Ibisobanuro ku bicuruzwa
Abashinzwe gukosora hanze barashobora kugera kuri 'kugenzura ibyangiritse ' muvunika hamwe n’imvune zoroheje zikomeye, kandi bikanakorwa nk'ubuvuzi bwuzuye bwo kuvunika kwinshi. Kwandura amagufwa nikimenyetso cyibanze cyo gukoresha ibikosora hanze. Byongeye kandi, barashobora gukoreshwa mugukosora ubumuga no gutwara amagufwa.
Uru ruhererekane rurimo 3.5mm / 4.5mm Isahani umunani, Isahani yo gufunga, hamwe na Hip Plate, yagenewe gukura kw'amagufwa y'abana. Zitanga epiphyseal ihamye hamwe no kuvunika, byakira abana bingeri zitandukanye.
Urutonde rwa 1.5S / 2.0S / 2.4S / 2.7S rurimo T-T, Y-shusho, L-shusho, Condylar, hamwe na plaque yo kwiyubaka, nibyiza kuvunika amagufwa mato mumaboko no mubirenge, bitanga gufunga neza no gushushanya neza.
Iki cyiciro kirimo clavicle, scapula, hamwe na radiyo ya kure / ulnar isahani ifite imiterere ya anatomique, ituma impande nyinshi zifata neza kugirango zihamye neza.
Byagenewe kuvunika amaguru yo hepfo, sisitemu ikubiyemo plaque yegeranye / ya kure ya tibial plaque, plaque femorale, na plaque ya calcaneal, byemeza gukosorwa gukomeye no guhuza ibinyabuzima.
Uru ruhererekane rurimo isahani ya pelvic, isahani yo kongera kubaka imbavu, hamwe na plaque sternum yo guhahamuka gukabije hamwe na thorax stabilisation.
Gukosora hanze mubisanzwe birimo uduce duto gusa cyangwa kwinjiza pin ya percutaneous, bigatera kwangirika kwinshi kwinyama zoroshye, periosteum, hamwe namaraso bikikije aho yavunitse, bigatera gukira amagufwa.
Irakwiriye cyane cyane kuvunika gukomeye, kuvunika kwanduye, cyangwa kuvunika hamwe no kwangirika kwingirangingo zoroshye, kuko ibi bintu ntabwo ari byiza gushyira ibinini binini imbere mu gikomere.
Kubera ko ikadiri ari hanze, itanga uburyo bwiza bwo kuvura ibikomere, kuvanaho, gushushanya uruhu, cyangwa kubaga flap bitabangamiye ihungabana.
Nyuma yo kubagwa, umuganga arashobora guhindura neza imyanya, guhuza, hamwe nuburebure bwibice byavunitse akoresheje inkoni zihuza hamwe ningingo zifatika zo hanze kugirango agabanuke neza.
Urubanza1
Urukurikirane rw'ibicuruzwa
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Ihuriro ryivi nimwe mubice bigoye cyane mumubiri wumuntu. Nibihuriweho binini kandi bihuza igufwa ryibibero (femur) nigufwa rya shin (tibia). Gukomeretsa ku ivi birasanzwe kandi birashobora kuva kumitsi yoroheje kugeza amarira akomeye cyangwa kuvunika. Rimwe na rimwe, kubagwa birasabwa kugirango uhuze ivi kandi bigatera gukira. Bumwe mu buryo bwo kubaga bukoreshwa mu kuvura ibikomere byo mu ivi ni uburyo bwo gukosora hanze. Iyi ngingo izatanga incamake yikivi cyo hanze gikosora, harimo ubwoko, ibimenyetso, nibyiza.
Ikivi cyo mu ivi cyo hanze nikintu cyo kubaga gikoreshwa muguhuza ivi no guteza imbere gukira nyuma yimvune cyangwa kubagwa. Nigikoresho cyo hanze gishyizwe kumagufa hamwe ninsinga cyangwa insinga kandi bigahuzwa ninkoni cyangwa imigozi. Ushinzwe gufata amagufwa ahabigenewe, abemerera gukira neza.
Hariho ubwoko bubiri bwikivi buvanze hanze:
Uruziga ruzenguruka hanze rugizwe nimpeta zifatanije nigufwa hamwe ninsinga cyangwa pin. Impeta ihujwe n'inkoni cyangwa imigozi, ikora uruziga ruzengurutse ingingo. Ikadiri irashobora guhindurwa kugirango igenzure aho amagufwa ihagaze no kwemerera kugenda.
Ikosora yo hanze itabogamye ni igikoresho gishyizwe kuruhande rumwe rwamagufwa hamwe na pin cyangwa imigozi. Urundi ruhande rwamagufwa ntirukosowe, rwemerera kugenzurwa kwingingo. Ubu bwoko bwo gukosora ntibushobora kwibasirwa nuruziga ruzenguruka kandi akenshi bikoreshwa mubikomere bidakabije.
Amavi apfukamye hanze yerekana ibikomere bitandukanye, harimo:
Kuvunika kw'ivi birashobora kuvurwa hamwe no gukosorwa hanze. Ushinzwe gufata amagufwa muburyo bukwiye mugihe akize.
Gupfukama hamwe hamwe birashobora kuvurwa hamwe no gukosorwa hanze. Ikosora ifata amagufwa mumwanya ukwiye mugihe ligaments na tendons bikira.
Ibikomere byo mu mitsi, nk'amarira y'imbere (ACL) amarira, birashobora kuvurwa no gukosorwa hanze. Ikosora ifata amagufwa muburyo bukwiye mugihe ligament ikiza.
Osteotomies, nuburyo bwo kubaga burimo gukata no kuvugurura amagufwa, birashobora kuvurwa hamwe no gukosorwa hanze. Ushinzwe gufata amagufwa muburyo bukwiye mugihe akize.
Rimwe na rimwe, indwara zifata ivi zirashobora kuvurwa hamwe no gukosorwa hanze. Ikosora yemerera gutembera neza kwandura kandi ikarinda kwangirika kwingingo.
Gupfukama hamwe gukosora hanze bitanga inyungu nyinshi kurenza ubundi buhanga bwo kubaga, harimo:
Gukosora hanze ni tekinike yibasirwa cyane idasaba ibice binini cyangwa gutandukana kwinshi.
Ibikoresho byo gukosora hanze birashobora gutegurwa kugirango bihuze imvune yihariye yumurwayi na anatomy.
Ibikoresho byo gutunganya hanze birashobora guhindurwa kugirango bigenzure aho amagufwa ahagaze kandi yemererwe kugenzurwa kwingingo.
Gukosora hanze bituma habaho gukangurira hakiri kare ingingo, zishobora guteza imbere gukira vuba no gukumira gukomera.
Gukosora hanze bifite ibyago bike byo guhura nibibazo ugereranije nubundi buryo bwo kubaga.
Amavi apfukamye hanze ni tekinike yingirakamaro yo kubaga ikoreshwa muguhuza ivi no guteza imbere gukira nyuma yimvune cyangwa kubagwa. Itanga inyungu nyinshi kurenza ubundi buhanga bwo kubaga, harimo kubaga byoroheje byibasiye, gukangurira abantu hakiri kare, no kugabanya ibyago byo guhura nibibazo. Hariho ubwoko bubiri bwo gutunganya ibintu bikoreshwa mugukomeretsa kw'ivi: kuzenguruka kuzenguruka hanze hamwe no gukosora hanze. Ibimenyetso byerekana ivi rifatika hanze harimo kuvunika, gutandukana, gukomeretsa ligament, osteotomies, na infection.
Mu gusoza, ivi rifatika hanze ni tekinike nziza yo kubaga yo kuvura ibikomere byo mu ivi. Iremera gukira neza kandi iteza imbere gukangura hakiri kare, biganisha ku gukira vuba no kugabanya ibyago byingaruka. Niba ufite ikibazo cyo gukomeretsa kw'ivi, ni ngombwa kuganira ku buryo bwo kwivuza hamwe n’ubuvuzi bwujuje ibyangombwa kugira ngo umenye niba gukosora ivi hanze bikubereye.
Ese ivi rifatanije gukosora birababaza?
Igis: Abarwayi barashobora kutagira ikibazo nyuma yo kubagwa, ariko ububabare burashobora gukemurwa nimiti yagenwe nabashinzwe ubuzima.
Bifata igihe kingana iki kugirango ukire ivi rifatanije no kubaga hanze?
Igis: Igihe cyo gukira kiratandukanye bitewe nuburemere bwimvune nubuzima bwumurwayi muri rusange. Birashobora gufata ibyumweru byinshi cyangwa amezi kugirango ukire neza.
Ese ivi rifatika rishobora gukoreshwa muburyo bwose bwo gukomeretsa kw'ivi?
Igis: Oya, ivi rifatanije hanze ryerekanwe kubwoko bwimvune nibibazo, nkuko byagenwe nabashinzwe ubuzima.
Haba hari ingaruka zijyanye no kubaga ivi hamwe no kubaga hanze?
Igis: Kimwe nuburyo ubwo aribwo bwose bwo kubaga, hari ingaruka zijyanye no kubaga ivi hamwe no kubaga hanze, harimo kwandura, kwangiza imitsi, no gutembera kw'amaraso.
Fixator yo hanze yambara kugeza ryari nyuma yo kubagwa ivi?
Igis: Uburebure bwumwanya wo hanze wambara buratandukanye bitewe nuburemere bwimvune niterambere ryumurwayi. Utanga ubuvuzi azagena igihe uwakosoye ashobora gukurwaho.