Igice cya Pelvic Igice cyo hanze - Ubwoko A.

Intego y'ibanze yo gukosora kuvunika ni uguhagarika igufwa ryavunitse, kugirango rishobore gukira vuba amagufwa yakomeretse, no kugaruka hakiri kare n'imikorere yuzuye yibikomere.

Gukosora hanze ni tekinike ikoreshwa mu gufasha gukiza amagufwa yavunitse cyane. Ubu bwoko bwo kuvura amagufwa burimo kurinda kuvunika hamwe nigikoresho cyihariye cyitwa fixator, kiri hanze yumubiri. Ukoresheje imigozi idasanzwe yamagufa (bakunze kwita pin) inyura muruhu n imitsi, uwakosoye ahujwe namagufa yangiritse kugirango akomeze guhuza neza nkuko akiza.

Niki gikosora hanze ikoreshwa?

Igikoresho cyo gutunganya hanze gishobora gukoreshwa kugirango amagufa yamenetse ahamye kandi ahuze. Igikoresho kirashobora guhindurwa hanze kugirango amagufwa agume mumwanya mwiza mugihe cyo gukira. Iki gikoresho gikunze gukoreshwa mubana kandi mugihe uruhu hejuru yimvune rwangiritse.

Ni ubuhe bwoko bwo gukosora hanze?

Hariho ubwoko butatu bwibanze bwo gutunganya ibintu hanze: gutunganya uniplanar isanzwe, gukosora impeta, hamwe na Hybrid fixator.

Ibikoresho byinshi bikoreshwa mugukosora imbere bigabanijwemo ibyiciro bike: insinga, pin na screw, amasahani, imisumari cyangwa inkoni.

Staples na clamp nazo zikoreshwa rimwe na rimwe mugukosora osteotomy cyangwa kuvunika. Autogenous bone grafts, allografts, hamwe ninsimburangingo zamagufwa zikoreshwa kenshi mukuvura inenge zamagufa zimpamvu zitandukanye. Kuvunika kwanduye kimwe no kuvura indwara zamagufwa, amasaro ya antibiotique akoreshwa kenshi.

Igice cya Pelvic Igice cyo hanze: Ubuyobozi bwuzuye

Agace ka pelvic nuburyo bugoye butanga inkunga kumubiri wo hejuru kandi burinda ingingo zimyororokere nigifu. Ivunika rya pelvic rirashobora gukomera kandi bikaviramo uburwayi nimpfu zikomeye. Pelvic yo hanze ikosora nimwe muburyo bwinshi bwo kuvura kuvunika pelvic. Muri iki kiganiro, tuzaganira ku gice cya pelvic agace kavuye hanze, ibimenyetso byacyo, kubirwanya, tekinike, ingorane, nibisubizo.

Intangiriro

Ivunika rya pelvic nimpamvu ikomeye itera uburwayi nimpfu kubarwayi bafite ihahamuka. Birashobora kubaho kubera impanuka zihuta cyane, kugwa hejuru, cyangwa ihahamuka rito. Agace ka pelvic gafite anatomiya igoye ifite amagufwa menshi, kandi kuvunika bishobora kuvamo kwimuka gukomeye, guhungabana, no kuva amaraso. Pelvic yo hanze ikosora nimwe muburyo bwinshi bwo kuvura kuvunika pelvic. Zitanga ituze, inkunga, no guhuza amagufwa yintanga mugihe zemerera gukanguka hakiri kare.

Ibyerekana

Pelvic yo hanze ikosora yerekanwa mubihe bikurikira:

• Pelvic impeta ihungabana hamwe no kwimurwa cyangwa guhungabana

• Fungura kuvunika

• Ivunika rya Acetabular hamwe no kwimurwa cyangwa gutangira

• Ivunika rigoye ririmo ingingo ya sacroiliac

• Gukomeretsa hamwe bibuza kubagwa

Kurwanya

Pelvic yo hanze ikosora irabujijwe mubihe bikurikira:

• Gukomeretsa bikabije cyangwa kwandura

• Ihungabana rya pelvic ridashobora kugabanuka bihagije

• Imvune y'amaraso idashobora kugenzurwa

• Imvune zihuye zibuza gukosorwa hanze

Ubuhanga

Pelvic yo hanze ikosora igizwe nibice bibiri byingenzi: pin hamwe ninkoni ihuza. Amapine yinjizwa mubutaka bwa iliac hamwe na supra-acetabular agace ka pelvis bayobowe na fluoroscopique. Amapine agomba gushyirwa kuri perpendikulari hejuru yamagufwa kandi byibura cm 2 uvuye mumitsi yimitsi. Inkoni zihuza noneho zomekwa kumapine hanyuma zigahinduka kugirango ugere kugabanuka no guhuza. Kugabanuka bigomba gusuzumwa muburyo budasanzwe ukoresheje fluoroscopi kandi bigahinduka nkuko bikenewe.

Ingorane

Pelvic yo hanze ikosora ifitanye isano nibibazo byinshi, harimo:

• Indwara ya pin

• Kurekura cyangwa kumeneka

• Kwimuka kwimuka cyangwa kwimurwa

• Gukomeretsa kw'imitsi

• Ibisebe

• Gutakaza kugabanuka cyangwa guhuza

• Imikorere mibi yimibonano mpuzabitsina

Ibisubizo

Indwara ya pelvic yo hanze yerekanwe ko ifite akamaro muguhagarika imvune zo munda no kunoza umusaruro wabarwayi. Gukangura hakiri kare no kubyara ibiro birashobora kugerwaho, bigatuma kugabanuka kwibitaro, kunoza ububabare, no kugabanuka kwindwara. Nyamara, igipimo cyingorabahizi ni kinini, kandi guhitamo neza abarwayi, gushyira pin neza, no gukurikiranira hafi ni ngombwa kugirango tugere ku musaruro mwiza.

Umwanzuro

Pelvic yo hanze ikosora nigikoresho cyingirakamaro mugucunga ibice byavunitse. Zitanga ituze, inkunga, no guhuza mugihe zemerera gukanguka hakiri kare. Guhitamo neza abarwayi, gushyira pin neza, no gukurikiranira hafi ni ngombwa kugirango tugere ku musaruro mwiza.

Ibibazo

1. Niki pelvic ikosora hanze? Pelvic fixator yo hanze ni igikoresho gikoreshwa muguhuza no guhuza amagufwa yigitereko kubarwayi bafite imvune zo munda.

2. Nigute pelvic yo hanze ikosora yinjizwa? Amapine yinjizwa mubutaka bwa iliac hamwe na supra-acetabular agace ka pelvis bayobowe na fluoroscopique.

3. Nibihe byerekana pelvic yo hanze ikosora? Indwara ya pelvic yo hanze igaragara muguhagarika impeta ya pelvic hamwe no kwimurwa cyangwa guhungabana, kuvunika pelvic gufungura, kuvunika acetabula hamwe no kwimurwa cyangwa gutangira, kuvunika gukomeye birimo ingingo ya sacroiliac, hamwe nibikomere bihuza bibuza kubagwa.