Yahinduye imisumari

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Czmeditech yahinduye imisumari ya femoral

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INGARUKA Z'INGENZI MU MURIMBERE WIZA ZIZUZUYE NUBAKA RY'UMURYANGO W'UBURENGANZIRA BW'ABANTU BAKURU dufite Osteoporose hamwe nimpanuka zo mu muhanda mu rubyiruko.

Kuvunika ku gace ka Trochanteric hashyizwe mu mwanya wa sisitemu y'ishami ry'ishami rya orthopedique nka Ao / OTA 31 - A, bibahuza nk'ibinyabuzima. Izi mvururu zigabanijwe mumatsinda A1, A2 na A3. Kuvuka A1 biroroshye, ibice bibiri, mugihe ibipimo bya A2 bifite ibice byinshi. Kuvunika A3 birimo guhinduranya imitekerereze ya oblique no guhinduranya imiterere.

Hariho ubwoko bubiri bwingenzi bwatewe no kuvura ibi bice, aribyo, bidasubirwaho bidasubirwaho na intramedillary [1-3]. Nubwo ibyiciro byakoreshejwe cyane bidasanzwe ni screw scrent ya dip, igizwe nu mugozi wisoni uhuza isahani ya correl, abanditsi benshi batabimenyesheje Ao / OTA 31-A3 bagabanije ibikoresho bitewe no kunanirwa cyane. Rero, kuvura ibyo bivura byo guhagarika femorral bidafite ishingiro biracyafite ikibazo, kandi raporo zivuriro zerekeye intera ya intramedullary kugobora imisumari yo guhinduranya intera ya sertrochanterdic ni mike.

Ingaruka z'umusumari: Igitabo cyuzuye

Mu kubaga amagufwa, kuvunika femoral ni ibintu bisanzwe. Imisumari yubugome ikoreshwa kenshi kugirango ukosore ibiranga. Imisumari yahindutse imisumari nuburyo bushya kandi bushya bwo gutunganya ibivunishwa, cyane cyane mubarwayi bageze mu zabukuru. Muri iki kiganiro, tuzaganira kubintu byose bihari kugirango tumenye imisumari yimisumari, harimo inyungu zabo, ibimenyetso, nibishobora.

Ni ubuhe buryo bugurumana cyane?

Umusumari wahinduwe nigikoresho cya orthopedic gikoreshwa mukuvura imivurungano. Nubuhanga bushya bugereranije bukubiyemo kwinjiza umusumari tuvuye munsi ya femur hejuru, bikaba bitandukanye nuburyo busanzwe. Umusumari winjijwe mu buryo buto mu gicurane kandi bushyirwaho mu mwanya ukoresheje imigozi ku mpande zombi.

Ibimenyetso kugirango bihinduke imisumari

Tekinike yahinduye imisumari ya femoral ni ingirakamaro cyane mubihe bimwe, nka:

• Abakuze bakuze bafite amagufwa yoroshye

• Abarwayi bafite imivurungano ya kure

• Abarwayi bafite kuvunika subtrochantere

• Abarwayi bafite kuvunika mukarere ka Metaphyseal

Muri ibi bihe, tekinike yimisumari yubugome irashobora kuba uburyo bwiza kuruta tekinike isanzwe.

Inyungu zahinduwe imisumari

Yahinduye imisumari yubugome itanga inyungu nyinshi kubera tekinike isanzwe. Harimo:

• Kugabanya gutakaza amaraso mugihe cyo kubaga

• Ihahamuka rito kuri tissule yoroshye

• Ububabare buke hamwe nigihe cyo gukira vuba

• Ibyago byo kwandura

• Yagabanijwe ibyago byo kudahuza (imiterere aho amagufwa ananiwe gukira neza)

Imisumari yahinduwe

Imisumari yahindutse imisumari isa numusumari usanzwe kubaga imisumari, hamwe nibice bike byingenzi. Kubaga bikorwa muri anesthesia rusange, kandi umurwayi ahagaze inyuma yabo amaguru arazamuka.

Ikipe yo kubaga izakora intera ntoya hejuru yivi kandi shyiramo insinga iyobowe mumavi no hejuru muri femur. Insinga izakoreshwa mu kuyobora umusumari mumwanya. Umusumari noneho yinjijwe mu ivi no hejuru muri femur, hamwe n'imigozi yashyizwe ku mpande zombi kugirango ubifate mu mwanya.

Ingorabahizi zahinduwe imisumari

Kimwe nuburyo bwose bwo kubaga, bwahinduye imisumari yubugome bitwara ingaruka zimwe. Harimo:

• Kwandura kurubuga rwo kubaga

• Kuvunika femur mugihe cyo kubagwa

• Imitsi

• Amaraso yangiritse

• Kunanirwa kw'amagufwa gukira neza

Abarwayi bamaze guhindukira imisumari yahinduwe cyane kugirango bakurikirane neza kandi bamenyeshe umuganga wese udasanzwe.

Kugarura imisumari yahindutse imisumari

Kugarura imisumari yahindutse imisumari isa no gukira imisumari isanzwe. Abarwayi barashobora kubabara no kubyimba kurubuga rwo kubaga, zishobora gucungwa imiti no kuruhuka. Abarwayi bazakenera gukoresha inkoni cyangwa kugenda mugihe runaka nyuma yo kubagwa kugirango birinde gushyira uburemere kumaguru yibasiwe.

Abarwayi bagomba gukurikiza amabwiriza ya muganga witonze kugirango bakire byuzuye kandi byihuse.

Yahinduye imisumari ya femoral

1. Ni ikihe gihe cyo gukira kumisumari yimisumari yahindutse?

   Igihe cyo gukira kiratandukanye bitewe numurwayi nurugero rwo kubaga, ariko abarwayi benshi barashobora kwitega ko basubira mubikorwa bisanzwe mugihe cyibyumweru 6-12.

2. Ese inzira zumusumari wahinduwe cyane?

   Hashobora kubaho ububabare no kutamererwa neza nyuma yo kubagwa, ariko ibi birashobora gucungwa imiti yububabare.

3. Ninde ushobora kugira uburyo bwumusumari buhindurwa imisumari?

   Oya, inzira yimisumari yahindutse imisumari ntabwo ikwiriye kubarwayi bose. Muganga wawe azasuzuma ibihe byawe bwite kugirango umenye niba ari uguriza.

4.  Imisumari ihindurwa kugeza ryari?

   Imisumari isanzwe isigaye mu mwanya wamezi 6-12 kugirango yemere igufwa gukira neza.

5. Umusaruro wa emorerale urashobora gukurwaho?

   Nibyo, umusumari arashobora kuvaho igihe igufwa ryarakira. Muganga wawe azasuzuma niba gukuraho ari ngombwa kandi muganire ku ngaruka n'inyungu nawe.

Umwanzuro

Yahinduye imisumari yubugome itanga inyungu nyinshi ku buhanga busanzwe bwo gutunganya imivurungano. Tekinike ni ingirakamaro cyane mubarwayi bageze mu zabukuru cyangwa abafite ubwoko bumwe bwo kuvunika. Mugihe hariho ingorane zijyanye nuburyo, inyungu zirenze ingaruka. Abarwayi bamaze guhindukira imisumari yahindutse imisumari bagomba gukurikiza amabwiriza ya muganga witonze kugirango bakire byuzuye kandi byihuse.

Muri make, imisumari yahindutse imisumari nuburyo bushya kandi bushya bwo gutunganya imivurungano yimivuta itanga inyungu nyinshi ku buhanga busanzwe. Niba uhuye na femorare, vugana na muganga kugirango umenye niba tekinike yimisumari yahindutse ihindukira neza.