Yahinduye IntramedulLary Umusumari: Uburyo bwizeza bwo kuvunika femoral

Kuvunika femoral, bigira ingaruka kumagufwa, birashobora kuba ingorabahizi zo kuvura neza. Tekinike yahinduye imigezi ya femoraveur yavutse nkicyemezo kizaza cyo gucunga ibi. Muri iki kiganiro, tuzasesengura inyungu, ubuhanga bwo kubaga, ingorane, no gukira bifitanye isano nintangiriro ya femoramed yahindutse.

Intangiriro

Kuvunika bya femur birashobora kuvamo ububabare bukomeye, kwibeshya, no kugarukira. UBURYO BWO GUTANDUKANYE burashobora kugira aho bugarukira mu kugera kubisubizo byiza. Tekinike yahinduye imisumari yimisumari itanga icyerekezo gishya ku micungire yo kuvunika, gutanga umutekano n'inkunga mugihe cyo gukira.

Gusobanukirwa byahinduye imisumari ya femoral

Imisumari yahinduwe imisumari ya femorame ni igikoresho cyubuvuzi cyagenewe gutuza no guteza imbere gukira mu kuvunika femoni. Birasa ninsumico isanzwe, ariko ifite icyerekezo cyahindutse. Umusumari winjijwe mu mpera za kure za femur kandi zigura neza, zitanga umutekano no guhuza ibice byamagufwa.

Ibimenyetso byahinduwe mu misumari ya femorave

Imisumari yahinduwe n'umusumari ikwiranye cyane n'ubwoko bumwe bwo kuvunika femoral. Bikunze gukoreshwa kumeneka biherereye mu karere ka kure bya femur, harimo na sucracondry na supracondry na intracondylar. Izi mvururu zikunze gusaba gukosorwa no guhuza neza kugirango ufungure neza.

Tekinike yo kubaga yahinduwe mu misumari ya femorave

Igenamigambi

Igenamigambi ryimikorere myiza ni ngombwa mugutanga imisumari yimisumari. Ibi birimo gusuzuma byuzuye uburyo bwo kuvunika, ubuzima rusange bwumurwayi, hamwe nibikomere byose bifitanye isano. Tekinike yerekana, nka x-imirasire, ct scan, cyangwa mri, ikoreshwa kugirango isuzume ibiranga kandi bigayobora gufata ibyemezo.

Umwanya

Mugihe cyo kubaga, umurwayi yashyizwe kumeza. Ukuguru kwanduye birategurwa no gutondekanya muburyo bworoshye. Umwanya ukwiye ningenzi kugirango wemererwe kugera kurubuga rwiza no koroshya imibonano mpuzabitsina mumibonano mpuzabitsina uhereye kumurongo wa femu.

Gutema no kubona

Gutema kwateganijwe kurubuga rwo kubaga kugirango ugere kumagufwa yavunitse. Uburebure n'aho biherereye biterwa nuburyo bwo kuvunika hamwe numwanya wacyo kuri femur ya kure. Gutondekanya byoroshye ibice ni ngombwa kugirango ugabanye ihungabana no kugabanya ibyago byo kwandura.

Imisumari

Imisumari yahinduwe imisumari ya femoramed yinjijwe kuva iherezo rya Femur, ryagura cyane kurubuga. Ubuyobozi busobanutse burakenewe kugirango dushyireho neza no guhuza. Amashusho ya Fluorscopic ikoreshwa mugusuzuma umwanya wumusumari mubifari bya femorale.

Gufunga cyane

Umusumari umaze gukurikiranwa neza, imigozi yo gufunga ya kure yinjijwe kugirango umusumari mu magufwa. Iyi miyoboro itanga imbaraga zinyongera kandi irinde kugenda kuzunguruka cyangwa kwambara kashe ya fracraments. Umubare no gushyira imiyoboro biterwa nuburyo bwo kuvunika hamwe no kubaga.

Gufunga ibikomere

Nyuma yo guhakana neza no gukosorwa, gutemagurira bifunze gukoresha sutures cyangwa staples. Gufunga ibikomere bikorwa neza kugirango biteze imbere gukira no kugabanya ibyago byo kwandura. Imyambarire ya Sterile ikoreshwa, kandi urubuga rwo kubaga rurinzwe.

Ibyiza bya Revemedil Artttttttttramediat Umusuko

Gukoresha intera ya femoraler yahindutse imisumari itanga ibyiza byinshi ku buryo bwo kuvura gakondo. Zimwe mu nyungu zingenzi zirimo:

1. Guhuza neza: Tekinike yahinduwe ituma ihuza ibice byamagufwa yavunitse, guteza imbere gukira neza no kugabanya ibyago byo gukwirakwiza.

2. Guhungabanya umutekano: Imisumari yahinduwe na femoramedlary itanga imbaraga zo kwiyongera kurubuga, kwemerera ubushobozi bwiza bwo gutanga imitwaro kandi biteza imbere ibisubizo bifatika.

3. Kubungabunga Amaraso: Ukoresha imiyoboro y'inyoni no kwinjizamo imisumari ya kure, tekinike y'imisumari ihinduranya imisumari igabanya guhungabana mu maraso. Uku kubungabunga amaraso ni ngombwa mu gukiza amagufwa meza gukira no kuvunika.

4. Yagabanije ihahamuka ryoroshye: Tekinike yahinduye imisumari ikubiyemo gutandukana kISITEL yoroheje, bikavamo kugabanya ihahamuka ryoroshye. Ibi birashobora kuganisha ku gukira byihuse, kugabanya ububabare bwa nyuma, no kugabanya ibyago byo guhura na tissue yoroheje.

5. Gukangurira hakiri kare: Hamwe nintangiriro ya femoramed yubusa, ubukangurambaga bwambere burashoboka. Ibi bituma abarwayi batangira imikoreshereze yo kubyara no gusubiza mu buzima busanzwe, guteza imbere gukira vuba no kunoza imikorere yimikorere.

   
   

Ingorane n'ibishobora

Mugihe tekinike ya exmorave ihindagurika muri rusange ifatwa nkimari kandi ingirakamaro, hari ibibazo nibibazo bifitanye isano nuburyo bujyanye nuburyo bujyanye nuburyo bujyanye nuburyo bukoreshwa nuburyo. Ni ngombwa ko abarwayi bazi ibyo bishoboka mbere yo kwivuza. Bimwe mubibazo birimo:

• Kwandura: Nko ku buryo ubwo aribwo bwose bwo kubaga, hari ibyago byo kwandura. Nyamara, tekinike ikwiye, antibiyotike prophylaxis, no kwitonda nyuma yo kugabanya cyane iyi ngaruka.

• Mala-Nounion: Rimwe na rimwe, ibice byacitse ntibishobora gukiza muburyo bwifuzwa cyangwa kunanirwa gukira. Impamvu nk'igabanuka ridahagije, ubuziranenge bw'amagufwa, cyangwa ubwikorezi bukabije burashobora gutanga umusanzu mu ma malabrament cyangwa kuba adanion. Gukurikiranira hafi kandi byiyongera, nko kubaga gusubirwamo, birashobora kuba ngombwa gukemura ibyo bibazo.

• Ingorane zijyanye na Sport: Nubwo ari gake, ingorane zijyanye no kudashimangirwa. Ibi birashobora kubamo imbaraga zo kurekura, gusenyuka, cyangwa kurakara. Niba ingorane nkizo zivuka, hashobora kuba maso.

• Imitsi cyangwa amaraso yo mu maraso: Mugihe cyo kubaga, hari ibyago bike byimitsi cyangwa ibikomere byamaraso. Abaganga babaga bafata ingamba zo kugabanya iki kibazo, ariko abarwayi bagomba kumenya ibishoboka kandi bahita bavuga ibimenyetso byose cyangwa bikabije.

  
  

Gusana no Kugarura

Gukurikiza intera imisumari yo kubaga imisumari, gahunda yo gusubiza mu buzima busanzwe ni ngombwa mu gukira neza. Gahunda yihariye yo gusubiza mu buzima busanzwe burashobora gutandukana bitewe n'uburemere bwo kuvunika, ibiranga abarwayi, n'ubuyobozi bwabaga. Kuvura umubiri, harimo imikoreshereze yimikorere, gushimangira imyitozo, no guhugura, bigira uruhare runini mugusubiza imikorere no kugera ku gukira.

Ubushakashatsi bwakozwe n'inkuru

Abarwayi benshi bahuye neza nibisubizo byahinduwe mubinyabuzima byahinduye imisumari. Ubushakashatsi bumwe bwarimo umuntu wimyaka 45 hamwe no kuvunika femoral ya kure. Nyuma yo kubagwa imisumari yahinduwe n'umusumari, umurwayi yageze ku kuvunika ubumwe bukomeye, yongera ubushobozi bwuzuye bwo kwihanganira, asubira mubikorwa bisanzwe mu mezi atandatu.

Umwanzuro

Mu gusoza, tekinike yahinduye imisumari ya femoramedlary itanga igisubizo gitanga umusaruro wo gucunga femoral, cyane cyane mukarere ka kure. Itanga imbaraga zo kuzamura, guhuza neza, nubushobozi bwo gukangurira hakiri kare. Mugihe hariho ingaruka zishobora kubaho nibibazo, igenamigambi ryitondewe, ubuvuzi bwuganje, kandi ubwitonzi bukwiye bwa nyuma bwa nyuma burashobora gufasha kugabanya izo mpungenge. Abarwayi bayoboye imisumari ya femoral, hakurikiraho gahunda yo gusubiza mu buzima busanzwe mu buzima busanzwe, bafite ubushobozi bwo gukira neza no kugarura imikorere.