Reba: 4 Umwanditsi: Muhinduzi wurubuga Gutangaza Igihe: 2023-06-30 Inkomoko: Urubuga
Inkokora yinkokora ningirakamaro kumikorere isanzwe yukuboko, ituma ibintu byinshi bigenda.Ariko, ibikomere kuri olecranon, kuba amagufwa agaragara inyuma yinkokora, birashobora kugira ingaruka zikomeye kumatembabuzi no kugenda.Mugihe aho kuvunika kwa olecranon gukabije cyangwa kwimurwa, hashobora gukenerwa kubagwa kugirango bakire neza.Igisubizo kimwe gifatika abaganga babaga amagufwa bakoresha ni olecranon ifunga isahani, igikoresho cyihariye cyagenewe kugarura inkokora no gukora.Muri iyi ngingo, tuzasuzuma inyungu, inzira, hamwe no gukira bijyana na plaque ya olecranon.
Olecranon igira uruhare runini mugutuza no gukora kwinkokora.Ivunika muri kano karere rishobora kubaho kubera ibintu bitandukanye, nko kugwa, gukomeretsa siporo, cyangwa impanuka.Iyo kuvunika gukabije cyangwa kwimurwa, gukoresha plaque ya olecranon nigisubizo cyiza cyo guteza imbere gukira neza no kugarura inkokora.
Ivunika rya Olecranon mubisanzwe rituruka ku ngaruka itaziguye cyangwa kugwa ku kiganza kirambuye.Ibimenyetso bishobora kubamo ububabare, kubyimba, ubwuzu, ubumuga bugaragara, hamwe nurwego ruto rwimikorere mu nkokora.
Ivunika rya Olecranon rishobora kubaho kubera impamvu zitandukanye, zirimo gukomeretsa siporo, impanuka zihahamuka, cyangwa gukubita inkokora.Ibimenyetso bishobora kubamo ububabare bwihuse, kubyimba, gukomeretsa, ningorane zo kwimura ukuboko.
Ivunika rya Olecranon ryashyizwe mubikorwa bitewe n'uburemere bwazo no kwimuka.Zishobora gutandukana kuva kuvunika kworoheje hamwe no kwimurwa gake kugeza kumeneka yagabanijwe aho igufwa ryacitsemo ibice byinshi.Ibyiciro bifasha umuganga ubaga amagufa kumenya uburyo bukwiye bwo kuvura.
Isahani yo gufunga Olecranon nibikoresho byihariye bya orthopedic bigenewe gutuza no gushyigikira olecranon yamenetse mugihe cyo gukira.Isahani isanzwe ikozwe mubikoresho byujuje ubuziranenge nka titanium cyangwa ibyuma bidafite ingese, bitanga imbaraga kandi bihamye.Uburyo bwo gufunga aya masahani butanga gukosorwa kurenza ugereranije no kudafunga.
Isahani yo gufunga Olecranon igizwe nisahani yicyuma ifite imyobo myinshi ninshundura.Isahani ihujwe kugirango ihuze imiterere ya olecranon kandi ishyizwe kumagufa yamenetse.Imigozi yo gufunga yinjizwa mu isahani mu magufa, igakomeza ibice.Iyi nyubako itanga ituze ryiyongera hamwe no kwikuramo, byorohereza gukira neza.
Isahani yo gufunga Olecranon itanga ibyiza byinshi muburyo bwo kuvura gakondo.Ubwa mbere, zitanga ituze ryiza, zigabanya ibyago byo kudahuza (kunanirwa gukira amagufwa) cyangwa malunion (gukiza amagufwa adakwiye).Icya kabiri, gufunga ibyapa bituma habaho gukanguka hakiri kare hamwe nimyitozo ngororamubiri, bigatera gukira vuba no gusubiza mu buzima busanzwe.Byongeye kandi, ayo masahani yakira uburyo butandukanye bwo kuvunika, bigatuma ahinduka mugukemura ibice bitandukanye bya olecranon.
Imigozi yo gufunga ikoreshwa muri plaque ya olecranon ikora inguni ihamye, irinda kugenda cyane ahavunitse.Uku gushikama kugirira akamaro cyane cyane kuvunika hamwe no kwimurwa gukomeye cyangwa gutangira.Mugukomeza guhuza hamwe nuduce twavunitse amagufwa, gufunga amasahani bifasha mugukiza no kugabanya ibyago byingaruka.
Iyo kuvunika kwa olecranon bisaba kubagwa, umuganga ubaga amagufwa azakora intambwe zikurikira:
Mbere yo kubagwa, hakorwa isuzumabumenyi ryuzuye, harimo isuzuma ry'umubiri, X-imirasire, ndetse n'ibindi bisobanuro byerekana amashusho.Iri suzuma rifasha gusuzuma uburemere bwimvune no gutegura uburyo bwo kubaga.
Kubaga mubisanzwe bikorwa muri anesthesia rusange.Umurwayi amaze kwicara, umuganga abaga akora incike hejuru ya olecranon yamenetse kugirango igere ku magufa.
Ukoresheje ibikoresho kabuhariwe, umuganga abaga ahuza ibice byamagufa yamenetse kandi ashyira plaque ya olecranon hejuru yamagufwa.Isahani noneho irinzwe kuri olecranon ukoresheje imigozi ifunga.Umubare nogushyira imigozi biterwa nuburyo bwo kuvunika no kubaga umuganga.
Nyuma yo kwemeza gukosorwa neza, gutemwa bifunze hamwe na suture cyangwa staples, hanyuma hagashyirwaho imyambarire idasanzwe.Umurwayi akurikiranirwa hafi mugihe cyambere cyo gukira, kandi hatanzwe amabwiriza yubuvuzi nyuma yubuvuzi.
Nyuma yo kubagwa hamwe na plaque ya olecranon, inzira yo gukira ikubiyemo ibyiciro byinshi:
Mugihe cyambere cyo gukira, mubisanzwe bimara ibyumweru byinshi, igufwa ritangira gukira.Muri iki gihe, umurwayi ashobora kutamererwa neza, kubyimba, no kugenda kwinshi.Imiti ibabaza hamwe nubuvuzi bukonje birashobora gukoreshwa mugukemura ibi bimenyetso.
Mugihe igufwa rikomeje gukira, umuganga ubaga amagufwa arashobora gusaba ubuvuzi bwimyitozo ngororangingo hamwe nimyitozo ngororamubiri kugirango yongere umuvuduko, imbaraga, n'imikorere.Iyi myitozo ijyanye nibyo umuntu akeneye kandi birashobora kuba bikubiyemo kugenda neza mu nkokora, kurambura, no gushimangira imyitozo.
Igihe bisaba gusubira mubikorwa bisanzwe biratandukanye bitewe numuntu kugiti cye nuburemere bwakavunitse.Abarwayi benshi barashobora gusubukura ibikorwa byoroheje mumezi make, mugihe ibikorwa byinshi bisaba umubiri bishobora gusaba igihe kirekire cyo gukira.Umuganga ubaga azatanga ubuyobozi mugihe ari umutekano wo gukomeza ibikorwa byihariye.
Mugihe isahani yo gufunga olecranon isanzwe ifatwa nkumutekano kandi ikora neza, nkuburyo ubwo aribwo bwose bwo kubaga, hari ingaruka n'ingaruka zo kumenya.Ingorane zimwe zishoboka zirimo:
Indwara zirashobora kugaragara ahabagwa, nubwo ari gake.Kuvura ibikomere neza, harimo no kugira isuku kandi byumye, birashobora kugabanya ibyago byo kwandura.Rimwe na rimwe, gutinda gukira ibikomere cyangwa kurwara uruhu nabyo bishobora kubaho.
Rimwe na rimwe, ibibazo bijyanye nibyuma bishobora kuvuka, nk'isahani cyangwa imigozi irekura, kumeneka, cyangwa kurakara.Izi ngorane zirashobora gukemurwa muburyo bwo kubaga bibaye ngombwa.
Ikibazo: Bifata igihe kingana iki kugirango ivunika rya olecranon rikire hamwe nisahani ifunze?
Igisubizo: Igihe cyo gukira kiratandukanye bitewe nuburemere bwimvune nibintu bitandukanye.Mubisanzwe, bisaba ibyumweru 6 kugeza 8 kugirango igufwa rikire, ariko gukira byuzuye no gusubira mubikorwa bisanzwe bishobora gufata amezi menshi.
Ikibazo: Isahani yo gufunga olecranon irashobora gukurwaho igufwa rimaze gukira?
Igisubizo: Mubihe byinshi, isahani yo gufunga olecranon ntikeneye gukurwaho keretse iyo itera ibibazo cyangwa ingorane zikomeye.Icyemezo cyo gukuraho isahani gifatwa ku giti cye, urebye imiterere yumurwayi.
Ikibazo: Haba hari ibibujijwe cyangwa ingamba zo kwirinda nyuma yo kubagwa kwa olecranon hamwe nisahani ifunze?
Igisubizo: Umuganga ubaga azatanga amabwiriza arambuye kubijyanye no kuvura nyuma yo kubagwa, harimo ibikenewe byose cyangwa ingamba zo kwirinda.Ni ngombwa gukurikiza aya mabwiriza kugirango ukire neza kandi ugabanye ingaruka ziterwa ningaruka.
Ikibazo: Ivunika rya olecranon rishobora gukira nta kubaga?
Igisubizo: Ivunika ryoroshye rya olecranon hamwe no kwimurwa gake rishobora gukira nta kubagwa, bitewe numuntu ku giti cye nibiranga kuvunika.Nubwo bimeze bityo ariko, kuvunika gukabije cyangwa kwimurwa, kubaga bishobora gukenerwa kugirango umuntu akire neza kandi agarure imikorere yinkokora.
Ikibazo: Ese kuvura kumubiri birakenewe nyuma yo kubagwa kwa olecranon hamwe nisahani ifunze?
Igisubizo: Ubuvuzi bwumubiri burasabwa kenshi gufasha mugikorwa cyo gukira, kugarura urwego rwimikorere, no kugarura imbaraga.Igihe cyihariye nimbaraga zo kuvura kumubiri bizaterwa nuburyo umuntu ameze niterambere.
Gukoresha isahani yo gufunga olecranon nubuhanga bwingenzi bwo kubaga mukuvura kuvunika kwa olecranon.Isahani yihariye itanga ituze ryiyongereye, ryemerera gukira neza no kugarura imikorere yinkokora.Niba waravunitse olecranon, baza inama yinzobere mu buvuzi bujuje ibisabwa kugirango umenye uburyo bwiza bwo kuvura.
