Igice kinini ni iki?
Igice kinini bivuga itsinda ryo guteranya amagufwa akoreshwa mu kubaga amagufwa yo kuvura kuvunika amagufwa maremare, nk'igitsina gore (igufwa ry'ibibero), tibia (igufwa rya shin), na humerus (igufwa ryo hejuru).
Iyimikwa ryakozwe kugirango rihagarike kuvunika mukuziba icyuho no kwemerera igufwa gukira mumwanya ukwiye. Ibice binini byatewe mubisanzwe bigizwe nibyuma hamwe ninshini zatewe kubagwa hejuru yamagufwa kugirango ibice byamagufwa bibe.
Isahani hamwe ninshini nini kandi ikomeye kuruta izikoreshwa mugushiramo uduce duto duto, kuko bakeneye gushyigikira uburemere bwinshi no guhangana nimbaraga nini. Ibice binini byatewe mubisanzwe bikoreshwa mubice bikomeye bisaba guhagarara neza.
Ibikoresho byo gufunga？
Isahani yo gufunga ikozwe mubikoresho biocompatible nka titanium, titanium, cyangwa ibyuma bitagira umwanda. Ibi bikoresho bifite imbaraga zidasanzwe, gukomera, no kurwanya ruswa, bigatuma biba byiza gukoreshwa mumyanya yimitsi. Byongeye kandi, zirimo inert kandi ntizifata nuduce twumubiri, bigabanya ibyago byo kwangwa cyangwa gutwikwa. Isahani imwe yo gufunga irashobora kandi gushyirwaho ibikoresho nka hydroxyapatite cyangwa ibindi bitwikiriye kugirango biteze imbere hamwe nuduce twamagufwa.
Nihe sahani iruta titanium cyangwa ibyuma bidafite ingese?
Byombi bya titanium hamwe nibyuma bidafite ibyuma bikoreshwa muburyo bwo kubaga amagufwa, harimo no gufunga amasahani. Guhitamo hagati yibi bikoresho biterwa nimpamvu nyinshi, zirimo ubwoko bwo kubaga, amateka y’ubuvuzi bw’umurwayi n’ibyo akunda, hamwe n’uburambe bwo kubaga ndetse n’ibyo akunda.
Titanium ni ibintu byoroheje kandi bikomeye bifite biocompatable kandi birwanya ruswa, bigatuma ihitamo neza kubitera imiti. Isahani ya Titanium ntigikomeye kuruta ibyuma bidafite ingese, bishobora gufasha kugabanya imihangayiko kumagufa no guteza imbere gukira. Byongeye kandi, plaque ya titanium irasa cyane, bivuze ko itabangamira ibizamini byerekana amashusho nka X-ray cyangwa MRI.
Ku rundi ruhande, ibyuma bitagira umwanda, ni ibintu bikomeye kandi bikomeye kandi na byo bihuza kandi birwanya ruswa. Byakoreshejwe muburyo bwimikorere ya orthopedic mumyaka mirongo kandi ni ibintu byageragejwe-nukuri. Ibyuma bidafite ibyuma bidahenze kuruta plaque ya titanium, ishobora kwitabwaho kubarwayi bamwe.
Kuki isahani ya titanium ikoreshwa mugubaga?
Isahani ya Titanium ikoreshwa kenshi mu kubaga kubera imiterere yihariye ituma iba ibikoresho byiza byatewe mu buvuzi. Zimwe mu nyungu zo gukoresha plaque ya titanium mu kubaga harimo:
Biocompatibilité: Titanium ibangikanye cyane na biocompatable, bivuze ko bidashoboka gutera allergie reaction cyangwa kwangwa numubiri wumubiri. Ibi bituma iba ibikoresho byizewe kandi byizewe kugirango bikoreshwe mubuvuzi.
Imbaraga nigihe kirekire: Titanium nimwe mubyuma bikomeye kandi biramba, bituma iba ibikoresho byiza kubitera bigomba kwihanganira imihangayiko n'imikorere yo gukoresha burimunsi.
Kurwanya ruswa: Titanium irwanya cyane kwangirika kandi ntibishoboka ko ifata amazi yumubiri cyangwa ibindi bikoresho mumubiri. Ibi bifasha kurinda ibyatewe kwangirika cyangwa gutesha agaciro igihe.
Imirasire: Titanium ni radiopaque cyane, bivuze ko ishobora kugaragara byoroshye kuri X-ray nibindi bizamini byerekana amashusho. Ibi byorohereza abaganga gukurikirana iyatewe kandi bakemeza ko ikora neza.
Isahani yo gufunga ikoreshwa iki?
Gufunga amasahani bikoreshwa mu kubaga amagufwa kugira ngo atange ituze kandi ashyigikire amagufwa yavunitse, avunika, cyangwa yacitse intege kubera indwara cyangwa ibikomere.
Isahani ifatanye n'amagufwa ukoresheje imigozi, hanyuma imigozi ifunga isahani, ikora inguni ihamye itanga inkunga ikomeye kumagufwa mugihe cyo gukira. Gufunga amasahani akunze gukoreshwa mu kuvura kuvunika kw'ukuboko, ukuboko, akaguru, n'amaguru, ndetse no kubaga uruti rw'umugongo n'ubundi buryo bwo kuvura amagufwa.
Zifite akamaro cyane cyane mugihe amagufwa yoroheje cyangwa osteoporotic, kuko uburyo bwo gufunga isahani butanga umutekano wongeyeho kandi bikagabanya ibyago byo kunanirwa kwatewe.
Nigute isahani yamagufa ikora?
Isahani yamagufa nigikoresho cyubuvuzi gikoreshwa muguhagarika amagufwa mugihe cyo gukira. Nigice kiringaniye cyicyuma, mubisanzwe bikozwe mubyuma cyangwa titanium, bifatanye hejuru yamagufwa ukoresheje imigozi. Isahani ikora nk'imbere kugirango ifate ibice by'amagufwa yavunitse kugirango bihuze neza kandi bitange ituze mugihe cyo gukira. Imigozi irinda isahani igufwa, kandi isahani ifata ibice byamagufwa muburyo bukwiye. Isahani yamagufa yagenewe gutanga gukosorwa gukomeye no gukumira icyerekezo cyavunitse, cyemerera igufwa gukira neza. Igihe kirenze, igufwa rizakura ku isahani hanyuma ryinjizwe mu ngingo zikikije. Igufwa rimaze gukira neza, isahani irashobora gukurwaho, nubwo ibi atari ngombwa buri gihe.
Ese gufunga imigozi bitanga compression?
Gufunga imigozi ntibitanga compression, kuko byashizweho kugirango bifungire mu isahani kandi bihagarike ibice byamagufwa binyuze mumyubakire ihamye. Kwiyunvikana kugerwaho hifashishijwe imigozi idafunze ishyirwa ahantu ho guhunika cyangwa mu mwobo wa plaque, bigatuma habaho guhagarika ibice byamagufwa nkuko imigozi ikomera.
Isahani hamwe na screw birababaza?
Ni ibisanzwe kugira ububabare no kutamererwa neza nyuma yo gushyiramo amasahani n'imigozi mugihe cyo kubagwa. Ariko, ububabare bugomba kugabanuka mugihe umubiri ukize kandi urubuga rwo kubaga rukira. Ububabare bushobora gucungwa hakoreshejwe imiti no kuvura umubiri. Ni ngombwa gukurikiza amabwiriza ya nyuma yubuvuzi yatanzwe n’umuganga ubaga no kumenyesha itsinda ry’abaganga ububabare buhoraho cyangwa bukabije. Mubihe bidasanzwe, ibyuma (amasahani na screw) birashobora gutera ikibazo cyangwa kubabara, kandi mugihe nkicyo, umuganga abaga ashobora gusaba gukuraho ibikoresho.
Bifata igihe kingana iki kugirango amagufa akire hamwe n'amasahani hamwe n'imigozi?
Igihe bifata kugirango amagufa akire hamwe namasahani hamwe ninshini birashobora gutandukana bitewe nuburemere bwimvune, aho igikomere cyakorewe, ubwoko bwamagufwa, n'imyaka hamwe nubuzima rusange bwumurwayi. Muri rusange, birashobora gufata ibyumweru byinshi kugeza kumezi menshi kugirango amagufa akire burundu hifashishijwe amasahani.
Mugihe cyambere cyo gukira, ubusanzwe kimara ibyumweru 6-8, umurwayi azakenera kwambara ikariso cyangwa ikariso kugirango agace kanduye karangwe kandi karinzwe. Nyuma yiki gihe, umurwayi ashobora gutangira kuvura kumubiri cyangwa gusubiza mu buzima busanzwe kugirango afashe kunoza urwego rwimbaraga nimbaraga zafashwe.
Ariko rero, ni ngombwa kumenya ko inzira yo gukira ituzuye iyo ikuweho cyangwa igitereko kimaze gukurwaho, kandi birashobora gufata andi mezi menshi kugirango igufwa rihindurwe neza kandi risubire gukomera. Rimwe na rimwe, abarwayi barashobora kugira ububabare busigaye cyangwa kutamererwa neza amezi menshi nyuma yimvune, nubwo igufwa rimaze gukira.
