Proximal Humeral Ikomeye cyane Tuberosity Icyuma gifunga

Niki Cyane Cyane Cyane Cyane Tuberosity Icyuma gifunga ？

Ivunika ryimyanya ndangagitsina ni imvune isanzwe, ihwanye na 5% yimvune zose. Hafi ya 20% birimo 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 bikiza nta kubagwa, ariko bimwe mubivunika binini byigituntu bifite prognoza mbi kubera ububabare bwigitugu, kugenda gake, kubangamira acromion, intege nke zingingo, nibindi bidakora neza. Amahitamo nyamukuru yo kubaga kubuvunike bworoshye bwa avulsion ni gukosora screw, gukosora anchor no gukosora plaque.

Ibisobanuro

Ibicuruzwa	REF	Ibisobanuro	Umubyimba	Ubugari	Uburebure
Proximal Humeral Ikomeye cyane Tuberosity Icyuma gifunga (Koresha 2.7 / 3.5 Sikulufu ifunga , 2.7 / 3.5 Umuyoboro wa Cortical / 4.0 Umuyoboro uhagarika)	5100-1601	Imyobo 5 L.	1.5	13	44
	5100-1602	Imyobo 5 R.	1.5	13	44

Proximal Humeral Ikomeye cyane Tuberosity Icyuma gifunga : 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 rya Ibyuma bifunga ryahinduye imicungire yimvune ya humeral. Hafi yigituba kinini cyane Icyuma gifunga (PHGTLP) ni ubwoko bwa Icyuma gifunga bwamamaye 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 gufungura no 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 isuzuma rifatika ry’ubushakashatsi 11, PHGTLP yahujwe n’igipimo cy’ubumwe 95%, igipimo cyiza cyiza cya 92% cyangwa cyiza, nigipimo cya 6%.

Ingorane

Ingorane zijyanye na PHGTLP zirimo gutobora screw, kunanirwa kwimikwa, kudahuza, no kwandura. Ikibazo cyibibazo ni gito, 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 imvune ya humeral yegeranye 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 gutezimbere gukira bakurikije gahunda yo gusubiza mu buzima busanzwe yateguwe na muganga wabo uvura. Ibi birashobora kubamo kuvura kumubiri, imyitozo yo kunoza urwego rwimbaraga 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 nimicungire ikwiye nogukurikiranwa, abarwayi barashobora kwitega gusubira mubikorwa bisanzwe kandi bakishimira ubuzima bwiza nyuma yo kubagwa kuvunika kwa humeral hamwe na PHGTLP.