Humeral Umusumari wo mu musokoro w'amagufa Agasanduku: Ubuyobozi buhebuje
Ku bijyanye no kubaga amagufwa, ni ngombwa kugira ibikoresho bikwiye kugira ngo abarwayi babone ibisubizo byiza bishoboka. Kimwe muri ibyo bikoresho ni agasanduku k'imisumari ya humeral, ni urutonde rwibikoresho byagenewe gufasha mu kwinjiza umusumari winjiye mu magufwa ya humerus.
Muri iki gitabo, tuzarebera hafi agasanduku k'imisumari ya humeral intramedullary hamwe nibigize bitandukanye, kimwe nikoreshwa ryayo, inyungu, no kuyitaho.
1. Intangiriro
Agasanduku k'imisumari ya humeral ni igikoresho cyuzuye gikoreshwa mugushyiramo umusumari winjiye mumagufwa yigitereko. Agasanduku k'imisumari karimo ibikoresho bitandukanye bifasha mugushyiramo umusumari, harimo insinga ziyobora, reamers, na myitozo.
Gukoresha imisumari yimbere mu kuvunika kwa humerus nubuhanga bwemewe butanga ibisubizo byiza muburyo bwo gukiza amagufwa no gukira abarwayi. Gukoresha agasanduku k'imisumari ya humeral intramedullary bifasha kwemeza umusaruro ushimishije muguha umuganga ibikoresho nkenerwa kugirango akore neza kandi neza.
2. Ibigize Humeral Umusumari wo mu musokoro w'amagufa Agasanduku
Isanduku isanzwe yimisumari yimisumari irimo ibice bikurikira:
2.1. Kuyobora insinga
Insinga ziyobora zikoreshwa mugufasha kuyobora umusumari unyuze mu muyoboro winjira mu magufa ya humerus. Umugozi uyobora ni igikoresho cya mbere cyakoreshejwe mugihe gikwiye, kandi gikora nk'inzira kugirango umusumari ukurikire.
2.2. Reamers
Reamers ikoreshwa muguhuza umuyoboro wimbere wamagufwa yigitereko. Reamers yinjizwamo binyuze mu nsinga ziyobora, kandi zifasha gukora inzira nini kugirango umusumari ukurikire.
2.3. Imyitozo
Imyitozo ikoreshwa mugukora umwobo mumpera yegeranye kandi ya kure yamagufa yigitereko. Ibyobo bitanga inzira yo kwinjiza Imigozi ifunga itunga umusumari mu mwanya.
2.4. Umusumari wo mu musokoro w'amagufa
Imisumari yimbere ni igice cyibanze cyimisumari yimisumari. Umusumari winjizwa mu nsinga ziyobora no munsi y'umuyoboro winjiye mu magufa ya humerus. Umusumari umaze kuba, Imigozi ifunga winjizwa mu mwobo wakozwe na myitozo kugirango umusumari uhagarare.
2.5. Amashanyarazi
Imashini ikoreshwa mu kwinjiza Imigozi ifunga mumagufwa yigitereko. Screwdriver mubisanzwe ifite T-hand igishushanyo gitanga umutekano kandi kikanemerera kwinjiza neza imigozi.
3. Gukoresha Humeral Umusumari wo mu musokoro w'amagufa Agasanduku
Imikoreshereze yimisumari ya humeral intramedullary ikubiyemo intambwe zikurikira:
Igenamigambi mbere yo kubaga: Umuganga ubaga azasuzuma X-ray n’umurwayi n’amateka y’ubuvuzi kugira ngo amenye inzira nziza y’ibikorwa.
Anesthesia: Umurwayi azahabwa anesteziya kugirango barebe ko batagira ububabare mugihe cyo kubagwa.
Gucibwa: Umuganga ubaga azakomeretsa uruhu kugirango agaragaze igufwa ryigitereko.
Kuyobora insinga ziyobora: Umuganga ubaga azashyiramo insinga ziyobora binyuze mu muyoboro winjiye mu magufwa ya humerus.
Reaming: Umuganga ubaga azakoresha reamers kugirango yongere umuyoboro wimbere.
Kwinjiza imisumari: Umusumari winjizwamo uzinjizwa unyuze mu nsinga ziyobora no munsi y'umuyoboro winjiye.
Kwinjiza ibice: Umuganga ubaga azakoresha imyitozo kugirango akore umwobo mu mpande zegeranye n’intera y’amagufwa ya humerus, hanyuma ukoreshe icyuma cyinjiza Imigozi ifunga kugirango ushire umusumari mu mwanya.
Gufunga: Umuganga ubaga azafunga ibice hamwe na suture.
4. Inyungu za Humeral Umusumari wo mu musokoro w'amagufa Agasanduku
Agasanduku k'imisumari ya humeral gatanga inyungu nyinshi, harimo:
4.1. Kunonosorwa neza
Agasanduku k'imisumari ya humeral karimo ibikoresho bitandukanye bifasha mugushyiramo umusumari uteganijwe, bifasha muburyo bwo kubaga neza kandi neza.
4.2. Kugabanya Igihe cyo Kubaga
Gukoresha humeral intramedullary imisumari irashobora gufasha kugabanya igihe cyo kubagwa, kuko agasanduku karimo ibikoresho byose bikenewe muburyo bwo kubikora.
4.3. Kunoza umusaruro wabarwayi
Gukoresha imisumari yimbere mu kuvunika kwa humerus nubuhanga bwemewe butanga ibisubizo byiza muburyo bwo gukiza amagufwa no gukira abarwayi.
5. Kubungabunga Humeral Umusumari wo mu musokoro w'amagufa Agasanduku
Agasanduku k'imisumari ya humeral gasaba kubungabungwa neza kugirango kuramba no gukora neza. Inama zikurikira zirashobora gufasha kubungabunga agasanduku k'imisumari:
Isuku isanzwe: Ibikoresho biri mumasanduku yimisumari bigomba guhanagurwa no kwanduzwa buri gihe kugirango birinde kwandura.
Ububiko bukwiye: Agasanduku k'imisumari kagomba kubikwa ahantu humye, hasukuye, kandi hakonje kugirango hirindwe kwangiza ibikoresho.
Igenzura risanzwe: Ibikoresho biri mu gasanduku k'imisumari bigomba kugenzurwa buri gihe kugirango bimenyekane ko byangiritse cyangwa byangiritse.
6. Umwanzuro
Agasanduku k'imisumari ya humeral ni igikoresho cyingenzi kubaganga ba orthopedic kubaga kuvunika humerus. Agasanduku karimo ibikoresho bitandukanye bifasha mugushyiramo umusumari uteganijwe, ufasha kwemeza neza kubagwa neza, kugabanya igihe cyo kubagwa, no kunoza ibisubizo byabarwayi. Kubungabunga neza agasanduku k'imisumari ni ngombwa kugirango urambe kandi neza.
