Reba: 42 Umwanditsi: Muhinduzi bwa Sings Gutanga Igihe: 2023-05-23 Inkomoko: Urubuga
Kuvunika kwa Humerus, igufwa ryumuboko wo hejuru, irashobora kugira ingaruka zikomeye mubikorwa byumuntu nukuri mubuzima. Gufata izovurungano bisaba gusuzuma witonze, harimo ubwoko bwo kuvunika, aho biranga abarwayi. Ihitamo rimwe ryo kubaga ryungutse mumyaka yashize ni ugukoresha umusumari wa Humerus Intramedullary. Iyi ngingo irashakisha inyungu, tekinike yo kubaga, ingaruka, no gusubiza mu buzima busanzwe bifitanye isano nubu buryo bwo kuvura.
Iyo kuvunika bibaye muri humerusi, birashobora gutera ububabare bukabije, umuvuduko ukabije, nubumuga bukora. UBURYO BWO GUTANDUKANYE, guswera cyangwa kwiyegurika, bifite aho ubushobozi bwabo bugarukira, hamwe no gushakisha ibisubizo bifatika byatumye habaho imisumari ya Humerus Intramedil.
Umusumari wa Humerus ni igikoresho cyubuvuzi cyagenewe gutuza no guteza imbere gukira kuvuka muri shaft yuburyo. Igizwe ninkoni ndende yicyuma yinjijwe mu kigo cyinshi cyamagufwa, itanga umutekano ninkunga mugihe cyo gukira. Imisumari isanzwe ikozwe muri titanium cyangwa ibyuma bidafite ingaruka kandi ije mubunini butandukanye kugirango yegure anatomi zinyuranye.
Umuyoboro wa Humerus Intramedillary Imisumari ikunze gukoreshwa mugufata imyuka yubumuga nubuhinzi bwimisoro. Bafite akamaro cyane cyane kubijyanye no gukosora ikosora, nko kuvunika cyangwa kuvunika bifitanye isano no kwimurwa cyane. Byongeye kandi, ubu buhanga burakwiriye abarwayi bafite amagufwa mabi cyangwa iyo imiterere itari ifite uburemere.
Mbere yo kubagwa, igenamigambi ryimitekerereze myiza ni ngombwa. Ibi birimo gusuzuma byuzuye uburyo bwo kuvunika, ubuzima rusange bwumurwayi, hamwe nibikomere byose bifitanye isano. X-Imirasire, CT scan, cyangwa MRI irashobora gukoreshwa kugirango usobanukirwe neza imiterere yavunike kandi utegure uburyo bwo kubaga.
Mugihe cyo kubaga, umurwayi asanzwe asigaranye intebe yinyanja cyangwa kuruhande rwibice. Amahitamo aterwa no kubaga abaganga hamwe no kuvunika. Umwanya ukwiye uremeza uburyo bwiza bwo kugera kurubuga rwacitse kandi worohereza imisumari.
Gutema kwateganijwe kurubuga rwo kubaga kugirango ugere kumagufwa yavunitse. Uburebure niherereriweho gutegurwa biterwa nuburyo bwo kuvunika hamwe numwanya wabyo kumusambanyi. Gutondekanya byoroshye tissue ni ngombwa kugirango ugabanye ihungabana no kugabanya ibyago byo kwandura.
Nyuma yo gukora ingingo yinjira, umuganga ubaga yinjiza imisumari ya Humerus mu muyoboro w'amakorikori. Ubuyobozi bwa Fluorscopic bukoreshwa kugirango hamenyekane neza no guhuza neza. Umusumari wateye imbere mu maguku, uhuza ibice byose byimuwe, no kugarura anatom ikwiye
Imisumari imaze guhagarara neza, gufunga imigozi yinjijwe kugirango ibone umusumari mumagufwa. Iyi miyoboro itanga imbaraga zinyongera kandi irinde kugenda kuzunguruka cyangwa kwambara kashe ya fracraments. Umubare no gushyira imiyoboro biterwa nuburyo bwo kuvunika hamwe no kubaga.
Nyuma yumusumari na screw bafite umutekano, gutemagurwa bifunze ukoresheje sutures cyangwa staples. Gufunga ibikomere bikabije ni ngombwa mugutezimbere gukira no kugabanya ibyago byo kwandura. Urubuga rwo kubaga noneho rwambaye, kandi bande ya sterile cyangwa imyambarire ikoreshwa.
Gukoresha imisumari ya Humerus Intramedullary itanga ibyiza byinshi kubu buryo bwo kuvura gakondo. Zimwe mu nyungu zingenzi zirimo:
Guhagarara no guhuza: Umusumari atanga ikosorwa, yemerera guhuza ibice byacitse, biteza imbere gukira.
Ihungabana ryoroshye ryoroshye: Ugereranije no gutanga tekinike, intera ngo imisumari ikubiyemo ibicuku byoroheje kandi bidafite imihindagurikire y'ikirere, kugabanya ingaruka zo kugorana.
Gukangurira hakiri kare: Umusumari atanga umutekano ahagije yo kwemerera icyerekezo cyambere no gusubiza mu buzima busanzwe, guteza imbere gukira vuba no kugarura imikorere.
Kugabanuka kwandura ingaruka: Ubuhanga bwafunzwe bwa Intramedilary imisumari igabanya ibyago byo kwandura urubuga rwurubuga ugereranije no kugabanuka kumugaragaro hamwe nuburyo bwo gukosora imbere.
Mugihe Humerus Intramedilllary Kubaga Umusumari muri rusange afite umutekano kandi akora neza, hari ibibazo nibibazo bifitanye isano nuburyo. Ni ngombwa kumenya ibyo bishoboka mbere yo kwivuza. Bimwe mubibazo birimo:
Inzira zose zidasanzwe zitwara ibyago byo kwandura. Nubwo umubare wanduye ugabanuka hamwe na Humerus Intramedullary Imisumari, Ubuhanga bukwiye bwa Sterile hamwe nitaweho nyuma yo kugabanya iyi mbaraga. Mugihe kwandura, kuvura bikwiye antibiyotike kandi birashoboka ko hashobora gutabara bishobora gusabwa.
Rimwe na rimwe, kuvunika ntibishobora gukiza neza, bikavamo malnion (guhuza bidakwiye) cyangwa kutagira icyo gukira). Ibintu nkubwiza bwamagufwa, bidahagije, cyangwa kugenda cyane birashobora gutanga umusanzu kuri ibi bibazo. Gukurikiranira hafi, gusura buri gihe gukurikirana, kandi gutabara mugihe birashobora gufasha gukemura ibyo bibazo nibahagurutse.
Ni gake, imbaraga zikoreshwa mu misumari y'intangiriro zishobora kunanirwa. Ibi birashobora kubaho kubera gusenyuka, kurekura, cyangwa kwimuka. Guhitamo neza, tekinike yo kubaga, no kwita ku mizori birashobora kugabanya ibyago byo kunanirwa.
Mugihe cyo kubaga, hari ibyago bike byo gukomeretsa imitsi, bishobora kuganisha ku myumvire cyangwa moteri. Abaganga babaga bafata ingamba kugirango birinde ibyangiritse, nko gutandukana neza hamwe nubumenyi bukwiye bwa anatomique. Ibimenyetso byose bifitanye isano nimitsi bigomba kumenyeshwa bidatinze itsinda ryubuvuzi kugirango risuzume no gucunga.
Nyuma ya Humerus Intramedillary Kubaga Umusumari, gahunda yo gusubiza mu buzima busanzwe ni ngombwa mu gukira neza. Gahunda yihariye yo gusubiza mu buzima busanzwe burashobora gutandukana bitewe n'uburemere bw'ibivunika n'impamvu z'umurwayi. Gukangurira hakiri kare, kwitonda duto twinshi mumyitozo, no gushimangira imyitozo buhoro buhoro byatangijwe kugirango ugarure imikorere no kunoza imbaraga zuzuye. Amasomo yo kuvura kumubiri, ayobowe na Therapiste wabigize umwuga, akinira uruhare rukomeye muburyo bwo kugarura.
Abarwayi benshi bahuye nibisubizo byiza hamwe na Humerus Intramedillary Kubaga Umusumari Umusumari. Ubushakashatsi bumwe bwarimo bwarimo umuntu wimyaka 45 hamwe nuduce duto twakuweho. Nyuma yo kubagwa imisumari ivanze, umurwayi yageze ku guhuza neza kuvunika neza, yagaruye kugenda, agasubira ku rwego rwabo rw'ibikorwa mu mezi atandatu.
Mugihe usuzumye uburyo bwo kuvura kubusa kuvugurura, ni ngombwa kugereranya inyungu n'imbogamizi za buri cyerekezo. Mugihe ikoreshwa ryimisumari ya Humerus itanga inyungu nyinshi, nko gushikama, gukangurira hakiri kare, hamwe nibibazo bike byoroshye, ntibishobora kuba bikwiranye na buri kuvunika cyangwa kwihangana. Ubundi buryo, nko gutangaza cyangwa gukosora hanze, birashobora kuguhitamo mubihe bimwe. Kugisha inama inzobere mu magufwa bizafasha kumenya uburyo bukwiye bwo kuvura bushingiye ku mibereho.
Mu gusoza, gukoresha umusumizi intterlary umusumari yagaragaye nkuburyo bwo kuvura neza kandi bwizewe bwo kuvunika ubuhinzi. Ubu buhanga bwo kubaga butanga ikosora, biteza imbere ubukangurambaga bwa mbere, kandi butanga ibyiza byinshi kubu buryo gakondo. Mugihe hariho ingaruka zishobora kubaho nibibazo bifitanye isano nuburyo, gutegura neza kubaga, tekinike yubwibone, no kwita ku mizori birashobora gufasha kugabanya ibyo bibazo. Hamwe no gusubiza mu buzima busanzwe no gukurikirana neza, abarwayi barashobora kubona neza kugarura no kugarura ubushobozi bwabo.
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