Guhindura Imisumari Yigitsina gore: Uburyo butanga icyizere cyo kuvunika kwabagore

Kuvunika kw'umugore, bigira ingaruka kumagufwa yibibero, birashobora kugorana kuvura neza. Tekinike ihinduranya femorale intramedullary tekinike yimisumari yagaragaye nkuburyo butanga ikizere cyo gucunga ibyo bice. Muri iki kiganiro, tuzasuzuma inyungu, tekinike yo kubaga, ingorane zishobora kubaho, no gukira bijyana no guhinduranya imisumari femorale intramedullary.

Intangiriro

Kuvunika kw'igitsina gore birashobora kuvamo ububabare bukomeye, kudahindagurika, no gukora nabi. Uburyo gakondo bwo kuvura bushobora kugira imbogamizi mugushikira ibisubizo byiza. Tekinike ihinduye femoral intramedullary tekinike itanga icyerekezo gishya kubijyanye no gucunga kuvunika, bitanga ituze ninkunga mugihe cyo gukira.

Gusobanukirwa Nail Femoral Intramedullary Nail

Guhindura imisumari ya femoral intramedullary nigikoresho cyubuvuzi cyagenewe gutuza no guteza imbere gukira kuvunika kwumugore. Irasa nu musumari usanzwe winjiye, ariko hamwe nicyerekezo cyahindutse. Umusumari winjijwe kuva kumpera ya kure yigitereko kandi ugera hafi, bitanga ituze no guhuza ibice byamagufa yamenetse.

Ibimenyetso Byerekeranye na Femoral Intramedullary Nail

Guhindura imisumari ya femorale intramedullary irakwiriye cyane cyane kubwoko bumwe na bumwe bwo kuvunika. Bikunze gukoreshwa kuvunika biherereye mukarere ka kure ka femur, harimo supracondylar na fracondylar. Ivunika akenshi risaba gukosorwa neza no guhuza neza kugirango ukire neza.

Ubuhanga bwo kubaga bwahinduwe na Femoral Intramedullary Nail

Gutegura mbere yo gutangira

Gutegura neza mbere yo gutangira ni ngombwa kugirango uhindurwe neza femorale intramedullary kubaga imisumari. Ibi bikubiyemo gusuzuma byimazeyo uburyo bwo kuvunika, ubuzima bwumurwayi muri rusange, nibikomere byose bifitanye isano. Uburyo bwo gufata amashusho, nka X-imirasire, CT scan, cyangwa MRI, bikoreshwa mugusuzuma ibiranga kuvunika no kuyobora ibyemezo byo kubaga.

Umwanya w'abarwayi

Mugihe cyo kubagwa, umurwayi ashyirwa supine kumeza yo kubaga. Ukuguru kwanduye kurateguwe kandi kurigata muburyo budasanzwe. Guhagarara neza ni ngombwa kugirango umuntu yemererwe kugera ahavunitse kandi yorohereze kwinjiza imisumari kuva kumpera ya femur.

Gukata no Kubona

Gucibwa bikozwe kurubuga rwo kubaga kugirango igufwa ryacitse. Uburebure n'aho biherereye biterwa n'ubwoko bwavunitse hamwe n'aho biherereye kuri femur ya kure. Kwitonda witonze byoroshye ni ngombwa kugabanya ihungabana no kugabanya ibyago byo kwandura.

Kwinjiza imisumari

Umusumari wahinduwe wumugore winjizwamo imisumari winjijwe kuva kumpera ya kure yigitereko, ugera hafi yikibanza cyavunitse. Ubuyobozi busobanutse burakenewe kugirango ushireho neza kandi uhuze. Amashusho ya Fluoroscopique akoreshwa mukugenzura aho umusumari uhagaze mumigezi yumugore.

Gufunga intera ya kure

Iyo umusumari umaze guhagarara neza, hashyizwemo imigozi yo gufunga intera kugirango umusumari uri mumagufwa. Iyi miyoboro itanga ituze ryinyongera kandi irinda kuzenguruka cyangwa kugendagenda kumutwe. Umubare nogushyira imigozi biterwa nuburyo bwo kuvunika no kubaga kwa muganga.

Gufunga ibikomere

Nyuma yo kwemeza guhuza no gukosora neza, gutema bifunze ukoresheje suture cyangwa staples. Gufunga ibikomere bikorwa neza kugirango biteze imbere gukira no kugabanya ibyago byo kwandura. Imyambarire idasanzwe ikoreshwa, kandi urubuga rwo kubaga rurinzwe.

Ibyiza bya Reversed Femoral Intramedullary Nail

Gukoresha imisumari ihindagurika yumugore utanga imisumari itanga ibyiza byinshi muburyo bwo kuvura gakondo. Zimwe mu nyungu zingenzi zirimo:

1. Guhuza neza: Imisumari ihinduwe ituma ihuza neza ibice byamagufa yamenetse, bigatera gukira neza no kugabanya ibyago byo kurwara nabi.

2. Kuzamura imbaraga: Umusumari wahinduwe wumugore utera imisumari utanga imbaraga zihamye kumwanya wavunitse, bigatuma ubushobozi bwiza bwo kwikorera imitwaro hamwe nibisubizo bikiza.

3. Kubungabunga itangwa ryamaraso: Ukoresheje umuyoboro winjiye kandi winjizamo umusumari uhereye kumpera ya kure, tekinike yimisemburo ya femorale ihindurwamo imisumari igabanya ihungabana ryamaraso yamagufwa. Uku kubungabunga amaraso ningirakamaro muburyo bwiza bwo gukiza amagufwa no kuvunika.

4. Kugabanya ihahamuka ryoroheje ryimyanya ndangagitsina: Tekinike ihinduwe yimisumari ikubiyemo gutandukanya uduce duto duto duto, bigatuma ihahamuka ryoroshye. Ibi birashobora gutuma umuntu akira vuba, kugabanya ububabare nyuma yo kubagwa, no kugabanuka kwingaruka zoroshye.

5. Gukangurira hakiri kare: Hamwe nimisumari ihinduye femorale intramedullary, gukanguka kare birashoboka. Ibi bituma abarwayi batangira imyitozo yo kwikorera no gusubiza mu buzima bwihuse, biteza imbere gukira vuba no kunoza imikorere.

   
   

Ibishobora kugorana n'ingaruka

Mugihe tekinike ya femorale ihindagurika yimisumari isanzwe ifatwa nkumutekano kandi ikora neza, haribibazo bishobora guteza ingaruka hamwe nuburyo bukoreshwa. Ni ngombwa ko abarwayi bamenya ibyo bishoboka mbere yo kwivuza. Zimwe mu ngorane zirimo:

• Kwandura: Kimwe nuburyo ubwo ari bwo bwose bwo kubaga, hari ibyago byo kwandura. Nyamara, uburyo bukwiye bwa sterile, antibiyotike ya prophylaxis, hamwe nubuvuzi nyuma yo kubagwa birashobora kugabanya cyane ibi byago.

• Kudahuza cyangwa kudahuza: Rimwe na rimwe, ibice byavunitse ntibishobora gukira muburyo bwifuzwa cyangwa kunanirwa gukira burundu. Ibintu nko kugabanuka bidahagije, kutagira amagufwa mabi, cyangwa kwikorera ibiro birenze urugero bishobora kugira uruhare mubi cyangwa kudahuza. Gukurikiranira hafi hamwe n’ibindi bikorwa, nko kubaga ubugororangingo, birashobora kuba ngombwa kugirango ibyo bibazo bikemuke.

• Ingorane zijyanye no guterwa: Nubwo bidasanzwe, ingorane zijyanye no guterwa zirashobora kubaho. Ibi birashobora kubamo kurekura, kumeneka, cyangwa kurakara. Niba ibibazo nkibi bivutse, hashobora gukenerwa ubundi buryo bwo kubaga.

• Gukomeretsa imitsi cyangwa imitsi y'amaraso: Mugihe cyo kubaga, hari ibyago bike byo gukomeretsa imitsi cyangwa imitsi y'amaraso. Abaganga babaga bafata ingamba zo kugabanya ibi byago, ariko abarwayi bagomba kumenya ko bishoboka kandi bagahita batangaza ibimenyetso byose bikomeje cyangwa bikabije.

  
  

Gusubiza mu buzima busanzwe no gukira

Nyuma yo guhindurwa kwa femorale intramedullary kubaga imisumari, gahunda yuzuye yo gusubiza mu buzima busanzwe ni ngombwa kugirango umuntu akire neza. Gahunda yihariye yo gusubiza mu buzima busanzwe irashobora gutandukana bitewe n'uburemere bwavunitse, ibiranga abarwayi, hamwe n'ubuyobozi bw'abaganga. Ubuvuzi bufatika, burimo imyitozo ngororamubiri, gushimangira imyitozo, hamwe n'amahugurwa yo kugenda, bigira uruhare runini mu kugarura imikorere no kugera ku gukira byuzuye.

Inyigo Yibintu Nitsinzi

Abarwayi benshi babonye umusaruro ushimishije hamwe na tekinike ya femoral intramedullary tekinike. Ubushakashatsi bumwe bwakorewe ku muntu w'imyaka 45 ufite kuvunika kure. Nyuma yo kubagwa umusumari wa femorale wongeyeho imisumari, umurwayi yagize ubumwe bukomeye bwo kuvunika, agarura ubushobozi bwuzuye bwo gutwara ibiro, hanyuma asubira mubikorwa bisanzwe mumezi atandatu.

Umwanzuro

Mu gusoza, tekinike ihindagurika yimikorere yimisumari itanga igisubizo cyiza cyo gucunga imvune zumugore, cyane cyane mukarere ka kure. Itanga ituze ryiyongereye, guhuza neza, hamwe nubushobozi bwo gukanguka hakiri kare. Mugihe hari ingaruka zishobora kugorana, igenamigambi ryitondewe mbere yo gutangira, tekiniki yo kubaga neza, hamwe nubuvuzi bukwiye nyuma yibikorwa birashobora gufasha kugabanya izo mpungenge. Abarwayi babazwe na femoral intramedullary kubagwa imisumari, bagakurikirwa na gahunda yo gusubiza mu buzima busanzwe gahunda, bafite amahirwe yo gukira neza no kugarura imikorere.