Proximal Mameral Plaque ifunga isahani yo gufunga

Ni ubuhe butumwa bukomeye bwo gufunga amashuri akomeye?

Kuvunika kwa humerusi proximal ni gukomeretsa bisanzwe, kubara hafi 5% byo kuvunika byose. Hafi ya 20% barimo amayeri akomeye kandi akenshi afitanye isano na dogere zitandukanye za rotator cuff ibikomere. Isumbabyo nini ni ingingo yumugereka wa rotator cuff, mubisanzwe bikurura kuvunika utandukanye nyuma ya atulsion. Kuvunika byinshi bikaba bidafite kubaga, ariko imivurungano nini nini ifite prognose nkeya kubera ububabare bubi, icyerekezo gito, imbaraga zintege nke, nizindi mibereho. Amahitamo nyamukuru yo kubaga kubutaka bworoshye burakosorwa, gukosora ibinyomoza no gukosora amasahani.

ibisobanuro

Proximal Mameral Plate Gress Plate Plate: Isubiramo ryuzuye

Humerus proxima ni imiterere yububiko bukomeye bigira uruhare runini mumikorere yikimiro rwo hejuru. Kuvunika muri kano karere birashobora kuganisha ku bumuga bukomeye bw'akazi. Mu myaka yashize, iterambere ry'isahani yo gufunga ryahinduye imicungire y'imibare mibi. Isahani ya Proximal Isahani yo gufunga imitsi (PHGTLP) nuburyo bwo gufunga isahani yungutse mumyaka yashize kubera ibisubizo byiza byubuvuzi. Muri iki kiganiro, tuzatanga isubiramo ryuzuye rya PHGTLP, harimo na anatomiya, ibimenyetso, ubuhanga bwo kubaga, ibisubizo, nibibazo.

Anatomy

Humerus proximal igizwe nibice bine: umutwe wubuhinzi, umusoro munini, umuyoboro muto, hamwe nigitambaro cy'amato. Amazu manini ni icyamamare kiboneka kuruhande rwumutwe wubuhinzi, kandi gitanga urubuga rwumugereka wa rotator cuff imitsi. PHGTLP yagenewe gukosora imivurungano yingengabihe nini, irasanzwe mumivurungano ikomeye.

Ibimenyetso

PHGTLP igaragazwa no gucunga imiyoboro ya Proximal ikubiyemo amayeri menshi. Izi mvura akenshi zifitanye isano na rotator cuff ibikomere kandi bishobora kuganisha ku bumuga bukomeye. PHGTLP itanga ikosora ikosora, iyemerera gukangurira hakiri kare no gusubiza mu buzima busanzwe.

Tekinike yo kubaga

Ubuhanga bwo kubaga kuri Phgtlp burimo kugabanya no gukosora imbere. Umurwayi ashyirwa mu ntebe y'inyanja cyangwa kuruhande rwimyanda, kandi urubuga rwo kubaga rwateguwe hamwe na drape ya sterile. Gucika intege birebire bikozwe hejuru yinyeshyamba nini, kandi kuvunika kwaragabanutse. PHGTLP noneho ishyirwa kumurongo wuruhande rwumutwe wubuhinzi, kandi imigozi yinjijwe mu isahani mumagufwa. Isahani itanga ikosora ikosorwa, ituma yo gukangurira hakiri kare no gusubiza mu buzima busanzwe.

Ibisubizo

PHGTLP yerekanwe ko ifite umusaruro mwiza w'amavuriro mu micungire y'ivurungano. Ubushakashatsi bwinshi bwatangaje umubare munini wo kuvunika ubumwe, ibisubizo byiza byimikorere, hamwe nigiciro gito. Mu myitozo idahwitse yubushakashatsi 11, PHGTLP yahujwe nigipimo cyubumwe 95%, igipimo cyiza cyangwa cyiza cyane cyangwa cyiza cyane.

Ingorane

Ingorane zijyanye na PHGTLP zirimo kugahura, gutsindwa kwa kunanirwa, kudahana, no kwandura. INTEGO Z'IGIHUGU ni hasi, kandi byinshi birangwa no gucunga bikwiye. Mu isubiramo ridahwitse ry'ubushakashatsi 11, ingorane zikunze kugaragara zarazengurutse, zabaye muri 2.2% by'imanza.

Umwanzuro

PHGTLP ni inzira nziza kandi nziza yo gucunga imiyoboro yubuhinzi bwingenzi birimo amayeri menshi. Isahani itanga ikosora ikosorwa, ituma yo gukangurira hakiri kare no gusubiza mu buzima busanzwe. PHGTLP yerekanwe kugira ibisubizo byiza byubuvuzi hamwe nigiciro gito. Gukoresha PHGTLP bigomba gusuzumwa mubuyobozi bwimibare mibi.

Ibibazo

1. Bifata igihe kingana iki kugirango ukire ibivurure byinshi byubuhinzi bicungwa na PHGTLP?

• Igihe cyo gukira giterwa nibintu byinshi, nkuburemere bwivunika, imyaka yumurwayi, hamwe nubuvuzi bwabanje. Muri rusange, abarwayi benshi barashobora kwitega gusubira mubikorwa bisanzwe mugihe cyamezi 6-12 nyuma yo kubaga.

2. Ese gukoresha PHGTLP bifitanye isano nibibazo byose bigihe kirekire?

• Ingorane ndende zijyanye na PHGTLP ni gake. Ariko, abarwayi bagomba kumenya ibyago byo kunanirwa kwananiwe, bishobora kubaho nyuma yimyaka myinshi nyuma yo kubagwa. Gukurikirana buri gihe hamwe na muganga uvura burashobora gufasha kumenya ingorane zose kandi ukabimenyesha bidatinze.

PHGTLP irashobora gukoreshwa mubihe byose byo kuvunika kwubusoro?

             Oya, Phigtlp yagenewe byumwihariko gutunganya ibivunika byagutse. Mubihe fracture birimo ibindi bice bya humerus bya proxima, ubundi buryo bwo kubaga bushobora gufatwa.

    Niki gihe cyo gukira kubarwayi babaga kubaga PHGTLP?

• Igihe cyo gukira kiratandukanye bitewe nuburemere bwivunika, imyaka yumurwayi, hamwe nubuvuzi buriho. Abarwayi benshi barashobora kwitega gusubira mubikorwa bisanzwe mugihe cyamezi 6-12 nyuma yo kubaga.

Nigute abarwayi bashobora kunoza gukira kwabo nyuma yo kubaga Phgtlp?

• Abarwayi barashobora kunoza gukira kwabo bakurikiza gahunda yo gusubiza mu buzima busanzwe na muganga wabo bavugisha. Ibi birashobora kubamo imivugo yumubiri, imyitozo yo kuzamura icyerekezo n'imbaraga, hamwe ningamba zo gucunga ububabare. Ni ngombwa gukurikiza amabwiriza yose ya nyuma ya porogaramu yatanzwe na muganga uvura kugirango ukize neza.

Mu gusoza, PHGTLP ni inzira nziza kandi nziza yo gucunga imigere ya Proximal irimo amaguru menshi. Isahani itanga ikosora ikosora, ituma dukangura no gusubiza mu buzima busanzwe, kandi bwerekanwe kugira ibizagurika neza bifite ubumuga buke. Abarwayi bagomba kuganira kuri phgtlp hamwe nu muganga wabo wo kuvura kugirango bamenye niba aribwo buryo bukwiye bwo kuvunika. Hamwe nubuyobozi bukwiye no gukurikirana, abarwayi barashobora kwitega ko basubira mubikorwa bisanzwe kandi bakishimira ubuzima bwiza nyuma yo kubaga ubusobe bwa Proximine hamwe na Phgtlp.