Yahinduye Umusumari w'Abagore

Igicuruzwa cyibicuruzwa birambuye videwo

CZMEDITECH Yahinduye Umusumari w'Abagore

Intangiriro

Umubare w’imvune mu gace kegeranye n’igitsina gore wiyongereye hamwe n’abantu bageze mu zabukuru barwaye osteoporose n’impanuka zo mu muhanda ku rubyiruko rukuze.

Ivunika ryerekeye agace ka trochanteric ryashyizwe mubikorwa hakurikijwe gahunda y’ishyirahamwe ry’ihungabana ry’amagufwa nka AO / OTA 31-A, risobanura ko ari imvune zidasanzwe z’ikibuno. Ivunika rigabanyijemo amatsinda A1, A2 na A3. Ivunika A1 riroroshye, ibice bibiri byavunitse, mugihe A2 ivunika rifite ibice byinshi. Ivunika rya A3 ririmo ihindagurika rihindagurika hamwe nuburyo bwo kuvunika.

Hariho ubwoko bubiri bwingenzi bwo guterwa buboneka kugirango bavurwe niyi mvune, arizo, guterana amagambo ndetse no guterwa [1-3]. Nubwo hashyizweho cyane cyane insimburangingo ni dinamike ya hip dinamike, igizwe nu mugozi wo kunyerera uhuza ijosi uhujwe nisahani muri cortex ya femorale, abanditsi benshi batangaje ko iki gikoresho kidakwiriye AO / OTA 31-A3 kuvunika gukabije cyangwa kuvunika bitewe n’ikibazo kinini cyo kunanirwa gukosorwa. Kubwibyo, kuvura izo mvune zidafite imbaraga za trocanteric femorale ziracyafite ingorabahizi, kandi raporo z’amavuriro zerekeye imisumari yo mu kibuno yatewe imisumari kugira ngo ivunagurike ihindagurika hagati y’imvururu ziba nke.

Guhindura imisumari y'abagore: Ubuyobozi bwuzuye

Mu kubaga amagufwa, kuvunika kw'igitsina gore ni ibintu bisanzwe. Imisumari ya femorale ikoreshwa kenshi mugukosora ibice. Umusumari wahinduwe wumugore nuburyo bushya kandi bushya bwo gukosora imvune, cyane cyane kubarwayi bageze mu zabukuru. Muri iki kiganiro, tuzaganira kubintu byose bihari kugirango tumenye imisumari ihindagurika yumugore, harimo inyungu zabo, ibimenyetso, nibibazo bishobora kuvuka.

Umusumari wahinduwe wumugore niki?

Umusumari wahinduwe wumugore nigikoresho cyamagufwa gikoreshwa mukuvura imvune zumugore. Nubuhanga bushya burimo kwinjiza umusumari kuva hepfo yigitereko hejuru, bitandukanye nuburyo busanzwe. Umusumari winjizwa unyuze mugice gito mumavi kandi ugashyirwa mumwanya ukoresheje imigozi kumpande zombi.

Ibyerekana Imisumari Yahinduwe

Tekinike ya femorale yimisumari ihindagurika ni ingirakamaro cyane mubihe bimwe na bimwe, nka:

• Abarwayi bageze mu zabukuru bafite amagufwa yoroshye

• Abarwayi bafite kuvunika kure

• Abarwayi bafite kuvunika subtrochanteric

• Abarwayi bafite kuvunika mukarere ka metafhyseal

Muri ibi bihe, tekinike yimisumari ya femorale irashobora kuba amahitamo meza kuruta tekiniki zisanzwe.

Inyungu Zimisumari Yahinduwe

Imisumari ihindagurika yumugore itanga inyungu nyinshi kubuhanga busanzwe. Muri byo harimo:

• Kugabanya gutakaza amaraso mugihe cyo kubagwa

• Ihahamuka rito ku ngingo zoroshye

• Ububabare buke nigihe cyo gukira vuba

• Ibyago byo kwandura

• Kugabanya ibyago byo kudahuza ubumwe (imiterere igufwa rinanirwa gukira neza)

Inzira Yimisumari Yahinduwe

Uburyo bwo guhindura imisumari ya femorale busa nubusanzwe busanzwe bwo kubaga imisumari, hamwe nibintu bike bitandukanye. Kubaga bikozwe muri anesthesia rusange, kandi umurwayi ashyirwa kumugongo n'amaguru yazamuye.

Itsinda ryo kubaga rizakora uduce duto hejuru yivi hanyuma dushyiremo umugozi uyobora unyuze mu ivi no hejuru muri femur. Umugozi wo kuyobora uzakoreshwa mu kuyobora umusumari ahantu. Umusumari uhita winjizwa unyuze mu ivi no hejuru muri femur, hamwe n'imigozi ishyirwa kumpande zombi kugirango uyifate mu mwanya.

Ingorane zo Guhindura Imisumari Yumugore

Kimwe nuburyo bwose bwo kubaga, imisumari ihindagurika yumugore itwara ingaruka zimwe. Muri byo harimo:

• Kwandura aho babaga

• Kuvunika kw'igitsina gore mugihe cyo kubagwa

• Kwangiza imitsi

• Amaraso yangiritse

• Kunanirwa kw'amagufa gukira neza

Abarwayi bahuye nuburyo bwo guhindura imisumari yumugore bagomba gukurikiranira hafi gukira kwabo kandi bagahita bamenyesha muganga ibimenyetso bidasanzwe.

Gukira kuva Imisumari Yahinduwe

Gukira muburyo bwo guhindura imisumari ya femorale bisa no gukira kubagwa imisumari isanzwe. Abarwayi barashobora kugira ububabare no kubyimba ahabigenewe kubagwa, bishobora gucungwa n'imiti y'ububabare no kuruhuka. Abarwayi bazakenera gukoresha inkoni cyangwa kugenda mugihe runaka nyuma yo kubagwa kugirango birinde gushyira uburemere ukuguru kwanduye.

Abarwayi bagomba gukurikiza amabwiriza ya muganga bitonze kugirango bakire neza kandi vuba.

Ihindurwa ry'imisumari y'abagore

1. Ni ikihe gihe cyo gukira kuburyo bwimisumari ihindagurika?

   Igihe cyo gukira kiratandukanye bitewe numurwayi nubunini bwo kubagwa, ariko abarwayi benshi barashobora kwitega gusubira mubikorwa bisanzwe mugihe cibyumweru 6-12.

2. Ese uburyo bwo guhindura imisumari bwigitsina gore burababaza?

   Hashobora kubaho ububabare no kutamererwa neza nyuma yo kubagwa, ariko ibi birashobora gukemurwa n'imiti y'ububabare.

3. Ninde ushobora kugira uburyo bwo guhindura imisumari ya femorale?

   Oya, uburyo bwo guhindura imisumari ya femorale ntibukwiriye abarwayi bose. Muganga wawe azasuzuma imiterere yawe kugirango umenye niba aribyiza kuri wewe.

4.  Umusumari wahinduwe wigitsina gore uhoraho kugeza ryari?

   Ubusanzwe umusumari usigara mumezi 6-12 kugirango igufwa rikire neza.

5. Urashobora gukuraho umusumari wigitsina gore?

   Nibyo, umusumari urashobora gukurwaho igufwa rimaze gukira. Muganga wawe azasuzuma niba kuvanaho ari ngombwa hanyuma muganire hamwe ningaruka ninyungu nawe.

Umwanzuro

Imisumari ihindagurika yumugore itanga inyungu nyinshi kubuhanga busanzwe bwo gukosora imvune zumugore. Tekinike ni ingirakamaro cyane kubarwayi bageze mu zabukuru cyangwa abafite ubwoko bumwe na bumwe bwo kuvunika. Mugihe hari ingorane zishobora kuba zijyanye nuburyo, inyungu akenshi ziruta ingaruka. Abarwayi bahuye nuburyo bwo guhindura imisumari yumugore bagomba gukurikiza neza amabwiriza ya muganga kugirango bakire neza kandi vuba.

Muri make, imisumari ihindagurika yumugore nuburyo bushya kandi bushya bwo gukosora imvune zumugore zitanga inyungu nyinshi kubuhanga busanzwe. Niba ufite ikibazo cyo kuvunika k'umugore, vugana na muganga wawe kugirango umenye niba tekinike yimisumari ihindagurika ikubereye.