Humerus Intramedullary Nail: Umuti mwiza wo kuvura imvune zumuntu

Kuvunika kw'igitereko, igufwa ryo mu kuboko hejuru, birashobora kugira ingaruka zikomeye kubikorwa bya buri munsi byumuntu nubuzima bwe. Kuvura ibyo byavunitse bisaba gutekereza cyane kubintu bitandukanye, harimo ubwoko bwavunitse, aho biherereye, nibiranga abarwayi. Uburyo bumwe bwo kubaga bumaze kumenyekana mumyaka yashize ni ugukoresha imisumari ya humerus intramedullary. Iyi ngingo iragaragaza inyungu, tekinike yo kubaga, ingaruka, hamwe no gusubiza mu buzima busanzwe bifitanye isano nubu buryo bwo kuvura.

Intangiriro

Iyo kuvunika bibaye mu nda, birashobora gutera ububabare bukabije, kugenda gake, no kutagira imikorere. Uburyo bwa gakondo bwo kuvura, nko guterera cyangwa gusasa, bufite aho bugarukira, kandi gushakisha ibisubizo bifatika byatumye habaho imisumari yimitsi.

Niki Humerus Intramed ullary Nail?

Umusumari wimitsi ni igikoresho cyubuvuzi cyagenewe gutuza no guteza imbere gukira kuvunika mumitsi. Igizwe n'inkoni ndende yinjizwa mu mwobo wo hagati w'amagufwa, itanga ituze hamwe n'inkunga mugihe cyo gukira. Ubusanzwe imisumari ikozwe muri titanium cyangwa ibyuma bidafite ingese kandi biza mubunini butandukanye kugirango habeho anatomiya zitandukanye z'abarwayi.

Ibimenyetso kuri Humerus Intramedullary Nail

Imisumari ya Humerus ikoreshwa muburyo bwo kuvura midshaft hamwe no kuvunika kwa humeral. Zifite akamaro cyane cyane kuvunika bisaba gukosorwa neza, nko kuvunika gukabije cyangwa kuvunika bifitanye isano no kwimuka gukomeye. Byongeye kandi, ubu buryo bukwiye kubarwayi bafite amagufwa mabi cyangwa mugihe hagaragaye imiterere idafite uburemere.

Ubuhanga bwo kubaga kuri Humerus Intramedullary Nail

Gutegura mbere yo gutangira

Mbere yo kubagwa, gutegura neza mbere yo gutangira ni ngombwa. Ibi bikubiyemo gusuzuma byimazeyo uburyo bwo kuvunika, ubuzima rusange bwumurwayi, nibikomere byose bifitanye isano. X-imirasire, CT scan, cyangwa MRI birashobora gukoreshwa kugirango ubashe gusobanukirwa neza ibiranga kuvunika no gutegura uburyo bwo kubaga bikurikije.

Umwanya w'abarwayi

Mugihe cyo kubagwa, umurwayi ubusanzwe ashyirwa haba ku ntebe yinyanja cyangwa kuruhande rwa decubitus. Guhitamo biterwa nibyifuzo byo kubaga hamwe no kuvunika. Guhagarara neza bituma habaho uburyo bwiza bwo kugera kurubuga rwacitse kandi byoroshe kwinjiza imisumari.

Gukata no Kubona

Gucibwa bikozwe kurubuga rwo kubaga kugirango igufwa ryacitse. Uburebure n'aho biherereye biterwa n'ubwoko bwavunitse hamwe n'aho biherereye ku gitereko. Kwitonda witonze byoroshye ni ngombwa kugabanya ihungabana no kugabanya ibyago byo kwandura.

Kwinjiza imisumari

Nyuma yo gukora aho binjirira, umuganga abaga yinjiza imisumari ya humerus intramedullary mumiyoboro ya humeral. Ubuyobozi bwa Fluoroscopique bukoreshwa kugirango habeho gushyira neza no guhuza. Umusumari utera imbere unyuze mu magufa, uhindura ibice byose byimuwe, kandi ugarura anatom ikwiye

Gufunga imigozi

Umusumari umaze guhagarara neza, hashyizwemo imigozi yo gufunga kugirango umusumari uri mumagufwa. Iyi miyoboro itanga ituze ryinyongera kandi irinda kuzenguruka cyangwa kugendagenda kumutwe. Umubare nogushyira imigozi biterwa nuburyo bwo kuvunika no kubaga kwa muganga.

Gufunga ibikomere

Nyuma yimisumari n'imigozi bimaze gushyirwaho neza, gutemwa bifunze ukoresheje suture cyangwa staples. Gufunga ibikomere neza ni ngombwa kugirango uteze imbere gukira no kugabanya ibyago byo kwandura. Urubuga rwo kubaga noneho rwambarwa, hanyuma hakoreshwa igitambaro cya sterile cyangwa kwambara.

Ibyiza bya Humerus Intramedullary Nail

Gukoresha imisumari ya humerus intramedullary itanga ibyiza byinshi muburyo bwo kuvura gakondo. Zimwe mu nyungu zingenzi zirimo:

1. Guhagarara no guhuza: Umusumari utanga gukosorwa neza, kwemerera guhuza neza ibice byavunitse, biteza imbere gukira neza.

2. Ihungabana ryoroheje ryoroheje: Ugereranije nubuhanga bwo gufata amasahani, gutera imisumari imbere birimo uduce duto no guhagarika ingirabuzimafatizo zoroheje, bikagabanya ibyago byo guhura nibibazo.

3. Gukangura hakiri kare: Umusumari utanga ihame rihagije kugirango ryemererwe hakiri kare no gusubiza mu buzima busanzwe, biteza imbere gukira vuba no kugarura imikorere.

4. Kugabanya ibyago byo kwandura: Tekinike ifunze yo gutera imisumari igabanya ibyago byo kwandura indwara zo kubaga ugereranije no kugabanya gufungura hamwe nuburyo bwo gukosora imbere.

Ingorane n'ingaruka

Mugihe humerus intramedullary kubaga imisumari muri rusange ifite umutekano kandi ikora neza, haribibazo bishobora guteza ingaruka hamwe nuburyo bukoreshwa. Ni ngombwa kumenya ibyo bishoboka mbere yo kwivuza. Zimwe mu ngorane zirimo:

Indwara

Uburyo ubwo aribwo bwose bwo kubaga butwara ibyago byo kwandura. Nubwo igipimo cyubwandu kiri hasi cyane hamwe na humerus intramedullary imisumari, tekinike nziza ya sterile hamwe nubuvuzi bwa nyuma yibikorwa nibyingenzi kugirango iyi ngaruka igabanuke. Mugihe cyanduye, hashobora gukenerwa imiti igabanya ubukana bwa antibiyotike kandi birashoboka ko umuntu ashobora kubagwa.

Malunion cyangwa Nonunion

Rimwe na rimwe, kuvunika ntibishobora gukira neza, bikaviramo malunion (guhuza bidakwiye) cyangwa kudahuza (kubura gukira). Ibintu nkubuziranenge bwamagufwa, ubudahangarwa budahagije, cyangwa kugenda cyane birashobora kugira uruhare muribi bibazo. Gukurikiranira hafi, gusurwa buri gihe, no gutabara ku gihe birashobora gufasha gukemura ibyo bibazo niba bivutse.

Kunanirwa

Ni gake, gushiramo gukoreshwa kumisumari irashobora kunanirwa. Ibi birashobora kubaho kubera kumeneka kwatewe, kurekura, cyangwa kwimuka. Guhitamo neza, tekinike yo kubaga, no kuvura nyuma yo kubaga birashobora kugabanya ibyago byo kunanirwa kwatewe.

Gukomeretsa imitsi

Mugihe cyo kubagwa, hari ibyago bike byo gukomeretsa imitsi, bishobora gutera ibyiyumvo cyangwa moteri. Abaganga babaga bafata ingamba zo kwirinda kwangirika kw'imitsi, nko gutandukana neza n'ubumenyi bukwiye. Ibimenyetso byose bifitanye isano nubwonko bigomba kumenyeshwa bidatinze itsinda ryubuvuzi kugirango bisuzumwe kandi bicungwe.

Gusubiza mu buzima busanzwe no gukira

Nyuma yo kubaga imisumari ya humerus intramedullary, gahunda yuzuye yo gusubiza mu buzima busanzwe ni ngombwa kugirango umuntu akire neza. Gahunda yihariye yo gusubiza mu buzima busanzwe irashobora gutandukana bitewe n'uburemere bwavunitse n'impamvu z'abarwayi. Gukangura hakiri kare, imyitozo yoroheje-yimyitozo ngororamubiri, hamwe nimyitozo ikomeza itangizwa buhoro buhoro kugirango igarure imikorere kandi itezimbere imitsi. Imyitozo yo kuvura kumubiri, iyobowe numuvuzi wabigize umwuga, igira uruhare runini mugikorwa cyo gukira.

Inyigo hamwe ninkuru zitsinzi

Abarwayi benshi bagize ingaruka nziza hamwe no kubaga imisumari. Ubushakashatsi bumwe bwakorewe ku muntu w'imyaka 45 y'amavuko yavunitse. Nyuma yo kubagwa akoresheje umusumari udasanzwe, umurwayi yageze ku guhuza neza kuvunika, agarura imbaraga zose, hanyuma asubira mu bikorwa byabo mbere y’imvune mu mezi atandatu.

Gereranya nubundi buryo bwo kuvura

Mugihe usuzumye uburyo bwo kuvura kuvunika humeral, ni ngombwa kugereranya inyungu nimbibi za buri nzira. Mugihe ikoreshwa ryimisumari yimitsi itanga ibyiza byinshi, nko gutuza, gukanguka hakiri kare, no guhagarika ingirabuzimafatizo ntoya, ntibishobora kuba bibereye kuvunika cyangwa umurwayi. Ubundi buryo, nkibisahani cyangwa gukosora hanze, birashobora guhitamo mubihe bimwe. Kugisha inama inzobere mu magufa bizafasha kumenya uburyo bukwiye bwo kuvura ukurikije ibihe byihariye.

Umwanzuro

Mu gusoza, gukoresha imisumari ya humerus intramedullary byagaragaye nkuburyo bwiza kandi bwizewe bwo kuvura kuvunika. Ubu buhanga bwo kubaga butanga igisubizo gihamye, buteza imbere ubukangurambaga hakiri kare, kandi butanga inyungu nyinshi kurenza uburyo gakondo. Mugihe hari ingaruka zishobora kuvuka hamwe nibibazo bifitanye isano nuburyo bukoreshwa, gutegura neza kubaga, tekinike yitonze, hamwe nubuvuzi nyuma yubuvuzi burashobora gufasha kugabanya izo mpungenge. Hamwe no gusubiza mu buzima busanzwe no gukurikiranira hafi, abarwayi barashobora gukira neza no kugarura ubushobozi bwabo.