Impeta yo hanze

Intego y'ibanze yo kuvunika ikosora ni ugutera amagufwa yavunitse, kugira ngo ashobore gukira kw'amagufwa yakomeretse, no gusubiza imikoranire yakomeretse n'imikorere yuzuye.

Gukosora hanze ni tekinike ikoreshwa mugufasha gukiza amagufwa yamenetse cyane. Ubu bwoko bwubuvuzi bwa orthopedic bukubiyemo kubona kuvunika hamwe nigikoresho cyihariye cyitwa fixator, ari hanze yumubiri. Gukoresha imiyoboro idasanzwe yamagufa (bikunze kwitwa pin) inyura mu ruhu n'imitsi, filime ihujwe n'amagufwa yangiritse kugirango ayishyireho.

Ni ubuhe buryo bwo hanze bukoreshwa?

Igikoresho cyo gukosora hanze gishobora gukoreshwa mugukomeza amagufwa yamenetse kandi ahuza. Igikoresho kirashobora guhinduka hanze kugirango amagufwa agume mumwanya mwiza mugihe cyo gukira. Iki gikoresho gikoreshwa mubana nigihe uruhu hejuru yigitanda cyangiritse.

Ni ubuhe bwoko bwa filime yo hanze?

Hariho ubwoko butatu bwibanze bwa politotor yo hanze: Igipimo gisanzwe cya Uniplanar, Impeshyi

Ibikoresho byinshi bikoreshwa mugukosora imbere bigabanijwemo ibyiciro byinshi byingenzi: insinga, amapine n'imigozi, amasahani, hamwe ninkoni zo mu misumari cyangwa inkoni.

Ibikoresho n'ibice nabyo bikoreshwa rimwe na rimwe kuri Osteotomy cyangwa kuvunika gukosorwa. Amagufwa ya Autogen, Allografts, abasimbuye amagufwa bakoreshwa kenshi mugufata amagufwa abumoko yimpamvu zitandukanye. Ku miterere yanduye kimwe no kuvura amafeza, amasaro ya antibiyotike akoreshwa kenshi.

Impeta yo hanze

Ref: 6100-1207

Byakoreshejwe Kuri: Femur, Tibia

Iboneza: impeta n'amatwi 1, impeta ifite ugutwi kwatandatu, post isanzwe 6 PC.

Impeta yo hanze yakosowe: Igitabo cyuzuye

Ku bijyanye no kuvura ibirangaza bigoye hamwe n'ubumuga bwo guhindura amagufwa, kubaga amagufwa akenshi bishingikiriza ku bikoresho byo gukosora hanze. Imwe mumico itandukanye kandi nziza yo hanze niyo impeta yo hanze. Iki gikoresho kigizwe nimpeta zizunguruka, guhuza inkoni, hamwe nubwoko butandukanye bwimikino ninsinga zikoreshwa mugukora amagufwa yamenetse cyangwa yahinduwe. Muri iki kiganiro, tuzatanga igitabo cyuzuye kumpeta yo hanze, harimo amateka yacyo, ubwoko, porogaramu, nibishobora gukemura ibibazo.

Amateka Yimpeta yo hanze

Igitekerezo cyo gukosora amatariki yo hanze gusubira mubihe bya kera, iyo imiti ikozwe mubiti, icyuma, cyangwa uruhu rwakoreshejwe muguhagarika ingingo zacitse. Ariko, ntabwo bwari intangiriro yintangiriro ya mbere fixator yo hanze yatejwe imbere numuganga ubaga Ikidage Dr. Gavril Ilizarov. Ivumburwa ryalilav, rizwi ku izina rya ilizarov, ryahinduwe uburyo bwo kuvura amagufwa akomeye n'ubumuga, kandi kuva icyo gihe yemejwe cyane no kubaga amagufwa ku isi.

Anatomy yimpeta yo hanze

Impeta yakosowe igizwe nibice byinshi, harimo impeta zuzuye, guhuza inkoni, n'amapine / insinga. Impeta ubusanzwe ikozwe mubyuma cyangwa titanium, kandi iraboneka mubunini nuburyo butandukanye bwo kwakira uturere dutandukanye anatomique. Inkoni ihuza nayo ikozwe mubyuma kandi ikoreshwa muguhuza impeta. Amapine n'insinga byinjijwe mu ruhu no mu magufa, gutanga umutekano no gushyigikira igufwa ryavunitse cyangwa ryahinduwe.

Ubwoko bwimpeta yo hanze

Hariho ubwoko bwinshi bwimpeta ibikoresho byo gukosora hanze, buri kimwe hamwe nigishushanyo mbonera cyarwo. Bumwe muburyo busanzwe harimo:

Ilizarov

Filime ya filizarov ni impeta yumwimerere yo hanze yatewe na Dr. gavril ilizarov. Igizwe nimpeta zizenguruka zihujwe ninkoni zisenyutse, kandi zifite igufwa ryamagufwa ukoresheje insinga zoroheje cyangwa igice. Filime ya Ilizarov iratandukanye cyane kandi irashobora gukoreshwa mu kuvura ibintu byinshi byamagufwa, harimo no kuvunika bigoye, kwandura amagufwa, hamwe nuburebure bunyuranye.

Taylor ikadiri

Ikadiri ya taylor ni impeta ya none yakosowe ihuza amahame ya filizarov hamwe na tekinoroji ya mudasobwa. Igizwe ninzitizi esheshatu zingirakamaro zihujwe nimpeta kuri buri mperuka, kandi irashobora guhinduka mubipimo bitatu kugirango ukosore ubumuga bworoheje cyangwa uburebure bunyuranye. Ikadiri ya Taylor ifiti ifite akamaro cyane cyane kuvura ubumuga bugoye bwamagufwa maremare, nko kunama cyangwa kugoreka.

Umuzenguruko wo hanze

Umushinga wo hanze uringaniye ni verisiyo yoroshye ya filizarov, igizwe nimpeta zizunguruka zijyanye ninkoni yoroshye. Bikoreshwa cyane mugukata ibikeshwa no gukomeretsa amaguru byoroshye kwikirenge namaguru.

Gusaba Impeta yo hanze

Impeta yakosowe yo hanze ifite ibyifuzo byinshi mububiko bwa orthopedic, harimo:

• Kuvura ibipimo bigoye bidashobora kuvurwa hamwe na tekinike gakondo cyangwa usengera.

• Gukosora amagufwa, nko guhuza uburebure bunyuranye, ubumuga bwo kugirira neza, cyangwa ubumuga bwo ku isi.

• Ubuyobozi bwanduye amagufwa, nka Osteomitelitis, mugutanga ikosora ikosora no guteza imbere amagufwa.

• Ongera Kubaka amagufwa yangiritse cyangwa yatakaye, ukoresheje tekinike nko kurangaza osteogenezi cyangwa ubwikorezi bwamagufwa.

Ingorane zishobora kuvunika hanze

Kimwe nuburyo ubwo aribwo bwose bwo kubaga, impeta ikosora itwara ingaruka zimwe nibishobora. Bimwe mubibazo bisanzwe birimo:

• Indwara ya PIN: Amapine ninsinga zikoreshwa mugukosora hanze birashobora gutera kwandura niba bidakomejwe neza cyangwa niba uruhu ruzengurutse amapine kirakara.

• Gukomera hamwe: Inararibyize igihe kirekire ijyanye no kuniga ikosora yo hanze irashobora kuganisha ku gukomera no kugabanya urwego rwicyifuzo.

• Ibyamamare: Amapine ninsinga zikoreshwa mugukosora hanze birashobora gutera imitsi yangiritse cyane cyangwa niba binjiye mu buryo butaziguye.

• Kunanirwa kw'ibyuma: Impeta, inkoni, amapine, n'insinga zikoreshwa mu gukosorwa hanze zirashobora kumeneka cyangwa gukundwa, biganisha ku gutakaza imbaraga no kwanduza inzira.

Kugirango ugabanye ibyago byo kugorana, ni ngombwa kubarwayi barimo kuvuza impeta gukurikiranira hafi gukurikiza amabwiriza yabo yo kwitondera no kubungabunga igikoresho, harimo na PIN ikibuga cyisuku hamwe na gahunda yo gukurikirana.

Umwanzuro

Impeta yo hanze ni igikoresho cyiza kandi gifatika cyo kuvura ibipimo bigoye, ubumuga bworoheje, nubundi buryo bwo kubungabunga amagufwa. Igishushanyo cyacyo cyihariye hamwe na porogaramu nyinshi zabikoze igikoresho cyingenzi mubitabo bya orthopedic. Ariko, kimwe nuburyo bwo kubaga, impeta yo hanze itwara ingaruka zimwe na zimwe nibishobora kugabanwa binyuze mubwitonzi neza no gukurikirana neza no kubaga amagufwa kabuhariwe.

Ibibazo

1. Bifata igihe kingana iki kugirango ukire impeta yo hanze? Uburebure bwo gukira biterwa n'ubwoko n'uburemere bw'aho bifatwa, kimwe n'ubuzima muri rusange bw'umurwayi no kubahiriza amabwiriza yo kwita ku ntangiriro. Bamwe mu barwayi barashobora gusaba amezi menshi adashaka no gusubiza mu buzima busanzwe mbere yo gusubira mubikorwa bisanzwe.

2. Ikiranga cyo gukosora hanze? Kwinjiza amapine ninsinga birashobora gutera ikibazo cyangwa ububabare, mubisanzwe bushobora gucungwa imiti yububabare cyangwa anesthesia yaho. Abarwayi barashobora kandi guhura na bimwe cyangwa bikomeye mugihe cyigihe cyimuka, ariko ubusanzwe biratera imbere mugihe amagufwa akiza no gusubiza mu buzima busanzwe.

3. Irashobora kuvuza ikosora hanze kubarwayi bacuruza? Nibyo, impeta yo hanze irashobora gukoreshwa kubarwayi bacuruza hamwe no kuvunika cyangwa ubumuga. Ariko, hagomba kwitabwaho bidasanzwe kugirango iterambere ryiboneye niterambere ryibintu byibasiwe, kimwe no kugabanya ibyago byo kugorana nko kwandura urubuga cyangwa kwangiza plaque.

4. Impeta yakosowe igomba kuba imaze igihe? Uburebure bwigihe cyakosowe kigomba kuba mu mwanya biterwa n'ubwoko n'uburemere bw'aho bivurwa, ndetse no gusubiza umuntu ku giti cye. Rimwe na rimwe, filime yo hanze irashobora gukenera kuba mumezi menshi cyangwa kugeza kumwaka.

5. Nzashobora gusubira mubikorwa bisanzwe nyuma yo kuniga ikosora? Mubihe byinshi, abarwayi bashoboye gusubira mubikorwa bisanzwe nyuma yuko filime yo hanze ikurwaho kandi igufwa ryarakize. Ariko, ibi birashobora guterwa n'ubwoko n'uburemere bw'aho bivurwa, ndetse no gusubiza umurwayi ku giti cye kuvura. Umuganga wawe arashobora gutanga ubuyobozi mugihe gikwiye cyo gukomeza ibikorwa byihariye.