Ikipe ya Proximal

Ni ikihe kipe yo gufunga umugepa?

Imivurungano ya proximale irasanzwe, ibarura kuri 5% kugeza 9% yo kuvunika byose. Ibyabaye byose ni byinshi cyane mubarwayi bafite imyaka 65, kandi nimwe muburyo busanzwe bwo kuvunika. Imivurungano myinshi yubuhinzi irahamye, ifite kwimurwa bike, kandi irashobora gufatwa nabi.

Amasahani yo gufunga umukino wa Proximal, nka plasique ihuriweho na plaxicral ifatanya, itanga inyungu nyinshi zishobora kuba mugufata ibyo bikomere. Ziri ntoya, urubuga-plaque yihariye. Isahani ya mbere ya phumerus proximale hamwe no kwinjiza imigozi yo gufunga yirinda guhora hakenewe amagufwa nisahani, bityo ukomeze amaraso kumagufwa. Kwinjiza imigozi myinshi yo gufunga mu miyoboro yo guhagarika imisoro mu mikino binyuze mu bikoresho byihariye bitanga inkunga ihamye mu ndege nyinshi kandi zikaba zikomeje kugabanuka kwagenwe mugihe zemerera ubukangurambaga.

ibisobanuro

Ibicuruzwa	Ref	Ibisobanuro	Ubugari	Ubugari	Uburebure
Isahani yo gufunga umugezi (Koresha 3.5 Gufunga Screw / 3.5 Correw Crew / 4.0 Kureka Screw)	5100-1501	Imyobo 3	4	12	90
	5100-1502	Imyobo 4	4	12	102
	5100-1503	Imyobo 5	4	12	114
	5100-1504	6	4	12	126
	5100-1505	Imyobo 7	4	12	138
	5100-1506	Imyobo 8	4	12	150
	5100-1507	Imyobo 10	4	12	174
	5100-1508	Imyobo 12	4	12	198

Isahani yo gufunga umugezi: Incamake yikoreshwa ninyungu

Isahani yo gufunga umugenako ni igikoresho cyubuvuzi gikoreshwa mukuvuka kwivuza muri humerus proxima, ni amagufwa yo hejuru ahuza igitugu kugeza ku nkokora. Iyi ngingo izatanga incamake yuzuye yisahani yo gufunga umugepazo mwinshi, harimo ikoreshwa ryayo, inyungu, nibishobora kugira ingaruka.

Ni ikihe kipe yo gufunga umugepa?

Isahani yo gufunga umugeparayi nigikoresho cyubuvuzi ikozwe muri titanium cyangwa ibyuma bidafite ishingiro bikoreshwa mugukuvura ibipimo muri humerusi proximine. Isahani yagenewe gushyirwa hejuru yamagufwa kandi yishingiwe ahantu hamwe na screw. Isahani yo gufunga ifite umwobo mwinshi uhinduranya kugirango ukemure neza ibice byamagufwa, gutanga umutekano mugihe cyo gukira.

Ikoresha isahani yo gufunga umugepa

Isahani yo gufunga cyane ikoreshwa cyane cyane yo kuvura ibivuza muri humerusi ya Proxima, ishobora guterwa nibintu bitandukanye nkihungabana, Osteoporose, cyangwa kanseri. Isahani yo gufunga irashobora gukoreshwa kubice byombi byimuwe kandi bitimuwe kandi birashobora gutanga ituze kumagufa mugihe cyo gukira.

Byongeye kandi, isahani yo gufunga umugenzacyaha irashobora gukoreshwa mugihe aho kudatitonda, nko guhita cyangwa kwitiha cyangwa kwitiha, byananiwe gukira bihagije. Irashobora kandi gukoreshwa mugukemura ibibazo bya AvasCular, imiterere aho amaraso atanga mumagufwa ahungabanye, aganisha ku rupfu rwamagufwa kandi ashobora kuyobora kuvunika.

Inyungu zuburozi bwifumbire

Imwe mu nyungu z'ibanze z'isahani yo gufunga umugepazo mwinshi ni itunganya itanga igufwa ryacitse. Uku gushikama dushobora kugabanya ububabare no koroshya gukira vuba. Byongeye kandi, gukoresha isahani yo gufunga birashobora kugabanya ibyago byo kwimurwa cyangwa gukwirakwiza ibice byamagufwa, bishobora kubaho hamwe no kutavunika.

Indi nyungu zo gufunga ubuhinzi nyamukuru nuko yemerera ubukangurambaga mbere no gusubiza mu buzima busanzwe, bishobora kuganisha kubisubizo byiza kumurwayi. Isahani yo gufunga irashobora kandi gukoreshwa mubarwayi hamwe na Osteopose, aho ubucucike byamagufwa bwagabanutse, kuko gitanga amagufwa.

Ingaruka za plaque yifumbire

Mugihe ikoreshwa ryisahani yo gufunga umukondo ishobora gutanga inyungu, hari ingaruka zishobora guteranwa no gukoresha. Ingaruka zikunze kugaragara zirimo kwandura, kwangiza imitsi, hamwe nubusa (aho igufwa ryananiwe gukira).

Rimwe na rimwe, isahani yo gufunga irashobora gukenera kuvaho kubera ingorane, nko kurekura cyangwa kurakara. Byongeye kandi, gukoresha isahani yo gufunga ntibishobora kuba bikwiriye abarwayi bose, kandi icyemezo cyo gukoresha umuntu kigomba gukorwa mugihe cyabonetse.

Umwanzuro

Isahani yo gufunga umugenazi ni igikoresho cyubuvuzi ikoreshwa mugucuruza ibipimo muri humerusi proxima. Ikoreshwa ryayo rirashobora gutanga inyungu zikomeye, harimo gushikama kumagufwa yavunitse no gukangurira mbere na gusubiza mu buzima busanzwe. Ariko, hariho ingaruka zishobora gutera zijyanye no gukoresha, bigomba gusuzumwa neza mbere yo gufata icyemezo cyo gukoresha isahani yo gufunga.

Ibibazo

Ikibazo: Bifata igihe kingana iki kugirango Hucmuretus yamenetse gukira hamwe no gukoresha isahani yo gufunga? Igisubizo: Igihe cyo gukiza kirashobora gutandukana bitewe nuburemere bwimivurungano nibindi bintu. Mubisanzwe, bisaba amezi menshi kumagufwa gukira byimazeyo.

Ikibazo: Ese gukoresha ikibanza cyo gufunga umugezi cyamamaye? Igisubizo: Gukoresha isahani yo gufunga birashobora gutera ikibazo, ariko ububabare bushobora gucungwa imiti yububabare yateganijwe na muganga.

Ikibazo: Isahani yo gufunga irashobora gukoreshwa mugufata ibitugu? Igisubizo: Oya, isahani yo gufunga ntabwo ikoreshwa mugukemura ibitugu. Ikoreshwa mu kuvura ivunika muri humerusi ya Proxima.

Ikibazo: Iki gihe cyo gukira nyuma yo kubagwa nikipe yo gufunga umugepabuzi? Igisubizo: Igihe cyo gukira kirashobora gutandukana bitewe nuburemere bwurutonde nibindi bintu, ariko mubisanzwe bisaba amezi menshi kugirango akire byuzuye. Kuvura umubiri birashobora kandi gukenerwa ibyumweru byinshi cyangwa amezi menshi nyuma yo kubagwa.

Ikibazo: Haba hari ibibujijwe kubikorwa nyuma yo gukoresha isahani yo gufunga ubusokazi. Igisubizo: Ukurikije uburemere bwimiterere yumuntu, hashobora kubaho kubuza ibikorwa bimwe, nko kuzamura ibintu biremereye cyangwa kwitabira imikino ya siporo. Muganga wawe azatanga amabwiriza yihariye yo kubuza ibikorwa mugihe cyo gukira.

Ikibazo: Isahani yo gufunga igihe kingana iki igomba kuguma aho nyuma yo kubagwa? Igisubizo: Icyapa cyo gufunga gisigaye ahoraho burundu keretse niba gitera ingorane cyangwa kuba ikibazo cyumurwayi. Muganga wawe azagena niba gukuraho ari ngombwa ukurikije ikibazo cyawe.