Umusumari wa Humeral: Incamake yubuvuzi bwo kubaga kumeneka ya Humerus
Intangiriro
Ivunika ryimyanya ndangagitsina risanzwe mubantu bageze mu zabukuru kandi rishobora kuviramo indwara nimpfu zikomeye. Ubuyobozi bwo kubaga bukenewe kenshi kuvunika kwimuwe cyangwa kudahindagurika, kandi imisumari ya humeral nuburyo bukoreshwa cyane bwo kuvura. Iyi ngingo itanga incamake yo kubaga imisumari ya humeral, harimo ibimenyetso, tekinike, nibisubizo.
Anatomy ya Proximal Humerus
Hafi ya humerus igizwe numutwe wa humeral, igituntu kinini kandi gito, na shaft. Umutwe wa humeral uvuga hamwe na glenoid fossa ya scapula kugirango ube urugingo rwa glenohumeral, rutuma kugenda ibitugu. Ibijumba binini kandi bito bitanga umugereka kumitsi ya rotator cuff imitsi, ifite akamaro mugutuza ibitugu.
Kumeneka hafi ya Humerus
Ivunika ryimyanya ndangagitsina isanzwe ishyirwa mubikorwa ukurikije aho urwego rugeze. Ivunika ridasimbuwe akenshi rishobora gucungwa neza hamwe na immobilisation ya sling hamwe nimyitozo yo hambere. Ariko, kuvunika kwimuwe birashobora gusaba ubufasha bwo kubaga kugirango ugarure imikorere yigitugu kandi wirinde ingorane nka necrosis avascular na non-ubumwe.
Amahitamo yo kubaga kumeneka ya Humerus
Amahitamo menshi yo kubaga arahari mugucunga ibice byavunitse byimyanya ndangagitsina, harimo kugabanya gufungura no gukosora imbere (ORIF), hemiarthroplasti, hamwe na arthroplasti yigitugu. Guhitamo tekinike yo kubaga biterwa nimpamvu zitandukanye, zirimo imyaka yumurwayi, aho yavunitse, urugero rwo kwimuka, hamwe nibishobora kubaho.
Kubaga imisumari
Kubaga imisumari ya Humeral bikubiyemo kwinjiza umusumari muremure, winjiye mumyanya ndangagitsina kugirango uhagarike kuvunika. Umusumari winjizwa unyuze mugice gito hafi yigitugu kandi uyoborwa mumuyoboro wa medullary ukoresheje ubuyobozi bwa fluoroscopique. Umusumari umaze gushyirwaho, imigozi yinjizwa mumisumari no mumutwe wa humeral kugirango umenye kuvunika.
Ibimenyetso byo Kubaga Imisumari
Kubaga imisumari ya humeral byerekanwe kubimuwe cyangwa bidahindagurika byavunitse byimitsi idashobora gucungwa neza. Ibi birimo kuvunika bifite cm zirenga 1 zo kwimurwa cyangwa kuvunika hamwe nu mfuruka irenze dogere 45. Kubaga imisumari ya Humeral birashobora kandi kwerekanwa kubarwayi badashobora kwihanganira uburyo bwinshi bwo kubaga butera, nka hemiarthroplasty cyangwa arthroplasti yigitugu.
Ubuhanga bwo Kubaga Imisumari
Kubaga imisumari ya humeral birashobora gukorwa hakoreshejwe antegrade cyangwa retrograde. Uburyo bwa antegrade burimo kwinjiza umusumari unyuze hafi yimpera yigitereko, mugihe retrograde uburyo bwo kwinjiza umusumari unyuze kumpera ya kure yigitereko. Guhitamo inzira biterwa no kuvunika no guhitamo kubaga.
Ibisubizo byo Kubaga imisumari ya Humeral
Kubaga imisumari ya Humeral byagaragaye ko ari uburyo bwiza bwo kuvura imvune ya hafi ya humerus, hamwe n’ibipimo byinshi by’ubumwe bwavunitse hamwe n’ibisubizo byiza. Ariko, ingorane nko gukata screw, kudahuza ubumwe, no kwandura birashobora kubaho. Guhitamo neza abarwayi hamwe nubuhanga bwo kubaga nibyingenzi mukugabanya izo ngorane.
Umwanzuro
Ivunika ryimyanya ndangagitsina rishobora kugira ingaruka zikomeye ku burwayi bw’abarwayi n’impfu, cyane cyane ku bageze mu za bukuru. Kubaga imisumari ya Humeral nuburyo bukoreshwa cyane bwo kuvura bushobora kugarura neza imikorere yigitugu no kwirinda ingorane. Guhitamo neza abarwayi hamwe nubuhanga bwo kubaga nibyingenzi mugutezimbere ibisubizo no kugabanya ingorane.
Ibibazo
Bifata igihe kingana iki kugirango ukire kubaga imisumari? Igihe cyo gukira kiratandukanye bitewe numurwayi wumurwayi nubuzima muri rusange, hamwe nuburemere bwakavunitse. Muri rusange, abarwayi barashobora kwitega kwambara umugozi ibyumweru byinshi nyuma yo kubagwa kandi bashobora gukenera amezi menshi yo kuvura umubiri kugirango bagarure imikorere yigitugu.
Haba hari ingaruka zijyanye no kubaga imisumari? Kimwe nuburyo ubwo aribwo bwose bwo kubaga, hari ingaruka zijyanye no kubaga imisumari. Ibi bishobora kubamo kwandura, gukomeretsa imitsi, no kwangirika kw'amaraso. Ikigeretse kuri ibyo, hari ibyago byo guhura nibibazo nko gukata screw, kudahuza ubumwe, no gutsindwa byatewe.
Nigute guhitamo abarwayi kubaga imisumari ya humeral bigenwa gute? Guhitamo abarwayi kubaga imisumari ya humeral bigenwa hashingiwe ku bintu byinshi, birimo imyaka y’umurwayi n’ubuzima muri rusange, ubukana n’aho yavunitse, ndetse no kuba hari ingaruka zose zishobora kugira ingaruka ku kubaga.
Kubaga imisumari ya humeral birashobora gukoreshwa kumeneka yimitsi yose? Oya, kubaga imisumari ya humeral mubisanzwe bigenewe kuvunika kwimuwe cyangwa kudahindagurika bidashobora gucungwa neza. Kuvunika hamwe no kwimurwa gake cyangwa kutarimo umutwe wa humeral birashobora gucungwa ningamba zogukumira nka sling immobilisation hamwe nimyitozo ngororangingo hakiri kare.
Ubusanzwe imisumari ya humeral iguma mugihe kingana iki? Umusumari wa humeral usanzwe usigara mumezi menshi kugirango ukire kuvunika. Uburebure bw'umusumari buguma mu mwanya burashobora gutandukana bitewe n'uburemere bw'ivunika hamwe n'umurwayi ku giti cye.
