Reba: 235 Umwanditsi: Muhinduzi Yurubuga Itanga Igihe: 2023-06-06 Inkomoko: Urubuga
Kubaga amagufwa akenshi bikubiyemo gukoresha uburyo butandukanye hamwe nuburyo bwo gukosora kugirango uhagarike kandi uteze imbere gukira kubirangaza. Igisubizo kimwe nkicyo nikibazo cya femoral femoral (pfna) nisumari. Iyi ngingo irashakisha inyungu, ibimenyetso, ubuhanga bwo kubaga, ubushobozi bwo kugarura, inzira yo kugarura, intsinzi, intsinzi, intsinzi ijyanye no kubaga imisumari ya PFNA.
Abaganga babagamo amagufwa akenshi bahura nibibazo bitoroshye mukarere ka Femur Proximine, bakunze kwita ku kuvunika amavuta. Izi mvura zirashobora kugira ingaruka zikomeye kubana nubwiza bwubuzima. Umusumari wa PFN wagenewe cyane cyane gukemura ibyo kuvunika mugutanga ikosora kandi utezimbere ubukangurambaga bwa mbere.
Umusumari wa PFN ni intera yuzuye imisumari ikoreshwa mu kubaga amagufwa kugirango ihungabanye muri Femur Proximi. Igizwe n'inkoni ndende, ifunganye ifise mu muyoboro w'inyoni w'igitsina gore, uva mu kibuno ku ivi. Igishushanyo mbonera cyimisumari ya PFN yemerera gushikama, imitungo yo gusangira imitwaro, no kuzamura imivurungano.
Gukosora Ihamye : Umusumari wa PFN itanga umutekano mwiza, yemerera ubukangurambaga bwa mbere no gukora ibiro.
Imitungo yo gusangira : Umusumari afasha gukwirakwiza umutwaro muri femur, kugabanya imihangayiko kumagufwa yavunitse no guteza imbere gukira.
Ibikorwa bitoroshye byangiza : Imiterere idahuye ya PFNA yimisumari ya PFNA ibisubizo mubyangiritse cyane kuzenguruka ingirangingo yoroshye, iganisha ku gukira vuba.
Gutezimbere gukiza : Igishushanyo mbonera gitera inkunga guhuza neza no guhura hagati yamagufwa yometseho amagufwa, yorohereza vuba kandi gukira vuba kandi byizewe.
Umusumari wa Pfna ugaragazwa cyane cyane no kuvura ibijumba bitandukanye, harimo kuvunika gutandukanya, kuvunika subrochanter, n'imivurungano y'ijosi. Birakoreshwa cyane cyane mubihe aho bicuruzwa bihamye bisabwa guteza imbere ibiro-biremereye no kugenda.
Kwinjiza imisumari ya PFNA bikubiyemo intambwe nyinshi zingenzi, kwemeza neza no gukosorwa neza:
Igenamigambi ryambere : Amafoto arambuye, nka x-imirasire cyangwa ct scan, ikoreshwa mugusuzuma imiterere, ingano, hamwe no gushiramo imisumari ya PFNA.
Umwanya wihangana : Umurwayi ashyizwe muburyo bukwiye kumeza yo gukora kugirango yorohereze uburyo bwa Femur yavunitse.
Gutema no kwiyegerwa : Guhagarika bike bikozwe hafi yikigo kinini, kandi insinga yinjijwe muri femur munsi yubuyobozi bwa fluoscopic.
Kwinjiza imisumari no gukosorwa : Umusumari wa PFN yinjijwe neza hejuru yinsinga, yemeza neza kandi yirinde kwangirika no kwangiza imiterere. Imigozi ikoreshwa mugukosora umusumari mumwanya.
Gufunga ibishishwa : Gutema birafunze, kandi imyambarire ikwiye ikoreshwa kugirango yorohereze gukira ibikomere.
Imitungo ituje no kwishora mu mirwano : Umusumari wa PFNA itanga umutekano usumba ugereranije na plaque n'imigozi, yemerera ubukangurambaga bwa mbere.
Uburyo buteye ubwoba : Imiterere iteye ubwoba ya PFNA yinjiza imisumari ya PFNA ibisubizo mubice bito, bigabanuka amaraso, no gukira vuba.
Yagabanije ibyago byo kugozwa : Umusumari wa PFN yagaragaye ko afite ibyago byo kurwara nko kunanirwa nko kunanirwa, kudahuza, no kwandura ugereranije nubundi buryo bwo gukosora.
Gukurikira ubwisuri bwa PFNA, gahunda yuzuye yo gusanagurika ni ngombwa kugirango imenyeshe ibisubizo no kugarura imikorere yuzuye. Inzira yo kugarura isanzwe ikubiyemo:
Kwitaho nyuma yo kwitabwaho : Abarwayi bakurikiranwe hafi gucunga ububabare, gukiza, n'ibimenyetso byo kwandura.
Uremerewe no kugenda : Ukurikije ubwoko bwubwonko no kubaga, abarwayi barashobora gutangira buhoro buhoro ibikorwa byo gutwara ibipimo bikoresha ibikoresho bifasha.
Kuvura umubiri : Umuyoboro wumubiri ugira uruhare runini mubikorwa byo gukira. Harimo imyitozo yo kunoza ibintu bitandukanye, imbaraga, n'imikorere mikorere.
Mugihe kubaga imisumari ya PFNA muri rusange bifite umwirondoro mwiza, hari ibibazo nibibazo bifitanye isano nuburyo. Ibi birashobora kubamo:
Kwandura
Kunanirwa
Nonunion cyangwa yatinze Inzego zivunika
Uburebure bw'uburebure
Imitsi cyangwa amaraso yamaraso
Ni ngombwa ko abarwayi baganira kuri izi ngaruka zishobora kubaga no gukurikiza amabwiriza ya nyuma yitonze.
Ikigereranyo cyo kubaga imisumari cya PFNA cyaranze cyane mu kuvura ibibuno. Ubushakashatsi bwinshi bwavuze ko havuzwe ibizavumburwa neza, harimo no kuvunika neza gukira, gukangurira hakiri kare, ndetse n'umuvuduko mwinshi wo kunyurwa kw'abarwayi. Ariko, umusaruro ku giti cye urashobora gutandukana bitewe nibintu bitandukanye nkubuzima bwumurwayi rusange, ubwoko bwumurwayi, bwuzuye, no kubahiriza amafaranga nyuma yo gusarura nyuma.
Igiciro cyo kubaga imisumari cya PFNA kirashobora gutandukana bitewe nibintu nkibitabo byamafaranga, amafaranga yo kubaga, uburebure bwibitaro, no kwita ku misaruro. Ni ngombwa ko abarwayi bagisha inama ku bashinzwe ubuzima no kungarugero kugira ngo basobanukirwe ingaruka zihenze ndetse n'ubwishingizi kuri ubu buryo.
Mu gusoza, imisumari ya PFNA ni igisubizo cyiza cyogutanga kubusa bwo guhungabanya ikibuno muri femur proximi. Igishushanyo cyacyo kidasanzwe, ituze, hamwe no kwikoreraza imitungo bigira uruhare mu kuzamura ibizavuza no gukira vuba. Mugihe inzira itwara ibishobora kugira ingaruka rusange, intsinzi muri rusange no kunyurwa n'umurwayi kubaga imisumari ya PFNA ni ndende. Ni ngombwa ko abarwayi bagisha inama umuganga ubaga amagufwa kugirango bamenye uburyo bwiza bwo kuvura kubintu byihariye.
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