Umusumari wa Intramedillary ni ubwoko bwo kubaga bukoreshwa mu kubagwa amagufwa kugira ngo bakosore amagufwa, cyane cyane kuvunika amagufwa. Numuyoboro muremure, unanutse, winjije mu muyoboro wabugenewe w'ubukungu w'amagufwa kandi ufata imigozi cyangwa gufunga ibirango byombi. Umusumari atanga ubudakema bwimbere no gushyigikira igufwa ryavunitse, kubyemerera gukira mumwanya ukwiye. Imisumari ya Intramedullary ikunze gukoreshwa mukuvura femur na tibia.
Hariho ubwoko bwinshi bwimisumari ya Intramedillary ikoreshwa mubuhinzi bwa orthopedic, harimo:
Imisumari yubugome: Ibi bikoreshwa mukuvura ibicuruzwa bya femur (amagufwa). Bashobora kuba retrograde, byinjijwe mu ndumiro irangiye igufwa, cyangwa antegrade, byinjijwe mu mwogo.
Imisumari ya Tibial: Ibi bikoreshwa mukuvura ibirangaza bya Tibia (Shin Bone). Mubisanzwe binjizwa mu mavi iherezo ryamagufwa.
Imisumari yuburyo: Ibi bikoreshwa mukuvura kuvunika humerus (amagufwa yo hejuru).
Imisumari y'inyoni ku kuboko n'amaguru: iyi ni imisumari mito ya diameter ikoreshwa mu kuvunika mu ntoki n'amaguru.
Imisumari yoroshye: Izi ni imisumari yateguwe cyane mubana ningimbi kugirango bavure ibirangaza bikiyongera.
Ubwoko bw'imisumari ya Intramedorlary ikoreshwa mu kubagwa izaterwa n'ahantu n'uburemere bwo kuvunika, kimwe n'imyaka n'ubuzima rusange bw'umurwayi.
Imisumari ya Intramedullary irashobora gutangwa mubikoresho bitandukanye, harimo n'icyuma, Titanium, codalt-chromium, na titanium-nikel. Buri kintu gifite imiterere yihariye n'inyungu zidasanzwe, nk'imbaraga, kuramba, no kurwanya ruswa. Guhitamo ibikoresho biterwa nibikenewe byihariye byumurwayi nubwoko bwo kuvunika buvurwa.
Mbere yo kubaga, umuganga azasuzuma ibintu byinshi kugirango tumenye inzira nziza yo kuvura umurwayi. Izi ngingo zishobora kuba zirimo:
Imyaka yumurwayi, amateka yubuvuzi, nubuzima rusange.
Ubwoko n'uburemere bw'imigabane cyangwa igikomere.
Ibimenyetso byumurwayi nurwego rwububabare.
Imikorere yo kuvura ibintu bitaringaniye.
Irashobora kugira ingaruka ninyungu zo kubaga.
Imibereho yumurwayi nibikorwa byibikorwa.
Ibyifuzo byumurwayi n'intego byo kubaga.
Kuboneka nubuhanga bwibigo byo kubaga nabatanga ubuzima.
Mugutekereza kuri ibyo bintu, umuganga arashobora guteza imbere gahunda yo kuvura yihariye ijyanye nibyo umuntu akeneye.
Ibyiza byo gukoresha imisumari yo kubagwa harimo:
Gucika intege: Gukoresha imisumari ya Intramedullary yemerera gucika intege ugereranije ugereranije no kubaga gakondo, bishobora kugabanya ibyago byo kwandura no gukomeretsa.
Gukira byihuse: Kuva umusumari wa Intramedullar yinjijwe mumagufa, ihatira kuvunika cyangwa ubumuga, yemerera gukira vuba no gukira.
Kugabanya ububabare: Umutekano utangwa na Intramedullary Umusumari arashobora kugabanya ububabare bwububabare mugihe cyo gukira.
Ingorabahizi nke: Umusumari wa Intramedillary ufite ibyago byo hasi byingorabahizi ugereranije nubundi bwoko bwibikorwa byo kubaga.
Kunoza kwitwara neza: hamwe no gusubiza mu buzima busanzwe, abarwayi bagize imisumari yo mu ntambara barashobora kwitega kugarura urwego rwinshi rwo kugenda no gukora.
Mubihe byinshi, guhagarika imisumari ntibivanwa nyuma yo gushyirwaho. Bagenewe kuguma mu mwanya wa burundu, igihe cyose batatera ingorane cyangwa ibibazo kumurwayi. Ariko, rimwe na rimwe, umusumari ashobora gukenera gukurwaho kubera kwandura amagufwa, cyangwa ibindi bibazo. Muri ibi bihe, icyemezo cyo gukuramo umusumari kizakorwa n'umuganga w'umurwayi ushingiye ku kibazo cyabo.
Igihe cyo kugarura nyuma yo gukuraho imisumari yo gukuraho imisumari birashobora gutandukana bitewe nibintu nkibihe nubunini bwumusumari, impamvu yo gukuraho, nubuzima bwa buri muntu. Muri rusange, gukira kwa Intramedullary gukuraho imisumari mubisanzwe bihuta kandi bike birababaza kuruta kubaga byumwimerere gushyiramo umusumari. Abarwayi barashobora gukomeza ibikorwa byoroheje muminsi mike nyuma yuburyo, ariko bagomba kwirinda imyitozo ikomeye cyangwa guterura burundu ibyumweru byinshi kugirango biremere ko urujijo rukiza neza. Birashobora gufata ibyumweru byinshi cyangwa ukwezi kumagufwa kugirango ukire byuzuye kandi umurwayi yo kugarura icyerekezo cyuzuye mubice byibasiwe. Ni ngombwa gukurikiza amabwiriza ya muganga kugirango abone ubwitonzi bwa nyuma bwo kwitaba no gusana kugirango tumenye neza.