Yahinduwe Femoral & Gama Intramedullary Imisumari Igikoresho

GUKORESHA IBICURUZWA VIDEO

Yahinduwe Femoral & Gamma Intramedullary Nail Igikoresho Igikoresho: Ubuyobozi Bwuzuye

Ku bijyanye no kuvura imvune z’igitsina gore, imisumari yimbere yabaye tekinike izwi cyane mubaganga babaga amagufwa. Mu bwoko butandukanye bwimisumari yimbere, imisumari ihindagurika ya femorale na gamma imisumari yitabiriwe cyane kubera ibyiza byabo byinshi. Muri iki kiganiro, tuzasesengura izo nzara icyo aricyo, inyungu zazo, igikoresho cyashyizweho kugirango ubagwe, nibindi bisobanuro bifatika.

Imbonerahamwe

• Intangiriro

• Anatomy yamagufwa ya Femur

• Umusumari uteganijwe ni iki?

• Guhindura Imisumari ya Femoral na Gamma Intramedullary: Nibiki?

• Inyungu Zihinduye Femorale na Gamma Imisumari

• Ibimenyetso byerekana imisumari ihindagurika yumugore na Gamma

• Kwirinda inzara zasubiwemo na Gamma Imisumari

• Ubuhanga bwo Kubaga Imisumari Yahinduwe Yumugore na Gamma

• Gushiraho ibikoresho bisabwa kugirango uhindurwe Femoral na Gamma Intramedullary Nailing

• Kwitaho nyuma yo kuvurwa no gusubiza mu buzima busanzwe

• Ibishobora kuba Ingorabahizi Zihinduye Abagore na Gamma Imisumari

• Umwanzuro

• Ibibazo

Intangiriro

Ivunika ryigitsina gore rirashobora kugorana kuvura bitewe nubunini bwamagufwa hamwe na anatomiya igoye. Gukoresha imisumari yimbere byamenyekanye cyane mubaganga babaga amagufwa kubera inyungu zabo nyinshi kurenza ubundi buryo bwo kuvura. Muri iki kiganiro, tuzasesengura imikoreshereze yimisumari ya femorale na gamma ihindagurika, inyungu zabo, tekinike yo kubaga isabwa, ibikoresho byashizweho bikenewe, nibishobora kuvuka.

Anatomy yamagufwa ya Femur

Mbere yo gucengera imisumari idasanzwe, ni ngombwa gusobanukirwa anatomiya yamagufwa yintanga. Igitsina gore nigufwa rirerire kandi rikomeye mumubiri wumuntu, kuva kumatako yibibuno kugeza kumavi. Impera yegeranye yigitereko yerekana igufwa ryikibuno, mugihe impera ya kure yerekana amagufwa ya tibia yamaguru.

Umusumari uteganijwe ni iki?

Umusumari winjiye ni inkoni ndende, yoroheje yinjizwa mu gice cyigufwa cyamagufwa bita umuyoboro wa medullary. Ubusanzwe inkoni ikozwe muri titanium cyangwa ibyuma bidafite ingese kandi igenewe guhagarika amagufwa mugihe cyo gukira. Imisumari yimbere ikoreshwa muburyo bwo kuvunika amagufwa maremare, nka femur na tibia.

Guhindura Imisumari ya Femoral na Gamma Intramedullary: Nibiki?

Guhindura imisumari ya femorale na gamma intramedullary ni ubwoko bwimisumari yimbere ikoreshwa muguvunika kw'igitsina gore. Imisumari ihinduye igitsina gore yagenewe kwinjizwa muri femur kuva kumpera ya kure yamagufwa, bitandukanye nicyerekezo cyo kwinjiza imisumari gakondo. Ku rundi ruhande, imisumari ya gamma, yinjizwa kuva ku mpera y’igitsina gore kandi igenewe kugorora mu magufwa.

Inyungu Zihinduye Femorale na Gamma Imisumari

Gukoresha imisumari ihindagurika ya femorale na gamma intramedullary imisumari itanga inyungu nyinshi kubuhanga gakondo bwo gutera imisumari. Izi nyungu zirimo:

• Kugabanya igihe cyo kubaga no gutakaza amaraso

• Uduce duto

• Kwangirika gake kumyenda yoroshye ikikije kuvunika

• Mbere kwikorera ibiro hanyuma ugasubira mumikorere

• Guhuza neza kuvunika

Ibimenyetso byerekana imisumari ihindagurika yumugore na Gamma

Guhindura imisumari ya femorale na gamma intramedullary ikunze gukoreshwa kumeneka yigituba kubarwayi bingeri zose, harimo abakuze nabana. Zifite akamaro kanini mukuvura imvune ziri hagati yigitereko cyigitsina gore cyangwa zigera mukarere kegeranye cyangwa kure.

Kwirinda inzara zasubiwemo na Gamma Imisumari

Mugihe imisumari ihinduwe femorale na gamma intramedullary imisumari itanga inyungu nyinshi, ntabwo zibereye abarwayi bose. Ibibujijwe muri ubu buryo birimo:

• Ivunika riri hafi yikibuno cyangwa ivi

• Osteoporose ikabije cyangwa izindi ndwara zamagufwa zibangamira imbaraga zamagufwa

• Kudashobora kwihanganira kubagwa bitewe nuburwayi bwibanze

Ubuhanga bwo Kubaga Imisumari Yahinduwe Yumugore na Gamma

Tekinike yo kubaga yoguhindura femorale na gamma intramedullary imisumari ikubiyemo intambwe nyinshi. Ubwa mbere, umurwayi ashyirwa muri anesthesia rusange, kandi kuvunika kugaragara ukoresheje fluoroscopi cyangwa ubundi buryo bwo gufata amashusho. Ibikurikira, agace gato gakozwe ku ntera ya kure cyangwa yegeranye ya femur, bitewe n'ubwoko bw'imisumari ikoreshwa. Umusumari uhita winjizwa mumuyoboro wa medullary hanyuma ukayoborwa ahantu ukoresheje ibikoresho kabuhariwe. Iyo umusumari umaze guhagarara neza, winjizamo imigozi yo gufunga kugirango umusumari ugufashe.

Gushiraho ibikoresho bisabwa kugirango uhindurwe Femoral na Gamma Imisumari

Gukora reversed femoral na gamma intramedullary imisumari bisaba igikoresho cyihariye. Igice gisanzwe kirimo:

• Intamedullary reamers

• Kwinjiza imisumari hamwe nibikoresho bigenewe

• Kuyobora insinga no gufunga imigozi

• Ibikoresho byo gutegura amagufwa nuduce tworoshye dukikije kuvunika

Kwitaho nyuma yo kuvurwa no gusubiza mu buzima busanzwe

Nyuma yo kubagwa, abarwayi basaba iminsi myinshi yo gushyirwa mubitaro. Ukuguru kunyeganyezwa ukoresheje umupira cyangwa igitereko, kandi imiti yububabare yateganijwe nkuko bikenewe. Ubusanzwe abarwayi basabwa kwirinda gushyira ibiro ku kuguru kwanduye ibyumweru byinshi kugirango bakire neza. Ubuvuzi bwumubiri bushobora gusabwa gufasha kugarura imbaraga nintera yo kugenda mumaguru yanduye.

Ibishobora kuba Ingorabahizi Zihinduye Abagore na Gamma Imisumari

Kimwe nuburyo ubwo aribwo bwose bwo kubaga, imisumari ihindagurika ya femorale na gamma intramedullary imisumari irashobora gutwara ingaruka zimwe na zimwe. Ibi bishobora kubamo:

• Indwara

• Amaraso

• Imitsi cyangwa imitsi yangiritse

• Kunanirwa kunanirwa cyangwa kwimuka

• Gutinda cyangwa kudahuza kuvunika

Umwanzuro

Guhindura femorale na gamma intramedullary imisumari byagaragaye nkuburyo buzwi bwo kuvura imvune zumugore. Ubu buhanga butanga inyungu nyinshi kurenza imisumari gakondo, harimo kugabanya igihe cyo kubaga, kugabanuka guto, nigihe cyo gukira vuba. Ariko, ntibikwiriye abarwayi bose kandi bitwara ingaruka nibibazo. Guhitamo neza abarwayi hamwe nubuhanga bwo kubaga nibyingenzi kugirango bigerweho neza.

Ibibazo

1. Bifata igihe kingana iki kugirango ukire imisumari ya femorale cyangwa gamma intramedullary imisumari?

• Ibihe byo gukira birashobora gutandukana bitewe nuburemere bwimvune nubuzima bwumurwayi muri rusange. Muri rusange, abarwayi benshi barashobora kwitega ko bahagarika ibirenge ibyumweru byinshi kandi birashobora gusaba amezi menshi yo kuvura kumubiri kugirango bagarure imbaraga zose hamwe ningendo zabo.

1. Guhindura femorale cyangwa gamma intramedullary imisumari birababaza?

• Abarwayi barashobora kubabara no kutamererwa neza nyuma yo kubagwa, bishobora gukemurwa n'imiti y'ububabare yagenwe na muganga.

1. Ninde ushobora gukorerwa imisumari ya femorale cyangwa gamma intramedullary imisumari?

• Oya, ubwo buhanga ntibukwiriye abarwayi bose. Muganga wawe azasuzuma imiterere yawe namateka yubuvuzi kugirango umenye niba uri umukandida mwiza muri ubu buryo.

1. Kubaga bifata igihe kingana iki?

• Kubaga mubisanzwe bifata hagati yamasaha 1-2, ariko ibi birashobora gutandukana bitewe nuburyo bugoye bwo kuvunika hamwe na anatomiya yumurwayi.

1. Hariho ubundi buryo bwo kuvura bwo guhindura imisumari femorale cyangwa gamma intramedullary imisumari?

• Nibyo, hari ubundi buryo butandukanye bwo kuvura kuvunika kwumugore, harimo gukosorwa hanze, imisumari gakondo, no kugabanya gufungura no gukosora imbere. Muganga wawe azaguha inama nziza yo kuvura ukurikije ibyo ukeneye kugiti cyawe.