo gukomeretsa umurwayi n'ibirego by'ingenzi bigomba kwitabwaho mu mateka y'amavuriro, harimo aho ububabare, ibikorwa bikora, n'urwego rw'ubumuga. Muri icyo gihe, birakenewe kandi gusobanukirwa ukuboko kwiganje, ibyo akunda, n'umurwayi w'umurwayi. Byongeye kandi, ni ngombwa kumenya niba umurwayi afite Osteoarthritis cyangwa sequelae igira ingaruka kubikorwa byimikorere yingingo yibasiwe mbere yimvune. Muri bo, basaba abarwayi bageze mu za bukuru baba bakeneye gukoresha inkoni iyo bagenda kandi niba bashobora kwiyitaho mubuzima bwa buri munsi ni ngombwa cyane ko gusobanukirwa ibikenewe n'abarwayi no kwisuzumisha no gutunganya.

Mugihe c'ibizamini by'ubuvuzi, gusuzuma buri gihe kandi byuzuye ku kuboko k'umurwayi kuva kure kugera hafi. Amaraso yo gutanga ukuboko azwi na capillary ikizamini cyuzuye hamwe na radial na ulnar pulse. Ibihe byumva byimazeyo, Ulnar Nerve na Meight Meight yabonetse nikizamini cyivangura ingingo ebyiri nikizamini cyo gukoraho. INTEGO ZA CARPLON TA CARPEL MU GARPNEL MU MPICE ZA GALITAL NI 5.4% kugeza 8.6%, bityo rero hagomba kwitabwaho cyane paresthesia no kunanirwa mu gaciro k'umutima wa Median. Igikorwa cya moteri yumurwayi cyasuzumwe no gusuzuma intera imbere kandi yinyuma, umutimanaho, umuhuza, na ulnar. Byongeye kandi, uwasuzumwe kandi akeneye kwitondera imiterere yumurwayi wumurwayi (nka ECCHYMose, Edema, Anc-nka Cotk-nka Anglation, nibindi) kugirango amenye niba arivuza. Bitewe na tissue yoroshye yoroheje no ku ruhu ruto muri radiyo bakuze, radiyo ya kure cyane bakunze guherekezwa n'imigenzo y'uruhu. Iyo kugabanuka gufunga gukurura, gukora neza birasabwa cyane cyane kwirinda ibyangiritse byoroshye.

Isuzumabumenyi

Isuzuma rya radiyo ya kure ya Radiyo Busanzwe ririmo Anteroposition, kuruhande rwa radiografiya, na obligraque. Kurambagiza no kuzunguruka kuvunika birashobora kumvikana nibizamini kugirango umenye niba haragabanutse, niba agace kavunitse byashyizweho, kandi niba umurongo uhuriweho nuzuye. Ibindi bipimo byihariye byamashusho birimo: Gukuramo Ulnar (bisobanura 22 °, urwego: 19 ° -29 °), uburebure bwa radiyo ya kure (bisobanura 11 °, urwego: 11 °). X-Imirasire y'ikirango n'inkokora nazo zafashwe kugirango urebe ibyangiritse cyangwa inkokora. Nyuma yo kugabanya no kugabanuka kwa gufunga, indi filime X-ray isabwa gusuzuma niba ibipimo bya radiyo ya kure byateye imbere. Calnic, CT ikoreshwa kenshi mugufasha mugupima no gushyira mu byiciro ku ivurungano rya Artra, haba mu rwego rwo kwikuramo), kugirango zikomeze kugena gahunda yo kwivuza. Muri icyo gihe, Ikizamini cya CT kirakenewe kandi gukomeza gusuzuma igihe bakoze Osteotomy na orthopedic bafata masaminyali.

Kuvura

Ukurikije amabwiriza yo kuvura aaoos, nta bwumvikane bujyanye no gukoresha imicungire yubushake cyangwa kubaga busanzwe. Nta bwumvikane bwerekana niba bwo gukoresha isahani yo gufunga amatora cyangwa igipimo cya Kirctaneous Inyuma yo gukosora inka mu buvuzi bwo kubaga. Kodama et Al saba gukoresha uburyo bwo kuvunika uburyo bwo kuvunika kugirango umenye niba umurwayi akeneye kubaga. Kandi kubarwayi bageze mu zabukuru ≥ imyaka50, ubwoko bwo kuvunika, impinduka muri radiyo yintoki, imyaka, ikiganza cy'umurwayi, kandi umwuga w'umurwayi ugomba gukoreshwa mu rwego rwo kurushaho kumenya gahunda yo kuvura. Mu isesengura ryinshi ryongeye gusubira inyuma, urwego rwibishyingiranwa rya radiyo cyangwa dorsal manda ya kure nyuma yo kugabanuka, niba impengamiro ikubiyemo ijosi rya ulnar, niba ijosi rya Palmar ririmo ijosi rya Ulmar, igihe cyo gukomera kwa Ulmar, harimo impengamiro ya Ulmar, harimo imperuka ya Ulmar, hamwe na ucogora muri Ulna ya kure yari ifitanye isano cyane na Clinical.

Kuvura ibihakanyi

Muri Centre yacu, ihuriro rinini cyane kuri FARCAL RADIUS isanzwe ifite isukari Toing Plaster yagabanutse hejuru yinkokora kugirango igabanye inkokora no kwerekana inkokora (reba Ishusho 1). Niba kwimurwa kwivuza ari binini, isukari Tot Splint igomba gukorwa nyuma yo kugabanuka. Menya ko mugihe ukora plasters idahwitse, urugero rwa flape rugomba guhagarara kumpera yintoki, kugirango byorohereze kugenda byurutoki no gukumira gukomera. Gukoresha Banda ya Elastike kugirango bikosorwe bigaruke birashobora gufasha mugutandukanya. Ubwoko bwo kuvunika bugena uburyo bwo kugabanya. Nibiba ngombwa, anesthesia ya hematoma ya marike ya kure irashobora gutoranywa, hanyuma kugabanuka gukurikiranwa no gukurura intoki (urutonde rwintoki nintoki zo hagati) kugirango ukosore ubumuga kandi ugarure radiocarpal. Kugabanuka gukurura mubisanzwe bikorwa ukoresheje uburyo bwo kuvunika. Kugabanuka gukurura indege zitandukanye birasabwa kurangiza gusa kugarura ubwoya no kugarura guhuza ibice byacitse, Capitulum na Linate. Ku ndege ya Coronal, igarura guhuza anatomike bya ulna na radiyo, igice cyamagufwa cya kure na shaft ya radiyo. Kugabanuka kwa colle isanzwe bisaba umufasha gufata igikumwe cyumurwayi mukiganza kimwe hamwe nintoki 4 z'umurwayi kurundi ruhande, gukomeza gukurura ibintu birebire, hanyuma palmar. Gutandukanya no gutandukana kwa Ulnar kugirango bifashe kugabanya igice cyo gucika intege. Kubarwayi bageze mu zabukuru bafite ibyangiritse byoroheje byangiritse, Manipulation witonze irakenewe mugihe cyo kugabanya kugirango wirinde kugwa (padi yipamba irashobora gukoreshwa mugihe cyo kugabanya). Nyuma yo kwisubiraho, hakozwe ikizamini cya neurovascular.

Igishushanyo 1. (B) na (c) radiografiya na radiografiya yerekana gukosora amateka yumurwayi ibyiza. Plaster Splint ntabwo yegera hejuru yumutwe kugirango intoki zishobore kugenda mubisanzwe.

Kuvura ibikorwa

Amahitamo yo kwivuza kubarwayi bageze mu zabukuru bafite imivurungano ya kure barimo: Kugabanuka no gukosora imitwe ya feri, kugabanya ibyapa byo gufungura, no gufunga amasahani (reba ibimenyetso byerekana (reba yerekanwe ku gishushanyo cya 2). 

Ubundi bwoko bwo kugabanya gufungura no gukosora amasahani bikoreshwa cyane cyane mugukemura ibibazo bya Intra-Articular. Irashobora kugabanya ubuso bwa articular munsi yerekanwe utaziritse kuri ligament kuruhande rwumuti wurugero rwintoki, kugabanya ingaruka za radiocarpal ya nyuma yihungabana. Niba kuvunika amajwi abigizemo uruhare, bigomba guhitanwa. Ku barwayi bafite igikomere cya radiyo cyangwa ibikomere byinshi, isahani yo gukurikiranwa irashobora gukoreshwa kugirango igere kugabanuka binyuze kugabanuka kwa Lionation. Muri icyo gihe, isahani yo gukurikiranwa nayo irakwiriye kugabanuka no gukosora imibare yashyizweho na OsteoPorotic FARCAL FARCAL STAL. Isahani yakuweho ibyumweru 12 nyuma yo kubagwa, kandi ingaruka nziza zumuvurungano zishobora kugerwaho.

Isahani y'ihinga irashobora guteza imbere ikabije n'imyitwarire idahwitse, kandi ibibazo by'ibibazo biri hasi. Ugereranije n'isahani ya dorsal, imbaraga zagira ingaruka zikomeye zirashobora kunozwa cyane mu mezi 6 nyuma yo kubagwa, kandi imikorere n'ububabare birashobora kunozwa. Ingorabahizi nko kwitegura amasahani ya dorsal no kurakara kwagura diatum yo muri digiture bibaho kugeza kuri 30%. Kandi ingaruka zo gukosora isahani yijwi nayo iruta iyo ya kirchner wire cyangwa filime yo hanze.

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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