Proximal Humeral Ikomeye ya Tuberosity Ifunga Isahani

Niki Proximal Humeral Ikomeye ya Tuberosity Ifunga Isahani？

Ivunika ryimyanya ndangagitsina ni imvune isanzwe, ihwanye na 5% yimvune zose. Hafi ya 20% harimo igituntu kinini kandi akenshi kijyana nuburyo butandukanye bwimvune ya rotator. Igituba kinini ni umugereka wa rotate cuff, ubusanzwe ikurura kuvunika nyuma ya avulion. Ibice byinshi binini byavunitse bikira nta kubagwa, ariko bimwe mubivunika binini byigituntu bifite prognoza mbi bitewe nububabare bwigitugu, kugenda gake, kubuza acromion, intege nke zingingo, nibindi bidakora neza. Amahitamo nyamukuru yo kubaga kubuvunike bworoshye bwa avulsion ni gukosora screw, suture anchor fixation hamwe no gukosora plaque.

Ibisobanuro

Ibicuruzwa	REF	Ibisobanuro	Umubyimba	Ubugari	Uburebure
Proximal Humeral Ikomeye yo gufunga Isahani (Koresha 2.7 / 3.5 Igikoresho cyo gufunga, 2.7 / 3.5 Cortical Crew / 4.0 Cancelous Screw)	5100-1601	Imyobo 5 L.	1.5	13	44
	5100-1602	Imyobo 5 R.	1.5	13	44

Proximal Humeral Ikomeye ya Tuberosity Ifunga Isahani: Isubiramo ryuzuye

Hafi ya humerus ni igufwa ryamagufwa rifite uruhare runini mumikorere yingingo yo hejuru. Kuvunika muri kano gace birashobora gutuma umuntu agira ubumuga bukomeye nubumuga. Mu myaka yashize, iterambere ryamasahani yo gufunga ryahinduye imicungire yimvune ya humeral. Proximal humeral nini yo gufunga isahani (PHGTLP) nubwoko bwa plaque yo gufunga imaze kumenyekana mumyaka yashize kubera ibisubizo byiza byubuvuzi. Muri iyi ngingo, tuzatanga isubiramo ryuzuye rya PHGTLP, harimo anatomiya yayo, ibimenyetso, tekinike yo kubaga, ibisubizo, nibibazo.

Anatomy

Hafi ya humerus igizwe nibice bine: umutwe wa humeral, igituba kinini, igituntu gito, hamwe nigitereko cya humeral. Igituntu kinini ni igufwa ryigaragaza riri kuruhande rwumutwe wa humeral, kandi ritanga urubuga rwomugereka kumitsi ya rotate cuff. PHGTLP yashizweho kugirango ikosore ibice byavunitse cyane, bikunze kugaragara kumeneka ya humeral.

Ibyerekana

PHGTLP yerekanwa mugucunga ibice byavunitse bya humeral birimo igituntu kinini. Ivunika akenshi rifitanye isano no gukomeretsa rotate cuff kandi birashobora gutuma umuntu akora nabi cyane. PHGTLP itanga igisubizo gihamye, cyemerera gukanguka hakiri kare no gusubiza mu buzima busanzwe.

Ubuhanga bwo kubaga

Ubuhanga bwo kubaga PHGTLP burimo kugabanya kumugaragaro hamwe nuburyo bwo gukosora imbere. Umurwayi ashyirwa ku ntebe yinyanja cyangwa kuruhande rwa decubitus, kandi aho kubaga hateguwe hamwe na drape sterile. Kurambura birebire bikozwe hejuru yigituntu kinini, kandi kuvunika kugabanuka. PHGTLP noneho ishyirwa kuruhande rwumutwe wa humeral, hanyuma imigozi ikinjizwa mumasahani mumagufwa. Isahani itanga ituze rihamye, ryemerera gukanguka hakiri kare no gusubiza mu buzima busanzwe.

Ibisubizo

PHGTLP yerekanwe ko ifite ibisubizo byiza byamavuriro mugucunga imvune zegeranye. Ubushakashatsi bwinshi bwerekanye ko umubare munini w’ubumwe bwavunitse, umusaruro mwiza ukora, hamwe n’ibipimo bitoroshye. Mu isubiramo rifatika ry’ubushakashatsi 11, PHGTLP yahujwe n’igipimo cya 95% cy’ubumwe, igipimo cyiza cya 92% cyiza cyangwa cyiza, hamwe n’igipimo cya 6%.

Ingorane

Ingorane zijyanye na PHGTLP zirimo gutobora screw, kunanirwa kwatewe, kudahuza ubumwe, no kwandura. Ibibazo byingutu ni bike, kandi byinshi birashobora gucungwa nubuyobozi bukwiye. Mu isubiramo rifatika ry’ubushakashatsi 11, ingorane zagaragaye cyane ni screw perforation, byagaragaye mu manza 2.2%.

Umwanzuro

PHGTLP nuburyo bwiza kandi bwizewe bwo gucunga ibice byavunitse bya humeral birimo igituntu kinini. Isahani itanga ituze rihamye, ryemerera gukanguka hakiri kare no gusubiza mu buzima busanzwe. PHGTLP yerekanwe ko ifite ibisubizo byiza byubuvuzi bifite igipimo gito. Imikoreshereze ya PHGTLP igomba kwitabwaho mugucunga imvune zegeranye.

Ibibazo

1. Bifata igihe kingana iki kugirango ukire hafi yimvune yimitsi iyobowe na PHGTLP?

• Igihe cyo gukira giterwa nibintu byinshi, nkuburemere bwakavunitse, imyaka yumurwayi, hamwe nubuvuzi bwabayeho mbere. Muri rusange, abarwayi benshi barashobora kwitega gusubira mubikorwa bisanzwe mumezi 6-12 nyuma yo kubagwa.

2. Gukoresha PHGTLP bifitanye isano nibibazo byigihe kirekire?

• Ingorane ndende zijyanye na PHGTLP ni gake. Nyamara, abarwayi bagomba kumenya ibyago byo kunanirwa kwatewe, bishobora kubaho nyuma yimyaka myinshi nyuma yo kubagwa. Gukurikirana buri gihe hamwe na muganga uvura birashobora gufasha kumenya ibibazo byose bishobora kuvuka no kubikemura vuba.

PHGTLP irashobora gukoreshwa mubihe byose byavunitse hafi ya humeral?

             Oya, PHGTLP yagenewe byumwihariko kugirango ikosore ibice byigituba kinini. Mugihe aho kuvunika birimo ibindi bice byimyanya ndangagitsina, ubundi buryo bwo kubaga bushobora gukenera gusuzumwa.

    Ni ikihe gihe cyo gukira abarwayi barimo kubagwa PHGTLP?

• Igihe cyo gukira kiratandukanye bitewe nuburemere bwakavunitse, imyaka yumurwayi, hamwe nubuvuzi bwabayeho mbere. Abarwayi benshi barashobora kwitega gusubira mubikorwa bisanzwe mumezi 6-12 nyuma yo kubagwa.

Nigute abarwayi bashobora gutezimbere gukira nyuma yo kubagwa PHGTLP?

• Abarwayi barashobora gukira neza gukurikiza gahunda yo gusubiza mu buzima busanzwe yateguwe na muganga wabo uvura. Ibi birashobora kubamo kuvura kumubiri, imyitozo yo kunoza urwego rwingufu nimbaraga, hamwe nuburyo bwo gucunga ububabare. Ni ngombwa gukurikiza amabwiriza yose nyuma yubuvuzi yatanzwe na muganga uvura kugirango ukire neza.

Mu gusoza, PHGTLP nuburyo bwizewe kandi bwiza bwo gucunga imvune zegeranye zumuntu zirimo igituntu kinini. Isahani itanga ituze rihamye, ryemerera gukanguka hakiri kare no gusubiza mu buzima busanzwe, kandi byagaragaye ko bifite ibisubizo byiza byubuvuzi bifite igipimo gito. Abarwayi bagomba kuganira ku ikoreshwa rya PHGTLP hamwe na muganga wabo uvura kugirango bamenye niba aribwo buryo bukwiye bwo kuvunika kwabo. Hamwe nogucunga neza no kubikurikirana, abarwayi barashobora kwitega gusubira mubikorwa bisanzwe kandi bakishimira ubuzima bwiza nyuma yo kubagwa hafi yimitsi iva hamwe na PHGTLP.